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Preventing Skiing and Snowboarding Injuries: Essential Tips from Acland Street Physiotherapy

8/24/2024

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During the Victorian winter season, many of us look forward to hitting the slopes for some alpine skiing or snowboarding at popular resorts such as Mt Buller, Mt Hotham and Falls Creek. These exhilarating sports not only offer a great way to stay active but also a chance to connect with nature and enjoy snowy landscapes. However, with the thrill of these activities comes the risk of injury, in particular ACL injuries. At Acland Street Physiotherapy, we're dedicated to helping you stay safe and injury-free while enjoying your time on the slopes.

The Risks Involved
Skiing and snowboarding are among the top contributors to sports-related injuries each year. The high velocities, varying terrains, and unpredictable conditions inherent to these sports increase the likelihood of injuries, particularly to the lower extremities. Common injuries include knee sprains, fractures, and muscle strains. However, with proper preparation, many of these injuries can be prevented.

The Importance of Physical Fitness
The role of physical fitness in preventing injuries cannot be overstated. A systematic review by Hébert-Losier and Holmberg (2013) found that while much of the focus on injury prevention has historically been on equipment and third-party involvement, there is a significant need for targeted physical fitness to meet the technical demands of skiing and snowboarding. Strength, endurance, agility, and balance are crucial components that help manage the intense physical demands these sports place on your body .

A more recent study by Wang et al. (2022) emphasises the importance of lower extremity fitness, specifically agility and balance, in reducing injury risk among recreational skiers. The study found that skiers with inferior agility or balance are at a higher risk of injury, highlighting the necessity of neuromuscular training that targets these areas .

Recommendations for Injury Prevention
Based on these findings, here are some evidence-based recommendations to help you prepare for a safe and enjoyable skiing or snowboarding season:

1. Focus on Lower Extremity Agility and Balance
  • Agility: Incorporate exercises that improve your ability to quickly change direction, such as lateral jumps, agility ladder drills, and cone drills. These exercises mimic the quick, multidirectional movements required in skiing and snowboarding. According to Wang et al. (2022), better agility was associated with a lower risk of injury .
  • Balance: Training on unstable surfaces, such as balance boards or Bosu balls, can enhance your ability to maintain control in challenging conditions. The same study by Wang et al. highlighted the importance of balance in preventing injuries, noting that lower composite YBT scores were associated with higher injury risk .
2. Build Endurance
  • Alpine skiing and snowboarding can be physically demanding, requiring sustained effort over extended periods. To prepare, engage in endurance exercises such as cycling, running, or circuit training that target the lower body. Incorporating squats or box jumps into your routine can build the muscular endurance necessary for the repetitive movements of skiing and snowboarding. Although endurance was not found to be a significant factor in injury occurrence in the multivariate analysis, its role in overall fitness and injury prevention remains important .
3. Strengthen Key Muscle Groups
  • Focus on strengthening the quadriceps, hamstrings, glutes, and core muscles. Strong muscles not only improve performance but also provide stability and support to your joints, reducing the risk of injury. Hébert-Losier and Holmberg (2013) emphasised the importance of physical fitness, including strength, in meeting the demands of alpine sports and preventing injuries .
4. Proper Warm-Up
  • Before hitting the slopes, make sure to warm up properly. Dynamic stretching and mobility exercises can increase blood flow to your muscles and prepare your body for the intense activity ahead. A well-prepared body is less likely to suffer from strains and sprains during skiing or snowboarding.
5. Invest in Quality Equipment
  • While physical fitness is crucial, don't forget the importance of well-fitted, quality equipment. Ensure that your bindings, boots, and skis or snowboard are properly adjusted to your specifications. According to Hébert-Losier and Holmberg (2013), equipment-related recommendations are among the most common in injury prevention, reflecting the importance of gear in reducing injury risk .

Conclusion
At Acland Street Physiotherapy, we believe that with the right preparation, you can significantly reduce your risk of injury and make the most of your skiing or snowboarding experience. By focusing on agility, balance, endurance, and strength, and using well-maintained equipment, you'll be well-equipped to enjoy the slopes safely. If you're preparing for the winter season and want personalised advice or training, don't hesitate to reach out to our team. We're here to help you stay fit, healthy, and ready for the challenges of the mountain.

Stay safe, stay active, and enjoy your winter adventures!
​

References:
  1. Hébert-Losier, K., & Holmberg, H. C. (2013). Exercise-based injury prevention recommendations for recreational alpine skiing and snowboarding: A systematic review. Sports Med, 43(5), 355-66. doi: 10.1007/s40279-013-0032-2.
  2. Wang, Z., Cai, Y., Wu, J., Xie, S., & Jiao, W. (2022). Relationship between Lower Extremity Fitness Levels and Injury Risk among Recreational Alpine Skiers: A Prospective Cohort Study. Int J Environ Res Public Health, 19(16), 10430. doi: 10.3390/ijerph191610430.
Picture
Our principal physiotherapist Barry and his son at Mt Buller
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Preventing Low Back Pain: Some Practical Insights from Acland Street Physiotherapy

2/11/2024

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Low back pain is a common condition affecting millions globally, significantly impacting daily activities and quality of life. However, with the right strategies, it's possible to prevent or minimise its occurrence. Acland Street Physiotherapy is dedicated to providing you with evidence-based information to guide you in preventing low back pain effectively.

Understanding Prevention Levels
Prevention of low back pain can be categorised into three main types: primary, secondary, and tertiary.
1. Primary prevention aims at stopping the disease before it occurs, focusing on health promotion and environmental regulation.
​2. Secondary prevention targets the prevention of recurrences or exacerbations of already diagnosed conditions.
3. Lastly, tertiary prevention focuses on minimising morbidity through supportive and rehabilitative services after a disease or injury has occurred.


Key Strategies for Low Back Pain Prevention
  • Physical Exercise: Regular physical activity is crucial in preventing low back pain. Exercises, especially those strengthening back extensors and trunk flexors, alongside aerobic training, play a significant role. Although the specific frequency and intensity of exercise haven't been strictly defined, consistency is key.​
  • Manual Therapy: Incorporating manual therapy, such as joint mobilisation and soft tissue techniques, can be an effective component of a comprehensive low back pain prevention and management strategy. It improves mobility, reduces pain, and restores normal function of the spine and surrounding structures.
  • Ergonomic Adjustments: Making changes to your work environment to support proper posture and reduce strain on your back can help prevent low back pain. This includes ergonomic chairs, adjustable desks, and proper lifting techniques.

Exercises to Prevent Low Back Pain
1. Core Strengthening Exercises
Strengthening your core is vital for supporting your spine. Try exercises like planks and the bird dog to build core strength and stability.
2. Flexibility and Stretching
Incorporate the cat-cow stretch and hamstring stretches into your routine to improve flexibility and reduce tension in the lower back.
​3. Aerobic Exercise
Engage in walking, swimming, or cycling to improve cardiovascular health and support back health.

** Please see YouTube clips below this blog post for demonstrations of these exercises recommended above!

What to Avoid
Certain interventions like lumbar supports, back belts, and shoe insoles are not recommended for preventing low back pain due to their potential negative effects on back pain beliefs.

Personalised Approach to Prevention
A one-size-fits-all approach does not apply to preventing low back pain. Consulting with a physiotherapist at Acland Street Physiotherapy can help create a personalised prevention plan that suits your specific needs.

Preventing low back pain requires a multifaceted approach, combining physical activity, manual therapy techniques, ergonomic adjustments, and educational programs. By adopting these strategies, individuals can significantly reduce their risk of experiencing low back pain and improve their overall health and well-being. Remember, an ounce of prevention is worth a pound of cure.

Stay active, stay informed, and let's work together towards a pain-free back.
​​
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5 key Factors in determining the success or failure of your physio treatment program

9/13/2020

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Over the past 15 years practicing as a local physiotherapist, I have discovered through clinical experience 5 critical key factors which determine the success or failure of your physiotherapy treatment program. I would like to share them to all my prospective and existing patients as being aware of these can help increase the likelihood of the success of your physiotherapy treatment program at Acland Street Physiotherapy, at the very least!

The 5 critical key factors which determine the success or failure of your physiotherapy treatment program are:
1. Ensure you do as much research as you can about the physiotherapist you are considering to book in with. Unlike a GP, you will likely spend a lot more time with your physiotherapist so it is important that you will likely get along. Questions to consider include:
  • Is their physiotherapy approach aligned with your personal beliefs and values?
  • Will you get along with them?
  • Is the language they use easy to understand and on your same wave length as you?
2. Try to maintain a positive and open mind even if you have had negative experiences with other physiotherapists and related practitioners. Physiotherapists have a tendency to assess and treat the same condition differently. The old saying that "there is more than one way to skin the cat" applies to physiotherapy services. Some clinicians have more confidence and experience in one area than another with certain conditions.
3. Work in collaboration with your physiotherapist to discuss your health goals, treatment options and timeframes. The physiotherapist should explain what treatment options will likely resolve the condition for you, and it is completely up to you on whether you feel comfortable about pursuing one or more options. There needs to be a clear plan in place to make treatment work for you.
4. Be prepared to do work. There is only so much benefit "hands on" passive treatment the physiotherapist can provide you as part of your recovery journey. It is arguably more critical that you actually complete the home exercise program the physiotherapist recommends for you to do. The physiotherapist should be designing a program that is realistic to you, and very well integrated into your lifestyle.
5. You should feel comfortable and not hesitate to communicate with the physiotherapist about your treatment program and any concerns outside the walls of the consult room. At Acland Street Physiotherapy, we encourage our patients to email the physiotherapist in between consultations, and on occasion, the conversation may be escalated to a phone call or an appointment if deemed necessary. 
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    Author


    ​Barry Nguyen
    ​Founder & Head Physio

    Barry is an Australian qualified physiotherapist with over 19 years clinical experience in sports and musculoskeletal injuries.
    ​
    Many of my patients and GPs whom I work with use this resource! 

    Got a question for Barry?

    Feel free to join his "Ask Barry The Physio" 
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