Ian Kenny Physiotherapy

22/02/2023

I am excited to announce that I will be working from a new clinic, DBC Physiotherapy, located in the Ashleaf Shopping Centre, Dublin 12, from March 1st 2023 onwards.

To schedule an appointment, please contact me via; private message, book online via www.dbc.ie , or phone 01 465 2454.

Kind regards,

Ian Kenny MISCP

DBC Ashleaf, 1 Ashleaf Hall Business Centre, Ashleaf Shopping Centre Whitehall Road West, Dublin 12, D12 Y062
https://www.google.com/maps/dir//google+maps+dbc+ashleaf/@53.296394,-6.3479582,13z/data=!4m8!4m7!1m0!1m5!1m1!1s0x48670c80aaa53305:0x72a7d80950f507af!2m2!1d-6.3174653!2d53.3157234

22/02/2022

Best of Luck Simon on the new venture 💪🎶

02/05/2020

Exercise-induced hypoalgesia (EIH) is a decrease in sensitivity to painful stimuli, with variable duration, lasting ≤30 minutes after a single bout of exercise.

The endocannabinoid system, endogenous opioid system, and serotonergic mechanisms are among some of the ways that are thought to contribute to this reduction in sensitivity to pain when we exercise, in an effect known as "Exercise Induced Hypoalgesia".

Lots of different types of exercise induce this effect, and just being educated about it enhances it.

In people with persistent pain complaints, this effect is a bit more variable. In this cohort, sometimes it doesn’t happen and sometimes the opposite happens where they become more sensitive to pain.

Reference:
Rice et al 2019, Exercise-Induced Hypoalgesia in Pain-Free and Chronic Pain Populations: State of the Art and Future Directions, The Journal of Pain VOLUME 20, ISSUE 11, P1249-1266, NOVEMBER 01, 2019

01/05/2020

Exercise-induced hypoalgesia (EIH) is a decrease in sensitivity to painful stimuli, with variable duration, lasting ≤30 minutes after a single bout of exercise.

In healthy people at least, educating them about this effect increases it.

All types of exercise induce this effect. Higher intensity exercise likely more consistently elicits it.

In people with persistent pain complaints, this effect is a bit more variable. In this cohort, sometimes it doesn’t happen and sometimes the opposite happens where they become more sensitive to pain!

Reference:
Rice et al 2019, Exercise-Induced Hypoalgesia in Pain-Free and Chronic Pain Populations: State of the Art and Future Directions, The Journal of Pain VOLUME 20, ISSUE 11, P1249-1266, NOVEMBER 01, 2019

30/04/2020

“Frozen Shoulder” is a condition of painful and limited shoulder movement that challenges clinicians treating it and limits the function of patients affected by it greatly.

It’s likely often over and mis-diagnosed by clinicians, while it’s cause is poorly understood and often poorly managed.

5 people with a diagnosis of frozen shoulder who were scheduled for a surgery designed to “release” their frozen shoulder, were put under anaesthesia to test their movement while unconscious.

The patient’s 2 most limited shoulder movements were tested before and after the anaesthesia. All movements increased under anaesthesia for all 5 patients. This meant a combined average increase of 139% in abduction and a 67% in lateral rotation.

These findings suggest active muscle guarding may be a significant part of this debilitating and challenging condition at least for a subgroup of patients. This challenges the classical opinion that the problem is due to “Freezing” or lasting contracture of shoulder tissues. This challenges many contemporary treatment options that assume that shoulder restriction is due to tightening of passive structures.

The reasons for muscle guarding in these patients are suggested to be;
i) a protective mechanism
ii) a response to underlying pathophysiology
iii) cognitive or emotional factors that result in limited movement e.g. fear (of movement or pain), anxiety or catastrophizing the problem.

Reference: Hollmann et al 2018, Does muscle guarding play a role in range of motion loss in patients with frozen shoulder?, Musculoskeletal Science and Practice Volume 37,, Pages 64-68

29/04/2020

https://www.gofundme.com/f/1z11diuag0?utm_source=customer&utm_medium=copy_link&utm_campaign=m_pd+share-sheet

Check out and support this great cause and great bitta work from Finn McGarry. A half marathon left to do tomorrow to get over the 300k mark!

Hi everyone and thanks for visiting the page. With the aim of encouraging people to donate to the… Finn McGarry needs your support for Finn’s 300km for Cancer

28/04/2020

What do we know about returning to exercise and physical activity after a prolonged break?

In the 2011 season, there was an NFL player “Lockout”. Players were restricted from interacting with medical and coaching teams, and from using training facilities during this period due to a stoppage imposed by NFL team owners. This was during their usual period of preparation for the preseason.

This meant that the typical preseason preparatory conditioning period went from being progressed over 14- weeks, to being squeezed into just 17 days instead.

Incidence of serious injury (Achilles tendon rupture) went from a typical season long average of 4-10 ruptures a year, to 10 ruptures in the first 12 days of resuming activity after the “lockout”!

This unique opportunity to observe, gives us an idea of what return to normal activity after disruption of normal activity can look like. Increased incidence of injury can occur when too much is done too soon after relative inactivity. Make sure you maintain your fitness and activity levels during the current lockdown as best you can, and when getting back to normal, take your time and build up gradually to resuming normal physical activities and exercise.

Contact me if you need help on how to minimize injury risk and build up to your usual activity & exercise levels again after a prolonged break.

[email protected]

Reference: Myer et al, Did the NFL Lockout expose the Achilles heel of competitive sports?, J Orthop Sports Phys Ther. 2011 Oct;41(10):702-5.

24/04/2020

Check out & FOLLOW my Instagram page if you haven't yet

191 Followers, 537 Following, 14 Posts - See Instagram photos and videos from Ian Kenny ()

23/04/2020

Hyperventilation syndrome is prevalent in 6-10% of adults. However, far more people may have a milder form of breathing dysfunction which can cause problems also.

Altered breathing mechanics can change respiratory chemistry to effect a wide range of bodily systems and cause lots of different symptoms, including;
- Increased muscle tightness
- Altered pain perception
- Altered sensation
- Fatigue
- Nausea
- Shortness of breath
- Frequent yawning and sighing
- ‘Airhunger’- a sensation of not being able to breathe in sufficient air

If your breathing is dysfunctional, you may demonstrate an upper chest dominant breathing pattern suggesting poor use of your diaphragm muscle. The diaphragm should be doing most of the work when you’re breathing. If it’s not, then other muscles in your neck, back and pelvis are forced to pick up the slack, and can become overworked.

Vicious circle of Dysfunctional breathing
Dysfunctional breathing → Incomplete exhalation → Hypocapnia (decreased CO2 in your blood) → Respiratory Alkalosis → Reduced oxygen delivered to the body → Constant “fight or flight” state → Dysfunctional breathing (Rinse and repeat)

4 Self assessment tools for breathing dysfunction
1. The "Sniff" test
2. The breath hold test
3. The Nijmegen Questionnaire Link to do it yourself:
https://www.therapeuticassociates.com/wp-content/uploads/2016/08/TAI_NijmegenForm.pdf
4. The Hi-Lo method of breathing assessment

If you find an abnormal response to the self assessment tools (1-4), then you may have a breathing dysfunction. Contact to get Physiotherapy to help.

[email protected]

References:
- Bradley H, Esformes J. Breathing pattern disorders and functional movement. Int J Sports Phys Ther. 2014;9(1):28–39.
- Clifton-smith, Tania & Rowley, Janet. (2011). Breathing pattern disorders and physiotherapy: inspiration for our profession. Physical Therapy Reviews. 16.
- Chaitow, L. & Bradley, D. & Gilbert, Christopher. (2013). Recognizing and Treating Breathing Disorders: A Multidisciplinary Approach.