COVID-19 Statement

Friday, 6 August 2021

Dear Motion Health clients,

As you are no doubt aware Victoria has entered a ‘circuit breaker’ lock-down. Unfortunately, subject to the Health Department’s guidance all body clinic classes have had to be cancelled during this period. 

Fortunately, Physiotherapy and Exercise Physiology services are permitted to continue on a 1:1 basis, and we remain open to provide essential clinical care.

With the lockdown due to end at Thursday we plan to be operations as normal on Friday the 13th of August. 

We understand that this may be an inconvenience to your training, rehab and recovery, but hope to be able to safely see you in the clinic soon. 

As always, we do have a range of Telehealth services available if you do require assistance. Both our EPs and Physios will have availability for 1:1 Telehealth consultations over the next few days. Please contact reception if you have any questions or would like to book an appointment. 

As we know a lot of you are missing your regular classes and we are happy to provide a few options for home exercise. Please find below some complimentary video classes from the first lock-down for you to enjoy. 

Stay healthy and well!

The Motion Health Team

Ankle Sprains

How common are ankle sprains?

Acute ankle sprains are one of the most reported musculoskeletal injuries amongst the general population, with up to 70% of people reporting an ankle injury in their life time. Representing roughly 15% of all injuries reported, the highest rates of ankle sprains are typically reported in sports and activities that are characterised by running, cutting and jumping, such as basketball, football and volleyball.

Inversion injuries/lateral ankle sprains (ie. the ankle “rolling inwards”) make up for more than 85% of all ankle sprains. Among the general population, ankle sprains are typically influenced by age, with those aged between 10-19 being the most susceptible to injury, as well as a predisposition through previous ankle injuries. Those who have a history of even one ankle sprain have been found to be 2 times more likely to sustain further ankle injuries. Such a high re-injury rate may be due to poor rehabilitation and/or premature return to sport.

With this, there is a strong association between ankle sprains and the development of chronic ankle instability (CAI). CAI includes mechanical instability (ankle range of motion exceeds normal physiological limits) and functional instability (feeling like the ankle it going to “give way” either at rest or during activity).

Ankle Sprain Treatment

After an acute ankle sprain, the individual is likely to experience pain, tenderness and swelling in the ankle, as well as only being able to partially weight-bear on the affected side. These symptoms may last from a few hours to a few weeks, depending on the severity of damage and the management of the injury.

Following an acute injury, it is important to seek professional medical advice to allow for proper management and recovery. A physiotherapist or exercise physiologist will work closely with you to help reduce swelling, increase passive and active range of motion, improve strength and stability and re-develop motor control and coordination through the affected joint allowing for a safe return to sport. It is essential to begin rehabilitation early after injury, as starting exercises in the first week provides significantly greater outcomes to short term ankle function.

If you have recently suffered from an ankle injury, or have in the past and experience any of the above instability symptoms, speak to our practitioners at Motion Health

May 2019 – Delayed Onset Muscle Soreness (DOMS)

By Monica Nguyen

Delayed onset muscle soreness (DOMS) is muscle tenderness and stiffness that usually starts 12-24 hours after the activity. Most of the stiffness/discomfort usually occurs 24 hours after and can even last for 3 to 5 days after the activity that caused it.
It is thought to be related to microscopic tears in the muscle fibres, which result from exercise that stresses the muscle tissue beyond what it is used to.
DOMS can result from taking part in a new physical activity or training harder than usual. The good news is that the next time you do that activity you are likely to experience less soreness and recover more quickly. Most cases of DOMS gradually subside and have no lasting effects.

While there is no way to cure the condition immediately, here are some treatments you can do to relieve soreness and accelerate recovery:

• Applying ice to the area to decrease inflammation.
• Resting the muscles so they have time to heal before attempting the same routine again.
• Active recovery: doing an easy, low-impact aerobic exercise such as walking to increase blood flow to the muscles.
• Massage.
• Stretching the muscles.

However, if the following applies to you then it is best to seek the advice of your physiotherapist or Exercise Physiologist:
 the pain is still present and not resolving more than 48 hours post-exercise.
 the pain came on during the exercise (not the day after) and was more sudden in onset.
 the pain is located in and around the joints and not just limited to muscles.
 there is swelling and discomfort in and around the joints.

For more info re DOMs, give Motion Health a call on 03 9825 2697 or have a chat with one of our practitioners next time you are in the Studio.

November 2018 Newsletter – Chronic Pain Management

Chronic pain is usually defined as a type of pain that persists longer than 12 weeks or, beyond the healing time of a normal injury. It differs to acute pain which is usually caused by tissue damage and alerts us to an injury. Chronic pain may begin with an initial injury or it may be related to illness and is associated with increased sensitivity of the nervous system.

Evidence indicates that exercise is an essential component of managing chronic pain even though that may seem like the last thing you’d want to do! Many people avoid exercise due to the false belief that it will cause a flare up. By maintaining a regular exercise routine, de-conditioning and worsening pain can be prevented.

Types of exercise recommended to manage chronic pain include:

Strengthening Exercises
To help build strong muscles
Improve joint function/bone density (helps to protect against injury)
Maintaining flexibility and balance (important as we age)
Cardiovascular Exercise
Low impact activities (such as walking, biking, swimming, yoga and Pilates) provide oxygen to your muscles and boost energy levels as well as reducing pain and stiffness.
Stretching and Relaxation 
Stretching helps to increase flexibility and loosen stiff muscles. Incorporating stretching into an exercise plan can help to reduce stiffness associated with chronic pain.

We always recommend consulting an exercise professional to help with the management of chronic disease. If you need further help or information, please contact us on 03 9825 2697

Source: chronic pain and exercise http://exerciseright.com.au/chronic-pain-and-exercise/

January 2019 Newsletter – Benefits of Exercise Physiology

Benefits of Exercise Physiology

In Australia close to 60% of people do not meet physical activity guidelines. This has played a major factor in the increased rates of obesity, metabolic disease and numerous other conditions. Along with the preventative aspect of exercise, research has shown that exercise is just as effective or more effective than common medications that you might be already taking.

Exercise has been shown to reduce the risk of type 2 diabetes by almost 60%. This can help keep your blood sugar levels lower and more stable throughout the day. When compared to common medications exercise can actually be more effective – reducing not only the chance of you requiring medication but also your reliance on current medication.

Likewise, exercise has been shown to decrease the amount of fatal heart attacks by up to 50%, improve the breathing of those with lung disease by 70% as well as all the extra benefits of an active & healthier lifestyle.

Like any medication, the correct dose is required not only make the intervention safe but to obtain optimal outcomes. This includes things like the intensity, type, frequency and duration of the exercise. Exercise should be prescribed in a way that considers precautions, medication effects and the condition itself. This is where the role of an Accredited Exercise Physiologist comes in.

Accredited Exercise Physiologists (AEP’s) specialise in clinical exercise prescription and the delivery of exercise and lifestyle medication programs for people who are at risk of, or living with chronic disease. An EP consultation can help guide the way you exercise during a class or at home, ensuring the correct exercise dose and volume or can assist you in managing many common conditions.

Some of the conditions our AEP’s can help treat and/or manage are:

  • Obesity
  • Diabetes
    • – Including the 8 week program under Medicare
  • Impaired glucose tolerance
  • Asthma
  • Hypertension
  • Pre and post surgery
  • Osteoporosis
  • Lower back pain
  • Depression
  • Postural imbalance
  • Cerebral Palsy
  • Arthritis
  • COPD
  • Fibromyalgia
  • Falls and poor balance
  • Cancer
  • Occupational Injury
  • Multiple sclerosis
  • Cardiovascular disease
  • Stroke

If you think you or someone you know might benefit from Exercise Physiology, please contact us on 03 9825 2697 for further information.

December 2018 Newsletter – Health Insurance

Changes to Pilates rebates through Private Health Insurance will take effect from 1st April 2019. These changes mean that Pilates classes taken by a Pilates Instructor will no longer be funded, as part of a reform to eliminate rebates for non evidence based natural therapies.
This reform will NOT impact Motion Health Body Clinic classes.
In order to comply with the reforms, classes and individual sessions must meet the following criteria:
  • Individualised assessment and continuous reassessment
  • A program of exercised-based interventions specific to the patient, addressing any health concerns of the patient
  • High quality clinical notes that reflect Physiotherapy or Exercise Physiology practice

As our Body Clinic classes meet all these criteria, you will still be able to claim rebate for these classes through your private health fund. Clients will need to undertake regular reassessments to continue to meet these criteria; this will also allow our practitioners the opportunity to discuss with clients in depth how their exercise and health concerns are progressing and how we can continue to assist clients to reach their goals. Clients will be reminded when they are due for reassessment.

Whilst we can confirm that classes at Motion Health with an Exercise Physiologist or Physiotherapist will continue to be claimable through your private health, we are unable to inform you of what your rebate will be. If you are unsure what your rebate is for classes, you can find this information by contacting  your private health insurer and quoting the below item codes, they will be able to inform you exactly how much you get back per class throughout the year.

  • Body Clinic with a Physiotherapist: Item #505
  • Body Clinic with an Exercise Physiologist: Item #502

If you have any further questions regarding the health reforms please don’t hesitate to speak to reception or send us an email at [email protected]

October Newsletter – Exercise Considerations for the Pelvic floor

pelvic floor physiotherapy

The pelvic floor refers to the group of muscles that run from the pubic bone at the front of the pelvis to the coccyx (tailbone) at the back of the pelvis. This group of muscles play an important role within the body. The pelvic floor is responsible for voluntary control of urine, faeces and flatulence, sexual functions and maintaining support of the pelvic organs such as the uterus in women and the bladder and bowel in both men and women. It also very importantly forms part of our deep core system along with the diaphragm and the transverse abdominus (deep abdominals) and multifidus (deep spinal muscles). During exercise the pelvic floor, diaphragm and deep abdominal and spinal muscles work in a coordinated manner to control the pressure within the core system in response to load.

In the ideal situation, the coordination of pressure within the abdomen happens automatically. When lifting a weight, the muscles of the ‘core’ work together well- as you lift the load, you exhale (diaphragm ascends), the pelvic floor should contract and the deep abdominals and spinal muscles contract to provide support for the spine. In this scenario, the pelvic floor muscles respond appropriately to the increase in abdominal pressure. If the pelvic floor is not working optimally, a loss of function can result.

Common symptoms of pelvic floor dysfunction include:
– Accidentally leaking urine when you exercise, laugh, cough or sneeze
– Needing to get to the toilet in a hurry or not making it there in time
– Constantly needing to go to the toilet
– Finding it difficult to empty your bladder or bowel
– Accidentally losing control of your bladder or bowel
– Accidentally passing wind
– Pain in your pelvic area
– Painful sex.
– A prolapse:
– in women, this may be felt as a bulge in the vagina or a feeling of heaviness, discomfort, pulling, dragging or dropping
– in men, this may be felt as a bulge in the rectum or a feeling of needing to use their bowels but not actually needing to go

(Source: Pelvic floor first – http://www.pelvicfloorfirst.org.au/pages/how-can-i-tellif-i-have-a-pelvic-floor-problem.html)

The pelvic floor can change at different stages of life and can sometimes become weakened and not work optimally. Some of the groups of people that may commonly experience pelvic floor dysfunction include: pregnancy, post natal, menopause, people on hormone replacement therapy, people completing frequent high impact activities (heavy lifting, jumping), chronic coughing/sneezing.

If you have any of these symptoms, we recommend contacting a Pelvic floor Physiotherapist to assess your individual condition. Once you know what you need to work on then our qualified practitioners can assist you work towards your goals and maintain the health of your pelvic floor.

August Newsletter – Tradie Health

A tradies’ health is their most important tool, yet Australian tradies experience some of the highest rates of injury and time off work compared to other workers. In fact, 3 in 5 serious workplace injuries involve a tradie, despite tradies making up only 30 per cent of the Australian workforce. The Australian Physiotherapy Association is encouraging all tradies, their employers and families to think about their health and take a few simple steps to prioritise their wellbeing at work.

Physically demanding trade jobs can cause and exacerbate a range of injures. It’s not surprising that tradies are overrepresented in workplace statistics compared to other workers. The average time off work due to serious workplace injury is 5-6 weeks, which is time many tradies simply can’t afford.

To help reverse these statistics, we need to take a good look at the workplace culture and practices of many tradies and encourage them to focus more on their health and safety. Quite simply, tradies rely on their bodies for work—their bodies are their primary work tool. If it breaks down or becomes incapacitated through injury or chronic illness, they can’t work to their full ability.

If you know a tradie who needs some attention, give Motion Health a call on 03 9825 2697

September Newsletter – Greater Trochanteric Pain Syndrome – A pain in the behind

What is GTPS
Greater Trochanteric Pain Syndrome GTPS is common cause of hip pain affecting the outer portions of the hip, thigh, or buttock regions of the body. People experiencing GTPS commonly report painful symptoms over the posterior aspect of their hip joint or buttocks when sitting or standing for Long periods of time, climbing stairs or lying on the affected side.

What is the source of the pain:
GTPS is an umbrella term that encompasses inflammatory or degenerative changes to the gluteal muscle tendons and/or inflammatory responses to the gluteal bursae . Previously people with the symptoms were often given the narrow diagnosis of hip bursitis and treated with cortisone injections into the bursea alone. The classification of GTPS takes a more expansive approach and includes the often involved tendons to the glute medius and glute minimus tendons where they attach onto the top of the thigh bone.

What are the symptoms of GTPS:

The main symptoms reported by people experiencing GTPS include pain to the outside of the gluteal muscles or side of the thigh that is typically described as a deep ache type pain. It may progress gradually over time or be brought on by a traumatic event such as a fall onto the affected side.
Aggravating activities Of GTPS pain include:
Pain when walking/running
Pain when sitting particularly in low chairs for long periods of time
Pain when standing for prolonged periods of time
Pain when walking up/down steps
Pain when lying on the affected side

What are the treatment options for GTPS:
Physiotherapy in the form of Deep Tissue Massage, stretching and strengthening provides the front line treatment of GTPS.

If you have any concerns, please give Motion Health a call on 03 9825 2697

References:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4761624/

July Newsletter – National Diabetes Week 8 -14th July

diabetes week

Did you know that exercise not only reduces your risk of diabetes by up to 60% but also plays a vital role in the management of the condition?

Type 1 Diabetes Mellitus – T1DM
In T1DM the body is unable to produce insulin due to compromised cells in the pancreas. This results in elevated blood glucose levels (BGL), as the body without insulin is unable to absorb and use the glucose for energy.

Type 2 Diabetes Mellitus – T2DM
T2DM is often known as lifestyle diabetes, and is a permanent health condition that occurs as a result of sustained elevated blood glucose (sugar) levels. Over time the body becomes increasingly glucose intolerant as the body is not able to produce sufficient amounts of insulin to regulate blood glucose levels.

Some things to know about diabetes:

Excess weight and sedentary lifestyle are two of the main risk factors for T2DM. Over 80% of people diagnosed are considered to be overweight or obese.

Abdominal weight dramatically increases your risk of diabetes. Weight held around the midsection is a major risk factor and can impact on the function of your vital organs. The highest risk occurs when waist circumference is over 94cm for males and 88cm for females.

Diabetes can lead to complications and further chronic conditions. Both type 1 and 2 diabetes increases one’s risk of developing further complications and/or conditions. This can be reduced with correctly prescribed exercise.

Lifestyle modification can be just as effective as medication. Studies show that diet and exercise interventions can work just as well as some common medications. It is also important to note that while taking medication, exercise is still required to manage BGLs.

Accredited Exercise Physiologists (AEP) are expertly trained to help manage diabetes. AEPs are the peak allied health professional to prescribe exercise for diabetes and other chronic conditions. An AEP will be able to tailor an individual management plan, by completing a thorough assessment, including medical history, medications, and necessary GP correspondence.

At Motion Health we have Exercise Physiologist’s who can help you mange your diabetes, whether through 1:1 sessions, group classes or as part of our type 2 diabetes management group. You may even be eligible for a Medicare rebate or rebate through your private health.