In a clinic or rehabilitation centre, the most common “trouble” area is the back. In this practical and hands on course, the most common back injuries will be discussed (degenerative disc disease; mechanical low back pain, lumbar disc herniation, post disc surgery, spondylolisthesis and spinal stenosis). This course is a must if you would like to increase your understanding, success and confidence in working with clients with low back injuries.
OBJECTIVES:
- The key structures involved in low back injuries
- Assessing the lower back to determine exercise readiness and progress
- The six most common back injuries – degenerative disc disease, mechanical low back pain, lumbar disc herniation, post disc surgery, spondylolisthesis and spinal stenosis
- Rehabilitation exercise and contraindications for the six most common back injuries.
I don’t think anyone reads them but I enjoy sharing and writing.
Here you go with today’s random thoughts.
Hip Replacement
I got an email from a Kinesiologist in Regina, Saskatchewan who specializes in training clients with hip and knee replacement.
She had taken the Core Stability of the Hip webinar and is using the concepts and exercises with her hip and knee replacement clients.
If you are looking at increasing your understanding, confidence and getting some exercises for clients with hip and knee replacements, I would recommend Jody Kennett.
Jody Kennett, is a fitness professional that has a specialization working with clients with hip and knee replacements.
It is difficult to fully understand a lumbar spinal fusion without briefly discussing the normal anatomy of the spine. The vertebral or spinal column consists of 33 bones called vertebrae. Each are that stacked on top each other to for them spine. The spine, which extends from the base of skull to the pelvis, has four regions: the cervical spine, thoracic spine, lumbar spine and the sacrum. Between each vertebra are the flat and circular plates of cartilage called the interverbral discs. Intervetebral discs maintain the integrity and continuity of the spine by holding one vertebra to the next. It acts as an effective cushion that absorbs shock and pressure placed by the everyday movements of the back. This disc also makes bending and head rotations possible.
The lumbar spine makes up the lower back, extending from the lumbar curve down to the sacrum. Among the four regions of the spine, the lumbar region endures the greatest stress. Carrying the entire body weight, this region is supported by the five thickest and sturdiest of all vertebrae of the spinal column. It has also been determined that the intervertebral discs between two adjacent lumbar vertebrae are the thickest. Attaching to the lumbar vertebra are some of the largest stabilizing muscles of the lower back, which include the lumbar erector spinae, psoas and quadratus lumborum. Because the greatest amount of work and stress are placed against this region of the spine, the lumbar spine is most susceptible to injuries and structural alterations.
A lot to times, random throughts are things that come to my mind that may interest you, it could be a quick answer to a question that someone emailed me, announcing an upcoming presentation, etc.
Lumbar spinal fusion is a surgical procedure that corrects problems involving the lumbar vertebra in order to elimination pain.
Background on Spinal Fusion Surgery
Treatment by spinal fusion is based on a concept that pain is generated from a segment of the lumbar spine (Szpalski & Gunzburg, 2007). Using bone grafts, metal rods and screws, this procedure facilitates stabilization of the lumbar spine by fusing two or more vertebrae together, thereby, eliminating motion between the vertebral segments. The ultimate goal of lumbar spinal fusion is to achieve a solid union between two or more vertebra (North American Spine Society, 2006). Forming a strong union allows for relief of low back pain, tingling sensations, numbness and weakness, restoration of nerve functions and prevention of abnormal spinal motions. Lumbar spinal fusion is an extensive and invasive surgical procedure. It usually takes around six or more months for the fusion to become stable (University of Pittsburg Medical Center, 2008; Bradford & Zdeblick, 2004). Read the rest of this entry »
- A Step-by-Step Guide to Preventing and Treating Knee and Lower Back Pain in Your Clients and Athletes -
Description:
As a trainer and coach, you never get a new client that does not have a knee or lower back issue. What do you do when you get a client with a knee or lower back issue? Do you refer on to another trainer/coach or do you have all the tools needed to train these clients in a safe and effective manner?
In this two-day course, Mike Robertson will provide a comprehensive overview of his approach to knee and lower back prevention and injury recovery. Over the 16 hours of hands-on learning, Mike will take you through his total body assessment, which highlights areas that your client needs to focus in on in order to prevent or overcome a lower back and knee conditions. He will take you through a step-by-step approach to matching the results of the assessment to exercises he uses for his clients. To finish off the course, Mike will reveal to you how he puts his prevention or rehabilitation programs together for maximal client results while avoiding the mistakes so many trainers and coaches make.
- You will discover a quick total body assessment that highlights potential knee and back issues
- A way of matching your assessment results with exercises to help your knee & back clients
- The best way to put exercises together in order fend off lower back and knee issues
- The daily exercises that your clients must do in order to fend off lower back and knee injuries
- An introduction to the rarely discussed anatomy details to help your clients recover from a lower back and knee condition
- Common mistakes trainers and coaches make with knee & lower back injuries
DATE: December 11 (Lower Back) & 12 (Knee), 2010
TIME: 8:45 am to 6:00 pm (16 hours)
SCHEDULE: To view a detailed schedule of the course, CLICK HERE.
LOCATION: Vancouver College – 5400 Cartier Street (near 41st and Granville) Vancouver, BC, Canada (To view details of this facility, CLICK HERE.)
CONTINUING EDUCATION CREDITS: NSCA, BCRPA, BCAK, CMTBC, CSEP will be applied for.
Who is Mike Robertson?
Mike Robertson MS, BSc, CSCS - is the President of Robertson Training Systems and the co-owner of Indianapolis Fitness and Sports Training (I-FAST) in Indianapolis, Indiana. Mike has made a name for himself as one of the premier performance coaches in the world, helping clients and athletes from all walks of life achieve their physique and sports performance goals.
Registration for the Course
To register, click on the “Add to Cart” button:
As of August 30, this course was 26% full.
FAQ – Common Questions
Will Mike Robertson be presenting this courses again? No, this is the first and only time he will be presenting this course. Mike does not do many presentations. He does some short one to two hour presentations for conferences but he does not do full day seminars. I was lucky enough to sweet talk him into presenting two full days in Vancouver. I don’t think he has ever present two full 8 hour days, sharing all of his secrets when it comes to training the knee and lower back.
Will Mike Robertson be coming back to Canada to present again? No, this is his first visit and there are no plans for him to return. I had to book Mike a year in advance to have him come up to Vancouver and present. To what I know, Mike’s schedule is nearly full for 2011.
I can’t make the course? I would find a way to get to the course. This is a once in a lifetime opportunity to be learning from one of the great rehabilitation and performance trainers out there.
I have never heard of Mike Robertson, what has he done? I could check out the course flyer (click here to see it) to see a detailed bio of Mike Robetson. It is impressive. To see him in action, here is a click from the video presentation that Mike had done for Muscle Imbalances Revealed:
In many situations, a lower back condition can lead to lower back spinal fusion surgery. It is estimated 126,000 spinal fusion surgeries occur a year in the USA and since 1996 the number of surgeries has increased 116%. The group that has had the greatest increase in lower back spinal fusion are adults over 60. Lumbar compression fractures, spinal deformities, spondylolisthesis, lumbar instability, disc herniation and degenerative disc disease are common conditions that can lead to lower back spinal fusion. A key component in the recovery from lower back spinal fusion surgery is exercise. The role of exercise after spinal fusion is important in speeding up recovery, strengthening the muscles supporting the lower back and improving the endurance of core stability muscles. The focus of the spinal fusion and exercise webinar will be the exercise program design and exercises for a client that has had a lower back spinal fusion.
If you are a bootcamp instructor, make sure the injuries your bootcampers encounter are on the decline.
I got this e-mail from an Exercises for Injuries blog reader:
Just started teaching bootcamps. I have encountered people who have issues with their backs (mostly L4-L5). Some have had surgery to relieve pain and another has had it fused.
Rick, do you have an suggestions on exercises my bootcampers with low back injuries should definitely stay away from?
When I was in Orlando at a conference, I was sitting there and I could feel the lower back pain building up in my back.
I wanted to share with you a few tips on what I did in order to fend off the lower back pain from arriving.
A big problem that I have at conferences is back pain.
Sitting for a long period of time, jamming my body underneath these short little tables, sitting in these super-uncomfortable chairs that are perfectly upright are all reasons that lead to lower back pain while at a conference.
So I want to give you a couple tips that you can give your clients on how they can fend off low back pain at a conference.
The person I was meeting with let me know about his daughter who was in a scoliosis brace from the age of 3 to 16. He asked me for some advice on what she should be doing when it comes to scoliosis exercises.
Of all the things she can do - the number one thing - is exercise.
3 Scoliosis Exercise Tips
With scoliosis, there is a very large spectrum of clients. There are clients that can have minor scoliosis or major scoliosis.
Here are some tips for a client that has minor scoliosis. Often times this kind of client will let you know during your assessment that they have been told by their doctor that they have minor scoliosis.
Study Finds Patients Who Initially Visited a Chiropractor Had Reduced Odds of Chronic Disability.
Tuesday, February 17, 2009 – OrthoSupersite – Susan M. Rapp
Patients who had high scores on the Roland-Morris Disability Questionnaire in the first few weeks after a work-related back injury were at high risk for not having returned to work 1 year later, according to a prospective population-based cohort study conducted at the University of Washington, Seattle. Read the rest of this entry »
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Rick,
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