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Greetings everyone, this year has been a busy one behind the scenes for the board of directors and the BCAK office staff. I am not going to use the words “moving forward” as I think the proper terms are “preparation and involvement”.

Overall, things are looking good at the BCAK, with membership numbers up over this time last year by roughly 5%. A big thanks goes out to Irene Chan, the membership chair and her team of dedicated committee volunteers for all their hard work in reviewing the applications. We also hope that some of the increase is due in part to the streamlined membership application and processing policies, along with the implementation of pro-rated dues for those just starting out part way through the calendar year. These pro-rated dues were implemented by the board of directors in preparation for 2010.

In late 2010 the BCAK plans to introduce a newly designed “secure” website to handle online membership processing that will allow members to update personal information electronically without having to physically contact the office. In the same breath, the BCAK is currently working in cooperation with LMS Prolink [the broker handling the group professional liability (E&O) and general liability (CGL) insurance policies available to members] on a pilot project to allow online policy certificate issuance (new and renewals), in ad-dition to the issuance of “proof of insurance” certificates that are required by many members working in the community. The issuing of certificates was a topic brought up by members at the AGM in April and we are working hard to have this completed as soon as possible. The web developers are currently developing protocols to establish links between the LMS website and the BCAK website to try and minimize the duplication of data entry and streamline the insurance process. The new integrated system should begin its testing phase in October and if all goes as planned, be up and running in time for renewal in November/December. The BCAK is taking the lead on this due to the changes required of the association by the Financial Institu-tions Commission of BC (FICOM) with respect to handling insurance and we anticipate that the rest of the provincial associations across Canada will follow suit in due time.

In recent weeks you will have received an email from the CKA on their re-cently launched “Extended Health Benefits Initiative”. In order to continue to increase the awareness and recognition of Kinesiologists I urge you to take the time to follow up with your clients who have third party benefits coverage and utilize the template provided to facilitate contact between them and their benefits providers, employers or human resource depart-ments to try and bring about the increased inclusion of Kinesiology services in extended health plans.

This brings me around to a major development that we have been working on for the past 2 months. The BCAK has been contacted by and met with Ministry of Health (Healthlink BC) regarding the inclusion of Kinesiologists in the Community Health and Resource Directory, “CHARD” for short. CHARD is a cooperative project being developed and implemented by the Ministry of Health and the BC Medical Association. We were advised that the BCMA has specifically requested Kinesiologists be included in the directory. This

The opinions and information provided in this publica-tion are those of the contributor/author and no warranty whatsoever is made that any information contained in the article is true, correct, precise, or up to date, nor does the author’s opinion necessarily reflect that of the BCAK.

The BCAK does not provide medical advice, diagnosis, treatment or care. If you have a health problem, medical emergency, or a general health question, you should contact a physician or other qualified health care provid-er for consultation, diagnosis and/or treatment. Under no circumstances should you attempt self-diagnosis or treatment based on anything you have seen or read in this publication.

IN THIS ISSUE

01 | President’s Message

02 | Important Notice to BCAK Members Considering Working in Ontario

The Regulatory Front in BC

03 | New Board of Directors

04 | Annual General Meeting Minutes

08 | Members’ CornerWhat is a Kinesiologist?

09 | Members’ CornerA New Era

10 | Members’ CornerLower Ab dominal Hollowing During Prone Hip Extension May Prevent Hamstring Injuries

11 | Book ReviewLow Back Disorders, Evidence-Based Preventation and Rehabilitation

12 | Pro-Rated Rebate for Students

Legal Concerns for Kinesiologists

13 | Is Non-Practicing Membership Status for me?

Pro-D Events Well Received

14 | Smart Muscle Training

15 | “Crumbling Skull” Reduces Damages

16 | Protection of Members’ Privacy

Upcoming Events

PRESIDENT’S MESSAGE

Kinnected | August 2010 1

IMPORTANT NOTICE TO BCAK MEMBERS CONSIDERING WORKING IN ONTARIO

THE REGULATORY FRONT IN BC

directory is only accessible by physicians or their office staff and with respect to Kinesiologists, will be used for referral purposes with respect to musculoskeletal injuries, in helping patients locate properly trained medical personnel within their community. We were extremely excited to be extended the opportunity to be in this directory, as typically only regulated health professions are invited. At this point in time we are awaiting receipt of the formal contract for review by our legal counsel to determine if it meets the requirements of the BCAK’s constitution and bylaws. As further details become known, we will keep you informed.

In this issue you will find an article we requested be written by the BCAK’s legal counsel, Anders Ourom on professionalism. The business climate in our province is becoming more complicated every day and in some instances the laws and legislation we are subject to are not as clear as they should be. We hope that you find the information valuable.

My final point is to remind you that Kin week is October 16th to 23rd, 2010. We hope that you will take this opportunity to put a little extra effort into marketing and promoting yourselves and your profession. The BCAK is beginning to plan event(s) for this period, so if you have ideas, would like to borrow the BCAK display board or post your events on the website please contact the office. Remember that all volunteer and charity events will be listed in the calendar of events on the website at no charge.

Yours in good health,

Daryl ReynoldsPracticing Kinesiologist, BCAKPresident, BC Association of Kinesiologists

Legislation has now been passed in Ontario which will result in the formation of a regulatory college for Kinesiologists in that province. Draft regulations are being worked on and will be the focus of a formal stakeholder consultation this fall.

The new legislation will have an impact on kins in other provinces who are considering a move to Ontario in order to practice kine-siology. All Kinesiologists in that province will need to receive a license issued by the Ontario provincial college in order to prac-tice. Receipt of a license will require the successful completion of a competency exam, in order to demonstrate the applicant’s knowledge base. There will also be a temporary class of license that will allow kins to come to Ontario to practice on a short-term basis. For more information, contact the OKA (www.oka.on.ca).

The BCAK is maintaining correspondence with other health-re-lated associations who have been seeking regulation from the Provincial Ministry of Health. The current political climate remains such that there is little appetite in Victoria to create new colleges or to introduce regulation of other health-related professionals who are not now regulated. Ministry officials are looking for “al-ternatives to regulation” which will protect the public and ensure the highest quality of service delivery.

The BCAK continues to pursue its strategic plans in the area of “branding” Kinesiologists and kinesiology in the province and will continue to closely monitor the government’s stand on the whole issue of regulation and update the membership of any change in the regulatory climate.


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The new board of directors, elected at the May 1 Annual General Meeting, are:

Daryl Reynolds, President/DirectorIrene Chan, Vice-President/Director, Membership ChairMike Allegretto, Treasurer/DirectorNicole Poon, Secretary/DirectorElizabeth Bettles, Director, Pro-D and Continuing Education ChairBrent Armstrong, Director, Marketing and Promotions Chair, Chief Privacy OfficerBrian Yamanaka, Director

There are currently four vacancies on the board of directors. If anyone would like to serve on the BCAK board, or be a part of one of the committees please contact the BCAK office for more details.

NEW BOARD OF DIRECTORS


ANNUAL GENERAL MEETING DRAFT MINUTES—MAY 1, 2010 SIMON FRASER UNIVERSITY, BURNABY

1. CALL TO ORDER, DETERMINATION OF QUORUM, CHAIR’S REMARKS

• The meeting was called to order by the Chair Elizabeth Bettles at 1:31 pm

• The Chair determined that quorum was present as required under the bylaws.

• It was identified that 52 BCAK members were in attendance.

• The Chair made the following remarks:

• An AGM Report Booklet has been made available which contains the meeting agenda, and key information.

• The report of the directors will be via Power Point presen-tation which will be posted on www.bcak.bc.ca website.

• The Chair introduced:

• The outgoing directors, officers, and committee chairs.

• The BCAK’s office support staff, including SSU owner Donna Denham who have been instrumental in provid-ing administrative support to the BCAK over the past six years, including organizing the AGM.

• Darlene Hyde, Interim Operations Manager and minute taker for the AGM.

• Doug Campbell, principal of Matthews Campbell, the BCAK’s accountant

2. ADOPTION OF AGENDAMoved by Patricia Samuhel that the AGM agenda be adopted as presented. Seconded by Catharine Lowe. Carried.

3. ADOPTION OF MEETING RULES OF ORDERMoved by Catherine Smith that the meeting Rules of Order be adopted. Seconded by Steve Powell. Carried.

4. ADOPTION OF THE MINUTES OF THE JUNE 13, 2009 AGMMoved by Theresa Weltzin that the draft minutes be adopted as presented. Seconded by Catherine Smith. Carried.

5. REPORT OF THE DIRECTORSThe presentation was organized in 7 sections:

a. Review of BCAK Since the 2009 AGM—Strategic Direction,

Specific Areas of Focus & Accomplishments (Elizabeth Bettles)

b. Report on Membership Trends (Elizabeth Bettles)

c. Report on the Status of Member Insurance (Daryl Reynolds)

d. Report of the Marketing, Promotions and Communications Committee (Brent Armstrong)

e. Report of the Continuing Education and Professional Develop-ment Committee ( Daryl Reynolds)

f. 2009 Financials and 2010 budget (Mike Allegretto)

g. Budget and Future Directions, 2010 (Elizabeth Bettles)

5A: Report of BCAK Since the 2009 AGM—Strategic Direction, Specific Areas of Focus and Accomplishments:

Chair Elizabeth Bettles identified the key initiatives undertaken in 2009, which included the following:

• Kinnected newsletter e-printed semi-annually

• An E-Health Library

• McGraw-Hill Anatomy and Physiology Revealed

• Policies and Procedures manual

• Appointment of a Chief Privacy Officer, Brent Armstrong

• Disposal of old member files.

She advised that the HST will be applied to membership dues as of July 1, 2010 and that a new waiver form is on the website which allows members to opt out of member insurance. Discussions for a new website are underway, and there are pending contracts with CKA and SSU in process.

5B: Report on Membership Trends

Liz Bettles provided an update on the streamlining of new mem-bership applications; with a new template for response letters to pending applicants; a consistent 6 to 8 week turnaround time, with the membership committee meeting monthly. Over the past year, prorated dues have been implemented on a quarterly basis, which will help graduating students applying for practicing membership as well as providing improved fairness of the mem-bership fee for those who join later in the year. In addition, there are parental and disability membership options. No dues increase has been implemented for 2010. The president also provided an update on membership statistics over the past three years.


5C: Status of Member Insurance

Daryl Reynolds gave a review of the history of BCAK and the provi-sion of insurance to its members. A recent directive from FICOM (Financial Institutions Commission) indicates that the BCAK or its agents cannot be involved in the procedural tasks with respect to insurance, such as collecting and reviewing applications, issuing certificates, collection of insurance premiums, and provision of information to members on coverage. These are duties which are restricted to brokers licensed in BC. On October 16, 2009, we were advised by FICOM BC that the BCAK appeared to be in violation of the Financial Institutions Act for: soliciting for an application of insurance; obtaining or taking an application of insurance; negotiating for or procuring insurance; or signing or delivering a policy (including certificates). On November 2, 2009, FICOM BC gave the BCAK temporary permission to process the 2010 insur-ance renewals and new policies; provided that the BCAK did not charge a processing fee for the CGL or certificates. On December 15, 2009, FICOM BC advised the BCAK that they needed to change their insurance handling procedures. The BCAK checked with its solicitor, Anders Ourom, who recommended several insurance lawyers. BCAK chose David Wende of Alexander Holburn Be-audin & Lang LLP, a highly regarded specialist in insurance law, who provided an independent legal opinion confirming FICOM’s findings and wrote a letter on behalf of the BCAK to the CKA and LMS Prolink, the current insurance provider of his professional opinion, which advised of the legal ramifications for all parties.

As a result LMS ProLink has agreed to develop a direct secure web-site through which BCAK members will purchase insurance. The broker estimates the cost to the members will be approximately $3 to $5 per policy. The BCAK believes that the website and the new insurance procedures will be up and running by the late summer of 2010. It will mean that the member needs to complete a number of transactions: 1. With the BCAK for membership re-newal; 2. With the insurance provider for insurance purchase, such as CGL; and 3. Confirmation of E&O insurance coverage will be required by the BCAK to enable member in good standing status and access to services; this latter process will likely be automated.

5D: Report of the Marketing, Promotions and Communica-tions Committee:

Brent Armstrong updated the members on a number of issues: the website update which will be completed in 2010; the research library, key results of the membership survey and the intention to keep up the marketing focus of the organization.

With respect to the website, the BCAK is changing the website to support the strategic initiatives of the association; to reduce and better manage the total cost of operations, and to create a foundation on which we can deliver more and better member services going forward. The membership survey indicates that members want on-line membership processing as part of any

new website design. This feature will streamline the process and decrease costs to the association

The on line survey revealed that almost 66% of membership feel that the research library is important for their business/practice. There have been 433 searches from September to December 2009; and 213 searches from January to March 2010. A library helps differentiate the BCAK by providing information to our members that would otherwise not be available or at a high cost.

The survey also revealed that 65% of respondents felt that mar-keting to 3rd and 4th year students should be the focus of our marketing and promotions initiatives.

The BCAK will be working on developing further liaisons with universities.

5E: Report on the Continuing Education and ProD Committee

Daryl Reynolds provided an update on the recent online mem-bership survey which indicated a number of issues: the majority of members (58%) are unwilling to support the BCAK holding a conference which loses money. The board of directors has deter-mined that the free market should be the primary provider of Kin courses, with the BCAK attempting to fill gaps where identified, while maintaining a break-even philosophy. The responses from the on-line survey also indicated that business courses should be allocated the same credit ranking as Kinesiology related courses, by an overwhelming 86%. Respondents also indicated that on line record keeping for CE credits would be an attractive option in any redesign of the BCAK website.

Daryl provided a review of the ProD events provided over the last year, including the event during Kin Week in October of 2009; the cancellation of the spring FASE course, with a view to hold-ing it once a year in the fall, plus an option to hold the course on Vancouver Island.

5F: Report on the 2009 Financials and a Preview of the 2010 Financials:

Mike Allegretto provided a detailed analysis of the various com-ponents of the 2009 Financial statements and the 2010 budget, and entertained questions from the floor.

5G: Budget and Future Directions:

Elizabeth Bettles provided an overview of future directions for 2010 and beyond. She stressed that strategic priorities would include a continuation of the branding of kinesiology in BC, with a marketing campaign and a national joint marketing campaign. In addition, efforts would be made to increase the profile of the BCAK with universities across the province; promotion from within by educating our members, and alliances with other health care professionals.


6. REPORT OF THE TREASURER: 2009 FINANCIAL STATEMENTSThe 2009 Financial Statements for the fiscal period ending De-cember 31, 2009 as contained in the AGM Report Booklet were reviewed by Treasurer Mike Allegretto. He provided a breakdown of all revenues and expenses for 2009.

Moved by Andrea Score that the 2009 Financial Statements be adopted as presented. Seconded by David Nowak. Carried.

7. APPOINTMENT OF ACCOUNTANTMoved by Nicole Yamanaka that Matthews Campbell be ap-pointed as accountant for the BCAK for 2010-2011 until the next Annual General Meeting. Seconded by Daryl Reynolds. Carried.

8. ELECTION OF DIRECTORSThe Chair outlined the responsibilities of directors and the time requirement to fulfill the responsibilities of a Director.

A call for nominations was posted to the BCAK website and went out in an e-blast in January, 2010, with a deadline of Friday, March 12, 2010.

As of March 12, the following nominations for Director had been received:

Elizabeth Bettles, AnmoreDaryl Reynolds, Maple Ridge,Irene Chan, DeltaBrian Yamanaka, Burnaby

The chair entertained up to five nominations from the floor since there were less nominees and incumbent directors than allowed by the BCAK constitution.

Nicole Poon stood for nomination for the BCAK board, from the floor, for a two-year term.

Annalise Luong Moved and Nicole Yamanaka seconded the mo-tion that the following directors be elected to the BCAK board for a two-year term by acclamation: Nicole Poon, Irene Chan, Elizabeth Bettles, Daryl Reynolds and Brian Yamanaka. Carried.

They will join the remaining Board members who have one-year remaining on their terms of office: Brent Armstrong and Mike Allegretto.

The Chair recognized Mike Allegretto and Brent Armstrong for their hard work and welcomed them back to the 2010-2011 board. The Chair also recognized the efforts of Lynda Foreman and Nicole Yamanaka who are not returning as Directors.

The 2010-2011 Board of Directors is as follows:

Years Remaining in Term Name

2 Irene Chan

2 Elizabeth Bettles

2 Daryl Reynolds

2 Brian Yamanaka

2 Nicole Poon

1 Brent Armstrong

1 Mike Allegretto

The Chair reiterated that the directors will elect the officers from amongst their numbers at their earliest convenience after the AGM, and will inform the members of their decision.

She indicated that there is a need for Committee members for the following committees: Membership, Continuing Education and Professional Development, Marketing, Promotions and Com-munications, and Finance.

9. OTHER & NEW BUSINESSThere was none.

10. MEETING BROUGHT TO A CLOSE• There being no further business, the AGM was declared closed

at 3:25 pm.


41st Annual ConferenceAssociation of Canadian Ergonomists

October 5-7, 2010 Kelowna, British Columbia

Coast Capri Kelowna Hotel

Keynotes:David Woods PhD (Ohio State U):

Creating Safety by Engineering ResilienceTony Easty PhD (U Toronto):

Human Factors in HealthcareJack Dennerlein PhD (Harvard):

Upper Extremity MSI Prevention

Student Paper Awards

~50 Presentations in 16 sessions

Opening Reception with Wine Tasting

Post-conference Winery Bus Tour

WorkshopsOctober 4

4 Full Day Workshops 9 Half Day Workshops

CMPs/CECs for ABIH, BCAK, CRSP, CCPE

Special Course! October 3

WSET Foundation Cert. (All about Wine)

By Rhys Pender Master of Wine

Exhibitors:Worksafe BC

ergoCentric Seating Systems The Global Group

Lifeform3M

Ergocanada.com Dalimar Instruments

Chairlines Humanscale

PRSI Software Contour Designs

TEA-Captiv Posture Perfect Solutions

R&D Ergo

Photo courtesy of theWineFestivals.com

Preliminary Program & Registration www.ace-ergocanada.ca

Conference Sponsors

Conference Session Topics Safety & Safety Management Systems

Industry-wide OHS Strategies Provincial Injury Prevention Strategies

Ergonomics and Sustainability Ergonomics in Design

Healthcare Ergonomics Office Ergonomics

Physical Ergonomics Psychosocial Issues

Ergonomics Programs

Conference: October 5-7

When you choose to become a Kinesiologist your professors never tell you that it is the type of career that kills conversations at parties. People ask you what you do and you explain but are met with a blank stare. You try to explain that 'Kinesiologists specialize in human movement and performance’ as all the textbooks say, but that is not helpful either. At times people just look fearful, presumably thinking you have telekinetic powers. Therefore, in order to save Kinesiologists this social torture, we wrote this article to explain that Kinesiologists:

Specialize in human movement; and offer a wide variety of as-sessments, and services that assist with injury prevention and rehabilitation, general health management, and athletic training.

Within Canada, the term 'Kinesiologist' refers to someone who has completed a 4 year university degree in kinesiology and has an extensive understanding of human structure and function and the relation to health and movement. They have a scientific background of physics, biology and statistics; they take a holistic approach to health while studying the human body from a physi-ological, sociological, and behavioural point of view. Kinesiologists take many courses such as physiology, anatomy, sports injuries, cardiac rehabilitation, human growth and development, nutrition, psychology, psychomotor behaviour.

Kinesiologists apply their knowledge to different fields: Health and Safety, Ergonomics, Physical and Vocational Rehabilitation (in preparation for returning to work) and Fitness just to name a few. Others may use their degree as a step into medicine, or other health fields.

Lastly, know that each country may have its own definition of kinesiology and requirements of Kinesiologists. For more informa-tion about Kinesiology in Canada go to the Canadian Kinesiology Alliance and or the British Columbia Assocoation of Kinesiologists Websites: www.cka.ca | www.bcak.bc.ca, or ask the next Kins you meet at a party!

MEMBERS’ CORNER:WHAT IS A KINESIOLOGIST?Minda Chittenden B.Sc. (Kines) MA (Gero)Majorie Lauzon B.Sc. Phys. Ed. (Kines), PK (CKA, BCAK)Natalie Lussin B. Kin.

PROMOTE YOUR PROFESSION!

I wanted to take this opportunity to both thank Minda, Marjorie and Manda for taking the time to write this article as well as to encourage others in the BCAK to put aside a few moments in their busy lives to “put pen to paper” and submit a “What is a Kinesiologist” or “What do Kinesiologists Do?” article to Kinnected. The article can take the

form of description of what you do in the world of Kin or you could discuss specific issues you face (i.e. communication with physicians, motivating clients etc). Remember, by writing and short article, you can both contribute to the profession AND earn CEC’s!

Brent Armstrong Marketing and Promotions Chair


I recently had the pleasure of attending the Perform Better Func-tional Training Summit in Long Beach, California where some of the greatest minds in strength conditioning and the rehabilita-tion industry were present. There were a few notable themes that continued to resonate throughout the Summit and it became apparent to me that we have finally entered a new era in our treat-ment and training approaches. Practitioners of all backgrounds are collectively moving away from “treating the symptoms” and starting to assess more closely how our bodies generate move-ment as a whole and, as such, how best we can support client recovery through movement and functional retraining.

In the field of active re-habilitation, Kinesiolo-gists have historically delivered training pro-grams that focused on helping clients regain measures of cardiovas-cular fitness, flexibility and strength. With the support of research, cardiovascular con-ditioning has moved away from us direct-ing clients to mundane hours spent on station-ary machines and has us introducing them to a host of interval training methods that involve full-body move-ment. Our past focus on regaining single-plane

flexibility of a muscle is being more appropriately evaluated in the realm of regaining multi-planar joint mobility and stability. Where strength training was once broken down into upper body and lower body segments (like an arm day and leg day or back/biceps, chest/triceps), we now speak in terms of planes of mo-tion and through movement strategies like pushing and pulling and strength is becoming a continuum of teaching clients how to effectively receive, generate and transfer energy between body segments. From a rehabilitation perspective, we are more equipped to engage our clients in a better understanding of their compensation strategies and how to overcome these strategies. Our past methods of eliciting isolated muscle action must now be carried forward into teaching them how to regain tissue quality

and joint mobility and to help them transfer appropriate activa-tion strategies into effective movement patterning as a whole.

While the term “functional training” has been around for the past decade, we are now privy to methods in assessing and correcting movement within our retraining programs in order for the body to function effectively and deliver the desired training response. For many of our clients who are recovering from injury or dealing with chronic dysfunction and breakdown, their movement build-ing blocks have become reversed and disordered. As therapists like Gray Cook have so easily identified for us, our bodies are meant to work in a very sensible fashion, alternating patterns of mobility and stability:

Foot Stability

Ankle Mobility

Knee Stability

Hip Mobility

Lumbar Spine Stability

Thoracic Spine Mobility

Scapulo-Thoracic Stability

Shoulder Mobility

Elbow Stability

Wrist Mobility

Taking the illustration above a step further, I think it is important to reiterate Vladimir Janda in saying “the motor system functions as an entity. It is in principle a wrong approach to try to understand impairments of different parts of the motor system separately, without understanding the function of the motor system as a whole.” We are reminded again and again that our body knows nothing of muscles, it only knows movement—so must our train-ing approaches look beyond teaching simple isolation of muscle and start to teach our clients instead how to effectively generate movement.

We have learned that when a particular joint lacks mobility the segment above and/or below it will sacrifice its stability for mobil-ity in order to generate the movement that the body is trying to elicit. It can be better understood, then, why low back pain suf-ferers will often display a combination of poor hip mobility, poor thoracic mobility and a general lack of lumbo-pelvic-hip stability. As structural integration therapists like Thomas Myers encourage us to see muscles as a continuum of one another, connected through our fascial matrix, rather than being separate entities that

MEMBERS’ CORNER:A NEW ERATara Keller, B.Sc. (KIN), MES


have a distinct origin and insertion or starting and ending point, our training approaches move far beyond isolated stretches and strengthening exercises to encompass an ever-expanding reper-toire of fascial integration, breathing re-education and movement sequencing and retraining to support sustainable recoveries.

As Kinesiologists, we should be excited by the developments in the industry as clients and therapists alike are looking for practi-tioners who understand the paradigms of movement retraining. As an educator and clinician, I am encouraged by the direction we are moving to better apply our understanding in neuro-motor de-velopment, anatomy, biomechanics and physiology and welcome this new era in training. I encourage all Kinesiologists to challenge their philosophy of how to progress their clients through the de-

livery of functional systems that move beyond basic principles of progressive overload, to stop the segmented training of isolated upper body and lower body and to start to retrain clients using a template of movement as a whole.

Tara Keller is a practicing member of the BCAK and owner of Essential Kinetics in Vancouver, BC. She is the co-developer of the “Building a Strong Foundation (BSF®)“ Instructor Certification program and teaches courses on movement pattern assessments and corrective exercise training throughout Canada. For further information, visit: www.essentialkinetics.com

Hamstring injuries are all too common in athletes, especially run-ners. There is evidence that when the stabilizing muscles in the hips (e.g., the gluteus maximus) become tired, increased workload is placed on other muscles in the legs, including the hamstrings. This disproportionate amount of work required by the hamstrings often results in injury.

A recent study published in Manual Therapy examined whether adding lower abdominal hollowing exercises during Prone Hip Extension (PHE) exercises improves the relative timing of the activation of the gluteus maximus (GM) and the Biceps Femoris (BF) in the hamstring muscle group.

Twenty healthy volunteers were randomly assigned to complete either PHE exercises with abdominal hollowing or PHE exercises without abdominal hollowing (5 females and 5 males were in each exercise group). The volunteers who were assigned to perform PHE exercises plus abdominal hollowing completed 10 abdominal hollowing contractions lasting 10 seconds each, with 10-second resting periods in between the contractions while the second group did the same without performing abdominal hollowing. They were then given a two-minute relaxation interval, followed by a repeat of the 10 contraction-rest cycles. The volunteers as-signed to perform PHE exercises only completed regular PHE exercises using the same schedule as the volunteers in the PHE + abdominal hollowing group.

The investigators found that by-chance the two volunteer groups had significantly different levels of GM firing relative to BF before

completing the exercise programs. When looking at the differ-ences in GM firing relative to BF after the participants completed the exercise programs, the relative timing had improved in the group performing abdominal hollowing compared to the group only performing PHE exercises, but this difference did not reach statistical significance (p = .166).

The authors concluded that their results offer some evidence that brief abdominal hollowing repetitions during PHE exercises may reduce the delay between the muscle firing in the GM and BF, but more research is needed to confirm these findings. The lack of statistical significance in their study may be due to a small sample size or a small effect size of the abdominal hollowing exercise regimen.

Source: MANUAL THERAPY (2009 Aug 11. [Epub ahead of print]).

Rick Kaselj, Practicing Kinesiologist, has combined his work experience and pas-sion for research to create an extensive list of exercise rehabilitation course for fitness professionals. He recently com-pleted his Masters of Science degree fo-cusing on corrective exercise and thera-peutic exercise for the rotator cuff. Visit Rick’s blog in order to receive your $299 fitness education gift at www.Exercises-ForInjuries.com

MEMBERS’ CORNER:LOWER ABDOMINAL HOLLOWING DURING PRONE HIP EXTENSION MAY PREVENT HAMSTRING INJURIESRick Kaselj, MS, BSc, PK, CEP, CPT, CES


HUMAN KINETICS BOOK REVIEW:LOW BACK DISORDERS, EVIDENCE-BASED PREVENTION & REHABILITATIONStuart McGill, PhD, University of Waterloo, Canada

I am taking this opportunity to review a publication that many would now consider to be old by today’s standards, however I recently pulled this text out to review some of the research details and realized how much I rely on the prin-ciples and open mindedness relayed within. I feel that both Dr. McGill’s 2002 publication and his 2004 release “Ultimate Back Fitness & Performance” contain solid information for those working with the back

injured client, despite these publications being more than 5 years old. Dr. McGill or “Stu” as he prefers to be called, states in his online bio that his purposes are 4 fold;

• to understand how the back functions, • to understand how the back becomes injured, • to investigation hypotheses related to the prevention of injury

and optimal rehabilitation of the back, and• ultimate performance of the athletic back.

The principles of this early release were covered by Dr. McGill when he presented at the annual CKA conference held in Van-couver in 2003. Following this introduction to Dr. McGill’s work at the conference I decided to read the text to achieve a better understanding of the research findings and rehabilitation phi-losophies of the author: I continue to utilize these findings even today. It is important to note that the philosophy of the author with respect to lower back stabilization diverges from those gen-erally followed by Physiotherapists. Dr. McGill’s books suggest that most or all of the muscles in the back and abdomen contribute to spinal stabilization in varying degrees at different times. The physiotherapy philosophy suggests that there is a specific group of muscles that play the primary role of spinal stabilization, such as the multifidus and transverse abdominus, while others act as primary and secondary movers.

The book itself is broken up into three main sections, the first focusing on the scientific foundations of current and historical research, the second on injury prevention and the third on low back rehabilitation.

Section I presents a history of low back disorders and treatments, while posing the question; “Should the Primary Goal of Rehabili-

tation Be Restoring the Range of Motion?” This question is well argued, with the premise that increasing range of motion will only increase instability in an already unstable spine and that this may be more detrimental than beneficial. This is followed by a review of the findings of his biomechanical research, with detailed results of EMG studies on the various tissues that make up the trunk. The ability to grasp the details presented in the later chapters of this section and the second section rely on the reader having a good understanding of vector calculus and linear or matrix algebra that is not normally part of a Kinesiology curriculum in University.

Section II looks at various methods of modeling the demands placed on the human body and ways to reduce the risk of injury during daily work and sports activities. The general findings sug-gest that the most risk of injury occurs when the spine is taken to end of range of motion for flexion/extension, lateral bending, or rotation and is multiplied when end range is achieved in more than one plane.

Section III describes ways to assess and develop the best treat-ment program for each individual. Most of the relevant informa-tion for the “Practicing” rehab based Kinesiologist is located in this section. Dr. McGill presents a number of useful tests, some of which are typically reviewed in the “Functional Assessment of the Spine and Extremities” FASE course put on by the B.C.A.K. These are followed up by the theory of “abdominal bracing” utilizing all 3 layers of the abdominal muscles as opposed to “abdominal hol-lowing”, which utilizes only the transverse abdominal, multifidus and pelvic floor muscles. Finally he presents a variety of exercises that can be implemented in a progressive manner to treat low back instability. The new Kinesiologist will appreciate these, while the experienced Kinesiologist may recognize a variety of the exercises, although there may be some that still appear new. Dr. McGill stresses the importance of proper technique in the per-formance of the exercises, including that of the instruction and feedback given to the client.

So if there any of you that are unfamiliar with his work, have not read his books or seen his presentations, I can only suggest that you may be enlightened in one way or another by taking some time to review his publications or presentations, should you come across low back injuries in your area of practice. Whether you agree with his philosophies or not, is up to you to decide!

—Daryl ReynoldsPracticing Kinesiologist


Student members who apply and are approved for Practicing membership mid-year receive a pro-rated rebate on their student membership that is calculated on a quarterly basis. For example, if a student member becomes a practicing member during the second quarter (April to June), the pro-rated credit amount will

be 75% of the BCAK student dues, while at the same time paying 75% of the pro-rated portion of the BCAK Practicing member dues. This prorating does not apply to the Practicing Membership application fees, insurance premiums or CKA dues.

The members of every profession have a variety of legal responsi-bilities. B.C.’s kinesiologists have not yet been granted the power to form a self-governing college, under the Health Professions Act. The B.C. Association of Kinesiologists (“BCAK”) and its members should nonetheless meet professional standards, both because that is the proper thing to do, and so as to facilitate their eventual recognition by the government.

Professionals must always place the interests of the client and the public ahead of their own interests. They must also meet higher standards in terms of education, qualifications, examinations, training, and care. Their continued practice is dependent on meet-ing the standards set by their college, in the public interest. (An important point—a college acts in the public interest, which isn’t necessarily that of an individual member.) All this in addition to simply operating practices and small businesses in a competent, ethical manner.

I won’t discuss general business issues here, beyond a summary. They include all the basic legal and financial requirements. Busi-ness licence, appropriate business premises insurance, and prac-tice insurance. Hiring, training and supervision of employees. Partnership agreement, if needed. Financial records. Practice records. Effective loss-prevention and due diligence practices. Security. Meeting financial and reporting obligations on time. Maintaining membership in your professional association, the BCAK, and participating in its affairs.

Over and above this are the requirements for maintaining your status as a kinesiologist. A lot of that is the hurdles of becoming a member—school, examinations, qualifying as a kinesiologist. But there are ongoing requirements for all professionals. They include:

• Maintaining a professional practice and business.• Always placing the interests of the client and the public first.• Continuing education and training.• Responding promptly and effectively to complaints, claims of

negligence, etc.• Self-reporting any problems or claims.

It is difficult to comprehensively define professional behaviour, beyond key limitations. It’s a bit like what was famously said of pornography – I may not be able to define it, but I know it when I see it. It is, in part, defined in the BCAK's code of ethics. Once there is a college, that code, or something similar, is likely to be required of all members, with the penalty for breaching it possibly being suspension or expulsion from the profession.

The Ministry of Health Services developed model bylaws for new health profession colleges, which may be used as a starting point. They will give you a good idea of the way in which a college might be organized and operate, and include things like a model code of ethics. Have a look at http://www.health.gov.bc.ca/leg/pdfs/Model_Bylaws_Feb_2004.pdf—there’s a reasonably good table of contents.

Another matter is privacy. The client’s interests not only come first, they’re defined as such in the Personal Information Protec-tion Act. Essentially, information you may obtain from others, including patients, is their information. You have to be prudent about obtaining and managing the information, and can’t use it for any purpose without the consent of the patient. This is usu-ally taken care of in the disclosure and release document signed by patients. There is a lot of helpful information about privacy and related matters on the Office of the Information and Privacy Commissioner’s website, at http://www.oipc.bc.ca/

Above all, being a professional requires sustained effort and at-tention. It’s a privilege, not a right.

Copyright, © 2010. Anders Ourom. All rights reserved. This informa-tion is not nor is it intended to be specific legal advice. Readers are cautioned in all cases to obtain appropriate advice as to these and related matters.

Anders Ourom ([email protected] | 604.228.1798) has specialized in advising societies, charities, and other not-for-profit organiza-tions since 1995.

LEGAL CONCERNS FOR KINESIOLOGISTS

PRO-RATED REBATE FOR STUDENTS


The Non-Practicing membership class was created by the BCAK in 2008, in response to requests from Practicing members who were planning for maternity leave and seeking some relief from membership dues as they would not be working while on leave. This membership class addresses this situation and that of short term disability leave and short term leave to complete advanced education, where these members will not be working during the period of leave.

Non-practicing members:• Qualify for a reduced membership rate for a maximum period

of 2 calendar years (rate changes are made at renewal)• Have modified privileges and benefits as follows:

• They remain eligible to purchase E&O insurance coverage.• They are not eligible to purchase CGL insurance coverage

(as they are not supposed to be working).• They are exempt from the Continuing Education Standards

Program (CESP) credit requirements for a period of 1 year.

You are eligible for Non-Practicing membership if:• You are a Practicing member that is currently not working and

you are on medical or parental leave from work, or

• You are a Practicing member that has returned to school tempo-rarily (maximum 2 years) and will not be working as a kinesiologist during the period you are attending school, but want to retain the ability to quickly reclassify back to a Practicing Membership upon completion of your schooling, in order to return to work.

You are not eligible for Non-Practicing membership if:• You are working in any capacity utilizing your skills as a

kinesiologist; or• You are taking a short or extended leave for vacation or other

purposes not stated above.

Once a Non-Practicing member no longer meets the requirements stated above (ie: are working) or have been a Non-Practicing mem-ber for the maximum 2 year period, they are required to complete a “reclassification” form online and submit it to the BCAK office.

For details of the Continuing Education Standards Program exemp-tion for those on leave, please refer to CESP item 6 on the BCAK continuing education web page.

IS NON-PRACTICING MEMBERSHIP STATUS FOR ME?

PRO-D EVENTS WELL RECEIVEDOn May 1, 2010, as part of the Annual General Meeting day of activities, BCAK presented a morning of professional development.

Dan Robinson, PhD, CCPE, spoke on “Upper Extremity Risk Assessment Tools—Use of RULA (Rapid Upper Limb Assessment) and ACGIH Hand Activity Level Methods.” This workshop explored two methods that could be used to assess relative risk, to target in-terventions on key factors and to evaluate the anticipated effectiveness of interven-tions on reducing risk. Dan is a Canadian

Certified Professional Ergonomist (CCPE) and a registered practic-ing kinesiologist consulting in ergonomics since 1988. He earned his PhD and MSc in Kinesiology at SFU. Here’s a sampling of what participants had to say about Dan’s presentation:

• This was a valuable tool for evaluating patients• Organized professional presentation with a good

peer involvement• Dan is a great presenter and relates tools to practical

usage in the field.• The session was interactive and the examples were

valuable for understanding• Tools that will be useful to me.

Tony Leyland, MSc, BEd, Senior Lecturer in the Department of Biomedical Physiology and Kinesiology in the Faculty of Science at SFU also spoke. His topic was “An Evolution-ary Framework for Nutritional and Exercise Programming.” This presentation examined how the complicated field of nutrition and exercise can be simplified by adopting pro-grams based on an evolutionary framework.

Tony brought up evidence that challenged many mainstream beliefs and promoted some interesting discussion. Tony is a pro-fessional member of the NSCA.

Here is a small taste of what participants had to say about Tony’s presentation:

• Topic was important and relevant. Examples given were scenarios that I could relate to.

• Made us rethink about modern lifestyles.• Good messages for simplifying things for clients and beginners.• This applies not only to the general population but

specifically my clients.• High interest in the topic makes it engaging and enjoyable.

Both presentations received high marks for relevancy, usefulness, and effective communications. BCAK continues to look for addi-tional opportunities to profile high-value Professional Develop-ment and Continuing Education sessions for its members.


The value of strength training is well accepted in the fitness train-ing model as it provides positive adaptations to metabolism and builds an aesthetically pleasing body. Fitness clubs today promote sleek, expensive machines to sell memberships and entice cus-tomers. Machine based strength training draws its history from body building where participants aim to isolate and overload specific muscles for appearance changes. Machines are simple to use and require little to no instruction and supervision, helping people safely begin and follow new exercise programs. Yet the benefits are superficial, without the key principles which restore and improve the body’s functionality. Most trainers I teach around the world have adult clients whose primary objectives through exercise are to enable them to enjoy the mobility to move pain free in the daily activities they enjoy.

Given today’s high rate of youth obesity and decreased adult wellness in a sedentary technological age, my philosophy is any-thing that gets someone moving is a good thing. There are few bad exercises. But, collectively, a program consisting primarily of isolation exercises limits benefits beyond appearance. Further, for those placing appearance at the top of their goals, there are other lifting styles that have a much higher caloric cost to reduce sub-cutaneous body fat to a desirable level. Smart Muscle™ strength training is a recommended lifting methodology to blend appear-ance goals with real life function and sport performance goals.

Seasoned fitness professionals often express decreased willing-ness to walk clients through machine based programs. Under-standably, this requires few coaching skills and little mental agility, critical mechanical eye, and corrective cueing on behalf of the trainer. Smart Muscle® exercise integrates balance, movement and whole body strength, teaching the kinetic chain to produce stron-ger and more coordinated movement using Twist’s Neurological Complexity variable first developed to quantify a continuum of balance challenges from simple to difficult.

Workout Application

To transition your current exercise choices to a Smart Muscle® approach, gradually include these training concepts into your workout design.

1. Take a traditional upper body pull exercise (seated row) and make it a standing whole body exercise. Cue your client to initi-ate the movement from the legs, transfer through the core and express the power through the arms.

SMART Toner™ Squat Row

Set Up: Begin in an athletic position with arms extended, hands holding grips of the Smart Toner™ attached to a squat rack, core and scapula set

Execution: Initiating with the legs, simultaneously triple extend at the ankle, knee, and hip, while rowing the Smart Toner™ toward the ribcage by flexing at the elbow. Finish on your toes, with the hand at sternum level and scapula retracted.

Challenge: Add power/tempo to the row, add balance using a BOSU® Balance Trainer

2. Design exercises that link common movement patterns to-gether to challenge the mind to command 2 motor patterns sys-tematically. This type of exercise increases the neural complexity requiring power production in a closed kinetic chain position.

3. Consider adding exercises that require movement in multiple planes, demanding 3 dimensional motion in the sagittal, fron-tal and transverse planes at the same time. These exercises are complex to execute, but challenge clients to control their bodies with powerful coordination, a strong mind to muscle connection, fueling movements similar to sport skills.

Peter Twist, MSc BPE CSCS TSCC-Gold PTS is President of Twist Conditioning’s 3 divisions: franchised Sport Conditioning Centers, product wholesale and the Twist Smart Muscle® Coach Education program and Twist Smart Muscle® Training System. To learn more about the Twist training methodologies, education and equipment available in Canada contact www.twistconditioning.com

SMART MUSCLE® TRAININGPeter Twist


Bawn B hiked and took long walks with her dog before she was hit in a car crash (the defendant went through a red light and struck her right front fender). After the accident, she suffered ongoing back pain, especially when sitting for a long time, walking up stairs and going on longer walks. She moved to a smaller acreage and needed help with chores.

It turned out that Bawn had degenerative arthritis before the ac-cident (even though she had no symptoms), which the accident hastened and aggravated. However, even without the accident, the arthritis would most likely have started to soon cause her pain and stiffness anyway. Is the defendant (and ICBC) still responsible for her injuries?

If you have a pre-existing medical condition, BC courts look at two different legal principles to determine how damages should be assessed.

In a “thin skull” situation, the pre-existing condition makes you more susceptible to injury, but if you weren’t involved in the accident, it would not flare up and cause symptoms. Here, the defendant must take you as they find you. If you have a thinner skull than average (and the average skull would not have cracked in the accident), so be it – the defendant must still compensate you for all your losses flowing from your fractured skull.

On the other hand, in a “crumbling skull” situation, the defendant isn’t responsible for all your post-accident symptoms. If you have a pre-existing arthritic condition which is aggravated by the accident, and ICBC proves that you likely would suffer arthritis symptoms in future, ICBC isn’t liable for all your losses. The idea is that the law aims to put you back in the same position you were in before the accident (insofar as money can do that)—but not to put you in a better position. Typically, the court deducts a percentage off the total damages to reflect the “contingency” (probability) that the pain and limited movement would show up regardless of the accident.

In Dawn’s case, the judge decided that a large deduction was ap-propriate because her degenerative condition was “severe.” Dam-ages for her pain and suffering, which were assessed at $55,000, were reduced by 25%; her total compensation amounted to some $93,000.

With Cheri-Lynn G., however, the BC Supreme Court deducted only 10%. Hit head-on by a street sweeper, she suffered injuries to her ribs and left shoulder plus a sprain to her neck and back. At the time, she was a skating instructor. Before the accident, she had mild degeneration in her cervical spine that caused her to miss some work. After the accident, she also hurt her knee rollerblading

and took three months off work. Soon after returning to work, she found a new administrative position because she couldn’t do her job as a skating instructor as well as before.

The court concluded that Cheri-Lynne’s duties as a skating instruc-tor were aggravated by the injuries she received in the car crash. But, the court said, there was also a “real and significant chance that the plaintiff’s pre-existing injuries and the injury suffered after the accident would have shortened the plaintiff’s career as a skating structure, regardless of the injuries from the accident.” Damages for her pain and suffering were assessed at $67,500 ($75,000 minus 10%); her total award was just under $100,000.

If you’re injured in a car crash or other accident, consult your law-yer, even if you were bothered by a painful pre-existing condition.

This column has been written with the assistance of BTM Lawyers LLP. The column provides information only and must not be relied upon for legal advice. Please contact Shadrin Brooks of BTM Lawyers LLP for legal advice concerning your particular case. Phone: 604-937-1166.

“CRUMBLING SKULL” REDUCES DAMAGESJanice Mucalov, LLB | Reprinted from the Maple Ridge and Pitt Meadows Times


UPCOMING EVENTS

September 9-11, 2010CALL FOR VOLUNTEERS 31st Annual North American Police Soccer TournamentIf you are interested in volunteering please contact Cst. Rajan Jaswal at 604.717.3349 (ext. 2672) or by email at [email protected].

October 2-3, 2010Advanced Exercise Prescription: Consistency & Effectiveness in Rehab & General Exercise TechniqueLocation: Orion Health Rehabilitation Centre, #210, 555 – 6th StreetNew Westminster, BCFor course information: visit www.bcak.ca

October 4-8, 2010workSMART Ergonomics Systems Specialist (ESS) Certification CourseLocation: EdmontonFor course information, visit www.worksmart.ca

October 18-22, 2010workSMART Ergonomics Systems Specialist (ESS) Certification CourseLocation: HalifaxFor course information: visit www.worksmart.ca

FASE CourseOctober 23-24 (Part 1 Spine) November 6-7 (Part 2 Extremities)

Time: 8:00 am to 4:30 pmLocation: CBI Physiotherapy & Rehabilita-tion Centre, 5172 Kingsway, Burnaby, BCInstructors: Andreja Kovacevic and Erin Macri

November 18, 2010Scapular Stabilization Exercises (Webinar)

For more information visit www.ExercisesForInjuries.com

For more events please visit:www.bcak.bc.ca/events.php

BC Association of Kinesiologists 102-211 Columbia Street Vancouver BC V6A 2R5 P: 604-601-5100 F: 604-681-4545 [email protected] www.bcak.bc.ca

Business Card - $80Quarter Page - $105Half Page - $132Full Page - $237(HST included)

CHANGE OF INFO?If any of your membership informa-tion has changed, please contact the BCAK so your most current informa-tion can be forwarded to your insur-ance company.

BCAK Contact Info:

Tel: 604-601-5100 Fax: 604-681-4545 Email: [email protected] Website: www.bcak.bc.ca

GET PUBLISHED.Write a review of any books, research, events, courses, workshops and conferences for Kinnected.

Submit it to the BCAK at:

office@bcak. bc.ca

Your reviews also earn you 3 Continuing Education Credits each!

LOOK AT ME

KINNECTED ADVERTISE IN

In the last month or so, members of BCAK received a promotional mailing from a third party with respect to an online anatomy course. In this instance, mailing labels were provided directly to a mailing house for the advertisement, rather than being handled internally by the BCAK office staff due to a miscommunication. The third party along with the mailing house signed confidentiality agreements with respect to the information received in this incident, which consisted of only names and addresses. The information you received regarding the Online Anatomy course was advertised in the previous issue of Kinnected and meets all of the BCAK requirements for credit with respect to the Continuing Education Standards Program (CESP).

The BCAK’s Privacy policy dictates that all requests from third parties to access the BCAK membership for the purpose of marketing educational materials or products must go through board of directors and be distributed by the BCAK’s office after pay-ing an “advertising or marketing” fee for the distribution service. In accordance with provincial privacy legislation, the BCAK does not release any information contained in the membership database and does not provide personal information to third parties unless member consent has been obtained.

PROTECTION OF MEMBERS’ PRIVACY


kinnected - images.bcoffice.com€™s message kinnected | august 2010 1. important notice to bcak...

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