Injury Proof Brochure

8/9/2019 Injury Proof Brochure

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INJURY PROOFBecome

Featuring Movement Based Healthcare and 5 Site Integrity

Get assessed and fnd answers


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STEP ONE:

examine movementBefore beginning any program or service at FITS we identify your athlecism

and your susceptibility to injury with the rst of its kind in the world, our INJURY

PROOF PROFILE featuring 5-Site integrity.


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Most testing is performed as if the

was a black box surrounding the

athlete. They only thing that mat-

ters is recording the outcome; eith

distance reached, the time taken t

perform a task, the amount lifted,

in more sophisticated testing forc

produced, power, and other physi-

ological parameters. The black bois hiding valuable information abo

how the athlete moves to develop

the outcome. Failure to analyze

movement produces misdirected

training recommendations leading

to higher injury risk, poor perfor-

mance, and poor transfer into spo

performance.


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Move correctly and become

INJURY PROOF90 percent of sports medicine injuriesare related to the forces that we are ex-

posed to during practice, competition and

in life. The forces acting on our bodies

are controlled by our movements - see

injury proof paradigm. If we move

correctly the forces acting on our bodieswill be distributed properly , making us

injury proof. This is a simple, but very

true statement.

At FITS we investigate movement to

determine injury risk and the impact of

movement on performance based on

understanding joint loads, injury mechan-

ics, force production and motor control.

As a result of testing 1,000s of athletes

ranging from young amateur athletes to

professional and Olympic athletes weve

developed our FIT standards for move-

ments, which have been adopted by

several Provincial Sport Organizations.

These standards give protection against

most injury forces encountered duringpractice and competition, in addition to

improving our movement efciency and

in turn our performance.

The images below on the left are correct

movement patterns, while on the right

are dynamic valgus (inward movement

of the knee) - one of many typical move-

ment dysfunction we look for. Athletes on

Young male athlete displaying proper movement skill of overhead

squat, squat, and single leg squat. Notice he is able to achieve a

position below parallel while maintaining a neutral spine position.

Figure 1:


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the right range in ages from young kids

aged 11 to a fully mature professional

athlete. What is amazing is the high

prevalence this movement dysfunction,

where approximately 80 and 70 percent

of female and male athletes across allages present with dynamic valgus.

The young athletes on the left do not

have pain while the athlete on the far

right is experiencing left knee pain that

is severely limiting her performance - de-

spite winning major professional awards.

The difference between these athletes is

the accumulation of damage over years.What is expected is that the young ath-

letes will progress into knee pain if the

dynamic valgus isnt corrected. We can

correct the movement pattern and in

the example the professional athlete

after 8 weeks of development no longer

displays dynamic valgus and her perfor-

mance has signicantly improved.

Because we have years of experience

and we are constantly rening and

testing our approach we can offer the

highest standards in care. When this is

combined with our unique approach tointegrate our sport medicine services

with how we develop motor skill and

output qualities we can make you Injury

Proof.

In images 1,2, and 4 notice how in response to a single leg squat that ath -

letes knee buckles inward and in 3 the knees collapse inwards bilaterally.

This movement dysfunction is termed dynamic valgus and it is the source

of many knee problems that can be corrected.

Figure 2:


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Posture Mobility Movement Output Capacity

Defnition The resting

position of your

joints.

A measure of the

range of motion of

key joints in your

body.

Do you move cor-

rectly? Are youcoordinated? Are

you damaging your

body by a move-

ment dysfunction

that you dont even

know youre doing?

Do you have

enough strength tohandle the loads

being applied to

your body? Can

you react to a sud-

den load applied

to your body before

you buckle?

Your capacity is

how your aerobicand your anaero-

bic energy sys-

tems functions. D

your movements

become sloppy

when you becom

fatigued?

ImpacttoyourLIFE

The resting

position of your jointshas huge implications

on: the function of

your muscles and fas-

cia; your joint mobility;

and your nervous sys-

tem. All these factors

alters your ability to

move correctly.

Without proper joint

mobility you will not be

able to move correctly.

The way you move

dictates how loads are

applied to your body.

This is the main focusat FITS, because

incorrect movements

lead to pain, inam-

mation, injury and sub-

optimal performance.

Correct movements

give you the ability to

be INJURY PROOF

and perform to your

full potential.

How you move is lim-

ited by four important

output factors:

a) your ability to

produce force

b) your rate of force

development;

c) your ability to

handle large, rapidly

applied forces

d) your reactive ability

Without adequate

capacity your mov

ments will become

dysfunctional, lead

ing to uncoordinate

movements.

INJURY PROOF PARADIGMA Movement Based Approach


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1. HISTORY AND GOAL SETTING:We take a complete medi-

cal history and listen to your goals.

2. ANALYSIS: Using cutting edge video motion capture and 5

Site Integrity we analyze your posture and how you move and

produce forces during low load, high load and sport specic

movements.

3. HANDS ON-EXAMINATION: We perform a focused

orthopaedic evaluation and manual muscle testing of

identied areas.

4. REPORT: We provide a report explaining our ndings and

we develop a plan to correct identied movement

dysfunctions through posture, mobility, movement, strength,

power, reactive abilities and work capacity.

5. TREATMENT with TRAINING:Factoring in your lifestyle and

your goals we combine therapies with clinical

conditioning to develop proper movement patterns and to cor-

rect postural habits.

6. REPORT: We provide a report explaining our ndings and

we develop a plan to correct identied movement dysfunctions

through posture, mobility, movement, strength, power, reactive

abilities and work capacity.

INJURY PROOF ASSESSMENT


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MOVE

CORRECTLY


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ShoulderSam is known for her spiking, but over the sea-

son shes developed a lot of pain in herhitting shoulder and neck. At rst she could

work through the pain, but now even volleying

hurts. She has been sidelined for three games.

Her game performance has been on the de-

cline since the injury. She is currently in high

school and is looking for a volleyball scholar-

ship.

SAM with the Terrible

How we helped


Relevan

tFindings

She has anterior head

carriage, internally rotated

shoulders, and a hyperky-

photic thoracic spine.

Her hitting shoulderis elevated and more

internally rotated that her

opposite side.

She is unable to raise

her arms above shoulder

height without pain in

exion and abduction.

She displays habitual

thoracic hyperkyphosis

with scapular dyskinesia

during sitting, reading,

working on the computer

and when performing

sport specic movements.

Scapular diskinesia is

pronounced with gleno-

humeral movements

about the shoulder or

when loaded.

Weak lower ber of trape-

zius and external rotators.

Unable to perform exter-

nal rotation with weights

10% of biacromial bench

press.

Scapula cannot remainin ideal position during

shoulder movements

above 60 degrees in ex-

ion, abduction, and during

pressing movements.

Unable to perform o

correct lower ber of

trapezius movement

Treatments

Iontophoresis with Vultar-

en to reduce pain and in-

ammation. ART and acu-

puncture to address fascial

restrictions focussing on

her pectoralis fascia, pec-

toralis minor, subclavius,anterior scalenes.

For thoracic spine mobil-

ity we performed adjust-

ments, Mulligan Technique

and self-rolling on a foam

roller.

To address her shoulder

mobility we focussed softtissue techniques on her

scapular protractors and

internal humeral rotators.

Establish proper scapula

movement during all

gleno-humeral move-

ments.

Develop strength endurance of scapular stabilize

namely focussing on lower bers of trapezius, ex

rotators, and serratus anterior.

Results Full resolution and full return to competition.

My injury may have been the best thing that has happened to me.Im feeling better than before my injury. In fact Im hitting harderand more consistently. THANKS!!


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KneesSarah has patellofemoral knee pain and isunable to run. Efforts to treat her knee with

laser, ultrasound, and rehab exercises to

strengthen her VMO have been ineffective.

She has become very frustrated, because

despite her efforts she is still injured.

After 10 weeks of care, Sarah no longer has

knee pain. She is able to run and she is very

optimistic about this upcoming season. In fact

during her rst race she performed a personal

best.


RelevantFindin

gs

Normal and complete range of motion. Pain with

loaded knee exion.

Unable to properly dem-

onstrate hip hinge.

Demonstrates quad domi-nate pattern.

Demonstrates dynamic

knee valgus on landing

from a 35cm box, take-off

from the ground, and dur-

ing all cutting and power

development movements.

Unable to squat, lunge

and perform a

single leg squat without

displaying dynamic kneevalgus.

All explosive movements

and deceleration move-

ments cause dynamic

knee valgus.

Aerobic conditioninbelow average for h

sport and competiti

level. During anaer

testing as she beca

tired her pattern wo

as expected.

Treatme

nts

Develop hip mobility, thoracic spine, and

Teach patient to hip hinge

, basic movements (such

as squat, lunge, and

single legged squat), and

improve sport specic

movements to spare theback from aggravating

forces.

Teach patient proper lift-

ing, sitting and postural

habits to reduce habitual

stress to low back

Sarah performed our Anti-

Dynamic Knee Valgus

Protocol which develops

the athlete ability to

control their knee. Thisapproach is staged and

progressively loads the

athlete based on their

ability to control their knee

position.

Sarah developed h

aerobic and anaero

ergy systems in the

initially and progres

to incorporate unloa

work capacity exercAfter 8 weeks Sara

able to run and was

to control their knee

ing all dryland move

without pain.

How we helped

Sarah with the bad

Results Im racing the best of my life. Who ever would have thought Id be better than bfore the injury. I always wondered where I would be if I wasnt in pain during traiNow I dont have to wonder anymore. Training has been incredible. THANKS.


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Frank had low back pain for years and because

of pain he was unable to train, he spent over24 games on the disabled list, and his back

constantly bothered him. His back pain stared

as a dull ache in high school, aggravated when

he would squat. Soon it became difcult to

play, requiring pain medication to get through

the game. Now its a stage where he wonders if

his career is over.

Back PainFranks Never Ending

How we helped


RelevantFindings

Antalgic gait. Sits with

a spine exed. Anterior

head carriage with inter-

nally rotated shoulders.

Genu Varum of the knees.

Tightness in hamstrings

(ASLR at 60 degrees), hip

exors, external hip rota-

tors. Limited lumbar ex-

ion and lateral bending,

approximately 60% and

70% respectively when

compared to normal.

Thoracic spine is hyperky-

photic and rigid. Scapular

movements demonstrated

scapular winging.

Unable to properly dem-

onstrate a hip hinge and

bends with spine exion.

Activities of daily living are

performed with initiation

of movement with his

spine and with his spine in

exion.

Demonstrates poor lift-

ing mechanics without

abdominal bracing when

lifting a 28lbs box.

Unable to demonstrate

proper airplane move-

ment.

Force and rate of force

development are normal,

but are below average

when compared to other

professional hockey play-

ers. Movement dysfunc-

tions are present which

limit his force and power

production. Pain was

experienced during force

and power testing local-

ized to his low back.

Holds neutral spine

to 60% of capacity, bridge discrepancy

50% right 40% left o

ideal.

Treatments

Acupuncture to relieve

pain and combined withART to address fascial re-

strictions in his hip exors,

low back and hamstrings.

Develop hip mobility, tho-

racic spine mobility, and

improved mobility about

the shoulder.

Teach patient to hip hinge,

basic movements (such

as squat, lunge, and

single legged squat), and

improve sport specicmovements to spare the

back from aggravating

forces.

Teach patient proper lift-

ing, sitting and postural

habits to reduce habitual

stress to low back.

Develop hip hinge force

and power developmentwhile grooving proper

spine mechanics dur-

ing strength and power

exercises.

Develop neutral spinholding capacity in t

plank, side bridge, t

exion hold and bac

extension.

My back feels incredible. Im no longer in pain and Im playing the best I ever

have.I never would have thought FITS would make this much of a difference.

Incredible. I would recommend it to anyone. THANK-YOU

Results


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