Neurological / Psychological
Strength training is an integral component to ACL rehab, as it enhances the stability of the joint, as well as resistance to fatigue. What is unclear, however, is when strength training (i.e., >80% 1 repetition maximum) can be implemented (Augustsson, 2013). Augustsson (2013) noted that physical therapists generally begin strength training 5-6 months post-surgery. As…
In my last post, I spoke about the need to incorporate single leg training to enhance the stability of the hip and knee musculature. In the following paragraphs, I would like to explore how distal joints and tissues may influence knee stability, as well as their implications on patellofemoral pain syndrome. Most injuries from extracurricular…
Most activities that individuals experience occur predominantly on one leg such as walking, climbing stairs, and changing direction (McCurdy, O’Kelley, Kutz, Langford, Ernest, & Torres, 2010). Considering this to be true, it would stand to reason exercise professionals acknowledge this when considering specificity of training. Pertinent questions should arise from this: if we are generally…
Valgus collapse, also known as genu valgum, can be defined as the excessive femoral adduction and internal rotation of the knees (Bliven, 2014). This condition can be seen during activities such as walking, squatting and jumping. Its etiology is thought to emanate from weak hip muscles, and is also associated with patellofemoral pain (Bolga, Malone,…
Despite the etiology of a dysfunctional piriformis, pain and muscle tenderness is a condition often associated with this deep hip muscle. If a muscle has trigger points, it will exhibit aberrant motor function, restricted range, pain and fatigue (Celik & Yeldan, 2011). Considering this information, proceeding directly to strength training and movement re-education might not…
The low back is a region often exposed to angles, loads, and sub-optimal movement patterns that lead to disc degeneration and pain. In previous posts, I shared the steps that I take to slowly rebuild my client’s movement patterns (i.e., teaching a deadlift to lift objects) followed by stabilization and endurance exercises to build capacity…
Low back pain is prevalent in more than 60% of the North American population (University of Maryland Medical Center, 2014). 85% of this number is of unknown etiology (McGill, 2007). Thus, low back pain is a common problem that many people have, including my clients. As a kinesiologist working in a post-rehabilitation setting, my job…
In my last post, I provided a brief overview of hyperkyphosis, its clinical implications, as well as methods of detecting thoracic stiffness and restriction. William provided insight into possible modes of improving or restoring normal kyphotic curves within the thoracic vertebral region. I would like to provide corrective strategies that I implement in my practice,…
Recovery from bone fractures follows a chronological process (i.e., hematoma/inflammation, cellular proliferation, and remodeling)helping one appreciate the cellular, physiological, and immunological events that occur during healing (Delforge, 2002). Knowledge of the healing process is essential, as it helps reveal the time, place, and form of mechanical loading through movement-based interventions; processes, which continue to restore…
Children and adults share similar biochemical and physiological characteristics. However, “similar” should not be confused with “identical.” I would like to review some of these characteristics, identify similarities, and attempt to show subtleties that exist between these two age groups. Childhood might be defined as the period of time between the first birthday and adolescence,…