a.r.t.nhlpa presentation v3 0
TRANSCRIPT
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Active Release/Advanced Soft Tissue Techniques &
Contemporary Electro-Acupuncture Specific to Hockey Players
By: Dr. Michael PrebegSunday, August 26, 2012
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Presentation Objectives
1. Present the current
successful manual
methods to prevent or
treat MSK functionalinjuries & problems in
hockey players.
2. Demonstrate that the
methods we employ:
a) Provide significant value to
the players and teams by
protecting and promoting
athletic performance.
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Common Hip Related Complaints
from Hockey Players
Most common non-traumatic or overuse injuries:
• Adductor Strains:
– Account for 10 – 11 % of allinjuries
– If not prevented or treated, canbecome chronic or even careerthreatening
– Adductor longus is the mostcommonly strained muscle ofthe adductor group
• Groin Pain
– Over 15% of all hockey injuriestypically involve thegroin/abdominal region
Emery et al, Groin and Abdominal Strains in NHL, Clin J Sports Med, 1999
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We know: 15% of all hockey related
injuries are groin related
“A reduced hip jointrange of motion has
been shown to beassociated with
chronic groin pain in
athletes”
Williams, 1978; Verrall et al,2005, 2007
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Look for asymmetry in a hockey
player’s pelvic mechanics
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Muscles Highly Utilized
by Hockey Players
A skater’s push-off creates a
vertical reaction force of 1.5
to 2.5 times body weight.
Rapid acceleration anddeceleration combined with
dynamic stability requirements.
These muscles typically
get shortened & weak.
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Muscles Highly Utilized
by Hockey Players
These muscles
typically get tight,
overused &
inhibited.
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Introducing Advanced Soft Tissue Techniques
& Contemporary Medical Acupuncture
• Contemporary AcupunctureTechniques:
–
Dry Needling – Electro-Acupuncture
• ART (Active ReleaseTechniques) / MyofascialRelease Therapy
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Passive Range of Motion, Before & After
Soft Tissue & Acupuncture Treatment
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Gracilis
Adductor
Magnus
Obturator
Nerve
Adductor Magnus, Obturator Nerve
Branch Acupuncture Stimulation
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Adductor Longus
Acupuncture Treatment
Gracilis
Adductor
Longus
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Adductor Longus/Magnus
Soft Tissue Treatment
Adductor
Longus
Gracilis
Adductor
Magnus
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Contemporary Medical Acupuncture
& Advanced Soft Tissue Techniques
• How do these techniques work?
• What do we know?
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Contemporary Medical Acupuncture
Peripheral nerve
stimulating technique:
1. Normalizes nervous
system activity
2. Increases local blood
flow
3. Improve biochemical
environment
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ART/Myofascial Release
Shortening and LengtheningTissue Using Contact to CreateTension:
1. Decrease Scar Tissue andAdhesions
2. Improve Tissue Fluid
Dynamics3. Increased Oxygenation of
the Tissue
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Foundational Treatment Goals
• Generate more effective and
consistent ways to:
– Restore Adaptive Potential
– Improve Agonist/AntagonistBalance
T9
T10
T11
T12
External
Obliques
T12
L1
L4
L5
S1
S2
Superior &
Inferior Gluteal
Nerve
Hip
Capsule
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Treatment Outcomes
• By normalizing the pelvicgirdle motion and improvingfunction of the lumbo-pelvic
stabilizers: – Decrease stress on the pelvic
girdle
– Minimize the risk of injury anddegenerative changes in the
hip joint – Minimize risk of groin pulls,
athletic pubalgia and low backpain
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In Closing
“Effectiveness of
these interventions
are maximized when
employed within the
existing coaching
and healthcare
team environment.”
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Active Release/Advanced Soft Tissue Techniques &
Contemporary Electro-Acupuncture Specific to Hockey Players
THE END