April Falls Day is an opportunity to promote and prevent falls and harm from falls. The theme for April Falls Day 2017 is mobility and falls prevention “Moving right to stay upright”. Westmead Private Hospital and Westmead Private Physiotherapy Services held an information morning tea today providing awareness and education for staff and visitors
Did you know:
Approximately half of falls experienced by older adults living in the community occur in their homes and immediate home surroundings including the garden. Risk factors in the home may include poor lighting, clutter, uneven or slippery floors and the use of unstable furniture to assist with movements. Removing or reducing these risk factors can assist in making the home environment safer for older adults and reduce their risk of falls.
We are looking forward to bringing you The GLA:D program – a six week program aimed at decreasing the symptoms of arthritis of the knee and hip. The program was originated in Denmark, where it has reduced symptoms by 32% and this effect has been maintained at 12 months.
Our Physiotherapists are currently undergoing training to conduct this course in our practice. We look forward to bringing it to you soon! Please call our rooms to register your interest now!
Congratulations to John Breckenridge (our Principal Physiotherapist) on his recent publication in Musculoskeletal Science and Practice Journal. JB’s article looks at “The development of a shoulder specific left/right judgement task: Validity & reliability”. To read the article head to https://authors.elsevier.com/a/1UTuR8nLVhV3xS
Partner John Breckenridge travelled to Buenos Aires Argentina to present part of his PhD research entitled “Does upper limb pain affect performance of the LRJT” at the 10th Congress of the International Frderation of Societies of Hand Therapy. The congress is held every three years in conjunction with the hand surgeons and is considered the Olympics of Hand therapy and surgery. Well done JB!
Spondylolysis, or lumbar stress fracture, is a condition in the lower back where there is a defect or fracture in the part of the vertebra known as the pars interarticularis. The majority of pars defects occur in the lumbar vertebrae, with 90-95% occurring at the L5 level and at a ratio of 2:1, males to females. In an athletic population, the prevalence is between 8 and 15%, and has been reported at up to 67% in cricketers, particularly fast bowlers.
The action of fast bowling places significant stress on the lumbar spine in a highly repetitive nature. The movements exerted onto the lumbar spine include hyperextension, side bending and rotation. During the delivery of the bowl, forces between 4 to 6.5x bodyweight are transmitted through the lumbar spine. These forces in combination with the excessive spinal movements significantly increases the risk of development of spondylolysis.
What are the symptoms of spondylolysis?
Gradual onset of back pain, usually associated with a rapid increase in workload
One sided back pain – Initially sharp.
Aggravated by arching or standing, especially with increased training.
Pain may radiate to buttock or thigh
Pain eased by rest and flexed postures
Usually well localised over site of injury
Activities and sports that have been identified with a high incidence of spondylolysis include:
Initial management of lumbar stress fractures targets identification and modification of bowling action, as well as activity monitoring and management. It is widely expressed through scientific research that those bowlers demonstrating a mixed bowling action have a significantly increased chance of sustaining a pars injury.
The research shows a high success rate that 81% of pars stress fractures recover with conservative physiotherapy management. However, If left untreated, this condition has the potential to progress and impair the stability of the lumbar vertebra.
Physiotherapy management may involve:
Advice and education
Activity modification and load management
Core stability training using real time ultrasound feedback
Manual therapy to address musculoskeletal imbalances
Lumbo-pelvic and hip stability exercises
If you are a cricketer, at any level or just the general population experiencing these symptoms, be sure to see a health professional to get an opinion on your symptoms.
Ranawat VS, Dowell JK, Heywood-Weddington. Stress fractures of the lumbar pars interarticularis in athletes: a review based on long-term results of 18 professional cricketers. Department of orthopaedics. 2003;34(12): 915-19
Ranson et al. The relationship between bowling action classification and three-dimensional lower trunk motion in fast bowlers in cricket. Journal of sport sciences. 2008;26(3): 267-276
Bell PA. Spondylolysis in fast bowlers: principles of prevention and a survey of awareness among cricket coaches. Journal of British Sports Med. 1992;26: 273-5
Johnson M, Ferreira M, Hush J. Lumbar vertebral stress injuries in fast bowlers: A review of prevalence and risk factors. Physical therapy in sport. 2012;13(1): 45-52