TrimetricsPhysio.com

Winter Olympics - 2010 Winter Olympic Games Vancouver - Day FourteenWhile its wonderful to have a flexible body what if you are a person who has so MUCH flexibility that it is a cause of pain,weakness,poor balance,clumsiness,frequent joint dislocations,ankle sprains and slow to heal sprains…
This type of body is one with Hypermobility Syndrome where joints exceed the normal expected movement for that joint.It is frequently an inherited disorder which renders the collagen found in our ligaments. If the collagen is weaker than it should be it allows for this excessive movement on joints but may also affect any body part where collagen in found i.e. ligaments which suspend the bladder,heart valves,and walls of veins.The range of hypermobillity is wide ranging from totally asymptomatic to total disability.
Hypermobility is diagnosed on the basis of the Beighton Scale with the allocation of one point for each lax joint. See www.physio-pedia.com/Beighton.It is present in about 20 % of individuals in varying degrees.
The majority of patients we see at Trimetrics have had careers as dancers gymnasts or
yoga as to some degree indivuduals are pre selected for these activites on account of their ” flexibility “. Many present with a history of chronic knee,lower back or shoulder pain and instability for which no treatment has been effective.The incidence of hypermobility is generally higher in women and highest in the U.K.where it is regarded as a connective tissue disorder and children are routinely screened for it in elementary school. Many individuals there are under the care of a rheumatologist for life as their bodies do not respond to injury and healing in the same way as those with more normal collagen in their bodies.
An individual with this disorder also may live with chronic low grade joint pain as their joints are not as supported as they need to be. There can be an accompanying anxiety issue as this person’s proprioception ( awareness of where the body is in space ) is poor resulting in balance,frequent falls or fear of falling, and clumsiness.They never know quite where their bodies are in space and when an injury may occur with little provocation.
Interstingly,one of the complaints hypermobile patients have is that they always feel ” tight ” and try to use stretching exercise,yoga etc to get ” relief ”
This is the body’s attempt to stabilise the hypermobile joints with excessive tightening and gripping in the large global muscles i.e. quads,pecs,calf muscles etc which is not effective in releasing the tightness and usually generates more pain and frustration !
The excellent news is that at Trimetrics we have developed a very specific exercise approach which is extremely beneficial for hypermobile patients.Strong muscles inside and out with specific exercise safety guidelines in place,make a huge difference for hypermobile patients.
Trimetrics program has 3 main tenets:
1.Release the chronically tight,painful,OVER dominant muscles with IMS / Functional Dry Needling followed by myofascial relase on a foam roller.This releases the old held gripping pattern that is energy expensive and itself a cause of painful trigger points.We address the tightnes where is actually is,in the muscles. We not stretch joints.This feels wonderful to a hypermobile person !
2 Realign the pelvis and spine so that correct exercise information is messaged to the brain.We know from research that a mis aligned pelvis is not a good basis for a balanced symmetrical core strengthening program.
3 Pilates based spine and core strengthening.
This type of body responds really well to an equipment based ( Reformer/ chair / cadillac ) Pilates program. We use a ” closed chain ” approach meaning that we use the equipment to bombard the nervous system with posturally stimulating information which assists the patient to pull their strength from the deep spine / core muscles.This is the system of deep muscles we want to use to stabilise the spine and limbs rather than use and over use, the big and often over dominant global muscles.Closed chain means that hands,feet,knees are always in contact with a hard surface,small ball,magic circle etc.
A feeling of safety is very important for hyper mobile patients. We begin in safe postions ( supine,side lying and prone ) so that the patient can learn where their bones are and how to access their core muscles, without the stress of gravity.If feelin or accessing the deep core system is hard for the patient, we use a Real Time Ultraosund test so that the patient and therapist can clearly see the abdominal muscles,and cue their activation with the ultrasound ..our patients love this tool.
As goals are mastered, we increase the challenges in kneeling,sitting standing and jumping drills on the Reformer,Chair and Cadillac.
We incorporate balance,propriocption training into each exercise using Pilates discs and Bosu.
Tactile cues and imagery are very powerful tools in elicitng deeper postural and muscular reactions.
A program of one to one Pilates training,twice a week over a 6 week period generates excellent results. We guide our patients to exercise and sports which will reinforce their new patterns so that core strength,balance and co ordination are always being progressed for continued fitness ,endurance and painlessness !
Please check out this UK link for very current research information www.hypermobility.org

Open Studio for established clients !

Picture yourself working out with your own private independent workout ! We are pleased to offer Open Studio for established clients who wish to come and work out independently with a customized program at specific times when there is equipment available in the clinic. To access this program please let your instructor know your request,she […]

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Mat Class Schedule September 2013 – Why you need Pilates Mat Class! Work in,not out!

Mat Class Schedule September 2013  - Why you need Pilates Mat Class!  Work in,not out!

Mat Class Schedule September 2013 – Why you need Pilates Mat Class! Work in,not out! Mat class is the least expensive and simplest way to learn Pilates as a beginner or as an established practitioner seeking to add another level to your fitness. A Pilates mat work out including resistance work of your own body […]

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Why is my posture bad ? What is Posturology ?

Thumbnail image for Why is my posture bad ? What is Posturology ?

“Why do I shock myself when I see myself in photos or in a store window ? I know that as well as causing me pain and stiffness it is preventing me from feeling and performing physically at my best. I feel it. I know it.I am frustrated having physio,chiro,massage all with short term benefits […]

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Iyengar Yoga 2013/2014

IYEGAR YOGA @ TRIMETRICS Fall 2013

As an adjunct to your exercise regime, try Iyengar yoga? Iyengar Yoga is defined by: Specificity with movement, Precise Alignment and Skillful Sequencing Classes are taught by Corinne Skrobot Registered Physiotherapist. Corinne holds both a degree in Education as well as a Bachelor of Science in Physical Therapy. Corinne brings 25 years as a physiotherapist […]

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June is Scoliosis Awareness Month!

June is Scoliosis Awareness Month!

The human spine is designed to have normal curves that go “ front to back “ to allow the spine the take the load of the head and organs to the pelvis for locomotion efficiently. Scoliosis is described as an “ S “ curve that takes the spine into a sideways curve which shows up […]

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Pilates Summer 2013 Schedule!

Pilates Summer 2013 Schedule!

Pilates Summer 2013 Schedule! Your options for maintaining your summer fitness! Term Training: Term: 1 July 2- August 3 ( 5 weeks ) Term 2: August 6- 31 ( 4 weeks ) Sign up for one or both if a fixed time works best for you. Drop in Classes: Monday’s 10.30am Tuesdays 4.30 pm Wednesdays […]

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Staff News: Donna Stevenson

Staff News: Donna

A graduate of Polestar’s post-rehabilitation training and recently, The Pilates Center as an Advanced Classical Pilates instructor, Donna has been studying and coaching the Pilates Method since 2001.She owned & operated a small boutique studio in West Vancouver for many years, is a national certified Personal Trainer and public speaker, passionate on the subject of […]

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Staff News: Jessi Thompson

Staff News: Jessi

Jessi graduated from the University of British Columbia with a Master of Physical Therapy after completing her B.Sc. in Biology, with a minor in Microbiology, from the University of Victoria. Growing up on the North Shore, Jessi has always believed in having a healthy and active lifestyle and looks forward to sharing this passion with […]

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We have a Defibrillator !

We have a defibrillator !

We have a Cardiac Defibrillator and we are not afraid to use it ! Staff recently got trained on this super easy to use,life saving device. Our instructor called it ” the idiot box !” because of its ease of application to a person in cardiac arrest … leads are applied..it reads the heart rythm […]

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Staff News: Amy Tao

Staff News: Amy Tao

Amy Tao, Registered Physiotherapist Amy is a graduate of the Master of Physical Therapy program at the University of British Columbia and previously completed a B.Sc.(Kinesiology) and a Bachelor of Fine Arts (Dance) at Simon Fraser University. Prior to becoming a physiotherapist, she worked as a professional dancer, dance teacher, kinesiologist, and Pilates and GYROTONIC® instructor. […]

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IYENGAR YOGA @ TRIMETRICS

IYENGAR YOGA @ TRIMETRICS

As an adjunct to your exercise regime, try Iyengar yoga? Iyengar Yoga is defined by: Specificity with movement, Precise Alignment and Skillful Sequencing Classes are taught by Corinne Skrobot Registered Physiotherapist. Corinne holds both a degree in Education as well as a Bachelor of Science in Physical Therapy. Corinne brings 25 years as a physiotherapist […]

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Pelvic Floor Strength and Conditioning Program

Pelvic Floor Strength and Conditioning Program

If you have recently given birth, had pelvic or abdominal surgery or suffer from incontinence that affects your daily activities and fitness this 3 week targeted program is for you! This research based 3 week program includes: * A 60 minute pelvic floor, spine assessment and Real Time Ultrasound evaluation of your core and pelvic […]

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The power of guided imagery to heal by Ruta Yawney Registered Clinical Counsellor

Registered Clinical Counsellor Offers Spiritual Solution: Use of Music Connects Clients to Their Stories Ruta Yawney, BMus, BMT, MA, RCC, FAMI Ruta specializes in assisting women, 40+ through the anxiety and stress experienced in life transitions. She is inspired by the Humanistic/client-centered approach, Jungian transpersonal theories and Helen Bonny’s Guided Imagery & Music method (GIM). […]

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The Benefits of Massage Therapy During and After Pregnancy

The Benefits of Massage Therapy During and After Pregnancy

Massage therapy is most effective when treating discomfort during and after pregnancy. The changes that occur during pregnancy affect most systems of the body and can result in problems such as backache, leg cramps and emotional adjustments. These symptoms can start during the first few weeks of pregnancy and can last for months or years […]

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Office Notes!

Office Notes!

To serve you better, we are upgrading our appointment scheduling and billing system. This new system will allow us to confirm your booked appointments by direct email instead of by phone call, saving the receptionists up to 90 minutes a day and freeing up phone lines for your incoming calls. If you would still prefer […]

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Real Time Ultrasound (RTUS) at Trimetrics : The benefits for therapists and our patients!

Real Time Ultrasound (RTUS) at Trimetrics : The benefits for therapists and our patients!

Real Time Ultrasound (RTUS) at Trimetrics : The benefits for therapists and our patients! For the past 2 years our physiotherapists have loved the information that our ultrasound studies have yielded about what is actually happening in our patients’ abdominal, pelvic floor and deep spine muscle systems. This information has greatly improved the precision of […]

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Waterworks Demystified! A Workshop for Women

Waterworks Demystified, a Workshop for Women

Waterworks Demystified! A Workshop for Women Date : Sunday February 24 Time : 11:00 – 12:30 pm You are invited to a dynamic, interactive workshop for women to explain the pelvic floor muscle system and what happens to the body when it does not work as well as it should! Using 3D iPad anatomy images, […]

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Staff News: Alison Parkins

Staff News: Alison Parkins

Alison Parkins, Pilates Instructor Alison first recognized the benefits of Pilates during her second pregnancy in 2001. Whilst practicing Pilates herself she became a certified fitness and exercise to music instructor. Two years later, she qualified as a certified Pilates instructor with The Pilates Institute in London UK. As a competitive and active person, involved […]

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Fresh Air Invitation from Siobhan !

Fresh Air Invitation from Siobhan !

Jenn has kindly offered any (female only!! sorry !) Trimetrics clients to come out as her guest to have a Nordic Pole walk hike or snow shoe. Jenn is happy to provide poles or demo snow shoes ( One size fits all !) Email her at [email protected] or check her blog each Sunday evening for […]

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Message from Jenn @ Fresh Air Life !

Message from Jenn @ Fresh Air Life !

Happy New Year to all of our Trimetircs / Fresh Air Life clients! Siobhan and I are so looking forward to seeing you out on the trails and hills in the winter fresh air this season! The snowshoe trails are alive with great energy: record snowfall and incredible scenery! I encourage all Trimetrics clients to […]

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