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October 31, 2024 • 12 mins
Tony talks Quad injuries with Bob Mangine of NovaCare on ESPN 1530!
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Episode Transcript

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Speaker 1 (00:00):
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Speaker 2 (00:06):
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Speaker 2 (00:30):
Oh, No One covers the Bengals Like ESPN fifteen thirty,
Cincinnati's sports station, Cincy three sixty is back on ESPN
fifteen thirty Cincinnati Sports Station.

Speaker 3 (00:49):
Welcome back, Cincy three to fifty. Roll along in the
third hour here, thanks for ten station on the Hominid Angles.
ESPN fifteen thirty Cincinnati Sports Station. As we do and
every week, Bob man Jean from the University of Cincinnati
Novacare is joining us to talk injury related news. Bob,
what's going on? How are you?

Speaker 4 (01:10):
Jony's just getting sick for the first tip off game
next Monday. Here, you know, we're playing Arkansas time bluff
and trying to make sure we get the kids ready
to go. So life is good in Bearcatland right now.

Speaker 3 (01:22):
So excited for the start of the college basketball season.
And for many people there was excitement building for the
Bengals season three and five. Some of that has subsided,
but some of that is subsided with the T Higgins
injury news as of late. He popped up late on
the injury report before the Philadelphia Eagles game and ends
up missing the game. They call it a quad injury.

(01:44):
It's obviously not the first time that T Higgins has
missed games. He's missed multiple games with hamstring injuries last season.
He's missed him throughout his career. When we talk about
let's just start with the quad injury itself, how difficult
of an injury is that for someone at the wide
receiver position.

Speaker 4 (02:03):
Well, I mean your quad tony is quadress up. The
front thigh muscle is a power muscle. It helps you
get off the line and helps you with your firsts.
And when you look at an athlete with a quad injury,
it kind of makes it a little bit difficult to
get that verst start. And then if you want to
put your foot in the ground to make your urst,

(02:24):
you know, make your cut, whether it's going to post
or whatever. You know, you're putting that foot in the
ground and trying to get that good stability, and it
can be problematic. I mean, because you know, you're all
day long, you're you're trying to cut, You're trying to
you know, do differently neew verse, and it can be
you know, a pain. You know, again, I'm assuming, you know,

(02:46):
we're assuming it's a strain and not a contusion. And
you know, difference wise, you know, sometimes strains are a
lot harder than than the string. You've had your share
of contusions, you know what I'm talking about. You know
that those can rec a little bit faster. But if
you're looking at like a true strain, then the quads
are a problematic injury.

Speaker 3 (03:08):
When you look at his injury history since coming in
the league, seven different times he has appeared on an
injury report with either hamstring sprain, leg or quad strain.
When you start to see the same type of injury
pop up for the same player, what do you start
to look at in that sense? Because now you see

(03:29):
a pattern here with these injuries, how difficult does that
become to navigate?

Speaker 4 (03:35):
Well, I'll tell you know, I don't know Higgins in
terms of his mechanics or his history, or his load
or any of that. But let's say I had one
of my guys who were going through the same process.
Now we would start, because it's a multiple history situation,
You're going to take a step back, look at things

(03:56):
like nutrition, rest, what modalities were using for recovery, load management,
and then even getting into biomechanics. What's his overhead squat
look like, what's his foot look like? Maybe he needs
an insert in the shoot to try to balance some
of his leg lend through to balance some of the
forces going up the lay. So when you have somebody

(04:18):
with multiple history, and you know, you know, last year
I had a player with a hamstring problem that I
struggled to get back by the end of the year.
We went back and looked at everything from load to
having somebody looking at his mechanics, look at his feet, uh,
looking at the amount of rest he's getting using the

(04:38):
float tank, so that we want to really attack him
and make sure that you know, we're addressing every issue. Uh.
You know, high school kids today, I recommend, hey, if
you're having multiple issues, get in to see a physio therapist.
Get in there to you know somebody who can look
at your mechanics from your back to your feet, look

(04:59):
at legless. The other issue is how often you stretch,
are you foam rolling? Are you getting prepared for practice
and gains correctly and you're doing the right routine that
can make you, you know, less susceptible to overload. But
overload is a keyword we use today and recovery is
the other keyword. Is as the load goes up, recovery

(05:22):
has to go up.

Speaker 3 (05:24):
So when you look at at an instance like this
and all of the options out there, it really does
become trial and error because a lot of these injuries
occur when they're going full speed at practice and you
don't want to run them through rehabit full speed. You
don't want to try out these different techniques at full speed.
So how much of it does become trial and air
and trying to formulate the best guess going forward as

(05:47):
to what's going to work to prevent these injuries from reoccurring.

Speaker 4 (05:51):
Well, that's where your athletic training staff, your PT staff,
your strength staff are all sitting there saying, Okay, let's
try this, this and this today. Let's try the next
rep of exercises the next day, Let's see how fast
we can progress them safely. That's going to mittic everything
we can do on the field. So I always tell people,

(06:12):
you know, it's not what I do just in the clinic,
you know, when I've got them down the PT rehab playing.
It's then when I take them and transition them on
the court. You know, Mike Rafel and I spend iron
and a half this learning together so far on our
three guys that we're managing together, so that whatever he
does in the weight room is balancing when I'm doing
up in the up in the therapy session. And then

(06:35):
this afternoon we'll go on the court and we'll try
to balance this on court activity so that we're balancing
everything out getting them back to play, but also realizing
we do have to mimic as close as we can
to what they're going to do in practice. But you
can only do that on the court. So you've got

(06:56):
to be with them when they're on the court or
on the field. And that's where that teamwork of you know,
the strength coach, that the trainer, the fiscal therapist, you
know all the people in sports science that are going
to give their opinion. You know, we have a nutritionist
now for basketball, and you know, Dylan and Mike and
I met this morning and talked about three guys both
their weight, looking at weight, looking at supplementation. It's become

(07:21):
it's almost becoming, you know, where you've got so many
people involved, you're trying to make sure that they're safely
impressing every issue.

Speaker 3 (07:29):
Let me let me switch gears for one second, because
the basketball season for many teams starts on Monday, and
for a lot of high school athletes, football season is
getting to the playoffs or even done, which means basketball
season or their other sports season is right around the corner.
And I want to take something I don't want to
dive into Dayda Thomas and his injury, but something that
Wes Miller said in this press conference yesterday of not

(07:51):
going zero to one hundred, making sure that he's comfortable
and he's ready to go and building up. How important
is it especially for high school athletes too. They get
bumps and bruises and they want to just jump back
in their one hundred percent and understanding the season is
such a marathon. It's a physical, long, arduous season. How

(08:12):
important is it for athletes at any level to not
just jump in coming back from an injury and go
right back to one hundred percent, but make sure there's
a plan in place to gradually get there.

Speaker 4 (08:23):
Well, you got two situations going on right now. You've
got the kids who are done playing football that are
now going to jump into basketball, and you need at
least a two to three week transitional phase because those
two sports kind of puller opposite. You played both, so
you know exactly, you know, going from that football short
burst stuff down, they having to play basketball up and

(08:44):
down the court, up and down the court, so that
you've got to take a time period to have that
transitional period. The kids have to change their cardiovastery conditioning,
they might have to change their weight program a little bit,
what they're lifting, what they shouldn't be listening, and then
go from there, you know, and the same thing at college.
You know, we're looking at how to how to progress

(09:07):
progressions critical in our world. Now we've got some technology
that allows us to look at what they look like
when they're healthy, so that we can come back and say, Okay,
day one, we're going to go to this load, day two,
go to that load. Or we also have the devices
up here to where you know, I can put a
kid in a poll and unload them completely in the poll,

(09:28):
or I can put them on one of our boost machines,
our treadmills, and I can take half the weight off
of them so that I can mimic him running at
full speed, but only at half weight bearing. And then
all of a sudden, you know, two days later we
go three quarters, then we go ninety percent, and then
we finally go back to the court. So you know,
and I love data day day. Is a one hundred

(09:49):
and ten percent guy every time he practices or place,
and so you got to get him a little bit tempered.
You know, my favorite and you played with the guy
you know, uh, you play with Marty Gillier, And what
is Marty's favorite saying do you want Marty on Wednesday?
Or do you want Marty on Saturday? Okay? And Marty
showed up, you know, every Saturday, and and you love

(10:11):
having them out there because you know, he makes every
he made everybody look at you. So you know, you've
got to temper it a little bit to where you're
trying to get the athlete to the game, and then
you know, try to work that up slowly and even
in games sometimes because our season is so freaking long
that you know, we may only go you know, seven eight,

(10:31):
nine minutes first game, then go ten twelve, thirteen minutes
next game, then go you know, fifteen, sixteen, seventeen minutes,
because you know, very fortunately in the preseason when these
injuries occur in the preseason, we've got enough non conference
games to ramp that back up. If we were in
the middle of the Big twelve season, you know, I
got to you know, we got to accelerate that a

(10:53):
little bit because we don't have time to wrap that,
you know, ramp back up. And same thing at the
professional level. I'm sure what the Bengals are going through
with hegans. You know, you don't have time. You know,
they got to get him on the field effectively safely
prevent him from getting reinjured and not let this thing
drag out and become a chronic problem and then you

(11:14):
don't have him the rest of the year.

Speaker 3 (11:16):
That is Bob man Jean from the University of Cincinnati
and Novacare Bob, appreciate your time, as always enjoyed the
last couple of days here before they start of a
very long and hopefully very successful Cincinnati Bearcat basketball season.

Speaker 4 (11:29):
Well, thank you, Tony. You know there's always great talking
to you in Austin and Austin. I'll keep my prayers
up for you and your hope for the Bengals. But
one of these days I may have to respond on
X with some of your wonderful, insightful elements.

Speaker 1 (11:47):
You know, I don't feel like you're being genuine there, Bob.

Speaker 4 (11:50):
Oh always always Austin, I'm genuine.

Speaker 3 (11:54):
Okay, Bob, thank you so much. We'll talk next week.

Speaker 4 (11:59):
Have a great week.

Speaker 3 (12:00):
That is that's Bob Manjen. When it comes to your
physical wellbeing, you want a physical therapist you can trust.
That's Novacare Rehabilitation. Novacare has been the exclusive physical therapy
and athletic training provider to the Bearcats for over twenty years.
Go to novacare dot com to request and appointment.

Speaker 4 (12:13):
Today.

Speaker 3 (12:13):
The Bearcats trust Novacare, so can you. We'll be back
moving along hour number three. Thanks to Penn Station on
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