Monday, February 20, 2012

Stetching

All About Stretching!

Flexibility – the pain-free, unrestricted range of motion (ROM) that is available at a single joint or at multiple joints 1,2
Stretching – performed to help maintain or promote good flexibility

The goal of flexibility is to increase or improve ROM by changing the extensibility of the muscles and tendons to allow movement at a joint. 1
Maintaining full, unrestricted ROM is essential to athletic fitness and performance. 1

Types of stretching:
  1. Static – prolonged, passive
  2. Ballistic – repetitive, bouncing movements
  3. PNF (Propioceptive Neuromuscular Facilitation) – alternating contractions and stretches
Indications for stretching: 2
  1. When there is decreased or limited ROM
  2. To help prevent injuries
  3. After exercise to help minimize muscle soreness
Contraindications for stretching: 2
  1. After a recent non-healed fracture
  2. Acute inflammation or infection (heat or swelling)
  3. Sharp or acute pain is present
  4. Where there is a hematoma (bruise) is present
  5. Where increased or excessive ROM is present
Stretching Guidelines:
  • Perform in pain-free range
  • Hold for 20-30 seconds and repeat 3-5 times and 3-5 times per day
  • Maintain correct posture
  • Some stretches can be performed with a partner
  • Remember to breath!
  • Avoid overstretching
  • Where loose fitting clothes
  • Perform in a relaxed position
  • Begin with low pressure and gradually increase pressure
References:
  1. Prentice, William E. Rehabilitation Techniques in Sports Medicine. 3rd ed. WBC/MrGraw-Hill. 1999. Boston, MA.
  2. Kisner, Carolyn, Colby, Lynn A. Therapeutic Exercise Foundations and Techniques. 4th ed. FA Davis Company. Philadelphia, PA. 2002.

Wednesday, February 8, 2012

5 Simple Things

5 Simple Things

Listed below are five common orthopedic problems for which patients may seek medical care. Physical therapy can definitively improve these conditions and help these patients return to a happier, healthier lifestyle.

Plantar Fasciitis- Plantar fasciitis is a painful condition on the bottom of the foot. Most people report significant pain on the bottom of their foot with the first few steps in the morning, or after sitting for prolonged periods of time.  Most commonly, it is caused by a loss of mobility in the ankle, a tight Achilles tendon and weakness in the hips.  An abnormal foot position can also contribute to this dysfunction.  Successful treatment consists of restoring ankle and hip joint mobility, improving flexibility and restoring core strength and balance.  These patients also do well with supportive shoes, and arch supports or orthotics.

Ankle Sprain- The most common type of ankle sprain is a lateral ankle sprain, or what some people describe as “rolling my ankle”.  Although mild ankle sprains may appear to resolve without medical involvement, research shows that [the number one thing lost with this injury is balance.] it is extremely common to lose ankle balance this injury.  Research also supports that the more distal the injury, the more proximal the weakness.  The best initial treatment is Rest, Ice, Compression, and Elevation (R.I.C.E.). To prevent chronic problems from developing after a simple ankle sprain, we recommend that patients attend physical therapy for a short period of time to improve their core strength and balance mechanism.

Anterior Knee Pain- People with anterior knee pain commonly complain of pain while going downstairs, hiking or prolonged sitting.  This dysfunction is usually caused by biomechanical problems originating at another joint, typically the foot or the hip.  If the foot or hip do not have the correct amount of mobility or stability, it will adversely affect the knee.  Successful treatment for anterior knee pain usually consists of restoring biomechanical alignment of the lower extremity and addressing flexibility, strength, and balance deficits.

Low Back Pain- Are you experiencing pain across your lower back after sleeping or sitting for prolonged periods of time? The majority of low back pain is caused by poor posture and body mechanics.  For men, problems are commonly due to lack of flexibility.  For women, their problems are typically associated with lack of stability.  Treatment consists of postural education, improving body mechanics to minimize stress on the lumbar spine, and core stabilization exercises.

Shoulder Pain- Are you experiencing pain in your shoulder with driving, dressing, or getting a gallon of milk out of the refrigerator?   Non-traumatic shoulder pain is usually the result of poor postural alignment and scapular weakness.  Patients may present with impingement symptoms, supraspinatus pain, or rotator cuff tendonitis.  Treatment consists of improving postural alignment and strength, improving scapular stability, and correcting any flexibility or mobility problems.

The therapists at Impact Sports Medicine are highly trained in the area of biomechanics and movement science.  If you are experiencing pain or difficulty in these areas or any other problems, feel free to contact our office, 303-446-2200.  We can also be found on the web at www.ImpactSportsMed.com.

Monday, January 30, 2012

HOW TO FIND US

4 convenient locations to better serve you!

IMPACT – ARVADA                 
6390 Gardenia St., # 250               Arvada
(Just East of 64th and Indiana)

IMPACT- BROADLANDS        
3303 W. 144th Ave., # 105             Broomfield
(Just East of 144th and Lowell)

IMPACT – LSAC                      
300 Summit Blvd.                          Broomfield
Inside Lakeshore Athletic Club

IMPACT – WESTMINSTER    
11025 North Dover St., # 400        Westminster
(NE Corner of 108th and Wadsworth)


WHO IS IMPACT SPORTS MEDICINE

Who is Impact Sports Medicine?


Keith Christianssen is the principle owner of Impact Sports Medicine, and has been a Physical Therapist for over 22 years and in the Denver Metro community for over 17 years. Keith did his undergraduate education in Athletic Training at San Diego State University, and went to Physical Therapy school at Northwestern Medical School in Chicago.  After college, Keith migrated back to San Diego, where he worked for the team physician for the San Diego Charger, and worked with the San Diego Gulls (IHL Hockey) and the San Diego Padres.  Keith also had opportunities to work with two colleges, major league indoor soccer, and America’s Cup sailing.

After returning to Colorado, Keith worked for HealthSouth in Denver, Wheat Ridge, and Birmingham, Alabama before deciding to open Impact Sports Medicine in 2005.  As an Athletic Trainer, Keith and the Impact Sports Medicine staff have covered many local events such as Soccer tournaments, football and basketball games for Broomfield and Boulder County schools, and many 10K events.  We have also committed time, energy, and money to the Wounded Warrior Project and the Avon Walk for Breast Cancer.  The Physical Therapists at Impact Sports Medicine have also worked with athletes from the Colorado Rockies, Colorado Rapids, the University of Colorado, Colorado Christian University, Colorado School of Mines, and several Olympic skaters and marathon runners.

Keith has worked with the American Sports Medicine Institute and several PGA teaching professionals in developing a golf mechanics program, which is presently being utilized on the PGA tour.  Currently, Keith travels extensively teaching continuing education for Physical Therapists and Athletic Trainers.  This year, he is teaching courses on shoulder rehabilitation and throwing mechanics, and an advanced lower extremity rehabilitation and running course through North American Seminars.  Because of Keith’s relationship with North American Seminars, Impact Sports Medicine has been able to host many continuing education courses, which has allowed the Impact Sports Medicine staff to stay on the cutting edge of rehabilitation techniques.

Tuesday, May 20, 2008

Programs

Great things are happening at Impact Sports Medicine!
We are continuing to develop programs to better meet our patient’s needs, and we want to be your provider of choice. To ensure the best possible rehabilitation outcomes, Impact Sports Medicine continues to provide one-on-one care with only highly skilled physical therapists. In addition to providing cutting-edge physical therapy services, we now have additional services and new wellness programs.



CUSTOM ORTHOTICS: We make custom Orthotics for less than “Good Feet”! We do a complete biomechanical evaluation, fit with the appropriate Orthotics, and follow up to maximize proper fit and utilization. We also utilize the ALINE insole system that was originally designed for the X-Games. With ALINES, we can make custom adjustments to an off-the-shelf device, for a reasonable price.


AFTER CARE: This program is designed for patients that have exhausted their insurance benefits yet still require supervised exercise, or require assistance with monitoring or modifying home exercise program. After care is scheduled by appointment during normal office hours.



RUNNING GAIT ANALYSIS: : 82% of the population are heel strikers, and 82% of those runners will sustain an annual injury.  This program is designed to analyze an athlete's gait, and provide feedback and drills to improve their running mechanics. 


GOLF FIT: This program was developed with several top PGA teaching professionals to address flexibility, strength, and posture, as they relate to the golf swing. We will do a complete biomechanical evaluation, and design a program to improve anyone’s ability to swing a golf club.



BIKE FIT: To maximize posture, power, and position, everyone should have their bike professionally fit. This program was originally designed by the Specialized Bike research division in conjunction with top medical providers.





Great things are happening at Impact Sports Medicine, and we hope that you will be to be a part of our future. Our focus is to meet the needs of our patients and referral sources. If we can assist you in any way, feel free to contact us. You can also visit our web site at http://www.impactsportsmed.com/ .