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Injury and balance?

post #1 of 27
Thread Starter 
The season is either half full or half empty depending on your point of view.

Might be a good time to review the importance of balance and the impedence to balance an injury presents.


SJ
post #2 of 27
after knee injury, my balance (in that leg) was totally GONE. I couldn't walk up a flight of stairs without wobbling everywhere. but regaining balance is very much stressed in PT, with:

- step ups and step downs on a platform, gradually getting higher, incorporated with arm swings...and bringing the resting leg up to 90 degrees

- balancing on a trampoline while PT throws medicine ball at you in various levels and prssures

- playing catch while standing on air-filled disks, or circling a ball over your head.

- playing catch with the medicine ball while doing wall sits...(yes, this is as painful as it sounds...)

- with feet on stability ball, raise hips into a "bridge" position, and perform scissor kicks, the difference between the healthy leg holding the ball in place and the injured leg holding the ball is HUGE, (in my case getting better slowly, however.)

INTERESTING obsservation, though, increasing strength does not necessarly mean increased balance....balance is coming back MUCH slower....

these methods are immediately following injury, im sure there will be worse (oops, I mean more challenging) excercises...

just my observations on the topic
post #3 of 27
When someone gets injured, not only do the bones, ligaments or tendons suffer damage, the muscles also are stretched and damaged. Muscles are very important in proprioception or the ability to determine the position of one's body or body parts in space. This greatly affects one's balance. So, to fully recover after an injury, one needs to perform exercises that not only strengthen the injured part, but also exercises that help balance or proprioception. There are many posts (especially by Lisamarie) that discuss some of these exercises.
post #4 of 27
Hey Linda,
How's the guitar playing coming along?

S
post #5 of 27
VERY GOOD CLASS!!!!

I purposely waited to see if a few others would respond, to see if I've been 'getting through" to everyone.

One very, very important point.Take a look at Linda's PT program. kee tov and myself have posted EVERY single one of those on this forum, some of them at least 3 times. The same exercises that can be used for PT are the best preventative exercises you can do. If the balance was there in the first place, the injury might not have happened. So do a search , especially under the Core conditioning exercise topic. We even have pictures!

When we talk about balance, we are dealing with a few points. First, there's muscular imbalance. As has been said, if our quads are too much stronger than your hamstrings, you may be setting yourself up for an ACL injury. If your chest is stronger than your back, you may set yourself up for a shoulder injury.
In skiing, add gravity, the imbalances are compounded.

Whenever you have an injury, your transverse abdominal muscle becomes less innervated on that side. So you will be less stable on that side. If you injury any part of your ankle, your proprioception will be off on that side. You may see the effects in your skiing.
post #6 of 27
WTFH,

My Guitar still sounds like, well, yuck. actually Im in the middle of relocation and its in storage at a friends house. But, well get it sounding ok....


Linda
post #7 of 27
<BLOCKQUOTE>quote:</font><HR> The same exercises that can be used for PT are the best preventative exercises you can do. If the balance was there in the first place, the injury might not have happened. <HR></BLOCKQUOTE>

just to defend myself...(once more) (WTF!!!and i dont mean wear the fox hat...) no amount of balance is going to help when you hit a bare spot at under a full head of steam. And once again defending myself, I have been a classicaly trained dancer since age 16. (I will not tell you how long THAT was, but suffice it to say it has been a LONG TIME....)

I've got balance...(ive got music, ive got rhythm...who could ask for anything more!!!) (ok Ill stop)or at least HAD...

Point being, in my post i was just trying to point out, (or review) the many excercises that contribute to balance...with inexpensive equipment....They are simple yet they help SO MUCH.

one of the recurring themes I see instructors on this forum posting is the importance of balance, and just thought this was an appropriate thread to share what I've learned.

(besides, I thought my injury was VKs fault, not my lack of balance [img]smile.gif[/img] )

<FONT COLOR="#800080" SIZE="1">[ February 11, 2002 05:58 PM: Message edited 1 time, by LindaA ]</font>
post #8 of 27
Skier_j

I started to write back on Sunday, but had to go skiing...sorry. I like the comments about the balance aspect of your question.

You also asked about "impedence to balance an injury presents."

Simply put, if you are not functioning at 100%, you can't move at 100%. Because skiing puts outside forces on your body, you need use of fine and gross movements to maintain balance. You had trouble with your shoulder, so pole touches were difficult. In some turns you need that "reach" for initiation, or to "block" the upper body. Without that balance present, your injury has made certain turns impossible.

However, if you reduced your level of skiing to a level where balance was not as critical, you could have worked on your balance from a different angle. If you were to have stayed in wedges or wedge christies, pole plant(shoulder movement) isn't needed.

I would love to see some of our adaptive friends chime in here. I know you were thinking of a temporary injury, but how about a permanent one? The body adjusts to the loss of mass, loss of movement by compensating somewhere else.
post #9 of 27
I too would like to hear what the adaptive skiing instructors have to say about this.

I was just reviewing my textbooks, and came across some interesting stuff from JC Santana's book, Functional Training.

He sites some basic "truisms" :

We are , neurologically asymetrical, which causes us to be. of course, unilaterally biased.

This, in turn makes us morphologically asymetrical which produces some natural imbalances.

These imbalances create compensatory mechanisms. the better the athlete, the better the compensation. Hmmmmmm!
post #10 of 27
Lisamarie,

Interesting statement about being asymetrical.

"We are , neurologically asymetrical, which causes us to be. of course, unilaterally biased.

This, in turn makes us morphologically asymetrical which produces some natural imbalances."

I'm studying for a test about teaching children. Before they become "lateral" thinkers and movers, they are "bilateral", moving both sides...hmmmm...could it be that they don't have depth perception yet? Could it be they don't have balance/ coordination yet? Not in my notes.

I agree that we adults have a stronger side, a better turn, etc....so is this asymetry a "learned" response to being bipedal? If we are bipedal wouldn't it make sense to be symetrical in strength so as not to throw us "off" in our stride? :

Do we become asymetrical because we have independent movement, and with depth perception(bilateral), we are able to reach unilaterally? We learn to be "right-handed", and therefore favor one side over the other? Are ambitexterous people less likely to be asymtrical?

If this starts a different thread, I'll keep up.

<FONT COLOR="#800080" SIZE="1">[ February 12, 2002 02:57 AM: Message edited 1 time, by KeeTov ]</font>
post #11 of 27
Good questions, kee tov. I wil be seeing my mentor, JC Santana at a conference the first weekend of March, so I may bring up these points.

I had an interesting experience at The Loaf this weekend. I was on this really icy steep {for me} thing, doing defensive skiing, which means a Z turn, and someone else made the same z turn right into me, at full force. By instinct, I engaged all my core muscles. She went down, I did not! [img]tongue.gif[/img]

Today, before a class, I had my students take a look at the downhill skiing events that were shown on the TVs in the cardio area. No amount of explaination could illustrate the need for core stability so well!
post #12 of 27
When my leg was broken it healed half an inch short and rather crooked. Skiing has definitely improved my balance on that leg. The interesting thing is that my balance is better in my ski boot! With the cuff adjustments and sole grinding I can balance better in my ski boot than bare feet.

By the end of the season I hope to be back to myself.
post #13 of 27
Lisamarie - Sounds like two football line backers going at each other...whoever gets out of balance loses. I would not recommend running into anyone. By the way...if you are on a collision course with someone, which way should you turn? (Part of a skier safety quiz from Killington) Glad you didn't get hurt.

Tom - if you have footbeds and proper alignment in your boots, you should have better balance than standing in your uneven legged stocking feet. Do you have footbeds in all of your shoes? You should, otherwise you can develop other joint problems.
post #14 of 27
Kee Tov, I have been wondering what the answer to that question is???? I think one of an instructors worst nightmares is to have a class entirely made up of z turners. That used to happen a lot in levels 2 and 3. Many crashes, and of course, everyone believes its ALWAYS the other person's fault!
post #15 of 27
<BLOCKQUOTE>quote:</font><HR>Originally posted by KeeTov:
...By the way...if you are on a collision course with someone, which way should you turn? (Part of a skier safety quiz from Killington)...<HR></BLOCKQUOTE>

OK, I know it must be a trick question, but I'll bite.

Since you don't know which way the other person is going to turn, you either:

(a) aim to pass in back of them (since only UFO's can suddenly reverse course); or,

(b) brake as hard as you can - that way, if you do hit it will be at a slower speed; or,

(c) carve back up the hill since (i) most people wouldn't think of (or be able) to do this, and it dumps speed very quickly; and, finally,

(d) promise yourself and your favorite diety that you will never ever go so fast again if he gets you off easy just this one time.


What's the approved answer?

Tom / PM

<FONT COLOR="#800080" SIZE="1">[ February 12, 2002 11:30 PM: Message edited 1 time, by PhysicsMan ]</font>
post #16 of 27
Hint: two cars pull into a narrow alley at the same time, aiming for each other. What do they do?

Here we have reality and fantasy blending. I don't know which is which. Ideally, you would pass on the right. You really do whatever it takes not to get hit, or at least keeping it to minimal damage.

Killington's "approved" answer is turn to the right. So one skier (who is out of control doing panic Z turns) must turn sharper in their existing right hand turn, while the other Z turner who is always in balance and therefore can react, stops turning left, and either "opens" her (oops. meant their) turn and turns slightly rightish.

From the above description, please pick out which one is LM.

There is an advantage of always being in balance.

For the fun of it, try this with a friend and see how "easy" it is to do the correct thing.(ha ha). Warning-do it at slow speeds on an easy slope first!!!!! No Blue Angels or Thunderbird flying daredevil routines!!
post #17 of 27
<BLOCKQUOTE>quote:</font><HR>Originally posted by KeeTov:
For the fun of it, try this with a friend and see how "easy" it is to do the correct thing.(ha ha).<HR></BLOCKQUOTE>

KeeTov, I read your mail, and was interested in the initial Hint. I found an agreeable friend, and we went out to test your theory. I am now down 1 friend, am looking for a good lawyer, and I have a question:

Does anyone know a good Auto Body Repair Shop?


S
post #18 of 27
Thread Starter 
WTFH

I think Kee Tov meant on ski's!
post #19 of 27
But all he said was:

<BLOCKQUOTE>quote:</font><HR>Originally posted by KeeTov:
Warning-do it at slow speeds on an easy slope first!!!!! No Blue Angels or Thunderbird flying daredevil routines!! <HR></BLOCKQUOTE>

Now isn't the Thunderbird a type of car? And Blue Angels an old name for an ambulance?

I mean, we found the most gently sloping road we could. How was I supposed to know?

S


P.S. A friend of mine has a SWB "special" version of the LWB Suziki Grand Vitara for sale. It has a VW Passat bumper attached to the front for additional protection, and some additonal body shaping not found on the original. Any offers?
post #20 of 27
WTFH.....I thought you had a new job and coudln't spend so much time on line???

Blue Angels and Thunderbirds are the flying "daredevil" teams from the US and Canada.

Another confusion, is I should have said in the US, turn right. For you furiners (heavily accented foreigners) who drive on the wrong side of the road, you should turn wrong to avoid a collision with another skier. Right turns are reserved for Americans.
post #21 of 27
New job starts on 11th March. Current job officially finishes on 22nd Feb.

Oh, and since you believe that driving on the left is wrong, a question:
Do mens shirts and jackets in America have buttons on the right side or left side of the garment when you put it on?

(and yes, this is relevant!)

S
post #22 of 27
I know you're leading somewhere...so maybe I won't answer!!!

The buttons are on the right, so it is the same movement when we unbutton blouses. Men have limited skills!
post #23 of 27
OK, next questions...
Are you right handed?
Do you have a mobile phone?
Does it have a belt clip?
If the answer is yes to all of these, then...
What side of your body do you clip your phone on?


S
post #24 of 27
I'm Jewish, so I will now answer the question with a question.

If I do those things right handed, does it mean that you must be left handed? Are your buttons on the left? So as they said in the "challenge" thread...does nothing go right if you go left?

I've asked enough questions for now, haven't I?
post #25 of 27
OK, over here we drive on the left.
Blame the Romans, oh, and our feudal past.

Most right-handed peopl would carry their sword, or later, gun, on the left hand side of their body, under their jacket. While you are on horseback, you keep the reign in your left hand, and reach with your right to grab the weapon. You can then easily pull it out from under your jacket, hence why mens clothes in general have buttons on the right. You now have your sword in your right hand to defend yourself against the person approaching. So, which side do you want to be on? Think about it... That's correct, the left side of the road, so your sword is in the middle to defend against the attacker approaching with sword in his right hand!
And before you think this is a load of rubbish, read Judges 3:15-21 in the Bible for the story of how a lefthanded man killed a king. Instead of having the dagger on his left thigh, like right handers would, it was on his left! The guards never searched there, because that wasn't normal!

So, in summary, right handed people would ride on the left, and this became the norm in civilised countries, as it is today.

S
post #26 of 27
You mentioned feudal past. Jousting is done with the combatant on the right side, so your shield covers your body.

WTFH, if we ski together, which turns will you make, right turns or wrong turns? Or should we just rip off our gloves and go at it.
post #27 of 27
Jousting is just a game. Welcome to the real world!

And when we ski, I will turn in whatever direction is safest if there is danger, failing that, I'll turn whatever way means I get a clean shot at you!


But seriously, make tracks, not war.


S
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