Monday, July 26, 2010

LET OEM BE

Sally Young
yo-sal@cox.net

Snakes top the list of the most feared animals in the world. Although snakes think the same of humans, trail runners should know how to avoid them and what to do in case of a bite.

Snakes hibernate in underground dens that they return to for generations, creating an Indian Jones scene of hundreds in entanglement. Since they are cold-blooded and become active at temperatures above 70°F, start to look for them as spring turns to summer, especially on sunbathed flat surfaces, including roads.

What you will need most for a snakebite is a set of car keys, a vehicle, and cell phone to advance notice to a medical facility. Complications are avoided by prompt treatment. Stay calm: venom is the snake's lunch money and it may not want to waste it on you, so the bite may be dry.

Remove jewelry before swelling sets in. Immobilize the bitten area; wrap a wide cloth bandage about two inches above the bite, between the bite and the heart, as tight as you would for a sprained ankle, to prevent the muscles from pumping and spreading the poison. Seek medical help for non-venomous snakebites as well to prevent infection and complications.

Gait Analysis – Examination and Treatment of Shin Splints

Damien Howell, PT, MS, OCS
Damien@DamienHowellPT.com

The manner in which you walk or run can be a factor contributing to a repetitive use injury of the lower extremity.

Pain in the lower leg, commonly called shin splints, occurs in response to a variety of activities including dancing, jumping rope, walking, and running. Novice runners and individuals with poor fitness level frequently experience shin pain. An in-depth review of the scientific literature on this topic found thirteen different movement faults related to the development of shin splints. These movement faults can be identified using slow motion video gait analysis.

Movement faults which are easy to recognize are excessive pronation of the hind foot or excessive pronation of the forefoot. Movement faults which are more challenging to recognize are a rapid re-inversion or supination of the foot, a prolonged amount of time the heel is in contact with the ground (excessive dorsiflexion of the ankle), and excessive adduction (inward movement) of the leg. Excessive inward movement of the leg can be seen looking at the walker or runner from behind, there will be a lack of space or daylight between the knees (knee knocking) or the foot will cross the mid-line of the body. Describing the thirteen movement faults in layman’s terms is beyond the scope of this short article. Working with a healthcare professional skilled at using slow motion video gait analysis can determine if you’re walking or running form demonstrates one of the thirteen movement faults.

Identifying a movement fault provides an exciting opportunity to alleviate or decrease the symptoms through conscious correction of the manner in which you move when walking or running. If conscious modification of walking or running form decreases or alleviates the symptoms it provides compelling direction in order to treat and alleviate the problem.

Several of the thirteen movement faults cannot be corrected solely with conscious modification of movement. Modification or correction of the movement fault may require modification of equipment such as adding a shoe insert, changing the model of shoe, or remedial strengthening exercises. Movement faults that occur when walking or running can often be explained by lack of talent or insufficient practice of ideal form. An example is taking too long of a stride. However movement faults may occur because of underlying anatomical or structural issues. An example is an individual is born with a minor hip dysplasia would likely demonstrate odd movement patterns when walking or running. Visualization and recognizing movement fault using slow motion video gait analysis can help problem solve whether clinical examination is needed in order to identify anatomical and structural issues.

It is important to recognize that the manner in which an individual walks or runs can be just one of several factors contributing to the development of shin pain. A thorough examination and analysis can identify mistakes in terms of progression of amount of walking or running, specific muscles weaknesses, and possible areas of inflexibility which also need to be addressed.

The process of reviewing the scientific literature to identify specific movement faults related to the development of specific repetitive use injuries, and than using slow motion video analysis to identify an individual’s movement faults in order to provide direction for individualized intervention is a sound approach to solving problems related to repetitive use injuries.

Bottom line:
* There are 13 different movement faults related to the development of shin splints
* Slow motion video analysis can identify an individual’s movement fault
* Knowing which movement fault is occurring provides direction to most appropriate treatment.

Thursday, July 8, 2010

Healthy Runner Clinic on July 21

Williamsburg Physical and Sports Therapy and William and Mary Athletics present "The Healthy Runner" - Wed. 7/21/10 from 7-9 PM at the Linkenauger Athletic Training Suite in the Jimmy Laycock Football Center. Learn proper training techniques, hydration, recovery tips and more. You will receive a full strength, core, flexibility and foot assessment. You will get a home exercise plan based on your assessment to help you be a healthy runner. Complementary. Presenters: Kristina Carter, PT, DPT of Williamsburg Physical and Sports Therapy Center and Steve Cole, ATC of William and Mary Athletics. Register at 757-220-8383.

Monday, July 5, 2010

Ed Moran Wins US 10K Road Racing Championship

Ed Moran was the first place American at yesterday's Peach Tree Road Race in Atlanta winning the USATF 10K Road Racing Championship - http://running.competitor.com/2010/07/news/ed-moran-wins-u-s-10k-road-championship_11154

Congratulations, Ed!