Professional Documents
Culture Documents
1
Scissors Over Time Failure Tolerance
Drops w/ Repetitive Strain
• Oblique diaphragm
• Failure of oblique
abdominal muscle
slings Failure Tolerance
• T/L overload
• Hyperlordosis Load Margin of Safety
• Lower Cross Failure
Syndrome (Janda)
Derived from:
McGill S, Lower Back Disorders:
Evidence-Based Prevention and
Rehabilitation.
2002, Human Kinetics, Champlain, IL
Time
Derived from:
Load
Margin of Safety
Time
2
Agonist-Antagonist
Dysfunction “Weak Link”
Muscle response pattern to sudden
trunk loading in LBP individuals 1. Upright Posture 2. Core/Respiration 3. 1 Leg Stance
• Delayed activation
• Over-activation
• Delayed relaxation
Horizontal Axis
I) The Diaphragm & the Core of Diaphragm (Kapandji)
3
Conclusion: Patients with chronic LBP
appear to have both abnormal position and
a steeper slope of the diaphragm. JOSPT
2012:42:352-362.
Diaphragm Test -
To Cue or Not to Cue
p553-555 (ROS)
NO ! • “During movement pattern testing, minimal verbal
• Most common faulty movement cues should be used which test an individual’s
pattern habitual way of performing a movement. If the cues
• Vertical chest breathing are too “leading” then the test will be of the subjects
predominates over horizontal ability to learn how to perform the movement
correctly, rather than how they are habitually
• Scalene overactivity performing it.”
• “graded on how they chose to perform rather than
how they could perform the tasks given feedback or
coaching”
• “the hallmark of the SFMA design is the use simple
basic movements to expose natural reactions and
responses by the patient.”
4
Who is More Athletic?
5
Ball & Socket Joints Require a Fixed Core
Developmental Movement
6
1. Kolar Arm Lifting Test L Hamilton “Once you start being conscious of the
repetitive motions that we all just accept… you realize
- p557,558 ROS how little we do to counteract those motions.”
Initial position Lower crossed syndrome)
Patient supine, or standing errects
He/she lifts both arms slowly
7
Abdominal bracing increases lumbar Abdominal bracing reduces lumbar
axial rotation stiffness during the axial rotation during the Active
Active Straight Leg Raise test Straight Leg Raise test
Liebenson, C., Karpowicz, A., Brown, S., Howarth, S., McGill, S.M.
(2009) The active straight leg raise test and lumbar spine stability. Physical
Medicine and Rehabilitation.1(6): 530-535
8
What is the Goal of
Get-Up to Sitting to Bear Human Development?
9
FRONT PLANKS WITH
Stir the Pot
SAW (2/1)
Perform on toes
– Perform in a plank on your toes
– Start w/ chest against the ball
& then push off the ball before
“stirring the pot”
– Start w/ wide stance &
progress by narrowing your
base of support
10
Cable Chop Plank Rolls
11
Start on All 4’s CORRECTION
- hands under shoulders
- knees under hips
Bird Dog -
opposite arm/leg reach
NO
Don’t forget the
hands!
YES
12
1” Punch Dying Bug
13
1 Leg Box Squat
RDL
• Sit on box w/ 1 foot
elevated
• Squat up and down barely
touching the box each time
Troubleshooting
• Find the height you can
squat to on 1 leg
• It may be easier if you
stand on a bench so that
your raised leg stays off the
floor easier
• Avoid trunk flexion
2LDL 1LDL
14
Reactive Ham Curl - Singles
• Gray Cook-
"The best
resistance is the
one that causes
the problem to
correct itself
without verbal or
visual
feedback."
Medial Knee
4. Frontal Plane
Collapse
15
Frontal Plane Stability
16
17