This October I attended a continuing education course: Functional Biomechanics of the Lower Quarter taught by Christopher Powers, PT, PhD, FACSM, FAPTA. I walked away from the weekend with much more appreciation for the gluteus maximus. The glute max works in 3 planes at the hip: extension (moving leg back behind the body), abduction (moving the leg away from the body out to the side), and external rotation (rotating the thigh so the knee moves outward). |
The glute max is key to controlling the trunk over the pelvis, to the stability of the pelvis and to the lower quarter. When the glutes are weak, you will see increased leaning of the trunk, excessive pelvic drop on non-weightbearing leg, and poor femur control (medial collapse of the knee & internal rotation of the femur). Dr. Powers says, "If something isn't being used, something else is being overused." If you have pain in your back, your hip, your knee, or your foot, stop right now and do this self assessment of your glut max. Video yourself and observe your trunk, your pelvis and your knee as you step down and back up from an 8 inch step. My glutes need some work on both sides, but notice that I have less control with my right leg in this test. I have a harder time keeping my trunk upright, my pelvis drops, and my knee collapses in and is wobbly. What I really like about Dr. Powers program is that he provides a systematic 8 level training program for the glut max. You cannot go to the next level until you are able to pass the lowest one with ease and control. I have provided the first level of glute training here. Have fun, and may you be blessed with buns of steel! Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT. Helpful tips and other self care strategies can be found at www.alignforhealth.com.
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A big part of my time in a session involves education. Education and information for the client (anatomy, pain science, muscle function, etc.), and reeducation of the client's neuromuscular system. Our body is super smart; it finds a way to move and will continue to do this movement over and over again even though this particular strategy may not be the most effective for the health of the tissue or system. Part of my job as a therapist is to see the non optimal strategy and teach the client how to reeducate their system for health and longevity. One of the biggest areas of poor strategies and body confusion is at the core. The core is an area of the body that has a lot of hype. Fitness pros are making bank teaching people how to strengthen their core to look ripped and lean. Unfortunately a "fit looking" core doesn't mean it is a functional core. The CoreUnderstanding how the core worksTo understand the core, I like to start with the breath. Little do we know that many of us are 1) holding our abs in all day so that the muscles don't get to fully move and relax or 2) barely breathing. In an ideal world, when we are at rest whether sitting or in standing, all of our muscles should be at their resting length. Muscles can generate the greatest amount of force at their resting length: not too short, or not too long.
The First Step to Strengthening Core:The first step to strengthening the core is to move all the parts. The gif above shows the movement of the deeper canister: diaphragm, pelvic floor and abdominals. The abs and pelvic floor are opposing the diaphragm during inhale and exhale. Can you feel your pelvic floor move during breathing? Can you feel your abs move? You might notice that you can only move your chest at first. See if you can start to bring awareness into: upper abdominals, then belly button, then lower abdominals, then pelvic floor (typically I have people sense the anus- we are used to holding our sphincter muscles to prevent passing gas. See if you can let the sphincter go on the inhale, then notice if it lifts back up on the exhale). Don't force or try to take big breaths, just direct your focus. Allow your breathing to be effortless, inhale/exhale are balanced. Remember your core cannot be strong unless is can access it's full range of motion. Know your core: 1) stop holding your core tight all the time (that includes wearing spanx) and 2) learn how to let your core move during breathing. Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT. Helpful tips and other self care strategies can be found at www.alignforhealth.com.
Can you go deep? This is me in my workout days a few years ago, getting my serious face on to flip that heavy tire. There are multiple factors that can limit the ability to go deep into a squat:
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT. Helpful tips and other self care strategies can be found at www.alignforhealth.com.
Get Moving!
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT. Helpful tips and other self care strategies can be found at www.alignforhealth.com.
Lack of joint mobility and decreased strength plague our ability to move well. In order to get up/down from the floor easily we need toe extension, ankle dorsiflexion, knee and hip flexion and leg strength. Below I share with you two movements that are great for your lower extremity mobility and strength. Split LungeKneeling Toe ExtensionSusan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT. Helpful tips and other self care strategies can be found at www.alignforhealth.com.
When our body can't move freely and our tissues are compressed, this will lead to decreased blood flow, decreased nerve conduction and decreased tissue hydration. Over time this can lead to lymphatic congestion, stiff joints, poor circulation and pain. Tight pants also affect how we are able to sit, bend and squat. Have you noticed how you sit in yoga pants versus jeans or pants? Chronic positioning of the pelvis into a posterior tilt can lead to all sorts of bad things like:
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT. Helpful tips and other self care strategies can be found at www.alignforhealth.com.
As I mentioned above, the joint is simple, but the function is complex because the hip joint, like any other joint in the body, does not work/move in isolation. Lack of hip range of motion can effect the health of the shoulders, spine, pelvis, knees and feet. Improving hip joint motion is one of the key steps to ensure proper mechanics of the extremities and the spine. How are your hips? Try these moves for better movement.
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT. Helpful tips and other self care strategies can be found at www.alignforhealth.com.
4 movements to release the muscles around the knee:
The last two videos don't show it, but you will want to continue to move the ball down the calf. Repeat on both sides, or just on your side of pain. If your knees are too stiff and painful to bend as shown in the last two videos, roll up a towel and place it on top of the balls and then sit back. You can by the Yoga Tune Up® Balls and DVDs if you want to explore the amazing products from Jill Miller and Yoga Tune Up®. Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT. Helpful tips and other self care strategies can be found at www.alignintegrationandmovement.com.
Self Care Steps:
On the functional exam I will see an inability to go into a deep squat, or the hips will shift to the opposite side during the squat. On the passive motion test there will be a limitation in hip flexion, and they may express pain with a combination of movements: hip flexion, adduction and internal rotation. Standing in alignment and learning how to let go of the grip in the rotator muscles is essential for healing, as well as reprograming the normal glide of the head of the femur. In normal motion, as the knee moves toward the chest, the head of the femur should glide back and down. Due to the tightness of the rotators, the back (posterior) hip capsule can be restricted. Restoring the tissues and the hip motion can be achieved through simple self mobilizations. 3. Hip Release and Hip Glides: this is a video demonstrating how to do the self mobilizations to regain normal motion. Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT. Helpful tips and other self care strategies can be found at www.alignintegrationandmovement.com.
The quadricep muscle group is comprised of 4 muscles that all share a similar attachment to the lower leg bone, the tibia. The muscles converge at the knee at the patella (knee cap) and inserts onto the tibial tuberosity. The muscles are named for their location on the thigh:
The main action of this group is to extend (straighten) the knee and the rectus femoris will also flex the hip. Quadricep control is important for walking, running, going up and down stairs, lunging, squatting, basically every move we make. Having supple quadriceps is key not just for healthy knees, but for healthy feet, hips and spine. Restrictions in the quads will affect proper loading of the foot and knee during gait. Tightness in the rectus femoris can pull the pelvis forward into anterior rotation which increases lumbar extension and spinal compression, and can limit hip extension (being able to bring the leg behind you). How to stretch the quadricepLet's face it. Many of us are super tight, and it feels good to pull on the leg as far as you can to get a deep stretch. The stretch always feels good, but the muscles never fully let go and we have to keep stretching forever and ever. One possible reason why the muscles don't make lasting changes is that we have a stretch reflex within the muscles that serve as a protective mechanism: if the muscle is stretched too far beyond its limit, it will contract to prevent injury. During stretch sessions, you may be moving beyond your tissue limit so the muscles never change! One way to refine and meet your tissues is to scale back and use alignment markers to guide you into your stretch. Alignment Markers:
How to release the rectus femoris (hip flexor and knee extender)Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT. Helpful tips and other self care strategies can be found at www.alignintegrationandmovement.com.
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