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

Scoliosis, Morton’s Neuroma, and Just in Time Learning – Movement Debrief Episode 22

Movement Debrief Episode 22 is in the books. Here is a copy of the video and audio for your listening pleasure.

Here were all the topics:

  • Thoughts on Treating Scoliosis
  • Thoughts on Treating Morton’s Neuroma
  • Why I prefer Just in time vs just in case learning

If 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

Advanced Integration Day 4: Curvature of the Spine

PRI Advanced Integration

Ipsilateral Hip Abductor Weakness After Lateral Ankle Sprain

Method Strength – Dave Rascoe

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D League Readiness Measures, Navigating Flare-ups, and Should I get the OCS? – Movement Debrief Episode 16

Just in case you missed last night’s Movement Debrief Episode 16, here is a copy of the video and audio for your listening pleasure.

Here’s what we talked about:

  • What readiness and performance measures I used in the NBA D League
  • What I would’ve done differently?
  • How to navigate a pain flare-up
  • What are the pro’s and con’s of becoming a clinical specialist

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

Enjoy.

 

Here were some of the links I mentioned in this Debrief.

How to Design a Comprehensive Rehab Program

How to Treat Pain with Sitting – A Case Study

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

 

How to Design a Comprehensive Rehab Program

Just when I thought I was out, the clinic pulls me back in.

Though I’m glad to be back. There’s just a different vibe, different pace, and ever-constant variety of challenges that being in the clinic simply provides. This has been especially true working in a rural area. You see a much wider variety, which challenges you to broaden your skillset.

I’m amazed at how much working in the NBA has changed the way I approach the clinic.

Previously, I was all about getting people in and out of the door as quickly as possible; and with very few visits. I would cut them down to once a week or every other week damn-near immediately, and try to hit that three to five visit sweet spot.

This strategy no doubt worked, and people got better, but I had noticed I’d get repeat customers. Maybe it wasn’t the area that was initially hurting them, but they still were having trouble creep up. Or maybe it was the same pain, just taking much more activity to elicit the sensation.

It became clear that I was skipping steps to try and get my visit number low, when in reality I was doing a disservice to my patients. This was the equivalent of fast food PT—give them the protein, carbohydrates, and fats, forget about the vitamins and minerals.

If fast food PT fits your macros tho right?!?!

Was getting someone out the door in 3 visits for me or for them? The younger, big ass ego me, wanted to known as the guy who got people better faster than everyone else. Yet the pursuit became detrimental to the patient’s best interest. There were so many other ways I could impact a patient’s overall health that I simply sacrificed in place of speed.

I only got them to survive without pushing them to thrive.

I see a lot of individuals proudly proclaim how many visits it takes for them to get someone out of pain, but pain relief is only part of the equation. There are so many more qualities we can address before we consider a rehab program a success.

This stark realization has reconceptualized how I structure a weekly rehab program. I now emphasize all qualities necessary to return to whatever task the patient desires, and attempt to inspire them beyond those initial goals.

You want to know what my visit average is right now?

I stopped counting, and started treating.

Let’s look designing the rehab week to take your clients to the next level.

Continue reading “How to Design a Comprehensive Rehab Program”

Lat Stretch Arm Position, Exercise Programming, and Staying Neutral? – Movement Debrief Episode 10

Episode 10 of the Movement Debrief, we went straight up q&a from readers.

It was a lot of fun and I got a lot of great question from people.

Here was what we discussed:

  1. Should the arm be in internal or external rotation when stretching the lats?
  2. If general exercise works, why should we incorporate specific exercises?
  3. Why coaching exercises well is of utmost importance
  4. Is staying neutral in a good joint position important?

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

Enjoy.