Exercise
Whole vs part method of learning to walk/run a new way: deviant to less deviant
When learning a new physical skill an individual, therapist, or coach can choose to practice a new skill in whole or part. Motor skills learning can be practicing the whole movement or part of the movement. In whole practice acquiring a skill is by practicing the movement in its entirety, whereas the part that practices…
Read MoreExercise prescription – Art & Science
Exercise while not a drug can behave like one. Exercise can help in the management of chronic diseases and offer pain relief for individuals suffering from musculoskeletal pain syndromes. Like prescribing drugs, the concept of dosage applies to exercise prescription. A dose-response to exercise is not unlike drugs however the minimum dose, dose-response, and maximum…
Read MoreNew developments in joint replacement surgery & rehabilitation
The use of joint replacement surgery for hip and knee pain has evolved greatly since I started my Physical Therapy career many years ago. Joint replacement is occurring in younger individuals Younger individuals are having joint replacement surgery. Data from 2000 to 2009 for individuals from 45 to 64 years old there was a 188%…
Read MorePuny Calf Muscles Syndrome
It is time to replace the common belief that stretching exercises should occur before exercise or sporting activity with a newer concept that strengthening exercises for the calf muscles should occur before exercise or sporting activities. During warm up for exercise & sporting activity make a conscious effort to walk with spring in your step. Reactivating & reversing puny calf muscles can prevent injury, increase athletic performance, forestall old person shuffle, & look better.
Read MorePotential Prevention Strategy for Exercise Associated Muscle Cramps
Exercise associated muscle cramp (EAMC) is a painful, spasmodic, and involuntary contraction of muscle that occurs during or immediately after exercise. The exact mechanism or cause of EAMC still remains unclear. There is a consensus the first aid treatment of EAMC is to stretch the affected muscle. However, Coppin and colleagues conclude that regular stretching…
Read MoreAs a patient, how do I get my healthcare provider more engaged in my care plan?
The goal of any relationship between a healthcare provider and patient is that both parties feel they are invested in favorable health outcomes. How they get there is the question. The underlying assumption is that a high degree of engagement from the provider and the patient will result in better outcomes, costs less, and may…
Read MoreHow to exercise to lose weight when exercise is painful
High body mass index (BMI) is significant factor in low back pain, osteoarthritis; hip osteoarthritis; knee osteoarthritis, plantar heel pain. Weight loss intervention for pain reduction Decreasing body weight is an effective intervention to decrease musculoskeletal pain. Research by Stephen Messier at Wake Forest U, looking at individuals with painful osteoarthritis of the knee who…
Read MoreThat’s a Stretch: Why Stretching May Not Always be the Solution
It’s good to stretch a dollar. It’s bad to stretch the truth. But what about stretching your calves? That might depend on whether you believe Dr. Google every time a search result says to stretch sore calves. Calf stretching aims to increase the range of motion (ROM) for ankle dorsiflexion. “Dorsi” is a prefix meaning…
Read MoreKeeping the Spring in Your Step: Ankle Joint Power & Aging
As we amass more birthdays and get older we tend to walk/run slower, take shorter steps, and fewer per minute. Why do we seem to have less spring in our step the older we get? Kids move fast and crash elderly move slow and crash. One factor is kids have good ankle power elderly…
Read MoreIT Band Syndrome – Controversy Regarding Stretching Exercise
The Iliotibial (IT) Band is a tendon on the lateral aspect of the hip/thigh/knee. It is a large, wide, thick tendon. A tendon is a structure that attaches muscle to bone. IT band syndrome is a typical injury occurring in runners. A commonly recommended treatment for IT band syndrome is stretching exercise. Searching Google for…
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