The Reliable Approach to Treating Injuries and Improving Performance
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"My run3D assessment has identified the root cause of my injury. The results show I have reduced pronation and therefore lower shock absorbing qualities on my left foot, which explains why I have suffered two stress fractures in close succession. Not only do I now know what was causing me to get injured I am also armed with the tools to rectify this."
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Clinic User of the Month - Warwick Gordon
Warwick Gordon is a physiotherapist in Dublin, Ireland, and uses Run3D in their clinic Run360. With a background in weight lifting he knows a thing or two about strength and conditioning...
1. When did you first install Run3D in your clinic(s)?
We installed out first system in December 2016 in the IFSC (Dublin financial district) with a second clinic opening in Sandyford January 2018 (South Dublin).
2. What type of gait analysis system did you use before Run3D?
Previously we would have used Dartfish which is a 2D video based system, or a simple app (depending if it was android or iOS) that allowed slow motion playback. This gave us some worthwhile data, but once you have experienced the 3D equivalent and the increased data points, it is more like moving from black and white tv, to colour, in 4K all in one big leap.
3. How has Run3D changed the way you manage your patients?
Where do I start! It really has been a quantum shift in all facets of my practice, from explaining the reasons why a pathology is happening through to the specificity of the rehabilitation exercises it drives. The best feature though is that it is highly objective. Data is processed against a reference standard, so it doesn’t matter what kind of day I’m having I know I’m not bringing my biases to the table. When we carry out follow-up sessions I can be confident in the results shown in before and after reports. Using the 3D system has forced me to reflect on what am I actually seeing day to day in the clinic. For physio’s looking at a single leg squat to assess lower limb control is common and gives us a good starting point. Where it gets interesting is trying to look at each body segment at the same time to see who is the chicken and who is the egg. The reality is you can’t. If your eyeline is drawn to the hips/pelvis you aren’t critically observing the foot in that instant and vice versa. 3D analysis not only makes it possible to look at the total system interacting at any given time, but gives it to you in detail that is statistically significant.
4. What type of patients do you see and what are the most common reasons for your clients to have a 3D gait analysis assessment in your clinics?
Many are runners looking for that injury diagnosis or performance gains, which you would expect. Where I have found it of great benefit is patients who have been seeing other physio in the practice, they have helped reduce their pain, got them strong, ticked off their ‘objective’ tests and built them back into running only for them to break down. So our take home message is even when going through manual muscles tests, length tests etc it is near on impossible to predict how they will all move together and at what time. Needless to say we are now getting more people into 3D analysis far earlier in the puzzle. I have also had many people that have minimal errors if you like in running form but do all sorts of interesting things when walking. It’s like the poor walking form is setting them up for failure when carrying out the running. That ½ hour to and from work with poor mechanics is the very much the proverbial iceberg up ahead rather than the few runs they do each week.
5. Do you have any events that you are either attending/lecturing/ or hosting this year? All roads lead to the Dublin marathon at this stage. Both presenting at it and running in it (fingers crossed)! We have spent the most part of this year up-skilling our physiotherapists and podiatrist within the Spectrum Health network to know when to utilise 3D analysis.
6. Lastly, What is your chosen sport?
As a kid it was Soccer and Cross-country running. Coming from New Zealand where rugby is king you didn’t have to go far to find someone who would suggest putting on a skirt would be a good place to start! But I could run fast so they balanced each other out. In recent years I have spent lots of time in the gym working with Power lifters, so as you do, you end up lifting and getting bigger. I’m regretting this now that I’m downsizing to run this year’s Dublin Marathon.
Our featured clinician of the month is Consultant Podiatric Surgeon Mr Trevor Prior. Trevor runs two Run3D clinics, one in Essex and the other in the City of London.
Run3D is a spin-out from The University of Oxford and our rigorous approach to running injuries is supported by decades of research. If you’re interested in understanding why we do what we do and how we do it, then read on.Learn More
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