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Andriy Yarmolenko: The inside story on his long journey back to fitness at West Ham

How altitude chambers, anti-gravity treadmills and dogged determination helped Andriy Yarmolenko recover from serious harm to turn into one of the Premier Leagues superstar players…
The Premier League is light and continues to be instrumental in West Hams increase to fifth in the table.
His supervisor, Manuel Pellegrini, described him as aspecial participant afterwards he followed targets against Norwich and Manchester United with a refined finish against Bournemouth weekend. He is carrying us sometimes, said team-mate Ryan Fredericks, who plays him to the right flank.
However, this fine shape has been fought .
As he tried to make a turn against Tottenham A little under 12 months 29, Yarmolenko, suffered a ruptured Achilles. It is an infrequent but severe injury for a footballer. For Yarmolenko that it was a blow. A couple of months after having a move to the Premier League and West Ham that he faced on the sidelines.
Here, with the Support of Richard Collinge, Head of Medical at West Hamwe tell the story of Yarmolenkos long battle back to fitness…
I believe you know right away when someone goes down with an injury like that, that its a nasty one. When we have to the pitch we understood he was in a lot of discomfort and the player, in that situation, is in a fantastic deal of shock.
While Yarmolenko clutched in his leg, the expression on the face of his own team-mates underlined the seriousness of the accident, even before Collinge and his medical team came in the scene.
You do not find a ruptured Achilles that frequently, Collinge told Sky Sports. Ive been in and about soccer for 20 years now and I believe Ive seen two in my career. They are infrequent but they are big injuries.
Mindful of the gravity of the accident knew they had to act fast.
His wife was at the match, so we brought her down to the living area and explained the importance of the harm. Andriy was shocked and disappointed. Hewanted to earn a first impression andd come to some other team in the Premier League. It was October and that opportunity had been removed from him.
We placed him into a protective bootgave him crutches and sent him straight off for an MRI scan, which confirmed our fears that hed ruptured his Achilles. With those ruptures that you need to function as quickly as possible. This was a Saturday and from first-thing Monday morning Andriy had undergone surgery in London to repair the tendon.
After the hours after the accident, Yarmolenko needed to face up to the possibility of long weeks of healing work.
After the operation, Yarmolenkos wounded right leg was kept in a boot which came off stretching exercises. During this frustratingly slow period, his sanity was equally as significant as his physical retrieval.
Watching the other players go out coaching each day was hard for them, explained Collinge. To get him during that initial 10 week period after the injury, we had been trying to be really positive around him. Andriy is a personality that is positive so that helped, however the training staff, the manager and the gamers were fantastic around him.
We have a player care team at the club as well who ensured Andriy along with his family knew we had been here as a team and team to give him every service possible, by chatting to some psychologist to reaching out to staff he is used formerly in the Ukraine. Theteam-behind-the-team ethic helped for Andriy straight right back to where he is now.
Collinge and the training team were keen to maintain Yarmolenko as busy as possible to maintain his situation. There was fitness work for his upper body and also to raise his pulse and hydrotherapy to maintain him in shape.
Yarmolenko was set a string of goals. The most important thing I have learnt over the years is that they give the player realistic mark of the way the rehab programme is going to appear and put them aims within that period, said Collinge. You have to be sure that the player purchases into that.
Purchase into it he did. You will find early starts and extended hours at West Hams Rush Green instruction base but Yarmolenkos mindset remained steadfast. Even in the seasons conclusion, if his team-mates had gone off on vacation, Yarmolenko arrived daily to keep his battle back center.
His remedy used and was wide-ranging technology. In an altitude room, Yarmolenko rode static bicycles, worked to a cross-trainer and conducted in an anti-gravity treadmill.
Andriy has been performing work in a simulated environment of 3000m elevation, clarified Collinge. He worked his lungs and heart harder, hence when he came back to the pitch his fitness was not depleted too much. Hed do high-intensity work on the bicycle as well as from December, we gradually increased the weight his body was posture as he ran to the treadmill
While massage and muscle stimulators helped strengthen muscles body fat tests and Routine weigh-ins monitored the condition of Yarmolenko, meetings with the team nutritionist substituted his diet.
Following a morning in the elevation room, extra work with the strength and conditioning coaches followed in the afternoon and weekly rowing courses helped with versatility.
Every player wants to return as rapidly as possible and we want to ease that safely, said Collinge. Altitude chambers, cryotherapy chambers, muscle stimulators, shockwave machines, you name it, there is a great deal of information and gear out there. We are constantly hoping to obtain these benefits to acquire the player back to the pitch faster and more powerful and in a more effective way.
West Ham boss Pellegrini kept a close watch on this procedure. Yarmolenko may have been ruled out for the season however, just like injured players at the club, Pellegrini insisted on him still being involved in team meetings and made to feel part of this team.
Mr Pellegrini enjoys to be kept abreast of whats happening with all the players that are injured, said Collinge. I meet with him each morning and speak through each participant, whether they are fit or not. The supervisor sees the players at the treatment space, he will come in and ask how theyre getting on.
He keeps communication open with players that are injured because the player still needs to feel a part of this club and demanded. Mr Pellegrini and his team are excellent at doing that. The players do not feel left out or transferred to the side because they are hurt
Yarmolenkos work on the treadmill raised his power through December and also come January he was ready to return to running on grass.
The strategy was slow, steady, systematic. Directly line running evolved into predominant work and by April he managed to combine his team-mates for a few non-contact sessions eventually, in May, contact coaching. But that wasnt the roads end.
When you set a player back to contact sessions, you have to build up his confidence, explained Collinge. There is nothing like instruction to achieve that. There is just so much we could do in a rehabilitation setting until you unleash the participant into a full-contact session and he has to be exposed to the pressures and strains which training exerts on this sidewalk.
Yarmolenko responded well and, had the Premier League season into June, he would have been back in action for West Ham. However, given the timing of his comeback, Pellegrini along with the medical team agreed itd be best to go easy and ensure Yarmolenko had been 100 per cent for July 1, the start of pre-season.
That meant that, with West Hams initial team heading off to their holidays after achieving a top-half finish in the group, Yarmolenko had to discover others to train .
We kept an U23s training team back later specifically to help Andriy, so he could do additional training together, explained Collinge. He also went to Ukraine and also did a little training with the national group, even though we had been very much controlling that instruction to make sure he didnt do too much too soon.
Together with his own holidays reduced to a short break away with his loved ones, Yarmolenkos summertime continued to concentrate on his rehabilitation.
They are the sacrifices you have to make, explained Collinge. People believe the season ends mid-May, but certainly for the health team, the sports science group that we offer a service throughout the summer and Andriy was in for the majority of the summer.
After July 1 arrived Yarmolenko was prepared for action – and now he is reaping the benefits for all his hard work.
The rehabilitation shouldnt be taken lightly since its a process which takes an awful bunch of buy-in, and it is testament to Andriy he came through it well, explained Collinge. It takes a large number of mental robustness and pleasure to get back playing that level again.
The tough work still persists. We dont get complacent. The demands of the Premier League are enormous nowadays, emotionally and physically, and keeps him around the 37, if a player enjoy Andriy is injured that they need to do.
But he is a fantastic professional. He has been a sponge within the previous 12 months and carried on board the advice that my staff have given him and its incredibly satisfying to watch him back, playing the way he is.
Watch West Ham vs Crystal Palace live on Sky Sports Premier League from 5pm on Saturday; kick-off is 5.30pm.

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