All About the Neck

A comprehensive look at cervical biomechanics and exercise The Wu-Tang clan once said “Protect Ya Neck,” but how in the heck can you do that if you don’t know the biomechanics?????? The neck can be quite complicated considering all the factors that influence it’s dynamics: Ribcage position Thoracic spine Hyoid bone Cranium Temperomandibular joint OH MY! Yet despite all of these influences, there are simple, useful heuristics you can follow that can lead to favorable changes in neck mobility! Want to make the neck, cranium, and more ridiculously simple to understand and apply? Then tune in for Movement Debrief Episode 125.

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Mandibular Retrusion, GIRD, and Distance Assessment – Movement Debrief Episode 85

Movement Debrief Episode 85 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 relationship of mandibular in relation to the head and spine? What could be a negative consequence of the retruded mandible? What treatment strategies would you use to improve it? What is GIRD? Does my hierarchy for improving movement change with someone who has GIRD? How would you improve GIRD? How do I perform an assessment with a distance client?

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Course Notes: The Last Craniocervical Mandibular Restoration Evahhhhh

You’d Think I’d Learn it the First Time Around You’d think, but CCM is one of the hardest PRI courses to conceptualize.  It didn’t hurt that my work was hosting the Ron’s last time teaching this course, as next year we will see Cervical Revolution instead. I took this course last February, and it’s amazing how different the two courses were. We had a room filled with PRI vets, and the Ronimal went into so much more depth this time around. It was such a great course that I would love to share with you some of the clarified concepts. If you want a course overview, take a look here.  The TMCC  The right TMCC pattern consists of the following muscles with the following actions: Cranial retruders/mandibular protruders Right anterior temporalis Right Masseter Right medial pterygoid Sphenobasilar flexors Left rectus capitis posteror major Left obliquus capitis OA flexors that maintain appropriate cervical lordosis Right rectus capitis anterior Right longus capitis Right longus colli If this chain stays tonically active, then there is better accessory muscle respiratory capacity present. These muscles provide the fixed point needed for an apical breathing pattern. We want the muscles on the other side, the left TMCC, to be active. Their activity will allow alternating reciprocal cranial function to be possible. We also call this gait.  Keep Ya Sphenoid Flexed One cranial goal we have is to achieve sphenobasilar flexion, but what does this mean? In the RTMCC pattern, the sphenoid is in an extended position.

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Treatment at the Hruska Clinic – Initial Evaluation

For part 2, click here. For part 3, click here. “Do you produce enough saliva?” That was the first interview question Ron Hruska asked me; something I will never forget. I went to Lincoln, NE for almost a week to take a course, get treated, and observe PRI in it’s purest form. I wanted to see Ron out of curiosity and because I cannot achieve neutrality on my own. I have done most every exercise that could be thought of and been “worked on” by my fellow comrades and a couple PRI instructors in courses; nothing could budge. I knew I needed some type of orthotic to get somewhere; the question was which one? Subjective Complaints I do not have any pain really. My only complaints are a tight neck and I can’t seem to deadlift without feeling most of the effort in my back. I don’t see this deadlifting problem as a form issue necessarily. Interning with Bill Hartman at IFAST cleaned that up, and for a long time I could feel glutes and hamstrings all day when I deadlift. But not now. Other “issues” I have Left TMJ clicks; nonpainful. Clench jaw at night. Eye strain after reading on a computer too long (duh). By PRI standards, I am a classic PEC. I have no pathology anywhere, but I am limited in almost every motion.  I knew this and so did Ron. Objective Exam  First Ron had me walk and was pointing out some things to my student-to-be Trevor,

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