Category: All Things Rehab

Referrals Gone Wrong: How to Handle When a Practitioner Screws Up

Have you ever worked with someone who had a clinician or coach that did something that made you scratch your head? Or worse yet, perform a surgery they didn’t need? These scenarios can be beyond frustrating, but as a professional, you must maintain composure and be respectful. We all know that this can be hard to do, when someone you care about was done wrong. Are there ways to make these transitions occur smoothly? I answer that in today’s podcast. Give it a listen and read the modified transcript below.

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Breathing During Exercise, Femoral Anteversion, and Assessment Priorities – Movement Debrief Episode 49

Movement Debrief Episode 49 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: When should you breathe during exercise? Are there times in which breath holding is warranted? What is femoral anteversion? Is there a way to test for femoral anteversion? What treatment considerations must one make for femoral anteversion? In what testing order do I chase variability? If you want to watch these live, add me on Facebook or Instagram.They air every Wednesday at 7pm CST. Enjoy! and the audio version…                    Here were the links I mentioned: Sign-up for the Human Matrix in Seattle September 15-16th here   Sign-up for the Human Matrix in Portland, OR November 10-11 here Breathing During Weight Training – Lyle McDonald Concurrent Criterion-Related Validity and Reliability of a Clinical Test to Measure Femoral Anteversion Determination and Significance of Femoral Neck Anteversion FAI Investigation of Association Between Hip Morphology and Prevalence of Osteoarthritis Infrasternal Angle Overhead vs Quadruped Narrow Infrasternal Angle Training Modifications Using the Infrasternal Angle – Lucy Hendricks Restoring Shoulder Motion Shoulder External Rotation Hip Adduction and Abduction Explaining Hip Range of Motion Here’s a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies: [yikes-mailchimp form=”1″ submit=”Get learning goodies and more”] Breathing During Exercise https://zaccupples.com/2018/05/24/movementdebrief49/#Assessment_Priorities Femoral Anteversion

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How to Communicate with People in Pain

Communicating with people in pain is a tricky situation. If you say the wrong thing, or act afraid amidst pain, negative consequences will ensue with your client. So what is a clinician or coach to do when talking with a client? Are there better word choices to make when communicating with someone in pain? If you have these questions, then check out this week’s podcast and post. I provide some suggestions to help communicate with your people in pain, which will help them reach their goals.

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Leg Length Discrepancies, Voodoo Bands, and FAI – Movement Debrief Episode 48

Movement Debrief Episode 48 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: What is the long-sit test? Can we accurately measure leg length discrepancies? How relevant are leg length discrepancies? What’s the deal with voodoo floss/compression bands? Are they effective? How is femoral-acetabular impingement treated? What considerations need to be made with a cam vs. pincer impingement? If you want to watch these live, add me on Facebook or Instagram.They air every Wednesday at 7pm CST. Enjoy! ERROR: I misspoke on the different impingement types. A Cam impingement is a change in the femur, whereas a pincer impingement is a change on the acetabulum and the audio version…                  Here were the links I mentioned: Sign-up for the Human Matrix in Seattle September 15-16th here   Sign-up for the Human Matrix in Portland, OR November 10-11 here Check out the long sit test (from Physical Therapy Nation): Here is a video of the Hruska Adduction Lift Test (learned it from PRI) Here are some infrasternal angle resources: Infrasternal Angle Overhead vs Quadruped Narrow Infrasternal Angle Training Modifications Using the Infrasternal Angle – Lucy Hendricks Methods for Assessing Leg Length Discrepancy Here is a picture of a cam and pincer lesion: Multicenter outcomes of arthroscopic surgery for femoroacetabular impingement in the community hospital setting Here is an adductor pullback (courtesy of a young Z)

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April 2018 Links and Review

Every week, my newsletter subscribers get links to some of the goodies that I’ve come across on the internets. Here were the goodies that my peeps got their learn on in April. If you want to get a copy of my weekend learning goodies every Friday, fill out the form below.  That way you can brag to all your friends about the cool things you’ve learned over the weekend. [yikes-mailchimp form=”1″ submit=”Hell yes I want weekend learning goodies every Friday!”]

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Hamstrings, Mental Resiliency, and Ankle Dorsiflexion – Movement Debrief Episode 47

Movement Debrief Episode 47 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: Do the hamstrings play a role with respiration? How does one train hamstrings? Can respiratory training improve mental resiliency and decision-making? How else can one improve decision-making in high stress environments? How do I approach improving ankle dorsiflexion? If you want to watch these live, add me on Facebook or Instagram.They air every Wednesday at 7pm CST. Enjoy! and the audio version…                  Here were the links I mentioned: Sign-up for the Human Matrix September 15-16th here   Here is a link to the Complete Anatomy app Derek Hansen seminar course notes Derek Hansen Extreme Ownership The toe touch to the squat for narrow infrasternal angles The sink squat for wide infrasternal angles The counterweight squat as a terminal progression The Squatting Bar Reach: A Movement Deep Dive The Ultimate Guide to Treating Ankle Sprains Here’s a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies: [yikes-mailchimp form=”1″ submit=”Get learning goodies and more”] Hamstrings Mental Resiliency Ankle Dorsiflexion

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You’re Hurt, Now What?

Getting hurt. It happens. Many times when it does, your mind will end up racing. What should I do? Should I go see a doctor? Do I just wait it out? What can I do to help me get back on my feet faster? Without a guide, these questions may seem impossible to answer. Until now. Check out today’s podcast and post that creates for you a standard operating procedure anytime an injury is sustained.

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Neck Strength, Narrow Infrasternal Angles, and My Joint Went Out! – Movement Debrief Episode 46

Movement Debrief Episode 46 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: How can we best train the neck for grappling or head impact sports? What are the mechanics behind the narrow infrasternal angle? What is the treatment strategy for a narrow infrasternal angle? Do joints go “out?” If you want to watch these live, add me on Facebook or Instagram.They air every Wednesday at 7pm CST. Enjoy! and the audio version…                      Here were the links I mentioned: Sign-up for the Human Matrix September 15-16th here Here is a video of the neck bridge (courtesy of Expert Village) Action of the Diaphragm on the Ribcage Respiration Revisited Here are some exercise I give to people with a narrow infrasternal angle. My top is the diamond lazy bear: The toe touch to the squat the dorsal rostral squat and the sidelying pec twist Systematic review and meta-analyses of the difference between the spinal level of the palpated and imaged iliac crests Content validity of manual spinal palpatory exams – A systematic review Reliability of Physical Examination for Diagnosis of Myofascial Trigger Points The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model Neurophysiological effects of spinal manipulation Here’s a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload

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Refer In: When Trainers Can Work with People in Pain

It is a common recommendation to immediately refer clients in pain to a medical practitioner. However, immediate referral is oftentimes not warranted, and in certain cases is discouraged. But as a trainer, how do you know when a client’s pain is a medical problem, and when is it not? With today’s podcast, I hope to answer that question for you, as well as give you tips on working with people in pain, and collaborating in a manner that is in your client’s best interest. Enjoy, and check out the modified transcript below                  Modified Transcript If you are a trainer, and your client has pain, what should you do? Well I’m glad you asked. Many people on the interwebz will make the claim that if your client has pain, you should refer. The reason why this claim is made is 1) because you do not want to make your client problem worse; 2) you also want to cover your ass. If you do something and your client’s problem gets worse, you could potentially get sued. That’s why people say “when in pain, refer out.” I think that this claim is bullshit, and here’s why. Reasons why immediate referral can be problematic There are three negative consequences when you pull the referral trigger too early. Pain does not equal tissue damage This claim assumes that pain and tissue damage are synonymous. If you listen to my talk, Practical Pain Education, you would find that

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Perfecting the Subjective Exam

The subjective examination is that first conversation, that first point of contact you get with a client. Your first chance to understand them and win them over. But what if you stumble during this crucial piece of the client interaction? What if you miss out on the key ingredients? What if you keep someone on your schedule who you can’t help? Well, if you listen to this podcast and check out the modified transcript below, you too will have answers to these crucial questions. And perfect your subjective exam. Enjoy:                   

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Diastasis Recti, Useless Exercises, and CRPS – Movement Debrief Episode 45

Movement Debrief Episode 45 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: What is diastasis recti? How does one treat diastasis recti? What exercises are generally time-wasters in the rehab process? What exercises ought to be used instead What is Complex Regional Pain Syndrome (CRPS)? What are some treatment strategies for CRPS? If you want to watch these live, add me on Facebook or Instagram.They air every Wednesday at 7pm CST. Enjoy! and the audio version…                    Here were the links I mentioned: Sign-up for the Human Matrix September 15-16th here Unstable surface training Upper body unstable surface training Attention bias in complex regional pain syndrome: it’s not just about the body Space-based, but not arm-based, shift in tactile processing in complex regional pain syndrome and its relationship to cooling of the affected limb  Limb-specific autonomic dysfunction in complex regional pain syndrome modulated by wearing prism glasses Course Notes: Graded Motor Imagery NOI Recognise App Course Notes: Therapeutic Neuroscience Education Here’s a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies: [yikes-mailchimp form=”1″ submit=”Get learning goodies and more”] Diastasis Recti Useless Exercises CRPS

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Improve How Your Clients Move By Signing Up for the Human Matrix

Do you… Have patients who hurt multiple areas and are unsure where to start? Have training clients who can’t perform the exercises you want to despite extensive coaching? Want to maximize your client’s movement capabilities better than ever before? Want to know why incorporating breathing into your skillset is exceedingly important? Then welcome to Human Matrix: The Code for Maximizing Health and Performance. A course where you will become a master of understanding and affecting movement systemically, building up your client’s movement repertoire from the ground up and better than ever before. What you’ll learn when you Enter the Human Matrix ■ The impact maximizing movement variability can have on your clients. ■ How to normalize range of motion of the entire body to both reduce pain and improve how your clients move with a few simple movements. ■ How to integrate breathing into your practice to reduce your clients’ pain and improve their ability to move. ■ How to effectively coach squatting, deadlifting, pushing, pulling, and more to build the fitness and resiliency of your clients. ■ How to coach speed, agility, and power training to take your client’s performance to the next level. Course Outline Here is the tentative schedule of this two day seminar Day 1 9:30-10:30am: Model and Theory 10:45am-12:30pm: Axial Skeleton and Respiration 12:30pm-1:30pm: Lunch 1:30pm-3:00pm: Axial Skeleton Variability Assessment and Treatment 3:15pm-4:45pm: Pelvic Variability Assessment and Treatment 5-6:30pm: Putting the thorax and pelvis together Day 2 8:30am-10am: Variability Review 10:15am-12:30pm: Power Establishment – Mastering fundamental movement patterns 1:30pm-3:30pm: Power

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