Personalized Assessment. Leslee Bender, FAFS Fellow of Applied Functional Science

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1 Personalized Assessment Leslee Bender, FAFS Fellow of Applied Functional Science

4 What is Function? Optimal Function Is DOING everything that the INDIVIDUAL needs and wants to do, efficiently. is HOMEOSTASIS, the tendency toward a relatively stable equilibrium between interdependent elements is HEALTH, a dynamic efficient energy exchange between the individual and everything in creation (nature).

5 What is the CORE? The CORE is you entire torso including your internal organs Both anterior and posterior/lateral muscles TA supportive system RA/ES sagittal Oblique's/ frontal and transverse

6 An Olympian!

7 Why we have weak cores Sitting for long periods of time over a computer always in flexion Poor body mechanics Bad core training techniques

ghost and STRUCTURE without function is a corpse Stephen

8 CORE Complex Imbalances above and below will show up in the CORE Gravity Reaction force FUNCTION without structure is a ghost and STRUCTURE without function is a corpse Stephen Wainwright and Steven Vogel, biologists Mass (weight) Momentum

9 Antiquated testing protocol for core Do 100 crunches Go faster Brace Push till it hurts! You are working lower abs!!

10 Where do we start? The test is the exercise and the exercise is the test Dr. Gary Gray PT, FAFS

11 1. Subjective 1. Bio-individuality! a) LISTEN Your client/patient will teach you everything you need to know, just listen! Use your history forms as a guide Use open ended questions How are you feeling today Tell me from the beginning about how your discomfort developed b) DIRECT Straightforward approach, advise, telling client/patient how c) GUIDE Goes down the middle of LISTEN and DIRECT a good guide knows what is possible and can offer you alternatives from which to choose. 1. Action 2. Environment 3. Position 4. Driver 5. Direction 6. Height 7. Distance 8. Load 9. Rate WHAT IS THE CLIENTS FUNCTIONAL THRESHOLD? 10. Duration

12 2. Global: Fundamental Walking (gait) Gait: (walking, jogging, running) is the way locomotion is achieved using human limbs. Human gait is defined as bipedal, biphasic forward propulsion of center of gravity of human body, in which there is alternate movements of differing segments of the body with least expenditure of energy. AFS a series of steps in locomotion. 1. Action Squatting 2. Environment Floor 3. Position Standing 4. Driver Feet, Hands 5. Direction Anterior 6. Height Self select 7. Distance Self select 8. Load Bdwt 9. Rate Self select Keep in mind EFFECIENT MOVEMENT is a synchronous action with disassociation It is a sequence of segments within a given function 10. Duration Self Select

Position Standing 4. Driver Alternate Hand 5. Direction Common and Uncommon 6.

13 2. Global: Fundamental Reaching To put forth (a body part); extend or move away from. AFS to move a driver to a spot in 3D space. 1. Action Reaching 2. Environment Floor 3. Position Standing 4. Driver Alternate Hand 5. Direction Common and Uncommon 6. Height Shoulder to Overhead 7. Distance Self select 8. Load Bdwt 9. Rate Self select 10. Duration 12 repetitions

Excursion the movement of something along a path or through an angle. 1) Goldilocks 2) Dorsiflexion 3) Plantarflexion 4) Inversion 5) Eversion 6) Supination 7) Pronation 3. Local: Isolated 1.

14 Excursion the movement of something along a path or through an angle. 1) Goldilocks 2) Dorsiflexion 3) Plantarflexion 4) Inversion 5) Eversion 6) Supination 7) Pronation 3. Local: Isolated 1. Action Excursion 2. Environment Floor 3. Position Standing 4. Driver Knee 5. Direction Common to uncommon 6. Height Self select 7. Distance Self select 8. Load Bdwt 9. Rate Self select 10. Duration 5 repetitions

15 3. LOCAL: Structural Specific Excursion the movement of something along a path or through an angle. 1. Spine Flexion 2. Spine Extension 3. Spine Lateral Flexion 1. Action Excursion 2. Environment Floor 3. Position Standing 4. Driver Trunk 5. Direction Select desired reaction 6. Height Self Select 7. Distance Self select 8. Load Bdwt 9. Rate Self Select 10. Duration 5 reps each

16 3. LOCAL: Structural Specific Excursion The movement of something along a path or through an angle. 1. Spine Flexion 1. Action Spine Flexion 2. Environment Floor 3. Position Standing 4. Driver Pelvis 5. Direction Anterior VS. 6. Height n/a 7. Distance Select 8. Load Bdwt 9. Rate Elastic recoil 10. Duration 10 repetitions

17 4. Plan / Management Plan / Management: Correlate all findings searching for a PATTERN that will guide the management of each individual. The goal is always to create a greater efficiency between structure and function. 1) STEP 1: Collect info from client/patient regarding THEIR FUNCTION (SUBJECTIVE) 2) STEP 2: Identify THEIR skills/tasks needed-wanted (GLOBAL) 3) STEP 3: Identify what fundamental movements are required to improve the needed skills/tasks (GLOBAL) 4) STEP 4: Identify local considerations if applicable (LOCAL) 5) STEP 5: Integrate information from steps 1-4, design movement sequence to assess quality. Based on reaction manipulate for success using the ten observational essentials. (PLAN/ MANAGE) A program that fails to differentiate, fails to give effective help Ida P. Rolf, Ph.D

18 Example Individualized Program Design Name: Foot Ankle Date: February 22, 2013 Phase: Foundational Week 1 Movement Design Notes 1. Local: Calf lengthening.wall as tool Focus on dorsi flexion 2. Local: Excursion, floor, stand, trunk, bdwt, slow to moderate, 20 reps Use as a warm-up for upcoming demands Each time through use as a stretch to traction spine 3. Global: Walking/Reaching, outdoors, hands, common, shoulder to overhead, as 1 min on =reaching load, 3 min off no reaching far as controlled, db s, moderate, 1 min on 3 off Reach needs to stimulate core reaction 4. Local: Spine Flexion, ball, supine, trunk, anterior, DB s, slow 20 rep plank Change direction each time through circuit 5. Global: Cycle, stationary bike, seated, legs, anterior, fast, 3 min This is a fast/sprint for 3 min to increase metabolic rate Perform 1-5 in a circuit format, each time changing variable to fit the success of client reaction. Action Environment Position Driver Direction Height Distance Load Rate Duration

Summary 1. 4-components that function as a circular-interplay 2. 10 movement observational possibilities 3.

19 Summary 1. 4-components that function as a circular-interplay movement observational possibilities 3. NO such thing as a good/bad exercise, ONLY wrongly recommended 4. Always use individual SUCCESS as your guide to start and progress A PART can never function well unless the WHOLE is well. -Plato

21 THANK YOU!!! For more information on Gray Institute products, please visit our booth or go to:

6.4 The Ankle. Body Divided into Planes. Health Services: Unit 6 Arms and Legs. Body Movement Vocabulary

6.4 The Ankle. Body Divided into Planes. Health Services: Unit 6 Arms and Legs. Body Movement Vocabulary 6.4 The Ankle Body Movement Vocabulary When fitness professionals refer to movement of the body, the pattern of movement is described from the anatomical position This position can best be described as