knee injuries

This post is long overdue.  The season has been extremely busy but finals just ended and hockey will have a bit of a break until after Christmas while each hoops team still has a game this week.  The last couple weeks were filled with lots of games, workouts and preparing for the end of the semester.  I haven’t been able to sit down and really digest a good book, but what I try to do is read some articles and one very good one is Why Shoes Make Normal Gait Impossible?  This is a very good read about the effect that shoes has on the human body.  This goes along with another great read by a good friend of mine, Art Horne, who put out a book on barefoot training, entitled Barefoot in Boston.

I also just picked up a copy of an outstanding book regarding gait from Dr. Thomas Michaud, called Human Locomotion.  I’m excited to delve into this one as the topics in the table of contents really jump out at me.  Dr. Michaud has published numerous book chapters and journal articles on a variety of subjects ranging from biomechanics of the first metatarsophalangeal joint  and shoulder, to the pathomechanics and management of vertebral artery dissection. In 1993, Williams and Wilkins published Dr. Michaud’s first textbook, Foot Orthoses and Other Forms of Conservative Foot Care, which was eventually translated into four languages and continues to be used in physical therapy, chiropractic, pedorthic, and podiatry schools around the world. In addition to lecturing on clinical biomechanics internationally, Dr. Michaud has served on the editorial review boards for Chiropractic Sports Medicine and The Australasian Journal of Podiatric Medicine. Over the past 30 years, Dr. Michaud has maintained a busy private practice in Newton, Massachusetts, where he has treated thousands of elite and recreational runners.

Dr. Michaud is offering the book at the student price, which is $20 off the regular price of $100.  That’s a great deal for a book that covers many gait related issues that plague so many athletes. You can pick up a copy at www.HumanLocomotion.org, when you click on “The book”, be sure to click the link asking for student pricing.  I put the synopsis of the book that is on the back cover below if you want to find more info about the book.

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In the course of a year, more than 1.9 million runners will fracture at least one bone and approximately 50% will suffer some form of overuse injury that prevents them from running. Despite the widespread prevalence of gait-related injuries, the majority of health care practitioners continue to rely on outdated and ineffective treatment protocols emphasizing passive interventions, such as anti-inflammatory medications and rest.

With more than 1000 references and 530 illustrations, Dr. Michaud’s text on human locomotion presents a logical approach to the examination, assessment, treatment and prevention of gait-related injuries. Beginning with a complete  review of the evolution of bipedality, this textbook goes on to describe the functional anatomy of each joint in the lower extremity, pelvis, and spine. This information is then related to normal and abnormal motions during the gait cycle, providing the most comprehensive description of human locomotion ever published.

Human Locomotion also discusses a wide range of conservative interventions, including a detailed guide to manual therapies, a complete review of every aspect of orthotic intervention, along with illustrated explanations of hundreds of rehabilitative stretches and exercises. The final chapter summarizes state-of-the-art, proven conservative treatment interventions, providing specific protocols for dozens of common gait-related injuries, including Achilles tendinitis, plantar fasciitis, stress fractures and hamstring strains. Whether you are a chiropractor, physical therapist, pedorthist or podiatrist, this text provides practical information that will change the way you practice.

This past week, I had the pleasure of reviewing Craig Liebenson’s new 3 DVDs.  These are a precursor to his Functional Training Handbook that will be coming out in early 2012.  The book is a must have as the line-up of co-authors is out of this world.  I had the privilege of being asked to contribute to this book and was floored by the request.  I’m very excited to be able to take a look at the final product when it comes out.

Back to the DVDs…Dr. Liebenson is one of the leading specialists when it comes to back pain and resolving this troublesome issue that so many people experience.  He has been published on numerous occasions as well as being asked to speak at a number of worldwide events.  He has a great blog that you can follow here.

His new DVDs are Core Stability Training DVD, Flexibility, Yoga Training and Ergonomic Postural Advice DVD, and Functional Performance DVD.  These 3 are quite different but similar at the same time.  All three give you insight in Dr. Liebenson’s thought process when it comes to restoring health, improving flexibility, improving posture and improving performance.  The exercises that Dr. Liebenson shows cover everything from breathing assessments, to core stability training and even plyometric training.  The progressions are well thought out and give the viewer exercises that they can include into their current clients and athletes programs immediately.  The best part of this DVD set is that Dr. Liebenson just doesn’t show you the exercises, but common errors, what to look for and teaches you why they should not be left out in your programs.

I recommend these to any athletic trainer, physical therapist, strength and conditioning coach and personal trainer looking to give those that they work with every opportunity to become better.

You can pick them up at the following links:

Functional Performance Training DVD

Core Stability DVD

Flexibility, Yoga Training, and Ergonomic Postural Advice DVD

 

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One of my interns, John McGuinness, is very into minimalist shoes and I thought he would be able to give some great feedback on Art Horne’s new book, Barefoot in Boston.  This is an awesome read and will benefit many different professions.  After reading the review, check out the link to pick up this product!

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How are those stylish, expensive, high heeled training sneakers treating you? Have you been experiencing pain in your low back, calves, ankles, hips, and/or knees? Well, the problem may be reduced by something less complicated than we think. By transitioning from these modern sneakers into something more minimalist, we may be able to alleviate these lingering pains one at a time. Yes, that means you will have to give up those Sketchers Shape Ups, because they are definitely not the answer to your problems, they are more than likely the cause!

Contrary to popular belief, today’s “advanced” sneakers can actually decrease your performance and increase your likelihood of injury.  I don’t know about you, but paying for overpriced sneakers that can have a negative impact doesn’t sound appealing to me!

Art Horne, a great guy, and one of the most knowledgeable minds in the athletic training/strength and conditioning world, recently released his book, Barefoot in Boston, that covers the above topics, and many others in great detail.

Art reviews some of the history of barefoot running/training, how we are supposed to heel strike when walking/running, how we should take a step-by-step approach to wearing minimalist footwear, and how making this change will take some time.  In addition, he looks at how our feet are optimally developed when barefoot, not in sneakers that can cause weakness and a loss of mobility. The potential benefits of abandoning the use of today’s high-heeled shoes are well worth the wait.  Remember, slow and steady wins the race!

If you are interested in making the switch, a detailed progression is included that will help you transition from wearing modern cross trainers to minimalist footwear, and eventually to being barefoot.

There aren’t many detailed studies on the topic of barefoot training, but Art does a great job of explaining the research that is out there and how it will all benefit us over time.

I have been reading Art’s blog (www.bsmpg.com) for quite some time now, and have attended two of the great seminars he has organized, and I always come away with a ton of useful information. Barefoot in Boston is more of the same, and if you want to perform better and decrease the likelihood of injury, I suggest you pick up a copy today!

 

John McGuinness