The fact is most of us seek help
with pain control; NOT THRU EXERCISE but probably thru the management of our symptoms such as Panadol or anti-inflammatory medications. Alternatively, we come to accept that our decreased or altered movement is the new normal and we hunt for positions that live in a physiological mid-range with overall cheating compensations should they need to seek higher demanding movement positions. Even scarier is that most of us are just not AWARE what is normal and that is why we need to address this with technology that delivers this awareness. ‘WATCH THIS SPACE’
Secondly, for those that do exercise and want to move better we must remember that most humans have incomplete movement prior to breaking down with injury. To be specific with what we are all missing and what you may experience in your everyday lives that explain your pain, is loss in one of these key movement shapes;
1. Internal rotation of the shoulder
2. Hip Flexion
3. Hip Extension
4. Ankle Dorsiflexion
5. Neutral pelvic position
6. Spinal flexibility
Once we resolve the current problem each patient presents with on Day 1, we start observing some common patterns associated with movement. At best the reality is that we as physio’s only touch the surface to help patients make the connection with their pain and loss of complete movement.
From a recent 6 week course I’ve completed from the mentors/authors of the Supple Leopard, I’m now starting to see the real side effects from challenging my patients with their incomplete movement. As I learnt from Dr Kelly Starrett and Dr Sean McBride the main side effects of this approach of resolving incomplete movement are factors around pain relief and feeling better. On top of this approach is all the other stuff we just learn as clinicians over the years of seeing 100’s of patients.
What is also known about incomplete movement, is that it is either a result of reduced Motor Control or Mobility and this applies for any patient that comes in the door for either 1-1 care or group exercise therapy. Methods to address this cannot be resolved by traditional physiotherapy movement which generally prescribes accessory or bite sized pieces of isolated exercises (lightweight training/theraband) to change the environment of the effected tissue in our neuromuscular system. An even better approach is to move away from this SNACK SIZE APPROACH and move towards a MEAL SIZED APPROACH by getting patients to be trained in the strength and conditioning space where complete movement of the whole human body system can be addressed. At Nextmove we are certainly moving more towards this model and mainly use the accessory muscle movement to remind our athletes what they are meant to focus on for a full functional movement such as deadlift, lunge or squat.
It is necessary for us to think of PRECISE assessment and exercise prescription when it comes to fixing overall POSTURE (body position), which makes us all better performers in whatever we chose to do.
Unfortunately, despite the hours of training we may all put in to resolving complex human movement, our tissues still may require more attention.
At Nextmove we have begun to introduce some technology tools to address this issue and as I mentioned up top….watch this unfold as we push our learning to helping you improve!