Walking Poles for Rehab · Sandra Birdsell –Knee Replacement “I had a knee replacement and the...
Transcript of Walking Poles for Rehab · Sandra Birdsell –Knee Replacement “I had a knee replacement and the...
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Urban Poling - copyright
Walking Poles for Rehab
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Introduction
Mandy Shintani, BSc (OT), MA (Gero)
Occupational Therapist
& co-owner Urban Poling Inc.
Co-developer ACTIVATOR Poles &
Technique
Urban Poling popular first with
the fitness industry with
Urban Poling (Nordic walking)
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Active Therapy for Life
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Ability vs. Disability –
500 Miles for Parkinson’s
Bill Trewin – Parkinson’s Disease
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Dolores Langford, Physio
“I immediately understood the benefits of the
ACTIVATORTM poles as an alternative to
canes, crutches and even walkers. The poles
encourage an upright and symmetrical
posture, rather than the forward lean of a
walker or an asymmetrical lean from one
cane. There is also an immediate reduction in
lower extremity pain when weight bearing as
well as improved balance and walking
confidence”. Directions Newsletter BCPAUrban Poling - copyright
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Sandra Birdsell – Knee
Replacement
“I had a knee replacement and the poles give me
the confidence to go out in all kinds of weather &
kept me from being housebound. They gave me a
workout, better balance & a way to take some of the
pressure of my painful knee compared to a cane.”
-Knee Replacement Activator poles – 4-6 weeks
-Hip Replacement- Activator poles – 4-8 weeks
Urban Poling Inc. ©
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Post Surgery Hip and Knee
Arthritis - OA, OP
Stroke
Return to Work
Chronic Pain
Brain Injury
Parkinson’s, MS, ABI
Spinal Stenosis
Homecare
Factors relating to Fall Prevention
Clinical Rehab Uses:
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Agenda
• Research Review
• ACTIVATOR Technique – stability & offloading
• Guest Speaker: Lisa Robert
• Parkinson’s & MS - Videos
• Review of Poles
• Retailers: SHHC, SDM, Co-op, Medichair, Home Health Care, Hawkstone or www.Urbanpoling.com
• Webinars- Parkinson’s, Fall Prevention, Hip & Knee, etc.
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Research(over 167 independent research studies)
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Poling vs. Walking
Urban poling engages approx. 90% of your muscles
Ordinary walking works only the muscles in blue lettersUrban Poling - copyright
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Core Strengthening
Demo: How do
Urban Poling
poles provide core
strengthening?
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Core Strengthening
• If you walk one
mile it equals 1800
contractions of
your abdominal
muscles and 900
of your lateral
muscles
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Reduced Force on Knee Joints
A study in 2001 found
that walking poles
reduced vertical
ground reaction
forces, vertical knee
joint reaction forces
(Wilson et al., 2001)
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Parkinson’s
• All participants - reduced
pain, improved balance &
quality of life
• NW was superior to other
groups - improving postural
stability, stride length, gait
pattern and gait variability
Reuters, et. al 2010Urban Poling - copyright
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Factors Related to Fall
Prevention - Balance
Balance, functional mobility
& aerobic endurance
significantly improved
Viraq et al, 2014
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Older Adults
Improving upper-body
strength, cardiovascular
endurance, and flexibility
compared to resistance
band
Takeshima et al.,2013
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Comparison to Canes & Walker
* Walker and 2 cane users should
only use Activator poles under the
direction of their therapist.
Promotes a more
normal gait pattern
compared to
walkers and canes
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Effects of Walking
Technique on Knee Joint
Loading
Daniel Bechard Ph.D. UWO
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Conclusion
• Dynamic knee joint loading is effected by
the technique adopted
• Decrease in dynamic knee joint loading
was observed when poles are held away
from the body and downward force was
applied
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ACTIVATOR Technique Video
Go to urbanpoling.com
- Getting Started - ACTIVATOR Training
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ACTIVATOR vs Urban Poling
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Exercises
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Case Reviews
Guest Speaker: Lisa Robert
Parkinson’s & MS
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The Use of Poles in a Clinical Setting
with PD Clients
• using the poles to address the specific
deficits in PD
• posture
• base of support
• weight shift/trunk rotation
• stepping and turning
AMPLITUDE
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Lower Functioning Clients
• standing activities- increasing tolerance
• can participate in more
challenging/vigorous exercise
• walking as exercise/intervals
• improving step length
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Higher Functioning Clients
• intense intervals
• lunging
• marching/skipping
• sideways
• backwards
• hills
• jogging
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Poles with Clients with MS
• more about getting moving and staying
moving
• younger population so the poles tend to
be more acceptable than cane or walker
• can use the poles to broaden base of
support to complete standing and weight
bearing exercise i.e weight shifting,
stepping
• walking as exerciseUrban Poling - copyright
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Review of Poles
Ski pole -Thin handle with strap, one size, no anti-
vibration & steel tip
Hiking poles: Thin handle with strap, turning lock
system & steel tip
Nordic walking poles – Thin handle with strap,
turning lock system & boot shape tip
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Activator Poles
Wrists in a neutral position to reduce joint strain
• Strapless for safety & injury prevention
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Activator Poles – Safety Features
Button-lock vs. turning lock system
- weight capacity is 200 lbs vs. 20 to 90 lbs (vs other poles)
Bell Shaped Tip vs. Boot
- provide more stability & vertical
3 Anti Vibration Features
- minimizes stress on joints
C
Carbide steel tip
- for snow conditions & trails
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Third-Party Funding
Veterans Affairs Canada - POC 1 – Aids to Daily Living
WSIB, WCB
Auto
EHB plans
Contact us for a justification letter
Health care services and insurance companies are now
funding the Activator poles.
Web: www.urbanpoling.com E-mail: [email protected] Toll Free: 1-877.499.7999
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Activator Course
• 4 hour Course
• Edmonton – Thursday June 30 10-2 pm
• Register: 1877 499 7999 or info@Urban
• poling.com
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Contact Us
• Research, Videos of technique & Locating a
Retailer, Webinars
www.urbanpoling.com
• Tel: 604.990.7712
• Toll free: 1.877.499.7999
• [email protected] Urban Poling - copyright