a.r.t.nhlpa presentation v3 0

8/10/2019 A.r.t.nhlpA Presentation V3 0

http://slidepdf.com/reader/full/artnhlpa-presentation-v3-0 1/19

Active Release/Advanced Soft Tissue Techniques &

Contemporary Electro-Acupuncture Specific to Hockey Players

By: Dr. Michael PrebegSunday, August 26, 2012



Presentation Objectives

1. Present the current

successful manual

methods to prevent or

treat MSK functionalinjuries & problems in

hockey players.

2. Demonstrate that the

methods we employ:

a) Provide significant value to

the players and teams by

protecting and promoting

athletic performance.



Common Hip Related Complaints

from Hockey Players

Most common non-traumatic or overuse injuries:

• Adductor Strains:

– Account for 10 – 11 % of allinjuries

– If not prevented or treated, canbecome chronic or even careerthreatening

– Adductor longus is the mostcommonly strained muscle ofthe adductor group

• Groin Pain

– Over 15% of all hockey injuriestypically involve thegroin/abdominal region

Emery et al, Groin and Abdominal Strains in NHL, Clin J Sports Med, 1999



We know: 15% of all hockey related

injuries are groin related

“A reduced hip jointrange of motion has

been shown to beassociated with

chronic groin pain in

athletes”

Williams, 1978; Verrall et al,2005, 2007



Look for asymmetry in a hockey

player’s pelvic mechanics



Muscles Highly Utilized

by Hockey Players

A skater’s push-off creates a

vertical reaction force of 1.5

to 2.5 times body weight.

Rapid acceleration anddeceleration combined with

dynamic stability requirements.

These muscles typically

get shortened & weak.



Muscles Highly Utilized

by Hockey Players

These muscles

typically get tight,

overused &

inhibited.



Introducing Advanced Soft Tissue Techniques

& Contemporary Medical Acupuncture

• Contemporary AcupunctureTechniques:

–

Dry Needling – Electro-Acupuncture

• ART (Active ReleaseTechniques) / MyofascialRelease Therapy



Passive Range of Motion, Before & After

Soft Tissue & Acupuncture Treatment



Gracilis

Adductor

Magnus

Obturator

Nerve

Adductor Magnus, Obturator Nerve

Branch Acupuncture Stimulation



Adductor Longus

Acupuncture Treatment

Gracilis

Adductor

Longus



Adductor Longus/Magnus

Soft Tissue Treatment

Adductor

Longus

Gracilis

Adductor

Magnus



Contemporary Medical Acupuncture

& Advanced Soft Tissue Techniques

• How do these techniques work?

• What do we know?



Contemporary Medical Acupuncture

Peripheral nerve

stimulating technique:

1. Normalizes nervous

system activity

2. Increases local blood

flow

3. Improve biochemical

environment



ART/Myofascial Release

Shortening and LengtheningTissue Using Contact to CreateTension:

1. Decrease Scar Tissue andAdhesions

2. Improve Tissue Fluid

Dynamics3. Increased Oxygenation of

the Tissue



Foundational Treatment Goals

• Generate more effective and

consistent ways to:

– Restore Adaptive Potential

– Improve Agonist/AntagonistBalance

T9

T10

T11

T12

External

Obliques

T12

L1

L4

L5

S1

S2

Superior &

Inferior Gluteal

Nerve

Hip

Capsule



Treatment Outcomes

• By normalizing the pelvicgirdle motion and improvingfunction of the lumbo-pelvic

stabilizers: – Decrease stress on the pelvic

girdle

– Minimize the risk of injury anddegenerative changes in the

hip joint – Minimize risk of groin pulls,

athletic pubalgia and low backpain



In Closing

“Effectiveness of

these interventions

are maximized when

employed within the

existing coaching

and healthcare

team environment.”



Active Release/Advanced Soft Tissue Techniques &

Contemporary Electro-Acupuncture Specific to Hockey Players

THE END

a.r.t.nhlpa presentation v3 0

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