Become INJURY PROOF. Featuring Movement Based Healthcare and 5 Site Integrity. Get assessed and find answers

Transcription

1 Become INJURY PROOF Featuring Movement Based Healthcare and 5 Site Integrity Get assessed and find answers

2 Postu

3 Fits Toronto is the first facility of its kind in the world to use movement to assess and prevent injury. Our specially trained staff of doctors and physiotherapists have pioneered an approach that looks for movement dysfunctions that leads to pain and injury. By building a plan to correct movement dysfunctions through posture correction, mobility, strength, power, reactive abilities and work capacity we make you INJURY PROOF tm. re Mobility Movement Output Capacity

4 INJURY PROOF PARADIGM A Movement Based Approach Posture Mobility Movement Output Capacity Definition The resting position of your joints. A measure of the range of motion of key joints in your body. Do you move correctly? Are you coordinated? Are you damaging your body by a movement dysfunction that you don t even know you re doing? Do you have enough strength to handle the loads being applied to your body? Can you react to a sudden load applied to your body before you buckle? Your capacity is how your aerobic and your anaerobic energy systems functions. Do your movements become sloppy when you become fatigued? Impact to your LIFE The resting position of your joints has huge implications on: the function of your muscles and fascia; your joint mobility; and your nervous system. All these factors alters your ability to move correctly. Without proper joint mobility you will not be able to move correctly. The way you move dictates how loads are applied to your body. This is the main focus at FITS, because incorrect movements lead to pain, inflammation, injury and suboptimal performance. Correct movements give you the ability to be INJURY PROOF and perform to your full potential. How you move is limited by four important output factors: a) your ability to produce force b) your rate of force development; c) your ability to handle large, rapidly applied forces d) your reactive ability Without adequate capacity your movements will become dysfunctional, leading to uncoordinated movements.

5 MOVE CORRECTLY

6 Discover what s behind the black box Most testing is performed as if there was a black box surrounding the athlete. They only thing that matters is recording the outcome; either the distance reached, the time taken to perform a task, or the amount lifted. In more sophisticated testing force produced, power, and other physiological parameters can be tested. If this is how your are being tested, then vital information is being missed. Information that can not only improve your performance, but it will also reduce your injury risk. At FITS we don t make this mistake. In fact, we ve pioneered our movement assessment approach. Failure to analyze movement produces misdirected training recommendations leading to higher injury risk, poor performance, and poor transfer into sport performance.

7 Our Breakthrough Process 1. HISTORY AND GOAL SETTING: We take a complete medical history and listen to your goals. 2. ANALYSIS: Using cutting edge video motion capture and 5 Site Integrity we analyze your posture and how you move and produce forces during low load, high load and sport specific movements. 3. HANDS ON-EXAMINATION: We perform a focused orthopaedic evaluation and manual muscle testing of identified areas. 4. REPORT: We provide a report explaining our findings and we develop a plan to correct identified movement dysfunctions through posture, mobility, movement, strength, power, reactive abilities and work capacity. 5. TREATMENT with TRAINING: Factoring in your lifestyle and your goals we combine therapies with clinical conditioning to develop proper movement patterns and to correct postural habits. REPORT: We provide a report explaining our findings and we develop a plan to correct identified movement dysfunctions through posture, mobility, movement, strength, power, reactive abilities and work capacity.

8 SAM with the Terrible Shoulder Sam is known for her spiking, but over the season she s developed a lot of pain in her hitting shoulder and neck. At first she could work through the pain, but now even volleying hurts. She has been sidelined for three games. Her game performance has been on the decline since the injury. She is currently in high school and is looking for a volleyball scholarship. How we helped Posture Mobility Movement Output Capacity Relevant Findings She has anterior head carriage, internally rotated shoulders, and a hyperkyphotic thoracic spine. Her hitting shoulder is elevated and more internally rotated that her opposite side. She is unable to raise her arms above shoulder height without pain in flexion and abduction. She displays habitual thoracic hyperkyphosis with scapular dyskinesia during sitting, reading, working on the computer and when performing sport specific movements. Scapular diskinesia is pronounced with glenohumeral movements about the shoulder or when loaded. Weak lower fiber of trapezius and external rotators. Unable to perform external rotation with weights 10% of biacromial bench press. Scapula cannot remain in ideal position during shoulder movements above 60 degrees in flexion, abduction, and during pressing movements. Unable to perform one correct lower fiber of trapezius movement. Treatments Iontophoresis with Vultaren to reduce pain and inflammation. ART and acupuncture to address fascial restrictions focussing on her pectoralis fascia, pectoralis minor, subclavius, anterior scalenes. For thoracic spine mobility we performed adjustments, Mulligan Technique and self-rolling on a foam roller. To address her shoulder mobility we focussed soft tissue techniques on her scapular protractors and internal humeral rotators. Establish proper scapula movement during all gleno-humeral movements. Develop strength endurance of scapular stabilizers, namely focussing on lower fibers of trapezius, external rotators, and serratus anterior. Results Full resolution and full return to competition. My injury may have been the best thing that has happened to me. I m feeling better than before my injury. In fact I m hitting harder and more consistently. THANKS!!

9 Frank s Never Ending Back Pain Frank had low back pain for years and because of pain he was unable to train, he spent over 24 games on the disabled list, and his back constantly bothered him. His back pain stared as a dull ache in high school, aggravated when he would squat. Soon it became difficult to play, requiring pain medication to get through the game. Now it s a stage where he wonders if his career is over. How we helped Posture Mobility Movement Output Capacity Relevant Findings Antalgic gait. Sits with a spine flexed. Anterior head carriage with internally rotated shoulders. Genu Varum of the knees. Tightness in hamstrings (ASLR at 60 degrees), hip flexors, external hip rotators. Limited lumbar flexion and lateral bending, approximately 60% and 70% respectively when compared to normal. Thoracic spine is hyperkyphotic and rigid. Scapular movements demonstrated scapular winging. Unable to properly demonstrate a hip hinge and bends with spine flexion. Activities of daily living are performed with initiation of movement with his spine and with his spine in flexion. Demonstrates poor lifting mechanics without abdominal bracing when lifting a 28lbs box. Unable to demonstrate proper airplane movement. Force and rate of force development are normal, but are below average when compared to other professional hockey players. Movement dysfunctions are present which limit his force and power production. Pain was experienced during force and power testing localized to his low back. Holds neutral spine hold to 60% of capacity, side bridge discrepancy of 50% right 40% left of ideal. Treatments Acupuncture to relieve pain and combined with ART to address fascial restrictions in his hip flexors, low back and hamstrings. Develop hip mobility, thoracic spine mobility, and improved mobility about the shoulder. Teach patient to hip hinge, basic movements (such as squat, lunge, and single legged squat), and improve sport specific movements to spare the back from aggravating forces. Teach patient proper lifting, sitting and postural habits to reduce habitual stress to low back. Develop hip hinge force and power development while grooving proper spine mechanics during strength and power exercises. Develop neutral spine holding capacity in the plank, side bridge, trunk flexion hold and back extension. Results My back feels incredible. I m no longer in pain and I m playing the best I ever have.i never would have thought FITS would make this much of a difference. Incredible. I would recommend it to anyone. THANK-YOU

10 Sarah with the bad Knees Sarah has patellofemoral knee pain and is unable to run. Efforts to treat her knee with laser, ultrasound, and rehab exercises to strengthen her VMO have been ineffective. She has become very frustrated, because despite her efforts she is still injured. After 10 weeks of care, Sarah no longer has knee pain. She is able to run and she is very optimistic about this upcoming season. In fact during her first race she performed a personal best. How we helped Posture Mobility Movement Output Capacity Relevant Findings Normal and complete range of motion. Pain with loaded knee flexion. Unable to properly demonstrate hip hinge. Demonstrates quad dominate pattern. Demonstrates dynamic knee valgus on landing from a 35cm box, take-off from the ground, and during all cutting and power development movements. Unable to squat, lunge and perform a single leg squat without displaying dynamic knee valgus. All explosive movements and deceleration movements cause dynamic knee valgus. Aerobic conditioning is below average for her sport and competition level. During anaerobic testing as she became tired her pattern worsened as expected. Treatments Develop hip mobility, thoracic spine, and Teach patient to hip hinge, basic movements (such as squat, lunge, and single legged squat), and improve sport specific movements to spare the back from aggravating forces. Teach patient proper lifting, sitting and postural habits to reduce habitual stress to low back Sarah performed our Anti- Dynamic Knee Valgus Protocol which develops the athlete ability to control their knee. This approach is staged and progressively loads the athlete based on their ability to control their knee position. Sarah developed her aerobic and anaerobic energy systems in the water initially and progressed to incorporate unloaded work capacity exercises. After 8 weeks Sarah was able to run and was able to control their knees during all dryland movements without pain. Results I m racing the best of my life. Who ever would have thought I d be better than before the injury. I always wondered where I would be if I wasn t in pain during training. Now I don t have to wonder anymore. Training has been incredible. THANKS.

11 Become INJURY PROOF