Low-Rider

Recently, Nike and Kobe Bryant introduced their latest basketball shoe.

What's so special about them? They're not the usual high-tops we're used to seeing.
In fact, the low cut design brought back the argument about what type of shoe is best for basketball. Many experts have said that high tops are better at reducing ankle sprains (the most common injury in basketball), while others have said that high-tops limit performance.

During a recent interview with ESPN.com , Mr Bryant brought up lots of reasons for his decision to go to this new model.

• Soccer players cut harder and put more torque on their ankles than basketball players do, but they play in shoes lower cut than his new one.


• "High Tops were becoming more restrictive" and he wanted to make the shoe "as snug as possible" .


• "I've rolled my ankles a lot of times wearing high tops". Like his severe Right Ankle Sprain in 2005 .
  


• "If you come down on somebody's foot - there's nothing you can do about that"


• The current design "cuts the weight of the shoe"


• "gives your foot a little more freedom to change directions"

When asked how it will translate to the average, chubby, middle america basketball playing guy ? "the shoe will actually make you faster" and make you jump higher.

So what do I think? (Thanks for asking)

He's right about several things:

• Soccer players do cut hard and wear even lower-cut cleats.


• If you land awkwardly on someone else's foot, there's a good chance you'll turn your ankle regardless of the type of shoe you're wearing.


• A lighter shoe can help you jump (relatively) higher and move (somewhat) faster. Although I doubt it's going to significantly affect how tired you get on the court.

But Here's One Thing That Nike And Kobe Are Not Discussing - as reported in The Canadian Press , Kobe may be wearing a new low-cut shoe but "Bryant is sticking with plain old athletic tape for ankle support").

Why's that important? Taping ankles and/or wearing ankle supports has been shown to reduce the risk of ankle injuries (especially in athletes who have already injured their ankles before).

Just like the professional soccer players he watches and admires, Mr Bryant has a professional trainer at his disposal who will wrap his ankles before every practice and game.

Do you? Didn't think so.

Take Home Message Number 1
If you want to play in Kobe's low tops, either get someone to tape your ankles (will provide support for a limited time, depending on the type of tape and how it's applies) or put on an ankle support (will provide continuous support) before you hit the court.

Take Home Message Number 2
Regardless of what some people wear, they'll still sprain their ankles. Like Kobe says in his interview, "if you get crossed up, that's your fault" .

An Ankle a Day....

OK, maybe Sports Medicine doctors don't see an ankle injury each day, but it's pretty close.

Ankle injuries (mostly sprains) are the most common basketball injury and can range from a "tweak" that you walk off to a career ending event.

Take a look at this clip a few times and then read on for a few things to learn from it.

• While guards and wings like to "break ankles" with a good crossover driblle during transition or on the perimeter, most ankle injuries occur in the paint, where people are jumping and landing while going for rebounds, blocked shots, etc.

• The vast majority (about 85%) of ankle sprains occur when you land awkwardly or on top of someone else's foot and roll your foot over the outside border. This inversion injury can stretch or tear ligaments (tissue that joins bone to bone) and cause significant pain. In this instance, the player lands on someone else's foot and suffers an inversion sprain.

• Immediate management of the injury includes getting off the floor to be evaluated. If you hear a pop, roll your ankle the other way (eversion), or can't walk or bear weight on the ankle, it's probably a more serious injury. If an athletic trainer, physical therapist or physician is present, they can assess the tenderness and stability of the ankle ligaments by performing a series of maneuvers. You can see some of this on the video.

This should be done quickly, because as soon as any swelling starts, it will become more difficult to figure out any specific tender points (because the entire side of the ankle will be tender!)

• Whether you're in a pickup game or in the middle of the NBA Finals, you should take immediate steps to keep the ankle from swelling (too much). This means starting the R.I.C.E program that includes Rest, Ice, Compression, and Elevation. In the video, you can see this player (Kristen Rasmussen of the Adelaide Lightning) limping off the court while her foot is in a compression boot.

• Another important point is that once you sprain your ankle, you become 5 times more likely to sustain another injury to that same ankle. I'm guessing that "Raz" had previously sprained her ankle(s) as she can be seen to be wearing black ankle supports under her basketball shoes (more about this in a future post).

The good news is that ankle injuries, when treated appropriately, can be overcome. Ms. Rasmussen was able to return later in the season and she's currently playing for the WNBA's Connecticut Sun.

In a future blog post, I'll go over some of the important, but often overlooked, parts of a good rehabilitation program designed to not only return an injured basketball player to competition but to decrease his or her risk of further injury.