Corrective Exercise

Corrective exercise is a scientific approach to helping a person recover from an injury. Although there are many ways to rehabilitate an injured area, the most effective and permanent way is to find out what is causing the problem and correct it through specific exercise. Corrective Exercise is a systematic process of identifying a problem within the neuro-muscular system, developing a specific plan and implementing a corrective strategy.

Once a problem or dysfunction is identified, a treatment plan can be developed and the person can perform exercises designed to correct the specific imbalances. This is how a Corrective Exercise Specialist is unique in their professional service. The CES (Corrective Exercise Specialist) has extensive training, post-graduate studies and many hours of hands-on work. This experience and education allows the CES the knowledge to evaluate and assess your movement patterns and locate the areas that are out of balance.

Imbalances arise from injuries sustained from many factors. Factors such as repetitive movements, sedentary lifestyles, disease or trauma may cause injury to your system. As the body shifts to avoid stressing the injured area, other regions may compensate. Compensation may cause muscles to shorten and spasm to hold a region tight. Muscles may also react by lengthening or weakening in response to repetitive pressure.

As a result of imbalances within the neuro-muscular system, joint motion and the ability to fire the muscles are altered. As the muscles react as a different rate, changes in the entire structure may become misaligned. When overall alignment is changed, the normal movement pattern will be abnormal. This may ultimately lead to injury. This is where corrective exercise is the best approach to returning the body to function with normal movement patterns.

Corrective Exercise will be applied in stages. The progression from each phase will be determined by each individual’s findings.
1. Inhibitory techniques will be used to decrease over activity of muscles. Muscles may become spasms or “tight” and may not lengthen through stretching. When this occurs, stretching techniques that cause antagonistic muscle to become inhibited will be used. This will allow for the muscle to lengthen or “loosen” though a release from the nervous system.

2. Lengthening techniques are used to elongate tightened muscles and connective tissue. This along with the inhibitory techniques will increase the range of motion. Specific lengthening techniques will be used and patients will be taught how to perform them on their own. It is important that the patient learn the proper way to stretch their muscles, tendons and ligaments. The most effective way to teach patients is through supervised instruction and repetitive performance until the movements become natural for the patients.

3. Activation techniques will be used to re-educate the muscles, tendons and ligaments. Every joint complex, including the surrounding muscles, tendons and ligaments, must be held at a specific “tension” so that the bones are held in proper alignment. When tissue becomes less active, through injury, repetitive forces, or sedentary habits, the under active tissue allows the over active tissue to dominate the region, causing imbalances. The most effective approach to correcting the imbalance is to re-educate the nervous system to hold the proper “tension” within each joint complex.

4. Integration techniques will be used to retrain the synergistic patterns of all muscles through functionally progressive movements. The human body works because of the collective action of all muscles, working together to create movement patterns. When one area is injured or becomes inactive, other areas will compensate for this lack of movement. This needs to be addressed by training the body through its normal movement patterns, focusing on returning the patient to full function.

The importance of Corrective Exercise cannot be emphasized enough. It is the most effective way of actually locating the cause of the problem and correcting it through a specific, individualized approach. Each patient will go through a detailed integrated assessment with our Sports Chiropractor and our Corrective Exercise Specialist. Dr. Trumpi will perform comprehensive manual muscle testing followed by a functional evaluation from CES, Harry Mitterbauer. From the findings of these static, dynamic and functional tests, a rehab program will be designed specific for each person.

Mr. Mitterbauer and Dr. Trumpi will discuss with each patient the findings of the tests and will recommend the most appropriate treatment and rehab protocols. It is important that each patient understand and be involved in their health care. It is our goal at Santa Monica Sports Medicine to listen to the concerns and needs of each person and work together for the best in health care. If there are time and travel obstacles we will help you work around this by providing the most comprehensive treatment during the time you are in our office.

We are truly committed to helping you get better. We only ask that you take your treatment seriously and be dedicated to your health. A personalized rehab program will be designed specifically for you. We are committed to your health and are confident that we can train you to function at full capacity with more strength, stability and stamina. We also believe that Corrective Exercise is the most effective approach to avoid injuries in the future.