the physio detective way - seminar preparation lecture

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


What is “abnormal” or “dysfunctional” movement

Injury Prevention

Training and Rehabilitation Principles

Principles of Assessment and Treatment


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


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


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


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


“Specific” vs “Functional”:

When most people say “functional”, they mean “specific”

Most movements serve a function

Choose specificmovements for your goal!



You have to know what normal is for the activity you are doing

Technique

Normal ROM

Strength/Flexibility/Control

Movement standards

Goal of movement


Deviations from normal

Painful movement

Consider Different techniques,

Anatomical differences,

What are you training for?

Ability of your athlete


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


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


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?


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!


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


The person in the centre of the puzzle:

Goals

Virtual Body

Story

Emotions

Meaning

How you affect your own body


Articular System:

Bones

Cartilage

Ligaments

Capsule


Myofascial System:

Muscles

Fascia

Tendons


Neural System

Central Nervous System Brain Spinal Cord

Peripheral Nervous System Nerves

Includes Motor Control (Co-ordination)


Visceral System:

Internal organs and their tissues

I also include medical conditions, blood vessels, and lymphatic system


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?



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


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!


How do we rehab?

Specifically Many people say

"functionally" but they mean specifically!

• Mechanics

Consistency

Intensity (CrossFit HQ)


• Mobility

Flexibility

Stability

Strength

Power

Speed

Repetition (adapted from CF

Football)

www.CrossFitFootball.com


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


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"


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


“Bulletproof” Your Body Shoulders and Arms Back Hips Ankles Core Pelvic Floor

For everyone! Beginners to Elite Injured to No Pain


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


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


Before After


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


“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


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!


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


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

the physio detective way - seminar preparation lecture

Education

normal movement

prescribed movements

symptomsspecific movements

required movement standards

reebok crossfit gcs

specific vs functional

physio detective http

unwanted motion