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   CORRECTS SOMETHING    NEED A STANDARD TO CORRECT    DOES IT
   CORRECTS SOMETHING
   NEED A STANDARD TO CORRECT
   DOES IT STAY CORRECTED?
   Can’t be doing “correctives” for any longer than necessary
   Does it correct the end-state activity?
   IS IT TRULY MOTOR LEARNING?
   Cognitive
   Associative
   Autonomous
   CORRECTS SOMETHING    EXAGGERATE OR EXPOSE THE LIMITATION    Up against
   CORRECTS SOMETHING
   EXAGGERATE OR EXPOSE THE LIMITATION
   Up against the barrier of the pattern
   Feel the error or limitation
   MUST WIN
   Must be able to execute technical pro ciency at high %age
   CLIENT CAN COACH HIM/HERSELF
   Must be able to feel right or wrong after initial feedback
   Feed Forward and/or Feedback Loops
   CORRECTS SOMETHING    Muscle Memory or Motor Learning?    Wadman et
   CORRECTS SOMETHING
   Muscle Memory or Motor Learning?
   Wadman et al
   Motor Programs are planned
   Not changed once put into action
   EMG doesn’t change much between blocked/random over time
   Maybe ideal for biological reserve
   Maintaining Motor Skills is more desirable than
“corrections” themselves
CORRECTS SOMETHING       Muscle Memory or Motor Learning?    Shea and
CORRECTS SOMETHING
  
   Muscle Memory or Motor Learning?
   Shea and Morgan, 1979
   Blocked Practice gains form quicker
   Random Practice gains better form over time
   Random continues to improve over time
   Simon and Bork, 2001
   Random Practice has far better retention of form
   Corrective Exercise has no reliable programming patterns
   Not typically accounted as CNS intensive programming
   CORRECTS SOMETHING Train the Brain    Muscle Memory or Motor Learning? 
   CORRECTS SOMETHING
Train the Brain
   Muscle Memory or Motor Learning?
   Joint move the Body
   Mobilizations, Manipulations
   Muscles move Joints
   Soft Tissue Mobilization
   Trigger Point  erapy
   Repeated Motions
   Fascia connects to Muscles
   Fascial Treatment, Fascial Fitness
   Fascia connects to the Brain
   TRAINING THE BRAIN SUBCONCIOUS CONCIOUS DYSFUNCTION DYSFUNCTION SUBCONCIOUS CONCIOUS FUNCTION FUNCTION
   TRAINING THE BRAIN
SUBCONCIOUS
CONCIOUS
DYSFUNCTION
DYSFUNCTION
SUBCONCIOUS
CONCIOUS
FUNCTION
FUNCTION
   TRAINING THE BRAIN SUBCONCIOUS SCREEN TEST DYSFUNCTION ASSESS CONCIOUS BEGIN DYSFUNCTION CORTICAL TRAINING
   TRAINING THE BRAIN
SUBCONCIOUS SCREEN TEST
DYSFUNCTION ASSESS
CONCIOUS BEGIN
DYSFUNCTION CORTICAL TRAINING
SUBCONCIOUS GET GET STRONG LONG
FUNCTION GO HARD
CONCIOUS RESCREEN RETEST
FUNCTION REASSESS
   TRAINING THE BRAIN Neuromuscular Inputs Neurodevelopmental Patterns Autonomic Nervous System Biomechanics
   TRAINING THE BRAIN
Neuromuscular
Inputs
Neurodevelopmental
Patterns
Autonomic
Nervous
System
Biomechanics
BIOMECHANICS       Joint by Joint Approach NEUROMUSCULAR INPUTS      
BIOMECHANICS
  
   Joint by Joint Approach
NEUROMUSCULAR INPUTS
  
   Triplanar Movement
   Reactive Neuromuscular Training
NEURODEVELOPMENTAL PATTERNS
  
   Functional Movement System
   4x4 Corrective Matrix
AUTONOMIC NERVOUS SYSTEM
  
   Breathing
   All of the Above
   Screening Risk and Limiting Factors and    Testing Physical Limitations to Long-Term
   Screening
Risk and Limiting Factors and
   Testing
Physical Limitations to
Long-Term Aggressive Training
   Assessing
11
Filter system of appropriate selection       Are you………      
Filter system of appropriate selection
  
   Are you………
  
………… in the right place?
………… with the right person?
………… at the right time?
………….doing the right things?
   MEASURES RISK!!!!!!
   When the Screen “hits……”
   Look deeper to determine if further challenge
   Warranted?
   Safe?
   Benign?
   Provocative?
   Blood Test, Mammography, Yearly Physical
   Do you meet the industry standard for….    Flexibility?    Power?
   Do you meet the industry standard for….
  
Flexibility?
  
Power?
  
Strength?
Vision?
Intelligence?
Equipment Fit?
   MEASURES ABILITY!!!!!!
   No interpretation needed
   1RM Lift
   Snell Eye Exam
   40 yard dash time
   Why DON’T you meet the industry standard in something?    Examination for
  
Why DON’T you meet the industry standard in
something?
   Examination for the purpose of judgment and evaluation
   Rate and rank priorities
   MEASURES INABILITY!!!!!!
Find or diagnose the problem
  
   EKG
   CT Scan
   Vehicle Diagnostics
• Flexibility • Strength • Power • Anatomy • Alignment • Balance • Previous Injury
• Flexibility
• Strength
• Power
• Anatomy
• Alignment
• Balance
• Previous Injury
•   Previous Injury Right/Left •   Asymmetries •   Neuromuscular Control •   Timing
•   Previous Injury
Right/Left
Asymmetries
•   Neuromuscular Control
•   Timing and Quality
•   Stereotypes
Body Size/BMI
•  
   Mobility    What is a joint system capable of performing without external
   Mobility
   What is a joint system capable of performing without external
in uence
   Stability
   Ability of a joint system to maintain position in the presence
of change
•  Screen for Major Problems •  •  Pain Serious Dysfunction •  Rank and Rate Movement
• 
Screen for Major
Problems
• 
• 
Pain
Serious Dysfunction
• 
Rank and Rate
Movement Patterns
Attack the Weakest Link
• 
• 
Evidence Based
Bucket the Problem
• 
• 
Mobility
• 
Stability
Creating a baseline for movement •  •  Minimum Standard •  Species-Speci c •  Not Athlete-
Creating a baseline for movement
• 
•  Minimum Standard
•  Species-Speci c
• 
Not Athlete- or Age-Speci c
• 
Movement limitations are evidence-
based risk factors
• 
Sometimes distant joints aff ect each other
e Screen is a Filter that categorizes movement       Not Diagnostic De
e Screen is a Filter that categorizes movement
  
   Not Diagnostic
De nable landmarks of the movements
  
   3 = Performance without limitation
   2 = Performance with compensation
   1 = Inability to perform
   0 = Performance with pain
E fficiency
  
   Time, Space, Data Collection
   For all individuals
   Goal of Scoring is 14 and no Asymmetries    21 is no
   Goal of Scoring is 14 and no Asymmetries
   21 is no better than 15
   Literature identi es….
less than 14 as increased risk factor
   any asymmetry as increased risk factor
   always measures 15% risk for all
  
   Screening for Aggressive Fitness
   Injury Prediction Tool
   Corrective Exercise Roadmap
   Neuromuscular Approach to exercise    Part to Whole    Mobility 
   Neuromuscular Approach to exercise
   Part to Whole
   Mobility
   Whole to Part
   Stability
   Mobility before Stability
   Remove the negative
   Train the Weakest Link
   Based on FMS algorithm
Soft Tissue Mobilization          Manual  erapy Self-MFR Techniques Assisted
Soft Tissue Mobilization
  
  
  
Manual  erapy
Self-MFR Techniques
Assisted or Passive Mobility
  
  
Trainer or  erapist doing TO client
   Self-Mobility Training
   Activation/Patterning/RNT
  
As diffi cult as success allows
Static Stability
  
  
Maintaining a static position in the presence of change
Dynamic Stability
  
  
Maintaining a dynamic position in the presence of change
Resisted Exercise
  
  
Fitness
  
Conditioning
Asymmetries rst       1-3  1-2  1-1  2-3   
Asymmetries rst
  
   1-3  1-2  1-1  2-3
    e “better” score isn’t always better
Shoulder Mobility/ASLR
  
   2-4 weeks
   Symmetrical 2’s before moving on
Rotary Stability/TSPU
  
   2-4 weeks
   Symmetrical 2’s before moving on
Big 3
  
   Symmetrical 2 on ILL and HS before moving on
   Deep Squat last
   Most representative of the entire Screen
   POSITION X    PATTERN ASSISTANCE (PA) +/- RESISTANCE Pattern 1 Unloaded 1
   POSITION
X
   PATTERN ASSISTANCE (PA) +/- RESISTANCE
Pattern
1 Unloaded
1
Assitance
2 Quadruped
No Resistance
2
3 Kneeling
Resistance + PA
3
4 Standing
Resistance
4