A Narrow Infrasternal Angle with Right Oblique Tilt – Case Report

What do you do if you have someone who is a narrow infrasternal angle, stiff as all hell, with some glaring asymmetries? Check out this video below, where a colleague and I walk through a case who presents in this manner. It in, you’ll hear about the following: How to test shoulder flexion more reliably How to build someone into half kneeling Moves to utilize for this type of individual Watch the video to learn what we did!

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How to Move with Less Tension

In order to move more, you have to be able to both create and reduce tension. But what if you have someone who is tense AF? When they move, they tighten EVERYTHING? Check this video to learn what to do. Ways to get people to move without tension Folks who are SUPER TENSE when they move often benefit from manual therapy, foam rollers, and things of that nature. Think of using these strategies as an “assisted” way to get them to move. Movement-wise, you want to get these peeps to move with as little tension as possible. These folks benefit from very slow segmental rolling strategies. In order to complete these rolls, you have to move with as little tension as possible. The lower body roll is a great starting point: But if you are feeling frisky, try the upper body roll. It…is…brutal: Even doing things where they are moving individual joints as slow and with low tension as possible. Breathing-wise, focusing on nasal breathing that is silent, easy, and effortless can be a great way to reduce tension in these individuals.

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Functional Muscle Contractions

Compression, expansion, limitations, oh my! Have you ever wondered how muscle contractions impact movement? Or why in the hell we are using fancy terms like compression, expansion, all that mess? Or how does tissue tension create movement limitations? I get it, the terminology and stuff can be confusing AF, but passing that learning curve will allow you to: Figure out why movement limitations happen Better make decisions based on the infrasternal angle Determine how loading changes contractile orientations Are you ready to take your programming and exercise selection to the next level? Then check out Movement Debrief Episode 130!

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Troubleshooting Table Tests

Learn what range of motion testing really tells you Movement Debrief Episode 123 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: Are standing postural assessments useful? What are the best assessments to use online? Does it differ if you are a trainer or clinician? How do I make decisions based off of table tests? What does it mean when someone has clear table tests but is limited in standing measures? What’s the difference between a Thomas test and an ober’s test? How does one determine if someone has ligamentous laxity or not?

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Shoulder Limitations, Breathing Starting Positions, and a Trainer’s Role in Persistent Pain – Movement Debrief Episode 83

Movement Debrief Episode 83 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 shoulder horizontal abduction and internal rotation be limited at the same time? What interventions would be useful for someone with this type of limitation? What position should someone with heavily flared ribs start? Are there beneficial positions to start wide or narrow infrasternal angles? Can a personal trainer be a useful person in helping someone with persistent pain? 

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September 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 September. 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.

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Learn Normal Respiratory Mechanics from the Human Matrix Manual

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 develop a thorough understanding of how to systemically view and affect movement. By entering the Matrix and affecting movement systemically, building up your client’s movement repertoire from the ground up better than ever before. What you’ll learn when you Enter the Human Matrix How to build a sound movement foundation to increase the exercise variations your clients and patients will be able to do. How to assess your client’s movement capabilities to make precise decisions for improving pain and movement quality. How to normalize range of motion of the entire body to both reduce pain and improve how your clients move with fewer exercises than you have ever needed before. How to effectively coach squatting, deadlifting, pushing, pulling, and more to build the fitness and resiliency of your clients. Course Outline Here is the schedule of this two day seminar: Day 1 9:30-10:30am: Model and Theory 10:45am-12:30pm: Axial Skeleton, Respiration, and Thorax Variability 12:30pm-1:30pm: Lunch 1:30pm-3:00pm:  Thorax Variability 3:15pm-4:45pm: Pelvic Variability 5-6:30pm: Systemic Variability Day 2 8:30am-10am: Systemic variability 10:15am-12:30pm: Power Establishment – Mastering fundamental movement patterns 12:30pm-1:30pm: Lunch 1:30pm-3:30pm: Power Establishment

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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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