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Thera-Band resistance bands featured in the news
Dec 14th
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The Pittsburgh Post-Gazette recently had an article on elastic resistance training, “Resistance bands grow in popularity.” The article describes how physical therapists use the bands to rehabilitate body parts from the shoulder to the ankle, and from patients in wheelchairs to professional athletes. Fitness professionals suggest elastic resistance bands are increasing in popularity over free weights or weight machines. Studies have shown that Thera-Band resistance is as effective as weight machines. The second edition of Strength Band Training featuring Thera-Band resistance is also featured in the article.
Strength Band Training 2nd Edition Now Available
Dec 13th
The second edition of Strength Band Training is now available! The book, authored by physical therapists Dr. Phil Page and Dr. Todd Ellenbecker, features Thera-Band resistance bands and tubing. Learn how to use elastic bands and tubing for resistance training, stretching, and sport-specific training. Resistance bands are great for strength and conditioning as well as health and fitness training. Strength Band Training provides the scientific basis for elastic band exercises, basic strength training for all body parts, and specific exercises for sport training. This new book is just in time for the holidays and makes a great gift, particularly for anyone starting a fitness program in the new year. Updated with more exercises and all new photographs featuring start and stop images, the 2nd edition also incorporates new sport training routines. Be sure and get your copy now!
Rehabilitation for Shoulder Instability Update
Dec 2nd
Shoulder instability is a common cause of shoulder pain. Shoulder instability patients have been traditionally diagnosed from 2 groups: from traumatic, unilateral instability, resulting in surgery (TUBS), or atraumatic, bilateral multi-directional instability best managed with rehabilitation (AMBR). However, a new classification scheme suggests there are 3 groups of shoulder instability patients: 1. Traumatic structural; 2. Atraumatic structural; 3. Muscle patterning / non-structural. Traumatic shoulder dislocation (Group 1) is best managed through surgery. Atraumatic structural instability (Group 2), while best managed through rehabilitation, may improve with surgery after failed rehab. However, surgical intervention in Group 3 patients with non-structural instability often results in failure.
Jaggi and Lambert provide an excellent review of the examination and management of all 3 groups of instability. In their article, the authors describe physical therapy management of Type 2 and 3 shoulder instability, including biofeedback, postural taping, and rotator cuff strengthening with elastic bands and dumbbells. In addition, exercise balls and wobble boards serve as unstable surfaces to “enhance neuromuscular control at a reflex level. They emphasize that core stability is a vital component to rehabilitation of Type 3 (“muscle patterning”) shoulder instability. According to the authors, rehabilitation of Type 2 and 3 shoulder instability requires an average of 6 months of rehabilitation. More >
Muscle activation levels for advanced exercises using the Exercise Ball
Dec 1st
Several EMG studies have been performed in the past decade to quantify and validate claims of “core stability” exercises. Despite few controlled, clinical outcome studies on using an exercise ball, its use in clinics and gyms remains steady. Because the Thera-Band® exercise ball can be used for both rehabilitation and fitness, different exercises and levels of muscle activation may be best for specific patients and clients. It’s important to know that an exercise provides enough EMG activation for strength training (greater than 60% maximal contraction), or if it’s more endurance-based (less than 25%).
In an article published in the Journal of Strength and Conditioning Research, researchers were interested in determining the EMG levels of ‘advanced’ exercises using an exercise ball. The authors noted that most exercise ball EMG studies have evaluated basic exercises, finding few exercises with a ball that activate core muscles more than traditional resistance exercises at training effect levels.
In the study, 14 healthy subjects performed 6 advanced exercises in random order. The exercises involved were more “whole-body” movements compared to traditional stabilization exercises focusing on the core. Surface EMG data was collected from the upper body (deltoid, pectoralis major, triceps), core (lumbar extensors, rectus abdominus, external oblique), and lower More >
Thera-Band® products featured in evidence-based shoulder rehabilitation
Nov 29th
Shoulder impingement and rotator cuff injuries often respond well to physical therapy exercises. The success of the exercise program will depend on an accurate clinical assessment and an evidence-based approach to prescribing appropriate interventions. Two expert physical therapists and clinical researchers published an excellent review on the rehabilitation of shoulder impingement syndrome and rotator cuff injuries in the British Journal of Sports Medicine.
Drs. Todd Ellenbecker and Ann Cools offer a well-detailed description of the literature behind range of motion limitations, scapular dyskinesis, and muscle balance. Both authors have published extensively in these areas of clinical research, giving them an excellent perspective at translating evidence into practice by sharing their expertise. Ellenbecker and Cools provide some unique exercises for restoring shoulder muscle balance, including the “external rotation oscillation” exercise using Thera-Band® tubing and a FlexBar®. Dr. Ellenbecker recently completed an EMG study on this exercise, finding moderate levels of infraspinatus muscle activation. Another exercise researched by Dr. Ellenbecker, a 90-90 plyometric external rotation with a Thera-Band soft weight was highlighted in the article as well, and was featured previously on the Academy blog.
Simple and effective Thera-Band products can be a valuable part of an evidence-based shoulder rehabilitation program.
REFERENCE: Ellenbecker TS, Cools A. Rehabilitation of shoulder More >
