Muscle Imbalance and Injury Risk – Tips for Physiotherapists and Personal Trainers

Many people looking to get fit end up with injuries, and it is a sad fact that many of these injuries can be prevented by looking more closely at how the exercise programs are structured and how they effectively balance all the muscles of the body.

Muscle balance can be defined as the “relationship between both the strength and the length of muscles and groups of muscles as they cross over joints “. This definition leads us to the conclusion that it is possible for muscles to have any or a combination of the following : Continue reading

Shoulder Joint and AC Joint Pain – Exercise Tips for Personal Trainers

Pain originating from the AC joint (the joint at the end of the collarbone – on top of the shoulder) is usually well localized and the client will often place one finger directly over the AC joint when asked to indicate the most painful area.

There is usually discomfort with humerus and scapula movement, particularly movements where the arm is brought across the body into a horizontally flexed position. Uncomfortable exercises in the gym may include bench press ( particularly wide grip bench as you have found already), dips and push-ups. The person often has difficulty sleeping on the effected side. Continue reading

Paul Wright – Beat Back Pain with Core Stability Secrets

I spoke to a personal trainer last week about the concept of Core Stability and how to best train your core – in one stage in our conversation he said:

“I don’t do any lower level core training for my rehabilitation clients – I just use cables and lots of free weight exercises”

Now this statement – whilst it has a small level of truth – points out a serious problem in our understanding of core stability training – that you MUST train and condition the Inner Unit of the CORE before progressing to the outer unit muscles. Continue reading

Injury Risks for Multi- Discipline Athlete

As Physiotherapists in private practice we are often responsible for getting athletes onto the starting line of a multitude of different events and hoping that they are able to complete the full race. However in the real world of sports injury management there are times when, despite our best efforts, the athlete is just not able to recover fast enough from a training injury and is forced to miss an event or has to withdraw during an actual race.

The challenges for a health professional working with the injury management of athletes is never more apparent than when you are involved with a multi-discipline sport such as triathlon – this events can essentially be regarded as a “Physios Nightmare” due to the large volume of training and length of the actual races – however in your case you have a good lead in time so this will work in your advantage. Continue reading

Ankle Sprain – Proprioception is Essential

I often say that “one of the best predictors if future injury is past injury“ – as a previously damaged  muscle, ligament or joint is often weaker and the patient may have returned to full activity when there is still residual post injury weakness, swelling or instability.

In the ankle – it has been suggested that between 40% and 70% of all first time ankle sprain patients will sustain a re-sprain of the same joint some time in the 12 months after the initial injury – this is why “Proprioception and Balance” is such an important part of the rehabilitation protocol. Continue reading