International spinal cord repair meeting
Tony Nevin treating another Elephant, gives new meaning to ‘Osteopathy for all’. Check out his web site at zooost.com for some great Photos and info on Osteopathy
Exercise, paralysis and the potential health benefits of downhill four wheeled mountain bikes
The ultimate goal of comprehensive rehabilitation in individuals with spinal cord injury and other neurological impairments has shifted over time from an extension of their life expectancy to attainment of an optimal level of independent living and quality of life. The most common benefits of exercise are biological in nature. They target a reduction in secondary impairments (loss of cardiorespiratory, and muscular function, metabolic alterations and systemic dysfunctions). This in turn helps minimise the development of disabilities and the appearance of such handicaps as loss of mobility, physical dependence and poor social integration. Quality of life is closely associated with independent living and, increasingly, it is a key outcome in the success of exercise, rehabilitation, life-satisfaction and quality of life(1)
The health benefits of mountain cycling are well known and provide a positive effect on physical fitness addressing potential secondary impairments as described above but are only accessible to individuals who are not neurologically impaired and fortunate enough to access ‘off road’ environments. Research also suggests that the effects of off road cycling or mountain biking produces positive effects on bone mineral density in the spine due to the dynamic loading and rapid changes of direction on the body during the exercise. This effect is not inherent to road cycling(2).
Downhill four wheel mountain bikes enable individuals who are affected by paralysing conditions to access the same environments in the same way that mountain biking offers. It is likely that the inclusion of such an activity will see improvements in an individual’s cardio respiratory fitness, core stability, general muscular strength, metabolism and bone density. The Downhill four wheeled experience also has the potential to address mental illness. The strongest evidence suggests that physical activity and exercise probably alleviate some symptoms associated with mild to moderate depression, improve self-image, social skills, and cognitive functioning and reduce the symptoms of anxiety. The downhill experience has the potential to offer a positive physical and mental stimulus accessible to all and a truly exhilarating outdoor adventure.
1.Noreau L, Shephard RJ
Department of Physiotherapy, Laval University, Quebec, Canada.
Sports Medicine (Auckland, N.Z.) [1995, 20(4):226-250]
2. Warner SE, Shaw JM, Dalsky GP.
Department of Exercise and Sport Science, University of Utah, Salt Lake City, UT 84112-0920, USA. email@example.com
I really appreciated all of your help and fine-tuning and at least I’m clear again what I need to be focussing on.
Valentine Dikul was responsible for the development of the Dikul Institute in Russia. The concept of therapy is based on a system Intensive and progressive exercise therapy; up to 4 hours per-day, 5 days per-week for clients affected by paralysis. Clients are able to exercise muscles through passive assisted to resisted exercises. Exercise programmes range from 4 weeks to 13 weeks depending on client’s ability and funding. The times and duration of programmes are discussed with our clients during the initial consultation which is free and usually lasts for about 2 hours.
The Equipment used is designed to provide people with paralysis with hundreds of exercises that would not be available to them in normal gym environments. Exercises can be performed lying down, seated or standing using specially built Exercise equipment. This method allows the therapist with a freedom to exercise clients in ways that would not normally be possible.
Exercise programmes at Physability using the Dikul concepts of exercise therapy are tailor made to meet the individual requirements of each client. We are able to adapt and modify hundreds of exercises to suit individual abilities. Our mission is to tap into every possible movement each client has to offer optimising potential to regenerate and re-educate muscle function. The duration of exercise programmes are also dependant on client ability.
Our approach to exercise therapy is truly Interdisciplinary in nature defined as, “ more than one area of exercise science working in an integrated and coordinated manner to solve a problem” (BASES; 1997). Therapists at the Centre have the ability to tap into a number of disciplines ranging from the original concepts of the Dikul institute in Russia, to the disciplines of exercise science and complimentary therapy in order to meet client centred goals.
Outstanding! So refreshing to be able to work with empathetic and experienced professionals who totally understand the needs and requirements of their customers, and who can really make a difference to the quality of your life. I have been visiting Physability for over six months
I wanted to thank you for the positive experience you were able to give to my dad yesterday. After the physio, he had a renewed enthusiasm for working to achieve the most he can, and it was great to see him so positive. He has met lots of people who have told him what he can’t do. It was refreshing to meet someone who could demonstrate what he can do and who encouraged him to go that extra bit. A positive attitude is so important.
Just having his right arm by his side, and being able to touch the wheel of his chair gave Dad encouragement…. and we almost got him to the point that he held his celebratory glass of red wine to drink, but he will stick to a straw for a little while longer..
Looking forward to sessions at Physability