The Physio Detective Way - Seminar Preparation Lecture

Course Preparation Material
www.MyPTEducation.com
There is audio and video at YouTube
@Physio Detective - http://youtu.be/n3a3naVTxIs

 All Social Media

 CrossFit Experience

 @physiodetective

 Personally for over 2

 Blog
 www.physiodetective.com

years
 Games, Regionals and
all levels of CF athletes

 Clinic Website
 www.myphysios.com.au

 I work and train from
 Reebok CrossFit GCS,
 CrossFit Bodi Complete
 CrossFit Scorch

 All patients and sports fit

this model to be
presented

www.mypteducation.com (c) 2014

 Definitions
 Mobility
 Flexibility
 Stability
 Dissociation
 “Specific” vs

“Functional”
 What is “normal”

movement

 What is “abnormal” or

“dysfunctional”
movement
 Injury Prevention
 Training and

Rehabilitation Principles
 Principles of Assessment

and Treatment

Mobility:
 The ability to move or be moved

freely and easily

 In Crossfit: The ability to move

through the necessary range of
motion for the prescribed
movements to achieve optimal
efficiency and the required
movement standards

 How well can you move with

what you have


Flexibility:
 The quality of bending

easily without breaking
 In CrossFit: The amount

of range of motion you
have across one or more
joints
 How far can you move

Stability:
 The ability to maintain the desired

trajectory despite kinetic, kinematic
or control disturbances

 In Crossfit: The ability to complete

the prescribed movements without
excessive shearing or unwanted
motion in all joints

 How well you can control your

movement and posture



Stability of a dynamic system requires
consideration of the level of load, the mobility
requirements, predictability of the task and
real or perceived risk

Dissociation:
 The disconnection or

separation of something from
something else or the state of
being disconnected.

 In Crossfit: The ability to

move one body part without
moving other body parts

 How well you can keep

something still while
moving something else

“Specific” vs “Functional”:
 When most people say

“functional”, they mean
“specific”
 Most movements serve a

function
 Choose specific

movements for your goal!

 You have to know what

normal is for the activity
you are doing
 Technique
 Normal ROM
 Strength/Flexibility/
Control
 Movement standards
 Goal of movement


 Deviations from normal
 Painful movement
 Consider
 Different techniques,
 Anatomical differences,

 What are you training

for?
 Ability of your athlete


 What movements are we

testing?
 Problem Movements /

Postures
 Activities of daily living
 Exercises that cause
symptoms or poor
performance
 Stretches that cause
symptoms
 Specific movements of the
regions involved

 What is their starting

position/posture like?
 Look at the whole body
 Start from the feet up or

from the head down
 Use test/retest to see if it

is a problem


 How do they move?
 What is their technique like?
 What is their first

movement?

 Do poor starting positions get

better, worse or stay the
same?

 What is the range of the

movement?

 What exhibits failed load

transfer first?


 What region shows the

earliest signs of “Failed Load
Transfer”?
 The first region that moves or

stays still in an undesired way
 Sometimes this is very subtle
 I use Coach’s Eye to help my

patients see it too
 Coaches often have better

eyes than Physios and other
health professionals!

 For that region, what

system from the
Integrated Systems
Model is the “Primary
Driver”
 There can be “Co-

Drivers” meaning 2 or
more reasons why
dysfunction is occuring

The Integrated Systems
Model (Lee and Lee 2007)
 Holistic
 Can apply to any region

 Flexible to adapt to new

research findings


The person in the centre of
the puzzle:
 Goals
 Virtual Body
 Story
 Emotions
 Meaning
 How you affect your own

body

Articular System:
 Bones
 Cartilage
 Ligaments
 Capsule


Myofascial System:
 Muscles
 Fascia
 Tendons


Neural System
 Central Nervous System
 Brain
 Spinal Cord

 Peripheral Nervous

System
 Nerves

 Includes Motor Control

(Co-ordination)

Visceral System:
 Internal organs and their

tissues
 I also include medical

conditions, blood
vessels, and lymphatic
system


Strategies for
Performance and
Function:
 Technique

 How you do what you do
 How many ways can you

do the same thing?
 Is your way exacerbating
or relieving the problem?

Once the main region and
the main system has been
found, it gets easier:
 Specific treatment to
 Address restrictions
 Correct posture
 Teach correct

coordination
 Teach correct movement
patterns

Treatment Principles:
 Target Specific Regions
 Use Specific Positions

relevant to the problem
movement

 Get Specific Results
 Use pre-treatment testing
and retesting (Test/Retest)
 I don’t care what you do or

use provided it is legal!


 How do we rehab?

 Specifically
 Many people say

"functionally" but they
mean specifically!
• Mechanics
Consistency
Intensity
 (CrossFit HQ)


• Mobility
Flexibility
Stability
Strength
Power

Speed
Repetition
 (adapted from CF

Football)

www.CrossFitFootball.com

 Key Principle 1: Specific

Region

 Isolate the movement to the

joint / muscle / nerve /
regions you want


Position

 Use positions that are similar

to your problem movement


Results

 Test after 30secs – it should

be helping by now


 How do we scale?
 Within the limits of

the

correct
technique/movement

 Mobility and Flexibility Training
 Stability Training
 Strength, Power, Speed and Met-

Con Training
 A good coach and
programming
 "Mechanics, Consistency,
Intensity"


 What is an increased risk of

injury?
 More likely to get injured
when you push the body’s
systems to their endpoints

 How do we decrease the risk of

injury?
 Improve their technique
 Limit shearing and
compression forces
 Optimize fitness

 How do we "prevent" injuries?
 I don’t think we can...I think

we can only decrease the risk

 “Bulletproof” Your Body







Shoulders and Arms
Back
Hips
Ankles
Core
Pelvic Floor

 For everyone!
 Beginners to Elite
 Injured to No Pain


 Goals:
 Everyone will experience a

“wow!” moment at some
stage during the seminar
 To challenge your beliefs

about mobility, flexibility,
stability, and strength
 To teach you how to take

care of yourself and how
your coach and health
professional is part of your
team

 Nicole had 4 months of

worsening hip pain
 Couldn’t squat or run







anymore
Seen others but nothing
helped
Came to seminar skeptical
(thrown in as a last minute
replacement)
Check out her squat
5mins later, we had it
sorted

Before

After


 She learned how to
 Release the restrictions
 Fix her posture
 Control the problem rib
 Squat better
 Integrate it into exercises
 She can now run and

squat again – only 1
session needed


 “The magic happens in

person”

 You can only learn so much

from reading and watching
videos

 I have given away a

significant amount of
knowledge but I know few
people who could
implement what I have just
gone through on their own

 Exercise clothes, shoes and

whatever you need to move
well in
 Shorts and crop tops for

girls
 Guys, you may be asked to
remove your shirt
 Of course, no one is forced
to do anything!
 Bring your questions

 Be prepared to be

challenged!

 I can run seminars for

any length of time
 From 1 – 16hrs

 Obviously, the longer the

seminar, the more you
get out of it
 Contact me at
antonylo[at]mypteducation.com


 All Social Media
 @physiodetective

 Blog
 www.physiodetective.com

 Clinic Website
 www.myphysios.com.au

 I work and train from
 Reebok CrossFit GCS,
 CrossFit Bodi Complete
 CrossFit Scorch

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