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Issue:
11
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October
2011 |
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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
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.
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Jason
Laird MCSP and David Barker
MCSP |
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Hi,
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.
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
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Back
Problems in Schools
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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.
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Children
and Backpacks
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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.
Click
the image to find the backpacks recommended by the
charity BackCare.
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Tips
for Children in Sport/PE Classes
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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.
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
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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?
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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
Christina
Carlsen Ealing Physiotherapy Ltd
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