PD Warrior – Do you want to slow your Parkinson’s down?

Sheffield pd warrior slow down parkinsons disease Join us Wednesday 17 August 2016 to find out how.

PD Warrior is an exercise philosophy that aims to slow your Parkinson’s down. Developed in Australia in 2011 by two neurological physiotherapists Melissa McConaghy and Lynn Tullock, it has already helped thousands of people around the world. It is now coming to Sheffield.

PD Warrior is a ‘neuro-active’ ...

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What do we mean by early stroke management?

In the UK there are approximately 152,000 strokes annually. There are also 1.1million stroke survivors and 76% of these have physical deficits. Stroke remains the largest cause of complex disability in the UK.

The physiotherapists role is to help people reach their full physical potential and maximise their functional abilities to enable them where possible to reintegrate into society.

There is evidence emerging that early physiotherapy intervention following a stroke leads to improved physical outcomes. The Very Early Rehabilitation Trial (AVERT) in ...

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Common Cycling Injuries

This post discusses the most common cycling injuries.  The most frequent areas of the body that cyclists report having pain are at the knee and lower back. The latter being the most common and both are well documented from collected data over the last twenty years. Unfortunately, the research into causes of these problems are sparse and often anecdotal.

The very nature of cycling (in particular road cycling) and the pedalling action is repetitive with often long hours in the saddle. Minor discomforts ...

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Achilles & calf strain in runners

Achilles problems are the curse of all athletes, particularly runners. They are usually the most severe of lower limb injuries and result in the most training time lost or even cessation of running. The mechanisms of injury are debatable but are usually due to excessive:

  1. Tensile loading – which is the maximum stress that the tendon/tissue can withstand while being stretched before breaking.
  1. Shearing stress –opposing forces.
  1. Hyperthermia – increase temperature in the tissue.

These are the mechanisms but more relevant to ...

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Why are we still using core stability exercises?

The term ‘core stability’ has been a term that we as physiotherapists have endured for the last 20 years. Back in the 1990’s a small number of medical articles reported that people with chronic low back pain (CLBP) demonstrated changes in onset timing of certain abdominal muscles. Unfortunately, these findings along with anecdotal beliefs about abdominal muscles led to a revolution and a worldwide industry in promoting core stability type exercises. The fundamental assumption was that weak abdominals lead to ...

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Bike fitting, comfort and performance (Matt Withycombe) 

The cycling explosion.

Can you believe it has been a year since the Tour De France touched down in Yorkshire? The legacy of this fantastic event is clear to see with a significant number of people taking up cycling.

As with any increase in sports participation we will experience an influx of patients that are experiencing problems related to that sport. It can be multifactorial from people literally starting a sport from scratch to overtraining at the elite level. More commonly I experience ...

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How to choose the correct frame size

Cycling has become increasingly popular in the UK over the last 10 years due in part to the success of the British Cycling team in major competitions as well as British cyclists such as Bradley Wiggins and Chris Froome winning the Tour de France. This year Yorkshire is holding the Tour de France Grand Depart and this will inevitably create interest and a surge in people taking up cycling.
If you are new to cycling then choosing a bike is ...

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What is the best message with pain?

We often get patients that have been told by Consultants, G.P’s, osteopaths, Chiropractors and fellow Physiotherapists that they should be careful or even stop certain activities or sports following an injury. These words are very powerful and patients will more often than not stop their sport of choice and become more sedentary.

Commonly, I often find that this advice is given to runners who have had or are recovering from acute lower back pain, whatever the explanation given as to ...

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Bike fitting: The bike to the person or vice versa?

We have just started a series of presentations discussing common cycling injuries; how to prevent these occurring through a thorough bike fit, as well as introducing the benefits of using a Wattbike for ongoing training or occasional specific fitness testing.

The repetitive nature of cycling has the potential to cause problems. When observing the statistics, competitive cyclists average up to 5,000 pedalling revolutions an hour, between 10-150 miles each session and up to 20,000 miles a year. It is therefore easy ...

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What do we know about Tennis elbow?

We commonly assess and treat people with elbow problems and more often than not these patients have been given the diagnosis of Tennis Elbow (Lateral Epicondylitis). This can be from a number of sources both medical and non-medical.  Personally I think a pure ‘Tennis Elbow’ is less common than reported and I feel all elbow problems are lumped put under this umbrella term.

What we tend to find is that the source of the pain can be from a number of structures ...

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Do you need a total knee replacement?

The story
I was recently asked to see our neighbour’s mother (Mrs T) who at the age of 80 had started to develop right knee pain that didn’t seem to be improving. She never had any knee pain in the past and she’s a very fit and active woman who walked on a regular basis. The right knee was acutely painful on standing or walking short distances and in the last few months it had started to swell on a ...

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Exercise and New Year Resolutions

The New Year is looming and for many people getting back to or starting an exercise programme is high on the New Year resolution list. The pattern we tend to see is that people get over enthusiastic with the chosen exercise regime, injure themselves and enthusiasm wanes. If you are returning to exercise after a long break it is important to understand that our bodies are constantly adapting to the stresses and forces we put through them. If we have ...

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Previous Clinic Physio gets top award

Rivca Swinson received an Australian Physiotherapy association’s inaugural prize for her work in the rehabilitation of one of her patients. Chelsea Grandfield fractured her neck in three places and then suffered a stroke at seventeen years old. Rivca’s hardwork and positive thinking helped provide the motivation for Chelsea to make a full return to normal activity. Rivca now works in Tasmania, Australia but she trained at Sheffield Hallam University and was taught by Karen and Steve Hodgson. ...

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