injury proof brochure
TRANSCRIPT
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INJURY PROOFBecome
Featuring Movement Based Healthcare and 5 Site Integrity
Get assessed and fnd answers
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STEP ONE:
examine movementBefore beginning any program or service at FITS we identify your athlecism
and your susceptibility to injury with the rst of its kind in the world, our INJURY
PROOF PROFILE featuring 5-Site integrity.
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Most testing is performed as if the
was a black box surrounding the
athlete. They only thing that mat-
ters is recording the outcome; eith
distance reached, the time taken t
perform a task, the amount lifted,
in more sophisticated testing forc
produced, power, and other physi-
ological parameters. The black bois hiding valuable information abo
how the athlete moves to develop
the outcome. Failure to analyze
movement produces misdirected
training recommendations leading
to higher injury risk, poor perfor-
mance, and poor transfer into spo
performance.
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Move correctly and become
INJURY PROOF90 percent of sports medicine injuriesare related to the forces that we are ex-
posed to during practice, competition and
in life. The forces acting on our bodies
are controlled by our movements - see
injury proof paradigm. If we move
correctly the forces acting on our bodieswill be distributed properly , making us
injury proof. This is a simple, but very
true statement.
At FITS we investigate movement to
determine injury risk and the impact of
movement on performance based on
understanding joint loads, injury mechan-
ics, force production and motor control.
As a result of testing 1,000s of athletes
ranging from young amateur athletes to
professional and Olympic athletes weve
developed our FIT standards for move-
ments, which have been adopted by
several Provincial Sport Organizations.
These standards give protection against
most injury forces encountered duringpractice and competition, in addition to
improving our movement efciency and
in turn our performance.
The images below on the left are correct
movement patterns, while on the right
are dynamic valgus (inward movement
of the knee) - one of many typical move-
ment dysfunction we look for. Athletes on
Young male athlete displaying proper movement skill of overhead
squat, squat, and single leg squat. Notice he is able to achieve a
position below parallel while maintaining a neutral spine position.
Figure 1:
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the right range in ages from young kids
aged 11 to a fully mature professional
athlete. What is amazing is the high
prevalence this movement dysfunction,
where approximately 80 and 70 percent
of female and male athletes across allages present with dynamic valgus.
The young athletes on the left do not
have pain while the athlete on the far
right is experiencing left knee pain that
is severely limiting her performance - de-
spite winning major professional awards.
The difference between these athletes is
the accumulation of damage over years.What is expected is that the young ath-
letes will progress into knee pain if the
dynamic valgus isnt corrected. We can
correct the movement pattern and in
the example the professional athlete
after 8 weeks of development no longer
displays dynamic valgus and her perfor-
mance has signicantly improved.
Because we have years of experience
and we are constantly rening and
testing our approach we can offer the
highest standards in care. When this is
combined with our unique approach tointegrate our sport medicine services
with how we develop motor skill and
output qualities we can make you Injury
Proof.
In images 1,2, and 4 notice how in response to a single leg squat that ath -
letes knee buckles inward and in 3 the knees collapse inwards bilaterally.
This movement dysfunction is termed dynamic valgus and it is the source
of many knee problems that can be corrected.
Figure 2:
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Posture Mobility Movement Output Capacity
Defnition The resting
position of your
joints.
A measure of the
range of motion of
key joints in your
body.
Do you move cor-
rectly? Are youcoordinated? Are
you damaging your
body by a move-
ment dysfunction
that you dont even
know youre doing?
Do you have
enough strength tohandle the loads
being applied to
your body? Can
you react to a sud-
den load applied
to your body before
you buckle?
Your capacity is
how your aerobicand your anaero-
bic energy sys-
tems functions. D
your movements
become sloppy
when you becom
fatigued?
ImpacttoyourLIFE
The resting
position of your jointshas huge implications
on: the function of
your muscles and fas-
cia; your joint mobility;
and your nervous sys-
tem. All these factors
alters your ability to
move correctly.
Without proper joint
mobility you will not be
able to move correctly.
The way you move
dictates how loads are
applied to your body.
This is the main focusat FITS, because
incorrect movements
lead to pain, inam-
mation, injury and sub-
optimal performance.
Correct movements
give you the ability to
be INJURY PROOF
and perform to your
full potential.
How you move is lim-
ited by four important
output factors:
a) your ability to
produce force
b) your rate of force
development;
c) your ability to
handle large, rapidly
applied forces
d) your reactive ability
Without adequate
capacity your mov
ments will become
dysfunctional, lead
ing to uncoordinate
movements.
INJURY PROOF PARADIGMA Movement Based Approach
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1. HISTORY AND GOAL SETTING:We take a complete medi-
cal history and listen to your goals.
2. ANALYSIS: Using cutting edge video motion capture and 5
Site Integrity we analyze your posture and how you move and
produce forces during low load, high load and sport specic
movements.
3. HANDS ON-EXAMINATION: We perform a focused
orthopaedic evaluation and manual muscle testing of
identied areas.
4. REPORT: We provide a report explaining our ndings and
we develop a plan to correct identied movement
dysfunctions through posture, mobility, movement, strength,
power, reactive abilities and work capacity.
5. TREATMENT with TRAINING:Factoring in your lifestyle and
your goals we combine therapies with clinical
conditioning to develop proper movement patterns and to cor-
rect postural habits.
6. REPORT: We provide a report explaining our ndings and
we develop a plan to correct identied movement dysfunctions
through posture, mobility, movement, strength, power, reactive
abilities and work capacity.
INJURY PROOF ASSESSMENT
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MOVE
CORRECTLY
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ShoulderSam is known for her spiking, but over the sea-
son shes developed a lot of pain in herhitting shoulder and neck. At rst she could
work through the pain, but now even volleying
hurts. She has been sidelined for three games.
Her game performance has been on the de-
cline since the injury. She is currently in high
school and is looking for a volleyball scholar-
ship.
SAM with the Terrible
How we helped
Posture Mobility Movement Output Capacity
Relevan
tFindings
She has anterior head
carriage, internally rotated
shoulders, and a hyperky-
photic thoracic spine.
Her hitting shoulderis elevated and more
internally rotated that her
opposite side.
She is unable to raise
her arms above shoulder
height without pain in
exion and abduction.
She displays habitual
thoracic hyperkyphosis
with scapular dyskinesia
during sitting, reading,
working on the computer
and when performing
sport specic movements.
Scapular diskinesia is
pronounced with gleno-
humeral movements
about the shoulder or
when loaded.
Weak lower ber of trape-
zius and external rotators.
Unable to perform exter-
nal rotation with weights
10% of biacromial bench
press.
Scapula cannot remainin ideal position during
shoulder movements
above 60 degrees in ex-
ion, abduction, and during
pressing movements.
Unable to perform o
correct lower ber of
trapezius movement
Treatments
Iontophoresis with Vultar-
en to reduce pain and in-
ammation. ART and acu-
puncture to address fascial
restrictions focussing on
her pectoralis fascia, pec-
toralis minor, subclavius,anterior scalenes.
For thoracic spine mobil-
ity we performed adjust-
ments, Mulligan Technique
and self-rolling on a foam
roller.
To address her shoulder
mobility we focussed softtissue techniques on her
scapular protractors and
internal humeral rotators.
Establish proper scapula
movement during all
gleno-humeral move-
ments.
Develop strength endurance of scapular stabilize
namely focussing on lower bers of trapezius, ex
rotators, and serratus anterior.
Results Full resolution and full return to competition.
My injury may have been the best thing that has happened to me.Im feeling better than before my injury. In fact Im hitting harderand more consistently. THANKS!!
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KneesSarah has patellofemoral knee pain and isunable to run. Efforts to treat her knee with
laser, ultrasound, and rehab exercises to
strengthen her VMO have been ineffective.
She has become very frustrated, because
despite her efforts she is still injured.
After 10 weeks of care, Sarah no longer has
knee pain. She is able to run and she is very
optimistic about this upcoming season. In fact
during her rst race she performed a personal
best.
Posture Mobility Movement Output Capacity
RelevantFindin
gs
Normal and complete range of motion. Pain with
loaded knee exion.
Unable to properly dem-
onstrate hip hinge.
Demonstrates quad domi-nate pattern.
Demonstrates dynamic
knee valgus on landing
from a 35cm box, take-off
from the ground, and dur-
ing all cutting and power
development movements.
Unable to squat, lunge
and perform a
single leg squat without
displaying dynamic kneevalgus.
All explosive movements
and deceleration move-
ments cause dynamic
knee valgus.
Aerobic conditioninbelow average for h
sport and competiti
level. During anaer
testing as she beca
tired her pattern wo
as expected.
Treatme
nts
Develop hip mobility, thoracic spine, and
Teach patient to hip hinge
, basic movements (such
as squat, lunge, and
single legged squat), and
improve sport specic
movements to spare theback from aggravating
forces.
Teach patient proper lift-
ing, sitting and postural
habits to reduce habitual
stress to low back
Sarah performed our Anti-
Dynamic Knee Valgus
Protocol which develops
the athlete ability to
control their knee. Thisapproach is staged and
progressively loads the
athlete based on their
ability to control their knee
position.
Sarah developed h
aerobic and anaero
ergy systems in the
initially and progres
to incorporate unloa
work capacity exercAfter 8 weeks Sara
able to run and was
to control their knee
ing all dryland move
without pain.
How we helped
Sarah with the bad
Results Im racing the best of my life. Who ever would have thought Id be better than bfore the injury. I always wondered where I would be if I wasnt in pain during traiNow I dont have to wonder anymore. Training has been incredible. THANKS.
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Frank had low back pain for years and because
of pain he was unable to train, he spent over24 games on the disabled list, and his back
constantly bothered him. His back pain stared
as a dull ache in high school, aggravated when
he would squat. Soon it became difcult to
play, requiring pain medication to get through
the game. Now its a stage where he wonders if
his career is over.
Back PainFranks Never Ending
How we helped
Posture Mobility Movement Output Capacity
RelevantFindings
Antalgic gait. Sits with
a spine exed. Anterior
head carriage with inter-
nally rotated shoulders.
Genu Varum of the knees.
Tightness in hamstrings
(ASLR at 60 degrees), hip
exors, external hip rota-
tors. Limited lumbar ex-
ion and lateral bending,
approximately 60% and
70% respectively when
compared to normal.
Thoracic spine is hyperky-
photic and rigid. Scapular
movements demonstrated
scapular winging.
Unable to properly dem-
onstrate a hip hinge and
bends with spine exion.
Activities of daily living are
performed with initiation
of movement with his
spine and with his spine in
exion.
Demonstrates poor lift-
ing mechanics without
abdominal bracing when
lifting a 28lbs box.
Unable to demonstrate
proper airplane move-
ment.
Force and rate of force
development are normal,
but are below average
when compared to other
professional hockey play-
ers. Movement dysfunc-
tions are present which
limit his force and power
production. Pain was
experienced during force
and power testing local-
ized to his low back.
Holds neutral spine
to 60% of capacity, bridge discrepancy
50% right 40% left o
ideal.
Treatments
Acupuncture to relieve
pain and combined withART to address fascial re-
strictions in his hip exors,
low back and hamstrings.
Develop hip mobility, tho-
racic spine mobility, and
improved mobility about
the shoulder.
Teach patient to hip hinge,
basic movements (such
as squat, lunge, and
single legged squat), and
improve sport specicmovements to spare the
back from aggravating
forces.
Teach patient proper lift-
ing, sitting and postural
habits to reduce habitual
stress to low back.
Develop hip hinge force
and power developmentwhile grooving proper
spine mechanics dur-
ing strength and power
exercises.
Develop neutral spinholding capacity in t
plank, side bridge, t
exion hold and bac
extension.
My back feels incredible. Im no longer in pain and Im playing the best I ever
have.I never would have thought FITS would make this much of a difference.
Incredible. I would recommend it to anyone. THANK-YOU
Results
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BecomeINJURY
PROOF