我感觉很好 但是在Howard离开之前 is great but before he leaves Howard has
他要进行最后一项任务 one last commitment
火箭队物理治疗师Jason Biles a unique training session with rockets
独有的一种训练 physical therapist Jason Biles
这是为他设计的例行训练的一部分 it's part of a routine designed to keep
这种训练能让他在赛场上不断驰骋 Howard on the court
并且远离损伤 非常好 and off the injuries report it's good
因为当我进行这种训练时 because when i'm doing the exercise
我感到我的关节所受到的压力 you know it takes a lot of the pressure
减少了很多 off my joints
这样我就可以像往常一样进行训练 so i'm getting the same workout in but
但我的膝关节却不会承受那么大的压力 the load is not as heavy on my knees
这对我来说非常重要 尤其是当 which is very important especially when
你 you
的年龄越来越大的时候 上一个赛季Howard错过了 get up in age last season howard missed
41场比赛 41 games
他的右侧膝关节也出现了很多 many as the result of a cartilage injury
软骨损伤 in his right knee
我觉得我的膝关节里面好像有什么东西一样 i had some stuff in my knee and it just
它让我的活动总是不顺畅 kept bothering me
每次当我要起跳和移步时 and every time i went to jump and move i
我的膝关节都会感到疼痛 was like man i just feel this pain in my
knee
Howard离开了地板 他跳起来了 howard really lifts because he comes up
我总是在起跳 the floor well i'm always jumping
然后又落下来 这样我的膝关节 you know always in the air always coming
总是会承受很大的冲击力 down and putting a lot of force
还有我的脚 我的脊柱 都会受到这种冲击力 you know on my feet and my knees and my
back
我们意识到我们确实需要为Howard制定一个 we realized that we needed to have a
训练计划 plan
休斯顿火箭队的首席物理治疗师 for dwight dr walt lowe head team
Walt Lowe博士和休斯顿的 physician of the houston rockets and the
其他成员 houston texans
都视软组织损伤为NBA队员的 sees cartilage injuries as particularly
最大敌人 threatening for nba players
这些队员每年要参加82场比赛 these guys play 82 real games a year
平均每个队员要跑5英里 the average guy runs about five miles
每次比赛都是在相当硬的地面上 every basketball game on a fairly hard
进行 surface
Lowe博士说 不是所有的损伤 low says not all injuries require
都需要手术 Howard的情况也是如此 surgery including howard's
但是我们同时又会担心由于对膝关节 but there are concerns about lingering
采取的保护措施会引起 weakness of the muscles responsible
肌肉的无力 for protecting the knee they
相比其他运动比赛而言 load their knees they load their spines
他们的膝关节 他们的脊椎 they load their body in
所承受的冲击力 in just a exponential way compared to a
都要大得多 lot of the other sports
BFR这个时候 and so that's where the bfr has come in
就派上了用场 to use with the white
BFR训练 也就是血流阻断训练 bfr or blood flow restriction training
使用的是一个特制的止血环带 utilizes a specialized tourniquet cuff
把它缠到上臂位置或者 wrapped around the upper portion of the
腿上 arm or leg
环带充气后会对相应的身体部位产生压力 the cuff is inflated to a pressure that
这种压力会减少大约80%的血液 reduces blood flowing into the limb
流向肢体 by approximately 80 percent and
同时会阻止所有的静脉血流 restricts all of the blood
它的最大压力是 from flowing out so his max pressure is
202毫米汞柱 202
我们的目标是减少80%的动脉血流 we take 80 and that's how this 161
这就是为什么是161mmgh number comes up
这个压力指数是训练的 so that's the the number the pressure
所要使用的压力值 that will exercise that
你的呼吸怎么样 我感觉在燃烧 are you getting the breath i am feeling
是的 我确实有这种感觉 the burn yes i am
你还会有更糟的感觉 and it only gets worse because we have
因为这之后你还要再做两组 two more sets of 15 after this
是的 我现在就想睡觉了 yeah after this i'm i want to go to
sleep
天啊 血流减少了之后 oh boy the decreased blood flow results
流向 in less
四肢的氧气减少了很多 oxygen to the limb exercising the
在这种低氧状态下进行肌肉训练 muscles in this low oxygen
能够让运动员用 state allows the athlete to use very
非常小的阻力 light resistance
就可以得到 yet achieve strength gains similar to
在负重情况下 exercising under
才会得到的肌肉力量 你腿的这个部位 heavy loads or high intensity you really
现在快没感觉了吧 can't feel your legs
科学家多年来一直在研究 this part scientists have been studying
血流阻断的技术 blood flow restriction
以及它对肌肉的影响 and its effect on muscle for years the
训练的开始阶段非常轻松 因为 first steps usually fairly easy because
至少你的肌肉中还有氧气 you still have oxygen in the muscle
物理治疗师Johnny Owens johnny owens the physical therapist who
把BFR引进到了火箭队 introduced bfr training to the rockets
BFR在2012年首次使用 当时是为了 first began using it in 2012 as a means
帮助受伤的战士恢复他们的 of helping wounded soldiers regain their
肌肉力量 strength
right off the bat you can see man this
is really helping this amputee or this
limb salvage
guy but there's another guy over here on
this other table who just had an acl
repair he's probably a great candidate
but if you ask dwight to go
lift a whole bunch of weight in the
squat rack or leg press
that might severely take the tread off
the tire basically
so he can use this as a way to maintain
the strength and hypertrophy
with a very lightweight just apply this
tourniquet system to it
with us basketball players when we're
you know lifting weights
and you know you want to look good and
have those beach muscles then you just
do
the bench press the normal bench press
how you do squats
but if you want to make sure during the
fourth quarter when those big muscles
are tired you have something to hold
them together it was just the little
things that make a big difference
some people watching you doing that
training might say
he's got to be nervous because you're
cutting off the blood flow to the limb
while you're exercising
if something were to go wrong it could
be career threatening
how do you respond uh well
you have to try it before you can just
you know knock it off and say it doesn't
work
uh but i understand there's always fear
coming in but if you want great results
if you want to get somewhere in life no
matter if it's training basketball any
sport
or just to be successful you have to get
over
the fear both low and owens say
supervised clinical use of bfr training
is safe
based on the history of tourniquet use
in medicine
we put a transit up around the leg for
two hours for big
surgeries and this is up for five
minutes
at a time the use of tourniquets and
restricting blood flow and extremities
we've
done that forever tourniquets are
medical devices they're fda regulated
they need to have cuffs that are wider
so they don't put too much pressure on
the limb
the biggest concern our researchers said
that we need to watch out for was nerve
damage
and they told us that using thinner
cuffs can
can cause nerves to be damaged
how worried are you that athletes are
going to learn about this
and potentially say i can go in the gym
and
wrap a band around like weightlifting
band and i can
essentially recreate this we are worried
we already have questions from athletes
everyone's
pressure needed to make the blood stop
in their limb is different so
it's based on your blood pressure it's
based on the size of your limb how much
muscle you have how
wide the tourniquet cup is where the
tourniquet cuff is so
all those type of safety features i
think need to be applied
clinically what is it 32 42
yeah while the early results are
encouraging
there is no long-term data available
related to bfr
training studies take a really long time
especially large good trials and those
are ongoing
as for howard his results have been
enough to convince him
to continue with bfr training i would
say if i wasn't doing the bfr uh
training and treatment
i would probably miss a couple games i
want to play basketball as long as i can
be as healthy as i can and even you know
post career
you know being able to to walk and do
all the things that i'm doing now i
wouldn't be able to do that