http://www.hygenicblog.com Research and News Mon, 13 Feb 2012 06:17:02 +0000 en hourly 1 http://wordpress.org/?v=3.3.1 Copyright © Academy Blog 2011 ppage@hygenic.com (Academy Blog) ppage@hygenic.com (Academy Blog) http://www.hygenicblog.com/wp-content/plugins/podpress/images/powered_by_podpress.jpg http://www.hygenicblog.com 144 144 Research and News Academy Blog Academy Blog ppage@hygenic.com no no http://www.hygenicblog.com/2012/01/30/thera-band-exercise-program-can-improve-lower-limb-biomechanics-in-females/ http://www.hygenicblog.com/2012/01/30/thera-band-exercise-program-can-improve-lower-limb-biomechanics-in-females/#comments Mon, 30 Jan 2012 07:43:33 +0000 Dr. Phil Page http://www.hygenicblog.com/?p=2283 http://www.hygenicblog.com/2012/01/30/thera-band-exercise-program-can-improve-lower-limb-biomechanics-in-females/feed/ 0 http://www.hygenicblog.com/2011/12/15/announcing-the-new-thera-band%c2%ae-resistance-intensity-scale-for-exercise-rise/ http://www.hygenicblog.com/2011/12/15/announcing-the-new-thera-band%c2%ae-resistance-intensity-scale-for-exercise-rise/#comments Thu, 15 Dec 2011 21:08:40 +0000 Dr. Phil Page http://www.hygenicblog.com/?p=2052 http://www.hygenicblog.com/2011/12/15/announcing-the-new-thera-band%c2%ae-resistance-intensity-scale-for-exercise-rise/feed/ 0 http://www.hygenicblog.com/2011/10/13/exercises-after-achilles-tendon-reconstruction-an-emg-based-progression/ http://www.hygenicblog.com/2011/10/13/exercises-after-achilles-tendon-reconstruction-an-emg-based-progression/#comments Thu, 13 Oct 2011 05:03:29 +0000 Dr. Phil Page http://www.hygenicblog.com/?p=2073 http://www.hygenicblog.com/2011/10/13/exercises-after-achilles-tendon-reconstruction-an-emg-based-progression/feed/ 0 0:00:01 Post-operative rehabilitation depends on 3 people: the surgeon, the patient, and the therapist. Obviously, the surgeon must be technically proficient, the patient must be compliant, and the therapist must promote healing without damaging the surgica[...] Post-operative rehabilitation depends on 3 people: the surgeon, the patient, and the therapist. Obviously, the surgeon must be technically proficient, the patient must be compliant, and the therapist must promote healing without damaging the surgical repair.  Orthopedic surgeons often have therapists follow specific rehabilitation protocols, usually based on tissue-healing timeframes. Tim Tyler PT ATC Prescribing therapeutic exercise at the appropriate dosage is essential since some tissue stress is necessary to facilitate proper healing; however, too much stress can damage the repair. Little is known about the stresses to tissues during Achilles tendon exercises. Thera-Band® Academy Scientific Advisory Board member Tim Tyler, PT ATC presented EMG analysis data on common Achilles exercises at the 2011 TRAC Annual Meeting.     Ten healthy subjects performed several common exercises, including Thera-Band resisted plantar flexion. The EMG activation levels are reported as a percentage of a maximal contraction:   Thera-Band Plantar Flexion Seated toe raise : 11% Single-leg balance on Wobble Board : 25% Prone ankle pumps : 38% Plantar flexion with red Thera-Band exercise band : 45% Walking : 47% Lateral Step-up : 60% Single leg heel raise : 112% Single leg jump : 112% While EMG levels are not a direct measure of tissue stress, they can help establish an appropriate progression of high to low intensity activities. For example, Thera-Band ankle pumps should be prescribed prior to or at the time of full weight-bearing. Understanding these levels will help the clinician make better clinical decisions about prescribing exercises for Achilles tendon reconstruction rehabilitation.  His study is in press in the journal, Sports Health.   Read the abstract of his study here:  EMG Analysis of the Triceps Surae Muscle Complex During Achilles Tendon Rehabilitation Program Exercises Click here to learn more about all the research presented at TRAC 2011 Listen to a podcast interview with Tim about his project by clicking on the link below: ppage@hygenic.com no no http://www.hygenicblog.com/2011/08/31/a-better-way-to-prescribe-shoulder-rehab-exercise-intensity/ http://www.hygenicblog.com/2011/08/31/a-better-way-to-prescribe-shoulder-rehab-exercise-intensity/#comments Wed, 31 Aug 2011 05:49:09 +0000 Dr. Phil Page http://www.hygenicblog.com/?p=2049 http://www.hygenicblog.com/2011/08/31/a-better-way-to-prescribe-shoulder-rehab-exercise-intensity/feed/ 0 0:00:01 OMNI-RES Scale Physical and occupational therapists often use both elastic and dumbbell resistance during shoulder rehabilitation exercises. Unfortunately, many therapists arbitrarily assign resistance levels to patients during their exercises based[...] OMNI-RES Scale Physical and occupational therapists often use both elastic and dumbbell resistance during shoulder rehabilitation exercises. Unfortunately, many therapists arbitrarily assign resistance levels to patients during their exercises based only on clinical experience. In the fitness setting, RPE (Rating of Perceived Exertion) scales have been used successfully in dosing the intensity of both isotonic and Thera-Band® elastic resistance exercises (Colado & Triplett, 2008). In addition, RPE has been shown to be similar between Thera-Band and isotonic resistance of similar EMG activation during shoulder exercise in healthy subjects (Andersen et al, 2010). Most recently, as discussed on the Academy Blog, the OMNI-RES scale for perceived exertion was shown to be valid when used to prescribe elastic resistance exercise in healthy individuals. Todd Ellenbecker DPT Scientific Advisory Board memberTodd Ellenbecker, DPT from the Physiotherapy Sports Clinic in Scottsdale Arizona wanted to see if he could use RPE during rehabilitation exercises for his shoulder patients. He presented the results of his pilot study at the 13th annual TRAC meeting in San Francisco. 31 shoulder patients including 21 post-operative and 10 non-operative patients were in the study. They were asked to rate their perceived exertion using the OMNI-RES scale during several common shoulder exercises that were performed with both Thera-Band elastic resistance and isotonic dumbbells. They were rated at their 6th and 12the week of therapy. The average RPE during each exercise ranged from 4 to 6 on the OMNI-RES scale. There was no significant difference in the RPE between similar exercises performed with either isotonic or elastic resistance. Based on these results, Dr. Ellenbecker suggests that shoulder exercises should be performed at an RPE of 4 to 6 with either isotonic or elastic resistance. He hopes to continue the study by adding more subjects and looking at differences between post-operative and conservative rehabilitation patients.   Read the abstract of his study here: Perceived Self-Report of Effort During Rotator Cuff & Scapular Exercise in Patients during Shoulder Rehabilitation. Click here to learn more about all the research presented at TRAC 2011 Listen to a podcast interview with Dr. Ellenbecker about his project by clicking on the link below: ppage@hygenic.com no no http://www.hygenicblog.com/2011/08/30/can-we-use-perceived-exertion-to-dose-elastic-exercise-intensity/ http://www.hygenicblog.com/2011/08/30/can-we-use-perceived-exertion-to-dose-elastic-exercise-intensity/#comments Tue, 30 Aug 2011 05:45:41 +0000 Dr. Phil Page http://www.hygenicblog.com/?p=2043 http://www.hygenicblog.com/2011/08/30/can-we-use-perceived-exertion-to-dose-elastic-exercise-intensity/feed/ 0