Whiplash

  • The most important thing to do after a motor vehicle accident is to seek adequate pain relief early
  • The most consistent predictor for poor outcome is severe initial pain
  • Recent Australian data indicates that up to 60% of people may still have neck pain 6 months after their injury
  • Research has found that people with ongoing symptoms may have changes in muscle function of their neck and shoulder girdles. They may have balance disturbances, decreased awareness of where and how the neck moves ...
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Breathing and Performance

What is efficient breathing?

  • There should be 10 to 14 breaths per minute, or 15000-20000 breaths in a day
  • The primary muscles are the diaphragm and external intercoastals
  • Air entry is via the nose and the rhythm is regular and smooth
  • The inspiratory/expiratory ratio is 1: 1.5-2
  • There should be an end expiratory pause.

Inefficient breathing occurs when there is greater than 17 breaths per minute and overuse of the accessory muscles such as the scalenes, SCM, upper trapezius, levator scapulae muscles. The diaphragm does not ...

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Rotator Cuff

Rotator Cuff Tears – some facts

  • The cause of rotator cuff can be traumatic such as a fall on an outstretched hand, shoulder dislocation or degenerative / atraumatic with no clear cause for the pain.
  • The rotator cuff especially the supraspinatus, infraspinatus and biceps can become overloaded, as they are susceptible to fatigue due to their small musculoskeletal tendon units, poor blood supply and they are used at a high level during activities of daily living.
  • Articular surface tears are considered degenerative, asymptomatic ...
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Runners

Many running injuries are not related to adverse biomechanics but due to poor training techniques. This could be….

  • Large training volumes with limited recovery
  • Progressing training too quickly
  • Poor running shoes and running surfaces

When assessing running we look for symmetry from the front ( coronal plane), the side (sagittal) and transverse plans. If a faulty pattern is identified (asymmetry) we then relate it to the current symptoms and then find the cause of the asymmetry.

This may be due to joint stiffness, muscle weakness ...

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Tennis Elbow

Rethinking Tennis elbow

  •  Published in the British Medical Journal in 2006 is an article by Bissett et al who completed clinical trials comparing corticosteroid injections and placebo injections and physiotherapy for the treatment of tennis elbow.
  • This article highlights that while corticosteroid injection may give good short term recovery in the first 3 to 6 months at 12 months there is a 72% recurrence rate and delayed healing.
  • Physiotherapy provided in the trial gave a slower recovery however the recurrence rate was only ...
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Why Choose B.A.P.

B.A.P. provides comprehensive musculoskeletal care on the Sunshine Coast.

A unique combination of in house skills provides a comprehensive, evidence based management program tailored to the individual’s specific needs.

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The Pelvis

The pelvis is essential for the performance of almost every task. It is particularly relevant for women suffering from pelvic girdle pain (PGP), incontinence, pelvic organ prolapse (POP), and/or sexual impairment; all possible symptoms of failed pelvic function. Given the role the PFMs play in multiple tasks, it is not surprising that ‘muscle training’ is recommended as the first-line of treatment for women with these conditions. In clinical practice, it is common to see complex patients with a combination of ...

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Neck & Back Pain _ Computer Related

Postural problems are one of the most common causes of neck and back pain. With sustained bad posture, ligaments become over-stretched, neck and other spinal and pelvic joints and nerves are put under pressure, and muscles become tired and tight or stretched. One of the main ways that postural problems can develop is from working at a desk for prolonged periods. Working with your head down and shoulders slouched for long periods of time can lead to back and neck ...

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