High-intensity stepwise conditioning

programme for improved

exercise responses and agility perform
ance of a badminton player
with knee pain

Introduction
Patellar tendinosis is a very common injury in
badminton
A professional Badminton player is expected to
perform a large number of jumps, lunges, and ra
pid directional changes
The movements produce high magnitudes of
loads on the lower extremities of the player whic
h have the potential to result in injury

Introduction
low-intensity training programme
Maintain joint mobility
Promote tissue healing
Minimize inflammation or development of pain

Ex. Eccentric muscle training and stretching

exercises for the quadriceps

A long duration of rehabilitation time

(5.9-23 months)

Introduction
high-intensity training programme
Muscle strength
Power
Physical activities
Agility

Ex. endurance, interval, resisted and

agility training

Introduction
Endurance running is used to promote
adaptations of the cardio-respiratory and neuro
muscular systems for better regulation of the me
tabolism system
Interval running is used to enhance aerobic
fitness and sport performance
Resisted running increases muscular
endurance, strength and anaerobic fitness by ext
ending the body's physical limit.

All these capabilities are prerequisite

to all competitive sports

Research Question
a high-intensity training programme can
be implemented in the earlier stage of the
rehabilitation period to reduce the rehabilit
ation time

Purpose
investigated the effects of a high-intensity
conditioning programme combined with st
epwise training load and multiple recovery
measures on pain, agility, and the general
physical fitness of a worldclass badminton
player with patellar tendinosis.

Methods
Player
One 26-year-old male world-class badminton
player
pain in the left knee during extension
left patellar tendinosis
(SindingeLarseneJohansson Syndrome)
MRI : a tissue calcification and thickening
around the middle portion of the patella tendo
n

 Perceived knee pain and symptom

Agility performance
Cardiopulmonary fitness

Phase 1-Endurance run

Phase 2-Interval run
Phase 3-Resisted run
Phase 4-Recovery

Perceived knee pain and symptom

Agility performance
Cardiopulmonary fitness

2nd
evaluation

Conditioning
programme

1st
evaluation

Test procedures

Methods
Rate of Knee pain intensity
0 = none
1 = mild pain
2 = moderate pain
3 = severe pain

cardiopulmonary fitness
Step test
Agility test

Agility test

Conditioning programme
The three-week conditioning programme
(7 sessions, each lasting 3 h)
Phase 1-Endurance run
Speed : 15 km/h
Intensity : 70-80% of his maximum heart rate
Duration : 45 min

Conditioning programme
Phase 2-Interval run
Fast interval run : HR = 160-180 bpm
: 1.5 min
Slow interval run : 100 120 bpm
: 3 min

Phase 3-Resisted run

initiate and maintain rolling of the treadmill's
belt
30 second

Conditioning programme
Phase 4-Recovery
Cold and compression therapy

75 mmHg, 10 C , 15 min

manual massage
muscles around the hip and knee joints:
quadriceps, hamstrings, tensor fascia latae, tibialis
anterior and gastrocnemius

Stretching
30 sec. 2 times
The overall time spent during the recovery phase was
about 1.5 h for each session.

Results

Results

Results

Discussion
The goal is to minimise rehabilitation time and
maximise sport adaptation
Badminton requires a high standard of physical
fitness as well as the ability to execute a wide ra
nge of agility movements such as fast starts, spri
nting to the shuttle, stopping from fast movemen
ts, and sudden changes of direction with intermit
tent bursts of activity being supplied from anaero
bic energy sources

Discussion
the application of high-intensity training
exercises would be ideal to promote sport
adaptation during rehabilitation and suffici
ent recovery measures would be essential
to minimise any adverse effects while enh
ancing the cardiopulmonary fitness of an i
njured player

Discussion
The improvements to his cardiopulmonary
fitness from fair (15 bpm) to excellent (32
bpm) level together with the reduction in p
ain symptoms, the player was able to retur
n to training

Discussion
In phase1, the endurance run was designed to
improve
general fitness
including aerobic (cardiovascular) and muscular
endurance in order to sustain 45 min for a badminton
game

In phase 2, the interval run was designed to

improve anaerobic endurance fo overcoming fati
gue (or oxygen debt) between points in a game

Discussion
In phase 3, the resisted run was intended
to increase muscular endurance threshold
During the recovery phase, several
methods including cold and compression t
herapy, manual stretches, and massages
were applied to minimise inflammation an
d promote recovery