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Quarterly Newsletter Volume 2, Number 2, October 2006 |
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Preseason Winter Sports Conditioning
he winter season will soon be upon us. Now is
the time to start your preseason conditioning so you can stay injury free
on the mountain , walking on snowshoes or backcountry skiing. The trick to
injury prevention, of course, is to have trained for that winter activity
Here are a few tricks you can do to try to avoid injury this winter: Strengthening: Lower Extremity Wall Slides - Place back against wall, with feet about 2 feet from wall. Squat up and down, so your knees and hips create a 90 degree angle (imagine you are sitting in a chair). Make sure knees are directly over toes. Hold the position for the duration of the exercise. You can also do this using a chair, squat down like you about to sit but don’t let yourself collapse into the chair. Progress to using only one leg.
Bridging - (This exercise targets the hamstrings) Lie on the floor and place one heel onto chair. Keep other foot in the air. Bend knee 90 degrees and then raise butt off floor, making sure you do not arch your back. Cross arms over stomach. Hold the position for the duration of the exercise. Step Ups - Use stairs or create 24” block with wood. Step onto step with one foot, making sure you do not push off with ground leg. Recover to starting position and repeat for the duration of the exercise.
Step down - Same as ½ Lunges, but start on top of stair and then lower one heel to floor, in front of other leg so you are at 90 degree angle with hip and knee. Don’t push off ground. Plank - Get on
the floor and prop up on your forearms and toes. Imagine you are a
plank. Keep your butt down and back straight by pulling stomach back
towards spine. Hold the position for the duration of the exercise. Side Plank - Lie on one side with forearm directly underneath your body. Raise trunk, hips and knees off ground, staying in a straight line. Hold the position for the duration of the exercise.
Weighted Ball Chest Press - For this exercise, use a medicine ball, hand weights or weighted backpack. Stabilize spine by tightening your abdominals and move weighted object out in front of your chest. Hold for the duration of the exercise. Squat with Weighted Ball Diagonal Moves - Use a weighted object as in the Weighted Ball Chest Press, but squat to 45 - 90 degrees, lowering weight in front of chest. Stand up, raising the weight in front of left shoulder in a diagonal motion. Repeat, switching sides for the duration of the exercise. Push Ups - Traditional pushups, making sure hips and buttocks are in same plane.
Diagonal Cable Pull: Start with cable secured over the door and reach across body with one arm. Pull diagonally towards outer leg, keeping elbow straight. Switch arms and repeat . Repeat sequence for the duration of the exercise. Sword Pull:
Place the cable under the door and secure it firmly. Grab the end in one hand, reaching across body
and then pull up diagonally, keeping elbow straight. Switch arms and
repeat. Repeat sequence for the duration of the exercise. Lateral Lunges: (If you have wood floors or vinyl flooring, this is a great exercise.) Stand on one leg and with the other slide leg along the floor until you feel the pull. Then pull outer leg back towards other one. Switch legs and repeat. Repeat sequence for the duration of the exercise. Balance: Stand on rolled up pillows or other unstable object. Balance and hold for the duration of the exercise. If this is easy, close your eyes, hold for the duration of the exercise. If this is still easy, use one leg. Lateral Kicks: Same as Balance, but stand on one leg and perform lateral kick outs. Switch legs. Balanced reaching: Same single leg balance, but reach towards ground and come back up. Fall Hiking Fall is often the best time of the year for hiking as the temperature is not as hot, the bugs have disappeared and the crowds have thinned out. However, this time of year can often have weather changes several times a day. Here are a few suggestions for a healthy and safe fall hiking season. · The roots and rocks are often slippery first thing in the morning because of dew and moisture. Be especially careful after rain. · Bring lots of water, even if the temperature is cold, and hydrate often. · Bring healthy snacks that don’t require refrigeration. Examples are: gorp, raisins, peanuts, grapes, snack bars. · Bring extra clothing that would protect you from inclement weather. · Bring an emergency kit consisting of band aids, ace wrap, and ibuprofen. Cell phone or walkie talkies are handy if you should get lost · Always tell someone where you are going and your expected arrival time. · Walking or hiking sticks are a great idea for balance, taking stress off your back, knees and hips. · For a great agility workout, hop from rock to rock or root to root on the way down. Try to control your body as you land and have a “soft” landing. · Speed hike on the way up with some intervals of running. Try to maintain a run, speed hike for 3-5 minutes and then back off to a slower walk. This will increase your cardiovascular system and endurance. This will also help your power. · Think lunges or step ups when climbing onto big rocks. Try not to push off ground leg as you step up. Exercises to do while you Travel: Many people travel for a
living and find they have to break away from their normal exercise
routine. If the place where you are staying does not have an exercises
room, the exercises below may be helpful. Heidi used these exercises this
summer while traveling out west in order to keep fit on the road. · Wall Slides · Straight Lunges · Bridging · Push ups · Plank · Side Plank · Calf Raises: Raise up on toes and lower body. Try this using only one leg as well. · Triceps: Sit on the edge of a chair. Place legs out in front, keeping knees straight. Slowly lower butt to floor and then raise butt off floor to level of chair. · Crunches: Lie on floor and bend knees up, keeping heels on the floor. Try to raise shoulder blades off the ground but make sure you keep your back flat to the ground. Repeat 20 times. Do 4 to 6 sets. · Side Crunches: Lie on your side with hips, knees all in the same plane. Try to raise lower shoulder and trunk off ground. Repeat 20 times. Do 3 sets each side. · Bent over Arm Rows: Kneel over a chair or bed keeping back straight. Bend elbow to 90 degrees. Squeeze shoulder blades together as you raise arm up (think of rowing a boat). Another variation is to keep your arm straight. Remember to squeeze shoulder blades. Do 12-15 repetitions of each exercise. You can perform 2-3 sets. Take the stairs instead of the elevator. If there is a pool, swim laps or run in the water. You can always walk to dinner or lunch. Trying to maintain your normal exercise routine while you are gone will help you maintain your overall fitness level. Aquatic Therapy News Water is an excellent medium for strengthening all muscle groups, the spine and core muscles. It unloads the spine so that one can tolerate more exercise. Spinal stabilization in the water is a great way to work on posture, core strength and balance. It also helps with range of motion of all joints, gait mechanics and overall function. Pain can be minimized in the water as well, allowing one to feel more empowered in their daily lives. Currently, we provide pool therapy at the Golden Eagle 2 days a week for 30-45 minutes per session. We attempt to keep the session’s one on one, but at times there may be some overlap. The water is kept at 82-84 degrees. Ask your doctor if the pool program is right for you or call the Sports and Rehab Clinic at 253-5694 for more information. Injury Prevention Programs: Some sports are more prone to injury than others. In Vermont, we seem to have a higher incidence of ACL injuries because alpine skiing is associated with a higher risk of injury than most sports. Soccer is also a high risk activity, which seems to be exploding as a year round sport. ACL tears can be a very costly injury, both monetary and physically. The length of time required to rehab this injury after reconstruction is approximately 6-9 months for full return to sport. There are some accelerated rehab programs but the long-term result of these programs is not promising, as early OA can ensue. While an ACL reconstruction can allow one to return to prior activity level it is not a perfect kinematic solution. Most athletes have OA, regardless of ACL reconstruction or not. So what can be done…. First, we need to know what causes ACL tears. Many studies have been done for specific sports and there are a few risk factors that can be addressed. What is known :
What can be done:
Stay tuned for more information on this topic and prevention programs..... Other News Sherry Heckler, PT, will be working in the pool therapy program for the next few months. Sherry is currently completing her transitional DPT, with an emphasis on women’s health. Sherry worked for Lamoille County Home Health as a PT for eight years and currently has been providing out-patient coverage for the Sports and Rehab Clinic on a per diem basis. Sherry has worked with many types of diagnoses, with emphasis on geriatric and orthopedic issues. Diane Lee, PT, will continue to assist with the pool program, but may take some time off Elizabeth Sargent, PT, MS has recently completed a 6 week course on strength and conditioning. This adds to her already accomplished skills as a hands-on PT with emphasis on manual therapy, stabilization and sports conditioning. Elizabeth is an avid runner, mountain climber, skier and endurance athlete. Heidi Noonan, PT has recertified as a CSCS, (strength and conditioning specialist) and will be attending the Sports Medicine Conference at UVM. Heidi also completed course work in muscle energy techniques, and Pilates for therapeutic exercise. Heidi has an extensive background in coaching both ski racing and soccer. She is involved in many sports, those of which include running, biking, tennis, golf, soccer, and skiing. |
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