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ninevirtuesLast night's party full of cyclists (15 people present) had:
-One guy with a chronic complete underarm labral tear, arm in sling, surgery next week
-One lady with a nonunion fracture of her collarbone, surgery Monday after next. Due to some extended time she'd spent with her doctor, she was able to tell me that collarbones are supposed to take the hit like that (because otherwise your ribs, and lungs, would take the impact, which is much more serious).
-One lady who'd FOOSHED off her roadbike and had her wrist in a cast (recall that a FOOSH is a Fall On OutStretched Hand).
This was the Capital Cycling Club. I am trying not to conclude that they were all hurt solely because Duke Sportsmedicine sponsors them. ;-)
Well now. They got me thinking. When I fell and concussed, I did not FOOSH; I fell on my side with my arm tucked up under me. My hip, elbow, and head took the hit. I didn't plan it that way; in situations like these, you do whatever your hindbrain tells you to. My little sister, who FOOSHED multiple times as a child and spent considerable time in a forearm cast as a result, is clearly wired differently.
So. We have two different populations (cyclists/Mountain bikers and the very old) who are at risk of falling traumatically. I suspect that both groups could benefit from fall training or fall education and balance practice, and now I'm thinking about the commonalities between them.
-One guy with a chronic complete underarm labral tear, arm in sling, surgery next week
-One lady with a nonunion fracture of her collarbone, surgery Monday after next. Due to some extended time she'd spent with her doctor, she was able to tell me that collarbones are supposed to take the hit like that (because otherwise your ribs, and lungs, would take the impact, which is much more serious).
-One lady who'd FOOSHED off her roadbike and had her wrist in a cast (recall that a FOOSH is a Fall On OutStretched Hand).
This was the Capital Cycling Club. I am trying not to conclude that they were all hurt solely because Duke Sportsmedicine sponsors them. ;-)
Well now. They got me thinking. When I fell and concussed, I did not FOOSH; I fell on my side with my arm tucked up under me. My hip, elbow, and head took the hit. I didn't plan it that way; in situations like these, you do whatever your hindbrain tells you to. My little sister, who FOOSHED multiple times as a child and spent considerable time in a forearm cast as a result, is clearly wired differently.
So. We have two different populations (cyclists/Mountain bikers and the very old) who are at risk of falling traumatically. I suspect that both groups could benefit from fall training or fall education and balance practice, and now I'm thinking about the commonalities between them.
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no subject
Date: 2004-11-14 06:47 am (UTC)Ouch!
Date: 2004-11-14 01:21 pm (UTC)Yes, I remember that's why you switched to the recumbent. That (the wrists, not the recumbent) must not have been any fun at all.
You're heavily into the massage thing now, though, so they must not be giving you quite so much trouble... right?
Re: Ouch!
Date: 2004-11-14 01:29 pm (UTC)> be giving you quite so much trouble... right?
Right. A couple of years after the last FOOSH the sharp stabbing pains subsided and my wrists were merely very weak. Some time after that, I started doing pushups. With my size, you can imagine the load that put on my wrists. :-) When i first started, I could barely do five. (In part due to wrists, in part due to insufficient exercise.) Over time, I got up to doing 30 marine pushups every morning. I am no longer quite so diligent about them, but I can still do (he pauses to find out) 20 in short order. Hrm, not as many as I would have liked. Time to re-add that to my morning routine.
Re: Ouch!
Date: 2004-11-14 04:45 pm (UTC)Marine Pushups???
no subject
Date: 2004-11-14 05:17 pm (UTC)Re: Ouch!
Date: 2004-11-14 05:49 pm (UTC)Start prone on the floor.
Put your palms flat on the floor, right next to your chest, center of the palm as low as ... well, I was told "... so that the center of your palm lines up with your nipples." Perhaps I'd have to phrase that differently for a client. :-)
Anyway, having the palms that low and fairly close in to your body is what is supposed to make these "marine" pushups. But then, I was told that by a friend who had never gotten even remotely close to the military, so go figure.
Re: Ouch!
Date: 2004-11-15 02:49 pm (UTC)I checked with my clinical instructor about these. Apparently, the military PT test includes them.
The good: They really work the insertion of your pec on your humerus.
The bad: They also place significant stress on your anterior shoulder capsule.
Hmm, if I wanted a challenging pushup, that maybe didn't mess up my shoulder capsule, I might do any or all of the following:
-Pushups with my feet on an exercise ball or balance disk
-Pushups with both hands on a balance disk
-Pushups with both hands on an exercise ball
-Pushups in which one foot is not on the ground, but my entire torso must remain stable
-One-armed pushups
-Pushups with a five-second hold, really arching my back toward the ceiling, to work the serratus anterior
Re: Ouch!
Date: 2004-11-15 03:01 pm (UTC)Details, girl, details! ;-)
This is a fun conversation. I hope I'm not distracting you from studying.
Re: Ouch!
Date: 2004-11-15 03:22 pm (UTC)Well, for any of the above, if I wanted to work pecs more, I would put my hands directly under my shoulders (so, when I planked, my arms were vertical) with fingers pointing in the same plane as my body.
If, on the other hand, I wanted to work triceps more, I would put my hands further out (maybe 4" outside the outline my body would make if I lay on the floor). I might even stick out my elbows (so my fingers were pointing at each other as they sat on the floor).
Naah, you're not interrupting. Strictly speaking, anyway. ;-)