Movement Debrief Episode 80 is in the books. Below is a copy of the video for your viewing pleasure, and audio if you can’t stand looking at me.
Here is the set list:
- Does the infrasternal angle (ISA) impact my decision-making?
- What is the role of the ISA?
- What should be done if pain is brought on by a pelvic tilt and exhalation?
- What activities do I utilize to improve activity of the gastrocnemius and soleus?
If you want to watch these live, add me on Facebook They air every Wednesday at 8:30pm CST.
Enjoy!
and the audio version:
Table of Contents
Below are the links mentioned in the show notes
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Here and here are some good debriefs on the infrasternal angle
Here and here are two solid debriefs on sacral counternutation
Here is a money debrief on restoring hip extension
Below are a few moves that I like to get dem calves
First, my marching progression
to something like wall triples
and eventually skips
Also, here’s a little added bonus from my BA VA, Kris Camelio regarding disc bulges. He’s an all star PT student, and has the up and up on pathologies and whatnot:
Flexion *to original physiological neutral* for a true disc *bulge* should feel better. Of course, disc bulges typically have a lateral component because of the spinous process/vertebral body structure, and the presence of the Posterior Longitudinal Ligament/central connective tissue thickening.
For a disc bulge, on the side of the radicular symptoms (or, perhaps, on the side of the radicular symptoms that are worse, or that appear to be excessively flexed or side-bent)— be sure to move *slowly* to the position of flexion/extension/sidebending, so as not to pinch any bulging/inflamed material. In this case, maintaining lordotic curve that avoids extreme end-ranges during these activities for lumbar disc bulging should be okay— and should minimize radicular symptoms.
Make sure your peeps have seen a medical professional to undergo a thorough eval, to rule out other potential, more serious causes of the radicular symptoms (e.g. space-occupying lesions, vertebral fractures, or legit sequestration of nuclear material) that certain exercise or activity choices could be making worse. So, at those specific levels that may be bulging, I would tend toward a neutral position, which is actually a position of slight extension. Once you find a (usually kinesthetic) cue that gets that particular segment to a comfortable position that isn’t re-creating radicular symptoms, then, if appropriate, proceed with the planned intervention— being careful to maintain a comfortable position at these vertebral segments, and, like Zac mentioned— dissociating movement at those particular segments from movement at the SIJ, lumbopelvic or thoracolumbar junctions. ✊.