Pro Motion Physiotherapy & Sports Injury Clinic

Click on the heading below for a detailed explanation of each item.

Manual Therapy	Exercise	Interferential Electrical Stimulation
Therapeutic Ultrasound	Laser	Acupuncture
Heat/Ice	Mechanical Traction	Custom Orthotics

Conditions We Treat. (Follow these links for a full explanation of your condition.)

Ankle	Knee	Foot
Elbow	Wrist/Hand	Hip
Shoulder	Cervical Spine (neck)	Lumbar Spine (low back)
Thoracic Spine (mid back)

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Manual Therapy

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Exercise

At Pro Motion Physiotherapy we focus on three pillars of good health and fitness: muscular strength, cardiovascular (aerobic) fitness, and muscular flexibility.

Our physiotherapists and kinesiologist instruct our patients on exercise that will not only help them recover from their current injury, but also begin or continue on their journey of a healthy lifestyle. Personal training sessions are also available which go above and beyond the basic exercises prescribed during injury rehab to include exercises that will help our clients get in the best shape of their lives.

Activities like walking, gardening, biking, skiing, and hiking are all great examples of different, moderate level activities that will give multiple health benefits as outlined below. 

Check out the following list and see what 30 minutes of exercise a day can do for you! (If you need help getting started, ask us today how we can help you stay healthy and live longer by taking care of your body and exercising regularly).

• Reduce health risks such as obesity, heart disease, high blood pressure, type II diabetes, strokes and some forms of cancer. Weight-bearing aerobic exercises, such as walking, badminton, tennis, and basketball will help to reduce the risk of osteoporosis, by placing stress on your bones.

• Help control chronic conditions by lowering high blood pressure, controlling blood sugar levels and relieving chronic muscle pain. For people who have previously had a heart attack, aerobic exercise can help prevent future heart attacks.
  

• Control Body Composition with a healthy diet, resistance training, and aerobic exercise. This will help to lose body fat — and keep it off.

• Help combat colds and the flu by helping activate your immune system. By strengthening your immune system, you will be less susceptible to minor viral illnesses, such as colds and flu.

• Keep your arteries clear by increasing the concentration of high-density lipoprotein (HDL, or "good") cholesterol and decreasing the concentration of low-density lipoprotein (LDL, or "bad") cholesterol in your blood. This will help to decrease the amount of plaque that builds up in your arteries.

• Strengthen your heart which allows it to pump more efficiently. This will cause your heart to beat at a slower rate at rest and improves blood flow to all parts of your body.

• Increase your stamina and reduce fatigue by increasing your aerobic capacity. Your muscles will not have to work as hard to complete the same tasks.

• Stay active and independent as you age by keeping your muscles strong, which can help you maintain mobility as you get older.

• Help keep your mind sharp. Researchers say that at least 30 minutes of aerobic exercise three days a week can reduce mental decline in older adults.

There are also many different health benefits associated with resistance training:

• Increase your muscle mass which will increase the amount of calories you burn in a given day. This is an effective way to increase loss of body fat.

• Strengthen your bones by regularly completing resistance training exercises. Like muscles, our bones also get a workout when we do strength training exercises. This helps to decrease the risk of osteoporosis.

• Increase your total body strength when you complete resistance training exercises.

• Increase balance and agility by challenging these body systems. In the younger population, this will help athletes perform at higher levels with less risk of injury. In the elderly, improving balance and agility helps to decrease the risk of falls and subsequent serious injury.

• Decrease body pain caused by weakness in specific muscle tissue. It also helps to develop a more ideal posture by strengthening postural muscles that are weak.

• Help relieve arthritis pain and increase the range of motion in the joint. The cartilage depends on movement to deliver oxygen and nutrients, and exercise helps with achieve this

• Make everyday activities easier by increasing your ability to move in the ways you need want to.

 

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Interferential Electrical Stimulation

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Therapeutic Ultrasound

What is therapeutic ultrasound?

Ultrasound simply refers to sound waves with a frequency greater than what the human ear can hear (about 20,000 Hz). In physiotherapy, ultrasound machines typically produce sound waves in the range of 1-3 MHz (ie. 1-3 million hertz (cycles/second). These very high frequency sound waves are well collimated (tend to stay in a direct line, similar to the light from a flash light), and thus are well suited for the stimulation of a selected and limited target area. As the frequency of the sound wave increases, more and more of the energy is absorbed in superficial tissues, therefore, for superficial injuries a 3 MHz sound head is appropriate and for deeper lying structures (up to 5 cm below the skins surface), a 1 MHz frequency is used.

In medicine, ultrasound is used for diagnosis (imaging of internal structures), physiotherapy (treatment of soft tissue disorders), and tissue destruction (eg. tumour irradiation). It is the intensity of the ultrasound, not the frequency, which determines its use. The highest intensity is used for tissue destruction, while the lowest intensity is used for diagnostic purposes.

It is the treatment of soft tissue disorders that we refer to as 'therapeutic ultrasound' and what we choose to use ultrasound for in the physiotherapy setting.

What are the effects of therapeutic ultrasound on the body?

1. Thermal Effects (results due to heating of the tissue)

Ultrasound is able to elevate the temperature in the body to depths of about 5 cm. There are several physiological effects which occur as a result of this. They include:

• Increased ability to stretch shortened/contracted ligaments, muscles, tendons and joint capsules
• Increased blood flow
• Increased rate at which nerve impulses travel
• Decreased awareness of pain
• Increased ability of muscle to contract

2. Nonthermal Effects (what happens to the tissue in addition to heating it)

Increased ability of products needed for tissue repair to cross the cell wall of muscles and blood vessels. (eg. increased protein synthesis and movement of calcium in muscle cells)

When should Therapeutic Ultrasound be used?

Therapeutic ultrasound has been shown to be effective in the management of the following conditions:

Limited movement due to joint tightness and scar tissue build up.

Ultrasound can heat deep tissue, and can selectively heat the denser scar tissue which can help in the ability to stretch the tight tissue.

Pain and muscle spasm

Through its ability to raise tissue temperature, therapeutic ultrasound has been shown to reduce pain and to reduce muscle spasm.

Bursitis and Tendonitis

The research that supports the use of ultrasound for the treatment of tendonitis and bursitis is very limited. It is possible that ultrasound can be beneficial in these conditions due to it's ability to increase blood flow and decrease pain through deep heating.

Calcium Deposits

Although there are suggestions that ultrasound can assist in the reabsorption of calcium deposits in the body, there are no conclusive studies to support this. Rather, pain reduction in these cases may instead be due to a reduction in the inflammation around the calcium deposit, which would result in decreased pain and improved function.

Phonophoresis

Phonophoresis is the term given to using ultrasound to drive anti-inflammatory and pain relieving medications through the skin to their target site. This may be a good option for those patients that want medication applied locally to an area without receiving the injections with a hypodermic needle.
 

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Laser

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