Infrasternal Angles, Spinal Lordosis, and Restoring Shoulder Motion – Movement Debrief Episode 27

Movement Debrief Episode 27 is in the books. Here is a copy of the video and audio for your listening pleasure.

Here is the set list:

  • The three types of infrasternal angles
  • Anatomical theories regarding the infrasternal angle
  • Infrasternal angle treatment
  • The different positions of the lumbar spine
  • Restoring lumbar position
  • Restoring cervical spine position
  • My treatment sequence for restoring shoulder motion
  • Which are my favorite hikes

If you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 7:30pm CST.

Enjoy.

Zac Cupples iTunes                

Here were the links I mentioned:

Bill Hartman

Pre-existent vertebral rotation in the human spine is influenced by body position.

Right thoracic curvature in the normal spine

Analysis of preexistent vertebral rotation in the normal spine.

Effect of changes in pelvic tilt on range of motion to impingement and radiographic parameters of acetabular morphologic characteristics.

PRI Craniocervical Mandibular Restoration

PRI Vision

Here is the exercise I mentioned from Daddy-O Pops for a retracted and elevated scapula.

Enhancing Life

Method Strength

Andy Mccloy 

Trevor LaSarre

Here’s a signup for my newsletter to get a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies:

 

Check out the mentor program

Kyphosis, Post-Rehab Total Hips, and Coordinating Three Planes- Movement Debrief Episode 26

Movement Debrief Episode 26 is in the books. Here is a copy of the video and audio for your listening pleasure.

Here were all the topics:

  • What treatment parameters should be considered when working with someone who is overly kyphotic
  • What to look at when assessing a total hip arthroplasty
  • What training pieces should be considered and focused on with a total hip arthroplasty
  • Should anything be avoided on the training floor with a total hip arthroplasty?
  • How do I restore shoulder flexion
  • How do I use cervical rotation to restore cervical lordosis
  • What exactly do I mean by restoring sagittal, frontal, and transverse planes?
  • How do I assess the three planes
  • How do I restore the three planes
  • Can the ribcage and t-spine act independently?

If you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 7:30pm CST.

Enjoy.

Zac Cupples iTunes                

Here were the links I mentioned tonight

Enhancing Life

Bill Hartman

An Anatomic Investigation of the Ober’s Test

The Ultimate Guide to Treating Ankle Sprains

Ipsilateral Hip Abductor Weakness after Inversion Ankle Sprain

Method Strength

Andy Mccloy 

Trevor LaSarre

Jeremy Hyatt

Here’s a signup for my newsletter to get a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies:

 

Check out the mentor program

October 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 from this past August.

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.

Biggest Lesson of the Month

Life ought to focus on creating value, for the people you work with, for others, for the world, for yourself. When you create value, rewards will come.

Quote of the Month

“Common 99% thinking won’t get you uncommon 100% results” ~ MJ Demarco

MJ Demarco is becoming one of my favorite authors, and he inspired the biggest lesson above.

Hike of the Month

A great park in the land of China

I didn’t get much hiking in this past month, namely because I was prepping for my talks in the land of China. However, while in China, my hotel was right next to this really cool park that I walked through frequently. Amazing amalgamation of architecture, flora, and people.

Training

The Trick to a Perfect Rear Foot Elevated Split Squat

My son, Trevor Rappa, gave us a great cue on nailing the rear foot elevated split squat. Perfect for those people who sag into the back leg.

Weight Position During the Squat

Want to more effectively load the legs when you are squatting? Here is one of the most impactful changes I’ve made when coaching squats.

Rehab

Blog: Should We Delay Range of Motion After a Total Shoulder Replacement?

Mike Reinold is a guy who I look to on a lot to influence my post-operative care. In this post, he makes a salient point regarding the early range of motion controversy. The devil is in the details.

Blog: All Gain, No Pain Knee Pain Solution for Lunges and Split Squats

Daddy-O Pops Bill Hartman just killing it with the content, fam. This time around, he discusses how he approaches individuals who get knee pain during split stance activities; a common problem I’ve struggled with in the past. Thank you for helping a son out, pops.

Infographic: Early versus Delayed Rehabilitation After Acute Muscle Injury: No Time to Waste

Yann again killing it with these graphics. Here this time he brings us a study which shows how drastic an impact recovery from an injury can be the sooner you start moving.

Health & Wellness

App: Insight Timer

Want to get into mediation but don’t want to spend the buck on Headspace or Calm? Then Insight Timer is your answer. There are several different styles of meditation available in this completely free app.

I will admit, you have to sift through a lot of crap to find the particular meditations that work for you, but once you find one’s that work, you are golden.

My favorites so far are “The Warrior” by Michelle DuVal and Franko Heke 5 Min Guided Meditation

Let me meditate, set it straight

Blog: New Neuroscience Reveals 2 Rituals That Will Make You More Mindful

Eric Barker’s “Barking Up the Wrong Tree” blog is hands down one of my favorite blogs on the internet. He spends a great deal of time researching multitudes of topics, getting quotes from others, and writing about damn interesting material. This time, he discusses meditation, multiple “yous,” and so much more.

Podcast: Dr. Brandon Alleman on Direct Primary Healthcare (The Paleo Solution)

I’ve been binge listening to Robb Wolf’s podcast as of late (a great thing about vacations), and I found this one to be particularly fascinating. Here Dr. Alleman discusses how he is saving healthcare by using a subscription-based system for his patients. It’s quite fascinating how this system is saving his clients, including small businesses, money. I’d definitely check this one out.

Blog: Decrease Rumination and Stress with Movement

I’m a big time ruminator on things. Something I’ve been trying to work on. Here, my boi Seth Oberst discusses how movement can help reduce the urge to ruminate, and how it’s a much better alternative than being on your phone.

Personal Development

Blog: Imposter Syndrome and the Fitness Industry

Man this hit home for me on many levels. My man Dean Somerset wrote an awesome post on what it feels like to experience imposter syndrome, and how all of us have to start from the bottom. It’s about the process, and continuing to grow the process.

Blog: Decision Making, After the Fact

Read this when you think about being critical of someone, your favorite athlete, you spouse, your friend, making a poor decision.

Productivity Tip

I made one simple change to the way I schedule things that has led to drastic improvements in my productivity. What is that change? Check out the quick hit to find out, fam.

Blog: Definining Authenticity

Seth Godin keeps his blogs simple, concise, yet effective. Here he gives us what authenticity is not, and his example for what it is really hit home for me.

Blog: How Answering One Simple Question Can Keep You on Track for Success

Daddy-O Pops Bill Hartman provides us with a great technique at helping you stay on task with your goals. I definitely plan on using this one.

Routines and Measuring 

Routines are a great way to reduce stress, as less decisions have to be made. In order to be successful at reaching a goal, it helps to track progress. Here is how I combine the two.

Book: The Millionaire Fastlane

This book has really hit me hard and made me think about the way I am approaching finances, making money, and many other things. This book will challenge all your preconceived notions about what to do with your money.

Miscellaneous

Book: Barking Up the Wrong Tree: The Surprising Science Behind Why Everything You Know About Success Is (Mostly) Wrong

Eric Barker is one of my favorite bloggers and I am enjoying his book quite a bit. Do you want to find out if nice guys finish last? Or maybe you want to learn from prison inmates how important trust is. He has so many great nuggets in this book that I’m certain you won’t be disappointed.

Music

Every Noise at Once

This is probably one of the coolest things I have ever seen. Want to hear every music genre that has ever existed, then get a Spotify playlist having music within that genre? Because That is exactly what this site does. Un…be…lievable.

 Royce Da 5’9″ – “The Bar Exam 4” 

[WARNING, EXPLICIT CONTENT] Good…Lord…Listen to this. Royce is by far one of my favorite rappers. Like, in my top 10, pushing to get into my top 5. Here is a dope mixtape he put together where he just expresses his lyricism; many on some of your favorite beats.

So…freakin’…underrated

Some of my favorite include “C Dolores,” “Still Waiting,” “Gov Ball,” and “Chopping Block”

Side note: got to meet Royce at a concert with like 10 people. He really is 5’9″. And he’s a cool cat.

Freddie Gibbs – You Only Live 2wice

[WARNING, EXPLICIT CONTENT] Some call him the modern day 2pac, Gangsta Gibbs himself takes street rap to a whole new level. This joint gets him talking about his time he was in jail overseas. It’s a great mix of some serious stuff with his typical gangsta fare. Freddie is currently one of my favorite modern rappers, so please give him a listen. Crushed Glass and Homesick are my favorite two.

Which goodies did you find useful? Comment below and let me know what you think.

Photo Credits

Aashishji

Dominik Lippe (Lipstar) und Yannic Lippe

Help Any Client Achieve Their Goals

I recently did a little spot on IFAST University regarding how I approach, assess, and progress people along the physical activity continuum. Read the little intro  below, and if you want to watch the video, click on the picture or the link.

As a bonus, I put together a little PDF outlining how I improve the movement variability side of physical activity. If you sign up for IFAST University, you’ll get access to it.

Without further adieu, here is the post.

The Four Step Process to Address Movement Limitations

I’m in the business of creating change, but — as you know — that stuff is HARD TO DO.

How do you simplify the process?

I like to outline things. When thoughts have a directional flow, it’s easier to keep everything straight. So I have to ask myself questions about each and every situation.

What kind of person is in front of me? And what am I going to do with him or her?

In this post, I’ll outline my process of helping people achieve their health and performance goals. We’ll discuss:The 4 areas where we can start creating change

    • My main area of focus: physical activity
    • The 4 steps physical activity
    • Each step from my physical therapy view
    • Each step from my performance coach view
    • My progression for mobility
    • The 3 active mobility tests I use
    • Testing for arm motion with lower body tests
    • Runners who get pain after they run 5 miles
    • Patients who get back pain after they sit for 4 hours
    • Athletes who can’t play the whole game without pain
    • …and a bunch of other short examples to relate this system to your own clients

Click below to watch the video.


Help Any Client Achieve Their Goals

Squats, the (F)Utility of Research, Total Knees, and Pain vs. Suffering – Movement Debrief Episode 18

Just in case you missed last night’s Movement Debrief Episode 18, here is a copy of the video and audio for your listening pleasure.

in this debrief, I was stumped!

Andrew from Facebook asked a phenomenal question on the biomechanics of the squat, which led to great discussion on what it means and takes to squat.  Great contributions from Dani and Jonathan to the discussion.

Here were all the topics:

  • How I use research
  • Influences on full knee extension and flexion post-operatively
  • Changing perception of rehab post-total knee arthroplasty
  • The problems with chasing pain
  • Pain vs. suffering
  • What is squatting, what it means, and the biomechanicsIf you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 8:30pm CST.

Enjoy.

                

Here were the links I mentioned tonight

Pain and Stress in a Systems Perspective: Reciprocal Neural, Endocrine and Immune Interactions

On the (f)utility of pain

Subscribe to the debrief on Itunes

Join my mentorship program, get a movement consultation, or let me design an online fitness program for you.

Here’s a signup for my newsletter to get a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies:

 

August 2017 in 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 from this past August.

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.

Biggest Lesson of the Month

You must first take care of yourself in all aspects of life before you can adequately take care of others. That includes personally, professionally, health, finances, everything. While I have done well in certain areas, I have lagged in others. This imbalance is one reason why I opted to take a job in a rural location. It has helped me strike a balance in many areas, and has eliminated potential distractions that could deter me from achieving that balance.

Cryptic? Somewhat. But I think about those times that I’ve been sleep deprived and lost patience with my clients. My lack of taking care of myself in that instance limited my capability to take care of others.

Are you taking care of yourself?

Quote of the Month

The only thing that separates successful people from the ones who aren’t is willingness to work very, very hard. ~Unknown

I saw the above quote when I was staying at a hotel before hiking Capitol Reef. The funny thing was separates was spelled wrong…Make sure you also work smart 🙂

Hike of the Month

This was a tough one, as I did both the North Rim of the Grand Canyon and Capitol Reef. While the North Rim was spectacular, an incredibly challenging hike, and was spent with a dear friend of mine, I have to give Capitol Reef the slight edge.

Capitol Reef reminded me a lot of Zion, in the sense that it had varied terrain, very cool rock formations, and free apples!!! All of the big cliffs were on this crazy slant, and it was just cool to see. Plus I didn’t die like I did in the Grand Canyon. Uphill finish = hate life

How do you like them apples? Quite tasty as a matter of fact.

Rehabilitation

 

Blog: Why Physio Discussions Are Just Another Simpson’s Episode

There is just so much right with this post. Douglas going after a huge problem within the movement realm. Instead of uplifting one another, many of us tear each other down. Doug Kechijian explains why this is problematic.

Quick Hit: Check Arm Position if You Have Neck Pain

Many times, neck pain involves neck muscles increasing their accessory breathing function. A quick trick to reduce this function is by altering arm position. Check out if one of these positions alters your symptoms the next time you have neck pain.

Blog: Clinical Mileage

David Butler has been one of my biggest influences, and this post is no different. Here David discusses the Concept of Clinical Mileage, the importance of reflection, reshaping our treatments. I admire, despite all the years he has practice, he continues to evolve his thought process; something we should all aspire to do.

Research:  The Relationship Between Low Back Pain and Lumbar Lordosis: A systematic Review and Meta-analysis

But wait? I thought posture doesn’t cause pain? What about the studies showing imaging pathology in asymptomatic studies?

One thing we don’t consider is the frequency of imaging pathology in individuals with pain. This study is an example of that.

Pain is an experience in which the causes are multifactorial, and that means we cannot discredit how biomechanics can influence that experience.

Research: Knee Osteoarthritis has Doubled in Prevalence Since the mid-20th Century

Your patients with bone-on-bone can officially no longer use the “old age” excuse anymore. Knee osteoarthritis is commonly blamed for our longer lifespan and BMI, but this cadaveric study seems to think otherwise. When comparing the knees of modern people to those of the 18th-19th century (and even some prehistoric knees!), they found that even when lifespan and BMI were controlled for, modern subjects had a 2.1 greater incidence of knee OA. What do they think is the cause? Read it to find out.

 

Performance

Quick Hit: Recovery Position

Want to recover more effectively between intense bouts of exercise? You should probably watch this video. I’ve found with many of my clients that dropping further into a squat enhances heart rate recovery incredibly fast. I used it on my most recent hike, and made many of the hard parts more bearable.

Podcast:  Mike Irr on Winning an NBA Championship

Mike Irr is just a phenomenal human being. And to hear him speak with such poise, such humility, despite being an NBA champion, is refreshing. You’ll also learn a great deal about the successes, failure, and challenges of working in the big leagues. Give the guy a listen.

Might be the goodest dude in the history of good dudes.

Quick Hit: Which Hand Should the Weight be in During Offset Movements?

Should it be the same side or the opposite side of the front leg? Depends on your goal. In this video I discuss when each strategy ought to be implemented.

Health

Infographics: Managing Performance Throughout Periods of Travel: Coping Strategies for Eastward Travelers

for Westward Travelers

Yan Le Meur just keeps killing it with these infographics. Today he eloquently summarizes the essential strategies for effective traveling across multiple timezones. I learned a ton from this series.

Infographic: One Hour of Physical Activity Eliminates the Detrimental Effects of 8 Hours of Inactivity

Wearing my Oura Ring has done wonders for keeping me on task regarding my sleep, activity and readiness levels. It has also made me sickeningly aware of how damn much I sit.

All is not lost, however, as my man Yann Le Meur, who puts out killer infographics, made me aware of this study here. Pretty remarkable that much of the damage of sitting can be offset.

Blog: Why am I So Tired?

Allen Tucker is a dear friend of mine, and he wrote a phenomenal post on all things sleep; drawing from his own experiences with sleep deprivation and sleep apnea. Though he is no medical professional, Allen is a guy with an incredibly broad knowledge base, and my internet endeavors would be nonexistent if it weren’t for him.

Just wish the bastard would write more!

Miscellaneous

Quick Hit: Learning Arsenal

We all have our ways we learn. In this promo I go over some of my tools in my learning toolbox that help me get the most out of my learning endeavors.

Video: All Your Excuses are Lies

Taken from Podcast #83

No one can make you want to be more disciplined than Jocko Willink. He has probably been one of the most influential people that I’ve come across this year. His material is a life changer. His advice is simple, direct, and effective. If you are following his stuff. Quit making excuses and do it!

Blog: You are Who You Grab Coffee With – 3 Steps to Get Expert Advice on Any Topic 

Ramit Sethi is a finance guy whose material I have really been digging. He gives a lot of practical financial advice tips that really resonate with me.

In this post, he discusses how to effectively connect with experts, and definitely have used some of these methods at continuing education courses. I think he outlines effective strategies quite well, and especially love the email template he provides.

One of the many reasons to drink coffee.

Article: What Do Economists Actually Know?

While evidenced based practice and the scientific method are incredibly important, these sources are not infallible. All sources are biased, muddied, difficult to appraise, and occasionally dishonest.

We still operate with a large degree of uncertainty with the people we work with. We can’t hang our hat on research alone, especially when dealing with the complex entities known as humans.

This uncertainty extends beyond medicine and performance, as Russ Roberts discusses the very same problem in his field of economics.

My favorite quote? “Published and true are not synonyms.”

Music

Music: Lush Vibes

As you know, I am a huge hip hop head, but need something to chill out at night and be focused to. This playlist = absolutely incredible for that. Minimal words, very low key beats, and productivity has been spectacular while listening.

Music: Ambient Chill Playlist

I’ve been trying a bunch of different things before bed to enhance my sleep capabilities, as for awhile I was struggling, fam. At night, listening to this bad boy before bed did wonders for calming me down. Also think it’s a solid playlist for productivity. Check it out for sure.

Music: Raekwon “The Wild”

Raekwon the Chef coming on strong with a new album. The beats = fire. The wordplay = fire. The storytelling = fire. You can tell the Chef has grown up quite a bit since his Wutang days, but still represents and reminds us of his sordid past. The joint he did with Lil Wayne; daummmmmn.

A recent systematic review concluded that the Chef is always cooking up fire #science

Music: Twista “Crook County”

I have a soft spot for fast rappers aka choppers, and Twista is the gold standard. For a hot minute he was trying to do the mumble rap, and it wasn’t good. Here Twista gets back to his roots, yet varies his flow enough to show exactly how versatile (and underrated he is). The sound is similar to a lot of new stuff you’ll hear on the radio, but with actually good rappin’. Listen to “Hollywood,” it’ll change your life.

Which goodies did you find useful? Comment below and let me know what you think.

Photo Credits

Mortefot from Flickr

Weekly Dig

Trial and Error, Triplanar Movement, Networking, and Mentors – Movement Debrief Episode 11

Did you miss yesterday’s Movement Debrief? We had a lot of fun. The first time I went on facebook, twitter, and Instagram simultaneously.

This debrief was a bit different, as it didn’t involve as much reflection on my patient care, but more on the wonderful continuing education weekend I had.

I got to spend time with all my friends learning about a lot of different things. And it led to some great reflections.

Here’s what I talked about:

  1. Why trial and error is important
  2. Being outcome-focused
  3. How triplanar movement impacts single plane movements
  4. Why having a good network is important
  5. Keys the networking
  6. The importance of mentors

If you want to watch these live, add me on Facebook, Instagram, or Twitter. They air every Wednesday at 8:30pm CST.

Enjoy.

 

 

Workers’ Compensation, Dealing with Late Patients, Fall Prevention, & More – Movement Debrief Episode 9

Episode 9 was a long one, and I’m so sad if you missed it live.

Here were some of the topics:

  1. The necessary organizational fix to worker’s compensation
  2. Ways physical therapists can have patients simulate work
  3. Targeting educational-specific impairments
  4. The need to expand scope or collaborate to help clients thrive
  5. How to deal with patients who are always late and don’t do their exercises
  6. Working on getting up off the ground after a fall

If you want to watch these live, add me on Facebook or Instagram. They air every Wednesday at 8:30pm CST.

Enjoy.

The Art of the Debrief & Work/Life Balance – Movement Debrief Episode 8

Episode 8 of the Movement Debrief, despite technical difficulties, persevered.

In case you missed it live, we talked about the following topics:

  1. What is a debrief?
  2. How I structure my debrief
  3. Balancing work, social interaction, health, etc
  4. What makes you you

If you want to watch these live, add me on Facebook or Youtube. They air every Wednesday at 8:30pm CST.

Enjoy.

Course Notes: PRI Postural Visual Integration: The 2nd Viewing

Would You Look at That

It was a little over a year ago that I took PRI vision and was blown away. A little bit after that, I went through the PRIME program to become an alternating and reciprocal warrior.

I had learned so much about what they do in PRI vision that I was feeling somewhat okay with implementation.

Then my friends told me about the updates they made in this course.

I seriously just took it
I seriously just took it

 

I signed up as quickly as possibly, and am glad I did. This course has reached a near-perfect flow and the challenging material is much more digestible.

Don’t expect to know the what’s and how’s of Ron and Heidi’s operation. And realistically, you probably don’t need to.

Your job as a clinician is to take advantage of what the visual system can do, implement that into a movement program, and refer out as needed. This blog will try to explain the connection between these two systems.

If you want more of the nitty-gritty programming, I strongly recommend reading my first round with this course. Otherwise, you might be a little lost.

Let’s do it. Continue reading “Course Notes: PRI Postural Visual Integration: The 2nd Viewing”