POPULARITY
5 episodes with rectus
3 episodes with rectus
2 episodes with rectus
2 episodes with rectus
2 episodes with rectus
2 episodes with rectus
2 episodes with rectus
2 episodes with rectus
2 episodes with rectus
Your core is crucial for, well, everything! Fun fact: Sue's fitness journey actually started because she wanted a killer set of abs—but clearly she's learned so much more since that start. Today, we're talking about the four main core muscles—including the sneaky ones you can't even see—and we explain why your core is so much more than just eye candy. Listen in as we give you our favorite exercises, knock back those training mistakes, and bust some common myths. Be sure to download the FREE abs & core cheat sheet so you can follow along with this and next week's episodes! As always, it is our goal not only to supply you, the listener, with valuable insights on the topics or questions but also to plant some seeds for further research and thought. Be sure to like and subscribe and leave us a review if you loved this episode! Timestamps: (0:00) About today's episode (0:35) Our thoughts about core training when we first started in fitness (2:43) Defining the components of the core (4:45) The anatomy, functions, & appearance of the core muscles (5:16) 1) Rectus abdominis (8:49) 2) External obliques (15:23) 3) Internal obliques (16:27) 4) Transverse abdominis (25:19) Additional benefits of strong core muscles (28:03) Our favorite core exercises (39:55) Common core training mistakes (45:38) Rapid-fire core FAQs (45:49) Q1 - Is training abs necessary? (45:56) Q2 - Does training abs cause constipation? (46:52) Q3 - Will training abs make them more visible? (47:46) Q4 - Will training abs make my waist bigger? (48:22) Q5 - Can core training reduce belly fat? (49:51) Q6 - Does training your core help with back pain? (50:07) One final take-home before we go Additional Resources: Free Abs & Core Cheat Sheet - https://physiquedevelopment.ck.page/ms-abs Abs & Core YouTube Playlist - https://youtube.com/playlist?list=PLX764SrJPniRwg6aC_C0REz1PU9UW_9cl&si=MaC_d7RbHh2PI4Va "The Quest for the 'Spot Reduction'" Study - https://www.mdpi.com/1660-4601/18/7/3845 Have questions for future episodes or have a topic you'd like us to cover? Submit them here - https://forms.gle/AEu5vMKNLDfmc24M7 Check out our FREE 4-Week Glute Program - https://bit.ly/podcastglutes And keep the gains rolling with 12 MORE weeks of glute growth (use code POD at checkout for $25 off!) - https://dedicated-artist-6006.ck.page/fdf6fcd8da?utm_source=PD&utm_medium=podcast&utm_campaign=12WeekGluteProgram&utm_id=12WeekGluteprogram Inquire to learn about nutrition-only coaching WITH exercise review - https://bit.ly/optimizeglutes Interested in the Physique Development Training Club App? Join here! - https://physiquedevelopment.app Keep up to date with all things PD, get exclusive content, snag freebies, and more by joining our email list! - https://dedicated-artist-6006.ck.page/emailsignup Grab a band tee here! - https://shopphysiquedevelopment.com Looking to hire the last coach you'll ever need? Apply here - https://physiquedevelopment.typeform.com/to/ewAMxk1w Interested in competition prep? Apply here - https://physiquedevelopment.typeform.com/to/Ii2UNA For more videos, articles, and information, head to - https://physiquedevelopment.com To follow the team on Instagram: Coach Alex - https://www.instagram.com/alexbush__ Coach Sue - https://www.instagram.com/suegainz Physique Development - https://www.instagram.com/physiquedevelopment_ If you would like to support Physique Development and this podcast, please head over to your favorite podcast app and leave us a rating and review! This goes a long way in supporting this podcast and helps us continue to bring high-quality, honest content to you in the form of a podcast. Thank you for listening and we will see you all next time! ---- Produced by: David Margittai | In Post Media Website: https://www.inpostmedia.com Email: david@inpostmedia.com © 2024, Physique Development LLC. All rights reserved.
PT-Podden tar sitt sista semesteravsnitt och bjuder på en rerun av "Träning för Gravida" - Hoppas ni alla njuter av sommaren! När man är gravid händer det väldigt mycket i kroppen. Samtidigt som det kan vara en väldigt häftig tid kan det även vara väldigt läskigt att vara gravid och inte veta vad man kan eller inte kan göra för träning. Därför har vi satt ihop ett avsnitt för alla Personliga Tränare där ute där vi träffar Alexandra Aronsson (Mamma PT) och Annika Rasmusson (barnmorska) för att lära ut så mycket vi bara kan om gravidträning på under timmen. Samtalsämnen Vilka träningsråd rekommenderas? Besvär som kan förebyggas. Får vissa inte träna när de är gravida? Hur kroppen förändras. Rectus diastas Bäckenbotten Bäckensmärta Är det farligt att komma upp i puls? Är det farligt att ta ut sig? Är Sit-ups farligt? Hopp o löpning? Vill du lära dig mer om träning för gravida? Kolla in vår utbildning “Mamma- och gravidtränare”. Här kan du klicka dig vidare på du vill komma i kontakt med Alexandra eller Annika.
Rectus, subcostal and TAP...oh my! In this episode, Amit and Jeff tackle belly blocks, and discuss anatomy, clinical decision-making, and their own tips learned the hard way for how to make the most out of abdominal fascial plane blocks.
The Beverly Hills Plastic Surgery Podcast with Dr. Jay Calvert
Dr. Jay Calvert & Dr. Millicent Rovelo discuss Rectus Diastasis vs Hernia in the setting of a Tummy Tuck! The docs break down Rectus Diastasis with Tummy Tucks, Hernia with Tummy Tucks, Massive Rectus Diasitasis, insurance, and more! -- Dr. Jay Calvert & Dr. Millicent Rovelo are Board Certified Plastic Surgeons located in Beverly Hills, California! Dr. Jay Calvert - drcalvert.com @DrJayCalvert Dr. Millicent Rovelo - roveloplasticsurgery.com @RoveloPlasticSurgery Follow the Podcast on Instagram - @BeverlyHillsPlasticSurgeryPod LISTEN HERE: Apple Podcasts - https://podcasts.apple.com/gb/podcast/the-beverly-hills-plastic-surgery-podcast-with-dr/id1481017059 Spotify - https://open.spotify.com/show/6rwIdK6oUptZV0X55Dvn76
Rectus diastase. Delte magemuskler. Dette er ikke begreper som vekker stor optimisme hos en nybakt mor med ønske om å gjenvinne kroppen sin etter en fødsel. Vil avstanden minke? Kan man ta sit-ups? Hvordan vil magen se ut på sikt? Og, er det egentlig så ille som det høres ut? I denne podcasten vil vi alltid hylle de som tar til orde for å sette gamle myter under lupen, og ikke minst når de gjør det med et mål om å sette noe negativt i et mer positivt lys. Sandra Bjordal Gluppe er en slik person, både som forsker og kliniker, og siden ingen av podcastvertene har særlig erfaring med rectus diastase var det en sann glede å la Sandra ta oss med inn i dette fagfeltet. Sandra mottok tidligere i år PEDRo prisen under verdenskogressen i fysioterapi for sin RCT på trening for kvinner med rectus diastase. Doktorgraden hennes heter "Mammamage – et problem etter fødsel" og hun disputerte i september 2023. Hun er nå ny leder i NFF sin faggruppe for kvinnehelse, og jobber som fysioterapeut i privat praksis ved Vestfold Fysioterapi i Tønsberg. På sosiale medier finner du henne på Instagram under delte_magemuskler. Oversikt over Sandra sine publikasjoner finner du her. KURS: VONDT-podcasten arrangerer skulderfagdag på Apexklinikken lørdag 27.01.24. Ved å bli en patreon får du kraftig rabatt på fagdagen. Les mer og bestill din billett herPATREON: Fra 2023 spør vi lytterne våre om å bidra til podcasten ved å bli patreons. For prisen av en Oslokaffe i måneden gir du oss muligheten til å fortsette podcasten, samtidig som du skaffer deg selv VIP-billetter til VONDT fellesskapet. Her får du blant annet tilgang på lukket diskusjonsforum, referanselister fra episodene, mulighet til å stille gjestene spørsmål og rabatter på kurs&fagdager. Les mer og bli en patreon i dag på: patreon.com/vondt MUSIKK: Joseph McDade - Mirrors
In this episode, Lindsey shares her thoughts on Diastasis Rectus Abdominis. She shares why she feels the BIRTHFIT Basics Postpartum program is the best foundational movement and rehab program for new moms. Lindsey also gets into research and considerations. https://birthfit.com/b-postpartum https://www.youtube.com/watch?v=sg_CU4Ia4ug&t=270s
"Diastasis" is the word for a separation of parts of the body that are normally joined. Diastasis rectus abdominis, or "diastasis recti," as it is very commonly shortened to, is the separation of the abdomininals muscles that occurs very often during pregnancy; however, problems can occur when this separation does not close on its own during the postpartum period. This episode explains how to screen for a diastasis, how to prevent it from becoming worse, and how to take steps towards closing the separation.
In today's episode we are chatting with Antony Lo. Antony Lo is a physiotherapist, educator and podcast host from Australia who works at the junction of Musculoskeletal/Ortho, Sports, and Pelvic Health. He runs The Physio Detective Clinic, My PT Education, The Women's Heal4th Podcast, and The Diastasis Project. He helps the general public and health and fitness professionals who struggle to progress their clients by cutting through the BS and thinking outside the box so they confidently assist people to achieve their goals. Antony has a wife and 3 children, living in the best city in the world – Sydney, Australia! Follow us @pelvicorerehab and share any questions you have on Pelvic Health or share your experience overcoming Pelvic Health related issues. Episode Notes: What is a Diastasis Rectus Abdominus (DRA)? What is the connection between DRA and Pelvic Floor Dysfunction and/or Low back pain ? What kind of alignment positioning is best? Let's talk terminology; How do you define “tenting” “doming” Bulging” “coning” Let's talk about width vs. Depth of DRA, Which is important to focus on during exercise? What do you say to women who ask “ Will my abdominals ever look the same?” How important is it to be able to Generate tension through the linea alba? Are we doing what we think we are doing when we exercise to “close the gap?” Functional Treatment- Train Movements NOT Muscles At what level do we need to load and train during therapy? “Train for what you want to do? Has any PT told you that they don't really know why you may be feeling something?? Where can you find more of Antony: Contact Details Mobile Phone - SMS Preferred - +61 410 440 506 WhatsApp - https://wa.me/61410440506 FB Messenger - www.m.me/antonylo Email - antony@physiodetective.com Websites www.antonylo.com www.physiodetective.com www.mypteducation.com www.womenshealthpodcast.com www.diastasis.info Facebook www.fb.me/antonylo www.fb.me/physiodetective www.fb.me/mypteducation www.fb.me/womenshealthpodcast www.fb.me/thediastasisproject Instagram www.Instagram.com/physiodetective www.Instagram.com/mypteducation www.Instagram.com/womenshealthpodcast www.Instagram.com/thediastasisproject Visit me at: My Website: https://www.pelvicorerehab.com/ Instagram : https://www.instagram.com/pelvicorerehab Facebook:https://www.facebook.com/pelvicorerehab/ YouTube: https://www.youtube.com/channel/UCCiEl1ZFlA5SzN44MhUwzgA?view_as=subscriber Ebook Books links Pregnancy Ebook: https://www.pelvicorerehab.com/pain-free-pregnancy-guide Pelvic Pain, Bladder leaking, and 8 steps to achieve pelvic healing https://www.pelvicorerehab.com/pelvicfloorguides Menopause Guide https://www.pelvicorerehab.com/menopauseguide Postpartum ebook https://www.pelvicorerehab.com/headtotoewellnessformommyandbaby Disclaimer: Susan Winograd, PT offers health and fitness information intended to assist you in improving your general health and well-being. These videos and written text are designed for entertainment and educational purposes only. Please consult your physician before beginning or implementing this or any other technique or exercise program. Do not rely on the information presented as a substitute for professional medical advice, diagnosis, or treatment. If you have any concerns or questions about your health, consult with a physician or other healthcare professional. Do not disregard, avoid or delay obtaining medical or health-related advice because of something you may have read, heard, or viewed on this site or channel. The use of any information provided on this (or any associated) video or website is solely at your own risk.
In this episode, we review the high-yield topic of Rectus Femoris Strain from the Knee & Sports section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://podcasters.spotify.com/pod/show/orthobullets/message
"Exosomes: The Good, The Bad, and The Ugly" by Drs. Jeffrey S. Grzybowski, and Kristopher M. Schroeder, with the University of Wisconsin School of Medicine and Public Health. From ASRA Pain Medicine News, May 2023. See original article at www.asra.com/may23news for figures and references. This material is copyrighted.
Merriam-Webster's Word of the Day for July 8, 2023 is: rectitude • REK-tuh-tood • noun Rectitude is a formal noun that means “moral integrity or righteousness” or “the quality or state of being correct in judgment or procedure.” // The keynote speaker encouraged the graduates to go on to live lives of unimpeachable rectitude and integrity. // As treasurer of the club, she advocated a kind of fiscal rectitude that is widely credited with saving the organization from financial ruin. See the entry > Examples: “The district attorney was the picture of a gray-haired eminence, a figure of rectitude in a circus of a city. He conducted his indictment press conferences—an evening news staple—sitting down, grim as an undertaker, at the center of a long boardroom table. Unlike ... his bête noire at the U.S. attorney's office, he never raised his voice, cracked a smile or indulged in theatrics.” — Andrew Kirtzman, The Washington Post, 9 Dec. 2022 Did you know? Ready for some straight talk about rectitude? Righto! Rectitude is a formal word that comes from the Latin adjective rectus, which means both “right” and “straight,” and ultimately from the Latin verb regere, meaning “to lead straight.” Rectitude today typically refers to moral integrity—that is, to “straightness” or “rightness” of character. (An early use referred literally to a straight line, but that sense is now rare.) Rectus has a number of other descendants in English, including rectangle (a closed four-sided figure with four right angles), rectify (“to make right”), rectilinear (“moving in or forming a straight line”), and even rectus itself, a medical term for any one of several straight muscles in the body.
Abby Inman is a pelvic floor therapist, a soon-to-be mother of four, and one of the authors of the book Baby Got VBAC: An Inspiring Collection of Wisdom for Better Births After Cesarean. Located in Milwaukee, Wisconsin, Abby is advocating for hospital policies to make pelvic floor therapy more accessible to all birthing women. As a VBAC mom herself, Abby talks with Meagan about why every woman should have a pelvic floor physical therapy consult in the hospital before going home. Abby also tells us some obvious as well as more commonly missed signs indicating that you could benefit from pelvic floor physical therapy. Additional LinksBaby Got VBAC: An Inspiring Collection of Wisdom for Better Births After CesareanAbby's WebsiteHow to VBAC: The Ultimate Prep Course for ParentsThe VBAC Link Facebook CommunityFull Transcript under Episode DetailsMeagan: Hello, hello you guys. This is Meagan with The VBAC Link. I apologize that I sound a little hoarse today. I have totally caught a darn bug. I have been trying to get away from it all year not getting sick and apparently, I couldn't get away with it. So here I am. I sound kind of froggy today but that's okay. We're still going to carry on. You guys, we have our friend, Abby, with us today and I'm really, really excited because I was just telling her before we started recording, she is just a big ball of everything. She's got a lot of amazing things to talk about and share so it is such an honor, Abby, to have you on our podcast. Abby: I am so excited to be here. Meagan: Yes. Oh my gosh. I just want to talk a little bit even before we jump into the review. I don't want to talk too much about your story because I want to give you all of the time but have you guys heard, Baby Got VBAC? Have you guys heard of that book? If you haven't, go check our highlights or on our blog because we have it on there and it is such an incredible, uplifting book. And guess what, Abby? I don't know if you know this. I don't know if you were actually the one that contacted us, but forever ago, someone contacted Julie and me about being in this. We had so much going on. We were in our course and we were like, “We can't take anything more on,” and we declined the opportunity and now we are kicking ourselves in the pants. We're like, “Dang it. We should have been in this incredible book.” It has so many incredible people and stories and information in it. I mean, it's amazing, right? Do you want to tell us a little bit about it?Abby: Yes. Baby Got VBAC. I don't exactly know what is the subheader. It's like, “A Collection of Wisdom for Better Birth After Cesarean.” Meagan: Yeah. “An Inspiring Collection of Wisdom for Better Birth After a Cesarean.” Abby: And it was the brainchild of a VBAC mom herself who is also a writer and an independent publisher, so she just got us all together, found us likely through various social media channels as things are done these days–Meagan: Yes, yes. Abby: And yeah. It's a combination of VBAC stories from all different kinds of people as well as some awesome chapters done by various birth professionals so some birth educators, some doulas, some chiropractors, PTs–Meagan: Brittany is in it and we love it. I've taken her course. She's on our podcast. She's in it. Brittany Sharpe, yeah. Abby: Her chapter is awesome. So even though the stories are all VBAC stories, I mean really, a VBAC is the first time going through the whole process and having a successful vaginal birth so I also think it's a great resource for first-time parents who haven't necessarily had a Cesarean in their past as well. Of course, it's awesome for if you're preparing for a VBAC. Meagan: Yeah. I love that you touch on that. We talk about this on the podcast. This is a VBAC-specific podcast. We discuss vaginal birth after Cesarean, but all of us on this podcast– I'm telling you, except for maybe the providers are people who haven't had a Cesarean, but all of us were in that spot of preparing and had these Cesareans. It is a way to learn how to avoid a Cesarean, your options for birth, your options for location, and all of that. So yes, it is VBAC-specific, but just like this book, it is for all parents that are expecting and working and wanting to learn and grow their education. I love this book. It's amazing and it's so fun to have you today on the podcast. Review of the WeekMeagan: Before we jump in, we have a Review of the Week so I want to hurry and review this and then I will introduce you. Abby: Sounds good. Meagan: Okay, guys. This actually came in 12 days ago via email and this is from our friend, Jessica. She says, “Hello, VBAC Link. I wanted to write about my appreciation of The VBAC Link Podcast. I had a C-section in September 2020 due to an arrest of descent. It definitely affected my postpartum mental health. When I found out about being pregnant in July 2022, I Googled VBAC resources and found your podcast. I signed up for your emails, read your blogs, your Instagram, Facebook page stories, and listened to your podcast on my morning jogs and walks. I cried. I smiled. I empathized with the moms telling their stories and more importantly, learned so much. I followed many of the tips from you and the moms. “On 3/14,” which was not that long ago from the day that I am reading this today, “I was on my morning walk listening to the last VBAC Link episode and switched to my birth music playlist. Five minutes later, I started having contractions. After getting home and calling my doula, my husband took me to the hospital and I was able to achieve my VBAC and had a baby girl. Thank you for setting up this resource. I will continue to listen to the stories even though I don't plan on having more children. I love the stories, the information, and all of the passion for helping women like me. Thank you, Jess.” Oh my gosh. Jessica, congratulations on your VBAC, and a little part of me is so happy that we got to be a part of your birthing day. That is so awesome that you were listening to these amazing stories and went into labor. So congratulations, Jessica, and yes. Just like Jessica, you guys can too. You can VBAC too. Just like she said, we have blogs, Instagram, and Facebook. We even have a private Facebook group so if you are looking for a special space that is protected and filled with people just like you wanting to learn more about your options for birth after Cesarean, head over to Facebook and search “The VBAC Link Community,” answer the questions, and then we will get you in so you can start learning. Abby Inman, PT, DPTMeagan: Okay, Ms. Abby. Abby: That was awesome. Meagan: I know. Wasn't that so awesome? That was such an awesome review. I got it and I just left it in the inbox unread because I'm like, “That's going on next week's podcast.” It was so amazing. I was like, “Oh my gosh.” And we love reviews. We love the reviews so I always encourage people. Maybe you don't want to drop it on the podcast app. That's fine. You can send it in an email, but we would always love a great review so that we can read it on the podcast because it makes me smile so much. So much. I remember when Julie and I were together, we would get a review and we would just be texting. Our cheeks would hurt. They would hurt because we were like, “This is what we are wanting to do. We are wanting to inspire and motivate people to find their options,” because so many people around the world feel that their options are taken away or that they are robbed of them and that is not how we ever want anyone to feel. I do feel that through this podcast, you get to learn your options and you get to take back that power that maybe once was lost. Abby: Mhmm. Meagan: So oh my gosh. Well, Abby. You guys, I tell ya. She is just a ball of it all. She is involved in pregnancy and postpartum and pelvic health, writes in a book, and teaches classes. She works in the hospital system. Abby, you're just amazing. I'm going to turn the time over to you. You're in Milwaukee, is that right? Wisconsin? Abby: I am. Meagan: Tell us it all. Share your story. I would love to know more about working in the hospital system and teaching birthing classes and stuff like that as well. You guys, she does this all while having little kiddos and is expecting. So seriously, good on ya girl. You're killing it. Abby: Yeah. I like to describe my life as beautiful chaos. Meagan: I love that. Yes! Can I just take that with me and be like, “Yes. Beautiful chaos. That is what I live.” Abby: So yeah. I am a physical therapist. I specialize in pelvic health. I've been doing that for almost 8 years. Crazy how time goes by. Nobody at the time that I was going to PT school goes into PT school thinking they want to do the pelvic floor. People definitely do because it's becoming more common which has been such an awesome progression in the 8 years that I've been doing this. But I was lucky in that I was able to do an internship in pelvic health before I graduated which again at the time was super rare. I've been treating, again, in pelvic health my entire career. Really now though, my specialty or even my niche is pregnancy, birth, and postpartum just because that's the season of life that I'm in and just where my passion is drawn and where there is such a need. I could for sure argue that there's a need for all pelvic health, but this field is growing so there are a lot of other people doing all pelvic health and there are not quite as many people focused pretty fully on pregnancy and postpartum and just that specific time. Meagan: Yeah. I was talking to a friend of mine the other day and you know how we have a six-week gap like, “Oh, you have your baby. Okay, see you in six weeks! Hope you're doing okay.” The two things that I wish that we could fill the gap with are mental health and pelvic PT. Abby: Yeah. Meagan: Right? There's such a gap that needs to be filled so it's so good to hear that there's a little bit more and that it's starting to come around where people are focusing a little bit more on pregnancy and postpartum. Abby: Yeah. I have a lot of theories about different things related to how we get here but I just think that there is still this saying, “It takes a village,” but a lot of people really don't have the village–Meagan: I know. Abby: I think that's what has created the gap. You used to have your other female relatives around who would make you dinner and help you with your baby. Obviously, we just have to live in the reality and that's why people need help and need services because that's just not the norm anymore. Meagan: It's not and we're expected to just bounce back like, “Oh, you had a baby. Okay, great. Keep going as fast as you can.” That's how it feels. We just had a mom hire us for 80 hours of postpartum and I was like, “Wow. That's amazing that you are focusing so much on your postpartum.” She's like, “I want continuous for 80 hours,” and we're like, “Great,” so we made this work because her mom is from Korea. She was like, “People don't leave their bedroom. They don't leave their bedroom. They are with their baby and just like you said cleaning the house and making food,” but here we are. So many of our birth stories, our couples, and our parents, literally have to go back 3 weeks later to normal life or work. Abby: I know. It's crazy. That's not normal. It's not how it was meant to be. Yeah. I work at a hospital-based clinic part-time and one of my projects is just now really coming to fruition. We're still in the pilot phase but we're already seeing really great results and an increase in referrals and again, these are people we would have otherwise not seen. The program is for a PT to see moms in the hospital before they go home, not necessarily as a rule, not as, “You can't go home until you see the PT,” but just as a support service. We started it to be a standard or trigger a referral for anyone who has had a Cesarean and anyone who has had a third or fourth-degree perineal tear. I mean, obviously, this is The VBAC Link so we talk a lot about the birth after the Cesarean, but a Cesarean is a major abdominal surgery. Some people, of course, are expecting it and have been through it before and that obviously makes it easier a little bit because you know what is going to happen, but there's just about no other surgical example that you can compare to the care of a Cesarean. It's possible that you could have an appendectomy and see a PT in the hospital before you go home. Such a benign procedure is often done laparoscopically now. There is just nothing that compares to the gap in care after a Cesarean. It's literally like, “Oh, we just cut open several layers of your body.” Again, whether you were expecting it or not, you're also just recovering from being pregnant or if you labored at all and then having this major surgery. Oh, and you're going to stay here for two days or three days, but now you have to take care of this other human. Meagan: Yeah. Yeah. But don't forget to take care of yourself. Abby: But also, here's no direction about how to do that. Meagan: Exactly, yeah. Abby: That's slightly not fair because I don't mean to imply that postpartum nurses–Meagan: They send you with nothing. Abby: Yeah, that they're not doing their job or taking good care of you. It's actually that I'm making the argument that it's why there is room for this kind of program because PTs are movement and rehab and recovery experts. That is what we do. That's what we are trained in. All PTs graduating now are doctors in physical therapy. I have a doctorate. Just like your dentist is a doctor, I am a doctor. Like I said, it's really an expertise in this area of care and that's why we're just the most well-equipped to do that. You don't have to actually even be a pregnant or postpartum or even really pelvic health trained PT to do this work. You could be a hospital-based acute care or inpatient therapist it's sometimes called because you really teach people the same sort of things that you would teach your other patients in the hospital like early things about scar tissue healing and scar tissue work. Meagan: Scar tissue massage. Abby: How to lay flat in bed because guess what? You're going to have to lay flat in bed when you go home but sometimes they don't even do that. Meagan: And then how to get up. Abby: That's right. For sure how to get up, how to hold your baby when you walk, if you're having pain, how to go upstairs. Again, if that's painful, what to do? Just really practical things that people are going to have to do after they are discharged from the hospital and go home. I just think it is invaluable. Obviously too then part of our program is to at least get the scheduled for outpatient pelvic PT as well to make that transition really seamless. So yeah, it's been really cool. So far, it's going well. Meagan: That's awesome. So awesome. I hope that all around the world, a program like this can be implemented as a standard, just as a standard thing because like you said, it's invaluable. I also want to say that my nurse and my doc sent me home with a paper that was like, “Keep your wound this. Keep your wound that,” with wound care and instructions like, “Don't lift more than 10 pounds,” and stuff like that. That is so wonderful but no one told me about the things I was going to feel or even encouraged walking. Abby: Or breathing. How to breathe.Meagan: Or breathing. It wasn't encouraged. Yeah, get up and go to the bathroom, but it wasn't like, “Get up and move as much as you can within a certain range and that's going to help recovery and breathing and scar massage.” Never. Not once in either of my C-sections did anyone ever talk about the adhesions that could happen and the scar mobilization and things like that. That is where it lacks. We just lack so much so I would love to see programs like this happening all over the world. So if you are listening and you are in the medical world, this is something that you could try because it is so important. Abby: I'll send you some articles that are being published about it. There is just a handful of PTs who are really pioneering this work and again, trying to get stuff published because obviously, that's how it works in this medical world, so yeah. Just to have some scientific journal articles. Meagan: Yeah. We'll drop them in the show notes too. Awesome. So yeah. You've got the PT. You're influencing this amazing program. You've had a VBAC. In the book, you talk about– and this is not word for word what you are saying– recognizing your birthing plan and then also recognizing your birthing location and making sure that they match because if you are wanting certain things and then you choose– say you want an epidural. You're not going to have a home birth. You're not going to have a birth center birth. Maybe you're like, “I absolutely do not want to be induced with Pitocin. I don't want it to be discussed,” then a hospital birth may not be your best option. I want to also say that sometimes it is possible to avoid that, but it doesn't always go super easy. It's often times where you have to fight about it. So yeah. I would love to know if there are any highlights of your birth story or talking about birthing location and how it impacted your– remind me, you were induced with your first for, was it IUGR or was it preeclampsia?Abby: Yeah, I think it was a pretty common story. I was trained in pregnancy, pelvic floor, and postpartum before the first time I got pregnant. I had taken some coursework about all of this stuff so I don't want to say that I was cocky at birth, but I felt like I knew more than the average person. Meagan: Confident. You were confident. Abby: But as we know, birth is a very humbling experience. My first daughter was, I think I went to my 38-week appointment and I had been measuring fine. Her 20-week ultrasound was fine. I don't think I had another one since then, but it was 38 weeks. My OB did the portable ultrasound to see if she was vertex. I don't even know. I really should probably ask her. She probably doesn't even remember at this point because my daughter is about to be five. She saw something that she didn't like. Her suspicion was that maybe the amniotic fluid was low or something. So she wanted me to have a real ultrasound which I ended up doing. All of those things came back fine. The blood flow was fine. My fluid levels were fine, but of course, they measured her as well in the full ultrasound and they said that she is very small and we don't know why. That was their reason for wanting to induce me. Again, being the stubborn person I am, I was scheduled to give a presentation at the Wisconsin State PT conference later that week. I was like, “Well, I'm not staying to be induced because I have a presentation to give in four days so I'll do that and then we'll talk. I'm not having a baby before then.” I'm sure my team already didn't like that so I gave my talk on Friday and then we went for the non-stress test on Saturday afternoon and that's when they told me, “Yeah. You should stay and be induced.”I was really not super early or anything.Meagan: Two weeks?Abby: Yeah. That was a Saturday, so she would have been 39 weeks on Monday, I think. But really, I mean, my induction story is just that my body was not ready. I mean, I tried to do everything I could to make it slow. It just, like I said, that's just really what it comes down to. My body really just was not ready. I did not progress. I was doing all of the things that I know how to do and teach people how to do, but at that time, because I hadn't gone into labor myself, she just was nestled in there. I obviously have some qualms about the saying that you hear a lot, “Well, at least you have a healthy baby and at least the mom is healthy.” That should be the low bar. That's the minimum. That's not the goal. Meagan: I have feelings toward that comment too. I want to be honest. I kind of want to punch people when they say that because I'm like, “Yeah, duh. Duh.” Yeah. Abby: Yeah. The birth itself again, was not necessarily traumatic in that I did actually choose. They were like, “Okay. I guess you could keep going. I'll let you do this for however many more hours, but we're not getting anywhere.” I was tired and just was like, “Okay. I'm just ready to meet her. Let's have the Cesarean.”Meagan: Let's do this. Abby: It wasn't like she was in distress and they rushed me to the OR, so it was not an emergency in that sense, but again, just like this is going to happen whether it's right now or in a few hours and then it probably would have been more of an emergency things just because of the timeline of how that goes. I would say that my trauma from the birth was more just mental and emotional. Yeah. Really from there, I knew I wanted to basically get pregnant again relatively soon. I knew as we were starting to grow our family, we were going to do that by several children if we could. I knew I was not going to elect to have a repeat Cesarean. So basically, my mindset was, “Well, I have to be somewhere where that's essentially not an option unless it is absolutely necessary.”Meagan: It's an emergency, yeah. Abby: I made the choice then when I got pregnant again. My two older ones are almost 18 months apart to the day, so also about as close as you're supposed to have babies after a Cesarean. I chose to have my care with midwives at a birth center in town which is not an option for everyone because sometimes it doesn't exist. Meagan: I know. Yes. We've got states right now taking midwives away from the hospital even. Abby: Oh, totally. That's all kinds of crazy. I'll get on that fight. Actually, so now I'm pregnant again. We are expecting our fourth in July and that's why I'm still with the midwives at the same birth center and preparing for my third VBAC. Even though I've now had two successful vaginal deliveries, I'm always considered a VBAC patient which is just crazy. Meagan: We're always going to be a VBAC, yep.Abby: I mean, it's not crazy. Obviously, it's a definition but it's crazy that there is risk associated with it. Meagan: It's hard to think that it's still considered, yes. Abby: So that risk, I don't know. I mean, I'm assuming that this is just the insurance that my midwives use but their insurance company charges them $1500 just for accepting a VBAC client. Meagan: Are you serious?Abby: Right? It's completely insane. That's new. That wasn't true for my last two. It's new for this one. So that's crazy. Like I said, it's a definition but it's always going to be with me no matter how many children I have. I just think that's one of the things that's sort of a part of informed consent, too. You just don't realize how that's going to affect you. You know? Anyway, not that again, I would have chosen differently in the moment but things that you don't think about and don't realize are going to affect your childbearing experience for then the rest of that time. Meagan: Yes. And on the other end, could potentially affect a provider's ability or choice to accept, right? These midwives could say, “$1500 a person, we're not going to do this because we don't want to up our prices,” or whatever. “We can't take the risk that the insurance is putting on us.” Not that they're scared of the risk of birthing out of the hospital with a VBAC, but that could change. That could impact things so much as well. Abby: Very much. Meagan: Yeah. Abby: Yeah. Meagan: Interesting. It makes me sad. Abby: Yeah. When my kids are maybe a little older or just after I have this one and can think about things, after that, that's my next thing. I need to get embroiled in the legal battles of this then I can be like, “This is totally ridiculous.”Meagan: That is what I want to do. I always say that I have a bucket list of if I have all of the time in the world type thing. I have this bucket list and there are so many things surrounding it. It's birth. It's where I'm at in birth. I'm even done having kids, but as a doula and stuff, I'm seeing this. I'm listening to these podcast stories and I'm like, “We need to make a change.” I'd love to start facilitating more change in policies and things like that. One day when I have all of the time in the world, we'll get there together. Abby: We'll get together again. Mhmm. Meagan: Yes. We'll get together again and start to make some changes. I mean, we are moving in a forward progress. There is change happening. Abby: We are. Meagan: Okay. I'm going to bounce really quickly back to some PT. I would love to know any tips that you would like to share with your listeners. You mentioned, “Yes. We're The VBAC Link so we're talking about birth after Cesarean,” but what kind of PT things can we do prior to? Because I know for me I didn't even think. It didn't even cross my mind that I should consider a pelvic floor PT before giving birth and then of course, after having my Cesarean, again, I told you that there was nobody to tell me anything about anything and then here I go, and have another Cesarean and then even with that, nobody. So I had two Cesareans without knowing anything. Any tips for previous and/or after that you can give anybody?Abby: Yeah, so really in my ideal world, every person sees a PT in her first pregnancy and the reason for that is because your body, of course, just has to make these natural changes in your posture. Your various muscle groups have to change to accommodate the growth of the baby. That changes your center of gravity and center of motion which affects how you move and aspects of movement. Again, like I said before, PTs like me are the experts in movement. Again, it's not to imply that somebody currently is not doing their job, but nobody else is looking at that. So right now, I would say that providers are generally pretty good about offering a PT referral, and again, with things like social media, people are advocating for themselves better as well. But they're pretty good about putting something in if a patient raises an issue. “Oh, I'm having this back pain” or “I'm having pubic symphysis pain and I'm having hip pain. I'm having bladder leakage,” or whatever. XYZ things.Again, yes. If you are experiencing some symptom in your pregnancy like that that you think would be muscle or posture related, you should see a PT. But like I said before, I really think that everyone deserves that consultation because again, the natural changes that are happening are natural and we're not going to stop them, but I can teach you strategies to mitigate the effects of that. How do you consciously move your abdominal muscles and the connection between your diaphragm and your deep abdominal muscles and your pelvic floor and your glutes? How are you sitting at your desk or how are you standing? Starting those things when you're pregnant then carries over to how you move postpartum. Obviously, postpartum is a lot. It's hard for a lot of reasons, but to also have pain or these other symptoms, any bladder or bowel/pelvic pressure sort of symptoms is just going to make it harder. Again, I really think by learning about these things consciously and applying specific strategies even if you're the pregnant person who is exercising and running right up until the day she gives birth, that's obviously wonderful and I support you. Maybe it's just this one-time consultation sometime around, I usually say around the beginning of the third trimester is a good time to do it. You meet the PT. We talk about these strategies and things to implement for the rest of the pregnancy, and then now you've met that person and have a relationship with them, so you at least have a resource then postpartum to then be like, “Oh, Abby mentioned this could happen and guess what? It's happening. Now I know that I'm just going to call her and get on her schedule,” instead of Dr. Google in the middle of the night when you're nursing and all of this XYZ stuff comes up. Meagan: A lot of the time, it says that it's normal. It's normal to have these things. It's like, “Oh, well duh. It's normal. Yeah. You just had a baby. Yeah, it's normal.” But it's like, “No. No, no, no.” Too, I want to mention that sometimes athletes have these tighter pelvic floors and we need to actually learn how to calm and release for effective pushing so that we won't have more damage. So one of the big things that I think is really good, even if it's just once, is coming in and learning about your pelvic floor. Your actually pelvic floor, not just the pelvic floor in general. Your pelvic floor and learn where you're at. Do some practice pushes and learn some breathing techniques and learn what's normal. Learn what's not so you're not on Google thinking that your uterus is falling out. Do you know what I mean? It can go that extreme where you're like, “I'm having this.” You Google it and it's pure panic which is not going to help anything. It's not going to help recovery. It's not going to help our mental health. It's not going to help breastfeeding if you're breastfeeding because we're stressed. It's crazy how there's a cycle. It's a domino effect, so yeah. I think it's so, so, so important as well. I wish I would have known that. I wish I would have known that.I did that with my son, with my VBAC babe, and yeah. There was a lot to learn. Abby: Yeah. You know, I mean while I'm so grateful when I get clients that are done having children and they're like, “I'm finally prioritizing me. I've been having these symptoms since I was pregnant or since the birth of my first,” or whatever. I'm like, “Yes. Good for you. I'm so glad that you're here.” But it also just breaks my heart because I really think that maybe the symptoms are not entirely preventable. The dysfunction is not entirely preventable, but potentially it could have been less. Or again, now these women have lived “x” number of years– 1, 3, 5, 15, 20 years–Meagan: I know. Abby: Like I said, I really think that early intervention is key. Again, the changes happen in your first pregnancy. Even if you don't necessarily have symptoms in your first postpartum period. Meagan: Yes. Yes. That's the thing. Is it possible to not have any symptoms but to have some pelvic dysfunction or pelvic issues or scarring? Especially with C-sections, I have a friend who was like, “I have never had a diastasis recti. I've never had pelvic floor issues. I've never had adhesions. I don't have adhesions.” She's had multiple Cesareans and is like, “I do not have adhesions.” I'm like, “Yeah. Yeah, you probably do.” But you know, she says she has no symptoms. Then sometimes I wonder, “Do you know what symptoms to look for?”Abby: Right. Are you just living with things?Meagan: Yes. Yes. Abby: Right. Obviously, yes. That can definitely be true. The symptoms don't have to be so severe that they are really affecting your day-to-day life or quality of life. Of course, usually, people seek care when they're so fed up with it. But there can be sneaky symptoms or again, things that people view as not that bad, I would consider as not normal. Meagan: It's just our new normal because we had a baby and we're being told that. Abby: Knowing where every bathroom is in the stores that you go to is actually not normal. That fact that you have a map of where the bathrooms are in your brain– now again, the same argument could be made for people that are potty training their children. But okay, they're learning for the first time. Meagan: Or the second you walk into a store, the first thing you say is, “Where's the bathroom?”Abby: Right. “Where's the bathroom? I've got to go to the bathroom.” That's a symptom. Again, it doesn't have to be that way. You can change that. This was certainly true for me and I did lots of scar work and stuff, but I basically could not wear normal pants or jeans– definitely not jeans– until I was postpartum with my second, and that had been all stretched out again and everything was slightly less sensitive. That's a modification that I made and that lots of people make. That becomes your new normal that you sort of forget about, but it's like, “Oh, well I would just never wear jeans.” Well, that's not normal. Meagan: Why? Is it because you didn't want to or is it because you didn't feel like you could or you weren't comfortable? What types of signs? Just for our listeners because we're in this spot of, “Do I have anything?”. What kinds of signs or symptoms would be a sure sign? If you are finding the restroom the second you walk into a store, this is a sign. Yes, 100%. Maybe we'll go from an extreme guarantee that this is a sign to more of the subtle, hidden, could this be a sign? Abby: Sure. Meagan: Yeah. What symptoms and signs would you say for people listening? Abby: So anything obvious would be any sort of daily pain. Just pain every day anywhere. Related to pregnancy and postpartum, hip pain, low back pain, people will say SI pain which is your sacroiliac joint which is the back lower down in your butt, pubic symphysis pain, and tailbone pain. If you feel like you cannot sit on any surface for any given period of time and it's because your but is hurting, again, not normal. Meagan: Yeah, or even pressure. I remember after I had my baby I would be standing up and I would want to sit. This is so weird, I know. But I would want to sit on the corner of something right at the vaginal opening to support it or feel my hand like, “Oh, I just look like a little girl that needs to go pee but I'm just pushing,” because I'd have this pressure after more than 30 minutes or standing after more than 30 minutes. Or sometimes even just going to the restroom, I'd be like, “Oh, I have some pressure down there.” Abby: To support it. So that's a common symptom of the medical diagnosis we call pelvic organ prolapse so if you Google that, it can seem like, “Oh my gosh, things are falling out of me.” But again, that's not necessarily abnormal especially in postpartum because all of those organs were shifted while you were pregnant so some of it is the settling back into place. Some of it is that your ligaments are still relaxed from again, what your body does in order for us to have babies. Some of that for sure continues postpartum especially if a person is breastfeeding, that laxity. But yeah, it's like learning strategies about how to help that. So certainly, yeah. Pressure, heaviness, any obvious bladder and bowel stuff. If you for sure had to go change your underwear and pants after you sneezed, again, not normal. Meagan: Not normal, yes. Abby: If you're a year postpartum or six months, a year, 18 months, 2 years, 5 years, whatever and you are one of those people that's like, “Oh, I can't go jump on the trampoline with my kids. I can't run. I had to stop running.” Again, that's not normal. We can help you. Meagan: Yeah. What about even the inability to hold your core? Abby: Uh-huh. Meagan: It's like a big plumb line. It's all connected. If we had this ability to maybe hold a plank or run or ride a bike and we were able to hold our core in and not feel it release and start taking pressure in our back, but now all of a sudden we've had this baby and we're a year, two years, even three years or more down the line and we're like, “Jeez.” Abby: Why do I still look pregnant? Where are my abs? Meagan: Why do I still look pregnant? Where are my abs? Why can't I hold a plank for 60 seconds anymore when I could hold it for three minutes? Would you say that's connected to your pelvic floor? I feel like I know the answer. Abby: Yes. You mentioned diastasis. It doesn't matter how you say it. Meagan: I know. Everyone says it differently. Abby: That's the condition you're describing which again, almost everyone has a little bit of that the last several weeks of pregnancy because it's related to the baby growing. But it's a pressure management problem and tissue laxity, muscle coordination problem postpartum. Meagan: I recently was reviewing my op reports over some things and so talking about Cesarean, we don't think pelvic floor naturally because we didn't have a baby come out of our vaginal canal. We don't think that. We don't think about abs as much either. I think a lot of the time, even though we were cut down low, I feel like our minds are like, “I wasn't pushing and using my abs in my Cesarean,” but listen and sorry as a disclaimer, it's a little blunt. It's a little aggressive. Abby: It's okay. I mean, all of the pelvic floor therapy is TMI. Meagan: Yes. Abby: It's a no-judgment zone and no topics are off-limits. Sometimes you've just got to put it out there. Meagan: Yes. I don't want anyone to feel triggered by the words that I'm using because the words that I'm using are directly from my op reports, but this is how they describe my first C-section. It says, “The fascia opened in the middle and extended laterally with mayo scissors. Fascia was separated from the rectus muscles superior and inferior with sharp and blunt dissection. Rectus muscles were entered sharply and opened and then extended bluntly.” Abby: Yep. Meagan: And then a low incision was made above the bladder. That's where they go on. But I read I was dissected bluntly with sharp scissors. Abby: Yep. Meagan: Right? My abdominal muscles were literally stabbed and cut through. As I've been reading this, this was my first C-section and she's 11. 9 years ago tomorrow as of this recording is the anniversary of my second Cesarean, the birthday of my second Cesarean daughter. 11 and 9 years later and I have abdominal issues and I have pelvic floor issues and I'm working on things. I have pain with intercourse sometimes that I would have never related to my pelvic floor, right? And sometimes I read this and I'm like, “Well, no flipping way. No wonder I have a diastasis recti way above my belly button because I was manually cut with sharp scissors.” Listeners, I want you to know that if you've had a Cesarean and you're not having any pain, that's wonderful but that doesn't mean your body hasn't received trauma like this. It means it has if you've had a Cesarean. You may benefit from pelvic floor PT more than you ever know. And if you haven't learned about scar mobilization and things like that, it's time. It's time to learn about it. So yeah. Any other symptoms? I know we're cutting short on time, but any other symptoms that you would say to listeners, “If you're experiencing this, go check out your local PT”?Abby: Your C-section scar can cause shoulder pain because of that word you used “fascia”. Fascia means connective tissue. It's basically the thing that connects the whole body. Any good pelvic floor therapist is going to look at your whole body. They're going to look at you from head to toe. People typically, you mentioned pelvic floor tightness can have dropped. Feet issues, so plantar fascia issues. Your pelvis is in the middle of all of these areas. It's a highway interchange for things to happen. So again, yeah. You might have a collection of weird symptoms that you maybe didn't put together as related to pregnancy and birth and postpartum. Maybe you're even seeing another PT and you've made some progress, but there's still whatever sort of issue. You know, it might be worth it just to have a consult and have that area checked out. Or to just be looked at from that perspective. Meagan: Absolutely. Such good information. Always, women of strength, remember that you never have to deal. You never have to deal with this. You can take care of yourself and I encourage you to do things for you. Like Abby was saying, she's like, “Yay! You're finally coming in. You're finally taking care of yourself.” But dang it, it's taken so long. I am guilty of that in so many areas. Abby: Yeah. Again, that's not your fault though. Meagan: Nope, nope. Abby: Like I said, it's a problem with our healthcare system. Meagan: And not being informed. Abby: And not even the individual provider's fault. That's why I'm working so diligently and passionately to make it more of a standard because I think that everybody deserves this care. Just because you were pregnant, it doesn't even matter how your birth went. How it went will mean different things, will do different things, and address different things. Some of it will be similar because the common denominator was that you were pregnant. You grew a baby in your body. Meagan: Yep. Your body changed. Your body made amazing changes and did amazing things. It is okay to give back to yourself and thank yourself. Thank your body for doing this amazing thing multiple times for a lot of people. It's so important. Oh my gosh. Well, thank you so much for sharing these tips and a little bit about your story and choosing a birth location and all of the things. Abby: I didn't really even get to my VBAC story but you can read it in the book. Just pick up a copy of the VBAC book. Meagan: A copy of Baby Got VBAC right here. You can find it in our show notes today. You can find it on our blog. You can find it on our Instagram highlights. You can Google it. We've got it right here. Baby Got VBAC. It's an amazing one. So thank you so much and good luck for this next amazing journey, your third VBAC. And yes, thank you again. Abby: Yeah, thanks so much for having me. I could talk about this all day long. Meagan: Right? We could talk for hours and hours about this. We'll just have to have you on again after you have your VBAC and we'll just share about each VBAC. Abby: Sure. Yeah, that would be great. That would be great. Meagan: Okay. ClosingWould you like to be a guest on the podcast? Tell us about your experience at thevbaclink.com/share. For more information on all things VBAC including online and in-person VBAC classes, The VBAC Link blog, and Meagan's bio, head over to thevbaclink.com. Congratulations on starting your journey of learning and discovery with The VBAC Link.Support this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands
Efe presents to physical therapy with hip pain. During a routine examination, the patient lacks hip extension, has a positive Thomas test, and has excessive anterior pelvic tilt. Which of the following tissues is the MOST likely shortened? A. Rectus femoris B. Iliopsoas C. Hamstrings D. Tensor Fascia Latae LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K's Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Indirect Rectus Femoris Injury Mechanisms in Professional Soccer Players: Video Analysis and Magnetic Resonance Imaging Findings Jokela A, Mechó S, Pasta G, et al. Clin J Sport Med. Published Ahead of Print. doi:10.1097/JSM.0000000000001131 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight
Kampó-Ajzner Dalma 2 kisfiú anyukája (2017, 2020), diplomás ápoló és az RTM-Rectus Training Módszer hivatalos oktatója és a módszer Ausztria országos vezetője. Kiskora óta szerepet játszik a sport az életében. Gyerekként szertornázott, úszás és fitnesz is az életében volt. Utóbbiban többször állt a dobogó első fokán, több országos és nemzetközi első helyezést elért, de egy lábsérülés miatt nem folytatta. 2013 decemberében férjével, (akkor még vőlegénye) költöztek Bécsbe. Magyarországon kórházban dolgozott, ezért itt honosította a végzettségét és a szakmában helyezkedett el. Laborban kezdett el dolgozni, majd terhes lett. Karenz után visszamentem dolgozni a laborhoz, majd kiköltöztek Niederösterreichba, ahol zöld, erdők, folyók, tavak, állatok, nyugalom, kedves emberek várták. Közben várandós lett a második kisfiával. Érzete, hogy itt az ideje valami újat tanulni, így jutott el az RTM-hez. Szalai Renáta és Dr. Kerekes Tímea szülész-nőgyógyász az RTM módszer alapitója. A covid nem tett jót egy új, kezdő vállalkozásnak. Novemberben végezte el a képzést, majd egy ideig baratnőknek segített, velük tornázott online. Márciustól pedig elindította hivatalosan is a vállalkozását. Ismét a covid miatt először csak online, majd novemberétől az első személyes órákat is meghirdette. Zömében német nyelvű órái vannak, Bécsben vannak magyar csoportjai, illetve egyéniben is lehet hozzá fordulni. Helyileg Bécsben, St.Pöltenben és Traismauerban vagyok elérhető, vagy online egész Ausztria területéről. A Kismama és Alakformáló továbbképzésen is részt vett, illetve a kimondott medencefenék tornát és a senior fitness továbbképzéseket is megcsinálta. Mind amellett. Hogy a kis csoportos órámat tartom, ausztria országos vezetője is lettem, igy hivatalos RTM trénereket képezhetek Ausztriában, akik által sok-sok anyuka (és férfi) hasát tudjuk rendbe hozni, megerősiteni. Nagyon sok szeretettel várom mindneki jelentkezését, aki sport/egészségügyi végzettséggel rendelkezik és szivesen lenne egy jelenleg pici csapat tagja. Nagyon bizom benne, hogy sikerül Ausztriában is annyira elérhetőnek lennünk,mint otthon Magyarországon, ahol 60 fölötti a hivatalos RTM oktatók száma már. Jelenleg Ausztriában 2 hivatalos RTM tréner van. Rajta kívül Eichinger Zsuzsanna, aki Zwettl-ben regenerálja az anyukák hasát. Kezdetekben a kisfiával együtt tartotta az órákat, így nem kellett korán bölcsibe adni. Ha betegek a gyerekek könnyebben tudta átszervezni (lemondani) az órákat, és megoldani, hogy ápolja őket. Ha valakinek fix munkahelye van, ezt nagyon nehezen tudja minidg megoldani. De, hogy mi is ez az RTM? A rektusdiastasis ellenszere ÉS mi a rektusdiastasis? Az egyenes hasizmok egymástól való áltávolodása. 2 cm fölött beszélünk már RD-ról. Nem feltétlen kell mindig a műtét,mint azt sokan gondolják. Több cm (akár 10 cm=5 ujj) nagyságú eltávolodás is visszatornázható,ha az ember tényleg akarja és csinálja a házikat. Kiket érint? MINDENKIT! De leginkább a szülés utáni anyukákat. Prevencióként már szerencsére létezik az RTM Kismama torna. Az RTM órák bababarátok, igy mindenki nyugodt szívvel hozhatja a babáját magával. Ha kicsit nyűgös a gyerkőc addig nagyon szivesen felveszem őket, míg anya tornázik és pár perces én idejét tölti. Mert elég köznyelv, de „ha anya jól van, a baba is jól van.„ http://rectustrainingmethod.hu http://facebook.com/rtmaustria http://instagram.com/rtmaustria http://rectustrainingmethod.hu/hu https://www.youtube.com/@RectusTrainingMethod/videos https://www.facebook.com/watch/?v=3372265759760941 #prevenció #Ausztria #vállalkozás #Bécs #podcast
Gráinne Donnelly is an Advanced Physiotherapy Practitioner and clinical researcher from N. Ireland in the UK. She is incoming co-editor for the journal of Pelvic, Obstetric and Gynaecological Physiotherapy and will sit on the Board of Trustees for the Pelvic Obstetric and Gynaecological Physiotherapy Association. She is on the specialist advisory board for the Active Pregnancy Foundation and is an associate member of the Perinatal Physical Activity Research Group at Canterbury Christ Church University. After 13 years in the NHS, she left the position as Team Lead for the pelvic health service to pursue private practice and research. She has published several peer-reviewed publications on return to physical activity postpartum and on diastasis rectus abdominis. She educates physiotherapists internationally and is currently pursuing a PhD. She also co-hosts a podcast called At Your Cervix, which aims to improve evidence-based information dissemination within the general public. In this episode, I talk to Gráinne about some of her research papers in this area, her research and infographic on return to running postpartum, and her PhD, looking at the effect of compression garments on the pelvic floor. Gráinne also talks about her other projects, in which she is involved. Main topics we cover include: Research/paper on biopsychosocial factors contributing to return to running and running-related stress urinary incontinence in postpartum women. Summary of this research. Paper on how advice and guidance affects running habits. Summary of findings. Guidelines/infographic. How previous research (discussed) informed the graphic. Systematic review on self-reported symptoms in women with diastasis rectus abdominis. Main findings/interpretation. PhD work, investigating the compression garments to target the pelvic floor. Role as co-editor for the journal of Pelvic, Obstetric and Gynaecological Physiotherapy. Within sport and exercise, typical papers that this journal accepts. Other activities, e.g., Active Pregnancy Foundation and Perinatal PA Research Group – how these came about. How others can get involved.
Dr. Carles Pedret is a Spanish sports medicine doctor whose primary focus is on muscle and tendon injuries. He received his doctor in medicine and surgery from the Autonomous University of Barcelona and a masters degree in sports traumatology and high performance. Today, he works primarily as a freelance external advisor to multiple professional teams around the world: English Premier League, English Championship, Italian Series A, Spanish Liga, China Superleague, Belgium Pro league, German Bundesliga, NBA teams and much more! He discusses how his football passion lead to him studying sports medicine, his unique path to working as an external advisor for professional teams, muscle and tendon considerations, and rectus femoris injury clinical pearls. https://carlespedret.com/https://www.instagram.com/drpedret/https://twitter.com/carlespedretFollow for updates: https://www.instagram.com/physicaltherapy4athletes/https://twitter.com/taiwoadeshigbinMusic: Adding The Sun by Kevin MacLeodLink: https://incompetech.filmmusic.io/song/5708-adding-the-sunLicense: https://filmmusic.io/standard-license
Quadrare, quadratum; to square, to make four-cornered (quadriceps) Radius; rod, spoke, ray, beam; bone on outer forearm – radius (radius, dorsoradial, radioulnar, radiology) Ramus; branch (ramiform, ramus communicans – nerve which connects two other nerves) Rectus; right, straight (rectus abdominous, rectus femoris) Ren, renis; kidney (adrenalin, renal, circumrenal, prerenal) Rigor; stiffness, cold (rigor mortis) Scapula; shoulder, shoulder-blade (scapula, subscapula, infrascapular, scapuloclavicular, cervicobscapular) Scrotum; bag, pouch (scrotal, scrotum) Sebum; grease, fatty secretion (sebum) Sinister, sinistri; left, on the left (sinistrodextral, sinstrocular) Sinus; curve, cavity and/or recess (sinus, sinusoidal, Ethmoid sinus) Spina; thorn, spine (cerebrospinal, spina bifida, spinal erector) Spirare, spiratum; to breathe, blow (exspiration, inspiration, perspiration) Squama; scale, flake, thin plate (Squamous epithelial tissue, squamella) Stapes, stapedis; a stirrup, innermost ossicle of ear (extrastapedial, mediostapedial, stapes – involved in conduction of sound vibration) Stare, statum; to stand (distal) Sulcus; furrow, grove (costal sulci) Supinus; bending backwards, supine, lying on back (supination, supinator, supine, semisupination) Talus, ankle, ankle-bone (talus, talofibular, talotibial) Tempora; the temple (temporomandibular joint, temporal, infratemporal) Tender, tentum, tensum; to stretch (extensor, tendon, tensor fascia lata, hypertension) Tibia; pipe, flute; shinbone, the innder and larger bone of the lower leg (tibia, femorotibial) Tumere; to swell (tumor, tumentia) Ulcus, ulceris; open sore (ulcer, ulcerate) Ulna; elbow, inner and larger bone of the forearm (radioulnar, ulna) Umbilicus; the navel (umbilical cord, umbilicus) Unguis; nail, claw, hoof (subungual, unguis, ungula) Uva; grape (uvula – small lobe haning from palate) Vagus; wandering (vagus – nerve, valgus knee) Varus; crooked, bent inward (coxa vara, genu varum, pollex varus) Vas; vessel (vascular, cerebrovascular) Vellere, vulsum; to tear, puck (avulsion, evulsion) Vena; vein (intravenous, supervenosity, vein) Venter, ventris; to come (ventral- anatomical position, ventricle, ventrolateral) Verruca; a wart (verruca, verruciform) Vertebra; a joint (vertebrae) Vesica; bladder, blister (vesicle, vesicular, cervicovesicular) Villus; tuft of hair (villi, villiform, intervillous) Virus; potent juice, poison (virus) Vomer; plowshare, a bone in the septum (ethmovomerine, vomer, vomernasal) --- Support this podcast: https://anchor.fm/liam-connerly/support
Listen to Episode 90 of the ACA Podcast: Rehabilitation of Rectus Femoris Strain in the Kicking Athlete
今天CC要分享一篇系統性回顧的期刊，是發表於2022年第一季Journal of Women's Health Physical Therapy的文章。這篇文章回顧了以運動來處理產後腹直肌分離的問題。產後腹直肌分離常常伴隨下背痠痛、骨盆帶疼痛、姿勢不良、骨盆底肌失能、尿失禁、腹脹、便祕…等問題。藉由運動來強化核心肌群，可以減少很多問題的發生。 00:33 甚麼是腹直肌分離 02:45 背景介紹 04:42 診斷條件 06:19 核心肌力的重要 07:57 腹直肌分離的定量 08:56 常見的運動介入 16:19 討論 18:47 結論
När man är gravid händer det väldigt mycket i kroppen. Samtidigt som det kan vara en väldigt häftig tid kan det även vara väldigt läskigt att vara gravid och inte veta vad man kan eller inte kan göra för träning. Därför har vi satt ihop ett avsnitt för alla Personliga Tränare där ute där vi träffar Alexandra Aronsson (Mamma PT) och Annika Rasmusson (barnmorska) för att lära ut så mycket vi bara kan om gravidträning på under timmen. Samtalsämnen Vilka träningsråd rekommenderas? Besvär som kan förebyggas. Får vissa inte träna när de är gravida? Hur kroppen förändras. Rectus diastas Bäckenbotten Bäckensmärta Är det farligt att komma upp i puls? Är det farligt att ta ut sig? Är Sit-ups farligt? Hopp o löpning? Vill du lära dig mer om träning för gravida? Kolla in vår utbildning “Mamma- och gravidtränare”. Här kan du klicka dig vidare på du vill komma i kontakt med Alexandra eller Annika.
Welcome to the Sterile Technique Podcast! It's the podcast about Surgical Technology. Whether you are a CST or CSFA, this podcast helps you earn CE credits and improve your surgery skills in the OR. This episode discusses the cover article of the May 2022 issue of The Surgical Technologist, which is the official journal of the Association of Surgical Technologists (AST). The article is titled, "Mesh Abdominoplasty for Rectus Diastasis". "Scrub in" at steriletpodcast.com and on Twitter, @SterileTPodcast (twitter.com/SterileTPodcast). This podcast is a Dybas Media production. Sound effects adapted from GarageBand and sindhu.tms at https://freesound.org/people/sindhu.tms/sounds/169065/ and licensed courtesy of https://creativecommons.org/licenses/by-nc/3.0/.
BUY THE BOOK HERE! https://www.amazon.com/TERRA-RECTUS-Coming-According-Scripture/dp/B09M5LK2RZ/ref=mp_s_a_1_3?keywords=terra+rectus&qid=1641413040&sr=8-3Jeremy Stone knows some really cool Christians… one of whom is none other than Kenny Seay! Kenny is the host of “The Rock” and is a life long musician and music teacher. He says that Jesus Christ is the ROCK, the foundation, and the one responsible for his gift of music. He uses his love of music to witness and share the Gospel. Jeremy introduced Kenny to Matthew Miller, author of “Terra Rectus” and the rest is history. The results are off the charts! Buckle up and brace for impact, this one is a wild ride. Check out Kenny and all his shenanigans here:https://m.youtube.com/channel/UCfnWepwmK7mWbrT4E6ckP0QFind Matthew Miller on https://wi2c.com/
In this episode, we review the high-yield topic of Rectus Femoris Strain from the Knee & Sports section. Follow Orthobullets on Social Media: Facebook: www.facebook.com/orthobullets Instagram: www.instagram.com/orthobulletsofficial Twitter: www.twitter.com/orthobullets LinkedIn: www.linkedin.com/company/27125689 YouTube: www.youtube.com/channel/UCMZSlD9OhkFG2t25oM14FvQ --- Send in a voice message: https://anchor.fm/orthobullets/message
This is the big one, Listeners! The Tummy Tuck episode. Miraculously, Dr. Oppenheimer and Asatta managed to keep it this one under an hour and still cover quite a bit. After a brief catch up about the Dr.'s cases, Dr. Opp clarifies what a Mommy Makeover is and what order he recommends it be done. They also discuss what makes someone a good candidate for a Tummy Tuck and why Dr. Opp always adds liposuction to every tummy tuck he does. The answer might leave you wondering…why wasn't this always the norm?? Enjoy this one Listeners and remember… if you can, call your Mom. Other topics include:Dr. Oppenheimer's surgical techniques that ensure a successful surgery.Rectus abdominis diastasis -aka- abdominal separation and why it happens. The recovery process and scarring. BMI and other safety concerns Email us your questions: Thepostopp@gmail.comFollow Dr. Oppenheimer's work on Snapchat and Instagram: @RealDrOppRequest a consultation: www.oppmd.comFollow Asatta on Instagram: @A.JonesWellness
In today's episode, Anita talks with Munira Hudani about all things diastasis rectus abdominis. And, if you've heard us talk about diastasis before, make sure to tune in for the most updated information regarding you and your diastasis! - - - - - - - - - If you liked this episode of To Birth and Beyond, tell your friends! Find us on iTunes and Stitcher to rate/review/subscribe to the show. Want more? Visit www.ToBirthAndBeyond.com, join our Facebook group (To Birth and Beyond Podcast), and follow us on Instagram @tobirthandbeyondpodcast! Thanks for listening and joining the conversation! Resources and References: Anita's Bump to Birth Method online program Munira Hudani – Instagram page: @munirahudanipt Munira's Course for Professionals: The Diastasis Rectus Abdominis and the Postpartum Core Course Munira's course for Individuals with Diastasis: InCore Method Show Notes: 0:56 - The Bump to Birth Method on demand is open for enrollment! 3:17 - Introduction to our special guest, Munira Hudani 5:48 - What is the traditional definition of diastasis? What happens during pregnancy and then afterwards? 10:40 - Can I prevent this in pregnancy? 16:20 - Doming: what does it mean? 25:00 - What are some exercises on the traditional safe/unsafe lists? And how would Munira adjust for the gray area? 38:05 - How does Munira approach the surgery discussion? 50:00 - One key thing about diastasis that is important for someone who is pregnant or postpartum to know about diastasis 51:12 - One key thing for professionals to know about diastasis 52:34 - How people can find - and continue to learn from - Munira 54:57 - Wrap up
In today's episode, Anita talks with Munira Hudani about all things diastasis rectus abdominis. And, if you've heard us talk about diastasis before, make sure to tune in for the most updated information regarding you and your diastasis! - - - - - - - - - If you liked this episode of To Birth and Beyond, tell your friends! Find us on iTunes and Stitcher to rate/review/subscribe to the show. Want more? Visit www.ToBirthAndBeyond.com, join our Facebook group (To Birth and Beyond Podcast), and follow us on Instagram @tobirthandbeyondpodcast! Thanks for listening and joining the conversation! Resources and References: Anita's Bump to Birth Method online program Munira Hudani – Instagram page: @munirahudanipt Munira's Course for Professionals: The Diastasis Rectus Abdominis and the Postpartum Core Course Munira's course for Individuals with Diastasis: InCore Method Show Notes: 0:56 - The Bump to Birth Method on demand is open for enrollment! 3:17 - Introduction to our special guest, Munira Hudani 5:48 - What is the traditional definition of diastasis? What happens during pregnancy and then afterwards? 10:40 - Can I prevent this in pregnancy? 16:20 - Doming: what does it mean? 25:00 - What are some exercises on the traditional safe/unsafe lists? And how would Munira adjust for the gray area? 38:05 - How does Munira approach the surgery discussion? 50:00 - One key thing about diastasis that is important for someone who is pregnant or postpartum to know about diastasis 51:12 - One key thing for professionals to know about diastasis 52:34 - How people can find - and continue to learn from - Munira 54:57 - Wrap up
The Beverly Hills Plastic Surgery Podcast with Dr. Jay Calvert
Where did my abs go!? Dr. Jay Calvert & Dr. Millicent Rovelo discuss Rectus Diastasis Repair! The docs cover the procedure options, potential candidates, special cases they have treated, post-op recovery, and more! Submit questions & episode requests on Instagram @BeverlyHillsPlasticSurgeryPod Contact Dr. Jay Calvert through his website www.drcalvert.com & Dr. Millicent Rovelo at roveloplasticsurgery.com. Follow the docs on Instagram! @DrJayCalvert @RoveloPlasticSurgery
Do you know the ins and outs of the NIRS technology? Joining me on the show today is my good buddy, Dr. Jesse Craig. Jesse is a postdoctoral research associate at the University of Utah, and he was also my post doc when I studied in his lab for two and a half years. Jesse studies oxygen delivery and utilization and its impact on exercise tolerance in health and disease. So, with the NIRS device becoming more and more popular in the fitness industry, what better time than now to bring Jesse on to share some of his knowledge and research working with the technology. We dive into the episode giving a background on what the NIRS is and how it works. It's becoming more prevalent that athletes and coaches don't understand the ins and outs of the technology: what is the data giving us? What conclusions can we draw from that data? What can we use the NIRS for? Jesse then unpacks the importance of balancing oxygen utilization and supply. Without being able to match supply and demand, health and performance will deplete. We do a deep dive into the limitations to the technology and the primary drive of change in saturation. We then unpack the importance of critical power in exercise physiology. Be sure to listen in to discover the good, the bad, and the ugly of the NIRS. What You'll Learn in This Episode: [04:37] An intro to Dr. Jesse Craig [07:09] Background on what the NIRS is [08:39] Different technology of the NIRS [09:54] Balance between utilization and supply [12:29] The NIRS role in the VIC equation [15:48] Limitations when looking at SAT [18:43] Primary driver of change in saturation [20:50] Typical probe distance [25:30] Rectus versus the vastus [27:44] Blood flow's role in oxygen utilization [30:48] The occlusion technique [34:07] The importance of critical power in exercise physiology [38:49] Where to find Dr. Jesse Craig Links: Explore our free training samples here: https://www.rebel-performance.com/training-templates/ (https://www.rebel-performance.com/training-templates/) Email Dr. Jesse Craig here: jesse.craig@utah.edu Follow Dr. Jesse Craig on Twitter here: https://twitter.com/craig_jesse?lang=en (https://twitter.com/craig_jesse?lang=en) Check out Thomas Barstow's review on NIRS here: https://bit.ly/3B20v2n (https://bit.ly/3B20v2n) Check out the article on the balance of muscle oxygen supply and demand here: https://pubmed.ncbi.nlm.nih.gov/33914662/ (https://pubmed.ncbi.nlm.nih.gov/33914662/) PLUS: Whenever you're ready... here are 4 ways we can help you find your peak performance (and live up to your true potential): 1. Get 21 FREE program samples. Tired of second-guessing and overthinking your training? https://www.rebel-performance.com/training-templates/?utm_source=website&utm_medium=super_signature (CLICK HERE) to get 5 months of free workouts to help you unlock total package performance, physique, and athleticism. 2. Buy a pre-made program. Looking for an expertly crafted training program minus the coaching and camaraderie? Then https://shop.rebel-performance.com/?utm_source=website&utm_medium=super_signature (GO HERE). 3. Join the Total Package Athlete Challenge. Want to work directly with me to hit a PR in your squat, bench, deadlift, vertical jump, broad jump, or 8-minute assault bike within the next 6 weeks? Then https://www.rebel-performance.com/challenge?utm_source=website&utm_medium=super_signature (GO HERE). 4. Join the Rebel Performance Training Team. Want to work directly with me and my team to unlock total package performance, physique, and athleticism (so you can start living at your physical peak)? Then https://www.rebel-performance.com/?utm_source=website&utm_medium=super_signature#offers (GO HERE).
See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog/ While you cannot fight your genetics or your past medical history anymore, you must take action as soon as possible to lose belly fat, improve your abdominal strength, and decrease your abdominal girth (measurement around your abdomen). I hope you watched our last Healthcast that explained the inevitability of belly fat in people over 40 without testosterone pellet replacement. We change all that with testosterone replacement and estradiol replacement with pellets, and a complete preventive medicine plan. Diet + exercise of the abdominal muscles + aerobic exercise is necessary if you want a flat belly. First Diet: Eat a low carb diet (mostly cut out foods made of sugar, flour and all grains), while continuing to eat large amounts of fruit and veggies. Cut out the lectins that slow down your metabolism by eating according to your own blood type. Give your body the nutrients that assist in weight loss:Vitamin D3, Iodoral 12.5 mg/day with food, Magnesium 200-800 mg per day based on formulation, Zinc 15-30 mcg per day, DIM (di-indomethane (made from broccoli and cauliflower), Methyl folate 5000mcg/methyl B12 2000 mcg/day, and arginine to increase muscle mass. Feed your muscles with PROTEINS: You need a lot of protein to make muscle especially if you have a normal testosterone level, so eat enough protein made of whey-ultrafiltered (eg. Phorm Level 1 protein powder) or for vegans, use pea protein. Dose is ½ of your weight in pounds, in grams of protein. For example, if you weigh 200 lbs you should eat at least 100 grams of protein a day to maintain muscle mass. If you are trying to build muscle, then eating between half -100% of your body weight in grams of protein/day. Remember to drink a lot of water to metabolize your protein Eat red meat, eggs and fish: these proteins are excellent sources of protein to build muscle by altering your diet. Take arginine to help make muscle and treat your sexuality Take DIM to lower estrone levels. AVOID SOY! Soy acts as an estrogen and increases your belly fat and shuts your thyroid down. Do aerobic exercise every other day one hour a day. Have your deficient hormones replaced or balanced by a doctor specializing in hormones especially testosterone and thyroid hormones. Exercise your abdominal muscle daily e.g. Planks, side planks, leg lifts, leg drops, crunches, etc. The rest of the Healthcast will be dedicated to abdominal exercises: You must know anatomy for you to be able to decide what exercises will strengthen and flatten your stomach. Your abdominal musculature is made up of 4 muscle groups: Rectus muscles These two muscles are attached to the rib cage and the pelvic bone and run longitudinally alongside the midline of the abdomen. This muscle group is more commonly referred to as the “six pack.” (picture) External Obliques muscles run obliquely (at an angle to the rectus muscles) These sit on the sides of the rectus abdominis and allow your trunk to twist. Working on these muscles narrow the waistline. (picture) Internal ObliquesThese are also located on either side of the rectus abdominis, the run obliquely, but deep to the external 0bliques.They run between the hipbone, the ribs and rectal muscle. They also help with twisting motions. The stronger they are the smaller your waistline. Transversus Abdominis These muscles sit behind the obliques and help stabilize your trunk. They're sometimes called the corset muscles. The abdominal muscles are responsible for curling up, turning sideways, twisting at the waist, and holding in the contents of the abdominal cavity. The abdominal muscles are the anterior or front part of the human body's muscles of the core. They integrate with the flank and back muscles to complete the core. A strong core brings with it a flat stomach, good balance, good posture, mobility and prevents injury to the body. We will discuss the simple exercises most patients can do on their own to tighten the abdominal muscles. These exercises are both isometric and active dynamic exercises. Sit ups only exercise your rectus muscles and to have a flat stomach you should work out all of your abdominal muscles! The exercises should be done in order and should be repeated 3 times. The more in strengthen your abs the more repetitions you should do. Video for each one less than 30 sec each. PLANK Get on your hands and knees, then put your elbows on the ground, directly below your shoulders, step your feet backwards until your body is parallel to the floor..like a plank. Tighten your core and hold for 45 seconds, rest for 15 seconds and repeat 2 more times. SIDE PLANK Begin in plank position. Place right elbow directly beneath the middle of your chest facing forward, then lift left hand to your waist, and place your left foot on top of your right (so left leg is stacked on top of right, too). Lift your left arm to the sky, keeping hips lifted and glutes squeezed. Hold for up to 45 seconds, then rest for 15 seconds. Repeat two more times, then switch to the other side and repeat. DEAD BUG Lie on your back with your arms extended, reaching straight from shoulders to the sky. Bend and raise knees so they form a 90-degree angle. (Shins should be parallel to the floor.) Squeeze abs and press lower back into the floor. hold this position for as long as possible up to 45 seconds, then rest for 15 seconds. Repeat two more times. BICYCLE Sit on the floor with your arms supporting you behind you and your knees bent—you will be in a V shape. Bring right elbow toward left knee, keeping chest open and extending right leg out long. Repeat on opposite side with left elbow coming to right knee. Do as many reps as possible while maintaining proper form, up to 20 reps. HIP TWIST Forearms resting on the ground supporting your body weight with hips slightly elevated in a piked position. Drop the left hip to the floor twisting at the waist, return to piked hip position, and drop right hip to the floor. Continue alternating to do as many reps as possible, up to 18 reps LATERAL HIGH KNEE with aerobic action. Stand with your feet directly under your shoulders. Bring left knee up towards chest and right palm to your ear in a runner's stance. Quickly switch your arm and leg (as if you were jogging) and move a step to the left. Continue alternating for three steps; that's one set. Move back the opposite way for three steps; that's a second set. Do 12 sets total. While you are doing these exercises think about the abdominal muscles you are exercising. By thinking about them they will work more effectively. The rest of the day think about holding in your stomach, when you are standing, waiting in line, and walking. Abdominals can be done any time, like Kaegles are, without anyone knowing. Ideally if you need to lose belly fat, you should follow these exercises daily with aerobic exercise for at least 30 minutes. Run, quickly walk, elliptical training, run in place or run up and down your own stairs. It is not an effort that can be taken in a series, like doing one thing, then stopping and then doing another, this effort is done in concert, all things need to be accomplished at the same time. The many boxes that need to be checked include abdominal strengthening exercises, daily aerobic exercise taking only one day off a week, a high protein, low carb, low lectin diet with appropriate supplements, Testosterone replacement with pellets, medications to treat insulin resistance and even diet pills, all of which were discussed in the last Healthcast, # 559.
When it comes to six pack or tummy fat, every one has these common questions How many crunches in a day How many leg raises in a day First of all we will break this video into segments Segment 1 - What is six pack? Rectus abdominis is a single muscle with multiple folds based on the nature of adaptations your ancestors had for their occupation. Everyone has this muscle, just that it is covered by a layer of fat or more. Segment 2 - fat loss We have pattern fat in our body that makes fat gain first in the mid section, that means that will be the last place to lose fat. So you need to be consistent on your fat loss plan longer to get rid of the abdominal fats Segment 3 - workout and diet It is sensible to restrict carbs to breakfast and around workout alone. Eat more protein and veggies in all your other meals to accelerate fat loss Workout - along with a well balanced whole body workout routine and cardio - train your abs thrice a week Hanging leg raise in my opinion is the best ab builder there is. You need to follow the diet and workout pattern at least 90 % even after getting six pack. Cos what got you there is needed to keep you in that position. Dot hog on food like your life depends on it and lose the hard earned six pack in few days of foolish eating. Make workout and mindful eating your lifestyle. Stay fit and healthy for life. Hope you enjoyed the podcast. Stay tuned for more podcasts on health, fitness, fatloss, musclegain and more... It would be great to hear your comments ( as i plan to respond to all the comments) Also share my podcast with your friends and lets share the learning. You can follow my on social media in links below Instagram – https://www.instagram.com/bigleemurali Twitter – https://twitter.com/bigleemurali Facebook – https://www.facebook.com/coachBiglee
Can't talk to me? Then fine-tune your stack, fam! The stack is one of the foundational components needed for A TON of movements and for restoring movement, but what if you are struggle bus with this concept? What if you can't get a full exhale or get the expansion you need? Or maybe you don't even know where in the ribcage we should even see movement! Don't worry fam, ya boy big Z has you covered. If you want to beef up your stack, and your conversation with Zac, then check out Movement Debrief Episode 153 below! Watch the video here for your viewing pleasure. If you want to watch these live, add me on Instagram. Show notes Check out Human Matrix promo video here. Here are some testimonials for the class. Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free! Want to sign up? Click on the following locations below: August 14th-15th, 2021, Ann Arbor, MI (Early bird ends July 18th at 11:55 pm!) September 25th-26th, 2021, Wyckoff, NJ (Early bird ends August 22nd at 11:55 pm) October 23rd-24th, Philadelphia, PA (Early bird ends September 26th at 11:55pm) November 6th-7th, 2021, Charlotte, NC (Early bird ends October 3rd at 11:55 pm) November 20th-21st, 2021 – Colorado Springs, CO (Early bird ends October 22nd at 11:55 pm) December 4th-5th, 2021 - Las Vegas, NV (Early bird ends November 5th at 11:55 pm) Here's a signup for my newsletter to get nearly 5 hours and 50 pages of content, access to my free breathing and body mechanics course, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies. Prone hamstring curl troubleshooting - This video goes through a simple way to help you get more out of your prone hamstring curls. The Difference Between Spinal and Pelvic Motion - This post outlines how to differentiate moving the spine as one unit vs creating relative motion at the pelvis. Ribcage expansion vs rib flare Question: With normal breathing appears should get expansion of all ribs, but yet With the stack it appears as though you should not allow ribs to flare out. So in a sense no expansion of ribs? https://youtu.be/H4JS3IK0JnM Answer: Oh fam, don't you worry. I want them ribs to get #expandedAF. The key point here is we want to differentiate where the expansion is coming from. Ideally, during the stack, we should see multidirectional expansion in the ribcage when we take a breath of air. In fact, the following areas should expand: Buckethandle - Ribs will move outward and upward (predominantly lower ribcage) Pumphandle - Front ribs should move forward and upward Posterior expansion - Back ribs should move backward and upward Slight elevation - The ribcage will lift upward slightly as a unit, as the scalenes are a primary muscle of inspiration Slight depression - The ribcage will stretch downward slightly as a unit because of the pull from the abs. As you can see, the ribs move just about everywhere! This movement, however, is different from the ribs moving forward (aka the rib flare). Ribs flared AF :) With the movements listed above, you get relative motions occurring among the ribs. So the ribs will separate to make room for the increased air in the lungs. With a rib flare, we don't see this as much. Instead, the ribcage migrates forward and upward as a unit. Imagine the thorax translating forward. That is the rib flare, and it is often accompanied with increased tension in the accessory muscles. Compensations during the exhale Question: As a narrow infrasternal angle, I am going to be taking a long relaxed exaggerated sigh. However, I get to a point where nothing is happening or I actually feel like my sternum is collapsing inward causing almost an out of breath sensation. Any idea what this might be? We want to be seeing the lower ribs dropping down correct? What if upon an exhale they don't move? https://youtu.be/O9bYviWlk4Y Answer: You think you have a full exhale, but you have no idea. This is the diary of someone who needs help getting a full exhale. (gah I'm old) But don't worry, fam, it's totally common. Ideally, the deeper abdominal muscles compress the lower ribcage in all directions, assisting the diaphragm in full ascension. There are two big tells that let you know you have this position: The ab wall will get smaller, especially the lower abdomen region. The lower ribcage will drop downward and inward. If you don't have these two points, then a full exhale is not attained. The sternal collapse is a compensatory strategy to attempt to get this full exhale. Here, the rectus (damn near killed us) abdominis contracts, pulling the sternum downward. This can help create a pseudo domed position of the diaphragm, but you do not get changes in the lateral ab wall. You also can't get the complete air evacuation out that you normally would, as this altered shape change pushes air posteriorly and inferiorly, limiting posterior diaphragm ascension. Rectus damn near killed us. The worst! (Photo credit: Hitchcock, Edward, 1793-1864; Hitchcock, Edward, 1828-1911) To mitigate these compensatory strategies, we need to emphasize the ab wall getting smaller and the ribcage dropping. To get the ab wall smaller, the best way I've found this is to just utilize a self-manual cue. Put your hands right below your belly button, and do your darndest to get the abs to get smaller. The second point is the get the lower ribcage to drop. If you get the abs moving but the ribs don't, then you need some help. The Beatles got a little help from their friends, but you, my fine fam, are going to get a LOT of help from your arms. That is, you are reaching. Reaching is like icing on the stack cake, as it can promote the ribcage shape change desired by affecting the upper components of the ribcage. Depending on your infrasternal angle archetype, you have one of two options to start with. For narrow ISAs, you'll want to reach forward, as this action will bend the ribs by generating anterior and posterior compression. I like doing these unilaterally, with a move like a hooklying tilt with a one arm reach: https://youtu.be/-GwHrk0zmc8 For wide ISAs, an upward reach (around 100-120° shoulder flexion) can be quite useful. A move like this supine hip extension move can be a great choice: https://youtu.be/NIt5Ass84VQ Reaching during the stack Question: What if the medial borders of the scaps were NOT flush with the ribcage, could then a reach at 90º be useful for posterior expansion, ribcage retraction, and getting those medials borders to find their nice cozy home along the ribs? https://youtu.be/jJAZp-NeZoY Answer: The big thing to watch on this lack of flushness on the ribcage is that it often accompanies the thorax migrating forward. If the thorax goes too far forward and you have lost the stack (and subsequently, the inability to talk to me), then you will not get posterior expansion. However, I've been known to manually pull the medial border off of the ribcage to encourage posterior thorax expansion, and it can be quite useful. Yet, it's really fricken hard to perform this action actively. UNLESS.... you create a relative motion between the scapula and humerus, aka scapular internal rotation. How do you do this? I'M GLAD YOU ASKED! If you can externally rotate the humerus without moving the scapula, this creates a relative internal rotation at the scapula. If you have internal rotation at the scapula, the scapular external rotators (which cover the dorsal rostral area) will be eccentrically oriented, which can allow for posterior expansion. A great way to achieve this action is by performing armbars with screwdrivers: https://youtu.be/EbgUI2jjN-4 Making prone and supine more comfortable during the stack Question: I find it uncomfortable in the prone and supine position for the stack. Any tips? Answer: If these positions are hurting, then there is an inability to express movement options, hence the increased pressure in respective areas. In the prone position, gravity is pushing downward, which can drive more anterior orientation. If your backside is concentric AF, then it may be that this position pushes you even more forward. Problems ensue. The prone solution? Take yourself out of the anterior orientation. This action can be done by either putting a few airex pads underneath your stomach, or even lying over a swiss ball. An airex pad underneath the stomach is s quick way to restore the anterior orientation. The same issue can cause problems in supine. If you can't reverse the posterior concentric bias, then there may be increased pressure in the sacroiliac joint and upper back. The solution could be the same. Placing a pad or wedge underneath the pelvis can help encourage the posterior orientation that you OH SO DESIRE! Side planks for the deconditioned? Question: When working with wide ISAs who are deconditioned and older, will you give them side planks right away? I worry about the shoulder. Answer: Side planks can be great for creating the lateral compression needed to make wide infrasternal angle presentations dynamic. The issue, however, is that you need to be able to produce enough force to get yourself into position. Otherwise, you are going to overload the shoulder. That said, you can still get the benefits of "side planks," you just need to regress them. Simply not lifting the body up in the air, instead pushing through the arm, can create a lot of benefits without as much load. https://youtu.be/b-m54cWG95s If that's too much, then you can bear weight through your hand like so: https://youtu.be/fHkQJ_IdwH8 If even that is too much, you can simply lie over a swiss ball to create some lateral compression: https://youtu.be/1j_9eJZRkDA Neutral pelvis or posterior tilt? Question: Neutral pelvis vs posterior tilt stack. Which/when? https://youtu.be/5PxboQFisRg Answer: While we cannot say what true "position" the pelvis is in, there are some indicators that can let us know if we have a good orientation during stack coaching. The key is to orient the pelvis in a manner that allows the viscera to bob up and down as we breathe; restoring sacral dynamics. Your key indicator that you are in a good spot is perception of the glutes and hamstrings contracting WHILE keep the pelvis and thorax stacked atop one another. If you have that, you are in a great spot :) Too much rectus abdominis during exhales Question: What kind of cues would use for someone who keeps kicking in rectus abdominis? Answer: The rectus (damn-near killed us) abdonimis kicks in when we can't get a full exhale. You'll see that when the following stuff happens: the sternum depresses the belly gets bigger the pelvis translates forward If you see these things, you can bet your bottom dollar that your stack is whack! Here are the keys to focus on to derectusify (technical term) the stack: Keep the exhale slow and drawn out Feel the lower belly get smaller Drive upper cervical extension Choose good positions that minimize rectus activity (e.g. sidelying for wide ISAs) Stacking during rotation Question: How do you ensure that you have a stack during rotation? Answer: The most important piece is to ensure that you aren't bending as a unit when you reach. Winging during front planks Question: If I try a front plank and the scaps are winging, what is going on there? Answer: If the scapulae are winging, the thorax is falling WAY too forward, which creates space between the thorax and the scapula. To create space, you need to push the ribcage backward while achieving a full exhale. Less air in the front, more air in the back. Too much lower back during the exhale Question: I have a client who uses erectors to complete the exhale. Any tips? Answer: You need to put the back muscles into an eccentric orientation so they don't create the exhale. Choosing some of the positions mentioned during the prone and supine portion of this debrief can be useful. Cueing out of overtucking Question: Any tips on client who overtuck during the stack? Answer: I usually start with this person arching their back excessively, then slowly unarching out of that position. This helps them isolate the movement to the pelvis. Sum up The ribcage should expand in all directions during the stack, not migrate forward as a unit. A full exhale should entail the ab wall getting smaller and the lower ribcage dropping downward. A reach can help facilitate a fuller exhale. Scapular internal rotation can promote posterior expansion. Prone and supine can be more comfortable by positioning passively into a posteriorly expanded position. To reduce rectus abdominis overactivity, keep exhales slow, ab wall small, and chin away from neck. To reduce overtucking, arch then unarch
Recorded live on Tuesdays at 8pm (UK time) on the Sports Therapy Association Facebook Page and also streamed live to YouTube, host Matt Phillips (creator of Runchatlive) brings guests from the Sports Therapy industry to answer YOUR questions and discuss topics chosen by YOU. And so we arrive at Ep.50 of the Sports Therapy Association Podcast! Thank you everyone who has supported us! In this 'Pelvic Health Special' we are delighted to bring you an hour of LIVE chat with Gerard Greene, a hugely respected & experienced physiotherapist with a particular specialist interest in the Athletic Pelvis, both female and male. Gerard's expertise in the area of Male pelvic pain leads him to treat patients from all over the UK for this condition. He also has special interests in female pelvic girdle pain, post natal rectus diastasis and post natal rehab. In this episode, Gerard talks to us about the important role soft tissue therapists can play in helping identify significant but often missed pelvic health related symptoms, for both female and male clients. Topics discussed include Male & Female Pelvic Pain, Pelvic Floor type symptoms, Prolapse, Urinary symptoms, Rectus diastasis, Post Prostate surgery, Hard Flaccid Syndrome. Be sure to check out Gerard Greene's courses, many of which are for soft tissue therapists, not just Physios! Websites of interest: • https://www.greeneseminars.physio/ • https://www.harbornephysio.co.uk/ • Grainne Donnelly website • Emma Brockwell website • Bill Taylor website Join us LIVE for Ep.51 - May 18th 9pm: 'Pain Management Special' with guest Dr Rachel Zoffness Enjoyed the episode? Please take a couple of minutes to leave us a rating & review on Apple Podcasts. It really does make all the difference in helping us reach out to a larger audience. iPhone users you can do this from your phone, Android users you will need to do it from iTunes. All episodes are streamed live to our YouTube channel and remember all soft tissue therapists (non members included) are welcome to join us for the LIVE recording on Tuesdays at 8pm (UK time) on the Sports Therapy Association Facebook Page Questions? Email: matt@thesta.co.uk
- Hogyan változik a női szervezet izomállapota várandósság alatt és után? - Milyen esetekben lehet nagy szerepe a regeneráló tornáknak? - Mivel járhat és hogyan szüntethető meg az egyenes hasizmok eltávolodása? Szerkesztő: Szentirmai Ágnes | Zenei szerkesztő: Elek Judit Sára
Baby pack much back? Or is it just that tiiiight anterior pelvic tilt? Find out why your big butt might just be a short 1/4 of the quadriceps. Hate to break it to you that your quads may be behind the sway in your lumbar lordosis. Get Nik’s take on the red screen Silhouette Challenge on TikTok and how we’re all going to end up with low back pain if we keep using spinal curves to compensate for a tiny tush. End result, learn how to deadlift. Also, a bit of review on passive insufficiency and the hamstring connection for your ACL injury prevention for the soccer and basketball players out there. It all goes back to origins, insertions, Innervations, and actions. Obviously. Find me on the socials @nikkidashrae. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
The ABMP Podcast | Speaking With the Massage & Bodywork Profession
Have you ever been told to listen to your gut but have no idea what your gut is telling you? What if muscles suffer from the same affliction? In this episode, Allison Denney, The Rebel MT, takes a closer look at the rectus abdominus and explores how to approach a muscle that doesn’t always know what it wants. Host: Contact Allison Denney: rebelmt@abmp.com Allison’s website: www.rebelmassage.com Resources: “The Muscle, the Beast, and a Cup of Tea: Conquering Sternocleidomastoid Fears,” by Allison Denney, Massage & Bodywork magazine, March/April 2021, page 80. This podcast sponsored by: Anatomy Trains: www.anatomytrains.com Coaching the Body: www.coachingthebody.com About Anatomy Trains: Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function. Website: anatomytrains.com Email: info@anatomytrains.com Facebook: facebook.com/AnatomyTrains Instagram: Instagram.com/anatomytrainsofficial YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA About Coaching The Body: Coaching The Body™ is a highly unique approach to therapeutic bodywork that integrates traditional Thai massage techniques, trigger point therapy, and modern neuroscience as a means of efficiently treating pain and restoring normal motion across joints. Manual therapists and movement professionals all over the world have used the Coaching The Body™ approach to relieve pain, unravel complex conditions, and grow their practices. Coaching The Body™ offers both in-person and online training, including a full CTB certification program consisting of 7 body area courses, an apprenticeship program, and a growing online course catalog. Website: coachingthebody.com Email: admissions@thaibodywork.com Facebook: https://www.facebook.com/CoachingTheBodyInstitute Instagram: https://www.instagram.com/coachingthebody/ YouTube: https://www.youtube.com/channel/UCq52UPAjR_POE0fP_oyVgjA
The Rectus Femoris is the top muscle of the Quadriceps Femoris group, quite literally, as it sits as the most superficial quad. It also fancies itself as the best quad because it's the only one that crosses both the hip and the knee. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/musclestothemasses/support
Hvad er Rectus Diastase, også kaldet delte/adskilte mavesmuskler, for en størrelse? Jeg stiller alle de grundlæggende spørgsmål til Birgitte fra Bjørengklinikken i Aarhus, og vi kommer på noget af en tur, 50'er kultur, gul sne og meget mere. Hvis du vil vide mere om Bjørengklinikken kan du gå ind på https://www.bjorengklinik.dk/ eller følge dem på instagram @bjorengklinik.
In this episode, we review the topic of Rectus femoris from the Anatomy section. --- Send in a voice message: https://anchor.fm/orthobullets/message
Rectus diastasis vagyis a szétnyílt hasizom De miről is van szó pontosan? Nagyanyáink is küzdöttek ezzel? Mekkora a baj? Mi lehet a megoldás? https://zakanyfitness.hu/blog/szetnyilt-hasizom/
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Olewnik L, Zielinska N, Paulsen F, Podgorski M, Haladaj R, Karauda P, et al. A proposal for a new classification of soleus muscle morphology. Ann Anat. 2020;232:151584.30. Kimura N, Kato K, Anetai H, Kawasaki Y, Miyaki T, Kudoh H, et al. Anatomical study of the soleus: Application to improved imaging diagnoses. Clin Anat. 2020:e23667.31. Waterworth G, Wein S, Gorelik A, Rotstein AH. MRI assessment of calf injuries in Australian Football League players: findings that influence return to play. Skeletal Radiol. 2017;46(3):343-50.32. Balius R, Pedret C, Iriarte I, Saiz R, Cerezal L. Sonographic landmarks in hamstring muscles. Skeletal Radiol. 2019;48(11):1675-83.33. Beltran L, Ghazikhanian V, Padron M, Beltran J. The proximal hamstring muscle-tendon-bone unit: a review of the normal anatomy, biomechanics, and pathophysiology. Eur J Radiol. 2012;81(12):3772-9.34. Ahmad CS, Redler LH, Ciccotti MG, Maffulli N, Longo UG, Bradley J. Evaluation and management of hamstring injuries. Am J Sports Med. 2013;41(12):2933-47.35. van der Made AD, Wieldraaijer T, Kerkhoffs GM, Kleipool RP, Engebretsen L, van Dijk CN, et al. The hamstring muscle complex. Knee Surg Sports Traumatol Arthrosc. 2015;23(7):2115-22.36. Kumazaki T, Ehara Y, Sakai T. Anatomy and physiology of hamstring injury. Int J Sports Med. 2012;33(12):950-4.37. Koulouris G, Connell D. Hamstring muscle complex: an imaging review. Radiographics. 2005;25(3):571-86.38. Tosovic D, Muirhead JC, Brown JM, Woodley SJ. Anatomy of the long head of biceps femoris: An ultrasound study. Clin Anat. 2016;29(6):738-45.39. Silder A, Heiderscheit BC, Thelen DG, Enright T, Tuite MJ. MR observations of long-term musculotendon remodeling following a hamstring strain injury. Skeletal Radiol. 2008;37(12):1101-9.40. Pasta G, Nanni G, Molini L, Bianchi S. Sonography of the quadriceps muscle: Examination technique, normal anatomy, and traumatic lesions. J Ultrasound. 2010;13(2):76-84.41. Bordalo-Rodrigues M, Rosenberg ZS. MR imaging of the proximal rectus femoris musculotendinous unit. Magn Reson Imaging Clin N Am. 2005;13(4):717-25.42. Pesquer L, Poussange N, Sonnery-Cottet B, Graveleau N, Meyer P, Dallaudiere B, et al. Imaging of rectus femoris proximal tendinopathies. Skeletal Radiol. 2016;45(7):889-97.43. Ouellette H, Thomas BJ, Nelson E, Torriani M. MR imaging of rectus femoris origin injuries. Skeletal Radiol. 2006;35(9):665-72.44. Hasselman CT, Best TM, Hughes Ct, Martinez S, Garrett WE, Jr. An explanation for various rectus femoris strain injuries using previously undescribed muscle architecture. Am J Sports Med. 1995;23(4):493-9.45. Kassarjian A, Rodrigo RM, Santisteban JM. Intramuscular degloving injuries to the rectus femoris: findings at MRI. AJR Am J Roentgenol. 2014;202(5):W475-80.46. Iriuchishima T, Shirakura K, Yorifuji H, Fu FH. Anatomical evaluation of the rectus femoris tendon and its related structures. Arch Orthop Trauma Surg. 2012;132(11):1665-8.47. Gyftopoulos S, Rosenberg ZS, Schweitzer ME, Bordalo-Rodrigues M. Normal anatomy and strains of the deep musculotendinous junction of the proximal rectus femoris: MRI features. AJR Am J Roentgenol. 2008;190(3):W182-6.48. Bianchi S, Martinoli C, Waser NP, Bianchi-Zamorani MP, Federici E, Fasel J. Central aponeurosis tears of the rectus femoris: sonographic findings. Skeletal Radiol. 2002;31(10):581-6.49. Kassarjian A, Rodrigo RM, Santisteban JM. Current concepts in MRI of rectus femoris musculotendinous (myotendinous) and myofascial injuries in elite athletes. Eur J Radiol. 2012;81(12):3763-71.50. Omar IM, Zoga AC, Kavanagh EC, Koulouris G, Bergin D, Gopez AG, et al. Athletic pubalgia and "sports hernia": optimal MR imaging technique and findings. Radiographics. 2008;28(5):1415-38.51. Robinson P, Salehi F, Grainger A, Clemence M, Schilders E, O'Connor P, et al. Cadaveric and MRI study of the musculotendinous contributions to the capsule of the symphysis pubis. AJR Am J Roentgenol. 2007;188(5):W440-5.52. Pesquer L, Reboul G, Silvestre A, Poussange N, Meyer P, Dallaudiere B. Imaging of adductor-related groin pain. Diagn Interv Imaging. 2015;96(9):861-9.53. Robertson BA, Barker PJ, Fahrer M, Schache AG. The anatomy of the pubic region revisited: implications for the pathogenesis and clinical management of chronic groin pain in athletes. Sports Med. 2009;39(3):225-34.54. Cunningham PM, Brennan D, O'Connell M, MacMahon P, O'Neill P, Eustace S. Patterns of bone and soft-tissue injury at the symphysis pubis in soccer players: observations at MRI. AJR Am J Roentgenol. 2007;188(3):W291-6.55. Morley N, Grant T, Blount K, Omar I. Sonographic evaluation of athletic pubalgia. Skeletal Radiol. 2016;45(5):689-99.56. Murphy G, Foran P, Murphy D, Tobin O, Moynagh M, Eustace S. "Superior cleft sign" as a marker of rectus abdominus/adductor longus tear in patients with suspected sportsman's hernia. Skeletal Radiol. 2013;42(6):819-25.57. Schilders E, Mitchell AWM, Johnson R, Dimitrakopoulou A, Kartsonaki C, Lee JC. Proximal adductor avulsions are rarely isolated but usually involve injury to the PLAC and pectineus: descriptive MRI findings in 145 athletes. Knee Surg Sports Traumatol Arthrosc. 2020.58. Schilders E,
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Muscle Injuries in Sports: A New Evidence-Informed and Expert Consensus-Based Classification with Clinical Application. Sports Med. 2017;47(7):1241-53.13. Bencardino JT, Mellado JM. Hamstring injuries of the hip. Magn Reson Imaging Clin N Am. 2005;13(4):677-90, vi.14. Hall MM. Return to Play After Thigh Muscle Injury: Utility of Serial Ultrasound in Guiding Clinical Progression. Curr Sports Med Rep. 2018;17(9):296-301.15. Isern-Kebschull J, Mecho S, Pruna R, Kassarjian A, Valle X, Yanguas X, et al. Sports-related lower limb muscle injuries: pattern recognition approach and MRI review. Insights Imaging. 2020;11(1):108.16. AF Y. Diagnostic Imaging of Muscle Injuries in Sports Medicine: New Concepts and Radiological Approach. Curr Radiol Rep. 2017;5(27).17. Opar DA, Williams MD, Shield AJ. Hamstring strain injuries: factors that lead to injury and re-injury. Sports Med. 2012;42(3):209-26.18. Grassi A, Quaglia A, Canata GL, Zaffagnini S. An update on the grading of muscle injuries: a narrative review from clinical to comprehensive systems. Joints. 2016;4(1):39-46.19. Pollock N, Patel A, Chakraverty J, Suokas A, James SL, Chakraverty R. Time to return to full training is delayed and recurrence rate is higher in intratendinous ('c') acute hamstring injury in elite track and field athletes: clinical application of the British Athletics Muscle Injury Classification. Br J Sports Med. 2016;50(5):305-10.20. Pollock N, James SL, Lee JC, Chakraverty R. British athletics muscle injury classification: a new grading system. Br J Sports Med. 2014;48(18):1347-51.21. Pezzotta G, Querques G, Pecorelli A, Nani R, Sironi S. MRI detection of soleus muscle injuries in professional football players. Skeletal Radiol. 2017;46(11):1513-20.22. Guermazi A, Roemer FW, Robinson P, Tol JL, Regatte RR, Crema MD. Imaging of Muscle Injuries in Sports Medicine: Sports Imaging Series. Radiology. 2017;285(3):1063.23. Pedret C, Balius R, Blasi M, Davila F, Aramendi JF, Masci L, et al. Ultrasound classification of medial gastrocnemious injuries. Scand J Med Sci Sports. 2020;30(12):2456-65.24. Fields KB, Rigby MD. Muscular Calf Injuries in Runners. Curr Sports Med Rep. 2016;15(5):320-4.25. Dalmau-Pastor M, Fargues-Polo B, Jr., Casanova-Martinez D, Jr., Vega J, Golano P. Anatomy of the triceps surae: a pictorial essay. Foot Ankle Clin. 2014;19(4):603-35.26. Balius R, Rodas G, Pedret C, Capdevila L, Alomar X, Bong DA. Soleus muscle injury: sensitivity of ultrasound patterns. Skeletal Radiol. 2014;43(6):805-12.27. Delgado GJ, Chung CB, Lektrakul N, Azocar P, Botte MJ, Coria D, et al. Tennis leg: clinical US study of 141 patients and anatomic investigation of four cadavers with MR imaging and US. Radiology. 2002;224(1):112-9.28. Bright JM, Fields KB, Draper R. Ultrasound Diagnosis of Calf Injuries. Sports Health. 2017;9(4):352-5.29. Olewnik L, Zielinska N, Paulsen F, Podgorski M, Haladaj R, Karauda P, et al. A proposal for a new classification of soleus muscle morphology. Ann Anat. 2020;232:151584.30. Kimura N, Kato K, Anetai H, Kawasaki Y, Miyaki T, Kudoh H, et al. Anatomical study of the soleus: Application to improved imaging diagnoses. Clin Anat. 2020:e23667.31. Waterworth G, Wein S, Gorelik A, Rotstein AH. MRI assessment of calf injuries in Australian Football League players: findings that influence return to play. Skeletal Radiol. 2017;46(3):343-50.32. Balius R, Pedret C, Iriarte I, Saiz R, Cerezal L. Sonographic landmarks in hamstring muscles. Skeletal Radiol. 2019;48(11):1675-83.33. Beltran L, Ghazikhanian V, Padron M, Beltran J. The proximal hamstring muscle-tendon-bone unit: a review of the normal anatomy, biomechanics, and pathophysiology. Eur J Radiol. 2012;81(12):3772-9.34. Ahmad CS, Redler LH, Ciccotti MG, Maffulli N, Longo UG, Bradley J. Evaluation and management of hamstring injuries. Am J Sports Med. 2013;41(12):2933-47.35. van der Made AD, Wieldraaijer T, Kerkhoffs GM, Kleipool RP, Engebretsen L, van Dijk CN, et al. The hamstring muscle complex. Knee Surg Sports Traumatol Arthrosc. 2015;23(7):2115-22.36. Kumazaki T, Ehara Y, Sakai T. Anatomy and physiology of hamstring injury. Int J Sports Med. 2012;33(12):950-4.37. Koulouris G, Connell D. Hamstring muscle complex: an imaging review. Radiographics. 2005;25(3):571-86.38. Tosovic D, Muirhead JC, Brown JM, Woodley SJ. Anatomy of the long head of biceps femoris: An ultrasound study. Clin Anat. 2016;29(6):738-45.39. Silder A, Heiderscheit BC, Thelen DG, Enright T, Tuite MJ. MR observations of long-term musculotendon remodeling following a hamstring strain injury. Skeletal Radiol. 2008;37(12):1101-9.40. Pasta G, Nanni G, Molini L, Bianchi S. Sonography of the quadriceps muscle: Examination technique, normal anatomy, and traumatic lesions. J Ultrasound. 2010;13(2):76-84.41. Bordalo-Rodrigues M, Rosenberg ZS. MR imaging of the proximal rectus femoris musculotendinous unit. Magn Reson Imaging Clin N Am. 2005;13(4):717-25.42. Pesquer L, Poussange N, Sonnery-Cottet B, Graveleau N, Meyer P, Dallaudiere B, et al. Imaging of rectus femoris proximal tendinopathies. Skeletal Radiol. 2016;45(7):889-97.43. Ouellette H, Thomas BJ, Nelson E, Torriani M. MR imaging of rectus femoris origin injuries. Skeletal Radiol. 2006;35(9):665-72.44. Hasselman CT, Best TM, Hughes Ct, Martinez S, Garrett WE, Jr. An explanation for various rectus femoris strain injuries using previously undescribed muscle architecture. Am J Sports Med. 1995;23(4):493-9.45. Kassarjian A, Rodrigo RM, Santisteban JM. Intramuscular degloving injuries to the rectus femoris: findings at MRI. AJR Am J Roentgenol. 2014;202(5):W475-80.46. Iriuchishima T, Shirakura K, Yorifuji H, Fu FH. Anatomical evaluation of the rectus femoris tendon and its related structures. Arch Orthop Trauma Surg. 2012;132(11):1665-8.47. Gyftopoulos S, Rosenberg ZS, Schweitzer ME, Bordalo-Rodrigues M. Normal anatomy and strains of the deep musculotendinous junction of the proximal rectus femoris: MRI features. AJR Am J Roentgenol. 2008;190(3):W182-6.48. Bianchi S, Martinoli C, Waser NP, Bianchi-Zamorani MP, Federici E, Fasel J. Central aponeurosis tears of the rectus femoris: sonographic findings. Skeletal Radiol. 2002;31(10):581-6.49. Kassarjian A, Rodrigo RM, Santisteban JM. Current concepts in MRI of rectus femoris musculotendinous (myotendinous) and myofascial injuries in elite athletes. Eur J Radiol. 2012;81(12):3763-71.50. Omar IM, Zoga AC, Kavanagh EC, Koulouris G, Bergin D, Gopez AG, et al. Athletic pubalgia and "sports hernia": optimal MR imaging technique and findings. Radiographics. 2008;28(5):1415-38.51. Robinson P, Salehi F, Grainger A, Clemence M, Schilders E, O'Connor P, et al. Cadaveric and MRI study of the musculotendinous contributions to the capsule of the symphysis pubis. AJR Am J Roentgenol. 2007;188(5):W440-5.52. Pesquer L, Reboul G, Silvestre A, Poussange N, Meyer P, Dallaudiere B. Imaging of adductor-related groin pain. Diagn Interv Imaging. 2015;96(9):861-9.53. Robertson BA, Barker PJ, Fahrer M, Schache AG. The anatomy of the pubic region revisited: implications for the pathogenesis and clinical management of chronic groin pain in athletes. Sports Med. 2009;39(3):225-34.54. Cunningham PM, Brennan D, O'Connell M, MacMahon P, O'Neill P, Eustace S. Patterns of bone and soft-tissue injury at the symphysis pubis in soccer players: observations at MRI. AJR Am J Roentgenol. 2007;188(3):W291-6.55. Morley N, Grant T, Blount K, Omar I. Sonographic evaluation of athletic pubalgia. Skeletal Radiol. 2016;45(5):689-99.56. Murphy G, Foran P, Murphy D, Tobin O, Moynagh M, Eustace S. "Superior cleft sign" as a marker of rectus abdominus/adductor longus tear in patients with suspected sportsman's hernia. Skeletal Radiol. 2013;42(6):819-25.57. Schilders E, Mitchell AWM, Johnson R, Dimitrakopoulou A, Kartsonaki C, Lee JC. Proximal adductor avulsions are rarely isolated but usually involve injury to the PLAC and pectineus: descriptive MRI findings in 145 athletes. Knee Surg Sports Traumatol Arthrosc. 2020.58. Schilders E,
Hilaire is gettin' surgery soon and gives Aaron an anatomy lesson. Aaron gripes about Zoom comedy. Patreon episode with a real banger of a murder mystery from Aaron coming tomorrow! Visit patreon.com/manchildyogi for the drop!
Board certified NYC plastic surgeon discusses rectus diastasis and the key to a flat abdomen.
It's time to talk about the practical side of abdominal separation, or DRA - diastasis rectus abdominis, after discussing the lack of research on a recent episode. How should we assess it? What kind of exercises should we try? What if we can't physically see a physiotherapist because of location or isolation? Who better than Lashonda Jones. Lashonda is a licensed physical therapist, certified personal trainer & pre/postnatal corrective #exercise specialist. She's has 14 years of exercise in outpatient orthopedics with a more recent transition into women's health once she became a mom of two. She loves educating & empowering women on Postpartum rehab, fitness & Diastasis Recti healing journeys. After working hard to heal her own #Diastasis & seeing the lack of education moms were given about their postpartum healing she developed an online program that allows women to work 1 on 1 with her online to receive the individualized education & exercises they need to heal Education: Masters Physical Therapy Bachelor's Exercise Sports Science Sports Medicine concentration NSCA Certified Personal Trainer Certified Pre & Post natal exercise specialist Program: http://coreelevationfitness.com/diastasis-recti-repair-program/ Instagram: instagram.com/ptrainershonda Listen and enjoy and a big thanks to Always Discreet for sponsoring this episode of The Pelvic Health Podcast. Head to Always Discreet to learn more about bladder leak tips, management and incredible bladder leakage protection!
Kelsey Valentine // #PPP // www.ptonice.com
Quadriceps femoris| Rectus femoris | Blood supply | Innervation | Origin and insertion by mohit About me I personally believe self made is not 100 % true. Every person has got help by certain people.. They may be mentor, friends and team members but they surely are a part of their successful career. Thank you so much everyone who have been a part of my journey ...❤❤ I don't know how to writing
1.Balconi G. US in pubalgia. J Ultrasound. 2011;14(3):157-66.2.Agten CA, Sutter R, Buck FM, Pfirrmann CW. Hip Imaging in Athletes: Sports Imaging Series. Radiology. 2016;280(2):351-69.3.Madani H, Robinson P. Top-Ten Tips for Imaging Groin Injury in Athletes. Semin Musculoskelet Radiol. 2019;23(4):361-75.4.Hopkins JN, Brown W, Lee CA. Sports Hernia: Definition, Evaluation, and Treatment. JBJS Rev. 2017;5(9):e6.5.Lee SC, Endo Y, Potter HG. Imaging of Groin Pain: Magnetic Resonance and Ultrasound Imaging Features. Sports Health. 2017;9(5):428-35.6.Omar IM, Zoga AC, Kavanagh EC, Koulouris G, Bergin D, Gopez AG, et al. Athletic pubalgia and "sports hernia": optimal MR imaging technique and findings. Radiographics. 2008;28(5):1415-38.7.Valent A, Frizziero A, Bressan S, Zanella E, Giannotti E, Masiero S. Insertional tendinopathy of the adductors and rectus abdominis in athletes: a review. Muscles Ligaments Tendons J. 2012;2(2):142-8.8.Chopra A, Robinson P. Imaging Athletic Groin Pain. Radiol Clin North Am. 2016;54(5):865-73.9.Becker I, Woodley SJ, Stringer MD. The adult human pubic symphysis: a systematic review. J Anat. 2010;217(5):475-87.10.Brandon CJ, Jacobson JA, Fessell D, Dong Q, Morag Y, Girish G, et al. Groin pain beyond the hip: how anatomy predisposes to injury as visualized by musculoskeletal ultrasound and MRI. AJR Am J Roentgenol. 2011;197(5):1190-7.11.Robinson P, Salehi F, Grainger A, Clemence M, Schilders E, O'Connor P, et al. Cadaveric and MRI study of the musculotendinous contributions to the capsule of the symphysis pubis. AJR Am J Roentgenol. 2007;188(5):W440-5.12.Pesquer L, Reboul G, Silvestre A, Poussange N, Meyer P, Dallaudiere B. Imaging of adductor-related groin pain. Diagn Interv Imaging. 2015;96(9):861-9.13.Robertson BA, Barker PJ, Fahrer M, Schache AG. The anatomy of the pubic region revisited: implications for the pathogenesis and clinical management of chronic groin pain in athletes. Sports Med. 2009;39(3):225-34.14.De Maeseneer M, Forsyth R, Provyn S, Milants A, Lenchik L, De Smet A, et al. MR imaging-anatomical-histological evaluation of the abdominal muscles, aponeurosis, and adductor tendon insertions on the pubic symphysis: a cadaver study. Eur J Radiol. 2019;118:107-13.15.Hegazi TM, Belair JA, McCarthy EJ, Roedl JB, Morrison WB. Sports Injuries about the Hip: What the Radiologist Should Know. Radiographics. 2016;36(6):1717-45.16.Murphy G, Foran P, Murphy D, Tobin O, Moynagh M, Eustace S. "Superior cleft sign" as a marker of rectus abdominus/adductor longus tear in patients with suspected sportsman's hernia. Skeletal Radiol. 2013;42(6):819-25.17.Morley N, Grant T, Blount K, Omar I. Sonographic evaluation of athletic pubalgia. Skeletal Radiol. 2016;45(5):689-99.18.Davis JA, Stringer MD, Woodley SJ. New insights into the proximal tendons of adductor longus, adductor brevis and gracilis. Br J Sports Med. 2012;46(12):871-6.19.Lungu E, Michaud J, Bureau NJ. US Assessment of Sports-related Hip Injuries. Radiographics. 2018;38(3):867-89.20.Schilders E, Bharam S, Golan E, Dimitrakopoulou A, Mitchell A, Spaepen M, et al. The pyramidalis-anterior pubic ligament-adductor longus complex (PLAC) and its role with adductor injuries: a new anatomical concept. Knee Surg Sports Traumatol Arthrosc. 2017;25(12):3969-77.
DRA, the separation of the abdominal muscles most often associated in women with pregnancy, is very close to my heart and I am so excited to bring you this AMAZING conversation on the research on #exercise for #diastasisrecti with David Larson @dmlarson31 dmlarson@asu.edu Aside from discussing what research we do have , the drawbacks of this limited data, and the physiology behind the effects of adequate load on connective tissue, he talks about his research into patient satisfaction with exercise programs. Just because as professionals we think someone is better, doesn't mean they feel that way. Bio from Arizona State University website: (see below for reference list) David is a Lecturer and Coordinator for CHS100/300 in the College of Health Solutions at Arizona State University. David earned a Doctoral degree in Health Science from A. T. Still University, Masters degree in Kinesiology from A. T. Still University, and a Bachelors degree Kinesiology from Arizona State University. His research is primarily focused on conservative treatment modalities such as abdominal strength training for the postpartum condition diastasis recti. David is a Certified Strength and Conditioning Specialist (CSCS), a Certified Pre- and Postnatal Coach (CPPC), and Certified Level 2 Nutrition Coach through Precision Nutrition (PN2). He specializes in pre- and post-natal training, youth athletic performance, and strength and conditioning and has over 10 years of experience in the fitness and sport performance industry. Reference list: Acharry, N., & Kutty, R. K. (2015). Abdominal exercise with bracing, a therapeutic efficacy in reducing diastasis-recti among postpartal females. International Journal of Physiotherapy and Research, 3(2), 999-1005. doi:10.16965/ijpr.2015.122 Awad, M. A., Mahmoud, A. M., El-Ghazaly, H. M., & Tawfeek, R. M. (2017). Effect of Kinesio Taping on Diastasis Recti. Med. J. Cairo Univ., 85(6), 2289-2296. Benjamin, D., Van de Water, A., & Peiris, C. (2014). Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review. Physiotherapy, 100(1), 1-8. doi:https://doi.org/10.1016/j.physio.2013.08.005 Bo, K., Hilde, G., Tennfjord, M. K., Sperstad, J. B., & Engh, M. E. (2017). Pelvic floor muscle function, pelvic floor dysfunction and diastasis recti abdominis: Prospective cohort study. Neurourol Urodyn, 36(3), 716-721. doi:10.1002/nau.23005 Boissonnault, J. S., & Blaschak, M. J. (1988). Incidence of diastasis recti abdominis during the childbearing year. Phys Ther, 68(7), 1082-1086. Chiarello, C. M., McAuley, J. A., & Hartigan, E. H. (2016). Immediate Effect of Active Abdominal Contraction on Inter-recti Distance. J Orthop Sports Phys Ther, 46(3), 177-183. doi:10.2519/jospt.2016.6102 da Mota, P. G. F., Pascoal, A. G. B. A., Carita, A. I. A. D., & Bø, K. (2015). Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain. Manual therapy, 20(1), 200-205. El-Kosery, S. M., El-Aziz, A. A., & Farouk, A. (2007). Abdominal muscles exercise program and/or electrical stimulation in postnatal diastasis recti. Bull. Fac. Ph. Th. Cairo Univ, 12(2). El-Mekawy, H. S., Eldeeb, A. M., El-Lythy, M. A., & El-Begawy, A. F. (2013). Effect of Abdominal Exercises versus Abdominal Supporting Belt on Post-Partum Abdominal Efficiency and Rectus Separation. International Journal of Medical and Health Sciences, 7(1), 75-79. Gallus, K. M., Golberg, K. F., & Field, R. (2016). Functional Improvement Following Diastasis Rectus Abdominus Repair in an Active Duty Navy Female. Military Medicine, 181(8), e952-e954. doi:10.7205/MILMED-D-15-00387 Gluppe, S. L., Hilde, G., Tennfjord, M. K., Engh, M. E., & Bo, K. (2018). Effect of a Postpartum Training Program on the Prevalence of Diastasis Recti Abdominis in Postpartum Primiparous Women: A Randomized Controlled Trial. Phys Ther, 98(4), 260-268. doi:10.1093/ptj/pzy008 Gluppe, S. L., Hilde, G., Tennfjord, M. K., Engh, M. E., & Bø, K. (2018). Effect of a Postpartum Training Program on the Prevalence of Diastasis Recti Abdominis in Postpartum Primiparous Women: A Randomized Controlled Trial [Article]. Physical Therapy, 98(4), 260-268. doi:10.1093/ptj/pzy008. (Accession No. 128847946) Grgic, J., Schoenfeld, B. J., & Latella, C. (2019). Resistance training frequency and skeletal muscle hypertrophy: A review of available evidence. Journal of Science and Medicine in Sport, 22(3), 361-370. doi:https://doi.org/10.1016/j.jsams.2018.09.223 Gunnarsson, U., Stark, B., Dahlstrand, U., & Strigård, K. (2015). Correlation between Abdominal Rectus Diastasis Width and Abdominal Muscle Strength. Digestive Surgery, 32(2), 112-116. doi:10.1159/000371859 Gürşen, C., İnanoğlu, D., Kaya, S., Akbayrak, T., & Baltacı, G. (2016). Effects of exercise and Kinesio taping on abdominal recovery in women with cesarean section: A pilot randomized controlled trial. Archives of gynecology and obstetrics, 293(3), 557-565. doi:10.1007/s00404-015-3862-3 Hills, N. F., Graham, R. B., & McLean, L. (2018). Comparison of Trunk Muscle Function Between Women With and Without Diastasis Recti Abdominis at 1 Year Postpartum. Phys Ther, 98(10), 891-901. doi:10.1093/ptj/pzy083 Kamel, D. M., & Yousif, A. M. (2017). Neuromuscular Electrical Stimulation and Strength Recovery of Postnatal Diastasis Recti Abdominis Muscles [Article]. Annals of Rehabilitation Medicine, 41(3), 465-474. doi:10.5535/arm.2017.41.3.465. (Accession No. 124103784) Keeler, J., Albrecht, M., Eberhardt, L., Horn, L., Donnelly, C., & Lowe, D. (2012). Diastasis recti abdominis: a survey of women's health specialists for current physical therapy clinical practice for postpartum women. Journal of women’s health physical therapy, 36(3), 131-142. Keshwani, N., Mathur, S., & McLean, L. (2018). Relationship Between Interrectus Distance and Symptom Severity in Women With Diastasis Recti Abdominis in the Early Postpartum Period. Physical Therapy, 98(3), 182-190. doi:10.1093/ptj/pzx117 Khandale, S. R., & Hande, D. (2016). Effects of abdominal exercises on reduction of diastasis recti in postnatal women. IJHSR, 6(6), 182-191. Lee, D., & Hodges, P. W. (2016). Behavior of the linea alba during a curl-up task in diastasis rectus abdominis: an observational study. journal of orthopaedic & sports physical therapy, 46(7), 580-589. Lee, H., Kim, I.-G., Sung, C., & Kim, J.-S. (2017). The Effect of 12-Week Resistance Training on Muscular Strength and Body Composition in Untrained Young Women: Implications of Exercise Frequency. Journal of Exercise Physiology Online, 20, 88+. Liaw, L. J., Hsu, M. J., Liao, C. F., Liu, M. F., & Hsu, A. T. (2011). The relationships between inter-recti distance measured by ultrasound imaging and abdominal muscle function in postpartum women: a 6-month follow-up study. J Orthop Sports Phys Ther, 41(6), 435-443. doi:10.2519/jospt.2011.3507 Litos, K. (2014). Progressive therapeutic exercise program for successful treatment of a postpartum woman with a severe diastasis recti abdominis. Journal of Women’s Health Physical Therapy, 38(2), 58-73. doi:10.1097/JWH.0000000000000013 Michalska, A., Rokita, W., Wolder, D., Pogorzelska, J., & Kaczmarczyk, K. (2018). Diastasis recti abdominis - a review of treatment methods. Ginekol Pol, 89(2), 97-101. doi:10.5603/GP.a2018.0016 Mota, P., Pascoal, A., Carita, A., & Bø, K. (2015). Inter-recti distance at rest, during abdominal crunch and drawing in exercises during pregnancy and postpartum. Physiotherapy, 101, e1050-e1051. Newman-Beinart, N. A., Norton, S., Dowling, D., Gavriloff, D., Vari, C., Weinman, J. A., & Godfrey, E. L. (2017). The development and initial psychometric evaluation of a measure assessing adherence to prescribed exercise: the Exercise Adherence Rating Scale (EARS). Physiotherapy, 103(2), 180-185. doi:10.1016/j.physio.2016.11.001 Parker, M. A., Millar, L. A., & Dugan, S. A. (2009). Diastasis rectus abdominis and lumbo-pelvic pain and dysfunction-are they related? Journal of Women’s Health Physical Therapy, 33(2), 15-22. Thabet, A., & Alshehri, M. A. (2019). Efficacy of Deep Core Stability Exercise Program in Postpartum Women with Diastasis Recti Abdominis: A Randomised Controlled Trial (Vol. 19). Tuttle, L. J., Fasching, J., Keller, A., Patel, M., Saville, C., Schlaff, R., . . . Gombatto, S. P. (2018). Noninvasive Treatment of Postpartum Diastasis Recti Abdominis: A Pilot Study. Journal of Women’s Health Physical Therapy, 42(2), 65-75. doi:10.1097/JWH.0000000000000101 Walton, L. M., Costa, A., LaVanture, D., McIlrath, S., & Stebbins, B. (2016). The effects of a 6 week dynamic core stability plank exercise program compared to a traditional supine core stability strengthening program on diastasis recti abdominis closure, pain, Oswestry disability index (ODI) and pelvic floor disability index scores (PFDI). Physical Therapy and Rehabilitation, 3(1), 3. doi:http://dx.doi.org/10.7243/2055-2386-3-3 Youssef, A. M., Sabbour, A. A., & Kamel, R. M. (2003). Muscle Activity in Upper and Lower Portions of Rectus Abdominis During Abdominal Exercises in Postnatal Women Having Diastasis Recti. Bull. Fac. Ph. Th. Cairo Univ, 8(1). Listen and enjoy and a big thanks to Always Discreet for sponsoring this episode of The Pelvic Health Podcast. Head to Always Discreet to learn more about bladder leak tips, management and incredible bladder leakage protection!
A diastasis so severe that it led to a career change from high school English teacher and competitive CrossFit athlete to postpartum fitness and athleticism coach? You have GOT to hear her story! Lisa Marie Ryan gets real and shares her journey from competitive CrossFit athlete to postpartum mama with a major diastasis to healed and strong after her long journey that included thousands of miles of travel, many expert consults, and a surgical repair. She shares her wonderful insight and wisdom with all women that are dealing with diastasis themselves.
In part 2 of our chat with Stephanie Lazarczuk we ask Steph for her 1 key research recommendation that all therapists should read! We also discuss everything involved with the management and research surrounding Hamstring injuries. Stephanie's publications can be found below: Epidemiology of kicking injuries in professional rugby union 2020 - https://onlinelibrary.wiley.com/doi/abs/10.1111/sms.13737 Needs analysis of MMA 2018 - https://research.stmarys.ac.uk/id/eprint/2070/1/Lonergan-et-al-Needs-Analysis-of-Mixed-Martial-Arts.pdf Epidemiology of Injuries in West End Performers 2019 - https://pubmed.ncbi.nlm.nih.gov/31775951/ Rectus femoris mechanics in rugby kicking 2018 - https://commons.nmu.edu/isbs/vol36/iss1/191/ Others papers discussed throughout the pod can be found here: Matt Bourne 2016 paper - https://bjsm.bmj.com/content/51/13/1021.abstract Jack Hickey 2019 paper - https://www.jospt.org/doi/abs/10.2519/jospt.2020.8895 Rob Buhmann paper 2020 - https://journals.lww.com/acsm-msse/Abstract/9000/Voluntary_Activation_and_Reflex_Responses.96356.aspx John Orchard paper 2020 - https://bjsm.bmj.com/content/early/2020/02/05/bjsports-2019-100755
Stephanie Lazarczuk discusses her recent publication of research involving kicking injuries in professional rugby union. We also delve into how Steph's journey has taken her from a sports rehabilitation student, to a PhD student in Australia in just 10 years, all whilst working with sports teams from around the globe! Stephanie's publications can be found below: Epidemiology of kicking injuries in professional rugby union 2020 - https://onlinelibrary.wiley.com/doi/abs/10.1111/sms.13737 Needs analysis of MMA 2018 - https://research.stmarys.ac.uk/id/eprint/2070/1/Lonergan-et-al-Needs-Analysis-of-Mixed-Martial-Arts.pdf Epidemiology of Injuries in West End Performers 2019 - https://pubmed.ncbi.nlm.nih.gov/31775951/ Rectus femoris mechanics in rugby kicking 2018 - https://commons.nmu.edu/isbs/vol36/iss1/191/ Others papers discussed throughout the pod can be found here: Matt Bourne 2016 paper - https://bjsm.bmj.com/content/51/13/1021.abstract Jack Hickey 2019 paper - https://www.jospt.org/doi/abs/10.2519/jospt.2020.8895 Rob Buhmann paper 2020 - https://journals.lww.com/acsm-msse/Abstract/9000/Voluntary_Activation_and_Reflex_Responses.96356.aspx John Orchard paper 2020 - https://bjsm.bmj.com/content/early/2020/02/05/bjsports-2019-100755
It's been an emotional week in the world. The DCP crew stand together for the #BlackLivesMatter movement and believe in Civil Rights and Justice for all. Please visit BlackLivesMatter.com and help support the cause. Thank you. -------------------------------------------------------- Find all of the DCP Members on Twitter: @teft |@TheBriarRabbit | @franmirabella | @Mrs5oooWatts | @Holtzmann_YT | @PopeBear Art by Ash: @AR_McD Social Media and Twitch Management by Mr_Ar3s: @Mr_Ar3s -------------------------------------------------------- Join us on our DCP LIVE Twitch Channel! https://www.twitch.tv/dcp_live/ Our Patreon is now LIVE! https://www.patreon.com/dcp_live Join our DCP Discord Server! https://discord.gg/dcp -------------------------------------------------------- We have a new merch store! Exclusive t-shirts and more incoming! https://www.dcplivemerch.com Want some sweet DCP tshirts/coffee mugs? https://society6.com/dcp Save 5% on Scuf Gaming with code "DCP" https://scufgaming.com/ --------------------------------------------------------
A deep dive into abdominal wall compensations Movement Debrief Episode 120 is in the books. Here is a copy of the video for your viewing pleasure, and audio if you can't stand looking at me. Here is the setlist: What movement compensations can occur from a concentric rectus abdominis? How can the rectus abdominis become eccentrically oriented? How does abdominal fat impact movement? How does a pooch belly develop? What is a diastasis recti? How does breathing coaching change with a diastasis recti? What breathing would be recommended for diastasis recti during conditioning? How can a pooch belly be managed in standing? What are umbilical hernias? What causes umbilical hernias? Should surgery be done? What conservative treatments can be given for an umbilical hernia? If you want to watch these live, add me on Instagram. Enjoy! t Show notes Check out Human Matrix promo video here. Here are some testimonials for the class. Want to sign up? Click on the following locations below: August 1st-2nd, Boston, MA (Early bird ends July 5th at 11:55pm!) September 12th-13th, Montreal, Canada (Early bird ends August 16th at 11:55pm!) [6 CEUs approved for Athletic Therapists by CATA!] October 3rd-4th, Ann Arbor, MI (Early bird ends September 6th at 11:55pm!) November 7th-8th, Charlotte, NC (Early bird ends October 11th at 11:55pm!) November 21st-22nd, San Diego, CA (Early bird ends October 25th at 11:55pm!) May 1st-2nd, 2021, Minneapolis, MN (Early bird ends April 4th at 11:55pm!) Atlanta, GA (POSTPONED DUE TO COVID-19) Dickinson College in Carlisle PA (POSTPONED DUE TO COVID-19) [Approved for 14 Category A CEUs for athletic trainers] Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free! (Release date not known yet :( Here's a signup for my newsletter to get nearly 5 hours and 50 pages of content, access to my free breathing and body mechanics course, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies. Here is a picture of rectus (damn-near killed us) abdominis Great for laundry. Left unchecked, not great for trunk motion (photo credit: Nikai) If you want to fine-tune your trunk rotation knowledge, check out this post. If you want to dive into the scapular and humeral motions during shoulder flexion, check this post out. Confused about infrasternal angles? Then check out this comprehensive debrief on them. Bill Hartman, the creator of the toothpaste analogy for ventral cavity movement. Below illustrates gravity's effect on the quadruped position. The green arrow indicates gravity. We can see how the force of gravity would displace the guts anteriorly, creating that eccentric orientation we oh so desire! Especially for your narrow ISA peeps. If you want to see how various positions affect ribcage shape, you'll want to check out this article here: Effects of posture on chest-wall configuration and motion during tidal breathing in normal men. If you have a wide ISA, then sidelying is great for reducing rectus activity. Coach this basic sidelying progression to crush it! If you want to see the difference between crunching and chest parallel reaching (and some hair on ya boi), check out this video (don't sweat the explanations, they are a little dated from where I currently think). Ben House is my guy for all things retreats, functional medicine, and hypertrophy. Want to see the squat video comparison between Fat Zac and normal size Zac? Peep this video. If you want to see a great article that outlines how a pooch belly could form, check this one out: Breathing with the pelvic floor? Correlation of pelvic floor muscle function and expiratory flows in healthy young nulliparous women. If you want a great article that talks basics of diastasis recti and looks at abdominal strengthening to improve it, this one is perfect: Efficacy of deep core stability exercise program in postpartum women with diastasis recti abdominis: a randomised controlled trial. If you want to see a picture of coning occurring during a diastasis recti, check out this post. Drinking the haterade on crunches? Then you make want to check out this debrief and think differently. If you want a good discussion on the stack, check out this debrief. This article has some amazing x-rays of the sacroiliac joint position in standing: The movements of the sacroiliac joint. If you want to know what you should do about an inguinal hernia, check this post out. Want a broad overview of umbilical hernias? This post here is awesome: Umbilical Hernia This is the only systematic review I was able to come across on umbilical hernia repairs: Does mesh offer an advantage over tissue in the open repair of umbilical hernias? A systematic review and meta-analysis. Then 2016 happened, and there is some controversy still in terms of what the best repair is: Surgical outcome of mesh and suture repair in primary umbilical hernia: postoperative complications and recurrence. Dr. Bryan Walsh is a great functional medicine guy, and has gotten rave reviews from colleagues who have worked with him. You can check out course reviews I did on his material here and here. Here is a great move to give to a wide infrasternal angle presentation. If you are dealing with a narrow infrasternal angle, then you'll want to try this move. Rectus abdominis compensations (1:08) Could you talk about how an overly active rectus abdominis can attempt to posteriorly tilt the pelvis to achieve a stacked position? Is it desirable? How can you tell if someone has overactive rectus? What are the common strategies to mitigate this if it is a problem? What are the negative effects on breathing and rotation, especially for rotary athletes? Abdominal Fat and Movement (21:48) How does abdominal fat impact movement? Pooch Belly (29:41) Some thoughts on the lower belly pouch, something along those lines, thank you! Diastasis Recti (34:06) As it relates to Postpartum (0-12 months), Diastasis Recti (milder cases), and considering Infrasternal angle types would you change your breath cues temporarily during the drills you prescribe? Then, assuming the client has ramped up strength properly during postpartum and for the ongoing diastasis recti management, what type of breathing would you generally recommend during metabolic training (running, jumping etc) to avoid coning or incontinence tendencies? Reducing pooch belly in standing (44:32) Do we want to concentrically contract the pelvic floor while standing and walking? I'll contract it for other activities, but notice my lower abs stick out despite the six-pack abs. Umbilical Hernia (47:42) I would like to know everything about the umbilical hernias in adults. What are the potential causes? Is the only possibility to get rid of it by surgery? Can a person be still physically active? What would you recommend? Sum Up A concentrically-oriented rectus abdominis will limit pump handle mechanics and normal sacral nutation (extension, adduction, internal rotation measures) Eccentrically orient the rectus by positioning in quadruped (narrow infrasternal angle), sidelying (wide infrasternal angle), OA extension, and reaching with the chest parallel Abdominal fat will limit movement options because the ab wall will become too eccentrically oriented to mobilize the abdominal viscera A pooch belly occurs in narrow infrasternal angles due to concentric orientation in the thorax and anterior pelvic orientation A diastasis recti is caused by an eccentric abdominal wall, and can be improved through restoring ab wall movement options If compensations are seen only in standing, activities will need to progress toward standing and higher intensities to manage these changes Umbilical hernias can be impacted by an eccentric abdominal wall. Though there is no research to show a cure from exercise alone (surgery can help), exercise may reduce symptoms and potentially recurrence rates. Photo was purchased through Adobe Stock
One of the biggest issues with diastasis recti is that the appearance of it differs from person to person. Quite often a diastasis recti goes unnoticed, without painful symptoms, or even worse, is seen as a personal flaw, especially with women postpartum. Read the full article below: https://restoreyourcore.com/learn/diastasis-recti/what-does-diastasis-recti-look-like/ Rectus abdominis separation can lead to a stomach bulge (aka stomach pooch), pelvic floor issues, unnatural posture, and stomach and back pain. The symptoms of diastasis recti include but are not limited to: Abdominal BulgeAbdominal GapingLower Back PainSensation of Bloatedness without BloatIncontinencePoor PostureConstipation & BloatDoming or invagination of the linea alba when performing crunches or other traditional ab exercisesDifficulty with everyday activities due to a lack of core function Unless you have a low body fat percentage or have an overly toned core with a visible 6-pack, it is very hard to diagnose a diastasis recti on appearance alone. The linea alba lies beneath the fat layer of your abdomen, so it cannot be seen. Many people have a diastasis recti for years before learning they have it. Video Summary: https://vimeo.com/410755530
Matt & Scoop are back for another edition of Suck My Balls: A South Park Review. On this week's episode we discuss and review Season 1 Episode 10 Damien. The Battle that has been in the making for centuries, Jesus vs Satan. We alos talk about extorting loved ones for gifts and not getting want you want. Hazing or bullying others to fit in. Blurring pop culture with religion and so much more. So don't get pissed and turn someone into Duck Billed Platypus. Rectus...Dominus...CHEESY POOFS!Special Thanks to our Sponsors:Ratsaladreview.comHackerHamin.Podbean.comSocial Media Links:@SuckMyBallsPod on Twitter & Instagram@SouthParkPod on FacebookEmail us at suckmyballspod@gmail.comFollow Mathew on Twitter @Mathew_ShafferFollow Scoop on Twitter @Scpjxn --- Send in a voice message: https://anchor.fm/rat-salad-review/message
Matt & Scoop are back for another edition of Suck My Balls: A South Park Review. On this week's episode we discuss and review Season 1 Episode 10 Damien. The Battle that has been in the making for centuries, Jesus vs Satan. We also talk about extorting loved ones for gifts and not getting want you want. Hazing or bullying others to fit in. Blurring pop culture with religion and so much more. So don't get pissed and turn someone into Duck Billed Platypus. Rectus...Dominus...CHEESY POOFS!Special Thanks to our Sponsors:Ratsaladreview.comHackerHamin.Podbean.comSocial Media Links:@SuckMyBallsPod on Twitter & Instagram@SouthParkPod on FacebookEmail us at suckmyballspod@gmail.comFollow Mathew on Twitter @Mathew_ShafferFollow Scoop on Twitter @Scpjxn--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/suckmyballs/support
Matt & Scoop are back for another edition of Suck My Balls: A South Park Review. On this week's episode we discuss and review Season 1 Episode 10 Damien. The Battle that has been in the making for centuries, Jesus vs Satan. We also talk about extorting loved ones for gifts and not getting want you want. Hazing or bullying others to fit in. Blurring pop culture with religion and so much more. So don't get pissed and turn someone into Duck Billed Platypus. Rectus...Dominus...CHEESY POOFS! Special Thanks to our Sponsors:Ratsaladreview.comHackerHamin.Podbean.com Social Media Links:@SuckMyBallsPod on Twitter & Instagram@SouthParkPod on FacebookEmail us at suckmyballspod@gmail.comFollow Mathew on Twitter @Mathew_ShafferFollow Scoop on Twitter @Scpjxn
Today we take a look at the Rectus Femoris muscle of the quadrucep group. We explore its differences from the rest of the quads and what it means functionally to be a two joint muscle. As usual, I have a moment up on my soapbox, but only a moment...
Vi vill gärna slå ett slag för sexpacket! Inte för att ha en rutig mage utan för att magmusklerna är bra att ha stora och starka om du vill få ett bra buktryck. Många som har varit gravida blir lite svagare i sexpacket efteråt av förklarliga skäl, och de senaste åren har postgravida nästan skrämts att inte träna sexpacket för att det skulle vara farligt. Vi listar några anledningar till att få starkare abs och några favoritövningar. Ta tillbaka crunchen till folket! Dagens avsnitt sponsras av Vuxen.se som med koden STARK20 ger dig 20 procents rabatt på hela sortimentet. Hålltider 0.00 Johannas buktryck och varför hon tränar sitt sexpack lite extra 11:52 Recensioner av några roliga grejer vi fått testa från Vuxen.se 34:41 Rectus abdomini och obliquerna, externa och interna. Hur tränar vi dem och vilka övningar gillar vi? Crunch Belastade bärningar Olika övningar med kettlebells i frontrackposition (marklyft, stepup, suitcase carry, knäböj) Hängande ben- eller knälyft McGill Curlup
Muscle Monday and it's time for the flashy beach muscles. Six pack abs! Today is all about this superficial (anatomically and perhaps socially...) layer of abs. We talk about structure so that we can better understand it's function. I share a throwback exercise that was my first favorite ab burn, back in the day when I got serious about getting in shape.
I torsdagsavsnittet pratar vi om en ny studie om armhävningar i ringar, en gammal favoritövning. Försökspersonerna var 8 män som gjorde tre set armhävningar till failure i ringar tre gånger i veckan i 8 veckor. Efter åtta veckor hade deras rectus abdomini (sexpacket) växt med 27 procent och externa obliquer med 14 procent. Även armbågsextensorer och flexorer ökade i storlek men inte lika mycket. Träningsperioden påverkade inte 1RM i bänkpress. Vilka muskler pratar vi om? Rectus abdominis - mest känd som sexpacket Funktion - flektion i bålen (böja kroppen framåt) och motverka extension i ländryggen, för att överföra kraft från benen i exempelvis ett kast. Obliquerna - de sneda bukmusklerna Primär funktion att skapa rotationskraft kring bålen. Uppdelad i inre och yttre. Där den inre främst är en stabiliserande muskulatur för ländryggen. De inre obliquerna kan även rotera bäckenet bakåt. Så gör du övningen - progression och regression Förändra höjden på ringarna. Förändra höjden på fötterna. Att tänka på Hålla armbågarna ner längs kroppen - inte rakt ut åt sidan Försök att inte svanka ländryggen, krumma hellre bröstryggen Spänn, spänn, spänn hela kroppen Andra favoritövningar med ringar Rodd Planka Pullups med eller utan fötter i golvet Dips Här hittar du studien. Avsnittet är 14 minuter långt.
Rectus Sheath Hematoma
Have you had patients that developed groin pain after getting a bit carried away with situps or abdominal exercises in the gym? Or have your patients developed lower abdominal pain after running or training that is causing them pain into hip extension? In this podcast with Andrew Wallis, Sports Physiotherapist with the St Kilda AFL team, we explore how you can treat patients that were a little too exuberant with their abdominal training or running, including: The Doha Agreement on groin pain terminology Inguinal related groin pain Anatomy of the abdominal region and groin Rectus abdominus tendon overload Whether pelvic tilt contributes to abdominal overload How you can identify the cause of pain in this suprapubic region How to objectively assess patients, and key tests to perform How you can treat patients with an acute overload history Progressive abdominal loading, including exercises you can use How to progress running, interval training and hill running Adding in cutting, agility training and kicking How to help set your patient's expectations about recovery timeframes and progress Andrew Wallis is also presenting a webinar on how to treat athletes with the most common type of groin pain - adductor-related groin pain. It'll be held on Wednesday 25th October, so grab your spot on this webinar now! Links associated with this episode: Download and subscribe to the podcast on iTunes Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Andrew Wallis on Twitter @Andrewwallis15 Facebook - The Hip and Groin Clinic The Hip and Groin Clinic website Resources associated with this episode: Cook and Purdam. 2009. Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy King et al. 2018. Clinical and biomechanical outcomes of rehabilitation targeting intersegmental control in athletic groin pain: prospective cohort of 205 patients Weir et al. 2015. Doha agreement meeting on terminology and definitions in groin pain in athletes Other Episodes of Interest: Physio Edge 070 How to treat adductor related groin pain and complex cases with Dr Adam Weir Physio Edge 069 Adductor related groin pain, stress fractures and nerve entrapment assessment and diagnosis with Dr Adam Weir Physio Edge 054 Hip and groin part 2: Assessment and treatment with Benoy Mathew Physio Edge 053 Hip and groin part 1: Diagnosis, pathology and red flags with Benoy Mathew Physio Edge 028 Groin Injury Screening and Rehabilitation With Dr Kristian Thorborg Physio Edge 025 Groin Assessment With Dr Kristian Thorborg
Movement Debrief Episode 64 is in the books. Here is a copy of the video for your viewing pleasure. Here is the set list: Case study on lower back pain differential diagnosis What is the action of the rectus abdominis? Why is feeling rectus not desirable during breathwork? What muscles should you feel during breathwork? What movement limitations do I have? What measures have I taken to try and improve these limitations? What activities do I use to try and improve those movement limitations? What measures do I plan on taking in the future to improve my health? Our all of our movements and postures governed by stability? If not, what? If you want to watch these live, add me on Facebook or Instagram. They air every Wednesday at 7pm CST. Enjoy! Here were the links I mentioned: Check out Human Matrix promo video here. Here are some testimonials for the class Want to sign up? Click on the following locations below: Kansas City, KS on October 27-28th Portland, OR on November 10-11 December 8th-9th, Charleston, SC (early bird ends November 11th) February 2nd-3rd, 2019, New Providence, NJ (early bird ends January 4th) Building a Success on a Foundation of Failures by Daddy-O Pops Bill Hartman Here is the pump handle debrief Here is an article on empty nose syndrome Treatments I received at the Hruska Clinic: Here are parts one, two, and three. Here is what happened after I got my wisdom teeth pulled Here is when I was treated by an ENT. Here is my first reset, bar hang Here is reset #2, a feet elevated downward dog Joe Cicenelli Here is a debrief on occlusion Here is a link describing the anterior growth guidance appliance To learn about The Intensive, sign up for Bill Hartman's newsletter Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies:
Case scenario: Mrs A Nonymous is a 67 yr old woman with a diagnosis of probable ovarian cancer who is booked for a midline laparotomy and debulking cancer surgery. She is a smoker, has a BMI of 50 and weighs 115kg. She was diagnosed with OSA 5 years ago but doesn't use CPAP because she couldn't tolerate it. She has had longstanding back pain for many years which she blames on an epidural which she had during childbirth 30 years ago. She has had 2 previous back operations "which didn't help" and now takes 3 analgesics for this pain which include moderately high dose oxycodone, pregabalin, and tramadol. She tells you that she definitely will not consent to any spinal or epidural because of all of her previous back issues... She is opioid tolerant and at high risk of serious opioid related respiratory adverse effects - how are you going to manage her pain, get her mobilising and avoid any technique that involves a needle in the back! Hi everyone, This week we have an interview with Dr Matt Rucklidge, a colleague and good friend who is also a consultant anaesthetist practicing here in Western Australia. Matt trained in the UK and worked in southern England, one of the pioneering regions, where he first became acquainted with the use of rectus sheath catheters for postoperative analgesia after midline laparotomy. He has helped us successfully introduce this very effective technique into our institution where it has now become the default analgesic technique for the majority of our patients undergoing major intra-abdominal surgery with a midline incision. BJA EDUCATION Article https://bjaed.org/article/S2058-5349(18)30033-7/abstract Unfortunately contrary to my comments on the podcast - this article does not appear to be open access and when I tried to access it today it requires an institutional subscription or an individual payment. If you are an employee of a health service / university or a member of a college you may be able to access the article through these channels. Want to know more about the open access debate? See our previous podcast on this here: https://www.obsgynaecritcare.org/036-sci-hub-earthquakes-listener-mail-pirate-jokes-and-another-quiz/ Instructional Videos https://youtu.be/Xq-H3SLLwO0 https://youtu.be/_r_pVQf4C5w
SHOW NOTES Dr. Tom Fletcher shares some of his observations about hip pain in endurance populations. Runners, cyclists and triathletes will be interested in this podcast session. Tom and I met years ago, working at an Ironman Triathlon. He is a triathlon junkie himself and is a great example of a treating doctor who gets into the culture of his patients. He practice in Sandy UT, just outside of Salt Lake City. Some of the topics we go into are: Hip Flexor Tightness Upper Quad Tightness Muscle Strains Hip Impingement Hip Labrum Tears Corrective Exercise And what day is the best to have a long ride in Utah. I’ve known Dr. Tom for years. As you will be able to tell on the podcast we have fun chatting. Dr. Tom Fletcher’s Bio: Dr. Tom Fletcher was raised in the Salt Lake Valley with his two brothers by his parents. He attended Brighton high school where he was involved with Rugby and as many Lake Powell trips as possible. After high school Tom moved on to the University of Utah. While at the University of Utah, Tom met his wife Delilah and continued his love for team camaraderie and athletics. It was not till Tom had nagging rugby injuries in college that he then sought out chiropractic care. The rest, as they say, is history. Tom attended Palmer College of Chiropractic West in San Jose, California. While in California, Tom excelled in academics and patient care for a variety of conditions. He was able to further his education by attending post-graduate programs such as Active Release Technique, Graston Technique, and HandsOn Muscle Therapy. California also offered the unique opportunity for Tom to volunteer in many events as a student intern. These events included: Escape from Alcatraz Triathlon, Cal Bearathon Triathlon, Bay Area 24-Hour Bike Race, Nami Walk for Multiple Sclerosis, Los Gatos Ballet, and many more. California also helped Tom develop his love for triathlon. During his first race he thought his lungs were going to explode as he climbed the Berkeley hills. Since then Tom has tried to compete in as many races as time allows. Races such as Stanford Treeathlon, Cal-Poly Triathlon, Wildflower Triathlon, Cal Bearathon, and the San Francisco Marathon to name a few. Upon returning to Utah Tom has continued his athletic and post-graduate academic goals by working with chiropractic mentors to improve his skills in patient-based care. Tom has also had the unique opportunity to work with fellow Ironman triathlon doctors. One of Tom’s proudest accomplishments is being on staff with fellow IRONMAN doctors at the IRONMAN World Championship in Kona, Hawaii, IRONMAN Coeur D’Alene, and IRONMAN Arizona. Dr. Tom Fletcher’s Contact: Website Instagram: @WasatchHealth Sebastian’s Youtube Channel Attention Docs and Fitness Professionals: Access your client educational products, banners and posters here. You can access the show notes at https://www.p2sportscare.com/82 Dr. Sebastian Gonzales is an expert in trouble shooting sports injuries and overuse conditions. This podcast is intended for sports medicine topics to become easier for patients and athletes to understand. Don’t get confused by what your doctor told you in your appointment. If you like in Orange County CA, book an exam with Dr. Gonzales, your Huntington Beach Chiropractor.
Shannon met Dr. Sinead Dufour at a pelvic health workshop for yoga teachers as part of the MamaNurture prenatal yoga teacher training. It was through Sinead that Shannon discovered she had Diastasis. Shannon talks about how some of the yoga poses done after she gave birth were contributing to her condition. Diastasis is not widely understood in prenatal and postnatal health. It has been falsely understood as the separation of the abdominal muscles (it is even implied in the name) when it is actually the overstraining or damaging of the linea alba tissue. It was after giving birth to her twins that Sinead discovered significant gaps and misconceptions in the health care system and fitness community that left women without the tools needed to take care of the pelvic health. She felt strongly that she needed to be part of the solution. Sinead has been a practising physiotherapist for about 15 years, with a PhD in Primary Health Care. Her extensive studies also include training in obstetrics and urogynecology. She is a professor in the Health and Science department at McMaster University and is the Director of Pelvic Health at The Womb. Among this episode's points of discussion are: the role the linea alba plays in Diastasis, Dr. Sinead Dufour's leadership in up-and-coming research on DRA to establish common practice principles, and what can be done to prevent this condition. 8:55 Sinead's journey to becoming a leading Pelvic Health expert 10:50 What is Diastasis? A common misconception about Diastasis. Diastasis or Diastasis Recti Abdominus (DRA) 12:25 Linea alba's role in pregnancy and Diastasis 15:30 New study by top 22 Diastasis experts in Canada in order to establish practice principles experts can agree on 18:10 Delphi Process with 3 phases setting the practice principles 20:45 Diastasis related to manometric pressure system manometric pressure system- the pressure system modulated by the core four, inclusive of the linea alba and the glottis (think the concept of intra-abdominal pressure) 19:10 Dr. Sinead's research study 20:10 What experts are saying: what is Diastasis and how should we manage it? 23:00 Prenatal - how can we prevent Diastasis? Avoid exercises that concentrically engage the superficial abdominal muscles such as crunches and sit-ups Emphasis on facilitating optimal co-activation of the deep inner unit Ensuring the core 4 are working together: pelvic floor, diaphragm, transversus abdominis and multifidus Working synergistically Promoting effective, tension free diaphragmatic breathing More focus on diaphragmatic breath with ease -- less extended belly breathing and more rib cage breath Emphasizing postures that reduce excessive strained intra-abdominal pressure Avoid plank pose while pregnant or straining on the toilet,(especially with breath holding). 25:15 Importance of continuous breath 28:45 Encouraging students, not to breath hold (and why they may be doing so) 31:00 Empowering language - What can students do instead of what can't it do 32:15 Listen to the body - pain or struggling in a pose 33:05 Intrapartum (during childbirth) considerations Continuous breath - no Valsalva breath Avoiding a back lying position when possible 37:35 Prenatal yoga teachers are the ones who can advocate, inform and empower those who are susceptible to diastasis or other pelvic health issues 38:25 When to refer a yoga student to a pelvic floor physiotherapist 40:00 Postpartum (4th trimester) - "critical healing period" Abstain from exercises that concentrically engage the superficial abdominal muscles Promote exercises that are not the same action as a crunch Every body is unique and so each person needs something different Watch for doming or invagination at linea alba during exercise 5.Optimal load transfer at linea alba 45:25 Later diastasis- watch out for doming or invagination (reverse doming) 46:10 Front loading poses: bird dog, plank - when can we do these? 47:30 Any incontinence issues - because Diastasis is a pelvic floor dysfunction 48:50 How yoga can help with the internal pressure system and nervous system 49:55 Autonomic nervous system tension affects the connective and visceral tissue 50:45 Benefits of a yin yoga style 51:40 Fertility yoga series at The Womb 52:50 Increased inter-recti distance is normal in pregnancy 53:45 Diastasis has nothing to do with the inter-recti distance (the width between the rectus abdominis muscles) 57:20 How to test for Diastasis at home 58:40 How a yoga teacher can help assess linea alba during a pelvic floor contraction 1:00:25 Another Diastasis assessment- digital pelvic floor contraction (highlights how integrated the linea alba is with the pelvic floor) 1:01:25 Yoga teachers are in a great position to get ahead of the curve to spread new information discovered through research (before it will be widely taught) 1:05:50 Inter-recti distance as an assessment needs to be thrown out- as people get better and more functional the distance can actually increase proving that inter-recti is meaningless 1:06:55 The general preface statement that will be published in their research document 1:08:50 Preface statement for assessment of DRA 1:10:10 How to work with Dr. Sinead Dufour Links The Womb Find a Canadian Pelvic Health Specialist Mama Nurture Relevant TCYT Episodes: 007: Breath and Pelvic Health with Trisha Zinn 008: Core Breath and Pelvic Health with Kim Vopni 009: Kegals, Mula Banda and Pelvic Health with Shelly Prosko The Connected Yoga Teacher Facebook Group Gratitude to Our Sponsor -- Schedulicity
Does plication of the rectus have an effect for those who underwent tummy tucks for weight loss? Staalesen T, Olsén MF, Elander A. The Effect of Abdominoplasty and Outcome of Rectus Fascia Plication on Health-Related Quality of Life in Post-Bariatric Surgery Patients. Plast Reconstr Surg. 2015 Dec;136(6):750e-61e.
SHOW NOTES In this session we will go over a comment I received from the Performance Place® Youtube Channel. The video was about a rectus femoris injury. Since I made this video a lot has changed. We will go fully in depth about what conditions can mimic a rectus femoris injury.
Anne (Annie) Martens is the owner of Bella Bellies. Anne took her experience as a personal trainer, pilates instructor, child birth educator, doula, training in Midwifery Assistance and a mother of three, to develop movement programs focused on women. Anne is a Licensed Lamaze Child Birth Educator, and has studied as a Postpartum Doula with Midwife Vicki Hedley, and a Birth Doula with Sunday Tortelli. She studied and worked one-on-one with Julie Tupler from 2005-2007 and studied Midwifery Assistance under the direction of Midwife Pamela Hunt, Midwife Deborah Flowers, Midwife UmmSalaamah Sondra Abdullah-Zaima, Midwife Carol Nelson and Midwife Joanne Santana. Ms. Martens is a certified Pilates instructor under Kathy Van Patten (2003) and Bob Liekens (2005); is a certified Pilates Method Alliance Instructor, a personal trainer, completed her B.F.A. in Dance at the Boston Conservatory, where she graduated cum laude under Emiko and Yasi Tokunaga, and completed post-baccalaureate work in chemistry at Montclair State University. Currently, Anne is providing teacher training through Bella Bellies® to maternal professionals and fitness professionals. She also presents seminars and workshops to maternal professionals throughout the country. Anne has presented workshops at the Pilates Method Alliance National Conference in 2012, 2013 and 2014 and has worked at Cleveland Clinic Instructing Child Birth Education and Stroller Moves®. Anne continues to work at University of Pittsburgh Medical Center – Hamot, instructing Child Birth Education and Bella Bellies® trademarked classes. Anne's passion for maternal well-being and techniques has inspired her to write The Bella Bellies® Book Series. The Bella Bellies Books address fitness during pregnancy, postpartum, menopause and beyond. The book thoroughly discusses and reviews step-by-step instruction for the following movement during pregnancy movement for birth preventing or resolving diastasis rectus abdominus techniques to help prevent pelvic floor dysfunction and adaptations for pelvic floor dysfunction core movement post cesarean section techniques to help prevent osteopenia and osteporosis and more Considering the Bella Bellies Program is designed for mothers all exercises are adaptable to include a baby or child, in the Momilates® and Stroller Moves® books. In terms of Public Relations, Anne is the featured speaker in "Prenatal Pilates with the Tupler Technique" DVD and has been consulted by several national broadcast productions and media sources including Web MD, Oprah.Com, Big Belli Productions, Disney Broadcasting, Baby Zone, NBC, ABC and CBS National Broadcasting and affiliates. Anne has been featured on behalf of Bella Bellies® in Fit Pregnancy, Ask Miss A, Kiwi Magazine, Expectant Mothers, Jersey Journal, Fox Online Magazine, Fox Broadcasting, Telemundo, Max & Fitness Magazine, on LX NBC (New York), and in several other popular media productions.
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 07/19
The extraocular muscles in mammals, the effector organs of the oculomotor system, are fundamentally different from skeletal muscle. All extraocular muscles consist of two different layers, an orbital and a global layer. There are two basic categories of the muscle fibers: twitch or singly-innervated muscle fiber (SIF) and non-twitch or multiply-innervated muscle fiber (MIF). Previous studies in monkey revealed that SIF and MIF motoneurons are anatomically separated and have different premotor inputs. SIF and MIF motoneurons were identified by tracer injection into the belly, or the distal myotendinous junction, of the eye muscles. There are two groups of MIF motoneurons in the oculomotor nucleus, the C- and S-group. The C-group motoneurons innervate the medial rectus (MR) and inferior rectus (IR), while S-group motoneurons innervate the superior rectus and inferior oblique muscles. The motoneurons of C-group are located around the periphery of the oculomotor nucleus. We investigated the location of MR and IR MIF motoneurons in C-group, and the dendritic spread of MR compared with IR MIF motoneurons. We found that the MR and IR MIF motoneurons are two different populations of neurons in C-group. They lie relatively separated. The MR MIF motoneurons are located more dorsomedially than IR MIF motoneurons. The pattern of dendritic spread of these two MIF motoneurons is also different. The dendrites of IR MIF motoneurons spread into the supraoculomotor area bilaterally, but do not approach the Edinger-Westphal nucleus, in contrast, the dendrites of MR MIF motoneurons extend into the supraoculomotor area and the Edinger-Westphal nucleus unilaterally. The function of Edinger-Westphal nucleus is associated with the “near response”. In conclusion, the different location and different dendritic trees suggest that MR and IR MIF motoneurons have different functions. The IR MIF motoneurons may help to stabilize the eye position along with MIF motoneurons from other eye muscles, while the MR MIF motoneurons might also participate the vergence eye movements.
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 05/19
Einleitung/ Ziel: Durch die weichteilentspannende Operation des Psoas-Rectus-Transfers wird die Hüftbeugekontraktur bei Kindern mit infantiler Cerebralparese aufgelöst. Die Beseitigung des Muskelungleichgewichtes unterstützt die statomotorische Aufrichtung der Kinder, eine spastische Hüftluxation wird verhindert. Ziel dieser Untersuchung war, anhand technischer und subjektiver Kriterien zu überprüfen, welche Bedeutung der präoperative statomotorische Funktionsstatus für die im Erwachsenenalter erreichten Spätergebnisse hat. Untersuchungsgut und Methode: Es wurden insgesamt 71 Patienten (46 Tetraparesen, 24 Diparesen, 1 Triparese), die zwischen 1971 und 1996 im Durchschnittsalter von 7 Jahren einen beidseitigen Psoas-Rectus-Transfer erhalten hatten, nachuntersucht. Die statomotorische Funktion wurde mit einem 5-teiligen Beurteilungsschema im zeitlichen Verlauf dargestellt. Das Spätergebnis im Alter von 19,8 Jahren wurde im Hinblick auf den präoperativen Funktionsstatus anhand klinisch-technischer, radiologisch-technischer und subjektiver Kriterien gewertet. Ergebnisse: 1. Funktionsstatus: Präoperativ frei gehfähige Patienten (n = 12) blieben auch postoperativ zu 100% frei gehfähig. 75% (n = 9) hiervon verbesserten sich innerhalb ihres Funktionsstatus, indem sich beispielsweise ihr Gangbild verbesserte. Bei 16,7% (n = 2) blieb es unverändert, bei 8,3% (n = 1) war es postoperativ schlechter. Präoperativ mit Stützen gehfähige Patienten (n = 11) wurden zu 18,2% (n = 2) frei gehfähig. 72,7% (n = 8) benötigten weiterhin Stützen für die Fortbewegung, verbesserten aber in 87% (n = 7) der Fälle Gangbild und Schrittgeschwindigkeit. Ein Patient (9,1%) verschlechterte sich und wurde zum Rollatorgeher. Präoperativ mit Rollator gehfähige Patienten (n = 12) wechselten in 58,3% (n = 7) in eine bessere Funktionsstufe, 16,7% (n = 2) verblieben in ihrer Funktionsstufe, 20,5% (n = 3) verschlechterten sich. Bei den präoperativ frei sitzfähigen Patienten (n = 20) erlangten 70% (n =14) eine besserer Funktionsstufe, 25% (n = 5) blieben gleich, 5% (n = 1) verschlechterten sich. Präoperativ mit Hilfe sitzfähige Patienten (n = 16) erreichten zu 87,5% (n = 14) einen besseren Funktionsstatus, 12,5% (n = 2) blieben gleich. 2. Radiologische Ergebnisse: Der Migrationsindex nach Reimers verbesserte sich im Median insgesamt hochsignifikant von 26,6% auf 17,3% postoperativ. Auch innerhalb der einzelnen Funktionsstufen zeigte sich eine statistisch hochsignifikante Abnahme des Migrationswertes. Präoperativ frei gehfähige Patienten verbesserten sich von 23,3% auf 16,7%, mit Stützen gehfähige Patienten von 26,4% auf 15,9%, mit Rollator gehfähige Patienten von 25% auf 19%, frei Sitzfähige von 29,3% auf 16,5%, mit Hilfe sitzfähige Patienten von 28,6% auf 18,6%. 3. Subjektive Ergebnisse: 65 von 71 Fragebögen konnten vollständig ausgewertet werden. Bei 72,6% der Patienten waren die Erwartungen an die Operation erfüllt worden, 81,5% hielten die Operation retrospektiv für sinnvoll, 77% waren mit dem Operationsergebnis zufrieden, 87,5% fühlten sich von den behandelnden Ärzten gut betreut. Patientenzufriedenheit und soziale Integration korrelieren mit den statomotorischen Spätergebnissen. Schlussfolgerung: Bei mittelschweren Funktionsdefiziten verhindert das vorgestellte Therapiekonzept die spastische Hüftluxation sicher, die Hüfte remodelliert sich und bleibt zentriert. Der Großteil der Patienten erzielte einen deutlichen, über das Jugendalter hinaus wirksamen Funktionsgewinn. Interessanterweise profitierten Rollstuhlkinder und Rollatorgeher am häufigsten von der Operation. Über die Hälfte erlernte postoperativ das freie Gehen oder Gehen mit Stützen. Präoperativ mit Stützen gehfähige Patienten hingegen erlernten das freie Gehen unerwartet selten. Die Zufriedenheit und soziale Integration hängt vom Status der Spätergebnisse ab.
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