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先进再生医学与抗衰老医学被定义为用 
于早期检查、治疗及预防年龄相关疾病 
的科 学。当前的护理标准只要求医生在 
病人出现相关症状时,对其肌肉骨骼系统 
进行评 估。
Moritz CT, Farley CT, J Exp Biol. 2005 Mar;208(Pt 5):939-49. Human hopping on very soft elastic surfaces: 
implications for muscle pre-stretch and elastic energy storage in locomotion.
现在是转变思维模式 
抗衰老医学与人体弹簧模式及训练法已经 
超出了上述标准。这种方法采用了特殊的 
医疗方式,以提高病人的身体素质为目标, 
使医疗对象在疼痛发生之前就有达到奥 林 
匹克级别、符合自己年龄的身体素质。
跑步时可能会受伤
跑步损伤 
最重要的是,弹簧悬置系统可以应 
对触地时产生的冲击力。
什么是 
人体弹簧 ?
人体弹簧模式 
与弹簧机制 / 孰优孰劣呢? 
人体弹簧模式 增强式训练与赤足跑 
vs. 
人体杠杆模式 抗阻力训练与穿鞋跑) 
为何人体弹簧模式与训练法是抗衰老医师的最佳选择
人体弹簧模式 
1. 人体弹簧可储存机械势能,因此是一种效率机制。 
2. 人体弹簧可吸收触地冲力,因此是一种保护机制。 
3. 人体弹簧可根据地形调整身体机制,使人在凹凸地面上运 
动时也能“脚踏实 地”。 
4. 人体弹簧与生物力学相统一,因此对无压力/张力运动十分 
重要。 
5. “弹簧”弹力不足将导致身体疲劳、无法自愈、增加发生急 
性伤害的危险并加速身 体系统的老化。
从卧床到赤足运动 
重焕您的青春 
• 赤足——无支撑物 
• 穿鞋—— 4 个支撑物 
• 运动控制—— 4 个支撑物 
• 器械矫正术—— 6 个支撑物 
• 矫正鞋与矫正术——足部束缚 
• 手杖—— 7 个支撑物 
• 四脚步行器—— 10 个支撑物 
• 轮椅——四轮——反相适应 
• 卧床——床——反相适应
人体弹簧
触地肌肉 & 弹簧悬置系统肌 
肉
触地肌肉 & 弹簧悬置系统肌 
肉
弹性变形 
• 此种变形为可逆性变形。一旦不再受到外力影响, 
物体即会恢复原状。 
• 弹簧具有以下能力:变形、储存能量、恢复原状、 
释放能量。 
• 弹簧具有以下能力:变形、储存能量、恢复原状、 
释放能量。 
• 这是老化背后的关键法则。 
Journal of Applied Physics, M. Mooney, September 1940, Volume: 11 Issue 9 Page (s) 582 - 592
塑性变形 
• 在物理学与材料科学中,“可塑性”是指材料在受力后发生不可逆形状变 
化的特性。 
• 人体弹簧会变形并储存能量;若变形后不能完全恢复原状,释放的能量 
会变少。 
• 如果弹簧变形后不能完全恢复原状,那么它释放的能量会变少。 
J. Lubliner, 2008, Plasticity theory, Dover, ISBN 0-486-46290-0, ISBN 978-0-486-46290-5.
弹性变形 vs. 塑性变形 
超出弹性极限之后即会发生永久变形。 
导致永久变形发生的最低压力值是可以测量的。 
G. Dieter, Mechanical Metallurgy, 
McGraw-Hill, 1986
弹簧的机制——虎克定律
冲击保护与能量循环系统崩溃所引起的一系列不良后果 
• 弹簧悬置系统弱化 
• 弹簧系统僵化 
• 紧张与疲劳 
• 劳损 
• 隐性炎症 
• 疼痛与加速老化
压缩力
骨科医学中,该模式与锻炼法并不使用预防衰老 
或抗衰老药物
人体弹簧悬置系统的弱化原因
现代社会已经发生了变化,我们被 
迫穿上了导致身体虚弱的鞋子 
现代化生活设备是使人身体日渐虚弱的罪魁祸首
赤足案例 
• 罹患扁平足的 6 岁儿童平日多穿鞋运动,由此表明,足弓发育的 
关键时期在 6 岁之 前。 
• 此外,只有在光脚时,足部才能得到最佳的发育条件。因此应当 
鼓励儿童多进行赤 脚运动。 
Paul J. Lucas* , Michael M. Berrow, Richard K. Frazine, and Robert A. Neinast
赤脚走路可降低下肢关节负荷,对舒缓关节炎有益 
• 研究者让 75 名患有膝关节炎的受试者穿着平日穿的鞋子走步, 
并对其进行 了步态分析。 
• 在其步行时,研究者在多部件测力板上对外部标记进行了光电子 
探测,并且 使其与步行速度相符。 
• 赤脚走步时,臀与膝关节最高负荷会大大降低;膝内翻力矩降低 
了 11.9%。 
• 鞋子可能会增加下肢关节负担,对健康不利。 
Najia Shakoor and Joel A. Block, ARTHRITIS & RHEUMATISM, Vol. 54, No. 9, September 
2006, pp 2923–2927
赤足运动是否能够缓解膝盖疼痛与关节炎? 
•研究员就我们穿鞋与赤脚运动时的膝关节内收力矩(EKAM)分别做 
了测量。 EKAM 反映了膝盖关节负荷从内侧到外侧的分布情况。 
•EKAM 值越高,膝关节退化(罹患膝关节炎)就越快、越严重 
•研究员发现,与赤足走路和跑步相比,穿运动鞋和跑鞋活动 
时,EKAM 值 会有所上升 
Radzimski AO, et al, Effect of footwear on the external knee adduction moment – A systemic 
review, Knee (2011), doi:10, 1016/j.knee. 2011.05.013
《自然》(Nature),2010 年 1 月,Lieberman 等;《自 
然》 
•科学家发现,赤足跑或者穿着简单鞋类跑步的人群多以跖骨球或脚掌中心触 地,从而可避 
免以足跟触地。因此这类人可充分利用腿、足结构与某些牛顿 力学原理来避免冲击引起的 
疼痛与损伤。而穿鞋跑步的人多以脚跟触地,他 们反复承受的冲击力是体重的两到三倍。 
•赤脚跑步的人,其步态与穿鞋跑步者有明显差异。 
•赤脚跑步者常以脚掌中心或前部触地,这样几乎不会产生冲击碰撞;而多数 穿鞋跑步、以 
脚跟触地的人所产生的冲击要多得多。 
•多数现代人都认为赤足跑步十分危险,会带来伤害。其实人们在世界上最为 坚硬的地面 
上赤脚跑步时,也不会有些微的不适与痛感。只要长出了茧子, 脚底皮肤就不会被磨伤了 
。再者说,某些人穿鞋跑的方式并不科学,比起他 们的跑步方法来,赤脚跑也许要安全得 
多。 
•丹尼尔·E·利伯曼(Daniel E Lieberman),哈佛大学新设系别——人类进 化生物学教授
赤足活动与穿鞋运动在步态与碰撞力方面的比较 
• 习惯赤足跑步的人通常以前脚掌触地。 
• 习惯穿鞋跑步的人因为有现代跑鞋的气垫鞋跟做支持,大多数情 
况下都是以 脚跟触地。 
• 运动学与动力学分析表明,即使在坚硬地面上运动,赤足跑者迈 
步所产生的 碰撞力也比穿鞋跑步的人小——前者以前脚掌触地,而 
后者是以脚跟触地。 
• 之所以会有上述差距,主要是因为赤脚触地时,足弓可更为充分 
地发挥作用, 而且踝关节的协调性也比较好,能够减少人体与地 
面碰撞时的有效质量。 
Nature 2010 Jan 28;463(7280):531-5. Lieberman DE, Venkadesan M, Werbel WA, Daoud Al, 
D’Andre S, Davis IS, Mang’eni RO, Pitsiladis Y.
穿鞋与赤脚:现代人急需前脚病理学? 
• 研究者就现代穿鞋运动者与赤脚运动者发生跖骨病状的频率分别 
做了调查。 
• 为研究其病理变化,调查者观察了四类人的跖骨情况,其中三类 
是乡村与城 市中的穿鞋人群(梭托人、祖鲁人与欧洲人),一类是 
农耕时代之前出现的 全新世人(Holocene people),后者赤脚生活 
。 
• 研究结果表明,三类穿鞋人群的跖骨病理损伤要比赤脚人群严重 
。 
• 有假说认为,穿鞋以及与现代基质材料接触会对跖骨的病理变化 
产生影响, 上述研究结果也许可以证明该假说。 
B. Zipfel, L.R. Berger, Journal of Clinical Foot Sciences, 17 (2007) 205–213
人体弹簧模式 
人体弹簧模式 增强式训练与赤足跑
静态评估
动态杠杆评估
重踏扭动行走法 
vs 
弹跳滚动行走法
衬垫是否会干扰弹簧加载?
步态分析 - 补偿运动
减速触地
中性触地
加速触地
隐性与痛性炎症的级别
动态弹簧评估
第一步 
释放人体弹簧上的异常内部压力
提高冲击保护与能量循环效果的步骤 
• 释放人体弹簧上的异常内部压力 
• 增加弹簧的力道加载深度 
• 通过强化杠杆系统来加强弹簧悬置系统 
• 通过强化弹簧系统来加强弹簧悬置系统 
• 保持
治疗肌痉挛(预先加载弹簧保护与能量循环系统) 
• 肌索会检查肌肉纤维的长度变化以及变化速度。 
• 高尔基腱器官会在肌肉收缩拉伸时对其张力与肌腱进行监控。
Golgi Reflex Regulation
Muscle Spindle Regulation
异常走-跑运动再训练方法与技术 
训练者要进行反复训练,以固定其运动模式。
第二趾朝向目标
Release The Abnormal Internal Compressive Force 
Joint Play Release
第二步 
强化人体弹簧与杠杆系统 
抗阻力杠杆训练
抗阻力杠杆训练
第三步 
通过冲击式训练强化弹簧系统及其组成肌肉 
- 赤脚跑 
- 跳跃训练 
- 伸展——收缩循环训练
医生的想法和治疗方法与运动员及病人对 
最佳状态的需要并不相符。
胶原组织弹性承载力会随年龄增长而降低 
• 人体组织会随着年龄的增长而老化:胶原组织会发生变化(与僵化类似), 韧带强 
度与刚度都会降低。 
• 发生这种变化时,人体即进入衰退过程,身体活动会减少,疾病与其他不明 症状则 
会增加(Frankel V 与 Nordin M, 1980)。 
• 适应过程十分缓慢;若肌肉质量增加,可能会加重肌肉负担,从而导致筋腱 与韧带 
等肌肉中的结缔组织损伤。(Zalessky 与 Burkhanov ,1981,美国) 
• 因此肌肉过度肥大常常会减缓肌肉在锻炼、退化、以及速度/速度力量训练 后的 
恢复速度,使发生损伤的几率大为增加。 
Frankel V & Nordin M 1980 Basic Biomechanics of the Skeletal System Lee & Febiger 
Zalesky M & Burkhanov A (19810 Muscle Condition and work capacity in track and field athletes 
Legkaya Athletika 1: 1-7
蠕变(物理学术语) 
• 随着加荷速率的增加,胶原组织的强度与刚度都会显著提高。 
• 我们强调应当合理利用高加速度训练方法。 
• 项研究表明,膝盖韧带负荷极限可提高约 50%,此时加载速率增 
加 4 倍 (Kennedy 等,1976)。 
Tension studies of human knee ligaments. Yield point, ultimate failure, and disruption of 
the cruciate and tibial collateral ligaments. Kennedy et al 1976 J Bone Joint Surg Am. 1976 
Apr;58(3):350-5.
老年人跑步训练:机械功与弹力 
有假说称,年老受试者的受损肌肉运动时,其质量中心的垂直振动振幅较小, 
向上 加速度较低,腾空时间也较短。该假说已经得到了证实。 
也就是说: 
•其储存的弹性能量较少 
•其步频较高 
•其为根据环境调整身体质量中心而作的外功较少 
•其为适应质量中心、提高肢体运动速度而作的内功较多 
Proc Biol Sci. 2008 February 22; 275(1633): 411–418. GA Cavagna M.A. Legramandi LA Peyre- 
Tartaruga
缓和预加载肌肉张力,使安全加载弹簧单元发挥最大效用 
• 肌肉的放松能力在快速运动,尤其是周期性运动中起着尤为重要的作用 
。进 行快速周期性运动时,三磷酸腺苷(ATP)会在肌肉收缩的间歇期间 
起协助 作用。 
• 充分动用与恢复储存在肌复合体中的弹性能量和拉伸势能,是进行有效 
高速 周期性与非周期性运动的先决条件。 
• 有研究报告称,效率较高的跑步运动可使在运动周期中消耗的机械能恢 
复 60%,剩余 40%(Verhkoshanski,1996)。 
• 上述科学家认为,肌肉对弹性势能的储存能力与长跑运动员的表现有关, 
非 代谢能源贡献越大,跑步速度就越快。 
Verkhoshansky YV (1996) Quickness and velocity in sports movements IAAF Quarterly New 
Studies in Athletics 11 (2-3); 29-37
弹性/弹簧能量 
• 跑步时,身体的每一次弹跳都是通过肌腱单位在触地时伸展、在 
跃起前收缩 来实现的。 
• 肌腱单位的长度变化大多是由筋腱来维持的,已有证据表明,肌 
肉会根据此 种变化进行等长收缩。 
• 研究者已发现,跑步时的肌肉运动与筋腱的拉伸紧密相关——筋腱 
通过伸缩 来为下一轮运动储存能量。 
• 等长收缩要比动态收缩经济得多。 
J Exp Biol. 2006 Oct;209(Pt 20):4051-60.Cavagna GA Istituto di Fisiologia Umana, Università 
degli Studi di Milano, Via Mangiagalli, 32, 20133 Milan, Italy
释放已储存的弹性能量 
使用已储存的弹性能量的能力基于: 
•拉伸速度 
•拉伸大小 
•离心运动结束和向心运动开始之间的过渡时间。 
•两个阶段的之间延迟应该保持在最小限度,否则已储存的弹性能量 
将迅速消散。 
这是因为在拉伸之后,长时间的延迟将使弹性能量保留更少。 
(Edman Et Al 1976) 
在离心收缩时拉伸速度越大,弹性能量的储存越多。(Rack & 
Westbury 1974) 
Rack & Westbury 1974)
触地肌肉 or 弹簧悬置系统肌 
肉 
• 临时肌腱能量存储机制能大大减少肌肉束延长速度与能量吸收速度。可以说, 
肌腱的作用与功率衰减器类似,可在能量耗散过程中避免肌肉因快速强劲拉 伸 
而发生损伤。 
• 要使肌腱弹簧发挥最大功效,其力学性能与功能必须一致。 
• 从弹性机制的角度来看,这种性能即肌腱刚度。已有越来越多的证据表明, 肌腱 
刚度可通过“重塑”来调整,以使肌肉——肌腱——负荷系统能够有效 运行。还有几 
项研究发现,长期锻炼对肌腱刚度的增加有显著效果。 
Proc Biol Sci. 2012 Mar 22;279(1731):1108-13. Epub 2011 Sep 28.Konow N, Azizi E, Roberts TJ. 
Source Department of Ecology and Evolutionary Biology, Brown University, 
J Appl Physiol. 2001 Jan;90(1):164-71. 
Effects of long-term exercise on the biomechanical properties of the Achilles tendon of guinea fowl
离心训练与向心训练 
• 离心收缩是指肌肉因服从外加符合而产生的活动,肌复合体会因 
此而拉长。 与向心收缩相比,离心收缩不仅在新陈代谢方面效率 
更高,而且可以产生更 高的动能。(Kaneko,1984)(Komi,1973) 
(Rodgers 与 Berger ,1974) 
• 除此之外,有研究发现,向心收缩与离心收缩由肌肉的收缩速度 
决定 (Komi,1973)。 
• 肌肉收缩速度增加时,最大离心力也会增加,而即使特定肌肉群 
的肌电图样 相当稳定,最大向心力也会减少。 
Kaneko 1984) (Komi 1973) (Rodgers And Berger 1974)
应用虎克定律——增加弹簧的力道加载深度 
• 动态增强式——冲击拉伸 
• 进行增强式冲击拉伸时,首先迅速结束离心加载,随后进行短时 
等长收缩, 最后突然释放已储存的弹性能量,使收缩的肌肉强力 
反弹。 
• 进行这种伸缩运动的目的,并不在于扩大运动范围,而是为满足 
某种运动需 要来利用特定拉伸现象、增加动作的速度性力量。 
Mel Siff, Yuri Verhkoshansky, Supertraining, Supertraining International Denver USA 1999
结缔组织强度 vs 肌肉强度 
• 此外,肌肉组织可在几天之内适应新增负荷。 
• 肌腱、韧带等结缔组织以及关节、骨骼、软骨等包含大量结缔组 
织的系统只 在经历数周或数月后的逐步加载训练后,才有明显适 
应或者增厚的迹象。 
• 因此在开运动处方时,必须考虑不同系统的适应速度,避免适应 
速度低的系 统因过度训练而发生损伤。 
• 要使结缔组织发生酸痛与损伤的几率降到最低,应当逐渐增加训 
练负荷,避 免激增或爆发式训练。 
McDonagh and Davis 1984
触地训练 vs. 跃起训练 
弹簧悬置系统 
•有研究发现,中心极限训练可大大提高离心力量与耐力,但对向心 
力量与耐 力产生的影响微乎其微(Frided ,1983) 。 
•进行中心收缩(centric contraction) 时肌复合体会被拉长,因此处于 
伸展状 态的 SEC 弹性结构承受的负担要比进行向心收缩时大,发 
生损伤的风险也 有所增加。所以肌肉劳损多发生在运动的离心阶段 
,这也是不足为奇的。 
Friden J,,,, Seger J, Sjostrom M & Ekblom B 1983a Adaptive Response in Human Skeletal 
Muscle Subjected to Prolonged Eccentric Training Int J Sports Med 4(3): 177-176 
Garrett W (1986) Basic science of musculotendonous injuries In Nicholas J & Hershman E (eds) 
The Lower Extremity and Spine in Sports & Exercise CV Mosby Co, St Louis : 42-58
进行损伤评估时,应当考虑哪些因素? 
提升力量与耐力是耐力训练的固有特性与基本原则。力量耐力训练的成果主 
要由以 下因素决定: 
1.负荷大小 
2.两次训练之间的休息时间 
3.每次训练时长 
4.运动员自身的力量与耐力素质 
5.运动的人体运动学结构 
6.静态及动态力量耐力训练的相对比例 
Mel Siff, Yuri Verhkoshansky, Supertraining, Supertraining International Denver USA 1999
从赤脚运动到卧床 
• 赤足——无支撑物 
• 穿鞋—— 4 个支撑物 
• 运动控制—— 4 个支撑物 
• 器械矫正术—— 6 个支撑物 
• 矫正鞋与矫正术—— 6 个支撑物 
• 手杖—— 7 个支撑物 
• 四脚步行器—— 10 个支撑物 
• 轮椅——四个轮子 
• 卧床
现代医疗标准
左拉·巴德 赤足跑步者
10 TIPS 
•TIP #1 GAIT EVALUATION 
•TIP #2 WALK BAREFOOT 
•TIP #3 KEEP MOVING 
•TIP #4 LOWER YOUR BMI 
•TIP #5 SPINDLE CELL EVALUATION 
•TIP #6 STRETCH AND SPINDLE CELL 
THERAPY 
•TIP #7 PRACTICE YOUR WALK 
•TIP #8 TRAIN BAREFOOT DIRECTION DRILLS 
•TIP # 9 INFLAMMATION CHECKED 
•TIP #10 WEAR SHOES WITH HEEL GUIDES
谢谢 
Dr James Stoxen DC 
www.teamdoctorsblog.com 
teamdoctors@aol.com

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“用生命走和跑!”的演讲视频和笔记。通过杠杆机制还是弹簧机制?(中文)在2012年上海抗衰老药物国际会议上呈现。

Editor's Notes

  1. Robert Goldman, Dr Ron Klatz, Stephanie Kou and her team
  2. Human Lever and Human Spring Model and Approach Progressive regenerative medicine and anti-aging medicine is defined as the earliest detection, intervention and prevention of age-related diseases. The current standard of care only requires doctors to do evaluations of the musculoskeletal systems when patients present with signs and symptoms of anti- aging related diseases.
  3. Anti-aging medicine and the Human Spring Model and Approach exceeds this standard by practicing a form of medicine aimed at improving patients’ performance to the Olympic level for their age group before the pain even starts. Have your gate evaluated prior to signs and symptoms
  4. TIP #1 GET A GAIT ANALYSIS EVEN IF YOU HAVE LITTLE OR NO SYMPTOMS GAIT ANAYSIS how the spring reacts to gravity impacting the body to the ground We do a lot of walking! In one year we take 3,650,000 steps and 36,500,000 steps in 10 years So by doing the math, by our 30th birthday we have taken 109,500,000 and by our 70th birthday we have taken 255,500,000 steps. Now you can see how even subtle abnormal movement in the joints can add up to enough wear and tear of the cartilage to force you into a knee or hip joint replacement surgery. Walking is a learned activity - Walking is something we should never take for granted. First of all, walking is a skill that is learned. We’re not born with the skill to walk. We require the coordination of over 300 muscles to walk Running Injuries Most important is the ability of the spring suspension system to handle the force of the landings When two objects collide they will both become damage to a degree. When they human body and the earth collide it is the human spring that protects the body from millions of collisions per year. That happens with the landings The spring and its suspension system are what protects us from these impact forces
  5. Every movement you make is powered by a miraculous spring mechanism. Once you learn how it works, the important functions it serves, how it breaks down and locks, and how it effects so many aspects of your health, you will see why so many suffer and are misdiagnosed leading to rapid aging. Then when I teach you my new approach to releasing, strengthening and supercharging your human spring, you will understand how certain athletes can high jump seven feet over a bar or run fifty miles without stopping, while other people can't jog, walk, lift weights of even get up out of a chair without pain. The efficiency of your body's motion has everything to do with the integrity of your human spring.
  6. Lever Mechanisms or Spring Mechanisms? The Human Lever Model Observe as a lever Examine as a lever Treat With the Lever Approach Train Like a Lever - Resistance Training Advise - Shod Running The Human Spring Model Observe as a lever and a spring Examine as a lever and a spring Treat With the Lever Approach and the spring approach Train the Lever Mechanisms - Resistance Training Train the spring mechanisms – Plyometrics Advise – barefoot running Unfortunately, the world doesn’t regard the body as a living spring. Consequently, they are missing out on the most important aspects of how the human body moves, protects itself, recycles energy and functions in a world governed by the laws of nature, physics, engineering and common sense. If the body is a lever and a spring then today's current medical practices and exercise approaches defy the laws of nature, physics and engineering. If I am right then all current standard-of-care examination treatment, rehabilitation, training, and advice needs to be overhaulded I know, that's some pretty strong language but after you hear the science you will understand my position better
  7. HUMAN SPRING THEORY The human spring stores mechanical potential energy therefore it is an efficiency mechanism. The human spring absorbs forces of landings therefore it is a protective mechanism. The human spring allows the foot to land on uneven surfaces adjusting the body mechanics to the terrain. The human spring is integrated into the biomechanics therefore it is essential for stress/strain free motion HYPOTHESIS - Weakness or locking of the spring can lead to fatigue, increased risk for acute injury, inability to heal and accelerated aging of the body’s systems.
  8. Human Lever Approach ignores spring mechanisms and instead adds supports when the spring mechanism breaks down Bedridden - Bed Wheel Chair - 4 Wheels 4-Prong Walker - 10 Supports Cane - 7 Supports Orthopedic Shoes and Orthotics - 6 Supports Orthotics - 6 Supports Motion Control - 4 Supports Footwear - 4 Supports Barefoot - No Supports
  9. HUMAN SPRING So the arch of the foot is actually a leaf spring possessing spring energy in the engineering of the structure of the bones and ligaments that create the arch spring-like structure. This leaf spring of the foot is further loaded and unloaded with spring energy with the tendons that support it from above in a muscular cuff I call the "pronator-supinator cuff" or the "spring suspension system muscles" When we look at a very close view of the foot landing, we can see the tendons of the tibialis posterior stretching to lower the arch through spring loading. You can see the arch load. It becomes a spring configuration loading up the stretch energy of the tibialis posterior tendon and other cuff muscular tendons as other springs. In other words, the human foot is a marvel of engineering.
  10. LANDING MUSCLESSPRING SUSPENSION SYSTEM MUSCLES
  11. HUMAN SPRING SUSPENSION SYSTEM Cuff Muscles – Tibialis Posterior, Tibialis Anterior, Peroneals, Spring Off 1st two toes hold all the weight toes 3 – 5 balance Where Spring Breaks down metatarsal cuneiform joints
  12. LANDING MUSCLESSPRING SUSPENSION SYSTEM MUSCLES
  13. ELASTIC DEFORMITY This type of deformation is reversible. Once the forces are no longer applied, the object returns to its original shape. The ability of the spring to deform, store energy, reform to its exact original shape, releasing energy. THE ABILITY OF THE SPRING TO DEFORM, STORE ENERGY, REFORM TO ITS EXACT ORIGINAL SHAPE, RELEASING ENERGY This is the key principle behind aging The ability of the spring to bend and return to its original shape Energy is developed when the spring loads in kinetic or potential energy Energy is released when the spring unloads at toe off releasing this energy This happens 2 ways Loading of the leaf spring of the arch of the foot Loading of the elastic muscle tendon mechanism of the pronator supinator cuff and achilles tendon
  14. PLASTIC DEFORMITY In physics and materials science, plasticity describes the deformation of a material undergoing non-reversable changes of the shape in response to applied forces. The human spring deforms, stores energy, does not return to its exact original shape, releases less energy. ENERGY, DOES NOT RETURN TO ITS EXACT ORIGINAL SHAPE, RELEASES LESS ENERGY The spring bends but does not completely return to its original shape Bunions Degeneration of the Meniscus Degeneration of the hip socket Herniated disc Cervical cranial headaches
  15. Elastic vs Plastic Deformity Yield Strength Beyond the elastic limit, permanent deformation will occur. The lowest stress at which permanent deformation can be measured.
  16. Spring Mechanics - Hookes Law
  17. BREAKDOWN OF THE IMPACT PROTECTION(spring) AND ENERGY RECYCLING MECHANISMS Weakness In spring suspension system Drop and Lock in the Mechanism Abnormal Motion Stress and Strain Wear and Tear Silent Inflammation Painful Inflammation & Accelerated Aging. 1. We have an obesity epidemic 2. Depression Epidemic
  18. Compressive Forces
  19. Failure of Prevention Medicine Preventive Medicine Is not working EXAMPLES
  20. Causes of Weakness in the Human Spring Suspension System
  21. TIP #2 LOWER YOUR BMI - Overload - Weight Gain, back packs, pregnancy TIP #3 KEEP MOVING - Sustained Standing TIP #4 TRAIN BAREFOOT - Binding devices – casts, footwear
  22. Modern society has changed forcing us to wear shoes causing weakness Modern conveniences have taken the hunt out of our daily routine causing weakness
  23. A Case for Bare Feet A high concentration of flat foot among six-year-old children who wore shoes as compared with those who did not, implies that the critical age for development of the arch is before six years. Furthermore, optimum foot development occurs in the barefoot environment, and, therefore, children should be encouraged to partake in barefoot activity.
  24. Walking Barefoot Decreases Loading on the Lower Extremity Joints in Knee Osteoarthritis Gait analyses were performed on 75 subjects with knee OA while they were wearing their everyday walking shoes and while they were walking Optoelectronic detection of external markers during ambulation over a multicomponent force plate, and were matched for speed. Peak joint loads at the hips and knees significantly decreased during barefoot walking, with an 11.9% reduction noted in the knee adduction moment. Shoes may detrimentally increase loads on the lower extremity joints.
  25. Can Barefoot Activity Alleviate Knee Pain and Arthritis They looked at the external knee adduction moment (EKAM) when we are wearing shoes and when we are barefoot. EKAM represents knee load distribution from the inside to the outside of the knee joint. The higher the EKAM is, the greater and faster the progressions of deterioration (osteoarthritis) of the knee joint. These researchers found that sneakers and running shoes increased EKAM when compared to barefoot walking and barefoot running
  26. Nature January 2010 Lieberman et al., Nature, 463: 531-565 Scientists have found that people who run barefoot, or in minimal footwear, tend to avoid Heel-striking, and instead land on the ball of the foot or the middle of the foot. In so doing, these runners use the architecture of the foot and leg and some clever Newtonian physics to avoid hurtful and potentially damaging impacts, equivalent to two to three times body weight, that shod heel-strikers repeatedly experience. People who don’t wear shoes when they run have an astonishingly different strike. By landing on the middle or front of the foot, barefoot runners have almost no impact collision, much less than most shod runners generate when they heel-strike. Most people today think barefoot running is dangerous and hurts, but actually you can run barefoot on the world’s hardest surfaces without the slightest discomfort and pain. All you need is a few calluses to avoid roughing up the skin of the foot. Further, it might be less injurious than the way some people run in shoes. Daniel E Lieberman, a professor in Harvard's new department of human evolutionary biology
  27. Foot Strike Patterns And Collision Forces In Habitually Barefoot Versus Shod Runners Habitually barefoot endurance runners often land on the fore-foot Habitually shod runners mostly rear-foot strike, facilitated by the elevated and cushioned heel of the modern running shoe Kinematic and kinetic analyses show that even on hard surfaces, barefoot runners who fore-foot strike generate smaller collision forces than shod rear-foot strikers. This difference results primarily from a more plantarflexed foot at landing and more ankle compliance during impact, decreasing the effective mass of the body that collides with the ground.
  28. Shod Versus Unshod: The Emergence Of Forefoot Pathology In Modern Humans? They investigated the frequency of metatarsal bone pathologies in contemporary and habitually unshod vs shod The metatarsal elements from four human groups were examined for pathological variation. Three were from recent rural and urban shod populations (Sotho, Zulu and European) and one from habitually unshod pre-pastoral Holocene people The pathological lesions found in the metatarsals of the three shod human groups generally appeared to be more severe than those found in the unshod group. This result may support the hypothesis that pathological variation in the metatarsus was affected by wearing of footwear and exposure to modern substrates
  29. Lever Mechanisms
  30. Static Evaluation or Lever Evaluation When does the spring mechanism begin to breakdown Breakdown of the spring mechanism is happening sooner due to obesity in children and a lack of exercise to counteract the forces overloading the spring mechanism This means accelerated aging of the musculoskeletal system and the sequela in the other bodies systems is happening sooner than previous generations Aging happens at every age Children must have a gait evaluation, spring check, diet, exercise and footwear advise to begin their anti-aging medical preventive approach
  31. Dynamic Lever Evaluation Practitioner typically ONLY examines that lever Practitioner typically ONLY treats that lever May find the lesion Cannot check elastic or eccentric elements with lever exams The eccentric component is the landing where most of these injuries occur Most weight bearing conditions one must check spring to determine the cause Most weight bearing conditions one must check spring to determine why its not healing
  32. TIP #1 – HAVE YOUR GAIT EVALUATED
  33. BANG AND TWIST WALKING VS SPRING AND ROLL WALKING Is the spring in tact or does the body absorb impacts with lever mechanisms? What is the yield capacity of the spring (hookes law) The force of the landings or F = M x A where we check at different speeds And The vectors. What is the alignment
  34. Gait evaluation at different speeds because forces become exponential from walking to running The spring may stay in tact and function fine under forces of walking but breakdown during running What is the yield capacity of the spring (hookes law) The force of the landings or F = M x A where we check at different speeds 50% 1x 1.25 3
  35. Can Inserts Interfere with Spring Loading Step one: Evaluate the landing position of the spring Step two: Evaluate the spring and roll from supination to pronation Step three: Evaluation of the foot position under the center of gravity Step four: Evaluate for internal forces or stress on the spring
  36. Overload - Weight Gain, back packs, pregnancy Industrial Age Sustained Standing Binding devices – casts, footwear Chronic fatigue – Imbalanced Exercise - Not adequate Absolute Strength of this group and No Spring Training Industrial Exercise – Walking, running or with poor technique Previous injury not rehabbed completely Catastrophic Neurologic Incident or Stroke Psychological stress Inadequate or inappropriate Medical Care Cultural or social Genetic defects
  37. The vectors. What is the alignment COMPENSATING MOTION happens when the spring does not adjust the force of the impact with ultimate precision I sports we call it form and technique causing bunions and mortons neuromas.
  38. TIP NUMBER 5 - DO SPINDLE CELL – GOLGI TENDON MANIPULATION ON YOUR FEET AND ANKLES EVERY DAY 10 – 40 hours of muscle spindle work Release The Abnormal Internal Compressive Force Muscle spindles which detect changes in muscle fiber length and rate of change of length. Golgi tendon organs which monitor the tension and muscle tendon during muscle contraction or stretching
  39. TIP NUMBER 6 – DON’T HEEL LAND DECELERATION LANDING
  40. Neutral Landing
  41. ACCELERATION LANDING
  42. Link the pattern of the gait to the pattern of the protective spasms and inflammation
  43. TIP # 9 GET YOUR LEVELS OF INFLAMMATION CHECKED Painful Silent Normal Accelerated Aging Heart Disease Cancers Brain fog Depression Alzheimer's Parkinson's Dementia
  44. TIP #7 DON’T JUST WALK. PRACTICE YOUR WALK FOR IDEAL FORM AND TECHNIQUE So telling someone to walk a lot for exercise without insuring you are exercising with an intact spring could actually be aging you
  45. TIP # 5 CHECK YOUR BODY FOR OVER REACTIVE SPINDLE CELL SPASMS STEP ONERelease The Abnormal Internal Compressive Force On The Human Spring
  46. Steps to Increasing Impact Protection and Energy Recycling Release The Abnormal Internal Compressive Force On The Human Spring Increase Depth Of Loading Of Forces Into The Human Spring Strengthen The Spring Suspension System via Lever Strengthening Strengthen The Spring Suspension System via Spring Strengthening Maintain
  47. Treatment of Muscle Spasms that Preload the Spring Protection and Energy Recycling Mechanisms Muscle spindles which detect changes in muscle fiber length and rate of change of length.   Golgi tendon organs which monitor the tension and muscle tendon during muscle contraction or stretching
  48. Dr. Arthur Prochazka Professor, Centre for Neuroscience, School of Molecular & Systems Medicine. 507 HMRC University of Alberta
  49. Dr. Arthur Prochazka Professor, Centre for Neuroscience, School of Molecular & Systems Medicine. 507 HMRC University of Alberta
  50. TIP #7 PRACTICE YOUR WALK RETRAINING ABNORMAL MOVEMENT PATTERNSRUNNING-WALKING FORM & TECHNIQUE TRAINING INVOLVES REPEATED MOVEMENTS TO STORE PATTERNS Positive Engrams Negative Engrams You must reteach healthy walking You must reteach healthy running Use it or loose it
  51. 2nd toe towards the target
  52. STEP TWOSTRENGTHEN THE HUMAN SPRING LEVER SYSTEMRESISTANCE EXERCISES SPRING SUSPENSION MUSCLES
  53. LEVER RESISTANCE EXERCISE
  54. Spring Suspension System Strength Training Move the body in directions other than front to back
  55. Spring Suspension System Strength Training Move the body in directions other than front to back
  56. STEP THREESTRENGTHEN THE HUMAN SPRING SPRING SYSTEMBAREFOOT RUNNINGJUMPING DRILLSPLOMETRICS
  57. There is a gap in the way doctors think and do and what athletes and patients require for top performance We advise our athletes to apply more force to enhance spring energy Absolute Strength Training Spring Strength Training (Plyometrics) Refraining from Spring Training leads to weakening of the spring mechanisms of the body and acceleration of the aging process
  58. Reduction in Spring Elastic Capacity of Collagenous Tissues with Age Aging reveals changes in collagenous tissues similar to those caused by immobilization with reduction in strength and stiffness of ligaments occurring with advanced age. These changes may need you not only to the degenerative process, but also to reduce physical activity, superimpose disease states and other undefined processes (Frankel V & Nordin M 1980) Adaptation occurs more slowly and connective tissue such as tendons and ligaments that in muscle and any increase tension may possible in the muscle tenderness complexes by the increased muscle mass can cause damage to these structures (Zalessky & Burkhanov 1981) the US. Thus extensive hypertrophy usually leads to slower muscle recovery after exercise, deterioration and speed, speed–strength and speed as well as an increased incidence of injury.
  59. Creep (a word used in physics) Collagenous tissue increases significantly in strength and stiffness with increased rate of loading There by emphasizing the intelligent use of training with high acceleration methods. One study found an increase of almost 50% in load of knee ligaments to failure when the loading rate was increased for four fold (Kennedy et al 1976)
  60. Old men running: mechanical work and elastic bounce The results support the working hypothesis that the impaired muscle function in the old subjects results in a smaller amplitude of the vertical oscillation of the centre of mass, with a lower upward acceleration and a reduced duration of the aerial phase. These in turn imply: (i) less elastic energy stored (ii) a higher step frequency (iii) a lower external work to maintain the motion of the centre of mass of the body relative to the surroundings, and (iv) a greater internal work to accelerate the limbs relative to the centre of mass.
  61. Walking and runnig form and technique advice according to the human spring model Relax to Maximize Depth of Safe Loading Elastic Spring Elements to do the Work The ability to relax muscle is very important for rapid movements especially in cyclical actions, which involve recent assists of ATP during the phases between muscle contractions. The adequate retrieval of elastic energy stored in the muscle complex, together with the stretch–shortening potential of force output, or valuable prerequisites for efficient high velocity cyclic and acyclic movement. Verhkoshanski 1996 reports that economical sprinting activity can result in the recovery of about 60% of total mechanical energy expended in the movement cycle, with the remaining 40% being He had set a high correlation between the muscular capacity to store potential elastic energy and the performance of distance runners, with an increase in the contribution from non-metabolic energy sources taking place with increased in running velocity
  62. Elastic or Spring Energy In the elastic-like bounce of the body at each running step the muscle-tendon units are stretched after landing and recoil before take-off. Evidence has been provided suggesting that muscle is kept quasi-isometric with the consequence that the length change of the muscle–tendon unit is mostly sustained by tendons It has been found that much of the muscle activity in running is associated with tensioning of the tendons, which thereby store energy for successful cycles of movement Isometric contractions are considerably less expensive than dynamic contractions
  63. Free Stored Elastic Energy The ability to use stored elastic energy depends on the The velocity of stretching the magnitude of the stretch the duration of the transition between the termination of the eccentric and initiation of the concentric phase of the movement. This delay between the two phases should be minimal or the stored elastic energy will be rapidly dissipated. Because a more prolonged delay will allow fewer cross bridges to remain attached after the stretch (Edman Et Al 1976) The greater the velocity of stretching it during the eccentric contraction, the greater the storage of elastic energy (Rack & Westbury 1974)
  64. Temporary tendon energy storage led to a significant reduction in muscle fascicle lengthening velocity and the rate of energy absorption. We conclude that tendons function as power attenuators that probably protect muscles against damage from rapid and forceful lengthening during energy dissipation. For tendon springs to operate effectively, their mechanical properties must be matched to their function. For elastic mechanisms is tendon stiffness, and there is increasing evidence that the stiffness of a tendon is ‘tuned’ by remodeling to allow for the effective operation of the muscle–tendon-load system. Several studies have now documented significant increases in tendon stiffness in response to long-term exercise
  65. Eccentric vs Concentric Training An eccentric contraction refers to muscle action winch the muscle force succumbs to the imposed load and the muscle complex lengthens. Not only is it metabolically much more efficient than concentric contraction, but it’s also capable of generating higher forces (Kaneko 1984)  (Komi 1973)  (Rodgers And Berger 1974)   In addition this difference between concentric and eccentric contractions has been found to depend on the velocity of contraction (Komi 1973)    As the velocity of contraction increases, so do those maximums eccentric force increase whereas the maximum concentric force decreases even though the corresponding EMG for the given muscle group remains reasonably constant.
  66. Hookes Law Increase Depth Of Loading Of Forces Into The Human Spring Dynamic Plyometric-Impact Stretching Plyometric impulsive stretching, which involves rapid termination of eccentric loading followed by a brief isometric phase and an explosive rebound belying and stored elastic energy and powerful reflex muscle contraction. This stretch shortening action is not intended to increase range of motion, but to use specific stretching phenomena and to increase speed strength of movement for a specific sporting purpose.
  67. Connective Tissue Strength vs Muscle Strength More over, muscle tissue adapts to increase loading within several days Connective tissue such as tendons ligaments and joints and bones or systems which contain a high proportion of connective tissue such as bone and cartilage only display significant adaptation and hypertrophy after several weeks or months of progressive loading It is vital that the prescription of training takes into account the different rates of adaptation of all systems involved and avoids overtraining systems with the lowest rates of adaptation. Gradual increase in training load and avoidance of impulse or explosive methods is essential for minimizing the occurrence of connective tissue soreness and injury,
  68. TIP # 11 TRAIN THE LANDINGS LIKE TAKE OFFS Spring Suspension System (Frided 1983) found that a centric training to failure produces market increases in eccentric strength–endurance, but minimal changes in concentric strength–endurance.   Since lengthening of muscle complex occurs with the centric contraction the stretching SEC series elastic component is exposed to greater strain than under concentric conditions and the potential for increase of injury. Thus it is not surprising to learn that most muscle strains and ruptures occur during the Eccentric phase of movement  (Garrett 1986)
  69. TIP # 12 DO JUMP ROPE What To Consider When Developing a Strong Spring with Endurance? The development of strength–endurance is a an inherent characteristic and the fundamental principle of training for developing general endurance. Training for strength–endurance is determined predominantly by:   The magnitude of the load The rest interval between training sessions The length of the training period Additional levels of strength–endurance of the athlete The kinesiological structure of the movement Relative involvement of static and dynamic strength–endurance
  70. TIP #8 STRIVE TO RUN BAREFOOT TRAIN BAREFOOT IN MULTIPLE DIRECTION DRILLS Barefoot to Bedridden Barefoot - No Supports  Footwear - 4 Supports Motion Control - 4 Supports Orthotics - 6 Supports Orthopedic Shoes and Orthotics - 6 Supports Cane - 7 Supports 4-Prong Walker - 10 Supports Wheel Chair - 4 Wheels Bedridden - Bed Bedridden to Barefoot Reclaim Your Youth
  71. Current Standard of Care Overload - Weight Gain, back packs, pregnancy Industrial Age Sustained Standing Binding devices – casts, footwear Chronic fatigue – Imbalanced Exercise - Not adequate Absolute Strength of this group and No Spring Training Industrial Exercise – Walking, running or with poor technique Previous injury not rehabbed completely Catastrophic Neurologic Incident or Stroke Psychological stress Inadequate or inappropriate Medical Care Cultural or social Genetic defects
  72. Overload - Weight Gain, back packs, pregnancy Industrial Age Sustained Standing Binding devices – casts, footwear Chronic fatigue – Imbalanced Exercise - Not adequate Absolute Strength of this group and No Spring Training Industrial Exercise – Walking, running or with poor technique Previous injury not rehabbed completely Catastrophic Neurologic Incident or Stroke Psychological stress Inadequate or inappropriate Medical Care Cultural or social Genetic defects
  73. Exercies barefoot Exercise without the spring mechanism restricted by a leather or rubber binding device Abebe Bikila Study in India with children
  74. Zola Budd Barefoot Runner breaking the world record and setting the world record for the maximum force on the bare human foot
  75. Balancing Drills
  76. Running Drills
  77. Arlovski Rope Jumping
  78. Arlovski Double Leg Training Drillls
  79. Single Leg Drills
  80. Zola Budd Barefoot Runner breaking the world record and setting the world record for the maximum force on the bare human foot