Corrective Exercise Solutions to Common Hip and Shoulder Dysfunction by Osar Evan

Author:Osar, Evan
Language: eng
Format: epub
Publisher: On Target Publications
Published: 2012-05-31T16:00:00+00:00

Sagittal plane prior to coronal or frontal plane patterns: The sagittal plane is generally the easiest for clients to control, and coronal and rotation patterns should only be attempted when they have demonstrated ability to control the plane of motion.

Bilateral patterns prior to unilateral patterns: While the goal is to get clients to perform unilateral patterns as they are fundamentally more functional, unilateral patterns introduce rotary forces that need to be controlled. Bilateral patterns can help the unstable client gain confidence prior to moving them to a more unstable base (split or unilateral stance) or pattern (unilateral or alternating arm patterns).

Slow performance to faster performance: Beginning clients, clients with injury, and clients experiencing instability generally have poor ability to control or stabilize their joints. They perform even simple movements at a faster pace to compensate for instability somewhere within the kinetic chain. Slow performance allows the nervous system to focus on the movement, thereby improving awareness and time to make the necessary corrections to achieve optimal and efficient movement. Training at faster speeds or with greater momentum decreases the client’s ability to become aware, properly stabilize, recognize, and make adjustments because their awareness is diverted to the task at hand – the speed and execution of the movement. While proponents of the ‘bigger, faster, stronger’ school of thought like to point out that if one trains slow they become slow, so if one wants to get fast they must train fast; they often fail to mention that a poor movement performed fast will also advance any dysfunction at an accelerated rate. Therefore train movement efficiency prior to movement speed, adding speed when and where appropriate.

Stable surfaces prior to labile surfaces: The goal is to get the client to control their body weight and momentum prior to introducing an unstable or labile surface. The advent and proliferation of labile equipment has ushered in a generation of trainers and therapists who have their clients perform increasingly challenging exercises, even when they can barely control their body on a stable surface. Progressing these clients to unstable surfaces merely perpetuates compensatory strategies, because the clients will adopt any strategy necessary to maintain stability. Training on a labile surface has also been shown to increase compressive loads on the spine, which should not be the goal when training the stiff or hypomobile client. Also, training on labile surfaces decreases force production as the body cannot generate optimal force when its attention is diverted to maintaining stability. Progress clients from bilateral to split stance, from split stance to split stance with one leg elevated and supported, and from split stance with one leg elevated and supported to unilateral stance. Once they can successfully achieve each of these progressions, progress them to labile equipment.

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