Saturday, 29 June 2013

The little I know about the warm-up


The little I know about the warm-up

My earliest memories as an athlete are not of the stadiums or the races, the victories or the losses but the simple grass track where I trained. From those first days it was clear that there was a brotherhood which connects the training group. There was a sense of unity against the pain and affliction regularly distributed by the coach in copious and often excessive amounts. The warm-up was our antebellum. A moment to contemplate, to reflect and to ponder what lay in wait mere minutes in the future. But this time was ours, to laugh and joke and ‘warm-up’ in preparation for training.

Although this was my experience with the warm-up, I am convinced that this was not a unique set of events. Warm-ups have been part of sport for as long as people have realised that some form of preparation may provide an optimal starting block; a point at which the body is ready to undertake physical activity. The generic warm-up was often expressed as a period of time to do what was needed to prepare for whatever it was that needed to be prepare for. Though in many cases I can understand, if not sympathize with an athlete’s lack of enthusiasm for this event. In popular sports, football, rugby and distance running, the athlete competes in most cases at a submaximal level. This allows for more gradual build up and longer maintenance of capacity with less emphasis on an optimal moment.

This is not the case with sprinters. Earlier I spoke of maximal potential. This is an individual’s ability to perform at their optimal capacity over a period of time. Where sprinting differs from other sports is that the period for maximal potential is very small where minute deficiencies have huge effects, hundredths of a second in some cases. Preparation is a vital component in achieving this maximal potential. Every athlete has a unique make up and ultimately this needs to be tailored to suit their individual needs. What is certain is that a generic warm-up is not good enough in this day and age. Our current knowledge on muscle function and physiology is closely linked with our desire to perform at ever higher levels. The problem which we unfortunately create is which of these ideas of the current batch of forward thinkers is correct, as controversy is never far behind. The long and short of it is that it is hard to separate the wheat from the chaff. New ideas based on sound research are like a mirage; they come and disappear, leaving confusion and misperception, often for years after something better has been though into existence.

The following pages attempt to unravel the questions of the warm-up. Up to date research is used to discuss this question and determine the appropriate practice to develop a physical preparation to maximise potential prior to activity.

'The warm-up is not merely the time before, it is where focus and preparation optimize an athlete prior to training or competition'

Thursday, 27 June 2013

The little I know about speed


The little I know about speed

When I was 12 years old, I made a conscious decision to be a sprinter.  The allure came from the 1992 Olympic Games in Barcelona and watching Linford Christie stride to victory followed by my personal favourite and perennial ‘bridesmaid’ Frankie Fredericks. I don’t believe it was the medals, the celebration or even the resulting and enduring fame that drew me to this event, but the simple and unequivocal purity of speed. It was clear that this was the truest test of man’s ability to compete not only against his opponents but also against every person who has competed in the event in the past and every person who will compete in the future. There is no place to hide, no team to rely on, no tricks or tactics or equipment to create an unfair advantage. Every man faces up to the rest with nothing more than himself and the will to be better than the past, the current and the future. The prize; the fastest human being ever to have lived! Now that’s a title.

Depending on your outlook, certain factors may be essential while other factors may be desirable in developing a sprinter. For me, the unwavering, never faltering drive to put every ounce of myself into becoming faster was a vital factor in achieving the small, possibly large amount of success I achieved as an athlete. Others may view what defines athletic potential differently. Certainly genetics play apart and in recent times this has become clearly obvious. The phrase ‘sprinters are born and not made’ has never been as true as it is today. The question however is, what is the perfect genetic code? I believe that we are slowly whittling down the variables required to create the world’s fastest men but experience tells us that there is always something remarkable just around the corner. This was never truer when a one, Usain Bolt smashed the mould created by all those men who have previously claimed the title of the ‘world’s greatest’. 

It seems reasonable to assume that these factors, like genetics and self-drive are important in developing fast individuals but there certainly appears to be a need for some external influence to direct the potential. My experience has taught me that although at the start of the race all men start from the same position, it is the level of potential that decides who will be successful and who won’t and believe me when I tell you the margins are small! Anyone can train to be fast but it takes a true understanding of what speed is to extract the potential to be better than before. In the rarest cases this external influence does not matter and success is as simple as stepping on the track but in most instances the correct input can maximise the potential for success.

I want to change track for a bit and focus on the average athlete. Everybody competes for different reasons. Some do if for monetary gain while others simply enjoy participating, but success is bred from improvement. Whether doing something for the first time or improving a time or selection to a school, club or national team, the potential to improve is based on the correct input and initiation of a goal driven plan. If the plan is flawed then the probable of reaching maximal potential is significantly reduced and although success is not measured in potential, falling short of maximal potential may affect how much you can achieve. This may be the difference between making a final at an event, the difference between second and first or being selected for a team.

Maximum potential is an abstract concept and ultimately cannot be achieved. Maximal potential is a much tangible concept as this defines the potential that each individual can achieve provided the circumstances are correct. New ideas are being developed and processed all the time with new and exciting prospects for those willing to embrace them. It is the maximal potential at a specific moment that most athletes aspire to achieve. This comes down to rigorous planning and the correct implementation of a clearly defined, scientifically proven and experience driven programme with the sole indication of creating this maximal potential. This moment may produce the world’s fastest man or winner of a county championship but to each the success is their own and could be their life’s greatest achievement.

‘Maximum potential is impossible, maximal potential is achievable’

Wednesday, 26 June 2013

Medical Abbreviations and Symbols

Medical Abbreviations and Symbols

There are many symbols specific to the field of medicine, physiotherapy, rehabilitation and health care. Many of the common symbols can be misinterpreted as they often represent different things. This can often be confusing to other doctors, physiotherapist's, health care professionals and students alike. This resource was created to review the most common symbols and their meanings. This list is not complete as is this meant as an open project which will be added to as and when. If any viewer would like to comment on the content please feel free to do so.

Also see:
(A, B & C)
Abbreviation
Definition
Acup
Acupunture
a/c jt or ACJ
Acromioclavicular joint
A.N.T
Adverse neural tension
AROM
Active range of movement
ASIS
Anterior superior iliac spine
Ant
Anterior
Agg or aggrav
Aggravating factors
A.S.
Ankylosing spondylitis
a/a
As above
ACL
Anterior cruciate ligament
A.J. *
Ankle jerk
A.J.*
Ankle joint
aa*
Atlanto-axial joint
aa*
Aortic Aneurysm
Abd
Abduction
Add
Adduction
ANS
Autonomic nervous system
Ach T
Achilles tendon
B/T, btw or btwn
Between
B4
Before
Bc
Because
B*
Better
B*
Bilateral
BP
Blood pressure
Bilat
Bilateral
c/o
Complains of
Ca
Cancer
c.f
Compared with
C/sp, Cxsp or Cx
Cervical spine
CMP
Chondromalacia patella
CTD
Carpal tunnel decompression
CTJ
Cervico-thoracic junction
CNA
Could not attend
Canx or canc
Cancelled
Const
constant
CHF
Congestive heart failure
Chol
Cholesterol
CV
Cardiovascular
CVA
Cardiovascular accident
C1-7
Labelled 1st to 7th cervical vertebrae
Circ*
Circumduction
Circ*
Circulation
Ceph
Cephalad
Caud
Caudad
Contra
Contralateral
CMC
Carpometacarpal
CUS
Continuous ultrasound
CTS
Carpal tunnel syndrome

(D, E & F)
Abbreviation
Definition
D/H, DH or DHx
Drug history
D/C
Discharge
Dr
Doctor
D/W
Discuss with
DNA
Did not attend
DNF
Deep neck flexors
DTF*
Deep transverse frictions
DFT*
Deep tissue frictions
DOB
Date of birth
DRAM
Diastasis of rectus abdominus
DF
Dorsiflexion
DL
Double leg
Dist
Distal
DTM
Deep tissue massage
DKB
Double knee bend
d/t
Due to
Exs or X’s
Exercises
Ext
Extension
ER
External rotation
Elev
Elevation
Ep
Epilepsy
Elb
Elbow
EOD
End of day
EOR
End of range
ERP or EoRP
End of range pain
Ev or ever
Eversion
EIL
Extension in lying
EIS
Extension in standing
ERSL
Extended rotated side flexion left
ERSR
Extended rotated side flexion right
Flex or Fl
Flexion
FF
Forward flexion
FROM*
Full range of motion
FROM*
Full range of movement
FFD
Fixed flexion deformity
FHP
Forward head posture
FNT
Femoral nerve test
FIL
Flexion in lying
FIS
Flexion in standing
FT
Fingertips
FRSL
Flexed rotated side flexed left
FRSR
Flexed rotated side flexed right

(G, H & I)
Abbreviation
Definition
G.H.
General health
GH Jt or GHJ
Gleno-humeral joint
GOOB
Getting out of bed
Gluts
Gluteus
Gmax
Gluteus maximus
Gmed or GM
Gluteus medius
Gmin
Gluteus minimus
GP
General practitioner
Gastroc
Gastrocnemius
HEP or HP
Home exercise programme
HPC, HoPC or HxPC
History of present complaint
HBB
Hand behind back
HBH
Hand behind head
H/o
History of
HOS
Hand opposite shoulder
HF
Horizontal flexion
HE
Horizontal extension
HFP
Head forward posture
Hypo
Hypomobility
Hyper
hypermobility
HU
Humero-ulnar
HJ
Hip joint
Hams, h/string or h/s
Hamstrings
IF
Interferential
IRQ
Inner range quadriceps
ILA
Inferior lateral angle
ITB
Ilio-tibial band
ISQ
In status quo or the same
Inf
Inferior
Inf TF
Inferior tibio-fibular joint
Infsp or i.s.
Infraspinatus
IL Lig
Iliolumbar ligament
Imp*
Impression of problem
Imp*
Improved
IR
Internal rotation
Ix or Invest
Investigations
IDDM
Diabetes (insulin dependent)
I/M*
Intermittent
I/M*
Intermuscular
Inv
Inversion
Ipsi
Ipsilateral
IC
Intercarpal
IP
Interphalangeal

(J, K & L)
Abbreviation
Definition
Jt or jnt
Joint
Kn
Knee
KJ
Knee jerk
KTW
Knee to wall
LL
Lower limb
L1-5
Labelled 1st to 5th lumbar vertebrae
L
Left
LLD
Leg length discrepancy
L.H.S.
Left hand side
LLTT
Lower limb tension test
LFT
Lower fibres of Trapezius
Ly
Lying
Lat rotn or LR
Lateral rotation
LBP
Lower back pain
LCL
Lateral collateral ligament
LF
Lateral flexion
Lx, LSp or Lx/sp
Lumbar spine
LSj or L/S
Lumbo-sacral junction
Lat epi
Lateral epicondyle
LG
Lateral glide
Lig
Ligament
LHOB
Long head of biceps

(M, N & O)
Abbreviation
Definition
Men
Meniscus
MAP
Myotatic activation procedure
Med rotn or MR
Medial rotation
MS
Multiple sclerosis
MSU
Mid stream urine
ME
Myalgic encephalitis
MET
Muscle energy techniques
M’s, m or mm
Muscle(s)
Mobs
Mobilizations
Manip
Manipulations
Mx
Management
MCP
Meta-carpo phalangeal
MCL
Medial collateral ligament
MF
Medium frequency
MFR
Myofascial release
MWM
Mobilisation with movement
MG
Medial glide
Mvmt, movt or mvt
Movement
NAD
Nothing abnormal detected
NOF
Neck of femur
NOH
Neck of humerus
NSAID’s
Non-steroidal anti-inflammatory drugs
NIDDM
Non-insulin dependent diabetes
Nag
Natural apophyseal glide
NE
No effect
NB
No better
NW
No worse
NBI
No bony injury
Neuro
Neurological
NRLSR
Neutral rotation left side flexed right
NRRSL
Neutral rotation right side flexed left
N
Nerve
OA*
Osteoarthritis
OA*
Occipito-atlanto joint
O/E
Objective examination
OP
Overpressure
OT or op
Operation
Occ*
Occasionally
Occ*
Occiput
OC
Oral contraceptive

(P& Q)
Abbreviation
Definition
Palp
Palpation
P*
Pain
P*
Pressure
PAIVM
Passive accessory intervertebral movement
PPIVM
Passive physiological intervertebral movement
PWB
Partial weight bearing
PID*
Prolapsed intervertebral disc
PID*
Pelvic inflammatorydisease
PKB
Prone knee bend
PMH or PMHx
Past medical history
P/F jt or PFJ
Patella-femoral joints
PSIS
Posterior superior iliac spine
PT
Physiotherapist or physical therapist
Pt.
Patient
PNF*
Proprioceptive neuromuscular facilitation
PNF*
Passive neck flexion
PROM
Passive range of motion/movement
Pr.ly.
Prone lying
PF
Plantar flexion
Post
Posterior
Prox
Proximal
Pat
Patella
PS
Pubic symphysis
PCL
Posterior cruciate ligament
PUS
Pulsed ultrasound
PC
Presenting complaint
PD*
Provisional diagnosis
PD*
Parkinson’s disease
Prn (Pro re nata)
As required
P1
Onset of pain
P2
Limits of pain
PDM
Pain during movement
PNS
Parasympathetic nervous system
Pron
Pronation
Piri or pir
Piriformis
PA
Posteroanterior
PGM
Posterior gluteus medius
QL
Quadratus lumborum
Quads
Quadriceps
QH
Quadriceps and hamstrings

(R& S)
Abbreviation
Definition
R1
Onset of resistance
R2
Point where resistance limits movement
RHS
Right hand side
Rx
Treatment
R
Right
ROM
Range of motion
RA
Rheumatoid arthritis
R/v, rv or rev
Review
Rotn
Rotation
RSD
Reflex sympathetic dystrophy
RTA
Road traffic accident
RTC
Road traffic collision
RO
Removal of
Ret or retn
Retraction
R.u.
Radioulnar
R.c.
Radiocarpal
RF
Rectus femoris
Rhom or rh
Rhomboids
RBB
Reach behind back
RBH
Reach behind head
RBN
Reach behind neck
R’d
Resisted
SH or SHx
Social history
Sh
Shoulder
SIJ
Sacroiliac joint
SLR
Straight leg raise
SQ/c
Static quads contraction
S1-5
Labelled 1st to 5th sacral segments
St*
Standing
St*
Stiffness/stiff
Sitt
Sitting
STM
Soft tissue massage
STI
Soft tissue injury
S/B
Seen by
SF
Side flexion
S.ly
Side lying
Sup
Superior
Supn
Supination
SCJ or S/C jt
Sternoclavicular joint
SS
Sacral sulcus
Sub occ
Sub-occipital
SP
Spinous process
SCM
Sterno-cleido mastoid
Supsp or ss
Supraspinatus
ST lig
Sacrotuberous ligament
SSTM
Specific soft tissue massage
SNAG
Sustained natural apophyseal glide
SG
Side glide
SGIS
Side glide in standing
SE
Subjective examination
Sl
Slightly
Sx
Surgeon
SHR
Scapulohumeral rhythm
SL/SLS
Single leg/single leg stance
S
Spasm
SNS
Sympathetic nervous system
ST
Sub talar
Scal
Scalenes
SKB
Single knee bend
Scol
Scoliosis
S/T
Spoke to
SNF
Superficial neck flexors

(T, U & V)
Abbreviation
Definition
T
Treatment
TOP
Tender on palpation
TP
Transverse process
Tx/sp, Tx sp,Thx sp or Tsp
Thoracic spine
TA*
Tendo Achilles
TA* or trans abdo
Transverse abdominus
TFL
Tensor fascia lata
T1-12
Labelled 1st to 12th thoracic vertebrae
TP
Trigger point
TPR
Trigger point release
Trap
Trapezius
Tmin
Teres minor
Tmaj
Teres major
Tibfem or TFJ
Tibiofemoral joint
TB
Tuberculosis
TL jxn
Thoraco-lumbar junction
TC or TCJ
Talo-crural (joint)
TN
Talo-navicular
Tx
Treatment
UL
Upper limb
UTA
Unable to attend
ULTT
Upper limb tension test
U/S
Ultrasound
UFT
Upper fibers of trapezius
Uni
Unilateral
VMO
Vastus medialis oblique
V. lat or VL
Vastus lateralis
v.
Very

(W,X,Y& Z)
Abbreviation
Definition
Wt or wgt
Weight
Wb
Weight bearing
W
Worse
WIN
Wake in night
 

Symbol
Definition
+1, +2
Assistance
Male
Female
Down, downward, decrease, diminished
Up, upward, increase
//
Parallel, parallel bars (also // bars)
_
c
With
_
s
Without
_
p
After
_
a
Before
~
Approximately
@
At
Change/diagnosis
>
Greater than
<
Less than
=
Equals or equals to
+
Positive
-
Negative
#
Number or fracture
/
Per
%
Per cent
To and from
To, progressing toward, approaching
Primary
Secondary, secondary to
/24
Pattern over 24 hours
/7
Pattern over 7 days/1 week
/12
Pattern over 12 months/1 year
c/o
Complaining of
palpn
Palpation