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Seattle-Based Physical Therapy Practice, Serving Ballard and Fremont
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SBPT Blog

Improving Your Balance For Ski Season

October 1, 2019

The season is changing here in the Pacific Northwest, with resorts like Stevens Pass and Snoqualmie Pass getting dustings of snow over the weekend, much to the delight of ski enthusiasts here in Seattle. Sure, ski season is likely several weeks away, but that cannot stop us from getting excited and preparing ourselves for long days of fresh tracks in the backcountry or running laps on groomers inbounds. When it comes to skiing and skiing well, balance is fundamental. However, most people focus solely on strength and flexibility when working out at the gym, with balance exercises getting left behind.

Our sense of balance is dependent on three primary systems in our body: our vision, our vestibular system, and our somatosensory/proprioceptive system. Most individuals understand how our vision impacts our balance, as it allows us to see where we are in space. Try standing on one foot with your eyes open and then continue with your eyes closed. It will nearly always be more difficult for you with your eyes closed, illustrating the importance of vision in respect to our sense of stability. Our vestibular system lies within our inner ear and works like both a bubble level and accelerometer, providing our brain information about where our head is in space and whether or not we are moving or staying still. Think about standing on a train. It is easy to tell that you are moving when the train is speeding up or slowing down, but when the train is moving at a constant speed, it almost feels as if you are not moving at all. This is in part due to the working nature of your vestibular system. Our somatosensory/proprioceptive system involves tiny sensors within the joints, muscles, and tendons of our neuromuscular system, telling our brain about the position of the various tissues at any given time. This system allows you to know whether your elbow is bent or straight without having to look at it. When balancing on one foot, our somatosensory/proprioceptive system sends rapid information to the brain about where our foot, ankle, knee, hip, and trunk are in space so we can make the necessary corrections to keep our center of mass within our base of support, preventing you from falling on to the floor. Collectively, the three systems function together to keep our sense of stability when performing activities requiring high-level stability, such as skiing.

So what are some exercises you can do to improve your balance that are more specific for skiing? Here are a few of my favorites:

Static Single Leg Balance On BOSU

Single Leg Balance With Hip Extension & Rotation On BOSU

Single Leg Balance With Hip Flexion On BOSU

All of the exercises can be performed without a stability trainer, so if you do not have access to one, no need to fret. Performing these balance exercises barefoot on flat ground with eyes closed is often more challenging for individuals. Here is single leg balance routine that can be performed without any equipment that is helpful in preparing for ski season:

Single Leg Stance Progression

Perform all balance exercises for 60 seconds per leg in order to build neuromuscular endurance. Multiple sets can be performed to further fatigue the neuromuscular system. As always, any exercises you attempt should be pain-free and performed in a safe environment. If you have any questions or concerns about balance exercise, it is recommended to contact your physical therapist or primary care provider before initiating a new exercise program.

Let it snow!

-Grant Hennington, DPT


In Skiing Tags Ski Conditioning, Skiing, Balance, Stability, Injury Prevention

Flexibility 101: Static vs. Dynamic Stretching

August 29, 2019

Have you ever wondered when you should be stretching with respect to your running program? More specifically, have you ever wondered what type of stretching you should be doing? While the research on stretching is a bit of a mixed bag, there are some tried-and-true principles to follow in book-ending your training runs, no matter your experience level within the sport.

Prior to running, we want to avoid static stretching, focusing rather on dynamic movements/stretches to warm up and prepare our muscles for the rigors of running. Static stretching has been shown to temporarily reduce the power output of our muscles, something we do not want to do prior to a run, as a reduced power output may make us slower. In contrast, a dynamic warm-up activates key muscle groups utilized during the running cycle in order to prepare those very muscles for sustained work. It is important that the dynamic warm-up closely mirror the physical demands of running in order to prepare the most appropriate muscles and tissues. In other words, performing walking lunges and skipping motions would be more appropriate than hitting a heavy bag. Finally, the dynamic warm-up should be simple and concise, requiring no greater than 5-10 minutes to complete. If longer or more complex, it is more likely you will skip it! Here is a sample dynamic warm-up routine:

Dynamic Running Warm-Up

Following your run, it is safe and appropriate to perform a static stretching routine, targeting the muscles and joints you stressed during your training run. Static stretching should be gentle and prolonged, holding each position for approximately 60 seconds. More aggressive stretching is not more effective, as it can more easily activate the stretch receptors in our muscles and tendons, limiting the ability for the muscles to relax and let go. Aggressive stretching also increases our risk of over-stretching and subsequently injuring our soft tissues. So keep it light! Key muscle groups to stretch following a run are the calves, hamstrings, quadriceps, and gluteals, all of which are primary movers during the running cycle. Here is a sample static stretching routine:

Static Stretching Cool-Down

Both routines should be easy and pain free. If you are experiencing discomfort with any of the positions, stop and move on. If possible, consult with a physical therapist or other medical professional if you have any questions or concerns regarding your specific stretching routine.

RUN ON!

-Grant Hennington, DPT

In Running, Cycling, Skiing, Snowboarding Tags Running, Stretching, Dynamic Warm-Up, Cool-Down, Injury Prevention, Training

Tips For Training For Ski Season

August 21, 2019

With back-to-school just around the corner and summer coming to a close, here in the Pacific Northwest it’s time to start thinking about training for the upcoming ski season. As my inbox is flooded with emails about discounts on season passes and lodging at the local ski resorts, I cannot help but feel inspired to prepare for those long days in the backcountry or skiing laps on powder days inbounds. But what are some of the more important areas to focus on when building a ski conditioning program? While skiing can be a lifelong sport, it also carries with it high physical demands and risk of injury. Therefore, as with most sports-specific training programs, the key is including exercises that promote both injury prevention and performance enhancement. When it comes to skiing, exercises that improve strength, stability, and mobility are paramount. Here are a few examples:

  • A retro floating lunge improves functional gluteal and quadriceps strength, while also promoting improved stability at the hip and knee joints, two prominent areas that can frequently be injured when skiing.

  • Band-resisted side-stepping strengthens the gluteus medius, a muscle integral in controlling excessive rotation at the knee joint. Training this muscle is important in reducing the risk of ACL tears, an unfortunately common injury among skiers.

  • Ankle dorsiflexion lunges help increase mobility at the ankle joint, allowing you sufficient range of motion to avoid back seat skiing.

  • Lateral bounding facilitates improved stability at the hip and knee joints, while also strengthening the gluteals and quadriceps, helping you better hold your edge on more challenging terrain.

As with any training program, a slow and systematic progression is key to avoiding overuse injuries. Performing strengthening exercises such as these 2-3 days per week is enough to make improvements and more is not always better. Your program should be at least 8 weeks in length in order to provide adequate time for adaptive changes to take place to your musculoskeletal and cardiovascular systems. It takes time and consistency to make your muscles stronger and your joints more mobile! Finally, seek clearance from your physical therapist or primary care provider before initiating any new exercise program and stop if you find yourself limited by unrelenting aches and pains.

Fingers crossed for a big snow year. Hope to see you out there!

-Grant Hennington, DPT


In Skiing Tags Ski Conditioning, Injury Prevention, Skiing, Training, ACL Tear, Knee Injury, Performance

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