Instagram story viewer> @efe.physiotherapy> Posts
EBRU EFE(@efe.physiotherapy)'s profile avatar HD Profile

EBRU EFE

@efe.physiotherapy

434
followers
469
following
✖️ Melbourne, Australia
✖️ Injury Rehabilitation & Performance
✖️ @essendonfc @essendon_aflw @icehockeyaus @complete.balance_physio
⚽️ 🧘🏼‍♀️ ⚡️
POSTS STORIES REELS TAGGED
When you’re lucky enough to call this work ✔️ Brain is full of ideas and inspiration after a big few days with @enda.king and @the_sportsmap. Fortunate to be surrounded by some of the best. taken in The Hangar by @efe.physiotherapy
2
4 years ago
Download
THE ALTER-G TREADMILL IN KNEE REHABILITATION The AlterG Anti-Gravity Treadmill provides differential air pressure, to reduce gravitational forces and allow the user to walk or run at between 20% to 100% of their usual body weight (BW) 🪐 This has proved valuable to retrain gait & running mechanics and improve strength in the early phases of rehabilitation, particularly where load restrictions or pain might limit full weight-bearing or on-ground running. It is important to consider how unloading BW may alter muscle activation patterns and running kinematics 🏃🏼‍♂️ as nearly all lower limb muscles show lower EMG amplitudes as greater body weight support is provided. A graduated build back to 90-95% BW is suggested, to encourage normalised running patterns and muscle recruitment as the athlete introduces on-ground running. Lower limb patient groups (such as ACL reconstruction, meniscal repair, lower limb stress fractures & higher grade ankle sprains) may benefit from the early introduction of positive-pressure treadmill running ✔️ to restore running patterns, mobility and confidence in the affected limb in the return to running process. taken in Melbourne, Victoria, Australia by @efe.physiotherapy
4
6 years ago
Download
SPOTLIGHT ⭐️ ACL REHABILITATION Common peroneal nerve neuropraxia is a less common complication of knee surgery, including ACL reconstruction. Post-operatively, patients may experience sensation changes to the lateral shin & foot, weakness in ankle dorsiflexion & eversion, and may experience foot drop 👣 in walking. This legend demonstrated weakness and a foot drop post R ACL reconstruction, that required use of an AFO for the first 5-6 weeks post-op. Her rehab has incorporated early foot & ankle work to regain dorsiflexion strength, marching variations & plyometrics 🤸🏻‍♀️ to prepare her for a return to high level dancing. Left video: 11 weeks post op Right video: 23 weeks post op (Posted with patient permission) taken in Melbourne, Victoria, Australia by @efe.physiotherapy
0
6 years ago
Download
THE HYPERMOBILE ATHLETE Some athletes find reduced mobility limits their sporting performance. Others find this is never an issue - they have plenty of mobility, but lack strength or control in that range 🤸🏽 They may find themselves in sports where their mobility is an asset, such as gymnastics, dance or swimming. Hypermobility involves the active or passive movement of multiple joints beyond what’s considered normalised range. In a young athlete, features that may point to some degree of hypermobility include: ✖️ A history of joint sprains, ligamentous injuries or recurrent dislocations ✖️ Chronic pain, particularly associated with end-of-range (higher mobility) positions ✖️ Visible hyperextension of the elbows, wrists, fingers or knees ✖️ Scoliosis or increased lumbar lordosis are more prevalent These athletes may experience muscle ‘tightness’, which is actually protective spasm to limit hypermobility contributing to joint damage or pain 🤕 In this case, muscle release or stretching may worsen symptoms. Physiotherapy & targeted strengthening becomes important 💪🏼 to give active stability through the ranges required in the athlete’s sport or daily activities. It’s important to consider the potential presence of a systemic hypermobility syndrome, such as generalised joint hypermobility (GJH) or Ehler’s Danlos Syndrome (EDS). These may also affect connective tissue throughout the body and alter skin extensibility, the cardiovascular system, gastrointestinal function and contribute to chronic levels of pain or fatigue. Early referral and appropriate management of these individuals is critical to prevent future injuries and joint degeneration in later life. Consider your young athletes, and how to best keep them in their sport now & in the future. taken in Melbourne, Victoria, Australia by @efe.physiotherapy
1
6 years ago
Download
Spent a few weeks away from here to think, reflect and plan for what’s to come 💫 Excited about the return to sport, seeing friends & family, while still remembering to prioritise yourself and take some down time where you need it. taken in Melbourne, Victoria, Australia by @efe.physiotherapy
0
6 years ago
Download
ADDUCTOR INJURY ⚽️ RETURN TO SPORT Acute adductor injuries keep many athletes off the pitch and in rehabilitation 😒 Recent investigations at Aspetar Sports Medicine Hospital, Doha, have attempted to evaluate the outcomes of return to sport (RTS) using criteria-based rehabilitation in athletes presenting with an acute adductor injury. Athletes with grade 0-2 injuries demonstrated significantly shorter time periods to be clinically pain-free & return to full team training (13 days & 18 days, respectively) 🏃🏼‍♂️ compared with those defined as grade 3 on MRI imaging (55 days & 78 days, respectively). After following a guided rehabilitation protocol involving 9 groin exercises (swipe 1️⃣), meeting the clinical pain-free criteria resulted in fewer re-injuries compared with those not meeting the criteria (swipe 2️⃣). Following criteria-based rehabilitation, re-injury rates were reported as 4% within 2 months and 6% within 1 year, in athletes who met RTS criteria ✔️ Other studies of European soccer players have reported a rate of 18% (in the first 0-2 months). Considering the protocol or tests used in a soccer player post acute adductor injury is important in preventing re-injury and achieving a successful RTS. Reference: Serner, A., Weir, A., Tol, J., Thorborg, K., Lanzinger, S., Otten, R., & Holmich, P. (2020). Return to Sport After Criteria-Based Rehabilitation of Acute Adductor Injuries in Male Athletes. ​The Orthopaedic Journal of Sports Medicine, 8(​ 1), doi: 10.1177/2325967119897247. taken in Melbourne, Victoria, Australia by @efe.physiotherapy
3
6 years ago
Download
ADDUCTOR-RELATED PAIN ⚽️ AN INTERSEGMENTAL APPROACH Sometimes it hurts because it’s weak...sometimes it hurts because it’s doing too much. An athlete’s movement strategies may create a relative overload or underload of certain anatomical structures or regions. In the context of groin pain, the adductor complex may be overloaded by poor movement patterns ⛹🏼‍♀️ for example, leaving the trunk/upper body behind the centre of mass when changing direction. Successful rehabilitation may need to take this into account. Through an intersegmental approach, addressing body movements above & below the presenting issue can address the load placed on the injured structure in movement. The figure (➡️) demonstrates some movements that may be addressed during linear movement (straight line running), to support an athlete’s rehabilitation for adductor-related groin pain 🏃🏼‍♂️ A return to linear running is generally recommended before the introduction of lateral & multidirectional movements. Addressing movement patterns in sports-specific actions can reduce the load placed on certain structures, to assist in both rehabilitation & prevention of recurrence. taken in Melbourne, Victoria, Australia by @efe.physiotherapy
1
6 years ago
Download
Why do one deadbug variation...when you can do 16? ⚡️ time to mix and match. Variability in movement happens in sport and in daily life. So, variability in your exercise & rehab not only keeps things interesting, but keeps your body guessing. Take one (or 16) of these variations, and throw in a few of your own 👊🏼 taken in Melbourne, Victoria, Australia by @efe.physiotherapy
4
6 years ago
Download
PISTOL SQUAT 🔫 TRAINING PROGRESSIONS Like many, I can’t (yet) perform a pistol squat. Here are some exercises that can be used within lower body strength training, to progress towards (eventually) completing a pistol squat: ➕ Narrow stance squat ➕ Lateral stepdown ➕ Sliders to side ➕ Assisted pistol squat ➕ Assisted pistol hold ➕ Pistol squat with heel lift (...don’t mind the last rep) Before progressing depth or difficulty of the movement, ensure you’re able to maintain good knee control and avoid a medial collapse pattern (knee dropping in due to lack of control). Develop strength in the range you can control, and earn the progression 👊🏼 taken in Melbourne, Victoria, Australia by @efe.physiotherapy
2
6 years ago
Download
MAS RUNNING ⚡️ Maximal aerobic speed (MAS) is defined as the lowest running speed at which VO2max (maximal oxygen uptake) is reached - in other words, it is the threshold of your aerobic capacity, where running faster demands anaerobic energy systems to contribute to energy demands (swipe ➡️ to figure 2). MAS running was developed for training purposes, to allow for better load monitoring and training as close to an athlete’s VO2max 📈 This aims to train your aerobic system to be better, without excessive fatigue and metabolic byproducts from the contribution of anaerobic energy systems. This is particularly valuable for field athletes (soccer, football, hockey) ⚽️ where an efficient aerobic capacity allows for repeated efforts at a moderate to high intensity over the duration of a match. Where measured and applied appropriately, MAS running provides a more specific and valuable conditioning option for field-based athletes ✔️ to improve aerobic capacity and distances covered in competition. taken in Melbourne, Victoria, Australia by @efe.physiotherapy
1
6 years ago
Download
Your mind and your body work together in more ways than you know ☀️ Now more than ever is an important time to prioritise your mental health. You can only give the world & those around you as much as you give yourself 🌻 and by bettering yourself you can give more. Seeking help can be challenging, but professional help is getting more accessible as awareness grows. Break the stigma, be open for yourself and for those you love, and your health will thank you for it #worldmentalhealthday taken in Blue Mountains, Katoomba, Australia by @efe.physiotherapy
0
6 years ago
Download
THE HIP ✖️ PELVIS ON FEMUR ROTATIONS The hip joint acts as a central pivot in single leg positions & movements 🤸🏻‍♂️ Hip muscles are required to control movement of the femur & lower limb relative to the pelvis (in swing), in addition to the movement of the trunk & pelvis on femur (in stance). One important function of hip abductor muscles is to stabilise the pelvis relative to femur in walking or running. As the opposite leg lifts from the ground, the stance limb hip abductors generate an abduction & internal rotation moment 🏃🏻‍♀️ to stabilise & rotate the pelvis as the opposite leg swings through. For example ⚽️ to kick a soccer ball, the planted stance leg requires stability from the adductors (to relative adduct & internally rotate the hip, by moving pelvis on femur) & gluteus medius (to decelerate and eccentrically control the movement of pelvic over femur). To restore hip stability in the stance limb, exercises should replicate the demands of sporting positions & movements. Windmills (see video ⬆️) are an example of a closed-chain exercise that challenge hip abductor muscles to stabilise the pelvis on femur through movement. Dynamic hip control is important in preventing impingement-related symptoms, in those with or without bony morphology predisposing to femoroacetabular impingement. taken in Melbourne, Victoria, Australia by @efe.physiotherapy
2
6 years ago
Download

Download All

Save the photos and videos currently loaded on this page.

0Photos
0Videos
Ready to download 0 / 0

Keep this tab open until your download is ready.
back to up