Active injury rehabilitation services are conditioning programs focused on the rehabilitation of one or more soft tissue injuries. Soft tissue injuries are those sustained to skeletal muscle, tendons, ligaments, fascia, and cartilage. Unlike a fractured bone, which will typically heal in six weeks, soft tissue injuries can take months to rehabilitate. In general, some sort of passive therapy such as physiotherapy, massage therapy, chiropractic treatments, or acupuncture is undertaken in the acute stage and for the first 3-6 weeks following the injury. However, there comes a point when the injury will benefit from a structured and progressive exercise regime. Let's face it, another massage or ultra-sound application is not going to make you stronger.
At Peak Exercise Sciences, you will work with a registered kinesiologist or exercise physiologist, who will structure and implement an individualized and progressive conditioning program dedicated to returning you to an active and functional life.
If you have medical coverage through your work, your active rehabilitation may be covered by your insurance carrier.
Including a focus on core strength development within sport conditioning and personal fitness training programs has become popular in recent years. However, its origins are in active rehabilitation, in particular for persons with low back pain.
Core strength is important because all forces generated by the upper and lower musculature are originated in, stabilized by, or transferred through the trunk and lower torso. Weakness and or muscle imbalances of the core can give rise to poor posture and extraneous movement, which can cause low back pain and set the stage for injury. A strong core increases stability of the spine and prevents or reduces excessive stress on the connective tissues surrounding the intervertebral discs. Moreover, a strong core will increase intra-abdominal pressure, reducing the stress on the vertebral discs themselves.
Core strength development involves targeting the following muscle groups of the back, abdomen, and hip: rectus abdominis, transverse abdominis, internal obliques, external obliques, erector spinae, multifidus, quadratus lumborum, and the psoas.
Core strength development can be categorized into four stages of exercises. The first of these involves teaching the individual how to contract the deep core. Of primary importance here is the ability to contract the transverse abdominis and, what physicians call the pelvic floor, the levator ani. Once the person can consistently contract the transverse abdominis statically, they may progress to training the core stabilizers with external loads e.g. the squat. This may be followed by progressing to resisted dynamic trunk movements, and eventually resisted functional tasks e.g. sport specific movements.
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