Fortiori Design LLC
Registered: 1355349061 Posts: 1,530
I use now since many years NIRS ( Portamon ) and now both Portamon and MOXY in cases of rehabilitation on people with chronic pain problems..
There are very interesting studies out since many years showing , that specific strength exercise on muscles with "chronic pain" but as well general exercises with whole body activation can have a very great effect of chronic pain pattern. One of the problem is, that there are studies showing this as a real great result and other studies show the opposite or no result.. The question for me was, whether the intensity we may choose has a direct influence on the chronic pain situation. Practical example. One of the more chronic pain patterns are the tension headache caused by a severe high tension of the trapezius muscle groups. Before NIRS I would use the idea of lactate balance point as the optimal intensity level and would use LBP - 20, meaning the HR at LBP - 20 beats was the guide for the workout intensity. The result was, that most of the clients would improve their endurance ability but the pain pattern was very randomly, that in some cases it worked well and in other cases there was no difference. Now I use NIRS ( SmO2 and Hb diff ) to decide the intensity. What do I look for?. I look for an increase in SmO2 Hb Diff in the trapezius muscles to decide the workout intensity , when using endurance activities or when using specific trapezius exercises including stretching. What can we see: Again very individual so no cook book but simply assessing one patient at a a time. 1. Stretching exercises. different people different reactions. In some cases a antagonistic stretch increases SmO2 very nicely after the relaxation. In other cases Contraction relaxation technique works well . In some cases facial release technique works well, but as I can see great reactions I can see with the same technique in another client the opposite reaction. Same holds true when using endurance activity . In some cases SmO2 increases and in other cases it decreases. . In the endurance sport activity we have a slowly emerging trend when and why by using our IPAHD protocol to see, what limits the performance. In some very specific limiter situation we have a drop in SmO2 in the nonactive trapezius muscles, The key is now to gain and collect enough data's so we can use that as a regular part of treatment for chronic pain pictures. .As well as for post training or pre and post race intervention by using the individual proper technique for recovery intervention ( What stretching technique, what respiratory recovery intervention and so on ) How : A moxy on the muscle and a closer look on your wrist , where you have live information , whether your planned interventions as well the planned effect or not. It may throw the common ideas of cook book treatments and ideas over board but will enhance the individual ability to create