2 New Self Myofascial Release Tools to Try

In my recent article on the best self myofascial release tools, I overviewed a variety of tools that people can use based on their goals and needs.

I mentioned a couple of newer self myofascial release tools that I have started using instead of a simple foam roller.  I still like foam rollers, but think that many people could benefit even more by upgrading to these newer tools.

A lot of people have been asking me about these newer tools, so I wanted to film a couple of videos showing you more.

 


Acumobility Eclipse Foam Roller and Mobility Ball

 


Mobilitas Mobility Sphere

 


Try these two new products and I think you’ll be impressed.  And be sure to check out my other recommendations of foam rollers, massage sticks, and other mobility tools.

 

 

 

What Exactly Is a SLAP Tear? Top 5 Things You Need to Know About a Superior Labral Lesion

Superior Labral SLAP Tear**Updated in 2017**

A very common diagnosis for shoulder injuries is a superior labral tear, or SLAP tear.  SLAP stands for Superior Labral tear Anterior to Posterior.  There many different variations of SLAP tears, which have different levels of severity and treatment strategies.  Back in the day, surgeons would want to operate on all SLAP tears but we learned that some do well without surgery.  In fact, some SLAP tears aren’t even worrisome .

Understanding how a SLAP lesion occurs and what exactly is happening pathologically is extremely important to diagnose and treat these shoulder injuries appropriately.

This article is part of a 4-part series on SLAP Lesions

 

Classification of SLAP Lesions

As you can see in the figure, the long head of the biceps tendon inserts directly into the superior labrum.  There are several variations of injuries that can occur to the superior labrum where the biceps anchor attaches.

Following a retrospective review of 700 shoulder arthroscopies, Snyder et al: Arthroscopy 1990, identified 4 types of superior labrum lesions involving the biceps anchor. Collectively they termed these SLAP lesions, in reference to their anatomic location: Superior Labrum extending from Anterior to Posterior. This was the original definition but as we continue to learn more about SLAP tears, they certainly do not always extend from anterior to posterior. But, the most important concept to know is that a SLAP lesion is an injury to the superior labrum near the attachment of the biceps anchor.

SLAP Tear Classification

Type I SLAP Lesions

Type I SLAP lesions were described as being indicative of isolated fraying of the superior labrum with a firm attachment of the labrum to the glenoid. These lesions are typically degenerative in nature. At this time, it is currently believed that the majority of the active population may have a Type I SLAP lesion and this is often not even considered pathological by many surgeons.

 

Type II SLAP Lesions

Type II SLAP lesions are characterized by a detachment of the superior labrum and the origin of the tendon of the long head of the biceps brachii from the glenoid resulting in instability of the biceps-labral anchor. These is the most common type of SLAP tear. When we receive a script from a surgeon to treat a “SLAP repair” he or she is more than likely talking about a Type II SLAP and surgery to re-attach the labrum and biceps anchor.

Three distinct sub-categories of type II SLAP lesions have been further identified by Morgan et al: Arthroscopy ’90. They reported that in a series of 102 patients undergoing arthroscopic evaluation 37% presented with an anterosuperior lesion, 31% with a posterosuperior lesion, and 31% exhibited a combined anterior and superior lesion.

These findings are consistent with my clinical observations of patients. Different types of patients and mechanisms of injuries will result in slightly different Type II lesions. For example, the majority of overhead athletes present with posterosuperior lesions while individuals who have traumatic SLAP lesions typically present with anterosuperior lesions. These variations are important when selecting which special tests to perform based on the patient’s history and mechanism of injury.

 

Type III SLAP Lesions

Type III SLAP lesions are characterized by a bucket-handle tear of the labrum with an intact biceps insertion. The labrum tears and flips into the joint similar to a meniscus. The important concept here is that the biceps anchor is attached, unlike a Type II.

 

Type IV SLAP Lesions

Type IV SLAP lesions have a bucket-handle tear of the labrum that extends into the biceps tendon. In this lesion, instability of the biceps-labrum anchor is also present, similar to that seen in the type II SLAP lesion. This is basically a combination of a Type II and III lesion.

What is complicated about this classification system is the fact that the Type I-IV scale is not progressively more severe. For example a Type III SLAP lesion is not bigger, or more severe, or indicative to more pathology than a Type II SLAP lesion.
To further complicate things, Maffet et al: AJSM ’95 noted that 38% of the SLAP lesions identified in their retrospective review of 712 arthroscopies were not classifiable using the I-IV terminology previously defined by Snyder. They suggested expanding the classification scale for SLAP lesions to a total of 7 categories, adding descriptions for types V-VII.
  • Type V SLAP lesions are characterized by the presence of a Bankart lesion of the anterior capsule that extends into the anterior superior labrum.
  • Type VI SLAP lesion involve a disruption of the biceps tendon anchor with an anterior or posterior superior labral flap tear.
  • Type VII SLAP lesions are described as the extension of a SLAP lesion anteriorly to involve the area inferior to the middle glenohumeral ligament.

These 3 types typically involve a concomitant pathology in conjunction with a SLAP lesion. Although they provided further classification, this terminology has not caught on and is not frequently used. For example, most people will refer to a Type V SLAP as a Type II SLAP with a concomitant Bankart lesion.

Since then there have been even more classification types described in the literature, up to at least 10 that I know of, but don’t worry, nobody really uses them.

 

Top 5 things you need to know about classifying SLAP lesions

Here’s all you need to know about classifying SLAP tears:

  1. Just worry about Type I-IV SLAP lesions and realize that any classification system above Type IV just means that there was a concomitant injury in addition to the SLAP tear.
  2. You can break down and group Type I and Type III lesions together. Both involved degeneration of the labrum but the biceps anchor is attached. Thus, these are not unstable SLAP lesions and are not surgically repaired. This makes surgery (just a simple debridement) and physical therapy easier.
  3. You can also break down and group Type II and Type IV lesions together. Both involve a detached biceps anchor and require surgery to stabilize the biceps anchor. Type IV SLAP tears are much more uncommon and will involve the repair and a debridement of the bucket handle tear.
  4. Type II lesions are by far the most common that you will see in the clinic and are almost always what a surgeon is referring to when speaking of a “SLAP repair.”  That being said, we are seeing trends towards NOT repairing SLAP II lesions, as they may be more common than once expected.  This is especially true in overhead athletes.
  5. We all may have a Type I lesion, it is basically just fraying and degeneration of the labrum.

 

 

shoulder seminarLearn Exactly How I Evaluate and Treat the Shoulder

If you want to learn even more about the shoulder, my online course at ShoulderSeminar.com will teach you exactly how I evaluate and treat the shoulder.  It is packed with tons of educational content that will help you master the shoulder, including detailed information on the clinical examination and treatment of SLAP tears.

 

 

 

5 Ways to Decrease the Risk for an ACL Injury

Injuries to the Anterior Cruciate Ligament (ACL) are some of the most common injuries in the active population. As incidence of other injuries have decreased, injuries involving the ACL have rose astronomically over the years.  There have been numerous studies done looking at what causes the ACL to tear. More specifically, female athletes are 4-5x more likely to tear their ACL as compared to their male counterparts.

Like with any injury, it cannot be blamed on one thing. Injuries are multi-factorial as well as non-preventable.  Injuries will always happen.  The only thing that we can do is to decrease the frequency or incidence of them. Luckily, as we continue to learn more about the mechanism of injury, we have developed some strategies to reduce your chance of ACL injuries.

 

5 Ways to Decrease the Risk for an ACL Injury

Here are 5 things to focus on when designing programs to reduce ACL injuries.

 

Optimize Mobility

If you look at the human body, there are many joints. Some of those joints require mobility and some of those joints require stability. Depending on which plane of motion you are in, mobility or stability is usually more imperative than the other.

When it comes to mobility, there are certain joints in the body that we need to have optimal mobility in order to decrease the risk for an injury to the ACL. The two joints that come to mind are the talocrural joint of the ankle, and the femoroacetabular joint of the hip.

For the ankle, specifically dorsiflexion range of motion is imperative to decrease strain at the knee. If the ankle doesn’t have the ability to dorsiflex and absorb force during a land from a jump or cutting maneuver, the mid foot or knee are the two joints that will have to have increased mobility to accommodate the athletic endeavor.

 

Ankle Mobility

To assess for adequate ankle mobility, use the Knee to Wall Ankle Mobility Test.

Key Points:

  • Place your foot 4 inches away.
  • Keeping your foot flat on the floor, attempt to touch your knee to the wall.
  • Don’t allow for valgus or varus collapse.

If you can reach the wall from 4 inches, then you have sufficient ankle mobility to run, squat, and perform without playing increased stress through the knee due to poor ankle mobility.

The other joint in the body that needs to have optimal mobility is the hip.  The motions at the hip that need adequate mobility are hip flexion, hip extension, hip abduction, hip internal and external rotation.

Now, you may be saying, “Wow, that’s a lot of areas that need mobility.”  Well, let’s break it down!

 

Hip Flexion

5 ways to reduce ACL injuriesAnecdotally, I like to see clients present with full hip flexion. If there is decreased mobility into hip flexion, this can send a signal to the brain to alter movement and muscle firing patterns and in turn, can affect how someone lands or moves.

A quick and easy test is to test passive hip flexion range of motion.  

This involves bringing your knee towards your chest. Ideally, your thigh should reach the inferior aspect of your rib cage. Now, everyone is made differently and depending upon what sport you play, hip structure can vary from person to person.

If you cannot reach your thigh to your rib cage, slightly abduct your thigh and see if you can go further. If you can, then your hips are structured a little differently.

 

Hip Extension

Key Points:

  • Thigh should be able to reach parallel to ground.
  • Knee should be at 90 degrees to thigh.
  • Thigh should drop straight down and not flare out towards side of body.

Hip extension mobility is necessary to be able to activate the gluteus maximus and hamstrings in order to decrease incidence of a valgus collapse. If adequate hip extension mobility is not present, then muscular compensation will occur and in turn, possible injury.

 

Hip Internal Rotation (IR)

Even though hip internal rotation is part of the combination of movements that contribute to an ACL injury, not having the requisite mobility is a risk factor. If the body doesn’t have certain available ranges of motion, then the brain and central nervous system are not able to prevent going into those said ranges of motion. Therefore, if someone doesn’t have adequate hip internal rotation, then the body has no way to prevent that motion from occurring.

VandenBerg et al. in Arthroscopy: The Journal of Arthroscopic & Related Surgery that “risk of ACL injury is associated with restricted hip IR, and as hip IR increases, the odds of having an ACL tear decreases.”

 

Hip External Rotation

Hip external rotation is important because avoidance of a knee valgus position is necessary to avoid injury to the ACL. Having adequate hip external range of motion will allow the athlete to be able to get into an athletic position to avoid that valgus position.

 

Learn How to Land

You watch any NFL or NBA game and guys are jumping to catch a ball to to tap in a rebound for 2 points. Most injuries to the ACL don’t occur on the jumping portion as it does on the landing portion.

When athletes have to land from a jump, the body has to absorb 7-10x their body-weight in forces from the ground.  If joints aren’t in an ideal position to absorb and adapt to stress, injuries can happen.

landing mechanics ACL injury

Photo credit

Therefore, we need to assess athletes in their landing patterns and mechanics to make sure their body is resilient and capable to land properly.

 

Step Down Test

 

The Step Down Test is a simple way to determine an athlete’s predisposition to absorbing eccentric stress. Ideally, we like to see the pelvis, hip, knee, and ankle remain in a line during descent.

 

If someone steps down and the femur internally rotates and the knee goes into valgus collapse,  this is something that needs to be rectified.

If you want to use a more quantitative analysis of landing mechanics and skill as compared to the contralateral limb, then here are 3 tests that can help with that.

 

Single Leg Hop for Distance

Key Points:

  • Instruct the athlete to jump as far as then can and land on 1 leg.
  • They must stick the landing without hopping around or using their leg/arm for balance.
  • Perform 2 trials.  Measure each jump, take the average of the 2 trials, then repeat on the opposite leg.

 

Triple Hop for Distance

Key Points:

  • Instruct the athlete to jump as far as they can, land on 1 leg, and continue for 2 more hops, sticking the 3rd landing
  • They must stick the landing without hopping around or using their leg/arm for balance.
  • Perform 2 trials.  Measure each jump, take the average, then repeat on the opposite leg.

 

Crossover Hop for Distance

Key Points:

  • Instruct the athlete to jump as far as they can, land on 1 leg, and continue for 2 more hops, sticking the 3rd landing while crossing over a tape line on the floor with each jump.
  • They must stick the landing without hopping around or using their leg/arm for balance.
  • Perform 2 trials.  Measure each jump, find the average, then repeat on the opposite leg.

Now that you have the average for all 3 jumps, we need to determine if the difference between the two limbs is significant. According to Adams in the Journal of Orthopaedic and Sports Physical Therapy, limb symmetry indexes of 90% have previously been suggested as the milestone for determining normal limb symmetry in quadriceps strength and functional testing.

According to Phil Plisky, one of the developers of the Y-Balance Test, he advocates that the athlete’s reconstructed lower extremity be within 95% on the non-involved leg.

To determine if distances hopped are significant, the involved limb must be within 90-95% of the non-involved side. If it is less than 90%, then that athlete is at risk for future knee injury.

Using a regimen consisting of single leg plyometrics in the sagittal, frontal, and transverse planes as well as single leg exercises that focus on power development can help to improve any major deficits.

 

Achieve Symmetry

If an athlete presents with a gross asymmetry, their risk for injury can increase 3-17x. Besides using the Hop Tests, one way to assess gross asymmetry is also using the Y-Balance Test.

The Y-Balance Test consists of 3 lower and upper body movements. For the sake of this post, we will be focusing on the lower body. The movements consist of:

y balance test ACL injuries

Photo credit

If there is greater than a 4 cm difference right vs left on the anterior reach (1st picture), this is considered a risk factor for a lower extremity injury.

Smith, Chimera, and Warren found in Medicine and Science in Sports & Exercise that “ANT (anterior)  asymmetry >4 cm was associated with increased risk of noncontact injury.”

If there is greater than a 6 cm difference right vs left on the posteromedial or posterolateral reaches, pictures 2 and 3, then this is considered a risk factor for a lower extremity injury.

Asymmetry is a normal thing.  Everyone from elite level athletes to the average joe has natural asymmetries right vs left. Some asymmetries may not change and some asymmetries may make someone the elite level athlete that they are. Having a relative asymmetry right vs left is ok, but having a gross asymmetry is not.

 

Enhance Core Stability

The core musculature is responsible for providing a stable base for the pelvis, hips, knees, ankles, etc. to function off of in life and in sport. If a stable base is not provided, then it can create instability and injury further down or up the kinetic chain.

Decreased core stability can cause:

  • Pelvic Drop
  • Femoral Internal Rotation
  • Knee Valgus
  • Tibial External Rotation
  • Subtalar Excessive Pronation

All these movements are associated with injuries of the ACL. By stabilizing proximally and providing a stable base for all of the aforementioned areas to work off of, this can decrease the risk for injury.

In order to test for core stability, the Trunk Stability Push-Up (TSPU) by Functional Movement is a good test.

This is a great test to determine if someone can maintain a neutral spine while performing a push-up, but also to determine if they have a base level of core stability to maintain a certain trunk position during life/sport.

If someone cannot maintain a specific trunk position, this doesn’t mean that they have a “weak core.” or weak upper extremities. It means that the athlete doesn’t have the capability to stabilize their core proximally in order to exude force distally.

 

Learn How to Decelerate

Most athletes are fast or at least quick on their feet. The great athletes can speed up and slow down better than anyone. One common risk factor we see with ACL injuries is the inability or subpar ability to be able to decelerate.

What this means is that if someone is going to stop or change direction, they need to have the necessary skills to control their body in space when going from accelerating, to decelerating, and then back to accelerating again.

All fast cars are fast! All really fast cars have great brakes!

In order to assess an athlete’s ability to decelerate, observe how the do with change of direction drills.  For example, movements such as:

 

Sprint/Backpedal w/ Redirection

Lateral Shuffles w/ Redirection

Sprint with 45 Degree Cut

Sprint with 90 Degree Cut

Backpedal, Stop, to 90 Degree Sprint

Backpedal, Stop, to 45 Degree Sprint

All of these various movements test an athlete’s ability to accelerate, decelerate and change directions in all planes of movement. A coach, personal trainer, or physical therapist should be present to provide the athlete with the redirection component. This makes it more random and unpredictable to make sure the athlete can react and move appropriately.

While observing these various change of direction movements, observe the mechanics of the pelvis and lower extremity.

Does the pelvis and hip/knee stay in a relative stable and neutral position when decelerating and stopping?

Does the pelvis and hip/knee go into a valgus collapse during decelerating, stopping, and accelerating phases of movement? Compare these right versus left lower extremities.

If you are having trouble observing these things with the naked eye, film it!  There are apps such as DartFish or Hudl that you can download to film athletes and then you can watch it in slow motion to observe any differences side to side.

If differences are seen in right and left comparison, then work on change of direction drills. When first starting off, start the athlete at ½ or ¼ speed so that they can work on their deceleration, stopping, and accelerating mechanics.

We don’t necessarily want to bombard the athlete with too much information about biomechanics of the lower extremity, but having a basic discussion with them and showing them how they currently move and how you would want them to move safely and more efficiently is ideal.

Then once, then can master ¼ or ½ speed, then increase the speed of the drills until you are working at full speed on both sides. There are a multitude of drills out there to work on acceleration, deceleration, stopping, and change of direction. Make sure start with the sagittal plane, and then progress into the frontal and transverse planes.  

If you can’t master the sagittal plane, then the frontal and transverse planes will be much more challenging.

Assessing mobility, landing mechanics, relative lower extremity symmetry, core stability, and acceleration/deceleration can all help to improve an athlete’s performance as well as decrease their risk for an ACL injury.

 

About the Author

Andrew Millett is a Boston-based physical therapist in the field of orthopedic and sports medicine physical therapy.  He helps to bridge the gap between physical therapy and strength and conditioning.  Visit his website at AndrewMillettPT.com.

 

 

 

The Science Behind Blood Flow Restriction Training

The latest Inner Circle webinar recording on “The Science Behind Blood Flow Restriction Training” is now available.

The Science Behind Blood Flow Restriction Training

the science behind blood flow restriction trainingThis month’s Inner Circle webinar is on The Science Behind Blood Flow Restriction Training.  This is a presentation by one of our past students at Champion, Chris Cutsail.  We have started using blood flow restriction training at Champion and tasked Chris with the project of summarizing the available research on the safety and efficacy.  He did an amazing job.

This webinar will cover:

  • Understand the proposed acute physiologic response to blood flow restriction (BFR) training
  • Explain the effectiveness of BFR in promoting muscle hypertrophy, strength gains, and improved performance in both patients with injuries and athletes
  • Determine the appropriate parameters for BFR application
  • Understand the safety concerns associated with BFR
  • My recommendation on affordable BFR devices so you can get started using it too

To access this webinar:

 

 

The Best Self Myofascial Release Tools

Self myofascial release tools, such as foam rollers, trigger point balls, and massage sticks, have become some of the most popular tools used for corrective exercises, fitness, and sports performance.  In fact, performing self myofascial release has become almost a uniform component in the majority of fitness and sports performance programs.

You can certainly argue the exact physiological benefit of performing self myofascial release.  Ironically we are likely not really “releasing” fascia.  

However, it’s hard to argue the benefits of self myofascial release.

Two recent studies in International Journal of Sports Physical Therapy and Journal of Bodywork and Movement Therapy have been published that analyzed the current state of research and conclude that self myofascial release:

  • Increases mobility and joint range of motion
  • Reduces post-workout soreness and DOMS (delayed onset muscle soreness)
  • Allows for greater workout performance in future workouts
  • May lead to improved vascular function and parasympathetic nervous system function

“Simply put, self myofascial release has been proven to help you feel and move better.” [click to tweet]

In order to get started, I wanted to share my years of experience with self myofascial release tools.  There are so many foam rollers, trigger point tools, and massage sticks out there these days.  
I’ve tried nearly all of them and these are what I consider the best self myofascial release tools.

Best Self Myofascial Release Tools

Over the years I have tried a ridiculous amount of different self myofascial release tools, some great, some awful, and some just a rip off.  Luckily, new products emerge all the time and continue to improve.

I’ve learned a couple of things that are important:

  • There are different types of self myofascial release tools for different needs, body parts, and intensities.  Building your own “kit” is probably going to be the most effective.  Trying to use just a foam roller on everything is going to not work well.
  • You tend to build up a tolerance to self myofascial release and want to upgrade to more advanced foam rollers, trigger point balls, and massage sticks.  Start with the basics and advance overtime.

Best Foam Rollers

Amazon Basics High-Density Round Foam Rollerself myofascial release - amazon foam roller

The first place to is a basic high density foam roller.  This could be the cheapest and most versatile tool you get.  Amazon has started to make their own version, which is a great price.  You’ll find various sizes.  I’ve never personally gotten much use of the large 36-inch versions and tend to favor the 18-inch version.

TriggerPoint GRID Foam Rollerself myofascial release - grid foam roller

The basic high density foam roller is a great place to start to get used to foam rolling, but quickly gets pretty easy.  You’ll want to upgrade to a more firm foam roller in increase the intensity.  My preferred choice is the GRID foam roller from TriggerPoint.  I’ve been using this foam roller for years with continued success.  It has a rigid hollow core that increases the intensity very well.  This is worth the extra investment as it will likely be your main foam roller for some time.

Mobilitas Mobility Sphere
self myofascial release - mobility sphere foam roller

Somewhere between a foam roller and a trigger point ball, I actually really like using 5” mobility balls.  Because of the round shape, the contact area is smaller so the amount of force to the area is larger.  Plus, you can use into in multiple planes of motion because it is a ball instead of a roller.  This is something I personally use.  You can get into smaller areas, like your chest, but I use this just as much as a standard foam roller.  There are a few but the one I use and recommend is the Mobilitas Mobility Sphere.

Acumobility Eclipse Foam Rollerself myofascial release - acumobility foam roller

I was recently turned onto the Eclipse Foam Roller from Acumobility and have been impressed.  I was intrigued by the design and wanted to try it myself.  I’m not a big fan of foam rollers with ridges, as I just feel they don’t do much and concept is more of a marketing gimmick.  But Acumobility has a made a great advanced foam roller that includes a firm middle section that can encompass a body part really well.  It’s a really unique design and a great tool for advanced foam rolling.

Best Massage Roller Stick

While foam rollers are the primary self myofascial release tool for most needs, there are body parts that simply don’t do as well and need a massage stick tool.  The next tool you should add to your self myofascial release tool kit is a massager stick roller.  There are a few popular massage sticks on the market, and as it is with most things, I actually don’t prefer the two most popular massage sticks.

TheraBand Roller Massager+self myofascial release - theraband massage stick roller

The original massage stick began with plastic pieces and did a fairly well job, but newer tools have used a more grippy surface that I feel is far more effective. A plastic roller is just placing pressure downward on the tissue, where the grip on the TheraBand Roller Massager+ seems to also create a tissue traction with the friction produced.  This is a great product for areas like the forearms and feet, but also areas where you want to apply more pressure than what you can with just body weight, like the quads, hamstrings, and calves.  Plus, this has been the massage roller featured in many of the research reports.

Best Trigger Point Release Tools

In addition to foam rollers and massage sticks.  Trigger point release tools are another must have addition to your self myofascial release tool kit.  Essentially, these just tend to be smaller self myofascial release tools that can get into tighter areas.

Lacrosse Ballself myofascial release - lacrosse ball trigger point tool

Yup, that’s it, just a lacrosse ball.  People have tried to make better versions of trigger point balls, but nothing beats the affordable lacrosse ball.  Great material, density, and durability.  This is a great place to start.  Get a couple so you can use two at once one places like your spine.

Acumobility Mobility Ballself myofascial release - acumobility ball trigger point tool

Acumobility, the maker of the Eclipse Roller above, has another great tool, their Mobility Ball.  This is made from a great dense material, but has a flat bottom that allows you to keep this in one spot on the floor or even against the wall.  This really helps to provide firm pressure while performing movements of the muscle group.  This is a great upgrade from the lacrosse ball.

Trigger Point Wandself myofascial release - trigger point wand

Sometimes an area is hard to reach, such as your neck or back.  That’s where sometimes a trigger point wand comes in handy.  I would definitely consider this a speciality tool, however a very popular choice.

Foot Rubz Massage Ballself myofascial release - foot rubz massage ball

Another speciality tool, but something that I wanted to include as I really love, is the hand and foot massage ball from Foot Rubz.  This is a smaller trigger point ball perfect for the hands and feet.  You can use a lacrosse ball or even the TheraBand Massage Roller above for these areas, but I feel this is slightly better and worth it for many.  (I’m literally using one as I type this haha…)

Create Your Own Self Myofascial Release Tool Kit

All of the above options are great choices.  I would recommend getting one of each of the foam rollers, massage sticks, and trigger point tools.  Together, these cover pretty much all of your self myofascial release needs.

If you are interested, I also have an Inner Circle webinar on how I perform self myofascial release.

 

 

What the Top Fitness and Rehab Experts are Doing Differently This Year

At the end of each year, I love to reflect back on the year.  I look through my calendar and tasks lists to see all the things that I accomplished and then plan the upcoming year accordingly.  But in addition to this, one of the things I do each year is look back at what I have learned and what I am doing differently.

This is something I recommend everyone also perform.  If you can’t think of anything you are doing different, you aren’t growing.  Make that your priority for the upcoming year.

This year, I want to share a little bit about what I am doing differently, but more importantly, I decided to ask a bunch of my friends in the fitness and rehab industries the same question.

Notice the underlying themes below.  Plus, notice how many of the people you look up to and would consider “experts” have done so much growing this year.  If they are always pushing to learn and grow, you should be too.

Before we get into what they are doing, I have personally put a lot of emphasis on personal productivity.  We are putting together systems at Champion for almost every aspect of the company.  From the behind the scenes admin work to our actual clinical techniques.

There are two books that I read this year that I thought were outstanding and impactful:

  • Ego is the Enemy – This book blew me away and really made me re-think a lot of what I do.  “Ego” doesn’t have to be a negative thing, don’t take it that way, but prioritizing what you do in life by the outcome has been very helpful.  There are many things we do because of our egos, this book really helps.  I wish I read this book 20 years ago.  This is now something I tell all young people to read ASAP.
  • 15 Secrets Successful People Know About Time Management: The Productivity Habits of 7 Billionaires, 13 Olympic Athletes, 29 Straight-A Students, and 239 Entrepreneurs: I read a lot of productivity books and websites.  This book nailed it.  The advice given is some of the best I have ever read and in a quick and easy format.  If you want to make the most our of your year, start here.  People always ask me how I get so much done.  Besides just simply working hard, this book summarizes many of my techniques.

But more importantly, let’s hear from everyone else.  I simply emailed all these people with one easy question: “What are you doing differently this year?”  Their answers were outstanding.

Thanks to everyone that participated!

 

What the Top Fitness and Rehab Experts are Doing Differently This Year

Greg Robins

greg_robinsOn the training front, I am spending a lot more time having youth athletes build up a work capacity before writing more traditional programming for them. I have found that 3/4 kids I assess would most benefit from 30-40 min of glorified manual labor 3-4x per week.

With more specialization, more technology, more home work, etc., they never move.  Every day is the same. The kids are vastly ill prepared day 1 to see progress with basic weight lifting.

Furthermore, the last thing I want to introduce is more black and white structure. Move it, drag it, carry it, throw it, have fun.

Greg Robins

Strength Coach, Cressey Sports Performance


Dean Somerset

More semi-private training options compared to a couple of years ago. Many people don’t need me counting or correcting every single rep for them, especially if they’ve worked with me for a couple of years, plus the group dynamic tends to push people more than I ever could. Everyone is still working on their own individual program, but just in a group with me running the show.

Dean Somerset

Strength Coach, DeanSomerset.com

 


Tony Gentilcore

tony_gentilcoreNow that I’m on my own and officially a business owner, I’ve become more aware of what it really means to be client-centered and not coaching-centered. I’ve become better at not defaulting to my own biases.

It’s never about me. It’s about the client/athlete. What are their goals? And, does my programming reflect that? To be specific, something I have always been cognizant of, but am now much more aware of is the notion of respecting people’s differences; namely their anatomy.

No one has to deadlift with a straight bar from the floor. No one has to back squat or use a low-bar position or maintain a symmetrical stance. Everyone is different, with acetabulums pointing this way and that, femoral necks with different lengths and angulation, not to mention other things like femur and torso lengths.

Being more aware of not marrying myself to ONE way of doing anything because a textbook told me so has been a nice revelation on my end.

Tony Gentilcore

Strength Coach, CORE


Erson Religioso

erson_religiosoHere is what I’m doing different lately:

In the clinic

  • Using more isometrics and PNF to enhance movement patterns and in many cases restore pain free end range without the need for more complicated manual therapies. Also messing around with blood flow restriction training

Social Media

  • Posting regularly to instagram, one of the last social networks where all of your followers see all of your posts, very different than facebook’s “curated” timeline. Facebook’s reach is at an all time low and bottom line, it’s great for advertising, but not so great for organic reach. Also started a media company with some podcasts, Therapy Insiders, and short form Podcast, Untold Physio Stories. Lastly, my blog posts are A LOT shorter, mostly shorter videos, instead of 5-7 minute videos.

Learning

  • Listening to more podcasts, Health Fit Biz, #AskMikeReinold. Still using feedly to keep up with my regularly read blogs.

Business

Teaching

Erson Religioso

Physical Therapist, TheManualTherapist.com


Erwin Valencia

erwin_valenciaOnce described as “A Google Guy trapped in a Sports Medicine Body” by a fellow Major League Baseball Athletic Trainer, I’ve now added the word “Spiritual” to that phrase, as I began my third year in the NBA.

I’m grateful everyday for the opportunity to run my truly “whole-listic” platform here in New York, thanks to the unwavering support of my idol, my guru, and my team’s president, The Zen Master himself, Phil Jackson.

As an organization, we’ve been at the forefront of innovation in realm of Sports Science in the US for almost a decade, without needing public accolades or press to validate what we do. With that being a status quo for us, we’ve added other elements to our sports performance algorithm, this time enhancing more than just the 5 senses of each of our athletes, allowing them to truly be the best versions of themselves, Mind, Body, and Spirit.

Erwin Valencia

Director of Training and Conditioning, New York Knicks


Pete Dupuis

pete_dupuisI don’t know if I’d call it different, per se, but I’m getting back to my roots a little bit and scheduling routine “fitness tourism” so that I can have an ongoing feel for what’s working elsewhere. I tell almost every consulting client I work with to get out and see other facilities in action, but tend to forget that this information applies to me as well.

Just because CSP is attracting a ton of observational guests doesn’t mean that I can stop taking my own advice and seeing others do their thing.

Pete Dupuis

Co-Owner, Cressey Sports Performance


Ken Crenshaw

ken_crenshawWe have continued to evolve our understanding of PRI / DNS / FRC methods for muscle activation / inhibition based off individual assessment.  We have added in manual therapy options  (FDM-Fascial Distortion Method and FM-Fascial Manipulation per Stecco) to aide in finding balanced posture and movement.

We have been using Blood Flow Restriction units in extremity rehab which seems to have some good promise.

Tim Brown has given us some really nice options for using kinesiotaping to help function.

Our Performance staff has had the luxury of being in association with the ALTIS  training center in Phoenix, this has given us some great movement training.

One of our biggest pushes has been personal development / team development / communication. The Landmark Seminars for personal development have helped several of our staff members. Leadership development is always one of our foundations and the article link below may give some insight on our philosophy behind it.

http://pbats.com/the-culture-of-outstanding-leadership/

Ken Crenshaw

Head Athletic Trainer, Arizona Diamondbacks


Pat Rigsby

pat_rigsbyThis year what I’ve done differently…

  • I’ve spent my first full year in my ‘new’ business after selling my stake in a number of other ventures. During this time I’ve really narrowed my focus to ‘helping entrepreneurs build their ideal business’ rather than just helping people grow businesses. While it may not sound like much of a difference – it’s given me a lot of clarity on who I’m trying to serve and how I’m trying to serve them. From my perspective (and hopefully from the outside) it feels much more like being a specialist versus a generalist.
  • I’ve also enforced pretty rigid guardrails as far as my business is concerned, saying ‘no’ to more things that ever before. What I’ve come to find is that the more things that are a wrong fit that I say ‘no’ to, the more opportunities that seem ‘right’ tend to come my way. Whether it’s the length / amount of travel or the type of client I take on, selecting the right fit has actually caused me to be more creative in how I reach my professional goals – yielding really good results.
  • Along those same lines – I’ve narrow what I do to: coaching, connecting, creating, strategic planning and idea creation. Everything else gets outsourced to people who are better at those respective things. By rough estimate, I’ve spent about 85-90% of my professional time doing things I really enjoy – a much higher percentage than in any year previous.
  • From a tactical perspective, I’ve worked a lot on growing my platform. I’ve written one book and have two others that should be complete by March at the latest. I launched a podcast. I (continue to) email my audience daily. I’ve spoken at a few new events this year and done more varied  ‘list building stuff’ than in any year previous.
  • I added another layer to my coaching offerings – which grow the enrollment by about 75 clients while being a real success by any measure.
  • Finally – after kind of mailing it in from late March – mid July as far as work goes (working about 15 hours a week most weeks), I created what I called a 100 Day Sprint where I mapped out about a dozen pretty aggressive goals spanning every fact of my business from revenue growth to writing progress. I just wrapped it up on 11/4 and hit 11 of 12 goals…with many being exceeded by a significant margin. Now I’m going to turn the whole process into a course.

Pat Rigsby

Business Consultant, PatRigsby.com


Dave Tilley

dave_tilleyHere is what I have been doing a lot differently

  • On the clinical side, one thing I have been doing is playing devils advocate with myself a lot in regards to newer concepts/research. I saw in myself that that my pendulum was shining way too far between topics and just like many others I don’t want to get carried away. Finding the mid ground in contrasting areas like include “functional” approaches vs importance of isolation/basics, neurological vs biomechanical/histological approaches, set movement patterns vs motor variability, and so on. I find it really helps me map out my approach but also keeps me on my toes when reading new research. I’m spending a ton of time in hip micro instability research and treatment, so having this opposing sides view is really interesting to develop new ideas.
  • I have really been trying to build up my strength and conditioning knowledge and apply to my whole rehab approach. I have always felt decent in this area, but in working more with high level gymnasts/Olympic Weightlifters, I found that I was dropping the ball a bit for advanced rehab. I’ve been reading a ton of newer strength books and energy systems training research to get up to speed, but also approaching my rehabilitation through more formal strength and periodization models, even with the acute or post op patients.
  • More for myself, a lot more reading in personal development this year. Reading books like Ego is The Enemy, Legacy, and Extreme Leadership we eye opening to some personality flaws I didn’t even pick up in myself. Swallowing some tough pills was necessary, but ultimately I think it’s helping make my job and life better. Also has allowed me to make some really large positive changes in trying to change a sport so stubborn as gymnastics. Another personal note, I’ve also been way more disciplined about following my calendar weekly to stay on track.
  • Definitely writing a lot shorter, more concise blog posts for my company SHIFT Movement Science  I put out more content based articles less often, but make them full of relevant points and get right to the point. It’s been really helpful for me to deload but readers enjoy it much more. Moving more to educational products and items people can utilize to learn on their own vs my pumping out regular articles.

Dave Tilley

Physical Therapist, Champion PT and Performance


Dan Lorenz

dan_lorenzThings I’m Doing Differently:

  • Been inviting local physicians to our monthly journal clubs and “co-author” blogs on my website.  Has been a great addition and really surprised how many have expressed interest.  I had not done that previously.
  • Inviting more local physicians in to do inservices for my staff.  Surprised how many actually pull themselves away and want to do it.  Been great for education and interaction.  
  • I meet once a week w/ my clinicians that are 0-2 years out of PT school to review their cases.  Fridays, noon over lunch.  They go over struggles, the others put in their two cents, then I swoop in at the end and tell ’em they’re all full of s**t. Lol.  Just kidding, just help them round out their plans.  They rave about it and I know in the end, I “lose to win.”
  • Clinically – using BFR more, but I find I have more questions than answers.  Also using dry needling as an adjunct.
  • I have tried really hard to stop arguing with idiots on social media. After a while, it’s hard to tell the difference.
  • I have decided that I’m not that important.  My clinics will be fine.  So will my patients and they’ll find a way to see me.  I go in to work a little later to take my son to school and leave two days early to pick him up.  That matters way more than an extra visit or two.  
  • Agree w/ Pat Rigsby big time – taking stuff off my plate and saying “no” a little more often.  It’s a struggle because I have a tremendous passion for my profession, but have to make sure everything else doesn’t suffer.

Things I Wish I Did Differently:

  • Now that I’m not involved formally in pro and college sports like I used to, although I still see elite athletes, I don’t have all the cool toys so many of you get to use.  Sigh…maybe someday.  Love to tinker with innovative tech products. 

Things I Haven’t Changed a Bit:

  • Read a ton.  Research guides practice. I can’t get enough. I love this stuff.  
  • Engage with people that are on lists like this.  Seek people that have earned trust,  Seek people who walk the walk.  
  • Be an expert at the basics.  For all the fluff and different approaches, I make sure stuff is mobile, stable, and strong like freaking bull.  Everything else – power, reactive strength and speed – follows nicely.

Dan Lorenz

Physical Therapist, SSOR


Michael Boyle

michael_boyleMy first thought was ” I haven’t done much different”. However, after reading everyone’s responses I was moved to write.

Most of what I’m changing has already been alluded too

  • Giving more responsibility to my staff. My goal is to make myself non essential.
  • Putting more thought and energy into staff development. I have established this as my ” one thing” from a business standpoint.
  • Trying to work less and be a better dad and husband. This is a never ending battle.
  • Also learning to say no. I coach who I want to, when I want too. I refer a lot of speaking options to staff members.
  • Taking advice from Alistair McCaw and focusing on 20 minutes of thoughtfulness every day. Also a 20 min nap.

Michael Boyle

Strength Coach, Mike Boyle Strength and Conditioning


Wil Fleming

wil_flemingPrioritizing things. As a coach and business owner things can get out of whack.

For me the ranking is 1) family, 2) business, 3) coaching.

Family: Making sure I am raising my son the way I want to. He’s only 18 months old, but getting out everyday to play with him for at least an hour of completely undirected free play (per good LTAD guidelines), keeping the TV off at all times, and making sure that I spend each morning with him before hitting the gym. It also means being a better husband and spending equal time on developing that relationship as I do my business and coaching.

Business: Re-vamped our core values this year to reflect what I truly believe (they were outdated when my former business partner left). We are in the relationship business and I wanted the core values to reflect as much. Just updating these has been so impactful to my business.

Coaching: Getting better at programming, I am good at seeing complex movements and breaking them down. The question I asked myself this year was “am I applying these stresses in the most optimal way?” When the answer came up, maybe, then I decided I needed to look again at what we have been doing.

On that note, I have been trying to look at different sources for more knowledge on programming, less to the traditional guru’s and more towards people that are putting up results with similar populations. Do you have the best collegiate weightlifters? Then I’m going to look at what you’re doing. Do you produce really good high school baseball players? Then I’m going to look at what you’re doing. Surprise, surprise, these people don’t have the most instagram followers, because they are out there actually coaching people.

Wil Fleming

Strength Coach, Force Fitness


Regan Wong

regan_wongAs previously stated amongst the group, balancing being a father/husband with a successful career has been something to continue to work on. As a father of 3, it has been somewhat challenging for me to do so in the past but I have made it a priority this past year to do so. I will continue to work on it. One of this funniest activities I enjoy getting my kids into is rock climbing and tae kwon do. I have found great motor development patterns develop from the rock climbing and great kinesthetic awareness/balance/proprioception in all my kids…especially in my middle son who is deaf in one year and was just “clumsy”  as toddler.  Great to see the confidence and single limb balance develop from his martial arts.

At work, I have identified and trained 2 staff clinicians to take on more managerial roles so that I didn’t have to feel like I had to be in the place 12 hours a day and be afraid the clinic would fall apart. Working on implementing the culture and systems in place to have the business run while the head guy wasn’t on the floor was a strategy to allow professional growth amongst select staff and allow me more time to spend with family etc. It also allows us to identify leaders in our clinic to eventually open and run satellite clinics when we are ready to do so from a business prospective.

I have taken the time professionally to learn the ins/outs of running a Motion Analysis lab for our pitcher biomechanical analysis to give me more of an understanding of the whole process, interpretation of the data, and provide feedback to the pitchers and coaches. Baseball medicine is always evolving as we try to tackle and decrease the pitcher injuries of the elbow/shoulder. I am currently doing research between simple balance and core tests using the LevelBelt app and comparing to the biomechanical data of the lab on pitchers that have come through the lab.

I have used the KAATSU blood flow restriction training and have seen some pretty good results with regaining quad strength and hypertrophy in post-op conditions that were limited weight bearing for initial 6 weeks post-op. Seems to be promising.

Regan Wong

Physical Therapist, TMI


Jon Goodman

jon_goodmanMy business has achieved monumental growth this year and it came as the result of an unlikely reason: I relinquished control. This year I became more comfortable establishing systems, operations, and guidelines for operating aspects of my business and handing off those elements to skilled members of the team in full trust. Instead of working in my business every day, I spend all of my time visualizing how I want it to grow and finding the people, developing the systems, and setting the wheels in motion to make it happen. As a business, my team and I have grown faster, built better stuff, made more, impacted more, and had more fun all at the same time.

Jon Goodman

Owner, ThePTDC.com


Patrick Ward

patrick_wardI think what I have been trying to do differently — mainly over the past several years, really — is attempting to use mathematics and statistics to understand some of the processes that we go through with our athletes. This could from a training, rehabilitation, or performance standpoint.

There are lots of approaches out there that people take but understanding how they work, what is meaningful, what types of changes/improvements are actually real versus random biological variation, etc. That is really the challenging part. At the end of the day, we deal with people’s health and my thoughts over the past several years have been towards trying to understand if what we are doing is truly making an impact and what the magnitude of that impact is.

Patrick Ward

Strength Coach, Optimum Sports Performance


Lenny Macrina

lenny_macrinaI’m working on time management…calendar reminders to plan my life have helped guide my ‘to do’ list despite a 9 month old that has little routine

Learning the basics of powerlifting and olympic lifting. It’s a new world but an important one to understand for the clients that we see.

Trying to enjoy family life and dedicate time to baby/wife.

Continue to improve my stock buying/selling strategies and not always going for the ‘big one’ that will give a big pop… being slightly more conservative despite the fun of the big hit!

Easy to get complacent after 12+ years of being a PT…trying to fight that complacency and stay engaged.

Lenny Macrina

Co-Owner, Champion PT and Performance


Charlie Weingroff

charlie_weingroffThings I am doing differently:

  • Always trying to understand the psychology of “what motivates a man” and understanding why others do what they do, particularly using methods and techniques that are incomplete and inferior to best practice.
  • Reconciling buckets of techniques based on their earnest physiology and neurology.
  • Reverse engineering thought process of successful individuals.
  • Continuing to find common targets of physiology and neurology that link the methods that are typically classified as training and/or rehabilitation.
  • Developing scalability of methodology allowing clinicians to maintain their individuality using models that have already proven to be successful
  • Studying links of the 5 W’s of athletic performance across long-term time frame

Charlie Weingroff

Physical Therapist, Drive 495


Jeff Blum

jeff_blumOne thing I’ve been trying to do is take as much time with my kids as possible. They are getting older fast (or so it seems) and so am I.

Trying to make sure that I spend time with my wife in what she wants to do.

From a professional standpoint, we’ve been increasing our knowledge about the neuro aspects of the body and the best ways to effect it. Affecting fascia, Parasymp/symp, central nervous system, peripheral nervous system.

Using blood flow restriction training (KAATSU), US imaging, cryochamber, hyperbaric chamber. Looking into neuro “priming” for our rehab (Halo Neuroscience).

Trying to make a concerted effort to really start to grasp volume for our players. Sleep, nutrition, exercise, stress, hydration, and its cumulative effects.

Every once in awhile, just pulling back and making sure we are still looking at the basics and not getting to wrapped up in the “new” gadgets. Making sure we are looking at how the whole body is moving, if the joint is supposed to be more mobility or stability, fascial lines and how they are moving, etc…

Jeff Blum

Director of Rehabilitation, Kansas City Royals

What Are You Doing Differently?

Lets keep it rolling, reply below and comment on what you are doing differently.  I’d love to hear, I’m always looking for new ways to grow!

 

 

Sorry, Sitting Isn’t Really Bad for You

Over the last several years, the health concerns surrounding sitting have really been highlighted by the health and fitness crowds, as well as the mainstream media.  In fact, there have been entire books published on this topic.  I’ve seen articles with titles such as “Sitting is Evil,” “Sitting is the New Smoking,” and even “Sitting will kill you.”

Wow, those seem pretty aggressive.  We’ve been sitting since the beginning of time!  I’m going to really shock the world with this comment…

Sorry, sitting isn’t really bad for you.

Yup.  There is nothing wrong with sitting.  I’m actually doing it right now as I write this article.  You probably are too.  Don’t get me wrong, sedentary lifestyles are not healthy, but let’s get one thing straight:

It’s not sitting that is evil, it’s NEVER moving that is evil. [Click to Tweet]

By putting all the blame on sitting, we lose focus on the real issue, which is lack of exercise.  So we see a shift in people switching to standing desks at work, still not exercising, but thinking that they are now making healthy choices.  

This is so backwards it boggles my mind.

The body adapts amazingly well to the forces and stress that we apply to it throughout the day.  If you sit all day, your body will adapt.  Your body will lose mobility to areas like your hips, hamstrings, and thoracic spine.  Your core is essentially not needed while sitting so thinks it’s not needed anymore during other activities.  And several muscles groups get used less frequently while sitting and weaken over time, like your glutes, scapular retractors, and posterior rotator cuff.

Unfortunately, when all you do is sit all day, and you never reverse this posture or exercise, your body adapts to this stress to make you the most efficient sitter.  That’s right, you get really good at sitting.

For example, think about what happens to the core when you sit all day.  One of the functions of your core is to maintain good posture and essentially to keep the bones of your skeleton from crashing to the floor.  The core is engaged at a low level of EMG activity throughout the day for postural needs.  

The problem with sitting is that the chair also serves this function, so your core isn’t needed to keep you upright, the chair serves this function. If sitting is all you do, then when you stand up, your core essentially isn’t used to providing this postural support so you rock back onto your static stabilizers by doing things like standing with a large anterior pelvic tilt and lumbar extension.  

sitting isnt bad for you

Unfortunately, this becomes the path of least resistance, and most energy efficient, for your body.  Your core gets used to relying on the chair to function, then when you need it, gets lazy.

It’s OK to sit all day, as long as you are reversing this posture at some point.  This can be as specific as exercises designed to combat sitting and as general as simply taking a walk in the evening.

 

3 Strategies to Combat Sitting All Day

I want to share the 3 things that I often discuss with my patients and clients.  You can apply these yourself or use them to discuss with your clients as well.  But if you sit all day, you really should:

  1. Move, Often
  2. Reverse your posture
  3. Exercise

But the real first step is to stop blaming sitting and calling a spade a spade.  It’s lack of movement and exercise that is the real concern, not sitting.

 

Move, Often

The first step to combatting sitting all day is to move around often.  The body needs movement variability or it will simply adapt to what it does all day.  

I get it, we all work long days, and sitting is often required in many of our jobs.  But the easiest way to minimize the effects of sitting all day is to figure out ways to get up and move throughout the day.

This doesn’t need to be 10 minutes of exercise, it could simply be things like getting up to fill up a water bottle or taking quick 2 minute walk around the office.  When I am not in the clinic or gym, I personally tend to work in hour long chunks, so I will get up and walk around in between chunks to get a glass of water, snack, or use the bathroom.  

This works well for me, but you need to find what works for you.  I know of others that use things like Pomodoro timers, or even some of the fitness tracking devices, which can remind you to stand up and move around at set times.

 

Reverse Your Posture

I’ve been talking about the concept of Reverse Posturing for years.  The concept is essentially that we need to reverse the posture that we do the most throughout the day to keep our body balanced and prevent overuse.

Sitting involves a predominantly flexed posture, so doing exercises that promote the posterior chain would be helpful.  These will depend on each person but a basic set of exercises may look like:

Chin Tucks

Shoulder W’s

Thoracic Extension Exercises

View one of my past articles for several more great thoracic mobility drills.

Bridging Exercises

True Hip Flexor Stretch

Perform each of these for 10 reps.  These should take 5 minutes to perform and will make a big impact on how you feel throughout the day.  

I also often tell people to perform the prone press up exercise, cobra yoga poses, or to simply lay on their stomach in the evening while reading or watching TV.  

fig 1 - sitting isnt bad for you

 

Exercise

Remember going back to some of the past concepts above, the body adapts to the stress applied.  To combat this perfectly, a detailed exercise program that is designed specifically for you and comprehensively includes a focus on total body and core control is ideal.  

This will assure that the muscle groups that are not being used while sitting all day get the strength and mobility they need, while the core gets trained to stabilize the trunk during functional movements.

If you want to get the most out of your body and stay optimized, you need to do things like work on your hip and thoracic spine mobility, strengthen your rotator cuff, groove your hinge pattern, and learn how to deadlift and work your glutes.

 

Sitting Isn’t Bad For You, Not Moving Is

As a profession, we need to get away from blaming sitting as the enemy and labeling it evil.  Our society is sitting more and more each generation.  We need to be honest with ourselves and realize that sitting isn’t the problem, it’s not moving enough that is the concern.  We need to stop pointing fingers and get to the root of the problem.  

Go ahead and sit, just move more often and use these 3 strategies to combat sitting all day.

 

 

 

How Pelvic Tilt Influences Hamstring and Spine Mobility

how pelvic tilt influences hamstring and spine mobilityHow many people come to you and complain that they have tight hamstrings?  It seems like an epidemic sometimes, right?  I know it’s pretty common for me, at least.  

Many people just tug away at their hamstrings and aggressively stretch, which may not only be barking up the wrong tree, but also disadvantageous.

I have really gotten away from blindly stretching the hamstrings without a proper assessment, as I feel that pelvic position is often the reason why people think they are tight.  This is pretty easy to miss.

In the video below, I want to explain and help you visualize the how pelvic tilt influences hamstring mobility and spine position.  Often times the hamstrings feel “tight” or “short” when in reality their pelvic position is just giving us this illusion.  I talk about this a lot with clients at Champion and often find myself making these drawings on our whiteboard.

Keep this in mind next time you think someone has tight hamstrings or has too much thoracic kyphosis.  Often times the key is in the hips!

 

How Pelvic Tilt Influences Hamstring and Spine Mobility

 

Strategies for Anterior Pelvic Tilt

If you are interested in learning more, I have a couple of great webinars for my Inner Circle members that you may find helpful: