Shoulder Flexion Troubleshooting

Can’t get overhead? Let’s figure out how! If you can raise your arm fully overhead WITHOUT compensating, don’t read any further! But if you are like most of us, reaching overhead probably draws its fair share of LOLZZZ. Yet raising your arm overhead is HELLA important for things like lifting weights, moving your neck freely, and even rotation through the ribcage.  So if ya ain’t got it, you might want to work on it! That’s why I put out this debrief for you that dives into mechanics, what directions to reach and clarifies any confusion that may surround arm elevation biomechanics.  Let’s channel our inner Josh Groban and raise you up (your arm that is).

Read More

Overhead vs Quadruped, Hypersensitivity, and Frozen Shoulder – Movement Debrief Episode 35

Movement Debrief Episode 35 is in the books. Here is a copy of the video and audio for your listening pleasure. Here is the set list: How do the overhead and quadruped positions affect infrasternal angles? How does one reduce hypersensitivity in a focal area of longstanding pain? How does one perform treatment on someone with frozen shoulder? How often are there cervicocranial components to frozen shoulder? What other things do we need to be looking at with frozen shoulder? 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: Infrasternal Angles NOI Recognise apps CRAFTA – A con ed course on craniocervicalmandibular region Tactile discrimination, but not tactile stimulation alone, reduces chronic limb pain. Acupuncture applied as a sensory discrimination training tool decreases movement-related pain in patients with chronic low back pain more than acupuncture alone: a randomised cross-over experiment “Why Are My Nerves So Sensitive?” By Adriaan Louw Oxygen Advantage  “Unconventional Medicine: Join the Revolution to Reinvent Healthcare, Reverse Chronic Disease, and Create a Practice You Love” by Chris Kresser Here’s a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies:   Overhead vs Quadruped Hypersensitivity Frozen Shoulder

Read More

Movement Chapter 8: SFMA Assessment Breakout Descriptions and Flowcharts

This is a chapter 8 summary of the book “Movement” by Gray Cook. What to Look For The SFMA breakouts are utilized to determine if one’s movement deficiencies have a mobility or stability origin. There are further possibilities in each of these categories. It Could Be a Mobility Problem There are two subsets of mobility problems that include tissue extensibility dysfunction (TED) and joint mobility dysfunction (JMD). From here, we can break it down even further in each subset. Here are some potential TEDs Active/passive muscle insufficiency Limited neurodynamics (they said neural tension; come on Gray!) Fascial tension Muscle shortening Hypertrophy Trigger points Scarring/fibrosis And here are some potential JMDs Osteoarthritis/arthrosis Single-joint muscle spasm/guarding Fusion Subluxation Adhesive capsulitis Dislocation It could be a Stability Problem These issues are also known as stability or motor control dysfunction (SMCD). Most conventional therapies would treat these complaints by strengthening the stabilizers, but this is problematic. When something works reflexively, how can we train something volitionally and expect changes? To train these muscles we must focus on proprioceptive and timing-based training. There are several examples of SMCD problems. Motor control dysfunction. High threshold strategy. Local muscle dysfunction/asymmetry. Mechanical breathing dysfunction. Prime mover or global muscle compensation behavior or asymmetry. Poor static stability, alignment, postural control, asymmetry, and structural integrity. Poor dynamic stability, alignment, postural control, asymmetry, and structural integrity. Relatedness Mobility and stability can influence one another. If I were to lose mobility at one segment, motor control can be distorted at nearby segments.

Read More