2002 Functional Design Systems
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- Octavia Kristin Ferguson
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1 1. Respect is understanding that everyone s mind, body and spirit is unique 2. How our body functions is three dimensional... it is a neurological, muscular, skeletal system... the neuromusculoskeletal system 3. Anything the body does involves the proprioceptors 4. We can tweak our analysis, rehabilitation, and our training and conditioning to emphasize the proprioceptive system 5. Those who don t hear the music believe the dancer s mad 6. Proprioceptors immediately give evidence of their abilities 7. To attack the proprioceptors we need to gradually tweak outside their preferred patterns 8. Tweakology is funology 9. Transforming through the Chain ReactionTM proprioceptive drill is a result of understanding function 10. Proprioceptive training creates flexibility of the system to get it done right and efficiently 11. Proprioception falls within the litmus test of function 2002 Functional Design Systems
2 v3.8 PROPRIOCEPTORS The Spirit of Function By: Gary Gray, PT OBJECTIVES FOR THE PROPRIOCEPTORS FUNCTIONAL GUIDE To assimilate up-to-date information and knowledge about the proprioceptors. To learn how to apply effective functional techniques when testing, training and rehabilitating the proprioceptors. To understand and appreciate the tri-plane Chain ReactionTM principles as they apply to the proprioceptors. HOW TO USE THIS FUNCTIONAL GUIDE This functional guide can be used as a convenient summary of the program s contents to take with you after viewing. You can also use this guide as a notebook; space has been provided so that you can make notes on relevant tracts as you watch them.
3 STRATEGY 1 Strategically appreciating the three dimensional uniqueness of everyone s mind, body and spirit STRATEGY 2 Strategically understanding how the proprioceptors are the spirit of function STRATEGY 3 Strategically gaining an in-depth understanding of the function and integration of each type of proprioceptor STRATEGY 4 Strategically adding progressive functional conflict to enhance analysis, rehabilitation and training skills
4 STRATEGY 5 Strategically expanding the thresholds of success STRATEGY 6 Strategically training and conditioning to facilitate proprioceptive reaction STRATEGY 7 Strategically taking advantage of our transformation abilities with the golf swing STRATEGY 8 Strategically realizing the miracle of the proprioceptors
5 Life is three dimensional The body moves in three dimensions... in three planes of motion - - pom poms in the sagittal, frontal and transverse planes Understanding respect is three dimensional... it is mind, body and spirit Respect is understanding that everyone s mind, body and spirit is unique Sign language: I respect your mind, body and spirit Each child is an athlete and is special Donald Duck... RESPECT Sign language: Thank you in all three planes Clapping in all three planes How our body functions is three dimensional... it is a neurological, muscular, skeletal system... the neuromusculoskeletal system The proprioceptors are the spirit of function... it is the magic and the uniqueness of the body In-depth, insight, and transformalized look at the proprioceptors... Who are you and what do you do? Pacinian Corpuscles Live in the fibrous layer of the joint capsule Live on the capsule synovium border Live in all joints... greatest distribution is in the distal joints Respond to high velocity changes in joint position... acceleration and deceleration Respond to rapid contractile events of adjacent muscles Have very low mechanical threshold and are rapidly adapting (the fastest) Golgi-Mazzoni Corpuscles Live along the inner surface of the joint capsule Sensitive to the perpendicular compression of the joint capsule Sensitive to stretching of the joint capsule Have a low mechanical threshold
6 Ruffini Endings Live in the fibrous layer of the joint capsule in extrinsic ligaments Greatest distribution in areas of most compression stress and proximal joint Sensitive to the speed and direction of capsular stretch Sensitive to amplitude and velocity of joint positional change Sensitive to pressure of intercapsular fluid Amid arresting or postural discharge are static and dynamic Enhance reaction to rotational movements Not as fast as the Pacinian Corpuscles and their nerve connection velocity Golgi Ligament Endings Live in the intrinsic and extrinsic ligaments of joints Most dense at the ligament-bone attachment Sensitive to tension or stretch on ligaments Monitor the position of body segments Full spectrum mechanical threshold... low to high mechanical thresholds Golgi Tendon Organs Live near the musculotendonous junction Respond to contraction and stretch of the muscle Have a relative sensitivity Muscle Spindles Concentrated in the middle of the muscle belly Sensitive to the amount and rate of change in the length of muscles Provide kinesthetic sensibility by measuring dynamic response, adaptation and linear directionality Participate in the regulation of muscular stiffness Joint mechanoreceptors project directly onto the muscle spindle system and set the ongoing threshold of the spindle gamma efferent neurofibers Has a sensor and a motor Proprioceptors will always remain somewhat of a mystery, just as our spirit is definitely there, but a pure miracle in itself Chain ReactionTM proprioception I respect your mind, body and spirit
7 Special thanks to Brad Gray Anything the body does involves the proprioceptors We can tweak our analysis, rehabilitation, and our training and conditioning to emphasize the proprioceptive system Keeping our eyes and our minds on the hats Challenging the proprioceptors to get to the functional threshold When we move it is always tri-plane... but we can emphasize a certain plane or planes Gait Evaluation with Gait Tweaks Leg drivers and arm drivers Long stride, bilateral arm transverse plane drive (rotation opposite pelvis) Long stride, bilateral arm transverse plane drive (rotation same as pelvis) Toe in, bilateral arm transverse plane drive (rotation opposite pelvis) Toe out, bilateral arm transverse plane drive (rotation opposite pelvis) Toe in, bilateral arm transverse plane drive (rotation same as pelvis) Toe out, bilateral arm transverse plane drive (rotation same as pelvis) Can I get Brad to the threshold of his successes... always building upon his successes Unilateral balance, opposite leg, sagittal plane drive Unilateral balance, opposite leg, sagittal plane drive, with bilateral arm frontal plane overhead drive Unilateral balance, opposite leg, frontal plane drive Unilateral balance, opposite leg, frontal plane drive, with bilateral arm overhead posterior drive Unilateral balance, opposite leg, frontal plane drive, with same side arm overhead posterior drive, and opposite side arm frontal plane drive Unilateral balance, opposite leg, frontal plane drive, with bilateral arm rotational drive Unilateral balance, opposite leg, frontal plane drive, with same side arm overhead posterior drive, and opposite arm rotational drive Unilateral balance, opposite leg, same side rotational drive Unilateral balance, opposite leg, same side rotational drive, with bilateral arm overhead posterior drive
8 Unilateral balance, opposite leg, same side rotational drive, with bilateral arm overhead posterior drive, with cervical rotation Unilateral balance, opposite leg, opposite side rotational drive Unilateral balance, opposite leg, opposite side rotational drive, with bilateral arm overhead posterior drive Unilateral balance, opposite leg, opposite side rotational drive, with bilateral arm overhead posterior drive, with eyes closed Unilateral balance, bilateral arm sagittal plane drive Unilateral balance, bilateral arm frontal plane drive Unilateral balance, bilateral arm transverse plane drive Unilateral balance, same side arm frontal plane drive, with opposite side arm sagittal plane drive Unilateral balance, same side arm frontal plane drive, with opposite side arm sagittal plane drive, with opposite leg posterior drive in sync, with opposite side arm sagittal plane drive Unilateral balance, bilateral arm transverse plane drive Unilateral balance, same side arm transverse plane drive, with opposite side arm frontal plane drive Unilateral balance, opposite leg opposite rotational drive, with opposite side arm sagittal plane drive and same side arm transverse plane drive The more differentiation patterns, the more integrated movement strategies, the more successful efficiencies we find, the more function we facilitate
9 Analysis and Rehabilitation (cont ) Unilateral balance knee flexion/excursion Unilateral balance knee flexion/excursion, with bilateral arm sagittal plane drive Unilateral balance knee flexion/excursion, with bilateral arm frontal plane drive Unilateral balance knee flexion/excursion, with bilateral arm transverse plane drive Let the body show you what is going on Go right to the subtalar inversion and eversion excursion test Subtalar inversion and eversion excursion with frontal plane arm drives Always attacking hip excursion tests Unilateral balance with same side hip extended, opposite toe touch anteriorly, bilateral arm frontal plane drive The body anticipating patterns... gradually tweak out of the patterns All the things it can be The Stretch MatrixTM... lunges with reaches Anterior, lateral, posterior/lateral rotational lunges Anterior, lateral, posterior/lateral rotational lunges, with bilateral overhead posterior drives Anterior, lateral, posterior/lateral rotational lunges, with bilateral arm same side frontal plane drive Anterior, lateral, posterior/lateral rotational lunges, with bilateral arm opposite side frontal plane drive Anterior, lateral, posterior/lateral rotational lunges, with bilateral arm same side transverse plane drive Anterior, lateral, posterior/lateral rotational lunges, with bilateral arm opposite side transverse plane drive Forced to begin isolation while in an integrated position and with integrated motions Function properly challenged, properly tweaked, enhances function Constantly concentrating on the proprioceptors
10 Debrief with Bob Wiersma, Executive Director, Functional Rehabilitation Network - The gift of hanging out with my sons and their great mother - How do we attack those little critters... I am a hoser - A concentrated hose... nozzling it down - The proprioceptors are an integrated mess by design - Free proprioceptive training with all that we do - The ridiculousness of training for walking and running while sitting, according to the proprioceptors - Engaging the proprioceptors... you better know your Chain ReactionTM biomechanics - Those who don t hear the music believe the dancer s mad - Proprioceptors immediately give evidence of their abilities - The phone lines are always in... we need to make the proper phone calls - We want to prove, that same day, our patients and clients are better - It is the mystical proprioceptors - To attack the proprioceptors we need to gradually tweak outside their preferred patterns - Immediate expectations - Greatest mistake... taking our patients and clients beyond their threshold of successes - Creating too much functional instability - Over-tweaking not based on biomechanical logic - Feed in and then add conflict in a progressive and successful manner - Functional documentation is a documentation of proprioception - The need for functional outcomes needs to be a result of functional assessment and functional rehabilitation - Proprioceptors are designed to enhance pure function - Proprioceptors get functionally confused when we introduce non-functional conflicts - Keep our performance focus in front of our process focus - The performance and process need to match up - The proprioceptors are truly the spirit of function - Thanking Bob for his wonderful spirit
11 Gary Gray s opportunity to train and condition with Brad to excite some proprioceptors Shuffle Lunge Matrix Anterior/posterior with floor reach Right lateral/left lateral with floor reach Right rotational/left rotational with floor reach Anterior/posterior with overhead posterior reach Right/left lateral with overhead posterior reach Right rotational/left rotational with overhead posterior reach Anterior/posterior with same side rotational reach with cervical rotation Right lateral/left lateral with same side rotational reach with cervical rotation Right rotational/left rotational with same side rotational reach with cervical rotation 3 Hop Matrix Anterior/posterior Lateral/medial Right rotational/left rotational Anterior/posterior with cervical sagittal plane drive Lateral/medial with cervical sagittal plane drive Right rotational/left rotational with cervical sagittal plane drive Anterior/posterior with eyes closed Lateral/medial with eyes closed Right rotational/left rotational with eyes closed BOSU Lunge Matrix Anterior Lateral Rotational BOSU Toe Touch Lunge Matrix Anterior Lateral Rotational BOSU Toe Touch Lunge Matrix with Eyes Closed Anterior Lateral Rotational BOSU Step Over Matrix
12 BOSU Step-Up Jump Matrix BOSU Step-Up Jump Matrix with Cervical Rotation BOSU Step Up Jump Matrix with Cervical Rotation with Shoulder to Overhead Alternate Same Side Lateral Reaches BOSU Jump Matrix BOSU Jump Matrix with Eyes Looking at Ceiling BOSU Jump Matrix with Cervical Rotation with Alternate Punches at Shoulder Height BOSU Jump Matrix Reaction BOSU Unilateral Balance with Knee Flexion Excursion with Shoulder to Overhead 3D Reach Matrix BOSU Unilateral Balance with Arms Overhead with Cervical Rotation with Eyes Closed Making sure you don t out-tweak yourself Functional Efficiency Gary letting Brad know how much he respects his mind, body and especially his spirit
13 Can you tweak the thing to make the thing better? Bilateral Dyna Disc Stance with Golf Swing Cervical Rotation with Golf Swing Cervical Flexion/Extension with Golf Swing Cervical Lateral Flexion with Golf Swing Blindfolded with Golf Swing
14 Hitting the Moving Golf Ball From anterior/left lateral vector From posterior/left lateral vector From right lateral vector Tweakology is funology Developing a new confidence Transforming through the Chain ReactionTM proprioceptive drill as a result of understanding function
15 RESEARCH ROUNDTABLE WITH DR. DAVID TIBERIO Fitzpatrick P, Carello C, Turvey MT. Eigenvalues of the inertia tensor and exteroception by the muscle sense. Neuroscience, 1994, 60: Turvey MT, Shockley K, Carello C. Affordance, proper function, and the physical basis of perceived heaviness. Cognition, 1999, 73:B17-B26. Shockley K, Carello C, Turvey MT. Metamers in the haptic perception of heaviness and moveableness. Perceptual Psychphysics, 2004, 66: We are always doing proprioceptive training Proprioception falls within the litmus test of function Haptic proprioception Muscle based perception in all three planes How did it know that? Needing to be in the functional position Creating a conflict with prism glasses Haptic perception and proprioception being at the levels of synergists Foot tactile sensors compliment the leg proprioceptors The load of a weight, the torque of a weight, relative to the proprioceptors
16 Creating too much of a conflict... always a fear we have Proprioceptively creating the flexibility of the system to get it done right and efficiently Reaching versus reaching for something Discussion of a proprioceptive neuropathy Proprioceptive Neuropathy preceding the osteoarthritis The phone lines are still in and we have to turn them on Chain ReactionTM compensation of proprioceptors Bring all of the movement tweaks, the dimension tweaks, and the influence tweaks Getting the Cheat Tweak Sheet and then measuring my patients and clients responses This stuff is testable Not having full understanding of anything and pretending to have some insight What a blessing Dave Tiberio is to me
2002 Functional Design Systems
1. When in doubt go to the point of transformation and understand what is really happening at that time in all three planes 2. The drivers of FMR... gravity, ground reaction force, massive momentum, purposeful
2002 Functional Design Systems
1. Retro rehabilitation and training may have its greatest influence and power with consideration of the proprioceptive reaction. 2. We can transform our Retro/posterior analysis information into what
2002 Functional Design Systems
1. Tweakology is creating the proper functional variability to create the most optimal fun and functional environment for analysis, rehab, training and conditioning and even dancing 2. If we know function
2002 Functional Design Systems
1. We need to seek transformation but we cannot create it ourselves... it is a grace gift 2. Focusing on the and what happens just prior to and after the 3. The is where the action is and where the reaction
2002 Functional Design Systems
1. Function starts to scratch it s head when it is looking for the value of on-ground training for those who function primarily upright. 2. Rarely do we hold or statically plank... we are task oriented
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1. The trunk is one of the most complicated areas of the body to functionally understand because it consists of so many core muscles. 2. The trunk is truly the crossroads of the body. 3. The trunk, and
2002 Functional Design Systems
1. Our programs need to be three dimensional in that they are homeworkable, homeplayable and homerestable 2. As professionals in function we are trainers, therapists, teachers, coaches and cheerleaders
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2002 Functional Design Systems
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