Get Involved In Your Rehabilitation

If you’ve been involved in a motor vehicle accident or have a chronic soft-tissue injury, such as shoulder, neck or back pain, you would likely benefit from an active rehabilitation program.

One of the benefits of this form of treatment is that it allows you to become actively involved in your recovery. The program emphasizes education to enable you to continue exercising properly and independently, while improving your overall health. Increasingly, doctors are recommending this type of therapy to patients with soft-tissue injuries, as the treatment is effectively personalized to suit the individual’s needs. Active rehabilitation is also a highly cost-effective form of treatment, as a patient is able to continue their therapy independently long after the program has come to an end.

Active rehabilitation programs are lead and supervised by a qualified physiotherapist or kinesiologist, who begins by assessing the client to determine their specifics needs, limitations and physical capabilities. Programs can be performed in a gym, pool or at home, and consist of an individualized exercise prescription combining stretching, core stability and strengthening techniques. Active rehabilitation programs work to restore range of motion and address postural mechanics, muscular imbalances and limited flexibility.

Though each active rehabilitation program is tailored to the individual’s needs, the common goal is to return the client to normal function. Active rehabilitation programs are highly successful in enabling clients to return to work, get back on a sports team after an injury or simply resume activities of daily living, as they are progressive and easily modified, if necessary. These programs often include work-simulation exercises and functional activities, which effectively prepare the client for a return to their pre-injury lifestyle.

A common misconception with active therapy is that exercise should be avoided to prevent further aggravation of an in injury, when in fact the opposite is true. Monitored, controlled exercise is healthy way of strengthening muscles to speed up recovery and prevent reinjury. Dr. Stephen Hoschuler, co-founder and orthopedic surgeon with the Texas Back Institute write, “Controlled gradual and progressive exercise, rather than inactivity and bed rest most often provides the best long-term solution for reducing back pain.” You may initially experience some discomfort upon beginning an active rehabilitation program; however, this is a normal part of recovery, and you will begin to see positive results and ultimately improve your physical well being with continued and consistent effort.

The guidance of a kinesiologist throughout your program will ensure that you are not only performing your routines properly, but will also provide you with the motivation and structure necessary for a successful return to normal function and continued involvement in a healthier lifestyle.

Karp Rehabilitation is an active rehabilitation program specializing with soft-tissue injury rehabilitation. For more information call 604.420.7800.

Elevation Speeds Recovery

The principle of elevation uses gravity to decrease the blood flow to the affected area, reducing the
swelling of the injury. The key is to keep the injured part 12 inches above your heart. Pillows are a great way to comfortably elevate the area, and to give your body some time to rest.

Karp Rehabilitation is an active rehabilitation program specializing with soft-tissue injury rehabilitation. For more information call 604.420.7800.

Excercise Can Reduce Blood Pressure

Physical inactivity, obesity, high sodium intake, low potassium intake, heavy alcohol consumption, high cholesterol and psychosocial stress have all been associated with high blood pressure. As exercise can help modify several of these factors, it can in turn help reduce hypertension.

Blood pressure is defined as the amount of pressure exerted by the blood on blood vessel walls as it moves through the vessel. There are two measurements taken when finding blood pressure: the systolic blood pressure (SBP), which is the highest pressure on the walls immediately after a single heartbeat and the diastolic blood pressure (DBP), which is the lowest pressure on the walls immediately before the heartbeat.

When a SBP 140 mm Hg and/or DBP 90 mm Hg it is known as hypertension. In practical terms, this means that the heart is doing extra work in order to pump blood through a persons body. If you have hypertension, you are at a greater risk for cardiovascular diseases such as stroke, heart failure, angina, renal failure, and myocardial infarction (heart attack).

Exercise training can lower both cardiac output and peripheral vascular resistance at rest and at any given level of work. Lowered cardiac output is primarily due to reduced heart rate. All these help to reduce the amount of work needed for the heart to pump blood, thereby decreasing both resting SBP and DBP. Even exercises of moderate intensity can induce these beneficial changes.

The exercise recommendations for those with mild hypertension are generally the same as those for healthy adults. Endurance, or aerobic, exercises are shown to provide greater benefits and should normally be performed at a frequency of 3-5 days/week for a duration of 20-60 minutes at 60-85% of one¡¯s maximum heart rate. However, for those with severe hypertension or particularly elevated blood pressure, the intensity should be lowered to about 50-70% of ones maximum heart rate.

People with hypertension should exercise cautiously when performing all types of weight lifting. Lifting heavy weights occasionally inspires breath holding and an increase in intra-abdominal pressure resulting in a subsequent sharp rise in blood pressure. This is a dangerous activity for anyone, but is particularly so for someone whose blood pressure is already elevated. Therefore, perform all weight training activities with low weights and high repetitions and concentrate on even, regular breathing. Also, be sure to contact your doctor before starting an exercise program.

Karp Rehabilitation is an active rehabilitation program specializing with soft-tissue injury rehabilitation. For more information call 604.420.7800.

Golf Injury Rehabilitation - Part 2

This is the second of our two part series designed to prevent those nagging golf injuries.

Last week we outlined the basics of flexibility and cardiovascular exercise. This week we are introducing essential strengthening exercises that will provide you with the stability, balance and strength you need to remain injury free this golf season. Before you start, be sure to perform a 5-10 minute warm up and follow the exercises outlined last week.

1. Dumbbell Presses With a Stability Ball

The stability ball is a great addition to your golf workout because as you perform your strengthening exercises the trunk musculature is simultaneously working to balance and stabilize the body. Exercising with a stability ball also demands concentration, which is important when playing a game requiring mental focus, such as golf.

To begin this exercise lie flat with your back on a stability ball and your knees bent at right angles and your feet flat on the floor. Start by holding one dumbbell in each hand with the dumbbells positioned beside your shoulders and slightly above your body. Press the dumbbells up above your chest until your arms are almost straight, bringing them together at the top. Slowly return to the starting position. Use a weight that allows you to perform three sets of 10-15 repetitions. You can take a 20-60 second break between each set depending on your comfort level.

2. Rubber Band Rotator Cuff

This exercise is designed to strengthen the rotator cuff muscles in the shoulder, which helps stabilize the shoulder joint to prevent shoulder injuries and provide a more consistent golf swing.

Standing with good posture, hold your rubber band a little narrower than shoulder width with your elbows beside your waist at approximately a 90-degree angle. Keep your elbows stationary and slowly rotate your hands outward as far as you can. Slowly return to the starting position and repeat for three sets of 10-20 repetitions depending on your comfort level. The exercise should be felt deep in your shoulders. You can take a 20-60 second break between each set.

3. Oblique Abdominal Crunches

If you have a nagging lower back injury, strengthening your abdominals can help to reduce the discomfort you feel when golfing. Strengthening your abdominals can also help to stabilize your trunk muscles helping to keep your body in proper alignment.

Start this exercise by lying flat with your back on the floor. Bend your left leg and place your right ankle on your left knee. Once you are in this position cross your arms over your chest or place your arms beside your head for greater difficulty. Slowly contract your abdominal muscles to raise your shoulder blades off the floor bringing your left shoulder towards your right knee. Make sure to keep your head in line with your body and do not tense your neck or press your chin to your chest. (Hint: keeping your eyes on a spot high on the wall may help you maintain the right position.) You should feel your stomach area, not your neck or lower back. Briefly hold this position then slowly lower yourself back down to the floor. Do 10-12 repetitions to each knee and repeat three times. You can take a 20-60 second break between each set depending on your comfort level.

As the weather improves and you head out onto the golf course remembering these exercises and stretches can help reduce ongoing pain, decrease the chances of new injuries and help your game.

Karp Rehabilitation is an active rehabilitation program specializing with soft-tissue injury rehabilitation. For more information call 604.420.7800.

Golf Injury Rehabilitation - Part 1

As every sport is unique, it is important to have a fitness routine that concentrates on developing the muscles most used in your specific sport. For golfers, the muscle groups that need concentration are the shoulders, the stabilizers of the trunk, and the lower limbs that provide stabilization and alignment. Most sports injuries occur as a result of overusing the muscles most involved in the game; in golf these muscles are the lower back, wrists, shoulders and elbows. Over the next two weeks, we will introduce a balanced exercise routine designed to assist in the recovery of these injuries and to prevent new injuries.

This week’s issue consists of two important training principles: cardiovascular exercise and flexibility.

Cardiovascular exercise is essential for playing 36 holes without undue fatigue, while flexibility is required to achieve full range of motion in your swing and to avoid poor alignment of the spine and pelvic girdle which often leads to lower back problems.

Cardiovascular Exercise (20 minutes)

The cardiovascular component of your workout can be done on any piece of cardio equipment you choose or through any outdoor activity that you enjoy. An important training principle to apply while participating in a cardiovascular workout is ensuring that you are working in your target heart rate range. Your target heart rate range can be calculated by subtracting your age from 220 and multiplying that value by 0.6 and 0.8 for the lower and upper ends of the range respectively. For example, a 35-year-old individual would have a target heart rate range of 111-148 beats per minute. Many newer pieces of cardiovascular equipment have built-in heart rate monitors for quick and easy heart rate monitoring.

Stretching (10 minutes)

Stretching is a crucial, and all too often neglected, component of a balanced exercise routine. Stretching does not only increase your flexibility and minimize your chances of pulling or tearing muscles, but it also increases performance. A flexible muscle reacts and contracts faster and with more force than a less flexible muscle, thereby improving your performance.

Your stretches should be performed after you are warmed up and should be held a minimum of 15-30 seconds and as long as 60 seconds. Your stretching routine should include the three following stretches:

1.Upper Pec/Pec Major

Face through a doorway with your arms flush against the frame. Apply a gentle force pushing your body through the doorway. Remember to keep good body posture and to keep your stomach tight so you do not over extend your back. The stretch should be felt across the chest muscles.

2.Latissimus Dorsi/Back Extensors

While kneeling on a mat, stretch your arms forward in front of your head with your palms down. The key to this stretch is to keep your gluteal muscles in contact with your heels and your arms stretched out as far as possible. You should feel this stretch through the middle and outer part of your back and down into your lower back.

3.Rotation Low Back Stretch

Lie flat on your back on an exercise mat or blanket. Bend your legs to a ninety-degree angle and keep your feet flat on the floor. With your arms out to the side and your shoulders flat on the floor roll both of your knees together down to the floor. A gentle stretch should be felt in the lower back. Hold for 15 to 60 seconds and repeat on the opposite side.

During this first week your goal is to train three times (ex. Tuesday, Thursday, Saturday) for 30 minutes following the exercises detailed above. Good luck and we will see you next week with some new strengthening exercises to further improve your golf game. Be sure to contact your doctor before starting an exercise program.

Karp Rehabilitation is an active rehabilitation program specializing with soft-tissue injury rehabilitation. For more information call 604.420.7800.