Movement. Mapping. Medical Marketing. Danny porcelli, dc. Introduction:

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Mapping Movement Medical Marketing Danny porcelli, dc 1 Introduction: Preparation cut 3 small strips for each person one to play around with, one to apply to their forearm Cut big daddy belts

Preparation 2 samples strips big daddy Surrounded myself with some very smart people this is going to help advance the RT/PTM program More than a technique it s a methodology (Assess Tape

1 Mapping Movement Medical Marketing Danny porcelli, dc 1 Introduction: Preparation cut 3 small strips for each person one to play around with, one to apply to their forearm Cut big daddy belts for everyone for thoracolumbar fascia 1st small strip to play with on early slides Have attendees tape their own knees and bottom of one foot. Same side is great. Preparation 2 samples strips big daddy Surrounded myself with some very smart people this is going to help advance the RT/PTM program More than a technique it s a methodology (Assess Tape Train Reassess) New paradigm in movement evaluation, treatment, and performance care longitudinal anatomy integrated anatomy Performance Care Practice giving you another sector of the population we can target with this method

2 somewhere, something went terribly wrong 2 We have a lack of movement pandemic and even worse we are teaching our kids to move less and less. Society has been set up in America to rely on cars Hip won t extend Body recruits hamstring to extend hip. Having the load of hip extension has the hamstring exposed to injury and doesn t allow for hamstring to do what it is supposed to do, which is stabilize the knee. This helps restore quad/hamstring ratio Next Slide 5 years

4 Brazilian researchers discovered an interesting link between a person s ability to sit and rise from the floor and the risk of being 6.5 times more likely to die in the next six years. Brito LBB, Ricardo DR, Araujo DSMS, et al. Ability to sit and rise from the floor as a predictor of all-cause mortality. European Journal of Cardiovascular Prevention, 2012; Get up off the floor Brazilian researchers discovered an interesting link between a person s ability to sit and rise from the floor and the risk of being 6.5 times more likely to die in the next six years. The study, published in the European Journal of Cardiovascular Prevention, included a simple test in which more than 2,000 people ages 51 to 80 attempted to sit down on the floor and then stand back up using as little support as possible. The test used by the researchers required people to sit on the floor from a standing position and then return to a standing position. Speed wasn t a factor in the scoring, but support was. The more support a person required including bracing with a hand or knee or both the lower the score for each action. A perfect score of five for each action (sitting and standing) was the goal. Points and half points were deducted for things like touching a hand or knee on the ground or pushing off with a hand on one knee to stand up. Looking wobbly on the way up or down cost participants half a point. More than half the participants ages 76 to 80 failed the tests, scoring 0 to 3. Not surprising around 70 percent of those under 60 earned a near perfect or perfect score of 8, 9, or 10. People who scored 0 to 3 were 6.5 times more likely to die during the course of the 6.3 year study, compared to people who scored from 8 to 10. Those with scores of 3.5 to 5.5 were 3.8 times more likely to die as the high scorers and those who scored in the 6 to 7.4 range were 1.8 times more likely to die than those with the highest scores. During the course of the study 159 of the 2,000 volunteers died, with the majority of the deaths coming from the group that had the most trouble getting up and down. Just two subjects that scored 10 died in the follow-up of about six years, said Claudio Gil Soares de Araújo, a professor at Gama Filho University in Rio de Janeiro who worked on the study. If someone between the ages of 51 and 80 scores 10, the chances of being alive in the next six years are quite good, he said. A 1-point increment in the [sitting-rising] score was related to a 21 percent reduction in mortality," reported the investigators who noted this is the first study to demonstrate the prognostic value of the sitting-rising test, said Araújo. The ease with which a person stands and sits clues doctors in to a person s ratio of muscle power to body weight. But the researchers say there are other relevant issues. It is well known that aerobic fitness is strongly related to survival, but our study also shows that maintaining high levels of body flexibility, muscle strength, power-to-body weight ratio, and coordination are not only good for performing daily activities but have a favorable influence on life expectancy, said Araújo.

5 SIX YEAR STUDY 2,000 PEOPLE AGES 51 TO 80. A SCORE OUT OF 10. Instructions: "Without worrying about the speed of movement, try to sit and then to rise from the floor, using the minimum support that you believe is needed. Each of the two basic movements were assessed and scored out of 5, with one point being subtracted from 5 for each support used (hand, forearm, knee, for example).

7 159 people died

8 Each point increase in a person's test score was linked with a 21 percent reduction in their risk of death.

9 Moveme nt is our Business 9

10 Movement never lies 10

11 RockTape movement pyramid corrective exercise - Used to normalize human movement before increasing training or exercise demands rock tape - A special kinesiology/sports tape that provides support while allowing full range of motion. Tape is used to decrease pain, unload tissue via decompression, and provide a novel stimulus that improves body awareness. iastm - Instrument - Assisted Soft Tissue Massage - A manual therapy technique designed to provide direct, mechanical manipulation of irregular tissue. rolling/balls/bands - A collection of tools used by athletes for manipulation of the myofascial system to normalize muscle tone. assessment- The act of making a judgment about the quality of human movement screening- The act of examining people to decide if they are suitable for a particular movement or exercise 11

12 MOVE Well FIRST then MOVE Often then LOAD Regularly

13 Evaluate Movement Prior to Load/Stress 13 Ice breaker? have everyone squat down - ass to grass test

14 What is causing abnormal movement? soft tissue neurological joint 14 Here is what you need to know about me. I am going to talk about all 3 Active: Muscle how muscle plays a role in movement and doing a deep dive into our rehab programs and what we are trying to accomplish with the muscle with the exercises we prescribe Passive: The Joint- How motor control is affected by working on the joint, especially with HVLA Neural Motor Control how it rules the roost and how we can providers can use what we do to get better outcomes with our patients by identifying motor control issues and prescribing exercises and using RockTape to affect motor control.

15 Absent trauma, all stiffness is compensatory for instability elsewhere 15

16 Movement never lies. Martha Graham The fascial pathways are interconnected lines of fascia, or connective tissue, that run in various trains throughout our body fascial network drives our movement. Fascia has long been neglected as just the 'white packing stuff' around our muscles

17 Criteria for Optimal Efficiency stiffness compliance 17

18 fascia as our roadmap 18

IT S ALL CONNECTED Phrase: Tension and Integrity Structures that maintain their integrity due primarily to a balance of continuous tensile forces through the structure What does tensegrity have to do

19 IT S ALL CONNECTED Phrase: Tension and Integrity Structures that maintain their integrity due primarily to a balance of continuous tensile forces through the structure What does tensegrity have to do with the human body? The principles of tensegrity apply at essentially every detectable size scale in the body. At the macroscopic level, the 206 bones that constitute our skeleton are pulled up against the force of gravity and stabilized in a vertical form by the pull of tensile muscles, tendons and ligaments (similar to the cables in Snelson's sculptures). In other words, in the complex tensegrity structure inside every one of us, bones are the compression struts, and muscles, tendons and ligaments are the tension-bearing members. At the other end of the scale, proteins and other key molecules in the body also stabilize themselves through the principles of tensegrity.

20 connected both mechanically and neurologically mesoderm old model ectoderm new model 20

nervous system Fascia muscular Pain/ Performan ce Movement articular 21 Patient or athlete presents with either PAIN and/or PERFORMANCE limitation.

21 nervous system Fascia muscular Pain/ Performan ce Movement articular 21 Patient or athlete presents with either PAIN and/or PERFORMANCE limitation. The syndrome typically is evaluated via assessment of the muscular, articular, and movement system, with little regard (until now) with the fascial system. All these systems are governed and controlled by the Nervous system With the PTM system we will focus on the fascial/movement components to pain/performance the only ones that are doing this (Taping Movement NOT Muscles) Research is showing (as we will review) that the tape is affecting the nervous system mostly

past 22 muscles stabilizing and moving the shoulder girdle For over 500 years, anatomy has been classically taught on the isolated muscle theory, focusing on individual muscle structure and function.

22 past 22 muscles stabilizing and moving the shoulder girdle For over 500 years, anatomy has been classically taught on the isolated muscle theory, focusing on individual muscle structure and function. Therapists of all disciplines typically learn origin, insertion, innervation and action of muscles in a isolated environment, with very little regard for their functional effect on movement as a whole. As a result, many sports and rehabilitation taping protocols are based on outdated concepts that muscles work in isolation, rather than applying what we now understand about movement, functional neurology, and the somatosensory system.

future Future 23 Do you know what direction to take to navigate the human body? Do you want a SYSTEM to help find the thieves in our body s that steal movement?

23 future Future 23 Do you know what direction to take to navigate the human body? Do you want a SYSTEM to help find the thieves in our body s that steal movement? Fascial Movement Taping (FMT) is based on the obvious yet largely overlooked concept of muscles acting as a chain. The FMT system utilizes longitudinal anatomy and movement pattern concepts as a guide in the assessment, taping, and training method. FMT was originally developed by Dr. Steven Capobianco, M.A, D.C, DACRB, CCSP. A long term student of fascial and movement anatomy, he has harvested what he learned through the emerging research on the all one fascia concept popularized by the innovative mind of Thomas W. Myers, LMT, NCTMB, ARP in his book Anatomy Trains. With the growing body of evidence supporting the role of the fascial system, we would, as movement specialists, be amiss if we didn t start applying this knowledge to revise what we currently do in our therapeutic and performance practices.

24 what is fascia It s Alive Fascia Senses Richest Sensory Organ Fascia Transmits Force Globally Common myofascial pathways for transmitting stability, strain, and response Distributes strain Continuous interconnected web A GPS system of strain distribution 24

25 Muscular strain is applied along traceable Myofascial Lines Thomas Myers Anatomy Trains 25 Many postural taping applications will follow fascial lines in the body.

26 toe touch test 26 touch toes Bottom of the foot roll with a ball retest

27 27 PBC: Sagittal Plane Control Attachment of tissues from the plantar surface of the foot to the frontal area of the cranium

28 regional interdependence AKA - Joint by Joint Approach 28

29 Regional Interdependence When the assessment is initiated from the perspective of a movement pattern, the clinician is able to identify meaningful impairments that may seem unrelated to the main complaint Wainner, RS, et al. Regional Interdependence: A Musculoskeletal Examination Model Whose Time Has Come. J Orthop Sports Phys Ther 2007;37(11):

30 MOBILITY vs. Stability Joint by Joint Approach Grey Cook & Michael Boyle 30 The body works in an alternating pattern of stable segments connected by mobile joints. If this pattern is altered-dysfunction and compensation will occur. Taping areas of stability loss can help generate proximal stability that optimizes mobility of adjacent regions.

31 Foot Stable Ankle** Mobile Knee Stable Hip** Mobile Pelvis/Sacrum/L-Spine Stable Thoracic Spine** Mobile Cervical Spine Stable Shoulder complex Mobile Elbow Stable Wrist Mobile ** key mobility centers 31

32 mo bil i ty mōˈbilədē/ the ability to move or be moved freely and easily. sta bil i ty stəˈbilədē/ the state of being stable. motor control the systematic transmission of nerve impulses from the motor cortex to motor units, resulting in coordinated contractions of muscles. 32

33 Mobility%Pa+erns%% Motor%Control%Pa+erns%% 33 Mobility patterns = regions to apply manual therapy (joint mobilization, manipulation, soft tissue release) Motor Control Patterns = areas where stability needs to be enhanced (taping + corrective exercises)

34 movement screening methods 34

35 RockTape movement pyramid corrective exercise - Used to normalize human movement before increasing training or exercise demands rock tape - A special kinesiology/sports tape that provides support while allowing full range of motion. Tape is used to decrease pain, unload tissue via decompression, and provide a novel stimulus that improves body awareness. iastm - Instrument - Assisted Soft Tissue Massage - A manual therapy technique designed to provide direct, mechanical manipulation of irregular tissue. rolling/balls/bands - A collection of tools used by athletes for manipulation of the myofascial system to normalize muscle tone. assessment- The act of making a judgment about the quality of human movement screening- The act of examining people to decide if they are suitable for a particular movement or exercise 35 screening is at the base of the movement pyramid

36 How do we evaluate movement? 1. Screen A simple test performed on a large number of people to identify those who have or are likely to develop a specified disease (Higher Level Function) A. Static B. Dynamic 2. Assessment In depth evaluation of a clinical condition. Usually in presence of pain 3. Testing Isolated evaluation

system Using an integrated screen approach, a Health Professional can identify the

37 Movement screen no reliable methods 37 We have many screening techniques to evaluate heart health, but we are lacking in reliable methods to screen movement system Using an integrated screen approach, a Health Professional can identify the muscle imbalance through multiple methods and correlate them to identify the correct solution

38 all movement is a screen 38

Upper Extremity See Functional Assessment Form Evaluate each plane

39 Posture Analysis - STATIC Bio-Checkpoints: 1. Feet 2. Ankle 3. Knees 4. LPHC 5. Scapula/Thoracic 6. Cervical 7. Upper Extremity See Functional Assessment Form Evaluate each plane assess how it deviates from the norm Evaluate each plane at each bio checkpoint Workshop

40 Squat with motion cap video here Movement Analysis - Dynamic

41 multi-planar approach 41

OHS - Normal no shifting of weight arms in line with ears elbow straight trunk & tibia parallel hips past 90 degrees feet parallel 42 Functional Mobility Hip Flexion Hips posteriorly rotate near

contact with hamstrings relative to depth of squat Ankle Dorsal Flexion Heels raise from floor or weight shifted to forefoot near bottom of squat may indicate tight Soleus Shoulder Flexion Bar

42 OHS - Normal no shifting of weight arms in line with ears elbow straight trunk & tibia parallel hips past 90 degrees feet parallel 42 Functional Mobility Hip Flexion Hips posteriorly rotate near bottom of squat compensatory Lumbar Spinal Flexion noted may indicate muscular tightness Gluteus Maximus Adductor Magnus Thighs contact with abdomen relative to depth of squat Knee Flexion Calf contact with hamstrings relative to depth of squat Ankle Dorsal Flexion Heels raise from floor or weight shifted to forefoot near bottom of squat may indicate tight Soleus Shoulder Flexion Bar positioned forward, not directly over feet Scapula Retraction Shoulder girdle posture may also prevent bar from being positioned over directly feet Winged Scapula Protracted Shoulder Girdle Thoracic Spinal Hyperextension Slight kyphosis may also prevent bar from being positioned over directly feet

43 planar dysfunction 43

44 We are looking at skin, not muscles. 44 Brain is getting the most amount of information

45 mobility or stability? 45 cases can get complicated very quickly. we have to do as best we regress the screen into pieces in a simple manner.

46 mobility principles 46

47 Pain Affects Movement Patterns involving pain should be treated with manual therapy techniques. Exercises in that pattern should not be used until the movement is pain free. -Grey Cook, PT

48 principles of mobility 2 levels of restriction 1 joint restriction: CMT - you Banded Distractions - learn today shortening: Foam Rolling soft tissue 2 Ball Release 48

49 villain s accomplice normal tissue adhesions 49

50 mobility What can the joint accomplish without external influence Hinges on the door concept Mobility are the hinges 50

51 Self Myofascial Release (SMR) Increases tactile acuity (kinesthetic sense) Inexpensive massage that your patients can do on their own Alleviate tightness Increase ROM at joints Decrease muscle soreness Maximizing optimal length/tension relationship Relieve joint stress 51

52 rolling the brain When you treat a patient or foam roll yourself and feel better it is the nervous system that you have influenced. It is unlikely that any changes in the mechanical properties of tissues have occurred. You have convinced the nervous system to let you move farther, with greater ease or with greater strength. Thought to stimulate intra-fascial mechanoreceptors which cause alterations in the afferent input to the CNS, leading to a reduction in the activation of specific groups of motor units More widely accepted than the older mechanical models. 52

53 !!!! tissue manipulation palpable tissue response stimulation of mechanoreceptors Hypothalamic tuning Global muscle tone intra-fascial smooth muscles Autonomic Nervous System - Brain!!!!! 53 Schleip R. (2003). Fascial Plasticity A new neurobiological explanation: Part 2. J. of Bodywork and Movement Therapies, 7 (2), Manipulate tissue stimulate mechanorectopr (with soft touch or sheer) Intrafascial smooth muscles can create reaction in Tight trap, apply tape for relaxation

54 RECOVERY/PAIN mobility techniques 1. SCAN tissues targeted within workout. 2. IDENTIFY areas of tenderness/ tightness = TARGET TISSUE 3. HOLD pressure on target tissue for 30 seconds to tolerance = RECOVERY RELEASE 4. Address tissues up/down stream to target tissue = NAVIGATE RUFFINI SCAN + IDENTIFY + RECOVERY RELEASE 54+ NAVIGATE

55 55

56 56

57 Untreated Knee Foam Roll 1 Knee Rock Tape Knee 57

58 mobility - ripple effect 58 By working up and down stream of a target tissue a ripple effect occurs

59 where you think it is, it ain t. Ida Rolf 59

60 Foot Stable Ankle** Mobile Knee Stable Hip** Mobile Pelvis/Sacrum/L-Spine Stable Thoracic Spine** Mobile Cervical Spine Stable Shoulder complex MOBILE Elbow Stable Wrist stable ** key mobility centers 60 The body works in an alternating pattern of stable segments connected by mobile joints. If this pattern is altered-dysfunction and compensation will occur. Taping areas of stability loss can help generate proximal stability that optimizes mobility of adjacent regions.

61 ankle restriction ripple: calf/shin/hamstrings target tissue ankle ripple: foot 61

62 62

63 hip restriction ripple: Q/L, mid-back, lats target tissue hip ripple: hamstrings, quads, calves, foot, shins 63

64 64

65 shoulder restriction ripple: mid-back, lats, pectorals target tissue shoulder ripple: arm, forearm, hand 65

66 66

67 banded mobilizations 67

68 Maitland mobilization categories 1. Grade I: Small amplitude at the beginning of the range of motion (ROM) 2. Grade II: Large amplitude not reaching the end of the ROM 3. Grade III: Large amplitude reaching the limited ROM 4. Grade IV: Small amplitude at the end of the limited ROM 5. Grade V: Small amplitude and high velocity at the end of limited ROM (manipulation or thrust) 68

69 Malignancy in area of treatment Infectious Arthritis Metabolic Bone Disease Neoplastic Disease Fusion or Ankylosis Osteomyelitis Fracture or Ligament Rupture 69

70 Excessive pain or swelling Arthroplasty Pregnancy Hypermobility Spondylolisthesis Rheumatoid arthritis Vertebrobasilar insufficiency 70

71 mobilization vectors + Torque 71

72 3 mobilization vectors 1. glides - perpendicular to joint plane 2. traction - parallel to joint 3. torque - tissue torque applied with mob band Compliments CMT, send them home with 72

73 proximal stability allows for distal mobility 3 points of contact 73 To maintain balance, always maintain 3 points of contact in order to stabilize trunk to allow for optimal relaxation and ROM during mobs

74 anchor 3 points of contact 74

75 Clock Method 75

76 Glide - posterior vector (hip) seconds 76

77 glide - anterior vector (hip) 77

78 glide - lateral vector (hip) 78

79 glide - multi-vector mobilization (hip) 6 o clock 9 o clock 7 o clock 79

80 traction (hip) long axis 80

81 torque 81 arm burn

82 Torque (hip) 82

83 motor control principles Rewiring the Brain 83

84 Pain and Motor Control Motor Control will be distorted and outcomes will be inconsistent when exercise is performed in the presence of pain. Hodges PW Pain and Motor Control: From the laboratory to rehabilitation. Journal of Electromyography and Kinesiology 21 (2011)

85 On the Fence? Stability typically precedes mobility 85

86 Stability ability of a joint system to control movement in the presence of change 86 Charley Weingroff

87 Todays RockTape TOOLS Arsenal 87

88 MOBILIT y vs Stability 88 The body works in an alternating pattern of stable segments connected by mobile joints. If this pattern is altered-dysfunction and compensation will occur. Taping areas of stability loss can help generate proximal stability that optimizes mobility of adjacent regions.

89 Foot Stable Ankle** Mobile Knee Stable Hip** Mobile Pelvis/Sacrum/L-Spine Stable Thoracic Spine** Mobile Cervical Spine Stable Shoulder complex MOBILE Elbow Stable Wrist stable ** key mobility centers 89

90 RockTape movement pyramid corrective exercise - Used to normalize human movement before increasing training or exercise demands rock tape - A special kinesiology/sports tape that provides support while allowing full range of motion. Tape is used to decrease pain, unload tissue via decompression, and provide a novel stimulus that improves body awareness. iastm - Instrument - Assisted Soft Tissue Massage - A manual therapy technique designed to provide direct, mechanical manipulation of irregular tissue. rolling/balls/bands - A collection of tools used by athletes for manipulation of the myofascial system to normalize muscle tone. assessment- The act of making a judgment about the quality of human movement screening- The act of examining people to decide if they are suitable for a particular movement or exercise 90

91 2 ways to affect motor control 1. tape on skin 2. corrective exercise 91

92 92 Fascial Movement Taping (FMT) utilizes Rocktape as its tape of choice. Rocktape is an American-developed, Korean-made product consisting of flexible cotton and nylon fibers and acrylic adhesive that provides the support, stimulation, and resiliency necessary for rehabilitation, injury prevention, postural support and performance enhancement. ROCKTAPE founded/developed by Greg van den Dries

(epidermis, dermis, sub cutaneous tissue with skin ligaments <white diagonal lines>, superficial fascia,top horizontal line, deep fascia, and muscle)

93 tape - mechanical effect 93 See how the tape creates a lift the the layers of fascia (arrow) as compared to the non taped tissue. By creating a biomechanical lift, we can improve (theoretically) the gliding ability of adjacent tissues Show the different layers of tissue (epidermis, dermis, sub cutaneous tissue with skin ligaments <white diagonal lines>, superficial fascia,top horizontal line, deep fascia, and muscle) Show the difference in space between sup and deep fascia post taping. Improving gliding surfaces and potentially improving sensory stimulation of these highly sensitive structures

94 tape - neurological effect 94 Purpose of brains is to control movement

95 much of what we know about pain is based on the skin. In this sense, it mirrors the state of the nervous system. Excerpt From: Dr David S. Butler & Prof. Lorimer Moseley. Explain Pain. Noigroup Publications. ibooks. 95 Excerpt From: Dr David S. Butler & Prof. Lorimer Moseley. Explain Pain. Noigroup Publications. ibooks.

96 96

97 modern rehabilitation/training will be via normalization of sensation, motor control. 97

98 when you are defending, you can t be performing Douglas Heel (Mind and Muscle) 98

99 PAIN CHANGES OUR MOVEMENT SO ITS CRITICAL TO DOWNGRADE PAIN (VIA TAPE) BEFORE WE START MOVING BETTER Chronic nociception alters autonomic and motor output, making proper

99 99 PAIN CHANGES OUR MOVEMENT SO ITS CRITICAL TO DOWNGRADE PAIN (VIA TAPE) BEFORE WE START MOVING BETTER Chronic nociception alters autonomic and motor output, making proper central movement control impossible. This shift in thinking is to stop trying to restore normal motor control in case of chronic nociception in patients with Musculoskeletal disorders.

100 100

101 101

102 Stretch the area 102

103 lay down 1-2 pieces of tape, no stretch Rub in the adhesive 103

104 104

105 105

106 what about direction of tape? 106 dont worry about it. today it to lay down tape on skin for neurological input. if you want to learn to tape, take FMT1 insertion, insertion origin? Emphasize that many times we go past origins and insertions to encompass painful areas, transistion ares for movement

107 what about the amount of stretch? 107 less is more. for today, no stretch Emphasize that many times we go past origins and insertions to encompass painful areas, transistion ares for movement

108 108

109 Research shows that kinesthetic guidance can be translated into behavior 30 times faster than visual guidance can and many thousands of times faster than audio guidance. (Birdwhistell, 1971). With so many of our health problems these days being behavior-based, can we afford to ignore an medical system that promises a 30-fold decrease in the time needed for feedback? Tape is a strong/continuous kinesthetic guidance tool

110 2 ways to affect motor control 1. tape on skin 2. corrective exercise 110

111 neuroplasticity low threshold + = repetition plastic change 111

112 less is more - mies van der rohe 112

113 isolation + integration 2 steps 113

114 reactive neuromuscular training (RNT) isolation exercises 114

115 Pallof Brugger s integration exercises - PMT Training 115

116 the blueprint 1. screen 2. moblilize / ripple 3. stabilize / Motor Control 116

117 classic relationships along kinetic chain 117 The body works in an alternating pattern of stable segments connected by mobile joints. If this pattern is altered-dysfunction and compensation will occur. Taping areas of stability loss can help generate proximal stability that optimizes mobility of adjacent regions.

118 Foot Stable Ankle** Mobile Knee Stable Hip** Mobile Pelvis/Sacrum/L-Spine Stable Thoracic Spine** Mobile Cervical Spine Stable Shoulder complex MOBILE Elbow Stable Wrist stable ** key mobility centers 118

119 foot - classic area of stability loss 1. screen 2. mobilize/ripple: toe, calf + ripple mobilizations 3. stabilize: foot TapinG Motor Control: short Foot 119

120 screen 120

121 121

122 mobilize 122

123 stabilize 123

124 motor control short foot 124

125 ankle - Classic area of Mobility loss 1. screen 2. mobilize: banded mobilization (multi-planar) 3. Stabilize - Ripple foot and knee 125

126 screen 126

127 mobilize 127

128 128

129 knee - classic area of stability loss 1. screen 2. mobilize/ripple: foam roll + ripple 3. stabilize: Tape -knee motor control - lateral band walks, RNT (variations) 129

130 screen 130

131 mobilize ripple 131

132 132

133 mobilize 133

134 stabilize 134

135 motor control 135

136 in summary skin is an extension of the brain tape augments our body awareness screen movement, not muscles tape movement, not muscles use fascia as a map retrain the brain 136

be available for 2 weeks post training date for

137 Thank you Direct attendees to social media an website for more information Q/A Course Notes will be available for 2 weeks post training date for online download contact admin@rocktape.com for more information

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