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How Massage Fits Into Long Term Rehab

How Massage Fits Into Long Term Rehab

Keeping our bodies balanced and in good working order helps us maintain a good quality of life.  Anyone who has suffered an injury can testify as to how inconvenient injury and pain can be. In a lot of cases, poorly managed injury and pain can lead to long-term dysfunctions, preventing the individual ever returning back to normal.

 

Rehabilitation is your best chance for your body returning to normal. Doing nothing will typically mean long-term pain, dysfunction, and possible disability.

 

The benefits of massage therapy support successful rehabilitation. Pain reduces movement naturally because moving hurts when you injure yourself. Injury creates damage to muscles, tendons, ligaments, bones, skin and other soft tissues, which the body is trying to repair.  

 

By applying massage therapy, we improve the blood flow to areas that are often restricted, which in turn speeds up the healing process. If we are constantly stressed and in pain, our body creates tension in muscles, which restricts blood flow. Reducing pain reduces stress (cortisol), creating a more relaxed body with the parasympathetic nervous system in charge of ‘rest and digest’, and recovery.

 

When massage is applied in conjunction with specific rehabilitation protocols, it  can  then enhance the effectiveness of those programs.

Read more about it in this article


Remember the areas I cover are to treat for massage and injury treatment is Newent, Gloucester, Cheltenham and the Forest of Dean.  If you have any questions whether I can help you with your specific ache, injury or pain please just give me a message on my contact page. 

The 1# Cheat To Improve Your Squat

​Wouldn't you love to buy a bit of kit that would help you improve your squat ten fold?

Sounds too good to be true doesn't it?

Well.... this cheat is lifting shoes!

​How Do They Work?


Lifting shoes angle your foot so it is resting in a slight bit of plantarflexion (i.e movement of pushing your accelerator to the floor)

It does this by having a slight heel of around 2 to 2.5cm.

This slight heel increases plantarflexion by 3.5 degrees to 5 degrees, this then makes it feel like your dorsiflexion has increased. However it is more of an illusion as instead of your foot starting of flat it starts of slightly plantarflexed


​Conclusion


So if you are too lazy too follow my previous blog posts on fixing your squat this is a perfect cheat to help you squat a lot better by just changing your shoes!

If you aren't happy 'cheating' and want to improve your squat without relying on some magic shoes book in with me today to help you get on track and fully fit... see below for one of the many clients I have helped 

​​

Injury Treatment review


​L. Brymner

​Recreational Gym User

​​I had suffered a bad strain from the gym in my upper back trap area and was very immobile and causing me tension headaches. Rob managed to source the problem and relieve some of the soreness and get me on the road to recovery my back and neck were back too 100% within a couple of days and I was back in the gym, could not recommend rob more if you've got any pains or long lasting injuries I'd highly suggest you see Rob! Lewis



​For more information on squatting shoes give the below a read!

Sato, K., Fortenbaugh, D., & Hydock, D. S. (2012). Kinematic changes using weightlifting shoes on barbell back squat. The Journal of Strength & Conditioning Research, 26(1), 28-33.

The Most Important Part of the Squat

​Following on from last weeks post and 6 top tips for your squat  i'm going to be talking about the most important part of the squat... this being DORSI-FLEXION

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​What's DorsiFlexion?

​Dorsiflexion is the movement of bringing the front of your foot towards your shin.

It's such a simple movement and is crucial for an array of things from walking and running, through to todays topic of squatting.

How Does This Apply To My Squat?

The most crucial movement in a squat is maintaining a neutral or slightly extended spine as you lower down.

Once your lower back rounds into flexion (think of a nice curvy C), your form breaks, and there is a very dangerous load on your lower back and muscles.

 This obviously is the opposite of what you want, you are actually looking for your glutes to be loaded and firing. This doesn’t happen when you have your nice curvy C rounded back.

In an ideal squat, you are shifting your weight back just like you’re sitting back into a chair. This chair however is invisible!

So you’ve checked your form, and you sit back into your ‘invisible chair’ the posterior, and you lower down close to 90 degrees…and, you feel like you can’t get any lower! You try to maintain the form above and stop the curvy C but you just can’t keep your back straight and go lower!

You feel perfectly strong enough, but you just can’t get any lower and feel stuck.

This is you having limited or poor​ or however you want to describe it dorsiflexion

​How to check for a lack or dorsiflexion

1. Squat normally, check the angle between your hips, knees, and ankles.

2. Slide some 1″ blocks, weight plates or even books under your heels. Squat again and re-check the angle.

I’m guessing it got easier?! And you could sit further back!

 If the answer to the above was “yes”, you have reduced dorsiflexion.

It’s a questionable strategy to squat with the blocks under your heels, but it may train you into a better motor pattern until you resolve your dorsiflexion problem.

​Research that backs this up...

Now onto the nitty gritty ​that backs ​up all of the above!

Ankle dorsiflexion with flexed and extended knee has been found correlate significantly with squat depth, accounting for 38.8 and 23.7% of the variance in male and female subjects, respectively (p<0.05).

Hemmerich et al. (2006) reported that the average ankle dorsiflexion angle required was 38.5 ±5.9° during a squat. This is because the ankle is an important part of the closed-chain movement during deep squatting activities, limited mobility and stability of the ankle joint could inhibit performance of the proximal joints.

Boys Vs Girls

An important part to also mention is the slight variation that has been found between genders. The    ROM    of    the    ankle    dorsiflexion is a major factor affecting squat depth in both genders, followed by the hip flexion ROM in  male  and  actually ankle  dorsiflexor  strength  in  females.

For Further reading

Kim, S. H., Kwon, O. Y., Park, K. N., Jeon, I. C., & Weon, J. H. (2015). Lower extremity strength and the range of motion in relation to squat depth. Journal of human kinetics, 45(1), 59-69.

Hemmerich A, Brown H, Smith S, Marthandam SS, Wyss UP. Hip, knee, and anklekinematics of high range of motion activities of daily living. J Orthop Res, 2006; 24: 770-781 Equipment for squatting

​What to do if my dorsiflexion is lacking?

​You can book a session in with me, where I can tailor a plan not just to help your dorislfexion  but help with all the other movements and joints that help form a perfect squat.

Alternatively wait till next week where I give some advice on improving your dorsiflexion

​Lastly in the near future i'll be starting skype sessions to go 1v1 anywhere in the world to help tailor a plan to you, subscribe below to find out when this will be launching!​

Click Below To Book In Today!


6 Tips to get the most out of your squat

1

If you’ve got an existing injury or previous reconstruction of the PCL, it is best to restrict flexion (bending your knee) to 50°to 60°so that posterior shear force is minimized as much as possible.

If you are wanting to work your quads their development is maximized by squatting to parallel, with no additional activity seen at when you go deeper into the squat.

However hip extensor movements increase with increasing squat depth, so full squats may be beneficial for those seeking to maximize strength of the hip musculature i.e. glutes.

2

How fast should I squat?

The speed of the movement should be based on goal-oriented

Specificity to the force-velocity curve. However, given

that speed of movement has been shown to significantly

increase both compression and shear forces (You want to minimise this as much as possible) , there is a trade off between optimal transfer of performance and

risk of injury. This is especially true on the eccentric aspect (going down into the squat)

of the squat where rapid deceleration generates exceedingly high joint forces at the knee.

3

Failure to control this descent can result in the ballistic contact between the hamstrings and calf muscles,

which can cause a dislocating

effect on the knee ligaments. Therefore, unless

your goals specifically dictate otherwise, squat descent

should always be executed in a controlled fashion, with

a 2 to 3 second eccentric tempo is a good rule of thumb.

4

Additional muscles you can target when squatting-

A wider stance squat is preferable for those seeking optimal

development of the hip adductors and hip extensors.

Where as a closer stance is more appropriate for targeting

development of the gastrocnemius.

Stance can also be varied to alter joint-related forces: a narrow stance helps to

minimize patellofemoral and tibiofemoral compression

while a wider stance results in less forward knee

translation and thus reduces shear force.

5

Low bar or high bar?

Low bar back squats tend to produce greater hip extensor

torque and a decrease in knee extensor torque compared with high

bar back squats. However, the magnitude of forces for both

movements are well tolerated by the associated joint

structures.

This means it is down to personal preference where you decide to have the bar

The front squat produces significantly lower

knee compression and lumbar stress in comparison with

back squats, making it a viable alternative for those

suffering from various knee and back pains.

5

Low bar or high bar?

Low bar back squats tend to produce greater hip extensor

torque and a decrease in knee extensor torque compared with high

bar back squats. However, the magnitude of forces for both

movements are well tolerated by the associated joint

structures.

This means it is down to personal preference where you decide to have the bar

The front squat produces significantly lower

knee compression and lumbar stress in comparison with

back squats, making it a viable alternative for those

suffering from various knee and back pains.

6

Fatigue can have a detrimental effect on squatting

technique, potentially leading to knee instability and

increased lumbar shear force. Therefore you may want to think twice about one last rep.


So there you have 6 tips you can utilise next time it's leg day to help you get where you want to be. If you would like more help with your squat click below to book in with a session... for further reading the paper I used is

Schoenfeld, B. J. (2010). Squatting kinematics and kinetics and their application to exercise performance. The Journal of Strength & Conditioning Research, 24(12), 3497-3506.


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