This session is based upon Dr. Osar s newest book: The Psoas Solution 1. What do we know about the psoas and glutes? a. We have been taught that the primary function of the psoas is hip flexion and it contributes to an anterior pelvic tilt and increased lumbar lordosis. b. We have been taught that the primary function of gluteus maximus is hip extension and that the glutes are often weak in most individuals. determine? c. Are these statements true? How do you 2. Understanding Function: The Hip Complex a. The Psoas i. Proximal attachment 1. vertebrae T11-12 through L1-5 2. fascially blends into the diaphragm and transversus abdominus and quadratus lumborum ii. Distal attachment 1. Lesser trochanter of the femur and anterior portion of the pelvis 2. Fascially blends into the pelvic floor iii. Primary functions 1. 2. Hip centration it is a very inefficient hip flexor iv. Secondary functions 1. flex the spine 2. contributes to increasing lumbar lordosis when short and tight b. The Gluteal Complex - Gluteus maximus i. Proximal attachment 1. Ilium and sacrum 2. Fascially blends into the thoracolumbar fascia
ii. Distal attachment 1. Superior fibers blend into the iliotibial band 2. Deep fibers blend into the gluteal tuberosity of the femur iii. Primary function 1. 2. Hip extension iv. Secondary function 1. Hip abduction 2. Hip external rotation 3. Keys for quickly evaluating hip function a. Postural evaluation of the TPC i. What is the optimal position of the thorax? Aligned and stacked over the pelvis ii. What is the optimal positon of the pelvis? An anterior pelvic tilt where the ASIS are slightly in front of the pubic symphysis b. Single leg stance i. Optimal: Rib cage stacked over the pelvis and lower extremity (hip, knee, ankle-foot) is aligned ii. Non-optimal: inability to align body over foot when standing on one leg c. What about Thomas Test? i. Not an accurate test. Must be able to palpate a hypertonic psoas to ensure that it is involved in holding the leg off the table. 4. The Integrative Movement System a. A proprietary and systematic approach to identifying and addressing posture and movement based upon the principles that govern human movement b. The 3 Guiding Principles: The Foundational A, B, C s
i. of the TPC and hip complex: The thoracopelvic cylinder thorax stacked over the pelvis and the femoral head within the acetabulum must be aligned throughout posture and movement. ii. : Three-dimensional breathing activates the diaphragm and thereby helps improve activation of the psoas, transversus abdominus, and pelvic floor. Belly breathing without activity of the entire TPC inhibits the transversus abdominus and pelvic floor function. iii. : Must be able to activate the deep muscles to balance out superficial muscle activity. 5. The corrective and integrative exercise patterns to improving psoas and gluteal function: a. Corrective exercise patterns i. Happy Baby ii. Hip Hinge iii. Band Step Outs b. Integrative exercise patterns i. Squat ii. Split squat Exercise to absolutely avoid in clients with hip dysfunction: * #1 Key to Improving Hip Function:
ACTION PLAN 1. What was your biggest AHA from the session? 2. What is the first thing you will add to your client s current training programs? 3. What will be 2-3 additional things you will explore or introduce into your client s training programs?
Do you work with the Baby Boomers and Seniors? If you work with this population, then be sure that you are getting your information from industry specialists that are specifically working with these same individuals and that you are using the most up-to-date and reliable information that has been repeatedly proven to produce results with the actively aging population. is an internationally recognized lecturer, author, and industry expert in assessment, corrective exercise, and improving posture and movement. What makes Dr. Evan Osar so unique in this industry is that he has dedicated his 25 year career to studying and synthesizing the very best information from the fields of rehabilitation, training, and conditioning and packaged it into a system that the health and fitness professional can instantly use with their older clients. Early in his career, Dr. Osar recognized that there wasn t a system available to the fitness professional that adequately addressed the specific needs of the older clientele and individuals experiencing chronic tightness, discomfort, and/or decreased ability to perform at the levels they need and want. He developed the Integrative Movement System, the industry s first assessment and corrective exercise strategy so that it could be seamlessly integrated into the health and fitness professional s current rehabilitative, training, and/or conditioning program. The Integrative Corrective Exercise Instructor Integrative Movement Specialist Coaching Intensives were designed specifically for health and fitness professionals just like you who are looking to distinguish yourself in the industry and be part of the movement-based solution to the health care crisis. These Coaching Intensives provide the strategies and distinct perspective that health and fitness professionals like you need to successively work with the baby boomer, senior populations, as well as the pre/post natal and pre/post rehabilitation clientele. The Integrative Corrective Exercise Instructor Integrative Movement Specialist Coaching Intensives are the most comprehensive and applicable courses if you are looking to differentiate yourself, help your current clients achieve their goals, and attract more individuals that want, need, and will pay you for your expertise. If you are looking to establish yourself as the go-to expert in working with older clients, as well as individuals that present with common issues such as chronic tightness, discomfort, and/or the inability to perform at the levels they need and/or want, consider joining one of our Coaching Intensives. For more information, including free video resources, visit www.iihfe.com.