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Part 2 of 2

October 11, 2008

Why Didn´t Rehab Help My Rotator Cuff Auto or Sports Injuries?
By Dr. William Booker, D.C. In Part One of the Rehabilitation Sequence, the focus of the rehabilitation process is to reduce inflammation, normalize joint motion and increase length in short or overactive tissues. In part 2, the secrets of the professional and elite athlete are revealed. Have you ever wondered why professional athletes can twist an ankle or pull a muscle and they are back to their sport in a matter of days or weeks, but the same injury keeps us on the bench for months and years? e answer is simple. Athletes and the elite medical professionals, who treat them, recognize that the true goal of rehabilitation is not pain reduction, but the restoration of full function. Steps four, five and six of the rehabilitation sequence are designed to retrain biomechanical function and performance.

Dr. William Booker D.C.
Dr. William Booker D.C. holds a Doctorate of Chiropractic from the Cleveland College of Chiropractic, Los Angeles. He completed his undergraduate studies at the University of Virginia, where he graduated with a major in psychology and a minor in Biology. After completing his internship in Philadelphia, Dr. Booker relocated to Arlington to open the first Capitol Rehab inside of Gold’s Gym. Dr. Booker established Capitol Rehab-Arlington as the flagship for what would be the eventual opening of eight additional Capitol Rehabs located throughout Virginia, West Virginia and Maryland.

IMPROVE MOTOR CONTROL
ere has been a very large push to move away from complicated rehabilitation equipment and machinery, to low-tech forms of rehabilitation. Exercise balls, therabands and balance balls have largely replaced Olympic bars, weighted machines, dials and gauges. Research has shown that these modalities allow for patients to more efficiently challenge and train normal movements that may have been lost due to injury. We call this "Improving Motor Control". My patients routinely refer to these activities as their exercises. (To be certain, they are a form of exercise, but I will discuss this step in more detail below.) But motor control is better understood as movements that you once did naturally and automatically, but were lost as the result of an injury or repetitive stress. Motor control activities are designed to "re-train" your brain to "tell" your body what to do, until the point where your body begins to once again, do it automatically.

INCREASE SPEED OF CONTRACTION
When we speak of Speed of Contraction, we are talking about balance and coordination. Why is it that one person can walk down the street, accidentally miss the curb, and continue on their way without a second thought, but the next person misses the same curb, and ends up twisting their ankle? e answer is the first person had a well-developed "proprioception" system. Proprioception is a long word for balance and coordination, but what is important to realize is that proprioception is developed in the brain AND in the ligaments. It is also important to realize that this is THE MOST IMPORTANT step in preventing a re-injury. Did your rehabilitation program include a comprehensive balance and coordination program?

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : drbooker@capitolrehab.com

Rotator Cuff (part 2 of 2)
Why Didn´t Rehab Help My Rotator Cuff Auto or Sports Injuries?
continued

IMPROVE MASS MOVEMENTS
Improving Mass Movements is a fancy way of saying improving strength and conditioning. e interesting thing is that most rehabilitation programs include a strength and conditioning component, and most patients tend to be very compliant in executing their exercise program. Commonly this program will include some form of cardio vascular exercise, such as treadmills or stationary bikes. e program will include some form of weighted exercises, such as the use of weight machines, dumbbells or free weights. But as I am certain you can already see, if the above mentioned steps have not been completed, the person is inevitably re-training improper movements, has limited ranges of motion and abnormal movement patterns. All of which would have been flushed out by following the proper steps in the Rehabilitation Sequence. If you continue to experience pain and discomfort, consider a second opinion from an integrated practice that incorporates the best in physical therapy, chiropractic and rehabilitation. For more information feel free to visit us at our website, www.CapitolRehab.com or call or email me directly at 703.527.5492 or DrBooker@CapitolRehab.com.

Dr. William Booker D.C.
Dr. William Booker D.C. holds a Doctorate of Chiropractic from the Cleveland College of Chiropractic, Los Angeles. He completed his undergraduate studies at the University of Virginia, where he graduated with a major in psychology and a minor in Biology. After completing his internship in Philadelphia, Dr. Booker relocated to Arlington to open the first Capitol Rehab inside of Gold’s Gym. Dr. Booker established Capitol Rehab-Arlington as the flagship for what would be the eventual opening of eight additional Capitol Rehabs located throughout Virginia, West Virginia and Maryland.

Capitol Rehab of Arlington : 801 N. Quincy, Suite 130 : Arlington, VA 22203 : 703.527.5492 : @capitolrehab : DrBooker@CapitolRehab.com