|I am a Researcher and a Clinican. What I have learned through theory and practice will change treatment models for injury for the better of the patient.
One day I was able to witness a patient with back pain who had access to different therapists. On this day the patient received standard therapy treatment consisting of mobilization, muscle release and extension exercise. The patient reported a 20-30% improvement from this treatment but the following day could still only walk apprehensively for short distances with regular episodes of sharp pain whilst doing so.The following day the patient went to a therapist who specialized in movement based rehabilitation. This movement based therapist pointed out that the back pain was occuring because of a hip injury for which an exercise was prescribed; the patient reported a 50% improvement from this movement/exercise based session.
The patient returned to their standard therapist for the follow-up treatment session whereby more mobilization, myofascial release and muscle release improved the patient by 15% but the patient reported that any improvement quickly reversed during the course of the day. So this time the patient went to the movement based therapist who looked at the muscle recruitment patterns.The patient had the hip problem because they were recruiting their muscles in the hip in the wrong sequence. When the patient hurt their back the muscles that support the hip were not working correctly which made the back pain much worse and slowed down the recovery from it dramatically. Now with the hip muscle recruitment problem fixed the back pain disappeared.
Do you have a persistent injury? Identifying the causative factors is an important step to helping resolve your injury.If you have a back injury, causative factors could be how you bend to pick things up, or how you sit in your chair at work. Or the causative factors might not be so obvious. Perhaps a previous injury resulted in compensation patterns which eventually developed into a back injury.
An Exercise Physiologist is trained to evaluate human movement. How you move your body has a definite effect on producing an injury. For example, it could be the way you walk or run. If you swing your leg around as opposed to lifting it straight forward this could result in torsion where the pelvis connects to the spine and result in a lower back injury.
If you move incorrectly it can set off a chain of events the eventually develop into an injury.
An Exercise Physiologist is a biomechanics and neuromuscular expert. They are trained to evaluate what human movements are dysfunctional and they are trained to evaluate why it is dysfunctional. Are your muscles working correctly to stabilize joints or is it a strength issue?
Identify the causative factors for your persisting injury with an Exercise Physiologist who will develop a strategy to rectify the injury.
The human body is linked
If you have a persistent shoulder injury the causative factor could be your posture, what you do for work or a muscle recruitment timing issue. If you have a knee injury it could be that your glute medius is not being recruited correctly or that your rectus femoris is dominating and not letting the vastus medialis recruit first.
Of course there are many more causative factors and factors such as muscle recruitment timing issues could apply to injuries for different body parts…and a problem with one body part could present eventually as an injury in another body part. For example, someone with a sore or restricted shoulder could develop a back injury because of the way they stand to alleviate the shoulder symptoms. Or a poor muscle recrutiment pattern in the hip could result in a compensatory pattern requiring the leg (with the bad hip) to be swung from the pelvis…resulting in lower back injury.
Of course many more combinations exist. The back is in the middle of the body so it is likely to be affected by injuries above and below. Is it any wonder then that 80 % of people will suffer from lower back pain in their lifetime. Also at any point in time one in five people will be suffering from lower back pain. Recurrence rate for lower back pain is 75% per year. For 90% of people the injury will resolve in three months. It would be great if the injury would resolve quicker.
For 10% the injury will become chronic with little prospect of complete resolution…until now.
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