and injury risk assessment
and post traumatic rehabilitation
In order to compete or perform in different sports an athlete must be able to use different movement skills. Strength and endurance are necessary as by not the only necessities, physical qualities required for performance. In fact when you look at some sports legends like Wayne Gretzky, Roger Federer, Lionel Messi – you see an effortless performance. That is because a combination of different physical skills enable such athletes to be on the top of their game without using maximal strength. The higher the ability to use certain skills the less strength is required, therefore the athlete can last longer on the top of their game.
Ability to relax and yet be ready
Optimal body mechanics and motor control
With that in mind we at NYDNRehab have established very unique athletic laboratory and training program. The program is based on set of our unique technologies and the methodology that we have developed together with some of the most advanced sports performance laboratories around the globe.
The sports medicine division of NYDNRehab is not only about treatment, rehabilitation and sports physical therapy. We provide the most advanced diagnosis in New York’s sports medicine arena based on our set of exclusive technologies and unique experience. We believe that sports medicine treatment must start with injury prevention and complete technological and clinical motion analysis. In our experience the only way to get sound bullet proof results with athletes whether professional or weekend warriors, is to be able to assess the body in motion which conventional analysis such as X-ray or MRI are not able to do.
An athlete needing treatment, such as sports physical therapy may be bound to rehab for quite some time. We feel that just building strength and endurance is very insufficient. That is why we have developed our lab and training program which can break down an athlete’s motion in all possible and existing ways.
The goal of our Back to Sports Program is to identify the injury risk is in a patient based on a kinetics and kinematics ( biomechanical measurements of forces and joint angles). This examination is possible by evaluating the patient’s ability during complex movements. Even a very experienced and trained eye cannot diagnose biomechanical deviations during sport movements just by looking without using the technology of this program. If there are any discrepancies or indication of instability of the joints and the examinations shows that the patient is incapable of performing specific movements then the doctor is able to make a determination as to what the treatment plan should be and recommend exercises to improve stability and help the patient return to their sport. The patient specific recommendations are individually customized to the patient’s condition and particular sport. The program will help with improving muscle weakness and faulty movements. Athletes who engage in sports that are very quick in directional changes or high gravity impact exert tremendous forces on the joints. For athletes recovering from the injury this program is a savior as proper diagnosis will result in quicker rehab, better agility and correct movements in specific situation to ensure the reductions and re-occurrence of injury.
The most frequent complaint that runners have is pain with increased mileage. The pain of overuse can have multiple reasons such as structural joint abnormalities, muscular imbalance, poor motor control, faulty pathomechanical movement sequences and poor technique. In these type of injuries only specific biomechanical diagnosis will suffice. Precisely this type of diagnosis is provided by technological 3D running analysis. Physical observation with a naked eye provides only limited information. The video recording with high speed cameras and advance running analysis software provides detailed information about biomechanical parameters in every phase of running.Running analysis is useful for several reasons:
These objective measurements can lead to well-directed rehabilitation as well as proper choice of running shoes and training program recommendations.
The quicker the patient seeks treatment for their running pains or needs the better the chances of rehabilitation and lasting results. During a physical examination with the clinician he will be able to tell on sight some but not all insufficiencies. To get the entire clear picture a complete analysis combining the trained eye of the clinician and recordings of the runner during movement will show the whole picture. During the analysis which incorporates the eye of the doctor and high speed camera recording during movement of the patient which at a later time will be thoroughly analyzed will give all the answers as far as biomechanical factors in each segment of movement, which will result in the proper and accurate diagnosis of the condition or injury.
Combined with the findings and our many unique methods and approaches of treatment, there will be an individualized treatment plan that will rehabilitate and re-train the runner to have better and proper running form and gait. Minus the pain.
Optimal core function( dynamic stability) for optimal athletic performance cannot be achieved only by strength of abdominal muscles in isolation. According to latest research based on principles of neurodevelopment the control of the core must be achieved through precise coordination of deep stabilizing muscles and intra-abdominal pressure mechanism. From perspective of neurodevelopment the foundation of DNS, the rehabilitation of sports injuries and athletic performance should not only focus on exercising muscles for strength and endurance but should concentrate on training muscles for stabilization functions.
The DNS sports approach is not only for training but is also an assessment of ideal muscle functions based on positions determined by developmental kinesiology.
CAREN (Computer Assisted Rehabilitation Environment) set up allows real time registration and measurement of the body’s symmetry and weight bearing. Movement symmetry is one of the best indicators of athletic performance and risk of injury. If an athlete is not aware of asymmetry, injury is around the corner. Weight bearing symmetry is very important in sports where rotational component such as changing direction and landing are at stake. CAREN unique set up allows real time athlete visualization and feedback. Athletes can re-train asymmetry which greatly improves performance and helps avoid the risk of injury. This therapy is also unique in post-traumatic and post-surgical rehabilitation. If there is an injury or pain anywhere in the leg (such as ankle sprain, hip impingement and etc..) the brain commands to offload that part of the body.This adaptation unfortunately does not return to normal unless diagnosed and treated. CAREN is very unique in retraining this particular very important movement dysfunction.
Balance is a constant control of the human body in a gravitational field. The ability to do that is called sense of “BALANCE”. The sense of balance is a composite function of communication between vision, vestibular system, proprioception and ankle, hip and trunk muscle groups.
Balance is one of the most necessary components for performance to be successful. Without good balance not only the results suffer but injury becomes a reality. An athlete with faulty biomechanics and/or poor technique has less chance for injury if he has good balance. Having good balance is an overall objective parameter of athletic performance.
At NYDNRehab we utilize CAREN (Computer Assisted Rehabilitation Environment) as the most advanced tool to access athletic balance. An athlete is set up with markers and studied on a force plate within the moving platform and motion capture field.
The response to pertubated movement of the platform is measured for different biomechanical parameters. The results are compared to normal controls for specific sports activities.
The objective data allows to pinpoint athletic readiness and risk factors for injury. Balance is a great indicator of skill which equals performance.
Stability testing with pertubation (knee,ankle,hip)
Stability testing with pertubation (knee,ankle,hip) 2
Redcord Active Course - Melbourne, April 2011
Dynamic hip control strenghtening
Dynamic hip control strenghtening 2
Dynamic hip control strenghtening 3
Dynamic hip control strenghtening 4
Dynamic hip control strenghtening 5
Dynamic hip control strenghtening 6
Dynamic hip control strenghtening 7
Dynamic hip control strenghtening 8
Dynamic hip control strenghtening 9
Dynamic hip control strenghtening 10
Active center of mass and weight bearing training
Your body is a masterpiece of form and function, designed to move in fluid and coordinated patterns governed by your nervous system. But oftentimes, overuse, underuse or abuse of your muscular system can result in pain, injury, uncoordinated movement and poor performance. Thankfully, through proper training and rehabilitation, your miraculous body is able to heal and recoup its natural functional capacity.
Redcord Active Course
Jonas Hoegh-Christensen Is Thankful to Lev Kalika; Back and Leg Issues Solved
Janko Tipsarevic About NYDRehab clinic
Omar and Sierra Calhoun About NYDRehab
Andrew on Rehab After Shoulder Surgery
HIGH PERFORMANCE STABILITY TEST
Michael Becker on How His Son Stepped Up the Running Game Thanks to Dr. Kalika
Henry Burns on Achilles Pain Treatment at NYDRehab
Patrick on Knee Pain Treatment at NYDRehab Clinic
A Patient on Groin Pain Treatment at NYDRehab
NYDNRehab is one of the most successful private sports medicine clinics in midtown NYC.
It was established when Dr. Lev Kalika brought together different methods and techniques to treat a broad array or functional disorders or sports injury. Dr.Kalika along with the talented staff of physical therapists,chiropractors, athletic trainers, neuromuscular massage therapists and biomedical engineers provide the very best in orthopedic and sports medical care using a team approach.
Since that time NYDNRehab has expanded to include Alter-G anti-gravity treadmill, CAREN (Computer Assisted Rehabilitation Environment), Technological Sports Injury Prevention testing, Gait and Running Analysis, Shockwave Therapy,DNS therapy just to name a few and covering all areas of musculoskeletal medicine. It has gained a national and international reputation as a sports clinic of excellence, particularly for the treatment of hip injuries,knee injuries, foot and ankle injuries and shoulder injuries.
The clinic has played a leadership role in innovative functional medicine and always been the leader in manual medicine and physical therapy. The goal of NYDNRehab is to provide wide spectrum of sports medicine services for all type of athletes from professional to the aging athlete. Our sports medicine clinic provides diagnostic, preventive, rehabilitative and performance enhancement services for all groups of athletes.