Certified for the Y Balance Test

My productive effort today was to get certified for the Y Balance Test.  This test has been shown to be able to predict injury risk based on asymmetry and comparison to norms that the people over at www.move2perform.com are compiling.  I really like the idea of being able to confidently tell a patient that he or she is or is not at risk for further injury.  Especially those who want to return to sports.

We just bought the overpriced PVC to administer this test at my PT clinic (NorthShore University HealthSystem – 1729 Benson, Evanston, IL 60201).  So I am good to go to officially use it.  Not really a big deal, but just another reliable way to test my more athletic patients.

Recovering from Surgery

As you may know, I just had a right hip labral repair and femoral head osteoplasty last Wednesday, February 15th.  I had this surgery because I have been having increasing R hip pain for a few years that was becoming constant to the point where I could not sit or drive without pain.  As a PT, I had a pretty good idea that I had Femoro Acetabular Impingement and probably a labral tear, so I decided to get it checked out.

I have a feeling that working on deep squats (actually just full range of motion) and deadlifts in the past few years have not helped things, but I have a guess that it is probably related to my days playing soccer where I would feel soreness along my inguinal area the following day.  It turns out that it might be somewhat congenital as my sister has a similar problem in one of her hips and I have the CAM impingement on my left side as well.  But as research clearly indicates, the origin of CAM or Pincer Impingement as part of FAI is still unknown.

In researching FAI, I found a couple of good websites:
http://www.hipfai.com/
http://www.mayoclinic.org/medicalprofs/hip-arthroscopy-femoroacetabular-impingement.html
http://www.understandingfai.
com/

The take home message from these was that I needed to find an orthopedic surgeon who is a hip preservation specialist and has had experience with treating FAI.  To find someone in Chicago, I looked at the premier orthopedic surgeon group (formerly Northwestern Orthopedic Institute, now NorthShore Orthopedic Institute) and found my surgeon, Dr. Mark Dolan.  He has the right medical training, and everything he said made sense to me, so I proceeded with the surgery.  One of the things he said is that there is a theory that this surgery may delay the need for a hip replacement in the future and I am all for that.

I’m feeling pretty well today with almost no pain, just limited by my weightbearing precautions (50lbs on RLE – on crutches full time) and ROM precautions (90 flex, 0 IR, 30 ER).

Today, I found an article on training for individuals with FAI, which all makes sense to me.  I will definitely be incorporating some of this in my future training and exercise to limit damage in my L hip and protect my R surgical hip.

Functional Movement Screen Certified

After going to the Selective Functional Movement Assessment Certification Course 2 weeks ago, I have been reading a lot about Gray Cook and his other work, the Functional Movement Screen.

 

Since I am recovering from a right hip labral repair and femoral head osteoplasty, I decided that I would spend a few hours today studying up and getting certified in the FMS.  I think this is a great pre-participation screening tool that everyone should probably have done to them a couple of times a year.  It only takes a few minutes and can be completed with minimal equipment and can help screen the potential for injury (score of less than 14) or presence of a current problem (pain during testing).

 

The next step is to do a Selective Functional Movement Assessment if painful or find some corrective exercises that might help some of the deficits found on the FMS.  Since most people have several deficits, there is always something to improve.

 

Hello

I am creating this blog to help me keep track of all the great info there is available for rehabilitation and fitness specialists and to share what I have been learning about.  Let me know if you have any questions.

Shoewear for Running

I found this article on the reality of running shoes and running shoe prescription.  Ian Griffiths evaluates some of the assumptions about the types of running shoes and the evidence that evaluates those assumptions.

http://sportspodiatryinfo.wordpress.com/2011/02/02/choosing-running-shoes-the-evidence-behind-the-recommendations/

There are many running injuries every year and I personally believe that technique is more important than shoewear.

As my friends and family know, I have switched to vibram five fingers for the past 2 years (after reading Born to Run) and I think they are great.  I would advise you to consider trying them, but realize they are not for all foot types or all people.  If you have a very rigid foot, these shoes are probably not the best for you.  You should also consider your running surface in that softer surfaces are much easier for this type of shoewear.