Dr Jeff Cubos

How the “On Your Butt” Lifestyle Can Affect Your Low Back

jcubos — Thu, 04 Mar 2010 20:07:47 +0000

A few years back, I was asked to participate as a subject in a research study that examined the differences in lumbar spine posture between standing and seated positions. This study was recently published in The Journal of Manipulative and Physiological Therapeutics and can be found here.

Lumbar lordosis (low back curvature) was measured via conventional x-ray and it was revealed that lumbar lordosis decreased by 43 degrees in the seated position. As such, it may seem reasonable to utilize an orthopaedic lumbar support to maintain the normal spinal curvature if seated for prolonged periods of time.

Here are my x-rays that were included in the original publication…

For those of you who are wondering why this is included in a site geared to sport medicine and strength & conditioning professionals, think NASCAR.

Core Stability: Is it all a myth? The Journal of Bodywork & Movement Therapies recently published an...

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Have You Seen These Posts?

jcubos — Fri, 19 Feb 2010 04:01:10 +0000

What You May Have Missed!

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Here are a few posts that have received the most hits in the last couple of months. If you have yet to read them, enjoy!

A CLINICAL ASSESSMENT PROTOCOL FOR DISTAL BICEPS TENDON RUPTURE

NEGATIVE EFFECTS OF STATIC STRETCHING NEGATED

GREATER TROCHANTER PAIN SYNDROME

JUMPING ROPE: A TRIATHLETE’S OFF-SEASON WEAPON

CORE STABILITY: IS IT ALL A MYTH?

Jumping Rope: A triathlete’s off season secret weapon? As I was jumping rope in between workouts yesterday (thats...
Its Not Always Bursitis: Greater Trochanter Pain Syndrome The use of “Trochanteric Bursitis” as a diagnosis for lateral...
Last Minute Gifts to Buy for…..Yourself: Vibram Five Fingers With Christmas rapidly approaching and shopping days swiftly diminishing, many...

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Cheer For Jenn

jcubos — Fri, 12 Feb 2010 01:51:15 +0000

This is site is awesome. Check it out!

www.cheerforjenn.com

Good luck Jenn!

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Why You Should Watch the Skeleton

jcubos — Wed, 10 Feb 2010 02:23:10 +0000

A preview of two reasons why you should watch the Skeleton at this years Olympic Winter Games. Pay extra special attention to the beautiful display of their training methods and preparation.

Mellisa Hollingsworth

Noelle Pikus-Pace

Who holds the world record for the skeleton DEADlift competition? NO BODY! Happy Halloween! ...

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Zygapophyseal Joint Pain Patterns: Part 1B (Cervical Spine)

jcubos — Tue, 09 Feb 2010 19:42:10 +0000

CERVICAL ZYGAPOPHYSEAL JOINT PAIN PATTERNS II: A clinical evaluation (Aprill et. al., Spine, 1990)

A study testing the reliability of their pain charts by a clinical trial

Guiding principle: if the pain patterns could correctly identify the source of neck pain, they could then be used as diagnostic aids in the clinical assessment of neck pain.

10 subjects used and were administered diagnostic blocks according to the above pain patterns. A positive response was recorded if within 10 minutes, the blocks provided complete relief of pain lasting for the duration of action of the local anesthetic agent used

The diagnostic blocks used were cervical medial branch blocks performed under image intensifier using a lateral approach

In eight cases, there was complete concordance in the predicted levels between the first and second observers

In nine of ten patients, there was complete concordance between the predicted level and the positive response to blocks

Most patients reported areas that were more extensive than those seen in normal volunteers. Therefore, it appears that with stronger stimuli, the pain can spread beyond the core area, overlapping into adjacent zones

Results demonstrated that the segmental pain charts could be used with good accuracy to predict the segmental location of the symptomatic joint

Click here for Part 1A

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Zygapophyseal Joint Pain Patterns: Part 1A (Cervical Spine) This one's for the manual therapists out there. A brief...
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Zygapophyseal Joint Pain Patterns: Part 1A (Cervical Spine)

jcubos — Mon, 08 Feb 2010 20:02:53 +0000

This one’s for the manual therapists out there. A brief little review of 2 landmark papers pertaining to fact joint pain and referral patterns.

Part 1A:

CERVICAL ZYGAPOPHYSEAL JOINT PAIN PATTERNS I: A study in normal volunteers (Dwyer et. al., Spine, 1990)

A study determining whether or not pain from a given joint assumed a characteristic distribution…where the pain pattern in a given patient might be used as an accurate indicator for clinically diagnosing the symptomatic joint

4 asymptomatic subjects were used

A contrast medium was injected into the joints, acting in a prevocational matter (experimental stimulus). Subjects were then examined for tenderness in both the cervical and shoulder regions

The distributions of evoked pain were recorded and a visual analog scale was completed

The medial branches of the dorsal primary rami were also blocked

The pain felt was deep and achy in quality

Pain patterns:

C2-3: into the head
C3-4: (coinciding with the levator scapula) was more rostral than C4-5 (which concentrated by the angle formed by the shoulder and neck)
C5-6: covered the top of the scapula and shoulder above the level of the scapular spine laterally
C6-7: extended caudally to the inferior angle of the scapula

Following the analgesic blocks, the subjects unexpectedly demonstrated a slight hypesthesia over the area coinciding with the previous recorded area of invoked pain and tenderness

Concluded that the cervical z-joints can be sources of pain, including referred pain and that a physiological mechanism must exist whereby pain stemming from a z-joint can be referred into the related limb or limb girdle

Further, cervical z-joint pain is distributed in a pattern characteristic of its segmental origin

Click here for Part 1B

Photo source

Zygapophyseal Joint Pain Patterns: Part 1B (Cervical Spine) A study testing the reliability of their pain charts by...
Its Not Always Bursitis: Greater Trochanter Pain Syndrome The use of “Trochanteric Bursitis” as a diagnosis for lateral...
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Olympic Lifting is a Privilege

jcubos — Fri, 05 Feb 2010 20:29:27 +0000

NOT A RIGHT! Because the only thing you’re entitled to is sustaining an injury.

As per the short description provided by the International Weightlifting Federation,

“(Olympic) weightlifting is a perfect demonstration of physical strength, technical skill and concentration combined. Lifters compete individually in a competition that requires physical and mental preparedness and eventually tactical skills.”

Stated again,

“(Olympic) weightlifting is a perfect demonstration of physical strength, technical skill and concentration combined. Lifters compete individually in a competition that requires physical and mental preparedness and eventually tactical skills.”

Therefore, to my friends in the “fitness” industry that utilize these skills to “enhance” general fitness and induce fatigue, I remind you that

Olympic lifting is a privilege and not a right!

Click here for a good read on AmpedTraining.com on “Functional Cross Training vs. Specific Training“

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Psychological Characteristics of the Elite Performer: Its all in their head, the final edition Part 1: Personality Part 2: Motivation Part 3: Anxiety and Arousal Part...
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Team Canada

jcubos — Thu, 04 Feb 2010 03:56:24 +0000

NIHA – CANADA ANNOUNCES NATIONAL TEAM ASSISTANT COACH AND TRAINER

Dauphin, MB – NIHA-Canada is pleased to announce the selection of Michael Hunt for the Assistant Coach position of the Mens National Team Program. Hunt is a familiar face to the National Team program as he has been involved as a player and Assistant Coach over the past two seasons.

“We’re very excited to have Mike as our Assistant Coach heading into the World Championships this season,” explains Jan Antons, Manager National Team Program. ” Mike brings knoweldge of the game of inline, experience at the world level and a plethora of intangibles to this team. He has the respect of the players, the team staff and of our organization.”

Hunt currently resides in the United States but still has strong ties to Canada and spends a lot of time in the Great White North.

“Mike has shown over the past two seasons that he is committed to the direction that NIHA-Canada has for our National Team Program and shares the common goal of a gold medal in the near future.” adds Nathan Fleck, Execuitve Director, NIHA-Canada. “Mike will play a major role in the selection process at the National Tryout Camps in May and i think a guy who has experience on the bench AND as a player at the IIHF event has the ability to help put the best team together so we can reach that common goal”

Also today, NIHA-Canada announced that Dr. Jeff Cubos will be a part of the National Team Staff as Trainer. Cubos has a long history of involvement with sport organisations and High Performance Teams and is a welcome addition to the team staff.

“Jeff has shown the drive and interest to help make the 2010 National Team the strongest we’ve ever put together.” Scott Hill, VP High Performance. “With his knowledge and expertise in the strength and conditioning area, we’ve added a component to our Staff that we have not had before and I think the program will benefit greatly from his dedication.”

NIHA-Canada’s Men’s National Team will be attending the IIHF Men’s World Inline Hockey Championships in Karlstad, Sweden at the end of June, 2010. National Team Tryout Camps will be held in BC/Alberta over the May 7-9 weekend and in Ontario / Quebec over the MAy 14-16th weekend. Tryout Camp locations to be dtermined shortly.

For more information on NIHA-Canada please contact our head office:

#2-126 Main St.

Dauphin,MB R7N 1C2

204-638-5245

Nathan Fleck, Executive Director

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T/S Kyphosis

jcubos — Tue, 02 Feb 2010 19:14:47 +0000

TAYLOR SWIFT – KYPHOSIS

Interesting to see the amount of hyper-kyphosis in Taylor Swift’s upper Thoracic spine at the Grammy’s last Sunday night.

To her defense, however, I am seeing this more and more in my patients, especially as a result of today’s “on-your-butt” lifestyle.

How the on-your-butt lifestyle can affect your low back

Not only does this lifestyle greatly affect low back posture (I know this because those are MY radiographs from the JMPT article by my colleague Dr. De Carvalho), but as you can see with the soon-to-be Mrs. Lautner, the chain higher up is affected as well. Unfortunately, this dysfunctional posture predisposes one to many movement disorders including decreased shoulder range of motion. I would bet anyone a bag of roasted coffee that if I gently stuck my thumb on her coracoid process, she’d hit a high note she never hit before!

Regardless, there ARE ways to combat this, one of which being the exercise described below:

Till next time…

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This Post ISN’T About Running Barefoot

jcubos — Sun, 31 Jan 2010 05:27:25 +0000

…it’s about running Beautifully!

Professional triathlete, Jessi Stensland recently tweeted the following:

“Injury free running is not about the right shoe it’s about the right U!”

This immediately reminded me of Ironman, Mirinda Carfrae, who last August the Ironman Calgary 70.3 triathlon. I was there spectating that race (as my wife participated) and was fortunate enough to catch a glimpse of Mirinda’s beautiful running form. Here’s a shot I took of her after she swam 1.2 miles, biked 56 miles, and ran 11 miles. Notice her form with 2 miles left to go!

Posture… check!

Now for those of you who want to see her running form in real time, then here’s an excellent breakdown I stumbled upon on youtube.

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