Corrective Exercise

 

CORRECTS SOMETHING  

NEED A STANDARD TO CORRECT

 

DOES IT STAY CORRECTED?   Can’t be doing “correctives” for any longer than necessary   Does it correct the end-state activity?

 

IS IT TRULY MOTOR LEARNING?   Cognitive   Associative   Autonomous

 

CORRECTS SOMETHING  

EXAGGERATE OR EXPOSE THE LIMITATION   Up against the barrier of the pattern   Feel the error or limitation

 

MUST WIN   Must be able to execute technical proficiency at high %age

 

CLIENT CAN COACH HIM/HERSELF   Must be able to feel right or wrong after initial feedback   Feed Forward and/or Feedback Loops

 

CORRECTS SOMETHING  

Muscle Memory or Motor Learning?

 

Wadman et al   Motor Programs are planned   Not changed once put into action   EMG doesn’t change much between blocked/random over time   Maybe ideal for biological reserve

 

Maintaining Motor Skills is more desirable than “corrections” themselves

 

CORRECTS SOMETHING  

Muscle Memory or Motor Learning?

 

Shea and Morgan, 1979   Blocked Practice gains form quicker   Random Practice gains better form over time   Random continues to improve over time

 

Simon and Bork, 2001   Random Practice has far better retention of form

 

Corrective Exercise has no reliable programming patterns   Not typically accounted as CNS intensive programming

 

Train the Brain

CORRECTS SOMETHING  

Muscle Memory or Motor Learning?   Joint move the Body   Mobilizations, Manipulations   Muscles move Joints   Soft Tissue Mobilization   Trigger Point erapy   Repeated Motions   Fascia connects to Muscles   Fascial Treatment, Fascial Fitness   Fascia connects to the Brain

 

TRAINING THE BRAIN

SUBCONCIOUS DYSFUNCTION

CONCIOUS DYSFUNCTION

SUBCONCIOUS FUNCTION

CONCIOUS FUNCTION

 

TRAINING THE BRAIN

SCREEN SUBCONCIOUS TEST DYSFUNCTION ASSESS

BEGIN CONCIOUS CORTICAL DYSFUNCTION TRAINING

GET LONG SUBCONCIOUS GET STRONG FUNCTION GO HARD

RESCREEN CONCIOUS RETEST FUNCTION REASSESS

 

TRAINING THE BRAIN Neuromuscular Inputs

Neurodevelopmental Patterns Autonomic Biomechanics

Nervous System

 

BIOMECHANICS  

 

NEUROMUSCULAR INPUTS    

 

Triplanar Movement Reactive Neuromuscular Training

NEURODEVELOPMENTAL PATTERNS    

 

Joint by Joint Approach

Functional Movement System 4x4 Corrective Matrix

AUTONOMIC NERVOUS SYSTEM    

Breathing All of the Above

 

Screening

Risk and Limiting Factors and   Testing Physical Limitations to Long-Term Aggressive Training  

11

Assessing

 

Filter system of appropriate selection  

Are you………        

………… in the right place? ………… with the right person? ………… at the right time? ………….doing the right things?

  MEASURES RISK!!!!!!  

When the Screen “hits……”

  Look deeper to determine if further challenge

  Warranted?   Safe?   Benign?   Provocative?

 

Blood Test, Mammography, Yearly Physical

 

Do you meet the industry standard for….      

Flexibility? Power? Strength?

Vision? Intelligence? Equipment Fit?

  MEASURES ABILITY!!!!!!  

No interpretation needed   1RM Lift   Snell Eye Exam   40 yard dash time

 

Why DON’T you meet the industry standard in something?    

Examination for the purpose of judgment and evaluation Rate and rank priorities

  MEASURES INABILITY!!!!!!  

Find or diagnose the problem      

EKG CT Scan Vehicle Diagnostics

• Flexibility • Strength • Power • Anatomy • Alignment • Balance • Previous Injury

• 

Previous Injury

• 

Right/Left Asymmetries

• 

Neuromuscular Control

• 

• 

Timing and Quality

• 

Stereotypes

Body Size/BMI

 

Mobility  

 

What is a joint system capable of performing without external influence

Stability  

Ability of a joint system to maintain position in the presence of change

• 

Screen for Major Problems •  • 

Pain Serious Dysfunction

• 

Rank and Rate Movement Patterns

• 

Attack the Weakest Link • 

• 

Evidence Based

Bucket the Problem • 

Mobility

• 

Stability

• 

Creating a baseline for movement Minimum Standard Species-Specific

•  • 

• 

• 

Not Athlete- or Age-Specific

Movement limitations are evidencebased risk factors • 

Sometimes distant joints affect each other

 

e Screen is a Filter that categorizes movement  

 

Definable landmarks of the movements        

 

Not Diagnostic

3 = Performance without limitation 2 = Performance with compensation 1 = Inability to perform 0 = Performance with pain

Efficiency    

Time, Space, Data Collection For all individuals

 

Goal of Scoring is 14 and no Asymmetries  

 

Literature identifies….      

     

21 is no better than 15

less than 14 as increased risk factor any asymmetry as increased risk factor always measures 15% risk for all

Screening for Aggressive Fitness Injury Prediction Tool Corrective Exercise Roadmap

   

Neuromuscular Approach to exercise Part to Whole  

 

Whole to Part  

 

Stability

Mobility before Stability  

 

Mobility

Remove the negative

Train the Weakest Link  

Based on FMS algorithm

 

Soft Tissue Mobilization    

 

Assisted or Passive Mobility  

   

Maintaining a static position in the presence of change

Dynamic Stability  

 

As difficult as success allows

Static Stability  

 

Trainer or erapist doing TO client

Self-Mobility Training Activation/Patterning/RNT  

 

Manual erapy Self-MFR Techniques

Maintaining a dynamic position in the presence of change

Resisted Exercise    

Fitness Conditioning

 

Asymmetries first    

 

Shoulder Mobility/ASLR    

 

2-4 weeks Symmetrical 2’s before moving on

Rotary Stability/TSPU    

 

1-3  1-2  1-1  2-3 e “better” score isn’t always better

2-4 weeks Symmetrical 2’s before moving on

Big 3    

Symmetrical 2 on ILL and HS before moving on Deep Squat last   Most representative of the entire Screen

 

POSITION

X  

1 2 3 4

PATTERN ASSISTANCE (PA) +/- RESISTANCE

Unloaded

Pattern Assitance

Quadruped

No Resistance

Kneeling

Resistance + PA

Standing

Resistance

1 2 3 4