Category: All Things Rehab

Hip Adduction and Abduction, Course Takeaways, and the Draw-in Maneuver – Movement Debrief Episode 42

Movement Debrief Episode 42 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 normal hip abduction/adduction range of motion? What tests do I use to assess these ranges? Why are these limitations theoretically present? What is the treatment hierarchy for hip adduction and abduction? What are some of my favorite moves to improve these measures? What are my top 3 takeaways from the PRI courses I’ve attended? Why the draw in maneuver is complete bullshit and what you should do instead If you want to watch these live, add me on Facebook or Instagram.They air every Wednesday at 8:30pm CST. Enjoy! and the audio version…                      Here were the links I mentioned: Sawbones Pelvis model Hip range of motion debrief Infrasternal Angle Debrief An Anatomic Investigation of the Ober’s Test Toe Touch to Squat for a narrow infrapubic angle Diamond Bear exercise for a narrow infrapubic angle Here is a move I use to improve active hip abduction. You can put the femur in relative external or internal rotation pending on which of those directions is limited: Bill Hartman Postural Restoration Institute Inefficient muscular stabilization of the lumbar spine associated with low back pain. A motor control evaluation of transversus abdominis. Adriaan Louw Here is the Paul Hodges video I talked about Here’s a signup for my newsletter to get

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Frequently Asked Questions

Over the last year I’ve been asked a bunch of questions, and I’ve tried to answer them immediately. Instead of sifting through all my Movement Debriefs to get your answer, maybe you just want to get a quick answer and then go apply what you learned. Or maybe you can only stand listening to me for so long. I GET IT! Well, look no further. Below is a link to every question that I have answered thus far on my Movement Debriefs. While I won’t continually update this post, going to my FAQ page will be updated after each debrief. If you have a question, just sign up for my newsletter, and when the next email comes by, just hit reply and I will do my darndest to answer yours. [yikes-mailchimp form=”1″ submit=”Yeah, I want Zac to A my Q”] Learn away my fam! Continuing Education   PRI vs. DNS Exercise Coaching Anchoring Old Movements to New Coaching Progressions Getting Changes to Stick Home Exercise Execution Lower Body Death of the Vertical Tibia Slideboards Squats Performance Agility Programming Exercise Programming Periodizing Physical Therapy Sessions Upper Body Dead Hangs   Overhead Pressing Pushups vs. Quad Sets   Health and Wellness The Off-Switch Sleeping Tips for New Parents Stress Response Taking care of your health Personal Development Daily Routines Building Daily Routines Deciding What to Learn Just in Time Learning Embracing Failure Detaching Refocusing Check Your Ego The Art of the Debrief Work-Life Balance Professional Development Questions to ask an interviewer New

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Self-Testing, Postural Evaluation, and Shoulder Impingement – Movement Debrief Episode 41

Movement Debrief Episode 41 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: Can you self diagnose why a muscle feels tight? What are some good self tests to assess variability can you appear “flexed” in one area but actually be extended? Can we make accurate assessments regarding posture? Why does impingement occur? How does shoulder testing relate to the infrasternal angle? What each of the shoulder tests I look at are attempting to assess? If you want to watch these live, add me on Facebook or Instagram.They air every Wednesday at 8joc:30pm CST. Enjoy! and the audio version…                    Here were the links I mentioned: Manual Muscle Testing Debrief Here is the toe touch to squat Infrasternal Angle Overhead vs. Quadruped And the active midstance test Posterior Tilt Pelvic Tilts and Lordosis Check out the Apley’s Scratch Test (don’t mind the adhesions portion) If you want to see trunk rotation, check out Respiration Revisited Illmatic by Nas Usain Bolt Debrief Here is the diamond bear exercise Here is the sidelying pec twist Here is the cable hang courtesy of Lucy Hendricks Bill Hartman   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”] Self-Testing Postural

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Acute Pain, Dead Hangs, and Occlusion – Movement Debrief Episode 40

Movement Debrief Episode 40 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 to approach someone with an acute spasm? Can anything be done to improve acute pain syndromes? What should the finishing position be in vertical pulls? Should we “reach” during vertical pulls? Is there a risk of impingement with hanging from a bar? Should we “pack” the shoulder during pullups? What is occlusion and what are the basic types? How does occlusion relate to posture and pain? If you want to watch these live, add me on Facebook or Instagram.They air every Wednesday at 7:30pm CST. Enjoy!                  Here were the links I mentioned: Mike Roussell The efficacy of manual joint mobilisation/manipulation in treatment of lateral ankle sprains: a systematic review Ankle manual therapy for individuals with post-acute ankle sprains: description of a randomized, placebo-controlled clinical trial Meriva Curcumin (it’s more bioavailable than regular; shoot for 2-8g/day) A Randomized, Pilot Study to Assess the Efficacy and Safety of Curcumin in Patients with Active Rheumatoid Arthritis Curcumin: a new paradigm and therapeutic opportunity for the treatment of osteoarthritis: curcumin for osteoarthritis management Fish Oil Bill Hartman Here is an example of a bar hang exercise (the famous one courtesy of Bill Hartman…and yes, I did have hair): https://www.youtube.com/watch?v=tSaCPVLfSHU   Shoulder Pain? The Solution & Prevention, Revised & Expanded Here is a video of

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February 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 February. 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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Ulnar Nerve Subluxations, Testing Variability, and Pelvic Tilts and Lordosis – Movement Debrief Episode 39

Movement Debrief Episode 39 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: Why would the ulnar nerve sublux or the triceps tendon snap? What are the variability patterns of the elbow? How to improve elbow variability to potentially reduce subluxations How did I choose the variability tests that I use? Why did I switch to the Active Midstance Test and Copenhagen Adduction Test? How are infrasternal angle, lumbar spine, and pelvic position related? If you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 7:30pm CST. Enjoy!                  Here were the links I mentioned: Here is the Active Midstance test: Here is the Copenhagen Adduction Test: Infrasternal Angles and Overhead vs. Quadruped Bill Hartman Large eccentric strength increase using the Copenhagen Adduction exercise in football: A randomized controlled trial Trigger Points and Muscle Chains in Osteopathy 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”] Ulnar Nerve Subluxations Testing Variability Pelvic Tilts and Lordosis

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How Pecs Can Help Shoulder Pain: A Mentorship Session

I recently did a mentorship session with my good friend, movement consultation partner, functional medicine guru, and #bae, Dave Rascoe from Method Strength. Dave and I collaborated on a client of his, and we used one of our mentorship sessions to talk through my decision-making process. We talked about a variety of topics, including theoretical underpinnings that influenced my decisions, the assessment process, exercise selection, and so much more. If you like what you see, want to improve your coaching skills, want to make better clinical decisions with your patients, and so much more, you can join my personalized mentorship program by filling out the form below the video. You can also learn more about the program here. Enjoy the video, and read the case summary and topics mentioned in the talk below to get a glimpse into my thought process.  Fill out the form below to sign up for the mentorship program. Here were a couple links and videos of things discussed in this session. Here are some posts on the infrasternal angle: Infrasternal Angle Overhead vs. Quadruped Diaphragmatic Breathing You can also get the most in-depth discussion on the infrasternal angle by subscribing to my newsletter in the link below: [yikes-mailchimp form=”1″ submit=”Yes, I want to know it all!!!!!”] Here is the glute-biased dorsal rostral thoracic expansion, a great move for people with narrow infrasternal angles and hip external rotation limitations The glute-biased straight leg raise crossovers serve a similar purpose,  as the above activity, only adding a

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Getting Changes to Stick, Abdominals Explained, and Posterior Pelvic Tilts – Movement Debrief Episode 38

Movement Debrief Episode 38 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 long does it take for changes desired by exercises to stay? How long do I keep someone on the same movement? What influence do the abdominal muscles have on ribcage position? How can we change position of the body to bias particular abdominal muscles? How to address rib flares Why and when should you cue a posterior tilt? What are some good way to cue a posterior tilt? If you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 7:30pm CST. Enjoy!                    Here were the links I mentioned: Infrasternal Angles and Overhead vs. Quadruped Respiration Revisited Excerpt from Pat Davidson’s Rethinking the Big Patterns (you can also check out the course review here) The Squatting Bar Reach: A Movement Deep Dive How to Deadlift: A Movement Deep Dive Enhancing Life Method Strength Andy McCloy Trevor LaSarre James Fryer 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”] Getting Changes to Stick Abdominals Explained Posterior Pelvic Tilts

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Diaphragmatic Breathing, Overhead Pressing, and Plantar Fasciitis – Movement Debrief Episode 37

Movement Debrief Episode 37 is in the books. Here is a copy of the video and audio for your listening pleasure. Here is the set list: What is diaphragmatic breathing? What is diaphragmatic breathing not? What are some simple ways to coach diaphragmatic breathing? What are some strategies for those who struggle with simple in through the nose and out through the mouth? What does it take to ensure someone can safely overhead press? What do I look for from a mechanics standpoint on an overhead press? What cues are relevant for ribcage position? How does visceral fat impact achieving a zone of apposition? What is happening with plantar fasciitis? What causes plantar fasciitis? How can you treat plantar fasciitis? How can you help clients work around plantar fasciitis? If you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 7:30pm CST. Enjoy!                    Here were the links I mentioned: Bill Hartman Infrasternal Angles and Overhead vs. Quadruped Starting Strength Hruska Clinic 2018 Shoe List Heel wedges Arch Supports 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”]   Diaphragmatic Breathing Overhead Pressing Visceral Fat & Zone of Apposition Plantar Fasciitis

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PTAs, Scoliosis Fusion, and Daily Routines – Movement Debrief Episode 36

Movement Debrief Episode 36 is in the books. Here is a copy of the video and audio for your listening pleasure. Here is the set list: How should a PTA approach clinicals and going into the field What traits make for a great PTA? How should PTs utilize PTAs? What ideas do I have for a person with a R sacroiliac joint fusion who has severe scoliosis and presents with migraines and headaches What are my routines like in the morning, evening, writing and more If you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 7:30pm CST. Enjoy!                    Here were the links I mentioned: Bill Hartman Trigger Points and Muscle Chains in Osteopathy (page 49) Pat Davidson’s Rethinking the Big Patterns Course Review The 4-Hour Work Week Extreme Ownership The Obstacle is the Way The Ego is the Enemy The Subtle Art of Not Giving a F*ck Philips Light Oxygen Advantage 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”]   PTAs Scoliosis Fusion Daily Routines

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Overhead vs Quadruped, Hypersensitivity, and Frozen Shoulder – Movement Debrief Episode 35

Movement Debrief Episode 35 is in the books. Here is a copy of the video and audio for your listening pleasure. Here is the set list: How do the overhead and quadruped positions affect infrasternal angles? How does one reduce hypersensitivity in a focal area of longstanding pain? How does one perform treatment on someone with frozen shoulder? How often are there cervicocranial components to frozen shoulder? What other things do we need to be looking at with frozen shoulder? If you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 7:30pm CST. Enjoy!                  Here were the links I mentioned: Infrasternal Angles NOI Recognise apps CRAFTA – A con ed course on craniocervicalmandibular region Tactile discrimination, but not tactile stimulation alone, reduces chronic limb pain. Acupuncture applied as a sensory discrimination training tool decreases movement-related pain in patients with chronic low back pain more than acupuncture alone: a randomised cross-over experiment “Why Are My Nerves So Sensitive?” By Adriaan Louw Oxygen Advantage  “Unconventional Medicine: Join the Revolution to Reinvent Healthcare, Reverse Chronic Disease, and Create a Practice You Love” by Chris Kresser 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”]   Overhead vs Quadruped Hypersensitivity Frozen Shoulder

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Why is There an Injury Epidemic in the NBA

Even though I am no longer in the league, I still follow what’s going on in the NBA to a degree. And this weekend was a weekend loaded with season-ending injuries. First, you have Demarcus Cousins go down with an achilles rupture, then you have Andre Roberson go down with a patellar tendon tear, and then my boi Mike Conley is out for the season with heel surgery. The NBA is a tough league. Since the Cousins injury occurred first, I wanted to give you my initial thoughts as to when it happened. Having witnessed an achilles tear occur this with a player I worked with, it’s something you never wish upon anyone. For those who don’t know, Demarcus is the stud center for the New Orleans Pelicans. He has a very cool style of play where he can battle in the post, drive with mad handles, hit the three ball, pass, and is a rebounding monster. He has also been having one of his best years yet. What he’s not known for is being this ripped physical specimen, a level headed player, or one who is in the best shape. When he came into the league, he was hovering at about 16.3% bodyfat, which for some odd reason is  a stat many teams obsess over1. Let’s now take a look at his injury mechanism.

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