Female Chain Reaction. With Leslee Bender Fellow of Applied Functional Science

Transcription

1 Female Chain Reaction With Leslee Bender Fellow of Applied Functional Science

2 Female Chain Reaction Objectives To understand why women have issues with their pelvic floor Why women have different postural issues How to train the female client differently than a

3 Why females get so gunked Sitting for long periods of time over a computer Poor body mechanics High heels Poor posture breasts

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5 Statistics by Christina M. Christie PT, CCE, It has been estimated that between million Americans have some form of pelvic floor dysfunction. One in three women suffer with some form of pelvic floor dysfunction. Pelvic floor disorders can be devastating to the quality of life...leading to social embarrassment, depression, lack of self esteem and even isolation. Fewer than half of all women with incontinence seek medical help. Most commonly performed episiotomies in North America are midline episiotomies. This means cutting right into the perineal body...this may have severe consequences for the integrity of the wall between the vagina and the rectum % of women develop nerve injuries during childbirth. Forceps & Vacuum extraction delivery can cause pelvic floor damage. 36% of women over the age of 45 have some form of pelvic floor dysfunction. 60% of all people in nursing homes have some form of pelvic floor dysfunction

6 Why This Program is Unique! It is based on Applied functional Science created by The Gray Institute It gives you the strategies to develop a program based on postural deviations' and why You will be able to look at the clients feet and have a greater understanding that it is a chain reaction that most

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8 Use a Conscious Task to Promote a Subconscious Reaction

9 Functional Triangulation

10 The Three Planes and why we need to know them Sagittal is anterior and posterior of the body. This plane is affected by gravity For example when you walk your ankle dorsi flexes and the calf lengthens. Frontal this plane is either right lateral or left lateral of the body or abduction or adduction. This plane is affected by gravity. For example when you laterally flex to the right the left side lengthens Transverse this plane when it is only pure rotation is not affected by gravity and needs

11 The Pelvic Floor Muscles and the influence of ground reaction They are influenced by all three planes They are influenced by faulty gait They are influenced by lack of movement causing dysfunction They are influenced by the shoes women wear They are influenced by everything that we do

12 Iliolumbar lig Piriformis mm The Pelvic Floor Muscles Levator Ani: Iliosacralis mm Levator Ani: Iliococcygeus mm Levator Ani: Pubococcygeus mm Coccygeus mm Arcuate Tendon Obturator Fascia Levator Ani: Puboanalis mm Sphicter Ani Internus mm

13 Hip flexor group

14 The Pelvic Floor Muscles Sacrotuberous Lig. QL mm Multifidus mm Coccygeus mm Gluteus Minimus mm Piriformis mm Levator Ani: Iliococcygeus mm Deep Transverse Perineal mm Obturator Internus mm Levator Ani: Puborectalis mm

15 Anterior upper extremity

16 Posterior lower extremity

17 The Pelvic Core Neuromuscular System Top of the Core : Respiratory Diaphragm Front of the Core: The Abdominals Back of the Core: The Hip and Back Muscles Bottom of the Core: The Pelvic Floor Muscles

18 Most women have lower cross Tight calves Weak gluteus Tight low back Tight hip flexors Child birth Pronated feet Valgus knees = pelvic floor disorders

19 What Happens to the Pelvis and Pelvic Floor During Pregnancy? Increase in hormones leads to laxity of the connective tissue, ligaments, tendons and joins. Postural changes include: Increased lumbar lordosis, shift of the center of gravity towards an anterior position. Increased thoracic kyphosis. Rounded shoulders Increased forward head. Lowering of the longitudinal arch in the foot. Dormant butt syndrome. Hyperextension at the knees. Pelvic floor muscle laxity/ pressure Rectus Diastisis.

20 Females Athletes: Variation and fluctuation in systemic tone and stability via Estrogen/ Progestrone. Reliance on gravity and ground reaction forces (Quad dominance). Transverse plane hip loading deficiency with increase chance for valgus stress injuries. Gender differences in knee abduction during execution and ready position. Suggests altered muscle control/ contraction patterns of adductors and abductors of the hip and knee.

21 Strategies SFT calf lengthening on wall SFT Hip lengthening with chair Wall bangers S lunges with arm drivers F lunges with arm drivers T lunges with arm drivers (all of the above tweaking the foot positions)

22 May we never have to wear

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