Saturday, April 20, 2013

Yoga for Athletic Injuries

Personalized poses have a place in rehabilitation.

Pigeon. Crow. Frog. Downward dog. No, this is not an article about the zoo. Those are just some common, funny-sounding and effective poses used in yoga. This ancient practice is everywhere lately, with studios popping up on seemingly every corner. One population who has found yoga especially beneficial is athletes. From general conditioning to injury recovery, athletes turn to the practice to condition their bodies and minds.

Some physical therapists are cross-trained as certified yoga instructors and incorporate yoga poses into their therapy. There is a distinct difference, however, between physical therapy and yoga therapy. "One main difference between yoga and physical therapy is how we use the breath," explained Lori Rubenstein, DPT, MAppSC, CYT, owner of Mosaic Physical Therapy.

Dr. Rubenstein always does a breath assessment with new clients, which can improve energy and core strength. The quality of the breath and where people breathe from are important. Many people suck in when inhaling instead of expanding the diaphragm. Lateral expansion breathing exercises work the transverse abdominis on both the inhale and the exhale, which is good for trunk stability. And a longer inhale helps with tension release. When clients are in pain, yoga explores the source of that pain. Physical therapists can address issues in multiple body parts simultaneously with yoga-inspired exercises.

Another important aspect of yoga is visualization or bhavana. In her experience, Dr. Rubenstein's athletic clients improve when they visualize. "Their kinetic ability is better," she explained.

Amanda Kriebel, DPT, PT, RYT, owner of Awareness Physical Therapy, agreed. "Yoga adds the element of the mind-body connection, which is critical for athletes to excel in their performance," she said. "Elite athletes physically train at an intense level. Yoga brings balance for their bodies to recover and for their minds to relax so that they can outshine their competitors."

Dr. Kriebel is a registered yoga teacher, an athlete and has been practicing yoga for more than 10 years. With her yoga practice she became aware of the changes she felt in her physical body as well as her focus and presence during her own sports activities.

Dr. Rubenstein also practices yoga. "With so many of our patients, I saw that stress perpetuates their problems," she said. "I thought yoga would balance that out." She took certification classes to be a Certified Yoga Teacher.

Thursday, April 18, 2013

China WHO chief: Beijing H7N9 case not surprising

BEIJING (AP) — A World Health Organization official said Sunday that it wasn't surprising that a new strain of bird flu has spread to China's capital after sickening dozens in the eastern part of the country.

Up until Saturday when Beijing officials reported the capital's first case of H7N9, all cases had been in Shanghai and other eastern China areas. On Sunday, the first two cases were reported in central Henan province, which is next to Beijing.

It's not the case that everyone confirmed infected with H7N9 was "clustered in one small area with the same source of exposure," said Michael O'Leary, head of WHO's office in China. "So we've been expecting new cases to occur ... Furthermore, we still expect that there will be other cases."

A 7-year-old girl was Beijing's first confirmed case of H7N9, which has now sickened 51 people, of whom 11 died.

Health officials believe the virus that was first spotted in humans last month is spreading through direct contact with infected fowl.

O'Leary said "the good news" was that there was still no evidence that humans had passed on the virus to other humans.

"As far as we know, all the cases are individually infected in a sporadic and not connected way," he said, adding that the source of infection is still being investigated.

The girl, whose parents are in the live poultry trade, was admitted to a hospital Thursday with symptoms of fever, sore throat, coughing and headache, the Beijing Health Bureau said.

O'Leary said early treatment can be effective, as demonstrated by the girl who was recovering in hospital and in stable condition.

In the only other reported cases outside of eastern China, health officials in Henan province announced that tests on two men Thursday revealed they had the virus.

They said a 34-year-old restaurant chef who had displayed flu symptoms for about a week was in critical condition in hospital, while a 65-year-old farmer who was in frequent contact with poultry was in stable condition after receiving treatment.

They said 19 people who had been in close contact with the two men had not shown any flu symptoms.

China has been more open in its response to the new virus than it was a decade ago with an outbreak of SARS, when authorities were highly criticized for not releasing information.

The Great Spangled Fritillary Butterfly

To one who wanders much in the woods and open fields there are few summer scenes more characteristic of the season, than that of a group of milkweeds in full flower, surrounded by a host of brown butterflies busily sucking the nectar from the curious pink blossoms. There are likely to be several species of these winged creatures, but in many regions of America the largest and most conspicuous will generally be the Great Spangled Fritillary. This butterfly is easily recognized by its large size and its combination of two colors of brown, with whitish or silverish spots scattered over the lower surface of the wings.

     The life-history of this insect is of peculiar interest on account of the way in which it passes the winter. The mother butterfly remains upon the wing through many weeks in summer, so that toward the end of August or early September a large proportion of the specimens have a decidedly frayed appearance. They are patiently waiting for the season of the year when they can deposit their eggs, apparently knowing by instinct that this must not be done until early autumn. When the proper season arrives they lay their eggs upon the leaves or stems of wild violets, apparently without much reference to the particular species. Sometimes they have been reported simply to drop the eggs loosely upon the violet plant with no attempt to fasten them in place. Having thus deposited the eggs the mother butterflies soon die.

     It would not seem strange if these eggs remained unhatched until the following spring, but the fact is that the eggs hatch very soon into small caterpillars that eat off part of the shells in order to escape and sometimes eat also part of the shell remaining after they have emerged. Various good observers have apparently established the fact that these tiny caterpillars eat nothing else before winter sets in. It seems curious indeed that they should not nibble at the leaves or steins of the violet plants in order to be slightly prepared for the long fast that awaits them before they will find food upon the young buds the following spring. The case is somewhat similar to that of the common tent caterpillar which becomes a fully formed caterpillar within the egg shell before the end of autumn, but remains unhatched until the following spring. In the present case the caterpillar hibernates outside of the egg shell rather than within it.

     When at last the warm sunshine of spring starts the violets into new growth the tiny caterpillars begin feeding upon the succulent tissues. They nibble away day after day for a week or more before they become so large that they have to east their skin for the first time. They then feed again and continue this process of feeding and moulting until early in summer. They are likely to hide themselves during daylight and have the reputation of being difficult to rear under artificial conditions.

     The full-grown caterpillar wanders along the surface of the ground in search of suitable shelter for the chrysalis period. When it comes to a large stone with sides projecting more or less horizontally or a log lying upon the ground or even a large piece of loose bark it is likely to stop and change to the pupa or chrysalis. In this condition it is dark brown in colour and well covered with thickened tubercles, especially along the back of the abdomen.

     About a fortnight later the chrysalis breaks open and the fully developed butterfly comes forth. It rests quietly for a time while its wings expand and the tissues harden and then sallies forth for its long period of flight; for this insect is single-brooded in the Northern states at least and the butterflies that thus mature late in June or early in July are likely to remain alive until early in September. So they have a comparatively long life for a butterfly that does not hibernate as an adult.