Leaps & Bounds: Performance Rehabilitation

08/19/2024

Always grateful for .

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

08/16/2024

🌍 Global Burden of Low Back Pain 🌍

Low back pain isn’t just an occasional nuisance—it’s the leading cause of disability worldwide, affecting millions across all ages and backgrounds. Unfortunately, too many people are still receiving the wrong care, leading to even more pain and long-term issues. 😣

In 2018, The Lancet published a landmark series on low back pain, revealing that many common treatments are not only ineffective but can actually do more harm than good. 🚫 Despite clear guidelines recommending conservative approaches like physical therapy, there’s still an overreliance on expensive and invasive treatments such as unnecessary imaging, opioid prescriptions, and surgeries. 💊💸 This not only drives up healthcare costs but also contributes to the global burden of disability. 🏥

To change this, we need a shift in how low back pain is managed—starting with better education for both patients and healthcare providers. 📚 It’s crucial to focus on treatments that are proven to work, like exercise and psychological therapies, while avoiding those that don’t. 🏋️‍♂️🧠 Additionally, there’s a strong call for health systems to rethink their approach, ensuring that care is based on the best available evidence and that patients are empowered to take an active role in their recovery. 💪

By working together, we can reduce the unnecessary suffering caused by low back pain and help more people live pain-free, active lives. 🌟 Let’s prioritize care that truly works and move away from outdated and ineffective treatments.

📚Buchbinder, R. et al (2020). The Lancet Series call to action to reduce low value care for low back pain: an update. Pain; 161(1): S57–S64.

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

08/09/2024

🏀 Jimmer Fredette of the U.S. had to bow out of the 2024 Paris Olympics after suffering adductor muscle tears during a 3x3 basketball game against Poland. The injury knocked him out of the tournament early, and his team shortly thereafter.😔

🗑️Fredette, who once lit up college basketball and was a top NBA draft pick, struggled to find his footing in the NBA. But he eventually reinvented himself overseas and became a star in the 3x3 basketball scene. Coincidentally, on the day he was injured, Fredette was named the top-ranked 3x3 player in the world. 🌍

Here’s a quick overview of the rehab that Fredette will likely go through:

✌️PEACE and LOVE ❤️

✳️✳️Our ☮️ acronym describes the actions taken in the first several weeks of a new injury.✳️✳️

PROTECTION against movements and positions that cause additional pain or inflammation (like using crutches to walk).

ELEVATE the lower extremity above heart-level.

AVOID ANTI-INFLAMMATORIES: These blood vessel-narrowing agents restrict nutrients and oxygen being delivered to the area.

COMPRESSION (ex. compression shorts, tensor wraps, etc.)

EDUCATE on gentle mobilization/activation of surrounding joints and muscles.

✳️✳️The ❤️ acronym describes the strategy used to return the player back to the court. ✳️✳️

Load gradually:
➡️ Stage 1: Isometric strengthening progressions
➡️ Stage 2: Isotonic strengthening progressions
➡️ Stage 3: Energy storage exercises (ex. Eccentric strengthening, deceleration exercises)
➡️ Stage 4: Energy storage and release exercises (ex. plyometrics)

Optimism: That is, stay optimistic

Vascularize: Keep the cardio up and then make it specific.

Exercise: Besides strengthening, athletes will also work on mobility and proprioception.

Injuries like this are tough, but with the right approach, Fredette will be back on the court in no time (estimating 6 months), stronger than ever! We’re all rooting for a speedy recovery! 💪🙏✨



Leaps and Bounds: Performance Rehabilitation
Oakville, ON

08/07/2024

5 things to consider if you’re an athlete rehabbing your achilles.

1️⃣ What part of the achilles is it❓

Treatment will differ depending on whether the injury is the peritendon or the tendon itself, as well as where the problem is on the tendon (mid tendon vs insertional). An accurate diagnose is the key to hit the ground running.

2️⃣ What part of the season are you in❓

Managing the injury while in-season will look different than managing the injury in the off-season. In-season management will focus heavily on isometric and isotonic strengthening and less on plyometric training (you’re likely getting enough of it by continuing to participate in your sport).

Off-season management will progress to include energy storage and release phases (i.e. plyometrics) when indicated.

3️⃣ How much load should be used to start isometrics heel raises with❓

The amount of load - below body weight (BW), double leg w/ BW, single leg BW, single leg BW plus additional weight - will depend on how many single leg heel raises to maximum height you can perform..

4️⃣ With isotonic exercises (1.) when is it indicated to do heel raises from the floor vs from a deficit, and (2.) how slow or fast should the heel raises be done ❓

The location of the injury (mid-tendon vs inertional) will determine how much range you should initially expose to load; while loading muscle vs connective tissue vs tendons all have varying loading paces (BPMs - use a metronome).

5️⃣ When is it safe to do plyometrics❓

Can you lift onto your toes in a single leg stance repeatedly with another one of you on your shoulders? The target is 4 x 6 at 1-1.5 times BW.

❤️ Feel free to like, comment, or share our post. 👇

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

07/30/2024

Always grateful for feedback!

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

07/29/2024

☀️ A recent report discusses the potential dangers of heat for athletes competing in the Paris 2024 Olympics. Written by David Bandiera and others, it reviews the policies of 32 International Federations (IFs) that oversee the 45 sports in the Games. The main focus is on how these policies aim to protect athletes from heat-related illnesses, like heat stroke, which can be very serious. 🥵

Key Findings

➡️ Out of the sports analyzed, 15 are classified as having high, very high, or extreme risk of heat stress. Within these, 1 sport lacks a dedicated policy, 3 don't specify how to measure heat risk, and 11 use thermal indices. However, current indices don't always accurately reflect the heat strain athletes experience (SLIDE 2).

➡️ The article emphasizes the need for better thermal indices that more accurately reflect athletes' heat exposure✳️. Newer indices incorporating heat budget models could be useful. They take into consideration the environment, physical activity level, clothing, and an athlete's specific physiological response. But these models need to be tested for reliability against actual cases of heat-related illnesses.

SLIDE 3 provides an example of the procedures and strategies used in Athletics to mitigate heat risks.🏃‍♀️

✳️Additional Notes:

The current thermal indices, like the Wet Bulb Globe Temperature (WBGT), are not always suitable for athletes as they were originally designed for other groups, like soldiers or workers. Therefore, the authors suggest improving monitoring systems, validating the right thermal indices, and implementing specific strategies to protect athletes from heat risks during competitions.
____
The article highlights the importance of accurate and comprehensive measures to protect athletes' health, especially with rising global temperatures and the increasing number of outdoor sports events. Check our 🛝SLIDE 4 for some recommendations when exercising, or playing in the heat. 💦😁

Leaps and Bounds: Performance Rehabilitation.
Oakville, ON

07/25/2024

⚽️🇦🇷 Tough news Inter Miami FC fans. Lionel Messi suffered a significant ankle injury during the Copa America Championship last week, having to sub himself off in the game Argentina eventually won. Messi's injury, an eversion ankle sprain, is less common but can be quite serious. Miami has ruled him out indefinitely.

📚 🤓 An eversion ankle sprain occurs when the ankle rolls outward, affecting the deltoid ligament complex on the medial side (see next slide) and in some cases, other tissues (We're looking at you AITF ligament and TP, FDL, and FHL muscles). This type of sprain can range from slight stretching (Grade I) to a complete rupture (Grade III). The severity of Messi's injury isn't confirmed yet, but the presence of significant swelling and the use of an air cast during the post-game celebrations could suggest a long recovery time (see next slide).

🙌🏃‍♂️Rehabilitation is crucial, with phases focusing on pain and swelling management, progressive strengthening, and gradual return to sport (see next slide (see next slide).

Let's hope Messi can make a full recovery in the next 8-12 weeks, and return in time to help Miami secure a playoff birth, and perhaps its first MLS championship! 🏆


💗🖤

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

07/23/2024

🙅‍♀️ Don't let a sports injury keep you on the sidelines! With the help of physiotherapy, you can find relief and get back into the game feeling healthy and more alive than ever before 🙌🏼 Check out our latest newsletter for tips and tricks on recovering from sports injuries and staying on top of your game 💪🏼 🎉

https://leapsboundsrehab.ca/newsletter/get-relief-for-your-sports-injury-and-get-back-in-the-game/

07/23/2024

🛠️ Scheduled for surgery? Don’t skip the prehab!

At Leaps and Bounds Performance Rehab, our pre-surgical physiotherapy or athletic therapy programs give you a jumpstart on recovery, setting you up for smoother, faster healing. 💪

❓Why is prehab so crucial❓

It boosts your physical fitness, reduces post-op complications, and helps ease anxiety. Whether you’re gearing up for a knee replacement or a rotator cuff repair, we tailor our programs to your needs, strengthening your body and mind for what’s ahead. 🏋️‍♂️🧠

🚙 Plus, we’ll guide you through exercises, pain management strategies, and even tips on setting up your home for optimal recovery. 🏡

Ready to get started? Let’s make your surgery and recovery as smooth as possible. 🏃‍♀️🏃‍♂️

💻 Check out our blog for more:
https://leapsboundsrehab.ca/preparing-for-success-pre-surgical-physiotherapy-exercises-and-guidelines/

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

07/23/2024

🛠️ Scheduled for surgery? Don't skip the prehab!

At Leaps and Bounds Performance Rehab, our pre-surgical physiotherapy or athletic therapy programs give you a jumpstart on recovery, setting you up for smoother, faster healing. 💪

❓Why is prehab so crucial❓

It boosts your physical fitness, reduces post-op complications, and helps ease anxiety. Whether you're gearing up for a knee replacement or a rotator cuff repair, we tailor our programs to your needs, strengthening your body and mind for what's ahead. 🏋️‍♂️🧠

🚙 Plus, we'll guide you through exercises, pain management strategies, and even tips on setting up your home for optimal recovery. 🏡

Ready to get started? Let’s make your surgery and recovery as smooth as possible. 🏃‍♀️🏃‍♂️

💻 Check out our blog for more:
https://leapsboundsrehab.ca/preparing-for-success-pre-surgical-physiotherapy-exercises-and-guidelines/

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

07/20/2024

Move with Ease: Enhancing Joint Mobility through Physiotherapy for Knee Pain

Our team at can guide you on this journey, helping you with enhancing joint mobility, strength, function, and comfort in your daily life.

07/15/2024

💻The Role of AI Chatbots in Musculoskeletal Rehab Management 👐

Artificial Intelligence (AI) chatbots are becoming increasingly popular in healthcare, including the field of musculoskeletal rehabilitation. These digital assistants can interact with patients, provide information, and offer support throughout the rehab process. However, like any tool, they come with both advantages and disadvantages. Below, we'll explore the main pros and cons of using AI chatbots in musculoskeletal rehab management.

👍 Pros 👍

1️⃣ 24/7 Availability:
AI chatbots provide around-the-clock assistance, ensuring patients can get support anytime they need it.

2️⃣ Consistency:
Chatbots deliver consistent advice and instructions, reducing the risk of human error.

3️⃣ Efficiency:
By handling routine inquiries, AI chatbots free up healthcare professionals to focus on more complex patient needs.

4️⃣ Accessibility:
Chatbots can be accessed from anywhere, making rehab resources more widely available.

👎 Cons 👎

1️⃣ Lack of Human Touch:
AI lacks the empathy, intuition, and personalized care that human practitioners offer, which can be crucial for patient comfort and trust.

2️⃣ Complexity Limitations:
While chatbots are great for straightforward tasks, they can struggle with nuanced cases and require oversight from healthcare professionals.

3️⃣ Ethical and Privacy Concerns:
The use of AI in healthcare raises issues about data privacy and the potential over-reliance on technology, which might lead to gaps in patient care.

4️⃣ Dependence on Accurate Data: The effectiveness of AI chatbots depends on the quality and accuracy of the data they are trained on, meaning they might provide incorrect information if the data is flawed.

In conclusion, while AI chatbots can significantly enhance the efficiency and accessibility of musculoskeletal rehabilitation management, they are not a replacement for human practitioners. Balancing their use with human oversight is crucial to ensure comprehensive and empathetic patient care.

📙Reference:
Rossettini, G.et al (2023). JOSPT, 1-17.

Leaps and Bounds: Performance Rehabilitation.
Oakville, ON

07/14/2024

⚽️💥 Breaking News! Álvaro Morata to Play in Euro Final 💥⚽️

After a little knee injury scare following a run-in with a security guard (don’t worry, he’s fine too), the Spanish Captain is all set to hit the pitch on Sunday. Looks like nothing can keep him from the big game! 💪👟

Let's cheer for a great final to this year's edition of the European Championship. 🏆🇪🇸

Leaps and Bounds: Performance Rehabilitation
Oakville, On

07/10/2024

Optimize Your Recovery: Physiotherapy for Pre- and Post-Surgery Rehabilitation

We support you through both pre- and post-surgery rehabilitation while working to restore, maintain, and improve your mobility and function.

07/10/2024

🌟 Boosting Your Recovery with Confidence!🌟

Did you know that your belief in your ability to do exercises at home can make a HUGE difference in your recovery? 🤔

A recent study (Picha & Howell, MSk Care, 2018) highlights the power of self-efficacy – your confidence in doing tasks – in sticking to home exercise programs during rehabilitation. 🏋️‍♀️🏠

Here’s how it works:
1️⃣ Personalized Plans: Your therapist can create exercise plans tailored to your confidence level.
2️⃣ Better Outcomes: More confidence means you're more likely to do your exercises, leading to faster and better recovery!
3️⃣ Engaged Patients: When you believe you can do it, you're more engaged and motivated in your recovery journey. 🙌

This approach isn’t just about physical health; it’s about feeling empowered and supported every step of the way. 💪❤️

So next time you’re on a rehab plan, remember: confidence is key! And your LABs Rehab team is here to help you every step of the way.

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

07/07/2024

Always grateful for feedback!

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

Always grateful for feedback!

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

07/05/2024

🦵🏼 Revolutionizing ACL Injury Treatment! 🦵🏿

Exciting new research in the last 10-15 years will potentially change the game for ACL injury management. Here’s what we know from the KANON (Knee ACL Non-Surgical vs Surgical Treatment) trials.

▶️ Individuals can have successful recovery from ACL rupture with or without surgery. Engaging in active rehabilitation allows patients to manage their acute symptoms while weighing the pros and cons of undergoing surgery. (Frobell et al, 2010)

▶️ Delaying ACL reconstruction and focusing on exercise therapy alone can positively impact long-term recovery and reduce the need for surgical intervention. (Filbay et al, 2017)

▶️ Many patients show ACL healing on MRI after non-surgical rehab, and they have better patient-reported outcomes. (Filbay et al, 2022)
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Although we still do not know who or what type of patients this will benefit, these insights highlight a potential shift towards more personalized and less invasive treatment options for ACL injuries, emphasizing the benefits of structured rehabilitation before considering surgical interventions.

🌟 You can count on us to help you stay informed while discussing these options with your healthcare provider! 🌟

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

06/20/2024

Pain-Free Progress: Effective Pain Management with Physiotherapy for Post-Operative Rehabilitation

our physiotherapy treatment plans could help you get back to where you used to be! Call us today to learn more about post-surgical recovery.

06/11/2024

Did you know that for a lot of people, their knee pain is not actually due to a problem with the knee, but one with the hip? At Leaps & Bound, we frequently observe that a problem originating in the hip can be first felt as knee pain and vice versa. Check out this month's newsletter to learn more about the connection between hip and knee pain!

https://leapsboundsrehab.ca/newsletter/june-2024/

06/10/2024

Pre-Surgical Rehabilitation: Unlocking the Key to Successful Recovery

Pre-surgical rehabilitation, often shortened to “prehab,” involves ensuring that your body is as prepared as possible before surgery.

05/20/2024

Free from Pain: Effective Knee Pain Management with Physiotherapy

Knee pain is not necessarily a normal part of aging, and there are several reasons why someone might experience it.

05/11/2024

Play Safe, Stay Strong: Essential Tips to Help Prevent Sports Injuries with Physiotherapy

Rehabilitation can help reduce the risk of sports injuries by addressing areas of weakness and improving functional movement patterns.

05/09/2024

This month's newsletter is all about exploring the many benefits of chiropractic care. Chiropractic care offers a wealth of benefits, some of which may surprise you. Fortunately, at Leaps & Bounds, our chiropractor, Dr. Roslyn Eng, offers non-invasive, drug- free solutions for various issues, including injuries, arthritis, certain types of headaches–and, yes, neck and back pain. Read the newsletter to find out more.

https://leapsboundsrehab.ca/newsletter/may-2024/

05/02/2024

Happy 8th anniversary to our multidisciplinary clinic! 🥂🎈🎉

It's been an incredible journey, and we couldn't have done it without our talented team of physiotherapists, chiropractors, massage therapists, and athletic therapists, not to mention all those who served as the face of our clinic at the front desk.

We are all so grateful for the support of our amazing clients who have trusted us with their health and wellness over the years. Thank you for choosing us as your healthcare provider and for allowing us to help you achieve your goals. Here's to many more years of healing, performing, and growth together! 🎉🙌

If you've had a great experience with us, please let us know. We'd love to reminisce! 💭
https://1l.ink/XDKZWRV

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

04/27/2024

🚨 ATHLETES AND MIGRAINES 🚨

As we rally behind the Toronto Maple Leafs in their playoff series against the Boston Bruins, let's take a dive into the world of sports injuries and how they intersect with conditions like migraines. William Nylander's absence from the first 3 games underscores the impact injuries can have on a team's performance. 🧠

Migraines, a condition known for its debilitating effects, can sideline athletes just as effectively as a physical injury. Take Serena Williams, whose tennis matches have been disrupted by severe migraine attacks, or Troy Tulowitzki, who navigated through MLB games with the Rockies and Blue Jays amidst migraine struggles. Even Percy Harvin, a dynamic NFL wide receiver, faced setbacks with the Vikings, Seahawks, and Buffalo due to migraines, ultimately playing a role in his retire

But in the face of adversity, athletes persevere. Treatment options for migraines in sports encompass a spectrum of approaches tailored to individual needs:

💊Medications like triptans alleviate the acute migraine symptoms, or preventive medications like as beta-blockers can help reduce the frequency of attacks.

😌Lifestyle adjustments from dietary/hydration modifications to stress management techniques, can help minimize migraine triggers and enhance overall well-being.

👩🏽‍⚕️Working closely with healthcare professionals, athletes pinpoint and avoid triggers like specific foods or environmental factors that can precipitate migraine episodes.

🤲🏻 Some athletes explore complementary treatments like acupuncture, biofeedback, massage therapy, or cognitive behavioral therapy to complement traditional medical approaches.

💉In cases of chronic migraines, innovative solutions like Botox injections may be employed to provide long-term relief.

As we root for Nylander's speedy recovery and the triumph of athletes facing similar challenges, let's remember that resilience knows no bounds. By prioritizing their health and leveraging comprehensive treatment strategies, athletes continue to inspire us with their unwavering dedication and determination. 💪🏒



Leaps and Bounds: Performance Rehabilitation
Oakville, ON

04/20/2024

Preparing for Success: Pre-Surgical Physiotherapy Exercises and Guidelines

Pre-surgical physiotherapy will consist of a targeted exercise program, our physiotherapists can also help you prepare for surgery.