Death of Vertical Tibia, Usain Bolt, Complex Patients, and More – Movement Debrief Episode 13

Movement Debrief Episode 13 yesterday involved quite a few rants. Must’ve been the ketones talking.

Here’s what we talked about:

  • Restoring sensation with my patient with low back pain
  • Why it’s okay to have an angled tibia during squatting
  • Would any intervention help/hurt Usain Bolt?
  • The complexity of Usain Bolt
  • Struggling with a complex patient
  • Dealing with uncertainty
  • Embracing the struggle

If you want to watch these live, add me on Facebook, Instagram, or Twitter. (occasionally) They air every Wednesday at 8:30pm CST.

Enjoy.

Here were some of the links I mentioned in this Debrief.

How to Deadlift – A Movement Deep Dive

Squatting Bar Reach – A Movement Deep Dive

The Sensitive Nervous System – Read my book notes here

Clinical Neurodynamics- Read my book notes here

A Study of Neurodynamics: The Body’s Living Alarm

Mobilisation of the Neuroimmune System – Read the course notes here

Explain Pain– Read the course notes here

Extreme Ownership

The Obstacle is the Way

Ego is the Enemy

The Subtle Art of Not Giving a F*ck

Stress Response, Proximal First, Sensation Loss, and Your Health – Movement Debrief Episode 12

Let me guess, you are devastated you missed last night’s Movement Debrief.

You should be. It was by far the most interactive debrief we had yet. Loved how active everyone was, and definitely some people help me get better.

Kudos to Steve, Jo, Yonnie-Pooh, and the many others who commented on today’s Debrief.

Here’s what we talked about:

  • How the stress response impacts many areas
  • Treatment hierarchies
  • How to restore sensation loss post-surgery
  • Functional Medicine
  • Why taking care of your health helps others

If you want to watch these live, add me on Facebook, Instagram, or Twitter. (occasionally) They air every Wednesday at 8:30pm CST.

Enjoy.

Lat Stretch Arm Position, Exercise Programming, and Staying Neutral? – Movement Debrief Episode 10

Episode 10 of the Movement Debrief, we went straight up q&a from readers.

It was a lot of fun and I got a lot of great question from people.

Here was what we discussed:

  1. Should the arm be in internal or external rotation when stretching the lats?
  2. If general exercise works, why should we incorporate specific exercises?
  3. Why coaching exercises well is of utmost importance
  4. Is staying neutral in a good joint position important?

If you want to watch these live, add me on Facebook or Instagram. They air every Wednesday at 8:30pm CST.

Enjoy.

How Sleep Saved the D-League – Resilient Podcast

Sleep is a big deal.

Not only has a lack of sleep been linked to many big bad diseases, it also contributes to poor performance.

Behavior change through education and persuasion is hard enough as is. We are all resistant to change, namely because our current habits and routines require Herculean willpower efforts to break. This problem  is especially true in non-conducive environments.

It’s hard to eat healthy when your family cooks fried foods and orders pizza for dinner every night.

It is these situations where we just have to make the most with what we have, and that’s exactly what I spoke about on one of my best friend’s podcasts, Doug Kechijian.

Before we go into the content, let me tell you a bit about Douglas, my younger-older brother.

Doug and I first met way back in 2013 at a PRI course in Phoenix. 

So young. So youthful. So of poor quality of a photo. Doug is 3 people right of me

I was the first person who arrived in town, and it was up to me to take care of the rental car.

We had five bros to get to the class, so I needed to find something cozy that could fit everyone and their luggage to and from the class and Phoenix airport.

So I’m looking at some midsize SUVs, a couple sedans, trying to find the right car that I could fit everyone in.

Then I saw this:

So…fast…now my realistic dream car.

Doug and I had never met before, and he was the first person I had to pick up. He asked “what will you be driving?”

I said “you’ll know.”

So there I am, picking Douglas up in this Dodge Challenger flarin’, hip hop blarin’, shade-wearin’, and straight up stuntin’ in that AZ heat.  The car was a great ice breaker towards realizing how likeminded we both were.

All the other guys we had to pick up were flying into town every couple hours. For the hell of it, we made the 20 minute drive back and forth to the airport in that Dodge Challenger. We ended in clown car fashion, but it was totally worth it…Well, for me at least. I got to drive that beast!

It was in those hours, that weekend, that coziness, that these two cats who didn’t know each other developed a long lasting friendship. I am fortunate to say that about every single one of those guys in that picture.

Doug is simply one of the most intelligent, grittiest, interesting, and eloquent individuals I know. He is without a doubt a thought leader in the fields of physical therapy and performance. Each time we hop on our 2+ hour call to catch up, I always become a better clinician, coach, and person. He is a wealth of information, served our country with distinction, and a great human being. I am honored to call him my friend, and you guys should know who he is.

He’s also a really good agent, as he’s gotten me two of my most recent jobs!

So please, check out his site, follow his killer twitter, watch him demonstrate exercises shirtless on Instagram,  see him in NYC, and do all you can to learn from this guy.

On a side note, he and his two partners, Trevor Rappa (aka my son)and Greg Spatz (aka my step-son), put on seminars periodically throughout the year.

One class I want you to know in particular is at Move-SF in San Francisco on October 1st. 

Why am I pointing this one out? Because I’m going to be there. I want to learn all that I can from these guys. As should you.

So if you are a reader of mine, go to this seminar and we can get together for some grub and discussion. I plan on being around the Bay Area for a little while (there’s National Parks to be hiked after all), so please attend and support my dear friends.

 Improving Sleep the Easy Way

I was recently featured on Doug’s podcast where we discussed my sleep initiative that I executed when I was with the Iowa Energy of the NBA D-League.

While the article covers logistics, this podcast details the why’s, how’s, when’s, etc.

If you missed my original article, click here to read it: “He Sleeps He Scores: Playing Better Basketball by Conquering Sleep Deprivation.”

Here were the topics that we discussed:

  1. The challenges a pro sports medical and performance staff faces
  2. Why I started my sleep initiative
  3. The sleep initiative details
  4. How I persuaded the coaching staff to break sacred traditions
  5. How better sleep benefitted the team
  6. Sleep science resources
  7. Eliciting organizational and individual behavioral change

If you want to download this podcast or many of the other amazing podcasts Doug has put out, subscribe to him on Itunes. 

Some of my favorites include the podcasts he did with Daddy-O Pops Bill Hartman, David Epstein, Brett Bartholomew, Dr. John Childs, and of course, the one and only James “The Thinker” Smith.

Workers’ Compensation, Dealing with Late Patients, Fall Prevention, & More – Movement Debrief Episode 9

Episode 9 was a long one, and I’m so sad if you missed it live.

Here were some of the topics:

  1. The necessary organizational fix to worker’s compensation
  2. Ways physical therapists can have patients simulate work
  3. Targeting educational-specific impairments
  4. The need to expand scope or collaborate to help clients thrive
  5. How to deal with patients who are always late and don’t do their exercises
  6. Working on getting up off the ground after a fall

If you want to watch these live, add me on Facebook or Instagram. They air every Wednesday at 8:30pm CST.

Enjoy.

How to Treat Pain with Sitting – A Case Study

Case studies are much more valuable than many give credit for.

It is this type of study that can often lead to sweeping changes in how further research is conducted, often create paradigm shifts in their own right.

After all, there was only one Patient H.M.

One thing that I wish I saw more in case studies was the clinician’s thought process. Why did they elect to do this treatment over that, what were they thinking when they saw this? How do they tick?

I was fortunate enough to have an online client of mine suggest to that I make her a case study, and it was a very rewarding experience on both fronts.

My hope is that you can see how a clinician thinks first-hand, and see the challenges a clinician faces…

When you can’t work with your hands.

Continue reading “How to Treat Pain with Sitting – A Case Study”

90/90 Hip Lift – A Movement Deep Dive

The Fundamental Rehab Technique

It’s a classic that does so much more than the naked eye can see. This round of “Movement Deep Dive” focuses on the 90/90 hip lift, and some of my favorite variances off that move.

I hope you have your pen and paper handy to take notes, because this video is a long one.

If videos aren’t your thing, I’ve provided a modified transcript below. I would recommend both watching the video and reading the post to get the most out of the material.

Learn on!

Continue reading “90/90 Hip Lift – A Movement Deep Dive”

Hamstrings and the ACL, Explaining Hip Range of Motion, & Meeting the Patient’s Needs – Movement Debrief Episode 4

If you missed me live, you can check out Episode 4 of Movement Debrief below. We hit a small technical difficulty early on, but it all ended up working out.

We discuss the following concepts:

  1. Why I Emphasize Hamstrings before quadriceps after ACL reconstruction
  2. Why Hip Rotation isn’t always a reliable measure
  3. Interpreting the Ober’s Test
  4. Meeting the Patient’s Needs vs the Clinician’s Needs

I apologize that the quality is not so great. I’ve moved to a rural part of Arizona, which as of right now does not allow for the best of streaming. If you friend me on facebook, however, you can watch the live stream, which has surprisingly much better quality.

Click here for the post I mentioned discussing combining blood flow restriction training with E-stim.

 

Teaching Movement, Expanding PT, Embracing Failure: Movement Debrief Episodes 2 & 3

Here are this week’s Movement Debriefs. I’m hoping to get on a regular schedule once I get settled into my new gig as a PT Mercenary, but hope you enjoy.

Anchoring Old Movements to New, Prioritizing PT’s Professional Needs

In Episode 2,  we discuss the following concepts:

  1.  Visit 2 & 3 of our patient with the lumbar fusion
  2. Using familiar concepts from old exercises in new exercises
  3. Strategies to enhance learning.
  4. Prioritizing Problems in the Profession.

Embracing Failure and The Dunning-Kruger Effect

In Episode 3,  we discuss the following concepts:

  1. My Failure
  2. The Dunning Kruger Effect – and how to hack it
  3. Embracing Failure
  4. Learning from Failure

The Squatting Bar Reach: A Movement Deep Dive

Aka How I Mastered the Sagittal Plane

In our first episode of “Movement Deep Dive,” we go over one of my favorite moves, the squatting bar reach. It’s an excellent technique and I hope this video explanation is helpful.

If videos aren’t your thing, I’ve provided a modified transcript below. I would recommend reading and watching to get the most out of the material.

Learn on!

 

Continue reading “The Squatting Bar Reach: A Movement Deep Dive”