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 recuperate from serious injury to become one of the Premier Leagues superstar players…
The Premier League is light and continues to be instrumental in West Hams increase.
His supervisor, Manuel Pellegrini, described him as aspecial player later he followed goals against Norwich and Manchester United with a classy finish contrary to Bournemouth last weekend. He is carrying us occasionally, said team-mate Ryan Fredericks, that plays behind him on the perfect flank.
But this form has been fought for.
A little under 12 weeks Yarmolenko suffered a ruptured Achilles because he tried to earn a turn from Tottenham. Its a harm for a footballer. For Yarmolenko it was a cruel blow. Only a couple of weeks after having a proceed on to also the Premier League and West Ham that he had been confronting on the sidelines.
Here, with the Assistance of Richard Collinge, Head of Medical at West Hamwe let the story of Yarmolenkos long battle back into fitness…
I think you understand right away when someone goes down with an injury like that, that its a nasty one. The moment we have on the pitch we knew he was in a lot of distress and the player, in that situation, is at a good deal of shock
The expression on the surface of his own team-mates underlined the seriousness of the accident, even before Collinge and his team arrived in the scene while Yarmolenko clutched in his leg.
You do not observe a ruptured Achilles that often, Collinge told Sky Sports. I have been in and about football for 20 decades now and I think Ive seen two in my own career. They are rare but they are big harms.
Aware of the gravity of the accident knew they had to act quickly.
His wife was at the match, so we introduced her down to the living area and explained the importance of the harm. Andriy was frustrated and surprised. Hed come to a team from the Premier League and wished to earn a wonderful first impression. It was October and that opportunity had been taken away from him.
We put him into a protective bootgave him crutches and delivered him straight off for an MRI scan, which confirmed our fears hed ruptured his Achilles. With those ruptures that you need to operate as swiftly as possible. That was a Saturday and from first-thing Monday morning Andriy had undergone operation in London to fix the tendon.
After the hours following the injury, Yarmolenko had to face up to the prospect of many weeks of healing work.
Following the operation, Yarmolenkos hurt right leg was stored in a boot which only came off stretching exercises. During this slow span, his sanity was just as significant as his physical recovery.
Watching the other players head out training each day was hard for him, said Collinge. To get him during that first 10 week period after the accident, we were attempting to be really positive . Andriy is a personality that is really positive anyway, so that helped, but the supervisor, the gamers and the training staff were great around him.
We have a participant care staff at the club as well who ensured Andriy and his family knew we had been here as a team and team to give him every service possible, by talking to a psychologist to reaching out into team he is used previously from the Ukraine. Theteam-behind-the-team ethic helped to get Andriy straight back to where hes now.
Collinge and the training team were keen to maintain Yarmolenko as busy as possible to keep his condition. There was gym work because of his upper body and also to raise his heart rate and hydrotherapy to maintain him in shape.
Yarmolenko was set a collection of goals. The main thing I have learnt over the years is that you give the player realistic mark of how the rehab programme will look and put them goals within that period of time, explained Collinge. You need to be certain the player purchases that.
Purchase into it . There were early starts and extended hours in West Hams Rush Green instruction base but Yarmolenkos attitude remained steadfast. Each day to continue his struggle back into 29, even in the seasons conclusion, when his team-mates had gone on vacation, Yarmolenko arrived center.
His remedy used and was extensive technology. Inside an altitude room, Yarmolenko rode inactive bicycles, worked on a cross-trainer and conducted in an anti-gravity treadmill.
Andriy was performing work in a simulated setting of 3000m altitude, explained Collinge. He worked his lungs and heart harder, and so when he return to the pitch his fitness wasnt depleted too much. He would do high-intensity work on the bicycle and, from December, we gradually increased the burden his own body was bearing as he ran to the treadmill.
While massage and muscle stimulators assisted fortify muscles and body weight checks monitored the condition of Yarmolenko, meetings with all the team nutritionist tweaked his diet.
After a morning in the altitude chamber, extra work with the strength and conditioning coaches followed in the day and weekly rowing classes helped with flexibility.
Every player wants to get back as fast as possible and we would like to facilitate that securely, explained Collinge. Altitude chambers, cryotherapy chambers, muscle stimulators, shockwave machines, you name it, theres a lot of info and gear on the market. Were constantly trying to come across these benefits to acquire the player back to the pitch quicker and more powerful and in a more effective manner.
West Ham manager Pellegrini kept a close watch on this procedure. Yarmolenko might have been ruled out for the entire year but, as with all injured players at the center, Pellegrini insisted still being engaged in staff meetings and made to feel a part of the team.
Mr Pellegrini likes to be aware of what is happening with all the injured players, said Collinge. I meet with him every morning and talk through every participant, whether theyre healthy or not. The supervisor also sees the gamers at the treatment room, hell come in and ask how theyre getting on.
He keeps communication open with injured players because the player still needs to feel a part of this club and concerned. Mr Pellegrini and his staff are great at doing this. The players dont feel left out or transferred into the side because theyre injured.
Yarmolenkos job on the treadmill improved his power through December and come January that he was prepared to return to running on grass.
The strategy was slow, steady, systematic. Straight line running evolved to predominant work and by April he managed to join his team-mates for a few non-contact sessions eventually, in May, touch training. But that wasnt the roads end.
When you set a player back into contact sessions, then you have to build up his assurance, explained Collinge. There is nothing like training to perform that. There is just so much we could perform in a rehabilitation setting until you unleash the player right into a full-contact session and he has to be subjected to the pressures and strains which coaching exerts on that sidewalk.
Yarmolenko responded nicely and, had the Premier League season into June, he would have been back in action for West Ham. However, given the timing of his recovery, Pellegrini along with the medical staff agreed it would be best to go easy and guarantee Yarmolenko was 100 per cent for July 1, the start of pre-season.
That meant , together with West Hams initial group heading away for their vacations after attaining a top-half end in the group, Yarmolenko had to locate others to train with.
We kept an U23s training group back later especially to assist Andriy, therefore he can do extra training with them, said Collinge. He also went back to Ukraine and did a training with the national group, even though we were very much commanding that coaching to make sure he didnt do too much too soon.
With his own vacations reduced to only a brief break with his family, Yarmolenkos summer continued to concentrate on his rehabilitation.
They are the sacrifices you need to make, said Collinge. People believe the season ends mid-May, but certainly for the medical team, the sports science group we offer a service throughout the summer and Andriy was responsible for the majority of the summer
When July 1 arrived Yarmolenko was prepared for action – and now he is reaping the rewards for all his hard work.
The rehab should not be taken lightly since it is a procedure that requires an awful bunch of purchase, and it is testament to Andriy he came through it well, explained Collinge. It takes a huge number of mental robustness and pleasure to get back playing at that level again.
The tough work still lasts. We do not get complacent. The demands of the Premier League are huge nowadays, emotionally and physically, and when a player enjoy Andriy has been injured that they will need to do extra effort that helps keeps him around the pitch.
But hes a fantastic professional. Hes been a sponge over the last 12 months and taken on board the information my team have handed him and its extremely satisfying to see him playing the way he is.
View West Ham vs Crystal Palace live on Sky Sports Premier League from 5pm on Saturday; kick-off is 5.30pm.

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