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  • Archives for physiotherapy (14)

Running Strong: Video Analysis, Running Re-education and Strength and Power Program for Runners

The Running

Strong Program

What is it?

A 4 session program to improve your running and decrease your chance of injury.

What is it composed of?

  • Detailed analysis of your running history and programming to find predictors of injury
  • High Speed Camera (240 frames/second) analysis of your running form
  • Pelvic Drop
  • Detailed functional evaluation of your physical function designed to find weak links
  • Custom created corrective exercise and performance based exercise program including 3 follow up sessions (more…)

Clinical decision making in running form interventions: implications for injury

Clinical Decision Making in Running Form Interventions

Initially written for Medbridge Education

 

The purpose of this article is to highlight the clinical decision making process during kinematic running analyses – focusing on evaluating the kinematic risk factors for running injury and not kinetics.

Both predictive and correlational research attempts to identify kinematic variables that are associated with an individual’s future or current injury.  Many of those being:

(more…)

A review of Charlie Weingroff, his course and the SFMA

Purpose: To provide a very selective review of Charlie Weingroff’s course and how it actually fits with a neurocentric view of pain and function.

Audience: Therapists and strength coaches.  Patients who  have trouble sleeping.

Related Links

1. Jeff Cubos discusses SFMA, DNS and Lorimer Moseley and they inform his practice style

2. My and Bret Contreras’ minor critical analysis of the Joint by Joint Approach

 

Overview

I took 2 days out of Charlie Weingroff’s course, Training = Rehab, Rehab = Training course here in Toronto from MSK-Plus.  MSK-Plus is a  continuing education company run by Dr. Glen Harris.  Dr. Harris has brought in a lot of great educators over the years and this course was not an exception. (more…)

A Summary of Techniques to Change Impact and Joint Loading During Running

Purpose: To review some of the data on ground reaction forces during running, the significance of this physical loading and how loading can be modified.

WARNING: this post is massive.  It is meant as a working and evolving repository of much of the research on this topic.  It is a compilation that I would like to update as more work is added. I use a post like this as a living reference library so I don’t have to search through an entire article to get the gist of it.  It is not meant to win a writing award. Skip to the bottom for a summary. (more…)

Case Study: Unexplained dead leg when running. Altered nerve tension?

Purpose: Demonstrate a case of an altered nerve tension in a runner that may be exacerbated by their running technique.

Case Details

Female, late twenties, competitive runner (sub 20 minute 5km, 1:30 half marathon, 3:15 full marathon)

(more…)

Postural correction and changing posture. Can we treat our patients like puppets?

Audience: Therapists and Strength Coaches

Purpose: To justify the use of a variety of exercises (even general exercises) for training, rehabilitation and injury prevention and question the application of movement specificity principles.

The Gist of this Post: Specificity of training is an important component of rehabilitation and strength and conditioning but I think the application of specificity can be taken too far when we attempt to mold our posture. (more…)

Barefoot, forefoot strike and heel strike – a biomechanics summary

Comments: 13 Comments
Published on: March 19, 2011

Audience: Runners and therapists

Purpose: To summarize the biomechanics of running strike pattern and shod conditions

I feel like in the blogosphere and the popular running media that there is a love affair with all things barefoot.  Barefoot running is associated with forefoot striking and there appears to be changes in the biomechanics associated with alteration in running form when compared with heel striking.  However, the research gets presented as if it is very neat in tidy when in fact it is quite murky.  This post is a work in progress.  It attempts to summarize some of the work comparing barefoot running with shod running and the work that compares forefoot striking and rearfoot striking while running in shoes.  I hope that I have conveyed that the results are quite conflicting.  Hence, what a pain it was to try to summarize this work.

This post will be updated consistently. Please view it as a work in progress. (more…)

Shoulder Rehabilitation: Minimizing the Upper Trapezius to Serratus Anterior Ratio

Comments: 3 Comments
Published on: January 13, 2011

Audience: Therapists

Pushup plus protracted

Purpose: I like the idea of quantifying the “dosage” of an exercise.  We can do this with EMG and this post will be part of a larger theme that catalogues the EMG amplitude of various shoulder rehabilitation exercises.  Further, it will also try to justify a number of exercises for their ability to avoid negative loading on the shoulder and promote a possibly optimal way of working the shoulder.

Caveat:  This review only looks at a few papers addressing the Upper Traps (UT) to Serratus Anterior (SA) ratio.  Other exercises must obviously be incorporated into a rehab program.

Exercises to maximize the Serratus Anterior (SA) to Upper Trapezius (UT) Ratio

To simplify: SA = good, UT = bad.  Basically, activation of the SA moves the scapula out of the way of the humerus while too much or too early activation of the UT tends to

pushup plus retracted

anteriorly tilt the scapula and decrease the space for humeral movement.  Ann Cools has done extensive work in this area.  Here is a taste of her findings and recommendations.  You may want to consider using the exercises when you have a little scapular dyskinesis on your hands – you may see some medial border prominence of the scap, some winging during arm elevation and the scap can get a little jiggy with arm raising and lowering. (more…)

Patellofemoral pain syndrome exercise sheet

Attached is a basic exercise protocol as part of a large physiotherapy regime I might use for someone with some lower extremity dysfunction.  Many of these exercises would be used for non specific knee pain (PFPS, ITB syndrome).  The nordic hamstring exercise could be skipped but should certainly be used for anyone with posterior chain weakness/dysfunction.  I use that ol’ nebulous word ‘dysfunction’ when something is wrong (e.g. pain) but I’m not willing to commit to some BS therapist jargon about the cause of the problem.  You could put in the same room 5 great therapists (physiotherapists, chiropractors, massage therapists, sport med docs) who could all get someone better but they would each explain the problem completely different and often contradict each other.  So, I use the general word dysfunction. (more…)

Neuromuscular knee control exercise series

Audience:  Patients

Format:  Patient Handouts

Topic:  Trunk, hip and knee motor control exercises to improve control of knee position

This post is  a handout that I give to patients.  As with all exercises they should be done under some supervision (physiotherapist, personal trainer, chiropractor) and always with a health professionals guidance.  In no way are these exercises stand alone.  They should be tailored to each patient’s needs and progressed or modified accordingly.

Greg (more…)

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