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INERTIA: A Therapist's Thoughts

INERTIA - Archive

2/11/2009

Jogging on the Moon? The Anti-Gravity Training Experience

Anybody up for a jog around the moon?

Last week I had the opportunity to experience something very similar to a jog on the moon. The Froedtert & The Medical College of Wisconsin Sports Medicine Center received on loan an Alter G G-trainer treadmill to try in the clinic. It is quite the experience and a potentially useful technology in the rehab setting. The Alter G allows me as a therapist to unweight a patient to 20 percent of their body weight — very similar to the moon which has a gravitational force of 17 percent of the gravitational force on Earth. At 20 percent of body weight, a 150 pound individual would effectively weigh only 30 pounds.

The Alter G allows therapists and athletic trainers to work on gait training and return to running gradually at an amount of weight bearing that is well-tolerated and with hopefully less compensations. I can see applications for returning athletes to activities (ACL reconstructions, Achilles tendon repairs, stress fractures) as well as for other post-op orthopedic procedures like hip and knee replacements.

How does it work? The Alter G uses positive air pressure to lift the subject partially off the tread. The patient dons a pair of lycra bike-style shorts that create a seal in the balloon portion of the treadmill. This allows the Alter G to create a chamber that has greater air pressure than outside the chamber which provides a relative decrease in weight. The Alter G can provide from 20 percent to 100 precent weight-bearing in 1 percent increments and at speeds from 1 mph to 18 mph up to a 15 percent grade.

I had an individual use it this morning who is recovering from an ACL reconstruction and microfracture surgery. He really liked it and said it felt very natural while providing a good running workout at 60 percent body weight. I'll keep you posted on how else we use it and what kind of reviews it gets.
Posted 9:24 PM
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Time to get the upper extremities involved in the "Exercises I Love" series.  We treat a lot of shoulder injuries in the Sports Medicine Center, so I want to make sure to include some of the exercises that I use a lot for these injuries also.

Prone Scapular Strengthening
Some call these “Y,” “I” and “T” exercises, and I understand that I am kind of cheating adding three exercises into one here, but they go together well and I usually give them out all at once. Most people do not address the posterior shoulder stabilizers with workouts, and combining that with poor posture, leads to weakness around the shoulder blade.  I hate to say all, but I’m pretty sure that all of my patients with shoulder issues get these exercises (or some variation) as part of their home program.

Prone Extension



Lie on stomach with involved arm hanging off the table. Set shoulder blades back and hold position. In a thumb-up position, slowly raise your arm behind you to table height keeping your elbow straight.

Prone Shoulder Abduction



Lie on stomach with the involved arm hanging off the table. Keeping the elbow straight, pull the shoulder blades back and hold. In a thumb-out position, slowly lift arm sideways to table height and maintain the retracted position as you return to the starting position.


Prone Shoulder Flexion



Lie on stomach with the involved arm hanging off the table. Keeping the elbow straight, pull the shoulder blades backward and hold. Slowly lift arm forward to table height and maintain the retracted position as you return to the starting position.
 
 
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Griffin Ewald, MPT, OCS, CSCS
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Griffin Ewald, MPT, OCS, CSCS is a 2002 graduate of Marquette University's Physical Therapy program. He has worked in outpatient orthopaedics and sports medicine rehabilitation since graduation in both private practice and at Froedtert & The Medical College of Wisconsin. He is board-certified as an orthopaedic specialist and also has a certification as a strength and conditioning specialist. Griffin also works as a lab instructor at Marquette for the Physiology of Activity class.

Griffin and his wife, Kathleen, live in Wauwatosa. He enjoys running, playing soccer and golf. His favorite part of his job is returning his patients to the activities they love.
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Griffin Ewald, MPT, OCS, CSCS
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