Pointe Dance

Pointe Dance

Starting dance on pointe is an exciting milestone for any dancer. Ballerinas often dream of putting on a pair of pointe shoes and gliding seemingly effortlessly across the stage. While pointe work is beautiful, it is not a normal functional movement, and nowhere near effortless. The demands of pointe work open the door to many possible injuries in the feet, ankles, and other parts of the body. It is for this reason that a Pre-Pointe Assessment is essential before starting work on pointe. Dancers should be assessed by a qualified health professional who has experience with ballet dancers.

Why is it important to have a Pre-Pointe Assessment done by a physiotherapist before beginning pointe work?

  1. Injury prevention: Pointe work places significant stress on the feet, ankles, and legs. A physiotherapist can identify any pre-existing weaknesses or imbalances that open the door to injury on pointe, and can develop an individualized program to prevent these injuries. A Pre-Pointe Assessment by a physiotherapist can help prevent injuries such as sprains, strains, tendonitis or stress fractures.
  2. Strength and stability: Dancers need exceptional strength in their feet and lower legs to execute complex movements on pointe safely. Pre-Pointe Assessments help determine whether a dancer has the necessary strength and stability to perform effectively on pointe, ensuring that they can support their weight without risking injury.
  3. Flexibility and range of motion: Proper flexibility is essential for pointe work. During a Pre-Pointe Assessment, physiotherapists assess the range of motion in the ankles and feet, helping dancers to understand their individual limits and how to safely improve their flexibility.
  4. Technique optimization: Beyond physical readiness, physiotherapists provide insights into optimal technique. By assessing a dancer’s form and alignment, they can recommend specific exercises to enhance technique, leading to improved performance and artistry.
  5. Personalized rehabilitation programs: All previous injuries should be considered during a pointe assessment, whether they are old or new. For dancers recovering from injury, Pointe Assessments allow physiotherapists to create a tailored rehabilitation program that focuses on rebuilding strength, flexibility, confidence, and ensuring a safe return to pointe work.

Progression to work on pointe exponentially increases the incidence of dancer injury. It is important that a Pre-Pointe Assessment be completed to prevent these injuries. Physiotherapists are movement specialists, and as such are well qualified to assess dancer readiness to do work on pointe. A proper assessment by a physiotherapist will not only help to prevent injuries, but also enhance overall performance and ensure that dancers are physically prepared for the demands of pointe work to reach their full potential on stage.

Physiotherapist Lindsay Wourms is a former dancer and gymnast, and is certified to conduct Pre-Pointe Assessments before transitioning to pointe work. She is currently accepting new patients of all ages for Pre-Pointe Assessments or dancer related physiotherapy assessments at our Lower Mission location. 

For further information on pointe assessments or to schedule an appointment please contact us! 

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
Gymnastics

Gymnastics

Gymnastics

Gymnastics is a sport that requires strength, flexibility, balance, coordination, and endurance. While its aerial and acrobatic movements can shock and awe, these movements can increase an athlete’s risk for injury. 

What are the common injuries in gymnastics?

For paediatric populations, the most common gymnastics injuries include: sprains, strains, fractures, and dislocations. It has been reported that roughly 97% of gymnastics injuries end up in emergency departments. The most common sites of injuries are the ankle, lower leg, shoulder, Achilles, trunk, and foot. 

One of the most prevalent chronic issue experienced by gymnasts is low back pain. Low back pain has been reported in up to 85% of gymnast populations. The most common low back injury is spondyolysis.

What are the risks?

Risk factors for injury in gymnastics include: a previous history of injury, competing before complete recovery, improper technique, overtraining/overuse, and environmental factors such as landing surfaces. 

How can I prevent injury?

To begin, it should be noted that 80- 97% of injuries happen in practice compared to competition. 

Some of the best ways to prevent injury are to:

  • Avoid over training.
  • Learn proper form and technique for skills in order to protect the body from repeated motions. 
  • Engage in a proper warm up.
  • Engage in specialized strength and conditioning programs that have been developed for gymnasts. 
  • Manage pain and physical issues early, before they become chronic.

Why is physiotherapy important?

Nearly 90% of elite gymnasts report sustaining one or more injuries that result in reduced training capacity. These athletes spend roughly 14% of their time training at sub-optimal levels. Physiotherapists can help to prevent and manage these injuries, which in turn increases optimal training time. 

Physiotherapists with training in gymnast populations can help to identify risk factors, diagnose and treat acute and chronic injuries, educate on proper warm up techniques, provide relevant strength and conditioning programs, and screen for proper form in the performance of gymnastics skills to prevent biomechanical errors. 

Credentials

Lindsay Wourms, PT, MScPT, Special Focus in Paediatrics
Former competitive gymnast 
Gymnastics coaching experience with both recreational and pre-competitive groups
Special education in gymnastics rehabilitation and injury prevention
Physical Therapist on site for gymnastics at the BC Winter Games 2023

References:

References Hecht, S. S., & Burton, M. S. (2009). Medical coverage of gymnastics competitions. Current Sports Medicine Reports, 8(3), 113–118. 

Heinen, T., Pizzera, A., & Cottyn, J. (2010). When is manual guidance effective for the acquisition of complex skills in Gymnastics? International Journal of Sport Psychology, 41(3), 255–276. 

Kerr, Z. Y., Hayden, R., Barr, M., Klossner, D. A., & Dompier, T. P. (2015). Epidemiology of National Collegiate Athletic Association women’s gymnastics injuries, 2009–2010 through 2013– 2014. Journal of Athletic Training, 50(8), 870–878. 

Kirialanis, P., Dallas, G., Di Cagno, A., & Fiorilli, G. (2015). Knee injuries at landing and take-off phase in gymnastics. Science of Gymnastics Journal, 7(1), 17–25. 

Kirialanis, P., Malliou, P., Beneka, A., Gourgoulis, V., Giofstidou, A., & Godolias, G. (2002). Injuries in artistic gymnastic elite adolescent male and female athletes. Journal of Back and Musculoskeletal Rehabilitation, 16(4), 145–151. 

Kolt, G. S., & Kirkby, R. J. (1995). Epidemiology of injury in Australian female gymnasts. Research in Sports Medicine: An International Journal, 6(3), 223–231. 

Kox, L. S., Kuijer, P. P. F. M., Kerkhoffs, G. M. M. J., Maas, M., & Frings-Dresen, M. H. W. (2015). Prevalence, incidence and risk factors for overuse injuries of the wrist in young athletes: a systematic review. British Journal of Sports Medicine, 49(18), 1189-96. 

Kruse, D., & Lemmen, B. (2009). Spine injuries in the sport of gymnastics. Current Sports Medicine Reports, 8(1), 20–28. 

Nemeth, R. L., Von Baeyer, C. L., & Rocha, E. M. (2005). Young gymnasts’ understanding of sport‐ related pain: a contribution to prevention of injury. Child: Care, Health and Development, 31(5), 615–625. 

Sands, W. A., McNeal, J. R., Jemni, M., & Penitente, G. (2011). Thinking sensibly about injury prevention and safety. Science of Gymnastics Journal, 3(3), 43-58. Singh, S., Smith, G. A., Fields, S. K., & McKenzie, L. B. (2008). Gymnastics-related injuries to children treated in emergency departments in the United States, 1990–2005. Pediatrics, 121(4), e954–e960

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info

Complete Concussion Management

Complete Concussion Management

What is a Concussion?

A concussion is a mild form of brain injury that results from acceleration or deceleration of the brain within the skull following a significant impact to the head or body. Concussions can be the result of a direct blow to the head, or of indirect forces causing quick movement of the head or neck. A concussion may occur with or without a loss of consciousness, and cannot be detected with imaging techniques such as a CT Scan or MRI.

Most concussion symptoms will resolve within 7-10 days, even though the full physiological effects of a concussion can last up to 30 days. For some, however, symptoms do not resolve within 7-10 days. In this scenario, the symptoms may be generated from multiple sources such as the neck, or the visual or vestibular systems. Symptoms may also be based on level of exertion. When symptoms persist beyond the 7-10 days, they may indicate Post Concussion Syndrome.

It is recommended that individuals who suffer a concussion undergo a full assessment in the early stages of their concussion, as a stepwise return to activity can help to prevent prolonged symptoms and suffering.

What are Common Symptoms of a Concussion?

Physical – headache, lightheadedness, dizziness, nausea, fatigue, changes in sleep patterns, changes in vision, sensitivity to light and noise.

  • Cognitive – reduced concentration, memory problems, feeling mentally foggy.
  • Emotional – irritability, anxiousness, depression, feeling more emotional than usual.

What sets CCMI Apart when it comes to Concussion Rehabilitation?

Baseline testing – The measures taken in an assessment following a concussion are most accurate when they can be compared against the same measures taken before your injury. This helps to most accurately determine the effects of your concussion, when you are fully recovered, and when it is safe to return to sport. CCMI uses a multi faceted baseline test which ensures that the many areas affected by concussion are accurately assessed. A series of physical and cognitive tests are performed at the beginning of the season and following an injury to determine whether a concussion has occurred, and the level and areas of impact. Once these areas can be identified, rehabilitation is focused where it is needed. Concussion symptoms often disappear days to weeks before the brain has recovered. Having valuable baseline information may help practitioners to make safer return to play decisions.

An integrated approach to rehabilitation – Following a short period of rest, the International Consensus Statement on Concussion in Sport (2016) recommends a gradual increase in mental and physical activity by a licensed healthcare practitioner trained in concussion management. CCMI concussion treatment includes: balance, exercise, and visual rehabilitation, manual therapy, nutritional interventions, and a gradual return to school, work, and sport.

The CCMI Concussion Tracker Smartphone Application for coaches, teachers, and athletes – The CCMI Concussion Tracker app supports safer return-to-sport decisions for young athletes. It captures and shares an athletes’ concussion status in real time. Where a concussion hits, Concussion Tracker enables the coach and athlete to:

  • Report and track concussion
  • Conduct sideline assessments
  • Record athlete’s recovery status and timeline
  • Scan and share medical documents if needed
  • Track daily symptoms for recovery progress
  • Store and view pre-season concussion test results

Lindsay Wourms  is a certified CCMI physiotherapist.

Contact us to start your concussion recovery today!

Call 250-861-8056

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info