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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9 weeks with Bane, I mean Zac…Oops Sorry Wrong CI

Note from Zac: This is my first guest post, and to start things up is the one and only Trevor Rappa. Trevor was my intern for the past 9 weeks and he absolutely killed it. Here is his story. It’s very exciting for me to get to write a guest post for Zac’s blog that I have read so many times and learned so much from. The experience I have had with him over these past 9 weeks has been incredible and I hope to share some of it with all of you that read this. He challenged me to think critically in every aspect of patient interaction: how I first greet them, which side of them I sit on, the words I use, and how I explain to the patient why I chose the exercises they’ll go home with. All of this was to create a non-threatening environment to help to patient achieve the best results they can. He also taught me how to educate patients with a TNE approach, incorporate other interventions such as mirror therapy into a PRI based treatment model, and deepened my understanding of the neurologic concepts behind performance. Therapeutic Neuroscience Education Perception of threat can lead to a painful experience which will cause a change in behavior. It’s the PT’s role to introduce a salient stimulus to attenuate the perception of threat in order to cause a positive change in experience and behavior (Zac and I came up with that, I really like it). Pain

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Course Notes: Cantrell’s Myokin Reflections

Third Time’s a Charm Mike Cantrell was in my neighborhood to teach Myokinematic Restoration by the folks at PRI. And I couldn’t resist. This is the third time I have taken this course, a course I feel I know like the back of my hand, yet Mike gave me several clinical gems that I want to share with y’all. This post is going to be a quick one. If you want a little more depth, take a look at my previous myokin posts (See James Anderson and Jen Poulin). Or better yet, take a PRI course for cryin’ out loud. Hip Extension, We Need That Yo.  Sagittal plane is your first piece needed to create triplanar activity. Since this is a lumbopelvic course, we look at getting hip extension as high priority. If I am unable to extend my hip, here’s what I could try to use to do it: Back SI joint compression Anterior hip laxity Gastrocnemius and soleus. We use two tests to see if we have hip extension: adduction drop (modified ober’s test) and extension drop (Thomas test). The adduction drop will look at your capacity to get into the sagittal and frontal plane, and the extension drop test will look at your anterior hip ligamentous integrity. A positive extension drop is a good thing if you are in the LAIC pattern. It means you didn’t overstretch your iliofemoral and pubofemoral ligaments. Well done! The reason why this test is not a hip flexor length test has to

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Course Notes: Advanced Integration and PRC Reflections

I Passed I officially became a Jedi this past December after retaking Advanced Integration and going through the Postural Restoration Certified (PRC) testing. Both were a wonderful experience in terms of learning new concepts and fine-tuning old ones. Since I have retaken this course, I will not go into huge detail in terms of the material covered (if you want detail, read last year’s AI notes here, here, here, and here). Instead, I will reflect on a few concepts that really hit home for me (No, i’m not saying what we did at the PRC)! Enjoy.  Extension is Evolution Extension is what allowed our brains to develop because it brought us to two legs. The big extenders: psoas, paravertebrals, lat, QL, capitis Extension given us more but comes with a cost. As we continue to extend, we increase system demands. Extension will likely be a necessary adaptation to live in the world we are creating. I’m scared to see what the future looks like. Position Refers to triplanar position of the body. Neutrality is the state of rest and transition zone from one side to the other. We want this most of the day, but can’t expect this to occur all day. We want to establish a rhythm in and out of neutrality in alternating and reciprocal function. The alternating and reciprocal rhythm has alternate appendages on either side of the body. When the left leg is in front, the right leg should be back. In right stance, the appendages take

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The End of Pain

I’m Done Treating Pain. Yes. You read that correctly. I’m over it. Several different thoughts have crept into to my mind sparked by what I have read and conversations I have had. I would like to share these insights with you. I remember when I was visiting Bill Hartman Dad a few months ago and we were talking about a specific treatment that is quite controversial in therapy today. He said something that really resonated with me: “Maybe they measured the wrong thing.” This sentiment was echoed in “Topical Issues in Pain 1” by Louis Gifford. Check out this fantastic excerpt: “Thus, pain can be viewed as a single perceptual component of the stress response whose prime adaptive purpose is to powerfully motivate the organism to alter behavior in order to aid recovery and survive.” Notice what I bolded there. Pain is a single component of the stress response. Not the stress response. Not a necessary component of the stress response. Just one possibility. Why do we place so much importance on pain? Many proponents of modern pain science (myself included) often use this statement against individuals who are over-biomedically inclined: “Nociception is neither necessary nor sufficient for a pain experience.” Agreed, pain is not always the occurring output when nociception is present. That said, pain is only one of several outputs that may occur when a tissue is injured. Just because pain is absent does not mean other outputs are also absent. Many different outputs can occur when an individual is

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