We have found our new physiotherapist!

We are happy to announce to you that we have extended our physiotherapist team with Spanish certified physiotherapist Pedro Cisneros. While we are saddened to announce that our dedicated and skilled colleague Annette Beckers has left Cambodia for good to start a new adventure with her family in Ghana.

Pedro is a highly skilled physiotherapist who graduated in 2016 from the University of Barcelona, Spain. He is fluent in multiple languages, namely: Spanish, French and English and he is also planning to learn Khmer to be able to help our local clientele even better! 

After completing his studies he has worked in several countries and in several different positions, locations ranging from Spain, France, Reunion Islands to Bali and positions ranging from physiotherapist in private clinics, hospitals to professor at the University of Barcelona.

 

Besides being able to treat all general injuries and complaints he specializes in Temporo-mandibular disorders (TMD), he also specializes in sports and orthopedic rehabilitation. Due to his interest in sports he also got registered as a sports physical coach and is certified by the French Ministry of Health.

Posted on July 6, 2022 .

SNAPPING HIP SYNDROME (SHS)

Do you have a hip that pops, clicks or snaps during specific movements? If you do read along!

When you experience these sounds coming from your hips it is called Snapping Hip Syndrome (SHS), also known as coxa saltans or dancer’s hip. The snapping sensation occurs when a muscle or tendon moves over a bony protrusion in your hip. This happens when muscle or tendons become inflamed, often from overuse.

SHS is more common in women but it can affect people of all genders and ages. SHS can be divided into 3 main types:
1) Internal: tendons slide over bone structures at the front of your hip joint
2) External: most common. Tendons or muscles slide over the top of your thigh bone/ femur
3) Intra-articular: more rare. Snapping hip is caused by an actual hip joint issue or injury. Unlike external or internal SHS, intra-articular SHS isn’t caused by a tendon or muscle.

Many cases of SHS are harmless but can increase risk for joint damage. More serious cases of SHS can cause pain and affect the overall performance.

Symptoms
SHS can result in an audible snapping or clicking sound. It often causes no pain, but you may feel a clicking or popping sensation when flexing your hip.
Other symptoms you may experience with this condition include:
- Pain
- Inflammation
- Leg muscle weakness when trying to lift your leg sideways or forward
- Swelling
- Difficulty with regular physical activity such as walking or rising from a chair
- Feeling your hip is coming out of place

The physiotherapists at PPP can help you diagnose the injury and also help you overcome the sensation by working on stretching the right muscles, strengthening and positioning/ posture.

Posted on May 12, 2021 .

How to Prevent an Aching Back From Your Virtual Workday

Thanks to digital technology and world events, more individuals are working from home these days. Those without a professional home office often work hunched over a laptop while seated on a cushioned sofa or at a dining room table. Either of these positions disrupts your posture and causes strain on your spine and neck that may lead to back pain. Taking the time to address the issues that cause pain can result in a more comfortable and productive workday. 

Physiotherapy Phnom Penh wants to help you thrive. With that in mind, here are a few ways to protect your spine and prevent an aching back from interfering with your virtual work.

Adjust Your Workspace
As explained by the Mayo Clinic, the right home office setup allows you to maintain good posture as you work and be comfortable in the space. It all starts with the chair. An adjustable model is best so you can customize the settings to keep your spine supported, your feet flat on the floor, and your shoulders relaxed.

If this isn’t an option, put pillows behind your back for support and books or a box under your feet so your thighs can be parallel to the desk and your knees level with your hips. Sit up straight with correct posture to keep your bones and joints aligned and to give the proper support to your ligaments and muscles. This keeps your spine from being forced into an awkward position that may cause back pain.

Set your laptop an arm’s length away directly in front of you and high enough so the middle top of your screen is at eye level. If need be, stack a box or a large book under your laptop to achieve this goal. This will keep your spine in perfect alignment and keep you from straining your neck up or down to read your screen.

If possible, use a separate keyboard from the one on your laptop and place it on the table at a height that allows you to type while keeping your lower arms in a straight line from your elbows to your fingers. This position keeps your shoulders relaxed and prevents tension in your back muscles.

Take Steps To Reduce Stress
Stress causes your neck and spine muscles to tighten and your shoulders to rise towards your ears. These actions change your breathing patterns and lead to tension, strain and pain in your middle and upper back. Taking steps to reduce stress in your life will protect your spine, keep your posture in alignment and help to alleviate your back pain. Here are a few stress reduction ideas for you to try.

  • Take regular stretch breaks throughout your workday

  • Exercise regularly to strengthen your back and core muscles

  • Make relaxation a priority to allow time for your body to unwind

  • Address negativity in your household. 

  • Try daily meditation to quiet and calm your body and mind

Get Treatment for Pain
If you are still dealing with back pain, seek help immediately. A physiotherapist is trained in non surgical treatments for your pain. He or she will use proven therapies to reduce your discomfort and promote healing. Regular visits will keep your spine healthy and alleviate your pain. They can help reduce muscle tension caused by pain or stress. The therapist can teach you exercises and techniques you can do at home to maintain proper posture and ease of movement while working.

Maintaining a good posture while working from home helps you avoid back pain. Adjusting your workspace to a comfortable position, taking steps to reduce stress and getting prompt treatment for any back pain will keep your spine healthy.

Look to Physiotherapy Phnom Penh for more information and advice that can help you enjoy a happy and comfortable life.

Posted on February 23, 2021 .

We would like to introduce to you our new physio Angelique

Angelique Heemskerk graduated as a sport and movement specialist in 2014 from the ROC -CIOS college in Haarlem in The Netherlands. Afterwards she successfully achieved a bachelor degree in Physiotherapy at the University of Applied Sciences in Utrecht. 

During her studies, she worked with disabled people as a movement specialist. After graduating from the University of Utrecht, she worked at two health care institutions simultaneously. By combining working in a clinic specialized in orthopedic rehabilitation, and at the same time in an institution for mentally and physically disabled adults and children with various developmental delays she gained a broad experience in little time in different fields of physiotherapy.  

In order to guide her patients successfully through every step of their recovery, In her treatment plans Angelique uses a combination of hands-on techniques and dynamic exercise programs. Her educational background both as a sports and movement specialist and as a physiotherapist are of great use, enabling her to tailor her treatment plan around the specific needs of each individual client.

Angelique loves to stay active and engages in a wide variety of sports, including surfing, kitesurfing, soccer, snowboarding and CrossFit. Before she arrived in Cambodia she used to work as a physiotherapist for a Dutch youth soccer team. Sports rehabilitation after sports injuries is a true passion of hers. 

On top of her hands-on experience, Angelique has expanded her skill set  by completing a course in sport massage, a medical/kinesio taping course. Finally she successfully completed  a lifestyle coach course, enabling her to advise her clients in a professional manner everything one needs when it comes to setting up the right exercise and nutrition program. Programs will be tailored to individual needs and include advices and tips on how to develop a healthy sleeping pattern. Angelique strives to continue to grow as a therapist and is committed to help you to recover from your ailments and injuries.

If you would like to book a session with Angelique or any of our other skilled therapist please contact us through facebook / instagram / whatsapp or telegram! Or call our clinics directly on 023996344 or 023996346!

Posted on January 31, 2021 .

We have found our new receptionist

Dear all, thank you very much for sharing our job vacancy and also thank you all for replying and applying!

After several interviews with different candidates we have found our new receptionist who will start working with us from 1-feb-2021 onwards.

Kind regards,

Your PPP-team

Posted on January 4, 2021 .

Job vacancy: Part time receptionist Boeung Tumpun

Dear all,

we are looking for a receptionist for our morning shifts from 7:45AM until 12:15PM on Monday to Saturday in our Boeung Tumpun clinic. Candidate should be fluent in Khmer and English and should have knowledge about Microsoft word, Excel and Gmail.

Responsibilities involve:
- Welcoming clients and make them feel comfortable
- Schedule clients for appointments
- Answering and replying to phone calls, email and facebook messenger
- Translate English posts to Khmer and upload on the Khmer physio page
- Receiving payments from clients
- Occasional translation from Khmer to English

Rewards:
- Competitive salary
- Monthly phone credit
- Interesting and challenging job
- Annual team trip
- Quarterly work dinner
- 1 free Saturday per month

Please contact us through our page, info@physiotherapy-phnompenh.com, 023 996 344 or 023 996 346 in case you have questions or if you would like to apply for this position!

Posted on December 15, 2020 .

Arrival of our new OT Joahnne Bernadas

We are happy to hereby announce our new team member and OT: JOAHNNE BERNADAS!

Joahnne is a registered Occupational Therapist from the Philippines with 4 years of experience in different settings, i.e. hospital, clinical and school-based. Before coming to Cambodia, she worked for children with special needs and adults with physical dysfunction at a JCI accredited hospital, Children with special needs in a school based and clinical settings in the Philippines. Her expertise includes children with Autism, Attention-deficit hyperactivity disorder, Down Syndrome, Behavioral problems, and Cerebral palsy. She is also trained to handle patients with Physical Dysfunctions such as CVA, TBI and other orthopedic cases.

Joahnne graduated with a degree of Bachelor of Science in Occupational Therapy at the University of Perpetual Help Dalta in Manila, Philippines on April 2015. She was awarded, together with her team, Best Thesis for their research paper on Effect of Skilendre in Promoting Independence in Dressing Skill of Children with Down Syndrome and were a finalist in University Annual Research Congress in 2015. She practiced her clinical internship with different government institutions in the Philippines.

She loves to travel to know more about different cultures. She would go to the gym and visit pet cafes during her free time.


“ I do believe people have their own pace of healing and I respect everyone’s uniqueness from each other, that’s why when dealing with different cases I always ask about the determination and willingness of the patients to participate in the therapy process. I have been working with both geriatric and pediatric settings so that I could at least accommodate people’s needs for either adults or children. I have also worked as a traveling OT to provide services to areas where OTs are not readily available. I also volunteered in medical missions and charities. I have a big soft heart for my patients and seeing them improve in many ways makes me feel happy and full filled. As I continue to learn and explore the world of Occupational therapy, I am going to take my Master’s degree in Occupational therapy to gain more knowledge that I can use in the field and to help more people.”

Posted on October 22, 2019 .

Vacancy : Physiotherapist F/M

About us :

Physiotherapy Phnom Penh was established in 2010 to respond to the increasing demand for quality physiotherapy services. The clinic’s reputation and demand for its services grew quickly and a second clinic was opened in 2015, with an expanded team of therapists and services available. The clinic recently started offering Occupational Therapy, supporting children to reach their full physical potential and helping adults to restore autonomy in their everyday lives.

At Physiotherapy Phnom Penh we provide a high standard of western physiotherapy and occupational therapy. All of our therapists possess internationally-recognised qualifications. Central to the quality of care, we use the latest developed methods and evidence-based guidelines.

Our mission is to help our patients in the best way possible to restore their physical movement, and reduce the pain and symptoms associated with physical trauma and injury.

The Job Physiotherapy Phnom Penh is now recruiting for a full-time Physiotherapist to join our team of five Physiotherapists and Occupational Therapist.

The successful candidate will be responsible for conducting general assessments and reassessments, tailored exercise therapy and promotion, and pain management for acute and chronic conditions.

S/he will have relevant physiotherapy qualifications, be experienced in sports and manual physiotherapy, enjoy working in an international and multidisciplinary team, be motivated to learn new practices and contribute new ideas to promote patients’ independence, and be inspired to make a difference in their patients’ lives and well-being.

Along with a competitive salary, we offer flexible working hours (36 hours per week), support for professional development, and the opportunity to gain experience with a variety of clinical practices.

How to apply Interested candidates should contact Dick van der Poel at +85592485593 (WhatsApp and mobile) to discuss their eligibility for the role, or write to dickvanderpoel@hotmail.com or info@physiotherapy-phnompenh.com with their CV and a written Expression of Interest outlining their qualifications and experience against the selection criteria.

Posted on March 6, 2019 .

Gezocht per juni/ juli 2019 : Gedipl. Fysiotherapeut m/v !!!

Mooi dat je geinteresseerd geraakt bent na het lezen van de advertentie:

Mijn naam is Dick van der Poel. Sinds 9 jaar werk ik met veel plezier als zelfstandig (sport) fysiotherapeut, en acupuncturist in de hoofdstad Phnom Penh in het altijd zonnige en exotische Zuid-Oost Aziatische land Cambodja.

Inmiddels werken er binnen onze Physiotherapy Phnom Penh Clinics 4 fulltime werkende Nederlandse fysiotherapeuten en 1 part time werkende Duitse collega. Sindskort hebben we ook een Spaanse ergotherapeute in dienst. Ons klanten bestand is zeer gevarieerd zowel qua aandoening als nationaliteit. Wij zien voornamelijk orthopedische klachten en veel van hen komen voor revalidatie doeleinden, na VKB, meniscectomie of rotator manchet reconstructie en sportblessures naar onze praktijken. Daarnaast gezien de specialisatie van zowel onze teamleden zien wij ook neurologische patienten. Kortom een heel gevarieerd aanbod.

Ongeveer 70% bestaat uit expats en 30% uit lokale Cambodjaanse bevolking. Voertaal is overwegend Engels.

Gezien een van onze ervaren collega's ons team aankomende zomer gaat verlaten, zoeken wij naar een ervaren fysiotherapeut (2 jaar plus ervaring) die ons team komt versterken.

Trekt het jou aan om minimaal voor een jaar het Hollandse miezerweer te vervangen voor het altijd warme Cambodja, en wil je jezelf ontwikkelen binnen een dynamisch internationaal team, stuur dan je motivatie brief en CV geheel vrijblijvend aan dickvanderpoel@hotmail.com of info@physiotherapy-phnompenh.com.

Je kan mij natuurlijk eerst voor wat meer informatie contacteren op mijn whats app nr; +855 92485593. 

Graag tot snel horens,

Groet,

Dick van der Poel                                                                                                        Team Physiotherapy Phnom Penh 

Posted on March 6, 2019 .

International Frisbee tournament

Over the last 4 years the clinic has been volunteering at the international Frisbee tournament in Phnom Penh. An average of 150 people, a mix of Cambodians, expats and frisbee lovers from  from all over Asia, enjoying their passion over the weekend. 

The clinic provides advise to prevent injuries, medical taping and first aid injury care. 

Posted on June 3, 2017 .

Physiotherapists and chiropractors in Cambodia (AsiaLife)

A growing number of physiotherapists and chiropractors are raising awareness of their craft. Amanda Saxton meets the professionals who are keeping Cambodia on the move. Photograph by Conor Wall.

Cambodia’s national football league has embraced the services of Dutch physiotherapist Lidwina Niewold, who advises and massages felled players in humid heat and pouring rain alike. That the skilled sportsmen are willing to dart to the sidelines in order to seek her ministrations shows a growing acceptance of her role in a country where the concept of manual therapy is, for many, relatively new.

Manual therapy is an umbrella term for practices such as chiropractics and physiotherapy, which seek the root of musculoskeletal pain. Chiropractors emphasise the correction of the spinal column, while physiotherapists are more interested in muscles, but both use techniques that can alleviate joint pain or general aches, aid mobility and promote rehabilitation after an injury or surgery.

“If your spine is misaligned, it can create an interference in the nervous system, which leads to a symptom — pain,” says Dr Christophe Savouré, of the International Chiropractic Clinic in Phnom Penh.

“Pain is demobilising. My goal is to remove all interference to allow the body to work better,” adds the French chiropractor, who once stopped a man’s feet from stinking after manipulating his back, demonstrating the relationship between spine and nervous system.

While in many countries a trip to the physiotherapist or chiropractor is often a go-to solution for a strained muscle or an out-of-whack back, professionals say that both fields remain relatively unknown in Cambodia.

At Physiotherapy Phnom Penh practice, patients include stroke victims and those suffering from sporting injuries, though “participation in Phnom Penh’s traffic” still brings in the most clients, according to physiotherapist Dick van der Poel.

Cambodian patients make up just 20 percent of clientele, adds his Physiotherapy Phnom Penh colleague Niewold, with most stopping by out of curiosity or being drawn in by word of mouth.

Kanha Neth, a 25-year-old Cambodian physiotherapist who has previously worked at Rose Cambodia Rehab Centre at Chey Chumneas Referral Hospital, explains that pills remain the primary means of pain relief in Cambodia. With potent painkillers readily available over the counter, experts say that such drugs may mask muscular or skeletal pain, rather than fixing the base cause. “Pain tells you something is wrong with your body. Shooting the messenger solves nothing,” says Dr Savouré.

Traditional massage is another popular way to relieve muscle and joint problems, says Neth. While it can ease tension, Niewold stresses that a lack of communication or medical training makes most masseuses unsuitable for uncovering the cause of pain or mobilising joints.

“Physiotherapists try more to focus on why the muscle is tensed up. Is it because of bad posture behind the computer?” she adds. “If you’re not going to do anything about the actual reason, it will come back.”

Experts agree that in some cases surgery can be avoided, and in others physiotherapy can at least enhance post-surgery rehabilitation. “You can wake up after a moto crash with five screws in your back,” adds Van der Poel. “The surgeon may have done a perfect job, but if you get an infection afterwards or don’t exercise to regain movement, you’re stuck.”

And while a physiotherapy diploma is available for Cambodians at the Technical School for Medical Care, Neth — who won a scholarship for her training — explains that finding a relevant job can be tough. The approximate 30 graduates per year are not always prioritised in hospitals and often work as pharmacists or in other understaffed areas, she says.

Many professionals in the field would also welcome more referrals. “We’d love to see more patients. Especially patients from within the hospital,” says Erin Hooper, an Australian volunteer at the Rose Cambodia Rehab Centre.

Progress is being made, as clinics such as Rose Cambodia, Physiotherapy Phnom Penh and the International Chiropractic Centre increase understanding of manual therapy in medical fields. Some invite local doctors to their premises to explain the role their practice can play in rehabilitation, with others conducting seminars in hospitals, more of which are planned.

“If doctors don’t know what we can do for patients, they can’t help their patients,” says Niewold, whose work with the national football league is also raising the profile of her profession, while opening eyes to both treatment and career opportunities.

Thanks to photographs of her work being posted on Facebook, a girl who wants to follow in her footsteps contacted her online. “That she wants to do what I do is not a compliment for me, but a compliment for the fact I am there on the field, in public,” says Niewold. “It’s a compliment for the physio profession.”

 

https://www.asialifemagazine.com/cambodia/physiotherapists-chiropractors-cambodia/

Posted on April 19, 2017 .

Keeping fit in Cambodia

Hard-hitting and time-efficient exercise regimes are taking over Cambodia, ensuring plenty of options for those looking to boost their health and get fit. Writing by Joanna Mayhew; photography by Charles Fox.

Before sunrise, at Phnom Penh’s Vietnamese Monument, a small group equipped with mats, water and towels gather in a semi-circle on the rusty red tiles. At a time when most are sleeping, save the monks chanting over the nearby wat’s loudspeaker, the seven members—led by a trainer and motivational music from a smartphone—begin planking and two-step dashing in quick succession. Ponytails fly, grunting steps up a notch and breaths shorten, as the moves pile on at a manic pace.

This is Metafit bodyweight training—a 30-minute metabolic workout designed to last a full day. The class is part of a growing number of niche fitness offerings invading the capital that focus on high-intensity interval training (HIIT)—involving fast-paced, short periods of intense anaerobic exercise interspersed with less-gruelling recovery periods. The interval training regimes have become a global craze in the last few years, and the trend is now catching on in the Kingdom. This includes CrossFit, Insanity and Metafit training–all new to Cambodia–along with upgrades to traditional high-intensity workouts like boxing.

Experts argue these workouts are superior to extended, steady cardio work on a treadmill or bike and improve fat-burning potential. The regimes also offer exciting potentials for long-term health. “Research nowadays is showing that bringing this type of workout into anyone’s fitness program is able to help reduce the onset of chronic diseases, cardiovascular disease, diabetes, stroke and arthritis,” says Metafit and Insanity trainer Andy Wenhlowskyj.

The science behind the magic? In short, exercising at maximum levels results in anaerobic conditioning. When oxygen intake is limited, muscles are depleted of glycogen, which sets in motion a process to increase oxygen for replenishing it. So for 24 hours after the workout, metabolism increases, which burns calories, aids in fat loss, builds lean muscle mass and improves fitness, claims Wenhlowskyj.

Insane Fitness
At Wat Botum Park, the exercise group moves on to the dreaded “burpee” move, a term now synonymous with the world of high-intensity workouts. It is a full-body movement combining a squat, jump, straight-arm plank, and often a push-up—and described by attendees as akin to torture.

The participants grunt their way through and are rewarded with a mere 10-second break. Then the whirlwind of action continues, advancing to skaters, commando crawls and explosive jacks. From a nearby bench, two women with paper facemasks gape at the moves, and a young passer-by emulates them from a safe distance. When not participating himself, Wenhlowskyj provides gentle corrections and a steady stream of encouragement.

The beauty is in the pain, according to the 31-year-old trainer. “This program isn’t designed just to be a walk in the park,” he says. “[It] teaches you that your body’s capable of more than you think, and pushes you to those maximums.”

As the founder and operator of HIIT Fit Phnom Penh, Wenhlowskyj was the first to offer Metafit and Insanity in Cambodia. The sessions focus on bodyweight exercises, with cardio conditioning involving jump training, strength work and core conditioning. “If you’re time poor, like a lot of us, then you can rock up to a class, and in 30 minutes walk away and know you’ve done the exercise your body needs for the day,” says the Melbournite.

Metafit participant Lauren Della Marta says she prefers the short, hard-hitting exercise to an hour-long jog, as well as being outdoors to gym-bound. “You feel like something’s happening right away; it’s like instant results,” she adds.

But the appeal stretches beyond the physical impact. Though a plethora of online, at-home workouts exist—particularly catered to high-intensity training—many fitness-seekers still opt for group classes to form community.

“Because everyone is in the same boat, you’re suffering together and laughing about how hard the exercises are, it’s definitely a chance to meet people and go for a coffee afterwards,” says Della Marta.

This is particularly true at the country’s first CrossFit gym, CrossFit Amatak, which opened in August. “The community is what pushes you further,” says founder and owner, Corbett Hix. “When you go through shit together, it brings people together. Everyday we put people through an hour of shit, and that creates bonds, even if they’re coming from completely different tracks of life.”

Superhero Training
As the mid-day heat sluggishly settles in, 11 people gather for the hour-long session at CrossFit Amatak. While a soundtrack of Cee Lo Green and Red Hot Chili Peppers competes with whirring fans and surrounding Toul Tom Pong construction, the gender-balanced participants practice Olympic-style snatch lifts using blue PVC pipes, with prompts such as, “drop and drive,” from head coach and manager Mike Titzer.

“CrossFit is constantly varied, high-intensity functional movements performed in a community environment,” explains Titzer, emphasising the conditioning program promotes both endurance and strength in short packages. Workouts can move from pull-ups to deadlifts and sprinting for power, speed, accuracy and balance.

“All of our work is meant to have a real-life analogue to it,” adds Hix. Each exercise relates to daily movement, with a deadlift comparable to picking up a child, and a push press to storing a piece of luggage in an overhead bin, says the 38-year-old Texan. “We want to prepare the body to be able to do that over the course of its life.”

With the gym—or box, as CrossFitters call it—decked out with bumper plates, a pull-up rig, kettlebells and large tractor tyre, it’s easy to see why Hix says his first impression of a CrossFit gym was “a playground for adults”—or “superhero training”. The equipment is a distinction of CrossFit, which has grown in popularity since being established in 2000, with about 11,000 affiliates now operating worldwide.

Challenging Perceptions
These hard-hitting offerings also challenge traditional perceptions of gyms, fitness and beauty. “I think a lot of the ethos started as a reaction to the global gyms, which have become more spas than anything else,” says Hix.

The new trainings bring it back to the basics—stripping away air conditioning, televisions and mirrors. In the case of Metafit and Insanity, even equipment is shed, allowing workouts to be performed anywhere.

“We try to challenge people’s traditional perceptions of why they might come into a gym, to take it away from the aesthetic,” says Hix. “Don’t live by the scale. Come in and say I want to be a healthier version of who I am currently.”

These workouts are well represented by females, and in the case of CrossFit are often women’s first exposure to weightlifting. “I think it’s quite empowering,” adds Hix. “To me, if a woman can throw me across the room, she’s a badass. I would love to help challenge those perceptions of beauty.”

By catering to small groups, programs provide a cross between a gym and a personal trainer, and eschew the commercial gym trend of making money from members who stop coming after New Year’s resolutions fade. This approach limits memberships, and therefore a two-way commitment is central to CrossFit.

The regimes also place responsibility on participants, and coaches act as motivators rather than drill sergeants. “When people rely on someone yelling at them, then when they try and maintain fitness themselves, they can’t,” says Wenhlowskyj. “It’s a better holistic view adding this program to an overall fitness lifestyle.”

Fighting Fat
As the sun sets, similar fitness takes place across town, but this time in cages. Set in a large, dome-roofed warehouse near Aeon Mall, Prokout gym offers high-impact training through boxing, kickboxing and cardio conditioning classes. The space boasts battle ropes, boxing bags, monkey bars, speed balls and a cubby hole stacked with boxing gloves and shin guards.

“Boxing is good for fitness because you use your whole body—arms, legs, knees, abs. It’s very, very high intensity,” says French owner Théodore Bitcheff, 24, who has fought professionally since the age of 17. “Now a lot of people do boxing because they want to get fit, not just because they want to box.”

Near Bitcheff, who sits beside a life-size dummy in an octagonal black-and-white cage, two men spar in the opposite ring, jabbing and crouching while rotating around the well-branded rectangle. “They motivate themselves,” he says of the participants. “Because they see the result.”

Opened in December, Prokout—the Khmer word for fighting—now has more than 100 members. Bitcheff, who grew up in Cambodia and speaks fluent Khmer, has been particularly successful in drawing Cambodians, who represent 65 percent of the gym’s attendees—with female Khmers making up 30 to 40 percent of fighters. He says local interest has grown “step by step”, and attributes this partly to social media, where interval training videos are widespread.

For Wenhlowskyj, exposing Cambodians to new regimes has been an opportunity to present more general information about the delayed onset of soreness, and distinguishing good and bad pain.

“I had no idea what it was like; your body is in pain [because] of moves you’ve never experienced,” says 35-year-old Insanity attendee Channa May. “Cambodians are more interested [in the workouts] once they understand the impact—telling alone may not work, but proving results to them [will].”

Challenges remain in language barriers, trainer certification procedures, which usually require leaving the country and testing in English, and economic realities. “Fitness, in all truth, is a luxury,” says Hix. The programs are seeking to enlist more Cambodians, and anticipate interest will increase as the country develops.

High Risk, High Reward?
But with workouts promising everything from lean muscles to increased energy and endurance, they could prove, for some, too good to be true.

“High-intensity training comes with fast adaptations, so you can become strong very fast,” says physiotherapist Mark Chen, of Physiotherapy Phnom Penh. “It also comes with a higher chance of getting injured.” As a result, Chen sees overuse injuries such as tendonitis and inflamed muscles. Though these can occur from traditional workouts, increased impact brings higher risk, he says.

Often the root issue is muscular imbalances resulting from behavioural and postural problems, particularly from desk jobs. “If you take those into a high-intensity setting, it can create problems,” he says, adding many people jump from a sedative lifestyle to advanced training. “If you haven’t been doing anything for 10 years and eat a lot of crap, and you’re looking at complex movements with weight, you might want to take a step back,” he adds. “High-intensity training is not for everyone.”

However, there are safe ways to participate in these workouts, according to Chen. Being under the guidance of a properly trained instructor reduces injury risk, along with education about diet and injury management. “You have to know what kind of limitations you have and respect that,” he says, referring to genetics, age and experience. “If you know how your body works and have good technique, you can keep going for a long time.”

Trending Health
The long term is key, as those who swear by the workouts say high-impact training is here to stay. “It might sound like a fad because it’s a buzz word, but this type of exercise has been done by athletes for decades,” says Wenhlowskyj “If you were doing this 20 years ago, [or] in 20 years’ time, you’re still going to get the same benefits, and no one will ever disagree with that.”

Trainers recommend starting slow and mixing workouts with other regimes, such as resistance training, running and yoga, as well as allowing for recovery time.

But the top recommendation is not to let the intensity intimidate, and to give it a go. With attendance up, current offerings look set to further expand, and new places are sure to follow behind—the perfect time to dust off New Year’s resolutions, and tackle fitness afresh.

“And don’t be scared of the word burpee,” says Wenhlowskyj. “Learn to love it.”

 

https://www.asialifemagazine.com/cambodia/keeping-fit-in-cambodia/

Posted on April 19, 2017 .

Physiotherapy Phnom Penh expanding

When Tim Hartman, an American tourist, crashed his motorbike in Kep he was left with two broken ribs, whiplash, a concussion and a hyperextended shoulder. After the shock wore off, he saw few viable options for recovering in Cambodia and thought of returning to the US to heal.

“That is when an Australian nurse in Sihanoukville referred me to Physiotherapy Phnom Penh,” said Hartman. “Before coming here I couldn’t turn my head to the side, or use my shoulder. Luckily, for my head, I was wearing a helmet,” he said.

 

Still bandaged, Hartman sat in the lobby of Physiotherapy Phnom Penh II—the clinics new office which officially opens today—on Monivong Boulevard, a block north of The Royal Raffles Hotel.

“If it wasn’t for Dr Dick, I wouldn’t be making progress and wouldn’t be able to continue on my journey,” he said, describing how after a few treatments that mobilized his spine, his neck is healed and a full range of motion has returned to his shoulder.

Dr Dick van der Poel, the lead practitioner out of a group of four Dutch-certified staff and one part-time British, first opened Physiotherapy Phnom Penh near the Russian Market in 2010. Since then, his practice has grown first through word-of-mouth, and now by referrals from some of the capital’s largest hospitals and established clinics.

“We help people get back on their feet again,” said Dick. He went on to describe how in a country that lacks western style facilities, he bridges the gap between the emergency room and full rehabilitation by focusing on the musculoskeletal system. The musculoskeletal system is what actually binds the body together and includes everything from bones to muscles, cartilage, tendons, ligaments and joints. It is what makes the body move and function, and it is also what is most prone to injury.

 

Although, unsurprisingly, a number of his patients have been involved in motorbike accidents, he also specializes in sports medicine, surgical rehab and chronic pain caused by previous injuries or inadequate office conditions, he explained. He is also trained in Chinese medical practices like acupuncture, thus creating a synergy between eastern and western practices.

“When a patient comes in we ask them why they have an ailment. Then we do a full mobility test to provide an overall assessment to find the underlying cause of the pain,” he said, noting that a lot of his patients have been previously misdiagnosed.

From there, he develops individualized treatments to get his patients back to work or out on the soccer pitch.

“We also teach about the value of stretching, and the difference between bone and muscle injuries and how the body functions so that patients can integrate this knowledge into everyday life,” he said.

Although his patients are predominantly foreigners at an estimated 80 per cent, he hopes that Cambodians will become aware of the need to maintain proper physical health through prevention and education, rather then just treating the injury through medication that ignores the root cause of the pain, he explained.

The newest addition to their team, the energetic Mark Chen who is certified in physical fitness training and sports medicine, is heading up a new program to diversify their services away from just rehabilitation with the “Back in Action” programme. The 10 week training programme uses education and medical training to strengthen the lower back.

“[The programme] restores muscle balance and encourages postural changes, which can take awhile to be corrected,” said Chen.

Chen also offers one-on-one personal training classes to increase overall fitness, as well as group fitness programmes. The individual classes are offered on a per session basis, while the group programme includes 10 sessions. The individual classes allow for fitness training one hour a week, or two hours twice a week.

“These types of classes have been very successful in Holland,” he said, “and now we have the correct facilities to educate people on how to exercise properly and avoid injuries.”

 

http://www.phnompenhpost.com/post-plus/physiotherapy-phnom-penh-opens-second-clinic

Posted on April 18, 2017 .

Female Physio in a man's World

So what’s the story behind Phnom Penh Crown’s mould-breaking female physio, Lidwina Niewold? For mega clubs like Chelsea its almost common practice to employ female medical staff, but for a team in the Cambodian League it’s unheard of. “As a teenager, my dream was to help professional footballers with their injuries. I come from a football-playing family and played for a girl’s team as soon as I could. But I suffered an injury when I was 20 and didn’t get it treated properly. So I know from my own experience how important it is to make sure players get the best possible treatment. I’m addicted to football, I love it. The fact that I can be involved on the pitch and use my physio skills at the same time is like living my childhood dream.” Brummen, in east Holland, is home for Lidwina. A twin, she has four brothers and a sister and football for girls was popular in her area of Holland, enabling her to play regularly and to help train a girl’s team for a couple of years. She studied physiotheraphy in Utrecht for four years including an internship in Indonesia for six months. “That was an amazing experience. I worked in a hospital and then a small health care center in the countryside, and with disabled children.”

 

Lidwina arrived in Cambodia in November 2011 to work with Dick van der Poel at the Physiotheraphy Phnom Penh Clinic. Early on she treated one of the Crown Academy boys and things kicked off from there. She attended a few Academy games, took over the rehabilitation of Kouch Sokumpheak and was then invited by head coach Sam Schweingruber, to get involved with the senior team. “I’m trying to make the players conscious about their body, and what to avoid. I can treat them with manual physiotheraphy, massage, medical taping or exercising. My goal is to get them back as soon as possible but without risk of more damage. Sokumpheak is a good example. He is coming back from a serious knee injury. Step by step he’s been doing more exercises to strengthen his muscle, coordination and stability. The aim is to get him back playing matches but also to avoid further injury.” She’s only too aware of what can happen if injuries are not treated correctly. “I am my own worst example. When I was 20 I twisted my ankle and damaged my ligaments. Because I couldn’t wait to play again, I didn’t get enough rest, I didn’t do my strengthening exercises properly and it took me a really long time to recover. Now I realize how stupid I was, I just wanted to play and failed to take good care of my ankle. My job now is to make sure that doesn’t happen to the Crown players, and of course, to my clients at the clinic.”

 

For now, Lidwina is enjoying her involvement with Cambodia’s most go-ahead and proactive football club. Always prepared to try something different, Crown have a recent history of Croatian, British and Swiss coaches, a British press officer, the country’s first-ever youth academy, its own artificial training facility, a fan and community engagement agenda and now its own foreign female physio. “We’d like to have a Cambodian physio working with me, specializing in sports injuries. Not only for now but for the future. Clubs and coaches need to understand what physiotheraphy is and that with physically fit players you can win competitions. If players keep going with small injuries, the body gets weaker and the risk of serious injury grows. Sportsmen are difficult patients. They want to recover as soon as possible and I have to stop them or push them, depending on the extent of the injury. Football is and will always be a man’s world, but nothing is impossible if you have a dream and you follow that dream.” 

 

http://cambodiafootball.blogspot.nl/2013/02/in-mans-world.html

Posted on April 14, 2017 .