EPT Seminar

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Laser Therapy for Arthritis Pain

The clinical efficacy of low-power laser therapy on pain and function in cervical osteoarthritis.

Ozdemir F, Birtane M, Kokino S

Department of Physical Therapy and Rehabilitation, Medical Faculty of Trakya University, Edirne,Turkey.

Pain is a major symptom in cervical osteoarthritis (COA). Low-power laser (LPL) therapy has been claimed to reduce pain in musculoskeletal pathologies, but there have been concerns about this point.

The aim of this study was to evaluate the analgesic efficacy of LPL therapy and related functional changes in COA. Sixty patients between 20 and 65 years of age with clinically and radiologically diagnosed COA were included in the study. They were randomised into two equal groups according to the therapies applied, either with LPL or placebo laser. Patients in each group were investigated blindly in terms of pain and pain-related physical findings, such as increased paravertebral muscle spasm, loss of lordosis and range of neck motion restriction before and after therapy. Functional improvements were also evaluated.

Pain, paravertebral muscle spasm, lordosis angle, the range of neck motion and function were observed to improve significantly in the LPL group, but no improvement was found in the placebo group.

LPL seems to be successful in relieving pain and improving function in osteoarthritic diseases.

Clin Rheumatol 2001 20(3) 181-4

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Laser Therapy for Chronic Low Back Pain

Efficacy of low power laser therapy and exercise on pain and functions in chronic low back pain.

Gur A, Karakoc M, Cevik R, Nas K, Sarac AJ, Karakoc M

Physical Medicine and Rehabilitation, School of Medicine, Dicle University, Diyarbakir, Turkey.

BACKGROUND AND OBJECTIVES:

The aim of this study was to determine whether low power laser therapy (Gallium-Arsenide) is useful or not for the therapy of chronic low back pain (LBP).

STUDY DESIGN/MATERIALS AND METHODS:

This study included 75 patients (laser + exercise-25, laser alone-25, and exercise alone-25) with LBP. Visual analogue scale (VAS), Schober
test, flexion and lateral flexion measures, Roland Disability Questionnaire (RDQ) and Modified Oswestry Disability Questionnaire (MODQ)were used in the clinical and functional evaluations pre
and post therapeutically. A physician, who was not aware of the therapy undertaken, evaluated the patients.

RESULTS:

Significant improvements were noted in all groups with respect to all outcome parameters, except lateral flexion (P < 0.05).

CONCLUSIONS:

Low power laser therapy seemed to
be an effective method in reducing pain and functional disability in the therapy of chronic LBP.

Lasers Surg Med 2003 32(3) 233-811

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VO2 Max

The harder you exercise, the more oxygen you need to take in. But eventually you reach a point at which your body simply cannot consume or use any more oxygen, no matter how much harder you work out. This is your maximum oxygen uptake, or VO2 max.

For the last year I have been including VO2 max testing on my clients as part of their Baseline Workup. Establishing their Vo2 max gives me valuable information as to their potential and efficiency. Although the ultimate ceiling on an individual’s VO2 max is largely inherited, but with the appropriate workouts, you can improve your VO2 max by about 25%.

That’s 25%!!

With the level of clients that I work with, 25% percent is HUGE!

Therefore it is important to have a baseline VO2 max and check it every 6-8 weeks.

I have been utilizing the Bio Harness which has been developed by Zephyr.

The US Department of Defense and the NFL use this technology for the elite special forces, Navy Seals, and NFL athletes during the NFL combine.

The test itself requires the Bio Harness, software and a quality treadmill and takes about 20 minutes to complete.

The results have been very motivating for many of my clients, especially if they discover that they posses significant VO2 max potential.

To improve your maximum oxygen uptake you must repeatedly work out for 3 to 5 minutes at a heart rate that is 95 perfect of your VO2 max. These efforts are extremely demanding but it is what it is.

Contact Us

Jan Kasprowicz and team can be reached at (973) 968-4120. For your convenience,the Recovery Team has multiple locations and is fully mobile and can make arrangements to travel to your site most days from 8 am – 8 pm. The Recovery Team at New Jersey Chiropractic and Sports Recovery has the means for you to see results.

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Regular Chiropractic Keeps Professional Football Players on the Playing Field

Professional football players and their agents understand and believe in the chiropractic perspective:
Treat the cause of the pain and the results will be worth it.

Shots of anesthetics to mask the pain of injuries is not the long term answer. Teams want their players healthy and want the longevity of them on the playing field for the most gain competitively and financially.

The average pro football chiropractor renders 30 to 50 treatments per week during the season. With the in-season (game-playing) duration lasting 16 weeks (not including quarterback camp, mini-camp, and pre- and post-season), 34 chiropractors conservatively give 16,320 to 27,200 adjustments to America’s superstars in just 120 days.*

All (but one) of the 32 teams in the National Football League (NFL) utilize the services of a chiropractor as part of the triage in managing and preventing injuries. (Only one team does not publicly admit to using chiropractic care — the Oakland Raiders.)*

With professional football — namely, the NFL — as the best-run business in sports (next to auto racing), these parameters show how chiropractic is an indispensable tool in the wellness care, improved sports performance, and injury rehabilitation of professional athletes.

Regular Chiropractic Can Keep You on the Playing Field

If you can keep the spine aligned you can keep the body functioning at its best. Don’t wait until you are in pain to call Dr. Jan Kasprowicz for your appointment today:(973) 968-4120. Regular chiropractic care can make you feel like a champ on and off the playing field.

*profootballchiros.com



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Healthy Bacteria to BOOST Your Immune System

Great article from Dr. Mercola on the benefits of Probiotics and Fermented foods:

http://articles.mercola.com/sites/articles/archive/2012/06/27/probiotics-gut-health-impact.aspx?e_cid=20120627_DNL_artNew_1

I will be blogging info on how to make fermented foods on your own.

I personally use fermented foods in my sports performance and recovery regimen and recommend it to all my clients.

Wish you the best!

-Dr. K



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What are electrolytes? Why do I need them?


Electrolytes are chemicals that form electrically charged particles (ions) in body fluids. These ions carry the electrical energy necessary for many functions, including muscle contractions and transmission of nerve impulses. Many bodily functions depend on electrolytes; optimal performance requires a consistent and adequate supply of these important nutrients.

Many athletes neglect consistent electrolyte replenishment because they’ve never had cramping problems. Even if you’ve been fortunate enough to have never suffered the painful, debilitating effects of cramping, you still need to provide your body with a consistent and adequate supply of electrolytes. Why? Because the goal in replenishing electrolytes is not so much to prevent cramping, but to maintain specific bodily functions at optimal levels. Cramping is your body’s way of letting you know that, in terms of electrolytes, it’s on empty. When you’ve reached that point, your performance has been severely compromised for some time. Remember, you want your body to perform smoothly, without interruption or compromise, so just as you shouldn’t wait until you’re dehydrated or bonking before you replenish fluids or calories, you never want to wait until you’re cramping before replenishing electrolytes. Consistent replenishment of electrolytes is just as important as the fuel you consume and the water you drink during exercise.

Can’t I just use salt tablets?

Salt tablets are an unacceptable choice for electrolyte replenishment for two reasons:

1.They provide only two of the electrolytes your body requires – sodium and chloride.
2.They can oversupply sodium, thereby overwhelming the body’s complex mechanism for regulating sodium.

Each of these issues is important, and we’ll discuss both of them. Right now, let’s focus primarily on the second one.

Far too many athletes have suffered needlessly with swollen hands and feet from water retention due to ingestion of salt tablets or electrolyte products too high in sodium during prolonged exercise in the heat. The body has very effective mechanisms to regulate and recirculate sodium from body stores. Excess sodium consumption interferes with or neutralizes these complex mechanisms. Sweat generates large sodium losses, which is monitored closely through hormonal receptors throughout the body. However, rapid sodium replacement neutralizes the system, allowing water intake to dilute the sodium content. High-sodium electrolyte supplementation contravenes the natural physiological control of serum electrolytes, and once the body detects an increase in sodium from exogenous sources (i.e., food, salt tablets, or products too high in sodium), the hormone aldosterone signals the kidneys to stop filtering and recirculating sodium. Instead, the kidneys will excrete sodium; another hormone, vasopressin, will redominate and cause fluid retention. While ingesting large amounts of sodium may temporarily resolve a sodium deficiency, doing so substantially increases the risk of a number of problems, including increased fluid storage and thus swelling, or edema, in the distal extremities, elevated blood pressure, and increased rate of sodium excretion. All of these inhibit performance. If you’ve ever finished a workout or race with swollen hands, wrists, feet, or ankles, or if you have experienced puffiness under your eyes and around your cheeks, chances are your sodium/salt intake was too high.

The truth is that the human body needs only a minute amount of sodium to function normally. We require a mere 500 mg of sodium each day; athletes maybe 2,000 mg, which is easily supplied by natural, unprocessed foods. However, the average American consumes approximately 6,000-8,000 mg per day, well above the upper end recommended dose of 2,300 – 2,400 mg/day.* The average athlete stores at least 8,000 mg of dietary sodium in tissues and has these stores available during exercise. In other words, you already have a vast reservoir of sodium available in your body from your diet, ready to serve you during exercise. In addition, your body has a highly complex and efficient way of monitoring and recirculating sodium back into the blood, which it does to maintain homeostasis. You do need to replenish sodium during exercise, but you must do so with amounts that cooperate with, and do not override, these complex body mechanisms.
* In 2009, data from the U.S. Centers for Disease Control and Prevention provided additional scientific evidence that the majority of Americans over the age of twenty should limit the amount of sodium (salt) they consume daily to 1,500 milligrams (mg) to prevent and reduce high blood pressure.



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Benefits of Training Solo


Over the last 2 years of cycling I have trained with large groups, small groups and solo and I have come to the conclusion that I noticed the greatest improvement when I train solo.

Now that doesn’t mean that I do not ride with other cyclists but when I have a specific training session planned (Hills, Speed, etc.) I much rather ride solo.

When I first started training seriously about 6 years ago I chased everything in site. I chased kids on BMX bikes, landscapers, garbage trucks, cyclists and mail trucks. As I started to focus on certain goals I realized that a more efficient way to achieve my goals was to maintain a specific training plan. So now if I need to go long and slow, well then I go long and slow. If I need to go all out and have a hammerfest, well then away I go.

What I have concluded for myself is that I can only stay focused when I ride solo. I have significantly reduced my “chase drive” and no longer need to pass everyone in site. But when I ride in a group it usually ends up way too competitive and I never achieve my training goals.

Don’t get me wrong I think training in groups has its place. In fact I set my goals for Paris-Brest-Paris in 2015 which is a 745 mile ride that has to be finished in under 90 hours, so I am actively looking for training partners willing to go long distances.

What has your experience been with training solo compared to groups? It doesn’t have to be cycling, in fact it can be almost any sport.

Wish you the best!

Dr. K

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ACL Injury Assessment


Each year I have made it a habit to have an MRI performed on a certain region to note the “status.” This year a had a bilateral knee MRI performed and to my surprise….Partial Left ACL Tear.

Wow! Pretty much asymptomatic except for a small amount of swelling after long distance running, but it is what it is.

With the information I made a decision to hang up the running shoes for the year and commit myself to becoming a cyclist with every intention of returning back into multisport in 2013.

So not only have I significantly strengthened both knees but I also put together an ACL Injury Assessment which I have been introducing to high schools.

The assessment consists of 4 parts:

1. Static Observation
2. Dynamic Observation
3. orthopedic Examination
4. Jump Test

This comprehensive assessment can significantly reduce the amount of ACL injuries by finding instability. Now, due to the nature of some sports ACL injuries will still occur but the reduction of non contact injuries may be reduced.

In clients that do have instability I can recommend further diagnostic testing (MRI) or an ACL Strengthening Protocol.

Currently I will be providing the ACL Injury Assessment at ETS Fitness in Teterboro, NJ.

If anyone is interested in the ACL Injury Assessment don’t hesitate to contact Jan Kasprowicz and team at (973) 968-4120 or through my website at New Jersey Spinal Care and Recovery Team to get on your path to recovery today.


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What is Kinesio Tape – And What Can It Do for You?

If you are an athlete, you’ve most likely encountered injury before. Injuries happen every day, and even if we are in perfect shape, we are still vulnerable because we try to make the human body perform to a high level. That performance inevitably causes wear and tear. Fortunately, wear and tear can be handled by a wide variety of proven chiropractic and sports recovery techniques by a trained sports recovery specialist. One particular technique is the application of kinesio tape.

Here, I’ll explain more about kinesio tape and give you a rundown of the benefits you can gain from this technique, I am Kinesio Tape certified and work with athletes at New Jersey Spinal Care and Recovery Team.

What is Kinesio Tape?

If you’ve ever attended a sporting event or turned on the TV to a sporting event – say , a track meet, the Olympics, etc. – then you may have noticed that some athletes were wearing black or colored tape on their bodies that resemble electrical tape from a distance. That tape is called kinesio tape, and it serves a very specific purpose in the treatment of bodily injury and maintenance of your body’s biomechanical systems.

Kinesio tape – short for kinesiology tape – is elastic cotton with an adhesive made from acrylic that adheres to your body and can be shaped and molded as needed. The goal of kinesio tape is to relax muscles that have been overused, and to also impact your range of motion at a specific location.

Uses for Kinesio Tape

Many athletes like using kinesio tape to relieve pain, especially pain stemming from sore or strained muscles and tissues. Lance Armstrong, for example, has praised kinesio tape for helping to relieve pain in sore muscles from long hours of cycling. Serena Williams and Novak Djokovic are two other high-profile athletes who use this tape.

Another common use is to provide support for a specific range of motion. Japanese athletes in the Olympics were some of the first to popularize kinesio tape for this purpose; other nations have since caught on. This works because the tape gives support to a muscle group and can be shaped to fit the proper range of motion for your muscles, encouraging your body to move with proper form for better results.

Additionally, you can use kinesio tape to limit a specific range of motion to aid in injury rehabilitation and recovery. Sometimes we use kinesio tape to restrict how you can move so your body can recover faster than it would otherwise.

Whether you want to heal faster, support proper form, or relieve pain, kinesio tape may be an option for you. Jan Kasprowicz and team are Kinesio Tape Certified. They can be reached at (973) 968-4120 and headquartered at 601 Hamburg Turnpike, Wayne, NJ. For your convenience,the Recovery Team is fully mobile and can make arrangements to travel to your site most days from 8 am – 8 pm.

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