Concussion Management Program
Evolution Physiotherapy is now providing assessment and treatment of concussions.
We have the knowledge and facilities to offer comprehensive assessment and rehabilitation for concussions. There are a number of possible causes of prolonged symptoms after concussion. As a result, effective assessment and rehabilitation of concussion involves looking at possible injury to the cervical spine, the vestibular system, the oculomotor system (including the vestibulo-ocular reflex), the sensorimotor system, and the autonomic nervous system.
Visit our Learn/Resources page for Concussion related resources.
Motor Vehicle Accidents and Injury
Many of the injuries sustained in motor vehicle accidents are complex, and require advanced knowledge and expertise to be treated effectively. The correct treatment approach can have a dramatic influence on pain, healing, and outcomes.
Evolution Physiotherapy is a FSCO (Financial Services Commission of Ontario) regulated service provider for people injured in motor vehicle accidents. At our facility, your physiotherapy treatment is provided by our Registered Physiotherapists, not by a physiotherapy assistant or kinesiologist.
The cost of the physiotherapy treatment is covered by your auto insurance company and any extended health care insurance that you have. In cases where you don’t have any extended health care benefits, your treatment is fully covered by your auto insurance company. We have extensive experience dealing with SABS (Statutory Accident Benefits Schedule) clients.
Advanced Post-op Rehab
At Evolution Physiotherapy, our goal is to provide the most complete, comprehensive, evidence based post-operative rehabilitation following surgery. We combine our backgrounds in sports physiotherapy and strength and conditioning, to bridge the gap between the rehab and sports performance stages. In regards to returning to activities following surgery, this allows for appropriate transitions in the later stages of recovery. Evolution Physiotherapy has developed detailed goals, objectives, and strategies to ensure a complete, maximal recovery is achieved following your orthopaedic surgery (ACL repair, TKA, THA, rotator cuff repair, etc).
Below is an example following ACL repair:
Goals and Objectives: ACL repair
In the middle and later stages of rehabilitation following ACL reconstruction, the most important component is the application of appropriate therapeutic exercise and performance based exercise. The exercise programs should be progressed at regular intervals (eg. every 4 weeks) to maximize achievement of the following objectives:
- Restore correct movement patterns
- Achieve maximal and symmetrical limb mobility, stability, strength, power, agility, and proprioception
- Reduce future injury risk
- Return to sport/activities of choice
A critical component for the athlete transitioning from rehab to sports performance training and sports activities is the ability to regain correct movement patterns. Building a solid foundation of correct movement is essential prior to embarking on an activity specific strength and conditioning program or returning to sport. Failure to attain balanced, athletic movement has been shown to be a strong predictor of future injury.
Researchers have identified some significant deficits in the involved limb of ACL reconstructed athletes, despite them successfully returning to their sport (Myer et al., 2011). Further studies indicate that the risk for sustaining an ACL injury to the other knee is between 25% and 30% in young athletes who have undergone ACL reconstruction. These studies highlight to the need to improve rehabilitation and recovery following ACL surgery. Evidence-based programs that have demonstrated ACL injury reduction are comprehensive, and include multiple training components that may induce neuromuscular changes. Current scientific research shows evidence that the primary cause of ACL injuries may be neuromuscular in nature. In more simple terms, non-contact related ACL injuries are due to incorrect movement.
The following is a summary of the recommendations for late stage post-operative recovery:
- Since functional deficits or asymmetries will likely persist in ACL patients beyond their return to play timelines, objective criteria is vital for assessing return to play readiness
- Tests should involve many single limb challenges, since double limb performance tasks lack the sensitivity to identify unilateral deficits
- Assessing movement quality remains an under-utilized and important component of return to play and injury risk criteria
Evolution Physiotherapy excels in the development of programs for Personal Training, Functional Strength/Movement Screening, and Lower Back fitness. You may review ALL our exercise programs below.
Our staff develops exercise programs that are tailored to a client’s abilities, comfort levels and needs. The focus of the programs is on smart, safe training, that will reduce injury risk and improve performance.
Low Back Rehabilitation and Injury Prevention
This program is the result of our staff’s extensive education and experience as both Registered Physiotherapists, Kinesiologists, and Certified Strength and Conditioning Specialists. It has been heavily influenced by the research, instruction, and re-stabilization principles of Dr Stuart McGill, PhD, one of the world’s leading authorities on low back biomechanics and therapeutic exercise. The program continues to be modified and updated as new information becomes available.
Golf: TPI (Titleist Performance Institute) Golf Fitness Program
Allen Hicks is TPI certified and can help all levels of golfers with their fitness and recovery programs.
All Individual Exercise Programs, including sport specific exercise programs (e.g. the Titleist Performance Institute (TPI) Golf Fitness Program) follow a similar format.
The recommended format for ALL Individual Exercise Programs includes the following components:
- Initial assessment, including physical screen/fitness screen
- Program Design
- Program Implementation
- Program Evaluation
All TPI Golf Fitness programs require an initial assessment, including a physical screening test. Following the assessment, a client-specific program is designed. Once the program design has been completed, the program is implemented by taking the client through all of the program exercises. Following completion of the program, a further session should be booked to evaluate the success of the program and make further recommendations.
For golfers, the recommended physical screen will include the TPI physical screen/fitness screen.
Click here for more information on our TPI Certified Golf Fitness Program for 2017.
Baseball Specific Programs
In addition to assessing and treating baseball related injuries, we offer the following baseball specific services:
- A baseball specific physical screen, which is used to identify weaknesses and imbalances which can lead to injury (particularly in the throwing arm)
- Baseball specific off-season, pre-season, and in-season workout programs. These can be designed to be performed at home or at a gym facility.
- A Little League Baseball Injury Prevention Program (this includes a program handout and program instruction)
- A Rehabilitation Program for the Throwing Shoulder Following Injection (10 day; 14 day; 21 day programs)
- Baseball warm-up routines for games and practices.
These programs were influenced by the latest scientific research in strength and conditioning and injury prevention and rehabilitation. Components of these programs were designed by physiotherapists (Mike Reinold and Kevin Wilk) who have worked directly with Dr James Andrews in Birmingham, Alabama. Strength and conditioning aspects utilized by Eric Cressey have also been incorporated into the workout programs.
Functional Strength/Movement Screening
These assessment tools are used to help identify movement dysfunctions that will affect functional performance and predispose the individual to a higher risk of injury.
If you are having pain, the movement scan/screen helps the clinician identify areas that need to be addressed with your exercise prescription, rather than chasing pain with exercise.
The movement scans/screens help improve communication and collaboration between medical professionals, fitness professionals, and sport specific coaches – by improving objectivity in describing movement problems.
The dancer’s analysis is provided by Lyne Denis, one of our Registered Physiotherapists. Lyne’s expertise with dance injuries comes from over 12 years of experience treating dancers and dance teachers throughout their training and performances at numerous National and International dance competitions. She has also been a ‘dance mom’ for 15 years.
The Dancer’s Analysis assessment is a 90 minute appointment which includes a biomechanial assessment of the whole body and movement patterns of various dance moves. Knowing the specific requirements of the different joints and muscles of dancers and of various types of dances, the assessment can be useful for the following reasons :
- As a preventative measure before the dance season starts
- As a guidance tool for the dancer and parents trying to decide the type of dance most favorable for their child’s body type and skills
- As a tailored assessment of a specific injury in a dancer
- And finally, the dancer’s analysis will allow Lyne to develop an individual plan of treatments and\or recommended exercises that can be provided in follow-up treatment appointments
Francine Eastwood provides a comprehensive video running assessment for all types of runners to determine how to improve form, optimize performance and assist in injury prevention. She has been using specialized software to analyse running biomechanics for over 10 years with great success. She uses her skills as a physiotherapist to determine how to correct faulty biomechanics and address muscle imbalances for optimal recovery.
Runners feel empowered and confident after leaving their 1 hour assessment. They are given clear instructions on form correction and exercises to address their specific needs. Francine is an avid runner and has done numerous talks to the medical community and local running groups on injury prevention and running form.
Click here to view an infographic that includes recommendations for running injuries. Your runner’s analysis will include a discussion of your load tolerance and what you can do to improve it.
The assessment includes:
- A review of your current running history and a quick assessment of your stability, mobility, strength and power
- A video assessment by an experienced physiotherapist
- A copy of your running video
- A copy of your results and exercises
- Detailed instructions on how to modify your running form
What should you bring:
- A new and old pair of running shoes
- Running shorts/shirt
- Completed runners clinic form
Women/men’s Pelvic Health – External Treatments
The pelvic floor is a crucial component of your body’s core stability and function. Dysfunction in the pelvic floor can lead to many life altering conditions like bowel or bladder dysfunction, pelvic organ prolapse, and chronic pelvic pain. The pelvic floor muscles can also be a major contributor to more common conditions like low back or hip pain. Despite the huge impact the pelvic floor has on patients it is often overlooked due to embarrassment or discomfort with the personal nature and internal treatment. Evolution physiotherapy is pleased to offer treatment options for pelvic heath conditions that involve entirely external therapies.
Learning how to connect to your pelvic floor through education and exercise has proven to be a valid approach to treating many common pelvic floor dysfunctions. Assessments will consist of a thorough subjective exam to discuss and understand your problems and goals. The physiotherapist will then do a physical exam to see how you move and recruit your pelvic floor, what strategies you use to create stability through your core and identify areas that require stretching or strengthening. Treatments will consist of education to ensure you understand your treatment plan and goals, hands on external treatments to address any restrictions and progressive home exercises to help you regain control and get back to doing whatever you enjoy, confidently and pain free.