WHY IS STRETCHING AFTER WORKING OUT IMPORTANT?

A: This is a great question because it addresses the importance not only of practicing stretching but also the best and safest technique for performing this valuable type of exercise.

Why stretch? Stretching increases flexibility, a key component of physical fitness that is often neglected. A greater degree of flexibility is believed to help prevent injury (and low back pain) and improve sports performance. We lose flexibility as we age, so practicing a regular program of stretching the major muscle groups can help prevent loss of flexibility and its associated negative impact on quality of life in our golden years.

Stretching properly involves a slow, steady elongation of the muscles and tendons to the point of tightness—never pain—and holding the stretch for several seconds. (Never use bouncing or ballistic-type stretching, which can cause injury.) It is best to stretch muscles that have been warmed up internally from exercise as opposed to cold muscles. In fact, stretching cold muscles can actually increase risk of injury, as a cold muscle is more prone to strains! Think of a muscle as if it were a rubber band. If you stretch cold rubber, it snaps and breaks; however, if you warm the rubber first, it stretches more elastically and fluidly, like taffy.

Stretching is different from “warming up.” A warm-up is what you do before you begin a bout of exercise and generally consists of a low-intensity version of the exercise you are planning on engaging in (such as a fast walk before a jog). A good exercise routine would be to warm up (work up a light sweat and raise the internal temperature of your muscles), followed by a series of brief stretches, then perform your exercise bout, warm down and end with another series of stretches. Practice this plan and you will have a well-rounded fitness routine.

Posted by Dr. Janet Brill

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KNEE OSTEOARTHRITIS PHYSICAL THERAPY

Our knees get a lot of wear and tear, so here are some exercises and information about osteoarthritis in the knee by Ashley Misitzis PT, DPT. If you have any questions, come to San Diego Sports Physical Therapy today for help!

Knee osteoarthritis is one of the leading causes of disability among adults.

Osteoarthritis, known as OA, is characterized by degeneration of cartilage and bone, which cases pain, stiffness, decreased motion and weakness that can lead to difficulty with daily activities. There is no cure for OA, but effective treatment involves managing symptoms and addressing functional limitations. Physical Therapists are licensed health care professionals who are experts in the way the human body moves. Physical therapy uses researched treatment techniques to improve mobility, reduce pain, restore function and prevent disability. Want to improve your health? Learn more about LIVESTRONG.COM’s nutrition and fitness program!

RANGE OF MOTION
According to the CDC, Approximately 80 percent of patients with OA have some degree of movement limitation. Normal knee range of motion is zero to 135 degrees, though there is some variation from person to person.

Your knee must get all the way straight for typical walking mechanics, and must bend normally to allow for sitting and going down stairs. A Physical Therapist will improve your range of motion through direct measures, such as bending and straightening your knee, and will give you home exercises to focus on movement. Indirectly, helping to decrease pain and restore normal joint mechanics also improve your range of motion.

STRENGTHENING
When your joint is damaged, your body needs as much support as it can get from muscle strength. The first step is making sure the muscles directly surrounding the affected knee joint are strong. If you only have arthritis in one knee, then it is also important to strengthen the muscles in the other leg to help support the injured side and to prevent excess force on the healthy knee.

Your hip and ankle strength is also important to provide support to the knee with OA. During your physical therapy evaluation, your physical therapist will determine what muscles need strengthening. The earlier you seek treatment, the less likely you will have muscle strength changes, which improves the outcome.
STRETCHING
Many muscles in the leg cross over the knee joint, so ensuring they are flexible is an important part of the physical therapy process. When pain causes a decrease in your range of motion, it is normal for your body to change how it moves in order to compensate for weak muscles or lessen the pain. This compensation can cause tightness in muscles surrounding the knee including the calves, hamstrings, and quadriceps.

Other muscles may also need stretching depending on what the physical therapist finds during her evaluation.
MANUAL THERAPY
Manual therapy is a physical therapy treatment that involves skilled, specific hands-on techniques that mobilize the joint. These can be used to decrease pain, increase range of motion, lessen soft tissue swelling and improve tissue extensibility. In recent studies, the addition of manual therapy to an exercise-based physical therapy program resulted in dramatically improved function and less pain.
MODALITIES
According to the Arthritis Foundation, both heat and cold treatments are effective for pain management. Heat is best before an activity or in the morning to increase blood flow and decrease stiffness. Use cold treatment after exercise or at the end of each day to lessen swelling and pain. Use each modality for 10 to 15 minutes at a time.

REFERENCES
Centers for Disease Control and Prevention: Osteoarthritis Arthritis Today: Osteoarthritis: Using Heat and Cold for Pain Relief Move Forward PT: Facts Annals of Internal Medicine: Article by Deyle, G. American Academy of Family Physicians: Physical Therapy and Exercise for Osteoarthritis of the Knee
Article reviewed by Helen Holzer Last updated on: Aug 16, 2013

Read more: http://www.livestrong.com/article/178813-knee-osteoarthritis-physical-therapy/#ixzz2e88YONSq

Pilates for Stretching and Strength

What’s so great about Pilates? Read this article from ACE Fitness to find out! Come visit us at San Diego Sports Physical Therapy to see if Physical Therapy and Pilates are right for you.

Pilates Primer

Are you wondering what all the fuss over Pilates is about? Used traditionally by dancers for deep-body conditioning and injury rehabilitation, Pilates (pronounced Pi-lah-teez) is an 80-year-old exercise technique first developed by German immigrant Joseph Pilates. Only in the past decade has it migrated from its long-held position at the fringes of traditional fitness methods such as aerobics and weight training. Hollywood has been a key factor in turning the spotlight on Pilates, as numerous models and actresses pay homage to Pilates for their beautifully toned, fit bodies.

Focusing on the Core

The abdominal, hip and back muscles are often collectively referred to as the body’s core. Pilates exercises are designed to strengthen this core by developing pelvic stability and abdominal control. In addition, the exercises improve flexibility and joint mobility and build strength.

How can one exercise technique claim to do so much? The Reformer, a wooden contraption with various cables, pulleys, springs and sliding boards attached, lies at the foundation of Pilates. Primarily using one’s own body weight as resistance, participants are put through a series of progressive, range-of-motion exercises. Despite the appearance of this and several other equally unusual-looking devices, Pilates exercises are very low impact. Instructors, who typically work one-on-one or with small groups of two or three participants, offer reminders to engage the abdominals, the back, the upper legs and buttocks to stabilize the body’s core. Exercise sessions are designed according to individual flexibility and strength limitations.

Pilates exercises are not limited to specialized machines, however. In fact, many gyms across the country now offer Pilates mat-based classes that feature exercises that also stress the stabilization and strengthening of the back and abdominal muscles.

Connecting With Pilates

The mind/body connection associated with yoga and meditation also plays an integral part in Pilates. Unlike exercise techniques that emphasize numerous repetitions in a single direction, Pilates exercises are performed with very few, but extremely precise, repetitions in several planes of motion.

What will all this focus and stabilization get you? Well, according to its adherents, Pilates can help you develop long, strong muscles, a flat stomach and a strong back, and improve posture. Of course, these changes are dependent upon other lifestyle factors, such as a well-balanced diet and regular aerobic exercise. (Though some may claim that Pilates is all you need to develop stamina and endurance as well, an additional cardiovascular component is advisable.)

An initial Pilates session typically includes a body assessment, which allows the instructor to pinpoint strength and flexibility weak spots. This is also the time to become familiar with Pilates’ unique breathing patterns, which don’t always follow the exhale-on-exertion pattern of traditional exercise. Sessions typically run 60 minutes, at a cost of $50 or more for private sessions, and $10 to $30 for group sessions. If you’re more comfortable exercising at home, there are numerous Pilates and Pilates-type videos currently available.

Several home versions of the Reformer also are currently available on the market. Whether you work out at a studio or on your living room floor, Pilates is an excellent way to challenge your muscles, improve flexibility and incorporate the mind/body element into one effective exercise session.

Additional Resources

American Council on Exercise—Pilates Mat Training by Shirley Archer: www.acefitness.org/acestore/p-290-pilates-mat-training.aspx
WebMD Video—Yoga Pilates Studies: www.webmd.com/video/yoga-pilates-studies

Selecting a Pilates Instructor

Finding a fitness instructor who is a good match for your goals and personality can be challenging. The Pilates Method Alliance suggests asking the following questions of any instructor with whom you are considering working.

Was the instructor trained through a comprehensive training program?
Did that training program require a written and practical test, lecture, observation, practice and apprentice hours?
How many total hours were spent in the training program? (The Pilates Method is a knowledge-based method of exercise and training. Time spent in certification training produces qualified teachers.)
Does the instructor have any other movement-related teaching experience?
How long has the instructor been teaching Pilates?
What is the instructor or studio’s philosophy and specialty? Are they able to handle special needs, injuries and rehabilitation?
Does the instructor or studio teach the full repertoire of Pilates on all types of apparatus?