Running
Catch 22 – Underutilization of 2D Slow-Motion Video Analysis
Why is there low utilization of 2D slow motion video analysis of movement by Physical Therapists? There are many advantages for using 2D slow-motion video analysis for management of movement disorders including increased accuracy of diagnosing movement impairments; improved communication with patients and healthcare team; increased engagement of the patient; and improved understanding of movement…
Read MoreOptimizing human movement requires clarity of description of movement
To know where you are going you must first know where you are. To optimize human movement, analysis of human movement is required. To identify optimal human movement clear qualitative and quantitative descriptions are needed. When describing human movement confusion occurs when we fail to clearly identify a frame of reference and reference point. A…
Read MoreWhole vs part method of learning to walk/run a new way: deviant to less deviant
When learning a new physical skill an individual, therapist, or coach can choose to practice a new skill in whole or part. Motor skills learning can be practicing the whole movement or part of the movement. In whole practice acquiring a skill is by practicing the movement in its entirety, whereas the part that practices…
Read MoreExercise prescription – Art & Science
Exercise while not a drug can behave like one. Exercise can help in the management of chronic diseases and offer pain relief for individuals suffering from musculoskeletal pain syndromes. Like prescribing drugs, the concept of dosage applies to exercise prescription. A dose-response to exercise is not unlike drugs however the minimum dose, dose-response, and maximum…
Read MoreAdding observation of deceleration forces to diagnosis & treatment of movement system impairment syndromes & musculoskeletal pain syndromes
Shirley Sahrmann and colleagues share an elegant clinical reasoning process model to diagnose and treat musculoskeletal pain syndromes and movement system problems. The movement system is physiological organ systems that interact to produce movement of the body and its parts. The basis is alignment in a deviant position and repeated deviant movements in a…
Read MoreNew developments in joint replacement surgery & rehabilitation
The use of joint replacement surgery for hip and knee pain has evolved greatly since I started my Physical Therapy career many years ago. Joint replacement is occurring in younger individuals Younger individuals are having joint replacement surgery. Data from 2000 to 2009 for individuals from 45 to 64 years old there was a 188%…
Read MoreGait deviations clustering gait deviations – injury – new data
In a previous blog article, I discussed the question “Is there a gait deviation or cluster of gait deviations which is common across musculoskeletal pain syndromes?” The consensus is currently there is no definitive evidence suggesting one gait deviation or cluster of gait deviations occurs more frequently or is more important than another. More research…
Read MoreChoice of feedback for learning new movements
A common practice when addressing painful musculoskeletal pain syndromes is the symptom modification procedure. This procedure involves identifying the specific movement, posture, and/or activity that reproduces the patient’s symptoms. The symptom modification procedure alters performance. It is relatively quick as it occurs in one session. Altering performance is different than learning. An altered performance is…
Read MoreDownhill running – up does not equal down
Running uphill does not equal downhill running. The faster speed of running downhill does not equal the slower speed of running uphill. The rule of thumb expressed in Jack Daniels’ Running Formula the classic book by running guru Jack Daniels, states that every percent gradient of uphill will slow you by 12 to 15 seconds…
Read MorePuny Calf Muscles Syndrome
It is time to replace the common belief that stretching exercises should occur before exercise or sporting activity with a newer concept that strengthening exercises for the calf muscles should occur before exercise or sporting activities. During warm up for exercise & sporting activity make a conscious effort to walk with spring in your step. Reactivating & reversing puny calf muscles can prevent injury, increase athletic performance, forestall old person shuffle, & look better.
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