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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Check out the mentor program

The Guide to Physical Therapy School

So peeps, I’m going on vacation this week.

So instead of a debrief, I present to you the first legit episode of the Zac Cupples show.

I’ll be putting these bad boys out occasionally when I have a topic that I feel would be better to riff on as opposed to discussing in a debrief or writing about.

Here’s an outline of the topics I discussed

  • Reasons to go into physical therapy
  • What to look for in a PT school
  • The goals of physical therapy school
  • What you should take away from school
  • What classes I recommend a student to take

Enjoy!

                

Here were the links I mentioned tonight

All Gain, No Pain

South College Physical Therapy Program

Bill Hartman

Continuing Education: The Complete Guide to Mastery

Explain Pain Course Notes

Therapeutic Neuroscience Education Course Notes

Lorimer Moseley Explain Pain Course Notes

Kettlebell Mashup

FMS Level 2

Ultimate MMA Conditioning

Dermoneuromodulation Course Notes

ART

Dry Needling Course Notes

Spinal Manipulation Institute

A Randomized Trial Comparing Acupuncture, Simulated Acupuncture, and Usual Care for Chronic Low Back Pain

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

Also, check out the mentoring, movement, and training services I offer:

Mentoring, Movement, and Training

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

A Conversation on Learning with Lance Goyke and Jason Byrne

I recorded a really good conversation with two good buddies of mine, Lance Goyke and Jason Byrne.

Lance is a strength coach, photographer, student, and writer. He runs the show at IFAST University, coaches at IFAST, and runs his own excellent blog and Youtube channel. He is also a dear friend of mine, one of the first people I met when I interned with Bill Hartman at IFAST.

Jason is an Athletic Trainer at Brandeis University and with the Boston Cannons. He is an avid learner, tinkerer, and phenomenal human being. I truly admire his ability to connect with others, his humility, and comfort with learning from failures. Check him out on Twitter or email him at jbyrneatc@gmail.com

We went off the top of the dome on this one, as there was no agenda. I was just hoping to help better all of our learning processes.

We got that…and then some!

Here were some of the topics we covered:

  • Designing a learning process
  • Test-Retest
  • Failure
  • Being comfortable being uncomfortable
  • Connecting with others
  • How to learn
  • Study habits
  • and more

If video isn’t your thing, I have a transcript of our conversation below.

You can also download the audio version of this talk if you’d like by subscribing to my newsletter.

Without further adieu, here is the conversation

Continue reading “A Conversation on Learning with Lance Goyke and Jason Byrne”

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.

 

 

Continuing Education: The Complete Guide to Mastery

75

That’s my number.

No, not that number.

 

Pervert

75 is the number of continuing education classes, conferences, home studies, etc that I’ve completed since physical therapy school.

Though the courses are many, it was probably too much in a short period of time. When quantity is pursued, quality suffers. Sadly, I didn’t figure out how to get the most out of each class until the latter end of my career.

Two classes in particular stand out: Mobilisation of the Nervous System by the NOI Group, and ART lower extremity.

Yes, the content was great, but these classes stood out for a different reason. You see, instead of just doing a little bit of prep work, I kicked it up a notch. I extensively reviewed supportive material, took impeccable notes, and hit all the other essentials needed to effectively learn.

I was prepared, and because I was prepared I got so much more out of these classes than my typical fair.  The lessons learned in those courses stick with me to this day.

For the stuff you really want to learn, I’ll encourage you to do the same. Here is the way to get the most out of your continuing education. By the time you are done reading this post, you’ll understand why I now recommend a more focused learning approach and fewer courses.

Let’s see how to do it.

 

Continue reading “Continuing Education: The Complete Guide to Mastery”

How to Design Your Learning Program

Thanks Buddy

The other day I was texting with a friend and writer I respect dearly, Seth Oberst, and he asked me an excellent question regarding the reading process:

How do you determine what you read next though? ~Seth Oberst

I answered him then, though it felt brief and inadequate. His question inspired me to reflect on how I design my learning process.

Though I’ve mentioned my learning philosophy, it may be fruitful to delve into the details. Seth, I hope I don’t let you down. Continue reading “How to Design Your Learning Program”

The 6-Step Method to Reading the Shit Out of Books

What Were We Talking About Again?

If there is one thing I’ve struggled with over the years, it’s long term retention.

Though remembering course materials has had it’s challenges, the struggle is worse with books.

member-berries-t-shirts-women-s-t-shirt
My next strategy if this doesn’t work.

Overconsumption was part of the problem. Trying to read faster, and across multiple unrelated books caused more detriment than use. Much as our attention spans can be overstimulated by abundant information on the internet, so to can we suffer this fate with reading. There are a lot of books after all.

While narrowing my reading focus has helped quite a bit, improving my reading strategy was equally important.

I remember one summer I made it my goal to learn how to shuffle cards. We played A LOT of cards on my family vacations, and I was tired of having to use the automatic shuffler or having someone else shuffle for me at the family card game.

It was time to become a man, damnit!

I shuffled anytime I had some free time during the day; which back when I was a kid led to multiple bouts of daily shuffling.

By the end of the summer, I was unconscious with shuffling, and still am to this day.

download copy
One might say

Frequent, quality repetitions at any task will likely lead to improvement. Learning material is no different, we must just foster an environment of multiple exposures to said material.

Here’s my latest attempt at doing so. Continue reading “The 6-Step Method to Reading the Shit Out of Books”

My 50th Post: Motivation to Learn

A Little Personal

It is hard to believe that I have already written my 50th post after starting this blog in February as a way to enhance both my learning and the learning of others.

This blog has allowed me to interact with a variety of different individuals that I otherwise would not have. And when people who I deeply respect say they admire what I have to say (or at least my version of what other people say), I am deeply humbled.

But I have had several cases in which people wondered if I do anything other than physical therapy and personal training (I do). One of my former mentors came up to me saying that she was worried about me because of how much I am into this.

These interactions have made me reflect on why I am reading, working, writing, and learning as much as I can. Thus, I have come to some conclusions as to what drives me to help others. And this drive, while not the norm that some of my peers are accustomed to, is far from wrong.

Some things I do wrong though.
Some things I do wrong though.

Others are Depending on You

When you work as a health professional, some people neglect the fact that your patients and clients trust their bodies with you.  They put their confidence in your knowledge and skills to show them the path to bettering themselves.

When someone puts this amount of trust into me, the last thing I want to do is let them down.

So I am going to put my utmost effort into helping them meet their goals. We do this by giving them the best quality of care of course, but that also means consistent honing of knowledge and skills to provide them with your best.

All too often I see clinicians and trainers who have not picked up a book or journal article since school ended; going through the motions day after day. I feel sorry for their patients and clients, because they are the ones who ultimately suffer.  Patient care is just like maintaining a relationship with someone. If you do not put in the effort to better the relationship, it will eventually fail.

The worst thing you can do is mail it in day after day.

Don't mail it in.
Don’t mail it in. And go Bulls!

I Still Fail

Even though in the past year alone I feel I have improved my clinical understanding tremendously, I still have patients that do not get better.  More than I would like…which is 0 🙂

Granted, there exists a certain sub-population of people who will just not get better regardless. But I am sure we all have patients that we think could have benefited from our services that did not.

Maybe you didn’t know what you were looking for…Then improve your assessment skills and learn better principles.

Maybe you weren’t familiar enough with their presentation…Then increase your knowledge base so you are familiar.

Maybe you didn’t have the right sensory input to apply to this person…Then learn new exercises and manual skills so you have the right inputs.

Maybe they didn’t like you…Then improve your patient interaction skills so the next one will.

Maybe they didn’t follow through on their home program…Then improve your ability to motivate the next one to perform their exercises.

It is great if people do not improve due to something on our parts, because we then have the capacity to change these issues.

can change the things you control...and prevent forest fires.
can change the things you can control…and prevent forest fires.

Information Overload

If you Pubmed search the keyword physical therapy, you will get 209444 hits (as of 8/22/13). No doubt if you check that phrase 2 months from now that number will increase. That is a lot of information, and new science comes out daily. By necessity, you have to keep up…especially if you want to know everything…which I don’t.

I think my wise mentor Bill Hartman put it best, “If you are not getting better, you are getting worse.”

The same person? Could be...especially when Bill vigorously rubs his hands together before applying manual interventions.
The same person? Could be…especially when Bill vigorously rubs his hands together before applying manual interventions…it’s kinda weird.

It’s Damn Fun

The more that I read the more fascinated I become with what we do as clinicians and trainers.  Especially since I have delved deeper into neurological topics, my approach and thought process has undergone a huge transformation. Gone are the biophysical thought processes in favor of a more biopsychosocial rationale. No longer am I telling patients that their facet joints are causing their pain. Now I say pain is the brain’s response to threat, and I am here to help turn down the defense mechanisms that go along with that.

To me, there is nothing more interesting and fun than going through and learning things that drastically change the way you think.

A Close

These areas are what keep me and this website going. Will I be writing summaries forever? Who knows? Maybe someday I will have an original thought. But I will say that as long as the passion stays, I and I hope you too will press on and continue to learn. When you stop learning, then it is time to hang it up.

What motivates you to learn? Please comment below.

When you lose your passion for learning, you can always switch to this one.
When you lose your passion for learning, you can always switch to this one…who knew I could reference a soap opera.