Strength & Conditioning

When it comes to strength and conditioning in sports there is no “one size fits all” approach. There are fundamental principles that must be considered when preparing yourself for a sport as well as understanding the unique aspects of movement your sport requires.

At ProMet we have had the privilege to work with many different sports teams all over the tri state area from youth to professional and not one program we designed was the same. Why? Because EVERYONE IS DIFFERENT! We stress individuality and customization of a strength and conditioning program that will bring you to your next level. Whether you are in-season or off-season there is always work to be done to get yourself to the next step on the ladder of success.

The main goal of any well-designed strength and conditioning program is three-fold:

1. Decrease risk of injury
2. Maximize sport performance
3. Maximize efficient movement patterns

With these goals always on the forefront our team will educate, empower and address all functional foundational areas needed to perform and excel in your sport.

Balance and Gait Training

Having optimal balance and stability as we age is an important component of human movement that we must maintain for good overall health. Falls are a considerable problem for older adults, especially for those that have physical limitations such as arthritis, decreased balance/strength or some other related physical limitations. Falls generally lead to injury in older adults and are often associated with hospital stays, the need for long-term recovery and even death. Improving one’s balance and ability to walk, also known as “GAIT” – are interrelated. The team at ProMet can help you master these skills to decrease your risk of injury while at the same time increase your confidence and independence further enabling you to get back to doing the activities you once did without fear.

What does balance and gait training entail?

First, we’ll evaluate your gait pattern to determine the potential areas of improvement in your strength, mobility, flexibility and posture. The evaluation performed by our doctors of physical therapy will help create a personalized treatment program to improve your areas of limitation and optimize your movement. With a dedicated team behind you, we will help you regain your confidence in performing the tasks causing difficulty and become an active
participant in your care.

Cupping

Therapeutic cupping is a form of alternative medicine that dates back to ancient Egyptian, Asian and European cultures. Treatment consists of cups that are placed on the skin with negative air pressure to create a suction force. It can be used for many purposes such as relieving pain, reducing inflammation, increasing blood flow and facilitating relaxation. By creating suction, cupping therapy can also be used to drain excess toxins, stimulate the
peripheral nervous system, bring blood flow to tight stagnant muscles and skin while
loosening adhesions in connective tissue & scars that may develop following injury. Lifting the skin from the muscle and fascia facilitates improved tissue extensibility, decreases pain perception and allows more efficient movement patterns.

The cups can be left on a particular location for 5-10 minutes or can slide along the skin to increase the size of the treatment area and improve overall tissue mobility. Research
supporting the efficacy of cupping is limited although many patients report improvements in symptoms after just a single session.

Common side effects include localized redness and bruising that may last for several days.

IASTM Technique

IASTM Technique is a type of instrument-assisted soft tissue mobilization that provides many advantages such as addressing restrictions in the mobility of scar tissue, fascia and muscles. This leads to improved range of motion, soft tissue mobility, decreased pain and restoring functional movement patterns. The Hawk Grips Tools™ used at ProMet consist of multiple metal tools with different contours and angles designed to optimally treat various body areas. They also utilize a variety of stroking patterns depending on the desired outcome.

The IASTM Technique is designed to break down adhesions and scar tissue in skin, muscles, fascia, ligaments and tendons; thereby improving range of motion, pain and function. Normally, collagen fibers are aligned linearly and in an orderly fashion but after injury or chronic inflammation they can become disrupted, laying new tissue in a disorganized manner which will lead to decreased tensile forces and instability. Hawk Grips™ tools are designed to help realign those collagen fibers to restore optimal tissue mobility and function.

At ProMet we frequently use these instruments to improve the mobility of a joint or muscle, promote healing of a strain or sprain, address scar tissue formation post-operatively and improve overall function. In our professional experience we find that using Hawk Grip™ helps decrease our patients’ recovery time by expediting the healing process and improving symptoms whether the injury is acute, chronic or post-operative.

Kinesio Taping

Kinesio tape® (other brand names we also use include Rock Tape®, KT Tape® and Strength Tape®) are elastic tapes that supplement the body’s natural healing process. It is latex-free, hypoallergenic, water-resistant and can function on the skin up to several days. Traditional white athletic taping is restrictive in design thus preventing movement, where Kinesio tape allows for full movement of the taped area and can help distribute forces to other nearby areas and the underlying tissues.

Depending on the taping technique used, Kinesio tape® can perform many different functions. It can improve lymphatic drainage by tractioning the skin, providing pain relief while decreasing swelling and bruising. When applied along a muscle it can facilitate the muscle’s contraction thereby improving posture or altering a movement pattern to restore pain-free function. The kinesio tape can even provide joint stability when applied to the muscles surrounding the target joint.

Kinesio taping is one of the many tools in our toolbox at ProMet. When the use of the tape proves effective for a particular case, our PTs educate our patients on the reasoning behind the use as well as how to combine it with our other techniques for more long lasting results.

Postural Restoration ®

Posture is a reflection of the “position” of many systems that are regulated, determined and created through limited functional patterns. These patterns reflect our ability and inability to breathe, rotate and rest symmetrically.

“Limited functional patterns” refers to movement that is restricted in directions, planes or normal boundaries of functional range, as a result of improper joint, muscle and mediastinum rest position. Function is therefore limited because soft tissue and osseous restrictions prevent one from using muscles and joints in their normal range. Adaptation and compensation for these limitations require neuromotor encoding and hyperactivity of muscle that is placed in improper positions that exceed normal physiological length or in positions that make them a mover or counter-mover in planes and directions that are not observed when one is in a neutral or more symmetrical state of rest. This compensatory activity and hyperactivity usually becomes dysynchronous in the accessory muscles of respiration and at the appendicular flexors and axial extensors, thus limiting functional rotation at the trunk and through the lumbo-pelvic-femoral and cranial-mandibular-cervical complex.
– Ron Hruska Jr., MPA, PT

Used with permission from the Postural Restoration Institute ®
www.posturalrestoration.com