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Tuesday 7am - 7pm Wednesday 1pm - 7pm Thursday 7am - 7pm Friday 1pm - 10am

http://www.motusmovementtherapy.com/

Motus Movement Therapy, CrossFit DUX 15 Bishop Street Kelvin Grove, Brisbane (2025)

07/07/2022

Achilles tendinopathy is a painful and disabling tendon injury that can persist for months to years. It may occur when a tendon is exposed to high magnitude loading that is repetitive in nature.

Tendinopathy presents with structural changes including thickening of the tendon, altered cell tissue and organisation, disorganised collagen alignment (normally running parallel), formation of new blood vessels and nerve ingrowth in within the tendon. tendon pain that is experienced is partly attributed to the changes in blood vessels and nerve ingrowth in the tendon.

Often a painful achilles tendon results in a reduced ability to produce tendon stiffness with activity and sports involving running and jumping. Increased tendon stiffness is actually more mechanically efficient as it allows for more recoil and elastic energy to be produced (think of a thick/stiff vs thin/compliant elastic band).

The presence of pain and symptoms may also lead to changes in mechanics and loading strategies throughout the entire lower limb. Recurrence is common, especially if rehabilitation does not meet the requirements of the individuals’ goals and sporting demands.

If you need help with your niggly pains, DM me for a consult and a tailored exercise program.

Abdelsattar M, Konrad A, Tilp M. (2018) Relationship between Achilles Tendon Stiffness and Ground Contact Time during Drop Jumps. J Sports Sci Med. 2018;17(2):223–228.

Beyer, R., Kongsgaard, M., Hougs Kjær, B., Øhlenschlæger, T., Kjær, M., & Magnusson, S. P. (2015). Heavy Slow Resistance Versus Eccentric Training as Treatment for Achilles Tendinopathy: A Randomized Controlled Trial. The American journal of sports medicine, 43(7), 1704-1711. https://doi.org/10.1177/0363546515584760

Cook, J. L., & Purdam, C. R. (2009). Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. British Journal of Sports Medicine, 43(6), 409-416. https://doi.org/10.1136/bjsm.2008.051193

01/06/2021

Being Mortal by Atul Gawande is a deeply humane and emotive exploration of ageing, mortality and terminal illness.

Gawande, a surgeon and medical professor, reflects from personal and professional account on the current medical approach to the ageing and palliative population, which ironically in an attempt to prolong health and life expectancy, unconsciously reduces people to their disease or disability by missing the bigger picture. That is, the importance of upholding a person’s autonomy, integrity and quality of life when it matters most.

An essential read both for understanding, empathising and improving life to the very end.

01/06/2021

Glute nation with these two bosses! Cheers to bigger and better glutes in the game!

01/06/2021

Delayed Onset Muscle Soreness (DOMS) is a condition that results in significant muscle aches and soreness, manifesting 24-72 hours post-exercise 🏃‍♂️🏋‍♀️.

Clinical signs include reduced muscle force productions, increased painful restriction of movement, stiffness, swelling, and altered mechanics of adjacent joints.

DOMS is generally caused by exercise that is of increased intensity, load or duration, or an unfamiliar exercise type, relative to a person’s current level of activity.

While there are several proposed pathophysiological pathways considered for the onset of DOMS, the primary mechanism currently accepted is due to injury to the sarcomeres or muscle cells 💪. Secondary injury leads to a local inflammatory 🔥 response, protein degradation, and apoptosis ☠, which are recognised by the common clinical signs above and as a result of complex local and systemic physiological responses.

Specifically, it is most often present following eccentric muscle loading, and especially those performed at high velocity. Note that during an eccentric action, an activated muscle is forced to elongate while producing tension. Eccentric activities induce micro-injury at a greater frequency and severity than other types of muscle actions. There is also evidence for selective damage to type II muscle fibres which are commonly accepted as fast twitch fibres.

As always, relativity is key. Different stimulus will elicit different responses for different people. There is no one fits all program. Soreness can be a regular part of some training programs, especially in early phases. Consistency will reduce the DOMS response to the same given stimulus over time. However, soreness is not something that necessarily needs to chased for improvement. Soreness does not mean better. Train well, recover better. 🤗

01/06/2021

Medial epicondylalgia or ‘golfer’s elbow’ is a tendinous overload injury leading to tendinopathy. It is less common than lateral epicondylalgia or ‘tennis elbow’ making up to approximately 9-20% of epicondylalgia cases. ⁣
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Tendon injury occurs with:⁣
• Repetitive forced wrist extension and forearm supination - forearm positioned so palm faces up - or forced valgus, such as in throwing ⚾️ or racquet sports 🎾. ⁣
• Activities involving repetitive wrist flexion and forearm pronation - forearm positioned so palm faces down – such as in repetitive gripping or twisting, such as in sports as well as occupational and leisure activities like carpentry and sewing respectively. ⁣

Muscles involved, that share the common origin – medial epicondyle of the humerus, include:⁣
• Pronator Teres⁣
• Flexor Carpi Radialis⁣
• Palmaris Longus⁣
• Flexor Digitorum Superficialis⁣
• Flexor Carpi Ulnaris ⁣
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However, the pathology occurs most frequently in the pronator teres and FCU tendons. ⁣
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PRESENTATION ⁣
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Symptoms normally present as medial elbow pain, occasionally spreading into the forearm and wrist, and occasionally tingling feeling in the ring 💍 and little finger 🖖 if the ulnar nerve is provoked . ⁣
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Pain is often accompanied by weakness of hand grip, and stiffness of the elbow 🦾 especially waking up in the morning. ⁣Aggravating factors are evoked by resisted flexion of the wrist and pronation. ⁣Pain can begin suddenly due to an acute overload (ie one particular lift or hitting the elbow) or can develop gradually over time from repetitive gripping or twisting. ⁣
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Golfer's elbow is not an inflammatory process, thus is no longer referred to as epicondylitis (itis=inflammation 🔥). Rather, it is a problem within the cells of the tendon and is ultimately a LOAD issue in the tissue. ⁣
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Stopping the aggravating activity is simply not enough to improve symptoms, because they will return upon resuming that same activity. Continuing to push through the pain without proper management may shift the tendon structure to becoming degenerative. It may also be associated with shoulder dysfunction occurring further up the kinetic chain which needs to be assessed and addressed 💯🤙.

01/06/2021

Breath by James Nestor delves into one of our most primal biological functions, breathing.

While it is an autonomic process, meaning it occurs without conscious effort, it is seemingly evident that we have lost the ability to breathe correctly and to our full potential, resulting in numerous physical and medical consequences.

Nestor, throughout his travels and investigations into ancient techniques of breathing to modern research and experimentation, explores the benefits of mastering the act of breathing in such a way that can improve athletic performance as well as reduce symptoms of fatigue, anxiety, snoring, allergies, asthma, autoimmune conditions and more.

An eye-opening book harnessing the power of breath and its infinite health benefits.

01/06/2021

Physiotherapy helps to restore movement and function, as well as maintain health and quality of life across all ages, particularly when someone is affected by injury, pain, illness or disability. This is through education and advice, manual therapies, exercise prescription and rehabilitation. Physiotherapists are first contact practitioners, meaning they are able to assess, diagnose, investigate and manage presenting conditions within their scope of practice, without the need for referral from a GP. Get in touch if you need some movement improvement!

01/06/2021

“Rehabilitation is training in the presence of injury” - Phil Glasgow

The hardest part about an injury is not being able to participate in your activity or sport 🤯. While modifications to training is essential during an injury, a shift in perspective from viewing rehab and training as two separate entities is also important. Instead, they are different points on one single training continuum model ↔️.

Training and rehabilitation is always specific to the individual and their needs. Thus, an injury is not a break from training, it is appropriate training for their given circumstance.

Rehab isn’t sexy 💃, but it provides the building blocks 📈 for preparedness of a given sport or performance 💪

A friendly reminder for anyone who feels the struggle. Just keep swimming 🐠

01/06/2021

Iliotibial Band (ITB)

ANATOMY

The iliotibial band (ITB) or tract is a lateral thickening of the fascia lata in the thigh. It is a dense fibrous connective tissue that is formed proximally as a fascial continuation of both the TFL, which originates at the iliac crest, and gluteus maximus muscles. It extends distally to insert on Gerdy’s tubercle at the anterolateral aspect of the tibia (shin bone).

ILIOTIBIAL BAND 'SYNDROME'

ITBS is a common cause of lateral knee pain in the active, athletic population, particularly in runners 🏃 and cyclists 🚴. The pain is particularly acute when the knee is at 30° of flexion 🔥, with a typical onset during cyclic or repetitive motions of flexion extension about the knee🦵.

Development of symptoms may be attributed to rapid changes in training routine or volume, hill running, excessive striding and changes in activity surfaces such as excess running on a camber. Onset may often be attributed to hip abductor 🍑 weakness or altered neuromuscular 🧠🦵control.

Historically, ITBS has been viewed as a friction syndrome of the ITB over the femoral epicondyle. However, studies in cadavers and patients by Fairclough et al (2006) identified that it is an issue of compression against a layer of highly innervated fat that intervenes between the ITB and the epicondyle. Compression and subsequent pain typically occurs at 30 degrees of knee flexion as a consequence of tibial internal rotation, which then moves laterally into extension. Hence why foam rolling and stretching is NOT recommended for this condition.

Therefore, management typically involves education, activity modification, strengthening of proximal musculature such as the hip abductors and core muscles to assist in stabilising the pelvis and increasing neuromuscular control through integrated movement patterns 🤗👍

25/05/2021

A friendly reminder to do your rehab 🥰

31/03/2021

55 Squat Challenge for Breast Cancer 🎀 ⁣
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Grateful for all the support during the month of March to raise awareness for Breast Cancer. ⁣I am stoked to say that we achieved my goal to raise $5000 for the cause.
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One thing I heard alot during this challenge was the amount of people commenting how hard it would be to be able to do. On the contrary, the nice thing about this challenge is it is achievable for anyone at all different levels. ⁣
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Whether it is done all in one go or broken up throughout the day to accumulate 55 it is actually very easy. How many times do you sit and stand in a day? This a simple version of a squat. ⁣
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My goal was to change up the squats, not only to keep it fun, keep people interested in donating, but mostly to make it challenging for me. Relativity matters. ⁣
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Sometimes I didn’t want to do them, even though body weight squats only takes 1-2 minutes. Consistency also matters. ⁣
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Sometimes you need to put in the work when you don’t want to. If you want to get better at something do it well and do it often. Effort over outcome.

Motus Movement Therapy

07/07/2022

01/06/2021

01/06/2021

01/06/2021

01/06/2021

01/06/2021

01/06/2021

01/06/2021

01/06/2021

25/05/2021

31/03/2021

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Tuesday	7am - 7pm
Wednesday	1pm - 7pm
Thursday	7am - 7pm
Friday	1pm - 10am