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Course Preparation Material
www.MyPTEducation.com
There is audio and video at YouTube
@Physio Detective - http://youtu.be/n3a3naVTxIs
www.mypteducation.com (c) 2014
All Social Media @physiodetective
Blog www.physiodetective.com
Clinic Website www.myphysios.com.au
I work and train from Reebok CrossFit GCS, CrossFit Bodi Complete CrossFit Scorch
CrossFit Experience Personally for over 2
years
Games, Regionals and all levels of CF athletes
All patients and sports fit this model to be presented
Definitions Mobility
Flexibility
Stability
Dissociation
“Specific” vs“Functional”
What is “normal” movement
www.mypteducation.com (c) 2014
What is “abnormal” or “dysfunctional” movement
Injury Prevention
Training and Rehabilitation Principles
Principles of Assessment and Treatment
www.mypteducation.com (c) 2014
Mobility:
The ability to move or be moved freely and easily
In Crossfit: The ability to move through the necessary range of motion for the prescribed movements to achieve optimal efficiency and the required movement standards
How well can you move with what you have
www.mypteducation.com (c) 2014
Flexibility:
The quality of bending easily without breaking
In CrossFit: The amount of range of motion you have across one or more joints
How far can you move
www.mypteducation.com (c) 2014
Stability:
The ability to maintain the desired trajectory despite kinetic, kinematic or control disturbances
In Crossfit: The ability to complete the prescribed movements without excessive shearing or unwanted motion in all joints
How well you can control your movement and posture
Stability of a dynamic system requires consideration of the level of load, the mobility requirements, predictability of the task and real or perceived risk
www.mypteducation.com (c) 2014
Dissociation:
The disconnection or separation of something from something else or the state of being disconnected.
In Crossfit: The ability to move one body part without moving other body parts
How well you can keep something still while moving something else
www.mypteducation.com (c) 2014
“Specific” vs “Functional”:
When most people say “functional”, they mean “specific”
Most movements serve a function
Choose specificmovements for your goal!
www.mypteducation.com (c) 2014
www.mypteducation.com (c) 2014
You have to know what normal is for the activity you are doing
Technique
Normal ROM
Strength/Flexibility/Control
Movement standards
Goal of movement
www.mypteducation.com (c) 2014
Deviations from normal
Painful movement
Consider Different techniques,
Anatomical differences,
What are you training for?
Ability of your athlete
www.mypteducation.com (c) 2014
What movements are we testing?
Problem Movements / Postures
Activities of daily living
Exercises that cause symptoms or poor performance
Stretches that cause symptoms
Specific movements of the regions involved
www.mypteducation.com (c) 2014
What is their starting position/posture like? Look at the whole body
Start from the feet up or from the head down
Use test/retest to see if it is a problem
www.mypteducation.com (c) 2014
How do they move? What is their technique like?
What is their first movement?
Do poor starting positions get better, worse or stay the same?
What is the range of the movement?
What exhibits failed load transfer first?
www.mypteducation.com (c) 2014
What region shows the earliest signs of “Failed Load Transfer”? The first region that moves or
stays still in an undesired way
Sometimes this is very subtle
I use Coach’s Eye to help my patients see it too
Coaches often have better eyes than Physios and other health professionals!
www.mypteducation.com (c) 2014
For that region, what system from the Integrated Systems Model is the “Primary Driver”
There can be “Co-Drivers” meaning 2 or more reasons why dysfunction is occuring
The Integrated Systems Model (Lee and Lee 2007)
Holistic
Can apply to any region
Flexible to adapt to new research findings
www.mypteducation.com (c) 2014
The person in the centre of the puzzle:
Goals
Virtual Body
Story
Emotions
Meaning
How you affect your own body
www.mypteducation.com (c) 2014
Neural System
Central Nervous System Brain Spinal Cord
Peripheral Nervous System Nerves
Includes Motor Control (Co-ordination)
www.mypteducation.com (c) 2014
Visceral System:
Internal organs and their tissues
I also include medical conditions, blood vessels, and lymphatic system
www.mypteducation.com (c) 2014
Strategies for Performance and Function:
Technique
How you do what you do
How many ways can you do the same thing?
Is your way exacerbating or relieving the problem?
www.mypteducation.com (c) 2014
www.mypteducation.com (c) 2014
Once the main region and the main system has been found, it gets easier:
Specific treatment to Address restrictions
Correct posture
Teach correct coordination
Teach correct movement patterns
www.mypteducation.com (c) 2014
Treatment Principles:
Target Specific Regions
Use Specific Positions relevant to the problem movement
Get Specific Results Use pre-treatment testing
and retesting (Test/Retest)
I don’t care what you do or use provided it is legal!
www.mypteducation.com (c) 2014
How do we rehab?
Specifically Many people say
"functionally" but they mean specifically!
• Mechanics
Consistency
Intensity (CrossFit HQ)
www.mypteducation.com (c) 2014
• Mobility
Flexibility
Stability
Strength
Power
Speed
Repetition (adapted from CF
Football)
www.CrossFitFootball.com
www.mypteducation.com (c) 2014
Key Principle 1: Specific Region Isolate the movement to the
joint / muscle / nerve / regions you want
Key Principle 2: Specific Position Use positions that are similar
to your problem movement
Key Principle 3: Specific Results Test after 30secs – it should
be helping by now
www.mypteducation.com (c) 2014
How do we scale? Within the limits of the
correct technique/movement
Mobility and Flexibility Training
Stability Training
Strength, Power, Speed and Met-Con Training A good coach and
programming "Mechanics, Consistency,
Intensity"
www.mypteducation.com (c) 2014
What is an increased risk of injury? More likely to get injured
when you push the body’s systems to their endpoints
How do we decrease the risk of injury? Improve their technique Limit shearing and
compression forces Optimize fitness
How do we "prevent" injuries? I don’t think we can...I think
we can only decrease the risk
www.mypteducation.com (c) 2014
“Bulletproof” Your Body Shoulders and Arms Back Hips Ankles Core Pelvic Floor
For everyone! Beginners to Elite Injured to No Pain
www.mypteducation.com (c) 2014
Goals: Everyone will experience a
“wow!” moment at some stage during the seminar
To challenge your beliefs about mobility, flexibility, stability, and strength
To teach you how to take care of yourself and how your coach and health professional is part of your team
www.mypteducation.com (c) 2014
Nicole had 4 months of worsening hip pain
Couldn’t squat or run anymore
Seen others but nothing helped
Came to seminar skeptical(thrown in as a last minute replacement)
Check out her squat
5mins later, we had it sorted
www.mypteducation.com (c) 2014
She learned how to Release the restrictions
Fix her posture
Control the problem rib
Squat better
Integrate it into exercises
She can now run and squat again – only 1 session needed
www.mypteducation.com (c) 2014
“The magic happens in person”
You can only learn so much from reading and watching videos
I have given away a significant amount of knowledge but I know few people who could implement what I have just gone through on their own
www.mypteducation.com (c) 2014
Exercise clothes, shoes and whatever you need to move well in Shorts and crop tops for
girls Guys, you may be asked to
remove your shirt Of course, no one is forced
to do anything!
Bring your questions
Be prepared to be challenged!
www.mypteducation.com (c) 2014
I can run seminars for any length of time From 1 – 16hrs
Obviously, the longer the seminar, the more you get out of it
Contact me at antonylo[at]mypteducation.com