No muscle in our body works in isolation, our muscles are designed to work in pairs to produce movement. In elite sport there is strong evidence to show that in joints where one muscle is too strong or too weak (either comparatively with its partner muscle or relative to your body weight) then the joint or muscle can become painful, recovery from injury can be delayed and risk of future injury can significantly increase.
There are many ways to assess muscle strength but one of the quickest, easiest and most useful in clinic is with a hand held dynamometer.
Recent research with in the Australian Swimming team by Boettcher (2013) supports the use of dynometers in functional mobility testing of their swimmers. Testing found that the best ratio for rotation shoulder to minimise pain was 1:1.46 [+/- 0.17] (external:internal). Having this data greatly enhances a team therapist's ability to support optimal performance by establishing a baseline for an athlete's "normal" muscle and joint functionality.
Through years of experience with elite sporting teams, North Curl Curl Physiotherapists have developed the expertise to apply this technology to our patients.
It is used regularly at NCCP to plan your rehabilitation.
by Mike Brace | Edited by Amanda Watson
The Dynometer is able to measure hip, hamstring, ankle and grip strength and has helped runners, ball sport players, swimmers, surfers..... the list is endless!
If you're interested in the Australian Swimming team study by Craig Boettcher, here is the link: http://www.physiotherapy.asn.au/DocumentsFolder/CONFERENCE%202013/Sports%20-%20MelbourneAPA_2013_swimmershoulder_presentation%20-%20CraigB%20[Compatibility%20Mode].pdf
Written by Blake Walmsley | Edited by Amanda Watson | Stock images by 123rf.com
References: Furness et al., 2013. Retrospective Analysis of Chronic Injuries in Recreational and Competitive Surfers: Injury Location, Type and Mechanism. International Journal of Aquatic Research and Education. Volume 8, Pg 277-287.
You may think of it as the ultimate leisure sport.
Do it by yourself, or with your mates; in the rain or sunshine; dusk or dawn. On a packed Manly beach or at the your own secret spot up the coast. But like any other sport surfing has its injuries, and no I'm not talking about sharks!
Go too far and try to push the boundaries, especially after a long surf, or after a day's work, and you could see yourself packing it in early and regretting that last wave.
Written by Blake Walmsley and Amanda Watson | Cheesy stock photography by 123rf.com
Lets have a look at the anatomy.
The neck is a complex structure, with an array of musculature, blood vessels and nerves. Most importantly for this topic, is the difference between superficial muscles and deep muscles. Superficial muscles are found just below the skin and generally attach at either end of the neck. They effect global movement on the neck, that being big movements such as turning your head to the side to see what that noise was. Physiologically, these muscles are made for power movements, full of Type 2, or fast twitch fibres.
On the other hand, deep muscles have attachments on each vertebrae, segmentally controlling and stabilising movement. They are made of slow twitch endurance muscle fibres. They are made to hold your heavy head up all day.
This would be ok if we were still functioning in a movement-based working environment, but with progress comes a sedentary workplace, and this network of busy muscles are not only supporting our heads, but holding our heads almost perfectly still for hours on end. Without stating the bleeding obvious....Neck pain. Dot com.
Here are some simple work-oriented tips to help your poor little neck out.
WORKSPACE ERGONOMICS INFORMATION IS EASY TO FIND ONLINE.
Speak to your WHS officer about getting your desk ergonomics checked to avoid neck injury
Still having neck and spine problems? Then it might be time to pop in and see us...
Written by Michael Brace and Amanda Watson | Cheesy stock photography courtesy of 123rf.com
As a relatively new sport, CrossFit has matched its increase in popularity with an increased variety of exercises in the regimen – both for training and competition. The sport does strive to “Find the fittest people on Earth” after all. This intensive goal and harder-core regimen means new CrossFitters are pushing their bodies harder than ever before. And as a relatively new sport, CrossFit is yet to gain the years of performance and injury data that many more traditional forms of impact and high energy activities have gathered in their decades of play. Hence, the uncertainty is not entirely unwarranted.
Mike's Top 3 Technique Tips for high-intensity exercise
Still need a hand with your technique to avoid injury?
Why not call in to the clinic to talk about your CrossFit program with Mike or one of our other physios.
Call in to 53 Griffin Road North Curl Curl
Phone 02 9905 3500 or
Written by Michael Koutzoumis | Edited by Amanda Watson
Ongoing research indicates that we may be a little closer to reducing delayed onset muscle soreness. It is more commonly referred to as DOMS which arises 24 to 72 hours after exercise and can, in some cases, last up to seven days post-exercise. Ouch. Been there?
A recent paper has looked at how cold-water immersion (temperatures of less than 15degrees Celcius) can help reduce the effect of DOMS. Cold-water immersion, or 'ice-baths' as they are becoming more commonly known are becoming one of the more popular approaches used after exercise. Team-based sports have been using ice-baths for recovery for several years now, with anecdotal evidence suggesting this method of post-match recovery has some depth. To pardon the pun.
Back to the study: The exact temperature, duration, frequency, type of exercises in the water and settings of cold-water immersion therapy were varied. The results for muscle soreness were “pooled” together which indicated significant results in favour of cold-water immersion at 24, 48, 72 and 96 hour follow ups.
Photo credits and more information
North Curl Curl Physiotherapy lead the way in exercise recovery treatment and injury management programming. We offer FREE Screenings for patients curious about their condition, and we can make recommendations and treatment plans on the spot. Phone 02 9905 3500 for more information.
Post by Amanda Watson | Video credits to Mike Brace and Toby Watson (nice pins)
ViMove technology is available now at North Curl Curl Physio (call 02 9905 3500)
Written by Mike Brace | Edited by Amanda Watson
I've been working as a physiotherapist in elite and semi-pro Rugby for over eight years now. I like to keep my eye on the techniques of strength and conditioning in Rugby that really are transferable - and essential - across all sports and functional movement. Recently, a blog post caught my eye from The Rugby Strength Coach. The blog post talks predominantly about the back squat (using a barbell to increase strength) but simply observing at a body weight squat can quickly show how well someone can move. Correct technique requires good range of movement through the ankles, knees, hips, pelvis, lumbar spine, thoracic spine, shoulders and neck…yep that’s just about everything!
Because squatting is a critical part of the rugby player's strength programme, being able to identify correct squatting technique is also an essential part of my physiotherapy practice. I can be quoted as saying “If I was limited to only prescribe one exercise for the rest of my career…squats would be it!”.
I am cheating a bit here by saying ‘one exercise’, as I would use the many variations…front, back, goblet, overhead, split, Bulgarian, single leg, pistol, jump… the list could go on!
- So let's look at correct technique -
Over the 2 years before I came to Australia I was lucky enough to work closely with an elite powerlifter. This experience allowed me to significantly improve my understanding of the biomechanics of human movement. Seeing a therapist who has this knowledge is essential for athletes who are lifting heavy weights (Stephen has well over 250kg on his back in some of the photos below!), or playing high-impact sports, and staying injury free.
So whether you’re a rugby player, marathon runner or a triathlete; behind a desk all day or out on a building site, weekend warrior or cross-fitter…we should all be able to squat!
Powerlifter Stephen Manual - British Champion and World Silver (2013) and Bronze (2014) Medallist
Mental Health Week has seen awareness raising campaigns across the traditional, digital and social media in an effort to challenge misguided thinking about the nature and reality of living with mental illnesses. As physiotherapists who treat injuries and body conditioning in elite and semi-professional (or even just good old, plain committed!) athletes and exercisers, North Curl Curl Physiotherapy at times works with patients who are managing an eating disorder as part of their every day life. Our Principal, Toby Watson was recently invited to contribute an Op Ed piece to the National Eating Disorders Collaboration (NEDC) project (based in Crows Nest). We thought we should share his piece - and the whole NEDC E-Bulletin on Eating Disorders and Sports Performance - with our own patients and client base.
We have also included an article published in the Delhi Journal of Psychiatry which explores the role Physiotherapy can play in positively contributing to managing body image issues. We hope you enjoy reading these articles. If you would like to read more on the work, research and publications of the NEDC, please feel welcome to sign up and become a member. You never know when someone you know might need these valuable resources.
Happy Mental Health Week.
Taken from article from Reuters | Kathryn Doyle | Posted by Amanda Watson
NEW YORK (Reuters Health) - Acupuncture won't improve chronic knee pain in middle-aged people, researchers say.In their study, real acupuncture using needles and lasers was no more helpful than sham acupuncture for chronic knee pain among people 50 years old and older.
Research Article by Michael Koutzoumis | Edited by Amanda Watson
North Curl Curl Physiotherapy runs an outstanding injury prevention programme that assesses and consults on prehabilitation that encompasses whole of body preparation and correct technique for exercise and competition using state of the art treatment and tools.
You want to give your sport your best, right?
Call and make a screening appointment with one of our highly-skilled and specially-trained physios today to access a rebate off your physio treatment programme.