Prescriptive exercises

Why should you exercise as part of your treatment plan?

The benefit of exercise as an inclusive part of your treatment protocol has proven results and is often the Gold standard treatment in evidence based practice for the many conditions seen in the Physiotherapy clinic.

Lesley works closely with the Fitness trainers at Jubilee Hall, The Strand Gym and help can be arranged in this area if necessary.

Prescriptive exercises

To match your needs considering: your age from childhood to the elderly; Whether you are the competitive recreational , elite or veteran sports person or non -competitive just wanting to improve your fitness; Your work environment and needs whether sitting at a PC all day or working as a landscape gardener to the rail tracks; Extent of injury such as a road traffic accident; Specificity such as ACL reconstruction or tear; General health issues such as osteoporosis or arthritis; Your biomechanical factors.

What Method of Exercise?

Core stability of transverse abdominus; diaphragmatic breathing and pelvic floor exercises need to be part of a more dynamic programme as your condition allows.

Muscle balance training including stretches and strength training according to your assessment including the anterior and posterior lumbo pelvic slings and also movement patterns and dysfunctions.

Functional stability and proprioceptive exercises in weight bearing may need to be addressed. For running see running analysis for the type of assessments necessary and you will need to think of the whole kinetic chain. Specific for the demands of your injury and stage.

Lesley uses Physiotec as part of her personalised exercise programme just for you- to help you remember your exercises. You have them on your computer at home and can take them with you when you travel! You can show them to your fitness instructor and they work through them with you when discharged.

Lesley says "If people could improve their posture then most injuries can be prevented. She has treated many marathon runners over the years who find it difficult to sit upright unsupported for even less than 5 mins showing a weakness of the stabilizing muscles!"

Stabilization Static Sitting

  1. Sit on a ball (make sure it is a slow burst one and medically approved)with your hips higher than knees , your feet flat on the floor and your back in neutral position (slightly arched).
  2. Activate your lower abdominals 1min 20% activation (transversus abdomini) by bringing your tummy button upward and by activating your pelvic floor muscles for 4 seconds at a time intermittently.
  3. Maintain steady diaphragmatic breathing while you maintain the sitting position on the ball with your back in neutral position.
  • Lean back 10 degrees
  • Nod the sacrum ( lower part of the back )a few degrees forward and you should now be upright
  • Draw In The Top Part Of Your Neck By A Minimal Nodding Action and hold - Breathe Using Your Diaphragm

For more information or to arrange an appointment, call now on 020 7627 8890 (Clapham)/07711 419858 (The Strand) or email: lesley@kingphysio.co.uk

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