(38624,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','<p class=\"p1\"><strong>Michael E Gerber</strong> stated in his famous book, <strong>The E-Myth Revisited</strong>,</p>\n\n<blockquote>\n<p class=\"p1\"><i><img class=\"size-medium wp-image-30588 alignright\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/12/Screenshot-2021-12-09-at-08.12.45-202x300.png\" alt=\"\" width=\"202\" height=\"300\" />“Before you can determine what that role [of your business] will be, you must ask yourself these questions:</i></p>\n\n<ul class=\"ul1\">\n 	<li class=\"li1\"><i>What do I value most?</i></li>\n 	<li class=\"li1\"><i>What kind of life do I want?</i></li>\n 	<li class=\"li1\"><i>What do I want my life to look like, to feel like?</i></li>\n 	<li class=\"li1\"><i>Who do I wish to be?</i></li>\n</ul>\n<p class=\"p1\"><i>Your PRIMARY AIM is the answer to all these questions.”</i></p>\n</blockquote>\n&nbsp;\n<h2>The Entrepreneurial Seizure</h2>\n&nbsp;\n\nWhen becoming self employed, (which so many of us are or have been) we imagine being in full control of our lives, free to choose our hours of work, what time we wake up, how much we charge and that just because everyone of our loved ones said we are good at what we do that we would succeed and have clients queing at the door.\n\nYet we very soon discover we underestimate the fact that we are then choosing to, not only be a coach or trainer but also a manager, marketer, sales person, accountant, authour, digital media manager &amp; designer, amongst other things.\n\nWe find ourselves working split shifts, getting up at all hours, working until late to accomodate the client\'s availability along with getting our books done, programmes written &amp; of course finding time with family.\n\nAs we spend hours trying to understand cash flows, P&amp;L\'s, tax, allowances, legalities, insurance cover, clickfunnels, facebook ads, the meaning of S.E.O, we discover that most of our time is doing jobs we hate or don\'t really understand.\n\nOur confidence reduces along with our hourly rate and we wonder why on earth we decided to become self employed!?!?\n\nGerber suggests you experienced an entrepreneurial seizure!\n\n&nbsp;\n<h2>The end goal comes first....</h2>\nThe primary aim we should have started with is the end goal &amp; the good news is you can try this right<img class=\"size-medium wp-image-30589 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/12/armand-khoury-Ba6IlmAzl-k-unsplash-212x300.jpg\" alt=\"\" width=\"212\" height=\"300\" /> now, its not too late!\n\nSo go back to the beginning of this page, answer those questions &amp; start to look at how well your business is designed to take you in that direction.\n\nIf you don\'t have a measure of where you are now, to compare to where you are trying to get to how can we plan the journey?\n\n&nbsp;\n\nGo on.....start writing!\n\n&nbsp;\n<h2 class=\"p3\"><b>Your Strategic Objective</b></h2>\n&nbsp;\n<p class=\"p1\">Once you better understand your primary aim, your end goal, this feeds into what you need your business to do for you. The clearer that picture the easier it is to plan!<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p1\">Create a clear contract of ‘employment’ for yourself that makes it clear:</p>\n\n<ul class=\"ul1\">\n 	<li class=\"li1\">What your responsibilities are<span class=\"Apple-converted-space\"> </span></li>\n 	<li class=\"li1\">What the rewards are<span class=\"Apple-converted-space\"> </span></li>\n</ul>\n<p class=\"p1\">By creating a statement about your vision, purpose, business in this way you are developing your strategic objective.</p>\n&nbsp;\n<h2>Add this book to your xmas list for way more detail on planning your future!!</h2>\n&nbsp;\n<h2><a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">Would you like help developing your primary aim by becoming a Biomechanics Coach in 2022?</a></h2>\nHave you been following us for AGES feeling unable to afford our unique training courses?\n\nDid you know we support ALL of our Biomechanics Coach learners to charge more and get a return on their investment with us?\n\nWhy not <a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">GET IN TOUCH HERE</a>\n\n&nbsp;\n\n<img class=\"size-medium wp-image-30437 aligncenter\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/11/IMG_1395-300x225.jpeg\" alt=\"\" width=\"300\" height=\"225\" />','End goal first....','','inherit','closed','closed','','30506-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',30506,'https://biomechanicseducation.com/?p=38624',0,'revision','',0),
(38625,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','<p class=\"p3\">Why am I making this comparison?</p>\n<p class=\"p3\">Well there are people on the internet who post that there are right &amp; wrong ways to do moves simply because of the name they have been given.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">What I aim to do in this Juicemail is clarify the naming of movements does NOT necessarily make ANY VARIATION WRONG OR BAD OR DAMAGING.</p>\n<p class=\"p3\">Variation is GOOD!<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">The body LOVES it!<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">However if your clients body is unprepared<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">OR</p>\n<p class=\"p3\">A movement is misunderstood, it may not be performed as optimally as it could for the benefit/goal desired.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">So while the naming of moves can be helpful for lay people to remember their homework, it can also be detrimental for some people thinking there are only certain ways to perform certain named exercises.<span class=\"Apple-converted-space\"> </span></p>\n&nbsp;\n<h2 class=\"p4\"><b>Where am I going with this?</b></h2>\n&nbsp;\n<p class=\"p3\">Look if it were up to me I would encourage all professionals to clarify joints actions in the description for clarity as oppose to suggesting you cannot do a windmill unless its done precisely their way.</p>\n<p class=\"p3\">Shall I explain more….?</p>\n<p class=\"p3\"><a href=\"https://www.youtube.com/watch?v=6i6Btj6Y3k8\" target=\"_blank\" rel=\"noopener\">Coach Vaughn</a> sounds very frustrated by the people he’s following or watching on social media who are doing The Triangle with a KG and calling it a Windmill….</p>\n<img class=\"alignnone size-medium wp-image-30502 alignright\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/12/Screenshot-2021-11-26-at-15.08.58-300x143.png\" alt=\"\" width=\"300\" height=\"143\" />\n<p class=\"p3\">Now I understand that he cares about his craft &amp; he’s obviously technically very good at breaking down the move he calls The Windmill so check his video out for that as its really quite helpful!</p>\n<p class=\"p3\">BUT</p>\n<p class=\"p3\">He is comparing it to a move he calls The Triangle (from Yoga) yet it seems he doesn’t understand the technique required for what Yogi’s call a Triangle. Since it doesnt ‘require’ spine lateral flexion unless the individual is limited in their hip mobility/flexibility. So the image he’s using is (in my opinion) for provocation rather than a technical comparison.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">Coach Vaughn…I get it buddy, grabbing attention often takes provocation &amp; I loved your Windmill break down video!</p>\n<p class=\"p3\">Anyhoo….</p>\n&nbsp;\n<h1 class=\"p4\"><b>The Windmill</b></h1>\n&nbsp;\n<p class=\"p3\">This is an interesting movement that shows why it was named such after those tall buildings that have spinning blades that rotate at the top.</p>\n<p class=\"p3\">The body representing the building<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">The arms representing 2 blades</p>\n<p class=\"p3\">Most often the performance is seen being performed with a Kettle bell in the top hand. The Windmill’s exact origin I have so far been unable to unravel however…..</p>\n<p class=\"p3\"><i>“Kettlebell swinging and juggling was a popular “folk exercise” among Russian farming communities in the nineteenth and early twentieth centuries, but it wasn’t until 1948 that it became an official sport” stated Nick <span class=\"Apple-converted-space\">  </span>English about Victoria Felkar’s Phd research into the historical perceptions of the muscular body (</i><a href=\"https://barbend.com/kettlebell-history/\"><span class=\"s2\"><i>https://barbend.com/kettlebell-history/</i></span></a><i>)<span class=\"Apple-converted-space\"> </span></i></p>\n&nbsp;\n<h2 class=\"p4\"><b>Windmill Technique<span class=\"Apple-converted-space\"> </span></b></h2>\n&nbsp;\n<p class=\"p3\">Most descriptions of the technique are along these lines…..</p>\n<p class=\"p3\">….lifter stands feet apart, KB in one hand with that arm raised above the head with palm forwards. Bottom hand in-front of the opposite thigh, palm forwards. While looking up at KB, the lifter hip hinges slightly off to the side either with legs straight or a variation is with the front knee slightly bent. Going to a range that mobility &amp; flexibility allow while sliding the bottom palm down the front of the leg.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">The spine will require rotation as the lifter descend to maintain a vertical KB/arm position while keeping a stiff trunk, then maybe a pause at the bottom, prior to ascending the same path back up.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">We will come back to this move in more detail in a moment, but first….</p>\n&nbsp;\n<h2 class=\"p4\"><b>Triangle Technique<span class=\"Apple-converted-space\"> </span></b></h2>\n&nbsp;\n<p class=\"p3\">The Triangle is a similar movement from yoga that looks very similar. Also like a tall building with 2 blades that rotate around the body.</p>\n<p class=\"p3\">This movement is focused on improving mobility &amp; flexibility through the hips &amp; spine.</p>\n<p class=\"p3\">Performed with a much wider stance &amp; more frontal plane (lateral) movement rather than a hip hinge.</p>\n&nbsp;\n<h2 class=\"p4\"><b>So what?</b></h2>\n&nbsp;\n<p class=\"p3\">Both moves are shown in the video here (or my interpretations anyway!) &amp; both are demonstrated without additional loading so we compare like for like in this instance.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">The windmill as mentioned earlier, is most commonly seen performed with a KB in the top hand &amp; can also be done with a KB in the bottom hand or both!</p>\n<p class=\"p3\">The triangle is not usually loaded at all other than body weight &amp; may actually be held for a few ‘breaths’.</p>\n&nbsp;\n<h2 class=\"p4\"><b>And?<span class=\"Apple-converted-space\"> </span></b></h2>\n&nbsp;\n<p class=\"p3\">So why do one or the other?<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">The intrinsic biomechanics difference between the 2 examples (if done with the same load) is where the emphasis is focused based on the lengths of the levers, the joint angles &amp; the joint ranges.</p>\n<p class=\"p3\">Firstly the windmill has a narrower stance. This reduces the base of support (making it harder) but is a more familiar leg width than compared to the triangle (making it easier).</p>\n<p class=\"p3\">The windmill can also have a slight bend in the front knee. This reduces tension on the hamstring &amp; the nervous system (sciatic nerve in this particular area) making it easier on these areas. This also drops the hip slightly on that side meaning there is less range of motion required from the lateral flexors on the opposite side of the trunk, making it easier again.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">However where this move differs most I think from the Triangle is that the hip is pushed outside the midline. This is what loads the abductors in particular.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">It does this by increasing the hip angle/ range, &amp; therefore load, to focus the attention into that area. This obviously makes it harder than the triangle on this particular area of the body.</p>\n&nbsp;\n<h1 class=\"p4\"><b>The Triangle</b></h1>\n&nbsp;\n<p class=\"p3\">The Triangle with a much wider stance which should make it easier but it’s just not as ‘familiar’ a position in terms of proprioception &amp; the joints lose their surface congruency above the pull of gravity from below, thus making it harder.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">It has both legs straight meaning as your client tips into the movement they will require more flexibility &amp; mobility in the hips &amp; nervous system to achieve the same range of motion as compared to the Windmill. This also makes it harder.</p>\n<p class=\"p3\">Finally the hips stay relatively central under the trunk making it more balanced &amp; symmetrical in the lower body.</p>\n<p class=\"p3\">But the trunk stiffness required to control the longer lever while the centre of gravity shifts means the hip abductors aren’t loaded in the same way as during the windmill.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">However the load on the spine lateral flexors increases quite a bit.</p>\n<p class=\"p3\">Making it feel more challenging in the trunk.</p>\n&nbsp;\n<h2 class=\"p4\"><b>How do I choose the one for my client?<span class=\"Apple-converted-space\"> </span></b></h2>\n&nbsp;\n<p class=\"p3\">If you want to just pick one for your client then consider their limitations.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">Assess their biomechanics &amp; consider the areas you wish to strengthen.</p>\n<p class=\"p3\">Take into account your system of approach - ie which comes first when programming hip abductors or spine lateral flexors?<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">And why?<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">Then choose the variation that fits.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">Or<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">Simply ask them to try both</p>\n<p class=\"p3\">Assess their movement quality<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">Then decide.</p>\n\n<h1 class=\"p1\"><b>KEEP IT SIMPLE!<span class=\"Apple-converted-space\"> </span></b></h1>','The Windmill V’s The Triangle ','','inherit','closed','closed','','30500-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',30500,'https://biomechanicseducation.com/?p=38625',0,'revision','',0),
(38626,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','<p class=\"p3\">We live in such a fast paced world that is literally full of distractions.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">We view, or hear, thousands of attention grabbing text, images, videos &amp; ditties on a wide variety of screens, platforms, mediums &amp; buildings.</p>\n<p class=\"p3\">We wish we had more time<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">We wish for something different<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p3\">It’s in our nature to constantly strive for a different life, a better life, a perfect day....maybe every day?</p>\n<p class=\"p3\">We can very often feel like we are never going to get to that perfect vision we have of living our life the way we want to.</p>\nWe think everyone else is richer, happier &amp; more successful....\n\n&nbsp;\n<h2 class=\"p4\"><b>But is this actually true?<span class=\"Apple-converted-space\"> </span></b></h2>\n&nbsp;\n\n<img class=\"alignnone size-medium wp-image-30487 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/12/paola-aguilar-O-FR79xcGh8-unsplash-200x300.jpg\" alt=\"\" width=\"200\" height=\"300\" />\n<p class=\"p3\">A mentor once said to me ‘<em>challenge everything</em>’ &amp; this post is to suggest that we might want to consider trying the same thing in all aspects of our lives</p>\n&nbsp;\n<h3 class=\"p3\"><em><b>\"Losing everything</b><span class=\"Apple-converted-space\"> was the best thing that ever happened to me\"</span></em></h3>\n&nbsp;\n<p class=\"p3\">In 2013 I lost almost everything I had ever earned &amp; worked for. My life savings, my career &amp; almost my house.<span class=\"Apple-converted-space\"> </span></p>\nLiving on \'no frills\' tinned food, cancelling all the direct debits that I could, getting rid of all my debt using all of my savings &amp; not going out or eating out felt devastating.\n\nBut having no job I had lots of TIME.\n\nSo I started being more creative, making gifts for birthdays instead of buying them, creative cooking was essential due to the lack of income. I started walking to visit family &amp; friends locally to save fuel &amp; actually having all this time meant I was actually able to think, slow down &amp; consider \'stuff\'.\n\nI was asking myself those big questions:\n<ul>\n 	<li>What was my purpose?</li>\n 	<li>What made me happy?</li>\n 	<li>What did I enjoy doing?</li>\n 	<li>What would a perfect day look like...to me?</li>\n</ul>\n&nbsp;\n<h2>What is your purpose?</h2>\n&nbsp;\n\n<img class=\"alignnone size-medium wp-image-30488 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/12/joshua-earle-ICE__bo2Vws-unsplash-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" />\n\nHaving so much time &amp; freedom with no job started to feel more liberating than stifling as I realised my quality of life was unchanged, in fact many things has improved! Then once I knew what I wanted to do I began to work on my new business, from scratch, no investment, no overdrafts, no loans!\n\nIt felt great!\n\nBeing in a position to get out of bed when I wanted in the mornings did not result in me lying in bed, I would jump out of bed with hundreds of ideas for my plan.\n\nI stopped thinking about what I did not have because I was driven by passion &amp; purpose.\n\nMy schedule was simple because it was up to me what I did, which also meant I could spend time listening or talking to people, friends, family &amp; even customers &amp; I really really enjoyed those conversations.\n\n&nbsp;\n<h2>Worst or best experience?</h2>\n&nbsp;\n\nThis resulted in the realisation that losing everything was the best thing to happen to me because it allowed me to compare the experiences of living with a really good income to literally no income.\n\nGoing from spending money easily, having lots of <em>things</em> \'on credit\' because I wanted stuff now &amp; paying interest wasn\'t a concern, being expected to be places at certain times, worrying about being judged on the gifts I gave based on what I was earning, stressed about the amount of outgoings I had on credit cards etc, being constantly busy, non stop, exhausted doing lots of things everyday ALL THE TIME, unable to think!\n\n...to the experience of having no job, no income, no debt, no stress, no restrictions &amp; the freedom to think &amp; realise what it really was that made me happy.\n\nHaving lots of money was proven to be more stressful or at least at that point in my life it did anyway. Having a good job, a lot going on, a busy lifestyle left me feeling like I was always trying to be somewhere else, doing something else, with someone else, never quite succeeding....I didn\'t know what at, earning even more money I guess!?!?\n\nHaving nothing changed some things but the important stuff was still there, my quality of life &amp; self respect actually began to improve.\n\n&nbsp;\n<h2>The Perfect Day</h2>\n&nbsp;\n\n<img class=\"alignnone size-medium wp-image-30489 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/12/frank-mckenna-OD9EOzfSOh0-unsplash-300x200.jpg\" alt=\"\" width=\"300\" height=\"200\" />\n\nAs I set up my new company I had written a lot of my thoughts down &amp; one thing I did was to write down what a perfect day would look like to me.\n\nGuess which period of my life was most fulfilling...before or after losing everything?\n\nGuess which period gave me more days that felt like perfect days?\n\nYes, losing everything gave me a gift. The gift of realisation that I was indeed living far more perfect days now than I was before I had lost everything. My days were now more fulfilling, fun, challenging, interesting, exciting, calm &amp; yet full.\n\nNow I am not suggesting for a moment that you need to lose everything to have the experience I did. in fact this is the reason I wanted to share such a personal story with you, in the hope that it avoids something like that if you are in a fast paced lifestyle that feels like you\'re never gonna get <em>there</em>....wherever <em>there</em> is!\n\nHowever what I am suggesting is that you may not actually be that far away from the dream right now. If we don\'t take stock, reflect &amp; consider what we have rather than what we do not then we may miss this very important lesson.\n\nIts good to dream, plan, have a vision &amp; purpose but we should try not to let the speed of life stop us from the experience of living perfect days every day.\n\n&nbsp;\n\n<img class=\"alignnone size-medium wp-image-30491 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/12/sri-jalasutram-e2U-VYSY7ro-unsplash-225x300.jpg\" alt=\"\" width=\"225\" height=\"300\" />\n<h2 class=\"p3\">P.s. Let me share a old story that my buddy Mark tweaked for us &amp; he made super relevant to sum up this Juicemail enjoy!<span class=\"Apple-converted-space\"> </span></h2>\n<h1 class=\"p1\" style=\"text-align: left;\"><a href=\"https://www.facebook.com/tfimblog/photos/a.1196648380432297/1197630237000778/?type=3\" target=\"_blank\" rel=\"noopener\">READ MARK\'S VERSION HERE then come back....</a></h1>\n&nbsp;\n<h2>Grab a pen &amp; paper....!</h2>\n<p class=\"p3\">Enjoy the moment you’re in<span class=\"Apple-converted-space\"> right now &amp; s</span>tart writing…..the Perfect Day in YOUR mind right now</p>\n\n<ul>\n 	<li>Where would you be?</li>\n 	<li>Who would you be with?</li>\n 	<li>What time would you wake?</li>\n 	<li>What would you wear?</li>\n 	<li>What would you eat?</li>\n 	<li>What would you do?</li>\n</ul>\nKeep writing, keep going.....see what that Perfect Day looks like genuinely, realistically &amp; notice how far, or near, you are to it....then maybe share it on social media with a tag to us!\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<hr />\n\n<h1><b class=\"ac-designer-copy\"><span class=\"ac-designer-copy\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Why not share your Perfect Days on instagram...use #myperfectday @biomechanics_education</span></span></b></h1>\n&nbsp;','The Perfect Day','','inherit','closed','closed','','30439-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',30439,'https://biomechanicseducation.com/?p=38626',0,'revision','',0),
(38627,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','<h2 class=\"p1\">Also known as the TGU this beauty is in my top 5 fav movements.</h2>\n&nbsp;\n<h2>Why?....READ ON.....</h2>\n&nbsp;\n\nhttps://youtu.be/JnOIuIfMVQM\n<p class=\"p1\">Have a watch of this video &amp; notice the various aspects that the body can benefit from in one simple ‘flow’.</p>\n\n<ul class=\"ul1\">\n 	<li class=\"li1\">Trunk stiffness &amp; control is challenged.</li>\n 	<li class=\"li1\">Lower limb joint range, stability &amp; strength are challenged.</li>\n 	<li class=\"li1\">Upper body stability, ranges &amp; some degree of strength is challenged.</li>\n 	<li class=\"li1\">Coordination &amp; proprioception is challenged throughout.</li>\n</ul>\n&nbsp;\n<h2 class=\"p3\"><b>Ok so what?</b></h2>\n&nbsp;\n<p class=\"p1\">Imagine you are young &amp; wish to improve these elements for sport, games &amp; play.</p>\n<p class=\"p1\">Now imagine you are an adult &amp; you wish to avoid (or improve) little aches &amp; niggles from your lifestyle or your fitness &amp; aesthetics.</p>\n<p class=\"p1\">Then imagine you’re in your older years &amp; you want to be able to get up from the floor should you happen to fall.</p>\n&nbsp;\n<h2 class=\"p3\"><b>And?</b></h2>\n&nbsp;\n<p class=\"p1\">Now imagine a TGU with a weight in that top hand….imagine the effects of that load on the body….imagine the added challenge….</p>\n<p class=\"p1\">Then imagine the TGU slower…..faster….repeated from one side to the other for a few rounds, many rounds, less weight, more weight….</p>\n<p class=\"p1\">We could even consider exaggerating angles in certain positions, holding the ones we wish to focus on….</p>\n&nbsp;\n<h2 class=\"p3\"><b>The joy of movement<span class=\"Apple-converted-space\"> </span></b></h2>\n&nbsp;\n<p class=\"p1\">This is the joy of movement (for me anyway) coming up with variations, understanding my clients unique biomechanics, considering loads, challenges, their goals &amp; how to make them all fit together for purpose.</p>\n&nbsp;\n<h2 class=\"p3\"><b>Ok what now?<span class=\"Apple-converted-space\"> </span></b></h2>\n&nbsp;\n<p class=\"p1\">So as a movement trainer/coach we should probably learn simple ways to analyse movement, learn to assess our client’s biomechanics, then apply these ideas into our programme design.<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p1\">All this while trying not to feel limited by what other (maybe more confident) PTs say is the only way a movement MUST be done….</p>\n<p class=\"p1\">Just be sure you know WHY you’re coaching a movement the way you are by considering your justifications.</p>\n<p class=\"p1\">When you pick an exercise ask yourself “why did I choose that one?”</p>\n<p class=\"p1\">“Why did I choose those reps/sets/speeds/loads?”</p>\n<p class=\"p1\">If you KNOW the answers why YOU made those choices, based on the fact YOU KNOW YOUR CLIENT, then those who don’t, have no right to tell you otherwise.</p>\n<p class=\"p1\">Be clear<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p1\">Be confident<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p1\">Keep it simple<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p1\">Invest in learning (know that it never ends)</p>\n<p class=\"p1\">Justify every decision you make - even to yourself<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p1\">Talk to different professionals from different schools of thought<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p1\">Stay open minded<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p1\">Know that everyone doubts themselves at times too<span class=\"Apple-converted-space\"> </span></p>\n<p class=\"p1\">But most of all….</p>\n<p class=\"p1\">Love what you do &#x2764;&#xfe0f;</p>\n<p class=\"p1\">Join our fast growing team of Biomechanics Coaches &#x1f44a;&#x1f3fc;</p>\n<p class=\"p1\">We want people like you who care, want to make a difference but would like an awesome community to lean on &amp; offer support!</p>\n&nbsp;\n\n<hr />\n\n<h1><em>We help change lives.....THROUGH MOVEMENT EDUCATION....Join us!</em></h1>\n<h1></h1>\n<img class=\"alignnone size-medium wp-image-30437 aligncenter\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/11/IMG_1395-300x225.jpeg\" alt=\"\" width=\"300\" height=\"225\" />\n<h1><a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">READ MORE ABOUT THE Diploma in Biomechanics Coaching 2022!</a></h1>','The Turkish Get Up','','inherit','closed','closed','','30431-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',30431,'https://biomechanicseducation.com/?p=38627',0,'revision','',0),
(38628,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','<span class=\"\">Today is</span><span class=\"\"> national TAKE A HIKE DAY!</span><br class=\"ac-designer-copy\" /><span class=\"\">What a </span><span class=\"\">perfect</span><span class=\"\"> </span><span class=\"\">opportunity</span><span class=\"\"> to tell a client ​just that!?!?</span><br class=\"ac-designer-copy\" /><span class=\"\">​</span><br class=\"ac-designer-copy\" /><span class=\"\">OK OK OK yes I hear ya, we could interpret this in at least 2 ways....</span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"\">Yes client cull can be an interesting activity and necessary </span><span class=\"\">sometimes</span><span class=\"\"> right!?!?!?​ Referring away</span><span class=\"\"> the \'deadwood\' clients who just want YOU to FIX THEM or make them lose weight overnight! Usually the person who complains most </span><span class=\"\">about</span><span class=\"\"> how much you charge too</span><span class=\"\">..</span><span class=\"\">​</span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"\">However this weeks Juicemail is more about</span><span class=\"\"> telling some clients to take a break, go away </span><span class=\"\">to</span><span class=\"\"> walk or hike for the day which can be some of the least technical but best advice we give..</span>\n\n&nbsp;\n<h1>\'Get Up\' by James Levine</h1>\n&nbsp;\n\n.....is a strong recommendation for a read or listen and he like us shares the concept of N.E.A.T Calories burn. In fact he tested in one of his labs the results of certain activities on calorie expenditure.\n\nNON\n\nEXERCISE\n\nACTIVITY\n\nTHERMOGENESIS\n\nIs one of 3 ways we burn calories but its also one of the easiest to encourage our clients to understand and therefore tap into both consistently, regularly and easily. It is how taking a hike can not only help clients to burn more calories but also to move more freely.\n\nIts gentle or strong\n\nIts slow or fast\n\nIts short or long\n\nIt allows our client to choose how they burn more NEAT calories while pumping energy and fluid through their integrated system of muscles, bones and nerves with the added bonus of seeking beautiful scenery that isnt on the TV, phone or laptop!\n\nIt can also be done with loved one, talking, opening up conversations and can end with a sense of achievement.\n\n&nbsp;\n<h1>Never underestimate</h1>\n&nbsp;\n\nAt Biomechanics Education we teach a very complex subject but we also remind our coaches regularly about simplifying their technical knowledge into \'client speak\'\n\nThe value of educating clients on the value of walking, hiking, NEAT calories and taking time out from the screens.\n\nClients value your knowledge but they ALWAYS value being able to simplify the tsk at hand, the journey to the goal and simple ways to burn more calories and move more freely!\n\n&nbsp;\n<h1>Why Not?</h1>\n&nbsp;\n\nSo why not simply challenge your client this week to go away, take a hike and walk more, walk freely and take a break from their screens!?\n\n<hr />\n\n&nbsp;\n<h1><em>We help change lives.....</em></h1>\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-30276\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/11/Screenshot-2021-11-16-at-12.25.26.png\" alt=\"\" width=\"1976\" height=\"738\" />\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">SAVE £479.40p</a> by booking your place on any 2022 <a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">Diploma in Biomechanics Coaching</a></h1>\n<h1>BEFORE Dec 1st 2021</h1>\n<ul>\n 	<li>Why not join us for a learning experience like no other?</li>\n 	<li>Find out how simple this complex subject \'intrinsic biomechanics\' can be in application.</li>\n 	<li>Join our expanding community &amp; be a part of something really meaningful</li>\n 	<li>Gain skills, confidence, knowledge, friends, a multidisciplinary team around you and of course VERY HAPPY CLIENTS!</li>\n</ul>\n<a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">JOIN US &amp; CLICK HERE &lt;&lt;</a>','Would you like to know when, and how, to tell your client to GO AWAY…..?','','inherit','closed','closed','','30273-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',30273,'https://biomechanicseducation.com/?p=38628',0,'revision','',0),
(38629,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','<div style=\"text-align:center;\">\nhttps://youtu.be/3MYH7mc7Aes\n</div>\n\nTeaching clients to take advantage of a screen break by trying this little iMoveFreely flow to improve upper body movement, stability &amp; control :\n<div class=\"\"></div>\n<div class=\"\">Pec Minor is responsible for scapular protraction and can become inhibited by our technology influenced lifestyles. Rather than simply stretching this small muscle why not try this M.E.T (muscle energy technique) to improve its movement quality first then…<u class=\"\"><b class=\"\">20% effort 20 sec isometric hold x 2 sets </b></u></div>\n<div class=\"\"></div>\n<div class=\"\">Strengthening the retractors, the antagonistic movement, afterwards takes advantage of the law of reciprocal inhibition to improve the strength ratios around the shoulders, then…..<b class=\"\"><u class=\"\">could add weight here if needed for strength reps and sets relevant to the individual </u></b></div>\n<div class=\"\"></div>\n<div class=\"\">Strengthening the pec minor / protractor group next makes this a home win in terms of programmes design based on science, logic and function and all round upper body movement quality! <u class=\"\"><b class=\"\">This video gives 3 options at different levels, increasing the load by moving the knees further apart from the hands - choose the best one you think for your client blog with the appropriate reps and sets for their level</b></u></div>\n<div class=\"\"></div>\n<div class=\"\"><em>GO ON! </em></div>\n<div class=\"\"><em>TRY IT WITH YOUR CLIENT’S </em></div>\n<div class=\"\"><em>LET THEM TELL YOU HOW THEY FEEL</em></div>\n&nbsp;\n\n<hr />\n\n<h1>Would you like to become an <a href=\"https://www.biomechanicseducation.com/product/imovefreely-instructor/\" target=\"_blank\" rel=\"noopener\">iMoveFreely Instructor</a>?</h1>\nREAD MORE &gt;&gt; <a href=\"https://www.biomechanicseducation.com/product/imovefreely-instructor/\" target=\"_blank\" rel=\"noopener\">HERE</a>\n<div></div>\n<div style=\"text-align: right;\"></div>','Give your client\'s an excuse to stop work.....','','inherit','closed','closed','','30198-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',30198,'https://biomechanicseducation.com/?p=38629',0,'revision','',0),
(38630,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','<h4><span class=\"ac-designer-copy\"><sub class=\"ac-designer-marked-selection ac-designer-copy\">Human anatomy can be so complex and creating interesting, engaging training plans to be fit for purpose can often feel challenging because of it. Clients can or can\'t do certain things with their bodies and we are constantly questioning why is that!?</sub></span><sub class=\"ac-designer-marked-selection ac-designer-copy\"><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">Understanding the WHYS rather than the WHATS exposes some of this complexity but is also key to developing strategies for working with the diversity of our client\'s bodies.</span></sub></h4>\n&nbsp;\n\n<span style=\"font-weight: 400;\">However the more I have studied human biomechanics, the more I learn, the deeper my comprehension goes, the more I have discovered simplifying things is far more helpful in application.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We have more power than we think to shape our client’s health destiny. The secret is simply to understand movement and committing to gain as many tools/skills as we can to improve it! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Considering whole body function in simple terms…. </span>\n\n&nbsp;\n<ol>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Walking</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Squatting</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pulling</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pushing</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bending </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lifting </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Carrying </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Running</span></li>\n</ol>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Encouraging our clients to aim to ‘exercise’ less and move more. Even educating clients about cross training the eyes with different views to move our eye muscles through different ranges of motion when sitting at a desk/screen for many hours. Those ciliary muscles superior, lateral, medial rectus &amp; superior, inferior obliques need a variety of ranges of motion too!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Educating clients about how we become ‘cast’ into shoes, chairs and cars and we experience smooth level ground so much that anything beyond these feels tough. Deliberate movement excuses and variability in terrain can impact considerably on their bodies if consistently considered over time.  </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Teaching them that fixed hip /spine geometry with gravity applying a force down into those sitting muscles against the office chair in itself isn\'t an issue but for long periods on a regular basis is likely to result in their body complaining with danger signals through those nociceptors - resulting in pain or aches!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Letting them know that Myokines are activated when we strengthen muscles and they produce an anti-inflammatory response to fight illness. So helping clients to appreciate that muscle strengthening is way more than for aesthetic purposes and is in fact an anti inflammatory system. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Yet also confirming that we recognise it can be a challenge to go against our culture, those around us, furniture and technology that consistently makes life EASIER…..which is not necessarily for the better….so keeping things simple with these…..</span>\n\n&nbsp;\n<h2><a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\"><b>8 Things To Remember:</b></a></h2>\n&nbsp;\n<ol>\n 	<li><span style=\"font-weight: 400;\"> ‘Comfort’ is feeling fully supported but too much of it can gradually result in low muscle tone</span></li>\n 	<li><span style=\"font-weight: 400;\"> Movement is compulsory!</span></li>\n 	<li><span style=\"font-weight: 400;\"> Tissue tolerance and load management is required for a healthy body </span></li>\n 	<li><span style=\"font-weight: 400;\"> Pain can simply be a signal to move differently or more or with more variety</span></li>\n 	<li><span style=\"font-weight: 400;\"> Your body is a master of compensation and hides issues well!</span></li>\n 	<li><span style=\"font-weight: 400;\"> Naturally we are designed to reserve energy, we must fight it!</span></li>\n 	<li><span style=\"font-weight: 400;\"> Lifestyle ‘solutions\' are creating a more sedentary lifestyle, we should challenge it!</span></li>\n 	<li><span style=\"font-weight: 400;\"> The above list is super simple but not necessarily easy to implement, urging them to NOT follow the crowd...be a chair rebel!</span></li>\n</ol>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Exercise reps and sets can be helpful and allow us to measure, monitor and control movement programming. Yet we need more than this to really understand our clients movement limitations and causes of modern ailments and complaints.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Keeping things simple, using assessments and benchmarks to evaluate your clients will help them appreciate what you can offer. Knowling, with confidence, what to do at any given moment for each and every client who comes with their various injuries, complaints, aims, goals and desires to move more freely and with less pain would be a dream right!?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This is exactly what we have helped other trainers and coaches just like you to do for almost 2 decades. With 2022 just around the corner and particularly if you have been following us for a while and thinking about attending our workshops this Juicemail is for you!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If you are looking for a course that changes the game for you and your clients by giving you extensive knowledge, fully supported inclusive learning experience &amp; a sense of being part of something bigger rather than feeling like you are struggling alone, then keep reading!</span>\n\n&nbsp;\n<h2><a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\"><b>Diploma in Biomechanics Coaching 2022</b></a></h2>\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-28328\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/DSC_6687-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1709\" />\n\n<span style=\"font-weight: 400;\">Helping our clients understand their bodies, why they hurt &amp; how they can improve unwanted sensations resulting in ‘modern ailments’ has become an expectation for movement practitioners. Yet we feel ill equipped from our basic training to assess neuro-muscular skeletal function. We can feel we are lacking during consultations or while writing programmes, right!? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We will teach you how to systematically assess, programme, monitor &amp; empower your clients to move more freely &amp; with less pain. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">&#x2705; Learn 43 physical assessments </span>\n\n<span style=\"font-weight: 400;\">&#x2705; Gain a deeper understanding of the 3 subsystems &amp; intrinsic anatomy </span>\n\n<span style=\"font-weight: 400;\">&#x2705; Know how to test for muscle spasm, nerve tightness &amp; joint ranges </span>\n\n<span style=\"font-weight: 400;\">&#x2705; Develop your skills in programme design using the unique but wonderfully simple iMoveFreely programme </span>\n\n<span style=\"font-weight: 400;\">&#x2705; Learn how &amp; when to prescribe muscle energy techniques, nerve mobilisations &amp; pure joint mobilisations</span>\n\n<span style=\"font-weight: 400;\">&#x2705; Discover how to take advantage of the law of reciprocal inhibition for programme design </span>\n\n<span style=\"font-weight: 400;\">&#x2705; Gain immediate access to a multidisciplinary team for those tricky clients </span>\n\n<span style=\"font-weight: 400;\">&#x2705; Join this industry changing team of practitioners who go beyond professional &amp; set the bar in high quality service that allows them to charge more than the other PT’s</span>\n\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-27304\" src=\"https://biomechanicseducation.com/wp-content/uploads/2018/02/IMG_1199-scaled-1.jpeg\" alt=\"\" width=\"2560\" height=\"1920\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">&#x1f4cd;We need passionate trainers &amp; coaches who actually care about their communities health </span>\n\n<span style=\"font-weight: 400;\">&#x1f4cd;We want individuals who want to be part of a multidisciplinary team sharing ideas &amp; skills </span>\n\n<span style=\"font-weight: 400;\">&#x1f4cd;Let us help you know your limits while gaining more clients </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">IS THIS YOU?</span>\n\n<span style=\"font-weight: 400;\">Yes? </span>\n\n<a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">CLICK HERE QUICK we are already almost fully booked in the first half of 2022!</span></a>\n\n&nbsp;','Keeping it simple with 8 things to remember!','','inherit','closed','closed','','30099-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',30099,'https://biomechanicseducation.com/?p=38630',0,'revision','',0),
(38631,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','One thing we are told in business is that we should seriously consider delegating the jobs we would rather not do or that we don\'t feel we\'re the best at! Now I have enjoyed every job I have required to run Biomechanics Education but I also recognise when I need to create more time in my schedule by delegating work out.\n\nSo bring in BETH! Out amazing new team member &amp; Digital Marketing Manager\n\nThis is her introduction to you so you know who is now creating our exciting content with me.....\n\n<em><span class=\"ac-designer-copy\">Hey everybody!<br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" />Let me introduce myself.....I am Beth &amp; Biomechanics Education\'s creative &amp; digital media manager.</span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">So.. a little bit about myself...</span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">At 22 years old I have just graduated from university with a 2:1 in Equine Performance Science. I was extremely surprised at the result to be honest, because, let’s just say, I was a uni student, working from home!</span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">It took me a while to figure out what my career interests were at 19yrs, I was following my equestrian interests to start a university degree, in the UK after 12yrs growing up in France. <br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" />However, there are no regrets from the decisions that I made as I have met some amazing people and pursued equine job experiences that I never thought I would get the chance to do! I’ve had the opportunity to ride and compete many different horses as well as having some amazing times with my own horse, whom I brought over with me! (I don’t travel lightly, can you tell?). </span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">Growing up in France meant that I am fluent in french and did all of my A-levels equivalents there. Safe to say it was a shock to the system having to study in my mother tongue again after 12 years!</span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">Now I am wanting to develop new skill sets and pursue my love of photography, videography and content creating. I have joined the Biomechanics Education</span><span class=\"ac-designer-copy\"> team to learn more about the world of digital media marketing. </span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">Previously, I have mainly photographed animals, my speciality being horses. Being a keen horse rider myself, the physiology and biomechanics aspect of the human body is extremely relevant to this field of interest.</span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">Currently I am following the CIMSPA Digital Marketing Hub webinars in order to learn more about digital media influencing &amp; technology. </span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">My role consists of refining and analysing the Biomechanics Education digital media presence with the overall goal to further our reach and mission to improve the heath &amp; wellbeing of the nation.<br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" />As a newcomer to this particular industry, I didn’t quite know what to expect when accepting the job offer. Having only attended 2 face to face events as yet and without an extensive knowledge as to what they were, I was overwhelmed by how much I have enjoyed the education and the wonderful people so far!</span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">The Kaizen Project annual event that Rachel and her partners organised was a dynamic and captivating experience! I throughly enjoyed every one of the sessions! On top of that, the day was jam packed with food and coffee on tap! Whoo hoo!</span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">Now I cannot wait to experience more events and start creating more and more great content for the Biomechanics Education pages. </span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">If you have any suggestions on what you would like to see for the future of Biomechanics Education social media pages, please do also let us know!<br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" />Hope to meet you all at an event or workshop soon!</span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><span class=\"ac-designer-copy\">....MoveFreely!</span></em><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><em><b class=\"ac-designer-copy\"><span class=\"ac-designer-copy\">Beth! </span></b></em>\n\n<hr />\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">Diploma in Biomechanics Coaching 2022 Dates are now live! Click here!</a></h1>','Meet the Team....... Beth, Digital Marketing Manager','','inherit','closed','closed','','29946-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',29946,'https://biomechanicseducation.com/?p=38631',0,'revision','',0),
(38632,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','<span style=\"font-weight: 400;\">In our running biomechanics workshop we discuss anatomy, lower limb mechanics, the integrated system, assessing pronation &amp; supination, dorsi flexion ranges &amp; hip drop. We also discuss normal anatomical variations.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">One of the problems with simply looking at the way our client’s run (or move) is that we are often taught (&amp; assume) coaching better alignment &amp; technique can improve symptoms like runners\' knees....and it might!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Knock knees or knee valgus is a commonly seen \'issue\' in running clients but there may be a cause that we cannot see nor alter. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Did you know they could have been born with internally rotated femurs!? This means they could be genetically pre dispositioned to knee valgus, ligament dominance &amp; maybe runners knee!</span>\n\n&nbsp;\n\nIn this weeks juicemail we will share the femoral version tests with you &amp; how you can learn tactics, concepts &amp; principles to help your runners complaining of sore knees....\n\n&nbsp;\n<h2><b>Femoral Version  </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\"><em>Femoral</em> means relating to the femur &amp; <em>version</em> relates to angles of the bone/s</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Femoral <strong>Ante</strong>version - femur neck medially/internally rotated, towards the midline (maybe with the foot) </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Femoral <strong>Retro</strong>version - femur neck laterally/externally rotated, away from the midline (maybe with the foot)</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This can be assessed to allow us to appreciate the limitations we may be faced with when programming our runners\' strength training plan.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If our client is limited by a bony hip variation that we cannot change then their movement &amp; running style may not be aesthetically comparable to what is suggested as the ideal alignment.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However we can condition &amp; train the muscles &amp; nerves to control the movement for risk reduction / performance optimisation. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This can contribute to reducing excessive knee valgus, hip drop or a visible flick when running - none of which are inherently bad, however can be used for visual monitoring of movement quality </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">To score positively you would need to observe more extreme differences ie beyond 40-45 degrees of rotation in the femoral version test.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This means that if there’s not much movement generally then we might alter what we do about it but this is not a positive result for excessive version.</span>\n\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-29856\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/10/Screenshot-2021-10-11-at-19.58.41-1.png\" alt=\"\" width=\"732\" height=\"438\" />\n\n<span style=\"font-weight: 400;\">To measure version, have your client supine, hip/knee both at 90 degrees, or prone knee at 90 degree, leg should internal &amp; externally rotate 40-45 degrees to both directions - internal &amp; external rotation. </span>\n\nThis could be done prone with the knee flexed to 90 degrees &amp; <span style=\"font-weight: 400;\">internal &amp; external rotation of the hip can also be evaluated for the same degrees of rotation. </span>\n\n&nbsp;\n\n<hr />\n\n<h1><a href=\"https://www.biomechanicseducation.com/product/running-biomechanics-workshops/\" target=\"_blank\" rel=\"noopener\">Running Biomechanics Workshop </a></h1>\nJoin us n the classroom &amp; learn all the lower limb tests algn with all of the research/evidence for each running style, common injuries &amp; how to address them with your runners.....\n\nScotland Nov 5th 2021\n\nNottingham Nov 20th 2021\n\n<a href=\"https://www.biomechanicseducation.com/product/running-biomechanics-workshops/\" target=\"_blank\" rel=\"noopener\">Click here to BOOK </a>','Solutions for runner\'s knee may not be what you think….','','inherit','closed','closed','','29855-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',29855,'https://biomechanicseducation.com/?p=38632',0,'revision','',0),
(38633,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','<p class=\"p1\">Having reached the point where I have 52yrs to reflect upon, it comes with the recognition that I’m even happier than ever!</p>\n&nbsp;\n<p class=\"p1\">How could that be when I’ve lived such a happy life over all?</p>\n&nbsp;\n<p class=\"p1\">Even though I’m now technically in the ‘older pops’ demographic, &amp; mature might be another word others use now to describe me these days, I’m also a grandma to 13 wonderful kiddies through marriage<span class=\"Apple-converted-space\"> </span></p>\n&nbsp;\n<p class=\"p1\">Also coming through a pandemic I still feel extremely hardy as age/time brings with it the skill of being positive, logical &amp; proactive<span class=\"Apple-converted-space\"> - hey I even got married in the midst of it all!</span></p>\n&nbsp;\n<p class=\"p1\">Having practised being kinder to myself through my inner dialogue &amp; developing my skill in empathising, I feel I recognise even more how \'stuff\' matters less, while people &amp; experiences matter much more<span class=\"Apple-converted-space\"> </span></p>\n&nbsp;\n<p class=\"p1\">It’s becoming clearer why we assume the ‘elderly’ to be a kind bunch &amp; more self-less<span class=\"Apple-converted-space\"> </span></p>\n&nbsp;\n<p class=\"p1\">As I find myself listening much more carefully to what others say, prioritising others more &amp; my desire to learn amplifies, I value different things as important now like;</p>\n\n<ul>\n 	<li class=\"p1\">Cute complimentary texts for no reason from wonderfully important people<span class=\"Apple-converted-space\"> </span></li>\n 	<li class=\"p1\">Seeing others demonstration altruism<span class=\"Apple-converted-space\"> </span></li>\n 	<li class=\"p1\">Expecting others to be well intended</li>\n 	<li class=\"p1\">Swapping roles to give back to parents who you never felt you could repay</li>\n 	<li class=\"p1\">Realising things are far less important<span class=\"Apple-converted-space\"> </span></li>\n 	<li class=\"p1\">Not sweating the small stuff</li>\n 	<li class=\"p1\">Being able to really appreciate &amp; enjoy NOW (the moment) more often</li>\n 	<li class=\"p1\">Confidence &amp; clarity in my purpose &amp; everything I do<span class=\"Apple-converted-space\"> </span></li>\n</ul>\n<p class=\"p1\">To celebrate in this Juicemail special I’m re-sharing my top tips for feeling great in your 50’s</p>\n&nbsp;\n<h2>P.s. The photos are a little celebration of my life!</h2>\n<a href=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/IMG_2697-1.heic\">\n<img class=\"aligncenter size-full wp-image-29659\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/IMG_2697-1.heic\" alt=\"\" /><img class=\"aligncenter size-full wp-image-29659\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/IMG_2697-1.heic\" alt=\"\" /></a>\n<h2><img class=\"wp-image-29665 alignright\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/Screenshot-2021-09-28-at-07.56.39-1.png\" alt=\"\" width=\"280\" height=\"341\" /></h2>\n<h2 class=\"p3\"><b>#1 – Make A SMART Plan </b></h2>\n<p class=\"p1\">What’s the end goal?</p>\n<p class=\"p1\">Retire in Marbella?</p>\n<p class=\"p1\">Run a B&amp;B in Lochness?</p>\n<p class=\"p1\">Build mud huts in a 3rd world country?</p>\n<p class=\"p1\">Be specific so that you can actually measure it. It MUST be achievable and realistic otherwise what’s the point? Then stick to a timeline for it!</p>\n<p class=\"p1\">Consider the above long term goal to enable you to plan backwards, like a marathon runner does with their training. Once you know the end goal, you can design a schedule that runs from the end goal, back a chunk at a time. This gives you something to measure at each stage of your life plan so you can check, adjust if necessary and monitor how you’re doing with reference points.</p>\n<p class=\"p1\">By the way …. it’s ok to change your mind!</p>\n&nbsp;\n<p class=\"p1\"><img class=\"wp-image-29667 alignleft\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/GetAttachmentCATNH3ZA-1.jpg\" alt=\"\" width=\"365\" height=\"459\" /></p>\n\n<h2 class=\"p3\"><b>#2 – Nourish Your Movement – Prepare Your Body</b></h2>\n<p class=\"p1\">Nourishing movement is all about treating the body you live in with respect and love.</p>\n<p class=\"p1\">You cannot buy a new one, wear and tear will happen but…..</p>\n<p class=\"p1\">….using your body in a variety of ways consistently maintains healthy joints, tissues and bones. The beautiful knock-on effect is a healthy mind!</p>\n<p class=\"p1\">Exercise Is Movement Medicine</p>\n<p class=\"p1\">The things we put inside our bodies to fuel us make a huge difference, if not always immediately, certainly over time.</p>\n<p class=\"p1\">You will look and feel a representation of the way you fuel your body.</p>\n<p class=\"p1\">It is NOT complex! Balanced, considered with consistent moderation.</p>\n&nbsp;\n<h2></h2>\n<h2></h2>\n<h2 class=\"p3\"></h2>\n&nbsp;\n\n<img class=\"wp-image-29672 alignright\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/IMG_8159-scaled-1.jpg\" alt=\"\" width=\"256\" height=\"341\" />\n\n&nbsp;\n<h2 class=\"p3\"><b>#3 – Sleep Plan – No Excuses!</b></h2>\n<p class=\"p1\">An extremely underrated medicinal tool and another very simple one!</p>\n<p class=\"p1\">Get 8 hours each night minimum (as the research states ‘Why We sleep’ Matthew Walker) by following</p>\n<p class=\"p1\">a routine of bedtime, room temperature and waking when you wake NOT to an alarm.</p>\n<p class=\"p1\">See the difference when you do!</p>\n<p class=\"p1\">Sleep Is Mental Medicine</p>\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"wp-image-29668 alignleft\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/Screen-Shot-2015-07-24-at-14.27.06-1.png\" alt=\"\" width=\"177\" height=\"247\" />\n<h2 class=\"p3\"><b>#4 – Prioritise Time Out – The 3 x R’s</b></h2>\n<p class=\"p1\">With consistent rest, relaxation and recuperation planned into your schedule your body will thank you!</p>\n<p class=\"p1\">Rest – Sitting for a moment</p>\n<p class=\"p1\">Relax – being sociable or spending time talking to family/friends</p>\n<p class=\"p1\">Recuperation – sleep &amp; holidays</p>\n<p class=\"p1\">All are required!</p>\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"wp-image-29661 alignright\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/IMG_6265-scaled-1.jpg\" alt=\"\" width=\"333\" height=\"250\" />\n<h2 class=\"p3\"><b>#5 – Do Something You Never Dared </b></h2>\n<p class=\"p1\">Life is too short to NOT do something you have always wanted but never dared.</p>\n<p class=\"p1\">Do not put it off!</p>\n<p class=\"p1\">Let your hair down and swim naked or jump on that trampoline!</p>\n&nbsp;\n<p style=\"text-align: right;\">(See if you can find me in here)</p>\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"wp-image-29660 alignleft\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/IMG_0248-1.jpg\" alt=\"\" width=\"376\" height=\"267\" />\n<h2 class=\"p3\"><b>#6 – Commit A Random Act Of Kindness Each Week </b></h2>\n<p class=\"p1\">Being kind to others is vital for your contribution to world peace and showing compassion. Even more joyous and fun if the receiver doesn’t realise it was you who left those flowers at their door or even that you made their life easier by cleaning their windows while they were out.</p>\n<p class=\"p1\">This morning I took my neighbours bag of glass bottles to the bottle bank……ssssssssh don’t tell them it was me!</p>\n<p class=\"p1\">Volunteer Your Time Once A Month. Give a little, it means a lot!</p>\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"wp-image-29662 alignright\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/GetAttachmentCAP825L1-1.jpg\" alt=\"\" width=\"305\" height=\"407\" />\n<h2 class=\"p3\"><b>#7 – Learn A New Skill Each Quarter </b></h2>\n<p class=\"p1\">Enhance your skills, knowledge or contribution to society.</p>\n<p class=\"p1\">Stimulate you brain it certainly will prove worthwhile one day!</p>\nSign up for a free course in something completely different\n\nHave a go at ice skating, roller blading, climbing, go to a trampoline park!\n\nVolunteer at a shelter, library, local gym\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"wp-image-29664 alignleft\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/IMG_5232-1.jpg\" alt=\"\" width=\"359\" height=\"270\" />\n<h2 class=\"p3\"><b>#8 – Live In The Moment  </b></h2>\n<p class=\"p1\">You cannot change the past, you have no idea of the future but OH BOY you can enjoy this moment!</p>\n<p class=\"p1\">Never forget to savour the sunshine, a blue sky, a beautiful flower or giggling children.</p>\nTime with precious friends or even special times with strangers...you never know when they may disappear never to be seen again\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"wp-image-29663 alignright\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/heaven-2-1.jpg\" alt=\"\" width=\"284\" height=\"379\" />\n<h2 class=\"p3\"><b>#9 – Don’t Give A Damn…</b></h2>\n<p class=\"p1\">..what others think</p>\n<p class=\"p1\">Wear those hot pants!</p>\n<p class=\"p1\">Make snow angels!</p>\n<p class=\"p1\">Jump on a trampoline!</p>\n<p class=\"p1\">Lie on grass, watching clouds!</p>\n<p class=\"p1\">Sing at the top of your voice!</p>\n<p class=\"p1\">Dance like <em>everyone’s</em> watching!</p>\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"wp-image-29670 alignleft\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/IMG_2198-scaled-1.jpg\" alt=\"\" width=\"192\" height=\"256\" />\n<h2 class=\"p3\"><b>#10 – Tell Them You Love Them </b></h2>\n<p class=\"p1\">Always tell your loved ones how you feel …you just never know!</p>\n<img class=\"wp-image-29669 alignright\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/IMG_0497-scaled-1.jpg\" alt=\"\" width=\"209\" height=\"278\" />\n<p class=\"p1\">By the way I also want to let you in on a secret ……</p>\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n<p class=\"p1\">...........you don’t actually need to be in your 50\'s to try these out!</p>\n<a href=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/IMG_0098-1.heic\"><img class=\"aligncenter size-full wp-image-29689\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/09/IMG_0098-1.heic\" alt=\"\" /></a>\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<hr />\n\n<h1><b class=\"ac-designer-copy\"><span class=\"ac-designer-copy\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Join me to celebrate....email info@biomechanicseducation.com with your stories or experiences if you try any of the above </span></span></b></h1>','10 Tips To Feeling Great In Your 50\'s!','','inherit','closed','closed','','29658-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',29658,'https://biomechanicseducation.com/?p=38633',0,'revision','',0),
(38634,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','<span class=\"ac-designer-marked-selection ac-designer-copy\"><span class=\"ac-designer-copy\">There has been a lot of noise from social media, PT’s, fit pro’s &amp;  movement coaches wondering why we weren\'t allowed to work, keep gyms open &amp; help keep our nation moving during lockdown.</span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">Yet we keep demanding for cheaper &amp; quicker qualifications….?!?!</span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /></span><span class=\"ac-designer-marked-selection ac-designer-copy\"><span class=\"ac-designer-copy\">So much so that what 30yrs ago was a 12 month face to face qualification can now be achieved purely online over just a few weeks!</span></span><b class=\"ac-designer-copy\"><span class=\"ac-designer-marked-selection ac-designer-copy\"><br class=\"ac-designer-copy\" /></span></b><span class=\"ac-designer-marked-selection ac-designer-copy\"><br class=\"ac-designer-copy\" /></span><span class=\"ac-designer-marked-selection ac-designer-copy\"><span class=\"ac-designer-copy\">What did we expect???</span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">Compare this with our peers, the allied health care professionals (AHP’s) who are considered part of ‘the front line’, along with their higher level of training….we fit pros are just not perceived, nor professionalised, in the same way. This contributes to the stigma around us not being very well trained or equipped to work with clients.<br class=\"ac-designer-copy\" /></span></span>\n<h2><span class=\"ac-designer-marked-selection ac-designer-copy\"><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">The 14 Allied Health Professions<br class=\"ac-designer-copy\" /></span></span></h2>\n<span class=\"ac-designer-marked-selection ac-designer-copy\"><br class=\"ac-designer-copy\" /></span><span class=\"ac-designer-marked-selection ac-designer-copy\"><span class=\"ac-designer-copy\">Do you know how much training is involved in the 14 listed AHP\'s on the NHS England website?</span></span><b class=\"ac-designer-copy\"><span class=\"ac-designer-marked-selection ac-designer-copy\"><span class=\"ac-designer-copy\"><br class=\"ac-designer-copy\" /></span><br class=\"ac-designer-copy\" /></span></b>\n<ol class=\"ac-designer-copy\">\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Art Therapists</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Drama therapists</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Music therapists</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Chiropodists/podiatrists</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Dietitians</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Occupational therapists</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Operating Department Practitioners</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Orthoptists</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Osteopaths</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Paramedics</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Physiotherapists</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Prosthetists and Orthotists</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Radiographers</span></li>\n 	<li class=\"ac-designer-copy\" dir=\"ltr\" aria-level=\"1\"><span class=\"ac-designer-marked-selection ac-designer-copy\">Speech and language therapists</span></li>\n</ol>\n<span class=\"ac-designer-marked-selection ac-designer-copy\"><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">We seriously need to raise our game, NOT cheapen it! </span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">IF we are to be truly </span><span class=\"ac-designer-copy\">professionalised</span><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">IF we are to aim for </span><span class=\"ac-designer-copy\">recognition</span><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">IF we are wanting to be </span><span class=\"ac-designer-copy\">taken seriously</span><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">IF we really genuinely care about our clients </span><br class=\"ac-designer-copy\" /></span><span class=\"ac-designer-marked-selection ac-designer-copy\"><span class=\"ac-designer-copy\">IF we feel we can truly help</span></span><b class=\"ac-designer-copy\"><span class=\"ac-designer-marked-selection ac-designer-copy\"><br class=\"ac-designer-copy\" /></span></b><span class=\"ac-designer-marked-selection ac-designer-copy\"><br class=\"ac-designer-copy\" /></span><span class=\"ac-designer-marked-selection ac-designer-copy\"><span class=\"ac-designer-copy\">Then each &amp; every one of us should be held accountable &amp; responsible for representing our industry with the duty of care &amp; professionalism we wish to be admired for. </span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">We should welcome </span><span class=\"ac-designer-copy\">regulation &amp; evaluation.</span><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">We should welcome</span><span class=\"ac-designer-copy\"> standards</span><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">We should be prepared to pay more</span><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">We should research ‘qualified’ education providers</span><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">We should commit time &amp; effort into ALL our skills &amp; not simply gaining leads</span><br class=\"ac-designer-copy\" /></span><span class=\"ac-designer-marked-selection ac-designer-copy\"><span class=\"ac-designer-copy\">We should devote CPD to enhance our soft skills of communication &amp; listening</span></span><b class=\"ac-designer-copy\"><span class=\"ac-designer-marked-selection ac-designer-copy\"><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /></span></b><span class=\"ac-designer-marked-selection ac-designer-copy\"><span class=\"ac-designer-copy\">How can we expect to be taken seriously if we do not behave seriously?</span></span><span class=\"ac-designer-marked-selection ac-designer-copy\"><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">12 week transformations may well have their place, six packs are appropriate for a competitive bodybuilder &amp; aesthetic training is not a sin </span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">BUT</span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">If in fact we wish to have the opportunity to gain more leads, change more lives, be rewarded &amp; recognised well then there is an entire nation of long Covid sufferers that require our help. </span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">Phase 5 of Covid-19 Rehabilitation being movement…...that\'s us! </span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">How do you feel about gaining more specialist training? </span><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">Do you value &amp; invest in communication skills?</span><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">Do you have a multidisciplinary team around you?</span><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">Do you think we should be held accountable through regulation? </span><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">How do you feel about gaining Chartered status</span><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><span class=\"ac-designer-copy\">HELP TO </span><span class=\"ac-designer-copy\">PROVE</span></span><span class=\"ac-designer-marked-selection ac-designer-copy\"><span class=\"ac-designer-copy\"> OUR VALUE!</span></span><b class=\"ac-designer-copy\"><span class=\"ac-designer-marked-selection ac-designer-copy\"><br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /></span></b><span class=\"ac-designer-marked-selection ac-designer-copy\"><a class=\"ac-designer-copy\" href=\"https://www.england.nhs.uk/ahp/role/\" data-ac-default-color=\"1\">NHS AHP\'s LIST </a></span>\n\n<b class=\"ac-designer-copy\"><span class=\"ac-designer-copy\">Would you like to join us to become a <a class=\"ac-designer-copy\" href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" data-ac-default-color=\"1\">Biomechanics Coach as</a> we are looking for brand bearers to help in our mission to improve movement through education AND access the above!?<br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /><a class=\"ac-designer-copy\" href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" data-ac-default-color=\"1\">CLICK HERE TO BOOK</a> <br class=\"ac-designer-copy\" /><br class=\"ac-designer-copy\" /></span></b>\n\nOR\n\nArrange a call by sending your details to info@biomechanicseducation.com','\'Why didn\'t Boris trust us enough to let us continue working?\'','','inherit','closed','closed','','29093-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',29093,'https://biomechanicseducation.com/?p=38634',0,'revision','',0),
(38635,0,'2024-07-16 11:26:28','2024-07-16 11:26:28','<span style=\"font-weight: 400;\">Injuries can affect us all regardless of age, sex, fitness or ability, but we can manage or limit the number of times we get injured; and we can do this by going back to basics. A topic which has been written about numerous times, but we are not talking about strength levels, stretching or core stability, we mean back to your basic intrinsic biomechanics.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">By regularly assessing your intrinsic biomechanics you can help eliminate and prevent many injuries and problems. One of the fundamental causes of injury is the body compensating for weak biomechanical links in your kinetic chain which can cause unaccustomed load that in turn result in pain and injury.</span>\n\n&nbsp;\n<h2><em><b>One of the most common injuries in running is to the hamstrings. Or typically, the pain or tension that often presents itself in the hamstrings due to biomechanical load from another area of the body that is not functioning correctly. Even if you tear the hamstring during sprinting, the underlying cause is usually biomechanical, and unless that cause is addressed, the problem will become recurrent or simply just not go away. You could even just have a hamstring that feels tight or won’t stretch out properly, either way the cause is usually biomechanical.</b></em></h2>\n&nbsp;\n\n<img class=\"aligncenter wp-image-28848\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/07/jenny-hill-mQVWb7kUoOE-unsplash-scaled.jpg\" alt=\"\" width=\"710\" height=\"472\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Example:</span>\n\n<span style=\"font-weight: 400;\">Hamstring ‘issues’ are common in runners and are caused by a number of different issues. Flat feet, tight calves, dysfunctional pelvis, poor preparation and previous injury to the hamstrings or calves or associated joints are all typically considered when trying to prevent hamstring  injuries. One commonly overlooked, but very relevant cause is a tight sciatic nerve.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If the sciatic nerve is tight or not moving freely within the structures that surround it, then the muscles in the area of stiffness provide the nerve with protective spasm during movement. In other words they contract to minimise the pressure on the nerve while you move at speed. If the nerve is loaded or stretched too much, the muscles can spasm enough to cause themselves to tear or cramp up - which can feel like a tear. The stiffness in the nerve may well be near the point where the nerve runs through the hamstring muscle, and so that can be why you have the injury in the hamstring.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">To check to see if your hamstring ‘issue’ is related to your sciatic nerve, try this test:</span>\n\n<img class=\"wp-image-27968 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/annie-spratt-oQfSHQ2Uaic-unsplash-scaled.jpg\" alt=\"\" width=\"312\" height=\"468\" />\n\n&nbsp;\n<h2><strong>Test</strong></h2>\n<span style=\"font-weight: 400;\">Lay on your back and gradually lift your leg up straight with your ankle fixed at a 90 degree angle. Stop when you start to feel a tension or stretch in your leg. Notice where this tension is felt. You could feel it in the hamstring area, but also anywhere below the knee, or indeed in your buttock or back. If you feel it anywhere outside your hamstring area, the stretch you feel may be nerve related. In this example the stretch may be in the calf, which might indicate that the nerve is tightest there and can be causing the calf injuries. However if you feel the tension in the hamstring area you can test for nerve tension by pointing your toe. If this movement alters the tension in your hamstring this can indicate that the nerve is tightest there and can be causing hamstring issues. </span>\n\n&nbsp;\n<h2><b>Understanding nerves</b></h2>\n<span style=\"font-weight: 400;\">The nerves have been described as the software of the body and to be able to understand this more thoroughly we have to understand ‘nerve tension’ and ‘Adverse Neural Tension’. These concepts have been recognised for over 100 years in terms of treating patients clinically, but their full potential has never been understood until now. An analogy with the invention of the wheel is an interesting one. The discovery of nerve tension and it being used for the treatment of injuries is like the wheel being invented and placing it on its side, putting 4 legs around the underside and using it as a table. It makes a great table, but the idea to use it in the way we know it today was groundbreaking. The same applies to nerve tension and its application to athletic performance and fatigue relief.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The entire nervous system is a single continuous tract, so it follows that if any part of this continuous tract is trapped or tethered (as with an injury for example) then it also follows that there will be some restriction of the mobility of other parts of the nerve system. So a problem with one part of the nerve can cause pain in another – this is the clinical application. However, we have discovered that this is not always represented by pain but also by a reduction of joint range of movement and altered joint biomechanics which can affect a whole host of problems that can cause restricted performance and may ultimately lead to injury. Moreover, with the increased muscle spasm and associated factors, local fatigue increases and so understanding these principles can lead to benefits not only in human performance but also fatigue relief.</span>\n\n&nbsp;\n<h2><b>Research</b></h2>\n<span style=\"font-weight: 400;\">We know this happens from research performed at Liverpool Hope University College and the studies demonstrate astonishing results. One experiment showed that a muscle can increase its force output by 14% after a brief preliminary warm-up (just one 15 second workout using this concept). Another experiment showed that by following the same concept a 2 minute programme performed daily for 10 days increases muscle output by over 50%.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It has been demonstrated that after 15 seconds of the programme, muscle fatigue is reduced by up to 14% immediately and sustained use led to significant and prolonged increase in muscle output. These studies have been validated at the highest level. A paper was submitted at the 6th Asian Biomechanics Congress (one of the world\'s most credited) and was enthusiastically received.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Remember in most cases we are not even aware we have a problem, but even so you can still achieve these remarkable results. Just imagine what these figures could do for your performance in your sport or indeed, on a sedentary level, how the fatigue relief can help after a hard day at the office.</span>\n\n&nbsp;\n<h2><b>Example</b></h2>\n<span style=\"font-weight: 400;\">Let\'s take a hamstring stretch as an example, we are not trying to stretch the hamstrings when we extend the leg out in front of us, we are trying to improve the range of hip flexion and knee extension by stretching the structures on the back of the leg and back. This brings in more than just the hamstrings, it can also be limited by a tight sciatic nerve, a rotated sacro-iliac joint in the lower back, tight gastrocnemius, tight spinal cord and indeed almost any nerve in the chain given the continuum concept described earlier.</span>\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/product/running-biomechanics-workshops/#tab-description\" target=\"_blank\" rel=\"noopener\">Running Biomechanics Workshop </a> teaches you;</h1>\n<ul>\n 	<li>The correct terminology to approach your local running clubs</li>\n 	<li>Understanding the mechanics and sequencing of running gaits</li>\n 	<li>Extrinsically look at different styles or idiosyncrasy’s and Intrinsically look at what restrictions and dysfunctions can cause them</li>\n 	<li>Screenings will be discussed as well as key exercise interventions to help prepare your runners for their chosen style</li>\n</ul>\n<p class=\"p1\"><b>Who is it suitable for?</b></p>\n\n<ul class=\"ul1\">\n 	<li class=\"li1\">Running coaches &amp; practitioners who wish to enhance their skills to help runners</li>\n 	<li class=\"li1\">Any professional looking for an understanding of running biomechanics</li>\n</ul>\nCreated by<a href=\"https://www.brytespark.com/portfolio/biomechanical/\" target=\"_blank\" rel=\"noopener noreferrer\"> Martin Haines Founder of Brytespark</a>\n<h1><a href=\"https://www.biomechanicseducation.com/product/running-biomechanics-workshops/#tab-description\" target=\"_blank\" rel=\"noopener\">&gt;&gt;TO BOOK CLICK HERE &lt;&lt;</a></h1>\n<img class=\"wp-image-18460 alignleft\" src=\"https://biomechanicseducation.com/wp-content/uploads/2019/11/Running-Biomechanics-Myths-Martin-Haines-1.png\" alt=\"\" width=\"460\" height=\"230\" />','Running with an Injury or Over Training','','inherit','closed','closed','','28845-revision-v1','','','2024-07-16 11:26:28','2024-07-16 11:26:28','',28845,'https://biomechanicseducation.com/?p=38635',0,'revision','',0),
(38636,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<span style=\"font-weight: 400;\">Client’s come to us to change their behaviour in some way because they are seeking to increase their confidence in something. It is pretty much always that they wish to achieve confidence in how they look, feel or move…or a combination of these...even though they may not explain it this way. They usually say something like….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">“</span><i><span style=\"font-weight: 400;\">I\'d like to lose weight”</span></i><span style=\"font-weight: 400;\"> </span>\n\n<span style=\"font-weight: 400;\">“</span><i><span style=\"font-weight: 400;\">I want to build muscles/tone up</span></i><span style=\"font-weight: 400;\">”</span>\n\n<span style=\"font-weight: 400;\">“</span><i><span style=\"font-weight: 400;\">I want to feel stronger and fitter</span></i><span style=\"font-weight: 400;\">”</span>\n\n<span style=\"font-weight: 400;\">“</span><i><span style=\"font-weight: 400;\">I wish I didn\'t have these aches and pains</span></i><span style=\"font-weight: 400;\">”</span>\n\n<span style=\"font-weight: 400;\">“</span><i><span style=\"font-weight: 400;\">I want to get rid of my belly fat</span></i><span style=\"font-weight: 400;\">”</span>\n\n<i><span style=\"font-weight: 400;\">“My clothes no longer fit”</span></i>\n\n<i><span style=\"font-weight: 400;\">“I want to run a half marathon”</span></i>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-28621\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/07/shutterstock_1364554769-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1304\" />\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Inevitably we view the answer as simple and that, with our skills, we can simply tell them what to do since that’s what we learned on our fitness qualification or therapy training...right!?</span>\n\n<span style=\"font-weight: 400;\">Yet adherence and/or long term success is far more challenging than it first seems. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">In our ‘fit pro’ minds it\'s really easy!! Eg: </span><i><span style=\"font-weight: 400;\">Move more, eat less</span></i><span style=\"font-weight: 400;\">!...then why doesn\'t this work long term for so many?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Well, yes it is that simple but it still doesn\'t work to simply tell them what to do because it\'s not just the facts of calories in &amp; out...pretty much every client knows this concept &amp; it\'s really </span><i><span style=\"font-weight: 400;\">simple</span></i><span style=\"font-weight: 400;\"> to communicate….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">“.....</span><i><span style=\"font-weight: 400;\">move more, eat less</span></i><span style=\"font-weight: 400;\">….”</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">….yet it still doesn\'t help..so what is it? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">They also know what they are doing wrong in terms of those food binges or long periods sitting still at their desk...SO WHAT IS IT?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">...and more importantly, how can we help?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We should maybe consider attending a CPD in communication &amp; consulting tactics to help our clients with their goals. Motivational interviewing techniques are an evidenced based model of approaching our consultation style for example.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Having recently experienced Dr Gary Mendoza’s Behaviour Change &amp; Motivational Interviewing (MI) online course a key component that came from his research was to avoid simply giving information, even when asked. Instead employing a more ‘client centred’ approach (Rogers.C, 1983) with a dialectical style to it. The techniques Gary taught us were, at first, a challenge to implement, because they felt so different to the way consultations usually go. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Usually we</span> <span style=\"font-weight: 400;\">ask questions, the client responds &amp; this repeats until we have gathered what we feel is enough data. Then we offer our ideas based upon what the client has said, our education, experience &amp; our practice.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However the evidence behind MI &amp; these dialectical techniques is gaining strength &amp; credibility. Offering increased success for adherence &amp; long term results from enhancing a client’s motivation &amp; ability to change with the use of a ‘client centred’ approach. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">When applying them they produce a difference in the </span><i><span style=\"font-weight: 400;\">quality</span></i><span style=\"font-weight: 400;\"> of the information gained from clients, this was immediately obvious in my experience during my training &amp; with clients since I completed the course. Basically it\'s changed the way I communicate with clients. </span>\n\n&nbsp;\n<h2><b>What is Motivational Interviewing (MI)?</b><span style=\"font-weight: 400;\"> </span></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-28622\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/07/shutterstock_1068924428-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1440\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">MI skills empower the client to create their own solutions, since </span><b><i>they are the experts in themselves</i></b><span style=\"font-weight: 400;\">.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Gary’s research in utilising MI techniques to support individuals through a weight loss programme for example found that it had a profound effect on increasing the likelihood of subjects, not only succeeding in their weight loss goals in the short term but also in the long term. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Simple tactics like O.A.R.S help to structure a consultation to have a ‘client\'s centred’ approach. </span>\n\n&nbsp;\n\n<b>O</b><span style=\"font-weight: 400;\">pen questions - builds rapport, to gain clarity &amp; understanding of the clients world. </span>\n\n<b>A</b><span style=\"font-weight: 400;\">ffirmations - build clients\' self efficacy &amp; confidence.</span>\n\n<b>R</b><span style=\"font-weight: 400;\">eflections - to demonstrate empathy, they are valued &amp; heard. </span>\n\n<b>S</b><span style=\"font-weight: 400;\">ummary - confirm understanding &amp; move session to a close. </span>\n\n&nbsp;\n\n<a href=\"https://stagesofchange.co.uk/\" target=\"_blank\" rel=\"noopener\">Find Gary\'s courses HERE</a>\n<h2><b>What is Dialectical Behaviour Therapy?</b></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-28623\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/07/shutterstock_1107423758-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1709\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Remember </span>\n\n<b><i>Dialectic</i></b><i><span style=\"font-weight: 400;\"> is defined as the art of determining the truth by the logical exchange of ideas…... </span></i>\n\n&nbsp;\n<ul>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><i><span style=\"font-weight: 400;\">transformation of quantity into quality. Engels (2006) </span></i></li>\n</ul>\n&nbsp;\n\n<span style=\"font-weight: 400;\">DBT is a type of Cognitive Behavioural Therapy (CBT), another communication tool mainly used in therapeutic / counselling / psychology practices but also in personal training. However, the results for behaviour change are what make all of these ‘consultation techniques’ so fascinating.  </span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">(DBT)...attempts to balance and integrate acceptance and change through a dialectical process…..the most fundamental dialectic addressed by DBT is that of acceptance and change…..help the client develop greater acceptance of the self, of others,</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Originating from Linehan’s work in the 1970’s and 1980’s with individuals who were experiencing chronic mental health conditions, these ‘therapeutic’ intervention techniques can go a long way to improving our consultation techniques. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The endeavour to practice these techniques can lead to identifying and altering negative thinking. This clearly crosses over into our health and activity industry as I am sure you can imagine. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The ‘dialectical’ part of behaviour change is supporting the client with their own solutions for….</span>\n\n&nbsp;\n<ul>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Their acceptance of situations </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strategies to orient the change they seek</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Regulation of their negative emotions</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Their tolerance to stress</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Interpersonal effectiveness</span></li>\n</ul>\n&nbsp;\n\n<span style=\"font-weight: 400;\">DBT first focuses on stabilising the client into behavioural control, replacing certain emotional/behavioural responses with improved ones. Then it aims to get actions under control, allowing the client to feel they are the decision maker creating their new behaviour strategies. </span>\n\n&nbsp;\n<h2><b>Finally.... </b></h2>\n&nbsp;\n<ol>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do you get frustrated by clients NOT doing what you suggested?</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do you listen to your own dialect &amp; critically analyse it?</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do you consider ways to improve or structure your consultation to test its efficacy?</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do you follow evidence based ways of doing things where possible?</span></li>\n</ol>\n&nbsp;\n\n<span style=\"font-weight: 400;\">We have been so impressed but the results of Dr Gary Mendoza’s Behaviour Change &amp; Motivational Interviewing course that we have booked him for our intimate annual event.....</span>\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/the-kaizen-project/\" target=\"_blank\" rel=\"noopener\"><b>The Kaizen Project </b></a></h1>\n&nbsp;\n\n<img class=\"aligncenter wp-image-28625\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/07/Screenshot-2021-07-12-at-14.52.34.png\" alt=\"\" width=\"548\" height=\"224\" />\n<h1><span style=\"font-weight: 400;\">Friday 8th October at Loughborough University</span></h1>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Not only can you come along and meet Gary, but we also have a whole day of sessions from industry leaders in Empowerment &amp; Coaching AND you get free lunch &amp; refreshments all day within your ticket price! </span>\n\n&nbsp;\n<h2>See who else is presenting</h2>\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/the-kaizen-project/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Why not join us &gt;&gt;READ MORE &amp; BOOK HERE&lt;&lt;</span></a></h1>\n\n<hr />\n\n<h2><b>References;</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Clifford, D. and Curtis, L., n.d. </span><i><span style=\"font-weight: 400;\">Motivational interviewing in nutrition and fitness</span></i><span style=\"font-weight: 400;\">.</span>\n\n<span style=\"font-weight: 400;\">Dimeff, L., McDavid, J. and Linehan, M., 1999. Journal search results. </span><i><span style=\"font-weight: 400;\">Journal of Clinical Psychology in Medical Settings</span></i><span style=\"font-weight: 400;\">, 6(1), pp.113-138.</span>\n\n<span style=\"font-weight: 400;\">Kaufman, E., Douaihy, A. and Goldstein, T., 2021. Dialectical Behavior Therapy and Motivational Interviewing: Conceptual Convergence, Compatibility, and Strategies for Integration. </span><i><span style=\"font-weight: 400;\">Cognitive and Behavioral Practice</span></i><span style=\"font-weight: 400;\">, 28(1), pp.53-65.</span>\n\n<span style=\"font-weight: 400;\">Merriam-webster.com. 2021. </span><i><span style=\"font-weight: 400;\">Definition of DIALECTIC</span></i><span style=\"font-weight: 400;\">. [online] Available at: &lt;https://www.merriam-webster.com/dictionary/dialectic&gt; [Accessed 5 July 2021].</span>\n\n<span style=\"font-weight: 400;\">Miller, W. and Rollnick, S., 2009. Ten Things that Motivational Interviewing Is Not. </span><i><span style=\"font-weight: 400;\">Behavioural and Cognitive Psychotherapy</span></i><span style=\"font-weight: 400;\">, 37(2), pp.129-140.</span>\n\n<span style=\"font-weight: 400;\">Nutrition Society.org. 2021. </span><i><span style=\"font-weight: 400;\">Dr Gary Mendoza | The Nutrition Society</span></i><span style=\"font-weight: 400;\">. [online] Available at: &lt;https://www.nutritionsociety.org/people/dr-gary-mendoza&gt; [Accessed 12 July 2021].</span>\n\n<span style=\"font-weight: 400;\">Robins, C., 1999. A dialectical behavior therapy perspective on the case of anna. </span><i><span style=\"font-weight: 400;\">Cognitive and Behavioral Practice</span></i><span style=\"font-weight: 400;\">, 6(1), pp.60-68.</span>\n\n<span style=\"font-weight: 400;\">Rogers, C., 1995. </span><i><span style=\"font-weight: 400;\">A way of being</span></i><span style=\"font-weight: 400;\">. Boston: Houghton Mifflin.</span>\n\n<span style=\"font-weight: 400;\">Rollnick, S. and Miller, W., 1995. What is Motivational Interviewing?. </span><i><span style=\"font-weight: 400;\">Behavioural and Cognitive Psychotherapy</span></i><span style=\"font-weight: 400;\">, 23(4), pp.325-334.</span>\n\n<span style=\"font-weight: 400;\">Slater, E., 2017. Engels on Ireland’s Dialectics of Nature. </span><i><span style=\"font-weight: 400;\">Capitalism Nature Socialism</span></i><span style=\"font-weight: 400;\">, 29(4), pp.31-50.</span>\n\n<span style=\"font-weight: 400;\">Sporakowski, M., Prochaska, J. and DiClemente, C., 1986. The Transtheoretical Approach: Crossing Traditional Boundaries of Therapy. </span><i><span style=\"font-weight: 400;\">Family Relations</span></i><span style=\"font-weight: 400;\">, 35(4), p.601.</span>\n\n<span style=\"font-weight: 400;\">Swales, M., 2009. Dialectical Behaviour Therapy: Description, research and future directions. </span><i><span style=\"font-weight: 400;\">International Journal of Behavioral Consultation and Therapy</span></i><span style=\"font-weight: 400;\">, 5(2), pp.164-177.</span>\n\n&nbsp;','Motivational Interviewing & Dialectical (Behaviour Therapy) Techniques- Part 2','','inherit','closed','closed','','28615-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',28615,'https://biomechanicseducation.com/?p=38636',0,'revision','',0),
(38637,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<h1><b>Discussion vs Debate vs Dialectic - Part 1 </b></h1>\n&nbsp;\n<ul>\n 	<li style=\"text-align: left;\"><span style=\"font-weight: 400;\">Ever felt cyber bullied? Trolled? Attacked by a keyboard warrior? </span></li>\n 	<li style=\"text-align: left;\"><span style=\"font-weight: 400;\">Did you get annoyed and want to give them a piece of your mind? </span></li>\n 	<li style=\"text-align: left;\"><span style=\"font-weight: 400;\">Were you unable to type quickly enough, you were so frustrated and wanted to respond immediately?</span></li>\n 	<li style=\"text-align: left;\"><span style=\"font-weight: 400;\">Yet at the same time did you wonder.....<em>why this idiot is making you feel so emotional and irrational</em>? </span></li>\n 	<li style=\"text-align: left;\"><span style=\"font-weight: 400;\">Did you feel cyber rage?</span></li>\n 	<li style=\"text-align: left;\"><span style=\"font-weight: 400;\">Maybe the experience has changed the way you interact online?</span></li>\n</ul>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Communication is something we do every day, all the time &amp; mostly without too much thought. However our success in gaining clients, keeping them &amp; serving them is ALL down to how well we communicate. Social media may well be a key place for you to gain new clients </span><span style=\"font-weight: 400;\">BUT maybe social media isn\'t the best way to learn how to communicate OR maybe it\'s a good way to learn what not to do? </span>\n\n<span style=\"font-weight: 400;\">Good practise is to consistently challenge the way we do things, evaluate how well it works and alter when/where necessary with new techniques when things don\'t work out the way we would like. A good way of looking at this is that very failure is a lesson on what not to do. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">In these 2 x Juicemail blogs we will explore some of the ways we share information, and what the evidence suggests, to enable us to plan how we might improve the way we communicate for all of the reasons above...and more!</span>\n\n&nbsp;\n<h1>Discussion</h1>\n&nbsp;\n\n<img class=\"wp-image-28488 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/07/peggy-anke-SjeRPKfVDj8-unsplash-scaled.jpg\" alt=\"\" width=\"422\" height=\"281\" />\n\n<span style=\"font-weight: 400;\">An interaction on social media, or with a client, for example maybe in the form of a discussion. To define this.....</span>\n\n&nbsp;\n<h2><b><i>Discussion:</i></b><i><span style=\"font-weight: 400;\"> the action or process of talking about something in order to reach a decision or to exchange ideas. a conversation or debate about a specific topic.</span></i></h2>\n&nbsp;\n<h1></h1>\n<h1></h1>\n<h1></h1>\n<h1></h1>\n<h1>Debate</h1>\n&nbsp;\n\n<img class=\"wp-image-28489 alignleft\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/07/geron-dison-9_FmYJTSYTU-unsplash-scaled.jpg\" alt=\"\" width=\"517\" height=\"291\" />\n\n<span style=\"font-weight: 400;\">Debating on social media is more often than not the defence of an opinion which is based on bias, the individual’s view of the world, experience &amp; education &amp; it certainly has its place….</span>\n\n&nbsp;\n<h2><b><i>Debate</i></b><i><span style=\"font-weight: 400;\"> is a (formal) discussion on a particular matter in a public meeting……. in which opposing arguments are put forward….</span></i><i><span style=\"font-weight: 400;\">argue abou</span></i><i><span style=\"font-weight: 400;\">t...</span></i></h2>\n&nbsp;\n<h1></h1>\n<h1></h1>\n<h1></h1>\n<h1>Dialectic</h1>\n&nbsp;\n\n<img class=\"wp-image-28490 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/07/cardmapr-nl-LQZQM_z1b-s-unsplash-scaled.jpg\" alt=\"\" width=\"459\" height=\"307\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However in research papers, some describe the goal as being ‘</span><i><span style=\"font-weight: 400;\">dialectical</span></i><span style=\"font-weight: 400;\">’. So I wanted to share this with you to see what you think….</span>\n\n&nbsp;\n<h2><b><i>Dialectic</i></b><i><span style=\"font-weight: 400;\"> is defined as the art of determining the truth by the logical exchange of ideas…... </span></i></h2>\n<h2><i><span style=\"font-weight: 400;\">Engels (2006) discusses </span></i><b><i>three principal laws of dialectics</i></b><i><span style=\"font-weight: 400;\">: the </span></i><b><i>law</i></b><i><span style=\"font-weight: 400;\"> of the transformation of quantity into quality, and vice versa; the </span></i><b><i>law</i></b><i><span style=\"font-weight: 400;\"> of the interpenetration of opposites; and the </span></i><b><i>law</i></b><i><span style=\"font-weight: 400;\"> of the negation of the negation.</span></i></h2>\n<h2><a href=\"https://www.merriam-webster.com/dictionary/dialect\"><i><span style=\"font-weight: 400;\">Dialect</span></i></a><i><span style=\"font-weight: 400;\"> and </span></i><i><span style=\"font-weight: 400;\">dialectic</span></i><i><span style=\"font-weight: 400;\"> come from </span></i><i><span style=\"font-weight: 400;\">dialecktos</span></i><i><span style=\"font-weight: 400;\"> (“conversation” or “dialect”) </span></i></h2>\n&nbsp;\n\n&nbsp;\n<h2></h2>\n<h2></h2>\n<h1><b>So What?</b></h1>\n&nbsp;\n\n<span style=\"font-weight: 400;\">We all have our own bias, myself included, our own view of the world based on our personal environment &amp; experiences. </span>\n\n&nbsp;\n<h2><em><span style=\"font-weight: 400;\">..bias has the potential for confining &amp; limiting our beliefs, thinking, conceptualisation &amp; depth of understanding. </span></em></h2>\n&nbsp;\n<h2><b>The Difference Between Dialectic, Discussion &amp; Debate</b></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-28491\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/07/shutterstock_436476886-scaled.jpg\" alt=\"\" width=\"1098\" height=\"491\" />\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">When having a debate we are </span><i><span style=\"font-weight: 400;\">defending</span></i><span style=\"font-weight: 400;\"> our view using our bias or perceived logic. So a debate if done diplomatically can be great!</span>\n\n<span style=\"font-weight: 400;\">However typed words can lose tone or gain an inappropriate tone if read a certain way, so a debate typed out online can be frustratingly challenging. The nuances of human interaction are lost online so choice of wording becomes more important &amp; if we type how we speak we may lose some of the quality of the content of our expression.</span>\n\n&nbsp;\n<ul>\n 	<li><span style=\"font-weight: 400;\">Can we present ideas, justifications &amp; thoughts with a willingness to be challenged? </span></li>\n 	<li><span style=\"font-weight: 400;\">Can we be open to an alternative view? </span></li>\n 	<li><span style=\"font-weight: 400;\">Can we provide valid evidence of the theory or idea from a valid source?</span></li>\n 	<li>How does OUR online presence affect our ability to gain new clients?</li>\n 	<li>Could learning new communication skills improve our exposure to new clients?</li>\n</ul>\n<span style=\"font-weight: 400;\">Cyber confusion is something surely we have all experienced in some way &amp; inspired me to find solutions to this problem. Trust me I have got communicating on social media completely wrong &amp; Ive even kicked myself when with clients face to face when I felt it didn\'t go as I had hoped for some reason. By using a self reflection journal &amp; critically analysing my techniques regularly this has guided my CPD choice to find education that isn\'t just a new \'movement\' skill. </span>\n\nCommunication skills are possibly the most underrated CPD you can do as a practitioner of movement, since they are a skill we generally feel quite good at BUT as suggested....we should CHALLENGE EVERYTHING!\n\n<span style=\"font-weight: 400;\">Considering these ideas are not limited to online communication &amp; can also improve our face to face interactions with client\'s for adherence &amp; retention as well as success in behaviour change.....</span>\n\n&nbsp;\n<h2><span style=\"font-weight: 400;\">NEXT TIME - We will explore the concept of ‘dialectical’ behaviour therapy when designing our consultations to improve adherence &amp; long term success through empowerment.</span></h2>\n<h1>How Can We Improve Client Adherence?</h1>\n<h2><b>Motivational Interviewing &amp; </b><b>Dialectical (Behaviour Therapy) Techniques </b><b>- Part 2</b></h2>\n&nbsp;\n\n&nbsp;\n\n<hr />\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"wp-image-28492 alignleft\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/07/mimi-thian-lp1AKIUV3yo-unsplash-scaled.jpg\" alt=\"\" width=\"570\" height=\"428\" />\n\n&nbsp;\n\n&nbsp;\n<h2><em>Would you like some practical consultation skills to compliment these communication skills? </em></h2>\n<h2><em>Why not join us for some intrinsic biomechanics - the simple \'biomechanics\' !</em></h2>\n<h2><em>While some dates are fully booked, we still have a few places for Belfast, Nottingham and London </em></h2>\n<h3></h3>\n<img class=\"wp-image-28329 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/DSC_6770-scaled.jpg\" alt=\"\" width=\"513\" height=\"342\" />\n<h3 style=\"text-align: center;\"><a href=\"https://www.biomechanicseducation.com/product/pelvis-spine-biomechanics-3-day-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener\">Click here for just Pelvic &amp; Spine Biomechanics Workshop.</a></h3>\n<h3 style=\"text-align: center;\"><a href=\"https://www.biomechanicseducation.com/product/shoulder-knee-foot-biomechanics-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener\">Click here for just Shoulder, Knee &amp; Foot Biomechanics Workshop</a></h3>\n<h3 style=\"text-align: center;\"><a href=\"https://www.biomechanicseducation.com/low-back-health-workshops/\" target=\"_blank\" rel=\"noopener\">Click here for just Low Back Health Workshop</a></h3>\n\n<hr />\n<p style=\"text-align: center;\"><a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">Click here for all 3 of the above -  Diploma in Biomechanics Coaching </a></p>\n\n<h2 style=\"text-align: center;\"><a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">From just £100 per month </a></h2>\n<h2></h2>\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<hr />\n\n<h2><b>References;</b></h2>\n<span style=\"font-weight: 400;\">Dimeff, L., McDavid, J. and Linehan, M., 1999. Journal search results. </span><i><span style=\"font-weight: 400;\">Journal of Clinical Psychology in Medical Settings</span></i><span style=\"font-weight: 400;\">, 6(1), pp.113-138.</span>\n\n<span style=\"font-weight: 400;\">Kaufman, E., Douaihy, A. and Goldstein, T., 2021. Dialectical Behavior Therapy and Motivational Interviewing: Conceptual Convergence, Compatibility, and Strategies for Integration. </span><i><span style=\"font-weight: 400;\">Cognitive and Behavioral Practice</span></i><span style=\"font-weight: 400;\">, 28(1), pp.53-65.</span>\n\n<span style=\"font-weight: 400;\">Merriam-webster.com. 2021. </span><i><span style=\"font-weight: 400;\">Definition of DIALECTIC</span></i><span style=\"font-weight: 400;\">. [online] Available at: &lt;https://www.merriam-webster.com/dictionary/dialectic&gt; [Accessed 5 July 2021].</span>\n\n<span style=\"font-weight: 400;\">Robins, C., 1999. A dialectical behavior therapy perspective on the case of anna. </span><i><span style=\"font-weight: 400;\">Cognitive and Behavioral Practice</span></i><span style=\"font-weight: 400;\">, 6(1), pp.60-68.</span>\n\n<span style=\"font-weight: 400;\">Slater, E., 2017. Engels on Ireland’s Dialectics of Nature. </span><i><span style=\"font-weight: 400;\">Capitalism Nature Socialism</span></i><span style=\"font-weight: 400;\">, 29(4), pp.31-50.</span>\n\n<span style=\"font-weight: 400;\">Swales, M., 2009. Dialectical Behaviour Therapy: Description, research and future directions. </span><i><span style=\"font-weight: 400;\">International Journal of Behavioral Consultation and Therapy</span></i><span style=\"font-weight: 400;\">, 5(2), pp.164-177.</span>\n\n<hr />\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;','Ever been attacked a Keyboard Warrior?','','inherit','closed','closed','','28483-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',28483,'https://biomechanicseducation.com/?p=38637',0,'revision','',0),
(38638,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','&nbsp;\n\n<span style=\"font-weight: 400;\">If you have found this blog but not yet <a href=\"https://www.biomechanicseducation.com/blog/\" target=\"_blank\" rel=\"noopener\">read Part 1 &amp; Part 2 please go &amp; read them first</a> to get the most out of Part 3.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We are on a mission to help PTs with skills in an assessment system that, from the evidence, guides us in pre &amp; post rehab exercise prescription techniques. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The techniques, including the nerve mobilisation described here, are NOT recommended for someone with acute symptoms </span>\n\n<span style=\"font-weight: 400;\">This client MUST seek medical advice PRIOR to working with an exercise professional or manual therapist </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However to REDUCE RISK of the onset sciatica this nerve mobilisation technique can be prescribed, and is really great, as part of a progressive movement preparation programme, like iMoveFreely. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Once we have assessed their intrinsic biomechanics to better understand how to prepare them for our exercise programme our planning becomes far more bespoke to that individual &amp; their biomechanics. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If they demonstrate a tight sciatic nerve during the nerve range (lower limb tension) test we can potentially reduce risk of sciatica by prescribing a nerve gliding technique as part of their warm up</span>\n\n&nbsp;\n<h2><b>Preparation is key!</b></h2>\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It’s probably prudent to begin with muscle energy techniques, like the iMoveFreely 20/20, to improve the function of the muscles that relate to the sciatic nerve pathway first.</span>\n\n&nbsp;\n<h2>The 4 Sign Test &amp; Exercise</h2>\nhttps://youtu.be/_Lkur9ZcNXw\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This could be followed by subtle pure spine mobility drills, like knee rolls &amp; pelvic tilts taught in our iMoveFreely Instructor programme workshop, to prepare &amp; mobilise the nerve roots in advance of the slump. </span>\n\n&nbsp;\n\n&nbsp;\n<h2>Lumbar Tilts &amp; Knee Rolls</h2>\nhttps://youtu.be/IKdmb5L5uh8\n\n&nbsp;\n\n&nbsp;\n<h2><b>The slump nerve mobilisation technique</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Nerve mobilisation techniques require an understanding of nerve anatomy. The idea is to gradually lengthen the nerve to the point of feeling the beginning of tension. Then once the client feels the beginning of tension, we reduce it at a single joint then add it back on &amp; repeat slowly to gently ‘mobilise’ the nerve. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Moving very slowly in &amp; out of that start of tension is a really nice &amp; safe way to calm the tension down. It desensitises the nerve tension &amp; allows for improved range of motion. It could also cue muscles &amp; joints towards improved functionality too. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The slump looks almost identical to the lower limb tension test or SLR we covered last time in part 2 &gt;&gt;HERE.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">By coaching your client into gradually lengthening the nervous system that relates to the sciatic nerve, we can ‘find the beginning of tension’ then reduce it at a single joint &amp; repeat SLOWLY 8 times on each leg.</span>\n\n<span style=\"font-weight: 400;\">Ideally doing one leg at a time since they may feel tension earlier in one side &amp; this allows for control over the exercise.</span>\n\n&nbsp;\n\n&nbsp;\n\nhttps://youtu.be/xMDNnhoXWRs\n\n&nbsp;\n<h2><b>Our Role</b></h2>\n&nbsp;\n\n<img class=\"wp-image-27966 alignleft\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/ryan-snaadt-qCPUBf1ek-Y-unsplash-scaled.jpg\" alt=\"\" width=\"588\" height=\"331\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So we can plan how to mobilise the nerves in preparation for our client’s sport or chosen activity. As PTs its really all about risk reduction &amp; performance optimisation which could be known as PREHAB &amp; for some maybe even post rehab. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Maybe even ME-HAB for ‘My Rehab’ which is exactly what a Biomechanics Coaches skill is in creating bespoke movement programmes that are progressive, regressive where necessary &amp; with continuous evaluation &amp; monitoring.  </span>\n\n&nbsp;\n<h2>Did you find this series helpful?</h2>\n<h2>What would you like us to write about in out next guide?</h2>\n<h2>Why not hit reply &amp; send your feedback?</h2>\n&nbsp;\n\n<hr />\n\n<h2><a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">Would you like to learn how to fully assess your clients biomechanics? - no expensive equipment required!</a></h2>\n<a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">Join the team! We promise all our Biomechanics Coaches support for life!</a>\n\n<a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">From £100 per month we can teach you how to perform a full biomechanical assessment on your clients, also how to use them to attract new clients &amp; charge more while feeling confident about all of these changes.</a>\n\nWe NEED YOU!\n\n<a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">Ask any Biomechanics Coach how its changed the way they think by following a very simply evidence based system. </a>\n\n<a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener\">CLICK ANY OF THE TEXT HERE TO REGISTER YOUR INTEREST</a>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-28328\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/DSC_6687-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1709\" />\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-28329\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/DSC_6770-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1709\" />','A PT\'s Guide to Sciatica - Part 3','','inherit','closed','closed','','28326-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',28326,'https://biomechanicseducation.com/?p=38638',0,'revision','',0),
(38639,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<span style=\"font-weight: 400;\">Last week we ended with the question…</span>\n\n&nbsp;\n\n<img class=\"wp-image-27962 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/tingey-injury-law-firm-9SKhDFnw4c4-unsplash-scaled.jpg\" alt=\"\" width=\"345\" height=\"230\" />\n<h2><b>Should we test client’s who have sciatica or sciatica symptoms?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">In simple terms, without clinical (Allied Healthcare Practitioner or AHP) training/insurance the answer is</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">NO</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Since we are not </span><i><span style=\"font-weight: 400;\">qualified</span></i><span style=\"font-weight: 400;\"> in understanding the risks associated with clinical causes of sciatica. This also means our insurance could be invalid if we hurt someone with our advice.</span>\n\n&nbsp;\n<h2><b>Is there anything we CAN do?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">YES </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We have a really important role in helping clients who have had or are at risk of sciatica. So let\'s dive into exactly what we CAN do….</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27965\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/ryan-snaadt-sEJpq3D2vMo-unsplash-scaled.jpg\" alt=\"\" width=\"760\" height=\"427\" />\n\n&nbsp;\n<h2><b>A PT\'s Role in sciatica symptomatic clients</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">As movement practitioners we have a vital role in the prevention of common modern ailments like sciatica. However due to the complex nature of pain and symptoms combined with our lack of training in clinical understanding we cannot help clients with existing or perhaps \'acute\' sciatica. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So first let\'s look at risk factors associated with individuals at risk of sciatica.</span>\n\n<b>Risk factors </b>\n<ul>\n 	<li style=\"list-style-type: none;\">\n<ul>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Previous back injury can increase the risk of experiencing sciatica.</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Normal ageing causes natural wearing of the joint surfaces potentially resulting in alterations of bones, ligaments and discs which may irritate the nerve</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Being overweight can cause a shear force due to the alteration in centre of gravity </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A physically active job that requires lots of lifting </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diabetes can increase the risk of nerve damage </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Osteoarthritis could cause spine damage putting nerves at an increased risk</span></li>\n 	<li aria-level=\"1\"><span style=\"font-weight: 400;\">Smoking can result in the nicotine damaging spinal tissue, weakening bones and discs.</span></li>\n 	<li aria-level=\"1\">Sed<span style=\"font-weight: 400;\">entary lifestyle i.e. sitting for long periods reduces may compromise muscle function which may increase the risk of sciatic nerve irritation</span></li>\n 	<li aria-level=\"1\"><em><strong>Dy</strong></em><b><i>sfunction of muscles, joints or nerves coming from other parts of the body so the body compensates &amp; may alter the biomechanical load on the nerve</i></b></li>\n</ul>\n</li>\n</ul>\n&nbsp;\n\n<span style=\"font-weight: 400;\">So which of the above can we as trainers and coaches help with?</span>\n\n<span style=\"font-weight: 400;\">Some, but not all, right? </span>\n\n<span style=\"font-weight: 400;\"> </span>\n\n<span style=\"font-weight: 400;\">Some things we cannot change, some we need to be mindful of and others are certainly what we are trained in helping with. However the more we understand our clients lifestyles, risk factors and health conditions the better we can be a part of the multidisciplinary team supporting them through behaviour change, better eating habits and also guided movement programming.</span>\n\n&nbsp;\n<h2><b>CLIENT EXAMPLE ONE </b></h2>\n&nbsp;\n<h2><b>Any client that is symptomatic</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">For a health and activity practitioner to work with a client with sciatica symptoms (diagnosed or not!) we MUST stay in our lane for an appropriate duty of care of the suffering client.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">To keep within our scope of practise we might want to consider these factors:</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Firstly the client MUST have a diagnosis or clearance from someone who is qualified to do so.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">THEN if the client approaches us we must ask them for the written report that guides us on what that AHP recommends or suggests of what we can or can\'t do. (*Keep your eye out for the SafetyNet project coming very soon).</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Once you have this guidance in a hard copy like a report or email, this protects everyone involved. It also gives you something to work from that creates increased confidence in what you CAN do.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Following the guidelines given to you in writing and using your own previous training along with common sense to support your client in moving well. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Here are some examples of diagnosis and treatment for sciatica made by an AHP.</span>\n\n&nbsp;\n<h2><b>Diagnosis &amp; Treatment of Sciatica </b></h2>\n&nbsp;\n<h3><b>Sciatic neuropathy</b><span style=\"font-weight: 400;\"> - this is when the body of the sciatic nerve is affected </span></h3>\n<h3><b>Herniated disks </b><span style=\"font-weight: 400;\">- causes about 90% of sciatic symptoms although new theories are being discussed, historically, these can occur when the first layer of the cartilage cracks. The thick, clear substance that is there to keep our clients mobile and cushioned can compress your sciatic nerve, causing leg pain and even numbness. </span></h3>\n<h3><b>Spinal stenosis - </b><span style=\"font-weight: 400;\">or lumbar spinal stenosis is an abnormal narrowing of your spinal canal. This narrowing can result in pressure on the spinal cord and sciatic nerve roots.</span></h3>\n<h3><b>Spondylolisthesis - </b><span style=\"font-weight: 400;\"> can be associated with degenerative disc conditions in seniors, but can be traumatic in juniors. When one vertebrae shunts forward over another, the extended spinal bone can pinch nerves that make up your sciatic nerve.</span></h3>\n<h3><b>Piriformis syndrome - </b><span style=\"font-weight: 400;\">is when the piriformis muscle involuntarily contracts or tightens, causing sciatica. </span></h3>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Treatment that is non operative is pain killers, physiotherapy or corticosteroid injections. </span>\n<h2></h2>\n<h2><b>CLIENT EXAMPLE TWO</b></h2>\n&nbsp;\n<h2><b>Asymptomatic client at increased risk of sciatica </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">When there are no symptoms present but your client is overweight, has a history of back pain and sitting a lot there may be an increased risk of sciatica. However if we are happy after a full consultation that the individual is within our scope of practise we may be able to use some of the techniques listed below to reduce the risk of an onset of sciatica. </span>\n\n&nbsp;\n<h2><b>CLIENT EXAMPLE THREE</b></h2>\n&nbsp;\n<h2><b><em>Asymptomatic</em> client with ‘performance’ issues. </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">These are the ones we can certainly look at testing for sciatic nerve tension. They might say things like </span><span style=\"font-weight: 400;\">they don’t feel their glutes firing. They might say they aren\'t progressing in their lifts or running times. They may tell you they have tight hamstrings, as if it\'s a normal thing.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">…could these be warnings that they are at risk of sciatica? YUP possibly.</span>\n\n<span style=\"font-weight: 400;\">Go back and look at the last time on the list of risk factors again….did ya see? Pretty much every client eh! The lifestyles we all lead these days pose a threat to this common modern ailment.</span>\n\n&nbsp;\n<h2><b>How can we test sciatic nerve mobility?</b></h2>\n&nbsp;\n\n<img class=\"aligncenter wp-image-27964\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/shutterstock_1756367075-scaled.jpg\" alt=\"\" width=\"556\" height=\"417\" />\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Yes absolutely! In my opinion, anyone working with the human body should endeavour to gain MSK assessment skills for all the reasons you’re still reading this blog! PT’s included.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Consider that the nervous system is one single continuum, a kinetic chain effect if you like. This means that as we saw earlier symptoms can be felt in different parts of the body to the affected area. Sensations can travel down the legs to the toes for example. This can give us the ability to test and identify if a sensation is nerve tension or not. </span>\n\n&nbsp;\n\n&nbsp;\n<h2><b>Testing the sciatic nerve </b></h2>\n&nbsp;\n\nFundamentally my strongest advice is to attend a classroom based practical course that teaches you not only how to handle a client at risk of sciatica but also more objective/ evidence bases methods of assessing your client\'s body. During our <a href=\"https://www.biomechanicseducation.com/product/pelvis-spine-biomechanics-3-day-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener\">Pelvic &amp; Spine Biomechanics Workshop</a>, not only will you receive 2 online classrooms to watch before during and after your training for revision and practise, you will also join us for 2 days of experiencing how to use practical evidence based skills of assessment. During these 2 jam packed days of practical assessment and exercise skills we will teach you how to use the Straight Leg Raise test for accurately identifying sciatic nerve tension along with more than 20 other physical assessments for the pelvis &amp; spine.\n\nThe fact you have attended a training session face to face means insurance companies will see your ability far more favourably than a practitioner who only has evidence of being trained online in these types of skills.\n\n&nbsp;\n\nHowever here is something to demonstrate how (with a client who does NOT have sciatica) we can potentially test for nerve tension literally on the gym floor/bench.\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">First of all it\'s important to understand the visco-elasticity of the nerves. The nerves don\'t really like to be stretched, and certainly not quickly, if they are stiff or immobile somewhere in the body. So when testing we must ask the client to move very slowly.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Let\'s consider the anatomy of the sciatic nerve specifically and positions that mean the sciatic nerve becomes <em>tensioned.</em> For example the sciatica nerve passes down the back of the body and divides to pass down the back of both legs. This means w</span><span style=\"font-weight: 400;\">e could ask our client to sit with the hips at 90 degrees and if possible on a high seat or table that means both thighs are fully supported while the feet are hanging freely off the floor.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Now asking the client to relax the hands behind the body like this:</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27973\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/IMG_8673-scaled.jpg\" alt=\"\" width=\"361\" height=\"361\" />\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We ask them to slowly start to slump forwards, rounding the back to lengthen the sciatica nerve in the upper body, if</span><span style=\"font-weight: 400;\"> they dont get any tension here then we ask them to start to extend one knee slowly like this:</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27974\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/IMG_8671-scaled.jpg\" alt=\"\" width=\"372\" height=\"372\" />\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Until they feel THE BEGINNING of tension or tightness.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If they do and this sensation is in the upper body ask them to stay in that position and to simply lower the leg like this:</span>\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27975\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/IMG_8674-scaled.jpg\" alt=\"\" width=\"374\" height=\"374\" />\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If the sensation in the upper body changes in anyway this confirms nerve tension because the haven\'t altered the position of the area of the body were they felt the tension.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If however the sensation occurs in the lower body, ask them to simply lift the chin, like this:</span>\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27976\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/IMG_8675-scaled.jpg\" alt=\"\" width=\"390\" height=\"390\" />\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If this results in a change of the sensation in their leg, again this confirms nerve tension because they aren\'t moving the leg to feel the change there.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">In other words; by moving the opposite end of the body if the sensation changes in any way it will likely be nerve tension they are feeling as opposed to a muscle tension.</span>\n\n&nbsp;\n\nAlternatively they could also simply move the ankle like this since the nerve also passes behind the ankle;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27977\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/IMG_8676-scaled.jpg\" alt=\"\" width=\"386\" height=\"386\" />\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n<h2><span style=\"font-weight: 400;\">NOTE: THIS IS NOT A DIAGNOSTIC TEST FOR SCIATICA - merely sciatic nerve mobility</span></h2>\n&nbsp;\n\nWhat I hope you will find interesting is that there is still a lot we can do for our clients when learning about what can happen when the sciatic nerve simply becomes tight which could indicate a risk of sciatica but also could present other movement problems....\n\n&nbsp;\n<h2><b>Interesting fact:</b></h2>\n&nbsp;\n<h2><b>Did you know…..</b></h2>\n&nbsp;\n<h2 style=\"text-align: center;\"><i><span style=\"font-weight: 400;\">It has been demonstrated that reduced nerve mobility inhibits muscle performance</span></i></h2>\n<h2 style=\"text-align: center;\"></h2>\n<h2 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Greening J, Smart S, Leary R, Hall-Craggs M, </span></h2>\n<h2 style=\"text-align: center;\"><span style=\"font-weight: 400;\">O\'Higgins P, Lynn B , Butler, DS. Lancet. (1999)</span></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Imagine the anatomy of the sciatic nerve and the closely related anatomy &amp; muscles we spoke about previously in <a href=\"https://www.biomechanicseducation.com/a-pts-guide-to-sciatica/\" target=\"_blank\" rel=\"noopener\">A PT\'s Guide to Sciatic Part 1 </a></span>\n\n<span style=\"font-weight: 400;\">Also consider how brilliant the body is at compensating for this by altering our client\'s muscle tone and therefore quality of movement </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Consider a seated leg extension exercise for example….</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27960\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/06/IMG_8658.jpg\" alt=\"\" width=\"478\" height=\"473\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">To perform this exercise the quads need to overcome:</span>\n\n&nbsp;\n<ol>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gravity</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Set resistance </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tension in opposing tissues </span>\n<ul>\n 	<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">knee flexors</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">knee capsule</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">sciatic nerve </span></li>\n</ul>\n</li>\n</ol>\n&nbsp;\n\n<span style=\"font-weight: 400;\">No.s 1 &amp; 2 I think we understand pretty well but let\'s take No. 3 into a bit more detail in relation to the sciatica nerve. </span><i><span style=\"font-weight: 400;\">The mechano-receptor activity in the sciatic nerve can inhibit the quadriceps contraction</span></i><span style=\"font-weight: 400;\">. What does this mean? Well this means that if the sciatic nerve is inhibited theoretically any of its links, anywhere in the body could impede the function or contraction efficiency of a muscle and in this example the function of the quads. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So much so in a study we saw improved quad strength output of 50% in 10 days AFTER using sciatic nerve mobilisations!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So there is a lot we CAN do while staying on our lane </span>\n\n&nbsp;\n<h1><b>NEXT TIME….</b></h1>\n&nbsp;\n<h2><span style=\"font-weight: 400;\">Can we mobilise the sciatica nerve? if so how?</span></h2>\n<p class=\"p1\">Planning how to mobilise the nerves in preparation for client’s sport or chosen activity</p>\n&nbsp;\n<h2 class=\"p1\">Finally did you know….?</h2>\n<p class=\"p1\"><span class=\"s1\">The risk factors listed here can start as biomechanical dysfunction</span><span class=\"Apple-converted-space\"> </span></p>\n\n<h3 class=\"p1\">Ok so what?<span class=\"Apple-converted-space\"> </span></h3>\n<p class=\"p1\">Well the best role we can play as PTs is in risk reduction, performance optimising &amp; appropriate referral</p>\n<p class=\"p1\">Otherwise known as PREHAB – <span class=\"s1\">I also like something I heard called MEHAB, My Rehab, quite nice for your PTs</span></p>\n<p class=\"p1\">We can also play a role in POST rehab</p>\n<p class=\"p1\">Since rehab programmes consist of exercise and THIS really is our expertise</p>\n&nbsp;\n\nReferences:\n\n<span style=\"font-weight: 400;\">B W Koes, M W van Tulder, W C Peul. (2007) Diagnosis and treatment of sciatica. The British Medical Journal. </span><span style=\"font-weight: 400;\">334</span><span style=\"font-weight: 400;\"> doi: </span><a href=\"https://doi.org/10.1136/bmj.39223.428495.BE\"><span style=\"font-weight: 400;\">https://doi.org/10.1136/bmj.39223.428495.BE</span></a><span style=\"font-weight: 400;\"> </span>\n\n<a href=\"https://www.sciencedirect.com/science/article/pii/S2214854X16300218#!\"><span style=\"font-weight: 400;\">Lewis, S. Jurak, J. Lee, C. Lewis, R. Gest,T</span></a><span style=\"font-weight: 400;\">.  (2016)  </span>Anatomical variations of the sciatic nerve, in relation to the piriformis muscle.<span style=\"font-weight: 400;\">Science Direct</span> <a href=\"https://www.sciencedirect.com/science/journal/2214854X/5/supp/C\"><span style=\"font-weight: 400;\">Volume 5</span></a><span style=\"font-weight: 400;\">, Pages 15-19</span>\n\n<span style=\"font-weight: 400;\">Spine-Health (2020) Sciatic Nerve Anatomy. </span><a href=\"https://www.spine-health.com/conditions/spine-anatomy/sciatic-nerve-anatomy\"><span style=\"font-weight: 400;\">https://www.spine-health.com/conditions/spine-anatomy/sciatic-nerve-anatomy</span></a><span style=\"font-weight: 400;\"> - accessed 7/6/21</span>\n\n<span style=\"font-weight: 400;\">TeachMeAnatomy (date unknown) The Sciatic Nerve </span><a href=\"https://teachmeanatomy.info/lower-limb/nerves/sciatic-nerve/\"><span style=\"font-weight: 400;\">https://teachmeanatomy.info/lower-limb/nerves/sciatic-nerve/</span></a><span style=\"font-weight: 400;\"> - accessed 7/6/21</span>\n\n&nbsp;\n\n&nbsp;\n\n<hr />\n\n<h1>Would you like to learn how to assess your client\'s sciatic nerve?</h1>\nWhy not join us for our extremely popular <a href=\"https://www.biomechanicseducation.com/product/pelvis-spine-biomechanics-3-day-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener\">Pelvic &amp; Spine Biomechanics Workshop?</a>\n\n&nbsp;\n\n<a href=\"https://www.biomechanicseducation.com/product/pelvis-spine-biomechanics-3-day-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener\">Nottingham July 24th/25th</a>\n\nNottingham Sept 11th/12th\n\nLondon Sept 23rd/24th\n\n&nbsp;\n\n<img class=\"wp-image-23147 alignleft\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2018/01/DSC_6608-scaled.jpg\" alt=\"\" width=\"487\" height=\"325\" /><img class=\"wp-image-23146 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2018/01/DSC_7052-scaled.jpg\" alt=\"\" width=\"494\" height=\"329\" /><img class=\"wp-image-23145 alignleft\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2018/01/DSC_6730-scaled.jpg\" alt=\"\" width=\"503\" height=\"336\" /><img class=\"wp-image-23144 alignright\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2018/01/DSC_6800-scaled.jpg\" alt=\"\" width=\"479\" height=\"320\" />','A PT\'s Guide to Sciatica - Part 2','','inherit','closed','closed','','27868-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',27868,'https://biomechanicseducation.com/?p=38639',0,'revision','',0),
(38640,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<span style=\"font-weight: 400;\">You get a new client, they complete the ParQ and they say they have sciatica…..what do you do?</span>\n\n&nbsp;\n<ol>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ask if they have been diagnosed by an AHP? </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If not …..ask how did they come to that decision?</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If they researched their symptoms themselves online then maybe we should still refer them to their GP/Physio, as this could be an incorrect ‘diagnosis’? </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">*Check if they have been cleared to exercise by an AHP? </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">*Ask for a letter of clearance to exercise from an AHP….with guidance? </span></li>\n</ol>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Do you recognise any, or maybe some or even all, of these situations…?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Maybe you have had sciatica &amp; improved your own symptoms with movements &amp; exercise? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However this series is aimed at helping PTs looking to help each client who presents with symptoms deemed as sciatica.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Here is what we feel is an appropriate system of approach to what PT’s can, and also should NOT do, in these cases…..</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">&#x2705; This first episode will explore the definitions, symptoms, causes &amp; anatomy of sciatica</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">&#x2705; In episode 2 we will start looking at tests we might or shouldn\'t use with someone with sciatica </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">&#x2705; Finally episode 3 will be about ideas on how to train a client with sciatica (*if cleared to do so by an AHP)</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27749\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/05/shutterstock_1648667119-scaled-1.jpg\" alt=\"\" width=\"437\" height=\"291\" />\n<h2></h2>\n<h2></h2>\n&nbsp;\n\n&nbsp;\n<h2><b>Definitions &amp; Symptoms of Sciatica</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Searching the internet you will likely find definitions like….</span>\n\n<i><span style=\"font-weight: 400;\">Pain that radiates along the anatomy of the sciatic nerve, usually asymmetrically in the lower back, hips, buttocks &amp; back of leg </span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The problem is there are a multitude of causes (&amp; combinations of causes) of sciatica that can present these symptoms, which is why we should develop a multidisciplinary team that includes AHPs that we can rely on to evaluate our clients &amp; advise us on how to progress </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">AHP’s have different skills &amp; training to be be able to assess for more sinister causes </span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">Many synonyms for sciatica appear in the literature, such as lumbosacral radicular syndrome, ischias, nerve root pain, and nerve root entrapment.</span></i>\n\n&nbsp;\n<h2><b>What other definitions are there..?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">&#x1f4a5;Acute sciatica. Acute sciatica is a recent onset, 4 to 8-week duration of sciatic nerve pain. ... </span>\n\n<span style=\"font-weight: 400;\">&#x1f4a5;Chronic sciatica. ... more than 8 weeks. </span>\n\n<span style=\"font-weight: 400;\">&#x1f4a5;Alternating sciatica. ... moves from one leg to the other </span>\n\n<span style=\"font-weight: 400;\">&#x1f4a5;Bilateral sciatica...felt in both legs simultaneously</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27753\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/05/Screenshot-2021-05-18-at-10.58.01-1.png\" alt=\"\" width=\"538\" height=\"335\" />\n\n&nbsp;\n\n&nbsp;\n<h2><b>Causes of Sciatica</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Note; Sciatica; it is not a medical diagnosis but </span><span style=\"font-weight: 400;\">more a descriptive term </span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">In one study it was shown that about 90% of cases sciatica are caused by a herniated disc with nerve root compression, but lumbar stenoses and (less often) tumours are possible causes.</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However other medical conditions that may cause sciatica include:</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Lumbar degenerative disc disease, general degenerative changes in vertebrae or discs</span>\n\n<span style=\"font-weight: 400;\">Spondylolisthesis</span>\n\n<span style=\"font-weight: 400;\">Muscle spasm and/or inflammation of the lumbar and/or pelvic muscles</span>\n\n<span style=\"font-weight: 400;\">Sacroiliac joint dysfunction</span>\n\n<span style=\"font-weight: 400;\">Rarely, tumors, blood clots, or other conditions in the lower spine may cause sciatica.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The term sciatica is used because it describes the radiculopathy that occurs when one or more of the nerves that make up the large sciatic nerve are irritated or pinched. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Most cases of sciatica will get better with time and conservative (nonsurgical) care. However, some sciatica symptoms such as progressive weakness, loss of leg sensation and incontinence may indicate a potentially serious injury to the sciatic nerve and surgery may be warranted.</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27750\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/05/shutterstock_312582254-1-scaled-1.jpg\" alt=\"\" width=\"409\" height=\"511\" />\n\n&nbsp;\n\n&nbsp;\n<h2><b>Anatomy of the Sciatic Nerve</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Looking at our practical anatomy series where we explore general pelvic anatomy HERE </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The sciatic nerve is the largest section of the nervous system which is a continuum throughout the body. The sciatic portion can be around 2cm thick and is most famous when it comes to the rest of the nervous system because of its common irritation. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Starting from the L4-S3 then the lumbosacral plexus (</span><i><span style=\"font-weight: 400;\">plexus means an intricate network) </span></i><span style=\"font-weight: 400;\">it emerges from the piriformis, usually inferiorly, but can be present in a variety of orientations. </span>\n\n<span style=\"font-weight: 400;\">Via the gluteal region it travels posterior to the gemellus twins, obturator internus, quadratus femoris and then passes by bicep femoris. Next behind the hamstrings &amp; the beautiful adductor magnus. </span>\n\n<span style=\"font-weight: 400;\">It innervates (supplies with nerves) the calf, the anterior and lateral lower leg and some foot muscles. </span>\n\n&nbsp;\n<h2><b>Variations of the anatomy of the Sciatic Nerve</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The evidence suggests there are around 16% of us that have a variation from the ‘normal’ or most commonly expected presentation of sciatica nerve anatomy. </span>\n\n<span style=\"font-weight: 400;\">Some variations are thought to increase the risk of developing sciatica pain due to impingement, entrapment, or irritation of the nerve root.</span>\n\n<span style=\"font-weight: 400;\">In one study (Lewis et al, 2016) it was found that 89% of the cadavers anatomy analysed were of a ‘normal’ anatomic presentation. This is where the sciatic nerve divides above the piriformis muscle with one section passing through piriformis and the second portion passing below the muscle. </span>\n\n<span style=\"font-weight: 400;\">However variations found different sciatic nerve presentations where it passed over the piriformis or simply through the centre.</span>\n\n<span style=\"font-weight: 400;\">So what?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Well its thought that some anatomic variants have not only higher risk but also reduced response to treatments or interventions. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Ultimately no one sciatica patient is the same</span>\n\n<span style=\"font-weight: 400;\">No one intervention cures all </span>\n\n<span style=\"font-weight: 400;\">Clinicians may know more about the anatomy of our client’s sciatica based on tests or questions they may have been able to do than we realise. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So lets connect and develop our multidisciplinary team to include our clients AHP’s or AHP’s who are willing to work WITH us…</span>\n\n&nbsp;\n<h1><span style=\"font-weight: 400;\">Next time</span></h1>\n<span style=\"font-weight: 400;\">In Episode 2 we will start looking at tests we might or shouldn\'t use with someone with sciatica </span>\n<h2><span style=\"font-weight: 400;\">Can we test our client’s with this condition in mind?</span></h2>\n&nbsp;\n\n<hr />\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/product/pelvis-spine-biomechanics-3-day-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener\">Would you like to learn how to assess your clients Pelvic &amp; Spine Biomechanics?</a></h1>\n&nbsp;\n\n<img class=\"aligncenter wp-image-24100\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/09/DSC01482-scaled-1.jpg\" alt=\"\" width=\"423\" height=\"282\" />\n\n&nbsp;\n<h2><a href=\"https://www.biomechanicseducation.com/product/pelvis-spine-biomechanics-3-day-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener\">We have a few places left for our London 2 day workshop June Wed 9th &amp; Thur 19th.</a></h2>\n&nbsp;\n<ul>\n 	<li>Do you have clients who struggle with range of movement in their squat?</li>\n 	<li>Want to understand how you can assess the reason why their butt winks?</li>\n 	<li>Wish you knew why their shoulders just wont allow them to press overhead?</li>\n 	<li>Do you have clients who cannot maintain a straight spine during dead lifts?</li>\n 	<li>Do you have clients afraid to do certain exercises because of their physical limitations or even pain?</li>\n 	<li>Would you like to see their movement improve before your very eyes?</li>\n 	<li>Maybe YOU want to improve your own ability to move?</li>\n</ul>\nLearn how to:\n\n•Assess where limitations are coming from with a simple evidence based screening programme<span class=\"Apple-converted-space\"> </span>\n\n•Learn the relevant techniques that improve movement &amp; function of the pelvis &amp; spine\n\n<strong>Pelvic Biomechanics</strong> - In this section we look at evidence based manual assessments for the pelvis, including how to identify sub-clinical muscle spasm, the difference between structural v’s functional leg length discrepancy and a system of exercise application to improve pelvic function in your clients.<span class=\"Apple-converted-space\"> </span>\n<ul>\n 	<li>Leg Length Discrepancy <span class=\"Apple-converted-space\"> </span></li>\n 	<li>Downings Sign</li>\n 	<li>4 Sign</li>\n 	<li>Modified Thomas Test<span class=\"Apple-converted-space\"> </span></li>\n 	<li>Gillets</li>\n 	<li>Relevant iMoveFreely® exercises &amp; application</li>\n</ul>\n<strong>Spine Biomechanics</strong> - In this section we will show you how to asses &amp; correct thoracic rotation. This stunning screen can literally be a game changer in so many ways.\n<ul>\n 	<li>Quadratus Lumborum</li>\n 	<li>Sciatic Nerve<span class=\"Apple-converted-space\"> </span></li>\n 	<li>Spinal Flexion</li>\n 	<li>Spinal Extension</li>\n 	<li>Lateral Flexion</li>\n 	<li>Thoracic Rotation mobility</li>\n 	<li>Relevant iMoveFreely® exercises &amp; application</li>\n</ul>\n<strong>Spine Biomechanics Cont/d</strong>.. The Stability &amp; Control phase of training takes us to a deeper level in understanding ‘core training’ with a 3 Step assessment system.\n\n<strong>Step 1 - These Basic Core Capacity Progression Tests</strong> will help you gain a better understand of whether your client is even ready for core training.<span class=\"Apple-converted-space\"> </span>\n\n<strong>Step 2 - Core Ratios Testing</strong> is such a cool and evidence based way to determining risk.\n\n<strong>Step 3 - Finally Functional Stability Testing</strong> is essential to understand limitations from Aberrant lumbar motion, spinal hinging (kneeling and squatting) and cross pelvic syndromes.<span class=\"Apple-converted-space\"> </span>\n\nAll of the above comes with a restorative periodised exercise programmes strategy from the iMoveFreely® programme.<span class=\"Apple-converted-space\"> </span>\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/product/pelvis-spine-biomechanics-3-day-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener\">&gt;&gt;CLICK HERE TO BOOK HERE NOW&lt;&lt;</a></h1>\n\n<hr />\n\n&nbsp;\n\n<strong>References:</strong>\n\n<span style=\"font-weight: 400;\">British Medical Journal (2007) Diagnosis and treatment of sciatica. </span><a href=\"https://www.bmj.com/content/334/7607/1313\"><span style=\"font-weight: 400;\">https://www.bmj.com/content/334/7607/1313</span></a><span style=\"font-weight: 400;\"> - Accessed 18/05/21</span>\n\n<span style=\"font-weight: 400;\">Lewis, S. et al (2016) Anatomical variations of the sciatic nerve, in relation to the piriformis muscle. </span><span style=\"font-weight: 400;\">Elsevier</span><span style=\"font-weight: 400;\">. Vol 5, pp.15-19</span>\n\n<span style=\"font-weight: 400;\">Mayo Clinic (date unknown) Sciatica </span><a href=\"https://www.mayoclinic.org/diseases-conditions/sciatica/symptoms-causes/syc-20377435\"><span style=\"font-weight: 400;\">https://www.mayoclinic.org/diseases-conditions/sciatica/symptoms-causes/syc-20377435</span></a><span style=\"font-weight: 400;\"> - Accessed 18/05/21</span>\n\n<span style=\"font-weight: 400;\">NHS (2020) Sciatica </span><a href=\"https://www.nhs.uk/conditions/sciatica/\"><span style=\"font-weight: 400;\">https://www.nhs.uk/conditions/sciatica/</span></a><span style=\"font-weight: 400;\"> -  Accessed 18/05/21</span>\n\n<span style=\"font-weight: 400;\">Spine Health (2019) What you need to know about sciatica </span><a href=\"https://www.spine-health.com/conditions/sciatica/what-you-need-know-about-sciatica?source=pop-block\"><span style=\"font-weight: 400;\">https://www.spine-health.com/conditions/sciatica/what-you-need-know-about-sciatica?source=pop-block</span></a><span style=\"font-weight: 400;\"> - Accessed 18/05/21</span>\n\n&nbsp;','A PT\'s Guide to Sciatica - Part 1','','inherit','closed','closed','','27746-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',27746,'https://biomechanicseducation.com/?p=38640',0,'revision','',0),
(38641,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','Shall we explore the final piece in this series to see if we can recall muscles in the foot and ankle to deepen our understanding of foot mechanics?\n\nA fascinating finisher for you.....\n\n&nbsp;\n<h2><b>Gastrocnemius </b></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27322\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/Gastroc-scaled-1.jpg\" alt=\"\" width=\"644\" height=\"362\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Gastrocnemius is also called a ‘calf’ muscle because it forms the large ‘belly’ of the leg &amp; those Greeks thought it resembled a calf’s stomach/belly </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Coming from the Greek words </span>\n\n<i><span style=\"font-weight: 400;\">gaster</span></i><span style=\"font-weight: 400;\"> =  belly </span>\n\n<i><span style=\"font-weight: 400;\">kneme</span></i><span style=\"font-weight: 400;\"> = leg</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It is the superficial of the 2 calf muscles with 2 heads that attach to the condyles (nobly bits) on the back of the femur. It also travels down to a tendon that becomes part of the Achilles (calcaneal) tendon at the back of the ankle/heel.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So for this reason, when it contracts or shortens it will plant the toes down into plantar flexion which is also what happens when you stand on tiptoe.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However if you wanted to lengthen it fully you would need to, not only dorsiflex the ankle (pull the toes upwards), but also extend your knee to take up the slack there too! Try this by taking one heel back behind you, with the toes pointing forwards, knee straight and heel down...you should feel a stretch in the back of your leg through the calf. In fact for many this could feel REEEEAAAAAAALLLLY tight!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Check out all the different ‘Gastrocy’ shapes out there next time you are around lots of bare legs or people in shorts or leggings!</span>\n<h2></h2>\n&nbsp;\n\n&nbsp;\n<h2><b>Soleus </b></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27323\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/soleus-scaled-1.jpg\" alt=\"\" width=\"362\" height=\"482\" />\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Soleus is the Latin word for a flat sort of sandal.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Deep to (underneath) gastrocnemius, this massive ‘pumper’ has an important job because it acts to pump blood back up the body, against gravity. Another great reason to suggest to our clients why walking at least 10k steps daily might be a good idea! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Soleus is also bigger than you think because much of its anatomy is hidden behind the gastrocnemius. It may well be flatter than gastroc but it’s muscle portion is certainly longer!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Starting on the back of the tibia &amp; fibula it then travels down to the calcaneal (Achilles) tendon, onto the calcaneus (heel bone). </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It is also responsible for pointing your toe like it’s partner, Gastrocnemius BUT Soleus can be lengthened or stretched even when the knee is flexed due to its anatomy NOT crossing the knee joint!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So if you wanted to see how it compares with the previous gastrocnemius stretch try doing what you did before…..place your heel down behind your midline, toe pointing forwards but this time, bend the knee and lower the body, keeping the heel on the floor. You should feel the Soleus stretch a little lower down. </span>\n\n<span style=\"font-weight: 400;\">You could encourage a client to feel both variations too!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Gastrocnemius &amp; Soleus are also known as </span><i><span style=\"font-weight: 400;\">‘triceps surae</span></i><span style=\"font-weight: 400;\">’ because it means 3 headed muscles.</span>\n\n&nbsp;\n<h2><b>Plantaris</b></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27324\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/plantaris-1-1.png\" alt=\"\" width=\"315\" height=\"443\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\"> </span>\n\n<span style=\"font-weight: 400;\">This slender muscle is considered </span><i><span style=\"font-weight: 400;\">unimportant</span></i><span style=\"font-weight: 400;\"> or an ‘accessory’ muscle…..</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">What is an accessory muscle!?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">An accessory muscle provides assistance in movement but isn’t classed as primarily responsible for it.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">When it comes to the Plantaris muscle 8-12% of us don\'t have one! (or 7-20% depending which article you read)</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So by that calculation 88-92% of us DO have one which in MY book makes it a valid muscle </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">What do you think? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Sweeping from the outside of the lateral femur, across the back of the knee &amp; down to the Achilles’ tendon, (also known as <em>tendo calcaneus</em>) it has the longest tendon in the body!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Whatever your opinion about Plantaris it flexes the knee &amp; plants the foot down (plantar flexion)</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">A super short muscle belly that looks like a little rope, it also assists in allowing you to stand on tiptoes to reach up high into a cupboard</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Go Plantaris!!</span>\n\n&nbsp;\n<h2><b>Fibularis Longus &amp; Fibularis Brevis</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">....also known as the <strong>Peroneals</strong> OR <strong>Peroneus Longus &amp; Brevis</strong> even!</span>\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"wp-image-27325 alignleft\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/Fibularis-longus-scaled-1.jpg\" alt=\"\" width=\"284\" height=\"379\" />\n\n<img class=\"aligncenter wp-image-27326\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/fibularis-brevis-scaled-1.jpg\" alt=\"\" width=\"281\" height=\"375\" />\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Peroneals comes from the Greek word Perone (pronounced Pair-uh-knee) which was their word for the pin of a brooch or a buckle.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Why?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Because the Greeks felt that the fibula looked like a pin at the back of the ‘tibia’ broach! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">How to remember? Place your hands on the side of your lower legs, slide them upwards (over your perennials) towards your ‘pair uh knees’!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However these days they are being called the Fibularis muscles which should be even easier to remember since thats where your fibula is! It depends what resonates in your memory I guess! </span>\n\n<span style=\"font-weight: 400;\">Fibularis Longus is the long one, Fibularis Brevis the shorter one!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Fibularis Longus attaches from the proximal (upper) portion of the fibular &amp; Fibularis Brevis joins in from the distal (lower) portion to travel down to the ‘plantar’ surfaces of certain tarsal &amp; metatarsal bones, meaning they play a role in the movement of the ankle. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Fibularis Longus is a plantar flexor &amp; everts the foot - meaning it turns the sole outwards. Through its tendon it also supports the arch of the foot.....so really multi tasking!!!!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Fibularis Brevis helps his brother out through everting the foot too</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Interesting fact; </span>\n\n<span style=\"font-weight: 400;\">Fibularis Longus contributes to BOTH pronation &amp; supination! </span>\n\n&nbsp;\n<h2><b>Tibialis Anterior</b></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27327\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/tib-ant-scaled-1.jpg\" alt=\"\" width=\"362\" height=\"483\" />\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This bruiser sits on the front (anterior) of your tibia, hence tibialis anterior!</span>\n\n<span style=\"font-weight: 400;\">From the top lateral nobly bit to medial (inside) &amp; underneath the first cuneiform, a bone that makes up part of the arch of the foot.....</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This means it is able to lift, or dorsiflex, the forefoot. It also inverts (turns in the underside of the foot) &amp; adducts the forefoot towards the midline. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So it should allow you to sustain an arch in your foot. The arch is important for supination, or ‘toe off’ when walking as it gives rigidity by ‘locking’ the midtarsal joints</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Supination is the propulsion phase when walking </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Tibialis Anterior also eccentrically decelerates your foot as you heel strike while pronated. It is often inhibited &amp; an antagonist to those ‘tight’ calves......hhhhmmmm....  </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">OR</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Maaaaaayyybbbeeee it’s the Tibialis Anterior that inhibits those calves!?!!!???</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Extends, dorsiflexes &amp; everts by attaching to the lateral tibia to medial cuneiform &amp; base of 5th metatarsal</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Fascinating eh!</span>\n\n&nbsp;\n<h2><b>Extensor Digitorum Longus</b></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27328\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/extensor-digitorum-longus-scaled-1.jpg\" alt=\"\" width=\"428\" height=\"428\" />\n\n&nbsp;\n\nIt <em>extends</em> the <em>digits</em> &amp; is <em>long</em>....\n\n<span style=\"font-weight: 400;\">In fact it extends 2-5th toes, dorsiflexes ankle &amp; everts foot by attaching from the medial anterior fibula to phalanx of the first toe</span>\n\n&nbsp;\n<h2><b>Extensor Hallucis Longus</b><span style=\"font-weight: 400;\"> </span></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27329\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/extensor-hallucis-longus-scaled-1.jpg\" alt=\"\" width=\"331\" height=\"552\" />\n\n&nbsp;\n\n&nbsp;\n\nIt <em>extends</em> the <em>hallux</em> &amp; is <em>long</em>....\n\n<span style=\"font-weight: 400;\">So it extends first toe, dorsiflexes ankle &amp; inverts foot by attaching from the lateral condyle of the tibia to middle phalanges of 2-5th toe </span>\n\n&nbsp;\n<h2><b>Tibialis Posterior </b></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27330\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/tib-post-scaled-1.jpg\" alt=\"\" width=\"379\" height=\"379\" />\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So this dude is in the BACK of the lower leg....yup you guessed it.....posterior to (behind) the tibia </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">A stabilising muscle that supports the arch of the foot, i</span><span style=\"font-weight: 400;\">t can do this because it attaches from the upper lateral part of the tibia &amp; upper medial part of the fibula....</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then inserts down onto the navicular (meaning ‘little ship’ as this bone is boat shaped) &amp; medial cuneiform (Latin for ‘wedge-shaped’)</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Takes care of plantar (planting down to the ground) flexion, along with its calf buddies, &amp; inversion of the sole....</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">...Therefore also a potential contributor to adults presenting with flat feet when dysfunctional or inhibited....</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">....by what? </span>\n\n<span style=\"font-weight: 400;\">Think &#x1f914; antagonistic.... maybe!?!</span>\n\n&nbsp;\n<h2><b>Flexor Digitorum Longus</b></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27331\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/flexor-digitorum-longus-scaled-1.jpg\" alt=\"\" width=\"341\" height=\"454\" />\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Flexes the 2nd-5th toes &amp; is a weak plantar flexor of the ankle while inverting the sole of the foot by attaching from middle posterior tibia to phalanges of 2-5th toes</span>\n\n&nbsp;\n<h2><b>Flexor Hallucis Longus</b><span style=\"font-weight: 400;\"> </span></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27332\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/flexor-hallucis-longus-scaled-1.jpg\" alt=\"\" width=\"428\" height=\"428\" />\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Flexes the Hallux or first toe &amp; another weak plantar of ankle while inverting the foot by attaching to the middle posterior fibula to phalanx of first toe </span>\n\n&nbsp;\n<h2><b>Other muscles of the foot!</b></h2>\nWe could go on but how about you do some homework now?........why not research these little foot movers.....?\n<h3>Origin? Insertion? Action?</h3>\n<span style=\"font-weight: 400;\">Extensor digitorum brevis</span>\n\n<span style=\"font-weight: 400;\">Flexor digitorum brevis</span>\n\n<span style=\"font-weight: 400;\">Adductor hallucis</span>\n\n<span style=\"font-weight: 400;\">Adductor digiti minimi</span>\n\n<span style=\"font-weight: 400;\">Extensor digitorum brevis</span>\n\n<span style=\"font-weight: 400;\">Flexor hallucis brevis </span>\n\n<span style=\"font-weight: 400;\">Adductor hallucis </span>\n\n<span style=\"font-weight: 400;\">Flexor digiti minimi brevis </span>\n\n<span style=\"font-weight: 400;\">Quadratus plantae</span>\n\n<span style=\"font-weight: 400;\">Plantar interossei</span>\n\n<span style=\"font-weight: 400;\">Dorsal interossei</span>\n\n<span style=\"font-weight: 400;\">Lumbricals of the foot</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"wp-image-27333 alignleft\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/extensor-hallucis-brevis-scaled-1.jpg\" alt=\"\" width=\"335\" height=\"251\" /><img class=\"aligncenter wp-image-27334\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/extensor-digitorum-brevis-scaled-1.jpg\" alt=\"\" width=\"348\" height=\"261\" />\n\n<img class=\"wp-image-27335 alignleft\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/flexor-digitorum-brevis-scaled-1.jpg\" alt=\"\" width=\"411\" height=\"308\" /><img class=\"aligncenter wp-image-27336\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/flexor-hallucis-brevis-scaled-1.jpg\" alt=\"\" width=\"458\" height=\"343\" />\n\nDelgado, Gonzalo J. et al (2002). \"Tennis Leg: Clinical US Study of 141 Patients &amp; Anatomic Investigation of Four Cadavers with MR Imaging &amp; US1\". Radiology. 224 (1): 1129. doi:10.1148/radiol.2241011067. PMID 12091669\n\n<span class=\"reference-text\"><cite id=\"CITEREFFreemanJacobsonFogg2008\" class=\"citation journal cs1\">Freeman, A. J. et al (2008). \"Anatomical variations of the plantaris muscle &amp; a potential role in patellofemoral pain syndrome\". Clinical Anatomy. 21 (2): 178–81. doi:10.1002/ca.20594.PMID 18266282 </cite></span>\n\n<span class=\"reference-text\"><cite id=\"CITEREFSpina2007\" class=\"citation journal cs1\">Spina, A. A. (2007). \"The plantaris muscle: Anatomy, injury, imaging, and treatment\". </cite></span><span class=\"reference-text\"><cite id=\"CITEREFSpina2007\" class=\"citation journal cs1\">The Journal of the Canadian Chiropractic Association. 51 (3): 158–65. PMC 1978447. PMID 17885678 </cite></span>\n\n<hr />\n\n<h1>Would you like to learn how to assess your clients feet?</h1>\nDo you feel like this is an area of the body you have yet to master?\n\nWould you like a simple way of understanding &amp; interpreting foot biomechanics to help more clients in more ways?\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/product/introduction-to-the-foot-posture-index-online-cpd/#tab-description\" target=\"_blank\" rel=\"noopener\">CLICK HERE &gt;&gt;&gt; Introduction to the Foot Posture Index....</a></h1>','Foot Biomechanics Part 10 -  The Muscles of the Foot & Ankle','','inherit','closed','closed','','27321-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',27321,'https://biomechanicseducation.com/?p=38641',0,'revision','',0),
(38642,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<span style=\"font-weight: 400;\">So here we are at the lowest part of the lower extremity &amp; some anatomy that is often blamed, &amp; also the recipient, for so many presentations for biomechanical issues. </span>\n\n<span style=\"font-weight: 400;\">When studying the anatomy of the foot we should include the ankle to help to understand foot biomechanics because of its involvement in gait.</span>\n\n&nbsp;\n<h1><b>The Ankle </b></h1>\n&nbsp;\n\n<img class=\"aligncenter wp-image-27207\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/shutterstock_199824647-scaled-1.jpg\" alt=\"\" width=\"406\" height=\"406\" />\n<h2></h2>\n<h2><b>Tibia &amp; Malleolus (Medial)</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The ankle is made up of the tibia (or shin bone) named after a flute or pipe due to its shape (and who knows what they did with bodies back when they were naming them? Did they make human tibia into flutes or pipes?)</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">At this distal (distant/furthest away) end upon its medial side (inside) there is a malleolus (latin for small hammer or mallet) or bump that you can feel there. We all have varying shapes of medial malleolus protuberances. Some are small, some large, some are pointier hills than others &amp; some present as very smooth mounds.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Some people have asymmetrical medial malleolus left to right </span><i><span style=\"font-weight: 400;\">naturally</span></i><span style=\"font-weight: 400;\">. So we should always keep an open mind to the effects of learning anatomy from one skeleton or one book of illustrations that only show small samples of shapes and sizes of any body!</span>\n\n<span style=\"font-weight: 400;\">Also these ‘normal’ asymmetries can, when measuring things like leg length discrepancies, result in a challenge for any practitioner! It is also why postural assessment &amp; alignment are not accurate measures of ‘natural’ positioning of an individual\'s bones.</span>\n\n&nbsp;\n<h2><b>Fibula &amp; Malleolus (Lateral)</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The fibula makes up the lateral part of the connecting surfaces between the lower leg &amp; foot bones. Named after a clasp or brooch due apparently to how it looks like the pin of a brooch..</span>\n\n<span style=\"font-weight: 400;\">It has a lateral malleolus and so is considered part of the outside of the ankle. </span>\n\n<span style=\"font-weight: 400;\">The tibia &amp; fibula articulate with the Talus to make the talocrural joint.</span>\n\n&nbsp;\n<h1><b>The Rear Foot</b></h1>\n&nbsp;\n<h2><b>Talus</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The tibia &amp; fibula sit on top of the talus. Talus means </span><i><span style=\"font-weight: 400;\">slope or outcrop of rock at the base of a cliff </span></i><span style=\"font-weight: 400;\">which makes sense when you look at its anatomical location &amp; shape. It has 2 x ‘talus heads’ that can be palpated at the front of the ankle by a Biomechanics Coach to test an individual\'s </span><i><span style=\"font-weight: 400;\">natural foot alignment, </span></i><span style=\"font-weight: 400;\">to identify if there is a risk in the ascending biomechanical force being produced.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It also sits upon the calcaneus to create the subtalar joint (STJ) </span>\n\n<span style=\"font-weight: 400;\">The STJ is very important when looking to understand the triplanar actions of pronation &amp; supination. The STJ is literally the centre piece for these actions. </span>\n\n<span style=\"font-weight: 400;\">The congruence of its connecting surfaces (the bottom of the talus &amp; the top of the calcaneus) should allow a certain amount of movement but not too much. </span>\n\n<span style=\"font-weight: 400;\">So when you consider the load on top (pretty much the entire body) &amp; the multiple moves we put our bodies through, the ‘fashion’ shoes we wear from the early phases of walking, through teenage years &amp; then adulthood…..phew!.....it is no surprise many of us eventually experience a loose STJ!</span>\n\n&nbsp;\n<h2><b>Calcaneus</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">This heel bone is below the talus &amp; takes the shock when the heel strikes. Shock isn’t all bad either! </span>\n\n<span style=\"font-weight: 400;\">This is the bottom surface of the STJ &amp; has an infinite axis, complex articulations &amp; is the key to </span><i><span style=\"font-weight: 400;\">transferring</span></i><span style=\"font-weight: 400;\"> shock. The STJ plays a major role in our ability to absorb the ground reaction force when walking/running, which is the reason why we want to pronate.</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27206\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/04/Screenshot-2021-04-11-at-07.42.06-1.png\" alt=\"\" width=\"359\" height=\"490\" />\n<h2><b>Navicular</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The navicular is positioned in front of the calcaneus &amp; got its name from being (apparently) </span><i><span style=\"font-weight: 400;\">boat shaped or like a small ship</span></i><span style=\"font-weight: 400;\">. This has a bony prominence on the inside that can be used to identify if an individual has a propensity for pronation due to a low arch, when observed in relation to the medial malleolus &amp; the hinge point of the hallux, or big toe. </span>\n\n&nbsp;\n<h2><b>Cuboid</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The Cuboid sits to the outer side of the navicular towards the outer edge of the foot. With 6 sides its known as a rectangular prism or quadrilateral.</span>\n\n&nbsp;\n<h2><b>Cuneiforms</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">These 3 bones (Medial, middle &amp; lateral) in front of the navicular &amp; to the side of the cuboid on the inside of the foot. Cuneiform means wedge.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The midtarsal joint (MTJ) is a combined articulation of talonavicular joint &amp; calcaneocuboid joints. It is also the divide between the rear foot (talus, calcaneus) &amp; the midfoot (navicular &amp; cuboid).</span>\n\n<span style=\"font-weight: 400;\">Another really important bony meeting place since if this joint becomes lax, it too can result in a loose foot that struggles to re-supinate during gait.</span>\n\n&nbsp;\n<h1><b>The Forefoot </b></h1>\n&nbsp;\n<h2><b>Metatarsals </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The origins of the word Metatarsal comes from ‘middle bones of the foot’ &amp; so describes nicely where they can be found!</span>\n\n&nbsp;\n<h2><b>Phalanges</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Phalanges literally means ‘log’ in Greek &amp; represents those longer sections of the toes (as they do in the fingers too)</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-27205\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2021/04/Screenshot-2020-09-14-at-10.58.59.png\" alt=\"\" width=\"417\" height=\"422\" />\n\n&nbsp;\n<h3><span style=\"font-weight: 400;\">References:</span></h3>\n<a href=\"https://pubmed.ncbi.nlm.nih.gov/20307420/#:~:text=The%20midtarsal%20joint%20(MTJt)%20consists,midfoot%20(navicular%20and%20cuboid)\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Tweed,J. L. et al.( </span><span style=\"font-weight: 400;\">2008) Elsevier</span><span style=\"font-weight: 400;\"> Mar 14</span><span style=\"font-weight: 400;\"> - accessed 11/04/21. The Function of the Midtarsal Joint - A review of the literature. </span><span style=\"font-weight: 400;\">Volume 18, Issue 2</span><span style=\"font-weight: 400;\">, June 2008, Pages 106-112</span></a>\n\n<a href=\"https://online.boneandjoint.org.uk/doi/full/10.1302/2058-5241.2.160050\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Krahenbuhl, N et al. (2017). Efort. 6 June 2017 The Subtalar Joint - A complex mechanism. Vol 2. No. 7. Accessed 12/04/21.</span></a>\n\n<a href=\"https://teachmeanatomy.info/lower-limb/bones/bones-of-the-foot-tarsals-metatarsals-and-phalanges/\" target=\"_blank\" rel=\"noopener\"><b>Teach me anatomy - Bones of the foot: Tarsals, Metatarsals &amp; Phalanges - Accessed 12/04/21. </b></a>\n\n<hr />\n\n<h2>Next time Foot Biomechanics Part 10 - The Muscles of the Foot</h2>\n&nbsp;\n<h1>Would you like to learn an evidence based system to test your client\'s foot &amp; ankle biomechanics?</h1>\n<h1></h1>\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/product/introduction-to-the-foot-posture-index-online-cpd/#tab-description\" target=\"_blank\" rel=\"noopener\">CLICK HERE FOR &gt;&gt;Introduction to The Foot Posture Index</a></h1>\n&nbsp;\n\n&nbsp;','Foot Biomechanics Part 9 -  The Bones of the Foot & Ankle','','inherit','closed','closed','','27204-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',27204,'https://biomechanicseducation.com/?p=38642',0,'revision','',0),
(38643,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<h2><span style=\"font-weight: 400;\">“</span><i><span style=\"font-weight: 400;\">Through an endeavour to improve the quality of our questions we can often find the answer we are looking for.”</span></i></h2>\n<h2></h2>\n<h2><i><span style=\"font-weight: 400;\">“Great questions result in solutions rather than great answers!</span></i><span style=\"font-weight: 400;\">”  Rachel Frances Thomson, (2020)</span></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-26962\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/03/benjamin-davies-JrZ1yE1PjQ0-unsplash-scaled-1.jpg\" alt=\"\" width=\"543\" height=\"362\" />\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We all know what SMART goal setting means, right?</span>\n\n<span style=\"font-weight: 400;\">Some of us also know how to identify a great research paper </span>\n\n<span style=\"font-weight: 400;\">However rarely do I get asked really great questions </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So what is the question? Haha see what I did there….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Due to the nature of my social media posts &amp; based upon both my skills as a Biomechanics Coach, iMoveFreely Instructor &amp; also as a teacher of Biomechanics Education I get asked questions literally on a daily basis…..and I love it!</span>\n\n<span style=\"font-weight: 400;\">However due to the volume of common questions I decided rather than typing to respond to every single private message (which I do endeavour to do by the way) I would run a free live Biomechanics Q&amp;A though lockdown as a way to:</span>\n\n&nbsp;\n<ul>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Give back through the tough times while we all had the opportunity</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Save having to answer the same questions over &amp; over </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Offer a platform for open questioning around my specialist subject of intrinsic biomechanics </span></li>\n</ul>\n&nbsp;\n\n<span style=\"font-weight: 400;\">As the questions poured in, usually in advance of the live Q&amp;A, I was able to digest the content of the question &amp; realised something that is common to when teaching in the classroom. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We might want to consider developing our questioning skills.   </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Now I can appreciate many people will post a question quickly since everything on social media is done with haste right?!</span>\n\n<span style=\"font-weight: 400;\">Yet I don\'t want to discourage questions coming so the intention of this blog is to demonstrate how to structure a really great question.</span>\n\n<span style=\"font-weight: 400;\">So let\'s explore what makes for a great question...</span>\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-26959\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/03/artem-maltsev-0CvHQ62gwY8-unsplash-scaled-1.jpg\" alt=\"\" width=\"345\" height=\"518\" />\n\n&nbsp;\n<h2><b>The Problem </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Here are two of the most common examples of framing for questions that I get asked are …</span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">“...What\'s your opinion on…?”</span></i>\n\n<i><span style=\"font-weight: 400;\">“...What are your thoughts about…?</span></i><span style=\"font-weight: 400;\">”</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">There are several problems with these types of questions….</span>\n\n&nbsp;\n<ol>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A cognitive bias can result in an individual\'s view of things which can therefore limit the information they are able to give. This information would likely also be based upon their own view of life, their experiences &amp; views </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">They are open to interpretation which means they may base their response upon incorrect assumption about the context</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The lack of clarity about the actual problem they are trying to solve means there is a risk of incorrect or inappropriate advice being given</span></li>\n</ol>\n&nbsp;\n\n<span style=\"font-weight: 400;\">What I found myself doing during the LIVE Q&amp;A’s was ‘reframing’ some questions into a variety of contexts to offer ideas of how to find solutions to the problem or problems they were trying to solve. </span>\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-26961\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/03/timothy-dykes-90uVYog2FKE-unsplash-scaled-1.jpg\" alt=\"\" width=\"558\" height=\"372\" />\n\n&nbsp;\n\n&nbsp;\n<h2><b>The Solution </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Even before the LIVE Q&amp;As, while teaching, it has always been apparent to me that it was more helpful to guide learners/practitioners towards improving their questions by asking them for more details.</span>\n\n<span style=\"font-weight: 400;\"> </span>\n\n<span style=\"font-weight: 400;\">By understanding exactly the problem they are trying to solve or thinking about they often found they got to the answer without me having to give my ‘opinion’ or biased view based on assumption. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Opinion is all too commonly asked for &amp; given on social media &amp; can cloud reality / fact from personal bias or opinion. Personal opinion &amp; view has its place &amp; isn\'t always bad IF that is what you are looking for. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Also discovering solutions can be more helpful than solid answers when learners have specified the actual problem they were trying to solve. This is often the case with gaining a deeper level of understanding clients bodies and anatomy since every-body is so different. </span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-26964\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/03/windows-v94mlgvsza4-unsplash-scaled-1.jpg\" alt=\"\" width=\"567\" height=\"380\" />\n\n&nbsp;\n\n&nbsp;\n<h2><b>What techniques can we use to improve our questions?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Firstly consider what the purpose of the question is. Then from here start developing your question into a SMART goal. By asking specific well defined, unambiguous and clear questions as you would with a client when they come for your advice. This gives you better information about what you actually want to achieve when seeking answers.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The goal therefore is creating specific, measurable, realistic questions at the very least. Then we might still want to add achievable &amp; time bound details should they be relevant.</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-26963\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/03/bruce-mars-xj8qrWvuOEs-unsplash-scaled-1.jpg\" alt=\"\" width=\"595\" height=\"396\" />\n<h2></h2>\n<h2></h2>\n<h2></h2>\n&nbsp;\n<h2><b>Good research asks SMART questions </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Another way to learn about great questioning is to study research methods. Having recently signed up for the Movement Therapy Education Diploma I have been reminded about how good research asks SMART questions. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">My first module is called ‘Research Methods for therapists ’ but is an excellent stand alone module for anyone trying to learn how to identify what good research looks like AND with the added bonus of understanding how to develop communication skills in asking great questions. </span>\n\n&nbsp;\n<h3><span style=\"font-weight: 400;\">So here is a question for you….</span></h3>\n<h2><b><i>What is your number one struggle in helping clients to move more freely RIGHT NOW?</i></b></h2>\n<h3><span style=\"font-weight: 400;\">HIT REPLY &amp; let me know</span></h3>\n&nbsp;\n\n<hr />\n\n<h1>Would you like help in developing your questioning skills?</h1>\n&nbsp;\n<h2><span style=\"font-weight: 400;\">Access the <strong>LIVE Biomechanics Q&amp;A’S </strong>every Wednesday at 12pm during lockdown &amp; then through the Biomechanics Q&amp;A Free Facebook group <a href=\"https://www.facebook.com/groups/341768576971345/\" target=\"_blank\" rel=\"noopener\">&gt;&gt;CLICK HERE&lt;&lt;</a></span></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"wp-image-26965 alignright\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/03/mathew-schwartz-8rj4sz9YLCI-unsplash-scaled-1.jpg\" alt=\"\" width=\"440\" height=\"293\" /><img class=\"wp-image-26966 alignleft\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/03/tachina-lee-wjk_SSqCE4-unsplash-scaled-1.jpg\" alt=\"\" width=\"463\" height=\"309\" />\n\n&nbsp;\n<h1></h1>\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n<h2><span style=\"font-weight: 400;\">Access to the MTE <strong>Research Methods</strong> module <a href=\"https://movementtherapyeducation.thinkific.com/courses/research-methods-for-therapists\" target=\"_blank\" rel=\"noopener\">&gt;&gt;CLICK HERE&lt;&lt;</a></span></h2>','How SMART are your questions?','','inherit','closed','closed','','26957-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',26957,'https://biomechanicseducation.com/?p=38643',0,'revision','',0),
(38644,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<span style=\"font-weight: 400;\">A very relevant topic right now since Covid-19 arrived is that it is a virus that specifically affects our respiratory system. One of the side effects is a stiffening of the lung tissue resulting in a thickening, or even scarring, that reduces our capacity to pull in air which then leads to reduced O2 (oxygen). This can then result in breathlessness &amp; de-conditioning due to inactivity &amp; this can also lead to an increase in anxiety levels for some, which could bring about hyperventilation. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So a phasic approach to Covid-Rehab, OR even to those who have simply been restricted into moving less &amp; therefore exerting themselves less, means we should possibly ALL </span><span style=\"font-weight: 400;\">consider gaining a better understanding of our client’s breath biomechanics.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The better we understand breath biomechanics, the better we can support our clients &amp; ourselves in rehabilitating our breath strength &amp; O2 uptake capacity. Combine this with an understanding of the mind state of our clients &amp; the latest evidence about the physiology of Covid-19, the better equipped we will be to provide an up to date duty of care. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This can be as simple as looking at the anatomy &amp; then training in Covid rehab specifically (which I strongly recommend) but this blog is to simply explore in more detail the anatomy &amp; biomechanics of breath.</span>\n\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-26753\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/03/Screenshot-2021-03-15-at-20.51.25-1.png\" alt=\"\" width=\"1488\" height=\"960\" />\n\n&nbsp;\n<h2><b>What happens when we breathe?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The biomechanics of breathing is to enable us to pull O2 into the lungs via the mouth to then be taken around the body.  </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So the reason we breathe is to deliver O2 to the cells around our bodies. This distribution of O2 via the cardiovascular system should be delivered to anywhere that requires it.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We have 2 lungs inside the thoracic cavity, behind the ribs &amp; on top of the abdominal cavity which in turn is on top of the pelvic cavity. </span>\n\n<span style=\"font-weight: 400;\"> </span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-26754\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/03/shutterstock_1811918470-scaled-1.jpg\" alt=\"\" width=\"389\" height=\"389\" />\n\n&nbsp;\n<h3><strong>Now these lungs need to stretch!</strong></h3>\n<span style=\"font-weight: 400;\"> </span>\n\n<span style=\"font-weight: 400;\">The heart also has to work harder if the lungs stretch less or have less range of movement, ie; if they are stiffer from the effects of Covid-19. This can also often be combined with reduced activity levels.  </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The thoracic cavity gets bigger to pull O2 in, so the ribs need to flare &amp; therefore the thoracic spine needs to move/extend to allow the ribs to flare. This is because the lungs change shape during breathing like balloon inflating for example. </span>\n\n<span style=\"font-weight: 400;\">This also means the thoracic spine changes shape to allow the walls of the lungs to all move &amp; expand.</span>\n\n&nbsp;\n<h3><strong>Breathing alone is a ‘shape changer’ </strong></h3>\n&nbsp;\n\n<span style=\"font-weight: 400;\">So if we think in shapes or breathing biomechanics the shoulders lift &amp; the ribs lift a bit like blinds opening. But rib circumference around the lungs also increases due to this rib flare too. </span>\n\n<span style=\"font-weight: 400;\">The diaphragm, a hump of muscle below, can contract &amp; drop down wards to allow more space. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The volume of breath we suck in will dictate the shape size. So the full range of motion of the lungs is based on volume of O2 or VO2.</span>\n\n&nbsp;\n<h2><b>What’s a natural breath?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">This depends upon the activity!</span>\n\n<span style=\"font-weight: 400;\">The more active we are the bigger the shapes are &amp; at a faster rate. However if/when we are less active then slower &amp; smaller ranges are adequate for a ‘natural’ breath. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">As the diaphragm drops down, the belly will move forward or distend.</span>\n\n<span style=\"font-weight: 400;\">If you increase load downwards towards the pelvic floor, then it will tense against the load &amp; therefore also increase the pelvic tension. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The breath required also depends upon the state of the tissues, hence consideration of </span><i><span style=\"font-weight: 400;\">long covid </span></i><span style=\"font-weight: 400;\">symptoms or breath rehabilitation. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">While normally we should simply practise a variety for cross training in preparation for a variety of movements, what is more relevant today is rehabilitation of the lung tissue using breathing techniques alongside our regular movement improvement techniques. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">By practicing breathing in all motions &amp; movements with training in specific breath techniques we can support clients back to improved health, increase confidence &amp; get our communities moving again.  </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Imagine being in a chair all day &amp; how this might affect our breathing shapes as it confines us to the same small ranges. Imagine a ‘tight’ diaphragm due to limited movement practice &amp; possibly the same for the pelvic floor, or a combination of these, then add </span><i><span style=\"font-weight: 400;\">long Covid</span></i><span style=\"font-weight: 400;\">. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If our movement scope stays the same all the time then so will our breathing requirement. However we are likely to need to re-train the intercostal muscles that have been unused/un-stretched &amp; so we could be missing a third of our space option! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">As with any movement we really need a ‘reflexive’ response to movement &amp; breath so should practise variety </span>\n\n&nbsp;\n<h2><b>So What?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">1). Get a Covid Rehabilitation CPD under your belt! </span>\n\n<span style=\"font-weight: 400;\">Learn about the effects of the virus on both the vulnerable AND the ‘fit &amp; healthy’. This is an ongoing category of research &amp; we need to stay ahead of the game when it comes to understanding how to increase confidence in us as practitioners from….. </span>\n<ul>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Clients</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Employers</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Government </span></li>\n</ul>\n&nbsp;\n\n<span style=\"font-weight: 400;\">2). By understanding breath biomechanics we can add in appropriate movement improvement techniques related to it! </span>\n\n<span style=\"font-weight: 400;\">Specific breath training, thoracic mobility &amp; intrinsic muscular energy techniques (core/trunk/pelvis)</span>\n\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-26755\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/03/shutterstock_1711824001-scaled-1.jpg\" alt=\"\" width=\"2560\" height=\"1707\" />\n\n&nbsp;\n<h1></h1>\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/imovefreely-3/\" target=\"_blank\" rel=\"noopener\"><b><i>iMoveFreely Reconditioning Programme</i></b></a></h1>\n<a href=\"https://www.biomechanicseducation.com/imovefreely-3/\" target=\"_blank\" rel=\"noopener\">BOOK NOW&gt;&gt;HERE</a>\n<ul>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A progressive 6 week reconditioning exercise plan to increase energy levels, muscle tone &amp; movement quality</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A movement programme that includes breathing techniques to reduce lung stiffness</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Designed to gradually improve connective tissue tolerance for reduced risk of injury &amp; reduction in aches/pains.</span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Perfect for clients/participants experiencing long covid symptoms </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Perfect for clients/participants with chronic conditions </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Perfect for increasing confidence in potential clients/participants </span></li>\n 	<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">A great complement to the </span><a href=\"https://www.futurefit.co.uk/fitness-courses/health-and-wellbeing-courses/covid-rehabilitation-course/\" target=\"_blank\" rel=\"noopener\"><b><i>Future Fit Training Covid Rehabilitation Course 50% </i></b></a></li>\n</ul>\n&nbsp;','Breath Biomechanics','','inherit','closed','closed','','26749-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',26749,'https://biomechanicseducation.com/?p=38644',0,'revision','',0),
(38645,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<span style=\"font-weight: 400;\">OK OK OK Yes this is a tough one because technically we don\'t have ‘knee muscles’ do we?? Or do we???</span>\n\n<span style=\"font-weight: 400;\">Well when considering this very point it would probably be prudent to discuss the muscles that cross the knee, right?</span>\n<h2></h2>\n<h1><b>Anterior Knee </b></h1>\n<h2></h2>\n<h2><b>The ‘Quadricep Femoris’ Group</b></h2>\n<h2></h2>\n<span style=\"font-weight: 400;\">‘Quad’ meaning quadruple - </span><i><span style=\"font-weight: 400;\">quattuor</span></i> <span style=\"font-weight: 400;\">or 4 &amp;</span> <i><span style=\"font-weight: 400;\">caput </span></i><span style=\"font-weight: 400;\">meaning ‘head’</span>\n\n<span style=\"font-weight: 400;\">‘Femoris’ meaning relating to the femur or thigh bone. </span>\n<h2></h2>\n<span style=\"font-weight: 400;\">This group is made up of 4 muscles….or maybe 5….or 6…!?!? Read on...</span>\n<h2></h2>\n<h2><b>Rectus Femoris</b><span style=\"font-weight: 400;\"> </span></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Meaning ‘</span><i><span style=\"font-weight: 400;\">straight’</span></i><span style=\"font-weight: 400;\"> &amp; femur related.</span>\n\n<span style=\"font-weight: 400;\">The only one in this group to cross 2 joints as opposed to 1. Reaching from the AIIS (anterior inferior iliac spine - feel your most pokey out front hip bone, then this prominence is just below it) to the patella (kneeling bone) ligament/ tibial (shin bone) tuberosity to both flex the hip AND extend the knee…..busy busy busy!!</span>\n<h2></h2>\n<img class=\"aligncenter wp-image-26107\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/02/shutterstock_309794156-scaled-1.jpg\" alt=\"\" width=\"273\" height=\"364\" />\n<h2></h2>\n&nbsp;\n<h2><b>Vastus Lateralis (or Vastus Externus)</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">‘</span><i><span style=\"font-weight: 400;\">Vastus</span></i><span style=\"font-weight: 400;\">’ meaning vast or immense &amp; positioned laterally or externally. </span>\n\n<span style=\"font-weight: 400;\">Technically the only muscle of the lateral thigh, its back (posterior) edge lies next to </span><i><span style=\"font-weight: 400;\">bicep femoris</span></i><span style=\"font-weight: 400;\"> (one of the hamstrings - coming up) &amp; it lies deep to that ITB. </span>\n\n<span style=\"font-weight: 400;\">Tracking from linea aspera, gluteal tuberosity, greater trochanter to the tibial tuberosity to extend the knee…...go back to each one of these prominences &amp; press your finger onto each one while visualising the muscle’s placement...go on, try it….</span>\n<h2></h2>\n&nbsp;\n\n<img class=\"aligncenter wp-image-26106\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/02/shutterstock_1401205709-scaled-1.jpg\" alt=\"\" width=\"346\" height=\"346\" />\n<h2></h2>\n<h2><b>Vastus Medialis (or Vastus Internus)</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The word’s meaning, I am pretty confident you can work out now right!? ‘</span><i><span style=\"font-weight: 400;\">Vastus Medialis’....</span></i><span style=\"font-weight: 400;\">have you read everything up to this point?</span>\n\n<span style=\"font-weight: 400;\">It’s inside the thigh with a kind of tear drop shape this little beauty is also known as VMO or </span><i><span style=\"font-weight: 400;\">vastus medialis oblique</span></i><span style=\"font-weight: 400;\">. </span>\n\n<span style=\"font-weight: 400;\">Often I get asked “</span><i><span style=\"font-weight: 400;\">how do I grow my VMO?”.....</span></i><span style=\"font-weight: 400;\">well it attaches from the medial lip of linea aspera to that tibial tuberosity to also extend the knee….so do that….no its never that simple…..or is it? </span>\n<h2></h2>\n&nbsp;\n<h2><b>Vastus Intermedius </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Same as above……you know don’t you!?!?</span>\n\n<span style=\"font-weight: 400;\">Central on the thigh, in the middle &amp; deep to rectus femoris, attaching anterior/lateral shaft of the femur to reach…... GUESS…?????</span>\n<h2></h2>\n<span style=\"font-weight: 400;\">….that tibial tuberosity...yup…. to also extend the knee!</span>\n<h2></h2>\n&nbsp;\n\n<img class=\"aligncenter wp-image-26108\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/02/shutterstock_309793826-scaled-1.jpg\" alt=\"\" width=\"263\" height=\"350\" />\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">What a team eh! </span>\n<h2></h2>\n<span style=\"font-weight: 400;\">But wait! </span>\n<h2></h2>\n<span style=\"font-weight: 400;\">They have some cousins that can appear in some human legs….</span>\n<h2></h2>\n&nbsp;\n<h2><b>The 5th &amp; 6th Quads!?!</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Now the reports of a 5th &amp; 6th ‘quad’ seem nonsensical really since the name really indicates just 4 muscles so let’s look at them, what they ACTUALLY do &amp; if they can be described as extra quads…..?</span>\n<h2></h2>\n&nbsp;\n<h2><b>Tensa Vastus Intermedius</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">(Tenses, is vast &amp; is in the middle!)</span>\n\n<span style=\"font-weight: 400;\">Please do read these publications to understand Grob’s work better….</span>\n\n<a href=\"https://pubmed.ncbi.nlm.nih.gov/26732825/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">(Grob et al 2016) </span></a>\n\n<span style=\"font-weight: 400;\">Staring at the proximal femur at the anterior greater trochanter anterior to (or in front of) vastus intermedius &amp; deep to rectus femoris, it also joins the quadricep tendon, medial patella to medialise the action &amp; ‘tenses’ on the aponeurosis (sheet of pearly white fibrous tissue) of vastus medialis! </span>\n<h2></h2>\n&nbsp;\n\n<img class=\"aligncenter wp-image-26109\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/02/TENSA-VASTUS-INTERMEDIUS-1.png\" alt=\"\" width=\"315\" height=\"303\" />\n\n&nbsp;\n\n&nbsp;\n<h2><b>Articularis Genus</b><span style=\"font-weight: 400;\"> </span></h2>\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">Articularis</span></i><span style=\"font-weight: 400;\"> means to join with a joint - </span><i><span style=\"font-weight: 400;\">genus</span></i><span style=\"font-weight: 400;\"> means relating a family line or genetic, borrowed from latin for </span><i><span style=\"font-weight: 400;\">birth or origin</span></i><span style=\"font-weight: 400;\">, but relates also to the knee as in this case.</span>\n\n<span style=\"font-weight: 400;\">Originating from the lower (distal) front (anterior) part of the femur to then reach down to the suprapatellar bursa to lift this bursa out of the way during knee extension - how clever!!</span>\n\n&nbsp;\n\n<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133144/#:~:text=The%20insertion%20of%20this%20muscle,%2C2%2C8%2D11.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">(Grob et al 2017)</span></a>\n<h2></h2>\n<span style=\"font-weight: 400;\">So technically they are collaborating with the 4 major quads &amp; while they don’t actually extend the knee, they do play a role in the knee extensor’s performance. </span>\n<h2></h2>\n<img class=\"aligncenter wp-image-26110\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/02/ARTICULARIS-GENUS-1.jpg\" alt=\"\" width=\"255\" height=\"340\" />\n<h1></h1>\n<h1><b>Posterior knee </b></h1>\n<h2></h2>\n<h2><b>The ‘Hamstring’ Group </b></h2>\n<h2></h2>\n<span style=\"font-weight: 400;\">This group is positioned between vastus lateralis (see above) &amp; adductor magnus (see Pelvis HERE)</span>\n\n<i><span style=\"font-weight: 400;\">18th centurion butchers would hang the pig from the tendons at the back of the knee - hence ‘ham-string’ (Andrew Biel, 2010)</span></i>\n<h2></h2>\n<h2><b>Bicep Femoris </b></h2>\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">Bicep</span></i><span style=\"font-weight: 400;\"> meaning 2 heads - </span><i><span style=\"font-weight: 400;\">Femoris</span></i><span style=\"font-weight: 400;\"> links it to the femur </span>\n\n<span style=\"font-weight: 400;\">This dude has both long &amp; short heads!  Both attaching to the fibula head &amp; then…..</span>\n\n<span style=\"font-weight: 400;\">The Long head attaches to the medial ischial tuberosity </span>\n\n<span style=\"font-weight: 400;\">While the short head - attaches to the femur.</span>\n\n<span style=\"font-weight: 400;\">This anatomy means it/they will flex the knee, laterally rotate the flexed knee AND assist hip extension! Phew! Its clear why these muscles need some attention in our clients strength programme with all this going on right!?</span>\n<h2></h2>\n<img class=\"aligncenter wp-image-26111\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/02/BICEP-FEM-LONG-shutterstock_303082511-scaled-1.jpg\" alt=\"\" width=\"254\" height=\"339\" /><img class=\"aligncenter wp-image-26112\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/02/BICEP-FEM-SHORT-shutterstock_303082577-scaled-1.jpg\" alt=\"\" width=\"253\" height=\"337\" />\n<h2></h2>\n<h2><b>Semimembranosus </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The most medial hammie, flatter, wider &amp; most ‘</span><i><span style=\"font-weight: 400;\">membranous’</span></i><span style=\"font-weight: 400;\"> looking when you study its anatomy.</span>\n\n<span style=\"font-weight: 400;\">Travelling from that ischial tuberosity to the back (posterior) of the medial nobly bit (condyle) of the tibia (shin bone). </span>\n\n<span style=\"font-weight: 400;\">This also allows it to flex the knee, medially rotate when the knee is flexed AND…...yep…. assist hip extension….pheweeee!</span>\n<h2></h2>\n<img class=\"aligncenter wp-image-26113\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/02/SEMIMEM-shutterstock_303066836-scaled-1.jpg\" alt=\"\" width=\"234\" height=\"312\" />\n<h2></h2>\n<h2><b>Semitendinosus </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The thicker but narrower hammie hence named as more ‘</span><i><span style=\"font-weight: 400;\">tendinous</span></i><span style=\"font-weight: 400;\">’...</span>\n\n<span style=\"font-weight: 400;\">Attached from that sit bone (ischial tuberosity) to the upper (proximal) inner (medial) shaft of the tibia (shin bone) to …..yup you guessed it….flex the knee, extend the hip &amp; help lateral rotation when the knee is flexed.</span>\n<h2></h2>\n<img class=\"aligncenter wp-image-26114\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/02/SEMITEN-shutterstock_293552699-scaled-1.jpg\" alt=\"\" width=\"234\" height=\"312\" />\n<h2></h2>\n<h2><strong>Popliteus</strong></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">An actual ‘knee’ muscle!</span><span style=\"font-weight: 400;\"> S</span>\n\n<span style=\"font-weight: 400;\">A small muscle ‘popped’ into the back of the knee under gastroc it starts</span><span style=\"font-weight: 400;\"> at the lateral (outer edge) condyle (bony bit) of the femur then</span><span style=\"font-weight: 400;\"> grabs onto the back of the tibia.</span>\n\n<span style=\"font-weight: 400;\">While small, thin, flat, triangular it is a deep muscle &amp; could kinda help the iliotibial band in a way.....have a look &amp; see what you think..!? </span>\n\n<span style=\"font-weight: 400;\">Positioned at the back &amp; lateral it helps medial rotation of the flexed knee</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">BUT</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Popliteus decides its role in movement depending upon the position of the lower extremity (leg)....although a weak flexor of the knee it’s really important for ‘unlocking’ the knee joint from an extended position. </span><span style=\"font-weight: 400;\">Also occasionally (rarely in fact) an additional muscle called the popliteus minor is seen arising from the femur into the posterior ligament!!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Wonder if that would alter anything in terms of movement?</span>\n<h2></h2>\n<img class=\"aligncenter wp-image-26882\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/02/shutterstock_440565091_635713970809-scaled-1.jpg\" alt=\"\" width=\"386\" height=\"514\" />\n<h2><b>Pes Anserinus Tendon</b></h2>\n<h2></h2>\n<span style=\"font-weight: 400;\">This structure requires a mention as you will see...</span>\n<h2></h2>\n<b>Pes (means foot) anserinus</b><span style=\"font-weight: 400;\"> (relating to goose) so this ‘</span><i><span style=\"font-weight: 400;\">goosefoot</span></i><span style=\"font-weight: 400;\">’ is the description of where </span><b>tendons</b><span style=\"font-weight: 400;\"> of three muscles that insert onto the proximal tibia. Namely sartorius, gracilis &amp; semitendinosus.</span>\n\n<span style=\"font-weight: 400;\">They are often described as ‘guy ropes’.</span>\n<h2></h2>\n&nbsp;\n<h1><b>Medial Knee</b></h1>\n<h2><b>Adductors - see Pelvis </b></h2>\n<h2></h2>\n&nbsp;\n<h1><b>Lateral knee</b></h1>\n<h2><b>Abductors - see Pelvis</b></h2>\n&nbsp;\n\n&nbsp;\n<h1><b>Knee Joint Actions </b></h1>\n<h2></h2>\n<span style=\"font-weight: 400;\">Flexion </span>\n\n<span style=\"font-weight: 400;\">Extension </span>\n\n<span style=\"font-weight: 400;\">Note: In knee flexion the tibia can rotate medially &amp; laterally </span>\n\n<span style=\"font-weight: 400;\">Also if you read </span><i><span style=\"font-weight: 400;\">Bruunstromm’s</span></i><span style=\"font-weight: 400;\"> knee kinematics (</span><i><span style=\"font-weight: 400;\">Clinical Kinesiology</span></i><span style=\"font-weight: 400;\">) - flexion at the knee involves a slide, roll, hinge combination! </span>\n<h2>---------------------------------------------------------------------</h2>\n<h2>Are you enjoying these blogs?</h2>\n<h2>Would you like to invest in CPD videos online?</h2>\n<h2><a href=\"https://www.biomechanicseducation.com/product/pelvic-biomechanics-practical-anatomy-part-1-the-bones-muscles-actions/#tab-description\" target=\"_blank\" rel=\"noopener\"> CLICK HERE FOR &gt;&gt;PELVIC ANATOMY</a></h2>\n<h2>OR</h2>\n<h2><a href=\"https://www.biomechanicseducation.com/product/spine-biomechanics-practical-anatomy-part-2-the-bones-muscles-actions/#tab-description\" target=\"_blank\" rel=\"noopener\">CLICK HERE FOR &gt;&gt;SPINE ANATOMY</a></h2>\n<h2>OR</h2>\n<h2><a href=\"https://www.biomechanicseducation.com/product/shoulder-biomechanics-practical-anatomy-part-3-the-bones-muscles-actions/#tab-description\" target=\"_blank\" rel=\"noopener\">CLICK HERE FOR &gt;&gt;SHOULDER ANATOMY</a></h2>\n<h2>&amp;</h2>\n<h2>KNEE ANATOMY &gt;&gt; Coming Soon!!</h2>','Knee Biomechanics Part 8 -  The Muscles of the Knee','','inherit','closed','closed','','26101-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',26101,'https://biomechanicseducation.com/?p=38645',0,'revision','',0);
INSERT INTO `6m7_posts` VALUES
(38646,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<h2>\'The Middle Sister\'</h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The knee joint is sometimes described as the ‘Middle Sister’ of the lower limb, a ‘triplet’ of joints so to speak!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">WHAT? WHY? HOW?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Almost all common ‘knee problems’ are caused by the force from above, the force from below or maybe even both. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So what...I hear ya?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This means to help clients with knee problems we need to understand those forces &amp; how to improve them. In fact it would be a challenge to truly understand knee biomechanics without at least some recognition of the ascending &amp; descending influences of the pelvis &amp; foot…...bear with me!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">As the biggest synovial (</span><i><span style=\"font-weight: 400;\">synovial - surrounded by a thick flexible membrane forming a sac into which is secreted a viscous fluid that lubricates)</span></i> <span style=\"font-weight: 400;\">joint, the knee forms at the place where the distal (</span><i><span style=\"font-weight: 400;\">distant</span></i><span style=\"font-weight: 400;\">) end of the femur meets the proximal (</span><i><span style=\"font-weight: 400;\">closest proximity</span></i><span style=\"font-weight: 400;\">) end of the Tibia (</span><i><span style=\"font-weight: 400;\">also from latin for pipe or flute</span></i><span style=\"font-weight: 400;\">) meet.</span>\n\n&nbsp;\n<h2>Patella</h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25975\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/01/shutterstock_296166746-scaled-1.jpg\" alt=\"\" width=\"275\" height=\"367\" />\n\n<span style=\"font-weight: 400;\">Then the Patella (</span><i><span style=\"font-weight: 400;\">patina or patena or paten, </span></i><b><i>meaning</i></b><i><span style=\"font-weight: 400;\"> shallow dish</span></i><span style=\"font-weight: 400;\">)</span> <span style=\"font-weight: 400;\">sits at the front of the knee joint. With the Apex at the bottom &amp; the Base at the top - I HAVE ON IDEA WHY!?!? </span>\n\n<span style=\"font-weight: 400;\">Who on earth named this piece!? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The inside surface of the patella has medial &amp; lateral facets (</span><i><span style=\"font-weight: 400;\">flat surface</span></i><span style=\"font-weight: 400;\">) that come into contact with the ‘knuckles’ of the femur. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Now there are all sorts of names for other bony parts (</span><i><span style=\"font-weight: 400;\">pars</span></i><span style=\"font-weight: 400;\">) in the knee like….</span>\n\n&nbsp;\n<h2><strong>Bony Pars</strong></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Plateau (</span><i><span style=\"font-weight: 400;\">flat surface</span></i><span style=\"font-weight: 400;\">)</span>\n\n<span style=\"font-weight: 400;\">Tuberosity (</span><i><span style=\"font-weight: 400;\">rounded prominence</span></i><span style=\"font-weight: 400;\">)</span>\n\n<span style=\"font-weight: 400;\">Tubercle (</span><i><span style=\"font-weight: 400;\">small nobule</span></i><span style=\"font-weight: 400;\">)</span>\n\n<span style=\"font-weight: 400;\">Epicondyle (</span><i><span style=\"font-weight: 400;\">r</span></i><i><span style=\"font-weight: 400;\">ounded eminence on a bone that lies upon a </span></i><b><i>condyle</i></b><span style=\"font-weight: 400;\">)</span>\n\n<span style=\"font-weight: 400;\">Condyle (</span><i><span style=\"font-weight: 400;\">knuckle</span></i><span style=\"font-weight: 400;\">)</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">These each relate to the anatomy / soft tissue etc that they are named by.</span>\n\n&nbsp;\n<h2>Meniscus</h2>\n&nbsp;\n\n<img class=\"aligncenter wp-image-25976\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/01/shutterstock_1030913119-scaled-1.jpg\" alt=\"\" width=\"345\" height=\"194\" />\n\n&nbsp;\n\nThe meniscus are effectively the top 2 \'cups\' of the tibia that the femur sits onto of!\n\nThe word meniscus derives from Greek <em>meniskos</em>, meaning \'crescent\' The word was used for curved things in general, such as a necklace or a line of battle.\n\nSo when you think about your entire body resting AND moving on top of these menisci its easy to understand why they are commonly written onto medical reports after knee MRI\'s come back from the radiologist!\n\nPoor menisci!\n\n&nbsp;\n<h2>Fibula</h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then of course there is the Fibula (</span><i><span style=\"font-weight: 400;\">Latin for “brooch”, because the inner bone, the tibia, and the fibula together resemble an ancient brooch, or pin</span></i><span style=\"font-weight: 400;\">) ….Wow I learned this words history / origin while researching for this blog! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">See I am learning with you!</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25977\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/01/shutterstock_199824647-scaled-1.jpg\" alt=\"\" width=\"331\" height=\"331\" />\n<h2>Tibia</h2>\n&nbsp;\n\nThe shin or lower leg bone, from Latin also \'pipe, flute\' - originally made from bone!\n\n&nbsp;\n<h2><b>The Knee Action/s</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">When I ruptured (snapped) my ACL during landing from a jumping roundhouse kick I spent a lot of time researching knee anatomy, function &amp; biomechanics. I read </span><b><i>Brunnstrom’s Clinical Kinesiology</i></b><span style=\"font-weight: 400;\"> section about the knee….WOW!!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">When flexing, the knee does not simply hinge through single action…..oh no! It will glide, roll &amp; twist to produce what we call knee flexion. Movement produced by our wonderful integrated system is really quite stunning in its complexity that can be made so simple for application. However when building knee implants or replacement joints this level of fluidity in motion is just not possible, no matter how fabulous these implants are these days!</span>\n\n&nbsp;\n\n<b><i>During knee flexion</i></b><i><span style=\"font-weight: 400;\">, tibia glides posteriorly on femur and from full </span></i><b><i>knee</i></b><i><span style=\"font-weight: 400;\"> extension to 20</span></i><i><span style=\"font-weight: 400;\">o</span></i> <b><i>flexion</i></b><i><span style=\"font-weight: 400;\">, tibia rotates internally. Closed kinetic chain - </span></i><b><i>During knee</i></b><i><span style=\"font-weight: 400;\"> extension, femur glides posteriorly on tibia. To be more specific, from 20</span></i><i><span style=\"font-weight: 400;\">o</span></i> <b><i>knee flexion</i></b><i><span style=\"font-weight: 400;\"> to full extension, femur rotates internally on stable tibia.</span></i>\n\n<i><span style=\"font-weight: 400;\">(Physio-pedia.com)</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This is why I LOVE STUDYING THE BODY &amp; MOVEMENT SO MUCH!</span>\n\n&nbsp;\n\n(Did you notice the emphasis there!?!?)\n\n&nbsp;\n<h2><b>Knee Ligaments </b></h2>\n&nbsp;\n\n<img class=\"aligncenter wp-image-25978\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/01/Screenshot-2021-01-26-at-15.10.33-1.png\" alt=\"\" width=\"366\" height=\"272\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Now we should also mention ligaments when discussing knee biomechanics since they play a huge role in there….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">MCL - medial (</span><i><span style=\"font-weight: 400;\">inside</span></i><span style=\"font-weight: 400;\">) collateral (</span><i><span style=\"font-weight: 400;\">together with</span></i><span style=\"font-weight: 400;\">) ligament (</span><i><span style=\"font-weight: 400;\">bond)</span></i>\n\n<span style=\"font-weight: 400;\">LCL - lateral (</span><i><span style=\"font-weight: 400;\">outside</span></i><span style=\"font-weight: 400;\">) collateral (</span><i><span style=\"font-weight: 400;\">together with</span></i><span style=\"font-weight: 400;\">) ligament (</span><i><span style=\"font-weight: 400;\">bond)</span></i>\n\n<span style=\"font-weight: 400;\">ACL - anterior </span><i><span style=\"font-weight: 400;\">(front</span></i><span style=\"font-weight: 400;\">) cruciate (</span><i><span style=\"font-weight: 400;\">cross shaped</span></i><span style=\"font-weight: 400;\">) ligament (</span><i><span style=\"font-weight: 400;\">bond)</span></i>\n\n<span style=\"font-weight: 400;\">PCL - posterior (</span><i><span style=\"font-weight: 400;\">back</span></i><span style=\"font-weight: 400;\">) cruciate (</span><i><span style=\"font-weight: 400;\">cross shaped</span></i><span style=\"font-weight: 400;\">) ligament (</span><i><span style=\"font-weight: 400;\">bond</span></i><span style=\"font-weight: 400;\">)</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">These </span><i><span style=\"font-weight: 400;\">bonds </span></i><span style=\"font-weight: 400;\">play a key role in knee stability, as you can imagine, with the amount of force we repeatedly put through &amp; across our knee joint. </span>\n\n<span style=\"font-weight: 400;\">These ligamentous structures connect bone to bone &amp; so are (&amp; need to be) stronger than tendons that connect muscle to bone. It does however mean they are also less elastic than tendons.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">A brief &amp; special mention to the Patella </span><i><span style=\"font-weight: 400;\">tendon</span></i><span style=\"font-weight: 400;\">! </span>\n\n<span style=\"font-weight: 400;\">WHOOP WHOOP!</span>\n\n<span style=\"font-weight: 400;\">This bad boy will get another mention in the next of this series Part 8 - ‘</span><b>Muscles of the Knee’</b>\n\n&nbsp;\n<h1><b>Interesting Facts About Your Knees </b></h1>\n&nbsp;\n\n<img class=\"aligncenter wp-image-25979\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/01/Screenshot-2021-01-26-at-15.10.45-1.png\" alt=\"\" width=\"366\" height=\"363\" />\n\n<i><span style=\"font-weight: 400;\">Walking up &amp; down stairs can put 600lbs of pressure on the patella BUT has the protection of the thickest layer of cartilage on the posterior surface of the patella </span></i>\n\n<i><span style=\"font-weight: 400;\">(Andrew Biel)</span></i>\n\n&nbsp;\n<h1><b>Babies are born without kneecaps!</b></h1>\n&nbsp;\n<h4><span style=\"font-weight: 400;\">When we are born we have soft cartilage where our kneecaps will eventually develop. However they do not ossify or show up on x rays until around 2-6yrs</span></h4>\n<h1><b>You can walk without a kneecap.</b></h1>\n&nbsp;\n<h4><span style=\"font-weight: 400;\">If you break your kneecap badly enough, it is likely to have to be</span><span style=\"font-weight: 400;\"> removed surgically. Surgeons do not fit a kneecap prostheses—because you can walk without a kneecap!</span></h4>\n<h4><span style=\"font-weight: 400;\">Kneeling, however, may be uncomfortable without one, meaning you may require a protective padding.</span></h4>\n&nbsp;\n<h1>ACL Reconstruction ?</h1>\n&nbsp;\n\n<span style=\"font-weight: 400;\">ACL reconstruction can be done using either a portion from your hamstring or your patella tendon - patella tendon grafts are prone to leave patients with knee pain when kneeling. So top knee surgeon Dr Hahn, offered me a hamstring graft instead - I decided against it, some may not have such a choice but I really didn\'t fancy also rehabbing my wonderful hammies. They are the envy of some &amp; I knew from my MRI that I had a little proprioception where my ACL had latched onto the PCL….said Dr Hahn!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This super pair of hams have stood me in good stead so far &amp; allowed me to live with a ruptured ACL in my left knee with absolutely no detriment my lifestyle whatsoever. </span>\n\n&nbsp;\n<h2>Are you enjoying these blogs?</h2>\n<h2>Would you like to invest in CPD videos online?</h2>\n<h2>Why not look:</h2>\n<h2><a href=\"https://www.biomechanicseducation.com/product/pelvic-biomechanics-practical-anatomy-part-1-the-bones-muscles-actions/#tab-description\" target=\"_blank\" rel=\"noopener\"> CLICK HERE FOR &gt;&gt;PELVIC ANATOMY</a></h2>\n<h2>OR</h2>\n<h2><a href=\"https://www.biomechanicseducation.com/product/spine-biomechanics-practical-anatomy-part-2-the-bones-muscles-actions/#tab-description\" target=\"_blank\" rel=\"noopener\">CLICK HERE FOR &gt;&gt;SPINE ANATOMY</a></h2>\n<h2>OR</h2>\n<h2><a href=\"https://www.biomechanicseducation.com/product/shoulder-biomechanics-practical-anatomy-part-3-the-bones-muscles-actions/#tab-description\" target=\"_blank\" rel=\"noopener\">CLICK HERE FOR &gt;&gt;SHOULDER ANATOMY</a></h2>\n<h2>&amp;</h2>\n<h2>KNEE ANATOMY &gt;&gt; Coming Soon!!</h2>','Knee Biomechanics Part 7 -  The Bones of the Knee','','inherit','closed','closed','','25961-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',25961,'https://biomechanicseducation.com/?p=38646',0,'revision','',0),
(38647,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','&nbsp;\n\n<span style=\"font-weight: 400;\">Muscles are important everywhere in the body BUT due to the structural design of the shoulder, it REALLY needs great muscle tone &amp; function. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So this time we will explore the wondrous complexities of your client’s shoulder muscles….</span>\n\n&nbsp;\n<h2><b>Deltoids</b><span style=\"font-weight: 400;\"> </span></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Previously known as the </span><i><span style=\"font-weight: 400;\">deltoidious </span></i><span style=\"font-weight: 400;\">these are the strongest and biggest of the shoulder muscles. These mega muscles get their name from the greek word </span><i><span style=\"font-weight: 400;\">delta</span></i><span style=\"font-weight: 400;\"> 4th letter meaning ‘</span><i><span style=\"font-weight: 400;\">difference/change</span></i><span style=\"font-weight: 400;\">’ </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Also known as the ‘common’ shoulder muscle but I cannot find out why!? Do you know why? Please reply and let me know if you do!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">With a wide origin spanning all the way across spine of scap, acromion, clavicle to them travel down to the deltoid tuberosity of the humerus</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The fibres are divided x 3….</span>\n\n<span style=\"font-weight: 400;\">The anterior part (or clavicular pars) perform horizontal flexion/adduction &amp; internal rotation. </span>\n\n<span style=\"font-weight: 400;\">The lateral, intermediate or acromial pars are responsible for abduction</span>\n\n<span style=\"font-weight: 400;\">Then the posterior or scapular pars allow you to achieve horizontal extension/abduction &amp; external rotation  </span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25696\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/01/shutterstock_1697704519-scaled-1.jpg\" alt=\"\" width=\"533\" height=\"533\" />\n<h2></h2>\n<h2></h2>\n<h2><b>Supraspinatus </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">(Supraspinati plural) Relativity small (smallest cuff muscle), but still chunky, this beauty lies in the </span><i><span style=\"font-weight: 400;\">‘superior’</span></i><span style=\"font-weight: 400;\"> scoop on the top of the </span><i><span style=\"font-weight: 400;\">‘spine’</span></i><span style=\"font-weight: 400;\"> of the scapular. Travelling to the greater tubercle of humerus it’s interestingly the ‘rotator’ cuff muscle that doesn’t actually rotate!!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It helps the delts with abduction, predominantly the first 30 degrees, &amp; also stabilises the humeral head on the glenoid cavity…..hopefully!!</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25468\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_293547812-scaled.jpg\" alt=\"\" width=\"449\" height=\"599\" />\n\n&nbsp;\n<h2></h2>\n<h2><b>Teres Minor </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">This wee muscle is squished between infraspinatus &amp; Teres Major but can often blend with infraspinatus. </span>\n\n<i><span style=\"font-weight: 400;\">Teres</span></i><span style=\"font-weight: 400;\"> means round &amp; smooth or cylindrical </span>\n\n<i><span style=\"font-weight: 400;\">Minor</span></i><span style=\"font-weight: 400;\"> because its the smaller of the 2 muscles called Teres</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Travelling from the outer edge of the back (lateral/posterior) of the scapular to that greater tubercle of the humerus it helps lateral rotation of your clients arm AND also stabilises the glenohumeral joint. </span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25698\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/01/shutterstock_293546465-scaled-1.jpg\" alt=\"\" width=\"495\" height=\"660\" />\n\n&nbsp;\n<h2></h2>\n<h2><b>Infraspinatus </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">It lies against the back of the scapular, </span><i><span style=\"font-weight: 400;\">INF(RA)erior </span></i><span style=\"font-weight: 400;\">to the </span><i><span style=\"font-weight: 400;\">spine</span></i><span style=\"font-weight: 400;\"> of the scapular &amp; inserts into the greater tubercle at the back of the humerus. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The ‘Biscuit’ Muscle is the name I’ve given this INFRAmous (see what I did there!?) muscle.</span>\n\n<span style=\"font-weight: 400;\">Why? </span>\n\n<span style=\"font-weight: 400;\">Well when your client lies face down (prone) with their arms relaxed, often you can find that when you rub this muscle it feels like it has biscuit crumbs inside it. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">As a manual therapist I actually quite enjoy trying to dissolve those crumbs….not sure my client ‘enjoys’ it so much but they certainly feel better afterwards.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">I believe it\'s commonly crunchy because of our lifestyles and its relative position. Imagine where it is in your body, then go onto that round shouldered posture &amp; then imagine what its doing while you are slouched over your phone or computer. The weight of your arms hanging off it, forward &amp; tapping annoyingly on your keyboard.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">As a lateral rotator it can be tested by abducting the arms to 90degrees or parallel with the floor, then gradually internally rotating the arms to lengthen it. If the Acromion lifts during the movement this is a good indication this muscle’s function may need addressing.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">How does this test show this? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">By gradually lengthening the muscle your client should be able to do this standing shoulder rotation without the scapular being pulled upwards. If the muscle is however tight, inhibited or limited in any way it shows through this range of motion test. </span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24188\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/09/shutterstock_147943874-scaled-1.jpg\" alt=\"\" width=\"646\" height=\"517\" />\n\n&nbsp;\n\n&nbsp;\n<h2><b>Subscapularis </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">So the Pectoralis major assists this biggest cuff muscle during internal rotation of the arm.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">How? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Subscapularis sits on the front (anterior) surface of your clients scapular, against the back of their ribs &amp; attaches to the lesser tubercle at the back of the humerus</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Can also be tested, similar to the way we tested infraspinatus earlier, by abducting the arms to 90 degrees or parallel with the floor, but then externally rotating the arms. If the Acromion lifts during the movement this is a good indication this muscle may need addressing.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">How does this test show this? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">By gradually lengthening the muscle your client should be able to do this standing shoulder rotation without the scapular being pulled upwards. If the muscle is however tight, inhibited or limited in any way it shows through this range of motion test. Same as before just turning the arms the other way.</span>\n\n&nbsp;\n\n&nbsp;\n<h2><b>Trapezius </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">A stunning diamond or </span><i><span style=\"font-weight: 400;\">trapezium</span></i><span style=\"font-weight: 400;\"> shaped wonder muscle that ‘blankets’ over the back of the shoulders!</span>\n\n<span style=\"font-weight: 400;\">So stunning we have to break it down into portions to better appreciate its role in movement…..hopefully!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The upper fibres travel from the back of the skull or occiput, to C7, to the medial edge of the lateral portion of the AC joint! </span>\n\n<span style=\"font-weight: 400;\">Whoah!? </span>\n\n<span style=\"font-weight: 400;\">What?</span>\n\n<span style=\"font-weight: 400;\">Place your hand on the opposite shoulder, lift that shoulder….in there.</span>\n\n<span style=\"font-weight: 400;\">That’s also one of their main actions, along with laterally flexing (on their own) &amp; extending (when working together) the neck &amp; rotating the head (when working alone). </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The medial fibres however attach to the spinous processes of thoracic spine then span out to the scapular for some REEEEEtraction….hopefully!!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then those lower fibres also attach to the spinous processes of thoracic spine &amp; they span out to the scapular a bit lower down to aid scapular depression.</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25700\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/01/shutterstock_1335929453-scaled-1.jpg\" alt=\"\" width=\"586\" height=\"782\" />\n\n&nbsp;\n<h2><b>Latissimus Dorsi</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Broadest muscle of the dorsals / flanks. </span>\n\n<span style=\"font-weight: 400;\">A great big puller….ooooo yeah! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Attaching from the under (inferior) angle of the scapular to the spinous processes &amp; ribs, then the thoracolumbar fascia &amp; posterior Iliac crest.</span>\n\n<span style=\"font-weight: 400;\">It travels from there into the intertubercular groove of the humerus.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">AND apparently there is a debate about its relationship with the scapular!! Yeah that\'s a thing in the anatomy world that people can\'t always agree on…..A.P.P.A.R.E.N.T.L.Y!</span>\n\n<span style=\"font-weight: 400;\">Any thoughts?????? </span>\n\n<span style=\"font-weight: 400;\">Message me pleeeeeeease….!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">SOOOOOOOO it extends, adducts &amp; internally rotates the arm / shoulder!</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25701\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/01/shutterstock_145358134-scaled-1.jpg\" alt=\"\" width=\"510\" height=\"510\" />\n\n&nbsp;\n<h2><b>Teres Major </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">While the bigger of the 2 </span><i><span style=\"font-weight: 400;\">Teres,</span></i><span style=\"font-weight: 400;\"> hence </span><i><span style=\"font-weight: 400;\">Major,</span></i><span style=\"font-weight: 400;\"> it is also called</span><i><span style=\"font-weight: 400;\"> ‘Lats little helper’. </span></i><span style=\"font-weight: 400;\">This is because it can perform exactly the same actions at the lats….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Extension</span>\n\n<span style=\"font-weight: 400;\">Adduction</span>\n\n<span style=\"font-weight: 400;\">Internal rotation</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Because it attaches to the front of the humerus from the lateral border of the back of the scapular’s inferior angle.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If you lie on your side, bottom arm up by your ear, then place a ball where you imagine the Teres Major to be…..ooooooffff!!! Yeah!! Thats gonna be tender…..ask your manual therapist to give it a rub </span>\n\n<span style=\"font-weight: 400;\">OR</span>\n\n<span style=\"font-weight: 400;\">If you’re a manual therapist try some techniques on this beaut for upper body freedom!</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25470\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_1697704909-scaled.jpg\" alt=\"\" width=\"619\" height=\"619\" />\n\n&nbsp;\n<h2><b>Rhomboids Major &amp; Minor </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The smaller of the 2 (minor) is higher up traveling from the spinous process of C7-T1 to the upper medial border of the scapular. Whereas Major travels from T2-T5 to the medial border of the scapular further down and right down to the inferior angle. Sandwiched under trapezius and over erector spinae</span>\n\n<span style=\"font-weight: 400;\">However they are difficult to distinguish individually.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This anatomy allows them to retract (or adduct) the scapular. </span>\n\n<span style=\"font-weight: 400;\">Also elevate &amp; downwardly rotate them due to their line of pull </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">These poor muscles are pretty much hanging on for dear life as we ‘hang’ over our computers. Our arms pull the scapular forwards, protracting (see pec minor) them and giving us rounded shoulders. Which by the way, isn\'t a problem in as much as the position BUT is a problem when held for long periods.</span>\n\n<span style=\"font-weight: 400;\">Imagine what the endurance of this position does to the rhomboids that are supposed to pull the scapular back into retraction. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Poor poor rhomboids!!!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Offer them some help by individually focussing on some PURE scapular retraction work - I promise they will thank you for it!</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25471\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_293547224-scaled.jpg\" alt=\"\" width=\"653\" height=\"870\" />\n\n&nbsp;\n<h2><b>Levator scapular</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">A pretty muscle that threads from the Transverse processes of C1-4 to the medial upper border of scapular. This results in its ability to elevate &amp; rotate the scapula downwards &amp; rotate the head to the side. It can also pull the head towards the shoulder or laterally flex the neck. When right &amp; left work together they can extend the neck/head. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So a busy muscle, right!? It is like a partner in crime with the upper trapezius muscle fibres!!</span>\n\n<span style=\"font-weight: 400;\">Can you see why?</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25472\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_1800822229-scaled-1.jpg\" alt=\"\" width=\"596\" height=\"596\" />\n\n&nbsp;\n<h2><b>Serratus anterior</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">A muscle that held me captive for a long time because of its anatomy. My brain struggled to appreciate how it attached and how it produced its movement. Its formation is so intricate and fascinating that I couldn\'t simply grab a resistance band and put it onto a skeleton to appreciate its ability. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Still I tried that, visualised it when protracting or pressing, studied 2D images &amp; repeated this process. </span>\n\n<span style=\"font-weight: 400;\">Analysed bony images of the surfaces it connects to, visualised it again, palpated (touched) it while moving my shoulder, endeavoured to understand its line of pull….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">….until eventually it clicked into place. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">A really cool rib definer I call it particularly from watching numerous bodybuilders doing a side abs pose. Front arm elevated up &amp; over their head, then depressing / protracting the scapula….are you doing it in front of the mirror yet????  Go on, have a go…...how did you do??</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So as it connects from the outer surfaces of the first/upper 8 or 9 ribs to the front side &amp; medial scapular border. This is how it can protract the scapula, meaning they also abduct away from the spine. The line of pull allows for scapula depression (&amp; upward rotation of the scapulothoracic joint - where the scapular &amp; thoracic spine meet) </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Also has a partner in crime - pec minor!!!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">NOTE: One of the most common questions my learners are unable to answer is the difference in the attachments for the 2 pecs. So at this point I\'d really like to make this absolutely clear, the 2 pecs perform different actions. Their influences are on different structures &amp; yes of course there is some awesome integration BUT READ CAREFULLY about how they attach &amp; therefore what they do…...this might change your programme design!</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25703\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/01/shutterstock_293547815-scaled-1.jpg\" alt=\"\" width=\"600\" height=\"800\" />\n\n&nbsp;\n<h2><b>Pectoralis Minor </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">THIS dude is really KINDA like the poor psoas muscle…..EH? WHAT????</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Hang on hang on let me explain…..</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Firstly let\'s discuss its position in the shoulder…..it attaches to the coracoid process (the most anterior/front point of the scapula) that pokes through the dip at the front of your upper shoulder. From there it pours downwards to just halfway across the 3-5 ribs.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This allows it to protract and depress the scapula OR LIKE PSOAS results in its ‘lax’ or shortened position as we sit round shouldered at our desks, over our phones…..make sense now?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Both pec minor &amp; psoas are ‘held short’ during prolonged sitting - trust me THEY HATE IT!!!!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Go back read Rhomboids….then come back read this…...then go back read psoas &amp; glute max…...then write to me and tell me what you think….?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Anyhoo we ain\'t finished yet…..</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25705\" src=\"https://biomechanicseducation.com/wp-content/uploads/2021/01/shutterstock_151422785-scaled-1.jpg\" alt=\"\" width=\"524\" height=\"698\" />\n<h2></h2>\n<h2></h2>\n<h2><b>Pectoralis Major</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">DOES NOT ATTACHED TO THE SAME PLACES AS PEC MINOR!!</span>\n\n<span style=\"font-weight: 400;\">There I said it!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The Monday muscle I call this one….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Why?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Go to any gym (when you can) on a Monday….what do you see??? Chest day, right? </span>\n\n<span style=\"font-weight: 400;\">Men in particular want well developed Pec Majors!   </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So let\'s study their anatomy &amp; how they differ from their sibling...Pec minor…</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Attaching from the clavicle to the sternum &amp; then across to the greater tubercle of the humerus. Quite different, right?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This means it can adduct, horizontally flex &amp; internally rotate the shoulder. </span>\n\n<span style=\"font-weight: 400;\">Pec Major is also in partnership with Subscapularis when you look at their actions!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So now imagine a push up….Pec Major is the prime mover in horizontal flexion of the arm but Pec Minors role will depend upon your personal performance of this exercise. </span>\n\n<span style=\"font-weight: 400;\">If your scapular DON\'T move Pec Minor will be a fixtor </span>\n\n<span style=\"font-weight: 400;\">If you protract during the press the it will be a prime mover</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">OOOOOOOOOOOeeeeeerrrrrr!</span>\n\n&nbsp;\n<h2><b>Shoulder Actions - SOOOOOO MANY!!!</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">This is clearly going to be another reason why the shoulder is a commonly problematic joint!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Humerus Abd/adduction, Internal / External Rotation, Horizontal Flexion / Extension or Horizontal abd/adduction &amp; Circumduction </span>\n\n<span style=\"font-weight: 400;\">Scapular Protraction / Retraction &amp; Elevation / Depression </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So there you have it: a small snapshot of shoulder anatomy &amp; biomechanics, yes just a snapshot. There are so many things we could discuss but I find anatomy easier to absorb a bit at a time. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">These blogs, &amp; the relevant videos, are written &amp; filmed to help gradually enhance &amp; add to what you already know but to be absolutely clear there is ALWAYS so much more to learn! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">That\'s what WE LOVE ABOUT ANATOMY!!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Would you like </span><b>Knee Biomechanics Part 7 -  The Bones of the Knee </b><span style=\"font-weight: 400;\">next???</span>\n\n&nbsp;\n<h1><span style=\"font-weight: 400;\">OK COMING SOON &gt;&gt;- </span><b>Knee Biomechanics Part 7 -  The Bones of the Knee</b></h1>\n&nbsp;\n\n<a href=\"https://www.biomechanicseducation.com/blog/\" target=\"_blank\" rel=\"noopener\">Missed the previous Pelvic &amp; Spine Biomechanics Blogs? &gt;&gt;LOOK HERE&lt;&lt;</a>\n\n&nbsp;\n<h3><a href=\"https://www.biomechanicseducation.com/product/pelvic-biomechanics-practical-anatomy-part-1-the-bones-muscles-actions/#tab-description\" target=\"_blank\" rel=\"noopener\">Would you like to invest further by grabbing the videos during lockdown....at lockdown price of just £7! (Normally £27)</a></h3>\n<h1><a href=\"https://www.biomechanicseducation.com/product/pelvic-biomechanics-practical-anatomy-part-1-the-bones-muscles-actions/#tab-description\" target=\"_blank\" rel=\"noopener\">&gt;&gt;LOOK HERE&lt;&lt;</a></h1>','Shoulder Biomechanics Part 6 -  The Muscles of the Shoulder','','inherit','closed','closed','','25466-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',25466,'https://biomechanicseducation.com/?p=38647',0,'revision','',0),
(38648,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<h1><span style=\"font-weight: 400;\">Part 5 - Shoulder time!</span></h1>\n&nbsp;\n\n<span style=\"font-weight: 400;\">One of the most complex joints in our client’s body &amp; becoming a problem area for common problems just like the lower back!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Shall we dive straight in….?</span>\n\n&nbsp;\n<h2><b>The Bones </b></h2>\n&nbsp;\n<h2><b>Clavicle (Collar bone) </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The word clavicle comes from the latin for ‘tendril’ due to its meagre connection from the scapula to sternum.</span>\n\n<span style=\"font-weight: 400;\">It is also known as the collarbone, the ‘beauty bone’ or the ‘skinny bone’ since those awful times when ‘skinny’ was perceived as attractive. </span>\n\n<span style=\"font-weight: 400;\">AND….it is the only bony connection between our shoulder &amp; the rest of our skeleton! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">WOW! No wonder shoulder ‘issues’ are a common thing our clients complain about!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The clavicle is the first bone to harden in the fetus but interestingly the last to completely develop! </span><span style=\"font-weight: 400;\">With this in mind &amp; the fact that it\'s a </span><i><span style=\"font-weight: 400;\">force transmitter</span></i><span style=\"font-weight: 400;\"> from the arms to the upper body/skeleton you can appreciate </span><span style=\"font-weight: 400;\">why youngsters can often break theirs. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If you were to view it from overhead it has an S shape &amp; try</span><span style=\"font-weight: 400;\"> placing your fingers/hand onto your clavicle then shrug up your shoulder….can you feel it articulate with the sternum?</span>\n\n&nbsp;\n<h2><b><img class=\"aligncenter wp-image-25462\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/12/Screenshot-2020-12-15-at-10.17.34.png\" alt=\"\" width=\"735\" height=\"722\" />Humerus</b></h2>\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">Umerus</span></i><span style=\"font-weight: 400;\"> means upper arm from its latin origins but also history from the Greek word </span><i><span style=\"font-weight: 400;\">omos</span></i><span style=\"font-weight: 400;\"> for arm. The top end (proximal portion) of the humerus joins the glenoid fossa to create what\'s known as the glenohumeral joint. </span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25461\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_305274299-scaled-1.jpg\" alt=\"\" width=\"270\" height=\"789\" />\n\n<span style=\"font-weight: 400;\">Glenoid means smooth shallow depression or slightly cupped.</span>\n\n<span style=\"font-weight: 400;\">Fossa meaning ‘ditch’ or pit.</span>\n\n<span style=\"font-weight: 400;\">Head of humerus is also called the </span><i><span style=\"font-weight: 400;\">caput humeri -</span></i><span style=\"font-weight: 400;\"> caput meaning head in this instance.</span>\n\n<span style=\"font-weight: 400;\">Greater tubercle is from latin </span><i><span style=\"font-weight: 400;\">tuberculum</span></i><span style=\"font-weight: 400;\"> or small swelling </span>\n\n<span style=\"font-weight: 400;\">Lesser tubercle or </span><i><span style=\"font-weight: 400;\">tuberculum minus</span></i>\n\n&nbsp;\n<h2><b>Scapular </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The shoulder ‘blade’ or scapula is an attachment site for around 17 muscles &amp; glides on the scapulothoracic joint, also described as a false joint since it doesn\'t have the usual joint components. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The front facing (anterior) side is called the costal surface as it relates to the ribs/costals. It is also the subscapular fossa where the subscapularis sits between the scapular &amp; ribs.</span>\n\n<span style=\"font-weight: 400;\">The dorsal surface (posterior) or side &amp; also known as the infraspinous fossa - why? Go on guess….???? YES the infraspinatus muscle sits on there!!</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25460\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_278017295-scaled-1.jpg\" alt=\"\" width=\"555\" height=\"605\" />\n\n<span style=\"font-weight: 400;\">The scapular’s triangular in shape &amp; so has 3 sides;</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Superior border (top)</span>\n\n<span style=\"font-weight: 400;\">Lateral border (axillary which relates to the armpit, so outer edge)</span>\n\n<span style=\"font-weight: 400;\">Medial border (or vertebral border or medial margin, closest to the vertebrae)</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">At each corner where these ‘sides meet are the angles;</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Superior angle (top &amp; medial)</span>\n\n<span style=\"font-weight: 400;\">Inferior angle (bottom &amp; medial)</span>\n\n<span style=\"font-weight: 400;\">Lateral or glenoid angle also known as the head of the scapular </span>\n\n<span style=\"font-weight: 400;\">Glenoid cavity (or fossa) where the humerus ‘connects’</span>\n\n&nbsp;\n<h2><span style=\"font-weight: 400;\">The other key landmarks;</span></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Acromion process - allows us to do a pec minor test when clients lies supine - this process should measure 2.5cm or 1” front the floor  or massage bed</span>\n\n<span style=\"font-weight: 400;\">Coracoid process - upper attachment site for pec minor in the hollow on the front of the shoulder </span>\n\n<span style=\"font-weight: 400;\">Spine of scapular - the ledge that sweeps across the top back portion. Place your hand over the opposite shoulder to feel this ledge.</span>\n\n<span style=\"font-weight: 400;\">Subscapular fossa - front surface against ribs</span>\n\n<span style=\"font-weight: 400;\">Infraspinous fossa - back surface that gives hedonistic discomfort when you rub it against a ball, against a wall!!</span>\n\n&nbsp;\n<h2><b>The meeting places….</b></h2>\n&nbsp;\n<h2><b>Sternoclavicular Joint (S/C)</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Where the sternum &amp; clavicle meet!</span>\n\n&nbsp;\n<h2><b>Acromioclavicular Joint (A/C)</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Where the acromion &amp; clavicle meet!</span>\n\n&nbsp;\n<h2><b>Glenohumeral Joint </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Where the Glenoid fossa &amp; humerus meet!</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24189\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/09/shutterstock_172528928-scaled-1.jpg\" alt=\"\" width=\"509\" height=\"482\" />\n<h2><b>Interesting shoulder facts </b></h2>\n&nbsp;\n<ol>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">There’s no actual socket!</span></li>\n</ol>\n<span style=\"font-weight: 400;\">When we learn our anatomy the shoulder is described as a ball &amp; socket joint even though technically there isn\'t a socket! </span><span style=\"font-weight: 400;\">. The ball of the humerus instead moves against the flat surface of the glenoid fossa! The shoulder barely connects to the rest of the skeleton.</span>\n\n<span style=\"font-weight: 400;\">The only bony connection is at the collarbone as described above!</span>\n<ol>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">It goes all over the place!</span></li>\n</ol>\n<span style=\"font-weight: 400;\">When healthy, your shoulder should allow your arm to go in pretty much any directions. Its also </span><span style=\"font-weight: 400;\">considered a multiaxial joint due to its multiplanar capability.</span>\n<ol>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Muscles REALLY matter for your shoulder.</span></li>\n</ol>\n<span style=\"font-weight: 400;\">Because of the low level of bony connection to the rest of the skeleton, the lack of a socket, and the many directions of its movement mean that muscles have a much more critical job in this region. </span>\n<h1></h1>\n<h1>Would you like to learn more about shoulder biomechanics?</h1>\n&nbsp;\n\nPete Banbury, The Body Mapper &amp; Rachel Frances Thomson, Biomechanics Education share a passion for the same things\n\n&nbsp;\n<h2>Anatomy, Movement &amp; Education Experiences</h2>\n&nbsp;\n\nWith a combined 5 decades working within these fields this dedicated duo wanted to share some nuggets of functional / practical shoulder anatomy. Not only tips to recall the relevant anatomy but also how to understand it biomechanically in application\n\nSo if you are involved in improving movement in anyway &amp; looking for a deeper level of understand the anatomy &amp; biomechanics of your client’s shoulder, how to assess, monitor &amp; condition improved joint strength ratios this 2hr webinar is aimed specifically at you!\n\n&nbsp;\n<h3 class=\"p1\">Peter will show you how to EXPERIENCE anatomy in as many ways as possible</h3>\n<h3 class=\"p1\">Then Rachel will SHOW you how to assess your clients biomechanics to allow clever programme design</h3>\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/product/working-with-shoulder-issues-webinar-dec-9th-2020-10am-12pm/#tab-description\" target=\"_blank\" rel=\"noopener\"> &gt;&gt;CLICK HERE TO GET THIS WEBINAR &lt;&lt;</a></h1>\n&nbsp;','Shoulder Biomechanics Part 5 -  The Bones of the Shoulder','','inherit','closed','closed','','25457-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',25457,'https://biomechanicseducation.com/?p=38648',0,'revision','',0),
(38649,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<span style=\"font-weight: 400;\">Ok so we could actually call this section Core Muscles since this might be one way of defining the muscles that connect to the spine. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">BUT </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This would also depend upon how we define the core muscles &amp; that creates a whole other blog…..!</span>\n\n<span style=\"font-weight: 400;\">So to keep it simple; ‘muscles of the spine’ it is!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Now there are many intricacies to this group of muscles due to the intricacies of the spine, where it is located &amp; its role in movement. Remember according to world leaders, the spine is the centerpiece of locomotion &amp; researches will say that no one muscle or muscle group is more important than another. For optimum spine stabilisation they should all be able to contribute in their role. So let\'s explore the spine muscles in their layers…..</span>\n\n&nbsp;\n<h2><b>Tranversospinalis Group </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">(Transversus</span><i><span style=\"font-weight: 400;\">, </span></i><span style=\"font-weight: 400;\">meaning</span><i><span style=\"font-weight: 400;\"> ‘</span></i><i><span style=\"font-weight: 400;\">turned</span></i> <i><span style=\"font-weight: 400;\">across’,</span></i><i><span style=\"font-weight: 400;\"> &amp; </span></i><span style=\"font-weight: 400;\">Spina</span><i><span style=\"font-weight: 400;\">, </span></i><span style=\"font-weight: 400;\">meaning</span><i><span style=\"font-weight: 400;\"> ‘</span></i><i><span style=\"font-weight: 400;\">thorn’)</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">These muscles are the deepest, with an important role in ‘proprioceptive stabilisation’ as they interlace between the transverse &amp; spinous processes.(those poky out bits).</span>\n\n<span style=\"font-weight: 400;\">With their short diagonal fibres, they are grouped by the length of their fascicles (from latin, </span><i><span style=\"font-weight: 400;\">fascis</span></i><span style=\"font-weight: 400;\"> meaning ‘</span><i><span style=\"font-weight: 400;\">bundle</span></i><span style=\"font-weight: 400;\">’) &amp; also by the region of the spine they cover. </span>\n\n<span style=\"font-weight: 400;\">They have a poor mechanical advantage since they do not produce large ranges of motion.</span>\n\n<span style=\"font-weight: 400;\">However they do help to produce unilateral (one side at a time) rotation, lateral flexion &amp; bilateral (both sides at the same time) extension.  </span>\n\n<span style=\"font-weight: 400;\">These are very ‘powerful’ muscles since they engage PRIOR to movement to </span><i><span style=\"font-weight: 400;\">segmentally stabilise</span></i><span style=\"font-weight: 400;\"> the spine ready for when we move our torso &amp; limbs. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">TASK</span>\n\n<span style=\"font-weight: 400;\">For example if you stand up right now…...did you? Yes go on, stand up….now sit down. The first thing we THINK happens is the gross (large) action we produce first, (like that forward lean you did to transfer your weight ready to stand). However to perform a movement the deepest layer MUST have engaged around the spine to maintain stability so that we can actually move with control!</span>\n\n<span style=\"font-weight: 400;\">That’s the role of these lovely muscles...</span>\n\n&nbsp;\n<h2><b><img class=\"aligncenter  wp-image-25119\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_1709130394-scaled.jpg\" alt=\"\" width=\"504\" height=\"504\" />Multifidus</b></h2>\n<span style=\"font-weight: 400;\">This word is latin for </span><i><span style=\"font-weight: 400;\">‘much or many’</span></i><span style=\"font-weight: 400;\"> or ‘</span><i><span style=\"font-weight: 400;\">to split into many parts</span></i><span style=\"font-weight: 400;\">’. They are the deepest layer of the back &amp; the thickest of this group. With both deep &amp; superficial variations from the sacrum to the axis (C2), PSIS &amp; iliac crest to the spinous processes, this bad boy of the deep muscles looks like a xmas tree when you see the ‘branches’ feed in &amp; up the spine.</span>\n\n<span style=\"font-weight: 400;\">So what?</span>\n\n<span style=\"font-weight: 400;\">Well need fully functioning healthy </span><span style=\"font-weight: 400;\">fat free</span><span style=\"font-weight: 400;\"> Multifidus. Yes MRI scans can show fatty deposits on this muscle if not used enough!! Goods news - movement can reduce this adaptation. Which moves? Just use them often &amp; consistently in a variety of planes! Remember a key part of multifidus’ role is also to take pressure off the discs...well worth keeping them active right!??!?</span>\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\"><img class=\"aligncenter wp-image-25095\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/max-okhrimenko-L3FHnmrPyCI-unsplash-scaled-1.jpg\" alt=\"\" width=\"306\" height=\"459\" /> </span>\n<h2><b>Rotatores</b></h2>\n<span style=\"font-weight: 400;\">(or </span><i><span style=\"font-weight: 400;\">rotatores spinae</span></i><span style=\"font-weight: 400;\">) meaning ‘</span><i><span style=\"font-weight: 400;\">to rotate</span></i><span style=\"font-weight: 400;\">’ there are 22 x small quadrilateral (meaning 4 sided) of these muscles in the thoracic region or 11 each side. From those transverse processes that poke out to the side of thoracic vertebrae to the bases of spinous processes that poke out the back &amp; the laminae that is part of the thoracic vertebrae that are 2 levels above. They are also underneath the multifidus. Visually they could be the laces of a corset feeding up the spine...truly beautiful!</span>\n\n&nbsp;\n<h2><b>Semispinalis </b></h2>\n<span style=\"font-weight: 400;\">This muscle has roots from the latin word </span><i><span style=\"font-weight: 400;\">semis</span></i><span style=\"font-weight: 400;\"> that means ‘half’ &amp; </span><i><span style=\"font-weight: 400;\">spina</span></i><span style=\"font-weight: 400;\"> meaning ‘thorn’.</span>\n\n<b>Divided into Semispinalis capitis (of the head - I remember this with ‘cap’ like the hat) , Semispinalis cervicis (neck), Semispinalis thoracis (thorax).</b><span style=\"font-weight: 400;\"> </span>\n\n<span style=\"font-weight: 400;\">These lil beauties move between the transverse processes at the side &amp; spinous processes out the back of the thoracic &amp; cervical spine up to the occiput (the back portion of the skull)</span>\n\n&nbsp;\n<h2><b>Erecta Spinae group </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">This next ‘layer’ are providers of ‘inter segmental stabilisation’ &amp; also ‘co contractors’ with their cousins, on the opposite side, those hip &amp; spine flexors.</span>\n\n<span style=\"font-weight: 400;\">A better mechanical advantage than the previous group based upon their length &amp; leverage. Where multifidus we likened to a xmas tree, the erecta muscle group are more of a poplar tree in their presentation, longer branches.</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25096\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-30-at-09.38.00.png\" alt=\"\" width=\"334\" height=\"420\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">TASK</span>\n\n<span style=\"font-weight: 400;\">For a sense of this group stand up again…. Yup I will get you moving &amp; learning….. now place the pads of your fingers (both hands) either side of your spine, where the erecta muscles live. Now from standing upright feel what they do when you hinge at the hip to lean just a little way forwards.</span>\n\n<span style=\"font-weight: 400;\">Did you feel that?? </span>\n\n<span style=\"font-weight: 400;\">They should engage, toughen &amp; bulge a little as they stop your head pulling your upper body forwards into flexion &amp; down with the weight of the skull. Then stand back up...feel them ease off...hinge..stand up ...hinge….stand up…on...off...on….off.. you get the idea??</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Erector spinae</span> <span style=\"font-weight: 400;\">could be described as</span> <span style=\"font-weight: 400;\">an intermediate group of spine muscles. They extend both sides (bilaterally) &amp; rotates or laterally flexes one side at a time (unilaterally). </span><b>They do this through their relationships, similar to the semispinalis group, with capitis (head), cervicis (neck), thoracis (thorax).</b>\n\n&nbsp;\n<h2><b>Longissimus </b></h2>\n<span style=\"font-weight: 400;\">This is obviously the longest one due to its name! To the side (lateral to) of the semispinalis muscles. Travelling from rectus abdominus to the transverse process.</span>\n<h2><b>Iliocostalis </b><i> </i></h2>\n<i><span style=\"font-weight: 400;\">(ilio - from the ilium costalis - to the ribs)</span></i><span style=\"font-weight: 400;\"> - attaches from the most lateral portion of ribs, to the sacrum, the iliac crest, spinous &amp; transverse processes.</span>\n<h2><b>Spinalis</b><span style=\"font-weight: 400;\"> </span></h2>\n<span style=\"font-weight: 400;\">The most medial sibling of the group, splits into spinalis dorsi, spinalis cervicis &amp; spinalis capitis. Travelling into the spinous processes &amp; occiput at the back of the head.</span>\n\n&nbsp;\n<h2><b><img class=\"aligncenter  wp-image-25121\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_1800824056-scaled-1.jpg\" alt=\"\" width=\"581\" height=\"581\" />Quadratus Lumborum </b></h2>\n<span style=\"font-weight: 400;\">Like the piriformis in the pelvis, this is possibly the spine’s most infamous muscle. Most practitioners are aware of this lil devil!</span> <span style=\"font-weight: 400;\">Dropping down from the bottom rib to drape over the iliac crest &amp; then hang across to the transverse processes at the side of L1-4. This much discussed muscle will individually laterally flex the spine &amp; hitch, or lift up, the hip on the same side. Both QL’s working together will also extend the lumbar spine if while sitting you stick your bum out &amp; tip your pelvis forwards or anteriorly. QL also has a really important job working on the opposite side with its cousins TFL &amp; Glute Medius/ Minimus - yup those hip abductors. </span>\n\n<span style=\"font-weight: 400;\">How?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">TASK</span>\n\n<span style=\"font-weight: 400;\">Ok stand up again….yes move again! ;)</span>\n\n<span style=\"font-weight: 400;\">Place your right hand on the right side of your waist to imagine QL, then place your left hand onto the outside of your left hip to imagine TFL/Glute med/min. Now ‘lift’ your right hip…….this ‘hip hitch’ is the action we use when walking. </span>\n\n<span style=\"font-weight: 400;\">Imagine if your client’s QL, TFL or Glute Med/min are inhibited in any way…...how will their body compensate to enable them to walk? What could we do to identify &amp; improve the function of these areas?</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-25099\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_1544639351-scaled.jpg\" alt=\"\" width=\"427\" height=\"570\" />\n<h2><b>The Abdominals!</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">This group is often considered ‘the core’ by clients since their focus is on the front &amp; sides of their torso or the parts they can see.</span>\n\n<span style=\"font-weight: 400;\">They all dream of a </span><i><span style=\"font-weight: 400;\">6 pack stomach </span></i><span style=\"font-weight: 400;\">&amp; see adverts about how they can get one in 12 weeks or even 6 weeks or if they follow someone with abs showing on instagram. You can even download an app that superimposes abs onto your photo….for goodness sake!!</span>\n\n<span style=\"font-weight: 400;\">The ‘abs’ are written about in magazines as an area to focus on when considering strengthening the core </span><i><span style=\"font-weight: 400;\">for that washboard abs look! </span></i>\n\n<span style=\"font-weight: 400;\">We should understand them better anatomically to understand how to ‘condition’ them for function &amp; therefore result in whatever is achievable realistically in terms of aesthetics. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Any hoo... we all have a 6 pack...underneath the skin &amp; they have an important job to do!</span>\n\n&nbsp;\n<h2><b>Rectus abdominus </b></h2>\n<span style=\"font-weight: 400;\">Rectus means</span> <i><span style=\"font-weight: 400;\">straight </span></i><span style=\"font-weight: 400;\">&amp; abdominis relating to the abdomen. Now this could logically be classified as a core muscle. However when looking at its attachments it does not actually attach directly to the spine but instead to the pubic symphysis (behind the pubes), to the xiphoid process (bottom of the sternum) &amp; the costal cartilages of ribs 5-7. </span>\n\n<span style=\"font-weight: 400;\">Generally considered as a flexor of the spine (&amp; of course it will flex the spine) however its main purpose is probably to act as part of the ‘hydraulic amplifier’ mechanism. This is where Transverse Abdominis (TA) &amp; the thoraco-lumbar fascia create tension to stabilise the spine when performing tasks that require spinal stability. </span>\n\n<span style=\"font-weight: 400;\">The tendinous junctions of rectus abdominis are designed to help mitigate the lateral forces created by the TA contraction and help with the efficiency of the amplifier. (FANTASTIC BOOK -</span><i><span style=\"font-weight: 400;\">Spinal Engine, Gracovetsky, March 1989</span></i><span style=\"font-weight: 400;\">).</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\"><img class=\"aligncenter  wp-image-25123\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_1544641526-scaled.jpg\" alt=\"\" width=\"436\" height=\"581\" />The Oblique Non-identical Twins (I LOVE the obliques) are considering lateral flexors &amp; again they do assist this action however their role is far more important than that when you study their fibres &amp; the lines of pull they are capable of with the attachments they cling onto….</span>\n\n&nbsp;\n<h2><b>Internal obliques </b></h2>\n<span style=\"font-weight: 400;\">This layer travels from the front (</span><span style=\"font-weight: 400;\">Anterior) of the iliac crest, lateral half of inguinal (of the groin) ligament, to the thoracolumbar fascia (big diamond shaped fascial sheet on the lower back) onto the costal cartilages of ribs 8-12; Also via the abdominal aponeurosis to the linea alba (the fascial line down the middle of the tummy of the middle of that 6 pack!)</span>\n<h2><b>External obliques </b></h2>\n<span style=\"font-weight: 400;\">External surfaces of ribs 5-12. ... At the midclavicular (middle of the clavicle) line medially &amp; spinoumbilical line inferiorly, external abdominal oblique continues as an aponeurosis via which it inserts to the linea alba, pubic tubercle &amp; anterior half of iliac crest.</span>\n\n&nbsp;\n<h2><img class=\"aligncenter  wp-image-25125\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_1666655449-scaled.jpg\" alt=\"\" width=\"607\" height=\"607\" /></h2>\n<h2></h2>\n<h2></h2>\n&nbsp;\n\n<img class=\"aligncenter  wp-image-25124\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_1666658332-scaled.jpg\" alt=\"\" width=\"608\" height=\"608\" />\n<h2 style=\"text-align: left;\"><b>Transverse Abdominis (TVA) </b></h2>\n<span style=\"font-weight: 400;\">(or unmoving point) of the TA muscles is on the costal (rib) margin, iliac crest, &amp; inguinal ligament. The insertion (or moveable piece) of the TA muscles is located on the xiphoid process, symphysis pubis, &amp; linea alba….hopefully by now we are starting to remember some of these terminologies! </span>\n\n&nbsp;\n<h2><b><img class=\"aligncenter  wp-image-25126\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_1544641502-scaled.jpg\" alt=\"\" width=\"391\" height=\"522\" />Hip flexors  </b></h2>\n<span style=\"font-weight: 400;\"> see pelvis <a href=\"https://www.biomechanicseducation.com/pelvic-hip-biomechanics-part-1-the-muscles-of-the-hip/\" target=\"_blank\" rel=\"noopener noreferrer\">CLICK HERE</a></span>\n\n&nbsp;\n<h2><b>Diaphragm </b></h2>\n<span style=\"font-weight: 400;\">Greek word <em>diaphragma</em> meaning partition or barrier. Primarily it is attached to the sternum at the xiphoid process, the lower six ribs &amp; the spaces in between, also the lower part of the spine. ... The spinal attachment is in the upper lumbar section. The diaphragm\'s insertion point is called the central tendon.</span>\n\n&nbsp;\n<h1><b><img class=\"aligncenter  wp-image-25127\" src=\"https://www.biomechanicseducation.com/wp-content/uploads/2020/12/shutterstock_303082082-scaled.jpg\" alt=\"\" width=\"387\" height=\"516\" />Interesting facts </b></h1>\n&nbsp;\n\n<span style=\"font-weight: 400;\">No one muscle, or muscle group, is more important than any other.  Many will talk of Transverse Abdominis (TVA or TA) &amp; Multifidus as the most important muscles in the core, but if only one group or muscle of the full range of stability muscles is not functioning correctly, then the trunk is unstable.</span><span style=\"font-weight: 400;\">\n</span><span style=\"font-weight: 400;\"> (</span><i><span style=\"font-weight: 400;\">Cholwewicki and McGill, 1996, O’Sullivan et al, 1997, 1998, Allison et al, 1998)</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Trunk or core stability in motion should be a reflex reaction as opposed to a conscious effort….like core stability training.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The core muscles are often inhibited in cases of low back pain.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Psoas Major &amp; also Latissimus Dorsi could (&amp; probably should) be deemed ‘core’ muscles based on their involvement in trunk/spine stability &amp; connecting the upper &amp; lower body</span>\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/product/pelvic-biomechanics-practical-anatomy-part-1-the-bones-muscles-actions/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\">Would you like to invest in your learning by gaining access to an online CPD about Pelvic Biomechanics - The Bones, Actions &amp; Muscles?&lt;&lt;Just Click Here</a></h1>','Spine Biomechanics Part 4 - The Muscles of the Spine','','inherit','closed','closed','','25092-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',25092,'https://biomechanicseducation.com/?p=38649',0,'revision','',0),
(38650,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<span style=\"font-weight: 400;\">From what I have read most of the world leaders in biomechanics feel that the spine is the centerpiece of movement &amp; it\'s easy to understand why. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It is a beautifully robust piece of architecture that connects the upper &amp; lower body, allowing us to move in so many planes, actions &amp; combinations. So much so that we might appreciate it as hard to damage!</span>\n\n<span style=\"font-weight: 400;\">As we dive into the anatomy of the spine here hopefully it is recognisable that it takes years to really do any damage biomechanically through lifestyle.</span>\n\n<span style=\"font-weight: 400;\">The exciting thing about this means we could, as movement practitioners, potentially reduce the risk of future problems. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So through this 3rd blog in this practical anatomy series lets explore the wonderful intricacies of the bones of the spine!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">But first…..</span>\n\n&nbsp;\n<h2><b>Interesting facts </b></h2>\n&nbsp;\n<ol>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Babies spines develop 2 months after conception </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">From birth, the baby\'s spine is only kyphotic. From the time they begin to hold their head up &amp; start walking they will begin to develop lordosis </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">We have the same number of cervical (nack) vertebrae as giraffes! </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">There are 120 muscles that relate to the spine offering lots of movements. Thankfully we won\'t be covering every single one of these in part 4!</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The spine has 220 individual ligaments for dynamic support - it needs it right!?</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Wow...there are 100 joints! </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Spine cartilage can expand &amp; contract. This means you are (on average) ½” taller in the mornings due to lying down as opposed to having gravity compressing your spine downwards while standing upright throughout the day.</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Your spine has exceptional memory as it becomes used to, &amp; remembers, positions.</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">At birth we generally have 33 bones but as adults we can have just 25 as the lower vertebrae fuse together.</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The spinal cord weighs 35 grammes! That’s a similar weight as a 60 watt lightbulb.</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The length of an average male spine is 70cm &amp; female’s around 60cm </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Cartilage makes up 25% of the length of the spine </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">We shrink on average about ⅓ inch every 10 years - I know this because my mum is now 5ft 4” having previously been 5ft 8”...oooer!</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Around 80% of back pain does NOT need treatment, which is why we need to gain skills to understand pain &amp; things that can cause it.</span></li>\n</ol>\n&nbsp;\n<h1><b>The Bones</b></h1>\n&nbsp;\n<h2><b>Vertebrae</b></h2>\n<span style=\"font-weight: 400;\">Let us begin at the top this time with the vertebrae! Vertebrae being plural of vertebra (individual) &amp; the word vertebra in latin means ‘joint’. It also has history from the word </span><i><span style=\"font-weight: 400;\">vertere</span></i><span style=\"font-weight: 400;\"> which means ‘to turn’, which is easy to imagine due to turning or rotating being one of the primary actions produced from the spine.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The vertebrae make up 5 sections that create those curved lines on a side view of a client’s back as we look at them standing.</span>\n\n&nbsp;\n<h2><b>Cervical Spine (Vertebrae)</b></h2>\n<span style=\"font-weight: 400;\">Cervical is the first or upper most portion of the spine &amp; is made up of 7 vertebrae. Its name ‘</span><i><span style=\"font-weight: 400;\">cervical</span></i><span style=\"font-weight: 400;\">’ comes from the latin word for ‘neck’. You may also be familiar with its use in relation to the </span><i><span style=\"font-weight: 400;\">cervix</span></i><span style=\"font-weight: 400;\"> or ‘neck’ of the womb.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We have 7 cervical vertebrae &amp; this is the most mobile portion of our spines to allow us to pivot our heads on top of our body so we can see around us - hopefully!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Our top 2 cervical vertebrae have their own names too!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The </span><b>Atlas</b><span style=\"font-weight: 400;\">, also known as C1, is named from Greek mythology. Atlas was the son of the God Titus &amp; was condemned to hold the sky up - poor bloke! So we can visualise our C1 holding up our head as poor Atlas did the world! </span>\n\n<span style=\"font-weight: 400;\">Glad he did though otherwise who knows where we would be right now!?!?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then we have </span><b>Axis</b><span style=\"font-weight: 400;\"> (from the latin word </span><i><span style=\"font-weight: 400;\">axle</span></i><span style=\"font-weight: 400;\">) also known as </span><i><span style=\"font-weight: 400;\">vertebra cervicalis II</span></i><span style=\"font-weight: 400;\"> or </span><i><span style=\"font-weight: 400;\">epistropheus</span></i> <span style=\"font-weight: 400;\">OR </span><span style=\"font-weight: 400;\"> in my world for simplicity\'s sake C2! Axle probably because it forms a </span><i><span style=\"font-weight: 400;\">pivot!</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">These top 2 vertebrae form the</span> <i><span style=\"font-weight: 400;\">atlanto-</span></i><b><i>axial</i></b><i><span style=\"font-weight: 400;\"> joint</span></i><span style=\"font-weight: 400;\"> - whoop whoop!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Now here\'s a tip to finding C7 if it ever takes your fancy. Sit or stand upright, place your hand onto the back of your neck &amp; then protract, or jut, your chin forwards. The most prominent spinous process (nobly bit that pokes out at the back) when you do this is likely to be C7. </span>\n\n&nbsp;\n<h2><b>Thoracic Spine</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">This section of your spine has minimal movement by comparison to the other sections, although more than most of us can actually do these days!!!! but it’s 7 vertebrae are designed for stability &amp; protection of your organs in partnership with the ribs (see rib anatomy below) </span>\n\n<img class=\"aligncenter wp-image-24895\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-16-at-13.37.56.png\" alt=\"\" width=\"543\" height=\"405\" />\n\n<span style=\"font-weight: 400;\">As you look from over the top, as in this example, of a thoracic vertebrae, you can see all sorts of portions that have been named. Now some may appear to be more valuable than others but they’re all good to remember if you can. So I will add a test at the bottom of this blog for you to complete because I know you LOVE a test...right!?!?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Anyway here are the names, their definitions &amp; reasons for being;</span>\n\n&nbsp;\n<h2><b>Body </b></h2>\n<span style=\"font-weight: 400;\">The large </span><span style=\"font-weight: 400;\">front portion of the vertebra also known as the </span><i><span style=\"font-weight: 400;\">centrum</span></i><span style=\"font-weight: 400;\">. The body is made of cancellous bone (also called either trabecular or spongy because of its appearance) &amp; ‘sandwiches’ the discs in between the vertebrae above/below to contribute to absorption of pressure. </span>\n\n<span style=\"font-weight: 400;\">Then there is a more compact outer layer of bone (also called the ‘cortical rim’ or dense) due to its contribution to supporting &amp; limiting movement.</span>\n\n&nbsp;\n<h2><b>Spinous process</b><span style=\"font-weight: 400;\"> </span></h2>\n<span style=\"font-weight: 400;\">This is the bony part that pokes out of the back (posteriorly) &amp; can be felt if you run your finger down someone\'s spine, maybe in the heat of the moment!?</span>\n\n<span style=\"font-weight: 400;\">It is also a muscle attachment site to pull &amp; lever actions like spinal extension, rotation or to stabilise of course!</span>\n\n&nbsp;\n<h2><b>Transverse process</b><span style=\"font-weight: 400;\"> </span></h2>\n<span style=\"font-weight: 400;\">These poke out to the sides &amp; aren\'t so easy to feel on yourself! Transverse comes from the latin word, </span><i><span style=\"font-weight: 400;\">transvertere</span></i><span style=\"font-weight: 400;\"> - which means ‘across’ &amp; ‘turn’. </span>\n\n<span style=\"font-weight: 400;\">These also act as a muscle attachment site to pull &amp; lever actions like lateral flexion, rotation or stabilisation as above.</span>\n\n&nbsp;\n<h2><b>Foramen</b><span style=\"font-weight: 400;\"> </span></h2>\n<span style=\"font-weight: 400;\">This word literally means ‘opening or hole’ inside the body. This is an important gap because it\'s where the spinal cord sits!</span>\n\n<span style=\"font-weight: 400;\">Now this ‘hole’ is made up of 4 ‘sides’ that have names too…..</span>\n\n&nbsp;\n<h2><b>Lamina</b></h2>\n<span style=\"font-weight: 400;\">Means</span><span style=\"font-weight: 400;\"> ‘plate’ or ‘layer’ &amp; this makes up some of the walls that form the vertebral foramen.</span>\n\n&nbsp;\n<h2><b>Pedicle </b></h2>\n<span style=\"font-weight: 400;\">Meaning ‘little foot’ but is a </span><span style=\"font-weight: 400;\">cylinder-shape that sticks out from the back of the vertebral body, providing side protection &amp; sides of the foramen encasing the spinal cord &amp; nerves. </span>\n\n&nbsp;\n<h2><b>Facet joint</b><span style=\"font-weight: 400;\"> </span></h2>\n<span style=\"font-weight: 400;\">Facet means smooth flat surface. </span>\n\n<span style=\"font-weight: 400;\">This is a key joint in the spine because of its role &amp; risk. Being a joint it’s simply where 2 bones meet. The superior articular facet of the vertebra below the inferior articular facet of the vertebra above. Where these 2 surfaces meet creates a facet joint. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The key role of this joint is to limit movement due to its influence on the distance between each vertebrae where the discs are. These discs require space to squish, absorb &amp; cushion movement when we bend in any direction. If these facet joints get too close to each other there is a risk of wear. Now if their job is to limit movement to protect discs &amp; the spinal cord, well wearing of them is bad news as you can imagine!</span>\n\n<span style=\"font-weight: 400;\">How might why wear? Well if that QL muscle (see next blog for spine muscles) gets tight or inhibited it can result in reducing the space between the facet joint = wear</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Or</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If the pelvis is ‘dysfunctional’, shall we say, this can result in one ilium sitting higher than the other, also causing a closing of the gap at the facet joint.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So What? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The brilliantly simple iMoveFreely programme is designed specifically to reduce the risk of these issues through freedom of movement in each part of the body. They are such specific, low grade techniques that they can dramatically influence specific areas of your client’s anatomy, like taking pressure off these facet joints.</span>\n\n&nbsp;\n<h2><b>Thoracic Spine Ranges of Motion </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">When we look at these ‘norms’ of movement in degrees at each thoracic vertebrae, it helps us appreciate what we might expect if we were to test each of these actions listed in the grid below. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Looking at this graph it\'s clear that the thoracic spine tots up its highest ranges of motion in rotation. If we add up the total from C7-L1 it equals 57 degrees of thoracic rotation in either direction…..hopefully!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So if you can keep everything else that contributes to rotation static as best you can then ask your client to rotate their spine, observe how far they rotate, eyeballing from an aerial view, you can evaluate how close, or far, they are to/from the norms below….</span>\n<p style=\"text-align: center;\"><img class=\"aligncenter wp-image-24896\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-16-at-13.40.48.png\" alt=\"\" width=\"624\" height=\"430\" /></p>\n\n<h2><b>Ribs</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Now we really MUST talk about these bony ‘arches’ - rib meaning ‘</span><i><span style=\"font-weight: 400;\">cover, ceiling or arch</span></i><span style=\"font-weight: 400;\">’. The ribs will ONLY attach to the thoracic vertebrae, not the lumbars, not the cervical. </span>\n\n<span style=\"font-weight: 400;\">They’re typically made up of a body, neck, head, tubercle, angle &amp; costal groove - see image.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If you look back up to the image of the thoracic vertebra again &amp; see these 2 areas…….</span>\n\n<b>Transverse costal facet - </b><span style=\"font-weight: 400;\">Transverse you know, costal means relating to ribs, facet - smooth/flat</span>\n\n<b>Superior costal facet - </b><span style=\"font-weight: 400;\">You getting the idea? Superior - upper. Costal - relates to rib. Facet - smooth/flat.</span>\n\n<span style=\"font-weight: 400;\">….these are the landing sites for the ribs to attach to.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">OK I\'d like you to try something now to appreciate rib movements;</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Sit or stand upright &amp; place your palm across your top 5 ribs…..take a breath &amp; feel their movement. </span>\n\n<span style=\"font-weight: 400;\">Now place your palms around your 6-10 ribs &amp; breath, feel the difference in action. </span>\n\n<span style=\"font-weight: 400;\">Now finally place your palms around your last/lowest ribs 11-12 - known as ‘floating’ ribs since they ONLY attach at the back, not at the front, in fact they\'re half the size &amp; therefore can\'t reach the front!! They move quite a bit if you press them, they almost bounce, to allow for large intakes of breath!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">(Ribs 1-8 are known as ‘true’ - why? They truly do attach to the sternum</span>\n\n<span style=\"font-weight: 400;\">Ribs 8-10 known as ‘false’ - why? The just </span><i><span style=\"font-weight: 400;\">pretend</span></i><span style=\"font-weight: 400;\"> to attach to the sternum via the cartilage)</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Now repeat this &amp; imagine their relationship with the thoracic spine &amp; your overall spine\'s mobility. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Can you understand how a stiff thoracic spine can limit breathing capacity? </span>\n\n<span style=\"font-weight: 400;\">Or </span>\n\n<span style=\"font-weight: 400;\">Can you understand how improving your clients thoracic mobility can increase lung capacity?</span>\n<p style=\"text-align: center;\"><img class=\"aligncenter wp-image-24897\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-16-at-13.42.30.png\" alt=\"\" width=\"531\" height=\"334\" /></p>\n\n<h2><b>Interesting Facts about Ribs </b></h2>\n<b>(</b><a href=\"https://www.mentalfloss.com/article/502701/9-interesting-facts-about-ribs\"><span style=\"font-weight: 400;\">https://www.mentalfloss.com/article/502701/9-interesting-facts-about-ribs</span></a><b>)</b>\n\n&nbsp;\n<h3><b>In rare instances we can have a Gorilla Rib!</b></h3>\n<i><span style=\"font-weight: 400;\">In rare cases, which have nothing to do with gender, a human might turn up sporting extra lumbar ribs, for a total of 13 pairs of ribs, much like our distant cousins, the gorillas. Thus, it\'s colloquially known as a \"</span></i><a href=\"https://books.google.com/books?id=9ySapTadd6kC&amp;pg=PA98&amp;lpg=PA98&amp;dq=gorilla+anatomy,+ribs&amp;source=bl&amp;ots=0nYerPFCmB&amp;sig=Dv2nSGDid8va2bZGhWth17MSMg8&amp;hl=en&amp;sa=X&amp;ved=0ahUKEwjR95j_tKrWAhXqgFQKHc8LBKkQ6AEIUTAK#v=onepage&amp;q=gorilla%20anatomy%2C%20ribs&amp;f=false\"><i><span style=\"font-weight: 400;\">gorilla rib</span></i></a><i><span style=\"font-weight: 400;\">.\"</span></i>\n<h3><b>Ribs are the reason Neanderthals didn\'t need belts!</b></h3>\n<h4><i><span style=\"font-weight: 400;\">Neanderthals had </span></i><a href=\"https://books.google.com/books?id=NYg0CwAAQBAJ&amp;pg=PT156&amp;lpg=PT156&amp;dq=neanderthals+rib+cage+shape&amp;source=bl&amp;ots=uGdUFQTT6h&amp;sig=-ugu-Q_8Wa71I8O-jmkmr0dUj98&amp;hl=en&amp;sa=X&amp;ved=0ahUKEwjrjtXjo7TWAhVn5YMKHWUyB5UQ6AEIggEwEw#v=onepage&amp;q=neanderthals%20rib%20cage%20shape&amp;f=false\"><i><span style=\"font-weight: 400;\">wider, thicker rib cages</span></i></a><i><span style=\"font-weight: 400;\"> than we modern slim-waisted humans, which would have made them terrible models for skinny jeans. A </span></i><a href=\"https://www.aftau.org/news-page-archaeology?=&amp;storyid4677=2262&amp;ncs4677=3%5C\"><i><span style=\"font-weight: 400;\">2016 study</span></i></a><i><span style=\"font-weight: 400;\"> in American Journal of Physical Anthropology found that the Ice-Age diet is likely responsible for the larger ribcage and wider pelvis in Neanderthals. Essentially, carbs were scarce and fat was abundant. This led to an enlarged liver, kidneys and \"their corresponding morphological manifestations,\" the authors write. In other words, they needed more space to house bigger organs.</span></i></h4>\n<h3><b>2 Very different kinds of athletes share one common injury…</b></h3>\n<h4><i><span style=\"font-weight: 400;\">\"Rowers and baseball pitchers are the most common athletes to suffer from stress fractures of the ribs,\" Martinez says. This is caused by the serratus anterior muscle pulling on the delicate ribs. \"Other athletes that may be more likely to suffer from rib stress fractures include golfers, dancers, weightlifters and volleyball players,\" he adds.</span></i></h4>\n<h3><b>You can sneeze your way to a rib fracture!</b></h3>\n<h4><i><span style=\"font-weight: 400;\">\"True\" rib fractures—where the bone breaks all the way through—are usually from traumatic events such as \"a hard football tackle [or] car accident,\" Martinez says. However, sometimes a rib fracture can occur \"from sneezing or coughing due to the force of the contracting chest wall muscles on the ribs.\" Treatment for true rib fractures is the same as rib stress fractures.</span></i></h4>\n<h3><b>‘Waist Training’ used to be all the rage….still sometimes is!  </b></h3>\n<h4><i><span style=\"font-weight: 400;\">Women have historically worn corsets, undergarments that cinch the torso in, particularly at the waist, bringing ribs and organs closer together for a smaller waist and more prominent bust. Despite corsets having gone out of fashion </span></i><a href=\"http://tahliamckellartextiles.weebly.com/corset-timeline.html\"><i><span style=\"font-weight: 400;\">by the 1920s</span></i></a><i><span style=\"font-weight: 400;\">, when women began to prefer the looser, more flowing garments of the Flapper era, a number of contemporary women still wear them for reasons ranging from aesthetics to performance art, spawning a practice known as </span></i><a href=\"https://lucycorsetry.com/2013/10/13/waist-training-vs-tight-lacing/\"><i><span style=\"font-weight: 400;\">tight lacing or waist training</span></i></a><i><span style=\"font-weight: 400;\">. In this movement, women actively whittle their waists down to exceptionally small circumferences.</span></i></h4>\n<a href=\"https://www.usatoday.com/story/news/nation-now/2015/11/05/waist-whittlers-dangers/75225022/\"><i><span style=\"font-weight: 400;\">Doctors warn</span></i></a><i><span style=\"font-weight: 400;\"> that there is risk of permanent damage to squished organs, as well as such uncomfortable syndromes as acid reflux syndrome and back pain. But it doesn\'t stop those who love the look!</span></i>\n\n&nbsp;\n<h2><b>Sternum &amp; friends...                                                               <img class=\"wp-image-24898 alignright\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-16-at-13.45.41.png\" alt=\"\" width=\"248\" height=\"377\" /></b></h2>\n&nbsp;\n<h2><b>Jugular notch</b><span style=\"font-weight: 400;\"> </span></h2>\n<span style=\"font-weight: 400;\">Latin roots, </span><i><span style=\"font-weight: 400;\">Jugulum</span></i><span style=\"font-weight: 400;\"> meaning </span><span style=\"font-weight: 400;\">throat or collarbone</span>\n<h2><b>Manubrium</b><span style=\"font-weight: 400;\"> </span></h2>\n<span style=\"font-weight: 400;\">F</span><span style=\"font-weight: 400;\">rom </span><i><span style=\"font-weight: 400;\">manus</span></i><span style=\"font-weight: 400;\"> for hand. </span><span style=\"font-weight: 400;\">Manubrium</span><span style=\"font-weight: 400;\"> means to be a handle.\n</span>\n<h3><b>Sternum </b></h3>\n<b> </b><span style=\"font-weight: 400;\">From the </span><span style=\"font-weight: 400;\">Greek word </span><i><span style=\"font-weight: 400;\">sternon</span></i><span style=\"font-weight: 400;\">, ‘chest, breast, or breastbone’ from a root that means ‘flat surface.’</span>\n<h2><b>Xiphoid process</b></h2>\n<span style=\"font-weight: 400;\">Greek </span><span style=\"font-weight: 400;\">word </span><i><span style=\"font-weight: 400;\">xiphos</span></i><span style=\"font-weight: 400;\"> for ‘straight sword’</span>\n\n&nbsp;\n<h2><b>Lumbar Spine </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Lumbar vertebrae, of which there are 5, are much stockier than their thoracic buddies due to having more load on top of them, therefore designed wider to support the extra load. Look at the difference here then go back to compare to the thoracic vertebrae above…..  </span>\n<p style=\"text-align: center;\"><img class=\"aligncenter wp-image-24899\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-16-at-13.47.56.png\" alt=\"\" width=\"416\" height=\"366\" /></p>\n\n<h2><b>Lumbar Spine Ranges of Motion</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">As we did earlier for the thoracic spine, here we can see the ‘norms’ of ranges in degrees for the lumbar spine. Can you see that the lumbar spine has more capacity for flexion? Interesting eh! Remember the lumbar spine is ‘normally’ in extension, or lordosis, so it should make sense that the ranges it can achieve in flexion will be greater. However its capacity for rotation is only 3-4 degrees at each joint.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">How do you imagine this would relate to movement or assessing movement?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Remember we can use these norms to evaluate a client\'s capacity. Subjective - yes to some degree but better than no evaluation at all, right!? </span>\n<p style=\"text-align: center;\"><img class=\"aligncenter wp-image-24900\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-16-at-13.49.35.png\" alt=\"\" width=\"463\" height=\"271\" /></p>\n<span style=\"font-weight: 400;\">For </span><b>Sacrum &amp; Coccyx</b><span style=\"font-weight: 400;\"> - see Pelvis Biomechanics Part 1- The Bones!</span>\n\n&nbsp;\n<h2><b>Neutral Spine</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The neutral spine position can be a controversial topic, which is likely due to the varying presentations that could be deemed ‘neutral’, the fact we are rarely in our ‘neutral’ &amp; yet some schools of thought teach ‘</span><i><span style=\"font-weight: 400;\">neutral spine</span></i><span style=\"font-weight: 400;\">’ as a position we should be able to get into &amp; sustain while moving. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">What is a neutral spine anyway?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Well I will have a go at explaining my thoughts based upon my limited knowledge &amp; understanding of its definition. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Regular spines are usually made up of a series of curves that either curve away from or toward the body</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Cervical &amp; Lumbar areas are concave or are </span><i><span style=\"font-weight: 400;\">lordotic</span></i><span style=\"font-weight: 400;\">. </span>\n\n<b>Lordotic - </b><span style=\"font-weight: 400;\">Greek word from lordos meaning ‘bent backward’</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Whereas the Thoracic &amp; Sacrum areas are convex or kyphotic. </span><b>Kyphotic - </b><span style=\"font-weight: 400;\">Greek word </span><i><span style=\"font-weight: 400;\">kyphos</span></i><span style=\"font-weight: 400;\"> ‘crooked’</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">From the side view this gives an ‘S’ shape….or that\'s what we would normally expect.</span>\n\n<span style=\"font-weight: 400;\">When these ‘normal’ curves are present it should mean the discs have the same pressure around the outer edges - anterior to posterior &amp; laterally. </span>\n\n<span style=\"font-weight: 400;\">So when our client’s round their spine forwards into flexion or over a computer, they are creating more pressure to the anterior (front) of the spine/discs etc, which is fine - until it\'s done consistently for days, weeks, months &amp; years. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">As our bodies evolve &amp; adapt to our surroundings it\'s no surprise that our spinal curves are changing. So much so that different cultures, different people, different lifestyles can result in different degrees of ‘S’ shape.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This means that being able to coach a neutral spine is contentious if/when we have a variety of presentations. How would we know what neutral spine is when we cannot see the actual spine? It\'s subjective but it shouldn’t stop us coaching better intrinsic function &amp; movement.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">In some individuals they can even present with a more J shape to their spine. Flatter but with a curve at the top of the buttocks!</span>\n\n&nbsp;\n<h2><b>Hyper Spines !!!???</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">It is misinterpreted that lordosis is a </span><span style=\"font-weight: 400;\">condition or diagnosis</span><span style=\"font-weight: 400;\">. In fact I have often been told by clients “</span><i><span style=\"font-weight: 400;\">I have lordosis</span></i><span style=\"font-weight: 400;\">” because they were told this by their practitioner, or had read it somewhere, but this statement is not technically accurate &amp; can be confusing. </span>\n\n<span style=\"font-weight: 400;\">Lordosis is a position NOT a diagnosis &amp; this is the same with kyphosis.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However HYPERlordosis or HYPERkyphosis could be deemed excessive curvature. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Hyper = ‘over &amp; beyond’</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The ‘diagnosis’ can only be made by a qualified practitioner &amp; would likely be because they suspected that this exaggerated spine shape is the cause of reported symptoms. </span>\n\n<span style=\"font-weight: 400;\">To ‘measure’ degrees of curvature could be challenging when you consider how unique we all are. So addressing the symptoms rather than the actual curve, or the things that can affect our curves, would probably result in more success…...what do you think?</span>\n\n&nbsp;\n<h2><b>Scoliosis</b><span style=\"font-weight: 400;\"> </span></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">This is a structural lateral curve of the bones that is likely more visible from the back. Severity again can vary greatly &amp; it doesn\'t guarantee having symptoms.  </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However the appearance of a lateral ‘scoliotic’ curve can be caused by soft tissue tensions too! </span>\n\n<span style=\"font-weight: 400;\">That pesky lil QL again! </span>\n\n<span style=\"font-weight: 400;\">Ooooooo betcha can\'t wait for </span>\n\n<span style=\"font-weight: 400;\">Spine Biomechanics - Part 4 The Muscles of the Spine now!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Whoah before that…...</span>\n\n&nbsp;\n<h2><b>Spine Biomechanics So what?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Look, keeping this super simple in application, the spine SHOULD present with a nice smooth ‘C’ shaped curve when we bend in any direction. </span>\n\n<span style=\"font-weight: 400;\">If it does not, what direction does your client struggle with? Flexion?</span>\n\n<span style=\"font-weight: 400;\">Extension? Rotation?</span>\n\n<span style=\"font-weight: 400;\">Is there an asymmetry from one side to the other?</span>\n\n<span style=\"font-weight: 400;\">Does it feel stiff or tight?</span>\n\n<span style=\"font-weight: 400;\">What would you understand to be the intervention for a stiff joint?</span>\n\n<span style=\"font-weight: 400;\">Remember ‘pain’ is a red flag &amp; only the remit of a qualified practitioner. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">OPTIONAL TEST -Can you name these diagrams?</span>\n<p style=\"text-align: center;\"><img class=\"aligncenter wp-image-24901\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-16-at-13.51.37.png\" alt=\"\" width=\"411\" height=\"564\" /></p>\n\n<h3><span style=\"font-weight: 400;\">Any questions please hit reply/comment &amp; share if you think it will be helpful to others!</span></h3>\n&nbsp;\n<h1><span style=\"font-weight: 400;\">NEXT TIME;</span></h1>\n<h1><b>Spine Biomechanics - Part 4 The Muscles of the Spine now!</b></h1>\n&nbsp;\n<h2><span style=\"font-weight: 400;\">Remember we have several online educational programmes to compliment this blog series!</span></h2>\n<h2>Why not CLICK ON one now?</h2>\n<h2><a href=\"https://www.biomechanicseducation.com/product/intrinsic-biomechanics-online-cpd-mega-bundle/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Lockdown Bundle Online CPD Training </span></a></h2>\n<h2><a href=\"https://www.biomechanicseducation.com/product/pelvic-spine-biomechanics-online-cpd-training/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Pelvic &amp; Spine Biomechanics Online CPD Training </span></a></h2>\n<h2><a href=\"https://www.biomechanicseducation.com/product/imovefreely-instructor-online-virtual-workshop/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">iMoveFreely Instructor Online CPD Training</span></a></h2>\n<h2><a href=\"https://www.biomechanicseducation.com/product/weak-glutes-free-webinar/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">FREE Weak Glutes Webinar </span></a></h2>\n<h2><a href=\"https://www.biomechanicseducation.com/product/5-steps-to-a-successful-online-presence-free-webinar/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">FREE 5 Steps to a successful online presence </span></a></h2>','Spine Biomechanics - Part 3 - The Bones of the Spine','','inherit','closed','closed','','24894-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',24894,'https://biomechanicseducation.com/?p=38650',0,'revision','',0),
(38651,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<h1><span style=\"font-weight: 400;\">Pelvic (Hip) Biomechanics - Part 2 - The Muscles of the Hip</span></h1>\n&nbsp;\n<h4><span style=\"font-weight: 400;\">This is the second on this series having discussed <a href=\"https://www.biomechanicseducation.com/pelvic-hip-biomechanics-part-1-the-bones/\" target=\"_blank\" rel=\"noopener noreferrer\">Pelvic (Hip) Biomechanics - Part 1 - The Bones of the Hip  &lt;&lt; HERE</a></span></h4>\nThose of you who read these blogs regularly will recall my encouragement to \'forget the muscles\' to better understand movement. Hopefully you will have been practicing that for some time now &amp; have some degree of confidence with understanding hip flexion, extension, abduction etc etc for example. This series is now aimed at increasing more detailed anatomy knowledge &amp; recall by giving relevance to the bones &amp; muscles that produce these movements.\n\nThere are of course many more structures that we could explore but I am going to focus on key areas that should be more familiar &amp; will be most helpful when you want to help your clients move more freely, with more confidence &amp; in less pain.\n\n&nbsp;\n\nOne thing I find helpful is visual word association &amp; so researching the history of how certain muscles or anatomy got its name (usually from latin/Greek origin) can help with recall sometimes. Why not reply or leave a comment below with your tactics &amp; methods for recall?\n\n&nbsp;\n\nSo heres what I would like you to do right now......Firstly save the URL to these pages to somewhere you can easily access them when you\'re having a little educational screen time....go on, I will wait.....\n\nNow just take one section, one muscle or one area at a time. As you read each section grab your anatomy book, if you have a skeleton grab that too, along with a resistance band &amp; physically place the ends of the band on your skeleton using this blog &amp; your manual for each muscle.\n\n&nbsp;\n\nVISUALISE the attachments\n\nIMAGINE the line/s of pull\n\nPerform that muscle\'s action yourself - yes lift/move your leg\n\nFeel the area while VISUALISING again - palpating or feeling your own muscles\n\nList &amp; consider the movements or exercises that muscle will produce or assist\n\nWrite as many of them as you can down in your anatomy /exercise library note book\n\nThen learn techniques to improve the function of each area/muscle or movement.\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Anatomy can be studied for many many years with still so many more new things to learn. Even though I have been a movement geek for 3 decades I still feel there is so much more I can learn! By creating these blogs for you I am reinforcing &amp; refreshing my own recall &amp; anatomical vocabulary....so thank YOU!</span>\n\n<span style=\"font-weight: 400;\">It is my hope that this series gives us all a little bit more confidence when understanding anatomy, discussing anatomy &amp; analysing it. Just i</span><span style=\"font-weight: 400;\">magine this is a continuation of your original anatomy study &amp; preparation for further learning on other educational programmes.</span>\n\n<span style=\"font-weight: 400;\">So shall we begin at the bottom……? The bum, the butt...</span>\n\n&nbsp;\n<h1><b>The Glutei</b><b> OR Gluteals!</b></h1>\n&nbsp;\n\n<b>Plural name for the ‘glutes’ </b>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Possibly the MOST talked about muscle group in our industry, right!? Why do we think that is?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It relates to pelvic function?</span>\n\n<span style=\"font-weight: 400;\">Commonly thought of as ‘weak’?</span>\n\n<span style=\"font-weight: 400;\">We sit on them a LOT?</span>\n\n<span style=\"font-weight: 400;\">They relate to all of the compound moves?</span>\n\n<span style=\"font-weight: 400;\">They relate to a sexiness scale on instagram in booty shots? </span>\n\n<span style=\"font-weight: 400;\">Who knows….? All of the above maybe?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">But how well do we understand each of them technically? their attachments? their actions?</span>\n\n<span style=\"font-weight: 400;\">Also which exercises/movements they contribute to? </span>\n\n&nbsp;\n<h2><b>Gluteus Maximus </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">This name speaks for itself as it is the biggest buttock / rump &amp; it is also the primary hip extensor, (assisted by the top portion of 3 hamstrings) its also a lateral rotator of the hip, an abductor of the hip where it feeds into the ITB &amp; guess what!? the lower fibres actually </span><i><span style=\"font-weight: 400;\">adduct</span></i><span style=\"font-weight: 400;\"> the hip where they attached to the back of the femur. </span>\n\n<span style=\"font-weight: 400;\">So it could be argued it is an antagonist to itself - oooer!</span>\n\n<span style=\"font-weight: 400;\">It does all of this because it attaches to the coccyx, the sacrum, posterior or back of the iliac crest, (along with the sacrotuberous &amp; sacroiliac ligaments) &amp; down into the ITB (iliotibial band or tract) &amp; the gluteal tuberosity. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">LOOK...</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24770\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/1401137150-huge-scaled-1.jpg\" alt=\"\" width=\"560\" height=\"560\" />\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Now consider what is happening when you sit on this bad boy for prolonged periods. It is known as a prime mover in fundamental movements like squats, deadlifts, bending over, standing up, sitting down &amp; has some input into walking with more involvement when climbing the stairs due to the extra range required. It is also a stabiliser when standing &amp; co-contracting with the hip flexors. These 2 muscle groups should apparently have a balanced 1:1 ratio of strength. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">NOTE: It is important to understand the ‘Gluteal’s’ roles individually because often they are misunderstood due to the lazy way they can be discussed as a group on social media; for example.</span>\n\n<span style=\"font-weight: 400;\">When looking at their actions that they are actually antagonistic to each other so its important to appreciate what this could mean when conditioning them or testing their capacity.</span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">To test Glute Maximus’s performance remember its primary role is in hip extension. </span></i>\n\n<i><span style=\"font-weight: 400;\">So super simple test hip extension!</span></i>\n\n<i><span style=\"font-weight: 400;\">To test hip extension you could simply ask your client to perform a high step up &amp; observe... </span></i>\n\n<i><span style=\"font-weight: 400;\">What happens at their hip? </span></i>\n\n<i><span style=\"font-weight: 400;\">Do they need to push off the bottom foot to assist the glute max being tested? </span></i>\n\n<i><span style=\"font-weight: 400;\">What could this mean? </span></i>\n\n<i><span style=\"font-weight: 400;\">What could you do?</span></i>\n\n&nbsp;\n<h2><b>Gluteus Medius </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The name Medius again gives us its location &amp; comparative size to its siblings, meaning middle or medium. </span>\n\n<span style=\"font-weight: 400;\">Attaching to the ilium, below the crest, to the lateral aspect (outer bit) of the greater trochanter means all its fibres will abduct the hip. However its anterior (front) fibres flex &amp; medially rotate the hip while the posterior fibres extend &amp; laterally rotate it...ooooo fancy that!</span>\n\nIts unsurprising learning anatomy can be tough eh!\n\nWe are given rules to follow or boxes to fill when we learn anatomy in the beginning but the more we learn, the deeper level we get to understand &amp; appreciate anatomy, the more complex it appears - BUT trust me in application it can always be simplified for working with a client!\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24771\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_1377046316-scaled-1.jpg\" alt=\"\" width=\"419\" height=\"559\" />\n\n&nbsp;\n\n<b>Gluteus Minimus</b><span style=\"font-weight: 400;\"> - Yup you guessed it means the smallest! - this little beauty abducts, flexes &amp; internally rotates the hip because it attaches, similarly to glute medius, to the outer edge of the greater trochanter but its underneath medius muscle on the flat outer surface of the ilium. </span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24772\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_1350320282-scaled-1.jpg\" alt=\"\" width=\"376\" height=\"501\" />\n\n<span style=\"font-weight: 400;\">All this said, let\'s simplify the role of the glutei in movement.</span>\n\n<span style=\"font-weight: 400;\">Collectively they produce ‘primarily’ hip extension, hip abduction &amp; hip stabilisation during fundamental movements. Max being the big hip extensor &amp; Min/Med the main Abductors…..see other contributors coming up.</span>\n\n&nbsp;\n\n<b>So What?</b><span style=\"font-weight: 400;\"> - Well we do spend quite a bit of time squelched on top of Glute Max, maybe if we sit on the side of our hip we are also squelching glute min/med somewhat too. We do this for prolonged periods then we expect them to produce all of these actions as well as stabilise our spine/upper body &amp; head on top while controlling the motion of our limbs below!</span>\n\nThe brain is fantastic at creating physical compensations to adapt to the environment we live in &amp; enable our body to reserve energy. This alters the functionality of the compensatory structures. so the example of sitting isn\'t necessarily bad for us, its the lack of physical variety that our body responds negatively to over time.  The best &amp; simplest advice we can give to our clients is to keep changing position &amp; keep moving, along with safe, effective &amp; evidence backed techniques like the ones in the iMoveFreely programme.\n\n&nbsp;\n<h1><b>Hip Flexors </b></h1>\n<h2><b>Iliopsoas</b></h2>\n<span style=\"font-weight: 400;\">This is the group name for the iliacus &amp; psoas major for obvious reasons in its name. Should you buy one from the butcher he’d call it tenderloin or filet mignon! (<em>Andrew Biel, Trail Guide to the Body, 2010)</em></span>\n\n&nbsp;\n<h2><b>Iliacus</b></h2>\n<span style=\"font-weight: 400;\">Meaning it relates to the ilium (one of the 3 fused portions of the pelvis). When I see this muscle in books it always reminds me of a waterfall pouring from the top of the ilium, over the iliac fossa &amp; down to the femur’s lesser trochanter.</span>\n\n<span style=\"font-weight: 400;\">It flexes the hip or flexes the trunk depending which end is fixed! It also tilts (pulls) the pelvis anteriorly (down at the front). </span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24773\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_293557031-scaled-1.jpg\" alt=\"\" width=\"466\" height=\"622\" />\n<h2><b>Psoas Major</b></h2>\n<span style=\"font-weight: 400;\">Meaning ‘plural muscles of the loin’ - This \'</span><i><span style=\"font-weight: 400;\">phat\' </span></i><span style=\"font-weight: 400;\">bad boy travels from the transverse processes (outer sticky out bits of the spine) &amp; bodies of each vertebrae of the lumbar spine L1-4 to the femur’s lesser trochanter (the smaller bump). This means it flexes the hip or trunk &amp; tilts the pelvis anteriorly like iliacus. </span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24774\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_223319263-scaled-1.jpg\" alt=\"\" width=\"472\" height=\"630\" />\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\"><strong>NOTE</strong>: Books often state “Iliopsoas MAY laterally rotate the hip”....!? Having done a little research &amp; after speaking to my clinician colleagues this is likely based on our understanding of its anatomy BUT it\'s a tough one to set up &amp; prove in a lab - which proves how intricate &amp; phenomenal our intrinsic structures are! I even came across a very old paper that stated….. \"</span></i><i><span style=\"font-weight: 400;\">Reference to sixteen anatomical text-books for the rotating functions of the iliacus and psoas major muscles shows that five favoured these muscles as </span></i><b><i>medial rotators</i></b><i><span style=\"font-weight: 400;\">, six as lateral rotators, and five made no mention of the rotating functions.\" (ROTATING FUNCTIONS OF THE ILIACUS AND PSOAS MAJOR MUSCLES, R. RUSSELL BEST &amp;</span></i> <i><span style=\"font-weight: 400;\">P. M. BANCROFT, 1899) </span></i>\n\n<span style=\"font-weight: 400;\">A good piece of advice would be to always check your source, its year of publication &amp; validity!!!</span>\n<h2><b>Psoas Minor </b></h2>\n<span style=\"font-weight: 400;\">Andrew Biel also shares in his book Trail Guide to the Body, the idea that only 40% of the population has this muscle - IF you do have one it is thought to assist lumbar extension BUT also posteriorly tilt the pelvis - opposite to major! </span>\n\n<span style=\"font-weight: 400;\">HOW?</span>\n\n<span style=\"font-weight: 400;\">This is due to its attachment to ramus of pubis from the body &amp; transverse process of L1. </span>\n\n&nbsp;\n\n<b>So What?</b><span style=\"font-weight: 400;\"> - </span><span style=\"font-weight: 400;\">Prolonged sitting wont help the antagonist competitors (the hip flexors &amp; adductors) which could also result in them ‘inhibiting’ the functionality of each other!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\"><strong>NOTE: Hip Extensors V’s Hip Flexors?</strong> - which is the inhibited &amp; which is the inhibitor? This is often the conundrum I start with when I am working with a new client. Using the Downing\'s Sign, 4 sign, Modified Thomas &amp; Gillet’s pelvic function tests I can identify dysfunction &amp; prescribe the relevant iMoveFreely technique/s prior to the clients strength training programme. iMoveFreely works as a periodised preparation programme &amp; allows me to identify what is inhibiting what.</span>\n\n&nbsp;\n<h2><b>Tensor Fasciae Latae</b><span style=\"font-weight: 400;\"> (TFL) </span></h2>\n<span style=\"font-weight: 400;\">This is likely to be one of the key muscles we should consider INSTEAD of </span><i><span style=\"font-weight: 400;\">stripping out</span></i><span style=\"font-weight: 400;\"> (in massage) </span><i><span style=\"font-weight: 400;\">or crushing</span></i><span style=\"font-weight: 400;\"> the IT Band (with a foam roller) when experiencing painful runners\' knee for example! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">TFL feeds into the ITB from the iliac crest just behind the ASIS.</span>\n\n<span style=\"font-weight: 400;\">Known as the ‘stretcher’ of the sideband (or ITB). This is a cute contributor when running, swimming, cycling, climbing because it helps with hip flexion, internal rotation &amp; abduction of the hip!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\"><strong>NOTE</strong>: The ITB is a fascial structure, NOT muscle, but a thick band thats job is to stabilise the hip &amp; knee. So it is </span><i><span style=\"font-weight: 400;\">supposed</span></i><span style=\"font-weight: 400;\"> to hold tension for knee stability ie you do not want a loose ITB! However when we learn its anatomical relationship with TFL &amp; Glute Max can you now think of ways to improve the function of the ITB?</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24775\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_149230190-scaled-1.jpg\" alt=\"\" width=\"520\" height=\"650\" />\n<h2><b>Sartorius </b></h2>\n<span style=\"font-weight: 400;\">Whenever</span> <span style=\"font-weight: 400;\">I say this muscle\'s name I feel I have to sing it like a Greek gods name with emphasis …...</span><i><span style=\"font-weight: 400;\">Sartooooooooorius! </span></i><span style=\"font-weight: 400;\">Makes me think of movies like \'300\' with Gerrad Butler. It also brings to mind a super lean body builder because you would need to be super lean to show off on stage this snake-like beauty as it weaves from the ASIS down to the medial tibia meaning…..</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\"><strong>NOTE</strong>: THIS IS THE 4 SIGN POSITIONER MUSCLE!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">You will never forget the attachments for this one if you think of it as the 4 Sign positioner. It will flex, laterally rotate &amp; abduct hip. It will also flex, &amp; medially rotate the knee. So if you try these movements combined you will notice it is the movement you do to get into the 4 Sign pelvic muscle energy technique! </span>\n\n<span style=\"font-weight: 400;\">Latin word </span><i><span style=\"font-weight: 400;\">sartor</span></i><span style=\"font-weight: 400;\"> meaning </span><i><span style=\"font-weight: 400;\">tailor</span></i><span style=\"font-weight: 400;\"> due to this old time professionals 4 sign posture when </span><i><span style=\"font-weight: 400;\">tailoring</span></i><span style=\"font-weight: 400;\"> or making clothes.</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24776\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_303065684-scaled-1.jpg\" alt=\"\" width=\"422\" height=\"562\" />\n<h1><b>Lateral Rotators</b></h1>\n<h2><b>Piriformis</b></h2>\n<span style=\"font-weight: 400;\">Pear shaped little buggar that can be an irritant to so many of our clients, &amp; ourselves! </span>\n\n<span style=\"font-weight: 400;\"> WHY? </span>\n\n<span style=\"font-weight: 400;\">Maybe because of its depth in the body &amp; also its importance during so many fundamental movements since it crosses that popular discussion topic, the SIJ (sacroiliac joint). It could be described as a key ‘core muscle’ of the pelvis because of its pathway from the front of the sacrum to the greater trochanter (bigger nobbly bit on the femur)</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">When functioning well piriformis can laterally rotate the femur when the hip is extended (or below 70-90 degrees of flexion) while standing for example</span>\n\n<span style=\"font-weight: 400;\">BUT</span>\n\n<span style=\"font-weight: 400;\">It becomes an antagonist to itself &amp; is an internal rotator when the hip is flexed above 70-90 degrees or you sit or lift your leg up!</span>\n\n<span style=\"font-weight: 400;\">Don\'t panic if you find that tricky to comprehend its role in movement as it is ALWAYS an abductor, being a stronger abductor when the hip is flexed.</span>\n\nIf you want to understand type \'piriformis action\' into YouTube\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24777\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_293555465-scaled-1.jpg\" alt=\"\" width=\"462\" height=\"615\" />\n<h2><b>Quadratus Femoris</b></h2>\n<span style=\"font-weight: 400;\">Quadratus means quadrilateral or square &amp; femoris links to the femur. So its very name gives us at least one attachment site at the back of the</span><i><span style=\"font-weight: 400;\"> femur</span></i><span style=\"font-weight: 400;\"> to the itchy bum (or ischium) so it will help to laterally rotate the leg/hip.</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24786\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-09-at-09.03.16.png\" alt=\"\" width=\"249\" height=\"354\" />\n<h2><b>Obturator Internus</b></h2>\n<span style=\"font-weight: 400;\">Obturator means ‘to close up’, internus - deeper inside the pelvis I guess!?</span>\n\n<span style=\"font-weight: 400;\">This muscle (&amp; its sibling, the obturator externus - see below) </span><span style=\"font-weight: 400;\">act to rotate the thigh laterally when it is extended &amp; to abduct it in the flexed position. This is because it attaches to the inferior (lower) surface of the obturator foramen (opening/hole) to the medial surface of greater trochanter (trokhos Greek word for wheel).</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24784\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-09-at-08.59.52.png\" alt=\"\" width=\"252\" height=\"339\" />\n<h2><b>Obturator Externus</b></h2>\n<span style=\"font-weight: 400;\">See above for actions &amp; this muscle</span><span style=\"font-weight: 400;\"> does this because of its attachments from the Rami (meaning branch - remus is singular, rami plural) of pubis (part of pelvis behind the pubic hair) &amp; itchy bum (ischium) to the trochanter fossa (ditch) - anything being memorised yet???</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24785\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-09-at-08.59.31.png\" alt=\"\" width=\"232\" height=\"339\" />\n<h2><b>The Gemellus Twins </b></h2>\n<span style=\"font-weight: 400;\">Gemellus literally means \'twin\'</span>\n\n<b>Gemellus Superior </b><span style=\"font-weight: 400;\">- Top twin laterally rotates via its attachment to medial (inside) surface of greater trochanter exactly like its twin - see below but G. Superior also attaches to the ischial spine above </span><b>Gemellus Inferiors </b><span style=\"font-weight: 400;\">attachment to the ischial tuberosity (</span><i><span style=\"font-weight: 400;\">tuber</span></i><span style=\"font-weight: 400;\"> is latin for swelling or lump)</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24781\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_1757766335-scaled-1.jpg\" alt=\"\" width=\"478\" height=\"478\" />\n\n&nbsp;\n\n<b>So What? </b><span style=\"font-weight: 400;\">- These can be evaluated as part of the Dowings sign &amp; 4 sign pelvis tests again. </span>\n<h2><b>Pelvic Floor</b></h2>\n<span style=\"font-weight: 400;\">Just like a trampoline, the pelvic floor is flexible &amp; can move up &amp; down. It also creates a surface (floor) for the pelvic organs to lie upon: the bladder, uterus &amp; bowels. </span>\n\n<span style=\"font-weight: 400;\">Remembering it is a muscle we often talk about it being lax or ‘weak’ BUT maybe we should also consider its ability to ‘function’ normally like other muscles. Ie Could it simply become dysfunctional or inhibited or develop an altered state that needs lengthening &amp; loading like in a body weight A2G squat for example?</span>\n\n<span style=\"font-weight: 400;\">Feel free to send your thoughts along with justifications... of course!</span>\n\n&nbsp;\n<h1><b>Adductors</b></h1>\n<h2><b>Adductor Magnus - My favourite muscle!!</b></h2>\n<span style=\"font-weight: 400;\">LOVE LOVE LOVE this beauty - why? I am a geek &amp; it brings me joy to see its shape &amp; I appreciate its role in assisting other actions other than its primary role. </span>\n\n<span style=\"font-weight: 400;\">Magnus means large, adduct meaning </span><i><span style=\"font-weight: 400;\">adding</span></i> <span style=\"font-weight: 400;\">“toward” &amp; ducere </span><b>meaning</b><span style=\"font-weight: 400;\"> “to lead or to draw.” A. Magnus is known as the ‘floor of the adductors’ &amp; also the 4th hamstring due to its posterior fibres assistance in hip extension. It can do this because it starts at the pubis/ischium &amp; travels to the medial (inside) lip of the linea aspera (which means rough line &amp; this ‘lip’ or ridge runs down the femur). At its base of adductor magnus there is a hole or </span><i><span style=\"font-weight: 400;\">hiatus</span></i><span style=\"font-weight: 400;\"> (meaning to gape or yawn) </span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24780\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_303082580-scaled-1.jpg\" alt=\"\" width=\"418\" height=\"557\" />\n<h2><b>Adductor Longus </b></h2>\n<span style=\"font-weight: 400;\">Guess what the word longus means?…..You guessed it….Long!! Pubis to linea aspera again similar to its short a** bro below….</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24782\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_293551259-scaled-1.jpg\" alt=\"\" width=\"368\" height=\"490\" />\n<h2><b>Adductor Brevis </b></h2>\n<span style=\"font-weight: 400;\">Latin for short in size - Keeping it simple from the pubis to linea aspera.</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24783\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-09-at-08.58.26.png\" alt=\"\" width=\"242\" height=\"354\" />\n<h2><b>Pectineus</b></h2>\n<span style=\"font-weight: 400;\">This interesting word actually means </span><i><span style=\"font-weight: 400;\">comb</span></i><span style=\"font-weight: 400;\">! </span>\n\n<span style=\"font-weight: 400;\">It is our most anterior adductor, once again from the pubis to the femur </span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24778\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_303067988-scaled-1.jpg\" alt=\"\" width=\"378\" height=\"504\" />\n<h2><b>Gracilis </b></h2>\n<span style=\"font-weight: 400;\">Adducts obviously but this word means </span><i><span style=\"font-weight: 400;\">slender</span></i><span style=\"font-weight: 400;\"> from its latin history &amp; is the only adductor that crosses the knee.</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24779\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/shutterstock_293550401-scaled-1.jpg\" alt=\"\" width=\"408\" height=\"545\" />\n\n&nbsp;\n\n<b>So What?</b><span style=\"font-weight: 400;\"> - We can use tests for coxa valga, vara to identify if a client actually has a geometry that limits abduction. Tight adductors isnt as much of an issue as many think. </span>\n\n&nbsp;\n\n<b><i>Internal or Medial rotation</i></b><i><span style=\"font-weight: 400;\"> of the thigh at the hip joint is produced by glute medius, minimus, TFL &amp; is </span></i><i><span style=\"font-weight: 400;\">aided</span></i><i><span style=\"font-weight: 400;\"> by the contractions of the </span></i><b><i>gracilis, adductor longus, adductor magnus when there is knee flexion</i></b><i><span style=\"font-weight: 400;\">.</span></i>\n\n&nbsp;\n<h1><b>Actions at the pelvis / hip</b></h1>\n<h3>To enable out clients to enjoy a fully functioning pelvis we could assess their ability to perform each of these movements &amp; those that appear to have lost some degree of \'quality\' to their \'performance\' we might want to consider how we can coach special techniques like iMoveFreely to improve the movement. Then ask them to perform it again &amp; see what happens!</h3>\n<span style=\"font-weight: 400;\">Posterior tilt - greek for ‘coming after’ </span>\n\n<span style=\"font-weight: 400;\">Anterior tilt - ‘going before’ in time sequence</span>\n\n<span style=\"font-weight: 400;\">Circumduction - circular or conical</span>\n\n<span style=\"font-weight: 400;\">Abduction - to abduct or \'take away\'</span>\n\n<span style=\"font-weight: 400;\">Adduction - to add to or towards </span>\n\n<span style=\"font-weight: 400;\">Flexion - latin for \'bend\'</span>\n\n<span style=\"font-weight: 400;\">Extension - latin for \'stretch out\'</span>\n\n<span style=\"font-weight: 400;\">Internal / Medial rotation - rotate inwards</span>\n\n<span style=\"font-weight: 400;\">External / Lateral rotation - rotate outwards</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\"><b>Another option </b></span><span style=\"font-weight: 400;\">Would you like to learn some tests via online workshops &amp; a manual to enhance this information even further &amp; how to assess your clients pelvis &amp; spine online?!?!</span>\n\n&nbsp;\n<h2><a href=\"https://www.biomechanicseducation.com/product/pelvic-spine-biomechanics-online-cpd-training/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\">CLICK HERE &gt;&gt; Pelvic &amp; Spine Biomechanics Online CPD Training </a></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Pelvic Biomechanics Practical Anatomy Webinar - Part 1 &amp; 2 The bones, muscles &amp; actions</span>\n\n<a href=\"https://www.biomechanicseducation.com/product/pelvic-biomechanics-practical-anatomy-part-1-the-bones-muscles-actions/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Available to purchase £27 HERE</span></a>','Pelvic (Hip) Biomechanics - Part 2 - The Muscles of the Hip','','inherit','closed','closed','','24764-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',24764,'https://biomechanicseducation.com/?p=38651',0,'revision','',0),
(38652,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<span style=\"font-weight: 400;\">If you are concerned about losing clients AGAIN I urge you to stay with me &amp; keep reading. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Most of you will have concerns about how you will keep clients during yet another lockdown. Some of you will have already adapted but may be looking for ideas to attract lost or new clients and of course there are some of you that if you are having success PLEASE PLEASE PLEASE SHARE your ideas. We are in this together so when it works tell your peers!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Let\'s strategise, stay focused &amp; feel in control during lockdown 2.0</span>\n\n&nbsp;\n<h2><b>1). Reduce fear/anxiety </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Covid-19 Awareness CPD training certificate! </span>\n\n<span style=\"font-weight: 400;\">Have you got yours?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If not then I encourage you to get one - see CIMSPA or THINKTREE for the most relevant one to your industry. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then DISPLAY IT! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">WHY?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We must let our clients know how qualified we are instead of waiting for them to ask to see these things. This reduces concerns that they may not raise with you &amp; if they are choosing between practitioners it might be the thing that makes their mind up!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Consider this as a way to reduce anxieties by letting clients, present clients &amp; potential clients, know that you take pride in your role &amp; have all of the safety requirements in place. </span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter  wp-image-24649\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/11/Screenshot-2020-11-03-at-12.38.44.png\" alt=\"\" width=\"693\" height=\"434\" />\n\n&nbsp;\n<h2><b>2). Pick up the phone &amp; call them!</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">When was the last time you actually sat down and rang all of your clients? </span>\n\n<span style=\"font-weight: 400;\">Even the ones that you haven\'t seen for a while?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Having spoken to several of you over the last 7 months it\'s clear we are losing a degree of connection with our clients, more so when training them online or via zoom or facebook.</span>\n\n<span style=\"font-weight: 400;\">We really must remind them WE CARE!</span>\n\n<span style=\"font-weight: 400;\">Picking up the phone (no selling unless they ask) &amp; actually talking to them brings back a degree of connection. Asking them how they are getting on. Telling them they aren\'t alone &amp; showing you care by offering (No 4) accessible content that won\'t cost them anything if they are concerned about finances. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">WHY?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Imagine how YOU would feel if you got a call from someone who made you feel like they actually cared about you?</span>\n\n&nbsp;\n<h2><b>3). LISTEN!!</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">When you call start with an open ended question like “</span><i><span style=\"font-weight: 400;\">Hey…&lt;name&gt;...how have you been?</span></i> <i><span style=\"font-weight: 400;\">Tell me how are you getting on?</span></i><span style=\"font-weight: 400;\">”</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then SSSSSSSHHHHHHHHHHHHH……..Listen…….the more you can get them to open up &amp; talk to you the more you can discover what they really need. This feeds into your ability to plan your business based on the MOST relevant market research you have available to you!</span>\n\n<span style=\"font-weight: 400;\">Make notes, ask lots of questions to find out their emotional pain, struggles &amp; problems - this then enables you to create content.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">WHY?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">A skilled listener can extract exactly the right information to their advantage particularly under this current climate!  </span>\n\n&nbsp;\n<h2><b>4) Create free &amp; low cost content</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Based upon these conversions (the more the better) you now have super hot relevant information for creating market specific content. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Make your videos engaging, smile, talk TO THEM not the camera ie look at the lens &amp; speak to the person. </span>\n\n<span style=\"font-weight: 400;\">Do they have equipment? No - Create videos of how to use their furniture or household items. </span>\n\n<span style=\"font-weight: 400;\">Are they in a bubble with other family members? Yes - create content that relates to working in pairs</span>\n\n<span style=\"font-weight: 400;\">Maybe they have lost confidence? Create content about behaviour change, tactics to stay positive etc Teach them about their circle of control. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">WHY?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Why not? </span>\n\n<span style=\"font-weight: 400;\">Look if you have time due to less clients stay pro active and create. You could charge for it later. </span>\n\n<span style=\"font-weight: 400;\">If you\'re busy consider what is making you busy - if its LOADS of clients GREAT! If it’s procrastination - C’MON!!</span>\n\n&nbsp;\n<h2><b>5). Circle of Control </b><span style=\"font-weight: 400;\"> </span></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Create a video or even a campaign to teach them about the circle of control vs the circle of care.</span>\n\n&nbsp;\n<ul>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Draw 2 large circles on a piece of paper </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Write over one CONTROL &amp; the other CARE</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Inside the circle titled CARE write in all the things you care about but cannot control </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Inside the circle title CONTROL write all of the things you can control</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Now rip the 2 circles apart</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Take the CARE circle &amp; rip it into tiny pieces - bin it!</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Focus ALL of your attention onto the CIRCLE OF CONTROL!</span></li>\n</ul>\n&nbsp;\n\n<span style=\"font-weight: 400;\">WHY?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Positive focus is vital right now. Social media and a constant dialect around covid can drag us down. So tactics to remain pro-active are vital even for our own state of mind!</span>\n\n&nbsp;\n<h2><b>6). Self care - this one\'s for YOU!</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">NOW is the time to look after yourself, learn some more skills, practise technology, read &amp;....</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">PLEASE PLEASE PLEASE SHARE your ideas...this is when we should endeavour to lift each other up - right !? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">WHY?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Why not?</span>\n\n&nbsp;\n<h1><b>FREE STUFF!</b></h1>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Our friends at <a href=\"https://platform.archon-app.com/register\" target=\"_blank\" rel=\"noopener noreferrer\">Archon-app</a> have a site that allows you to test your physical performance for free on their platform through 6 categories</span>\n<ol>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Aerobic</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Anaerobic</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Agility</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Strength</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Power</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Bodyweight</span></li>\n</ol>\n<span style=\"font-weight: 400;\">We would LOVE your feedback please;</span>\n<h3><a href=\"https://platform.archon-app.com/register\" target=\"_blank\" rel=\"noopener noreferrer\">CLICK HERE TO ACCESS ARCHON-APP</a></h3>\n&nbsp;\n<h3><b>Did you hear it? </b></h3>\n<span style=\"font-weight: 400;\">I was interviewed by<a href=\"https://youtu.be/K9NEixSs7eo\" target=\"_blank\" rel=\"noopener noreferrer\"> Mark Laws &amp; Josh Mullin for the UK PT’s Podcast - BE WARNED </a></span>\n\n&nbsp;\n<h3><b>MORE FREE STUFF</b></h3>\n<span style=\"font-weight: 400;\">Have you seen these? Please share with both clients &amp; colleagues - let\'s help each other....</span>\n<h3><a href=\"https://youtu.be/7sHZC53mxmI\" target=\"_blank\" rel=\"noopener noreferrer\"><b>5 Steps To A Successful Online Presence Webinar</b></a></h3>\n<h3><a href=\"https://www.biomechanicseducation.com/product/weak-glutes-free-webinar/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\"><b>Weak Glutes Webinar</b></a></h3>\n<h2></h2>\n<h2><b>NEXT WEEK: </b></h2>\n&nbsp;\n<h2><b>Pelvis (Hip) Biomechanics - Part 2 - The Muscles of the Hip</b></h2>\n&nbsp;\n<h3><span style=\"font-weight: 400;\">Remember we have a growing portfolio of ONLINE educational content that each counts towards gaining certificates &amp; ALL offer you CPD points. </span></h3>\n<h3><span style=\"font-weight: 400;\">Check them out <a href=\"https://www.biomechanicseducation.com/shop/\" target=\"_blank\" rel=\"noopener noreferrer\">HERE</a>: </span></h3>','5 Steps To Keep Your Clients During Lockdown 2.0','','inherit','closed','closed','','24648-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',24648,'https://biomechanicseducation.com/?p=38652',0,'revision','',0),
(38653,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<h1><b><i>The most common request I have from learners is to “deepen their anatomy knowledge &amp; understanding of the body”......</i></b></h1>\n&nbsp;\n\n<span style=\"font-weight: 400;\">If you were like me, after passing your anatomy exam, you may at some point have thought “</span><i><span style=\"font-weight: 400;\">ah I don\'t need to remember it all, I know how to teach a client to squat!</span></i><span style=\"font-weight: 400;\">”. However we often subsequently learn that we are not so confident when things don’t go the way we expect or our clients move in ways we struggle to understand. This is when we start to wish we had the ability to recall anatomy better….right!?</span>\n<h4></h4>\n<span style=\"font-weight: 400;\">As a ‘non academic’ kinesthetic learner, &amp; in the last 16 yrs as an educator, I am very aware that one of the trickiest parts of teaching complex subjects like anatomy is giving learners techniques to </span><i><span style=\"font-weight: 400;\">anchor</span></i><span style=\"font-weight: 400;\"> each area of the body to a memory that can then be recalled when needed.</span>\n<h4></h4>\n<span style=\"font-weight: 400;\">Through a series of anatomy blogs &amp; webinars I will endeavour to offer movement practitioners a systematic approach to remembering parts of the anatomy that also has relevance in application.</span><b> </b>\n<h4></h4>\n<span style=\"font-weight: 400;\">Let me try to offer you insights into ways I was able to recall relevant anatomy using word association, the words history &amp; tactics to learn in the hope that it might offer information that is actually useful when training our clients. </span>\n<h4></h4>\n<h2><b>Interesting Pelvis Facts </b></h2>\n<h4></h4>\n&nbsp;\n\n<span style=\"font-weight: 400;\">1). Elvis Presely was known as ‘Elvis the Pelvis’ because of the way he thrusted his hips around that, at that time, was controversially sexy.</span>\n<h4></h4>\n<span style=\"font-weight: 400;\">The pelvis is linked to feeling, or being perceived as, sexy - how might this influence how a client feels about their pelvis &amp; its function?</span>\n<h4></h4>\n&nbsp;\n\n<span style=\"font-weight: 400;\">2). Important functions of the pelvis are to support the hip joints as well as protect organs used for digestion &amp; reproduction.</span>\n<h4></h4>\n<span style=\"font-weight: 400;\">While movement is at the forefront of our considerations we must also keep in mind ‘functionality’ of each body part &amp; maybe broaden our thinking.</span>\n<h4></h4>\n&nbsp;\n\n<span style=\"font-weight: 400;\">3). The plural for pelvis is </span><i><span style=\"font-weight: 400;\">pelves - </span></i><span style=\"font-weight: 400;\">Years I spent not knowing there was a specific word when I stated ‘pelvises’ for plural instead of pelves!</span>\n<h4></h4>\n&nbsp;\n\n<span style=\"font-weight: 400;\">4). Male &amp; female human pelves are different. The female pelvis is wider &amp; more shallow (for child carrying &amp; birth) than the male pelvis. Prior to puberty there is little difference in young children. After puberty, the female pelvis is significantly larger than in males. However, women\'s pelvises narrow as they age.</span>\n<h4></h4>\n<span style=\"font-weight: 400;\">This is important when assessing a client\'s pelvis so we know that bony prominences like the PSIS, ASISI or AIIS will likely be positioned wider or narrower in women &amp; men. However if we have a long term female client or older females maybe we should not assume a wider pelvis automatically. </span>\n<h4></h4>\n&nbsp;\n\n<span style=\"font-weight: 400;\">5). Childbirth pretty much changes the pelvis forever due to a hormone known as relaxin which helps to soften the joints between the pelvic bones so they can separate during pregnancy &amp; childbirth. </span>\n<h4></h4>\n<span style=\"font-weight: 400;\">If our clients have recently had a baby, might be pregnant or have had babies we should understand about the potential effects of their hormones when assessing their pelvic function or even writing exercise programmes!</span>\n<h4></h4>\n&nbsp;\n\n<span style=\"font-weight: 400;\">6). The fetal development of the pelvis &amp; acetabulum seems to be highly related to mechanical stimuli, the most important being the gluteal muscular activity &amp; the simultaneous pressure of the femoral head.</span>\n<h4></h4>\n<span style=\"font-weight: 400;\">LOVE stuff like this as it highlights the importance of our pelvic muscles, even as a fetus!</span>\n<h4></h4>\n&nbsp;\n<h2><b>Pelvic Biomechanics - The Bony Anatomy</b></h2>\n<h4></h4>\n<span style=\"font-weight: 400;\">The 2D pelvis in an anatomy book or even the 3D cast of a skeleton on top of a pole in the classroom are only individual examples of shapes &amp; sizes of pelves. When you actually see a variety of samples of real pelves (see how I am making up for the use of my new word - another tactic for never forgetting something!!) in a cadaver lab for example you can begin to appreciate just how different we ALL are on the inside too!</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24547\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/10/Screenshot-2020-10-26-at-20.18.14.png\" alt=\"\" width=\"511\" height=\"476\" />\n\n<span style=\"font-weight: 400;\">There are structural differences in pelvic flare, width, height, angles, tilts and prominences. So let\'s start with this wonderful centerpiece of our movement &amp; some history of the naming of their parts from our latin/Greek forbearers to see if it helps with our anatomy recall.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The pelvis is often described as being made up of 3 fused bones (ilium, pubis symphesis, ischium) and the 2 fused portions at the base of the spine (sacrum, coccyx). Here are their meanings...</span>\n\n&nbsp;\n\n<b>Ilium</b><span style=\"font-weight: 400;\"> is latin for flank or groin &amp; describes the large flatter bone that curves up over the side of our body (flank). They are what we tend to call our hips. If you put your hands on your hips it\'s likely you will automatically be holding these bones!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">(Note: in anatomy there can be similar names for different body parts. This is an example incase you come across it - the </span><b>ileum</b><span style=\"font-weight: 400;\"> refers to the distal portion of the small bowel)</span>\n\n&nbsp;\n\n<b>Pubis</b><span style=\"font-weight: 400;\"> - pubes/puberty, hair - well I guess this speaks for itself since I imagine every reader will have gone through puberty but maybe I shouldn\'t assume...</span><i><span style=\"font-weight: 400;\">hey kids….ask your parents</span></i><span style=\"font-weight: 400;\">!</span>\n\n&nbsp;\n\n<b>Symphysis</b><span style=\"font-weight: 400;\"> means fusion &amp; so describes the front portion of the pelvis where the bones on either side meet or fuse as our pelvis forms. This is where pubic hair grows. So again should be understood if a female client discusses a condition known as ‘pubic symphysis dysfunction’ when this area is painful. Consider how to discuss professionally &amp; from a place of understanding albeit though it may be limited &amp; could require clinical intervention.</span>\n\n&nbsp;\n\n<b>Ischium</b><span style=\"font-weight: 400;\"> is latin for hip joint or from the word </span><i><span style=\"font-weight: 400;\">iskhi</span></i><span style=\"font-weight: 400;\"> meaning loin. This one I always used word association to remember as it is in reference to the 2 sitting bones. My name for these ischium was ‘</span><i><span style=\"font-weight: 400;\">itchy bum’ </span></i><span style=\"font-weight: 400;\">because it sounds like their latin name ;)</span>\n\n&nbsp;\n\n<b>Sacrum</b><span style=\"font-weight: 400;\"> is sacred or holy ‘the holy bone’ used in sacrificial rites &amp; in protecting genitalia, which back in ancient times was considered a sacred thing to do. This is the triangular wedge shaped lower portion of the spine that merges to the coccyx at the very bottom.</span>\n\n&nbsp;\n\n<b>Coccyx</b><span style=\"font-weight: 400;\"> is the Greek word </span><span style=\"font-weight: 400;\">kokkyx for </span><span style=\"font-weight: 400;\">cuckoo or bird as they thought it looked like the bill of the cuckoo! This is also known as the tailbone so also possible to link to a memory of a bird.</span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24645\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/10/Screenshot-2020-11-03-at-11.50.51-2.png\" alt=\"\" width=\"411\" height=\"354\" />\n\n&nbsp;\n\n<b>Iliac</b><span style=\"font-weight: 400;\"> (spine) is related to or near the ilium &amp; it is in reference to the portion of those hip bones that is the rim on top as if it were the spine of the pelvis. It can be used to assess how well the pelvis moves during the Gillets pelvic function test along with the PSIS that are described below. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">(Iliac) </span><b>Fossa</b><span style=\"font-weight: 400;\"> is the Greek word for </span><i><span style=\"font-weight: 400;\">ditch </span></i><span style=\"font-weight: 400;\">describes the dip of the concave surface on the inner surface of the ilium.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Acetabulum</span><span style=\"font-weight: 400;\"> is known as the vinegar cup and describes the ‘cup’ of the hip’s ball &amp; socket joint, where the head of the femur fits.</span>\n\n&nbsp;\n<h2><b>Acronyms for Bony Areas &amp; Prominences </b></h2>\n&nbsp;\n\n<b>SIJ</b> <span style=\"font-weight: 400;\">- Short for the Sacroiliac Joint which is where the sacrum sits inside &amp; meets the ilium. Often discussed because this area is commonly linked to our clients discomfort in this area. They may come to you with a diagnosis of SIJ dysfunction. This ‘joint’ is simply where 2 bones meet so therefore can only be dysfunctional if the softer tissues linked to its movement are problematic. Consider the load balanced on top of this joint &amp; the muscles that cross it (we will explore some of these next time in Pelvic / Hip muscles). Joints can ‘age’ though so you may hear of a problem known as sacroiliitis which is an inflammation of the joint surfaces. Again this can be caused by the breakdown of the ligaments linked to this area. So all of the above link back to our role in improving the intrinsic biomechanics of our clients pelvic function.</span>\n\n&nbsp;\n\n<b>PSIS</b><span style=\"font-weight: 400;\"> - Short for the bony nobbly bit Posterior (at the back) Superior (upper portion) Iliac Spine (top of the ilium). Place your hands on the back of the hips, just below the waist line &amp; you ‘should’ be able to find your own PSIS. However some individuals have very prominent PSIS &amp; others are so subtle they are almost impossible to feel. They also can be found just below a dimple on either side of the lower back IF your clients has the dimples! This landmark could be used to identify if the pelvis has independent movement from one side to the other when the client lifts one leg at a time. </span>\n\n&nbsp;\n\n<b>ASIS</b><span style=\"font-weight: 400;\"> - Short for another bony part of our pelvis known as the Anterior (at the front) Superior (upper portion) Iliac Spine (top of the ilium). This is one young girls can wish was more visible as it gives an appearance of slenderness that catwalk models push forwards during their walk. It is also the attachment site for that wonderful Sartorius muscle!</span>\n\n&nbsp;\n\n<b>AIIS</b><span style=\"font-weight: 400;\"> - Short for, you guessed it, another bony prominence with this one being known as the Anterior (at the front) Inferior (lower portion) Iliac Spine  (top of the ilium). This one is below the ASIS &amp; is an attachment site for the rectus femoris muscle that is another key player that we should understand in our clients function &amp; limitations. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">These prominences are often used when doing postural analysis which is a subjective way of assessing or benchmarking how your clients stand or present when upright. </span>\n\n&nbsp;\n<h1><b>Differences in Design</b></h1>\n&nbsp;\n\n<img class=\"aligncenter wp-image-24550\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/10/Screenshot-2020-10-26-at-20.20.58.png\" alt=\"\" width=\"454\" height=\"424\" />\n\n<span style=\"font-weight: 400;\">We know we genetically differ &amp; as you can see here we can differ inside our bodies as much as we do on the outside but what does that mean to us as trainers? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Coxa Valgus or Vara &amp; Femoral Version are good examples of terminologies for clients pelvis/hip geometry that differ in a way that may have clinical or movement relevance for their practitioner.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">These can be identified using simple manual tests that we offer on our <a href=\"https://www.biomechanicseducation.com/product/running-biomechanics-workshops/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\">Running Biomechanics Workshops</a> for example. They can change the way we prescribe exercises or what we expect of our clients when they move. Hopefully these descriptions help to appreciate this….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We need to add the anatomy of the femur bone or thigh bone as this relates to the HIP.</span>\n\n&nbsp;\n\n<b>The Femur</b> <span style=\"font-weight: 400;\">is the largest bone in the body &amp; we will only discuss here the top (proximal) portion that relates to the pelvis. The other end (distal) will be discussed in the Knee Series.</span>\n\n&nbsp;\n\n<b>Trochanter</b><span style=\"font-weight: 400;\"> comes from the Greek word </span><i><span style=\"font-weight: 400;\">trokhos</span></i><span style=\"font-weight: 400;\"> for wheel. It describes the large round feeling bony prominence at the side of the pelvis. It is a key landing site for the lateral glutes &amp; piriformis - to be discussed next time. </span>\n\n&nbsp;\n\n<b>Neck of femur</b><span style=\"font-weight: 400;\"> is the part of the femur that looks like a neck sticking out from the medial side of the main femur thigh bone where the greater trochanter is lateral &amp; then ends in the ‘ball’ of the hip’s ball &amp; socket joint.</span>\n\n<span style=\"font-weight: 400;\"> </span>\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24646\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/10/Screenshot-2020-11-03-at-11.57.12.png\" alt=\"\" width=\"342\" height=\"301\" />\n\n&nbsp;\n\n&nbsp;\n\n<b>Coxa</b><span style=\"font-weight: 400;\"> is a Latin word meaning hip or limb joint (koks-h)  </span>\n\n&nbsp;\n\n<b>Coxa Vara</b><span style=\"font-weight: 400;\"> - this is when the angle at hip (specifically the neck of the femur in relation to the shaft of the femur) is </span><i><span style=\"font-weight: 400;\">decreased </span></i><span style=\"font-weight: 400;\">meaning abduction may be more limited. </span>\n\n&nbsp;\n\n<b>Coxa Valga</b><span style=\"font-weight: 400;\"> (less common)</span><span style=\"font-weight: 400;\"> - the angle at the hip (specifically the neck of the femur in relation to the shaft of the femur) is </span><i><span style=\"font-weight: 400;\">increased</span></i><span style=\"font-weight: 400;\"> therefore adduction may be more limited.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Imagine you have a client who has been diagnosed as Coxa Valga….how might this alter your expectations when you write them a programme or train them in your facility?</span>\n\n<img class=\"aligncenter wp-image-24548\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/10/Screenshot-2020-10-26-at-19.30.48.png\" alt=\"\" width=\"315\" height=\"217\" />\n\n<b>Femoral</b><span style=\"font-weight: 400;\"> is </span><span style=\"font-weight: 400;\">related to the thigh or </span><b>femur. </b>\n\n&nbsp;\n\n<b>Version</b><span style=\"font-weight: 400;\"> or </span><span style=\"font-weight: 400;\">Vers is Latin for turned or to turn.</span>\n\n&nbsp;\n\n<b>Femoral Version</b><span style=\"font-weight: 400;\"> describes the rotation (of turn) of the femur in relation to the pelvis. </span>\n\n&nbsp;\n\n<b>Femoral Anteversion</b><span style=\"font-weight: 400;\"> - this describes a femur that is rotated medially (inwards)</span>\n\n&nbsp;\n\n<b>Femoral Retroversion</b><span style=\"font-weight: 400;\"> - this describes a femur that is rotated laterally (outwards)</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Imagine you have a client who has been diagnosed as femoral anteversion….how might this alter your expectations when you write them a squat programme or train them in your facility?</span>\n\n&nbsp;\n\n<img class=\"aligncenter size-full wp-image-24549\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/10/Screenshot-2020-10-26-at-19.30.18.png\" alt=\"\" width=\"866\" height=\"408\" />\n\n&nbsp;\n<h1>So What?</h1>\nYou tell me, from the above information, do you think we can use this information to improve our understanding of why each client moves in different ways?\n\nThese differences can be ok to a certain degree but in some ways it may contribute to our programme design...can you now describe why? how?\n\nWould you like to learn ways to assess your client\'s pelvic function?\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/product/pelvic-spine-biomechanics-online-cpd-training/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\">Pelvic &amp; Spine Biomechanics Online CPD Training </a></h1>\nYou get 2 x online classrooms plus a pdf FULL of information AND this counts as credit towards your Diploma in Biomechanics Coaching<span style=\"font-weight: 400;\"> </span>\n\n<span style=\"font-weight: 400;\">Find out methods to remember muscle anatomy of the pelvis along with actions!</span>\n<h2><b>References;</b></h2>\n&nbsp;\n\nBenson, Emily. <i>A Woman\'s Pelvis Narrows as She Ages</i>. 25 Apr. 2016, https://www.science.org/content/article/woman-s-pelvis-narrows-she-ages.\n\n&nbsp;\n\n“Cooperstein R, Hickey M. The Reliability of Palpating the Posterior Superior Iliac Spine: a Systematic Review. J Can Chiropr Assoc. 2016 Mar;60(1):36-46. PMID: 27069265; PMCID: PMC4807681.”\n\n&nbsp;\n\n“Coxa Vara / Coxa Valga.” <i>Physiopedia</i>, https://www.physio-pedia.com/Coxa_Vara_/_Coxa_Valga.\n\n&nbsp;\n\n“Delaere O, Dhem A. Prenatal Development of the Human Pelvis and Acetabulum. Acta Orthop Belg. 1999 Sep;65(3):255-60. PMID: 10546347.”\n\n&nbsp;\n\n“The Femur.” <i>TeachMeAnatomy</i>, https://teachmeanatomy.info/lower-limb/bones/femur/.\n\n&nbsp;\n\nRosenfeld, Jordan. “7 Essential Facts about the Pelvis.” <i>Mental Floss</i>, Mental Floss, 21 Sept. 2017, https://www.mentalfloss.com/article/502708/7-essential-facts-about-pelvis.','Pelvic (Hip) Biomechanics - Part 1 - The Bones of the Hip','','inherit','closed','closed','','24544-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',24544,'https://biomechanicseducation.com/?p=38653',0,'revision','',0),
(38654,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<h1><b>Remember the weak glutes debate?</b></h1>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Well once again let’s consider if this is really the right question? </span>\n\n&nbsp;\n<h2><b>Weak - definition </b></h2>\n<i><span style=\"font-weight: 400;\">Lacking the power to perform physically demanding tasks.</span></i>\n\n<i><span style=\"font-weight: 400;\">Having little physical strength or energy </span></i>\n\n<i><span style=\"font-weight: 400;\">Liable to break or give way under pressure; easily damaged</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Let me offer some of my thoughts &amp; I\'d love to hear yours.....</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Using the term ‘weak core’ is often interpreted as meaning it simply requires strengthening.</span>\n\n<span style=\"font-weight: 400;\">However let’s challenge this for a moment shall we…?</span>\n\n&nbsp;\n<h2><b>What could be the right question?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">How would one come to the conclusion that a client has a weak core?</span>\n\n<span style=\"font-weight: 400;\">What test identifies it?</span>\n\n<span style=\"font-weight: 400;\">If a client can walk into the gym, move around &amp; perform daily tasks does that indicate a weak core?</span>\n\n<span style=\"font-weight: 400;\">If it’s being determined by pain then I would also challenge this to be ambiguous as a ‘diagnosis’ for a ‘weak’ core.</span>\n\n<span style=\"font-weight: 400;\">Pain may indicate a ‘weakness’ or rather a dysfunction or problem </span>\n\n<span style=\"font-weight: 400;\">BUT </span>\n\n<span style=\"font-weight: 400;\">Should we be strengthening a dysfunction?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Rather than focusing on ‘what’....lets shift the focus onto the ‘WHY?’</span>\n\n&nbsp;\n<h2><b>Why not what?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Why do we think it\'s weak?</span>\n\n<span style=\"font-weight: 400;\">How strong is that reasoning?</span>\n\n<span style=\"font-weight: 400;\">Can your reasoning be evidenced?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">To be clear I’m not suggesting strength work isn’t required at all however what might be prudent is to identify potential causes for the apparent weakness first. Consider all intervention options and then possibly the timing of when we apply strength training. </span>\n\n&nbsp;\n<h2><b>If not weak then what?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Examples of intrinsic dysfunctions that could give the appearance of a weak core;</span>\n\n&nbsp;\n<ul>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">QL Hinge/s or quadratus lumborum ‘sub clinical’ (not clinical) spasm - can be addressed with the wall glide technique</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Glute dysfunction - ‘sub clinical’ (not clinical) spasm - can be addressed with an MET (Muscle energy technique)</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hip flexor dysfunction - ‘sub clinical’ (not clinical) spasm - can be addressed with an MET (Muscle energy technique)</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stiff lumbar spine - Can be addressed with lumbar tilts and/or kee rolls</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Stiff thoracic spine - Can be addressed with Thoracic rotation drills  </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The core strength ratios are poor (due to any of the above and/or lifestyle) - measure the ratios &amp; prescribe appropriate loading to the area where the ratio is off. </span></li>\n</ul>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Also considering this last point on the list above its vital we understand that all ‘core stability’ strength work will emphasise one area of the trunk over the others. For example supine leg extension will strengthen the flexors or anterior trunk predominantly. So do planks and mountain climbers. So we must consider how many core stability exercises we teach and how many strengthen which part of the trunk. Are we hitting a balance? Or are we overloading the flexors or maybe the extensors get overloaded more? How would we know?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Improving the intrinsic function of each substructure first with an understanding how the myofascial, skeletal &amp; neural systems are integrated &amp; influence each other is a vital component in understanding how the body works. </span>\n\n<span style=\"font-weight: 400;\">There is a small gap in our education that really highlights &amp; proves this which is the ability to test, monitor &amp; re test our clients intrinsic function</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">With this ability we as exercise professionals can better serve our client when designing a movement programme </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Without it.....well we are simply guessing </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Forcing techniques or repeating patterns does NOT address the root cause unless by chance or maybe temporarily </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So I urge you to challenge everything! </span>\n\n<span style=\"font-weight: 400;\">Do not accept a term like weak core or weak glutes as simply needing strength work </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">First understand the underlying causes/reasons behind this ‘diagnosis’ </span>\n\n&nbsp;\n<h1>Would you like to learn how to assess your PT client both online &amp; in person?</h1>\n<h2><a href=\"https://www.biomechanicseducation.com/product/pelvis-spine-biomechanics-3-day-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\">CLICK HERE TO BOOK YOUR PLACE ON OUR 2021 PELVIC &amp; SPINE BIOMECHANICS WORKSHOP </a></h2>\n&nbsp;\n<h2><a href=\"https://youtu.be/5GxKxl4X-sw\" target=\"_blank\" rel=\"noopener noreferrer\">&gt;&gt; FREE WEAK GLUTES WEBINAR CLICK HERE &lt;&lt;</a></h2>','Does Your Client Really Have A Weak Core?','','inherit','closed','closed','','24449-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',24449,'https://biomechanicseducation.com/?p=38654',0,'revision','',0),
(38655,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<span style=\"font-weight: 400;\">If anything confirms that we cannot know it all about the human body it’s the cadaver labs….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">And every now again something blows my mind. We are always taught certain things to be true…. E.g, having 4 ‘quad’riceps...hence the naming of them!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Until you see examples where there are 5 or even 6….. YES 6!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Now the human body is a fantastic thing &amp;, if you are anything like me, you are in awe of its complexities but we can have this desire to explore it further &amp; make sense of it to help us understand movement better. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">When we study the body in this way I feel we also should bring ourselves back to the simplicity of kinesiology in application </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Having discovered &amp; read around these 5th &amp; 6th quads I wanted to try to share my interpretation with you....in a nutshell.... what do these extra ‘quads’, actually ‘sextuceps’.....sexdriceps?....maybe?if we renamed them... contribute to movement, if anything?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Well after reading a little.. the hypothesis, as I understand it, goes……</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">First let’s define the language….</span>\n\n&nbsp;\n<h2><b>Definitions for each word used;</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Tensor - Stretch </span>\n\n<span style=\"font-weight: 400;\">Fascia - Band</span>\n\n<span style=\"font-weight: 400;\">Lata- Side </span>\n\n<span style=\"font-weight: 400;\">Vastus - Great </span>\n\n<span style=\"font-weight: 400;\">Intermedius - Between 2 Structures</span>\n\n<span style=\"font-weight: 400;\">Articularis - Rigid / Stiff</span>\n\n<span style=\"font-weight: 400;\">Genus - Knee </span>\n\n&nbsp;\n<h2><b>The Additional Quads.</b></h2>\n&nbsp;\n\n<em><strong>Tensa Vastus Intermedius</strong></em><span style=\"font-weight: 400;\"> - tenses on the aponeurosis (fascia kinda stuff) of Vastus intermedius &amp; medialises (turns inwards) the action of the muscle.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This muscle is also thought to act as a second <em>tensa</em> in addition to TFL......which I interpret as meaning it assists TFL. Maybe somehow it is ‘tensing’ in a similar area rather than actually contracting agonistically...what do you think? Go on….check it out….</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24267\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/10/TENSA-VASTUS-INTERMEDIUS.png\" alt=\"\" width=\"409\" height=\"393\" />\n\n<strong><em>Articularis Genus</em></strong><span style=\"font-weight: 400;\"> - Isn’t thought to act as an individual muscle but, along with its Vastus siblings, it\'s considered to be a retractor of the suprapatella bursa. Which means it pulls the bursa up during knee extension to prevent impingement of the membrane between patella &amp; femur . </span>\n\n<span style=\"font-weight: 400;\">However there are studies of its design or architecture, that suggest it to not be capable!? &#x1f648;</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Thought of generally as this coordinator of the suprapatella bursa during flexion/extension &amp; also for proprioceptive function </span>\n\n<span style=\"font-weight: 400;\">But it’s true function is not definitive in the evidence.</span>\n\n&nbsp;\n\n<img class=\"aligncenter wp-image-24266\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/10/ARTICULARIS-GENUS.png\" alt=\"\" width=\"417\" height=\"413\" />\n\n<span style=\"font-weight: 400;\">Ok I can hear you thinking the infamous ‘So What?’ Question</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">What difference do you think it might make if an individual has a 5th and/or 6th quad?</span>\n\n<span style=\"font-weight: 400;\">Could it be an advantage or even a disadvantage? </span>\n\n<span style=\"font-weight: 400;\">Would it affect movement at all? </span>\n\n<span style=\"font-weight: 400;\">If so how?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">My point here is that I certainly do not have all of the answers to these questions &amp; you are not necessarily expected to find them either </span>\n\n<span style=\"font-weight: 400;\">BUT</span>\n\n<span style=\"font-weight: 400;\">I would LOVE to hear your thoughts on it!? </span>\n\n<span style=\"font-weight: 400;\">So why not come &amp; join me in my classroom for an inclusive anatomy dialectic conversation? </span>\n\n&nbsp;\n<h2>References;</h2>\n<i>Articularis genus muscle - e-anatomy</i> (no date) <i>IMAIOS</i>. Available at: https://www.imaios.com/en/e-anatomy/anatomical-structure/articularis-genus-muscle-1541090824 (Accessed: 10 June 2024).\n<div></div>\nGrob, K. <i>et al.</i> (2016) ‘A newly discovered muscle: The tensor of the vastus intermedius’, <i>Clinical Anatomy</i>, 29(2), pp. 256–263. doi:10.1002/ca.22680.\n<div></div>\nMarques, N. (2020) <i>Tensor vastus intermedius: A new muscle discovered</i>, <i>MOJ Anatomy &amp; Physiology</i>. Available at: https://medcraveonline.com/MOJAP/tensor-vastus-intermedius-a-new-muscle-discovered.html (Accessed: 10 June 2024).\n<div></div>\nSaito, A. <i>et al.</i> (2015) ‘Functional status of the articularis genus muscle in individuals with knee osteoarthritis’, <i>Physiotherapy</i>, 101. doi:10.1016/j.physio.2015.03.1238.\n<div></div>\nVeeramani, R. and Gnanasekaran, D. (2017) ‘Morphometric study of tensor of vastus intermedius in South Indian population’, <i>Anatomy &amp;amp; Cell Biology</i>, 50(1), p. 7. doi:10.5115/acb.2017.50.1.7.\n\n&nbsp;\n<h2>Would you like to learn about anatomy and movement to an even deeper level?</h2>\nEver thought about joining our Diploma in Biomechanics Coaching?\n\nWhy not arrange a call to discuss your options from only £100pm?\n\nrachel@biomechanicseducation.com','Did You Know….some people have 6 Quadricep Muscles?','','inherit','closed','closed','','24262-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',24262,'https://biomechanicseducation.com/?p=38655',0,'revision','',0),
(38656,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<h2><a href=\"https://www.biomechanicseducation.com/product/shoulder-knee-foot-biomechanics-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\"><b>Is shoulder pain the new back pain?</b></a></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">So many clients are coming to us for help with their shoulder ‘issues’ and we can feel ill equipped to evaluate their problem and offer movement advice when some movements may hurt.</span>\n\n<span style=\"font-weight: 400;\">Yet shoulder pain is presenting as often as back pain these days…..right!?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The shoulder joint is capable of A LOT! However, there are also things it should NOT be expected to do.</span>\n\n<span style=\"font-weight: 400;\">Here we will explore considerations that might influence your clients programme based upon a deeper understanding of their shoulder biomechanics. </span>\n\n&nbsp;\n<h2><b>The Problem</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The shoulder joint is a relatively shallow ball &amp; socket. There are both benefits &amp; problems that come with its unique structure.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Fundamentally it’s moveable in a large range, &amp; combination of, movements, however this leaves it at risk of a low level of stability </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Tasks are generally performed from the shoulder that should be stabilised not only from its own tissues &amp; design but also from the whole spine, pelvis, knees &amp; feet they sit above </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So the fluidity &amp; control the shoulders require are, should we say, multidisciplinary!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Sadly for many they can be ‘stuck’ in a sedentary rounded position for many hours. Then the extremities that are driven, so to speak, by the brachial plexus in the neck/shoulder area could experience nerve tethering or tension from adapted muscle tone that means the integrated system grumbles &amp; complains.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This could simply present as a stiff neck or as severe as an agonising, &amp; sadly not uncommon, case of carpal tunnel syndrome </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">OR</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We might choose to play a sport that just requires 1 shoulder to swing at speed with a club, bat or racket fixed &amp; weighted at the end, pressing into already annoyed nerves crossing the palm &amp; resulting in ‘overuse’ problems!</span>\n\n&nbsp;\n<h2><b>So What?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">We should probably seek to find a balance of both movement &amp; control</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Our bodies LOVE consistent controlled subconscious &amp; conscious movement as this lubricates joints, exercises muscles &amp; mobilises nerves </span>\n\n<span style=\"font-weight: 400;\">BUT</span>\n\n<span style=\"font-weight: 400;\">Not too extreme, too often nor for too long</span>\n<h2></h2>\n<h2><b>The Anatomy </b></h2>\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter  wp-image-24188\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/09/shutterstock_147943874-scaled-1.jpg\" alt=\"\" width=\"478\" height=\"382\" />\n<h2></h2>\n<span style=\"font-weight: 400;\">Shoulders are not really limited to specific planes due to their shallow ball and socket design. They can circumduct which means they can move pretty much in every plane / direction that you can imagine.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Individually we are born with certain genetic predispositions. This means some individuals have more ‘laxity’ to their joints, some sit at certain geometric angles naturally to their body &amp; our lever lengths can also differ, for example.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We all have a series of bones, muscles &amp; nerves that are relatively consistent.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">In simple terms….</span>\n\n<span style=\"font-weight: 400;\">Humerus</span>\n\n<span style=\"font-weight: 400;\">Glenohumeral joint</span>\n\n<span style=\"font-weight: 400;\">Scapular</span>\n\n<span style=\"font-weight: 400;\">Clavicle</span>\n\n<span style=\"font-weight: 400;\">Subscapularis</span>\n\n<span style=\"font-weight: 400;\">Infraspinatus </span>\n\n<span style=\"font-weight: 400;\">Pectorals </span>\n\n<span style=\"font-weight: 400;\">Trapezius</span>\n\n<span style=\"font-weight: 400;\">Teres Major/Minor</span>\n\n<span style=\"font-weight: 400;\">Serratus </span>\n\n<span style=\"font-weight: 400;\">Median nerve</span>\n\n<span style=\"font-weight: 400;\">Radial nerve</span>\n\n<span style=\"font-weight: 400;\">Ulnar nerve </span>\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter  wp-image-24190\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/09/Screenshot-2020-09-29-at-13.19.57.png\" alt=\"\" width=\"627\" height=\"429\" />\n\n&nbsp;\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">There are also other things like bursa, blood vessels etc but let’s keep it simple for the purpose of this blog being translated into something usable for your PT sessions..</span>\n\n&nbsp;\n<h2><b>Example of a Common Error</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The lateral raise is a favourite for those wanting to work/build the deltoid\'s appearance. It is a great movement for strengthening our ability to lift things.</span>\n\n<span style=\"font-weight: 400;\"> Yet the shoulder abduction action can be misunderstood in terms of our shoulder design. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The shoulder joint generally isn’t structurally designed to pass smoothly beyond 90degrees of frontal plane abduction while the humerus is internally rotated for example (or palm/thumb pointing down to floor) and particularly while under load - also as in an high upright row with elbows lifted.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This is how impingements can occur overtime or an overactive pec minor altering scapular positioning means the humeral head is in the wrong position as we raise our arms laterally.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It is therefore probably prudent to externally rotate prior to around 80/90 degrees of shoulder abduction. </span>\n\n<span style=\"font-weight: 400;\">Understanding that the body will endeavour to do what you ask it to, it will adapt to the movements &amp; environment you put it into but that doesn\'t mean that movement, particularly when repeated over and over again, is ok long term.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So FULL ROM does not guarantee safe ROM depending upon the individual &amp; their biomechanical set up.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">What can be done to improve our clients shoulder biomechanics BEFORE an injury occurs? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">First &amp; foremost let’s evaluate our clients shoulder function by testing key movements, muscles &amp; nerves.</span>\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\n\n<img class=\"aligncenter  wp-image-24187\" src=\"https://biomechanicseducation.com/wp-content/uploads/2020/09/shutterstock_109415894-scaled-1.jpg\" alt=\"\" width=\"516\" height=\"516\" />\n\n&nbsp;\n<h2><b>Common Shoulder Issues</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Problem 1;</span>\n\n<span style=\"font-weight: 400;\">Pec minor is a key muscle due to its common shortened adaption creating that round shouldered, or protracted, position we often see in clients. So having the skills to test it will give us an indication of what to do.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Solution;</span>\n\n<span style=\"font-weight: 400;\">Apply the 20/20 MET, strengthen its antagonists &amp; then condition its own functional capacity through isolation then integration strength movements.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Problem 2; </span>\n\n<span style=\"font-weight: 400;\">Upper Trapezius dysfunction causing elevated scapular position. This can also be a compensation that is deliberately trying to reduce Median nerve tension at the brachial plexus. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Solution;</span>\n\n<span style=\"font-weight: 400;\">Test both structures (Upper traps &amp; Median nerve) &amp; if the tests are positive we are likely to want to improve their functional capacity to get a negative test result. </span>\n\n<span style=\"font-weight: 400;\">Reduce trap tension using the 20/20 MET then prescribe very slow gentle median nerve mobilisations to ‘calm the nervous system down’ or desensitise it.</span>\n\n<span style=\"font-weight: 400;\">We can also prescribe scapular depression strength work followed by shrugs.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Problem 3;</span>\n\n<span style=\"font-weight: 400;\">Overactive Subscapularis or Infraspinatus can directly affect healthy shoulder biomechanics. As shoulder rotators these muscles often require some love &amp; attention. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Solution;</span>\n\n<span style=\"font-weight: 400;\">Test both muscles &amp; if positive…</span>\n\n<span style=\"font-weight: 400;\">Apply the 20/20 MET &amp; then using a resistance band or light cable work both internal &amp; external rotation of the humerus.</span>\n\n&nbsp;\n<h2><b>The Tests &amp; Exercises </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Do you have a client who has shoulder problems?</span>\n\n<span style=\"font-weight: 400;\">Maybe you’re really keen to gain a deeper level of understanding shoulder biomechanics so you can help them?</span>\n\n<span style=\"font-weight: 400;\">Are you frustrated because you cannot work out what to do to help them?</span>\n\n<span style=\"font-weight: 400;\">Or you\'re worried you could make them worse?</span>\n\n<span style=\"font-weight: 400;\">Would you like to learn each of these tests mentioned above?</span>\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/product/shoulder-knee-foot-biomechanics-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">Look at our workshops CLICK HERE </span></a></h1>\n&nbsp;\n\n<span style=\"font-weight: 400;\">OR</span>\n\n&nbsp;\n<h1><span style=\"font-weight: 400;\">Contact us directly on </span><a href=\"mailto:info@biomechanicseducation.com\"><span style=\"font-weight: 400;\">info@biomechanicseducation.com</span></a></h1>\n<h1><span style=\"font-weight: 400;\">07976 933113</span></h1>\n&nbsp;\n<h3><span style=\"font-weight: 400;\">Further reading;</span></h3>\n<a href=\"https://www.ncbi.nlm.nih.gov/pubmed/8421011\"><span style=\"font-weight: 400;\">https://www.ncbi.nlm.nih.gov/pubmed/8421011</span></a>\n\n<a href=\"https://pubmed.ncbi.nlm.nih.gov/7931787/\"><span style=\"font-weight: 400;\">https://pubmed.ncbi.nlm.nih.gov/7931787/</span></a>\n\n<a href=\"https://pubmed.ncbi.nlm.nih.gov/7661251/\"><span style=\"font-weight: 400;\">https://pubmed.ncbi.nlm.nih.gov/7661251/</span></a>\n\n<a href=\"https://pubmed.ncbi.nlm.nih.gov/20133443/\"><span style=\"font-weight: 400;\">https://pubmed.ncbi.nlm.nih.gov/20133443/</span></a>\n\n<a href=\"https://pubmed.ncbi.nlm.nih.gov/16826111/\"><span style=\"font-weight: 400;\">https://pubmed.ncbi.nlm.nih.gov/16826111/</span></a>\n\n<a href=\"https://pubmed.ncbi.nlm.nih.gov/9697636/\"><span style=\"font-weight: 400;\">https://pubmed.ncbi.nlm.nih.gov/9697636/</span></a>\n\n<a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668174/\"><span style=\"font-weight: 400;\">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668174/</span></a>\n\n&nbsp;','Is shoulder pain the new back pain?','','inherit','closed','closed','','24186-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',24186,'https://biomechanicseducation.com/?p=38656',0,'revision','',0),
(38657,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<h2><b>What is Biomechanics?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Biomechanics is mostly considered a complex subject. Those who study biomechanics at university usually find it the most challenging of subjects to learn. In this blog I’d like to remove some of that challenge or at least reduce it &amp; explain to you how you can become a specialist in this subject without going to university...like me!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It’s the study of human movement, the body’s ‘mechanics’ if you like. Some will argue that it is an outdated way of looking at the body since it’s far more complex than simply the mechanical aspect of levers &amp; pulleys.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">I would agree that it can be extremely complex AND I’d also agree that we must consider so much more than simply the ‘mechanical’ view of our clients body and movement.</span>\n\n<span style=\"font-weight: 400;\">However this method allows us to begin to appreciate the body to a deeper level from at first a simple application of basic rules of movement. This I have found, and still do find, is a brilliant system to utilise even when it comes to appreciating all the nuances of our clients bodies.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So when we study biomechanics we must always keep an open mind to the complexities of variants that will very likely influence our clients movement quality. Anatomy and movement educators will encourage discussion throughout our education programmes with a layered approach to deepening our understanding. There are  few layers to get through and much of that is in the application process which is why practice is key. The more bodies you watch, analyse and monitor, the more you learn and by the way that learning never ends. Every clients is a new subject, a new set of variants and a new way of watching movement and all that contributes to it.</span>\n\n&nbsp;\n<h2><b>Different Types of Biomechanics </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">This is one way we could differentiate how we look at &amp; understanding anatomy &amp; movement in our clients; </span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">Extrinsic Biomechanics</span></i><span style=\"font-weight: 400;\"> is the study of looking at a movement, seeing the angles in the joints, the movement performance &amp; also maybe measuring them- force, angles, speed etc </span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">Intrinsic Biomechanics</span></i><span style=\"font-weight: 400;\"> is considering what is going on inside the body that influences what we see extrinsically. Ie the use of the logic of anatomy, ideal muscle lengths &amp; actions, nerve ranges, pure joint ranges &amp; how each individual substructure &amp; area of the body contributed is required performance </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Sounds complicated? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Ok ok ok let me give you the </span><span style=\"font-weight: 400;\">spectrum</span><span style=\"font-weight: 400;\"> of biomechanics …..</span>\n\n&nbsp;\n<h3><i><span style=\"font-weight: 400;\">Complex Biomechanics </span></i><span style=\"font-weight: 400;\">- this could be interpreted as the study of forces, vectors and 1st/2nd/3rd class levers and often requires video analysis most probably at uni or in a lab.</span></h3>\n&nbsp;\n<h3><i><span style=\"font-weight: 400;\">Simple Biomechanics </span></i><span style=\"font-weight: 400;\">- this might be interpreted simply as the hip should flex &amp; extend, the thoracic spine should rotate etc</span></h3>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Let’s start at the simple end so I can explain how movement practitioners like you and I are already specialists in biomechanics </span>\n\n&nbsp;\n<h2><b>Bad Technique or Problem Biomechanics? </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Your new client is on time &amp; the consultation went as expected …. wants to get fit, lose some weight &amp; has a bit of low back pain. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">You warm them up &amp; you notice one shoulder seems higher than the other, one foot flicks out a bit &amp; they look rather round shouldered.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So you decide you want to see the quality of their movement without weights first to be safe &amp; so ask them to show you some body weight squats </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The look on their face offers you some early indication that even this might be challenging for them so you take them over to a rig to hold onto or maybe position them to just do a bodyweight squat to a box/bench </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Their reticence is confirmed when their knees cave in, upper body folds forwards, neck retracts and extends, feet seem to be pointing almost to 9 &amp; 3 o.clock!....</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">You swap places to demonstrate but when they try again it’s not much better, in fact possibly worse </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">You verbally cue “</span><i><span style=\"font-weight: 400;\">knees out, back up straight, eyes forwards</span></i><span style=\"font-weight: 400;\">”</span>\n\n<span style=\"font-weight: 400;\">Nope...still no good…</span>\n\n&nbsp;\n<h1><strong><i>PAUSE &gt;&gt;&gt;&gt;&gt;</i></strong></h1>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Right let’s stop here for a moment &amp; try to understand this very common scenario we all seem to experience at some point in our careers, and sometimes very often...weekly...or even daily!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">1). You did a biomechanical assessment by watching the squat. This is subjective but extremely relevant for understand their ranges, coordination &amp; control in a fundamental movement required for ADL</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">2). You evaluated the risk &amp; feel you want to reduce it</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">3). What you evaluated was their </span><i><span style=\"font-weight: 400;\">extrinsic biomechanics </span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">4). At a Uni you might include mathematical equations of force production &amp; optimal joint angle requirements to reduce risk &amp; optimise performance etc - but this client really doesn’t need all that - they just want to move well enough to lose weight </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">5). So let\'s now consider their </span><i><span style=\"font-weight: 400;\">intrinsic biomechanics</span></i><span style=\"font-weight: 400;\"> …...myofascial, neural and skeletal systems…</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Is it their pelvis, spine, shoulders?</span>\n\n<span style=\"font-weight: 400;\">Is it their muscles, nerves or the joints?</span>\n\n<span style=\"font-weight: 400;\">Are they just really bad at the technique or maybe they’re just not ready to squat?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">BUT at this point you might be starting to think…..</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">“</span><i><span style=\"font-weight: 400;\">Well where do I start?”</span></i>\n\n<i><span style=\"font-weight: 400;\">“Where is the problem coming from?”</span></i>\n\n<i><span style=\"font-weight: 400;\">“How would I know?”</span></i>\n\n<i><span style=\"font-weight: 400;\">“How do I help her when no amount of coaching improves technique &amp; I\'m worried I might hurt her in the process of programming exercises?”</span></i>\n\n<i><span style=\"font-weight: 400;\">“What system can I follow to address her limitations without worrying about if I’m doing the right thing?”</span></i>\n\n<i><span style=\"font-weight: 400;\">“Am I really qualified enough?” </span></i>\n\n<i><span style=\"font-weight: 400;\">“Do I need to refer her to a clinician first?”</span></i>\n\n<i><span style=\"font-weight: 400;\">“I feel like I am guessing here!”</span></i>\n\n<i><span style=\"font-weight: 400;\">“I really feel like I don’t know what I’m doing!!”</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If you have ever thought any of these things then well done….it demonstrates you care! Also the next step, which is really important, is finding solutions to each of your questions, starting with “</span><i><span style=\"font-weight: 400;\">how can I help this client right now?”.....</span></i><span style=\"font-weight: 400;\">keep it simple!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then look for education that will give you new tools and skills to fill these gaps and answer these questions just like Sam did ….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Here Sam shares his experience of gaining a deeper level of understanding his clients bodies…..</span>\n\n&nbsp;\n<h1><a href=\"https://youtu.be/UFkDTq2bZAw\" target=\"_blank\" rel=\"noopener noreferrer\"><strong><em>CLICK HERE TO WATCH SAM\'S VIDEO....</em></strong></a></h1>\nEmail rachel@biomechanicseducaton.com to enquire about the final places remaining this year on our workshops!','Will understanding biomechanics take me to the next level?','','inherit','closed','closed','','24097-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',24097,'https://biomechanicseducation.com/?p=38657',0,'revision','',0),
(38658,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<h1><b>When Coaching Technique Just Doesn\'t Work…. </b></h1>\n&nbsp;\n<h2><b>There’s those occasions when you have a new client &amp; you get them into position ready to squat but then they begin to move….their face contorts, knees buckle in, back bends awkwardly, elbows flare about &amp; your arms shoot forwards ready to catch them incase they topple over!</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">“</span><i><span style=\"font-weight: 400;\">Back up straight, lift your chest, push your knees out</span></i><span style=\"font-weight: 400;\">…” you encourage but inside your head you’re actually face palming as you silently wonder how on earth they can’t understand such simple cues!?!?!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However no amount of teaching or coaching cues seem to help them improve, so you decide to lose the bar &amp; head back over to the machines….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">In your mind you’re questioning…. </span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">“What should I do with them to improve their movement?”</span></i>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">“I wonder if it’s their calves? Or back? I wish I could remember my muscle attachments to work it out”</span></i>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">“How can I work out where the problem is coming from?”</span></i>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">“Why can’t I work it out?”</span></i>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">“Other PTs seem to always know more than me, why is that?”</span></i>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">“How can I get a deeper level of understanding my clients body?”</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">You may even doubt your ability to coach!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This can be a real challenge for PT\'s trying to work out which area of the body the limitation/compensation is coming from since every joint is involved in some way.</span>\n\n<span style=\"font-weight: 400;\">OR</span>\n\n<span style=\"font-weight: 400;\">Actually more commonly which ‘combination’ of limitations!!?</span>\n\n&nbsp;\n<h2><b>Finding A System That Works</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">If we learn or create a system that enables us to use a step by step approach to addressing our clients movement issues, then we can monitor progress, just as we would with their nutrition plan or strength training programme. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Being able to evaluate the movement quality of each joint &amp; structure one at a time to systematically either address them or rule them out of the list of potential compensation areas, we can have confidence in knowing what steps to take towards movement improvements</span>\n\n&nbsp;\n<h2><b>A System Suggestion Based On Evidence</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">There is evidence to suggest 60% of dysfunction comes from the pelvis so this could be a logical place to start</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The spine sits in the pelvis so would be a sensible place to address next</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Shoulders have a biomechanical link to the opposite side of the pelvis so might be a great place to follow onto.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Knees &amp; their stability would require everything above to have been prepared since their degree of control comes from above and of course the feet following on from that offer, would offer a </span><i><span style=\"font-weight: 400;\">systematic approach</span></i><span style=\"font-weight: 400;\"> to ‘ruling things out’ </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Other systems may suggest starting at the feet of course….and so to be clear it is more important that you follow a system, than which system you choose to follow. If you are following a system, clarity can be gained so start where you like &amp; follow a logic that works for you, your training and your logic.</span>\n\n&nbsp;\n<h2><b>A System Within A System </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">While we have divided the body into areas for a suggested system above, we should probably also consider the sub-systems. For example the muscles, nerves &amp; joints as a way to work systematically in each area too. So being able to test each sub-system of each body part can also make our detective work both fascinating &amp; rewarding.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Whichever ‘system’, or series of systems, you follow the point to all of them is to know what has worked, what hasn\'t worked and what to do next. Rather than randomly addressing various issues, not knowing what’s affecting what, if we follow a system we can be more confident about our clients key biomechanical pillars</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">With a system we can monitor &amp; demonstrate progress which offers our client clear results and we can know what is affecting what more logically coming from an informed place.</span>\n<h2></h2>\n<h2><b>What’s your system?</b></h2>\n<h2></h2>\n<h2><b>Would you like to learn an evidence based one?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Biomechanics Coaching teaches coaches &amp; trainers a very simple evidence based system of tests &amp; special techniques that give you absolute clarity &amp; confidence about what to do &amp; when...even when things don\'t happen in the way you expected or even when the ‘issues’ your clients presents with are vague, various and often complex.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So when your new client gets under that squat bar, as you throw your arms out ready to catch them…you’re thinking “</span><i><span style=\"font-weight: 400;\">I know exactly what I need to do here…</span></i><span style=\"font-weight: 400;\">.”</span>\n\n<a href=\"https://www.biomechanicseducation.com/product/pelvis-spine-biomechanics-3-day-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\"><b>October 17th/18th in Nottingham</b></a><span style=\"font-weight: 400;\"> we have only 6 places for a </span><a href=\"https://www.biomechanicseducation.com/product/pelvis-spine-biomechanics-3-day-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\"><b>Pelvic &amp; Spine Biomechanics Workshop</b></a><span style=\"font-weight: 400;\"> that is a fantastic start point for any PT looking to advance their knowledge and gain access to an entire community of professionals. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Why not begin your journey towards becoming a Biomechanics Coach and get more results, with more clients, while having the confidence to also charge more for your time as a ‘specialist’!?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Would you like to join us?</span>\n\n<span style=\"font-weight: 400;\">How would you feel if we helped you deepen your anatomy knowledge?</span>\n\n<span style=\"font-weight: 400;\">Do you want to learn anatomy &amp; medical language to get you a solid reputation with clinicians?</span>\n\n<span style=\"font-weight: 400;\">Have you been thinking about our Diploma for a while already?</span>\n\n<span style=\"font-weight: 400;\">Can you get to Nottingham on these dates?</span>\n\n<span style=\"font-weight: 400;\">Would you like to learn more?</span>\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/product/pelvis-spine-biomechanics-3-day-workshop-entry-level-3/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">BOOK HERE </span></a></h1>\n<span style=\"font-weight: 400;\">OR</span>\n<h1><span style=\"font-weight: 400;\">Call now 07976 933113 </span></h1>\n<span style=\"font-weight: 400;\">OR</span>\n<h1><span style=\"font-weight: 400;\">Email info@biomechanicseducation.com</span></h1>','Do you wonder what\'s going on when coaching technique just doesn\'t work?','','inherit','closed','closed','','23939-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',23939,'https://biomechanicseducation.com/?p=38658',0,'revision','',0),
(38659,0,'2024-07-16 11:26:29','2024-07-16 11:26:29','<span style=\"font-weight: 400;\">On the first day in the classroom, the first thing I ask my learners is “</span><i><span style=\"font-weight: 400;\">why are you here?”</span></i>\n\n<span style=\"font-weight: 400;\">The single most common request learners come to us with is….</span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">“I want a deeper level of understanding the human body”</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then I ask them </span><i><span style=\"font-weight: 400;\">“why?”.</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Often times its because we feel we lack some vocabulary skills when communicating with a physio or surgeon, or reading the medical report our client came with. </span>\n\n<span style=\"font-weight: 400;\">We want to feel like we are on some kind of level to be able to work out how we can help even when our clients have something kind of issue, right?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">But does recalling all those muscle attachments really make you a better coach? Does it actually help?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Well yes it may do BUT it shouldnt inhibit you helping your clients to move better. Just because the other PT in your gym can recite most of the muscles to their client while they train them doesn\'t mean they’re a better coach….in fact this can be off putting for a client!</span>\n\n&nbsp;\n<h2><b>Let me tell you a secret….</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">….having taught the subject of anatomy, muscles, joints, nerves and movement (intrinsic biomechanics) for over 16 years now 99% of our learners are also looking for a deeper understanding of the body! </span>\n\n<span style=\"font-weight: 400;\">You are not the only one! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Maybe during lockdown you decided to go back into the online classroom to gain a deeper level of understanding the body and movement and the reasons why clients move the way they do compared to each other!?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Did you find clarity?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Or do you feel like the things you learned about muscle attachments don\'t directly help you back in the gym when applying the knowledge practically?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It often seems to be that the more you learn, the more complex it becomes.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">All you want is something more helpful ‘in application’...right!?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">What do I mean?</span>\n\n&nbsp;\n<h2><b>The Problem</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">You want to be able to help those tricky clients who don\'t move well, have little aches or niggles, recurring injuries or a condition you have never heard of!</span>\n\n&nbsp;\n<h2><b>The Solution </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Think differently - when something isn\'t working, change what you do!</span>\n\n<span style=\"font-weight: 400;\">So learning the attachments of pectineus doesn\'t give you the solution for your clients knee valgus. </span>\n\n<span style=\"font-weight: 400;\">However learning movement can be so simple which is why during your level 2 training we learned this first.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Adduction/Abduction, Flexion/Extension, Rotation etc</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The analysis of movements or joint actions is one we seem to do really well but for some reason we remain fixed on the idea that knowing all of the muscle attachments will be the thing that solves our clients problems. </span>\n\n<span style=\"font-weight: 400;\">Yet SIMPLY understanding the movement they can or can\'t do is far more helpful. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Once we know what movement they cannot do we can consider what ‘exercises’ or techniques we can offer as a solution to the movement issue.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It would make sense to start with the least contraindicated exercise first, then systematically re-evaluate their movement overtime to understand if that exercise was helpful. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then repeat!</span>\n\n&nbsp;\n<h2><b>The Application Theory</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Something my long term colleague, mentor and business partner have discussed for many years is the ‘Application Theory’. If you look it up you won\'t find it because we made it up! It\'s our best (and probably most used) tool in the classroom and I want to teach it to you....</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The Application Theory = SIMPLE - COMPLEX - SIMPLE</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">That\'s it!!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Just that pretty much - the point being even that with the more you learn in the complex phase rarely does it dramatically alter what you do in application. </span>\n\n&nbsp;\n<h2><b>The WAY We Think, Conceptually</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">In the </span><i><span style=\"font-weight: 400;\">School of Intrinsic Biomechanics</span></i><span style=\"font-weight: 400;\"> we teach this from day 1 when ALL of our learners arrive with some degree of anxiety about being asked an A&amp;P question they feel they will be unable to answer. For some reason this peer pressure has come about over the years that we should apparently have the ability to recall ALL of those damn muscle attachments by heart, I am not sure why its such a THING!?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">First let me ask you…..</span>\n\n&nbsp;\n<ul>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Are you still worried that you just don’t know enough?</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Do you wish you had a deeper understanding of the human body?</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Would you love to recall all of the anatomy you learned during your training?</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">What do you do about it? .</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Do you use anatomy books? </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Follow anatomy geeks hoping to pick up some nuggets?</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Do you feel you can ‘get away’ without remembering all those muscle attachments?</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Do you wonder why we forget them all? or</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Maybe you wonder why we bother learning them all for an exam? </span></li>\n</ul>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Here\'s the thing MOST of the industry, and I mean MOST, DOES NOT have the ability to recall muscle attachments. Even those with a lot of training or even years of experience in the industry.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So here\'s a question….Does this stop them / you from helping people? </span>\n\n<span style=\"font-weight: 400;\">No!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Does it limit what can be done?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Maybe, but clearly there are some GREAT PT’s who DON\'T know their anatomy that are helping LOADS of clients achieve either goals!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Please understand I am not suggesting you do not need to study anatomy and gain a better understanding of the body, if it can be made fun and memorable with a reason to remember it then it is more likely to be easier to recall. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">If we teach you a biomechanics test, we give you a reason to remember the anatomy because if you don\'t know the anatomy you won\'t understand the test. What this then does is it creates a reason to remember where pec minor attaches, because we offer you a visual assessment skill that deepens your appreciation of how, when dysfunctional, it will pull the scapular forwards into that round shouldered posture we often see. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then we offer you that chance to come up with ideas as to what can be done about this and we give suggestions for alternatives. Once you have applied the test, followed by an intervention, you can retest and actually see the change occur…..this is where understanding anatomy gets really exciting - because you can see the change AND understand how it relates to the anatomy! </span>\n\n&nbsp;\n<h2><b>The Biomechanics Education Classroom</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Another important aspect to learning complex subjects, and that we endeavour to encourage in our classroom, is for our learners to never be afraid to;</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">A). ....give the wrong answer</span>\n\n<span style=\"font-weight: 400;\">B). .... say “I don’t know..?”</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">As practitioners we MUST not wing it when it comes to another person\'s body .</span>\n\n<span style=\"font-weight: 400;\">We MUST be honest when we don’t have the answer or need to seek a second opinion</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Too often the ego encourage a fear of not knowing or being wrong &amp; yet if we are honest when we don’t know we would be providing a better duty of care</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Never be afraid to have a go &amp; be wrong in the learning environment.</span>\n\n<span style=\"font-weight: 400;\">Always admit when you don’t know the answer .</span>\n\n<span style=\"font-weight: 400;\">To all the educators out there...remember we must NEVER judge a learner who is honest enough to say “</span><i><span style=\"font-weight: 400;\">I don’t know</span></i><span style=\"font-weight: 400;\">” when we ask them a question!</span>\n\n&nbsp;\n<h2><b>Simplicity In Application </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">WHY do we feel this pressure, even on ourselves, to recall the A&amp;P when application of safe movement coaching is far more important!?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Theory of Application SIMPLE - COMPLEX - SIMPLE</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">SIMPLE - when you look at or speak to your client the ‘WHAT’ is obvious to you, for example...their knee caves in or their back hurts or one shoulder is higher than the other….or they have sore knees when they run.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">COMPLEX….Most PT’s I talk to then have this habit of trying to work out which muscle it is….well good luck with that! This is not helpful particularly at this point </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Why? Because even if you could recall every single muscle attachment it wont give you the answer as to what to do to help your client!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">SIMPLE….watch them, question them, write down your thinking, get a second opinion, check your remit, any reg flags….</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then if cleared give them a safe movement technique and watch the movement again…..repeat until improvement occurs or you need a second opinion or further learning but don\'t ever underestimate what you CAN do! </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Experience our classroom and you will learn far more than simply how to assess your clients body!</span>\n<h2></h2>\n<h2><b>Would YOU Like To Learn New Skills AND How To Apply Them SIMPLY Into Your Service BOTH Online AND Face to Face?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Let us show you!</span>\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/shop/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">CLICK HERE FOR Online Education</span></a></h1>\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">CLICK HERE FOR Face to Face Education</span></a></h1>','Does having a better understanding of the body make you a better coach?','','inherit','closed','closed','','23765-revision-v1','','','2024-07-16 11:26:29','2024-07-16 11:26:29','',23765,'https://biomechanicseducation.com/?p=38659',0,'revision','',0),
(38660,0,'2024-07-16 11:26:30','2024-07-16 11:26:30','<span style=\"font-weight: 400;\">Personal training is becoming a far more complex skill with the evolution of our client’s bodies, the ever changing environment including more &amp; more technology and the limitations surrounding us as a result of a virus. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Personal training originally evolved predominantly as a standard to support our client’s in improving their aesthetics, to reduce body fat and increase muscle mass or to ‘tone up’ if you were a </span><i><span style=\"font-weight: 400;\">lady</span></i><span style=\"font-weight: 400;\"> of course….(tongue in cheek).</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">What has happened, as with many things, is the requirement of our role has grown out of the original scope and with it additional responsibility. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">More &amp; more of our clients come with a modern ailment due to lifestyle. They expect us to ‘fix it’ or give them a specific exercise to solve the problem.</span>\n\n<span style=\"font-weight: 400;\">Yet we feel inadequate when it comes to responding to this kind of request. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We need more assessments skills, more knowledge around pain science &amp; a deeper level of understanding the body when things are quite right. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However we need to be sure we remain within our insurance remit or we must gain these additional qualifications or additional skills so we can upgrade our insured to continue to support and serve the new ‘pandemic’ of poor movers that we are gaining as clients today.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Poor movement from a sedentary lifestyle can often come with pain. This is when movement practitioners (personal trainers, pilates &amp; yoga teachers, S&amp;C coaches) MUST be careful about scope of practice.  </span>\n\n<span style=\"font-weight: 400;\">Yet there are possibly MORE people out there experiencing a type of ‘pain’ that we CAN HELP WITH.</span>\n\n&nbsp;\n<h2><b>The Problem?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">The problem is recognising and practicing in a way that demonstrates the limitations of our training in pain science and shows we appreciate we DON\'T KNOW WHAT WE DON\'T KNOW.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So how do we exercise/movement practitioners, work with clients in pain? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We MUST gain an understanding of pain</span>\n\n<span style=\"font-weight: 400;\">We MUST gain a clear understanding of red flags</span>\n\n<span style=\"font-weight: 400;\">We should work in a multidisciplinary team</span>\n\n<span style=\"font-weight: 400;\">We must utilise a thorough consultation process with clear referral points for red flags</span>\n\n<span style=\"font-weight: 400;\">We must ALWAYS refer when unsure</span>\n\n<span style=\"font-weight: 400;\">We must NEVER think </span><i><span style=\"font-weight: 400;\">“ah I am sure it will be nothing</span></i><span style=\"font-weight: 400;\">”</span>\n\n<span style=\"font-weight: 400;\">We MUST always put the client’s health &amp; safety first</span>\n\n<span style=\"font-weight: 400;\">We MUST NEVER KNOWINGLY CAUSE HARM</span>\n\n&nbsp;\n<h2><b>How do we do this?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Here are some of the basics to start you off that come from the book </span><i><span style=\"font-weight: 400;\">Explain Pain </span></i><span style=\"font-weight: 400;\">by Lorimer Moseley and David Butler, who are world leading neuroscientists. Their world renowned research is demonstrating how our clients experience pain and what we can do to help.</span>\n\n&nbsp;\n<ul>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pain is good </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pain is a warning signal</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pain is telling you to change something </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pain is subjective </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pain is an input not an output</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pain isn’t necessarily indicative of its location</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pain is not necessarily indicative of pathology</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The degree of pain felt is not indicative of the amount of tissue damage </span></li>\n</ul>\n<span style=\"font-weight: 400;\">So we strongly recommend investing in this book to learn more about the science of pain. </span>\n\n<span style=\"font-weight: 400;\">Also how to communicate the above with clients who experience pain or even live with chronic pain, often this alone enables them to feel less pain. </span>\n\n&nbsp;\n<h2><b>What else can we do?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Skilled communication is a huge contributor to understanding and reducing pain. We can support our clients\' experience by offering them language appreciation to enable them to communicate better what they are experiencing. Thus allowing us to better understand how to support or refer them to another practitioner better suited to their requirements.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Then we can use considered language to help clients better understand how pain works therefore offering a form of CBT to contribute to reducing their experience of pain. </span>\n\n<span style=\"font-weight: 400;\"> </span>\n\n<span style=\"font-weight: 400;\">One common miscommunication I come across a lot is when a client describes ‘tension’ or ‘stiffness’ as pain. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So my role includes helping clients to differentiate </span><i><span style=\"font-weight: 400;\">pain</span></i><span style=\"font-weight: 400;\"> from </span><i><span style=\"font-weight: 400;\">tension</span></i><span style=\"font-weight: 400;\"> or stiffness. This may sound to some like a crazy notion and yet could be a game changer in how we work with a client or even IF we work with them. </span>\n\n&nbsp;\n<h2><b>Definitions </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Pain comes under the descriptive group term for SENSATION. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Examples of </span><i><span style=\"font-weight: 400;\">Sensations </span></i><span style=\"font-weight: 400;\">are; </span>\n\n<span style=\"font-weight: 400;\">Pain </span>\n\n<span style=\"font-weight: 400;\">Tension </span>\n\n<span style=\"font-weight: 400;\">Stiffness </span>\n\n<span style=\"font-weight: 400;\">Ache</span>\n\n<span style=\"font-weight: 400;\">Niggle</span>\n\n<span style=\"font-weight: 400;\">Tingle </span>\n\n<span style=\"font-weight: 400;\">Stretch </span>\n\n<span style=\"font-weight: 400;\">Pulling </span>\n\n<span style=\"font-weight: 400;\">Pinching </span>\n\n<span style=\"font-weight: 400;\">Numbness </span>\n\n<span style=\"font-weight: 400;\">Throbbing </span>\n\n<span style=\"font-weight: 400;\">Itching </span>\n\n<span style=\"font-weight: 400;\">Cramp</span>\n\n<span style=\"font-weight: 400;\">Stabbing </span>\n\n<span style=\"font-weight: 400;\">Sharpness</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Depending upon how you ‘read the client’ and other details of their history will dictate whether you deem any of these descriptions to be red flags. For example we could ask them to score their ‘sensations’....</span>\n\n&nbsp;\n<h2><b>Scoring Pain (or Sensations)</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Using the adapted Borg scale 0-10 to score the level of pain we can ask a client to give us a number out of 10 that is representative of how much pain, or sensation, they feel. We also need to give them examples of extremes like...</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">0 being no pain at all</span>\n\n<span style=\"font-weight: 400;\">10 having their arms ripped from the sockets </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Once they’ve given a score remember PERCEPTION can often be distorted when someone has </span><i><span style=\"font-weight: 400;\">chronic</span></i><span style=\"font-weight: 400;\"> pain or even a fear of movement OR even a fear you will send them away and refuse to work with them! Which is another reason to gather a team around you.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">However you can also ask questions like…. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Can you describe the </span><i><span style=\"font-weight: 400;\">quality</span></i><span style=\"font-weight: 400;\"> of your pain? Is it sharp or dull?</span>\n\n<span style=\"font-weight: 400;\">Do you feel better moving or when still? Morning or evening? </span>\n\n<span style=\"font-weight: 400;\">Are there specific movements or positions that increase it? Or decrease it?</span>\n\n<span style=\"font-weight: 400;\">Is it constant or erratic? </span>\n\n<span style=\"font-weight: 400;\">Does it radiate or remain in a fixed point? </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">This kind of questioning has several benefits other than the actual details. Clients will feel heard and valued when you spend time asking about how they feel. This has been shown to improve the likelihood of pain reduction and adherence. </span>\n\n<span style=\"font-weight: 400;\">Each of these, along with having the ability to read your clients face &amp; body language (sometimes quite separate to what they actually say) allow us to evaluate risk to make the decision as to whether we work with them or not.</span>\n\n&nbsp;\n<h2><b>So can I still work with a client in pain? </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Some sensations a client initially describes as ‘pain’, upon further questioning, you may find are in fact simply ‘tight or stiff’. So our communication and interview skills are paramount when considering taking on a client who tells you they experience any degree of pain.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Pain itself should be deemed a red flag until further questioning takes place like the above or for referral. This is why having a team of diverse professionals around you is vital in being able to retain clients while remaining with your own remit.</span>\n\n&nbsp;\n<h2><b>Our role in reducing clients pain</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">It’s worth keeping in mind a ‘pain’ or sensation that is low in grade, insidious &amp; has not come from a specific trauma, or with any red flags, is quite likely simply a biomechanical issue or you could describe it as a physical adaption or compensation. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">What this means is that there is a high chance it can be improved by changing something in your clients movement profile. So ‘remedial exercise’ movement techniques, like the iMoveFreely Programme, are hugely beneficial and greatly improve the results of any application of ‘strength’ training.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We can teaching clients how to avoid things that irritate </span>\n\n<span style=\"font-weight: 400;\">We can monitor &amp; assess their movement quality</span>\n\n<span style=\"font-weight: 400;\">We can add in a special technique like an MET that is safe &amp; low grade</span>\n\n<span style=\"font-weight: 400;\">Then we can re-assess &amp; evaluate</span>\n\n<span style=\"font-weight: 400;\">..Add something else like a pure mobility technique </span>\n\n<span style=\"font-weight: 400;\">..re-assess &amp; evaluate </span>\n\n<span style=\"font-weight: 400;\">...add something else like a nerve mobilisation </span>\n\n<span style=\"font-weight: 400;\">...re-assess &amp; evaluate </span>\n\n<span style=\"font-weight: 400;\">Do this segmentally for each part of your clients body...ie pelvic, spine etc</span>\n\n<span style=\"font-weight: 400;\">It’s not complicated, but does it take time? Yes of course!! </span>\n\n<span style=\"font-weight: 400;\">Just remember it takes months/years of compensation to get to the point your client starts to feel discomfort...reducing it may well take a while too!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">AND....</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">....ignoring or simply resting doesn\'t address the warning signal so they shouldn\'t be surprised if old pains recur. Recurring ‘issues’ indicate the root cause hasn’t been addressed. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">A clinician\'s job is to diagnose and treat a clinical problem.</span>\n\n<span style=\"font-weight: 400;\">Our role (exercise/movement professionals) is to improve movement quality.</span>\n\n<span style=\"font-weight: 400;\">If pain dissipates through movement there\'s a good chance it was a movement issue.</span>\n\n<span style=\"font-weight: 400;\">If clinicians struggle to identify a root cause of pain through diagnostics there\'s a chance its a biomechanical issue.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We have a vital role in pain reduction BUT remember </span>\n\n&nbsp;\n<h3><strong>WE DON\'T KNOW WHAT WE DON\'T KNOW!!</strong></h3>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Build a team around you</span>\n\n<span style=\"font-weight: 400;\">Assess &amp; question often</span>\n\n<span style=\"font-weight: 400;\">Transfer meaningful information between your team</span>\n\n<span style=\"font-weight: 400;\">Never knowingly do harm</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Keep them moving, moving well &amp; moving more in less pain!</span>\n\n&nbsp;\n<h1><a href=\"https://www.biomechanicseducation.com/product/low-back-health-pain-online-cpd-training/#tab-description\" target=\"_blank\" rel=\"noopener noreferrer\">Learn more about pain science HERE</a></h1>','Does your client experience pain while training?','','inherit','closed','closed','','23636-revision-v1','','','2024-07-16 11:26:30','2024-07-16 11:26:30','',23636,'https://biomechanicseducation.com/?p=38660',0,'revision','',0),
(38661,0,'2024-07-16 11:26:30','2024-07-16 11:26:30','<span style=\"font-weight: 400;\">Look I don\'t want you to be left with egg on your face after everything you have likely gone through over the last 4/5 months </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We cannot just be PT’s any more, we really have to step up our game and consider our role in the bigger picture, how our role is evolving and we MUST stay business savvy. Yet technology is not the only thing dramatically changing/affecting our businesses. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We need to start questioning, and for some maybe RE-questioning, if you did this before lockdown or even early lockdown…..</span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">What\'s your brand?</span></i>\n\n<i><span style=\"font-weight: 400;\">Who’s your audience/demographic?</span></i>\n\n<i><span style=\"font-weight: 400;\">Who do you speak to? </span></i>\n\n<i><span style=\"font-weight: 400;\">Who\'s your raving fan?</span></i>\n\n<i><span style=\"font-weight: 400;\">What do they want?</span></i>\n\n<i><span style=\"font-weight: 400;\">How can you serve them?</span></i>\n\n<i><span style=\"font-weight: 400;\">Is there another way?</span></i>\n\n&nbsp;\n<h2><b>Diversify</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Take the likes of lululemon, they sell beautiful high end activewear, yet they recently invested in something called Mirror.co. This is a completely different business BUT has a link to their target market so fits their overall purpose and ethos. So now they are not just clothing, AND also more importantly, they are not solely reliant on one revenue stream. </span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">The question is could Plan B be to expand your brand before</span> <span style=\"font-weight: 400;\">simply trying to get more clients for personal training in this new challenging climate? Remember change can often feel uncomfortable initially but eventually we all adapt however I believe we should have an honest look at what we do and seriously consider a long term change.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">It\'s highly likely you will have considered all sorts of things when we were locked down, maybe thinking things like….</span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">“...how the hell can I make money to pay my bills…?”</span></i>\n\n<i><span style=\"font-weight: 400;\">“...should I get a job at Tesco....?”</span></i>\n\n<i><span style=\"font-weight: 400;\">“...OMG, what can I do differently in my business that isn\'t what I normally do..?”</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">...you probably (hopefully) became SUPER productive and resourceful eventually, right!?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So what did you come up with and was it enough or did you simply alter temporarily and wait for lockdown to lift and gyms to open so you could go back to what you </span><i><span style=\"font-weight: 400;\">normally</span></i><span style=\"font-weight: 400;\"> do or are familiar with?</span>\n\n<span style=\"font-weight: 400;\">This tough time can be an </span><i><span style=\"font-weight: 400;\">opportunity</span></i><span style=\"font-weight: 400;\"> that I want to encourage you NOT to miss!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Think about what WE do in the bigger picture, movement health, mindset and wellbeing, and what services, products or concepts can you create to develop income streams to stay afloat even if one area of your businesses gets shut down again with a NEW LOCKDOWN or future pandemic!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">We have a duty or care and a HUGE role to play in finding ways to continue doing what we do but we need our businesses to survive to do this!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">So what could you do now that if life/work becomes restrictive again you are not left high and dry? </span>\n\n<span style=\"font-weight: 400;\"> </span>\n\n<span style=\"font-weight: 400;\">Thinking outside the box allows for innovation and could save you during another lockdown…</span>\n\n&nbsp;\n<h2><b>A Solution…?</b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Think about your ideal client and what other things you talk about with them? Is there something in those conversations that could give you an idea of another business opportunity to connect with a wider audience of your kind of people?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Apps</span>\n\n<span style=\"font-weight: 400;\">Retreats </span>\n\n<span style=\"font-weight: 400;\">Clothing</span>\n\n<span style=\"font-weight: 400;\">Community links/collaborations</span>\n\n<span style=\"font-weight: 400;\">Veg delivery </span>\n\n<span style=\"font-weight: 400;\">Affiliate links</span>\n\n<span style=\"font-weight: 400;\">Online delivery of education </span>\n\n<span style=\"font-weight: 400;\">Online sessions </span>\n\n<span style=\"font-weight: 400;\">Memberships/Subscriptions </span>\n\n<span style=\"font-weight: 400;\">Or even quite simply…..</span>\n\n<i><span style=\"font-weight: 400;\">How do I deliver something new?</span></i>\n\n&nbsp;\n<h1><b>Possible Solutions</b></h1>\n&nbsp;\n<h2><strong>Online Service</strong></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Ok we are not about to tell you the obvious which is to be offering an online service, long term. THIS alone is a commercial no brainer! While we, like many of you, much prefered face to face there are people we know who are anxious and looking to find alternatives to the higher risk environments, even if for a while. This has always been an option but since the landscape of our industry has changed we must challenge our own biases to enable us to continue doing what we love - helping people move better AND serving ALL those who need our help.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Here is a simple idea and possibly one of the easiest to set up technically and can be done pretty much for free:</span>\n\n&nbsp;\n<ul>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Set up a facebook ‘group’</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Set it to ‘private’ </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Invite your paying clients </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Upload generic articles, videos, live tutorials/sessions, educational information, health advice - daily, weeky, monthly</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Charge via BACS or Paypal (Paypal will incur a small % charge) a small weekly/monthly fee for access.</span></li>\n</ul>\n&nbsp;\n\n<span style=\"font-weight: 400;\">There are of course various platforms like Zoom, Webinarjam, Youtube etc that allow you to stream or offer live sessions but you may need to research the best one to suit your requirements.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Also if you are still challenged technically - ASK for help! Family members, mentors, educators - there are many who I am sure would be willing to help you to initiate something like this. </span>\n\n&nbsp;\n<h2><b>Improve Skills </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Learning new skills that we may not have considered before might be a good idea right now. Suddenly becoming ‘time rich’ in lockdown many of us embarked on an education journey while we had the chance which proves how much we really WANT to learn!</span>\n\n&nbsp;\n\n<i><span style=\"font-weight: 400;\">What did you learn though?</span></i>\n\n<i><span style=\"font-weight: 400;\">Has it helped you so far?</span></i>\n\n<i><span style=\"font-weight: 400;\">Did it help your current business?</span></i>\n\n<i><span style=\"font-weight: 400;\">Are there more diverse skills you now realise you need?</span></i>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Things are changing swiftly as are education opportunities so keep a track of where you feel weakest or least confident, then research good education companies or ask colleagues or trusted professionals who they recommend and who may be able to guide you.</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Have you thought of learning more about things like:</span>\n\n&nbsp;\n<ul>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Video creation</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Business </span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Building an app</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Creating a brand</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Copywriting</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Communication skills</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Covid-19 training/hygiene</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Health &amp; safety/risk assessment</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Management</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Mental health</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Creating posts</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Online programme designing</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Helping problem/tricky clients (in pain/injured)</span></li>\n 	<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"> Delivering educational sessions</span></li>\n</ul>\n&nbsp;\n\n<span style=\"font-weight: 400;\">This list is not exhaustive but try not to rule things out too quickly as some things could convert into something really helpful if you put some real thought into it.</span>\n\n&nbsp;\n<h2><b>Invest in Help/Support </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Is there someone who you feel could be of help to you or your mindset or business? Or is there an area of your business you would LIKE TO FIND someone to help you with?</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">Delegation of certain jobs can leave you free to do the jobs you prefer or are better at and possibly even that make you more money. This is something I have learned with technology in particular. While I do quite a bit there are some jobs that would take me days to do so it is much more cost effective to pay someone who can do it in a few hours!</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">One of the most valuable lessons I learned as a ‘coach’ is that I too need coaching. In fact I have several! So I strongly recommend you reach out, invest or maybe you can swap skills.</span>\n\n<span style=\"font-weight: 400;\">You could write them an exercise programme for some business advice? </span>\n\n<span style=\"font-weight: 400;\">It\'s how business used to be done and a totally logical way of doing business when cash is low AND there is no harm in asking!!</span>\n\n&nbsp;\n<h2><b>Recommendations </b></h2>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Here are companies that I personally respect and trust to give you a little starter....</span>\n\n&nbsp;\n\n<span style=\"font-weight: 400;\">BTN Academy - nutrition</span>\n\n<span style=\"font-weight: 400;\">MTE Academy - therapy</span>\n\n<span style=\"font-weight: 400;\">Pulseroll - vibration tools </span>\n\n<span style=\"font-weight: 400;\">Future Fit Training - fitness education provision</span>\n\n<span style=\"font-weight: 400;\">DTS Fitness Education - system programming</span>\n\n<span style=\"font-weight: 400;\">Chris Wright HQ - business &amp; marketing </span>\n\n<span style=\"font-weight: 400;\">PM2 Media - Video creation</span>\n\n<span style=\"font-weight: 400;\">Therapy Empire - Therapy equipment </span>\n\n<span style=\"font-weight: 400;\">Wolverson Fitness - Gym/fitness equipment </span>\n\n<span style=\"font-weight: 400;\">STA - accreditation / recognition in therapy </span>\n\n<span style=\"font-weight: 400;\">CIMSPA - accreditation / recognition in exercise &amp; fitness </span>\n\n&nbsp;\n<h1><b>Plan C, D…..</b></h1>\n&nbsp;\n\n<span style=\"font-weight: 400;\">Finally keep planning all the time and try to remain open to opportunities since we have all learned recently how things can change drastically in a flash. So even if you work out your plan B, work out plan C and D too - because you just never know!!!</span>\n\n&nbsp;\n<h2>Another plan option...</h2>\n&nbsp;\n\n<a href=\"https://www.biomechanicseducation.com/biomechanics-coach-diploma-2/\" target=\"_blank\" rel=\"noopener noreferrer\">....Become a Biomechanics Coach CLICK HERE</a>','Don\'t get left behind! Do you have a plan B? plan C? And maybe even a plan D?','','inherit','closed','closed','','23526-revision-v1','','','2024-07-16 11:26:30','2024-07-16 11:26:30','',23526,'https://biomechanicseducation.com/?p=38661',0,'revision','',0),
