Trimetrics Physio Blog Trimetrics Physio Mon, 10 Feb 2014 23:57:45 +0000 en-US hourly 1 The more I stretch the worse I feel ! Hypermobilty and how to feel better ! Mon, 10 Feb 2014 23:55:17 +0000

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 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

Open Studio for established clients ! Thu, 10 Oct 2013 18:44:56 +0000

Open Studio at Trimetrics

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 will then create your program and teach it you in a booked one to one session.
This is not a substitute for your regular teaching but intended as an add on at times of your convenience and a lower price point, for those who want extra access to the equipment to augment their training.
You will be asked to sign a waiver for your safety.
How does it work ?
* If you are interested please check with your instructor that you are ready.
* Your instructor will then create your customized program and teach it to you in a booked one to one session,showing you the flow of exercises and how to adjust the equipment with safety as a focus.
* Your program is stored in a file folder for your reference and convenience for each visit.
* You will be asked to sign a waiver stating you are aware that you are working independently and will only follow the exercises you have been specifically taught. When you are ready for upgrades/ progressions just let you instructor know and she will add as needed.
* Supervision : there will always be staff on the floor with other clients. You will ot be disturbed unless there is an observable safety issue.

Open Studio Schedule :
Mondays : 7.30am/8.30am/7.30 pm
Tuesdays : 8.30 am/2.30pm/3/30 pm
Wednesdays : 7.30 am /8.30 am /3.30pm/6.30 pm
Thursdays :7.30 am /8.30 am/ 7.30 pm
Fridays : 8.30 am / 1.30 pm/4.30 pm/5.30 pm
Saturdays :9.30 am/10.30 am /12.30 pm/1.30 pm /2.30 pm

Fees : $ 18 + tax per session drop in
$ $ 160* + tax ,10 session drop in ( $ 16 per session )
$ 280 + tax, 20 session drop in ( $ 14 per session)

Mat Class Schedule September 2013 – Why you need Pilates Mat Class! Work in,not out! Tue, 03 Sep 2013 03:42:34 +0000

Pilates Mat Class @TRIMETRICS Fall 2013 20130902Mat 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 + Magic Circle, bands, and ball will deliver you increased tone, core strength, flexibility and better posture, with more efficient movement.
One class a week is good but you will see faster gains with 2 or more!

Term: Monday Sept 16 – Friday November 1 (7 weeks)

Class times: Beginner / Intermediate Levels.
Monday 7.30 – 8.30 pm ( Lynsey)
Tuesday 4.30 – 5.30 pm (Bonnie)
Thursday 6.30 – 7.30 pm (Gillian)
Friday 7.30 -8.30 am (Alison)
Friday 10.30 – 11.30 am (Kay)

Fee: $18+ tax: one class a week ($126 + tax)
$14 + tax two classes a week ($196 + tax)
Full payment is due at start of term.
Missed classes credited 50 % to next registration.
No refunds and no make up classes.

To register call or email: Trimetrics 604.982.0366

Download the poster in PDF format

Why is my posture bad ? What is Posturology ? Fri, 30 Aug 2013 03:31:24 +0000

posture“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 …is there anything I can for a more long term fix ?”

This were the opening words of a new patient I saw last week.

Here is the conversation we had to explain …
Nobody consciously chooses to head a head that sits too forward,a mid spine hump, a lower back that’s too curvy,knees that ” lock” or fee that are flat or too arched. Nobody wants to feel a stiff sore body at the end of a day. On some level we remember a time when we moved with ease and joy as children so what happened ?
The answer is as simple as it is sophisticated.
From a medical perspective we are told that that our spines are intrinsically defective and we are doomed to a lifetime of pain and the need for constant consulations with a host of well intentioned professionals.Nothing could be further from the scientific truth.

Neuroscience from Europe dating back 90 years has shown that in fact we humans have evolved an extremely efficient postural system,designed to ensure we are as efficient as possible in the daily work of standing sitting exercising with the least possible expense of energy.This is the science of Posturology,currently spearheaded by renowned orthopedic surgeon, Dr Bernard Bricot,University of Marseilles France.

He showed in his studies that the 10 % of the population with normal spine alignment rarely  suffer body pain!

For those of us in the 90%,we have a proven effective treatment approach that I will be offering starting September 2013.

Here is some background….

Posture photo

The postural system has 4 sensors that feed information about our external world to the brain

The organs that intake information to the brain are the eyes,feet,jaws and the skin.These ” sensors ” are designed to intake information about our envoirnment,communicate with each other and without our conscious awareness moement by moment ,to send this information to the brain so it can repsond with efficiency ensuring we expend as little energy as possible.

Blocks to this beautiful system working as it should ,can arise from :

1 Eyes that do not work together as a coordinated unit.We would assume that eyes must work together as a team but on testing this is rarely the case. The problem has been traced back to us as babies for a range of reasons.Eyes that cannot converge can generate headaches,head tilt,shoulder tilts etc

2 Feet that are too flat,arched or mismatched ( one supinated foot with one pronated )

3 Jaw and bite mechanismns that do not work symmetrically. Malocclusions,overbite,jaw pain and snoring are all reflections of a postural system out of balance.Causes of these imbalances are also related to the development of the mouth in infancy.

4 Scars on the skin due  to injury or surgery disrupt information to the brain causing a head forward posture if scars are on front of body.

5 Metals in the body ( mercury fillings,pins,plates) generate thier own force fields ( microgalvanisms ) that also cause mis information to be sent to the brain triggering muscle weakness or tightness depending on whether the scar is located above or below the diaphragm.

The good news is that Posturology is the assessment and treatment tool of choice to analyse and permanently correct alignment issues to reduce chronic pain, improve movement,balance,proprioception,depth perception and sports performance. There are also huge benefits to recalibrating the system for brain efficiency and cognition.

For more information please visit these sites : This is the website of my instructor and mentor  osteopath ,Annette Verpillot This is the website of my instructor and mentor osteopath Mat Boule. : website of a New York based Posturology consultant whose graphics and text explaining the concepts are excellent.

Iyengar Yoga 2013/2014 Fri, 23 Aug 2013 03:30:45 +0000

IYEGAR YOGA @ TRIMETRICS Fall 2013As 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 to the studio, augmenting her teaching with 10 years studying Osteopathic Medicine.

Corinne also holds an Iyengar certification mark which means she has successfully completed 5 years of training as developed by BKS Iyengar, now 95 years of age and still one of the foremost authorities of yoga today.

Classes are located at:
Trimetrics Physiotherapy Clinic
307 – 850 Harbourside Drive
North Vancouver V7P 0A3

Wednesdays 6:30 PM – 8:00 PM
Fall 2013: Sept 11 – Nov 27 (12 classes)
Winter 2014: Jan 15 – March 26  (11 classes)
Spring 2014: April 16 – June 25 (11 classes)

Class size is limited to 8 participants

To register call or email:
– Trimetrics 604.982.0366
– Corinne Skrobot 604.671.9159

Download the poster in PDF format

June is Scoliosis Awareness Month! Fri, 28 Jun 2013 21:42:22 +0000

scoliosiThe 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 as one shoulder seeming higher than the other, one leg seeming longer and often a twist in the ribcage with a belly button that looks off centre.

Scoliosis is not always troublesome but for many people the asymmetry of the forces going through the body often starts to create pain due to muscle imbalance and joint breakdown by mid life. Rare cases require surgery (generally in teens) There was a time when school children were routinely checked but rarely now so if you would like to check your own child here is a link

In our experience over 12 years at Trimetrics the best results we have seen are with the implementation of a Pilates based spine exercise program which opens up the “ short “ side of the curves and strengthens the long weak side. We include Intramuscular Stimulation (IMS ) to help release chronically overworked muscles in conjunction with myofascial massage therapy.

For optimal results treatment is twice a week for 4- 6 months with maintenance program thereafter.

To sustain the corrections over time, in September we are adding an extra component long utilized in Europe,(but new to Canada), called Posturology.

For more on this established work see

For more on IMS please see

Pilates Summer 2013 Schedule! Fri, 28 Jun 2013 19:54:13 +0000

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 9.30 am
Thursdays 4.30 pm
Max 3 per class please call 24 hours ahead and book your spot.
Fee $30 + tax per class.
Not eligible for Ext Benefit Coverage.

Open Studio Pass!

Choose a 10 or 20 session card to come in and work out independently at designated times on the equipment (Reformer/Chair/ Trap Table ). Pre book a session with your instructor, who will teach you your own customized program.
Trimetrics Open Studio

Staff News: Donna Stevenson Fri, 28 Jun 2013 18:28:26 +0000

DSC_0162_3A 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 functional fitness.

Donna is known for her patient attention to detail and a deep understanding of the physics and bio mechanics of Pilates. Her own recovery from spinal trauma and surgery gives her a profound empathy for those who want to learn how to recover from injury and move again with ease & grace, avoiding injury and chronic pain, whether elite or recreational athlete, serious gardener or shift worker.

Her belief and experience is that Pilates is for every body !

Staff News: Jessi Thompson Fri, 28 Jun 2013 17:43:55 +0000

JessiJessi 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 her clients.

Jessi believes in a holistic approach to treatment enabling people to get back to the activities they enjoy by using a combination of manual techniques, acupuncture, Clinical Pilates, education and exercise. She has experience treating individuals from all backgrounds and activity levels including clients with orthopaedic and sports injuries, neurological conditions, and those ranging in age from pediatrics to geriatrics.

Jessi is committed to pursuing post-graduate education; she has completed her Certificate of Anatomical Acupuncture (CAFCI) and is trained in Clinical Pilates. She also recently took a Real Time Ultrasound (RTUS) course taught by Jackie Whittaker, and looks forward to using this tool with her clients.

In her free time, Jessi loves being outdoors enjoying the North Shore Mountains from hiking in the summer to snowshoeing and cross-country skiing in the winter. As well she is an avid road cyclist, and is passionate about practicing Iyengar Yoga and Pilates.

We have a Defibrillator ! Fri, 28 Jun 2013 16:16:43 +0000

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 reads the heart rythm and determines what shock to apply while ambulance is on its way … a life saver in a way that CPR can never be.

The device is located over the lockers in the clinic …feel free to take a look anytime.
They are appearing in all sorts of sports locations,airports but we are currently the only physiotherapy clinic to have one on the North Shore.