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Cold Weather Makes Warm Ups Even More Important!

(used with permission by the APTA Private Practice Section)

Warm ups are always important. They gradually raise your heart rate, and get you breathing a little faster. This sends more oxygen, energy, and nutrients to your heart, lungs, and muscles so they can perform at their best. Warm ups also get the aerobic energy system started, which takes several minutes. Getting it going before your activity also helps you perform better.

What’s different in the cold?

Our bodies have a few tricks to stay warm in the cold. One of these is to narrow the blood vessels closest to the skin. That means that the more superficial muscles get less blood flow, making them more likely to be injured if you place too much demand on them before they’re ready. The restriction in the blood vessels also makes your heart work harder. This doesn’t mean you can’t be active in the cold, it just means that you should take a little more time to get your body ready.

How to warm up

Start with something to raise your heart rate, maybe a brisk walk or light jog.
Follow that with a dynamic warm up like walking or jogging while pulling your knees up high to your chest.
Some high front kicks with straight knees will loosen your hamstrings.
Walking lunges with an upper body twist will get your whole body moving.

Your warm up should match the activity you have planned. If you’re not sure how it should look, ask your physical therapist!

Consider your clothes

Dress in layers so you can adjust your clothing to your activity level. After you warm up, you might want to take off a layer to avoid getting too hot during your main activity. You can always add layers back when your activity level drops or the temperature changes.

Even though it’s cold, cool down

We know it’s tempting to rush inside to a warm blanket and hot drink, but don’t skip the cool down. Keep moving with a walk or another form of active recovery so your heart rate can come down gradually. A cool down also helps your muscles to transition back to a relaxed state and can reduce soreness following your workout. Since your muscles are still warm, your cool down is the right place for static stretching.

The shorter days and lower temperatures don’t mean that you’re stuck inside for all of your exercise. Follow these tips and you can safely keep moving outside. If you’d like a customized warm up or cool down, or have questions about your exercise routine, your physical therapist is a great person to ask!

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Health & Wellness , Aches & Pains , Physical Therapy , Joint Pain

Have You Scheduled Your 2023 PT Exam?

(used with permission from the American Physical Therapy Association Private Practice Section)

Haven’t thought about having an annual PT exam? We’re biased, but we think you should. You see your optometrist and dentist regularly because your eyes and teeth are important. You get an annual physical from your family physician. You might even be getting ready to see your accountant to get your yearly taxes done.

But what about the rest of your body? Have you lost range of motion, or strength? How’s your balance and coordination? These all affect how you move. You might not notice small changes until you have problems like trouble lifting a heavy load, joint pain, or a sprained ankle from a stumble.

An annual PT exam can catch problems early, then correct them before they lead to something bigger.

What to Expect

An annual PT exam is quick and easy. Your annual visit may include:

A history of your injuries, as well as a health history
Assessment of your strength, balance, flexibility, etc.
A review of your movement goals (do you want to run a marathon? Get on and off the floor easily playing with your grandkids?)
A review and update of your exercise program

How Important Is Moving Well?

There is strong evidence suggesting that movement is a valuable predictor of future health and resilience against disease. Moving well can keep you healthier and help you live longer.

Here are some examples of the power of movement when it comes to predicting future health:

Gait Velocity

Gait velocity is how fast you walk. Studies have shown that if your typical walking speed is over 1 m/s or 3.3 ft/s, you’re likely able to complete typical daily activities independently. You’re also less likely to be hospitalized and less likely to have adverse events like falls.

Get On and Off the Floor

A series of studies suggest that if you can go from standing to sitting on the floor and back to standing without using your hands, you’re a lot less likely to die than someone who can’t. It’s called the sitting-rising test. You can find the instructions and examples with a quick internet search.

Notice that both gait velocity and the sitting-rising test aren’t specific to any one thing. The risk of hospitalization in the gait velocity studies was hospitalization for any reason. Death in the sitting-rising studies was death from anything. So science says that moving well is incredibly important to your overall health. It’s also important for your quality of life.

We think moving well is just as important as your teeth, eyes, and taxes. If you agree, get that annual PT exam scheduled!

References

Physical Therapists’ Role in Prevention, Wellness, Fitness, Health Promotion, and Management of Disease and Disability – https://www.apta.org/apta-and-you/leadership-and-governance/policies/pt-role-advocacy

Ability to sit and rise from the floor is closely correlated with all-cause mortality risk — ScienceDaily

Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older – PubMed (nih.gov)

Aches & Pains , Physical Therapy , Injury , Joint Pain

Don’t Keep Injury Secrets!

(used with permission from the APTA Private Practice Section)

You might be wondering who would keep an injury secret. The answer is – lots of people! The first thing that comes to your mind might be an athlete, like a football player, or maybe a baseball pitcher. But athletes aren’t the only ones that keep injury secrets. Performers like dancers keep injury secrets, and so do workers in all types of jobs. Why would anyone want to keep their injury secret instead of getting it treated and letting it heal? Read on…

Stigma

Although there have been big improvements in the culture around sports, performing arts, and worker’s comp, some people still have the old “no pain, no gain” attitude. To some people, reporting an injury is an

act of weakness, or a way of letting the team down. There can also be external pressure from coaches, parents, teammates, supervisors, or fans to keep playing or working.

Fear of Loss

With the focus on head injuries in recent years, athletes that get hit in the head know if they report concussion symptoms, they’re coming out of the game. Workers who get hurt on the job fear loss of pay, or loss of their job. Performers who get hurt might fear that their replacement will outshine them on the stage and take their place.

Competitive Advantage

While the first two reasons can apply to athletes, performers, workers and most any other group that might be hiding an injury, this one is limited to athletes. If an opposing team knows a player is injured, and what the injury is, they might be able to take advantage of it. For example, if a football team has a running quarterback that has an ankle injury, it will change how the opposing defense plays.

These reasons all make some sense, but they’re also all shortsighted. Finishing a game, dancing tomorrow night, or working one more shift are never worth your long term health. Hiding a minor injury can turn it into a major one. It’s never weak to report an injury and you’re not letting your teammates, or coworkers down. If you’re not up to your best, you owe it to the people counting on you to let them know. Letting a healthy player, performer, or worker take your place is the right thing to do. If you’re injured, don’t hide it! Let the right people know, then go to the right person for help – your physical therapist!