131 - IMPROVING HIP AND TRUNK. ROTATION The OC (Anaheim), CA August 12 16, 2009 ROTARY FUNDAMENTALS ROTATION
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1 July 9, 2009 IMPROVING HIP AND TRUNK ROTATION The OC (Anaheim), CA August 12 16, IMPROVING HIP AND TRUNK ROTATION P R E S E N T E D B Y EVAN OSAR DC, CMT, PES, CSCS, ACE-CPT I. INTRODUCTION II. ROTATIONAL KINESIOLOGY III. IMPROVING TRUNK STABILITY AND MOBILITY IV. LOWER EXTREMITY PATERNS V. CONCLUSION AND Presented by: Evan Osar DC, CMT, PES, CSCS, ACE-CPT SENIOR PARTNER EVERYONE HAS UCS & LCS SYNDROME, DON T THEY? 3 GOALS OF TODAY 1. Principles 2. Strategies 3. Empower II. ROTATIONAL KINESIOLOGY ROTARY FUNDAMENTALS PLANES OF MOTION AXES OF ROTATION 1
2 ROTATION FUNDAMENTALS KEY TO ROTATION Radial deviation Pronation PROPER CENTRATION POOR CENTRATION Neutral Horizontal Adduction & downward rotation Horizontal Abduction & Upward rotation Slight flexion Supination Internal rotation & Horizontal Flexion adduction Internal rotation Straight External rotation & horizontal abduction Neutral Slight plantarflexion Plantarflexion Pronation/Eversion Supination/Inversion PHOTOS COURTESY BEN SHEAR - EDGE.COM CENTRATION THE FUNCTIONAL MODEL Optimal Non-Optimal STABILIZATION DISSOCIATION INTEGRATION (functional movement patterns) II. IMPROVING TRUNK STABILITY AND MOBILITY 1. NEURODEVELOPMENTAL DYSFUNCTION QUESTION: WHY DO WE LOSE ROM? 3 Primary Causes % children» Vojta- Rehabilitation of the Spine 2 nd Edition 2
3 2. INJURIES OVERCOMPRESSION SYNDROME LB INFLUENCE ANKLE INFLUENCE Hip Rotation Range of Motion in People With and Without Low Back Pain Who Participate in Rotation- Related Sports. Van Dillen, Bloom N, Gombatto SP, Susco, TM 2008 Patterns of hip rotation range of motion: a comparison between healthy subjects and patients with low back pain. JB Ellison, SJ Rose, and SA Sahrmann 1990 Ankle inversion injury and hypermobility: effect on hip and ankle muscle electromyography onset latency. Beckman SM, Buchanan TS LEARNED BEHAVIOR CONSEQUECE? WHAT ARE LEARNED BEHAVIORS? III. IMPROVING ROTATION PROPER BREATHING TRUNK PATTERNS 1. BREATHING WHAT IS THE IMPORTANCE IN HIP AND TRUNK ROTATION? 2. ROTATIONS 3. CHOPS 4. PNF PATTERNS 3
4 THE THORACO-PELVIC CANISTER HOW DO WE KNOW? Ipsilateral support Contralateral support THORACIC MOBILITY DIAPHRAGMATIC BREATHING MODIFIED CAT/CAMEL MC/C WITH ROTATION STANDING TRUNK ROTATIONS CHOP PATTERNS 4
5 IV. IMPROVING ROTATION PELVIC ROTATION SUPINE AND STANDING LOWER EXTEMITY PATERNS: 1. PELVIC ROTATIONS 2. SQUATS/ LUNGES 3. UNILATERAL Image: Complete Program Design- For the Rest of Us STEPPING LUNGE- Frontal and sagittal ROTATION PATTERNS HIP ROTATION- TRANSVERSE SINGLE LEG PATTERNS Image: Complete Program Design- For the Rest of Us 5
6 PNF PATTERNS ADDITIONAL PATTERNS SINGLE LIMB ALTERNATING V. CONCLUSION PUSHING PATTERNS PULLING PATTERNS Respiration Centration Stabilization dissociation integration Progressions TAKE HOME MESSAGE? REFERENCES Boyle, Mike Rotary Training: A Fresh Look at Core Training. Functional Strength Coach. DVD. Hodges, Paul, Richardson Carolyn, Hides, Julie Therapeutic Exercise for Lumbopelvic Stabilization. 2nd Ed. St. Louis MO: Churchill Livingston. Liebenson, Craig Rehabilitation of the Spine. 2 nd Ed. Philadelphia, PA: Lippincott Williams & Wilkins. Michaud, Thomas Foot Orthosis. Newton, MA: self-published. Osar, Evan Form and Function. 2 nd Ed. Chicago, IL: self-published. Osar, Evan Complete Hip and Lower Extremity Conditioning. Chicago, IL: self-published. Osar, Evan Complete Program Design For the Rest of Us. Chicago, IL: self-published. Osar, Evan Complete Rotary Conditioning. Chicago, IL: self-published. Pavel, Kolar Exercise and the Athlete: Reflexive, Rudimentary, and Fundamental Strategies. Chicago, IL: course manual. Primal 3D Interactive Series - Complete Human Anatomy London, UK: Primal Pictures Ltd: DVD. Sahrmann, Shirley Diagnosis and Treatment of Movement Impairment Syndromes. St. Louis, MO: Mosby. Evan Osar, DC, CMT, PES, CSCS, ACE-CPT Fitness Education Seminars evan@fitnesseducationseminars.com 6
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