Infrasternal Angle Treatment 101

I measured the infrasternal angle…..uhhh, now what?

No doubt you’ve heard a bazillion things about the infrasternal angle. You maybe even have been measuring them pretty consistently and know it’s a big deal.

You know what we don’t talk about though?

What the hell do you do about it?!?!?

You’ll find out in this post

Read More

Breathing: Biomechanics, Exercise, and Education

Do you ever get asked why are you breathing like that during an exercise? Or worse yet, maybe you’ve gotten in ANOTHER Facebook argument with some trainer or clinician who is skeptical of breathing. Despite typing feverishly, throwing all caps on that comment, everything you can, no luck. It’s interesting to consider why some peeps think of breathing as this separate piece from movement. It’s something esoteric, different. When in reality… Breathing affects pelvic floor dynamics, impacting how your hips move Breathing influences the intra-abdominal pressure needed to move heavy ass weights You upper body and cervical mobility can be impacted by breathing. Not sure if you know this, but uh, most of your upper quadrant muscles attach to the ribcage fam! Breathing isn’t something fancy, but an integral piece of how we move and perform. If maximizing your movement quality sounds like something you want to learn how to do, take advantage of breathing. To implement breathing into your training, you’ll need to learn some biomechanics, apply airflow to your favorite lifts, and educate others so you can show them the way, the truth, and the light. Don’t worry fam, I got you with Movement Debrief Episode 126.

Read More

What is the Best Posture?

Ever argue with someone about good posture?  Are you ready to tell them it’s all bullshit? We are meant to move, so the best posture is one that is constantly changing.  In fact, research shows movement variability, the changes we unconsciously make within movements, is a marker of health and reduced injury. How beefed up would your posture knowledge be if you knew… What “good” posture actually is? Can you really be “stuck in extension?” What “stacking” is and why it’s essential to movement? What are the best cues to change someone’s posture? Well those are just a few of the many things you’ll learn in today’s video interview I did on Phillipe Gervais’ Youtube channel. It’s time to finally silence those posture junkies. Time to have that difficult conversation with your mom (cue childhood trauma of mom telling me to sit up straight). Time to take your movement knowledge to the next level! Watch the video below and prepare to deep dive! Photo credit: Steve Leggat

Read More

How a Six Pack Affects Movement

A deep dive into abdominal wall compensations Movement Debrief Episode 120 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 setlist: What movement compensations can occur from a concentric rectus abdominis? How can the rectus abdominis become eccentrically oriented? How does abdominal fat impact movement? How does a pooch belly develop? What is a diastasis recti? How does breathing coaching change with a diastasis recti? What breathing would be recommended for diastasis recti during conditioning? How can a pooch belly be managed in standing? What are umbilical hernias? What causes umbilical hernias? Should surgery be done? What conservative treatments can be given for an umbilical hernia?

Read More

Assessing Compensatory Strategies

A deep dive into the practical application of respiratory mechanics When you deep dive into the biomechanics, it’s easy to get lost in the weeds. You are trying to figure out how the scapula moves just so, or what is the big toe doing during this part of the squat…yikes! While greater biomechanical understanding is necessary, it’s not the most important piece. You can never lose sight of how to help your clients. That is the highest priority. Practical application. Which is why I think you’ll love my feature on the Upper Left Performance Podcast. It’s just enough of the details of movement compensations, with heaps of practical application! Topics covered include: What are the two common compensatory strategies people can present with? How does body structure influence one’s ability to move Simple assessments for determining one’s compensatory strategy How to adapt one’s training to maximize movement quality Click here or the link below to tune in! Upper Left Performance #14 Zac Cupples  Image by pisauikan from Pixabay

Read More

All About the Spine

How to maximize your spinal movement Movement Debrief Episode 118 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 setlist: What happens to the thoracic spine and scapulae during inhalation? What compensatory strategy is present with a Dowager’s Hump? What treatments should one with a Dowager’s Hump focus on? What sitting posture is best? Should restoring sagittal plane motion allow for rotation to occur, or must you focus on rotation? When can the spine present with excessive lumbar flexion? What is the action of the lower trapezius on the spine? When could recruiting the lower trapezius be useful? Is the cat-cow exercise useful? How does a spinal fusion impact respiration?

Read More

All About the Ribcage

Learn how reaching and improve upper body mobility Movement Debrief Episode 117 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 setlist: What order should I prioritize improving ribcage expansion? What is the manubriosternal joint? What happens when I have mixed compensations at the sternum? How can I encourage ribcage dynamics without increasing secondary compensations? What visual cues can I look at to see if someone can “stack?” What is different about infrasternal angle presentations between 90-110 degrees? How do I go about improving these particular infrasternal angle presentations? How can thoracic sidebending be useful with improving ribcage dynamics?

Read More

Introduction to Orofacial Myofunctional Therapy Course Review

How improving tongue mobility can impact sleep and nasal breathing I hit a plateau. I was getting good results with many clients. I was making infrasternal angles dynamic, restoring hip flexion and extension, and getting ribcage mobility on fleek. Yet there were still some folks who I couldn’t get the symptom change they needed. Either they had really stiff necks, craniofacial issues, or difficulty sleeping. I knew I was missing something. Then I found myofunctional therapy. My buddy Joe Cicinelli, my myofunctional therapist, gave me some tongue exercises surrounding my tongue-tie release surgery, and I noticed some interesting changes with myself. My neck felt looser, I was sleeping better, and just overall feeling better. I decided to experiment and try a few activities here and there on some clients. With having only a rudimentary understanding, I started seeing some of those troubling cases improve. Necks were less tight. Sleep was improving, jaw pain was vanishing. I needed to learn more. That’s when I came across the Academy of Orofacial Myofunctional Therapy (AOMT) and saw they offered an introductory course. I was in. Four days later, a gap was filled. Having applied these techniques to several patients, many of those troubled cases were not so troubling. Although I was addressing airway with most of my treatments, I neglected the uppermost portions of it. The folks at AOMT give you that and then some. With this course, we deep-dived into anatomy, evidence, assessment, treatment, and business. You really get a total package

Read More

Reaching: Theory and Practice

Learn how reaching and improve upper body mobility Movement Debrief Episode 116 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 setlist: How does airflow change at various reaching angles? How does airflow change with trunk rotation? What is the scapular orientation during shoulder extension? How does one with a posterior thorax tilt present? How do different carry variations impact airflow?  How does forearm supination and pronation impact reaching? How can we sequence carries in a manner that allows for maximal airflow expansion? How can you tell if someone is using a compensatory strategy when they are lifting weights?

Read More

Infrasternal Angle Compensations and Treatments

A deep dive into the infrasternal angle Movement Debrief Episode 115 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 setlist: What are the primary compensatory strategies with a wide and narrow infrasternal angle? What would be secondary compensations seen with these infrasternal angles? What test results would each infrasternal angle have? What exercises should be programmed for inhalation and exhalation strategies? What is the upper thorax presentation for each infrasternal angle? What exhalation strategies should each infrasternal angle use? Are there times it’s okay to deviate from these strategies?

Read More