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Tuesday, February 14, 2012 - 09:55

I fell in love with skiing back in high school during Tuesday night “electives” at the local ski hills. That love remains today. As the years pass, however, many friends and relatives are taking to the slopes on snowboards. In North America, the frequency of snowboarding accounts for as much as 36% of people on the hill.  From a professional as well as personal standpoint, I wanted to find what current patterns of injuries exist for this exploding sport.

 Several studies have examined whether injury rates are different between skiing and snowboarding. Results have been contradictory.  It is clear, however, that the pattern of injuries is different.

 One major study looked at skiing and snowboarding-related injuries treated in U.S emergency departments in 2002.  An estimated 77, 300 individuals were seen that year. They found that:

  • wrist and arm injuries were most common amongst boarders
  • knee injuries amongst skiers were the most common injuries
  • Adolescents were at the highest risk for snowboarder injuries while skiing injuries were found in an older population

 

“Snowboarding Swedes” were studied over a 10-year period. Their findings were typical in that beginner snowboarders fell significantly more often than more advanced riders. As skill level increased, the pattern of injuries changed.  Advanced riders tend to have more head/neck injuries than beginners.  The single most frequent diagnosis was wrist/lower arm fracture.

 Such breaks have been shown to typically result from backward low-velocity falls on hard or icy snow onto extended (back) wrists. Wrist guards have been shown to prevent acute injuries that often require surgery or lead to prolonged disability.

 A survey in Japan of 2742 injured snowboarders revealed that 93% did not have initial instruction from a professional instructor.

What should be encouraged of our family and friends who take to the slopes to reduce their injury rates?

 

  1. Snowboarders should wear wrist guards, especially among beginners.
  2. Take lessons!  Professional lessons will decrease fall rates among skiers and snowboarders, teach safe limits based on skill levels, and students will learn how to fall less dangerously.
  3. Wear helmets, both skiers and boarders alike.
  4. Older skiers need to maintain optimal flexibility, leg and trunk muscle strength and balance

 

Despite pleading, warnings of impending doom and gloom and stories of frightful injuries past, should I admit that my wife and brother-in-law have taken turns in the past two winters breaking their wrists snowboarding? Through education and understanding they both wear wrist guards today!

 

Kerry Griffin ( PT)

B.Sc.(PT)MCPA

Cert. AFCI

Cert. Sports Physiotherapy

Registered Physiotherapist

Categorized in: Rehab Info, Physical Fitness
Tuesday, February 14, 2012 - 09:46

 

 

Snow-shovelling 101

Some tips to keep your back safe and avoid injury while snow-shovelling!

KNOW YOUR LIMITS:   Listen to your body.  If you feel fatigued, stop, go indoors and rest for a while.  If you experience pain, shortness or breath, light-headedness, or chest discomfort of any kind, stop immediately and seek assistance.

WARM UP:   Warm-up your body as you would before any exercise. Jog in place and stretch your arms, back, shoulders and legs before going out. Cold, tight muscles are more likely to get injured than warm, relaxed muscles.  Stretch again after shoveling.

DRESS APPROPRIATELY:  Wear good flat boots with traction.  Wear layers.  Wear gloves and a hat to keep you dry.

STAY HYDRATED AND TAKE FREQUENT REST BREAKS:   Every 15 minutes or so, take a rest break so you can stay strong and refreshed.  Stand up straight, walk around, and drink some water.  Be sure to drink plenty of water before, during, and after shovelling.  An hour of shoveling is comparable to an hour of general aerobics, dancing or weight lifting.

DON’T HOLD YOUR BREATH:   Breathe regularly to supply your body with more oxygen as your muscles work to shovel the snow.  Inhale as you prepare to lift/push, and Exhale during the lift/push.

AVOID LIFTING:   Push the snow whenever possible.  Pushing puts much less stress on your body than lifting.  Push with the handle of the shovel close to you for better leverage – do not outstretch your arms.  Push the snow to the closest edge of the driveway.

WHEN YOU MUST LIFT, MAINTAIN A NEUTRAL SPINE:   Realistically, sometimes you will have to lift.   When lifting, keep your knees bent, with your feet shoulder-width apart or one in front of the other.  You should be in a squatting stance, as if rising up from a chair.  Your hands should be more than shoulder-width apart to increase your leverage and shovel more efficiently.  Lift the shovel by straightening your knees (not your back!).  Your back should be in a neutral position, not rounded.

AVOID TWISTING:   Lifting straight-ahead is easier on your body.  Never throw snow over your shoulder.  Move your feet rather than twisting.  When you are in a situation where you must throw the snow and rotate, rotate your whole body.  Allow your hips to move with your shoulders so that you require less spinal rotation.  Similarly to golf, keep your knees bent, with your front-foot firmly planted, and pivot on your back-foot as you turn your trunk to the opposite side.

SMALL LOADS:   If there’s a heavy snowfall, you don’t have to dig all the way to the sidewalk with each shovel.  Allow yourself to push/lift the snow in layers.  Don’t pick up too heavy a pile of snow.

DELEGATE THE SHOVELLING DUTIES IF NEEDED:   If you have a cardiac history, or significant history of low back pain or shoulder or knee injuries, you should delegate the shoveling.

Shovelling is difficult work.  If by chance you do end up injuring yourself, consult a medical professional to minimize your pain and functional limitations.

Joyce Wong (PT)

B.Sc.(PT), Cert. AFCI

Registered Physiotherapist

Categorized in: Rehab Info, Physical Fitness
Tuesday, February 14, 2012 - 09:37

As you read this, think about the way you are breathing. Most typically, you will fall into one of three categories: Clavicular (very shallow), Thoracic (slightly less shallow) or Deep Abdominal breathing. With clavicular breathing, the worst type, with inhalation the shoulders and collarbone seem to rise, almost as if they are being filled with air. Instead of the abdomen expanding, it tends to actually contract, and only a minimum amount of oxygen is obtained. With thoracic breathing, the shoulders and collarbone area are less involved, and the muscles that are used to expand the rib cage do more work. Although better than clavicular breathing, it is still incomplete. Deep abdominal breathing involves taking slow and deep breaths using the diaphragm, the large sheet-like muscle located at the bottom of the chest cavity. By far the best way to breathe, it allows air into the lowest and largest part of the lungs.

 

Taking in sufficient amounts of oxygen is important no matter what you are doing, but particularly during exercise. We normally breathe approximately 6 litres of air in and out of the lungs every minute. From there, the blood transports oxygen to every cell in the body. When your body is under stress, as with exercise, it requires extra amounts of oxygen. Meeting these demands is important for muscle growth as well as energy.

 

Breathe Deeply: The vast majority of people are shallow breathers, using only a fraction of their lung capacity. These people barely take in enough oxygen to expand the ribcage. Without being aware of it, they may also hold their breaths, breathe unevenly, or tend to over breathe as the intensity of the workout increases. If left unchecked, this may result in headaches, fuzzy thinking, dizziness and/or fainting. By making an effort to breathe more deeply and naturally you can actually increase your exercise capacity - the body’s ability to do more for a longer period of time with less effort.

 

If you normally exercise outdoors, keep in mind that environmental factors can make breathing difficult. Studies have shown that exercising under smoggy conditions can decrease lung capacity by as much as 20%. Ground level ozone increases susceptibility to respiratory illnesses, while air pollutants such as sulfur dioxide, high pollen counts, and hot, humid air increase the likelihood and severity of wheezing during or following exercise. Exercising in cold air and/or low humidity can also worsen breathing-related symptoms. Many people with allergies or exercise-induced asthma have mild to severe problems with breathing during or following exercise. Physical activity in itself can cause a temporary constriction of the airways in such individuals, causing noticeable shortness of breath, wheezing, coughing and/or tightness in the chest. Such symptoms may develop during or after working out, and may even reappear hours later.

 

Some people suffer more extreme symptoms when they exercise. Exercise-induced anaphylaxis occurs exclusively with exercise and includes symptoms such as flushing of the skin, headaches, and gastrointestinal problems. In severe cases, swelling in the throat and upper-airway obstruction occurs. Symptoms are usually precipitated by moderate-to-hard exercise and typically begin within the first 5 minutes of exercise, diminishing anywhere from 30 minutes to 4 hours afterwards. Exercising soon after a meal or in a warm, muggy environment seems to increase the likelihood of attacks.

 

Heather Denstedt

B.A. CEP, CPTN-CPT, CIT, FMS

Mat PILATES Instructor

Categorized in: Rehab Info, Physical Fitness
Wednesday, January 4, 2012 - 17:27

 Is it possible there is a single nutrient that can be incorporated into your daily life that forces you to get some sunshine, prevent various forms of cancer, strengthen your bones, improve your immune system to fight infections and have an effect on autoimmune disorders?  Vitamin D is purported to do all that, and more.

 

What is Vitamin D?

Much press has been given to Vitamin D over the past couple of years as research continues to demonstrate its enormous health benefits.   Vitamin D acts more like a hormone than a Vitamin.  It binds Vitamin D receptors throughout the body and exerts its potent effects on cells that have these receptors.  The main source of Vitamin D is from the sun, as the ultraviolet light aids our bodies in manufacturing this essential nutrient.  Food sources of Vitamin D include various mushrooms, fish and sunflower seeds.

How much Vitamin D do I need? 

During the summer months 20 minutes of sunshine on our skin produces enough Vitamin D to keep us healthy.  After thanksgiving and before the May long weekend, the sun is not strong enough to cause our bodies to produce adequate levels of Vitamin D to promote health.  Therefore supplementation may be a good idea. It is estimated that only 1/3 of Canadians have adequate levels to promote health, and 10% (roughly three million people) have concentrations considered inadequate.

Too much of a good thing?  Although it is difficult to overdose on Vitamin D, it is possible and complications can occur such as hypertension and systemic calcification, as Vitamin D aids in the absorption of calcium.

In summary, Vitamin D is an amazing and necessary nutrient to achieve optimal health and prevent a number of chronic diseases, but as with everything one needs to be conscious of the amount they intake.

 

Dr. Ian Cole, N.D.

Naturopathic Doctor

Categorized in: Rehab Info, Did You Know
Monday, November 7, 2011 - 13:49

Doug would like to welcome Amy Frost to our team.

 Amy is  originally from Timmins Ontario. She did 2 years at the University of Guelph before graduating from Laurentian University with a degree in Geography.  After graduating she spent a year in China working as a “English Second Language Teacher”.  She then graduated in 2009 from Georgian College Massage Therapy Program .

Amy practices swedish massage techniqus and craniosacral therapy.

Amy will be working Monday through Saturday - call the clinic to book your appointment ... and watch for her bio coming soon to our website.

Monday, November 7, 2011 - 13:37

 Although it is to your benefit to obtain continuous care with one therapists, as they become familiar with you, your condition, and the way you are responding to treatment IF for any reason you wish to transfer to a different therapist we will accommodate your request…. THERE ARE NO EGO’s between therapists.  Your existing therapist will discuss your treatment plan with the therapists you are transferring to in order that you can receive the best care possible

Categorized in: Did You Know
Monday, November 7, 2011 - 13:32

 Everybody has heard of the importance of proper posture.   But why is it so important?

Proper alignment of the body = less strain through the body = optimal function.  Muscles are able to contract optimally and joints are able to move more freely.  With everything in correct alignment, there is decreased muscular tension and strain.

Improper posture may repetitively irritate muscles, joints, or tendons throughout the body, causing pains.

Improper posture often relates to prolonged sitting activities such as desk work.  In standing, our heads are usually well-balanced over our bodies.  However in sitting, there is a tendency to slump our low backs, which also causes our chin to slightly poke forward.  Over a prolonged period of time, certain muscles may get elongated and weak, and opposing muscles may get shortened and overused, which may unfortunately lead to pain and injuries.

Physiotherapists are trained to assess and treat your overall posture, joint motion, and muscle strength and endurance, to help you identify any muscle imbalances that may be the root of your pains. 

We have a variety of treatment methods to help decrease your pains, can give you advice about setting up your desk space to be ergonomically correct, and can provide you with a home exercise program to help realign your posture and reduce the stress to your muscles and joints.

 Call us today, we’d love to help.

 

Joyce Wong, PT

B.Sc.(PT) , Cert. AFCI

Categorized in: Rehab Info, Physical Fitness
Monday, November 7, 2011 - 13:22

 

            Why is it that we will seek treatment from a doctor when sick, take our car to the mechanic, visit the salon to have our hair done, and seek the advice of a financial consultant, yet when we want to get in shape we often take it upon ourselves.  Many fitness enthusiasts (and want-to-be’s) have gotten into worse shape than better as a result of improper exercise, causing muscle imbalances, over-training and injuries.  Although our bodies can take a lot of abuse, the cumulative effect of poor training can have a lasting impact.  Then there’s those who spend week after week, and month after month exercising only to look of feel the same year in, year out.  Exercise is supposed to be stress relieving, not an exercise in futility and frustration.

 

The current rise in popularity of personal training is mainly attributed to four factors: 

  1. Reputable fitness facilities are no demanding all trainers be certified.  This requires meeting specific standards of performance for safe and effective services. 
  2. A growing awareness of the benefits of specialized personal instruction for all ages and abilities. 
  3. A growing demographic (health-conscious baby boomers) in need of what personal training offers. 
  4. A greater emphasis on prevention resulting in a shift of focus from health-care to self-care.

 

Exercise, like medicine, needs to be prescribed at just the right dose.  Many people will at least have a fitness professional design and demonstrate a program for them.  This is an essential first step.  However, stopping here is like a doctor prescribing medication and then leaving the guesswork of adjusting the dosage for you.  In addition to having an optimal dose for each individual, the specific manner in which this dose needs to be adjusted caries from workout to workout.  Even when exercises are performed perfectly and consistently every week, progress is not guaranteed without proper adjustment of the dose.

 

Like many aspects of life it is the process applied with training, not just the program of exercises itself that is largely responsible for results.  A few follow-up sessions after the initial introduction will help establish this effective training process.  A personal trainer will work with you one to three times per week, depending on your needs, optimizing your technique and making continuous program adjustments.  Once you are in the “groove” of the training process you can see results every workout, and every two weeks there should be measurable changes in your body.  If you’re not experiencing this now, then it’s time to assess what you’re doing and make change.

 

A personal trainer is like your coach.  By combining specialized knowledge with their experiences of working with many different “athletes” they have acquired wisdom for an in-depth understanding of what works when, and for whom.  They can forecast the pitfalls before they happen, and what would otherwise be guesswork for you, becomes a systematic, result-producing plan of action.  In other ways, a personal trainer is also like your music teacher where your body is the instrument.  In fact, your body is the only instrument you have to carry out your purpose in life.  Your CPTN certified trainer will show you how to take proper care of it for peak performance!

 

Heather Denstedt

B.A. , CEP, CPTN-CPT, CTT, FMS

Mat PILATES Instructor

Categorized in: Rehab Info, Physical Fitness
Monday, November 7, 2011 - 13:21

 

Heat vs Ice: When to Use What?

 

The heat and ice debate can be confusing.  Heat feels good and generally ice does not.  Inflammation is what helps decide which to use. 

 

Inflammation is a reaction of the body to injury, characterized by pain, redness, swelling, heat, and sometimes loss of function.  Ice constricts the blood vessels around inflammation to decrease blood flow to that area helping to reduce pain, swelling, and redness, and heat.  Following an injury, inflammation usually lasts between 24-72 hours.  When you use the back of your hand to touch the area of inflammation and you no longer feel heat (note: do not test the area for heat following an application of ice), the inflammatory process is over and it is okay to use an application of heat.  Heat opens the blood vessels, increasing blood flow to the area.  This increase in blood flow helps the body remove the products of inflammation, loosen up tight muscles, and promote a feeling of general relaxation.

 

Ice packs, frozen bag of peas, or frozen gel pack are forms of ice applications.  Magic Bag, microwavable gel or heat packs, or heating pads can be used to apply heat.  A good rule of thumb is applying heat or ice up to 20 minutes and no longer, unless directed by a health professional. 

 

Ice and heat are very helpful in managing the effects of an injury, decreasing the amount of recovery time.

Categorized in: Rehab Info
Wednesday, October 5, 2011 - 12:18

Do you or someone you know require a Mobility Device such as a wheeled walker, wheelchair or forearm crutches?

If so, the Assistive Devices Program (ADP) can help you cover 75% of the ADP approved cost.  You qualify for ADP assistance if you are a resident of Ontario and you have a long- term physical disability that will require the use of a mobility device for 6 months or longer.  A physiotherapist, which is registered with ADP as an authorizer, will assess your mobility status and will recommend the appropriate device to meet your needs.  An example of a client that would qualify for funding would be your elderly Grandmother who has bilateral hip osteoarthritis and who has had multiple falls.  A wheeled walker or rollator would allow her to safely access her home and her community .

Nadine Leiper , PT

Categorized in: Rehab Info, Did You Know

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