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Physicians Physical Therapy Service Newsletter
"Healthy Times"
June 2009
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Greetings!

Thanks for reading our June 2009 newsletter. We strive to stay in touch with those who have had a previous physical therapy experience with us or those who want to know more about all things related to physical therapy.

Please feel free to send your comments or suggestions to cleiva@pptsonline.com.

Thank you from your friends at PPTS!!

Summer Sports: Stay Injury Free!
 
Water Sports



Summer is here and that means fun in the sun. For most people, that also means more free time for summer activities: swimming, wakeboarding, jet skiing, boating, scuba diving, backpacking and more.
While these sports can be thrilling and energizing, they also bring with them different risks of injury. Below are tips on how to prevent summer sports injuries, so you can enjoy every minute of summer!

Tips:

  • Wait 30 minutes after eating a meal before getting into the water
  • Never drink alcohol and operate any mechanical vehicle including boats, jet skis and scuba gear.
  • Do not try to push too hard, especially if you are tired. People usually injure themselves when their bodies are fatigued.

Activities: Wakeboarding, Water Skiing, Scuba Diving and Backpacking

Wakeboarding

The sport of wakeboarding uses a combination of water skiing, snowboarding and surfing techniques. The rider uses a single, twin-tipped board with stationary bindings for each foot. He or she is pulled behind a boat, riding the board standing sideways (as on a snowboard or skateboard).
Wakeboarding can be great fun, but it can also cause serious injury. Wakeboarding injuries peak during adolescence, as opposed to young adulthood and middle age for the similar sport of water skiing.
The most common, serious wakeboarding injuries are ACL tears, shoulder dislocations and ankle sprains. Lacerations are also common, with the head and face most commonly injured areas. There are also a variety of injuries when a wakeboarder hits the water at a high velocity.

To prevent injury:
  • Get trained by a professional wakeboarding instructor.
  • Do strength training to protect your body from exhaustion injuries.
  • Use bindings that feature effective release mechanisms.
  • Use a towrope with a plastic or foam coating to reduce lacerations.
  • Make sure the boat driver is sober!
  • Always wear a life jacket and a helmet.

Water Skiing

Water skiing is similar to downhill snow skiing. The water skier straps a long board to each foot (the boards are not connected) with the bindings oriented forward. To start, the ski tips are parallel, pointed up toward the sky. The skier lies back, maintaining a balance between the skies. When the boat driver hits the throttle, the skier should "pop up" out of the water and ski along the surface.
A variation of "normal" water skiing is slalom skiing, where the skier uses one ski instead of two. Both feet face forward, one behind the other. This type of water skiing is much more difficult than using two skis.

Water skiing is associated with many injuries, including: Lacerations, Fractures, Sprains and Eenema injuries.

Although water skiing injuries peak during young adulthood and middle age instead of adolescence (unlike wakeboarding), teenagers still need to be cautious while water skiing.

To prevent inury:
  • Always wear a life jacket.
  • Do strength training to prevent knee and lower extremities injuries.
  • Use a towrope with a plastic or foam coating to reduce lacerations.
  • Make sure the boat driver is sober!
  • If you are a novice, have the boat pull you at a slower pace.
  • Use skis that are fitted to you; the bindings should be snug but will release if you fall.
  • Never ski at night, in shallow water or in front of another boat.
  • Avoid rough water and unknown areas; there may be unseen dangers.
  • Wear a helmet to protect against head injury.

Scuba Diving

Scuba (Self-Contained Underwater Breathing Apparatus) diving is a sport that is popular among vacationers around the world. It is the sport of swimming underwater, usually with fins, while using self-contained breathing equipment.
By nature, scuba diving is a dangerous sport. There are many issues that you need to address throughout a dive.

Common injuries include: Ruptured eardrums, damage to sinuses, decompression sickness, nitrogen narcosis, skin cuts and grazes.
To prevent injury:

  • Get certified! Diving requires some training and/or certification.

Backpacking
Backpacking is more popular during the summer because the climate is usually warmer, and there is more daylight for longer hiking and usually more vacation time.
Backpacking trips can last anywhere from one night to several months. However, longer trips require much more planning and preparation.
Since backpacking is an overnight activity, you have to carry all your gear and supplies in your pack. Sufficient gear includes food, water, shelter (usually a tent) and little else. All supplies must be compact and as lightweight as possible because all the weight will be carried on your back.

Injuries from backpacking are often similar to hiking injuries: Ankle sprains, fractures, blister, cuts and bruises, back injuries due to heavy backpacks or improper mechanics.

Other problems that backpackers face in the wilds of nature include animals, hypothermia, heat stroke, dehydration and hypoxia (since backpacking is most common in the mountain wilderness).
To prevent injury:

  • Train for strenuous activity before the trip; do aerobic exercise and strength training.
  • Don't try to overstuff your pack. As a general rule, your pack should weigh no more than one-third of your body weight.
  • Use hiking poles to distribute the extra pack weight and avoid back injury.
  • Only hike in full daylight.
  • Keep a first aid kit handy. Remember to include moleskin for blisters.
  • Bring plenty of water, and stay hydrated!
  • When hiking, keep your eyes on the trail.


What's So Good About Swimming?
 
Swimmer



Swimming is good exercise (that's obvious). Swimming is a lifetime sport that benefits the body and the whole person! But what is it that makes swimming good, specifically? That depends on what you are trying to accomplish. Swimming is a healthy activity that can be continued for a lifetime - and the health benefits swimming offers for a lifetime are worth the effort it takes to get to the pool.

Why do you swim? For the health benefits to your heart and lungs? For the chance to be with some of your friends at the pool? Because, in your case, running everyday hurts? Because you like the feeling of floating and sliding through the water? Or is it something else? If you are looking for a break from the heat of the summer, then a dip in the water is exactly what you need; swimming is a way for you to cool off. It fills a wonderful recreational need for individuals and families, from beach and pool fun to water parks.

Maybe you are a runner, training on a regular basis, and want to find an activity that keeps your heart rate up but takes some of the impact stress off of your body. Perhaps you have been doing some other form of land exercise, and now an injury prevents you from putting weight on a knee or ankle. Swimming can help you. Kicking workouts, water aerobics, pool running, or a regular swimming workout can all give you a great exercise session without the weight of your body pounding you with each move. Regular swimming builds endurance, muscle strength and cardio-vascular fitness. It can serve as a cross-training element to your regular workouts.

Before a land workout, you can use the pool for a warm-up session. Swimming with increasing effort to gradually increase your heart rate and stimulate your muscle activity is easily accomplished in the water. After a land workout, swimming a few laps can help you cool-down, move blood through your muscles to help them recover, and help you relax as you glide through the water.

Swimming does burn calories at a rate of about 3 calories a mile per pound of bodyweight. If you weigh 150 lbs. and it takes you 30 minutes to swim one mile (1,760 yards or 1,609 meters), then you will be using about 900 calories in one hour. However, many swimmers do not swim that quickly, and many cannot swim for that distance or duration.

Spending time in a group workout, whether water aerobics or a master's swim practice, is a great social outlet. Exchanging stories, challenging each other, and sharing in the hard work make swimming with others a rewarding experience.

There are other psychological benefit to swimming, if you allow it to occur. Relax and swim with a very low effort. Let your mind wander, focusing on nothing but the rhythm of your stroke. This form of meditation can help you gain a feeling of well-being, leaving your water session refreshed and ready to go on with the rest of your day. Many swimmers find an in-direct benefit form swimming. They develop life skills such as sportsmanship, time-management, self-discipline, goal-setting, and an increased sense of self-worth through their participation in the sport. Swimmers seem to do better in school, in general terms, than non-swimmers as a group.

One thing swimming is not good for is losing a lot of weight. The on-line Merck Manual explains that swimming is not the best way to lose weight due to the cooling effects of being in the water. While you do use a lot of calories swimming, once you get out of the pool much of that calorie burning stops. Doing land based exercise like running or cycling may use about the same amount of calorie per hour as swimming, but once you stop exercising the land-based workout usually leads to continued increase in calorie use for as long as 18 hours after the workout. Why? Because when you are in the pool you don't heat up as much as you do on land and your body does not have to work to cool you down as much once the exercise session concludes. Swimming does exercise almost the entire body - heart, lungs, and muscles. - with very little joint strain. It is great for general fitness and not just a great way to drop excess pounds.



Please let us know if there are subjects you would like to see in upcoming newsletters. We appreciate your input.

We have 10 locations in the Phoenix Valley to best serve our communities: Buckeye, Litchfield Park, Avondale, Arrowhead, Glendale, Phoenix - Central, Phoenix - Scottsdale, Mesa, Mesa Gateway, and Chandler.

Come see us at any of our locations and let us get you back to your freedom of motion!

Sincerely,


Carlo Leiva, Marketing and PR Director
Physicians Physical Therapy Service

Phone: 602-274-8500
Fax: 602-230-9962
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