How to play hockey safely

How to play hockey safely

Hockey may not initially inspire thoughts of the world’s safest sport. With a reputation for brawls on the ice and toothless grins, parents may be understandably cautious about signing up their kids for the community hockey league.

However, with the proper precautions (and protective gear), the game can be played safely while those on the ice reduce their chance of injury.

Hockey is a unique sport, says Mark Salandra, a certified strength and conditioning specialist and the founder of StrengthCondition.com (a Physiquality partner program). “It incorporates speed, agility and strength in ways that no other sport tests the body,” he explains. As with any sport, injuries can be caused by a variety of factors, including the level of participation, player position, protective equipment, violent behavior, and personal susceptibility due to pre-existing injuries and style of play.

Hockey leagues have been studying concussions seriously over the last few years.The most dangerous injury that hockey players are susceptible to is the one most difficult to avoid, notes Mark. Given the fast pace on the ice, collisions with other players, as well as the rink walls, are inevitable, and such hits can lead to concussions. As with football, hockey leagues have been studying the injury seriously, advocating a variety of measures designed to reduce concussions, particularly among younger players.

USA Hockey, the organization that oversees amateur hockey associations in the U.S., advises all players young and old to protect the head by wearing a helmet when playing. They have posted tips and created training, for both parents and coaches, on how to keep players safe. Most importantly, they explain how to look for signs of a concussion: Looking dazed or confused, being unable to remember post-injury events, having problems with concentration or balance, or even simply irritability. Should a parent, coach or athlete notice these symptoms, particularly if the athlete is showing more than one symptom, it’s time to talk to a doctor.

Be screened before the hockey season begins by an experienced physical therapist or physician.Most hockey injuries involve the soft tissues, like bruises, muscle strains, ligament tears, and cuts, Mark notes, but serious injuries are possible, and players should avoid dangerous tactics. To prevent injuries, hockey players should:

  • Be screened before the season begins by an experienced physical therapist or physician. This should identify existing injuries and uncover deficiencies.
  • Participate in a sports-specific conditioning program to avoid physical overload.
  • Wear high-quality equipment that fits well and is not damaged, worn-out, or undersized.
  • Play by the rules. Players and coaches should always demonstrate sportsmanship and mutual respect for their opponents and the officials.

Mark suggests that hockey players focus on four areas in order to improve their abilities and reduce injuries: the core, leg strength, upper body strength, and flexibility.

Core strength is very important because hockey players are constantly twisting and turning, and getting up off the ice onto their skates. Key core strengthening exercises that hockey players can do are crunches, planks and Superman exercises. Mark advises tightening your transversus abdominis during these exercises (that’s the deepest abdominal muscle, the one you feel contracting when you cough).

By incorporating such exercises as lunges, squats, leg extensions and calf raises, hockey players will increase leg strength and reduce their risk of leg injuries.While it shouldn’t be surprising that leg strength is key to a sport that involves skating on a slippery surface, Mark points out that ice hockey is different in that athletes have to go from start to stop, and stop to start, very quickly with explosive power. By incorporating such exercises as lunges, squats, leg extensions and curls, and calf raises, players will increase leg strength and reduce their risk of leg injuries.

Between swinging a hockey stick and colliding with other players (and walls), upper body strength is essential to reducing injuries. A comprehensive strengthening program should include such upper body exercises as bench and shoulder presses, biceps and wrist curls, triceps extensions, and rotator cuff exercises like doorway stretches and lawn mower pulls.

Given the various directions that hockey players move in during a match, flexibility can help improve a player’s mobility. Mark recommends doing a warm-up, as well as stretching, before any activity, and reminds athletes to stretch only to the point of resistance, not pain. All stretching should be done slowly and carefully, particularly if you’re on the ice. And stretching after activity can help your body recuperate faster.

Speaking of recuperation, don’t forget the most important part of your activity — rest. The more rested you are, the better you’ll perform on game day. “It is only after your workout, when you are resting and replenishing your body with protein and other nutrients, when the body heals and gets stronger. This is why I live by the motto, ‘Train hard, but rest harder,’” says Mark.


Your local Physiquality physical therapist is an excellent resource for athletic training, injury prevention and advice and treatment if you do sustain an injury. Use our therapist finder to locate the professional nearest you.

Mark Salandra, CSCS Mark Salandra, CSCS, is the founder of StrengthCondition.com, one of Physiquality’s partner programs. Mark educates and trains athletes young and old in strength and conditioning, with the goals of better fitness and lower rates of injury.

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Running away from injury

Running is a common way to stay fit — in theory, all you require is a good pair of running shoes. But running can also lead to a variety of injuries. Our experts talked to us about the most common running injuries and how to avoid them.

According to Jeff Rothstein, the Director of Sports Enhancement for the PT Center for Sports Medicine, a Physiquality clinic in Akron, Ohio, the most common running injuries are to the foot, knee and back. Jeff notes that having the right running shoes is essential for avoiding injury.

Lori Francoeur, a physical therapist at Foothills Sports Medicine Physical Therapy Center in Arizona, agrees. She explains that runners should wear a “good supportive shoe that will provide adequate support and cushioning for your arch and heel.”

For runners, back and knee injuries are often a result of weak muscles.Back and knee injuries are often a result of weak muscles, says Jeff, as many runners focus on running without strength training. He advises that runners strengthen their glutes, hamstrings and core to support the body while running. Otherwise, runners can be prone to imbalanced muscles, which can lead to a poor gait and possibly injury. (If you’re worried about your gait, many physical therapists do gait evaluations to help runners improve their form.)

A running coach and marathoner, Lori cautions runners to take a slow and steady approach to progressing distance. She advises any new runners to not start with more than 1 – 2 miles at a time, not necessarily running the entire time – just plan to be moving the entire time, whether you are walking or running at a slow pace. Keep track of each run’s distance, and don’t increase your mileage by more than 10% per week. There are plenty of ways to measure your distance these days, whether by using an iPhone or Apple watch, or a sports-specific monitor like those from Physiquality partner Polar.

Most runners don't stretch enough.Jeff also points out that most runners don’t stretch enough. “This will lead to progressive shortening of the major muscles involved in running,” he says, which can limit your joint’s range of motion and put you at a greater risk for injury. While stretching can be done before or after your run, Lori notes that stretching should be done when your muscles are already warm, making it better to stretch afterwards. This post-run stretch regimen from Polar lengthens your glutes, hamstrings and calves, and opens your hip flexors, all key muscles for running.

And don’t forget the importance of rest. Rest allows our muscles and joints time to recover from the pounding we endure from running, says Lori. As we’ve previously noted here, It is only after your workout, when you are resting and replenishing your body with protein and other nutrients, when the body heals and gets stronger.

Finally, any runner should listen to his body. While starting a new activity typically comes with muscle soreness and some aches and pains, notes Lori, an intense pain, or a pain persisting for multiple days that does not subside with rest, is one you should have checked out. Physical therapists are a great resource; many outpatient orthopedic physical therapy clinics offer free injury evaluations. A PT will be able to listen to your complaints and complete an assessment to determine what the problem is. Then she can create a strengthening and/or stretching program for you to perform to resolve the problem.

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Working out while on the road

with advice from Richard Baudry, PT, DPT, OCS,
Yousef Ghandour, PT, MOMT, FAAOMPT, and Brian Klaus

Working out while on the road

With Memorial Day behind us and Independence Day quickly approaching, many of us have plans to travel in the next couple of months. If you’ve been trying to stick to an exercise regimen, here are some ideas for how to continue working out when you leave your regular routine behind.

“Exercise that doesn’t require bulky equipment or a lot of space is best while traveling,” advises Brian Klaus, the Vice President of Stretchwell, Inc. (a PTPN preferred vendor that offers a variety of progressive resistance products). Why take up space in your luggage with heavy weights or bulky equipment?

Physical therapist Richard Baudry, the founder and CEO of Baudry Therapy Center (a Physiquality member in New Orleans), agrees. Richard reminds readers that walking is the easiest exercise to do while traveling. “Make a point to stand tall, take long strides and swing your arms,” he adds.

Make exercise a daily family activity.If you’re worried about taking time away from other activities, says Richard, get up an hour earlier to go for a walk or jog – the fresh air will give you almost as much boost as a cup of coffee. You can also make it a daily family activity. If you’ve traveled to a scenic site, walking is a great way to explore your vacation location; you can plan a different walk for each day you’re there. Or if you’re traveling with a little one and he or she goes to bed early, plan your workouts for after bedtime; check out our post on working out while baby is sleeping for a sample workout that will get your heart pumping quickly (and quietly).

If you prefer using resistance when you work out, think about bringing resistance tubing, a set of bands that include a door anchor, or a portable weighted pulley system. A set like this one from QTEK Products (a Physiquality partner), created by physical therapist Yousef Ghandour, is easy to pack and won’t take up a lot of room in your bags. Yousef notes that you can use any hotel or household items to add weight to the system, which allows for shoulder, back, hip and knee exercises by attaching the system to your hotel room door.

Richard suggests weight lifting using items you’re already planning to bring, like your purse or a backpack, for arm curls or overhead presses. (Just make sure to securely close your bag first.) Or book your stay at a hotel that includes a gym with workout equipment that you normally use at home; look at the list of amenities when making your reservation to see what types of equipment is available. Some may even offer fitness classes like yoga or Pilates.

Use technology to remind yourself to work out.Lastly, Brian reminds readers to take advantage of the technology many of us already own. Use the reminders or calendar on your phone to set times for those daily walks or your gym time. Pay attention to your watch or FitBit when it notes that you’ve been sitting too long. Or have Siri remind you that a body in motion stays in motion!

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Sitting pretty: Proper sitting posture

 

Most of us spend more time at the office than we do at home, which is why it’s so important to consider how our behavior at the office can affect how we feel at home. If you sit at your computer for several hours each day, are you sitting pretty?

Before you look at yourself in the mirror, reflect on your desk and workspace. Specifically, says Alan Zovar, a physical therapist that works at Dandelion Dreams, Inc., (aPhysiquality partner), you should think about the angles in your body as they interact with your desk. Your eyes should be approximately 18 inches away from your computer screen, he says, and they should align with the middle of the screen, to avoid looking down or up too much, which could cause neck strain in the long run. In the same manner, your chair should be centered with the monitor to minimize twisting the head in order to see the screen.

Take a look at how you sit in your chair: Click to enlarge.Take a look at your chair now, and how you sit in it. Adjust the chair’s height in order to be able to rest your elbows at about a 90-degree angle on your desk; if the chair’s arms get in the way, it’s probably better to remove them, Alan notes.

Your forearms should be parallel to your desk and your wrists should be as flat as possible. Alan suggests using mouse and keyboard supports to maintain this posture. And your knees should also be bent at a 90-degree angle. If your feet don’t reach the floor, you can use a foot support in order to properly support the weight of your legs.

Once your desk is properly set up, you can think about your sitting posture. Lumbar support is essential to support the back and reduce back strain. If your office chair is not supportive enough, you can purchase a back support like the Kiss My Back! support from Dandelion Dreams, Inc. The back support will reinforce the natural curve of the lumbar spine. In turn, this straightens the neck, shoulders and upper back. When you’re sitting at your desk, your torso, neck and head should all be upright, without any slouching or straining.

Frequent phone users should use a headset to avoid balancing the phone between their shoulder and ear.Other office behaviors are just as important, reminds Richard Baudry, a physical therapist and the founder of Baudry Therapy Center, a Physiquality member in the New Orleans area. He cautions workers to keep their desk — and the space underneath it — clear of clutter, in order to enable easy movement around your workstation. Frequent phone users should use a headset to avoid balancing the phone between their shoulder and ear, which can create neck and back pain. And frequent movement is key — stand up once an hour to stretch your back or take a walk to the building cafeteria to grab a drink.

If you’re concerned about your workspace, use this OSHA worksheet to evaluate how your desk is set up. Or contact a physical therapist near you to evaluate your entire office, ensuring a healthier — and happier — team.

 

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Exercise trends: Rucking

Have you heard about rucking? The word “ruck” is short for “rucksack,” a military backpack that soldiers use to carry supplies on their back. Rucking, or ruck marching, refers to walking over paved or unpaved terrain with a loaded rucksack for the purpose ofimproving your fitness.

The military often uses rucking to measure physical fitness. Many units require a soldier to complete a timed ruck march in order to qualify for the unit. For instance, the U.S. Army Special Forces requires potential recruits to be able to ruck 12 miles in 2 hours with a pack that weighs 65 pounds in order to be eligible for Special Forces Selection. Even after leaving the armed services, some veterans continue to use rucking as a way to remain strong and build social ties while exercising.

Rucking with even a modest pack strengthens the legs, back and core muscles, while improving your cardiovascular health.For most everyone else, rucking is a great way to add diversity to your training, regardless of whether you’re in or planning to join the military. Rucking with even a modest pack strengthens the legs, back and core muscles, while improving your cardiovascular health. And because you’re walking, it’s usually considered lower impact than running. Those who backpack or hunt in the wilderness can also benefit from rucking, as it provides a very functional way to train for such activities.

So how do you ruck? It’s pretty simple: Load a backpack up with some weight (not too much!) and go for a walk. It can be down the sidewalk or along the trails at the local park. Start with short trips — less than 30 minutes — and work up to about an hour. Then slowly increase the weight in your pack until you can do about 30% of your body weight.

The number one concern regarding these types of workouts is overexertion. Even with a lightweight pack and a short workout, this is still a very tough form of exercise.Dehydration can be a factor, as much of the time these workouts are performed in thewarmer months. Lower body injuries are also common with rucking, including such ailments as shin splints, knee pain, plantar fasciitis and ankle sprains. And don’t be surprised to you feel soreness in the shoulders and neck, as these muscles aren’t used to carrying a heavy load.

West Point rucking. Photo by Mike Strasser, West Point Public AffairsAs with any form of exercise, it is important to listen to your body. Start slow and build up your “ruck” stamina over time. Add weight and time gradually, and spread out the workouts with other activities — and rest. And if those aches and pains don’t go away within 48 hours of your rucking workout, talk to your physical therapist to discuss your exercise regimen and whether you may have an injury that needs to be treated.

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Cycling for better health

How are those resolutions coming? Are you cooking more at home? Have you seen your dentist (or at least made an appointment for your annual cleaning)?

If you’re looking for a way to increase your activity, cycling or bike riding is a great way to be active.

Anna Dark, the Fitness Director of the Take Charge Fitness Program (a wellness facility run by Physiquality member Clinton Physical Therapy Center in Tennessee), says that cycling has many health benefits. Cycling is an aerobic activity, which is great for your heart and circulation. Going for regular bike rides also increases muscle strength and flexibility, while also improving joint mobility and bone strength.

Cycling offers mental and emotional benefits that help you cope with stress.Like most exercise, cycling offers mental and emotional benefits that help individuals cope with stress, even when you’re on a stationary bike. “And cycling is a great way to enjoy the great outdoors, which in itself can help individuals feel better emotionally!” Anna adds.

If you’re serious about committing to regular bike riding, Anna recommends going to the local bike store to choose the proper bike. Consult with the staff about the type of bike that might be best for you, a road bike, mountain bike or a hybrid, based on where you’re planning to ride. And, adds Anna, they will make sure that your bicycle is properly fitted to your body.

You must have the proper equipment for bicycling.Anyone new to cycling must have the proper safety equipment if they will be riding outside, as they’ll be sharing the streets with cars, pedestrians and other bicyclists, reminds Anna. Your bike should be fully equipped with safety features like reflectors and flags in order to be visible, especially at night. Check the air in your tires regularly in order to keep them fully inflated. And make sure that you have the appropriate gear to protect yourself, including a helmet, reflective vest and gloves.

When you’re going out on the road, says Anna, be sure to choose a route that you’re familiar with. This will give you confidence while riding, making the ride less stressful. Stay alert and be aware of your surroundings, especially other motorists and traffic. And make sure to use hand signals to let others know where you’re going.

Lastly, have fun! Cycling allows you to enjoy the scenic route while bettering your health. And that’s something to celebrate.

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5 resolutions to make for 2017

We all get into bad habits in our life, in one way or another. Perhaps you don’t talk to your grandmother enough. Or you eat too much fast food. Or you stopped working out. Setting resolutions for the new year is a good way to try to work on these bad habits.

There are many habits that can be damaging to your health, but here are five resolutions you can make for the new year to improve your health.

  1. Evaluate your eating habits.

Evaluate your eating habits.Have you been skipping breakfast? Snacking constantly instead of sitting down to dinner? Picking up food on the go instead of cooking at home? These are all habits that can cause us to gain weight and damage our health. Take a look at the latest guidelines recommended by the Department of Agriculture and Health to compare to your eating habits.

If you feel that a complete overhaul is too challenging, change one habit at a time, like making sure to eat breakfast, even if it’s a smoothie or a cup of yogurt. Or pledging to not buy any afternoon snacks for the pantry. Or cooking at least one healthy, sit-down dinner per week; you can always find a recipe that will make leftovers to cover your family for another dinner or two.

  1. Calculate how much television you watch.

A study published last year found that watching more than three hours of television a day correlates with lower levels of mental acuity. Other studies have found that extended hours in front of screens can lead to heart disease and high blood pressure. And if you’re watching with your kids, it’s been shown that children who watch more television at a younger age develop language more slowly and have more problems connecting socially with their peers. If you want to escape into another world, consider picking up a book.

A study found that reading stimulates the brain over time — the excitement you feel when sympathizing with a character lingers for days. Samantha Olson at Medical Daily notes, “Researchers believe this prolonged and measurable brain boost, which was found in the region associated with language and sensory motor skills, could improve brain connectivity over time. It brings using books as an escape to a whole new level.”

Of course, both reading and television are sedentary activities, which leads us to resolution number three:

  1. Increase your daily activity.

Increase your daily activity.We all know the benefits of activity: Being more activereduces our risk for a variety of diseases, keeps our weight lower and makes us feel better. The CDC recommends at least 150 minutes of moderate activity per week, or 30 minutes a day, five days a week.

It might sound like a lot, but they do point out that if you went to see a movie, it would take the same amount of time. And you don’t need to do it all at once; even 10 minutes at a time is better than nothing. If you’re trying to start a new habit, find a friend to do it with you — it’s been shown that if you schedule a class or walk with a friend, you’re much more likely to stick with it. And you get the added benefit of social activity, which improves your mental health. It’s a win-win!

If you’re anxious about starting to work out after a long drought or injury, consult with your physical therapist. A PT can do a wellness evaluation to determine if you’d need to adapt any physical activity, and some even offer fitness programs within their own clinics. Look for a Physiquality member near you with our clinic locator.

  1. Take care of your teeth.

The American Dental Association recommends visiting the dentist for a cleaning and check-up at least once a year, if not twice. You should brush your teeth twice a day and floss daily in between those appointments.

So you’re brushing your teeth and flossing regularly. You don’t have any pain. Why should you go for a check-up? Because dentists can catch problems before they turn into something painful, both as physical pain and economic pain. Look at it this way: Filling a cavity is much less expensive than a root canal.

  1. Get more sleep.

Get seven to eight hours of sleep each night.Most adults need between 7 and 8 hours of sleep a night, but many people don’t get nearly that much. A lack of sleepcan affect your mental and physical health. It is associated with increased risk of obesity, cardiovascular disease, type 2 diabetes and system-wide inflammation. Lack of sleep can also affect our immune system, our cognitive abilities (i.e., our mental capacity), and our mood and mental health. By getting a good night’s rest, your body can recuperate from a hard day’s work, giving you more energy to get up and get going in the morning.

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The new nutrition guidelines: What you need to know

with advice from Anna Dark

The new nutrition guidelines: What you need to know

Every few years, the Departments of Agriculture and of Health and Human Services analyze their nutritional recommendations and release a new set of guidelines. If you don’t feel like reading through the three chapters and 14 appendices of the latest release, the 2015-2020 Dietary Guidelines for Americans, nutritionist and personal trainer Anna Dark will take you through the latest changes and updates.

Anna, who works at the Take Charge Fitness Program (a wellness program at Clinton Physical Therapy Center, a Physiquality member in Tennessee), says there are three big recommendations that have been added to this edition:

Limit your added sugar intake to 10% of your daily calories.Limit your added sugar intake to 10% of your daily calories. This refers to any product or food item that adds sugars, like soda or cookies, as compared to fruit or even vegetables that may naturally contain some sugar. As the New York Times points out, “It is not the natural sugar in dairy foods and fruits that undermine health so much as the sugars added to foods like ice cream and fruit drinks and the enormous array of dessert and snack foods that Americans consume.”

This trend of increasing sugar in our diet is one of the reasons that the prevalence of type 2 diabetes is increasing. Anna points out that by limiting added sugar, we can reduce our chance of developing the disease.

Reduce your daily sodium intake to less than 2300 mg/day. This is another recommendation that isn’t too surprising; many processed foods rely on sodium, or salt, to improve flavor. The convenience can come at a cost: High sodium intake has a direct correlation to high blood pressure. Anna reminds readers that achieving healthy blood pressure numbers is an important goal for optimal overall health!

Less than 10% of daily calories should come from saturated fats. Evidence shows a diet high in saturated fats leads to cardiovascular disease, says Anna. The American Heart Association goes even further, recommending a daily limit of 5-6% of your daily calories. That means that if you’re eating 2,000 calories a day, about 120 of them would come from saturated fats, or 13 grams.

So the guidelines recommend limiting salt, added sugar and saturated fats. While this is the first time that the USDA and the HHS have specifically outlined these limits, it shouldn’t come as a surprise. Past guidelines have always emphasized fresh fruits and vegetables over fatty and processed foods.

The guidelines no longer give a specific limit for cholesterol intake.One recommendation that has changed? The guidelines no longer advise a specific cholesterol limit, Anna notes, because after several studies, the scientists and nutritionists did not find enough evidence to give a specific limit. The guidelines do recommend limiting cholesterol, but note that foods often high in cholesterol are also high in saturated fats, so by limiting one, you’ll often limit the other. The exceptions to this rule are eggs and shellfish, which means that those foods would not be as limited as they were before.

As always, these guidelines are just a guide, not hard and fast rules. They are meant to give Americans tips on how to improve their diet and eat healthier food. This version even includes sample days for three different types of diets: An American diet, a Mediterranean diet and a vegetarian diet. It’s one way to evaluate your own choices to consider whether you’re making healthy choices whenever you eat.

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How Pilates and PT help you stay active as you get older

How Pilates and PT help you stay active as you get older

As we grow older, our bodies change. While it may sound counterintuitive, staying activeis the best solution when our joints start to ache and our energy starts to fade. (Isaac Newton probably had no idea he was also talking about the human body when he explained that a body at rest stays at rest, and a body in motion remains in motion.)

Two ways to remain in motion as we age are physical therapy and Pilates. As we’ve pointed out in the past, physical therapy helps maintain and improve your health as you age. “Therapy helps to promote an increased awareness of your body,” says physical therapist Rachelle Hill. At Moreau Physical Therapy (a Physiquality member in Louisiana), Rachelle and her fellow PTs apply therapy to improve posture and reduce back pain,evaluate gait to make walking more efficient and less painful, and improve balance toreduce the risk of falls, she explains.

If you're exercising incorrectly or compensating because of pain, you're at risk of doing more harm than good.In addition, if you’re exercising incorrectly or compensating because of pain, you’re at risk of doing more harm than good. “Doing the wrong exercise or doing an exercise incorrectly can result in more pain or even joint damage,” notes Kristina Holland, a physical therapist assistant at Clinton Physical Therapy Center in Clinton, Tennessee. Physical therapist Jessica Loncar agrees. She points out that exercise in a safe, controlled environment under the supervision of a licensed physical therapist goes a long way toward improving quality of life. A STOTT PILATES® Certified Instructor and Instructor Trainer for MERRITHEW™ (a Physiquality partner), Jessica reminds us that physical therapy is good for improving strength, balance, mobility and overall fitness.

Pilates exercises are designed to restore the natural curves of the spine and rebalance the muscles around the joints, with a focus on core stability, pelvic and shoulder girdle stabilization, neutral alignment and breathing. Pilates and physical therapy go hand in hand in teaching efficient movement patterns, which will keep us healthy as we age, explains Rachelle. Because Pilates focuses on proper back alignment and strengthening and lengthening the spine, she says, the back becomes stronger, preventing early wear and tear and reducing pain, as well as the risk of injury. This is key to staying active as one ages, as back pain often causes people to quit exercising for fear of further pain.

Many physical therapists often incorporate Pilates into their rehabilitation programs because of how it can be used to strengthen the body and improve flexibility with low-impact exercises. Mika Yoshida, a Pilates instructor at the Take Charge Fitness Program atClinton Physical Therapy Center, notes that this is especially beneficial after an injury or joint surgery, when one often loses range of motion in the affected joint. And while some of her students blame their lack of flexibility on their age, Mika reminds them that incorporating Pilates exercises into their daily or weekly regimen can improve their flexibility, regardless of their age.

Pilates is an excellent way to ease back into a more active lifestyle.If you’re dealing with joint pain or haven’t exercised in a while,Pilates is an excellent way to ease back into a more active lifestyle. A certified instructor like Jessica will know how to adapt exercises for your specific body and work with you to grow stronger. And if you take a class at a physical therapy clinic, you may end up with a physical therapist like Rachelle teaching your class. This means that she’ll zero in on any musculoskeletal weaknesses you have, and, if you need it, recommend coming into the clinic as a patient.

Practicing Pilates, says Mika, is like maintaining your car: You get an oil change for your car so that it can run for another 5,000 miles. You practice Pilates so that your body continues to move efficiently for years!

 

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How will rehabilitation therapy help me get better?

The goal of rehabilitation therapy is to improve a patient’s health and wellbeing after an injury or illness. It’s a broad umbrella term that covers a variety of therapies. At PTPN, the parent company of Physiquality, therapists fall into three categories: physical therapy, occupational therapy, and speech/language pathology, sometimes referred to as speech therapy.

Physical therapy

Physical therapists are experts in biomechanics and the musculoskeletal and neuromuscular systems. In other words, says Randy Gustafson, the owner and director ofMesa Physical Therapy (a Physiquality network member in San Diego, California), “Their advanced degree focuses on learning everything about how the body moves.” Physical therapy incorporates specific exercises to strengthen muscles and improve function. Therapists utilize an integrated approach that includes modalities and manual therapy, he adds.

Many patients often see a physical therapist to strengthen and rehabilitate injuries in order to avoid surgery.PT is practiced in a variety of settings, from outpatient clinics to hospitals and skilled nursing facilities. While physical therapy is often thought of as the way torecuperate after a surgery, particularly in orthopedics (like a knee replacement or rotator cuff repair), many patients often see a physical therapist to strengthen and rehabilitate injuries in order to avoid surgery. And as patients and clinicians have turned their attention from reacting after an injury to preventing injuries and improving health, these patients — often athletes — have turned to physical therapists to condition muscles and joints, and to (hopefully) avoid injury altogether.

Occupational therapy

The word “occupation” in occupational therapy refers to any activity that a person spends time doing. Occupational therapist Michelle Kessell, who also works at Physiquality clinic Mesa Physical Therapy in San Diego, explains that “occupational therapy focuses on helping people get back to the daily activities with which they occupy their time,” often described in medical terms as activities of daily living, or ADLs. This can mean helping an injured employee get back to work, retraining patients on how to groom themselves, or helping people slowly get back to their favorite hobby.

Patients are referred to occupational therapy when they suffer pain or functional limitations due to a particular disability or disease, as well as after trauma, surgery or laceration. The American Occupational Therapy Association defines the practice of OT as having a holistic perspective, in which therapists adapt the environment or task to fit the person, and the person is an integral part of the therapy team. OTs often evaluate a client’s home or workplace in order to recommend adaptive equipment that will improve quality of life, while giving guidance on how best to use the equipment and adapt daily activities to the client’s limitations.

Speech-language pathology

 Speech-language pathologists assess and treat a variety of disorders related to communication and swallowing.Speech-language pathologists assess and treat a variety of disorders related to communication and swallowing. They might work with children who need help as they develop communication skills, or with adults who have impairments after a cerebrovascular accident (CVA) or brain injury, hearing loss, or progressive neurological disorders, explains speech-language pathologist Jan C. Key, who works at Pacific Therapy Services, a Physiquality network member in southern California.

SLPs work in a variety of settings, depending on the type of treatment they give. Those that work with children might work in a private practice or educational setting. Others work in hospitals and skilled nursing facilities, focusing on functional skills. Some even consult with companies on communication, teaching the staff a variety of skills, including voice control, social communication and diction.

Many therapists also complete extra education and certification in order to specialize. Physical therapists might focus on oncology patients, women’s health, or geriatrics. Speech-language pathologists might get certified to treat child language and language disorders; occupational therapists can earn special certifications in mental health or treating low vision.

Some specialties can apply to multiple licenses. For example, both physical and occupational therapists can earn certification as a hand therapist, like Michelle. CHTs help patients regain their fine motor skills by treating everything from the tip of the finger, or the wrist and elbow, all the way up to the shoulder, she explains. And treating swallowing disorders, also known as dysphagia, can be done by both occupational therapists and speech-language pathologists.

At the end of the day, these therapists work to help people feel better and live better lives.

 

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