Durham Sports Medicine Center
3000 Garden Street, Unit 211 L1R 2G6 Whitby, ON, Canada

#Repost @ramchandani_rohit We've learned a lot about transmission dynamics & how COVID spreads over last 6 mnths. Here's some key insights from a recent evidence review (Cevik et. al, 2020). Transmission risk is multi-dimsnional & depends on many factors: contact pattern (duration, proximity, activity), individual factors, environment (e.g. outdoor vs. indoor) & socioeconomic factors (i.e. crowded housing, job insecurity, higher immigrant poplns). Fig1... Sustained close contact drives the majority of infections. E.g. close family/friend contacts & gatherings are at > risk for transmission than shopping or brief community encounters. E.g. being a spouse/partner, sleeping in the same rm/space, frequent daily contact w index case, & dining in close proximity have been associated w risk of transmission. Longer, > frequent exposure, close proximity, # contacts, grp activities (esp. dining) = risk. Many ppl either don't infect anyone or infect just 1 person, & a large # of 2 cases are caused by a small # of infected ppl. This is related to other factors as well. Individual variation in infectiousness plays a major role. Fig2 Infected ppl r very infectious for a short window, likely 1-2 days before & 5 days following symptom onset. So far, no transmission has been documented after the 1st wk of symptom onset. Fig3 While asymptomatic patients can transmit virus to others, emerging evidence suggests that asymptomatic index cases transmit to fewer 2 cases. Attack rates are highly correlated w severity of symptoms. Transmission also depends on other host factors (e.g. defense mechanisms, age, etc.) Contact pattern is influenced by encounter setting. Studies suggest an ~20x higher risk of transmission indoors vs. outdoors. Prolonged indoor contact in a crowded & poorly ventilated envmnt significantly risk of transmission. occupancy & improving ventilation through opening windows/doors can lower risk. Largest outbreaks around reported in LTC facilities, nursing homes, homeless shelters, prisons, & meat plants. Disproportionate impact on households living in poverty, racial & ethnic disparities observed (often structural) emphasize need to u

Not worried about the health implications? Imagine a flu that doesn't go away for MONTHS. Yeah, wear a mask, socially distance, and wash your hands.

@who has declared a global pandemic so let's all do our part to minimize the spread of germs and make sure we're regularly washing our hands for AT LEAST 20 seconds.

As we've started to see preliminary cases in Ontario dropping, we'd like to take this opportunity to thank all our dedicated front line workers for their hard work and sacrifices in these unprecedented days- Especially our local hero's at #LakeridgeHealthOshawa and #LakeridgeHealthAjax We still have a long way to go but there is light at the end of the tunnel! Continue to #StayHome and practice #SocialDistancing and we'll all see better days soon. #DSMC #Whitby #Oshawa #Bowmanville #Ajax #Pickering

I hate that I feel compelled to post this because it seems condescending and insulting to most people's intelligence but please DO NOT inject yourself with or ingest any disinfecting chemical agents. Please see the official statement from the parent company that owns Lysol. https://www.rb.com//2/april/improper-use-of-disinfectants/

It's days like these that we can miss the activities we took for granted- But as long as we co to use to #stayhome then #betterdaysarecoming Think of now as an off season and your home as your gym- get creative with your workouts, you can make them as basic or sport specific as you like. Not sure how? Consider a virtual appointment and we can show you how. Email [email protected] for more information!

@who has declared a global pandemic so let's all do our part to minimize the spread of germs and make sure we're regularly washing our hands for AT LEAST 20 seconds.

We use #athleticmovementassessment to not only assess muscle/movement inequalities but determine when to progress patients to more demanding forms of activity. . Loading a person with activity they can't safely perform is 'almost as' dangerous as sending them back to an activity after a compromise with no active care at all. #DSMC #Whitby #Ajax #Oshawa #Durham #physiotherapy #chiropractic #massage... #Repost @athleticmovementassessment Over cueing an athlete may help them PERFORM an exercise perfectly, but an over reliance on this method of teaching impairs motor LEARNING, ultimately reducing the retention and transfer of that exercise to other movements. . We all remember cramming before an exam, performing well the next day, only to forget all of that information almost immediately! The same is true of learning and performing movement. . Let your athletes learn an exercise through exploration and errors, before you introduce too much instruction. . Do you help your athletes learn, or are you only focused on performance? #athleticmovementassessment #assesswithintent #assessment #movement #exercise #chiro #chiropractor #physio #physiotherapist #physiotherapy #dpt #sportstherapy #athletictherapy #athletictherapist #trainer #personaltrainer #strengthcoach #coaching #teaching #motorlearning

Christmas comes early for @k.brisbane26 ! Follow his progress on @justusleague.jlsc and watch one of Canada's best in action! Now Santa just has to carry it another 5,000 km ...

If you are near the Bowmanville area check out a great cause supported by a great organization!

Trying out the new #Chatttape from @djoglobalcanada on one of Durham's best football receivers- Thanks @lsaye for the sample! #Chattitup #DSMC #Whitby #Oshawa #Ajax #Pickering #Football #physiotherapy #chiropractic #massagetherapy #sportsmedicine

Incredible end to an incredible season- a huge congratulations to the @raptors for bringing Canada our first NBA championship! #WETHENORTH #6ixin6

Hi all! We've got exciting news to pass along- Starting Monday Feb 18 we've MOVED UPSTAIRS into Suite 211! SAME building, DIFFERENT suite, NEW and IMPROVED care No changes to our phone, fax, or email- come on by for a visit and schedule your massage, physio and chiro appointment today!... #DSMC #Whitby #Ajax #Oshawa #Brooklin #Bowmanville #PortPerry #FunctionalRangeRelease #SportsMedicine #Physiotherapy #RMT #MassageTherapy #Chiropractic #PhysicalTherapy #Sports #Injury #Prevention #Chronic #Pain

Today is #BellLetsTalk day but let's resolve to make everyday just as open to talking about mental health.

Christmas comes early for @k.brisbane26 ! Follow his progress on @justusleague.jlsc and watch one of Canada's best in action! Now Santa just has to carry it another 5,000 km ...

We'll just leave this one right here. Good on you Nike- Keep fighting the good fight Kap. #kneelforsomething... https://youtu.be/Fq2CvmgoO7I

Great to work with Bryce Crawford a Bobsleigh Canada Skeleton world cup hopeful. Definitely one of the strongest athletes we've ever worked with! He's one of Durham's best and we wish him nothing but success in his upcoming push (no pun intended) to make the Canadian World Cup bobsleigh team. For sponsorship opportunities please contact Bryce at [email protected]... #DSMC #WHITBY #DURHAM #OSHAWA #AJAX #INJURY #PREVENTION #BOBSLEIGH #Athleticmovementassessment

A great place to learn self defense and a great life skills to have- even better, it's FREE.

Dont forget about our BBQ meet and greet this Thursday! We hope to see new players out.

With every new catchy named diet that come out we continue to learn that it's real, whole foods that work best to make humans rehab and perform optimally. In other news, water is wet. https://twitter.com/SMCDurham/status/1031352652985073664

Congratulations to @alexovechkin and the @capitals on their long sought after Stanley Cup Championship!

In remembrance of the young men whose lives have been taken and affected by the Humboldt tragedy we have @timhortons #HumboldtBroncos doughnuts for our patient's today. Working with athletes and their families allows us to form a unique bond at times. On behalf of our entire clinic team we wish to extend our heartfelt condolences and best wishes to the entire @sjhlbroncos community. -Dr. Aaron Pereira