Monday 29 August 2011

Clinical Pilates
By Megan Mac Vay



Clinical Pilates is a form of physical exercise that focuses on posture, spine and core stability, balance, control, strength, muscular symmetry, coordination, flexibility, proprioception and breathing. The Pilates Method was developed by Joseph Pilates in the early 20th century in Germany.

Pilates is a very popular form of exercise for the old and young, particularly amongst woman. This however, need not be where it ends. Clinical Pilates can also be used in conjunction with physiotherapy and Biokinetics as a means of treating a variety of injuries, particularly those of the neck and back.

Recent research advocates the retraining of the deep stabilizing muscles in the back for patients with lower back pain. Clinical Pilates focuses on the retraining and recruitment of these stabilizing muscles (core stability) as well as improving posture, strength and flexibility.

What’s the difference?



Generic Pilates - a means to exercise directed at the general public.
Clinical Pilates - aimed at those with certain injuries and as such is used as a rehabilitation tool by those who are qualified in rehabilitation. Clinical Pilates identifies this key issue by applying carefully selected exercises for people with specific injuries. This ensures optimal gains whilst minimizing the likelihood of aggravating the injury.

Benefits of Clinical Pilates




There are numerous benefits to be gained from performing Clinical Pilates exercises. Some of these include:

·         Improved posture and core stability
·         Increased muscular strength and flexibility
·         Prevention of injuries
·         Aiding rehabilitation
·         Restoration of normal movement patterns
·         Enhanced breathing control
·         Increased co-ordination and muscular control
·         Firmer and flatter stomach muscles
·         Improved overall body tone and fitness
·         Improved balance


Research? A case study of a 48 year old man with chronic lower back pain revealed an 85.1% improvement for pain intensity and an 87.7% improvement in Oswestry score for functional disability after just six therapy sessions in which Pilates was used as an exercise tool.

Pilates is used to successfully treat or manage many common conditions and diseases, including:
·         Spinal injuries
o Herniated or degenerated disc, sciatica, unstable sacroiliac joints, scoliosis, arthritis, spondylolisthesis and spondylosis
·         Total knee/hip replacements
·         Multiple Sclerosis
·         Parkinson’s Disease or Multiple Sclerosis
·         Fibromyalgia
·         Postural and biomechanical weaknesses
·         Sports conditioning and injury prevention


Tuesday 23 August 2011

Exercise and Weight Loss

by Lauren Williamson Moloi

We all know the excuse, “I just don’t have the time to exercise”. Well considering that there are 1440 minutes in every day, it isn’t unreasonable to schedule 30 of them for physical activity!
Regular exercise is a critical part of staying healthy. People who are active live longer and feel better. Exercise can help you maintain a healthy weight. It can delay or prevent diabetes, some cancers and heart problems.
In terms of weight loss, you need to expend / burn (physical activity) more energy (food) than you consume. Exercise is a key way to do this. When you exercise regularly, you build stronger muscles. Muscle cells burn more calories than fat cells throughout the day, even while you are resting. This helps boost your metabolism.
How much exercise you need to make a difference in your weight depends on how much you eat and what activity you are doing. The combination of exercise and diet is the best way to control your weight. It is often very daunting to initiate any type of eating and/or exercise training program, but a Biokineticist can help with guiding you as to the best types of exercise, as well as the intensity of training that you will require. Motivation is the crucial part of this weight loss equation. YOU HAVE TO WANT TO CHANGE YOUR LIFESTYLE ON A PERMANENT BASIS.
Aerobic exercise is exercise in which you are continuously moving a large muscle group such as in your arms legs and hips for a period of time. Your heart rate gets faster and your breathing becomes deeper and faster.
All adults should get 2 1/2 hours of aerobic exercise spread out over a week, but should be done for at least 10 minutes at a time.
All adults should do exercises to strengthen the muscles at least two days a week. These activities can include push-ups, sit ups, using resistance bands (like therabands), or lifting weights. Make sure to do exercises that work on all the parts of your body.
Making a Commitment
The decision to keep fit requires a lifelong commitment of time and effort. Exercising and eating right must become things that you do without question, like bathing and brushing your teeth. Unless you are convinced of the benefits, you will not succeed.
Patience is essential. Don't try to do too much too soon and don't quit before you have a chance to experience the rewards. You can't regain in a few days or weeks what you have lost in years of sedentary living, but you can get it back if you keep at it. And the prize is worth the price.
You should always check with your health care provider before you begin any new form of exercise.
REMEMBER!
“NOTHING TASTES AS GOOD AS SLIM FEELS!!”  

Tuesday 16 August 2011

Strength, how do we gain it? Why do we lose Strength? The benefits of strength training

by Mr A.E. Hoosen

Strength is the ability of our muscles to overcome resistance. As you may be aware of your experience or from the experiences of others around you, strength can be gained and lost. This is as a result of a phenomenon described by the SAID (Specific Adaptations to Imposed Demands) principle. We take advantage of this by maintaining or improving our strength by performing some form of resistance training. Most perceive resistance training exclusive for the herculean fellows who frequent gyms, but as you shall hopefully read further on it is important for us all.

How do we gain strength?

We gain strength by repeatedly exposing our body to some form of resistance. There are three movement patterns which can be employed; isometric, isotonic and isokinetic movements.

Isometric movement is when one applies a force to an object, the object does not move and area of effect in the muscle occurs at one specific angle in the joint’s range of movement (ROM). An example of this would be when one tries to open a bottle and the lid does not budge.

Isotonic movements are movements where one applies a force to an object, the object moves as a result and the demand on the muscle occurs in a wider range within the joint’s ROM. This is the most common form of activity that people perform e.g. running and shall be discussed in further detail later.

Isokinetic movements occur when one moves a resistance provided by a dynamometer, at a specified speed and the demand of the muscle occurs at a specified range of the joint’s ROM. Isokinetic machines used to provide isokinetic training are limited in their use due to lack of proliferation of these machines due to the great expense of this equipment. Its value is that we are able to measure the strength of muscle groups that provide a specific movement and is useful to researchers, athletes and individuals who require some form of injury rehabilitation.

As mentioned above isotonic movements can be used to describe nearly all forms of activity; swimming, walking, lifting the groceries from the boot, brushing your teeth to training in a gym. For this discussion, what is important for you to know is there are two phases in isotonic movements. The first phase is the action phase or where you exert yourself to move against resistance, like standing up from a chair. The second phase is the relaxation phase, this is when you allow the resistance to overcome you and you return to your original position, from the standing position to the seated position. Most people just “plonk” in their chairs, but if you sit in a controlled manner using your legs and bum to slow your body down as opposed to using your arms to slow you down, the benefit of this will be seen in your legs.

Power, speed and muscle endurance can be trained depending on the level of resistance and the number of repetitions. Higher levels of resistance (75-90% of your maximum ability) performed with fewer repetitions (1-7 repetitions); tend to favour muscle power and speed. Lower levels of resistance (50-75% of your maximum ability) performed with higher repetitions (8-15 repetitions); favours muscle speed and endurance.

When one starts with training, one notices that within two to three weeks, one is able to perform against a higher resistance. This is due to improvements not specifically in the muscles but in the nerves that control muscle contraction. These nerves recruit muscle in a more efficient manner by increasing the proportion of the muscle fibres contracting at the same time and this result is seen in improved strength and enhanced muscle tone. Strength gains made after this are generally seen when the muscle increases in size (hypertrophy). This increase in size can be attributed to the gradual increase in resistance to the exercise or by increasing the speed of their action movement and by slow controlled movement in the relaxation phase

Why do we lose strength?

Our muscles are in a state of flux where protein components of muscle are constantly being added and removed. When we stop exercising or being active, we lose the speed at which we add protein to muscles. This has the effect of decreasing muscle size. Apart from decreasing muscle size, we dont use the neural pathways that connect to the muscle and the nerve component becomes inefficient and as a result a smaller proportion of the muscle fibres contract exerting less force and is displayed as weakness.

The Benefits of strength training.

Athletes benefit from strength training in the improvement of speed, power and endurance. Non-athletes also gain this benefit however this is generally not why they remain active in training. Increases in muscle tone and size are the aesthetic benefits of training. The increases in muscle mass, enhances metabolism, aiding those in weight loss programmes and can be a means of improving blood sugar control for diabetics.

Joint stability is enhanced, muscles that surround the joint become stronger and it allows for better joint mechanics which is beneficial for injury prevention. Enhanced joint mechanics coupled with better nerve efficiency results in improvements in overall balance.

Tendons which are the muscular attachments to bone also strengthen due to the repeated tension applied by contracting muscle. This is beneficial to those who have osteoporosis. Due to the tension applied to the bone, via the tendon and the muscle working against a resistance, bone density can improve if the appropriate stimulus is applied. The enhancement of balance means that the chances of a fall occurring are less likely. This is most favourable to the person who wants to prevent the progression of osteoporosis.

As we age, our muscle composition and strength decreases. This is a natural process; however it can be slowed down to a degree allowing us to maintain strength, power and muscular endurance. Children can also benefit from strength training however children should approach with caution and must be supervised by a professional like a biokineticist. Body weight resistance exercises are appropriate for children, however with the ever increasing demands of high school sport, more youth are turning to weight training. In order for these individuals to train safely and avoid injury to their growth centres in their bones they should avoid heavy weights. Youth should focus on correct form and technique first using low intensity resistances, before progressing to a moderate intensity resistance.

Well thats it for all the theory - we look forward to seeing you in ACTION!





Wednesday 10 August 2011

Stretchy Subjects

By: Bailey Cockerill

Flexibility refers to the range of movement in a joint, and length in muscles that cross the joints. Unfortunately, this is a component that can be neglected in training and some rehabilitative treatment, but if used effectively can be highly effective in preventing injury and maintaining general wellness. However, if taken to the other extreme of being too flexible, can have equally adverse effects on joint structures, as there needs to be a balance between flexibility and muscle strength to ensure that anatomical structures are correctly aligned allowing joints to work in the correct biomechanical manor to which they have been designed for, reducing excessive degeneration in the joints, that already occurs with age.

Factors affecting flexibility include, genetic/heredity predisposition, age, gender and level of physical activity. Obviously some of which can be changed, others we just have to live with!
So how can one improve their flexibility and joint health? Nutrition and exercise!!


We all know exercise is vitally important for cardiovascular and metabolic wellness to name a few, but specific types of exercises are important for flexibility, namely – Stretching. Types of stretching include; the most common form used, static stretching, where you hold a stretch in a specific range for a few seconds. Ballistic stretching that uses a sequence of dynamic movements used largely by athletes and PNF (proprioceptive neuromuscular facilitation) stretching used mainly by therapists as it’s something that is more effectively done with someone else as opposed to just by yourself.
Alternatively there are forms of exercise that have a focus on flexibility such as Yoga, Pilates and certain types of dance if you find the previously mentioned types of stretching too boring.

Some points to remember whilst stretching:

  • Don’t hold your breath – this can cause other unnecessary complications
  • It should feel “comfortably uncomfortable” as if there is no pull no structural changes can take place
  • Stretch each structure in different lengths, ranges and positions to get the entire structure
  • A stretch should be held for about 15 seconds and repeated 3 times
  • Stretch REGULARLY to reap the benefits
  • Persevere…changes will not happen overnight

Nutritional recommendations focus more on actual joint structure health as opposed to muscle fiber, but we have to remember that the body works as an entire entity and therefore needs to be addressed as such. The following supplements have been suggested by various resources, but for more dietary information, talk to your doctor, pharmacist or dietician. (Remember: Talk to the relevant health care practitioner before starting any supplementation regime so that it can suit your specific needs)

Glucosomine - facilitates the renewal of cartilage and helps keep cartilage lubricated to maintain its naturally slippery texture

Chondroitin - supports existing cartilage by promoting the quality of the synovial fluid — it attracts fluid to act as a spongy shock absorber for the joints. It works together with Glucosamine to promote the healthy flow of water and nutrients into cartilage producing cells.

MSM – also known as Methylsulfonylmethane, keeps cells from becoming rigid and softens tissue

Interesting Fact – Why are women generally more flexible than men? The answer is – Oestrogen, which aids in tissues having more pliable properties which is particularly important during pregnancy, so unless you gentlemen would like to take over our incubative properties, let’s give the ladies this one!


Tuesday 2 August 2011

Hot Tips To A More Active Family!

By Tanya Bellon, Biokineticist

How to introduce exercise into daily family life

Daily exercise means starting a healthy new habit. Habits take some time to   
  establish.
Choose an activity that everyone can do and likes for example walking,
  cycling, kicking or throwing a ball etc.
Habits take time to develop. Be consistent by being active at least 3x per 
  week for 30 - 40minutes at a time for a month.
Instead of driving to a fast food outlet rather take a picnic to a park where
  you as a family can play with a ball or ride bikes.

How to improve your child’s and your sleep

Studies have shown that exercise performed 2 hours prior to bedtime
  improves sleep.

Making exercise a family affair!

Explore your surrounding areas as a family:
Walk or cycle to the corner café or park.
Walk to your neighbours and introduce yourselves.


Making exercise fun!!!! J
Let’s get active by being creative!

Create your own obstacle course:  

Skipping with rope; hopping; dancing to music; marching; star jumps; hopscotch; balancing, human wheel- barrow.

Games to play:  

Piggy in the middle; Bean bag and sack races; Soccer; Cricket; Swimming (when warmer).

Fun Activities:

Gardening; Walks around the neighbourhood; Bike rides; Take dogs for a walk.

Stretching – Play Simon Says!
Touch toes (hamstrings stretch); Pull one leg behind (quadriceps stretch); Hands behind back (chest stretch) Take one arm across body and resist with other arm (shoulder stretch)

Equipment Required:
Ball – piggy in the middle or soccer; Chalk - to draw hopscotch on drive way; Radio – dance to music; Comfortable shoes - to go walking around the neighbourhood; Skipping rope or a piece of rope; Bicycle and helmets – to cycle around neighbourhood.