Fast Fitness - Seventh Group Functional Training: Advancing Ankle and Knee Safety With Single Leg Jumps
Friday, April 16, 2010
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - seventh in the series of Functional Fitness Training (Bookspan Basics) to teach your group, teams, classes, students, kids, battalions, or self. In this Bookspan Basic Training, you advance lower leg stability from single leg vertical jumps to lateral movement:
Assemble your group in neat rows. Stand in front in view of all. Tell them this is a basic, functional physical skill to learn how to reduce lower body injuries during sideways jumps. Remind them they need to use the same principles from the Third, Fifth, and Sixth FFT of vertical jumps.
Have everyone crouch using good bending (knees do not sway inward or slide forward, taught in the first skill), then rise to toes with stable neutral ankle (not bowing outward at the side, taught in the second skill). Remind them that when they land from a jump they use the same neutral ankle.
Stand with good stance on one leg only. Have them leap side to side from one leg to the other
Then try it jumping side to side on the same leg. Switch and repeat.
Use this for improving ability and reducing injury potential from changing direction, cutting, lateral movement, landing to the side from jumps, slips and missteps, and more. It builds on the Third, Fifth, and Sixth Functional Training exercises where you learned to jump vertically (up and down), laterally (side to side) with good lower body mechanics, then advanced to vertical single leg jumps.
During actual real life walking around, practice this by hopping (from one foot to the same one foot only) from point to point. Use street cracks and lines as goal points.
Trainers, Drill Instructors, readers, send in your stories of how you use these in your program.
Good body mechanics are a powerful performance enhancing aid.
Fast Fitness - Sixth Group Functional Training: Advancing Ankle and Knee Safety With Single Leg Movement
Friday, February 26, 2010
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - sixth in the series of FunctionalFitness Training (Bookspan Basics) to teach your group, teams, classes, students, kids, battalions, or self.
Today, Feb 26th, is my birthday. Celebrate with healthy movement and having some fun. In this Bookspan Basic Training, advance your lower leg stability with single leg use, to be ready for landing from jumps, slips and missteps, and more.
It builds on the Third and Fifth Functional Training exercises where you learned to jump vertically (up and down) and leap laterally to one foot (side to side) with good lower body mechanics.
Assemble your group in neat rows. Stand in front in view of all. Tell them this is a basic, functional physical skill to learn how to reduce knee and ankle injuries during sideways jumps. Remind them they need to use the same principles from previous (Third) Basic Training of vertical jumps:
Have everyone bend both knees to crouch using good bending (knees do not sway inward or slide forward, taught in the first skill), then rise to toes with stable neutral ankle (not bowing outward at the side, taught in the second skill).
Have them stand on one leg only. Repeat crouching then rising to the ball of that foot (half-toe) on that one leg. Rise and lower on one leg. Don't let body weight sway outward to the small toes, turning the ankle. Keep strong neutral stance. Repeat 10-100 times, depending on time and need.
Remind them that when they land from a jump, they use the same good bending and neutral ankle. Then use all good mechanics to hop - jump and land on that one leg. Hop 10-100 times, depending on time and need. Change legs and repeat.
Photo - lower limb stability and placement during landings of all kinds prevents injuries. Practice so you don't turn your ankle or knee.
Each new Functional Training exercise shows how to teach your groups (or self) how to prevent common musculoskeletal problems during the team season or operational theater.
Trainers, Drill Instructors, readers, send in your stories of how you use these in your program.
Good body mechanics are a powerful performance enhancing aid.
--- Read success stories and send your own. See if your answers are already here - click Fitness Fixer labels, links, archives, andIndex. Subscribe free - updates via e-mail or RSS, upper right. For personal medical questions - Replies to Medical Questions. Limited Class space for personal feedback. Top students may earn certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Fast Fitness - Fifth Group Functional Training: Ankle and Knee Safety With Lateral Movement
Friday, January 15, 2010
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - fifth in the series of Functional Fitness Training (FFT) to teach your group, teams, classes, students, kids, battalions…
In this FFT, learn to be ready for changing direction, cutting, lateral movement, landing to the side from jumps, slips and missteps, and more. It builds on the Third Functional Training exercise where you learned to jump with good lower body mechanics.
Assemble your group in neat rows. Stand in front in view of all. Tell them this is a basic, functional physical skill to learn how to reduce lower body injuries during sideways jumps. Remind them they use the previously learned principles from the Third FFT of vertical jumps.
Have everyone crouch using good bending (knees do not sway inward or slide forward, taught in the first FFT skill), then rise to toes with stable neutral ankle (not bowing outward at the side, taught in the second skill). Remind them that when they land from a jump they use the same neutral ankle.
Next, have everyone to leap sideways at once, off one leg onto the other foot, landing softly with good knee bending and neutral ankle. On landing, the knee is already above the foot, not bent inward. Foot is neutral, not flattened inward (pronated) or turning outward like a sprain (inversion and supination).
Leap back to starting place onto the other foot. On landing, the knee is already above the foot. Repeat leaping sideways from foot to foot. With each landing, watch the knee of the landing leg. Make sure the knee doesn't sway inward of foot.
Improve by jumping increasingly fast, and far, for longer periods of time.
Each new Functional Training exercise shows how to teach your groups (or self) how to prevent common musculoskeletal problems during the team season or operational theater. Learn this one to be ready for the fourth one coming next, needed for cutting, changing direction, lateral movement, more.
Trainers, Drill Instructors, readers, send in your stories of how you use these in your program.
--- Read success stories of these methods and send your own. See if your answers are already here by clicking labels, links in posts, archives, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, click "updates via e-mail" upper right. For personal medical questions - Replies to Medical Questions. Limited Class space for personal feedback. Top students may earn certification throughDrBookspan.com/Academy. Get more in Dr. Bookspan's Books.
Fast Fitness - Third Group Functional Training Exercise: Ankles and Knees in Jumps and Landings
Friday, October 02, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - third in the series of Functional Fitness Training (Bookspan Basics) to teach your teams, squads, classes, students, kids, groups, battalions, etc.
Assemble your group in neat rows. Stand in front in view of all. Tell them this is a basic, functional physical skill to reduce musculoskeletal injuries, that puts together the first and second skills, previously learned:
Tell everyone to crouch using good bending (knees do not sway inward or slide forward, taught in the first skill), then rise to toes with stable neutral ankle (not bowing outward at the side, taught in the second skill).
Next, have everyone bend and rise increasingly rapidly and smoothly, in a jumping motion, first without rising from the ground, then barely jumping. With each bend and rise, they maintain good knee bending and neutral ankle. Repeat 10-100 times, depending on time and needs.
Next, tell everyone to jump, landing softly using thigh and hip muscles for shock absorption, and good knee bending and neutral ankle. Start jumping moderately, then work for increasing height with each repetition. Repeat 10-100 times, depending on time and needs.
Use conscious control to prevent inversion sprains and turns by not allowing the ankle to invert (turn sideways) when rising to toe during push-off in running and jumping, and coming down during landings. Watch for healthy ankle and knee stability and placement throughout the team season.
Each new Functional Training exercise shows how to teach your groups (or self) how to prevent common musculoskeletal problems during the team season or operational theater. Learn this one to be ready for an upcoming FFT, needed for cutting, changing direction, lateral movement, more.
Trainers, Drill Instructors, readers, send in your stories of how you use these in your program.
Good body mechanics are a powerful performance enhancing aid.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Fast Fitness - Second Group Functional Training Exercise: Ankle Stability and Ability
Friday, September 25, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - the second of the promised series of Functional Fitness Training (call it FFT or Bookspan Basics until we create a better name) that you can teach your teams, squads, classes, students, kids, groups, battalions, etc.
Assemble your group in neat rows. Footwear is whatever used for their sport or activity. Stand in front facing forward. Everyone sees your feet and you see each participant's feet. Tell them this Functional Fitness Training exercise is a basic, needed many dozens of times every day, for their sport or activity, and for daily life - ankle stability when rising to toes, stepping down, landing from jumps, running, turning skills, and other motions requiring ankle stability:
Tell everyone to stand straight and lift heels to stand on the ball of the feet
Tell everyone to look down at their own feet. Weight should not shift outward/sideways over the small toes. While everyone holds tip-toe, make sure each participant straightens ankles, shifting weight back over the big and second toe. Prevent teetering and turning outward.
Have everyone stand flat again, then rise to toes again, this time properly without needing to adjust ankles. They should feel the difference - using leg and ankle muscles instead of letting body weight slide sideways, which bends ankles into classic sprain position - turned at the outside (inversion).
Repeat good toe-rising 10 times or any number that suits your group's need - more for groups needing higher training (or groups with poorer memory), faster for teams requiring this skill done quickly in actual use, and so on. Tell everyone they will need this for skill #3 - for stepping down and landing from jumps. This is scheduled for Fast Fitness Next week.
Watch them for good ankle stability practices throughout the team season. Reduce ankle injury from letting the ankle invert (turn sideways). Instead use muscles and conscious control to prevent inversion sprains and turns, and get leg, foot, and ankle exercise, from the many needed neutral-ankle stability needed for varies movements daily.
Each new Functional Training will show you how to teach your groups (or self) how to prevent common musculo-skeletal issues during the team season or operational theater.
Send in your ideas for a name for this program. Trainers, Drill Instructors, send in your stories of how you use them in your program.
Good body mechanics are a powerful performance enhancing aid.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Fast Fitness - Develop Ankle Stability Sense While Stretching
Friday, June 05, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - prevent a common source of overstretched lateral ankle ligament, which is one contributor to repeated sprains - turning the ankle when stretching:
When you stretch your hip and legs, or sit cross legged or in yoga poses, notice if you allow the foot to turn, increasing stretch on the outside ligaments of the ankle - too much supination. Reader Liz demonstrates in photo 1 below.
Straighten your ankle, Liz photo 2, below.
You may notice you get more good stretch from your hip to make up for the motion you were getting by turning your ankle. Holding straight gives better stretch in the hip, and better ankle stability training.
Avoid turning ankle, overstretching outer ligament, demonstrated by Liz in photo 1 above /\
Then remember to use the sense and knowledge of ankle straightening when you stand, run, take stairs. Lying down to stretch will not train stable ankles. The idea of this post is not to make ankles worse with your stretches. Not all things are good to stretch. Avoid the unhealthful practice of lengthening the side ankle ligaments, shown again in the photo below:
Ligaments are like a briefcase latch. They attach the top bone to the bone below it. Like a latch, a ligament is not supposed to stretch, but hold position, so that the briefcase hinge (your ankle joint) does not rattle and the briefcase does not pop open (side of your ankle sprain). While sitting cross legged, straighten the ankle so that it does not turn up.
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more, see if your answers are already here by clicking labels under posts, links in posts, archives at right, or in the Fitness Fixer Index.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
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Healthy photos thanks to Liz of New Zealand Ligament stretch yoga ankles by Than Tan
Fast Fitness - Make Your Own Balance, Agility, and Leg and Ankle Retrainer
Friday, October 24, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - how to make your own device to get a high tech workout that retrains important motor skills, balance, and lower limb proprioception. Proprioception means to know where and how your body is moving.
Put a sturdy board on a rock or hard, fairly round object like a solid ball.
Step up on the board and balance. Do a variety of movements that mimic your sport, like tennis and golf swings, martial arts punches and kicks. Do daily life movements like reaching cabinets, and bending like squats and lunges. Try all the same on one leg.
For intensive training, place lengths of inexpensive putty or child's reusable clay to make chutes (channels) on the board. Control the motions of the board with your feet to direct the marble to the center target.
Good for kids and adults of most ages.
Be careful and use your brain. Remember the board can move suddenly and slide. That is the whole idea. Control movements with your strength and balance to prevent uncontrolled falls. Start with supervision and near a safety wall, not the stairs or the china closet. Know ahead of time how to fall safely.
--- Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
Have The Fitness Fixer e-mailed to you, free. Click updates via e-mail - Health Expert Updates (trumpet icon) upper right column.
Fast Fitness - Balance and Ankle Stability in the Dark
Friday, August 22, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - quickly improve balance and ankle proprioception - the ability of the ankle and foot to correct positioning, reducing sprain and fall potential.
This one helps balance for daily life, and also helps footing in darkness, which can be encountered on stairs, curbs, and late hikes.
Stand on one foot.
Balance on that foot with eyes closed. Switch feet.
Extend length of balance time with frequent practice.
Balance and proprioception are key to preventing and fixing ankle, foot, and balance trouble.
Obviously, don't do this near the stairs or the breakables. Use common sense to get started safely.
Fast Fitness - Sprain Prevention and Rehab Training
Friday, April 18, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - feel how your own muscles work to hold ankle position, so that you can have stable ankles without artificial shoe supports or bracing, which weaken the supporting muscles from disuse:
Stand with feet parallel and look in a mirror where you can see your feet, or just look down.
Rise to toe and hold
Keep body weight over big and second toe with straight ankle position as you remain on tip-toe. Don't let your weight shift over the small toes, allowing ankle to bend outward.
Click the arrow to see this short movie of my student Diana's feet, as she first allows rolling the ankle outward when rising to toe, then at second 3 in the movie, she uses ankle, foot and leg muscles to pull to straight neutral ankle position. She prevents outward rolling as she again rises to toes three more times.
Prevent rolling outward whenever you rise on toe or push off or land from a jump or step.
Developing positioning sense in the receptors of your ankles prevents the sprain-promoting position called inversion, and gains built-in foot and ankle muscle strength and stability. Nice foot stretch too. Practice balancing on tip-toe, and rising up and down without rolling outward every day.
Here is Friday Fast Fitness for the intercalary year (Leap Year) - Leap to develop ankle and knee stability, leg power, and balance.
Leap to a point in front of you. Then leap back again:
Leap forward, landing on the other foot with soft shock absorption. Don't land hard, which jars joints.
"Stick" your landing, without wobbling or setting the first foot down.
Leap backward to the original foot and place. Hold your landing steady. Try several leaps forward and backward, then change the leading leg and repeat.
This skill is good fall reduction training, and ankle sprain prevention for many terrains.
When landing, keep ankle stable by preventing your foot from rolling to the outside. Info in the post No More Ankle Sprains Part II. Train knee and hip stability by preventing your knee from swaying inward upon landing - Healthy Knees.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links, archives at right, and the Index. For answers to personal medical questions - Replies to Medical Questions. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
The previous post Does Hyperbaric Treatment Heal Sprains? covered research that looked into hyperbaric oxygen treatment for injuries like ankle and knee sprains, and muscle soreness.
Some professional sports teams have been using hyperbaric oxygen chambers hoping to speed recovery and enhance performance. Players spend time in a small pressurized enclosure, breathing high levels of oxygen. Other athletes and private citizens have purchased chambers, hoping for various gains. Like other helpful and specific medicines, hyperbaric oxygen helps some things and not others, and can have side effects. The post Does Hyperbaric Oxygen Help Exercise Ability? explains more of how it works.
Sprains and delayed onset soreness are not injuries where low oxygen prevents cells from doing their job to fight infection and rebuild. Elevating oxygen levels doesn't turn normal cells into super cells. It returns them to function. For non-geriatric athletes, sports injuries should not be hypoxic, which is an area of low oxygen. (Given the junk these athletes eat for "sports food" the state of their blood vessels should benefit by a closer look. See Is Your Health Food Unhealthful.)
A concern in hyperbaric medicine is that sensationalized use of hyperbarics for things that may not work will take the legitimate medicine of oxygen treatment and give it a sham image. Dr. Steve Thom, MD, PhD, past president of the Undersea and Hyperbaric Medical Society (UHMS) warns that some team physicians appear unaware of the risks of hyperbaric medicine. He stresses the need for proper medical clearance and supervision of the hyperbaric chamber. For certification and policy information, see the UHMS web site.
The idea that perhaps there are other effects of injury that are not from low oxygen has led to more research on sprains and muscle injury. A study presented here at the UHMS meeting this week by a group from the Tokyo Medical and Dental University in Japan was, "The effects of hyperbaric oxygen therapy on patients with muscle injury." They wondered if hyperbaric oxygen could reduce edema after muscle injury.
Dr. Kazuyoshi Yagishita and colleagues looked at twenty patients who sustained muscle injury during sports, who were admitted to the Tokyo hospital within seven days after injury. The patients received hour-long hyperbaric treatments for one to seven sessions. Patients were tested before and after each treatment for pain at rest and with motion, subjective evaluation of edema, muscle stiffness, and leg volume. All parameters slightly improved with treatment. They concluded that, in this study, in patients with muscle injury, hyperbaric treatment was effective. Dr. Yagishita told me he felt that further study is necessary to assess healing acceleration and intermediate and long-term results.
--- I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Read success stories of Fitness Fixer methods and send your story. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
The Utah Deseret News reported on a game where teens scratched letters into their arms. In March, a 14-year-old girl playing the game became infected with necrotizing fasciitis, commonly called "flesh-eating bacteria."
The bacteria don't eat the skin as the name seems to say, but release toxic factors, which quickly destroy skin and muscle, causing pain, disfigurement, and a high death rate. Necrotizing fasciitis is a serious infection. The teen needed over 60 hyperbaric treatments and several surgeries. Hyperbaric oxygen treatment is done in a small room or chamber. The air pressure inside is increased so that the person can receive more oxygen. One or more people can get treatment in the chamber at once. The post Does Hyperbaric Oxygen Help Exercise Ability? explains more of how it works.
Hyperbaric oxygen treatment is effective against necrotizing fasciitis and infections like gangrene in several ways. The bacteria involved are susceptible to high oxygen pressure, the low oxygen area of the infection is raised to a level where the body's white cells can do their job to clear the bacteria, higher oxygen pressure prevents white cells from sticking to vessel lining, and a few other nice effects to be covered in future posts.
Given that hyperbaric oxygen speeds healing in certain infections, crush injuries, problem wounds, diabetic ulcers, thermal burns, ionizing radiation injury, refractory osteomyelitis, osteoradionecrosis, and compromised grafts, it has been hoped by some that it would also be useful for sprains and muscle injury.
One study by diving medicine pioneer Dr. Fred Bove (my advisor for one of my dissertations) and his colleagues, found no effect of hyperbaric oxygen treatment on time to recovery for ankle sprains(Am J Sports Med. 1997 Sep-Oct;25(5):619-25). Another study by Dr. Michael Bennett and colleagues reviewed known past studies using randomized trials of hyperbaric oxygen on soft tissue injury (ankle sprain and medial collateral knee ligament injury) and muscle soreness after exercise. They found there was was not enough evidence that hyperbaric treatment helped ankle sprain, acute knee ligament injury, or soreness (Cochrane Database Syst Rev. 2005 Oct 19;(4)). Dr. Brad Bailey of San Diego did a review of the utility of hyperbaric oxygen for sprains and sports injuries and found no benefit for soreness, but a few studies that showed benefit in acute sprains and strains. There may be aspects of injury, not previously looked at, that may be helped. These are being looked at in newer studies. The next post will cover them.
You can do much to prevent and rehab sprains on your own:
"The public has an insatiable curiosity to know everything, except which is worth knowing." - Oscar Wild
April 1 seems to be a day to notice, more than usual, if things in the news are not facts but April Fool. On other days, urban legends and other stories are still popular, sometimes more popular than what is really going on.
The observation that the Earth is flat seemed obviously true at one time until we had more information. It used to be a taught as a medical fact that the cause of epilepsy was masturbation. When I was in school, one of my medical books stated that you don't need to eat calcium since you can "get all you need from your bones." It is true that you pull calcium from your bones when you don't eat enough, although with unhealthy results.
The post Forensic Science told of two crime-science myths, often still taught in forensic books and popularized in television shows, which were never true. Following are more posts hoping to replace myth with information, so that you can get stronger and do more, without the injuries or restrictions in activity that are part of many fitness or injury rehab practices.
The previous post How To Treat Ankle Sprains and Prevent Them promised another effective technique on the missing link in preventing and rehabbing ankle sprains in today's post. It follows below. First, it made news yesterday that a well known name in spine research, Stuart McGill, found what I have been saying for nearly 30 years of my research career - that tightening the abs and "sucking them in" inhibits healthful movement, and using the popular "draw in the abs" technique is making yoga and Pilates classes the sources of more back pain and problems. The post What Abdominal Muscles Don't Do - The Missing Link shows why crunches and Pilates are not the best exercises for core muscles, and the comment replies to Healthier Backpack Carrying to Get Better Exercise and Stop Back Pain give more links on how abs really work. The next post will cover the news from Dr. McGill and my years of research of what works the abdominal muscles in healthier ways instead.
So today you get two breakthrough fitness posts in one. Now the promised second fun thing to do for more stable ankles. Maybe you never sprained your ankle but wear supportive shoes thinking that will keep you from sprains. Maybe you've sprained your ankle in the past, and rested it and keep it braced during activity thinking that will help, and did ankle exercises, usually consisting of "spelling the alphabet" in the air with your foot or using resistance bands. The "exercises" often do not prevent repeat sprains, leading people to think that exercise will not help and only bracing will "support" an ankle. Rest and bracing often make things worse - the numbers show many repeat sprains in people following this method. Why?
The missing link is receptors in your ankle that sense if you are standing straight on your ankle or if your ankle is bending outward, a movement called inversion. In an inversion sprain, the bottom of your foot turns toward the other leg and your ankle bends too much, overstretching or tearing the connective ligaments. Inversion is the most common source of sprains. There are two common beliefs in medicine - that strengthening will help prevent sprains, and that strengthening will not help. Both points of view are missing that preventing sprains requires something else - training the receptors that tell you if you are about to invert. This sense is called proprioception. Without it, the ankle does not send signals to your leg muscles to prevent you from turning it. With proprioception training, you learn how to sense ankle position and balance to keep it from inverting. Allowing inversion when stepping up or down is surprisingly common, even in people who exercise frequently. No wonder they get sprains. The last post showed the interesting proprioception drill of rising to toes while not allowing your ankle to invert. Try that first, then try this next step:
Rise to tiptoe and lower to full foot, keeping your ankles straight without allowing your weight to shift over your small toes. Keep weight over your big and second toe. Repeat at least 10 times.
Work up to rising to toe and lowering on just one foot (good for balance).
Work up to careful jumps, first coming down on both feet, then on one foot. Each time, land with your weight centered over your big and second toe, not turning your ankle outward, then roll gently down until the whole foot is one the floor.
Use the above stabilization technique each time you step up or down from anything, including stairs and curbs.
With this practice, you can train your ankles to deliberately hold healthy position with each foot-fall, reducing your risk of sprains, instead of letting the ankle turn outward.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
The Fitness Fixer article Which Shoes Help Exercise, Fall Prevention, and Ankles? showed why you don't need high top shoes, or arch supports, or orthotics to prevent your arches and ankles from sagging inward (pronation, arch flattening, or flat feet). You can train your ankles and feet to hold straight stable position using your own sense of positioning that comes from receptors in the muscles and connective tissue around your ankle and foot. The article Arch Support Is Not From Shoes gives a simple retraining to restore healthy comfortable arches and prevent the pronation that can cause knee, hip, ankle and foot pain. It's easy, built-in exercise-as-a-lifestyle.
What about feet and ankles that turn the other way - bending outward, not inward, at the ankle so that you may turn your ankle causing a fall, break, or sprain? What if you already have sprained your ankle and want to get back to activities and prevent future turns and sprains? The same simple principle applies. Using direct positioning training, you can teach your ankles to sense when they are turning too much to the outside, and quickly send signals to your ankle, foot, and leg muscles to straighten your ankle and prevent a sprain. This works well, even with damaged and overstretched ankle ligaments, and is key to rehabbing a sprain.
Wearing supportive shoes, an air cast, splints, taping, and elastic bands to brace an injured ankles is a common practice that perpetuates weak, unstable ankles because these devices prevent sense of balance and positioning. Wearing these things to "support" non-injured ankles for hiking and walking is as bad. Within only one day of wearing an ankle brace, whether you have a sprain or not, balance is quickly diminished. You can put a healthy person in an ankle brace and test their ability to stand on that foot without the brace at the end of one day and find they are less able to balance and more likely to tip over. This problem compounds each day a brace is worn. Hard inflexible "supportive" shoes are a common contributor to increase hip and knee loading and pain.
The missing link in ankle rehab and the reason for so many repeat sprains is staying in the bracing and not doing enough balance and positioning retraining after the last sprain. This is why resting an ankle, bracing it, and reducing activity can make things worse. It is also the reason why the usual ankle strengthening exercises have not been working, and people keep spraining their ankles despite strengthening exercises. The issue in ankle sprains is not as much strength as sense of positioning, called proprioception. You need simple and easy-to-do proprioception exercises. Would you like to try one?
Stand up. Keep both feet facing straight ahead, not turned out.
Rise up on tiptoe. Notice if you allow your weight to teeter over the small toes, tipping your feet and ankles outward. That is the poor positioning and lack of the stabilization that allows your ankle to turn in the outward direction that allows sprains. You don't want this bad positioning to occur any time you are walking, hiking, jumping, dancing, or moving in any way. Not even when sitting.
Shift your body weight more toward your big toe and second toe, without grinding your weight onto the bones. Don't let your ankles sag inward or outward. Hold ankles straight.
Hold standing up on tiptoe with straight, good positioning as long as you can. You can practice this on the phone, or when doing dishes or laundry. Make sure you use it in real life activities whenever standing on your toes to reach and lift.
Next: More fun ankle proprioception retraining to rehab ankle sprains, stop reliance on supportive devices, and learn to prevent future sprains - No More Ankle Sprains Part II.
Use conscious control to prevent inversion sprains and turns by not allowing the ankle to invert (turn sideways) when rising to toe during push-off in running and jumping, and coming down during landings. Watch for healthy ankle and knee stability and placement throughout the team season.![Reblog this post [with Zemanta]](http://img.zemanta.com/reblog_e.png?x-id=7f3cda12-f181-4c7a-9393-ff9d7b56df77)
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