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Van Velsen Exercise Physiology in Carrum Downs, Victoria, Australia | Sport & recreation



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Van Velsen Exercise Physiology

Locality: Carrum Downs, Victoria, Australia

Phone: +61 433 232 050



Address: Shop 4/115 Hall Rd, Carrum Downs 3201 Carrum Downs, VIC, Australia

Website: http://www.completehealthcd.com.au

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25.01.2022 Exercising & Pain How much pain is safe during exercise? When do I push into the pain or back off? ... The above are frequently asked of therapists and coaches alike and the answers are some of the most important guidance we need to nail when helping people in pain to get moving again. Before applying the templates in slides 3 & 4, it goes without saying we need to do a thorough assessment to rule out red flags (infection, fractures, cancers, trauma) and gather subjective information that gives us a timeline of the issue. Often in the population I see, the client has had the issue for longer than 3 months or has had a recurring issue over a length of time much longer. Slide 2 frames some questions to consider when an ‘acceptable pain threshold’ is set for clients to follow. 4/10 as a rating of pain is used in ACL research and has been somewhat adopted as a ‘standard ‘. I like teaching clients the traffic light system because it provides them with more detailed guidelines about the pain experience which gives them the autonomy (and self-efficacy) to independently make modifications to their exercise depending on how they feel. it’s also a great starting point for introducing progressive overload and DOMS concepts for those strength training. Most of all, it reinforces the message that if pain occurs during exercise, often we can modify and keep going without it becoming detrimental. #exercisephysiology #pain #rehabilitation #strengthtraining See more



21.01.2022 An instructional video breaking down what we do as Accredited Exercise Physiologists (AEP's), who would benefit from seeing an AEP and what services we can offer.

12.01.2022 Shoulder Resilience 2x snatch press (quarter squat) followed by 2x drop snatch Context is end-stage rehab for a chronic pain issue that was fueled by concern over asymmetry in the shoulder blades and firing patterns (ie:scapular dyskinesia). ... We know this is not often correlated with pain and it definitely shouldn’t be a barrier to bilateral exercises. We can still get gains if one side contributes more than the other sometimes - it’s normal, safe and nothing to worry about. There is also nothing wrong with putting in extra unilateral work either! #asymmetry #explainpain #shoulderrehab

10.01.2022 Bias Reflections Cognitive bias is a ‘systematic error’ in our brains attempt to simplify the processing of information. We are more likely to believe things that align with what we already think we know. ... Everyone’s got them. It’s impossible not too! Critical thinking, logical reasoning and constant self reflection is required to keep you in check with current evidence. These are my bias. Contentious to some, I’d imagine. These are ones I have reflected on and I will keep for a little longer yet. #exercisephysiology #cognitivebias #exerciseismedicine



08.01.2022 Shoulder Resilience 2 x snatch power press 2 x drop snatch ... Technique is not perfect by any means but doesn’t mean it’s not effective! Context is end-stage shoulder pain rehab, fueled by concern and worry over shoulder asymmetries that was becoming a barrier to her movement and constant ‘checking in’ was driving sensitivity. Imbalances are normal, not dangerous, perfectly okay to perform bilateral exercise just as much as unilateral exercise. Scap stabilisers get lit up during overhead snatch work so throwing them into a program only helps to build resilience and continue the gain train #movementoptimist #exercisephysiology

08.01.2022 The Twin Peaks Model The peaks represent a total physical capacity of a person, before and after the injury. Note the size is unchanged on both sides. The ‘pain line’ represents the point of onset of symptoms , leaving a buffer well before the ‘tissue tolerance line’ at which muscles/ligaments/bones/tendons are at their breaking point. After an injury or significant pain experience, we see this buffer expand to a detrimental level, where pain onset is much earlier and... even further away from the tolerance line. Using this tool as part of Pain science education is not an intervention. You can’t throw a bunch of papers and graphs at a person in pain and expect it to change their life. What pain science can do is liberate people from the generational misunderstandings of pain that have perpetuated in society, unfortunately often driven by therapists and care-givers. I use this tool to explain the concept of pain as a protector and to reframe pain as a sensitivity rather than an indication of damage or injury to our body’s structures/tissues. I find it helpful to set the tone for exercise sessions to come, to reinforce that working into pain is completely safe and actually warranted in order to reduce sensitivity and improve tolerance to loads and stressors. Do you use the model? If so, how do you apply it in sessions? #explainpain #painscience #exercisephysiology See more

05.01.2022 Loaded shoulder flexion exercises can be a nice tool for increasing shoulder flexion range of motion In this case, surgery and a period of 1-2 years of relative inactivity had caused a loss of ROM, affecting ability to perform overhead or shoulder intensive tasks at home. Dead hangs probably a bit too aggressive for this population so a modified cable version will work just fine! ... I cue deep breaths and to lean the chest forwards to achieve some extension of the thoracic spine as much as possible as well. Give it a go! #loadedstretching #exercisephysiology #shoulderrehab



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