Kerspuy Physiotherapy, Claremont Videos

What an honour and privilege it was working with the South African Protea Veterans at the Over 50's World Cup. True legends of the game. You have made your country proud 💚💛💚

RETURNING TO SPORT AFTER KNEE SURGERY As an athlete the last thing you should worry about is- where you place your foot; does my knee feel stable in this position? and can my leg support the momentum of my upper body? I mean let’s take soccer for example, You have to keep your eyes on the ball, locate teammates be aware of charging opponents and make a decision on whether to run through the gap or pass the ball to your teammate. The last thing that should be on your mind is “can my knee cope if I put weight through it?” These should be Automatic and done subconsciously. To do this it is imperative that your Physiotherapist take you through the stages of Motor Learning to reach the Autonomous Phase (other phases: Cognitive and Associative) we know this phase as muscle memory, state of flow, second nature, habitual, unconscious. Reaching this stage can’t be rushed and all criteria must be met. Here Reece is going through one of the tasks in the Autonomous Phase. The “Colour Drill”. Different task have to be completed, and the last thing he can worry about is how stable his knee is. Phase1: Toe touching colour cone on verbal command. Phase 2: Toe touching colour cone on verbal command, while continuous catching and throwing ball Phase 3: Toe touching colour cone on verbal command. Identifying colour displayed on iPad, while continuous catching and throwing ball. * Please be advised that these exercises should be guided and decided on by your physiotherapist, after determining that your phase of rehabilitation and comfort level allows for this.

Working on hamstring rehab while focussing on lumbopelvic control to get back to rugby.

So excited to show off our new Sport and Orthopaedic Practice. We can’t wait to start working with you!

How important is Neuromuscular control in the prevention of hamstring injury recurrence. Clinically I have noticed that there has been a lack of the inclusion of neuromuscular control task post injury. The rehabilitation focus for these athletes has always been on getting them pain free, restoring eccentric strength and fascicle length of affected muscle. Yet after ticking all these boxes we still have a high incidence of re-injury when they return to sport. Lets first define Neuromuscular control, in simple terms it’s the ability to control the lumber spine on top of the pelvis while performing athletic movements. The inability to do this well may increase the chances of re-injury and also affect the athletes performance (Shield & Bourne, 2018). Although Neuromuscular control is hard to measure as it depends on subjective scoring. Many studies has showed that the inclusion of Neuromuscular Control tasks into the rehabilitation protocols reduces the rate of re-injury (Sherry, 2004). The inclusion of Neuromuscular rehab may be the difference between going out there and performing at your optimal potential or returning to the physio plinth. Always make sure that you and your physio has a set plan, and that rehab progression is based on criteria and not time.