A case study this week about a patient after hip surgery. We look at how weakness after surgery affects their function and gait pattern. We look at what a positive Trendelenburg sign looks like. It’s very important to re-train a better movement pattern following injury.
This DIY series outlines how to perform a bike fit on your own. This episode focuses on how to set up stance width (cleat medial and lateral). We explore how the Q-factor of a bike, size of the cyclist, hip range of motion and knee alignment will affect stance width adjustment.
Keywords: physio burnaby vancouver bike fit physiotherapy assessment physiotherapist dry needling IMS
A proper bike fit should always start with a biomechanical assessment off the bike to determine the movement patterns of an individual. In this week’s case, this athlete was experiencing worsening right knee pain with hiking and cycling. We dwelve into the root cause of his knee pain, and perform a bike fit to help with his cycling mechanics. Changes made to his fit include cleat rotation, cleat wedges and a longer stem.
Keywords: physio burnaby vancouver bike fit physiotherapy assessment physiotherapist dry needling IMS
This DIY series outlines how to perform a bike fit on your own. This episode focuses on how to set up cleat fore and aft. We explore how different pedaling styles and specific events/goals of a cyclist may change the cleat set up.
Keywords: physio burnaby vancouver bike fit physiotherapy assessment physiotherapist dry needling IMS
This is a follow up to the “Low back pain | A very common dysfunctional movement pattern shown in a single knee bend test” video. I had some questions on some what exercises I would prescribe to help improve lateral sling function. The imbalance left and right can cause back pain. Think of your spine as a tent, if there is more pull on one side, the tent won’t be very stable. Similarly, the spine is the same. If there is imbalance side to side, recurrent back pain may persist. Here is a sample 4-6 week progression plan for targeting gluteus medius strength and proprioception. Try building up to 3 sets of 10 repetitions.
A case study this week about a patient with some recurring low back pain. We use the single knee bend test in the assessment to expose a dysfunctional movement pattern in his lateral sling (quadratus lumborum, gluteus medius, hip abductors/adductors).
This DIY series outlines how to perform a bike fit on your own. This is a follow up video for setting up saddle set back (fore and aft). We draw parallels between the no-hands test and the hip hinge movement pattern.
Keywords: physio burnaby vancouver bike fit physiotherapy assessment physiotherapist
This is a follow up to “Knee to wall test to test ankle flexibility | Ankle stiffness and it’s effect up the kinetic chain” video. I had some questions on some what exercises I would prescribe to help improve ankle dorsiflexion. The loss of ankle dorsiflexion is one of the most common lower limb biomechanical issues. There are a myriad of consequences stemming from this which includes but is not limited to: plantar fasciitis, achilles tendiopathy, patello-femoral pain, and hip arthritis. Here are two of my favourite exercises to prescribe and the rationale behind them:
Ankle dorsiflexion self-mobilization
You can perform this one very easily on your own with a power band or a belt. It helps to glide the talus and create space in the ankle joint for more mobility. Try starting with 3 sets of 15 reps.
Photo: simpleset.net
2. Sustained heel walking
We want to make use of your body’s reciprocal inhibition. Have you ever noticed that if you lift up a weight with your biceps, your triceps are actively turned off by your brain? This is the same concept in place with this exercise. By activating the anterior compartment of your lower leg (shin muscles), we will not only create strength and endurance there, but your calves will naturally relax. Try 60 seconds of heel walking followed by 60 seconds of rest. Repeat for 3 reps.
This video covers some of the fundamentals of a triathlon and time trial bike fit. Key tips for cleat, saddle and cockpit setup are discussed. We briefly talk about considerations for ITU/UCI sanctioned races.
Keywords: physio burnaby vancouver bike fit physiotherapy assessment physiotherapist
This DIY series outlines how to perform a bike fit on your own. This episode focuses on how to set up saddle set back (fore and aft). We expand on the no-hands method (aka The Naruto run test), and also explore examples of poorly adjusted saddles and how the body compensates for this.
Keywords: physio burnaby vancouver bike fit physiotherapy assessment physiotherapist
A case study this week about a chap who came in with pain to his right calf/achilles, knee and hip. We soon find out in the assessment the root cause of the pain which is stemming from the stiffness in his right ankle. We find out the compensation patterns during the gait assessment.
burnaby physio vancouver physiotherapy gait assessment biomechanics
This DIY series outlines how to perform a bike fit on your own. This episode focuses on how to set up saddle height. We go into examples of poorly adjusted saddles and how the body compensates for this.
Keywords: vancouver burnaby cycling bike fit physiotherapy physiotherapist assessment knee angle pelvis
EC PHYSIOTHERAPY 