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

Interpreting Lower Body Assessments

How to go through common lower body assessments Movement Debrief Episode 114 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 is hip flexion measuring? How can a wide and narrow infrasternal angle (ISA) be limited in hip flexion? What is the straight leg raise actually measuring? What mechanics go into a straight leg raise? Is there a way to self-measure the infrapubic angle (IPA)? What are the pro’s and con’s of active vs passive testing? How about comparing the obers test to the Gillet/reverse gillet?

Read More

Building a Multisystem Health and Business Model

Maximizing performance, health, and wellness involves a multisystem approach. You can’t just exercise. You also have to sleep, de-stress, eat well, and so much more. So-to with your finances. If you can build multiple income streams, you are more likely to stay afloat if one of those streams falls. Yet how do you integrate all of these things without being spread too thin and getting overly complicated? These were parts of the conversation I had with Brian Schwabe of The Student Physical Therapist. Topics discussed include: Periodizing life Integrating multiple jobs into one Remote consulting What is movement? Why simple exercises are a better choice than complicated ones The struggles, successes, and failures of working in the NBA How I developed a multimodal and multisystem approach Why application maximizes your ability to learn Image by www_slon_pics from Pixabay

Read More

Squatting, Breathing, and Sleeping

What does squatting, breathing, and sleeping all have in common? The answer is airway management. In order to squat well, you have to manipulate your spine in a manner that maximizes vertical pelvic displacement. In order to manipulate spinal position, airflow into the upper back is one factor that can change the way you squat. Breathing is also of utmost importance for sleep. Consider the negative effects of sleep apnea. What if there were activities that could improve both of these areas? In my eyes, these activities center around maximizing breathing mechanics and are the centerpiece discussion in an episode of the Portal PT podcast I was featured in. Check out the setlist below. 1:30 Zac’s Story 6:00 Zac’s Experience with Bill Hartman 12:30 When / Why Did Zac Jump Down The Breathing Biomechanic Rabbit Hole 18:00 Stacking, Diaphragms, Biomechanics, Movement Variability 22:30 Where’s The Breathing Research? Clinical Practice Guidelines 31:00 Squat vs. Hinge 36:30 Pain, Manual Therapy, Blood Flow, and Movement Variability 44:00 Myofunctional Therapy, Upper Airway Resistance, and Sleep 47:00 Zac’s Patient and Their Changes 49:00 Oxygen Advantage & Mouth Taping While Sleeping, Exercise Endurance, Resting Heart Rate 54:00 Dreaming, Sleep Studies, and Quality of Sleep 57:00 Improving Nasal Breathing and Changes in Facial Structure and Musculature 59:00 Proactive Care in Children 1:00:00 What is The Worst Fitness Advice Zac Has Ever Received 1:05:00 What Was Zac’s First Exercise Experience and Was it Good or Bad? 1:07:00 What’s Zac’s Number One Source For Research and Education Info If

Read More

The Guide to Remote Coaching – Movement Debrief Episode 113

How to coach movement when you can’t in-person Movement Debrief Episode 113 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. You’ll also get modified transcripts for this one. That’s how much I care! Here is the setlist: Why should you consider remote consultations What are realistic expectations regarding a remote consultation business? What are the challenges of a remote consultation business? What does the remote consultation process look like? How do I screen for red flags? What remote assessments do I use? How does once coach someone remotely? How do I set up remote coaching classes with multiple people? What substitutes do I use when external load is not available?

Read More

All About Squats – Movement Debrief Episode 112

Movement Debrief Episode 112 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 biomechanical differences between a squat and a hinge? Would squatting not increase anterior pelvic tilt and hip flexor strength? Does squatting put too much shear force through the knee? Does ramp squatting put too much shear force through the knee? Is there such a thing as a “normal” infrasternal angle? Why does a hip shift occur in a squat? What are some strategies for reducing a hip shift in a squat? How do the following squat variations impact thoracic expansion: Goblet, Zercher, front, and back?

Read More

Breathing Made Easy

The starting point for learning about breathing This breathing stuff is confusing, isn’t it? You hear all of this foreign terminology, see crazy exercises, and are trying to visualize where the viscera and air is going when you are doing an exercise ahhhhhhhhh!??!! Yet you see the positive results that others get. Heck. you may even get great results just messing around with this line of thinking. You know there’s something there, but where in the hell do you even start? Maybe you’ve lost hope and don’t think you are smart enough to get it. I want to tell you that you are wrong my dear friend. Dead wrong! The problem with continuing education As educators, it’s our fault. We don’t do a great job of preparing you to learn and accept the material. We don’t help you succeed. We expect you to figure it out. That ends today. What’s missing with all of this breathing stuff is a way to grasp the fundamentals. What are the key tenets you need to learn to better learn and apply the material taught on my site and others? That’s why I’ve beefed up the Human Matrix Foundations course. In this free course, you’ll get all the fundamental anatomy, biomechanics, and more that you need to better grasp all the breathing stuff you want to learn; allowing you to get those results you so desire for your client. With this class, you’ll get the following: Become automatic with common breathing terminology and lingo

Read More