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.

 

Zac Cupples iTunes                

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

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

 

Check out the mentor program

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.

Modalities? No FN way...See what I did there??? Ah hell with it.
Modalities? No FN way…See what I did there??? Ah hell with it.

Exercise Categories

There are several exercise types that can be utilized depending on one’s goal:

  • Functional: Purposeful exercise that displays carryover to other activities. Can be general (for movement patterns) or specific (for certain skills). These generally enhance physical capacity.
  • Corrective: To create a functional base, normalize tone, and allow movement freedom.
  • Conditioning: Create positive neurophysiological adaptations in structural integrity/performance over periods longer than a single exercise series.
  • Movement prep: Work on patterns needed for activity.
  • Skill training: For specific skills.