GEAR REVIEWS

KEEN APhlex Boot Launch on the Bruce Trail

A guided hike on the Bruce Trail and a test run of the new APhlex waterproof boot by KEEN.

KEEN APhlex Boot Launch on the Bruce Trail

Reporter Chris spent a beautiful fall day exploring a stretch of the Bruce Trail near Waterdown, ON with the good folks from KEEN Canada as they launched their new APhlex hiking boots.

A guided hike with a Bruce Trail Conservancy staff ecologist was a great way to see a bit of this remarkable 900km resource for the people of Ontario. It was also a rugged way to test brand new APhlex waterproof boots. A fun trailside workout with Melissa Hetu from MelSays.com highlighted the hike.

It was a happy and hungry group that made our way to the Shawn and Ed Brewery in Dundas, ON for craft beer tasting and pizza. Even there. everyone kept their new boots on, a strong endorsement of the comfort of the APhlex after a couple hours on the trail with no time to break them in.

You can check out the APhlex for yourself at: www.keenfootwear.com/en-ca/product/shoes/men/aphlex-waterproof-boot

And be sure to plan your own Bruce Trail experience at: www.brucetrail.org

 



 

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Treating Concussions with Physiotherapy

According to Statistics Canada approximately 30,000 hockey players a year suffer a concussion

It’s everywhere.  The talk about concussion. Everyone seems to know someone that has had one or is currently sitting on the sidelines because of one.  

According to Statistics Canada approximately 30,000 hockey players a year suffer a concussion.  Seventy eight percent of all concussions occur during sport. 

What is a concussion? A concussion is a traumatic brain injury that alters the way your brain functions. It is a shear stress to the brain tissue caused by rotational or angular forces, direct impact is not required. Some injuries to the brain can cause a loss of consciousness, but most concussions do not. Because of this, some people have concussions and don't realize it. Most symptoms resolve within 7-10 days, however, approximately 30% of the time symptoms persist. Effects are usually temporary but can include headaches and problems with concentration, memory, balance and coordination. There are 22 signs and symptoms that can result from concussions, most of us are only aware on average of about 5 or 6.  

Concussions are common, particularly if you play a contact sport, such as football, rugby, soccer. But every concussion injures your brain to some extent. The brain needs time to rest and heal properly. Most concussive traumatic brain injuries are mild (mTBI), and people usually recover fully.  

If you are involved in a contact sport it is important to get a baseline test done. Baseline concussion tests give health care professionals a starting point should you sustain a concussion during your season. Baseline tests are used to assess an athlete’s balance and brain function (including learning and memory skills, ability to pay attention or concentrate, and how quickly he or she thinks and solve problems), as well as for the presence of any concussion symptoms. Results from baseline tests (or pre-injury tests) can be used and compared to a similar exam conducted by a health care professional during the season if an athlete has a suspected concussion.

Baseline tests consist of a series of clinically validated musculoskeletal, vestibular, balance, proprioceptive and cognitive protocols including; SCAT3, ImPACT and BESS standardized tests. These tests give us valuable objective data so that in the event of a concussion, we know what normal was for the athlete and this helps us in making informed decisions about an individualized treatment path and when to determine the athlete is ready to return to school or sport. 

 

Think of your brain as you would another body part that you may injure, knee, back, shoulder. Each body part injured needs treatment. The brain needs to be rehabilitated too. Studies show that within an 8 week vestibular and cervical spine rehabilitation program, athletes with symptoms of headache, dizziness and neck pain have a 66% higher rate of return to sport/school (Orthopaedic Division Review-Vol.27 No.2). Certified Athletic Therapists and Physiotherapists are trained to take the patient through a series of validated treatment protocols depending on the flagged areas after a concussion. We look at all the systems that the brain controls and what it is affected by; the neck (cervicogenic), the vestibular system, balance, memory and the oculormotor system (eyes). We are able to focus our treatment on the specific area that is causing your symptoms. For example if we flag an area through your baseline test redone, and through our series of assessment processes with your eyes, we essentially take your eyes to the gym and strengthen them back up. Until all the systems are functioning properly together will you be able to return to your daily life, work, school and play at 100%. 

Here are a few excellent resources online for more detailed concussion information.

https://sjhc.london.on.ca/concussion-mtbi

http://links.lww.com/JHTR/A131

http://dvbic.dcoe.mil/resources/progressive-return-to-activity

 

Kara Creed is a Certified Athletic Therapist and Nancy Botting is a Sport Physiotherapist. Both are from Physical Edge Physiotherapy - a multidisciplinary sort medicine clinic in Oakville , Ontario. www.physicaledgephysio.com