Knee Pain & Modalities – Movement Debrief Episode 24

Movement Debrief Episode 24 is in the books. Here is a copy of the video and audio for your listening pleasure. Here were all the topics: What ACL graft should you get? What does the systemic process look like for knee pain? What local factors are important for knee pain? the importance of plyometrics for knee pain Is there a place for modalities? What modalities I incorporate into my practice If you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 7:30pm CST. Enjoy.                    Here were the links I mentioned tonight Enhancing Life Darkside Strength Adam Bryant PRI Impingement and Instability Course Notes Here is the Active Midstance Test Here’s the Copenhagen Adduction Test Bill Hartman A Randomised Controlled Trial of ‘Clockwise’ Ultrasound for Low Back Pain E-Stim and BFR Perioperative Pain and Swelling Control in Anterior Cruciate Ligament Reconstruction Dry Needling 1 Course Notes Here’s a signup for my newsletter to get a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies:   Knee Pain Modalities

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Movement Chapter 11: Developing Corrective Strategies

This is a chapter 11 summary of the book “Movement” by Gray Cook. Autonomics All exercise affects tone and tension. This influence is the basis for movement. The autonomic nervous system determines movement as threatening or not, which determines requisite tone. It is important to nudge movement towards further nonthreatening yet advanced stimuli.   FMS Corrections Proceeding to correct under FMS protocol is determined by screen results and changed via exercise.  We first correct mobility, next reinforce stability, then retrain movement patterns. Stability training in particular follows a sequence: 1)      Challenge posture and position. 2)      Build mid-range strength. 3)      Develop end-range stability. Movement patterns are corrected in the following hierarchy: ASLR & Shoulder mobility → rotary stability → pushup → Inline lunge → hurdle step → Deep squat   SFMA Corrections The SFMA corrective pathway is nonlinear unlike the FMS. The breakouts will tell you which direction to go to restore optimal movement. The options are also increased. Often to gain mobility, you would utilize various manual therapies or other modalities. To alter stability, taping, orthotics, braces, or anything else to increase motor control may be utilized. Movement patterns are corrected in the following hierarchy: Cervical spine → Shoulder →multi-segmental flexion & extension→ Multisegmental rotation →single leg stance → Squat Depending on how movements present, certain therapies are utilized: DN – manual therapy and corrective exercise. DP – Manual therapy and modalities. FP – Modalities and manual therapy. FN – General exercise. Exercise Categories There are several exercise types that can be utilized depending on one’s goal:

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