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winner of iPod nano giveaway

Congratulations to David Pyne of Canberra, the winner of a great new iPod nano.

David's pictured here with his brand new iPod nano

Davidp_2

David works as a Senior Exercise Physiologist at the Australian Institute of Sport.

Congratulations David, let's hope that it's put to good use!

To all those subscribers that didn't win, stay tuned for more opportunities to win other fabulous prizes soon.

communication: the first step in effective coaching

Without effective communication, your ideas, no matter how good, are of little use to others.

How often have you heard an athlete say things like
    “I don’t understand”
    “I don’t follow you”,
    “I can’t quite see what you’re saying”?

Or watched as an athlete failed to follow your instruction, yet again?

Have you predicted a poor performance prior to the event? Have you asked yourself “Why can’t they picture what I’m trying to explain?” or “Why’s it so hard for them to understand?”

Given that your instructions are clear, the answers can be explained as follows.

From the ‘display’ of all sensory information surrounding an athlete, (opposition player movement, ball movement, weather, crowd size and movement, the smell of grass or hotdogs…they need to recognize, select and respond appropriately to critical (or advanced) cues.

Watch children in their initial learning trials. They often attend to the wrong cues, or select poor responses to correct cues.

To obtain an outcome, the successful individual needs to continuously check (through the feedback available) the correctness of their cue selection, response and execution in the particular context and make the required adaptations to their performance.

The communication process is similar.

To communicate effectively we need to become aware of what cues to attend to and then develop a response compatible to the mutual outcome of both communication participants in that particular context.

It appears however that many of us as coaches are attending to ‘the smell of the hotdogs’ when we are communicating with athletes.

Why is communication effective sometimes and not at others? The principles of Neuro Linguistic Programming help us to realize that communication is an understandable mutual process.

You can improve your skills at communicating (and thus improve both coaching and learning) by understanding and applying the processes involved to the mutual benefit of all parties involved in the communication process.

To improve your communication skills, follow the same process as a successful athlete.

  1. Recognize the advanced cues available from the display of sensory information
  2. Choose the correct response for the advanced cues you’ve selected
  3. Continuously monitor the correctness of your cue selection, response and execution in the particular context
  4. Make necessary adaptations to obtain your outcome.

Let’s look at how to do this.

Recognize the advanced cues available from the display of sensory information.

What cues should we attend to?

Basically those that provide sensory feedback that helps both communication partners know they are being understood and progressing towards their outcome.

Many people use the content of conversation as their only sensory feedback. While content is important, there is other sensory information equally, if not more important.

We use our eyes, ears, nose, tongue, skin and body position to perceive (both consciously and unconsciously) he sensory stimuli we call experiences. These experiences are represented in memory by pictures, sounds and feelings that were present or imagined when the experience originally happened.

We perceive and encode (take in and make sense of) our experiences through “Representational Systems”. One representational system appears to be trusted more than the others in any given situation.

Usually people are oriented either

  • Visually, (trust their visual sense)
  • Auditorily (trust their auditory sense)
  • Kinaesthetically (trust their sense of feelings).

This limits the information we are capable of perceiving, as we’ll often only consciously take in information through one sense, rather than through the combination of senses available. (To become a better communicator pay attention to your non-preferred modes. Learn to trust your other senses.)

People make sense of the information they hear, feel or see by representing it in their minds visually, auditorily or kinaesthetically. We then use terms, called words, to describe these representations, which we have modified and adapted to fit our belief systems or visa-versa.

When conversing, others are telling you, by the words they use, not only content but also what representational system they are using. That is how they make sense of things and therefore what will easily make sense to them.

A person using a visual representational system to make sense of situations will use visual terms such as:

  • Picture
  • Clear
  • See
  • Reveal
  • Cloud
  • Bright
  • Colorful … and expressions such as
  • “I see”
  • “I get the picture”
  • “I don’t see what…”
  • “It’s clear to me now”

Someone using an auditory representational system will use auditory or ‘hearing’ terms such as:

  • Tune
  • Note
  • Sound
  • Compose
  • Shout.....and expressions such as
  • “That rings a bell”
  • “I hear you”
  • “That sounds familiar”

Someone using a kinaesthic representational system will use kinaesthetic (tactile, feeling or action) terms such as:

  • Feel
  • Touch
  • Strike
  • Move.......and expressions such as
  • “I feel good about that”
  • “Get a grip on the problem”
  • “Remove the obstacles”
  • “Untangle the mess”

Explaining that they understand a situation,
    a ‘Visual’ may say “I can see the picture clearly now.”
    an ‘Auditory’ might respond “It’s clicked now. That sounds good.”
    a ‘Kinaesthetic’ might say “That’s touched something familiar”

Whilst words are very useful feedback they are not the only feedback available. As words represent stored pictures, sounds and feelings, thoughts using these words evoke subconscious feelings, sounds and images known as resource states.

These resource states cause alterations in eye movement, choice of words, posture, breathing rates and physical appearance. Therefore they provide us a great deal more insight into how people are responding if only we possess the acuity to notice them.

These subtle changes are the advanced cues requiring attention when communicating.

A ‘Visual’ is selecting pictures from memory to make sense of whatever is happening at the time. They do this by ‘picturing’, checking the image they see with those they have stored in their mind. To check these images, their eyes move up or softly defocus 60-80 cm straight ahead. By standing in this area or making them look you in the eyes, you may be preventing them from thinking.

A ‘Kinaesthetic’ checks feelings to understand events. Their eye movements are down and to the right (down and to your left) and their speech is full of pauses allowing them to get n touch with their feelings. Allow them time to do this.

‘Auditories’ make sense of situations by relying on internal sounds. They usually have pleasing voices, often talk to themselves and have difficulty making decisions. Their eyes remain level, moving either left or right, or down and left (down and to your right). This is the least likely representational system to be encountered.

Before attempting to communicate, establish your outcomes. Outcomes are goals stated in positive, specific, sensory terms about how and what you will see, feel and hear when you have achieved your outcome.

While you are talking, notice eye movements:

    Up or defocused indicates pictures
    Down right indicates indicates feelings
    Any other place indicates sounds.

To pick up eye movements ask open-ended questions such as “How would you…”, “What is…”. Then listen to the words used. Are they using seeing, hearing or feeling terms?

If these two associations match, you have probably recognized your communication partner’s preferred system for that context.

Choose the correct response for the advanced cues you have recognized and selected.

If you tailor your words to match their representational systems (pictures, sounds and feelings) they will find your words meaningful. Your partner will find you to be an understanding person. This improves both understanding and rapport.

Those people with whom you often have conflicts may simply be making sense of the same situation from another representational system.

Continuously monitor the correctness of your cue selection, response and execution in the particular context.

Be flexible. Check for rapport. Neither party will gain their outcome until rapport is present as it is rapport that allows for the exchange of sensory information. Therefore establishing rapport becomes your major short-term outcome. Check for and establish mutual trust in the competence of the other person to complete the task at hand. If it doesn’t exist, ask what specifically your partner would like to see (or hear or feel) that would convince them of your ability to do the task.

Answer in terms they are capable of easily understanding by matching your words to their current representational system.  When mutual trust exists, find out your communication partner’s short-term outcomes by asking questions and share your short-term outcomes.

Focus on outcomes instead of problems, i.e. what you want to achieve rather than what you don’t want to happen.

Maintain rapport by subtly mirroring and paying attention to as much sensory feedback as possible. Mirror by using the least number of the following sequential moves necessary – attempt to match through emulating:

  • Voice tone and tempo (including tempo
  • Breathing rate
  • Rhythms of movement (using a different movement)
  • Body postures

With an increased awareness of the sensory information available, let’s reconsider one of our original problems. An athlete says “I can’t quite picture what you’re saying,” whilst looking up or ‘glassy-eyed’ as if they’re not even paying attention, avoiding eye contact and shrugging their shoulders.

You feel their frustration but can’t understand why they can’t ‘get it’.  With your hands in your pocket (you feel more comfortable like that), you shuffle your feet, kick an imaginary can, run your fingers through your hair, take a deep breath and roll your head (it helps relieve the tension).

All the sensory information is available to understand and solve the problem.

Chances are they are trying to make sense of the situation by using a ‘Visual’ representational system. Their eyes look up (a sign that they are in visual mode), and don’t want to make eye contact (which upsets you, as you expect people to look you in the eyes).

You, on the other hand, can’t understand why they don’t ‘get it’, a feeling or kinaesthetic term. Other kinaesthic behaviors include you looking down finding a ‘can’ to kick and a number of physical tasks that make you ‘feel’ better.

The problem is simple, the representational systems of the two communicators don’t match!

The solution, follow the process!

Establish your outcomes and rapport.

In this situation, use visual terms rather than kinaesthetic ones.

Speak of ‘seeing clearly’ rather than ‘feeling you are in touch’ and of ‘focusing’ rather than ‘feeling’.

Continue towards your mutual outcomes checking feedback along the way.

You’ll eventually find a result like “I see what you’re showing me now.”

***To see an index of all other articles click here)***

If you'd like to ask a question please e-mail me at questions@personaltraining4all.com

To receive all further posts automatically as I publish them, subscribe by e-mail

r.i.c.e.

R.I.C.E. is an acronym for Rest, Ice, Compression and Elevation.

Rice

RICE is a combination of treatment methods used for acute soft tissue injury.

When used appropriately, recovery time is usually shortened and discomfort minimized.

The RICE protocol should be applied within 24 hours, but may be effective up to 72 hours after an injury has occurred.

The main aims of R.I.C.E. are

  • to avoid further damage and aggravation to an injury
  • to allow it to heal properly
  • to reduce pain
  • to minimise
    • bleeding
    • oedema
    • swelling.

Rest

Rest ensures no further stress is placed on the injury and is a key requirement of repair.
There is a risk of abnormal repair or chronic inflammation resulting from a failure to rest.
Generally, the rest should be until you are able to use the limb with the majority of function restored and pain essentially gone.

Ice

Ice is excellent for reducing the inflammatory response and the pain. It reduces the flow of blood and oedema formation by causing vasoconstriction (narrowing of the blood vessels).

  • Apply an ice pack or cold compress to the injured site
  • The ice pack should be wrapped in a damp cloth, rather than being applied directly to the skin
  • The pack should be applied for 10-20 minutes every 2 hours
  • Ice should not be applied to the head, genitals or nipples

Exceeding the recommended time for ice application may be detrimental, as blood flow will also be restricted leading to reduced nutrient delivery and waste removal.

Compression

Compression usually involves using a bandage to place pressure on the injured area to reduce bleeding and oedema formation.

  • A compression bandage should be applied to the injured area
  • The bandage should not be so tight as to restrict circulation

Compression aims to reduce the oedema and swelling that results from the inflammatory process. Although some swelling is inevitable, over swelling results in significant loss of function, excessive pain and eventual slowing of blood flow through vessel restriction.

Elevation

Elevation involves raising the injured part high enough to minimise swelling and facilitate the healing process by assisting the blood and oedema to flow away.

Avoid the following whilst doing RICE as they increase bleeding and oedema formation:

  • any form of heat, such as a hot bath or heat rub or liniment
  • massage performed vigorously
  • the consumption of alcohol, which acts as a vasodilator

Variations of are sometimes used, to emphasize additional steps that might be taken. They include:

R I C E R

  • Rest
  • Ice
  • Compression
  • Elevation
  • Referral: Medical advice should be sought if you are at all unsure of the extent the injury

HI-RICE

  • Hydration
    • Encourage the injured person to drink plenty of fluids
  • Ibuprofen
    • The administration of ibuprofen to reduce swelling. Consult a physician for dosage.
  • Rest
  • Ice
  • Compression
  • Elevation

PRICE

  • Protection
    • Immobilize the area to protect it from further injury. Use an elastic wrap, splint or sling to immobilize the area. If your injury is severe, your doctor or therapist may place a cast or brace around the affected area to protect it
  • Rest
  • Ice
  • Compression
  • Elevation

PRICES

  • Protection
  • Rest
  • Ice
  • Compression
  • Elevation
  • Support

***To see an index of all other articles click here)***

If you'd like to ask a question please e-mail me at questions@personaltraining4all.com

To receive all further posts automatically as I publish them, subscribe by e-mail

scar tissue

Bodybeat_2
Originally scheduled for publishing, September 1996

Karen Holzer

Following injury, be it acute or chronic, the tissue involved, regardless of it’s type, must undergo a process of repair in order to reduce the symptoms and regain function. This often involves the development of scar tissue, if significant tissue disruption has occurred which replaces the damaged tissue. The functional implications of the scar tissue depends on

  1. the tissue involved
  2. the function of the tissue
  3. the degree of organization or disorganization of the scar tissue
  4. the stresses applied to the tissue

Injuries can be classified according to the tissue type in which they occur.

These include

  1. the soft tissues, involving skin and deep fascia
  2. hard tissues, involving bone
  3. specialized tissues or organ injuries, eg the brain and nervous system, the thoracic, abdominal and pelvic organs, the eyes, nose, sinuses and teeth.

There are three phases of repair that can be applied to all tissue types. These are

Stage 1 The acute, inflammatory response

This occurs 0-72 hours post injury.
Immediately following tissue injury there is cell death and subsequently a uniform vascular response to the injury occurs.

Damage to the capillaries within the tissue leads to haemorrhage followed by short-lasting reactionary narrowing of the blood vessels known as vasoconstriction. 

A subsequent vasodilation occurs with a leakage of plasma from the damaged vessels. This deposits blood-clotting factors including fibrin, within the damaged tissue, which acts to plug the damaged capillaries as well as blocking the lymphatic drainage from the area.

Fibrinogen_alpha_chain

image of a fibronogen alpha chain

The combination of the vasodilation and decreased lymphatic drainage from the injured area results in the classical signs of

  • redness
  • swelling
  • heat

Pain occurs as a result of local tissue pressures and release of special mediators of inflammation from the damaged cells.

The mediators include

  1. Prostoglandins, which act to stimulate the vascular system. Increase the permeability and stimulate lymphatic flow
  2. Growth factors which act to promote the formation of fibrous tissue as well as attracting white blood cells into the area which remove the damaged tissue. The white blood cells release further growth factors important for the progression of the repair process.

Stage 2 Matrix and cellular proliferation phase

This occurs 72 hours – 6 weeks post injury.

This phase is characterized by the proliferation of capillaries and fibroblasts, specialized cells, which together synthesize the “granulation tissue” the specialized connective tissue used to replace the damaged tissue.

Stage 3 The re-modeling and maturation phase

This occurs approximately 6 weeks –several months post injury.

This phase involves the contraction, re-orientation and maturation of the laid down granulation/scar tissue.

The scar tissue never has identical properties to that of the original tissue.

This is particularly noted within specialized tissues such as ligaments and tendons where the scar tissue has reduced strength and elastile properties, particularly if a large amount of disorganized tissue with adhesions occurs. The degree of organization/disorganization thus, has long-term functional implications for the involved tissue structure.

In order to optimize tissue healing and repair it, it is important to minimize the formation of disorganized scar tissue. This involves the early application of the RICE regime in conjunction with local physiotherapy and non-steroidal anti-inflammatory drugs following the immediate phase, in order to minimize the uncontrolled bleeding and oedema.

Over the next 3-6 weeks a graduated mobilization program is important, which acts to allow for organized connective tissue repair and re-modeling, ultimately resulting in an oriented load-bearing repair without adhesions.

Both excessive mobilization and prolonged immobilization adversely affects tissue healing and thus the long-term functional consequences of the injury.

***To see an index of all other articles click here)***

If you'd like to ask a question please e-mail me at questions@personaltraining4all.com

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