Virtual Screening Advantages
It's exactly the same service as you would have received when attending my clinic but with the added bonus of no travel & more flexible time / date options.Read More
Injuries and their Tissue Mechanics 1/12
A Journey on injuries Tissue Mechanics Join me on a journey exploring injuries, here is your ‘open-ended ticket’ and I invite all disciplines involved in Health and Fitness to join in with intelligent discussions here – troll’s (cyber bullies) will not be tolerated and will be removed from joabbottmsc.com. Over the next 12 weeks We shall be exploring the Evidence Based Medicine (EBM) world of injuries: What are injuries? How do injuries happen? What are the most common injuries? What happens when an injury occurs? What can we do to help? What advice should we be giving to a Patient/Client who has injured themselves? What rehabilitative tools should we be using/advising? Why do some people never improve post injury? Why do some injuries initiate a domino effect when going through rehab? When do we know we have optimised the rehab programme? And many more questions that I hear on a …Read More
Injuries and their Tissue Mechanics 2/12 (Warning: Prosected Images)
Personal Trainer to Clinical Anatomist When I worked at a Personal Trainer, with a successful client base, I quickly learnt that my anatomy education had been bias towards understanding the principles of anatomy through classic anatomy ‘book’ and it’s application to exercise rehabilitation. I personally believed there was a ‘missing link’ in my anatomy knowledge. In 2010 I begun my Clinical Anatomy Qualification at Keele University, Staffordshire. I spent three years dissecting and exploring our human form and documented the anatomy in the books we read was only present in 56% of the population – the rest have a variety of forms. For my final exam I chose to dissect the path of the sciatic nerve (SN); observe its anatomical relationship with the piriformis muscle (PM) and to measure; the diameter of the SN as it exits the greater sciatic foramen, the motor branches (MB’s), motor entry points (MEP’s) innervating the …Read More
The Sciatic Nerve, it’s Anatomy, that will make you understand it’s Pain 3/12
What goes wrong? Compromising the sciatic nerve and its components by particular treatments, surgical interventions or injuries, limit day-to-day activities by affecting the lower extremity’s function. Musculoskeletal complications such as gait pattern deviations may occur i.e. drop foot, weak dorsi flexion and eversion, toe extensor difficulty, twisting ankle, tripping, sensory impairment to touch over the distal aspect of the leg and dorsum of the foot (Katirji & Wilbourn 1994, Vardi 2004, Viera et al. 2007, An et al. 2010) are signs of a compromised sciatic nerve, sciatica. Typical manifestations of trauma to the sciatic nerve include; idiopathic palsy; postural habits; rapid weight loss; intrinsic or extrinsic nerve tumours; potential sciatic cross-over paths of propagation of intraneural cysts or extra neural compression by synovial cyst; soft tissue trauma; osseous mass or large fabella (LeGeyt & Ambrose 1998, Loredo et al. 1998, Spinner et al. 2003, Dellon 2005, Pokorny 2006, Spinner et …Read More
Behind the Scenes of a Patient with Sciatica 4/12
Bigger Picture Stuff Full Patient/Client History is nothing to be taken likely when exploring sciatica – it is a quarter (see image below) of your initial exploratory investigations in to why the person is sitting in front of you seeking your help and support. Besides, have you ever met a Patient/Client (P/C) who doesn’t want to tell you about their woe’s? About the things that are bothering them? What causes their pain? What they are no longer able to do? What their goals are? And why they sought out your help? Taking good P/C history is the beginning of your journey together. This drives the ability to; set specific goals for you both: maximising outcomes in minimum time; and ensure you explore/define/question parts of their history allowing you to triangulate (a powerful technique that facilitates validation of data through cross verification from two or more sources) your theory (hypothesis). This …Read More
How to conduct a great Consultation: pain and function
Narrative from a Personal Trainer “Client came to me with “sciatica”, diagnosed by GP many years ago, and this time self diagnosed by client himself with the help of Google & problems with gait”. There’s nothing wrong with using Google to help a person try to make some sense of their symptoms, as long as common sense is applied – use reputable website’s based on facts and not websites built on a persons belief system. The NHS figures show the number waiting at least a week to see their GP has risen by 56 per cent in five years, amid the longest waiting times on record, there is no wonder people are using the internet to provide them with the answers they need. “He is unable to walk properly due to his problems and feels like he is dragging one of his legs along with him”. Gait (walking/locomotion) is a …Read More
How ‘At Risk’ are you of non-contact injury?
Injury Mechanisms How do we move optimally, with no relevant risk (RR) of injury? The fundamental component of athletic activity is efficiency of movement. Efficiency of movement is compromised when there are changes in biomechanical function, often termed ‘movement disorder’, ‘impairment’ or ‘dysfunction’, causing an individual to adapt and adjust to the loads placed upon it. Anatomical and physiological dysfunction of joints and tissues either present themselves as a primary or secondary pathology to the individual. The alteration of either can influence the stresses placed on each system, and therefore cannot be sustained for a lifetime without it metamorphosing in to a clinical condition (Noyes, Schipplein, Andriacchi, Saddemi & Weise, 1992). Intrinsic risk factors are those factors that affect the load tolerance of the tissues within the athlete (Bartlett & Bussey, 2012). Many intrinsic risk factors are considered non-modifiable (Bartlett & Bussey, 2012). However, poor alignment, biomechanics, and motor control …Read More
How to Manually Assess Movement… be your best!
The Study of Biomechanics 1. Capacity: Static (Quiet standing) A state of constant motion at rest or at a constant velocity. Forces controlled by contraction of proteins (actin and myosin). Creates the Force-Velocity relationship (muscles). TESTING: Muscle imbalance distorts alignment and sets the stage for undue stress and strain on joints, ligaments and muscles. Manual testing is the tool of choice when it comes to determine the extent of imbalance. 2. Capacity – Dynamic (Gait) A state where acceleration and deceleration are both present. Elongation of the connective tissue. Is a significant factor in affecting movement at the joint end ROM. TESTING: Today’s literature identifies many common themes regarding ‘why’ we should screen clients: to conserve energy by proper use of the body and it’s parts; to expend energy intelligently and efficiently to accomplish a given purpose; to sustain attention; allow the body the ability to move, engage and proprioceptively respond through …Read More
Discogenic Low Back Pain Rehabilitation Programme – Week 2
This part of the rehabilitation programme for discogenic low back pain is focusing on mobility and thereby improving ability during active daily living tasks, whilst reducing the risk for reoccurrence of low back pain.Read More
Reduce Your Risk of Low Back Pain now!
When I was first introduced to the Dynaspine my first thoughts were 'oh dear, here we go again - another promise to the members of the public'. So you can imagine how I was feeling when I put the product under an 'ergonomic' research to find it does everything needed to reduce back pain for the population of Office Workers!Read More