Muscle imbalances, muscle strength and length differences across an individual joint, are frequently examined by Physical Therapists in individuals with pain, loss of function, or disease. For example, imbalances between our shoulder external and internal rotators have been shown to correlate with multiple shoulder disorders and help predict success after surgery. In addition, asymmetries in...
One of the main benefits of resistance training, in both the fitness and Physical Therapy settings, is the increase in strength and muscle size in trained individuals. These benefits have been shown to improve an individual’s function and reduce their risk of future injury. One of the keys to success with this training is the...
The black and white areas of health care are easy to navigate but the grey areas separate the novice from the experienced clinician. Uncertainty is part of health care and often clinicians make absolute statements in order to make themselves more comfortable in the grey areas of practice. In Physical Therapy, statements including “do not...
Hip arthritis is a common condition among middle to older aged adults leading to hip pain, lost function, and disability. Patient’s at our Boulder Physical Therapy practice with this condition often present with a loss of hip mobility, hip weakness, and altered gait mechanics. Interestingly, 1 in 5 adults around 50 years of age will...
Alpine skiing is Colorado’s most popular winter sport and provides billions in tax revenue each year. Across the country, about 7 million individuals took part in at least one day of alpine skiing in 2017. Skiing while popular and fun does come with inherent injury risks. Authors have found 1-2 ski injuries per 1000 ski...
At this point in the year, many of our Boulder endurance athletes have completed their respective seasons of running, cycling, and triathlon competitions. Upon reflection, few of these athletes reached the end of their seasons without a missed training day or competition due to injury. This is a very common occurrence as athletes push their...
In a strength training exercises two main phases of the lift are experienced by the participant. The first is the concentric contraction involving a shortening of the muscle under load as the weight is moved to the end of the movement. The second or eccentric contraction involves the lengthening of the muscle under load as...
Since entering the sports medicine field in the early 2000s there has always been a presence of the newest gadget, technology, or device aimed at either reducing pain or accelerating tissue healing. As the years move forward the popularities of these devices wax and wane and eventually fall out of favor due to the next...
In our Boulder Physical Therapy practice we still hear old wives tales on the harmful effects of exercise in patient’s with knee arthritis. For example, patients should avoid running to prevent worsening of their knee arthritis despite significant medical evidence to the contrary. Many of these theories are based in an outdated “wear and tear”...
Very few evidence based treatments for musculoskeletal pain require the utilization of electricity. One notable exception is the utilization of muscular stimulation on post operative musculature. This category of treatments under the larger umbrella of modalities have not fared well in the research due to having little or no effect, their inability to beat a...