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2 episodes with shirley sahrmann
7 episodes with shirley sahrmann
3 episodes with shirley sahrmann
2 episodes with shirley sahrmann
2 episodes with shirley sahrmann
2 episodes with shirley sahrmann
2 episodes with shirley sahrmann
3 episodes with shirley sahrmann
In this episode, Dr. Shirley Sahrmann—an icon in the world of physical therapy—joins Jake and Callan for a conversation packed with wisdom, perspective, and clinical insight. At 88 years old, Shirley reflects on her decades-long career in neurology, movement science, and education, including her work on Movement System Impairment Syndromes, and how good movement is good medicine.She shares stories from treating polio patients in the 1950s to challenging outdated models in physio today, while encouraging young clinicians to ask better questions, study movement deeply, and focus on long-term functional change over temporary fixes. This episode is a masterclass in perspective from one of the most respected voices in the field.To Learn More About Shirley Sahrmann:
Watch on Youtube!
In this podcast we revisit talking about Breathing as a Desert Island Exercise with Carrie Hall, previously a guest in episodes 48 and 50. Carrie highlights the benefits of breathing as an exercise on multiple areas of the body, and runs through some practical ways to firstly become aware of your own breathing pattern, which she gives individual cues to with her clients. She talks through one way to focus on developing your breathing awareness, including the movement of your ribcage, your breathing diaphragm and your pelvic diaphragm (pelvic floor). You can listen to the first of the previous episodes of the podcast Here. About Carrie: Carrie Hall, PT, MHS has been a physical therapist for over 40 years, graduating from St. Louis University in Missouri in 1983. Over the 4 decades as a PT, she has worn the hats of practitioner, educator, author, business owner, and advocate; and has served in numerous state and national leadership roles. Her clinical practice expertise lies in the diagnosis and treatment of movement impairment with a focus on movement pattern recognition of the shoulder, spine, hip, knee, ankle, and foot regions as taught by Shirley Sahrmann, PT, PhD, FAPTA and the faculty of Washington University in St. Louis, where she went to graduate school. She also incorporates pain science, manual therapy, motor control training, strength and aerobic fitness prescription, and the role of PT in promoting healthspan over lifespan. Carrie founded her practice, Movement Systems Physical Therapy in 1995 and sold it in 2021. In her “retirement” Carrie formed a new company, “SISU Physical Therapy and Mentoring Services” so she could continue a small clinical practice, teaching, and small business owner mentoring. She is a fierce advocate of the profession and spends much of her time in leadership and advocacy roles, currently running for Secretary of APTA Private Practice. You can connect with Carrie via Linked In The link to her article, My Desert Island Exercise by Carrie is available to read on Linked In. For further information visit www.thepregnancycentre.com.au
Clare Frank is a true O.G. of the musculoskeletal health realm. She has studied under some of the best in the world, including Shirley Sahrmann, Vladamir Janda, Karel Lewit, Pavel Kolar, Vaclav Vojta, and many more. She currently practices in the Los Angeles area and teaches her interpretation of manual therapy and rehab techniques around the world. She is an international DNS instructor and gave a fantastic lecture on the foot's relationship with the pelvis at the DNS World Congress in Chesterfield, MO, June 14 - 16th, 2024. Enjoy today's episode with Clare Frank! Show Notes Clare Frank Website Upcoming Courses Human Locomotion.com | Code 'GESTALTEDUCATION10' Core360 Belt | Code 'GESTALT' Dynamic Disc Designs | Code 'GESTALT' --- Support this podcast: https://podcasters.spotify.com/pod/show/gestalt-education/support
In this episode of the Postural Restoration Podcast I am joined by Frank Mallon, PT, DPT, PRC. Frank grew up in the Philadelphia area and attended Physical Therapy school at Arcadia University. Although he has had many unique experiences in his home state he has remained there ever since. One of the biggest influences on his early career was the work of Shirley Sahrmann. In his first clinical setting, alongside one of his earliest mentors, Carl Mangione, they were able to implement these concepts with their patients and also share them in the university settings to others interested. Franks first years as a PT in this setting allowed him to explore other schools of thought that otherwise had not been introduced throughout his schooling.Through this relationship, Frank was first introduced to PRI coursework and the science as a whole. In 2013 he took his first course, Pelvis Restoration, with Jennifer Poulin. After implementing what he had learned and seeing enough change within his patient population he knew additional coursework was merited. Over the next several years Frank attended many PRI courses, traveling from city to city to immerse himself more.Two years from his first course exposure Frank achieved his Postural Restoration Certified (PRC) credential with the intent of providing a true form of PRI to his patients no matter what setting he may be in. Eventually finding himself directing various programs in the hospital setting he became more limited in the amount of freedom he had to incorporate all PRI aspects into his patient care. However overtime in this role he was able to introduce the science to his patients and other providers within this orthopedic hospital setting. Like many within our community, Frank at one point needed integrative care for himself, and found himself seeking that out through the PRIME Program here in Lincoln. This experience solidified his desire to be able to offer similar services in his area of Philadelphia. Over time Frank began building an Integrative team of many varying professionals within the fields of dentistry, optometry, and other modalities to begin building a network of integrative care. This style of interdisciplinary care, would eventually lead him to start a private practice to be able to offer services and incorporate integrative care in a more meaningful way. Frank has since built Renaissance Physical Therapy & Wellness into a practice that allows him to do just that. Incorporating PRI with every client and working closely with multiple disciplines to address dysfunctions across many systems as a holistic team. Renaissance Physical Therapy is available in 5 locations around the Philly metro, and beyond offering his clinical services, Frank stays very active in the community by educating others on the role they too can have as part of a team approach to neurological re-patterning.In this episode we discuss some of the challenges that providers may face when first learning to implement the science of Postural Restoration, and the effort it takes to build relationships with integrative professionals in your own community while appreciating the power of doing so. PRI communities are not formed over night and Franks journey is a testament to the commitment and dedication required to be able to offer a truly integrative approach to those in your own communities.
“You should treat the movement to get rid of the symptoms rather than treating the symptoms to be able to move.” Dr. Shirley Sahrmann Our guest Dr. Shirley Sahrmann, PT, PhD, FAPTA. Dr. Sahrmann is a Professor Emerita of Physical Therapy at Washington University School of Medicine, St. Louis, Missouri with over 60 years of experience. She received her bachelor's degree in Physical Therapy, masters and doctorate degrees in Neurobiology from Washington University. She is a Catherine Worthingham Fellow of the American Physical Therapy Association and is a recipient of the Association's Marion Williams Research Award, the Lucy Blair Service Award, and the Kendall Practice award, the Inaugural John H.P. Maley Lecture and Mary McMillan Lecture awards. Dr. Sahrmann has received Washington University's Distinguished Faculty Award, The Distinguished Alumni Award, the School of Medicine's inaugural Distinguished Clinician Award and an honorary doctorate from the University of Indianapolis. She has also received the Bowling-Erhard Orthopedic Clinical Practice Award from the Orthopaedic Section of the APTA. She has served on the APTA Board of Directors and as president of the Missouri Chapter. In addition to her numerous national and international presentations, Dr. Sahrmann has been a keynote speaker at the World Confederation of Physical Therapy, Canadian, Australian, New Zealand, Japan, and Danish national congresses. Dr. Sahrmann's research interests are in the development and validation of classification schemes for movement impairment syndromes and in interventions for these syndromes. Her books, Diagnosis and Treatment of Movement Impairment Syndromes and Movement System Impairment Syndromes of the Cervical and Thoracic Spines and the Extremities, describe the syndromes and methods of treatment.
“You should treat the movement to get rid of the symptoms rather than treating the symptoms to be able to move.” Dr. Shirley Sahrmann Our guest Dr. Shirley Sahrmann, PT, PhD, FAPTA. Dr. Sahrmann is a Professor Emerita of Physical Therapy at Washington University School of Medicine, St. Louis, Missouri with over 60 years of experience. She received her bachelor's degree in Physical Therapy, masters and doctorate degrees in Neurobiology from Washington University. She is a Catherine Worthingham Fellow of the American Physical Therapy Association and is a recipient of the Association's Marion Williams Research Award, the Lucy Blair Service Award, and the Kendall Practice award, the Inaugural John H.P. Maley Lecture and Mary McMillan Lecture awards. Dr. Sahrmann has received Washington University's Distinguished Faculty Award, The Distinguished Alumni Award, the School of Medicine's inaugural Distinguished Clinician Award and an honorary doctorate from the University of Indianapolis. She has also received the Bowling-Erhard Orthopedic Clinical Practice Award from the Orthopaedic Section of the APTA. She has served on the APTA Board of Directors and as president of the Missouri Chapter. In addition to her numerous national and international presentations, Dr. Sahrmann has been a keynote speaker at the World Confederation of Physical Therapy, Canadian, Australian, New Zealand, Japan, and Danish national congresses. Dr. Sahrmann's research interests are in the development and validation of classification schemes for movement impairment syndromes and in interventions for these syndromes. Her books, Diagnosis and Treatment of Movement Impairment Syndromes and Movement System Impairment Syndromes of the Cervical and Thoracic Spines and the Extremities, describe the syndromes and methods of treatment.
Dr. Heather Tick, a renowned pain expert, discusses non-drug therapies for pain relief; applying the principles of integrative medicine for comprehensive pain care. She emphasizes the need for education and understanding of pain neuroscience to empower patients. Dr. Tick also highlights the significance of nutrition in reducing chronic pain and inflammation. Additionally, she explores various modalities, such as acupuncture and manual therapies, as effective strategies for pain relief. Dr. Heather Tick discusses the impact of habits on movement and the importance of developing healthy movement practices. She also explores various modalities for pain relief, including heat, cold, Epsom salt baths, and movement therapies like yoga and Tai Chi. Dr. Tick emphasizes the role of mast cells in the stress response and the importance of managing diet to reduce mast cell activation. She discusses the effectiveness of laser therapy, ozone injections, and shockwave therapy for pain management. Dr. Tick also addresses the overprescription of medications and the potential benefits of supplements. She provides insights into the appropriate use of interventional pain management and the risks associated with steroid injections. Finally, she discusses the challenges of determining the expertise of medical professionals and the need for caution when considering regenerative medicine.TakeawaysIntegrative medicine takes a holistic approach to health, focusing on achieving overall well-being rather than just managing symptoms.Pain management should involve a comprehensive care plan that includes movement, education, nutrition, sleep, psychosocial support, modalities, medications, and supplements.Understanding pain neuroscience can help patients reframe their perception of pain and explore non-pharmacological strategies for pain relief.Nutrition plays a crucial role in reducing chronic pain and inflammation, and a whole-food, plant-based diet is recommended.Modalities such as acupuncture and manual therapies can provide effective pain relief and should be considered as part of a comprehensive pain management plan. Developing healthy movement habits is crucial for optimal movement.Heat, cold, Epsom salt baths, and movement therapies like yoga and Tai Chi can provide pain relief.Managing diet and reducing mast cell activation can help alleviate stress response.Laser therapy, ozone injections, and shockwave therapy may be effective for pain management.Caution is needed when considering the use of medications and supplements.Interventional pain management should be approached with strict criteria and careful consideration.Regenerative medicine shows promise but requires further research and careful selection of providers.Chapters ➡00:00 Introduction to Dr. Heather Tick02:05 Understanding Integrative Medicine07:41 Redefining Pain Management10:31 The Importance of Education in Pain Care12:58 The Role of Nutrition in Pain Relief21:53 Exploring Different Modalities for Pain Relief53:56 Impact of Habits on Movement55:11 Benefits of Tai Chi56:34 Connective Tissue and Movement57:37 Role of Mast Cells in Stress Response58:10 Effectiveness of Laser Therapy01:00:35 Usefulness of Ozone Injections01:02:03 Effectiveness of Shockwave Therapy01:03:13 Overprescribed and Underutilized Medications01:03:44 Importance of Stopping Medications01:04:32 Impact of Proton Pump Inhibitors01:05:37 Role of Gut in Producing Neurotransmitters01:06:34 Importance of B Vitamins and Coenzyme Q1001:17:26 Evaluation of Interventional Pain Management01:19:16 Risks of Steroid Injections01:21:26 Appropriate Use of Regenerative Medicine01:25:30 Determining the Expertise of Medical Professionals01:31:28 Differentiating Flares from New Problems01:33:48 Challenges of IV Infusions and Regenerative MedicineConnect with YOUR Bendy Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them.
Dr. Heather Tick, a renowned pain expert, discusses non-drug therapies for pain relief; applying the principles of integrative medicine for comprehensive pain care. She emphasizes the need for education and understanding of pain neuroscience to empower patients. Dr. Tick also highlights the significance of nutrition in reducing chronic pain and inflammation. Additionally, she explores various modalities, such as acupuncture and manual therapies, as effective strategies for pain relief. Dr. Heather Tick discusses the impact of habits on movement and the importance of developing healthy movement practices. She also explores various modalities for pain relief, including heat, cold, Epsom salt baths, and movement therapies like yoga and Tai Chi. Dr. Tick emphasizes the role of mast cells in the stress response and the importance of managing diet to reduce mast cell activation. She discusses the effectiveness of laser therapy, ozone injections, and shockwave therapy for pain management. Dr. Tick also addresses the overprescription of medications and the potential benefits of supplements. She provides insights into the appropriate use of interventional pain management and the risks associated with steroid injections. Finally, she discusses the challenges of determining the expertise of medical professionals and the need for caution when considering regenerative medicine.TakeawaysIntegrative medicine takes a holistic approach to health, focusing on achieving overall well-being rather than just managing symptoms.Pain management should involve a comprehensive care plan that includes movement, education, nutrition, sleep, psychosocial support, modalities, medications, and supplements.Understanding pain neuroscience can help patients reframe their perception of pain and explore non-pharmacological strategies for pain relief.Nutrition plays a crucial role in reducing chronic pain and inflammation, and a whole-food, plant-based diet is recommended.Modalities such as acupuncture and manual therapies can provide effective pain relief and should be considered as part of a comprehensive pain management plan. Developing healthy movement habits is crucial for optimal movement.Heat, cold, Epsom salt baths, and movement therapies like yoga and Tai Chi can provide pain relief.Managing diet and reducing mast cell activation can help alleviate stress response.Laser therapy, ozone injections, and shockwave therapy may be effective for pain management.Caution is needed when considering the use of medications and supplements.Interventional pain management should be approached with strict criteria and careful consideration.Regenerative medicine shows promise but requires further research and careful selection of providers.Chapters ➡00:00 Introduction to Dr. Heather Tick02:05 Understanding Integrative Medicine07:41 Redefining Pain Management10:31 The Importance of Education in Pain Care12:58 The Role of Nutrition in Pain Relief21:53 Exploring Different Modalities for Pain Relief53:56 Impact of Habits on Movement55:11 Benefits of Tai Chi56:34 Connective Tissue and Movement57:37 Role of Mast Cells in Stress Response58:10 Effectiveness of Laser Therapy01:00:35 Usefulness of Ozone Injections01:02:03 Effectiveness of Shockwave Therapy01:03:13 Overprescribed and Underutilized Medications01:03:44 Importance of Stopping Medications01:04:32 Impact of Proton Pump Inhibitors01:05:37 Role of Gut in Producing Neurotransmitters01:06:34 Importance of B Vitamins and Coenzyme Q1001:17:26 Evaluation of Interventional Pain Management01:19:16 Risks of Steroid Injections01:21:26 Appropriate Use of Regenerative Medicine01:25:30 Determining the Expertise of Medical Professionals01:31:28 Differentiating Flares from New Problems01:33:48 Challenges of IV Infusions and Regenerative MedicineConnect with YOUR Bendy Specialist, Dr. Linda Bluestein, MD at https://www.hypermobilitymd.com/. Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them.
This episode is brought to you by 5-Bullet Friday, my very own email newsletter.Welcome to another episode of The Tim Ferriss Show, where it is my job to deconstruct world-class performers to tease out the routines, habits, et cetera that you can apply to your own life. This is a special inbetweenisode, which serves as a recap of the episodes from last month. It features a short clip from each conversation in one place so you can easily jump around to get a feel for the episode and guest.Based on your feedback, this format has been tweaked and improved since the first recap episode. For instance, @hypersundays on Twitter suggested that the bios for each guest can slow the momentum, so we moved all the bios to the end. See it as a teaser. Something to whet your appetite. If you like what you hear, you can of course find the full episodes at tim.blog/podcast. Please enjoy! *This episode is brought to you by 5-Bullet Friday, my very own email newsletter that every Friday features five bullet points highlighting cool things I've found that week, including apps, books, documentaries, gadgets, albums, articles, TV shows, new hacks or tricks, and—of course—all sorts of weird stuff I've dug up from around the world.It's free, it's always going to be free, and you can subscribe now at tim.blog/friday.*Timestamps:Dustin Moskovitz: 00:03:08Daniil and David Liberman: 00:10:41Justin Gary: 00:15:27:08Dr. Shirley Sahrmann: 00:20:04Full episode titles:Dustin Moskovitz, Co-Founder of Asana and Facebook — Energy Management, Coaching for Endurance, No Meeting Wednesdays, Understanding the Real Risks of AI, Embracing Frictionless Work with AI, The Value of Holding Stories Loosely, and More (#686)The Brothers Who Live One Life — The Incredible Adventures of David and Daniil Liberman (#689)Justin Gary — Taking the Path Less Traveled, The Phenomenon of “Magic: The Gathering,” How Analytical People Can Become “Creative” People, Finding the Third Right Answer, and How to Escape Your Need for Control (#687)Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim's Low-Back Issues, Teaches How to Unlearn Painful Patterns, Talks About Movement as Medicine (or Poison), and More (#685)*For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.For deals from sponsors of The Tim Ferriss Show, please visit tim.blog/podcast-sponsorsSign up for Tim's email newsletter (5-Bullet Friday) at tim.blog/friday.For transcripts of episodes, go to tim.blog/transcripts.Discover Tim's books: tim.blog/books.Follow Tim:Twitter: twitter.com/tferriss Instagram: instagram.com/timferrissYouTube: youtube.com/timferrissFacebook: facebook.com/timferriss LinkedIn: linkedin.com/in/timferrissPast guests on The Tim Ferriss Show include Jerry Seinfeld, Hugh Jackman, Dr. Jane Goodall, LeBron James, Kevin Hart, Doris Kearns Goodwin, Jamie Foxx, Matthew McConaughey, Esther Perel, Elizabeth Gilbert, Terry Crews, Sia, Yuval Noah Harari, Malcolm Gladwell, Madeleine Albright, Cheryl Strayed, Jim Collins, Mary Karr, Maria Popova, Sam Harris, Michael Phelps, Bob Iger, Edward Norton, Arnold Schwarzenegger, Neil Strauss, Ken Burns, Maria Sharapova, Marc Andreessen, Neil Gaiman, Neil de Grasse Tyson, Jocko Willink, Daniel Ek, Kelly Slater, Dr. Peter Attia, Seth Godin, Howard Marks, Dr. Brené Brown, Eric Schmidt, Michael Lewis, Joe Gebbia, Michael Pollan, Dr. Jordan Peterson, Vince Vaughn, Brian Koppelman, Ramit Sethi, Dax Shepard, Tony Robbins, Jim Dethmer, Dan Harris, Ray Dalio, Naval Ravikant, Vitalik Buterin, Elizabeth Lesser, Amanda Palmer, Katie Haun, Sir Richard Branson, Chuck Palahniuk, Arianna Huffington, Reid Hoffman, Bill Burr, Whitney Cummings, Rick Rubin, Dr. Vivek Murthy, Darren Aronofsky, Margaret Atwood, Mark Zuckerberg, Peter Thiel, Dr. Gabor Maté, Anne Lamott, Sarah Silverman, Dr. Andrew Huberman, and many more.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Brought to you by AG1 all-in-one nutritional supplement, LMNT electrolyte supplement, and Eight Sleep's Pod Cover sleeping solution for dynamic cooling and heating.Resources from this episode: https://tim.blog/2023/08/04/dr-shirley-sahrmann/Shirley A. Sahrmann, PT, PhD, is Professor Emerita of Physical Therapy at Washington University School of Medicine in St. Louis, Missouri. She received her bachelor's degree in physical therapy and her masters and doctorate degrees in neurobiology from Washington University, where she joined the physical therapy faculty and became the first director of their PhD program in movement science.Shirley became a Catherine Worthingham Fellow of the American Physical Therapy Association in 1986 and in 1998 was selected to receive the Mary McMillan Award, the Association's highest honor. She is a recipient of the Association's Marion Williams Research Award, the Lucy Blair Service Award, the Kendall Practice Award, and the Inaugural John H.P. Maley Lecturer Award. She has also received Washington University's Distinguished Faculty Award, the Distinguished Alumni Award, the School of Medicine's Inaugural Distinguished Clinician Award, and an honorary doctorate from the University of Indianapolis. She has also received the Bowling-Erhard Orthopedic Clinical Practice Award from the Orthopaedic Academy of the APTA. She has served on the APTA Board of Directors and as president of the Missouri Chapter.Her first book, Diagnosis and Treatment of Movement Impairment Syndromes, has been translated into seven languages. Her second book, Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines, has been equally influential in promoting movement diagnoses.Please enjoy!*This episode is brought to you by LMNT! What is LMNT? It's a delicious, sugar-free electrolyte drink mix. I've stocked up on boxes and boxes of this and usually use it 1–2 times per day. LMNT is formulated to help anyone with their electrolyte needs and perfectly suited to folks following a keto, low-carb, or Paleo diet. If you are on a low-carb diet or fasting, electrolytes play a key role in relieving hunger, cramps, headaches, tiredness, and dizziness.LMNT came up with a very special offer for you, my dear listeners. For a limited time, you can get a free LMNT Sample Pack with any purchase. This special offer is available here: DrinkLMNT.com/Tim.*This episode is also brought to you by AG1! I get asked all the time, “If you could use only one supplement, what would it be?” My answer is usually AG1, my all-in-one nutritional insurance. I recommended it in The 4-Hour Body in 2010 and did not get paid to do so. I do my best with nutrient-dense meals, of course, but AG1 further covers my bases with vitamins, minerals, and whole-food-sourced micronutrients that support gut health and the immune system. Right now, you'll get a 1-year supply of Vitamin D free with your first subscription purchase—a vital nutrient for a strong immune system and strong bones. Visit DrinkAG1.com/Tim to claim this special offer today and receive your 1-year supply of Vitamin D (and 5 free AG1 travel packs) with your first subscription purchase! That's up to a one-year supply of Vitamin D as added value when you try their delicious and comprehensive daily, foundational nutrition supplement that supports whole-body health.*This episode is brought to you by Eight Sleep! Eight Sleep's Pod Cover is the easiest and fastest way to sleep at the perfect temperature. It pairs dynamic cooling and heating with biometric tracking to offer the most advanced (and user-friendly) solution on the market. Simply add the Pod Cover to your current mattress and start sleeping as cool as 55°F or as hot as 110°F. It also splits your bed in half, so your partner can choose a totally different temperature.Go to EightSleep.com/Tim and save $250 on the Eight Sleep Pod Cover. Eight Sleep currently ships within the USA, Canada, the UK, select countries in the EU, and Australia.*For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.For deals from sponsors of The Tim Ferriss Show, please visit tim.blog/podcast-sponsorsSign up for Tim's email newsletter (5-Bullet Friday) at tim.blog/friday.For transcripts of episodes, go to tim.blog/transcripts.Discover Tim's books: tim.blog/books.Follow Tim:Twitter: twitter.com/tferriss Instagram: instagram.com/timferrissYouTube: youtube.com/timferrissFacebook: facebook.com/timferriss LinkedIn: linkedin.com/in/timferrissPast guests on The Tim Ferriss Show include Jerry Seinfeld, Hugh Jackman, Dr. Jane Goodall, LeBron James, Kevin Hart, Doris Kearns Goodwin, Jamie Foxx, Matthew McConaughey, Esther Perel, Elizabeth Gilbert, Terry Crews, Sia, Yuval Noah Harari, Malcolm Gladwell, Madeleine Albright, Cheryl Strayed, Jim Collins, Mary Karr, Maria Popova, Sam Harris, Michael Phelps, Bob Iger, Edward Norton, Arnold Schwarzenegger, Neil Strauss, Ken Burns, Maria Sharapova, Marc Andreessen, Neil Gaiman, Neil de Grasse Tyson, Jocko Willink, Daniel Ek, Kelly Slater, Dr. Peter Attia, Seth Godin, Howard Marks, Dr. Brené Brown, Eric Schmidt, Michael Lewis, Joe Gebbia, Michael Pollan, Dr. Jordan Peterson, Vince Vaughn, Brian Koppelman, Ramit Sethi, Dax Shepard, Tony Robbins, Jim Dethmer, Dan Harris, Ray Dalio, Naval Ravikant, Vitalik Buterin, Elizabeth Lesser, Amanda Palmer, Katie Haun, Sir Richard Branson, Chuck Palahniuk, Arianna Huffington, Reid Hoffman, Bill Burr, Whitney Cummings, Rick Rubin, Dr. Vivek Murthy, Darren Aronofsky, Margaret Atwood, Mark Zuckerberg, Peter Thiel, Dr. Gabor Maté, Anne Lamott, Sarah Silverman, Dr. Andrew Huberman, and many more.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this Part 2 of the podcast with Carrie Hall, Carrie goes through the breathing cycle of inspiration and expiration, and how you can become aware of feeling your rib expansion in 360 degrees directions, to the front, sides and back parts of your ribs. She explains how the diaphragm moves downwards, and when the pelvic floor is functioning normally it also moves downwards with inspiration and then upwards with expiration, during the breathing cycle. About Carrie: Carrie Hall has been a physical therapist since 1983, earning her undergraduate degree from Saint Louis University and graduate degree from Washington University in Saint Louis (WUSTL). Carrie's philosophical approach toward physical therapy is founded in the movement system approach as developed by Shirley Sahrmann, PT, PhD, FAPTA, integrated with manual therapy and pain science. She has had the roles of clinical instructor and assisting teaching continuing education courses related to the movement system with Dr Sahrmann and fellow colleagues. She was co-author of Therapeutic Exercise: Moving Toward Function, now in its 4th edition. Carrie founded Movement Systems Physical Therapy in 1995, in Seattle, Washington which she sold after 27 years. She is now founder and owner of Sisu Physical Therapy and Mentoring Services, providing mobile PT and mobile/virtual clinical and business mentoring services. Carrie is also a longtime advocate for physical therapy with past APTA Washington Board and Committee positions as well as current Chair of Nominating Committee for APTA Private Practice. Carrie talks about the parallels she sees between a postnatal mum and a new born baby – who takes a full year to get up and walking, developing trunk, abdominal and neck muscle strength during this time as they move from lying to rolling to sitting and crawling, then move into standing. Mums who have just given birth have a stretched and lengthened abdominal wall and need to rebuild their core strength, and Carrie explains that using support garments or belts can help their diaphragm to work more effectively as a postural muscle. As you regain postural and movement awareness, consider moving through the developmental sequences with your baby. When you are on the floor on your hands and knees, pelvic rocking and the cat/cow exercises help to open up your ribcage, and allow expansion again, as this can be restricted during pregnancy. We take a step back to talk about the benefits of the hands and knees position for exercise during pregnancy especially in the later stages, to keep the abdominals, pelvic floor and intercostal muscles functioning well. Ideally this will make your postnatal recovery easier. Carrie also explains how the vagus nerve runs through the right side of the diaphragm and gets stimulated or ‘massaged' during breathing when the diaphragm is moving up and down, which helps to stimulate more of the calming responses in your body, through the parasympathetic nervous system. Mindful breathing into the back waist area of your ribs, especially into the right side, helps gain the calming benefits from vagus nerve stimulation. Carrie highlights how this takes time and practice, using the building blocks of awareness and practice. This can in turn help improve your Heart Rate Variability, which helps your body respond in a more regulated way to life's stressors. There is also a lifelong benefit to ensuring that your breathing muscles are functioning to their fullest potential, as with aging, having an effective cough is essential in the case of any respiratory infections. Regular exercise to use the respiratory muscles throughout your life is a key aspect of this. Carrie talks about incremental building up of exercise and mindful breathing and says “We can do anything incrementally, it just takes persistence”. Her final words of advice are “find exercise that you enjoy and enjoy it. Get out there and keep moving. And with your breathing, don't bypass the ribs and go straight into belly breathing. Expand your ribs and include your pelvic floor in your mindful breathing patterns, to help your movement systems and all of the systems of your body to come together”. Carrie's work encompasses the power of her new business name SISU, empowering her students and clients through "Gentle power coming together". You can connect with Carrie via Linked In The link to her article, My Desert Island Exercise is available to read on Linked In. For the link to Mary Massery's interview: https://open.spotify.com/episode/4i9j3z9iywsPuxIYUXcwG4?si=ti6HHQK3SPWgzPaYWspPpA Therapeutic Exercise: Moving Toward Function is available here https://pt.lwwhealthlibrary.com/book.aspx?bookid=2296 For The Posture Restoration Institute (PRI): https://www.posturalrestoration.com/the-science/basic-concepts-of-the-postural-restoration-institute To learn more about the movement system: https://www.learnmovementsystem.com/ To listen to the podcast with Kelly Dean Running to the Core Podcast: Episode 46: Pregnancy and Postnatal Core Rehab with Kelly Dean from The Tummy Team To find out more about Heart Math, mentioned in the podcast, visit www.heartmath.com For further information visit www.thepregnancycentre.com.au
Carrie Hall has been a physical therapist since 1983, earning her undergraduate degree from Saint Louis University and graduate degree from Washington University in Saint Louis. Her philosophical approach toward physical therapy is founded in the movement system approach as developed by Dr Shirley Sahrmann, Pt, PhD, who became Carrie's long time mentor. Carrie integrates this approach with manual therapy and pain science. She has had the roles of clinical instructor at several university settings and assisted teaching continuing education courses related to the movement system as developed by Dr Sahrmann and fellow colleagues. She is co-author of Therapeutic Exercise: Moving Toward Function, now in its 4th edition. Carrie was a presenter at the annual online Birth Healing Summit in 2023 with Lynne Schulte, PT, Founder of the Institute for Birth Healing. After 40 years of working as a Physical Therapist in the US, why does Carrie Hall call Breathing her Desert Island Exercise? This is the question that Dianne asked Carrie, that expanded into a long discussion where Carrie explains how breathing impacts the systems of the body, including the digestive, musculoskeletal and nervous systems. She talks about the benefits of mindful breathing practices that include expansion of the ribs, and outlines how the diaphragm moves in synchrony with the pelvic floor in normal rhythmical breathing. Often belly breathing bypasses the ribs to use the diaphragm, and Carrie outlines with detail how the ribs expand and how the muscles between each rib contribute to this. We need expansion of the ribs to be at the front, sides and the back, and often this is missed, so Carrie teaches how to include this in everyday life activities, so that it is not just one more thing on your "to do list". Breathing affects pelvic floor control, and practicing throughout pregnancy means that you can access this awareness both for during labour, and for afterwards when feeding and caring for your baby. Both relaxation and contraction of the pelvic floor are needed for it to work smoothly, coordinating with your breathing. An advocate of Physical Therapy Carrie outlines the benefits of getting a customised program to help you to focus your attention on the aspects of your breathing where you are having the biggest challenges. This can also be done when working with other health and fitness professionals with expertise in the area. Carrie's work encompasses the power of her new business name SISU, empowering her students and clients through "Gentle power coming together". She recommends this video of the breathing diaphragm and the pelvic floor working together, (it is in French) Roger Fiammetti respiration totale animation - YouTube You can connect with Carrie via Linked In The link to her article, My Desert Island Exercise by Carrie is available to read on Linked In. Therapeutic Exercise: Moving Toward Function is available here https://pt.lwwhealthlibrary.com/book.aspx?bookid=2296 To find out more about Heart Math, mentioned in the podcast, visit www.heartmath.com For further information visit www.thepregnancycentre.com.au
In this episode, I conclude my conversation with physical trainer Ken MacDonald. In this episode, we discuss the science behind injury prevention and ways you can avoid injury including: Common injuries for golfers Injury signs to watch for The importance of TPI Ken's Book Recommendations: Building a StoryBrand: Clarify Your Message So Customers Will Listen by Donald Miller (https://www.amazon.com/Building-StoryBrand-Clarify-Message-Customers/dp/0718033329) Diagnosis and Treatment of Movement Impairment Syndromes by Shirley Sahrmann (https://www.amazon.com/Diagnosis-Treatment-Movement-Impairment-Syndromes/dp/0801672058) Advances in Functional Training: Training Techniques for Coaches, Personal Trainers and Athletes by Michael Boyle (https://www.amazon.com/Advances-Functional-Training-Techniques-Personal/dp/1931046018) Where to find Ken: Website: https://lifetimeperformancepbg.com/ Instagram: https://www.instagram.com/kennymac_lp/
In this episode, I am joined by Ken MacDonald. Ken is a TPI Level 3 certified physical trainer and a top 50 golf fitness professional by Golf Digest. He and I discuss ways to aid recovery after golf and the importance of mobility including: How to recover after a difficult round of golf Are ice baths helpful Is mobility important The science of stretching Ken's Book Recommendations: Building a StoryBrand: Clarify Your Message So Customers Will Listen by Donald Miller (https://www.amazon.com/Building-StoryBrand-Clarify-Message-Customers/dp/0718033329) Diagnosis and Treatment of Movement Impairment Syndromes by Shirley Sahrmann (https://www.amazon.com/Diagnosis-Treatment-Movement-Impairment-Syndromes/dp/0801672058) Advances in Functional Training: Training Techniques for Coaches, Personal Trainers and Athletes by Michael Boyle (https://www.amazon.com/Advances-Functional-Training-Techniques-Personal/dp/1931046018) Where to find Ken: Website: https://lifetimeperformancepbg.com/ Instagram: https://www.instagram.com/kennymac_lp/
In episode 16, I am joined by Ken MacDonald. Ken is a TPI Level 3 certified physical trainer and a top 50 golf fitness professional by Golf Digest. Ken currently coaches many elite players in South Florida with his gym, Lifetime Performance. Ken and I discuss ways to aid recovery after gym training including: How golf fitness has changed How to avoid soreness Forced Off-season Recovery technology Ken's Book Recommendations: Building a StoryBrand: Clarify Your Message So Customers Will Listen by Donald Miller (https://www.amazon.com/Building-StoryBrand-Clarify-Message-Customers/dp/0718033329) Diagnosis and Treatment of Movement Impairment Syndromes by Shirley Sahrmann (https://www.amazon.com/Diagnosis-Treatment-Movement-Impairment-Syndromes/dp/0801672058) Advances in Functional Training: Training Techniques for Coaches, Personal Trainers and Athletes by Michael Boyle (https://www.amazon.com/Advances-Functional-Training-Techniques-Personal/dp/1931046018) Where to find Ken: Website: https://lifetimeperformancepbg.com/ Instagram: https://www.instagram.com/kennymac_lp/
Rock talks with chronic pain expert and author, Rick Olderman, DPT. Be sure to click subscribe and the alarm bell icon to stay up to date with every episode. The exercises in this channel are produced as a means of assisting people with exercise guidance, selection, and execution. TIME STAMPS 1:30 A little bit about Rick Olderman 3:00 Where physical therapy fails 8:00 Shirley Sahrmann, Thomas Myers, Thomas Hanna 13:30 3 Body patterns 16:30 Gait pattern and asking why 18:30 Solving the Pain Puzzle 24:20 Why Rick does not engage with other physical therapists 28:45 Online courses for addressing chronic pain 31:20 Testing the root of back pain 38:00 Cause of neck pain and headaches 43:45 How to work with Rick Olderman GET TO KNOW RICK OLDERMAN MEET: https://www.linkedin.com/in/rickolderman/ RICK'S BOOK: https://www.amazon.com/Solving-Pain-Puzzle-Physical-Therapist/dp/1476690693 INSTA: https://www.instagram.com/fixingyouclinic/ RICK'S CONED: https://www.healpatientsfaster.com/ GET TO KNOW ROCKY SNYDER MEET: Visit the Rocky's online headquarters: RockySnyder.com READ: Grab a copy of his new "Return to Center" book: ReturntoCtr.com INSTA: Instagram fan, check him out at https://www.instagram.com/rocky_snyder/ FACEBOOK: https://www.facebook.com/rocky.snyder.77 LINKEDIN: https://www.linkedin.com/in/rocky-snyder-cscs-cafs-nsca-cpt-a77a091/ TRAIN WITH ROCKY WORKOUT: Want to meet Rocky and get a private workout: https://rockysfitnesscenter.com/ INSTA: https://www.instagram.com/rockysfitnesssc/ FACEBOOK: Facebook.com/RockysFitnessCenter
Welcome Rick Olderman to the HNL Movement Podcast! Rick shares his experiences going through physical therapy school, yet still searching for answers to help people deal with physical pain. This episode dives into many key concepts to help connect the dots between the role movement plays on modulating physical pain.Rick dives into the concept of addressing the cause of pain beyond just managing our pain symptoms. He has spent his entire career integrating concepts from Shirley Sahrmann, Anatomy Trains, and Hanna Somatics to help many of his patients live pain free. He talks about working on the body as a system to correct dysfunctional movement patterns that contribute to chronic pain. He has successfully not only helped people identify dysfunctions, but also correct, change, and maintain better movement patterns to eliminate pain.Listen in to this episode that dives into key concepts that will help people to become proactive when it comes to taking care of their body. To learn more, check out all of Rick's resources, courses, and books on his website below! Enjoy the episode!Website: https://rickolderman.com/
Chronic Pain is extremely difficult to live with. Often, people resort to seeing multiple doctors and specialists, but if your entire system isn't looked at, chronic pain will persist.In this episode, Lara speaks with Rick Olderman, a fellow PT, author of the “Fixing You” series, and movement genius.Through his journey of resolving his own back pain, Rick realized there was more to the story than what PT school was teaching. He found that most chronic pain was caused by a combination of factors and that the key to eliminating it was to address all of them. Listen in as Lara and Rick geek out on muscle and joint movement and discuss how your systems are connected, some of what they describe may surprise you.Come back for Part II of this conversation, where Lara and Rick discuss the emotional connection to chronic pain.In this episode, you'll learn:How Olderman's systems-based approach to pain led him to discover that many common chronic pain issues are actually caused by habits and movement patterns which are reinforced by our everyday activities.Techniques on how to test yourself for pain and poor movement, along with small adjustments you can make that work to relieve chronic pain.How to connect the dots between old injuries and/or emotional trauma with current chronic pain.Resources:Rick Olderman's Website featuring downloadable home programs (add “fixingyou” as a coupon code to receive 20% off) - https://rickolderman.com/Rick's Fixing You® series of books - https://www.amazon.com/s?k=rick+olderman+booksPre-order Rick's next book “Solving the Pain Puzzle” - https://mcfarlandbooks.com/product/Solving-the-Pain-Puzzle/Rick's Podcast “Talk About Pain" - https://rickn6.podbean.com/Shirley Sahrmann's Books - https://www.amazon.com/s?k=shirley+sahrmann&sprefix=shirley+sa%2Caps%2C95&ref=nb_sb_ss_ts-doa-p_1_10Thomas Myer's Books -https://www.amazon.com/Thomas-Myers/e/B08N2S15BN?ref=sr_ntt_srch_lnk_7&qid=1670348645&sr=8-7Thomas Hanna's Books - https://www.amazon.com/Thomas-Hanna/e/B001IGNOC6?ref=sr_ntt_srch_lnk_1&qid=1670344567&sr=1-1Connect with the Guest:Facebook - https://www.facebook.com/FixingYouMethodConnect with LYT Daily and Lara Heimann:Instagram Lara Heimann - https://www.instagram.com/lara.heimann/Instagram LYT Yoga - https://www.instagram.com/lytyogamethod/Today's podcast sponsor:Almond Cow. Use code LARA for extra savings https://almondcow.co/ Hosted on Acast. See acast.com/privacy for more information.
Welcome to the Practice Leadership Podcast. This season we're digging ever deeper into the PT industry's biggest movers and shakers. Join us, your co-hosts, Tim Reynolds and Bryan Guzski, the authors of Movers & Mentors, as we deep-dive with the big guns – answering the big questions every future and current PT wants to know. From Confluent Health and Evidence In Motion, The Practice Leadership Podcast's Movers & Shakers Season will go straight to the source, asking our industry heavyweights for their wisdom, deconstructing influential quotes and learning a thing or two along the way. This week we are connected with Dr Shirley A. Sahrmann, PT, PhD, FAPTA, is a renowned teacher, researcher, and clinician. She began teaching in 1961 and spent 54 years educating two generations of physical therapists, and was the first director of the Movement Science Program.
スポーツトレーナーの弘田雄士です。 本日は「強いハリや痛みがあった場合にまず考えるべき「なぜそうなっているのか」」というお話をしていきます。 -------------------------- 弘田雄士・生き残る戦略を見つける無料メルマガ https://yuji163.com/for-your-survival-literacy/ ・腰痛！腰を揉んでくれ、腰に鍼をしてくれ… →基本的に痛みの出ている患部にいきなりアプローチをすることは、急性期の怪我以外、専門家はほとんどしないはず →そこに本当に原因があることは少ないから ・身体部位の相互依存性 →2001年、Gray Cookは部位の相互依存性について、下記のように述べています。 「医療的診断とは無関係な、しかし正常な機能の復元には関係のある制限を明らかにすることで、動作全体に対する観察は、 臨床的な焦点を方向転換させ、それを広げるかもしれない」 →米国の著名な理学療法士、シャーリー サーマン(Shirley Sahrmann)も同時期に下記のように、 動作に対する評価、介入の必要性を示唆しています。 「動作パターンの僅かな変化が特定の筋力低下の原因となることは多くある。 この動作パターンの変化と筋力低下の関係は、動作パターンの変化へ対処する 治療法を必要とする。つまり、筋力強化を実施するだけでは、機能的動作の中の タイミングや動員方法は改善しないということである。」 ・Joint by joint theoryはこの考えの発展形ともいえる ------------------------- 感想やご質問もお待ちしています！ 弘田雄士Twitterもぜひフォローお願いします。 →https://twitter.com/yuji163 #SPP #スポーツ #トレーナー #トレーニング #ビジネスキャリア #キャリア戦略
A large part of my approach to solving pain was learned from Dr. Shirley Sahrmann FAPTA, PhD, PT a brilliant professor out of Washington University in School of Medicine in St. Louis. Over her long career as a physical therapist, she has decoded how movement contributes to pain. I learned so much from her and ran with it over my career. Amazingly she agreed to our interview! Visit www.RickOlderman.com to see how I can help you.
En el episodio de hoy tenemos como invitado a Manuel Jiménez, entrenador personal especialista en readaptación de lesiones, especialmente en patologías de columna, con muchos años de experiencia en actividades como espalda sana y Pilates. Con él hablaremos de diferentes planteamientos de ejercicio físico en personas con dolor de espalda. Muchas gracias por escucharnos y no olvides suscribirte para no perderte un nuevo episodio cada Lunes. Además, recuerda que sigue activo el programa online de 12 semanas ENTHRENOS, para mejorar tu forma física y reducir tu porcentaje graso. Para más información, escribe un mensaje privado a la cuenta de Instagram @enthrenos o envía un email a ernestodelavega9@gmail.com Libros mencionados: Puedes adquirir "Trastornos de la espalda baja" de Stuart McGill, en: https://orbishealth.es/libros/ - Diagnóstico y tratamiento de las alteraciones del movimiento de Shirley Sahrmann. - Manual de rehabilitación de la columna vertebral de Craig LIebenson. - Prevención y rehabilitación de lesiones deportivas. Integrando la medicina y la ciencia para soluciones de rendimiento. De David Joyce y Daniel Lewindon. - Spinal Control: la rehabilitación del dolor de espalda. De Paul Hodges. - Vías Anatómicas de Thomas Myers, 3ª edición.
We're back! You know you missed us, we know we missed you! For our first episode back we've got a big one - Dr. Clare Frank, PT, DPT, FAAOMPT. She's the founder of Movement Links, and spent years studying movement systems under some of the great names in the rehabilitation science world in Dr. Shirley Sahrmann and Dr. Vladimir Janda. She's also an instructor in the Dynamic Neuromuscular Stabilization program, and just a great pleasure to speak with. And for a special bonus, we're joined by our good friend and colleague, Dr. Cathy Hoang, PT, DPT, who has studied under Dr. Frank and who works as a Clinical Faculty member at UCSF. Dr. Hoang also heads up the UCSF Orthopedic Residency Program. We're excited to be back, and hope you enjoy Episode 22 (!!) of What the Cup!? A Podcast.
In der ersten Folge der 3. Staffel haben wir uns Eberhard Schlömmer eingeladen und ihn mit Fragen gelöchert. Wir sprechen über Ziele, Kompetenz, Motivation, Wachstum, Bewegungslernen und vieles vieles mehr. Shownotes: Boris Grundel Attila Vuran C.G. Jung "Leide nicht - liebe" Werner Ablass "Movement" Gray Cook "Diagnosis and treatment of movement impairment syndromes" Shirley Sahrmann
大師開講，我還不聽爆！ 當學歷已經與他人旗鼓相當，PT 可以給予“診斷”嗎？ 新的動作診斷系統與代碼，帶大家看到PT 眼中的世界。 醫療期刊中，物理治療的定位是一種介入的方式跟療法 而therapist 則是“提供治療的人” 但當我們已經有鑑別診斷、提供療法、臨床思辨的能力，而非只是執行療法時 我們還只是物理“治療師”嗎？ Physical therapy physician Movementologist Movement-physiologist Doctor of Physical Therapy (DPT) Movement specialist Which do you prefer? 快留言告訴我們你認為物理治療師可以改名成什麼吧！ Timecode: 00:27 大師介紹：Dr. Shirley Sahrmann, Dr. Christopher Powers 02:55 Dr. Sahrmann對物理治療師做診斷的看法：PTs are diagnosticians 08:15 身為一個物理治療師，你的自我認同是什麼？ 08:37 Frank 補充Dr. Sahrmann動作診斷系統 11:50 Stanley 的物理治療師自我認同 13:25 Roger 的物理治療師自我認同 18:26 Frank 的物理治療師自我認同 21:50 Elaine 的物理治療師自我認同 29:37 到底還要不要叫我們物理“治療師” 36:01 Stanley分享有關被叫Doctor的小故事 歡迎到各平台追蹤或來信來訊跟我們提出疑問～ Facebook: https://www.facebook.com/2PROPT/ Instagram: https://www.instagram.com/2pro_pt/ Email: 2propt@gmail.com 也可以在此收聽： Apple podcast: https://tinyurl.com/y97q7tms Spotify: https://tinyurl.com/ydavzqxu Google podcast: https://tinyurl.com/yd86pbcl YouTube channel: https://tinyurl.com/y82ewo5b Music by Elizabeth's Groove by Amarià @amariamusique Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: bit.ly/elizabeths-groove Music promoted by Audio Library youtu.be/-MO-mrBlo5s
Growing up in a suburb of St. Louis, Shirley was expected to never give up. When she decided that she wanted to go to physical therapy school at Washington University, she persisted. Later, Shirley would not give up when faced with challenging questions about neurological patients in the clinic. This would lead her into a PhD program and eventually vault her into a faculty position at her alma mater. When she came up with the idea of aligning our professional identity with movement, Shirley didn't give up. 40 some-odd years later, Shirley's vision for the profession was partially realized. She continues to have ideas about where physical therapy should go in the future and what things we should jettison on the way. _____________________________________Continue the discussion and grow in the clinic in our facebook group, Mindful Clinicians.
How rotational athletes can fool you and your measures Sports such as golf, baseball, tennis, and more involve TONS of rotation, yet are certain athletes better predisposed to rotate well based on ribcage structure? Can tests be thrown off because of particular sport adaptations? We dive into these questions today. Here, you'll learn: Which infrasternal angle presentation has easier rotational capabilities If ribcage structure predisposes someone to be “GREAT” at their craft What shoulder external rotation really means in this population Be prepared, folks, to better help your supreme rotational clientele. Check out Movement Debrief Episode 146 below to learn more! Watch the video here for your viewing pleasure. If you want to watch these live, add me on Instagram. 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: April 10th-11th, 2021, Warren, OH (Early bird ends March 14th at 11:55 pm) May 29th-30th, 2021 Boston, MA (Early bird ends April 25th at 11:55 pm!) 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) Montreal, Canada (POSTPONED DUE TO COVID-19) [6 CEUs approved for Athletic Therapists by CATA!] 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. Bill Hartman - Daddy-O Pops himself. He is THE GUY for all things biomechanics Authentic Movements - One of the best Yoga Teacher Training systems out there, and the one I choose to teach through. Steph Gongora - An excellent yoga instructor and biomechanical BOSS. The torso integration hypothesis revisited in Homo sapiens: Contributions to the understanding of hominin body shape evolution - One of the best articles that goes into ribcage shape and more! Which infrasternal angle is better for rotation? Question: I have noticed that roughly 75-80% of my baseball players are narrow infrasternal angles (ISA). Do you feel this is representative of a normal population? I'm wondering if this is a case of selection bias where narrow ISA's, being more eccentrically oriented, have an easier time rotating, and therefore would be more likely to advance in a rotational sport like baseball or golf. Whereas a more concentrically oriented wide ISA may have a more difficult time and as a result would more bias towards sports requiring less rotation. Watch the answer here. Answer: Terry, you are spot on in the differences between narrow and wide infrasternal angles and the subsequent ability to rotate within the lower thorax. Leverage in the lower thorax is the name of the game, and the obliques are the major players (folks, don't hate the playa tho). Your obliques are some of the largest rotators within the lower thorax. The better these puppies have leverage, the more your rotational chops will be on point. Now the next question should be which obliques have more leverage with each respective infrasternal angle (ISA). AND YOU KNOW I'M GLAD YOU ASKED, FAM! According to this study, drawing a lot from Shirley Sahrmann concepts: the internal oblique has more leverage with wide infrasternal angles. The external oblique has more leverage with narrow infrasternal angles. Now, you need both obliques to perform rotation, so rotational function alone doesn't tell the whole story. What does tell a larger portion of the story is the compressive action on the abdomen. If you compare the attachment points of the external and internal obliques, the external oblique lies more superficial to the ribcage in comparison to the internal oblique. [caption id="attachment_13522" align="aligncenter" width="399"] The big dog, external oblique itself! (Photo credit: Gray's Anatomy)[/caption] External oblique proximal attachment: Outer surface of ribs 5-12 [caption id="attachment_13521" align="aligncenter" width="403"] The good ole' internal oblique (photo credit: Gray's Anatomy)[/caption] Internal oblique proximal attachment: Deep layer of thoracolumbar fascia, iliac crest, ASIS (peep this anatomy textbook to learn more) These anatomical differences allow the external oblique to generate greater compressive forces in the lower ribcage, contributing to the narrowness of the infrasternal angle. When this muscle contracts, it assists in pushing the viscera downward. If we assume, based on compensatory mechanics, that the infrapubic angle is also in a narrow orientation (and likely structural), the pelvic floor will be eccentrically oriented. This position will allow the viscera to migrate downward, allowing for rotation to occur! The simple reason why narrow ISAs can better rotate: The guts can get out of the way. Contrast this to the wide ISA folks. The internal obliques have worse leverage to compress the ribcage and push the guts downward. Moreover, the wider infrapubic angle begets a concentric pelvic floor, which pushes the viscera upward. There simply becomes too much visceral interference in the ability to rotate. Wide ISAs can't get guts out of the way. Does this difference mean that there will never be elite wide ISAs in rotational sports? FALSE! In fact, many of the top golfers that I work with at Elevate have a wide ISA presentations. How in the hell does that happen? Structural bias alone doesn't determine success in sport. One thing to consider is the when looking at infrasternal angles, we have only concerned ourselves with rotation at the lower thorax. HOWEVER, rotation occurs throughout the whole body. In sports such as baseball and golf, you have to be able to rotate in the upper thorax, pelvis, axial skeleton, basically everywhere. Each ISA presentation can have restrictions in the ability to rotate in these other areas, contributing to success or lack thereof in the ability to rotate. Moreover, we cannot ignore the skill component needed in these sports. Again, many of our top golfers are hella stiff wide ISAs. It blows my mind how well these guys do at their craft. Some people are so skilled that they find a way to work within their body structure to achieve the desired output. Lastly, considering the heavy narrow ISA bias within the population that Terry helps, I wonder what position many of his athletes play. Someone who has to move a lot within the game, such as an outfielder or shortstop, may be more biased to be narrow. Heavy hitters, first basemen, and catchers? Not so much, as playstyle changes for them, as wider ribcage have greater force production capabilities due to concentric bias within the pelvis. [caption id="attachment_13520" align="alignnone" width="810"] Yeah, definitely not narrow, flaxseed oil aside (photo credit: Kevin Rushforth)[/caption] None of the greats in the steroid era of baseball were narrow ISAs. Pelvis movement during rotational sports Question: What are the Ilial and sacral movements during rotational movements like a golf or baseball swing? Watch the answer here. Answer: The mechanics during a swing are no different than what we see in gait. There is an initial contact, midstance, and propulsive phase in both gait and the swing: Backswing = initial contact Impact = midstance Follow-through = propulsion With these parallels, we can see what is going on with the pelvis at each component: Backswing: Counternutation and sacral rotation toward the back swing. Impact: Backswing-side sacrum begins nutating and rotating away from the back swing. Follow-through: Counternutation and full sacral rotation away from the backswing. Single-arm and leg exercises instead of shifting? Question: Are single-arm and single-leg exercises good forms of shifting without using resets to accomplish this? Watch the answer here. Answer: Short answer: YASSSS. Single-extremity moves are essentially a cheat code to drive anteroposterior expansion, as these movements rotate the axial skeleton. Plus, they are WAYYY easier to coach than most shifting-based work. Let's look at left rotation as an example. You can see how if I turn to the left, I can drive expansion into the left posterior and right anterior aspect of the thorax. These rules also apply to the pelvis regarding expansion. The above action happens when you reach with your right arm OR have your right leg forward ASSUMING that you can maintain the stack. Stacking sets the foundation for rotational actions to occur. If you can't stack and you attempt to rotate, problems and a subsequent compensatory rotation could occur. In the thorax, you may see the following compensations: Crunching, which downs the pump handle and limits rotation Anterior thorax migration, which restricts the posterior thorax At the pelvis, you'll see an anterior pelvic tilt/orientation, which limits rotational capabilities in the pelvis. What skills do each infrasternal angle excel at? Question: What are some skills narrow infrasternal angles would be better at than wides and vice versa? Watch the answer here. Answer: The infrasternal angle changes the relative contractile bias of the ventral cavity. This has to do with how the pelvic floor orientation that each type possesses. Narrow ISA: eccentric bias Wide ISA: concentric bias Because of this, narrows generally have greater eccentric/flexibility capabilities in comparison to wides. Also, because narrower ribcages have a larger surface area in relationship to the volume of abdominal contents, they are generally better at heat dissipation, which can help with endurance activities. Wides, on the other hand, have a greater concentric bias, which is useful in terms of force production. To summarize, here is what each could potentially be biased towards doing well with, with obvious exceptions to the rule (as there are many other influences to movement competency): Narrow ISA: Flexibility-based activities, endurance sports Wide ISA: Power and strength activities Relative motion between femurs and pelvis Question: Will there be a relative motion between the femurs and the whole pelvis or do we lock the hip joint as a whole and only work relatively within the pelvis? What actions would be happening? Watch the answer here. Answer: Given that there is more relative motion available within the hip joint in comparison to the pelvis, the hips are most certainly going to move. The movement that the hips perform depending on what direction my legs need to move. For example, let's say I want to keep my femurs pointing straight forward in a golf swing. If we use the sequencing above in pelvic rotation portion of the debrief, you'd have the following motions occurring. Suppose we are swinging right to left: Backswing: Right hip external rotation, left hip internal rotation Impact: Right hip begins to internally rotate, left hip begins to externally rotate Follow-through: Right hip internally rotates, left hip externally rotates Excessive shoulder external rotation? Question: I work with 99% baseball players. You've talked about using shoulder external rotation at 90 degrees as a proxy for determining a need for expansion in the posterior lower thorax. The majority of my guys are hypermobile in that measurement. However, I still believe there could still be potential restrictions in the lower posterior thorax. Is there another way to assess this? Additionally, is an increase in external rotation for a baseball player still indicative of a posteriorly oriented thorax? Again, thank you for your time and the work you have done! Watch the answer here. Answer: As I have mentioned previously, shoulder external rotation can act as a proxy measure for the ability to expand the ribcage along T6-8 level. In some individuals, the thorax can tilt/orient posteriorly as a unit to compensate for a loss of posterior expansion. [caption id="attachment_12963" align="aligncenter" width="500"] Like this joker[/caption] When the thorax orients posteriorly, the scapula will also externally rotate, retroverting the glenoid and subsequently the humerus. Due to this orientation, someone may be able to pick up shoulder external rotation beyond physiological normal (aka 90°). This change would actually coincide with the humeral retrotorsion often seen in baseball players. (If you want to check out a blog that goes into shoulder motion in baseball players, this one is awesome!). So okay Zac. We know that a baseball player should have a LOT more external rotation available. How do we know if this is a structural issue that we should let chill or if the we need more posterior thorax dynamics. The short answer: Shoulder flexion. If you look at the mechanics of shoulder flexion, you'll note the following ought to be present: Tons of humeral external rotation as I progress through the flexion arc (Yay for baseball players) The scapula progressively upwardly rotates (yeesh!) If I have a posteriorly orientated thorax, concentric bias of the posterior musculature is going to give the scapula a helluva time realizing full upward rotation. Thus, shoulder flexion will be limited in a posteriorly oriented thorax. Some folks may have enough eccentric bias in the anteroinferior shoulder capsule to give the appearance of full shoulder flexion. You could check lower cervical rotation as well to ensure you are actually getting posterior thorax expansion, as cervical rotation can cross-reference the T2-4 expansion that is also needed in maximal shoulder flexion. If you are limited in shoulder flexion, starting with cross-connect variations can drive expansion in the lower regions of the thorax. Progress this to armbar activities, and NO ONE should mess with you. Sum up Narrow ISAs have better rotational leverage than wide ISAs due to ability to move the viscera. Lower ribcage structure is only one component of rotational success. One must consider the ability to rotate in other areas of the body and sports skill. The pelvis rotates through the swing as it does in gait: counternutation, nutating, then counternutation. Single-arm and leg exercises can drive rotation, which acts as a cheat code to increase anteroposterior expansion in a given area. Narrow ISAs are better at eccentric strategies; wide ISAs are better at concentric strategies. The femurs rotate during the swing. Posterior thorax orientation can give the appearance of humeral external rotation beyond 90 degrees. Shoulder flexion and lower cervical rotation can be used as a test in these individuals, as they are often limited. Image by Keith Johnston from Pixabay
Dr. Sahrmann elaborates on her thought-provoking Point of View in a conversation that acknowledges some of the differences of opinion and controversies surrounding this vital topic.
Dr. Sahrmann elaborates on her thought-provoking Point of View in a conversation that acknowledges some of the differences of opinion and controversies surrounding this vital topic.
Editor-in-Chief Alan Jette asks Dr. Sahrmann to elaborate on her thought-provoking Point of View in a conversation that acknowledges some of the differences of opinion and controversies surrounding this vital topic. What are the relationships between diagnostic labels and the critical issues that face the profession as it begins its second century—issues such as variability in practice, documentation burden, defining effective treatment strategies, and, ultimately, the success of patient outcomes? Dr. Sahrmann is author of “Defining Our Diagnostic Labels Will Help Define Our Movement Expertise and Guide Our Next 100 Years.” https://academic.oup.com/ptj/article/101/1/pzaa196/5943786
Ann Crowe of Precision Physical Therapy sat down with Vance Crowe to talk about pain as a concept, as well the challenges parents face being pregnant and raising a newborn. On a personal note, this is a conversation is one I am excited to share as we discussed many things that we wish we had known before starting the journey to having our child.Ann Crowe is a woman like no other. She has swam on the Notre Dame women's team, tried out for the Olympics, worked as an aerospace engineer and competed in an Iron Man competition. She operates a physical therapy clinic called Precision Physical Therapy with a partner.To learn more about Precision Physical Therapy www.precisionstl.com To join the Articulate Ventures Network: https://network.articulate.venturesTwitter: @VanceCrowe
Today we're Chewing Over what the new US president means for healthcare, how Therapy Live Sport went and the latest from the Shirley Sahrmann! Your lunchtime daily show 12:30-13:00 with Jack Chew chatting about whatever is topical. Usually healthcare and education, occasionally current affairs, always honest.
We talk about the debate of is it the human muscle system or the human movement system? When to zoom in or out. Bringing in a taste of Neuro physiology. As well as the MSI (Movement System Impairement) work of Shirley Sahrmann.
On episode 79 show I had the honor to sit down with one of the most influential people in the world of physical therapy – Shirley Sahrmann. Years ago, the physical therapy world was very much so a manual based treatment profession with very little skill in exercise. Shirley’s work over the past 6 decades has changed all this. She is credited with being one of the leaders in establishing the physical therapy profession as experts in the diagnosis and treatment of injuries through evaluation of movement (something called the movement system). This gives the PT a unique approach to helping athletes understand WHY injuries occur in the weight room and how to really go about fixing them the right way. Shirley's book "Diagnosis and Treatment of Movement Impairment Syndromes:" https://www.amazon.com/Diagnosis-Treatment-Movement-Impairment-Syndromes/dp/0801672058 Buy my book: https://tinyurl.com/ybwvpjta Recommended products: https://squatuniversity.com/recommended-products/ Subscribe to my YouTube channel here: https://tinyurl.com/y2eq7kpr Visit the website: http://www.squatuniversity.com Like the Facebook page: https://www.facebook.com/SquatUniversity Follow on Twitter: https://twitter.com/squatuniversity Follow on Instagram: http://instagram.com/squat_university
LIVE on the Sport Physiotherapy Canada Facebook Page, I welcome Greg Lehman on the show to preview his lecture for the Third World Congress of Sports Physical Therapy in Vancouver, Canada. Greg is a physiotherapist, chiropractor and strength and conditioning specialist treating musculoskeletal disorders within a biopsychosocial model. He currently teaches two 2-day continuing education courses to health and fitness professionals throughout the world. Reconciling Biomechanics with Pain Science and Running Resiliency have been taught more than 60 times in more than 40 locations worldwide. In this episode, we discuss: -Common misconceptions surrounding the source of pain -Do biomechanics matter? -Promoting movement optimism in your treatment framework -What Greg is looking forward to at the Third World Congress of Sports Physical Therapy -And so much more! Resources: Greg Lehman Website Greg Lehman Twitter Third World Congress of Sports Physical Therapy David Butler Sensitive Nervous System Alex Hutchinson Endure For more information on Greg: Prior to my clinical career I was fortunate enough to receive a Natural Sciences and Engineering Research Council MSc graduate scholarship that permitted me to be one of only two yearly students to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory subsequently publishing more than 20 peer reviewed papers in the manual therapy and exercise biomechanics field. I was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students. I have lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience. While I have a strong biomechanics background I was introduced to the field of neuroscience and the importance of psychosocial risk factors in pain and injury management almost two decades ago. I believe successful injury management and prevention can use simple techniques that still address the multifactorial and complex nature of musculoskeletal disorders. I am active on social media and consider the discussion and dissemination of knowledge an important component of responsible practice. Further in depth bio and history of my education, works and publications. Read the full transcript below: Karen Litzy: 00:00 Hey everybody, welcome to the live interview tonight with Doctor Greg Lehman. And we have a lot to cover tonight. So for everyone that is on watching, oh good. And we're on. Awesome. Just wanted to make sure, for everyone that's on watching and kind of throughout the interview, if you have any comments or you have any questions or you want to put Greg on the spot, feel free to do so. We can see your comments as they come up. Greg, if you can't see them, just know I'll kind of let you know. But one thing we do want to know is if you're watching, say hi and let us know where you're watching from. And that way when you start asking questions, at least I'll have a better, kind of know who you are a little bit. Now before we get to the meat of the interview, I just want to remind everyone that if you are watching this, this is not on my page and it's not on Greg's page, but instead we are on the Facebook page for the Third World Congress in Sports Physical Therapy and that is going to be taking place on October 4th and fifth in Vancouver, Canada. Karen Litzy: 01:20 So hopefully we're going to be doing more of these throughout the year talking to a lot of the presenters and Greg is one of the presenters at the congress. So that's why he's here. Greg Lehman: 01:31 Not just me every time Karen Litzy: 01:35 Although I have to say, I bet people would really enjoy that. Greg Lehman: 01:39 Yeah, I'll fill in for whatever speaker it is and I'll just learn their stuff and then pretend like I know Karen Litzy: 01:46 Okay. So I'd like to see you fill in for Sarah Haag. Greg Lehman: 01:50 Done. I’ll shake my pelvis. Karen Litzy: 01:53 Pelvic health and stuff like that. That would be amazing. I would actually wouldn't mind seeing that. Now before we get started, Greg, can you talk a little bit more about yourself, just kind of give the listeners, the viewers here a little bit more of a background on you so that they know where you're coming from, if they are in fact not familiar with you. Greg Lehman: 02:13 Okay. Well, leading into that, I'm a generalist. I'm not a specialist. I have a background in kinesiology and then a master's in spine biomechanics and I was really into spine biomechanics for a long time. But you know, I became not, sorry, I was going to say dissolutioned. That's a little too strong. I've always been skeptical, skeptical of everything that I've known, and that's probably why I got accepted to my master's in biomechanics because they liked the questions I asked. And then my research there was in mainly exercise, like EMG and manual therapy, what manual therapy does. And I was pretty lucky because I was with Stuart McGill and two chiros named Kim Ross and Dave Breznik, who I always have to mention. And I should give a big shout out to Stu because he took on Kim Ross Dave Breznik who were chiros at the time and they did like amazing research that challenged so much of what we know about, you know, spine manipulation. Greg Lehman: 03:19 And they also challenged me to think about what I thought about low back pain at the time. So my master's was really helpful for me because it challenged so much of what I thought. And so that's when I was first introduced to the bio psycho social, not actually first, cause I used to read John Sarno when I was like 19 years old. I was a bit of a nerd when I was a kid. But definitely the occupational biomechanics at Waterloo, even though they love biomechanics, even back then they knew that psychosocial factors were important for your pain and injury. And then I went to chiro school, actually I went to, that's like in quotes. I like was registered, but I didn't go to class, but I had a research program and they were awesome. They funded me to do more biomechanical research. Then I was in practice for a long time and then I went back to physio school and then I was in practice for a long time and didn't do a lot of research. And then I just started teaching with John Sarno who's running the conference with the running clinic and they were great. And at the same time I also started teaching my course which is about biomechanics and pain science. How do we like bring them together? And you've hosted me. Karen Litzy: 04:38 I've taken that course. Yes. Greg Lehman: 04:41 For you is like an echo chamber. Just it was confirmation bias. Yeah, yeah, yeah. We know this shit, Greg. But thanks for confirming what I already know. And my course does that a lot, which I don't mind. So that's me. There you go. That was fun. Karen Litzy: 04:56 Excellent. Very good. And, you know, just as a side note that I spoke to John Sarno a couple of years, like when I was in the middle of like all my neck pain, I reached out to him via email and he said, you need to call me. Greg Lehman: 05:11 Oh, interesting. Karen Litzy: 05:12 So I called him and I spoke to him. I never saw him but I spoke to him and he was like, you're a young chickadee. I was like, what? And like crying and all this neck pain. I'm like, who is this guy? And he said, well, just get my book. Read it. If it doesn't work, come in and see me. Greg Lehman: 05:30 Yeah, that's funny. I had a patient, he was very famous, very rich, and he bought like a hundred of his books and gave them out to his friends. He thought it was amazing. Sarno was interesting because and this happens, this is the issue with biomechanics sometimes is he had physios working with him for a long time and then he realized that doing physical medicine conflicted with the message he was giving about where pain came from, meaning like predominantly emotional, I'm probably bastardizing my sense in a long time since I thought about them. And so, which is funny that he had the problem that I had for a long time and so many of us do where we think it's bio-psychosocial, but often our biomechanical ideas will conflict with their psychosocial. So we have to be careful in how we navigate all the multidimensional nature of pain. Karen Litzy: 06:26 I think that's the important part is that it's multidimensional and that you can't have that pendulum swing too far in either direction. And you know, now that we're on the topic of pain, let's go in a little bit deeper, so what would you say are the biggest misconceptions or common misconceptions around pain and it's, I'll put this in quotes, sources, quote unquote sources. Greg Lehman: 06:53 Yeah. The biggest one. And I really like to focus on this because it helps me in practice, it's this idea that, and I like this cause it's how our practice is that we don't always need to fix people, right? And I kind of mean, I don't just mean that in the biomechanical way. And I would have meant that in the biomechanical way five years ago where I would have said, well, you don't have to fix that posture. You don't have to fix that strength or that weakness or we don't fix strength. We're gonna have to fix that weakness or tightness. And I believe that although I do think strength and weakness and range of motion can be relevant sometimes, but I also don't think we need to always fix catastrophizing and depression and anxiety and worry, and so that criticism goes both ways. Greg Lehman: 07:53 It started out for biomechanical with me, but I would also say psycho social and we see that in the literature where people recover and they still have these, you know, mediators of disability and pain. It could be high catastrophizing but they still do really well because maybe they built up their self efficacy and they got a little bit of control and they were able to do something and something to control their pain or do something that they loved or they had some sort of hope. And so that's the biggest one, that idea of like fixing and if you want to be more technical or mechanical, it's the same idea. Like I don't think you have to get rid of nociception. So like your tissue irritation stuff, you can have shit going on in the tissues, but it's how you kind of respond to that stuff. That’s exciting. Karen Litzy: 08:45 Well why would want to get rid of nociception. Greg Lehman: 08:49 Yeah. Well I mean I don't, well I know what you mean. Like, we don't, you don't want to, cause when you sit down you want to get an ass ulcer. Right. You definitely want to move around. So, but that now we get into crazy stuff with that. Karen Litzy: 09:03 Well do you mean the sensitivity around it? Greg Lehman: 09:05 Yeah, it'd be like you definitely don't want like a raging disc herniation that's pressing on a nerve root and you have chemical inflammation, things like that. It’s worthwhile getting rid of. But you know, other things, you know, you can have tendinosis and a muscle strain and it can definitely hurt. But it's the idea that sometimes maybe what our rehab does is helps us cope with those, with those things, right? That's at a peripheral level and more central level. You can have anxiety and worry and those might magnify your pain response, but you can also cope with them as well. And so I love that message because I think it's just positive. Like people think I'm so messed up, I got scoliosis, I'll never got pain. And I'm like, dude, like it might contribute. I don't think the research actually supports that. Perhaps. Perhaps it does, but you can have that and still be doing awesome. Karen Litzy: 10:00 Right. So just cause you have chronic, let's say persistent pain or you've had pain for x amount of time, it doesn't mean that that should be the thing that defines what you do or defines whether you're happy or sad or anxious but that it's a part of your life that perhaps you can cope with or like in my case I had many years of chronic pain. Now I have pain every once in awhile. But there are times where it's more severe than I would like it to be. And there are times when I want to fix it or I need to fix it. And then there are other times where I feel like I can cope with it and it's not horrible. Karen Litzy: 10:45 I think it's context dependent. So like I had pain last year, like pretty severe for like a week or so, and I knew that in another couple of days I had to get on a flight to go to Sri Lanka. And so I needed it. So what I did for myself was I decided to get medication to help bring those pain levels down and that's what I needed at the time. But I felt so guilty about it. I would like say is this the bio psycho social way? Is this the way I should be handling this? Greg Lehman: 11:20 I would think so. I’m going to mansplain you for a second. Cause I'm guessing that you knew that this was just a flare it was going to go away and that you've managed it before, but you're just giving yourself a break for a few days. Yeah. I don't think there's anything wrong with taking Tylenol for a few days. I've talked off topic, but it's how you do manual therapy, I don't do a lot of manual therapy, but I don't begrudge people that do. And it's, especially at an athlete level, I brought this up with some of the people who are going to be at the congress and I'm like, I find it ironic that all of us who teach a running course, none of us really teach manual therapy at our running courses and no one would ever say that manual therapy is a strongly evidence based, you know, modality for running injury. Greg Lehman: 12:16 It's not, we would all talk about load management and exercise and blah, blah, blah, blah, blah, all of these things. Yet when you're a physio or a chiro training like elite athletes and you're working with them the day before their competition, what are you doing? You're probably doing some manual therapy. And so I just found that ironic that we do that, that when we're traveling with the team, I don't travel with teams, but I do have athletes come to see me the day before an event or I've been working with them for months and here I am doing what people would call low value care. But I'm like, no, sometimes it's a bandaid, but sometimes bandaids help and that's the only solution. Well, the solution that works then. Karen Litzy: 13:08 Well again, it's context dependent, right? So if, and I saw this conversation on Twitter about, you know, what are we doing race day and race day yeah you probably are doing some sort of manual therapy. Greg Lehman: 13:30 You’re treating that little niggle and this things tight and sore and you treat and people feel better. And if fatigue is psychobiological, which it is, then our intervention is probably psychobiological and it could certainly be more psycho based. Yeah. Karen Litzy: 13:48 Right, right. It’s still real. And you know, in the context of athletes and being, this is the Third World Congress in Sports Physical Therapy. So there'll be a lot of, we can assume, I don't know, physios there that probably work with an athletic population. And so I think it's important to bring that up. All right. I digress. Greg Lehman: 14:14 I did, you were the professional. Karen Litzy: 14:20 So one common misconception is that we don't have to fix everything and not just the biological part, but the psychosocial part as well. Is there any other, maybe one other common misconception around pain and its sources that you hear a lot or you see a lot? Greg Lehman: 14:40 I mean if I had to say anything, it's like it's the relationship between bio motor abilities, which would be like strength and flexibility and pain. I think that it’s over sold. You know, I don't think posture is relevant. I don't think strength or motor control is irrelevant. I just think it gets over done in that, that to me is that kinesio pathological model, which I have a big issue with, which would be like your knee goes into Valgus, you're going to pay for it later and you're going to get knee pain or hip pain. And, I'm like, well if your knee hurts and it goes into Valgus it's certainly a reasonable option to avoid that for a little bit. And then you might recover cause it's an avoidance strategy and build yourself back up and you'll do great. But I think what often happens is we then say, well, you went into valgus and it hurt, therefore valgus is inherently wrong and we need to make rules for everyone on how they should function. I hardly saw you when we were in Denver together, but I gave that whole, I forgot about that. We just saw each other, sorry, I was with Betty the whole time. I couldn't hang out with you guys. And so that I gave that example of limping, like when you sprain your ankle. Karen Litzy: 16:06 That example was great. Greg Lehman: 16:08 Yeah. You sprained your ankle and it feels better to limp. That's totally reasonable. But no one would then conclude that we all should be limping. That that's the right way to move. When I see like people I really respect, like Shirley Sahrmann or Jill Cook who will, you know, say avoid hip abduction, right? It's so horrible on the tendon, on the outside of the hip or is so bad on the knee. And I'm like, yeah, it's reasonable for symptom modification but I don't want to make a general rule and that happens too much and then we're too quick to be like, well just cause someone got better with exercises that try to change those movement patterns. That doesn't mean that's why that treatment was successful. Often those rehab programs that try to change movement patterns are like amazingly comprehensive and excellent rehab programs. And then you have like awesome therapists like you know, Stuart McGill or Shirley Sahrmann who just like build in this graded self efficacy and pump them up and they tell them you can do whatever you like. Let's just change your movement patterns and start doing this stuff you love again, may have nothing to do with the movements. It's just like the person was like, wow, I'm awesome, you're awesome. Let's do it. Karen Litzy: 17:26 I think you can’t sort of parcel out one part of that complete treatment program and say this is the thing that worked. This is why this worked. I mean, you can't do that. I think that's impossible. Greg Lehman: 17:37 No. And it's certainly the same with the people who I really love, like Peter O'Sullivan and that whole group when they help people, like I don't really agree. I'm such a jerk. I don't always agree with their mechanisms because when I see Pete treat, he's just so confident. It's like, you can do this, you can do this and bend over and do this and do this. And like, and I would never practice that way. I just couldn't pull it off. But I can imagine how much he helps people. That's actually why I really respect him. What he does really well. When he tests RCTs, he doesn't test himself. He trains people and other people do it. So, I actually shouldn't, I'm not knocking his research. I can't get to his style because he's so confident. It's absolutely really honorable what he does where he's like, I'm not going to be the dude that's in the RCT and train people and then we'll do the studies on them, which is just, that's nice science. Karen Litzy: 18:34 Yeah, for sure. And all of those people you mentioned also have great reputations. People are referred to them when nothing else works. And so as the patient, you're like, well I know this person's the expert. Karen Litzy: 18:49 Right. So I think in the patient mind they're thinking, if anyone can fix me, yeah, it's going to be this person. And I think that that also plays into it. Greg Lehman: 19:00 I just opened my own little clinic out of my house. We have like a little gym. It used to be a workshop and now it's a clinic gym and I have nothing on the walls. And I'm like, how can I placebo the hell out of this? So that's my answer. I like art. I want to put up like, no, I should put up like placebo shit. Like what was like going to make me look amazing? Karen Litzy: 19:25 Yeah. Well you can put up like awards you've gotten put up your degrees. People will be like, look at how many degrees he has. Look at all of his qualifications. He must be amazing. Greg Lehman: 19:37 Yeah. Maybe, I don't know. Karen Litzy: 19:41 You see that a lot in the US like when you walk into an office, the degrees and the licenses and certifications, right? Greg Lehman: 19:46 All that weekend certifications, all that nonsense. After I teach, I always tell everyone, like, whenever you want me to write on your certificate, I will write levels six fascial blaster done, master Fascia blaster. I don't care. It's all bullshit. Karen Litzy: 20:03 Biomechanics. Does it matter? Greg Lehman: 20:07 Since the sport conference let's start. They definitely matter for performance. We got to listen to our coaches and the physios. But biomechanics and technique matter for performance. So if you want to tell someone to sit up straight, yeah, it's totally reasonable to do that if you're thinking how they're going to function 30 years from now. So that's great advice. And then, it's like a question of when they matter after that. And so I kind of Parse it into a few different areas of when they matter. The big one for me is like what's more important, is it's not how you move, it's that you're prepared to do what you're doing. So make the mechanics and the loads on the person matter. Greg Lehman: 20:59 But it's the movement preparation. So my pithy expression is preparation trumps quality, right? Something like that. And then the other way or the other area where they matter is this symptom modifications. So if it hurts to do something, like if you're a runner and your knees hurt and you heel strike and you have a long stride, it's totally reasonable to shorten your stride, maybe changed your foot strike, although that's debatable, but it could serve it is certainly is an option. And if it feels better, keep running like that. So the mechanics there help but it doesn't prove, you know, the thesis that there's a right way of running. It's just that you're running differently cause another run or you're going to be like stop forefoot striking and actually lengthen your stride. I've done that plenty of times. So you're just symptom modifying. Greg Lehman: 21:45 So mechanics help a ton for symptom modification. And then you know there's probably under high high loads, there's probably better ways for your tissue to tolerate strain. You know, like if you're landing and cutting you can go into valgus but you probably don't want to go into Valgus if your knee's not flexed. Right. So high loads where the tissue gets overloaded matters. And then after that with that principal there, it gets more difficult because you start thinking of the spine and you're like, okay, is there a better way for the spine to tolerate loads? And that's where we have been debating biomechanical principles here because certainly the bio does drive nociception sometimes. And so those are the big areas for me where biomechanics matters. Sorry I went over that fast. Karen Litzy: 22:39 I think that makes perfect sense. And I mean, I don't know if you saw this since you are probably more into tumbling and gymnastics than I am. I haven't seen this yet. But did you see yesterday a gymnast broke both of her legs or something. Greg Lehman: 23:01 I saw that by accident. I won't see it again. Karen Litzy: 23:02 But I don't know what happened there. Greg Lehman: 23:07 I think it may have been in a double Arabian or a double front tack and she landed and then hyper extended. And what freaked me out a little, only saw it once and I'm not gonna see it again, is I don't think she landed with straight knees. They were like bent and then they went into extension like, which freaks me out because my daughter's learning front and I'm doing them with her front tuck step outs, and you kind of land on that one leg and it's straight ish. And I was worried of extending. Karen Litzy: 23:46 Yeah. I mean I haven't seen the footage of that, so I was just wondering if that would be a time when biomechanics mattered or just an accident. Greg Lehman: 23:55 It certainly did. But here's the problem with all the biomechanics mattering stuff, is it the mechanics mattered and caused the injury. It's just whether you can prevent it. Yeah. It's like so many ACLs. Someone might cut 10,000 times with their knee in valgus. Well, that's proof of principle, that they're safe and then they do it one way that's slightly different and then they tear their ACL. But it doesn't mean that the way they were doing it before was unsafe because they could have had less valgus pattern before and then they could have done that too. Like, yeah, I don't know. It's difficult. Karen Litzy: 24:34 Yeah, and I think when you're talking about injury prevention, I mean that's a whole other conversation. But I think that so many factors go into that as well. It's sleep, it's nutrition. It's what did you do the day before or was the beginning of the game, the end of the game? Are you fatigued? Are you not? I mean, so much can go into that. So yeah, you can cut 10,000 times and one time you have an injury. It doesn't mean that the way you did it was incorrect. It doesn't mean that the preparation leading up to it, it could have been that day. It could have been what you did the night before. I mean, so many factors and elements that go into something, some sort of accident or injury like that, which is why injury prevention programs are difficult. Greg Lehman: 25:25 Yeah. And, and we see them running, you know, like we've been saying the same thing for years. So you don't have training errors, which just means don't do too much too soon. And then you try to nail it down in the research and you say, well, what's too much and what's too soon? And then there's no real good research on that, right? Because there's so many different variables that influence that. So my joke tonight, we're arguing not we were talking on Twitter about this. I'm like, well, we can probably all agree when it's like just looks ridiculously like too much too soon. And that's the pornography test, right? Which is your old Supreme Court justice is either pornography or obscenity and they're like, I can't define pornography, but I know when I see it. And so when a movement pattern or a training load is pornographic than maybe you avoid it or depending on your personality. Karen Litzy: 26:17 Right. Well, you mean it just gets a point where it's so obscene. Greg Lehman: 26:20 It's so obscene. You say, ah, that's probably some of them. But it has to be that and who knows? That's the worst part is there's probably people who can handle that obscenity. And I stopped this analogy because I dunno, they're built for it. They prepared to handle. Karen Litzy: 26:41 All right. Let's talk about being a movement optimist. Yes. So for those of people watching and listening that aren't familiar with this, can you talk about it a little bit more and how this came about? Greg Lehman: 27:02 Well, I mean, I have already, I've already said all the good stuff I've run out of material. Karen Litzy: 27:08 I can't, I can't even believe for a second. That's true. You're not like your greatest hits album. Greg Lehman: 27:18 I was in Denmark and they gave me this little bobble head that you've pressed the top of and the whole thing like bounces. And it's funny, I was in Scandinavia three or four years ago and they gave me the same thing. It's like this thing that I would get there, but it's called a hop to mist. I loved it. My kids have it anyways, so what it means is like we need to stop vilifying like certain movements. You know, like when you look at someone's skateboarding, their knees are going to cave in and it's amazing and it's a successful movement pattern. If you rock climb and you were just at a birthday party. Karen Litzy: 28:01 I was at a rock climbing birthday party yesterday for my 10 year old niece. Greg Lehman: 28:05 Well, I doubt they were doing it, but there's something called a drop knee, which is what I do on a climb is, is you can do it. I'm not doing it. You put your foot up behind you almost and drop your knee down into valgus and then stand up on that and you go into that. Karen Litzy: 28:24 There are actually some more like real climbers there and they were doing that. There are a couple of people doing that move. Cause I remember my friend that I was with was like, oh my God, look at that person's knee. How is she doing that? Greg Lehman: 28:37 Yeah. And so Alex Honnold is a famous rock climber. They just won the Oscar for Free Solo Yosemite without a rope. But I have sometimes he's in another documentary about Yosemite. I've filmed it when he's in it because he sits like me. He's like super hunched forward with the super forward head posture. And here he is climbing, you know, these massive granite walls and that's a movement optimists, it says you can do all these weird funny things with your body and still be fantastic. You can be a paralympian where you're missing a limb than have induced, you know, assymmetry that you can have scoliosis and make it to the Olympics. You can have scoliosis and lift five times your body weight. And so that's the optimism. It's this revolt a bit against the kinesio pathological model, which to me is certainly has value. Greg Lehman: 29:39 It's certainly has treatment efficacy because I like the treatments that are associated with it, but the fundamental ideas behind it that there's like bad ways to move or better ways to move for injury and pain, that's what I would challenge. I'd be like, let's be more optimistic about how we move, you know, we don't have to always fix these things right now is go and anytime someone like me talks and says to people, all you can move this way, you always want to look for exceptions, right? When you're in practice, like, when should I, you know, disregard what I think, like when you know, when is how someone moves. Like when is that important? You know that and that'll help him be a better clinician. I think. I always challenge challenging whatever you think is true. It makes it difficult. Karen Litzy: 30:40 Yeah. But I think having that as a clinician, having that sense of doubt is not a bad thing. Greg Lehman: 30:48 Yeah. I mean, I'm going to want to agree with you. Sorry. It was like, why am I listening to this guy? It's like, but then there's those clinicians that get people better by sheer force of personality. They have that utmost belief in what they do, even when they may be full of shit. And so that's how it was hard. Karen Litzy: 31:16 I have a great example of that, I'm not going to go into it right now. Greg Lehman: 31:25 Now you also have to wake up in the morning and be happy with yourself, so. Karen Litzy: 31:29 This'll be an easy one for you. What is the most common question you get asked by other physio therapists? If you could say whether it's maybe they private message you or at your courses or lectures. What is the most common question that other physios or healthcare providers ask you? Greg Lehman: 31:59 Oh, that's funny. I didn't read this one before, but a few things. But usually it's like what's the paper that you mentioned? And then I have to like come up with a name and I usually know it, but the bigger one is this is what I do with people. This is not what you talked about, but tell me why it's helping them. That's, what I get a lot, they want validation and then they want to like, you know, tell me their theories of things, but really tell me they want me to tell them why it's great. It's like what the mechanism is. Karen Litzy: 32:47 That's why it's okay. Looking for just your confirmation. Greg Lehman: 32:54 Confirmation and then like, and then trying to like find out why it works. Like they want me to do the research behind it, I'm going to go. Okay. So what do you say? I mean it depends. Like I probably do like the motivational interviewing thing where I roll a bit with towards distance and I just probably, it's pretty bad, but I probably just read say are actually depends if I've met them before, I'll just talk about the general things that help pain and I'll say maybe it's working this way, but I don't, that's all I do if I think they're totally off base. I don't think I ever really say that. I don't know if I've ever done that. Karen Litzy: 33:49 Now, and you kind of alluded to this in your answer there, but if you could recommend one must read book or article, what would it be? And if you want to say one book and one article, but just one. Greg Lehman: 34:06 Yeah. You know what I'd go old sounds funny saying old school, but I would read David Butler's the sensitive nervous system. So good. Yeah, it is. Cause it's not only good in like a pain, but if when you read that he's just throwing out little ideas all the time. Like it would be nice for me to reread and just pull out his anecdotes and like little things that he says to do because there's things that I do and I thought, oh, this is kind of neat. And I thought I'd discovered them myself. I thought I'd, you know, you know, found it myself and then I'm realizing here at, he said it 20 years ago or something like that. Yeah, yeah, yeah. That, and then like his former partner would been Louie Gifford and I've only read parts of his books, but I've read some of his other writings and I like his stuff too. But David Butler's the central nervous system, which is just, and it's what, 15 years old, but it's still plenty accurate. Karen Litzy: 35:07 Yeah. Yeah. And for people who are listening or watching, I can plug that into the comment section, when this is done. All right, so let's move on to the conference. October 4th and fifth in Vancouver, the Third World Congress is sports physical therapy. So can you give us a little bit of a glimpse into what you're going to be talking about? Greg Lehman: 35:32 Not really. I am talking with Alex Hutchinson who's kind of a friend of mine here in Toronto, like the same kind of know those same people. Karen Litzy: 35:46 You run in the same crowd. Greg Lehman: 35:53 Like, you know, like we rock climb together. We've been to some similar weddings. I've known Alex for awhile and I love his stuff and I always pump up his stuff in my courses. That's what's funny. And then when they put him with me, I was like, this is awesome. Because I always talk about the psychobiological model of fatigue, which is that fatigue is kind of a nice analog for pain. That it's not just purely physiology, that there's a psychology component to fatigue. And I'm like, Whoa, we should talk about this because look how this area of function relates to pain. But so we're talking together on like this massive nebulous talk topic of pain science and athletes. Karen Litzy: 36:44 Yeah. Yeah. That's a heavy one. I listening to his book Endure right now. Greg Lehman: 36:48 Yeah. See I like the breath holding stuff in there. Karen Litzy: 36:55 That's the chapter I'm on now, which I can't even fathom. Greg Lehman: 37:13 So go, go online and find David Blaine's breath holding stuff. He needs to have the breath holding record. He did. But he could also do like eight minutes without that. I used to hold my breath in church all the time to pass the time. But breath holdings interesting because if you just hold your breath right now, you might make it 30 seconds, but you can train yourself to make it for four minutes. And so within like a few days if not an hour. So it means your physiological reaction to try to breathe is way over cooked. And that often happens with persistent pain. We do this protective response. So I've been talking about breath holding for years and then Alex's book came out and I'm like perfect. Now I can refer people to that way better down. But so like finding analogs between weird things about pain and then interesting things about performance or breath holding is really nice. Greg Lehman: 38:04 So we've been talking, we were probably going to go rock climbing and then we're going to try to maybe come up with something that parallels each other. I will probably, I'm guessing talk about like how we, I like doing something really practical, like instead of saying this, which might have a negative connotation to some patients, like set them up to have some, you know, less than good expectations say this instead. So, you know, like the diet stuff, don't eat this, eat this. Well it would be the same idea with explaining common running injuries. Which we'll probably talk about, cause Alex’s a runner and I'm a slow runner. So mine will probably be something like that. Just met her way to phrase things. And because everyone always says to me like, okay, well what the hell do I do then if I don't tell them that they have SI joint pain cause it's out of place than what the hell do I say? No, no, not yet. Yeah, I think. And then that's really fun and it's a nice end. We'll have time to talk about it too because there'll be a lot of wisdom in the room and hopefully we'll maybe pull that out. Karen Litzy: 39:22 Yeah, that sounds great. And I really appreciate those kinds of conversations because then I know that I can kind of take that and use that with my patient population on Monday. Or Tuesday, whatever day. But you know, the next day in clinic. Greg Lehman: 39:38 That's the idea. I don't want to hammer people with research. I know I won't do that. That's for sure. That's easy. I could do that. And it'll be entertaining by your life. Go. Well I got some more research, but it'll probably be more practical. Right. And we're real, more practical story. Karen Litzy: 39:52 Nice. And I look forward to, you know, the two of you speaking together, I think we'll be entertaining and educational and I look forward to that kind of play that you guys will most likely have off of each other. I’m reading his book and you brought the bread holding, which is exactly where I am. And it reminded like in the breath holding chapter, you know, he said like the people who had like, who broke these records or who could really hold their breath the longest are the people who knew that someone was there to pull them up if they needed it. Yeah. And so when I think about that as it compares to pain, like especially persistent pain, I wonder if you knew like you had an out, would that pain still be as persistent? So that's what got me thinking listening to this chapter was like, hmm, if you knew your pain had a safety net, how would that change your view of your pain? Greg Lehman: 41:03 Oh, that's interesting. No, and I think what you're talking about has actually more ramifications for the negative aspects, right? Because most people think, oh, this will pass, but there's some that think that this won't pass. And Yeah. And that's why there is no optimism. And that's of building that where, there's no reason for them to think that it will change. And that's kind of what we have to do is build that model that there's a possibility for change. Karen Litzy: 41:35 Yeah. And before we're going to wrap things up in a second, but Kate Pratt said, well, I find one of the greatest sources of misinformation to patients about pain and biomechanics is their MD/ortho. As PTs we hopefully consistently educate our patients. Do you think it's possible to educate MD’s or orthos regarding pain and how would you begin to approach such a scenario? So I think she means as the individual clinician with, you know, the referring physician or the physician who's seeing that patient. Greg Lehman: 42:11 Yeah. I mean in general, I think that's a problem across the board of all professions. How we change our colleagues, view the docs, like our colleagues. And I'm not really sure cause you would assume that has to happen at a school level, right at the training there and at a conference level. So it's really conferences in schools who are open to, you know, providing the different messages there. But I would say, and we've talked a lot about this is when you do have patients who have these beliefs from their doctors or other healthcare providers, which is super common, there are routes that you can, you know, still address those beliefs without throwing the doctor under the bus and that’s what you have to figure out. So often it's more like acknowledging yeah, that's, you know, you have hip pain because he has OA or something you can say that's part of it. Greg Lehman: 43:15 This is the my optimism approach. Yeah. The hip OA is part of your hip pain, but you can still do great even though you have those changes on the scan. And that often really helps, especially with when physios and like we're navigating referral sources. And it's so funny that you bring, I just got, I just like 10 minutes ago before we started, I got a referral from a sport MD who was in the course. I taught with JFS school. On running five years ago and said, are you seeing patients? And like it was so funny that she was in the course because you don't normally see MDs. Yeah. You know, taking courses with the PTs. Great to do that. And so that's how we have to change. You use it somehow get into that educational system. Karen Litzy: 44:01 Yeah, I agree. And from a one on one. I think it's difficult. I mean Karen Litzy: 44:11 What I've done once that worked with the referring physician was, you know, I said, hey, you know, we're doing this, this, this and this, but I found this article, do you want to take a look and let me know what you think? Cause I'm thinking of incorporating it. And it was like an, I don't know, I think it was an article, Moseley or Peter O'sullivan. And so I sent them that and then he was like, oh yeah, that's really interesting. Yeah, definitely start doing that. So that's a way you can kind of maybe start. Greg Lehman: 44:44 Yeah. O he or she just rolled with your resistance maybe. No, I totally agree. Yeah. I think we're good. Karen Litzy: 45:00 It's so hard, but it's a way to be diplomatic. It's a way to say, you know, I don't know. Greg Lehman: 45:08 I really liked that you just sold a good treatment plan and then you gave them other research behind it. That's nice. Yeah. That's probably better than saying you're an idiot. Karen Litzy: 45:20 Yeah. Well, yeah. But I mean I also find that like I had one doctor that came back to him and he's also a good friend of mine. He was like, that's really interesting. Like we need to talk more about it. Oh, that's cool. Which is awesome, you know? But he's also a friend began, you know, we played softball together. So it's like the different opinions. Karen Litzy: 46:01 Chris Johnson said to say thanks for carving out the time you need to stop picking your eye. Always exercise diplomacy and avoid creating a disconnect. It doesn't accomplish anything. And that's in regards to Kate's question that we just tried to answer. Like I'm bringing a course to New York City and we're going to have like a free two hour preview of it and just invite doctors. Greg Lehman: 46:44 Wow. Karen Litzy: 46:45 That's, you know, one way to do it if you want to get them involved in the educational process with Physios, which I think is great. Greg Lehman: 46:52 One of my best course ever in Toronto here was, we had three physiatrists that came and they were fantastic. That's awesome. Go into this stuff. It was a bit, some of it seemed a bit new, but they're open and like, and then the email to everyone after and they share their experiences. I love when you have multi disciplinary people at the course. There are some, I mean I'm not throwing MDs under the bus. They certainly, it's so hard. I have a friend who was an MD and he's like the best motivational interviewer. He was so good. Like he knew this thing is that as patients had to do, but you know, in Canada you only have eight minutes with them. Yeah. And there or whatever. Anyways, so I'm off topic. Karen Litzy: 47:42 So let's wrap things up here. Are there any presentations you're looking forward to seeing at the conference? Greg Lehman: 47:48 Rob Whiteley. Yeah. I really like is like career and that the stuff he's done and what he's doing there, you know. I'm a socialist I like exercise for everybody and I like the name to change things. But I have trouble like arguing with exercise. It's amazing. It's jam packed like there, there's so many. So that's one of the reasons I wanted to go cause you know, I would have, it'd be nice to go to that conference as well. Karen Litzy: 49:22 Well, I am looking forward to your talk with Alex. I will obviously finish his book within the next week, so that's very exciting. And I've already taken your class and read your free resource. So I feel like I'm like ready for it. Greg Lehman: 49:39 I'll bring something new. Karen Litzy: 49:42 I'll come armed with lots of questions. All right. So before we hop off, where can people find you? Greg Lehman: 49:49 Just my website I guess, which is Greglehman.ca. Which I hardly do anything on and then Twitter, same thing. Twitter is my favorite. I like the discussions on Twitter, even cultivate them, trying to keep them polite and nice and you know. So Facebook, Nah, it's for the trolls. Karen Litzy: 50:15 I think. Yeah, I guess it depends anyway. Again, a whole other conversation. Yes. Greg Lehman: 50:21 No, I'm doing a big thing on Facebook right now. I shouldn't say that. Greg Lehman: 50:29 Yeah. Cause we have like a podcast with me and Oh, I have a podcast, I guess. Never. It's, well it's Adam, it's Meakins podcast, but I'm the cohost so I guess is mine. I don't know. When do you get part of that? I've done three with them. I'm just baggage. I'm a carry on. Karen Litzy: 50:52 Yeah. I think, I think you need, you need a little bit more. I don't think that three really qualifies as like a permanent cohost. Greg Lehman: 51:01 Oh yeah, yeah. I don't think I want that. Karen Litzy: 51:03 No, no, no. You're still like a guest cohost, give it a couple more and then I think you're in. Greg Lehman: 51:08 Okay. Well we're doing like a thing on neurodynamics like their dynamic techniques. And so I wanted to poll people and see what people thought. You know, I was curious what people thought, what the hell we were doing when we do them for that. Karen Litzy: 51:27 I use them, I use them. And oftentimes in people who are a little fearful of movement. Greg Lehman: 51:33 Yeah. So what does that tell you what you're doing? Or you really like manipulating the nerve to, you know, feed them more oxygen or something. Getting someone moving again? Karen Litzy: 51:45 I think you're getting someone moving again, I think you're taking them to a place where they can stay within a relative comfort zone and you can kind of see, I think what I use it is because you can see some changes pretty quickly. And so I think patients then get a little more confident that they can move because they can see those changes pretty quickly. So that's why I like to use them is to give people some hope. Greg Lehman: 52:15 It’s a modification. Karen Litzy: 52:18 So that's why I use them, but I use them quite a bit just because I think, I think that they work very well. The only time I don't use them was really with like one person who said I was doing all these nerve glides and now it made my arm so much worse. Greg Lehman: 52:37 It's like everything. Karen Litzy: 52:38 You know, but I don't know how many, what they were doing, why they were doing them, what explanation they were given. I have no idea that I just sort of held off for a little bit and had the move a different way. But yeah. So that's why I use them. Karen Litzy: 52:59 So if no one else has any questions. So Agnes said that she'll play softball with me in Vancouver. Greg Lehman: 53:08 Tell her I’m going trampolining and rock climbing. Karen Litzy: 53:15 I would go trampolining but I really just like bungee trampoline. Greg Lehman: 53:19 Let's do stuff. Karen Litzy: 53:20 Well you're attached to a bungee and then you obviously go down and then you can go up and flip like two, three times in the air and come back down again. You can't twist, but I did do a double layout. Yeah, it was pretty cool. But yeah, I would definitely play softball. I will bring my glove and I can do some trampolining. I wouldn't have done it 10 years ago or five years ago because of my neck, but now I can do it. Yeah, totally can. Karen Litzy: 54:14 Just so people know when Greg and I were at the align conference a couple of weeks ago in Denver, Colorado and he had his daughter Betty with him cause it was her birthday weekend and she was his personal photographer just so that it made him look better than everyone else because he had personal Paparazzi. And she was just super adorable and doing back walkovers and she probably would've done a lot more, but we were at a conference on the first day. Karen Litzy: 55:21 She was very sweet and that's who we're talking about. All right. And I’m going to edit all of this out before I put it out on a podcast. Thank you everyone so much for listening and sorry for rambling at the end. If no one else has any questions, I just want to thank you all for listening and make sure you go and click on the link on this Facebook page. Should take you to the website for the Third World Conference in sports physical therapy. Again, it's October 4th and fifth, and Vancouver. Greg is speaking with Alex Hutchinson and I think that's going to be a highlight of the conference. You don't want to miss it. So Greg, thanks so much for hopping on the call and sorry for the technical difficulties. Thank you so much and we'll try and put all the information that we spoke about in the comments section here. So thanks everybody. And Greg, thanks again. Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!
Shirley Sahrmann PT, Ph.D. is a world expert at identifying how a person moves, sits, sleeps, runs... is a cause of their pain. She has pioneered the field of physical therapy from one that takes orders from doctors, to medical professionals that can diagnose why people are in pain and what they can do to fix it. Dr. Sahrmann stopped by the Vance Crowe studios in route to Japan, because she travels constantly to teach how to fix the physical pain felt by people. During the interview Dr. Sahrmann discussed her philosophy on pain, why some people shouldn't play certain sports, and how simple things like the way we sit makes us feel in pain for our entire lives.
Welcome back to the podcasts! This episode features Shirley Sahrmann. Many of you likely know of Shirley from her research, teachings with Washington University in St. Louis, or her texts for Movement System Impairment Syndromes. I wanted to speak with Shirley to gain a better perspective on her background and thoughts regarding her point of view. I've noticed more in more in my own practice how much the neuromuscular system and create illusions of mechanical dysfunctions, so had thought that maybe Shirley could provide perspective on that. Fortunately, Shirley corrected me on my perceptions about what Movement System Impairment Syndromes are. I'd certainly love to speak with Shirley again about these topics, and more. Please enjoy and let us know your thoughts!
Last year we went to the Academy of Pediatric Physical Therapy Annual Conference (APPTAC) and brought you interviews with Susan Effgen, Cindy Miles, and Shirley Sahrmann. This year, due to popular demand, we went back! Enjoy our series, including interviews with Dr. Mijna Hadders-Algra, Dr. Drew Davis, and Dr. Kilbrey Fowler. Tune in to hear the latest innovations and perspectives in the world of pediatric physical therapy! Talus Media News is a subsidiary of Talus Media: The PT News Project. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
Last year we went to the Academy of Pediatric Physical Therapy Annual Conference (APPTAC) and brought you interviews with Susan Effgen, Cindy Miles, and Shirley Sahrmann. This year, due to popular demand, we went back! Enjoy our series, including interviews with Dr. Mijna Hadders-Algra, Dr. Drew Davis, and Kilbrey Fowler. Tune in to hear the latest innovations and perspectives in the world of pediatric physical therapy! Talus Media News is a subsidiary of Talus Media: The PT News Project. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
Last year we went to the Academy of Pediatric Physical Therapy Annual Conference (APPTAC) and brought you interviews with Susan Effgen, Cindy Miles, and Shirley Sahrmann. This year, due to popular demand, we went back! Enjoy our series, including interviews with Dr. Mijna Hadders-Algra, Dr. Drew Davis, and Kilbrey Fowler. Tune in to hear the latest innovations and perspectives in the world of pediatric physical therapy! Talus Media News is a subsidiary of Talus Media: The PT News Project. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
Last year we went to the Academy of Pediatric Physical Therapy Annual Conference (APPTAC) and brought you interviews with Susan Effgen, Cindy Miles, and Shirley Sahrmann. This year, due to popular demand, we went back! Enjoy our series, including interviews with Dr. Mijna Hadders-Algra, Dr. Drew Davis, and Dr. Kilbrey Fowler. Tune in to hear the latest innovations and perspectives in the world of pediatric physical therapy! Talus Media News is a subsidiary of Talus Media: The PT News Project. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
Last year we went to the Academy of Pediatric Physical Therapy Annual Conference (APPTAC) and brought you interviews with Susan Effgen, Cindy Miles, and Shirley Sahrmann. This year, due to popular demand, we went back! Enjoy our series, including interviews with Dr. Mijna Hadders-Algra, Dr. Drew Davis, and Dr. Kilbrey Fowler. Tune in to hear the latest innovations and perspectives in the world of pediatric physical therapy! Talus Media News is a subsidiary of Talus Media: The PT News Project. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
Last year we went to the Academy of Pediatric Physical Therapy Annual Conference (APPTAC) and brought you interviews with Susan Effgen, Cindy Miles, and Shirley Sahrmann. This year, due to popular demand, we went back! Enjoy our series, including interviews with Dr. Mijna Hadders-Algra, Dr. Drew Davis, and Dr. Kilbrey Fowler. Tune in to hear the latest innovations and perspectives in the world of pediatric physical therapy! Talus Media News is a subsidiary of Talus Media: The PT News Project. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
Stephanie & Brandon chat with Dr. Shirley Sahrmann at the 2018 APTA NEXT Conference in Orlando, Florida. Shirley shares her story into how she has transformed to where she is today, discussing the movement system, education solutions, discussing her ideal vision for the physical therapy profession, and much more. Shirley's Email Address: sahrmanns@wustl.edu Shirley's Article on "The Human Movement System: Our Professional Identity"; https://academic.oup.com/ptj/article/94/7/1034/2735665 Washington University Movement System Impairment Syndromes Courses: https://pt.wustl.edu/education/movement-system-impairment-syndromes-courses/ “Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines” textbook by Shirley Sarhmann and Associates: https://www.amazon.com/Movement-Impairment-Syndromes-Extremities-Cervical/dp/0323053424/ref=sr_1_fkmr0_1?ie=UTF8&qid=1540422683&sr=8-1-fkmr0&keywords=%E2%80%9CMovement+System+Impairment+Syndromes+of+the+Extremities%2C+Cervical+and+Thoracic+Spines%E2%80%9D Washington University Doctorate of Physical Therapy Program Website: https://pt.wustl. Washington University Physical Therapy Twitter Page: https://twitter.com/wustl_pt Washington University Physical Therapy Program Facebook Page: https://www.facebook.com/WashUPT/ Shirley's Interview on Talus Media Talks Podcast: https://itunes.apple.com/us/podcast/apptac-shirley-sahrmann-on-the-movement-system/id1255575461?i=1000399341600&mt=2 Shirley's Interview on The Movement Fix Podcast: https://itunes.apple.com/us/podcast/23-movement-precision-movement-impairment-syndromes/id915914866?i=1000417124140&mt=2 Shirley's Interview on BJSM Podcast: https://itunes.apple.com/us/podcast/professor-shirley-sahrmann-pt-phd-outlines-movement/id330966919?i=1000385133293&mt=2 Shirley's Interview on Physiopedia Podcast: https://itunes.apple.com/us/podcast/shirley-sahrmann-the-movement-system/id1230910633?i=1000385095947&mt=2 Shirley's Interview on the Mechanical Care Forum Podcast Part 1: https://itunes.apple.com/us/podcast/episode-229-shirley-sahrmann-part-1-stopping-the-cause/id840625419?i=1000419009421&mt=2 Part 2: https://itunes.apple.com/us/podcast/episode-230-shirley-sahrmann-part-2-a-system-of-systems/id840625419?i=1000419427746&mt=2 Shirley's Interview on the Jetset Rehab Education Podcast Part 1: https://itunes.apple.com/us/podcast/afternoon-in-los-angeles-shirley-sahrmann-podcast-part/id1122834839?i=1000375726980&mt=2 Part 2: https://itunes.apple.com/us/podcast/shirley-sahrmann-part-ii/id1122834839?i=1000372016971&mt=2 The PT Hustle Website: https://www.thepthustle.com/ Schedule an Appointment with Kyle Rice: www.passtheptboards.com HET LITE Tool: www.pteducator.com/het Anywhere Healthcare: https://anywhere.healthcare/ (code: HET) Biography: Shirley Sahrmann, professor emerita of physical therapy at Washington University, studies movement patterns and their impact on musculoskeletal disease and overall health. Dr. Sahrmann, BSPT '58, MA '71, PhD '73 was the first to propose that there is a human movement system—a physiological system that produces and supports movement of the body. In 2000, she published a seminal textbook on the subject, Diagnosis and Treatment of Movement Impairment Syndromes, that was translated into seven languages. A leader in her field, she has brought distinction to Washington University's Program in Physical Therapy, ranked in the top 1 percent of physical therapy programs nationwide. As a co-chair of Our Washington: Together, We Make a Difference, the faculty and staff component of the university's Leading Together campaign, Dr. Sahrmann is focused on a big goal: to further advance the university's mission among those who know it best. She says that for the university to succeed, it must increase support for scholarships, fellowships, research, and programs. Dr. Sahrmann has been investing in the School of Medicine for many years. She sponsors the annual Movement System Scholarship and several years ago established the Shirley A. Sahrmann Endowed Scholarship Fund, both in the Program in Physical Therapy. To help ensure the program's success, she recently made an estate commitment for continued support of scholarships and a lectureship in physical therapy.
In episode 230. join us for part two with Dr. Shirley Sahrmann. She and her colleagues have developed the movement system impairment syndrome approach. She’s been a leader and advocates for physical therapy over the last 60+ Years. She shares her thoughts on comparison and contrast of her approach with others including MDT. She also shares advice for us to promote ourselves and our profession and more. This week on MCF!
In episode 229 I’m joined by Dr Shirley Sahrmann. She’s a physical therapist of more than 60 years. Along with her colleagues, she’s developed the Movement System Impairment Syndrome method. She shares some of their professional journeys, her views on physical therapy and even her opinion of the contrasts of her system versus others, including MDT. This week on MCF!
It’s Monday, February 5th, and we’re gearing up for a government funding vote that could decide the fate of the therapy cap. We’ve got some updates today on the APTA House of Delegates and the World Congress of Physical Therapy symposium. We review some heavyweight supporters of Therapy Cap repeal, and overview a study that examines the cost effectiveness of PT for LBP. Also, guest correspondent Ashley Alagna sits down with Shirley Sahrmann to discuss PT branding. Talus Media News is a subsidiary of Talus Media: PT Views & PT News. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
Ashley Alagna attends the Academy of Pediatric Physical Therapy Annual Conference and speaks with Shirley Sahrmann PT, PhD, FAPTA, the conference's keynote speaker. Ashley and Dr. Sahrmann speaks on the movement system as the identity of physical therapy and how we as physical therapists can promote our profession to the public. Talus Media Talks is a subsidiary of Talus Media: PT Views & PT News. You can find physical therapy news on our sister channel, Talus Media News. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.
This month we had the opportunity to record an hour long minute interview with Shirley Sahrmann whose commitment to our profession is truly inspirational. Shirley’s career spans over 50 years from the polio era to the current day, during which time she has focused on encouraging the profession to adopt the Movement System as our professional identity. In this interview Shirley talks about her work and how she came to focus on movement as an important part of managing patients. Shirley discuss how physical therapists and physiotherapists need to realise that they are the Movement System experts, how we should use diagnostic categories to inform treatment and strengthen our profession, and how we should become lifespan practitioners. We didn’t talk about her book but Shirley is also the author of the book ‘Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines’. So sit back and prepare to be encouraged to adopt the movement system as your professional identity…
Dr. Shirley Sahrmann, discusses movement precision and movement impairment syndromes
“Physical Therapists are the best suited clinicians to assess and treat the movement system” says Washington University (School of Medicine in St. Louis) Department of Physical Therapy Professor Shirley Sahrmann. Physical therapist and Assistant Professor, Dr Sylvia Czuppon (@czuppons), asks the questions. Timeline 0:30 mins - What differentiates elite athletes’ movement patterns from that of ‘normal’ people and of those with abnormalities? 2:00 mins - Why physical therapists are best suited to keeping the movement system functioning optimally 3:08m - The concepts of relative stiffness, relative flexibility – Professor Sahrmann’s Movement System Impairment approach 4:30m - How to perform muscle length assessment 5:45m - The spring-like behavior of muscles – a key contributor to abnormal movement patterns 6:40m - Hypertrophy of muscles increasing the stiffness of muscles and thus increasing passive stiffness: “It’s not just about muscle shortness” 8:00m - The role of microinstability and abnormal accessory movements contributing to pain. Practical examples including a case of tight Tensor Fascia Lata illustrating the concept that the body takes the path of least resistance 10:30m - Clinical reasoning in a patient with groin pain. Are there abnormal accessory movements? 13:00m - Practical tips on the assessment of a patient with FAI – femoroacetabular impingement 14:30m - Common musculoskeletal exam errors by young clinicians – what NOT to do 16:00m - The difference between the novice and expert in movement pattern examination 18:00m - Physical therapists as lifespan practitioners – and movement is critical to health across the lifespan. Physical therapists – optimising movement to enhance the life experience 19:00m - A call for physical therapists to “take back exercise”. Of course this is much more powerful than passive therapies Other links Professor Sahrmann’s Movement System Impairment Syndromes Courses: http://ow.ly/SFnWl Professor Gwen Jull on managing neck pain - http://ow.ly/SFooy Professor Paul Hodges on the balance between mobility and stability – http://ow.ly/S4UKE Please feel free to suggest links via @BJSM_BMJ or email karim.khan@ubc.ca The Movement System Impairment (MSI) syndromes were developed by Shirley Sahrmann, PT PhD and her colleagues at Washington University Program in Physical Therapy. These syndromes are described in her books, Diagnosis and Treatment of Movement Impairment Syndromes and Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spine.
Charlie Weingroff, DPT, ATC Physical Therapist Certified Athletic Training Strength & Conditioning Coach Topics Covered in this Podcast 1. How Charile got into the field2. The rationale behind Training = Rehab, Rehab = Training3. Where we are getting it wrong when it comes to integrating scopes of practices4. How and why training works (and doesn’t ) in a military setting.5. Recovery as it relates to performance6. Making the most of assessment tools 7. The Best rationale behid the FMS I've heard8. The idea of Joint Centration for Performance9. The 5 exercise Drill10. Why the Box Squat is beneficial11. Advice for young coaches, PTs, etc.12. How to contact Charlie The Charlie Weingroff File Charlie is a Doctor of Physical Therapy, a Certified Athletic Trainer, and a Certified Strength and Conditioning Specialist. He was most recently the Director of Physical Performance and Resiliency and Lead Physical Therapist for the United States Marines Corps Special Operations Command in Camp Lejeune, NC. He is also Director of Clinical Education for the Vibraflex Whole-Body Vibration and Andante Medical, the makers of the SmartStep, mobile force plate. He graduated from Ursinus College with a degree in Exercise and Sports Science in 1996, and went on to earn an MSPT in 1999 and DPT in 2010 from the University of Medicine and Dentistry of New Jersey. Prior to returning to his home state of New Jersey in the Fall of 2006 after 12 seasons of professional basketball, he was the Head Strength & Conditioning Coach and Assistant Athletic Trainer for the Philadelphia 76ers in the NBA. Among the highlights of his tenure in Philadelphia was being part of the medical staff that ranked 1st in the NBA in Player Missed Games in the 2005-06 season. Through rehabbing patients, he subscribes to a movement-based approach popularized by the works of Dr. Vladimir Janda, Dr. Shirley Sahrmann, Dr. Stuart McGill, and Gray Cook. In training athletes and clients, he champions the principles of the Functional Movement Screen and sound, evidence-based training principles. Some of the methodologies Charlie is formally trained in include DNS, ART, Dry Needling, Graston, FMS/SFMA, and the RKC. Aside from working with patients, athletes and clients, he is also under the bar himself. In 2007, he achieved AAPF Elite status in the 220 weight class with a total of 1915 pounds. His best powerlifting competition total is 800 squat, 510 bench press and 605 deadlift. Currently Charlie is training and rehabbing clients of all types at Drive495 in Manhattan, NYC and Fit For Life in Marlboro, NJ. Charlie often teaches and speaks internationally and consults regularly with Nike, the Roddick-Lavalle Tennis Academy, Perform Better, and Equinox Fitness Clubs. Charlie lives with his wife, Kristen, and dog, Rumble, in NJ. You’re welcome to email him at charlie@charlieweingroff.com with questions for the Q&A section, to offer a comment, or to discuss a potential workshop at your facility. http://www.elitefts.net/ http://charlieweingroff.com/
Dr. Shirley Sahrmann is a retired Physical Therapist and Professor emeritis of Physical Therapy, Cell Biology and Physiology, and also of Neurology at Washington University in St. Louis School of Medicine. She received her Bachelors degree in Physical therapy and her Masters and PhD in Neurobiology from Washington University in St. Louis. Shirley is the author of Diagnosis and Treatment of Movement Impairment Syndromes, which is a great resource for clinicians. Shirley has also received many awards and honors during her career. She was named the Catherine Worthingham Fellow of the American Physical Therapy Association and received the Association's John H.P. Maley Lecture and Mary McMillan Award, the highest honor of the association, Marion Williams Research Award, the Lucy Blair Service Award, the Kendall Practice award, and the Bowling-Erhard Orthopedic Clinical Practice Award from the Orthopaedic Section of the APTA. Dr. Sahrmann has also been honored with the Washington University's Distinguished Faculty Award, the School of Medicine's Excellence in Clinical Practice Award, as well as an honorary doctorate degree from the University of Indianapolis. Shirley is with us today to tell us about her journey through life and science.
Highlights of Episode 82 "Hit the Gym with a Strength Coach"- Robb Rogers on training the Tactical Athlete- Assessment, Program Design and Challenges. Check out Robb's site- CoachRobbRogers.com "The Coach's Corner with Coach Boyle"- Coach Boyle talks about Shirley Sahrmann; His "2 Day Spring Program at MBSC"; Max Shank's "80% Rule" and much more"Ask the Equipment Experts with Perform Better" - Chris Poirier talks about a new Summit called The Meeting of the Minds. "The Business of Fitness" with Results Fitness - Rachel Cosgrove talks about "Marketing Consistently" "The Art of Coaching with Athletes' Performance"- Nick Winkelman talks about "Error Identification and Correction""Ask Functional Movement Systems"- Mike Contreras from the Orange County Fire Department talks about Implementing the FMS with the Fire Department. "Subscribe at iTunes" and Get Automatic Updates If you want to save this podcast to your computer so you can import it into your Ipod or MP3 player, Right Mouse Click to Download Now (for Mac users, press Control and click)
Brought to You by Perform Better Click here to Listen Now Highlights of Episode 6 The Coach's Corner with Coach Boyle Interview with Coach Boyle about **What's new at StrengthCoach.com **Forum Hot Topics- His take on: -The Myth of Core Stability -Jump Squats -Glute Activation -Rest Periods for Plyometrics Sign Up Now for The Michael Boyle Strength & Conditioning Winter Seminar on January 26 in Winchester, MA Only $99!! Check Out Coach Boyle's Newest DVD Ask the Equipment Experts at Perform Better Jamie Harvie joins us to answer your questions. This week he gives us the lowdown on the differences between Medicine Balls. If you have a question for the experts at Perform Better you can send them to Chris.Poirier@performbetter.com Hit the Gym with the Strength Coach Eric Cressey, Owner of Cressey Performance Co-Author of Magnificent Mobility, Building The Efficient Athlete and The Ultimate Off-Season Training Manual Eric goes over **Versatility in Programming- How to Get a Training Effect in Spite of Common Injuries **The Mistakes Trainers Make When Training Shoulders **His 9 Point Checklist When Looking at Shoulder Health **His latest work with common low back injuries Performance Nutrition Tips This Episode's Nutrition Expert: Dr. John BerardiPresident and Nutrition Director of Precision Nutrition This Week's Tip: Dr. Berardi talks about Supplementation "Ask Gray Cook" Gray Cook Answers questions about his methods posted on the StrengthCoach.com Forum This episode, Gray answers the question: "Why does Shirley Sahrmann encourage elevated shoulders when we lift our arms above our heads, but Gray and Brett call it the 'bad position" in "Secrets of the Shoulder"? Lifting and keeping shoulders depressed is "scapula depression syndrome" in Sahrmann's book." Check out Gray's Website, FunctionalMovement.com Listening To listen right here, just look to the right and you will see a Podcast Player. Pick an episode and press play, it's as simple as that. If you want to save this podcast to your computer so you can import it into your Ipod or MP3 player, right mouse click (for Mac users, press Control and click) under the "Direct Download"link below and click "Save Link As..." Direct Download Right Mouse Click Here Direct download: Episode_6-_Strength_Coach_Podcast.mp3 Category: podcasts -- posted at: 11:06 AM
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