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May 17, 2021
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The Spine of a Child
The spine of a child is changeable, like a green bamboo. If it is put in slouched/abnormal positions often enough, over the years, ligaments will
May 17, 2021
Combined Movement Examination of the lumbar spine: VIDEO
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May 17, 2021
Monie et al. 2015 Combined Movement Examination of the Lumbar Spine and Manual Therapy Implications: Case Report
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May 17, 2021
Brentwood Precision Physiotherapy
Ruth Lira (Physio) in Brentwood Precision Physiotherapy Located at 67 Cranford Avenue, Brentwood. Inside Brentwood Village Medical Centre Precision Physiotherapy welcomes Ruth
May 12, 2021
Hamstring Sprain
Sports Injuries Part 3 Hamstring strain By Melissa Mongeal B.Sc. Physiotherapy, APAM. Melissa works from East Fremantle practice Monday to Saturday. Background: The hamstrings are
January 21, 2021
Plantar Fasciitis
Sports Injuries Part 1 Plantar Fasciitis By Dr. Aubrey Monie [B.Sc. Physio, Ph.D., M.M.T., M.Med.Sc., Grad.Dip. Sports M.T.] Aubrey works from our
January 19, 2021
Anterior Cruciate Ligament [ ACL ] tear
Sports Injuries Part 2 Condition: Anterior Cruciate Ligament (ACL)Tear By Phillip McShane B.Sc. Physiotherapy (Curtin), APAM. Phillip works from our
January 12, 2021
Lower limb stretches for cyclists.
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Balance and Falls Prevention video. Click on this link:
Low back stretches in the cardinal planes. Click on this link:
HAMSTRING INJURIES
By Sarah Brook, Physiotherapist at our Manning practice.
5 key points on proximal hamstring injuries:
- The Hamstring muscle group consist of 4 main muscles: the Long and the Short Head of the Bicep Femoris, the Semitendinosus and the Semimembranosus. Only the Long Head of the Bicep Femoris, the Semitendinosus and the Semimembranosus cross both the hip and the knee joint. (Beltran, Ghazikhanian, Padron, Beltran, 2012).
- There are 2 main classifications of hamstring injuries: Type 1 caused by rapid acceleration injuries, most commonly while the hamstrings are contracting whilst being lengthened (eccentric muscle contraction), and Type 2 injuries caused by rapid excessive lengthening, eg., when falling into the splits. (Askling, 2011).
- Proximal hamstring injuries most commonly involve either the junction between the tendon and the bone, or the myotendinous junction (tissue between the muscle and tendon). (Beltran, Ghazikhanian, Padron, Beltran, 2012, (Vila Pouca, Parente, Natal Jorge, Ashton-Miller, 2021).
- Injuries will occur at the area of least resistance. In children, adolescents, and older adults, this is the junction between the tendon and the bone, and in young adults this is the myotendinous junction. (Beltran, Ghazikhanian, Padron, Beltran, 2012, (Vila Pouca, Parente, Natal Jorge, Ashton-Miller, 2021).
- For certain hamstring tears, a holistic tendon-based rehabilitation program has been demonstrated to manage these injuries successfully and help facilitate a full return to sport. (Looney, Day, Comfort, Donaldson, Cohen, 2023).
References:
1. Askling C., Types of hamstring injuries in sports. British Journal of Sports
Medicine 2011;45:e2.
2. Vila Pouca, M. C. P., Parente, M. P. L., Jorge, R. M. N., & Ashton-Miller, J. A. (2021). Injuries in
Muscle-Tendon-Bone Units: A Systematic Review Considering the Role of Passive Tissue Fatigue. Orthopaedic journal of sports medicine, 9(8), 23259671211020731.
3. Beltran, L., Ghazikhanian, V., Padron, M., & Beltran, J. (2012). The proximal hamstring muscle-
tendon-bone unit: a review of the normal anatomy, biomechanics, and pathophysiology. European journal of radiology, 81(12), 3772–3779. https://doi.org/10.1016/j.ejrad.2011.03.099
4. Looney, A. M., Day, H. K., Comfort, S. M., Donaldson, S. T., & Cohen, S. B.
(2023). Proximal Hamstring Ruptures: Treatment, Rehabilitation, and Return to Play. Current reviews in musculoskeletal medicine, 16(3), 103–113. https://doi.org/10.1007/s12178-023-09821-7
Why See Us?
Our combined qualifications and knowledge include; Ph.D.(low back pain), Master of Manual Therapy, Master of Medical Science (shoulder thesis), Grad. Dip. Sports Manual Therapy, B.Sc. Physiotherapy, and Myofascial Dry Needling (all therapists), Pilates, Personal Training, Former Teaching Fellow for the centre for Musculoskeletal Studies (UWA), Musculoskeletal clinical assessor for the Australian Physiotherapy Council.
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