injury & rehabilitation

Tai Chi increases endurance in the elderly

Tai Chi increases endurance in the elderly

Caminiti et al 2010 compared elderly adults in a walking program and elderly adults walking and doing tai chi. Those who underwent the walking with tai chi program demonstrated increased 6 min. walk distance, increased max. voluntary contraction of quadriceps and improved sense of well-being by QOL questionnaire. Tai chi is a relatively cheap medical(…)

Exercise trumps everything

Exercise trumps everything

Dr. Blair in a BJM article from Jan 2009 reported a fact those of us on the pro-activity side of the equation have long suspected. Low cardio-respiratory fitness based on a maximal treadmill test is more predictive concerning chances of death compared to obesity, smoking, type 2 diabetes and hypertension COMBINED. Obese men with high(…)

Vibration Training

Vibration Training

In the past few years, vibrating platforms have been making their way into the mainstream. Pictures of people standing, squating or even pressing kettlebells on these devices keep turning up. The fundamental question one needs to ask is why use a vibrating platform- what benefits will my athletes get? Vibration training began being used seriously(…)

Exercise vs. shockwave treatment

Exercise vs. shockwave treatment

Shoulder pain is the fourth most common complaint in physiotherapy. Engebretsen et al 2009 completed a single blind study comparing shockwave treatment to exercise rehabilitation. Patients both participated in two 45 min sessions a week for 8-12 weeks. The shockwave treatment improved symptoms in 36% of patients while exercise helped 64% of patients- nearly double!(…)

Video games for strokes

Video games for strokes

Saposnik et al 2011 provided a review of the 12 studies using the Nintendo Wii system in stroke rehabilitation. All the studies showed that using the Wii system (primarily the sports games) helped stroke patients regain upper limb control, coordination and strength. Physio and occupational therapy for stroke needs to be novel, repetitive and task-specific.(…)

Urinary Incontinence

Urinary Incontinence

Neumann et al 2005 demonstrated that physiotherapy is better than exercise or surgery for dealing with incontinence. Urinary insentience is found among 13% of women in the general population and that jumps to 20% among women who have had children. Failure to maintain continence is generally associated with a weakness of the muscles surrounding the(…)

Snow shoveling

Snow shoveling

In 2007, snow shovelling and snow blowing lead to 118,000 trips to the ER, medical clinics or physiotherapy offices. Given that winter is once again upon us, a basic review of snow shovelling technique is called for. If you have a heart condition consider that heavy snow shovelling may not be within the spectrum of(…)