Orthopedic rehabilitation is a form of physical therapy that treats a large variety of conditions that affect the skeletal system and the muscular system. Therapy can be pre-operative or post-operative. Injuries are also treated to prevent surgical intervention or further damage to the specific joint or muscle.
Biokinetic intervention can significantly increase muscle strength and stability around a joint, thus aiding in stabilization of the joint.
Back and neck injuries / operations: Brachial plexus injuries, Scheuerman’s disease, sciatica, spondylolisthesis, Sacroiliac joint instability, lumbar fusions, laminectomies, general muscular low back pain.
Hydrotherapy is the use of water in the treatment of different conditions, including arthritis and related rheumatic complaints. Hydrotherapy differs from swimming because it involves special exercises or techniques that you do in a warm-water pool (32°C). The warmth of the water, coupled with specific aquatic techniques, helps to decrease sympathetic nervous system activity. The buoyancy of the water decreases weight bearing during immersion and this decreases joint compression forces
Benefits of Hydrotherapy in rehabilitation
The warmth of the water aids in decreasing pain.
The natural warmth of water plus specific aquatic joint and soft tissue mobilization techniques help the patient gain more mobility.
Active aquatic exercise programs have been shown to increase range of motion.
Improves balance and stability because the buoyancy and viscosity of water provide a safe environment for patients to practice movement with less fear of falling.
Water provides a safe environment where patients with neurological disorders can work to increase both strength and endurance.
Neutral warmth of the water aids in decreasing abnormal tone.
Enhances proprioceptive input.
The aquatic environment allows patients to be successful with functional activities such as transfers and walking earlier than these skills can be performed on land, therefore improved functional mobility and functional skills.
Enhanced psychological mood because a patient has decreased fear of movement due to buoyant support of water.
Specific hydrotherapy techniques that our biokineticists use:
Bad Ragaz Ring Method
Water-Specific Exercises and Activities
Patient populations who benefit from passive and active aquatic therapy:
Post back surgery
Multiple injuries following trauma
Any impairment with muscle spasm, muscle guarding, decreased range of motion.
Cardiac rehab doesn’t change your past, but it can help you improve your heart’s future. It’s a medically supervised program designed to help improve your cardiovascular health if you have experienced heart attack, heart failure, angioplasty, heart surgery or have risk factors for a cardiac event.
Cardiac Rehab programs include exercise training, education on heart healthy living, and counselling to reduce stress and help you return to an active life.
Cardiac rehabilitation addresses risk factors that lead to coronary heart disease, including high blood pressure, high cholesterol, obesity, diabetes, smoking, lack of physical activity, depression and other emotional health concerns.
Benefits of Exercise in Cardiac Rehabilitation
Physical activity has many physical, psychological and spiritual benefits. In terms of cardiac rehabilitation, exercise is associated with the following benefits:
Strengthening the heart muscle
Increasing hemoglobin concentration in the blood
Increasing stroke volume, thus making the heart pump more efficiently.
Enlarging and increasing the number of arteries supplying the heart with blood, thus increasing oxygen supply and reducing the tendency for blood clots.
Elevating the body’s metabolism, thus assisting with weight loss. This is beneficial for overweight and obese individuals suffering from heart disease.
Reducing and assisting with the control of cardiac risk factors, such as high blood pressure, high cholesterol and diabetes
Improving muscle strength, flexibility and endurance.
Reducing psychological stress
It is advised that patients with heart disease or associated conditions exercise under the supervision of a qualified therapist and that their blood pressure and heart rate is monitored before, during and after exercise training.
Before commencing with an exercise regime, it is important that a cardiac patient is screened and evaluated by a registered Biokineticist. This will assist the biokineticist to safely design an individualized exercise program for the patient.
Anyone can come for cardiac rehabilitation at our practice.
Our cardiac program includes: Initial evaluation (Physical work capacity test with stress ECG)
20 x 1:1 sessions with 2 x Re-evaluation with stress ECG
Sasolmed members can be registered on this specific intervention program for cardiac rehabilitation. Contact firstname.lastname@example.org
Some of the other medical aids also cover for a Cardiac program. Contact the practice for more information.
A staggering 70% of women and a third of men in South Africa are currently being classified as overweight or obese. However, this is no longer just an adult problem, 1 in 4 girls and 1 in 5 boys between the ages of 2 – 14 years are either overweight or obese. Obesity is associated with a number of diseases including type 2 diabetes, heart disease, stroke, hypertension (high blood pressure), joint pain and certain cancers.
Regular exercise increases the amount of energy you burn while you are exercising, but it also boosts your resting energy expenditure — the rate at which you burn calories when the workout is over and you are resting. Exercise also increases your metabolism and therefore form an essential part of weight management.
Our practice provides a twelve week weight management program:
Neurological disorders are diseases of the central and peripheral nervous system. In other words, the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscles.
These disorders include epilepsy, Alzheimer disease and other dementias, cerebrovascular diseases including stroke, migraine and other headache disorders, multiple sclerosis, Parkinson’s disease, neuro-infections, brain tumours, traumatic disorders of the nervous system due to head trauma, and neurological disorders as a result of malnutrition.
Why see a Biokineticist
Almost all neurological conditions have common signs and symptoms, of these include differences in speech patterns, loss of balance and coordination, numbness in a single extremity, tremors and rigid muscles.
As Biokineticists our main purpose is to foster independency and prevent/decrease further progression of these disorders.
Our role is to utilise exercise as a movement tool to promote the release of the hormone endorphins. This hormone aids in decreasing one of the most common symptoms, depression.
A multidisciplinary program will benefit these patients the most, with focus on a combination of balance, aerobic, large muscle group activities and condition specific treatments.
Another role of Biokinetics is to increase awareness of these conditions whereby preventing disease progression and improving patient’s quality of life through exercise.
Older adults have special healthcare needs that can make their medical care more complicated. More than half of adults age 65 and older have 3 or more medical problems, such as heart disease, diabetes, arthritis, back pain, or high blood pressure.
The risk for falling increases as we age due to a number of risk factors, like weak muscle strength, poor balance and proprioception. Falls among this population commonly causes more extensive damage due to lower bone density etc.
Benefits of exercise:
Lowers the risk of falling,
Improves general wellbeing and functional capacity,
Addresses overall posture,
Improves muscle strength and balance,
Slows down the physiologic changes of aging,
Lowers risk factors commonly found among older adults like blood pressure, cholesterol and glucose.
We offer weekly classes at Davies court, our local retirement home, to introduce the elderly to some of these benefits of exercise.
Our hydrotherapy facilities offer an excellent and save way to exercise and to address all of the above mentioned.
Health is a dynamic process because it is always changing. As our lifestyles change, so does our level of health.
Those of us who participate in regular physical activity do so partly to improve the current and future level of our health. We strive toward an optimal state of well-being. As our lifestyle improves, our health also improves and we experience less diseases and sickness.
A fitness assessment is a great way to evaluate your current fitness level. It includes a series of measurements that help determine physical fitness and are a great way to gauge your current fitness level
We perform various “fitness/health” assessments:
Vitality Fitness assessments – Discovery Vitality members can earn Vitality points for the Vitality Fitness Assessment twice a year if their assessments are at least five months apart.
Momentum Fitness Assessments – Momentum multiply members can earn points for HealthReturns by completing the assessment at an accredited biokineticist. Fitness assessments should be performed no less than five months apart to count towards earning HealthReturns.
Virgin life care fitness assessment – Anyone who wants an informed, scientifically-based analysis of their eating, exercise and general health habits, so that they know more about the areas where they need to change and/or improve can do this assessment.
Physical work capacity fitness assessments (PWC) – Full person specific evaluation of fitness, body composition and muscle strength. Where after we can give you a program that meets your specific needs.
What does most of the assessments entail?
During these fitness assessments the following is tested:
Body weight & height
Hip and waist circumference
Fitness (by means of a 12 min step test/ 3 min step test / PWC)
High performance is in its basic summary the process of improving performance. We believe that anyone who wants to improve their performance should be seen as a high performance athlete. This incorporates the top athletes, as well as development athletes, or even the weekend warrior.
We, as biokineticists, are trained to identify and advance athletes scientifically with all aspects of sport, from high performance to injury diagnosis and management.
We work with athletes from all sport types including athletics, rugby, netball, hockey, gymnastics, swimming, long distance running, tennis, golf, cricket and dancing.
How can Minette Schneider Biokinetics help?
Assessing for possible injury prone areas and risk factors.
Decrease chances of injury / re-injury
Sport specific rehabilitation and training.
Increasing strength, endurance and proprioception
Sport specific training and conditioning plans for pre-season and in season.
Group exercise offers a variety of benefits you might miss out on if you choose to work out on your own.
Some of the benefits include:
Exposure to a social and fun environment,
A safe and effectively designed workout,
An accountability factor for participating in exercise,
A consistent exercise schedule,
A workout that requires no prior exercise knowledge or experience.
More cost effective
We offer the following group classes at the practice: Link?
Rehabilitation classes: Patients with a valid ICD10 code receive rehabilitation in a group setting. (Refer to orthopaedic rehabilitation and neurological diseases for more information)
Pilates: Especially for healthy individuals who want to improve posture, stability and flexibility. (See Pilates)
Pre-natal classes: Pregnant women can join during any stage of their pregnancy to safely enjoy the benefits of exercising during their pregnancy. (Refer to Pre-natal pilates)
Pilates for kids: Children of all ages can join these pilates classes which is specially tailored to meet their needs. Flexibility, stability and posture will all be addressed in a fun and unique way. (For more information refer to Kids Pilates)
Conditioning-pilates classes: A combination of cardiovascular exercises and pilates. Patients who are interested in losing weight, addressing cardiovascular fitness or general wellbeing will benefit from these classes.
Hydrotherapy: An indoor, heated swimming pool provides the perfect environment for improving stability, muscle strength, flexibility and of course balance. (More information under hydrotherapy)
Weight-management: Cardiovascular exercises and resistance training form the base of these classes. (Classes are covered by the medical aid for all Sasolmed members) (Refer to weight management for more information.
Many injuries are caused by muscular imbalances within our bodies. These imbalances can be caused by incorrect posture and incorrect movement patterns.
Most people move incorrectly in some way or another and it puts too much strain on some muscles and weakens others, causing muscle imbalances.
Pilates thus aim to address and improve these imbalances to improve quality of life.
We teach Pilates in a different way to other Pilate’s studios. We use traditional Pilates exercises that we break down and modified them to be suitable for the clinical population. We use the APPI method that is design for the use in a rehabilitation setting.
We are qualified Biokineticists that uses segmental spinal stabilisation research and lumbar-pelvic stabilisation theory to help our patients through pilates.
Our practice focus on correcting posture and identifying incorrect movement patterns throughout the duration of the class. Our Pilates classes also aids as maintenance after rehabilitation of an injury or surgery.
We have different levels of classes where we can specifically address your needs or injury.
Please contact the practice for more details regarding timeslots and fees.
Exercising during pregnancy lifts your spirits and prepares you for labor and childbirth, but it’s important to be extra cautious during your workouts. Whether you’re a reformed couch potato or a conditioned athlete, going to a Biokineticist will help you to be healthy and keep your baby safe.
Always check with your healthcare provider before starting, continuing, or changing an exercise routine. If you exercised regularly before getting pregnant and your pregnancy is uncomplicated, you can probably continue working out as before, with a few modifications. However, in some cases it’s not okay to exercise during pregnancy, so talk to your health care provider about your fitness routine to make sure your activities don’t put you or your baby at risk.
Pregnant women can start at any time during pregnancy (providing they have their Gynaecologist/GP/midwife’s consent) and can continue right up to the end of their pregnancy.
Pregnancy is a time when good posture can deteriorate. This becomes even more so as the pregnancy advances and the weight of the baby moves the centre of gravity forward. This can result in an extreme lordosis which can lead to lower back pain common in pregnancy. The increased weight gain in the breasts can also lead to rounding of the shoulders with a resultant distortion in the cervical spine and how the head is held
When you come and see a Biokineticist at our practice we will do a thorough evaluation before starting a exercise programme or class.
Benefits of exercising during Pregnancy:
Decreased maternal weight gain
Easier, shorter and less complicated labour
Better than average placental growth improving supply of glucose and oxygen to the baby
Improved neuro-development at birth and through first 5 years of life
According to Child and Youth Health, posture is the manner and position in which your child holds his head, neck, back and spine, as well as his arms and legs, when standing, sitting or lying down. Bad posture usually results from a combination of physical and environmental issues.
Children may also develop bad posture from an overweight backpack, according to the American Chiropractic Association, or, according to the American Academy of Paediatrics, through stooping in an effort to “blend in” with shorter peers. Poor posture also results from weak abdominal and back muscles, often due to underuse.