12/4/2010 3:10 / 3:40
|
|
- Marilyn Shields
- 6 years ago
- Views:
Transcription
1 Running Assessment Workshop Anthony Luke MD, MPH, CAQ (Sport Med) UCSF PCSM Conference 2010 Running boom in the 70 s and 90 s Men then women % of women runners Wheelchair Evolution 26.2 miles km 2:03:59 Haile Gebrselassie (ETH) 3:10 / 3:40 Some numbers 384 marathons in the US #7 of 10 Hardest things to do in sports (USA Today, March 2003) Why did I get an injury? Too much Too hard Too fast for your body!! 1
2 Intake Questionnaire The Ultramarathon Man Biomechanical Analysis 2
3 Station 1 Gait Assessment Excessive forward rotation Pelvis Drop Adequte hip extension Hip Circumduction Station 1 Gait Assessment Knee internal rotation Knee Flexion Knee Extension Ankle dorsiflexion Ankle plantarflexion with toe off Forward lean Stride length Vertical displacement Static posture 3
4 Biomechanics of the Foot and Ankle Foot dorsiflexed, heel inverted Heel strike Heel EVERTS unlocks the midfoot foot adapts to ground Impact greatest from heel strike to midstance Stance Phase (62%) Biomechanics of the Foot and Ankle Mid-Stance or Foot-flat Leg externally rotates and ankle dorsiflexes heel INVERTS locks the midfoot Foot rigid lever Stance Phase (62%) Biomechanics of the Foot and Ankle Plantarflexors propel body forward Toe Off involves the 1 st MTP joint Double float Swing Phase (38%) 4
5 Windlass Mechanism Static Assessment Midstance Toe - off Posture (standing) Lordosis Kyphosis Leg length Genu varum/valgus SLS (30 sec) Posture (standing) Lordosis Kyphosis Leg length Genu varum/valgus SLS (30 sec) 5
6 Posture (standing) Lordosis Kyphosis Leg length Genu varum/valgus SLS (30 sec) Strength Single leg step down Abdominals Hip flexor Gluteus medius Heel raises (20 reps/ea) Quads Hamstrings Glut Max Strength Single leg step down Abdominals Hip flexor Gluteus medius Heel raises (20 reps/ea) Quads Hamstrings Glut Max Strength Single leg step down Abdominals Hip flexor Gluteus medius Heel raises (20 reps/ea) Quads Hamstrings Glut Max 6
7 Achilles Popliteal Angle Quadriceps (prone) ITB (sidelying) Hip Flexor (Thomas) Spine (forward bend, standing) Spine (rotation standing) Gross Ankle mobility: Anterior heel reach Achilles Popliteal Angle Quadriceps (prone) ITB (sidelying) Hip Flexor (Thomas) Spine (forward bend, standing) Spine (rotation standing) Gross Ankle mobility: Anterior heel reach One Leg Squat Hip Abductors 7
8 F l e x i b i l i t y Arch type Thomas Test (Hip Flexor) Ely s Test (Quads) Ober s Test (ITB) Popliteal Angle (Hamstrings) Needed to protect the feet and help maintain biomechanics Heel counter Appropriate cushioning sole Midfoot support Footwear Orthotics Need to consider foot function and foot structure Can help control motion in specific planes Unload sensitive areas Improve efficiency of gait 8
9 Subtalar neutral Material Length (3/4 or full) Lift Posting (forefoot, midfoot, rearfoot) Orthotics Courtesy of Alicia Knee, DPM, UCSF Screening Orthotics Needed to protect the feet and help maintain biomechanics Heel counter Appropriate cushioning sole Midfoot support Footwear Courtesy of Alicia Knee, DPM, UCSF 9
10 Shoe problems Tight shoes bunions, Morton s Neuroma High heels ball of feet Body needs energy Carbohydrates g per hour Gels, bar Nutrition - Fuel Protein gm/kg body weight/day How much to replace? Weigh yourself pre- and post-run Drink more if lose more than 2% body weight Consider heat load Check your urine (light like lemonade OK, dark like apple juice is low) IMMDA suggest ml fluid per hour Answer: Be individual Mechanism Achilles Tendinopathy Repetitive eccentric load on tendon Pushing off, running, sprinting, jumping Presentation Tender over achilles +/- swelling Pain with resisted toe off Pain with passive ankle dorsiflexion 10
11 Risk Factors Khan KM, et al. Phys Sportsmed Tight Achilles and plantar fascia Hyperpronation Cavus foot Advancing age - decreased blood flow Overweight Poor footwear Weak hip abductors and medial quadriceps 3 Basic P/E findings for Tendinopathy 1. Tenderness on direct palpation 2. Reproduction of pain with resisted contraction (eccentric loading) 3. Reproduction of pain with passive stretch Conservative Treatment REDUCE STRESS Modified activities, ice Calf / Achilles stretching Hold each stretch for 30 seconds Soleus stretch Gastrocnemius stretch Heel lifts Modify footwear Custom orthotics Night splints PT is a major key Rarely Surgical debridement Treatment 11
12 Physical Therapy for Achilles Alfredson H, Pietilä T, Jonsson P, et al. Am J Sports Med, 1998; 26:3: RCT eccentric exercises (3 x 15 reps, 2 times/day, 7 days a week x 12 wks) Results: Significant difference in pain levels VAS 81.2 mm (+/- 18) to 4.8 mm (+/- 6.5) in 12 weeks 81% eccentric satisfied vs 38% concentric satisfied Eccentric Drop program Patellofemoral pain Too much pressure under the kneecap The Extensor Mechanism Quadriceps Kneecap Patellar tendon Multifactorial Too tight? Too loose? Patellofemoral Pain Need good muscle balance Quadriceps strength Good flexibility 12
13 Alignment Think Biomechanics Consider orthotics Relative symmetry Control running Worry when running technique alters Patellar tendinopathy Patellar tendinosis Jumper s knee Degenerative changes of the patellar tendon Activity Age Iliotibial band friction syndrome 10-21% of running overuse injuries ITB crosses the lateral femoral epicondyle at 30 Associated with varus moment at the knee Classic history: pain which is reproducible after running a certain amount Painful click laterally Sore especially going down stairs Ober s Test 13
14 ITB Syndrome Fix the underlying problems ITB Stretching Foam roller Hip abductor and medial quadriceps strengthening exercises Correct alignment Modify training Avoid running on cambered road (low side) Avoid downhill Hip External Rotators Hip Abductors Marathon training Train with what you ll compete with Clothes Shoes Fluids Food 14
15 Thank you. 15
Chapter 1 - Injury overview Chapter 2 - Fit for Running Assessment Chapter 3 - Soft Tissue Mobilization... 21
Table of Contents Introduction Chapter 1 - Injury overview... 6 Chapter 2 - Fit for Running Assessment... 13 Chapter 3 - Soft Tissue Mobilization... 21 Chapter 4 - Dynamic Warm-up... 28 Chapter 5 - Strengthening...
More informationNormal and Abnormal Gait
Normal and Abnormal Gait Adrielle Fry, MD EvergreenHealth, Division of Sport and Spine University of Washington Board Review Course March 6, 2017 What are we going to cover? Definitions and key concepts
More informationA bit of background. Session Schedule 3:00-3:10: Introduction & session overview. Overarching research theme: CPTA
A Cognitive-Biomechanical Perspective for the Management of Common Chronic Musculoskeletal Conditions Skulpan Asavasopon, PT, PhD Loma Linda University Christopher M. Powers, PT, PhD, FAPTA University
More informationRunning Injuries in Adolescents Jeffrey Shilt, M.D. Part 1 Page 1
Running Injuries in Adolescents Jeffrey Shilt, M.D. Chief Surgical Officer, The Woodlands, Texas Children's Hospital Associate Professor, Orthopedic and Scoliosis Surgery, Baylor College of Medicine Part
More informationCase Study: Chronic Plantar Heel Pain/Plantar Fasciopathy. CASE STUDY PRESENTATION by Resonance Podiatry and Gait Labs
Case Study: Chronic Plantar Heel Pain/Plantar Fasciopathy CASE STUDY PRESENTATION by Resonance Podiatry and Gait Labs THE PATIENT 43yo female, professional netball umpire 6 month history right plantar
More informationNormal Gait and Dynamic Function purpose of the foot in ambulation. Normal Gait and Dynamic Function purpose of the foot in ambulation
Normal Gait and Dynamic Function purpose of the foot in ambulation Edward P. Mulligan, PT, DPT, OCS, SCS, ATC Assistant Professor; Residency Chair UT Southwestern School of Health Professions Department
More informationAnkle biomechanics demonstrates excessive and prolonged time to peak rearfoot eversion (see Foot Complex graph). We would not necessarily expect
Case Study #1 The first case study is a runner presenting with bilateral shin splints with pain and tenderness along the medial aspect of the tibia. The symptoms have increased significantly over the last
More informationThe Problem. An Innovative Approach to the Injured Runner. Dosage. Mechanics. Structure! Postural Observations. Lower Quarter Assessment
The Problem An Innovative Approach to the Injured Runner Irene S. Davis, PhD, PT, FAPTA, FACSM Director, Spaulding National Running Center Harvard Medical School Healthy People 2020 Initiative 76% runners
More informationEDUCATION COURSES. Stride. Initial Swing (high knee) Mid stance Toe off Mid swing Initial contact
EDUCATION COURSES RUNNING ANALYSIS Our purpose is performance enhancement. Improving speed and acceleration is the key to success in most ground-based sports. The ability to run from 0-5-10-20m as fast
More informationRunning Stretches and Flexibility Exercises
43 Thames Street, St Albans, Christchurch 8013 Phone: (03) 356 1353. Website: philip-bayliss.com Running Stretches and Flexibility Exercises Running is a complex, highly coordinated process involving the
More informationASSESMENT Introduction REPORTS Running Reports Walking Reports Written Report
ASSESMENT REPORTS Introduction Left panel Avatar Playback Right Panel Patient Gait Parameters Report Tab Click on parameter to view avatar at that point in time 2 Introduction Software will compare gait
More informationKICKBIKE Your key to optimum sports performance
KICKBIKE Your key to optimum sports performance Efficient Running is essential to optimum performance of most sports we play. Whether we want to maximize our speed, maximize our endurance, or both, an
More informationBIOMECHANICAL ASSESSMENT & ORTHOTIC SALES SCRIPTS
BIOMECHANICAL ASSESSMENT & ORTHOTIC SALES SCRIPTS 1 Categories the client Categorise who the potential client actually is, as this will guide how you present the sale. a) Current patient of yours pre-existing
More informationA7HLE71CO PHYSICAL THERAPY
I A7HLE71CO Runner's Video Gait Analysis Matthew Wolin, 12/4/2018 Footwear: Altra Torin 3.0 Treadmill speed: 7.0 mph VGA Analyst: Chris Jensen, PT, MPT, OCS, CKPT POSTERIOR VIEW FINDINGS: (mid-stance)..
More informationGait. Kinesiology RHS 341 Lecture 12 Dr. Einas Al-Eisa
Gait Kinesiology RHS 341 Lecture 12 Dr. Einas Al-Eisa Definitions Locomotion = the act of moving from one place to the other Gait = the manner of walking Definitions Walking = a smooth, highly coordinated,
More informationDynamic Warm up. the age of the athlete current physical condition and prior exercise experience
Dynamic Warm up 10-20 minutes May be dependent on: the age of the athlete current physical condition and prior exercise experience Prepares the body for the demands of a work out or practice Increases
More informationFoot Biomechanics Getting Back to the Base
Foot Biomechanics Getting Back to the Base Christopher J. Mehallo, D.O. Rothman Institute Orthopaedics Objectives Understand basic foot biomechanics during walking and running Understand common sports
More informationThe Human Foot. The Three Major Sections of the Foot
The Human Foot You ve heard the phrase I have one foot bigger than the other. A closer truth would be no two feet are alike, and yes in many cases one foot is larger than the other. Handling the challenge
More informationFoot mechanics & implications on training, posture and movement
Foot mechanics & implications on training, posture and movement Three Arches Three Arches These arches are not reciprocal. When the foot pronates ALL arches should fall. If the medial arch falls and the
More information1. Hip flexion Muscles: Iliopsoas (psoas major + iliacus)
Chap. 5 Testing the muscles of the Lower Extremity Part I. Manual Muscle Testing of the hip joint muscles 1. Hip flexion Muscles: Iliopsoas (psoas major + iliacus) Rectus femoris Sartorius Tensor fascia
More informationPositive running posture sums up the right technique for top speed
Positive running, a model for high speed running Frans Bosch positive running posture sums up the right technique for top speed building blocks in running: Pelvic rotation for- and backward and hamstring
More informationGiovanni Alfonso Borelli Father of Biomechanics
Giovanni Alfonso Borelli Father of Biomechanics 1608-1679 Peter Guy BSc DCh Private practice Whitby and Peterborough Professor Chiropody Faculty Michener Institute of Education at UHN Advisory Board Member
More informationATHLETES AND ORTHOTICS. January 29, 2014
ATHLETES AND ORTHOTICS January 29, 2014 TOPICS TO COVER TODAY Why use an orthotic? What athlete would benefit from wearing orthotics? What device should I use: Custom versus off of the shelf orthotics?
More informationSprint/Speed Training
Sprint/Speed Training By Paul Tramontanas In footy, speed is required over distances from 10m-70m depending on the state of play. This being the case, the full range of distances need to be trained to
More informationPlantar fasciitis: identify & overcome
Plantar fasciitis: identify & overcome The plantar fascia is a band of connective tissue (rather like a ligament) which runs from the heel, along the bottom of the foot to the base of each of the toes.
More informationINTRODUCTION TO GAIT ANALYSIS DATA
INTRODUCTION TO GAIT ANALYSIS DATA 1. Phases of gait a. Stance (% gc) i. Loading response (10%) ii. Mid- and terminal stance (%) iii. Pre-swing (10%) b. Swing (% gc) i. Initial swing ii. Mid-swing iii.
More informationRunning injuries - what are the most important factors
Created as a free resource by Clinical Edge Based on Physio Edge podcast 59 with Greg Lehman, Tom Goom and Dr Christian Barton Get your free trial of online Physio education at Why do runners get injured?
More informationAssessments SIMPLY GAIT. Posture and Gait. Observing Posture and Gait. Postural Assessment. Postural Assessment 6/28/2016
Assessments 2 SIMPLY GAIT Understanding movement Evaluations of factors that help therapist form professional judgments Include health, palpatory, range of motion, postural, and gait assessments Assessments
More informationThe DAFO Guide to Brace Selection
The DAFO Guide to Brace Selection Cascade Dafo believes... better mobility gives children a wider range of experiences, more success in the activities they choose, and ultimately more control over their
More informationBrian Snyder MD/PhD Children s Hospital Harvard Medical School
Brian Snyder MD/PhD Children s Hospital Harvard Medical School Observe patient s gait pattern as walk into room Systematic musculoskeletal exam (range of motion, joint alignment while standing) Neurologic
More informationAs a physiotherapist I see many runners in my practice,
When rubber meets road Mark Richardson reveals the story that our running shoes can tell us, and how it can help you avoid running injury at a glance This article: Shows you how to analyse the sole of
More informationthreshold Development of the Clinical Hypothesis Dosage Mechanics Structure History Mechanics Structure Experience
Development of the Clinical Hypothesis threshold Dosage Experience Case Study LQ Exam Left Right 25 yr old national field hockey player Right PFJ pain 2 o to overtraining Unable to run at all without pain
More informationAthlete Profiling. Injury Prevention
Athlete Profiling Injury Prevention Fraser McKinney Physiotherapist Special interest in: Basketball Athletics Race Walking Research Performance markers (screening / HR assessments / biomechanics) Athlete
More informationRunning from injury 2
Created as a free resource by Clinical Edge Based on Physio Edge podcast 049 with Dr Rich Willy Get your free trial of online Physio education by clicking here Running injuries & assessment Running assessment
More informationSafety/Injury. Short-Term. Long-Term. Balance/Imbalance Acute Injury Falls
Safety/Injury Short-Term Long-Term Balance/Imbalance Acute Injury Falls Resistance/Susceptibility Chronic injuries Overuse injuries Degenerative wear and tear processes Safety/Injury Balance/Imbalance-Falls
More informationKinetic chain checkpoints
Kinetic chain checkpoints Observations: Foot/ankle Knee Lumbo-Pelvic-Hip-Complex (LPHC) Shoulder and Cervical Spine (upper body) Each joint region has a specific and optimal motion based on its structure
More informationWalking Tall: Mobility Drills for Seniors
Walking Tall: Mobility Drills for Seniors What is Functional Mobility Training? Selecting exercises that improve the foundation for movement Working in multiple planes Teaching reaction time, decision
More informationThe Starting Point. Prosthetic Alignment in the Transtibial Amputee. Outline. COM Motion in the Coronal Plane
Prosthetic Alignment in the Transtibial Amputee The Starting Point David C. Morgenroth, MD, Department of Rehabilitation Medicine University of Washington VAPSHCS Outline COM Motion in the Coronal Plane
More informationSection Section 4. Muscles and Movements Dr. Larry Van Such.
Section 4 25 Section 4 Muscles and Movements Section 4 26 HIP ABDUCTORS Gluteus Medius Gluteus Minimus Tensor Fascia Lata Gluteus Maximus Figure 4-1. Hip Abductors. The hip abductors are a group of four
More informationPARTNER With all partner stretches: communicate with partner and use caution!!
- warm up prior to stretching - isolate the muscle group to be stretched - move slowly and smoothly into stretch - use proper mechanics and correct alignment - breathe normal - slowly come out of stretch
More informationCoaching the Triple Jump Boo Schexnayder
I. Understanding the Event A. The Run and Its Purpose B. Hip Undulation and the Phases C. Making the Connection II. III. IV. The Approach Run A. Phases B. Technical Features 1. Posture 2. Progressive Body
More informationNormal Gait. Definitions. Definitions Analysis of Stance Phase Analysis of Swing Phase Additional Determinants of Gait Abnormal Gait.
Normal Gait Definitions Analysis of Stance Phase Analysis of Swing Phase Additional Determinants of Gait Abnormal Gait Muscular Weakness/Paralysis Joint/Muscle ROM Limitation Neurologic Involvement Pain
More informationRugby Strength Coach. Speed development guide
Rugby Strength Coach Speed development guide Outline Why do Newton's laws of motion matter? What is speed? The technique and physical demands of speed Speed training parameters Rugby specific speed training
More informationTreating Foot Pain in Alpine Skiers with
SPORTS PODIATry Treating Foot Pain in Alpine Skiers with Pes Planus What role should the podiatrist play? 103 By Lawrence Z. Huppin, DPM and Paul R. Scherer, DPM Jakub Gojda Dreamstime The foot plays a
More informationRecent Advances in Orthotic Therapy for. Plantar Fasciitis. An Evidence Based Approach. Lawrence Z. Huppin, D.P.M.
Recent Advances in Orthotic Therapy for Plantar Fasciitis An Evidence Based Approach Lawrence Z. Huppin, D.P.M. Assistant Clinical Professor, Western University of Health Sciences, College of Podiatric
More informationCROSSOVER. PROGRESSION: Try this move with your hips and knees bent 90 degrees and your feet off the ground. UNIT: Movement Prep.
HIP CROSSOVER To build mobility and strength in your torso by disassociating hips and shoulders. PROGRESSION: Try this move with your hips and knees bent 90 degrees and your feet off the ground. SECOND
More informationvideo Purpose Pathological Gait Objectives: Primary, Secondary and Compensatory Gait Deviations in CP AACPDM IC #3 1
s in CP Disclosure Information AACPDM 71st Annual Meeting September 13-16, 2017 Speaker Names: Sylvia Ounpuu, MSc and Kristan Pierz, MD Differentiating Between, Secondary and Compensatory Mechanisms in
More informationSAPPHIRE PHYSICAL THERAPY
www.fisiokinesiterapia.biz SAPPHIRE PHYSICAL THERAPY PRESENTATION OUTLINE Foot Facts Foot & Ankle Anatomy Shoe Anatomy Common Foot Injuries Orthotics Sport & Activity Specific Shoes Questions & Answers
More informationSample Biomechanical Report
Sample Biomechanical Report To identify the root cause of an injury, and thus determine the optimal treatment for that injury, many pieces of your injury puzzle must be considered. At the Running Injury
More informationPurpose. Outline. Angle definition. Objectives:
Disclosure Information AACPDM 69 th Annual Meeting October 21-24, 2015 Speaker Names: Sylvia Õunpuu, MSc and Kristan Pierz, MD Gait Analysis Data Interpretation: Understanding Kinematic Relationships Within
More information-Elastic strain energy (duty factor decreases at higher speeds). Higher forces act on feet. More tendon stretch. More energy stored in tendon.
As velocity increases ( ) (i.e. increasing Froude number v 2 / gl) the component of the energy cost of transport associated with: -Internal kinetic energy (limbs accelerated to higher angular velocity).
More informationCustomized rocker sole constructions
Customized rocker sole constructions German guidelines to improve results in daily practice Stief, Thomas Registered Association for the Encouragement of Research and Education Management in Orthopedic
More informationACL Base Strength Program Day 1
ACL Base Strength Program Day 1 Welcome to the Cratos ACL prevention program. This program was written by Physical Therapist and Athletic Trainer, Tasha Mulligan, to serve as a pre-season base strength
More informationRacewalking advice Bulletin board March 2008 By Mark A Donahoo
Racewalking advice Bulletin board March 2008 By Mark A Donahoo I have received a caution or a red card from Often you hear a walker say: I received a caution (or red card) but I don t know why? Everyone
More informationDiabetes and Orthoses. Rob Bradbury Talar Made
Diabetes and Orthoses Rob Bradbury Talar Made Diabetes High prevalence disease 4-6% in UK (over 2.5 mill diagnosed and a further 0.5 ) 6+% in USA 40% in some parts of Middle East (may be higher in Indian
More informationHVORFOR OPSTÅR LØBESKADER?
HVORFOR OPSTÅR LØBESKADER? PT, MHSc, PhD Post Doc at Section for Sport Science, Department of Public Health, Aarhus Universitet. Idrætsskader, epidemiologi og statistik OUR RESEARCH GROUP: Research coordinator
More information10/24/2016. The Puzzle of Pain NMT and the Dynamic Foot Judith DeLany, LMT. Judith DeLany, LMT. NMTCenter.com. NMTCenter.com
The Puzzle of Pain NMT and the Dynamic Foot Judith DeLany, LMT NMTCenter.com Judith DeLany, LMT NMTCenter.com Define gait cycle and its periods Consider key elements in gait Discuss foot design Consequences
More informationRoutine For: Total Knee Arthroplasty (All)
TOTAL KNEE - 1 Ankle Pump TOTAL HIP - 1 Quad Set Bend ankles up and down, alternating feet. Slowly tighten muscles on thigh of straight leg while counting out loud to. with other leg. TOTAL HIP - 2 Gluteal
More informationPractical Considerations for Evaluation, Treatment and Injury Reduction. John Salva, MPT
Practical Considerations for Evaluation, Treatment and Injury Reduction John Salva, MPT john@impactphysio.net Participants will be able to: Identify key biomechanical requirements for running. Be aware
More informationShin Splints and Forefoot Contact Running: A Case Report
Shin Splints and Forefoot Contact Running: A Case Report Michael 1. Cibulka, MHS, PT, OCS' David R. Sinacore, PhD, PTZ Michael 1. Mueller, PhD, PT3 Copyright 1994. All rights reserved. S hin splints are
More informationStreet Cred: Endurance Running Biomechanics
Endurance Running Biomechanics Sound Running Principles Lisa M Duncan, PT, ATC, and USAT Certified coach Bob Duncan BA USAT Certified Coach Street Cred: Lisa Duncan: PT ATC since 1996. Has completed 3
More informationWalking Tall - What Your Client's Gait Can
Session # 488 Walking Tall - What Your Client's Gait Can Tell You Before They Even Speak! Presented by, CHEK Faculty What is Gait? Gait is the scientific term that describes walking. Also one of the seven
More informationIs Your Gym Program Destroying your Golf Swing?
Is Your Gym Program Destroying your Golf Swing? By Ramsay McMaster Golf Specific Physical Therapist to PGA Australia, Great Britain and PGA Tour Players Introduction: Many golf professionals and golfers
More informationSponsored by WakeMed Rehab and Healthworks
Sponsored by WakeMed Rehab and Healthworks Welcome to SportFit Golf Welcome to SportFit Golf, our golf-specific conditioning program for golfers of all ages and abilities. Regardless of your handicap,
More informationWHO ARE WE? Eric Marriott Registered Physiotherapist Master of Physical Therapy, Bachelor of Human Kinetics
Capilano Golf Club May 26, 2014 WHO ARE WE? Dana Ranahan Registered Physiotherapist B.Sc., B.Sc.P.T., Fellow of the Canadian Academy of Manual and Manipulative Therapy (FCAMT), Diploma Sports Physiotherapy,
More informationTechniques To Treat Your Pain At Home (512)
Techniques To Treat Your Pain At Home (512) 288-5322 7010 W. TX-71 Suite 360 Austin TX, 78735 Arm Only Bird Dog Start in the quadruped position (all fours) with arms and thighs perpendicular to the floor.
More informationServe the only stroke in which the player has full control over its outcome. Bahamonde (2000) The higher the velocity, the smaller the margin of
Lower Extremity Performance of Tennis Serve Reporter: Chin-Fu Hsu Adviser: Lin-Hwa Wang OUTLINE Introduction Kinetic Chain Serve Types Lower Extremity Movement Summary Future Work INTRODUCTION Serve the
More informationHistory. SOAT - Knee. Patient Information Age 0 1 n/a. Dr. Mark R. Lafave
History Themes Tasks Nature of Injury Chief Complaint 0 1 n/a Date of Injury/When Did Injury Occur 0 1 n/a MOI/Recreation of MOI 0 1 n/a Previous Injury to this Site 0 1 n/a Previous Injury to joint above/below
More informationWalk your way to weight loss...
Walk your way to weight loss... Walking is great exercise - it s natural, free and good for you! Don t be lulled into thinking it s not proper exercise. It is and Caroline Sandry tells you why. 22 ultra-fit
More informationWalkOn product range. Dynamic Ankle-Foot Orthoses. Information for specialist dealers
WalkOn product range Dynamic Ankle-Foot Orthoses Information for specialist dealers WalkOn Flex WalkOn WalkOn Trimable WalkOn Reaction WalkOn Reaction plus One range Many different applications The WalkOn
More informationSTRETCHES FOR GOLF TABLE OF CONTENTS. 7 Minutes to Longer Drives and Precision Based Shots SIMPLE GOLF SERIES
STRETCHES FOR GOLF 7 Minutes to Longer Drives and Precision Based Shots TABLE OF CONTENTS SIMPLE GOLF SERIES All rights reserved. No portion of this manual may be used, reproduced or transmitted in any
More informationIt has been observed that 20-30% of children never form the arches or curves in both the feet or in just one foot.
Introduction Flat feet, also known as Pes Planus or fallen arches, are a medical condition in which the arch of the foot is prone to suboptimal development. Normally, in this condition, the bottom of the
More informationCONTENTS. Foreword... xi. Introduction How to Use This Book Lower Extremity Strengthening- Hip Extension and Abduction...
CONTENTS Foreword... xi Introduction... 1 How to Use This Book... 2 Hip Extension and Abduction... 3-27 Hip Extension Extension-Sidelying... 4 Bridging-Supine... 5 Kneeling (at Ball)... 6 Kneeling (at
More informationAEROBIC GYMNASTICS Code of Points APPENDIX II Guide to Judging Execution and Difficulty
FÉDÉRATION INTERNATIONALE DE GYMNASTIQUE FONDÉE EN 1881 AEROBIC GYMNASTICS Code of Points 2009 2012 DRAFT OCTOBER 2008 APPENDIX II Guide to Judging Execution and Difficulty Page 1 of 80 INTRODUCTION This
More informationC-Brace Orthotronic Mobility System
C-Brace Orthotronic Mobility System You ll always remember your first step Information for practitioners C-Brace Orthotics reinvented Until now, you and your patients with conditions like incomplete spinal
More informationTable of Contents. Pre-Pointe A Year Long Training Guide Page 2
Table of Contents Introduction... 3 Benefits... 4 Requirements... 8 Postural Screening... 12 Movement Screening... 26 Additional Screening... 29 Exercises... 31 Handouts... 71 Reference Materials... 79
More informationAllPro Foot. Posterior Mount Product Manual
AllPro Foot Posterior Mount Product Manual Instructions The AllPro PM foot system has been designed and manufactured for specific patient weights. Failure to follow the weight guidelines and/or overload
More informationMINIMALIST / BAREFOOT RUNNING
MINIMALIST / BAREFOOT RUNNING DR GAVIN SHANG SPORTS PHYSICIAN MBBCH (WITS) MPHIL SPORTS MED (UCT/SSISA) BORN TO RUN BAREFOOT RUNNING Tarahumara Indians: Persistence hunting and thermo-regulatory advantage
More informationDynamix Ankle Foot Orthoses Range
The Restyled Dynamix Ankle Foot Orthoses Range Supporting your wellbeing Product Range Introduction Index Product Range Introduction... 3 Puffin - Dynamix Supramalleolar... 4 Penguin - Dynamix Plantarflexion...
More informationDynamic/Static Foot. Tissues. Static Foot. Dynamic Foot
Dynamic/Static Tissues Static Plantar fascia biomechanical windlass mechanism intrinsic muscles stabilize metatarsophalangeal (MP) toe joints Weight on whole foot - MP toe joints straight Plantar fascia
More informationSECTION 4 - POSITIVE CASTING
4-1 SECTION 4 - POSITIVE CASTING THE SHAPE OF THE SHELL IS DERIVED FROM THE SHAPE OF THE CAST Thermo-forming plastic for orthopedic intervention was originally developed at the University of California
More informationvideo Outline Pre-requisites of Typical Gait Case Studies Case 1 L5 Myelomeningocele Case 1 L5 Myelomeningocele
Outline Evaluation of Orthosis Function in Children with Neuromuscular Disorders Using Motion Analysis Outcomes Terminology Methods Typically developing Case examples variety of pathologies Sylvia Õunpuu,
More informationAeris Performance 2. Product Manual
Aeris Performance 2 Product Manual Instructions The Aeris Performance 2 is designed to be maintenance free. The foot is water resistant; however, if the foot is submerged in water, the foot and foot shell
More informationTennis Stretches and Flexibility Exercises
43 Thames Street, St Albans, Christchurch 8013 Phone: (03) 356 1353. Website: philip-bayliss.com Tennis Stretches and Flexibility Exercises The origins of tennis date back at least to the Middle Ages,
More informationSTRETCHES FOR GOLF. 7 Minutes to Longer Drives and Precision Based Shots SIMPLE GOLF SERIES
STRETCHES FOR GOLF 7 Minutes to Longer Drives and Precision Based Shots SIMPLE GOLF SERIES 1 TABLE OF CONTENTS Self Tests Phases of the Swing...5 Golf Self Tests...13 On Course Warm Up Winning Warm Up...23
More informationContents Introduction Wear Supportive Footwear Do Heat Therapy Do Cold Therapy Perform Restorative Exercises...
Contents Introduction... 3 1. Wear Supportive Footwear... 5 2. Do Heat Therapy... 6 3. Do Cold Therapy... 7 4. Perform Restorative Exercises... 7 5. Maintain Your Optimum BMI... 8 6. Wear Arch Support
More information4/15/17. The Foot Core Paradigm. The Foot Core Concept. A Key to Healthy Feet. International Foot and Ankle Symposium, 2012
The Foot Core Paradigm A Key to Healthy Feet Irene S. Davis, PhD, PT, FAPTA, FACSM, FASB Director, Spaulding National Running Center Professor, Harvard Medical School The Foot Core Concept International
More informationSlide 1. Slide 2. Slide 3 TYPICAL INJURIES ASSOCIATED WITH RUNNING
1 THE RELATIONSHIP BETWEEN FOOT STRIKE AND RUNNING INJURIES SUSAN THOMPSON PT, OCS ARLINGTON ORTHOPEDIC ASSOCIATES 2 RUNNING 30 million participants in the US alone. Running is an excellent form of exercise,
More informationBASIC ORTHOPEDIC ASSESSMENT Muscle and Joint Testing
BASIC ORTHOPEDIC ASSESSMENT Muscle and Joint Testing The following tests are for the purpose of determining relative shortening, restriction or bind of muscle tissues. In this context the term bind in
More information10/22/15. Walking vs Running. Normal Running Mechanics. Treadmill vs. Overground Are they the same? Importance of Gait Analysis.
2 angle (deg) 1/22/1 Normal Running Mechanics Walking vs Running Irene Davis, PhD, PT, FACSM, FAPTA, FASB Director, Spaulding National Running Center Walking Periods of DOUBLE SUPPORT Running Periods of
More informationA Comparison of Lower Extremity Joint Work and Initial Loading Rates among Four Different Running Styles
A Comparison of Lower Extremity Joint Work and Initial Loading Rates among Four Different Running Styles Donald Lee Goss A dissertation submitted to the faculty of the University of North Carolina at Chapel
More informationChapter 8 - POSTURE. The following guidelines can be used to develop good postural habits. ! 2010 High Performance Golf
Chapter 8 - POSTURE Posture is the habitual position that people hold themselves in, whether they are sitting, standing, active or sedentary. The aim of good posture is to maintain the natural curves of
More informationKRIYA LOWER BACK AND HIPS
KRIYA LOWER BACK AND HIPS 1. Pelvic Grind Left. Place your hands on your knees and begin grinding yourself in a big, smooth circle going to the left. Lift the chest up high as you tilt the pelvis back,
More informationBaseball Training Program
Baseball Training Program Always consult your physician before beginning any exercise program. The information and advice published or made available through the Orthopaedic and Neurosurgery Specialists,
More informationPhysical Therapy for Children with Down Syndrome. Patricia C. Winders, PT
Physical Therapy for Children with Down Syndrome Patricia C. Winders, PT What we will cover: 1. Goal of physical therapy 2. Physical factors that impact the development of gross motor skills 3. Compensations
More informationGait Instructions. Total Hip Joint Replacement. David F. Scott, MD
785 E. Holland Spokane, WA 99218 (877) 464-1829 (509) 466-6393 Fax (509) 466-3072 Total Hip Joint Replacement Walking Recommendations Use your walker or cane as needed for assistance during the first 6-weeks
More informationHands should be positioned at approximately shoulder width with a comfortable grip.
The Basics Bike Fit The bicycle should be adapted to fit your body and not the other way around. There are many styles of bicycles that can be modified to meet your needs. Weight distribution should be
More informationElement DS. Product Manual
Element DS Product Manual Instructions The Element DS is designed to be maintenance free. The foot is water resistant; however, if the foot is submerged in water, the foot and foot shell should be rinsed
More informationThe Lateralized Foot & Ankle Pattern and the Pronated Left Chest
The Lateralized Foot & Ankle Pattern and the Pronated Left Chest Presented by: James Anderson, MPT, PRC Director of Affiliate Programs, Faculty & Board of Certification Postural Restoration Institute Pronate
More informationRunning Gait Mechanics. Walking vs Running. Ankle Joint Complex Sagittal Plane. As speed increases, when has walking ended and running begun?
Running Gait Mechanics Walking vs Running As speed increases, when has walking ended and running begun? Ankle Joint Complex Sagittal Plane 1 Ankle Joint Complex Sagittal Plane Pos. @FS 5 o DF Absorption
More information