Henry
I did type out the ref in my original posting - if you did not get it let me
know and I will post it again
Linda
----- Original Message -----
From: "Henry Tsao" <[log in to unmask]>
To: <[log in to unmask]>
Sent: 14 October 2000 23:23
Subject: Re: pre-exercise stretching
> Linda,
>
> Very interesting, and very much against everything we have known about
> stretching before exercise. Is the paper published on the internet, and if
> not, where can I get hold of this paper. However, I have a few questions:
>
> Is there any further research that will backup this claim the
pre-exercises
> stretching is not beneficial for injury prevention?? Was the study
specific
> in saying which muscles they stretched, how they stretched them, whether
> they stretched for a certain time frame, and whether they stretched after
> their exercises?? it seems to me that 1538 people is a large sample, and
> would be difficult to control these factors, which are as important in
> injury prevention as simply doing stretches.
>
> Henry***
>
> >From: "Linda K" <[log in to unmask]>
> >Reply-To: [log in to unmask]
> >To: <[log in to unmask]>
> >Subject: pre-exercise stretching
> >Date: Thu, 12 Oct 2000 22:03:39 +0100
> >
> >in 1996 Pope R et al (proceedings of the 1996 National Physiotherapy
> >Congress p193 - A RCT to determine whether pre-exercise stretching
prevents
> >injury ) did an RCT with 1538 male Australian army recruits and showed
that
> >there were no benenfits of pre-exercise stretching in preventing injury
> >(presumably this would also apply to the weight lifters and mm in the
> >lumbopelvic region). Injury was more closely correlated with aerobic
> >fitness.
> >Linda K
> >
> >----- Original Message -----
> >From: "Henry Tsao" <[log in to unmask]>
> >To: <[log in to unmask]>
> >Sent: 09 October 2000 21:48
> >Subject: Re: TA & Stabilisation?
> >
> >
> > > Dr Siff and others,
> > >
> > > I was talking to friend who worked at the olympics as a
Physiotherapist
> >down
> > > in Sydney in the last 2 weeks, and briefly touched upon the issue of
low
> > > prevalance of back pain in weightlifters. He offered me a different
> > > alternative on why back pain was limited in weightlifters:
> > >
> > > 1. They stretched their muscles always before they compete, hence they
> >have
> > > length and strength in their muscles. This means that the TrA and
> >multifidus
> > > muscles will not be inhibited and can be used to stabilize the lumbar
> >spine.
> > > This is in contrast to a worker who does not stretch at all before
heavy
> > > lifting, tightens muscles in the lumbopelvic region, which in turn
> >inhibits
> > > the TrA and Multifidus muscles and hence are more prone to injury as a
> > > result of reduced lumbar stability.
> > >
> > > 2. Most sport people will have physiotherapy, chiropractic and other
> >therapy
> > > intervention during their training (I know for a fact that Maurice
> >Green,
> > > the 100M champion has both Physiotherapy and chiropractors work on him
> >4-5
> > > times a week. These will not only free up their joints, but also help
> > > stretch their muscles. It is like having treatment regularly - hence
> > > reducing the prevalence of back pain.
> > >
> > > 3. The diet that sports people are on usually is very beneficial for
> > > healing. Diet is a big part of the human body. Therefore, even if they
> >have
> > > an injury, they will heal a lot faster than compared to the average
> >worker
> > > who strains their back.
> > >
> > > 4. Psychologically, it is known that if you are under a lot of stress,
> >such
> > > as the stress of work, your muscles will tighten. Most sportman (and I
> >mean
> > > most) are motivated and so focused in what they do that their normal
> >pain
> > > threshold would be high, especially in weightlifters. They need to
block
> >out
> > > the aches and pains in their muscle and simply focus on what they are
> >doing.
> > > I know as a soccer player I have had times where I would play a game
and
> >be
> > > so focused in the game, not realizing that my legs were bleeding from
a
> > > previous tackle until I slow down.
> > >
> > > We both agree that there is a lot of factors involved, and we can not
> >simply
> > > pinpoint a single factor on why weightlifters and most sport people
> >don't
> > > have back pain. However, it does show us that other factors such as
> > > nutrition and psychology play a big part in the overall presentation
of
> >the
> > > human being.
> > >
> > > To answer some of the questions posed by Dr Siff:
> > >
> > > >5. Are TrA methods definitely superior to most other methods of
> >addressing
> > > >back pain?
> > > ***Definitely not, TrA, like any other Physiotherapy method, is always
> >used
> > > in conjunction with other Physiotherapy techniques, and it is always
> > > difficult to say which methods are the best simply because every
patient
> >is
> > > different. This is probably why Physiotherapy has lacked so much
> >evidence,
> > > because research is not easy to do, since we do not use a single
> >technique
> > > in our treatment(eg, it took Physiotherapists down in Sydney 6 months
to
> > > examine the effectiveness of AP glides on the AC joint in the
shoulder).
> > >
> > >
> > > >6. How does one non-invasively check for TrA 'miseducation' or
> >'laziness'
> > > >during full ranges of dynamic or ballistic 'functional' movement
(such
> >as
> > > >running, lifting and jumping)?
> > > ***This is still to be shown, but the TrA theory offers us a way of
> >thinking
> > > and an explanation to what is happening in the lumbar spine. With
> > > advancements in technology, I am sure they will soon be able to check
> > > non-invasively TrA activation during functional movements.
> > >
> > > >7. Why do some cases of back pain, even among those with apparently
> >'weak'
> > > >or 'lazy' TrA muscles, spontaneously resolve themselves without
> >repeatedly
> > > >recurring?
> > > ***Is there any research on the percentage of back pain patients who
> >resolve
> > > spontaneously and NEVER get back pain again. It would have to be a
very
> > > extensive longitudinal study to show this, and would be a very
> >interesting
> > > topic of discussion.
> > >
> > > Henry***
> > >
> > >
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> >
>
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