How to Manually Assess Movement… be your best!
The Study of Biomechanics 1. Capacity: Static (Quiet standing) A state of constant motion at rest or at a constant velocity. Forces controlled by contraction of proteins (actin and myosin). Creates the Force-Velocity relationship (muscles). TESTING: Muscle imbalance distorts alignment and sets the stage for undue stress and strain on joints, ligaments and muscles. Manual testing is the tool of choice when it comes to determine the extent of imbalance. 2. Capacity – Dynamic (Gait) A state where acceleration and deceleration are both present. Elongation of the connective tissue. Is a significant factor in affecting movement at the joint end ROM. TESTING: Today’s literature identifies many common themes regarding ‘why’ we should screen clients: to conserve energy by proper use of the body and it’s parts; to expend energy intelligently and efficiently to accomplish a given purpose; to sustain attention; allow the body the ability to move, engage and proprioceptively respond through …
Read MoreVegetarian Anti-inflammatory Soup
Anti-inflammatory Turmeric and Ginger Carrot Soup This is a really simple, speedy, and tasty and soup recipe for all. The ingredients list is for making up to 8-10 litres. Ingredients 100kg carrots Freshly ground black pepper corns (using a pestle and mortar) 2 litres organic broth (see existing recipes: Chicken or Vegetarian) 1 pint of milk – your choice! 1 tbsp organic cumin 2 tbsp of homemade ghee 1 tsp unrefined sea salt 1/4 cup organic liquid turmeric (centrifugal juicer) 1/4 cup organic liquid ginger root (centrifugal juicer) Handful of fresh organic coriander (cilantro) leaves Methodology Heat ghee in pan until completely melted. Add all the carrots to the ghee and stir occasionally for 5 minutes. Add all the broth, milk, pepper, cumin, salt, turmeric, and ginger and leave to simmer for 30 minutes. When cooking is complete, add the coriander leaves then blend. Eat immediately or freeze for another day …
Read MoreIs MSK Rehab and Research Missing the Point?
Musculoskeletal properties related to movement effectiveness Movement effectiveness can be any task i.e. stand-to-sit, lunge, walk etc. For this blog we shall be looking at ‘vertical jumps’. Jump movements are commonly used as part of the sports-biomechanical research to measure overall power of the lower extremities (Bosco and Komi, 1979; Hunter and Marshall, 2002; Marques and Gonzalez-Badillo, 2011) and as a training task for improving performance and power (Bobbert, 1990; Krol andd Mynarski, 2012). During the jump, there is a complex interaction between three joints; hip, knee and ankle. Anatomically the most important factors to achieve maximal jump coordination, ineffective movements are minimised and effective movements maximised, will depend upon the number of joints a muscle spans, physiological cross section of a muscle (van Soest and Bobbert, 1993), muscle tendon length ratio (Voigt, Simonsen, Dyhre-Poulson and Klausen, 1995; Finni, 2000), length and velocity of muscle contraction (Hill, 1938; Voigt et …
Read MoreHow to identify the most common cause of Movement Dysfunction
The most common and major cause of movement dysfunction The most common and major cause of movement dysfunction is joint immobilisation accompanied by length-associated changes in tissues (Grossman et al., 1982; Janda, 1993). When a joint becomes immobilized, initially there are two categories of muscle state; hypertonia: an excited, overactive and dominant muscle; and hypotonia: weak, inhibited, under-active with reduced feed-forwards capacity. Note the ‘initial’ emphasis in the previous sentence – the ‘effect’ of an injury commonly has phases i.e. phase 1, acute, generally days 1 to 3, phase 2, acute, days 4 through to 3 weeks and so on. Over the past four decades length-associated change observed in muscle tissue, seen when a joint is immobilised, has been categorized in to two symptomatic states; ‘stretch-weakened’ and ‘adaptive shortened’ (Kendall, McCreary, Provance, Rodgers & Romani, 2005). These two conditions of length-associated change, have an immediate negative influence on the physiological, …
Read MoreHow ‘At Risk’ are you of non-contact injury?
Injury Mechanisms How do we move optimally, with no relevant risk (RR) of injury? The fundamental component of athletic activity is efficiency of movement. Efficiency of movement is compromised when there are changes in biomechanical function, often termed ‘movement disorder’, ‘impairment’ or ‘dysfunction’, causing an individual to adapt and adjust to the loads placed upon it. Anatomical and physiological dysfunction of joints and tissues either present themselves as a primary or secondary pathology to the individual. The alteration of either can influence the stresses placed on each system, and therefore cannot be sustained for a lifetime without it metamorphosing in to a clinical condition (Noyes, Schipplein, Andriacchi, Saddemi & Weise, 1992). Intrinsic risk factors are those factors that affect the load tolerance of the tissues within the athlete (Bartlett & Bussey, 2012). Many intrinsic risk factors are considered non-modifiable (Bartlett & Bussey, 2012). However, poor alignment, biomechanics, and motor control …
Read MoreHow to Stop Rubbing & Robbing: Sciatica Case Study
Do we really ‘fix’ people? Or do we facilitate change? More and more disciplines in Manual Therapy are starting to report the importance of the Patients/clients health literacy: the ability to seek, understand and utilise health information, and what is important for good health. It is as important for patients/clients to obtain and process information related to their own specific health; choices of treatment and the best choice for the individual. This is a very challenging journey for the individual as health literacy is saturated with belief systems and poorly interpreted EBM. It is our role to guide, encourage, educate, re-connect, identify, and lead these individuals to the relevant matters and to possibly guide them away from fundamental misconceptions they may hold. How many patients/clients ‘give’ you their problems? If you take on that responsibility, be prepared to fail. When you fail, learn by your mistakes. What a huge responsibility! …
Read MoreMRI Evidence of MS Improvement
Summary of improvements Often, most MS Consultants will request their patients to have per annum high contrast MRI’s to check the behaviour of their patients disease. My wife has had three MRI’s to date 2017; November 2015 (NHS): diagnosis of MS May 2016 (NHS): to check behaviour of MS – MS had progressed and become more aggressive, more pressure to begin Lemtrada or Tysabri treatment. July 2017 (Private): For us to both be able to identify if the nutriment protocol was working Things to note: Between diagnosis, November 2015, and April 2017 no changes to lifestyle were made. All symptoms remained the same. Nutritional programme, Healing the Gut, started April 4th 2017. An independent Radiologist was given the high contrast MRI’s from 2015, 2016, and 2017 and asked to interpret the data and report his findings. This was his findings; Brain Spinal Cord Important Message A ‘snap-shot’ into a very complicated …
Read MoreHow to conduct a great Consultation: pain and function
Narrative from a Personal Trainer “Client came to me with “sciatica”, diagnosed by GP many years ago, and this time self diagnosed by client himself with the help of Google & problems with gait”. There’s nothing wrong with using Google to help a person try to make some sense of their symptoms, as long as common sense is applied – use reputable website’s based on facts and not websites built on a persons belief system. The NHS figures show the number waiting at least a week to see their GP has risen by 56 per cent in five years, amid the longest waiting times on record, there is no wonder people are using the internet to provide them with the answers they need. “He is unable to walk properly due to his problems and feels like he is dragging one of his legs along with him”. Gait (walking/locomotion) is a …
Read MoreStrongman Competitor insidious Sciatica – Controversial Hack
Exploring in vivo Sciatica Case Studies – Strongman Competitor The following Strongman Case Study have been supplied by a Private Facebook Group. Thank you guys for sharing. All Case’s have been diagnosed with Sciatica, each with a individual’s story of events and symptoms. The name “sciatic” came via Latin from the Greek “ischiadikos” which means “subject to trouble in the hips or loins.” WARNING: there are moments of frankness! Case Study 2 Patient: 54 y/o Man Ranked 1st Bolton’s Masters Strongman (Competed since 2011) Event that provoked Sciatica: Strongman competition believes it was a loose yoke. Symptoms: “Pain through both legs during Competition” Previous injuries: (specific details unknown) Issues with left shoulder Bilaterally torn biceps Torn left latissimus dorsi and tricep Torn right hamstring (8 years ago) Torn a quadricep – not sure which one/side Dropped 2 atlas stones on feet: left foot has nerve damage, right foot has most pain Meaningful Task: Being …
Read MoreBehind the Scenes of a Patient with Sciatica 4/12
Bigger Picture Stuff Full Patient/Client History is nothing to be taken likely when exploring sciatica – it is a quarter (see image below) of your initial exploratory investigations in to why the person is sitting in front of you seeking your help and support. Besides, have you ever met a Patient/Client (P/C) who doesn’t want to tell you about their woe’s? About the things that are bothering them? What causes their pain? What they are no longer able to do? What their goals are? And why they sought out your help? Taking good P/C history is the beginning of your journey together. This drives the ability to; set specific goals for you both: maximising outcomes in minimum time; and ensure you explore/define/question parts of their history allowing you to triangulate (a powerful technique that facilitates validation of data through cross verification from two or more sources) your theory (hypothesis). This …
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