Latest research

The team at Ponsonby Physiotherapy are experts in their field and are committed to providing their clients the best possible treatment by ensuring they are up to date with the latest research and findings. For you this translates into useful tips, from avoiding initial injuries through to speeding recovery and preventing recurrence.

Below are some interesting articles written by members of our team you'll find informative and helpful.

More articles and Clinic news can be found on our blog http://ponsonbyphysio.blog.com/

  What is Power Plate? view full article    

 Practice makes perfect, only when perfect is practiced. Ponsonby Physiotherapy is using Power Plate to provide challenge and variety in a safe way for our clients using exercise as part of their recovery and prevention strategy. We frequently assess muscle balance and then teach our clients exercises to correct problems with length, strength and control of muscles as well as balance. Often the exercises are tedious and need to be practised a lot to become "natural". One of the challenges for us all is keeping people engaged and enthused about their exercises so that they will persist with them long enough to develop endurance and change patterns permanently. While Power Plate is not claiming to replace conventional exercise it seems to be a great tool for enhancing existing exercise programmes and allowing people to exercise safely, in a fun way, with amplified benefits We have seen excellent improvement in strength, balance and control in our clients to date, especially those using it for knee rehab. It has also been a great tool for sports-specific training such as skiing and golf.

What is Power Plate?
Power Plate equipment is the premium vibration device powering a new dimension in wellness solutions for all ages, lifestyles and physical abilities.
Acceleration Training on Power Plate equipment offers a host of benefits, ranging from an immediate improvement in blood circulation, to a variety of other measurable outcomes: such as increased muscle strength and flexibility, improved range of motion, decreased cellulite, aid weight-loss, increase metabolism, increased bone mineral density, reduced pain and soreness and faster recovery.
Developed to optimise the effects of Acceleration Training, Power Plate machines deliver the equivalent of a full body workout in 25 minutes, as well as offering massage, myofascial release and relaxation which are incredibly popular with serious sportspeople and “everyday” people alike.
Power Plate machines work by transferring vibrations to muscles,
Other devices on the market only vibrate. Vibration by itself is mainly useful for enhancing circulation, but will not change your body composition. Power Plate is the only device on the market which combines vibration and gravity. The body’s muscles respond to gravity by contracting and relaxing between 25 and 50 times every second, which naturally activates reflexive muscle contractions. A static or dynamic pose, held for up to 60 seconds at a time, activates multiple muscle groups simultaneously to improve muscle tone, power, performance, flexibility and range of motion.
In addition to increasing strength and agility, Acceleration Training encourages hormone release for promoting recovery and regeneration of damaged tissue. This in turn can reduce sports injuries, speed up rehabilitation and shorten healing time.

Power Plate is also used to aid weight loss and tone, it will also increase metabolism, improve the appearance of cellulite, muscle and skin tone, and reduce stress. The decline in metabolism is directly linked to the loss of muscle that happens naturally with ageing. Once we reach the age of 30, our bodies lose muscle every year unless we do something to protect it. Muscle doesn’t necessarily add bulk, but muscle consumes 10 times more fuel than fat. A diet without muscle protecting exercise leads to muscle loss rather than fat loss, which means that when you stop dieting your body is left with less muscle, and so your metabolism is slower than before and you gain the weight back twice as fast.
A research project presented to the European Congress on Obesity in May 2009 found that the Power Plate helps users lose twice as much weight and shed twice as much dangerous belly fat as traditional workouts. It revealed that Power Plate, used with a calorie restricted diet, was around 2.7 times more successful at achieving long term weight loss than a diet combined with
After the first six months, the group who dieted and followed a Power Plate fitness regime showed both the largest percentage decrease in body weight and in visceral adipose tissue. Those in the diet and traditional fitness groups showed a slightly smaller decrease in both measurements, while the control group registered no significant change.
More significantly, in measurements taken at the end of the year-long study, after all groups had returned to their usual lifestyle, the group who exercised on the Power Plate machines were found to have maintained the level of reduction in visceral adipose tissue. However the diet and fitness groups had returned to the baseline level for visceral adipose tissue.
 

Power Plate can be used as part of your physiotherapy rehabilitation or you can have a programme set up by the physiotherapist, which you can then continue with on your own.

 

Article By: Kerri brown

  New Ideas on Proper Stretching Technique view full article    
Some stretching routines may hinder, not help, your athletic performance.

 

By Julie Bain
WebMD Feature

Reviewed by Louise Chang, MD
It's a cool, clear Saturday morning and you decide to go out for a little run. You tie on your running shoes, head outside, and do your usual two-minute stretching routine. You prop a foot up and bend forward to stretch your hamstring, then you straighten up for a calf stretch. You jump up and down a couple of times to get your blood moving, then off you go!
Wrong, wrong, wrong, says Bill Holcomb, PhD, professor of athletic training at the University of Nevada, Las Vegas, who has studied the effects of stretching for many years. Turns out a spate of new research reveals that much of what we've long believed to be beneficial about proper stretching techniques may have the opposite effect.
"First of all," Holcomb says, "you should never stretch a cold muscle in any way. And doing static stretches -- meaning the kind where you hold the stretch before a workout or competition -- may decrease your strength, power, and performance."
Holcomb says previous studies had shown this effect, too, but had only looked at muscle stretching for eight to 30 minutes -- far longer than any weekend warrior would normally do. His team's recent study, which appeared in the September 2008 issue of the Journal of Strength and Conditioning Research, had participants do hamstring and quadriceps stretches for 90 seconds each, a more reality-based approach.
Surprise: the static stretches still significantly reduced the participants' power. The ballistic stretches (the kind we were warned not to do in gym class as kids, where you bounce during the stretch) also caused a decrease in power, but slightly less so than the static stretches.
This news may be more important for competitive athletes than for amateur fitness buffs, and some other research even disputes it. While more studies are needed, Holcomb says, some consensus is emerging on proper stretching techniques.
7 Things You Need to Know about Proper Stretching Techniques
Always warm up first."To improve range of motion and avoid injury, you do need to stretch, but don't ever do it when muscles are cold," warns orthopaedic surgeon William Levine, MD, director of sports medicine at Columbia University Medical Center in New York City. "Always start with some mild aerobic warm-ups to get blood to the tissue before doing any stretching."
Holcomb recommends brisk walking or slow jogging for about five minutes, rather than stretching before exercise. "Warming up increases blood flow, which increases the temperature in the muscle, which makes the collagen fibers more elastic like a rubber band," he explains.
After warming up, do dynamic (not static) stretches. Dynamic stretching means slow, controlled movements rather than remaining still and holding a stretch. They may include simple movements like arm circles and hip rotations, flowing movements as in yoga, or walking or jogging exercises like those mentioned below. While studies have not clearly proven this, increasing numbers of experts agree that dynamic stretching is the best stretching routine before a workout or competition. Levine warns, however, that proper technique is key. "Poor technique that is not anatomically correct puts you at higher risk for injury."
 
7 Things You Need to Know about Proper Stretching Techniques continued...
Holcomb recommends three all-purpose dynamic stretches for your lower body:
·                        Goose-step march: Slowly lift your leg straight out in front of you, alternating as you walk with your normal stride length. While others may think you're doing a Monty Python skit, it is an effective hamstring stretch.
·                        Knee lifts: As you're jogging or walking, bring knees up toward your chest. For a variation, as your right knee comes up, twist the lifted leg gently to the left and your upper body gently to the right for a spinal twist. Repeat on each side as you jog or walk (warning: you may be mistaken for a Rockette).
·                        Butt-kick: As you jog or walk, bend one knee and lift it behind you as if you were trying to kick yourself in the butt. It's not punishment; it stretches the quadriceps.
Do several repetitions of 30 seconds each at your own pace. The point is to do the movements in a controlled way. Stop if you get tired so you still have energy for your workout.
Consider yoga. "Isn't it interesting that this new research is figuring out what yoga teachers have known for thousands of years?" says Mary Pullig Schatz, MD, a retired surgical pathologist, yoga expert, and author of Back Care Basics. If you're familiar with yoga basics, she suggests, you can use those moves as dynamic stretches before, say, a run or a long bike ride. Try two minutes of sun salutations to stretch multiple parts of the body. Or make downward-facing dog dynamic by pedaling your feel or lifting alternate legs.
"Improving your flexibility allows you to put your body in good ergonomic alignment," Schatz says. "Yoga can help you combine flexibility and strength, breathe properly, reduce head, neck, and back pain, and put the body back in balance."
After your workout or competition, then do static stretches. "Too many people do static stretching before and then nothing after," says Holcomb. "That's the most common mistake I see." This is where you'll lengthen muscles and improve your flexibility. Hold static stretches for about 30 seconds.
Learn warm-ups and stretches particular to your sport. Levine's team takes care of 29 varsity teams, so he's seen every kind of sports injury there is.
"For example, football linemen are vulnerable to shoulder tears," he says. "Runners may suffer knee problems and shin splints. For golfers, the lower back is often the hot spot."
New research shows it's a good move to learn stretching routines customized for your sport and to help prevent the injuries most common to it. The Santa Monica Orthopedic and Sports Medicine Research Foundation in California studied women soccer players who are subject to ACL tears and created a program called Prevent Injury and Enhance Performance (PEP). The program (which can be downloaded at http://www.aclprevent.com/pepprogram.htm) includes a warm-up and stretches (as well as strengthening and agility exercises) specifically designed to prevent ACL injuries.
7 Things You Need to Know about Proper Stretching Techniques continued...
Never stretch to the point of pain. Forget the phrase "no pain, no gain. "You do not want pain when you're doing dynamic stretching," says Holcomb. "It should be gentle to start and then progress." When you're doing your static stretching afterward, you should go to the point of slight discomfort and intensity, he says, to improve your flexibility. But if you're making a face, your muscle is contracting to protect itself, which is counterproductive.
Stretch to de-stress. These are stressed-out times, and stretching can help. "As you know, your mind affects your body, and your body affects your mind," says Dean Ornish, MD, founder of the Preventive Medicine Research Institute in Sausalito, Calif., and author of The Spectrum. "During times of emotional stress, the muscles in your body contract. This is an adaptive response to acute stress, as it fortifies your 'body armor' so that in times of danger, if you get hit, for example, your muscles help to protect you.
"However, in times of chronic stress, these same mechanisms that have evolved to protect us can create problems -- chronically tensed muscles, especially those in the back and neck, predispose to chronic pain or injury. Thus, stress management techniques can help prevent this. Also, gentle stretching of chronically tensed muscles provide relaxation to the mind as well as the body."
 
New Ideas on Proper Stretching Techniques
Some stretching routines may hinder, not help, your athletic performance.
By Julie Bain
WebMD Feature
Reviewed by Louise Chang, MD
It's a cool, clear Saturday morning and you decide to go out for a little run. You tie on your running shoes, head outside, and do your usual two-minute stretching routine. You prop a foot up and bend forward to stretch your hamstring, then you straighten up for a calf stretch. You jump up and down a couple of times to get your blood moving, then off you go!
Wrong, wrong, wrong, says Bill Holcomb, PhD, professor of athletic training at the University of Nevada, Las Vegas, who has studied the effects of stretching for many years. Turns out a spate of new research reveals that much of what we've long believed to be beneficial about proper stretching techniques may have the opposite effect.
"First of all," Holcomb says, "you should never stretch a cold muscle in any way. And doing static stretches -- meaning the kind where you hold the stretch before a workout or competition -- may decrease your strength, power, and performance."
Holcomb says previous studies had shown this effect, too, but had only looked at muscle stretching for eight to 30 minutes -- far longer than any weekend warrior would normally do. His team's recent study, which appeared in the September 2008 issue of the Journal of Strength and Conditioning Research, had participants do hamstring and quadriceps stretches for 90 seconds each, a more reality-based approach.
Surprise: the static stretches still significantly reduced the participants' power. The ballistic stretches (the kind we were warned not to do in gym class as kids, where you bounce during the stretch) also caused a decrease in power, but slightly less so than the static stretches.
This news may be more important for competitive athletes than for amateur fitness buffs, and some other research even disputes it. While more studies are needed, Holcomb says, some consensus is emerging on proper stretching techniques.
7 Things You Need to Know about Proper Stretching Techniques
Always warm up first."To improve range of motion and avoid injury, you do need to stretch, but don't ever do it when muscles are cold," warns orthopaedic surgeon William Levine, MD, director of sports medicine at Columbia University Medical Center in New York City. "Always start with some mild aerobic warm-ups to get blood to the tissue before doing any stretching."
Holcomb recommends brisk walking or slow jogging for about five minutes, rather than stretching before exercise. "Warming up increases blood flow, which increases the temperature in the muscle, which makes the collagen fibers more elastic like a rubber band," he explains.
After warming up, do dynamic (not static) stretches. Dynamic stretching means slow, controlled movements rather than remaining still and holding a stretch. They may include simple movements like arm circles and hip rotations, flowing movements as in yoga, or walking or jogging exercises like those mentioned below. While studies have not clearly proven this, increasing numbers of experts agree that dynamic stretching is the best stretching routine before a workout or competition. Levine warns, however, that proper technique is key. "Poor technique that is not anatomically correct puts you at higher risk for injury."
 
7 Things You Need to Know about Proper Stretching Techniques continued...
Holcomb recommends three all-purpose dynamic stretches for your lower body:
·                        Goose-step march: Slowly lift your leg straight out in front of you, alternating as you walk with your normal stride length. While others may think you're doing a Monty Python skit, it is an effective hamstring stretch.
·                        Knee lifts: As you're jogging or walking, bring knees up toward your chest. For a variation, as your right knee comes up, twist the lifted leg gently to the left and your upper body gently to the right for a spinal twist. Repeat on each side as you jog or walk (warning: you may be mistaken for a Rockette).
·                        Butt-kick: As you jog or walk, bend one knee and lift it behind you as if you were trying to kick yourself in the butt. It's not punishment; it stretches the quadriceps.
Do several repetitions of 30 seconds each at your own pace. The point is to do the movements in a controlled way. Stop if you get tired so you still have energy for your workout.
Consider yoga. "Isn't it interesting that this new research is figuring out what yoga teachers have known for thousands of years?" says Mary Pullig Schatz, MD, a retired surgical pathologist, yoga expert, and author of Back Care Basics. If you're familiar with yoga basics, she suggests, you can use those moves as dynamic stretches before, say, a run or a long bike ride. Try two minutes of sun salutations to stretch multiple parts of the body. Or make downward-facing dog dynamic by pedaling your feel or lifting alternate legs.
"Improving your flexibility allows you to put your body in good ergonomic alignment," Schatz says. "Yoga can help you combine flexibility and strength, breathe properly, reduce head, neck, and back pain, and put the body back in balance."
After your workout or competition, then do static stretches. "Too many people do static stretching before and then nothing after," says Holcomb. "That's the most common mistake I see." This is where you'll lengthen muscles and improve your flexibility. Hold static stretches for about 30 seconds.
Learn warm-ups and stretches particular to your sport. Levine's team takes care of 29 varsity teams, so he's seen every kind of sports injury there is.
"For example, football linemen are vulnerable to shoulder tears," he says. "Runners may suffer knee problems and shin splints. For golfers, the lower back is often the hot spot."
New research shows it's a good move to learn stretching routines customized for your sport and to help prevent the injuries most common to it. The Santa Monica Orthopedic and Sports Medicine Research Foundation in California studied women soccer players who are subject to ACL tears and created a program called Prevent Injury and Enhance Performance (PEP). The program (which can be downloaded at http://www.aclprevent.com/pepprogram.htm) includes a warm-up and stretches (as well as strengthening and agility exercises) specifically designed to prevent ACL injuries.
7 Things You Need to Know about Proper Stretching Techniques continued...
Never stretch to the point of pain. Forget the phrase "no pain, no gain. "You do not want pain when you're doing dynamic stretching," says Holcomb. "It should be gentle to start and then progress." When you're doing your static stretching afterward, you should go to the point of slight discomfort and intensity, he says, to improve your flexibility. But if you're making a face, your muscle is contracting to protect itself, which is counterproductive.
Stretch to de-stress. These are stressed-out times, and stretching can help. "As you know, your mind affects your body, and your body affects your mind," says Dean Ornish, MD, founder of the Preventive Medicine Research Institute in Sausalito, Calif., and author of The Spectrum. "During times of emotional stress, the muscles in your body contract. This is an adaptive response to acute stress, as it fortifies your 'body armor' so that in times of danger, if you get hit, for example, your muscles help to protect you.
"However, in times of chronic stress, these same mechanisms that have evolved to protect us can create problems -- chronically tensed muscles, especially those in the back and neck, predispose to chronic pain or injury. Thus, stress management techniques can help prevent this. Also, gentle stretching of chronically tensed muscles provide relaxation to the mind as well as the body."
 
New Ideas on Proper Stretching Techniques
Some stretching routines may hinder, not help, your athletic performance.
By Julie Bain
WebMD Feature
Reviewed by Louise Chang, MD
It's a cool, clear Saturday morning and you decide to go out for a little run. You tie on your running shoes, head outside, and do your usual two-minute stretching routine. You prop a foot up and bend forward to stretch your hamstring, then you straighten up for a calf stretch. You jump up and down a couple of times to get your blood moving, then off you go!
Wrong, wrong, wrong, says Bill Holcomb, PhD, professor of athletic training at the University of Nevada, Las Vegas, who has studied the effects of stretching for many years. Turns out a spate of new research reveals that much of what we've long believed to be beneficial about proper stretching techniques may have the opposite effect.
"First of all," Holcomb says, "you should never stretch a cold muscle in any way. And doing static stretches -- meaning the kind where you hold the stretch before a workout or competition -- may decrease your strength, power, and performance."
Holcomb says previous studies had shown this effect, too, but had only looked at muscle stretching for eight to 30 minutes -- far longer than any weekend warrior would normally do. His team's recent study, which appeared in the September 2008 issue of the Journal of Strength and Conditioning Research, had participants do hamstring and quadriceps stretches for 90 seconds each, a more reality-based approach.
Surprise: the static stretches still significantly reduced the participants' power. The ballistic stretches (the kind we were warned not to do in gym class as kids, where you bounce during the stretch) also caused a decrease in power, but slightly less so than the static stretches.
This news may be more important for competitive athletes than for amateur fitness buffs, and some other research even disputes it. While more studies are needed, Holcomb says, some consensus is emerging on proper stretching techniques.
7 Things You Need to Know about Proper Stretching Techniques
Always warm up first."To improve range of motion and avoid injury, you do need to stretch, but don't ever do it when muscles are cold," warns orthopaedic surgeon William Levine, MD, director of sports medicine at Columbia University Medical Center in New York City. "Always start with some mild aerobic warm-ups to get blood to the tissue before doing any stretching."
Holcomb recommends brisk walking or slow jogging for about five minutes, rather than stretching before exercise. "Warming up increases blood flow, which increases the temperature in the muscle, which makes the collagen fibers more elastic like a rubber band," he explains.
After warming up, do dynamic (not static) stretches. Dynamic stretching means slow, controlled movements rather than remaining still and holding a stretch. They may include simple movements like arm circles and hip rotations, flowing movements as in yoga, or walking or jogging exercises like those mentioned below. While studies have not clearly proven this, increasing numbers of experts agree that dynamic stretching is the best stretching routine before a workout or competition. Levine warns, however, that proper technique is key. "Poor technique that is not anatomically correct puts you at higher risk for injury."
 
7 Things You Need to Know about Proper Stretching Techniques continued...
Holcomb recommends three all-purpose dynamic stretches for your lower body:
·                        Goose-step march: Slowly lift your leg straight out in front of you, alternating as you walk with your normal stride length. While others may think you're doing a Monty Python skit, it is an effective hamstring stretch.
·                        Knee lifts: As you're jogging or walking, bring knees up toward your chest. For a variation, as your right knee comes up, twist the lifted leg gently to the left and your upper body gently to the right for a spinal twist. Repeat on each side as you jog or walk (warning: you may be mistaken for a Rockette).
·                        Butt-kick: As you jog or walk, bend one knee and lift it behind you as if you were trying to kick yourself in the butt. It's not punishment; it stretches the quadriceps.
Do several repetitions of 30 seconds each at your own pace. The point is to do the movements in a controlled way. Stop if you get tired so you still have energy for your workout.
Consider yoga. "Isn't it interesting that this new research is figuring out what yoga teachers have known for thousands of years?" says Mary Pullig Schatz, MD, a retired surgical pathologist, yoga expert, and author of Back Care Basics. If you're familiar with yoga basics, she suggests, you can use those moves as dynamic stretches before, say, a run or a long bike ride. Try two minutes of sun salutations to stretch multiple parts of the body. Or make downward-facing dog dynamic by pedaling your feel or lifting alternate legs.
"Improving your flexibility allows you to put your body in good ergonomic alignment," Schatz says. "Yoga can help you combine flexibility and strength, breathe properly, reduce head, neck, and back pain, and put the body back in balance."
After your workout or competition, then do static stretches. "Too many people do static stretching before and then nothing after," says Holcomb. "That's the most common mistake I see." This is where you'll lengthen muscles and improve your flexibility. Hold static stretches for about 30 seconds.
Learn warm-ups and stretches particular to your sport. Levine's team takes care of 29 varsity teams, so he's seen every kind of sports injury there is.
"For example, football linemen are vulnerable to shoulder tears," he says. "Runners may suffer knee problems and shin splints. For golfers, the lower back is often the hot spot."
New research shows it's a good move to learn stretching routines customized for your sport and to help prevent the injuries most common to it. The Santa Monica Orthopedic and Sports Medicine Research Foundation in California studied women soccer players who are subject to ACL tears and created a program called Prevent Injury and Enhance Performance (PEP). The program (which can be downloaded at http://www.aclprevent.com/pepprogram.htm) includes a warm-up and stretches (as well as strengthening and agility exercises) specifically designed to prevent ACL injuries.
7 Things You Need to Know about Proper Stretching Techniques continued...
Never stretch to the point of pain. Forget the phrase "no pain, no gain. "You do not want pain when you're doing dynamic stretching," says Holcomb. "It should be gentle to start and then progress." When you're doing your static stretching afterward, you should go to the point of slight discomfort and intensity, he says, to improve your flexibility. But if you're making a face, your muscle is contracting to protect itself, which is counterproductive.
Stretch to de-stress. These are stressed-out times, and stretching can help. "As you know, your mind affects your body, and your body affects your mind," says Dean Ornish, MD, founder of the Preventive Medicine Research Institute in Sausalito, Calif., and author of The Spectrum. "During times of emotional stress, the muscles in your body contract. This is an adaptive response to acute stress, as it fortifies your 'body armor' so that in times of danger, if you get hit, for example, your muscles help to protect you.
"However, in times of chronic stress, these same mechanisms that have evolved to protect us can create problems -- chronically tensed muscles, especially those in the back and neck, predispose to chronic pain or injury. Thus, stress management techniques can help prevent this. Also, gentle stretching of chronically tensed muscles provide relaxation to the mind as well as the body."
 
New Ideas on Proper Stretching Techniques
Some stretching routines may hinder, not help, your athletic performance.
By Julie Bain
WebMD Feature
Reviewed by Louise Chang, MD
It's a cool, clear Saturday morning and you decide to go out for a little run. You tie on your running shoes, head outside, and do your usual two-minute stretching routine. You prop a foot up and bend forward to stretch your hamstring, then you straighten up for a calf stretch. You jump up and down a couple of times to get your blood moving, then off you go!
Wrong, wrong, wrong, says Bill Holcomb, PhD, professor of athletic training at the University of Nevada, Las Vegas, who has studied the effects of stretching for many years. Turns out a spate of new research reveals that much of what we've long believed to be beneficial about proper stretching techniques may have the opposite effect.
"First of all," Holcomb says, "you should never stretch a cold muscle in any way. And doing static stretches -- meaning the kind where you hold the stretch before a workout or competition -- may decrease your strength, power, and performance."
Holcomb says previous studies had shown this effect, too, but had only looked at muscle stretching for eight to 30 minutes -- far longer than any weekend warrior would normally do. His team's recent study, which appeared in the September 2008 issue of the Journal of Strength and Conditioning Research, had participants do hamstring and quadriceps stretches for 90 seconds each, a more reality-based approach.
Surprise: the static stretches still significantly reduced the participants' power. The ballistic stretches (the kind we were warned not to do in gym class as kids, where you bounce during the stretch) also caused a decrease in power, but slightly less so than the static stretches.
This news may be more important for competitive athletes than for amateur fitness buffs, and some other research even disputes it. While more studies are needed, Holcomb says, some consensus is emerging on proper stretching techniques.
7 Things You Need to Know about Proper Stretching Techniques
Always warm up first."To improve range of motion and avoid injury, you do need to stretch, but don't ever do it when muscles are cold," warns orthopaedic surgeon William Levine, MD, director of sports medicine at Columbia University Medical Center in New York City. "Always start with some mild aerobic warm-ups to get blood to the tissue before doing any stretching."
Holcomb recommends brisk walking or slow jogging for about five minutes, rather than stretching before exercise. "Warming up increases blood flow, which increases the temperature in the muscle, which makes the collagen fibers more elastic like a rubber band," he explains.
After warming up, do dynamic (not static) stretches. Dynamic stretching means slow, controlled movements rather than remaining still and holding a stretch. They may include simple movements like arm circles and hip rotations, flowing movements as in yoga, or walking or jogging exercises like those mentioned below. While studies have not clearly proven this, increasing numbers of experts agree that dynamic stretching is the best stretching routine before a workout or competition. Levine warns, however, that proper technique is key. "Poor technique that is not anatomically correct puts you at higher risk for injury."
 
7 Things You Need to Know about Proper Stretching Techniques continued...
Holcomb recommends three all-purpose dynamic stretches for your lower body:
·                        Goose-step march: Slowly lift your leg straight out in front of you, alternating as you walk with your normal stride length. While others may think you're doing a Monty Python skit, it is an effective hamstring stretch.
·                        Knee lifts: As you're jogging or walking, bring knees up toward your chest. For a variation, as your right knee comes up, twist the lifted leg gently to the left and your upper body gently to the right for a spinal twist. Repeat on each side as you jog or walk (warning: you may be mistaken for a Rockette).
·                        Butt-kick: As you jog or walk, bend one knee and lift it behind you as if you were trying to kick yourself in the butt. It's not punishment; it stretches the quadriceps.
Do several repetitions of 30 seconds each at your own pace. The point is to do the movements in a controlled way. Stop if you get tired so you still have energy for your workout.
Consider yoga. "Isn't it interesting that this new research is figuring out what yoga teachers have known for thousands of years?" says Mary Pullig Schatz, MD, a retired surgical pathologist, yoga expert, and author of Back Care Basics. If you're familiar with yoga basics, she suggests, you can use those moves as dynamic stretches before, say, a run or a long bike ride. Try two minutes of sun salutations to stretch multiple parts of the body. Or make downward-facing dog dynamic by pedaling your feel or lifting alternate legs.
"Improving your flexibility allows you to put your body in good ergonomic alignment," Schatz says. "Yoga can help you combine flexibility and strength, breathe properly, reduce head, neck, and back pain, and put the body back in balance."
After your workout or competition, then do static stretches. "Too many people do static stretching before and then nothing after," says Holcomb. "That's the most common mistake I see." This is where you'll lengthen muscles and improve your flexibility. Hold static stretches for about 30 seconds.
Learn warm-ups and stretches particular to your sport. Levine's team takes care of 29 varsity teams, so he's seen every kind of sports injury there is.
"For example, football linemen are vulnerable to shoulder tears," he says. "Runners may suffer knee problems and shin splints. For golfers, the lower back is often the hot spot."
New research shows it's a good move to learn stretching routines customized for your sport and to help prevent the injuries most common to it. The Santa Monica Orthopedic and Sports Medicine Research Foundation in California studied women soccer players who are subject to ACL tears and created a program called Prevent Injury and Enhance Performance (PEP). The program (which can be downloaded at http://www.aclprevent.com/pepprogram.htm) includes a warm-up and stretches (as well as strengthening and agility exercises) specifically designed to prevent ACL injuries.
7 Things You Need to Know about Proper Stretching Techniques continued...
Never stretch to the point of pain. Forget the phrase "no pain, no gain. "You do not want pain when you're doing dynamic stretching," says Holcomb. "It should be gentle to start and then progress." When you're doing your static stretching afterward, you should go to the point of slight discomfort and intensity, he says, to improve your flexibility. But if you're making a face, your muscle is contracting to protect itself, which is counterproductive.
Stretch to de-stress. These are stressed-out times, and stretching can help. "As you know, your mind affects your body, and your body affects your mind," says Dean Ornish, MD, founder of the Preventive Medicine Research Institute in Sausalito, Calif., and author of The Spectrum. "During times of emotional stress, the muscles in your body contract. This is an adaptive response to acute stress, as it fortifies your 'body armor' so that in times of danger, if you get hit, for example, your muscles help to protect you.
"However, in times of chronic stress, these same mechanisms that have evolved to protect us can create problems -- chronically tensed muscles, especially those in the back and neck, predispose to chronic pain or injury. Thus, stress management techniques can help prevent this. Also, gentle stretching of chronically tensed muscles provide relaxation to the mind as well as the body."
 
New Ideas on Proper Stretching Techniques
Some stretching routines may hinder, not help, your athletic performance.
By Julie Bain
WebMD Feature
Reviewed by Louise Chang, MD
It's a cool, clear Saturday morning and you decide to go out for a little run. You tie on your running shoes, head outside, and do your usual two-minute stretching routine. You prop a foot up and bend forward to stretch your hamstring, then you straighten up for a calf stretch. You jump up and down a couple of times to get your blood moving, then off you go!
Wrong, wrong, wrong, says Bill Holcomb, PhD, professor of athletic training at the University of Nevada, Las Vegas, who has studied the effects of stretching for many years. Turns out a spate of new research reveals that much of what we've long believed to be beneficial about proper stretching techniques may have the opposite effect.
"First of all," Holcomb says, "you should never stretch a cold muscle in any way. And doing static stretches -- meaning the kind where you hold the stretch before a workout or competition -- may decrease your strength, power, and performance."
Holcomb says previous studies had shown this effect, too, but had only looked at muscle stretching for eight to 30 minutes -- far longer than any weekend warrior would normally do. His team's recent study, which appeared in the September 2008 issue of the Journal of Strength and Conditioning Research, had participants do hamstring and quadriceps stretches for 90 seconds each, a more reality-based approach.
Surprise: the static stretches still significantly reduced the participants' power. The ballistic stretches (the kind we were warned not to do in gym class as kids, where you bounce during the stretch) also caused a decrease in power, but slightly less so than the static stretches.
This news may be more important for competitive athletes than for amateur fitness buffs, and some other research even disputes it. While more studies are needed, Holcomb says, some consensus is emerging on proper stretching techniques.
7 Things You Need to Know about Proper Stretching Techniques
Always warm up first."To improve range of motion and avoid injury, you do need to stretch, but don't ever do it when muscles are cold," warns orthopaedic surgeon William Levine, MD, director of sports medicine at Columbia University Medical Center in New York City. "Always start with some mild aerobic warm-ups to get blood to the tissue before doing any stretching."
Holcomb recommends brisk walking or slow jogging for about five minutes, rather than stretching before exercise. "Warming up increases blood flow, which increases the temperature in the muscle, which makes the collagen fibers more elastic like a rubber band," he explains.
After warming up, do dynamic (not static) stretches. Dynamic stretching means slow, controlled movements rather than remaining still and holding a stretch. They may include simple movements like arm circles and hip rotations, flowing movements as in yoga, or walking or jogging exercises like those mentioned below. While studies have not clearly proven this, increasing numbers of experts agree that dynamic stretching is the best stretching routine before a workout or competition. Levine warns, however, that proper technique is key. "Poor technique that is not anatomically correct puts you at higher risk for injury."
 
7 Things You Need to Know about Proper Stretching Techniques continued...
Holcomb recommends three all-purpose dynamic stretches for your lower body:
·                        Goose-step march: Slowly lift your leg straight out in front of you, alternating as you walk with your normal stride length. While others may think you're doing a Monty Python skit, it is an effective hamstring stretch.
·                        Knee lifts: As you're jogging or walking, bring knees up toward your chest. For a variation, as your right knee comes up, twist the lifted leg gently to the left and your upper body gently to the right for a spinal twist. Repeat on each side as you jog or walk (warning: you may be mistaken for a Rockette).
·                        Butt-kick: As you jog or walk, bend one knee and lift it behind you as if you were trying to kick yourself in the butt. It's not punishment; it stretches the quadriceps.
Do several repetitions of 30 seconds each at your own pace. The point is to do the movements in a controlled way. Stop if you get tired so you still have energy for your workout.
Consider yoga. "Isn't it interesting that this new research is figuring out what yoga teachers have known for thousands of years?" says Mary Pullig Schatz, MD, a retired surgical pathologist, yoga expert, and author of Back Care Basics. If you're familiar with yoga basics, she suggests, you can use those moves as dynamic stretches before, say, a run or a long bike ride. Try two minutes of sun salutations to stretch multiple parts of the body. Or make downward-facing dog dynamic by pedaling your feel or lifting alternate legs.
"Improving your flexibility allows you to put your body in good ergonomic alignment," Schatz says. "Yoga can help you combine flexibility and strength, breathe properly, reduce head, neck, and back pain, and put the body back in balance."
After your workout or competition, then do static stretches. "Too many people do static stretching before and then nothing after," says Holcomb. "That's the most common mistake I see." This is where you'll lengthen muscles and improve your flexibility. Hold static stretches for about 30 seconds.
Learn warm-ups and stretches particular to your sport. Levine's team takes care of 29 varsity teams, so he's seen every kind of sports injury there is.
"For example, football linemen are vulnerable to shoulder tears," he says. "Runners may suffer knee problems and shin splints. For golfers, the lower back is often the hot spot."
New research shows it's a good move to learn stretching routines customized for your sport and to help prevent the injuries most common to it. The Santa Monica Orthopedic and Sports Medicine Research Foundation in California studied women soccer players who are subject to ACL tears and created a program called Prevent Injury and Enhance Performance (PEP). The program (which can be downloaded at http://www.aclprevent.com/pepprogram.htm) includes a warm-up and stretches (as well as strengthening and agility exercises) specifically designed to prevent ACL injuries.
7 Things You Need to Know about Proper Stretching Techniques continued...
Never stretch to the point of pain. Forget the phrase "no pain, no gain. "You do not want pain when you're doing dynamic stretching," says Holcomb. "It should be gentle to start and then progress." When you're doing your static stretching afterward, you should go to the point of slight discomfort and intensity, he says, to improve your flexibility. But if you're making a face, your muscle is contracting to protect itself, which is counterproductive.
Stretch to de-stress. These are stressed-out times, and stretching can help. "As you know, your mind affects your body, and your body affects your mind," says Dean Ornish, MD, founder of the Preventive Medicine Research Institute in Sausalito, Calif., and author of The Spectrum. "During times of emotional stress, the muscles in your body contract. This is an adaptive response to acute stress, as it fortifies your 'body armor' so that in times of danger, if you get hit, for example, your muscles help to protect you.
"However, in times of chronic stress, these same mechanisms that have evolved to protect us can create problems -- chronically tensed muscles, especially those in the back and neck, predispose to chronic pain or injury. Thus, stress management techniques can help prevent this. Also, gentle stretching of chronically tensed muscles provide relaxation to the mind as well as the body."
 
New Ideas on Proper Stretching Techniques
Some stretching routines may hinder, not help, your athletic performance.
By Julie Bain
WebMD Feature
Reviewed by Louise Chang, MD
It's a cool, clear Saturday morning and you decide to go out for a little run. You tie on your running shoes, head outside, and do your usual two-minute stretching routine. You prop a foot up and bend forward to stretch your hamstring, then you straighten up for a calf stretch. You jump up and down a couple of times to get your blood moving, then off you go!
Wrong, wrong, wrong, says Bill Holcomb, PhD, professor of athletic training at the University of Nevada, Las Vegas, who has studied the effects of stretching for many years. Turns out a spate of new research reveals that much of what we've long believed to be beneficial about proper stretching techniques may have the opposite effect.
"First of all," Holcomb says, "you should never stretch a cold muscle in any way. And doing static stretches -- meaning the kind where you hold the stretch before a workout or competition -- may decrease your strength, power, and performance."
Holcomb says previous studies had shown this effect, too, but had only looked at muscle stretching for eight to 30 minutes -- far longer than any weekend warrior would normally do. His team's recent study, which appeared in the September 2008 issue of the Journal of Strength and Conditioning Research, had participants do hamstring and quadriceps stretches for 90 seconds each, a more reality-based approach.
Surprise: the static stretches still significantly reduced the participants' power. The ballistic stretches (the kind we were warned not to do in gym class as kids, where you bounce during the stretch) also caused a decrease in power, but slightly less so than the static stretches.
This news may be more important for competitive athletes than for amateur fitness buffs, and some other research even disputes it. While more studies are needed, Holcomb says, some consensus is emerging on proper stretching techniques.
7 Things You Need to Know about Proper Stretching Techniques
Always warm up first."To improve range of motion and avoid injury, you do need to stretch, but don't ever do it when muscles are cold," warns orthopaedic surgeon William Levine, MD, director of sports medicine at Columbia University Medical Center in New York City. "Always start with some mild aerobic warm-ups to get blood to the tissue before doing any stretching."
Holcomb recommends brisk walking or slow jogging for about five minutes, rather than stretching before exercise. "Warming up increases blood flow, which increases the temperature in the muscle, which makes the collagen fibers more elastic like a rubber band," he explains.
After warming up, do dynamic (not static) stretches. Dynamic stretching means slow, controlled movements rather than remaining still and holding a stretch. They may include simple movements like arm circles and hip rotations, flowing movements as in yoga, or walking or jogging exercises like those mentioned below. While studies have not clearly proven this, increasing numbers of experts agree that dynamic stretching is the best stretching routine before a workout or competition. Levine warns, however, that proper technique is key. "Poor technique that is not anatomically correct puts you at higher risk for injury."
 
7 Things You Need to Know about Proper Stretching Techniques continued...
Holcomb recommends three all-purpose dynamic stretches for your lower body:
·                        Goose-step march: Slowly lift your leg straight out in front of you, alternating as you walk with your normal stride length. While others may think you're doing a Monty Python skit, it is an effective hamstring stretch.
·                        Knee lifts: As you're jogging or walking, bring knees up toward your chest. For a variation, as your right knee comes up, twist the lifted leg gently to the left and your upper body gently to the right for a spinal twist. Repeat on each side as you jog or walk (warning: you may be mistaken for a Rockette).
·                        Butt-kick: As you jog or walk, bend one knee and lift it behind you as if you were trying to kick yourself in the butt. It's not punishment; it stretches the quadriceps.
Do several repetitions of 30 seconds each at your own pace. The point is to do the movements in a controlled way. Stop if you get tired so you still have energy for your workout.
Consider yoga. "Isn't it interesting that this new research is figuring out what yoga teachers have known for thousands of years?" says Mary Pullig Schatz, MD, a retired surgical pathologist, yoga expert, and author of Back Care Basics. If you're familiar with yoga basics, she suggests, you can use those moves as dynamic stretches before, say, a run or a long bike ride. Try two minutes of sun salutations to stretch multiple parts of the body. Or make downward-facing dog dynamic by pedaling your feel or lifting alternate legs.
"Improving your flexibility allows you to put your body in good ergonomic alignment," Schatz says. "Yoga can help you combine flexibility and strength, breathe properly, reduce head, neck, and back pain, and put the body back in balance."
After your workout or competition, then do static stretches. "Too many people do static stretching before and then nothing after," says Holcomb. "That's the most common mistake I see." This is where you'll lengthen muscles and improve your flexibility. Hold static stretches for about 30 seconds.
Learn warm-ups and stretches particular to your sport. Levine's team takes care of 29 varsity teams, so he's seen every kind of sports injury there is.
"For example, football linemen are vulnerable to shoulder tears," he says. "Runners may suffer knee problems and shin splints. For golfers, the lower back is often the hot spot."
New research shows it's a good move to learn stretching routines customized for your sport and to help prevent the injuries most common to it. The Santa Monica Orthopedic and Sports Medicine Research Foundation in California studied women soccer players who are subject to ACL tears and created a program called Prevent Injury and Enhance Performance (PEP). The program (which can be downloaded at http://www.aclprevent.com/pepprogram.htm) includes a warm-up and stretches (as well as strengthening and agility exercises) specifically designed to prevent ACL injuries.
7 Things You Need to Know about Proper Stretching Techniques continued...
Never stretch to the point of pain. Forget the phrase "no pain, no gain. "You do not want pain when you're doing dynamic stretching," says Holcomb. "It should be gentle to start and then progress." When you're doing your static stretching afterward, you should go to the point of slight discomfort and intensity, he says, to improve your flexibility. But if you're making a face, your muscle is contracting to protect itself, which is counterproductive.
Stretch to de-stress. These are stressed-out times, and stretching can help. "As you know, your mind affects your body, and your body affects your mind," says Dean Ornish, MD, founder of the Preventive Medicine Research Institute in Sausalito, Calif., and author of The Spectrum. "During times of emotional stress, the muscles in your body contract. This is an adaptive response to acute stress, as it fortifies your 'body armor' so that in times of danger, if you get hit, for example, your muscles help to protect you.
"However, in times of chronic stress, these same mechanisms that have evolved to protect us can create problems -- chronically tensed muscles, especially those in the back and neck, predispose to chronic pain or injury. Thus, stress management techniques can help prevent this. Also, gentle stretching of chronically tensed muscles provide relaxation to the mind as well as the body."
 
New Ideas on Proper Stretching Techniques
Some stretching routines may hinder, not help, your athletic performance.
By Julie Bain
WebMD Feature
Reviewed by Louise Chang, MD
It's a cool, clear Saturday morning and you decide to go out for a little run. You tie on your running shoes, head outside, and do your usual two-minute stretching routine. You prop a foot up and bend forward to stretch your hamstring, then you straighten up for a calf stretch. You jump up and down a couple of times to get your blood moving, then off you go!
Wrong, wrong, wrong, says Bill Holcomb, PhD, professor of athletic training at the University of Nevada, Las Vegas, who has studied the effects of stretching for many years. Turns out a spate of new research reveals that much of what we've long believed to be beneficial about proper stretching techniques may have the opposite effect.
"First of all," Holcomb says, "you should never stretch a cold muscle in any way. And doing static stretches -- meaning the kind where you hold the stretch before a workout or competition -- may decrease your strength, power, and performance."
Holcomb says previous studies had shown this effect, too, but had only looked at muscle stretching for eight to 30 minutes -- far longer than any weekend warrior would normally do. His team's recent study, which appeared in the September 2008 issue of the Journal of Strength and Conditioning Research, had participants do hamstring and quadriceps stretches for 90 seconds each, a more reality-based approach.
Surprise: the static stretches still significantly reduced the participants' power. The ballistic stretches (the kind we were warned not to do in gym class as kids, where you bounce during the stretch) also caused a decrease in power, but slightly less so than the static stretches.
This news may be more important for competitive athletes than for amateur fitness buffs, and some other research even disputes it. While more studies are needed, Holcomb says, some consensus is emerging on proper stretching techniques.
7 Things You Need to Know about Proper Stretching Techniques
Always warm up first."To improve range of motion and avoid injury, you do need to stretch, but don't ever do it when muscles are cold," warns orthopaedic surgeon William Levine, MD, director of sports medicine at Columbia University Medical Center in New York City. "Always start with some mild aerobic warm-ups to get blood to the tissue before doing any stretching."
Holcomb recommends brisk walking or slow jogging for about five minutes, rather than stretching before exercise. "Warming up increases blood flow, which increases the temperature in the muscle, which makes the collagen fibers more elastic like a rubber band," he explains.
After warming up, do dynamic (not static) stretches. Dynamic stretching means slow, controlled movements rather than remaining still and holding a stretch. They may include simple movements like arm circles and hip rotations, flowing movements as in yoga, or walking or jogging exercises like those mentioned below. While studies have not clearly proven this, increasing numbers of experts agree that dynamic stretching is the best stretching routine before a workout or competition. Levine warns, however, that proper technique is key. "Poor technique that is not anatomically correct puts you at higher risk for injury."
 
7 Things You Need to Know about Proper Stretching Techniques continued...
Holcomb recommends three all-purpose dynamic stretches for your lower body:
·                        Goose-step march: Slowly lift your leg straight out in front of you, alternating as you walk with your normal stride length. While others may think you're doing a Monty Python skit, it is an effective hamstring stretch.
·                        Knee lifts: As you're jogging or walking, bring knees up toward your chest. For a variation, as your right knee comes up, twist the lifted leg gently to the left and your upper body gently to the right for a spinal twist. Repeat on each side as you jog or walk (warning: you may be mistaken for a Rockette).
·                        Butt-kick: As you jog or walk, bend one knee and lift it behind you as if you were trying to kick yourself in the butt. It's not punishment; it stretches the quadriceps.
Do several repetitions of 30 seconds each at your own pace. The point is to do the movements in a controlled way. Stop if you get tired so you still have energy for your workout.
Consider yoga. "Isn't it interesting that this new research is figuring out what yoga teachers have known for thousands of years?" says Mary Pullig Schatz, MD, a retired surgical pathologist, yoga expert, and author of Back Care Basics. If you're familiar with yoga basics, she suggests, you can use those moves as dynamic stretches before, say, a run or a long bike ride. Try two minutes of sun salutations to stretch multiple parts of the body. Or make downward-facing dog dynamic by pedaling your feel or lifting alternate legs.
"Improving your flexibility allows you to put your body in good ergonomic alignment," Schatz says. "Yoga can help you combine flexibility and strength, breathe properly, reduce head, neck, and back pain, and put the body back in balance."
After your workout or competition, then do static stretches. "Too many people do static stretching before and then nothing after," says Holcomb. "That's the most common mistake I see." This is where you'll lengthen muscles and improve your flexibility. Hold static stretches for about 30 seconds.
Learn warm-ups and stretches particular to your sport. Levine's team takes care of 29 varsity teams, so he's seen every kind of sports injury there is.
"For example, football linemen are vulnerable to shoulder tears," he says. "Runners may suffer knee problems and shin splints. For golfers, the lower back is often the hot spot."
New research shows it's a good move to learn stretching routines customized for your sport and to help prevent the injuries most common to it. The Santa Monica Orthopedic and Sports Medicine Research Foundation in California studied women soccer players who are subject to ACL tears and created a program called Prevent Injury and Enhance Performance (PEP). The program (which can be downloaded at http://www.aclprevent.com/pepprogram.htm) includes a warm-up and stretches (as well as strengthening and agility exercises) specifically designed to prevent ACL injuries.
7 Things You Need to Know about Proper Stretching Techniques continued...
Never stretch to the point of pain. Forget the phrase "no pain, no gain. "You do not want pain when you're doing dynamic stretching," says Holcomb. "It should be gentle to start and then progress." When you're doing your static stretching afterward, you should go to the point of slight discomfort and intensity, he says, to improve your flexibility. But if you're making a face, your muscle is contracting to protect itself, which is counterproductive.
Stretch to de-stress. These are stressed-out times, and stretching can help. "As you know, your mind affects your body, and your body affects your mind," says Dean Ornish, MD, founder of the Preventive Medicine Research Institute in Sausalito, Calif., and author of The Spectrum. "During times of emotional stress, the muscles in your body contract. This is an adaptive response to acute stress, as it fortifies your 'body armor' so that in times of danger, if you get hit, for example, your muscles help to protect you.
"However, in times of chronic stress, these same mechanisms that have evolved to protect us can create problems -- chronically tensed muscles, especially those in the back and neck, predispose to chronic pain or injury. Thus, stress management techniques can help prevent this. Also, gentle stretching of chronically tensed muscles provide relaxation to the mind as well as the body."
 
New Ideas on Proper Stretching Techniques
Some stretching routines may hinder, not help, your athletic performance.
By Julie Bain
WebMD Feature
Reviewed by Louise Chang, MD
It's a cool, clear Saturday morning and you decide to go out for a little run. You tie on your running shoes, head outside, and do your usual two-minute stretching routine. You prop a foot up and bend forward to stretch your hamstring, then you straighten up for a calf stretch. You jump up and down a couple of times to get your blood moving, then off you go!
Wrong, wrong, wrong, says Bill Holcomb, PhD, professor of athletic training at the University of Nevada, Las Vegas, who has studied the effects of stretching for many years. Turns out a spate of new research reveals that much of what we've long believed to be beneficial about proper stretching techniques may have the opposite effect.
"First of all," Holcomb says, "you should never stretch a cold muscle in any way. And doing static stretches -- meaning the kind where you hold the stretch before a workout or competition -- may decrease your strength, power, and performance."
Holcomb says previous studies had shown this effect, too, but had only looked at muscle stretching for eight to 30 minutes -- far longer than any weekend warrior would normally do. His team's recent study, which appeared in the September 2008 issue of the Journal of Strength and Conditioning Research, had participants do hamstring and quadriceps stretches for 90 seconds each, a more reality-based approach.
Surprise: the static stretches still significantly reduced the participants' power. The ballistic stretches (the kind we were warned not to do in gym class as kids, where you bounce during the stretch) also caused a decrease in power, but slightly less so than the static stretches.
This news may be more important for competitive athletes than for amateur fitness buffs, and some other research even disputes it. While more studies are needed, Holcomb says, some consensus is emerging on proper stretching techniques.
7 Things You Need to Know about Proper Stretching Techniques
Always warm up first."To improve range of motion and avoid injury, you do need to stretch, but don't ever do it when muscles are cold," warns orthopaedic surgeon William Levine, MD, director of sports medicine at Columbia University Medical Center in New York City. "Always start with some mild aerobic warm-ups to get blood to the tissue before doing any stretching."
Holcomb recommends brisk walking or slow jogging for about five minutes, rather than stretching before exercise. "Warming up increases blood flow, which increases the temperature in the muscle, which makes the collagen fibers more elastic like a rubber band," he explains.
After warming up, do dynamic (not static) stretches. Dynamic stretching means slow, controlled movements rather than remaining still and holding a stretch. They may include simple movements like arm circles and hip rotations, flowing movements as in yoga, or walking or jogging exercises like those mentioned below. While studies have not clearly proven this, increasing numbers of experts agree that dynamic stretching is the best stretching routine before a workout or competition. Levine warns, however, that proper technique is key. "Poor technique that is not anatomically correct puts you at higher risk for injury."
 
7 Things You Need to Know about Proper Stretching Techniques continued...
Holcomb recommends three all-purpose dynamic stretches for your lower body:
·                        Goose-step march: Slowly lift your leg straight out in front of you, alternating as you walk with your normal stride length. While others may think you're doing a Monty Python skit, it is an effective hamstring stretch.
·                        Knee lifts: As you're jogging or walking, bring knees up toward your chest. For a variation, as your right knee comes up, twist the lifted leg gently to the left and your upper body gently to the right for a spinal twist. Repeat on each side as you jog or walk (warning: you may be mistaken for a Rockette).
·                        Butt-kick: As you jog or walk, bend one knee and lift it behind you as if you were trying to kick yourself in the butt. It's not punishment; it stretches the quadriceps.
Do several repetitions of 30 seconds each at your own pace. The point is to do the movements in a controlled way. Stop if you get tired so you still have energy for your workout.
Consider yoga. "Isn't it interesting that this new research is figuring out what yoga teachers have known for thousands of years?" says Mary Pullig Schatz, MD, a retired surgical pathologist, yoga expert, and author of Back Care Basics. If you're familiar with yoga basics, she suggests, you can use those moves as dynamic stretches before, say, a run or a long bike ride. Try two minutes of sun salutations to stretch multiple parts of the body. Or make downward-facing dog dynamic by pedaling your feel or lifting alternate legs.
"Improving your flexibility allows you to put your body in good ergonomic alignment," Schatz says. "Yoga can help you combine flexibility and strength, breathe properly, reduce head, neck, and back pain, and put the body back in balance."
After your workout or competition, then do static stretches. "Too many people do static stretching before and then nothing after," says Holcomb. "That's the most common mistake I see." This is where you'll lengthen muscles and improve your flexibility. Hold static stretches for about 30 seconds.
Learn warm-ups and stretches particular to your sport. Levine's team takes care of 29 varsity teams, so he's seen every kind of sports injury there is.
"For example, football linemen are vulnerable to shoulder tears," he says. "Runners may suffer knee problems and shin splints. For golfers, the lower back is often the hot spot."
New research shows it's a good move to learn stretching routines customized for your sport and to help prevent the injuries most common to it. The Santa Monica Orthopedic and Sports Medicine Research Foundation in California studied women soccer players who are subject to ACL tears and created a program called Prevent Injury and Enhance Performance (PEP). The program (which can be downloaded at http://www.aclprevent.com/pepprogram.htm) includes a warm-up and stretches (as well as strengthening and agility exercises) specifically designed to prevent ACL injuries.
7 Things You Need to Know about Proper Stretching Techniques continued...
Never stretch to the point of pain. Forget the phrase "no pain, no gain. "You do not want pain when you're doing dynamic stretching," says Holcomb. "It should be gentle to start and then progress." When you're doing your static stretching afterward, you should go to the point of slight discomfort and intensity, he says, to improve your flexibility. But if you're making a face, your muscle is contracting to protect itself, which is counterproductive.
Stretch to de-stress. These are stressed-out times, and stretching can help. "As you know, your mind affects your body, and your body affects your mind," says Dean Ornish, MD, founder of the Preventive Medicine Research Institute in Sausalito, Calif., and author of The Spectrum. "During times of emotional stress, the muscles in your body contract. This is an adaptive response to acute stress, as it fortifies your 'body armor' so that in times of danger, if you get hit, for example, your muscles help to protect you.
"However, in times of chronic stress, these same mechanisms that have evolved to protect us can create problems -- chronically tensed muscles, especially those in the back and neck, predispose to chronic pain or injury. Thus, stress management techniques can help prevent this. Also, gentle stretching of chronically tensed muscles provide relaxation to the mind as well as the body."
 
New Ideas on Proper Stretching Techniques
Some stretching routines may hinder, not help, your athletic performance.
By Julie Bain
WebMD Feature
Reviewed by Louise Chang, MD
It's a cool, clear Saturday morning and you decide to go out for a little run. You tie on your running shoes, head outside, and do your usual two-minute stretching routine. You prop a foot up and bend forward to stretch your hamstring, then you straighten up for a calf stretch. You jump up and down a couple of times to get your blood moving, then off you go!
Wrong, wrong, wrong, says Bill Holcomb, PhD, professor of athletic training at the University of Nevada, Las Vegas, who has studied the effects of stretching for many years. Turns out a spate of new research reveals that much of what we've long believed to be beneficial about proper stretching techniques may have the opposite effect.
"First of all," Holcomb says, "you should never stretch a cold muscle in any way. And doing static stretches -- meaning the kind where you hold the stretch before a workout or competition -- may decrease your strength, power, and performance."
Holcomb says previous studies had shown this effect, too, but had only looked at muscle stretching for eight to 30 minutes -- far longer than any weekend warrior would normally do. His team's recent study, which appeared in the September 2008 issue of the Journal of Strength and Conditioning Research, had participants do hamstring and quadriceps stretches for 90 seconds each, a more reality-based approach.
Surprise: the static stretches still significantly reduced the participants' power. The ballistic stretches (the kind we were warned not to do in gym class as kids, where you bounce during the stretch) also caused a decrease in power, but slightly less so than the static stretches.
This news may be more important for competitive athletes than for amateur fitness buffs, and some other research even disputes it. While more studies are needed, Holcomb says, some consensus is emerging on proper stretching techniques.
7 Things You Need to Know about Proper Stretching Techniques
Always warm up first."To improve range of motion and avoid injury, you do need to stretch, but don't ever do it when muscles are cold," warns orthopaedic surgeon William Levine, MD, director of sports medicine at Columbia University Medical Center in New York City. "Always start with some mild aerobic warm-ups to get blood to the tissue before doing any stretching."
Holcomb recommends brisk walking or slow jogging for about five minutes, rather than stretching before exercise. "Warming up increases blood flow, which increases the temperature in the muscle, which makes the collagen fibers more elastic like a rubber band," he explains.
After warming up, do dynamic (not static) stretches. Dynamic stretching means slow, controlled movements rather than remaining still and holding a stretch. They may include simple movements like arm circles and hip rotations, flowing movements as in yoga, or walking or jogging exercises like those mentioned below. While studies have not clearly proven this, increasing numbers of experts agree that dynamic stretching is the best stretching routine before a workout or competition. Levine warns, however, that proper technique is key. "Poor technique that is not anatomically correct puts you at higher risk for injury."
 
7 Things You Need to Know about Proper Stretching Techniques continued...
Holcomb recommends three all-purpose dynamic stretches for your lower body:
·                        Goose-step march: Slowly lift your leg straight out in front of you, alternating as you walk with your normal stride length. While others may think you're doing a Monty Python skit, it is an effective hamstring stretch.
·                        Knee lifts: As you're jogging or walking, bring knees up toward your chest. For a variation, as your right knee comes up, twist the lifted leg gently to the left and your upper body gently to the right for a spinal twist. Repeat on each side as you jog or walk (warning: you may be mistaken for a Rockette).
·                        Butt-kick: As you jog or walk, bend one knee and lift it behind you as if you were trying to kick yourself in the butt. It's not punishment; it stretches the quadriceps.
Do several repetitions of 30 seconds each at your own pace. The point is to do the movements in a controlled way. Stop if you get tired so you still have energy for your workout.
Consider yoga. "Isn't it interesting that this new research is figuring out what yoga teachers have known for thousands of years?" says Mary Pullig Schatz, MD, a retired surgical pathologist, yoga expert, and author of Back Care Basics. If you're familiar with yoga basics, she suggests, you can use those moves as dynamic stretches before, say, a run or a long bike ride. Try two minutes of sun salutations to stretch multiple parts of the body. Or make downward-facing dog dynamic by pedaling your feel or lifting alternate legs.
"Improving your flexibility allows you to put your body in good ergonomic alignment," Schatz says. "Yoga can help you combine flexibility and strength, breathe properly, reduce head, neck, and back pain, and put the body back in balance."
After your workout or competition, then do static stretches. "Too many people do static stretching before and then nothing after," says Holcomb. "That's the most common mistake I see." This is where you'll lengthen muscles and improve your flexibility. Hold static stretches for about 30 seconds.
Learn warm-ups and stretches particular to your sport. Levine's team takes care of 29 varsity teams, so he's seen every kind of sports injury there is.
"For example, football linemen are vulnerable to shoulder tears," he says. "Runners may suffer knee problems and shin splints. For golfers, the lower back is often the hot spot."
New research shows it's a good move to learn stretching routines customized for your sport and to help prevent the injuries most common to it. The Santa Monica Orthopedic and Sports Medicine Research Foundation in California studied women soccer players who are subject to ACL tears and created a program called Prevent Injury and Enhance Performance (PEP). The program (which can be downloaded at http://www.aclprevent.com/pepprogram.htm) includes a warm-up and stretches (as well as strengthening and agility exercises) specifically designed to prevent ACL injuries.
7 Things You Need to Know about Proper Stretching Techniques continued...
Never stretch to the point of pain. Forget the phrase "no pain, no gain. "You do not want pain when you're doing dynamic stretching," says Holcomb. "It should be gentle to start and then progress." When you're doing your static stretching afterward, you should go to the point of slight discomfort and intensity, he says, to improve your flexibility. But if you're making a face, your muscle is contracting to protect itself, which is counterproductive.
Stretch to de-stress. These are stressed-out times, and stretching can help. "As you know, your mind affects your body, and your body affects your mind," says Dean Ornish, MD, founder of the Preventive Medicine Research Institute in Sausalito, Calif., and author of The Spectrum. "During times of emotional stress, the muscles in your body contract. This is an adaptive response to acute stress, as it fortifies your 'body armor' so that in times of danger, if you get hit, for example, your muscles help to protect you.
"However, in times of chronic stress, these same mechanisms that have evolved to protect us can create problems -- chronically tensed muscles, especially those in the back and neck, predispose to chronic pain or injury. Thus, stress management techniques can help prevent this. Also, gentle stretching of chronically tensed muscles provide relaxation to the mind as well as the body."
 
New Ideas on Proper Stretching Techniques
Some stretching routines may hinder, not help, your athletic performance.
By Julie Bain
WebMD Feature
Reviewed by Louise Chang, MD
It's a cool, clear Saturday morning and you decide to go out for a little run. You tie on your running shoes, head outside, and do your usual two-minute stretching routine. You prop a foot up and bend forward to stretch your hamstring, then you straighten up for a calf stretch. You jump up and down a couple of times to get your blood moving, then off you go!
Wrong, wrong, wrong, says Bill Holcomb, PhD, professor of athletic training at the University of Nevada, Las Vegas, who has studied the effects of stretching for many years. Turns out a spate of new research reveals that much of what we've long believed to be beneficial about proper stretching techniques may have the opposite effect.
"First of all," Holcomb says, "you should never stretch a cold muscle in any way. And doing static stretches -- meaning the kind where you hold the stretch before a workout or competition -- may decrease your strength, power, and performance."
Holcomb says previous studies had shown this effect, too, but had only looked at muscle stretching for eight to 30 minutes -- far longer than any weekend warrior would normally do. His team's recent study, which appeared in the September 2008 issue of the Journal of Strength and Conditioning Research, had participants do hamstring and quadriceps stretches for 90 seconds each, a more reality-based approach.
Surprise: the static stretches still significantly reduced the participants' power. The ballistic stretches (the kind we were warned not to do in gym class as kids, where you bounce during the stretch) also caused a decrease in power, but slightly less so than the static stretches.
This news may be more important for competitive athletes than for amateur fitness buffs, and some other research even disputes it. While more studies are needed, Holcomb says, some consensus is emerging on proper stretching techniques.
7 Things You Need to Know about Proper Stretching Techniques
Always warm up first."To improve range of motion and avoid injury, you do need to stretch, but don't ever do it when muscles are cold," warns orthopaedic surgeon William Levine, MD, director of sports medicine at Columbia University Medical Center in New York City. "Always start with some mild aerobic warm-ups to get blood to the tissue before doing any stretching."
Holcomb recommends brisk walking or slow jogging for about five minutes, rather than stretching before exercise. "Warming up increases blood flow, which increases the temperature in the muscle, which makes the collagen fibers more elastic like a rubber band," he explains.
After warming up, do dynamic (not static) stretches. Dynamic stretching means slow, controlled movements rather than remaining still and holding a stretch. They may include simple movements like arm circles and hip rotations, flowing movements as in yoga, or walking or jogging exercises like those mentioned below. While studies have not clearly proven this, increasing numbers of experts agree that dynamic stretching is the best stretching routine before a workout or competition. Levine warns, however, that proper technique is key. "Poor technique that is not anatomically correct puts you at higher risk for injury."
 
7 Things You Need to Know about Proper Stretching Techniques continued...
Holcomb recommends three all-purpose dynamic stretches for your lower body:
·                        Goose-step march: Slowly lift your leg straight out in front of you, alternating as you walk with your normal stride length. While others may think you're doing a Monty Python skit, it is an effective hamstring stretch.
·                        Knee lifts: As you're jogging or walking, bring knees up toward your chest. For a variation, as your right knee comes up, twist the lifted leg gently to the left and your upper body gently to the right for a spinal twist. Repeat on each side as you jog or walk (warning: you may be mistaken for a Rockette).
·                        Butt-kick: As you jog or walk, bend one knee and lift it behind you as if you were trying to kick yourself in the butt. It's not punishment; it stretches the quadriceps.
Do several repetitions of 30 seconds each at your own pace. The point is to do the movements in a controlled way. Stop if you get tired so you still have energy for your workout.
Consider yoga. "Isn't it interesting that this new research is figuring out what yoga teachers have known for thousands of years?" says Mary Pullig Schatz, MD, a retired surgical pathologist, yoga expert, and author of Back Care Basics. If you're familiar with yoga basics, she suggests, you can use those moves as dynamic stretches before, say, a run or a long bike ride. Try two minutes of sun salutations to stretch multiple parts of the body. Or make downward-facing dog dynamic by pedaling your feel or lifting alternate legs.
"Improving your flexibility allows you to put your body in good ergonomic alignment," Schatz says. "Yoga can help you combine flexibility and strength, breathe properly, reduce head, neck, and back pain, and put the body back in balance."
After your workout or competition, then do static stretches. "Too many people do static stretching before and then nothing after," says Holcomb. "That's the most common mistake I see." This is where you'll lengthen muscles and improve your flexibility. Hold static stretches for about 30 seconds.
Learn warm-ups and stretches particular to your sport. Levine's team takes care of 29 varsity teams, so he's seen every kind of sports injury there is.
"For example, football linemen are vulnerable to shoulder tears," he says. "Runners may suffer knee problems and shin splints. For golfers, the lower back is often the hot spot."
New research shows it's a good move to learn stretching routines customized for your sport and to help prevent the injuries most common to it. The Santa Monica Orthopedic and Sports Medicine Research Foundation in California studied women soccer players who are subject to ACL tears and created a program called Prevent Injury and Enhance Performance (PEP). The program (which can be downloaded at http://www.aclprevent.com/pepprogram.htm) includes a warm-up and stretches (as well as strengthening and agility exercises) specifically designed to prevent ACL injuries.
7 Things You Need to Know about Proper Stretching Techniques continued...
Never stretch to the point of pain. Forget the phrase "no pain, no gain. "You do not want pain when you're doing dynamic stretching," says Holcomb. "It should be gentle to start and then progress." When you're doing your static stretching afterward, you should go to the point of slight discomfort and intensity, he says, to improve your flexibility. But if you're making a face, your muscle is contracting to protect itself, which is counterproductive.
Stretch to de-stress. These are stressed-out times, and stretching can help. "As you know, your mind affects your body, and your body affects your mind," says Dean Ornish, MD, founder of the Preventive Medicine Research Institute in Sausalito, Calif., and author of The Spectrum. "During times of emotional stress, the muscles in your body contract. This is an adaptive response to acute stress, as it fortifies your 'body armor' so that in times of danger, if you get hit, for example, your muscles help to protect you.
"However, in times of chronic stress, these same mechanisms that have evolved to protect us can create problems -- chronically tensed muscles, especially those in the back and neck, predispose to chronic pain or injury. Thus, stress management techniques can help prevent this. Also, gentle stretching of chronically tensed muscles provide relaxation to the mind as well as the body."
  Knee / Patella Pain view full article    

Knee/patella pain is the number one overuse injury and the number one injury in runners. Hip muscle weakness has been the focus of many recent studies and has been identified as an important impairment to address in the conservative treatment of knee pain in athletes. A recent study in the Journal of Orthopaedic and Sports Physical Therapy (Nov 2010) looked at the specific effect of these exercises in pain and function levels in sedentary females with knee pain. The results showed that knee strengthening exercises improved function, however when combined with hip exercises there was a significant improvement in pain levels.

Strengthening the hip (lateral rotators) muscles will help control the position of the thigh. If the thigh rotates in too much this may lead to mal-alignment of the patella.

 

PONSONBY PHYSIOTHERAPY Exercise Programmes…….

A comprehensive ‘start to finish’ service for the recreational athlete or older person

Increasingly people are starting to use the services of their physiotherapist before they get hurt , in more of a personal training role. By fitness-training standards physiotherapists are highly educated in the science of preserving, restoring and improving human function.

What your physiotherapist is good at is identifying barriers to exercise (knee and ankle injuries etc) and building a programme around them that creates incremental Improvements. A proactive visit to the physiotherapist can reveal muscle imbalances and inefficient movement patterns that could cause injury.

Ms S visited us following a recurring ankle injury, she has just turned 60 this month (the ‘new 40’) and was aware that following injury it could take her a while to get back to her daily walks and Tai Chi classes. On assessment we found that she had poor core stability and weak hip muscles, resulting in a loss of balance on the injured side. She has joined our gym and is enjoying coming in twice a week for a series of exercises on the Power Plate , Pilates table, Obie roller and mat. She is loving the programme and noticing an improvement in strength and speed. We monitor her programme as she requires to make sure she is doing things correctly and to ensure the exercises are progressed appropriately.

Mr P in his late 20’s was training for the Auckland Marathon and had ongoing niggles with his knee. It was astounding to him that having run marathons in the past all his current training and being a keen snowboarder, that he couldn’t stand on one leg without falling over. A muscle balance assessment found that he had very weak hip rotators and tight ITB. His sessions included stability, strength and foam roller on the Power Plate. In no time he was standing on one leg and on track for his marathon!!

 

 

TIP OF THE MONTH

This months tip

 If you are getting ready to gear up for your winter sport, remember that some preseaon training and practice goes a long way to preventing injuries. If you seek some advice on how to go about doing prehab, give the clinic a call. 

 

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