ALTER-G & RUNNING RELATED INJURIES @ THE INJURY CLINIC

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We see a lot of running-related injuries at The Injury Clinic. The addition of an AlterG Treadmill to the team has provided us with further rehab and diagnostic options in the management of these presentations.

 

The most frequent running-related injuries are reported to be: Medial Tibial Stress Syndrome; Achilles Tendinopathy; Plantar Fasciopathy & Patellofemoral Pain. Other commonly managed running injures at The Injury Clinic include: Hip & Groin Pain; ITB & Lateral Knee Pain; Low Back Pain; Hamstring Tendinopathy.

HOW DOES THE ALTER-G ASSIST IN THE MANAGEMENT OF THESE INJURIES?

1. DIAGNOSIS

The Via AlterG at The Injury Clinic incorporates real-time gait metrics that provide information in regards to: Cadence; Weight Bearing; Step Length & Stance Time. Most running-related injuries are the result of adverse loading of tissues. This can be the result of a variety of contributors, inclusive of, but not limited to: Programming & Running Load; Strength Deficiencies; External Factors (i.e. Environment etc.); Biomechanics; Running Technique.

When managing a running injury, we like to ensure that we are addressing both the symptoms and the cause. If we can identify the specific contributing factors to an injury, we can reduce the likelihood that the injury reoccurs.

There are aspects of our running gait that can result in the adverse loading of tissues. But determining which gait findings are relevant injury contributors is not an easy task. Any observed findings in regards to gait metrics must fit with the individual’s injury profile to justify changing. We can’t forget that as soon as we change an aspect of running gait, we change loading patterns. The load doesn’t just disappear, it moves, potentially loading different tissues in a way they are not accustomed to and increasing the risk of ‘new’ injury.

Many GPS watches, foot pods and other gadgets provide information in regards to gait metrics. Their accuracy is questionable and varied. But the biggest thing is that they do not provide ‘real-time’ information. When looking at changing running technique, we are changing motor patterning. The opportunity to be made aware of both the effect of different cues and the ability for you to maintain any changes to your gait is invaluable.

2. PROGRESSIVE LOADING

If we consider that most running-related injuries are the result of adverse loading, the ability to reduce and control load in a run-specific context is a huge win in managing running-related injuries. Injured runners are able to continue running, limit deconditioning, maintain cardiovascular fitness, and ensure appropriate and specific loading of tissues. Load is easily progressed with incremental changes in body weight percentage and/or pace. It allows gradual and progressive loading back to overground running.

 

WHAT THE EVIDENCE DEMONSTRATES:

  • Gait Mechanics are maintained
  • Muscle firing patterns are maintained
  • An increase in body weight support results in a reduction in muscle activity (with the exception of bicep femoris)
  • An increase in body weight support results in a reduction in tibial shock
  • Joint Forces (Ground Reaction Force) are reduced
  • Foot loading patterns are persevered at 80-100% BW, but patterns shift towards forefoot loading at greater levels of body weight support
  • Metabolic cost reduces with an increase in body weight support; But increases in an increase in velocity

DO YOU THINK THE ALTER-G MIGHT HELP YOU OR SOMEONE YOU KNOW? WHAT TO DO NEXT…

You are required to consult with a Physiotherapist at The Injury Clinic prior to use of the AlterG. This will allow appropriate design and progression of sessions to assist you in achieving your goals. 

You will be running on the AlterG during this session. Once a plan has been discussed, you can book you’re sessions in and you’re up and running!

 

CALL THE CLINIC TODAY ON (03) 5229 3911

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