Move4 visit Manchester Institute of Health and Performance
Recently, Move4 Physio’s therapist Kiera visited the impressive Manchester Institute of Health and Performance situated next to Manchester City’s Etihad stadium for a one-day conference. The presentations were performed by some of the leaders in research and covered a variety of subjects, from the use of strength in osteoporosis to ACL rehabilitation.
Dr Lee Herrington, a specialist in the field, provided some thought-provoking information regarding rehab after an ACL reconstruction. During this operation part of your hamstring or a tendon at the front of your knee is taken and inserted into your knee to replace the ruptured ligament and fixated with screws. Understandably the focus of the early phases of rehab is to regain muscle strength in certain positions, as a way to both enhance recovery and ensure the new graft isn’t damaged. This ‘protection’ of the graft can sometimes actually hinder rehabilitation, leading to slow progression of rehab and failure to adequately challenge the strength and flexibility of the knee. Dr Herrington was able to provide research findings around the force that is needed to break the graft, or the points where the screws are attached. When he compared this to the actual forces that can be placed through the knee when completing a variety of exercises, it turns out the surgical repairs are more resilient than we give it credit for.
The Manchester Institute of Health and Performance conference was held at the Etihad Stadium, Manchester
The research presented also indicated that when people return to sport after this type of injury, they often have a reduction in strength compared to before their injury, and avoid using their quads in certain movements. This can effect performance when returning to sport and potentially risks further injury immediately after return and also in the long term if this defecit is not addresed. With advances in surgery techniques as well as the research into such areas, it is highlighting further opportunity to increase strength and ultimately get patients back to their pre injury level both quickly and safely and try to prevent any further issues in the years following.
Whilst this research was aimed at a certain injury, the theme of early movement and strengthening after an injury is often echoed in other situations and a philosophy we at Move4 Physio work by. This isn’t to say we will be advising or getting our patients to literally run before they can walk. What we are saying is that we encourage all of our clients to maximise and challenge their recovery from injury at all stages of rehabilitation.
Our therapists are often approached by patients who are unsure how to manage their injury or niggle. They may stop all exercise through fear of pain and injury, or go the other way and push through, leading to potentially more damage being caused. Working with our therapists can help to empower and educate you about when it is suitable to both move and to rest, whilst also providing you with the exercises and treatment to enhance recovery.
At Move4 Physio our aim is to help our patients regain strength and move well. This might be low threshold core activation, all the way to a prowler push; both will help towards building muscle strength and ultimately help to achieve a goal whether it be an elite or recreational athlete get back to their sport, or a parent wanting to play with their children at the park.
The Move4 Team