Ealing Physiotherapy Ltd

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Issue: 11                    top

October 2011

 

October Newsletter

 

Dear Visitor,

A warm welcome to our October newsletter.  BackCare week is upon us. What better time to talk to you about the health of your spine!  We focus on their campaign this year which is to reduce spinal pain in schools for both teachers and students. Full article 

Related topics of back issues relating to children and backpacks

 

Tips from our experienced physios for children in sport/PE classes 

 

I've also included tips to remember when our children start to learn to write

 

Finally if injury does occur, Click Here

 

Also, we welcomed Jason Laird and David Barker to the clinic in September. They make up the team together with myself, Helen Robartes and Karthik Krishna  who is back from his summer sabbatical.

 

regards

Christina Carlsen

Practice Owner 

 

Jason Laird MCSP and David Barker MCSP

Jason LairdHi, I'm Jason.   I've been working with people and their injuries for six years. I have worked with a variety of different sports teams including basketball, tennis and football.  For the last 4 years I have been looking after the young football players at the Chelsea Academy.

I have completed post graduate courses in physiotherapy (including acupuncture and sport rehab) allowing me to deliver effective, up to date treatments to my patients.  I have a particular interest in low back pain, knee injuries and sports injuries within the paediatric population.  

 

David Barker 

Hello, I'm David.  I've moved back from Canada where I worked with a semi-professional Ice Hockey team and successful amateur football team, gaining extensive experience in acute care and rehab for sporting injuries.  

 

I have a particular passion for treating cervicogenic (neck related) headaches, studying it further as part of a Masters degree. I have played rugby for Yorkshire and competed in national mountain biking championships as well as being a keen adventure racer.  

 

For more information on all our physios, please click here

 

 

Back Problems in Schools                                       backprobs

The surprising extent of back problems suffered by primary school teachers was revealed earlier this year in a survey by the education union - Voice. It found that:

  • 88% of teachers experienced back pain, most at least once a week while working at school.
  • 70% of those with back pain had sought medical treatment.

Common causes of their back pain were:

  • bending over low tables (91%),
  • sitting on children's chairs (85%),
  • kneeling at low tables or on the floor (71%).
  • Other causes were lifting or carrying children, working at child-height computers, and bending over laptops in class. 

Many of those who took part in the survey said they could no longer sit on the floor, worked part-time rather than full-time, moved to work with older children or were forced to take ill-health retirement due to their pain.

 

Alarmingly, only 8% said they had officially reported their problems either because they did not know how to raise their concerns or they were afraid of jeopardising their careers.

 

The statistics above are a prime example of how postural changes and sustained positions have an effect on spinal pain. The following pointers can help to reduce your risk of posture-related back pain, whether you are a teacher or a student:

  • Change positions regularly throughout the day.
  • Ensure your work station is appropriate.
  • Consider a professional workplace assessment if you feel that you might be at risk (your employer is legally bound to fund this).
  • The old adage of 'sit up straight' really does apply!  Decrease your chance of neck, lower and mid back and shoulder pain by adopting a neutral posture.
  • Squat, don't bend through your trunk when ever possible. 

 

Children and Backpacks                                   backpacks

 

The back will compensate for any load applied to it for an extended period of time. Children carrying heavy weights in backpacks can:

 

Result in them leaning forward, reducing balance and making it easier to fall.

 

Distort the natural curves in the middle and lower backs, causing muscle strain and irritation to the spine joints and rib cage.

 

Cause rounding of the shoulders.

 

Constantly carrying backpacks over one shoulder can make muscles compensate for the uneven weight. This type of muscle imbalance can cause muscle strain, muscle spasm and back pain in the short term and speed the development of back problems later in life if not corrected.

 

Reducing the load within backpacks is a must - try to leave books/equipment at school and only take things you really need on each day.children and packpacks

 

Click the image to find the backpacks recommended by the charity BackCare. 

 

 

 

 

Tips for Children in Sport/PE Classes              tips


By warming-up properly you will reduce the risk of injuries such as growth related issues or the usual strains and sprains. The aim of a good warm-up is to gradually prepare the body for exercise. This is done by: 

  • increasing body temperature.
  • making muscles, tendons and ligaments more elastic.
  • stretching to increase the range of movement around joints.

 

The warm up can be broken down into 3 stages: 

  • Stage 1: Light Aerobic Work

Light continuous activity such as slow jogging, is used to increase heart rate and blood flow. Muscles, ligaments and synovial fluid in the joints are warmed, increasing flexibility. 

  • Stage 2: Stretches

Stretching the main muscle groups and joints increases their elasticity and mobility so that they are less likely to be strained. 

  • Stage 3: Specific Stretches and Skills-Related Exercises

The final stretches and exercises will tackle the muscles that come under particular stress during the planned activity, for example, a javelin thrower may do some throws at 50% of maximum effort. 

 

Jason and David

 

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If injury does occur                                            injury

Whenever there is any injury to bones, joints, ligaments muscles or tendons, blood vessels will be damaged. Broken blood vessels mean that blood leaks into tissues around the injury. This will lead to swelling, bruising and pain. 

 

What can you do immediately?

 

  • Rest and stop playing initially!!
  • Ice
  • Compression
  • Elevation

 

Further treatment may be required if pain does not settle down within a few days. You can contact us here at Ealing Physiotherapy for an assessment with one of our highly experienced physiotherapists, many of whom work with young athletes and have experience with sports injuries.

 

Jason and David 

 

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Learning to Write = Backpain?                                      Learnwriting

Do you recognise this scenario? Whilst learning to write your child is focusing very intensely on shaping the letters. She bends forwards with her face right down by the table, nose close to the desk. The table is too high for her short body as she is sitting on an ordinary chair that cannot be raised.

 

As we grow and learn to write we often retain the bent forwards posture, even as adults. Early movement patterns form lifelong habits. In due time the strain will cause neck, shoulder and back pain.

 

Here are the shocking facts: A study from 2003 shows significant association in 11-14 year old children between flexed (bent forwards) postures and low back pain. Static postures and neck and upper back (between the shoulder blades) pain were also associated. Another study from 2006 found that of 679 11-14 year old children, 27% had neck pain, 18% had upper back pain and 22% had low back pain. That amounts to a whopping 67% with back pain! The three categories were all associated with school furniture features in addition to other contributing factors such as school bag weight, emotional problems etc.

 

As if that is not bad enough, a Norwegian study from 2009 states that neck, shoulder and upper back pain are common among adolescents and often persist into working life and is quoted saying: 'These results may give potential for preventive efforts at a young age'.

 

Do we want our children to grow into adults with posture and pain issues? No of course not! Then how do we help them?

 

  • Show your child how to sit upright instead of bending down. She then needs to be reminded often to sit straight with only her head tipped forward in order to look down on the paper. It is of course near impossible for a child to remember by herself how to sit when all the attention is on manoeuvring the illusive pencil!
  • Sit your child on a booster seat. The elbow angle needs to be 90 degrees where the lower arm is horizontal and in line with the desk.
  • Even better - get an office chair for children that can be raised. As described above - elbow at 90 degrees. You may need to use a lower desk too.
  • Make sure your child's child sized office chair is not too deep in the seat making the child unable to sit upright supported by the backrest with her knees bent over the seat edge. This issue is well known to all short people - most seats are very deep and appear to be designed for very tall men and giants.
  • Help your child to take frequent breaks and get off the chair at least every 15 minutes to move about for a few minutes. I know this seems disruptive and like a terrible waste of time but the body was not made for sitting still and tensing up - it was made for movement!

 

My 4 year old daughter uses the coffee table and a small chair - perfect ergonomic conditions for a little person but of course she needs to be reminded time and time again to straighten up...

 

Remember - even with the best child sized office chair and the best desk in the world your child can sit slumped with bad posture!

 

Christina 

 

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I hope you have found this newsletter informative.  Please let us know your opinion.  Details of how to contact us Click Here

 

sincerely,


Christina Carlsen
Ealing Physiotherapy Ltd