Sports injury and orthopaedic rehab at Balance Performance Physiotherapy

If you’re unfortunate enough to suffer an Anterior Cruciate Ligament (ACL) rupture as Lucas Leiva did last week – the Brazil international will miss the rest of the season having injured his left knee during Tuesday’s Carling Cup quarter-final victory at Chelsea – as a professional footballer reconstructive surgery is essential to return to the game.

If you’re not a pro but the injury results in your knee continuing to irregularly give way, an operation to reconstruct the ACL is really your only option, especially if you aspire to have an active lifestyle. At Balance of course we actively encourage you to ask for more and expect more from yourself. However whether pro athlete or not the operation is only effective if followed with quality rehabilitation executed with discipline and patience. Ensure your rehab guides you far enough down the road for you to achieve a complete recovery, give you absolute confidence to return to your sport and has provided you with resilience to future injury (either to the same knee or another structure that becomes vulnerable due to inadequate rehab). Of course there is no such thing as invulnerability in a human but to reiterate – you should be asking more of yourself and more of your physio or sports therapist. Do not pull up short!

Hamstring grafts are the grafts of choice these days but patella tendon grafts can also be used and do well.

Here’s the kind of schedule you’d expect going into rehab post operatively, which is initially quite straightforward:

Weeks 1-4 focussed on range of movement.

Return to sport at 5-6 months and contact sport soon afterwards.

This timeline is dependant on the quality of rehab, the individuals discipline and motivation, their unique circumstances and complications.

Most surgeons would like to see their work relatively protected for 9 months post op.

Balance got world class judo player Winnie Gordon competing in European champs at 5.5 months but that is rare. He went in to surgery on with a good level of preinjury knee strength which gave him a useful functional reserve.

Like every injury ones success is dependent on quality of training, movement, control and motivation.

At Balance we use tools that provide results, consequently we have a vast array of “toys” to work on specific weaknesses identified in our clients. There are some tools that we use over and over again, equipment that makes rehab more effective for a variety of reasons. one such reason is the ability to introduce something as early within the rehab process as possible to familiarise a client with the tool and also because we use equipment that is scalable – it can be used with more or less intensity depending on the stage of development a client has achieved.

For example Trigger Point Performance Therapy (TPT) and Alter-G partial weight bearing treadmill are used at very early stages in ACL rehab, CrossCore180 and kettlebells arent far behind. We make use of all of our available space: in Clapham and Fulham we have 1,000s of square feet of space to utilise and matted areas for essential ground work.

When an individual has focussed on prevention (prehab) prior to their current injury (remember there is no such thing as invulnerable) their subsequent recovery is much faster. Such prehab involves a mindful approach to movement skills, joint mobility, intelligent recovery following practice/training/competition: sports massage, self massage (Trigger Point Performance Therapy), hydration and nutrition, good quality sleep, stress management (mental and emotional).

As for Lucas, he and Liverpool are now considering when last season’s player of the year should undergo surgery.

The team at Balance are exceptionally experienced at treating ski and winter sports injuries. Not only do several members of the team ski but all are experienced in treating Orthopaedic injuries. So if you have hurt your knee and ruptured your ACL or torn your mensicus then we can help. Or you may simply want to know what exercises you do to strengthen you legs before go, book a session with one of our experienced personal trainers.

Ski boot or board shoes not fitting well? Come and see our Sports and Orthopaedic Podiatrist Mick Habgood to get your ski boots perfectly fitted.

The Balance team are very proud to have been working with Claire for a while now and have helped her come back from several problems. But don’t let us tell you about it, hear it straight from Claire. Follow the link to read the whole article on Famously Fit’s website.

<a href="http://www.famouslyfit.com/celebrity-fitness/claire-bennett-no-2-great-britain-fencer-injury-rehab-and-balance-performance"

Graham and Jonathan are both working all week at the ATP Tennis Finals at the O2 this week. Both Graham and Jonathan have been working in professional tennis for over a decade now. Yet their passion and commitment to working with high level athletes continues.

While Graham works all year on the ATP travelling the world, he continues to maintain a part time clinical list at Balance where he is able to share his knowledge with the team as Clinical Director and clients can benefit from his expertise when they see him in his capacity as a Consultant Physiotherapist. We wish Jonathan and Graham and all the players the best for the last tournament of the season.

I risk going on a bit too much about the WarMachine or Crosscore 180. But it represents so much of what Balance Performance is about. Practicing movement to achieve functional movement that is fluid, flowing, accurate, precise, full of intent and purpose. Functional movement is dynamic, rotational, variable in speed and intensity: we recommend use of bodyweight, dynamic resistance (kettlebells), and bodyweight plus eg. the WarMachine.

I was asked by a journalist from Health Club Management about the difference between the WarMachine and CrossCore 180. For some WarMachine seems a bit too confrontational so prefer the name CrossCore 180. The military, MMA, combat sport and strength/conditioning coach community have few issues with the WarMachine. Schools and colleges, sports teams, commercial fitness gyms, physiotherapists, rehab facilities and pilates studios feel CrossCore 180 “Turn your Game Around” is more appropriate for their clients. At Balance Performance where we have a mix of clients following a path of rehabilitation and those focussed on improving sports/functional performance right from the outset we quickly educate them that the WarMachine that hangs in our centre is accessible to all!

Whatever label you choose the challenge of “pulling the pin” remains. Rotational movement is available once control of simple symmetrical movement has been achieved – rotation/spin/twist and turn is what the human animal does and needs to maintain and improve.

The Lissom Technique is the truly innovative creation of two exceptionally gifted specialists in human movment and part of the Balance strength and conditioning team Julien Diaz & Jason Prog.

Lissom is a free flowing movement technique that encompasses a combination of simple but challenging moves and stretches to build core strength, flexibility, balance and endurance.  The movmements used in Lissom stem from movments which have been in use for centuries through dance, martial arts and most importantly play. Lissom takes technicaly difficult moves and breaks them down into managable and enjoyable routines.

The Lissom technique  has been born out of the need to challenge both the physical and mental elements of our bodies.  Our bodies are designed to move in a free flowing and dynamic way, yet in todays society we have become very rigid in our movements as a result of the computer generation.  

Using body resisted exercises is both physically and mentally challenging.   It is this type of movement which really challenges the body’s stability and coordination and strength.  Using precise techniques to achieve good alignment through movement brings fluidity, stability, flexibility and strength.  Overall, there is a feeling of body empowerment, liberating your body and mind. 

There are two Lissom classes at Balance at 7am and at 7pm every monday, please call to book or for more information.

Introducing the WarMachine for the ultimate in “3D bodyweight training.”

Jonathan Lewis, Cj Swaby and Ricardo Abreu will be sharing their expert knowledge and experience of how to get the most from this exciting piece of kit.

They will go through basics of press, pull, legs, trunk and combined, compound movements  before “pulling the pin” and meeting the challenge of rotational control.

There will be plenty of tuition and group work using the WarMachines so there will be plenty of time to practice and ask questions to learn how strength, endurance, and power are delivered with balance, control and flow.

 Cost is £35.

For those that decide they can’t do without CrossCore’s Pulley Suspension System in their lives £35 will be discounted from the cost of your WarMachine.

 But we’re not selling time shares! You don’t have to buy one! Just as use of the WarMachine is increasing at Balance Performance gym  you will start finding War machines across London and UK so if you want to get the maximum from them this workshop is unmissable. 

Call 02076272308 to book a spot or call Jonathan with your questions on 07960 861 267.

Look forward to seeing you there,

Regards

Jonathan.

 www.crosscore-USA.com

http://bit.ly/ijyJKr

Just want to make you all aware of a very exciting course coming up at Balance Performance Physiotherapy and presented by CJS Fitness on Sunday the 13th of March 10am – 5pm.

The course will be presented by Naeem Akram the “Running Engineer”, click on the link below to read more and book online.

There is an exceptionally good early bird special offer of £75.00 if booked before the 26th February, there is a further 10% off that price available to the Balance network by entering the discount code 2011BALANCEPOSE when booking, places are obviously limited so move quickly to guarantee your place.

After that date the price rises to £129, the 10% discount code offer will still apply.

http://poserunningworkshop.eventbrite.com/

See you there

Chris Chirsalys - professional circus/sideshow performer

This article was written by J.P. Brice. Co-inventor of the War Machine Suspended Pulley Trainer by CrossCore, Inc.

Bodyweight training. It’s been around forever. But as the sports of bodybuilding and powerlifting really started to evolve in the 50’s and 60’s, we became fascinated with big, shiny, “muscle specific” machines and training with massive amounts of weight. Bigger was better, especially in the 80’s when I began lifting. Well, I will always have a deep passion for bodybuilding and heavy weights. It’s just who I am. But, now that I am almost 40 with three bulging discs caused by all the years of heavy squats and shrugs, I now tend to put longevity first when I train. After all, big muscles are really only temporary, but your tendons, joints and skeletal system are forever and you’ve got to take care of them.

Nowadays there is a growing focus on getting back to the basics. By basics I mean bodyweight training, tire flipping, kettlebells etc. I personally think the recession the past few years has had a lot to do with this. Lets face it, lifting your own bodyweight is pretty affordable compared to a rack of dumbbells. But at the same time I also think that we are all realizing after sixty years of huge leaps in fitness equipment technology, that good old fashioned basics can often give you the same desired end result, if not better.

Today some of the most popular bodyweight training routines include suspended straps. Some are made from two separate straps and some are joined together in a Y configuration toward the top near the anchor point. There are many great attributes of these straps such as allowing us to workout at many different locations, giving us a wide range of exercises that can isolate each muscle or combine many in the same movement…including the beloved “core” we all hear about these days. Straps give us a variety of multi-planar, compound exercise movements that tend to be much easier on the joints because they compliment the body’s natural mechanics. I have to be honest, as a heavy weightlifter of over twenty five years, I first laughed at these straps. I thought, “These don’t weigh 500 lbs….what use could I possibly have for them”. After I was able to shove my ego to the side I soon realized the benefit bodyweight training could offer even me. I now incorporate bodyweight training into my workouts and all my shoulder pain has gone away and my back is much better than it used to be.

Now that I have covered why I personally think bodyweight training is making a comeback and what it has done for me, let me put a different “spin” on things. Imagine adding a 3rd dimension to bodyweight training with suspended straps and even gymnastics rings. An improvement of balance through imbalance. The 3rd dimension I speak of is by way of adding a pulley to these straps that now gives your presses, pulls and everything else you did before, “rotational movement”! Because rotational movement now allows you to train one side of the body at a time or both together, any limitations your bodyweight training routine had before are now totally gone. The balance this improvement creates and the mind-muscle awareness you gain in your form and overall functionality is incredible. Rotation is also great for telling your weak side it had better quickly catch up with the dominant side. I know, my fellow weightlifters out there are still skeptical. But hold on, I’m getting to the icing on the cake for you. The implementation of the suspended pulley also allows you to attach counterweights to one side. These counterweights can range from kettlebells to weight plates. I like kettlebells because they balance perfectly when being hoisted on a pulley. The isolation exercise capability via freeweights (curls, tricep extensions, lat rows, etc.) is now just like being at the gym and the single pulley transfers all the actual weight to the handle so not much weight is needed. If that wasn’t enough, resistance bands can be used in place of the counterweights to give the user even more resistance versatility, not to mention a whole slew of different cable attachments that can be used.

This new “hybrid” concept in bodyweight training equipment is sure to please the beginner all the way up to the elite athlete and I’m convinced it is the future of many exciting things to come in our industry. Now get out there and do the “iron cross” on those rings…but this time with rotational movement!

J.P. Brice
“Life’s A Battle…Prepare For War”
www.crosscore-usa.com

The WarMachine is available in the UK and throughout Europe from Balance Performance shop. Click on this link and take a look: WarMachine

Tight hip flexors and imbalances, weak gluteals – does this sound familiar? It happens to elite ATP pro tennis players as well as the recreational athletes we see from Clapham, Stockwell and Brixton.

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