FMT Performance FMT Kinesiology Taping Certification 1 2 - - PDF document

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FMT Performance FMT Kinesiology Taping Certification 1 2 - - PDF document

FMT Performance FMT Kinesiology Taping Certification 1 2 Provider/Financial Disclaimer RockTape and the presenter for this seminar have financial associations with the manufacturer of commercial products used in this seminar. You are not


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SLIDE 1 1

FMT Kinesiology Taping Certification

FMT Performance

2 3

RockTape and the presenter for this seminar have financial associations with the manufacturer of commercial products used in this seminar. You are not required to purchase the supplies or products used in this course.

Provider/Financial Disclaimer

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SLIDE 2 4

A Movement Company

That Dabbles In Tape

5 This is a footer, so use it when you need it.

Movement Pyramid

6 Leandro Fórnias Machado de Rezende, Thiago Hérick de Sá, Grégore Iven Mielk e, Juliana Yukari Kodaira Viscondi, Juan Pablo Rey-López, Leandro MarHn Totar
  • Garcia. ‘All-Cause Mortality ANributable to SiOng Time Analysis of 54 Countri
es Worldwide’. Am J Prev Med 2016;51(2):253–263.
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SLIDE 3 7 This is a footer, so use it when you need it.

It Matters…..

8
  • 1. Control Pain and Prevent Injury
  • 2. Decrease Edema and Congestion
  • 3. Improve Postural Strain
  • 4. Enhance Neuro-sensory System

In FMT Basic We Learned:

9

Buckminster Fuller

You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete.

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SLIDE 4 10

Different Perspective

11
  • 1. Movement Science
  • 2. Fascial Anatomy
  • 3. Fascial Taping
  • 4. Tweak Taping
  • 5. Movement Screening
  • 6. Sports Applications

FMT Performance Outline

12 Sea Squirt Analogy -

Weird Concept

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SLIDE 5 13

Movement Science

14

How Do We Navigate Movement?

15

Our Helmsman

Somatosensory Cortex
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SLIDE 6 16

The Science of Perception

17 Our skin is a megaphone to get our brain’s attention.

SKINTELLIGENCE

18

Requires good perception

Good Movement

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SLIDE 7 19

Predictive Embodiment

20

Sensory to Motor Output

21

Mechanical & Neurological System

Toe Touch Test

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SLIDE 8 22

What are we dealing with?

23
  • Birdwhistell. 1970. Kinesics and Context. University
  • f Pennsylvania Press. Philadelphia.

Kinesthetic Cue

Kinesthetic guidance is translated into behavior 30 times faster than visual guidance and many thousands of times faster than audio guidance

24 Recognising neuroplasticity in musculoskeletal rehabilitation: A basis for greater collaboration between musculoskeletal and neurological physiotherapists. Snodgrass, Suzanne, et al. Manual Therapy, Vol. 19, Issue 6, 614-617.

Principles of Neuroplasticity

“Adaptation occurs according to stress that is applied repetitively.” Humans love repetition

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SLIDE 9 25

www.sen&s.com

26
  • 1. Degraded postural performance after

muscle fatigue…

  • 2. Skin strain patterns provide kinesthetic

information…

  • 3. Cutaneous afferents and knee joint

movements…

  • 4. Effects of taping on scapular

kinematics in the presence of impingement syndrome…

Trends in the Literature

27

Afferents Improves Performance

Skin stimulation helps with balance after fatigue

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SLIDE 10 28

Tape & Muscle Fatigue

“Adhesive tape that is adequately placed on the skin can provide sensory information that compensates for the less accurate muscular proprioception after fatigue. The positive results could justify further investigations to better understand how cutaneous stimulation could allow us to enhance postural and dynamic movement control.”

29

Taping & Fatigue Pilot Studies

1.Improving dynamic postural control after a fatigue effort using RockTape applied in the performance front chain (Lent-Koop, USA, 2011) 2.The use of kinesthetic taping to increase strength

  • utput in the lower limbs

and enhance reaction times in soccer players (Goh, Australia, 2011)

30

MRI Study - Tissue Deformation

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SLIDE 11 31

Heterogenous Effects

32

Tape and Hamstring Extensibility

Conclusion: KT extended the benefits of traditional stretching and PNF on hamstring length.

33

FMS Scores & Tape

Conclusion: The addition of kinesiology tape showed improvement in movement that incorporated a non- weight bearing segment

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SLIDE 12

1 2 7 5

34

Ref: www.func+onalmovement.com

35 Credit: anatomytrains.com

Human GPS System Fascial Anatomy

Pain/Performance

Movement Joint Muscle Fascia

36

Governed by Nervous System

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SLIDE 13 37

Ref: www.anatomytrains.com

38
  • The Endless Web: Fascial

Anatomy and Physical Reality (R. Louis Schultz, PhD and Reosemary Feitis, DO The muscle-bone concept presented in standard anatomical descriptions gives a purely mechanical model of

  • movement. It separates
movement into discrete functions, failing to give a picture
  • f the seamless integration seen
in a living body. When one part moves, the body as a whole
  • responds. Functionally, the only
tissue that can mediate such responsiveness is the connective tissue…”

39

www.gilhedley.com

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SLIDE 14 40 Gil Hedley, PhD

“The skin is very much the skin of the superficial fascia, and they are thoroughly mechanically related.”

41 Credit: anatomytrains.com

Anatomy Trains

42

Ref: www.anatomytrains.com

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SLIDE 15 43

Cross-Sectional Anatomy Lesson

Epidermis/Dermis Skin ligaments Superficial fascia Deep fascia Muscle

44 45 Vleeming, A. et al. Relation between form and function in the sacroiliac joint. Part 2: Biomechanical aspects. Spine 1990b; 15(2): 133-136.

Synergy

Muscles act in synergy, not in isolation Muscular strain is applied along traceable myofascial lines

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SLIDE 16 46

Focus Points

Brain, not muscles, coordinates movements Taping movement patterns helps to prime the sensorimotor system via cutaneous afferent stimulation Improve performance via enhanced sensory input

47 Credit: Gray Cook and Mike Boyle

Joint by Joint

Gray Cook/Mike Boyle

48

Mobility vs. Motor Control

RockTape Mobilize

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SLIDE 17 49

Length/Tension Relationship

Improve length-tension relationships Improve force couple relationships Improve neuromuscular efficiency Via the skin

Ref: Dictionary of Sport and Exercise Science and Medicine by Churchill Livingstone 50
  • 1. Performance Back chain
  • 2. Performance Front Chain
  • 3. Performance Lateral Chain
  • 4. Performance Functional Chains
  • 5. Performance Core Chain
  • 6. Performance Extremity Chains
  • 7. Performance Spiral Chains

Performance Fascial Chains

51

Alternate Method of Navigating the Body

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SLIDE 18 52 53

Sagittal Plane Movement

54

Frontal Plane Movement

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SLIDE 19 55

Transverse Plane Movement

56 Credit: Anatomy Trains

Performance Back Chain

Sagittal Plane

57

Performance Back Chain

Sagittal plane

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SLIDE 20 58

Performance Back Chain

Plantar surface of toes Plantar fascia and short toe flexors Calcaneus Achilles Tendon Gastrocnemius/Soleus Femoral condyle Hamstrings Ischial tuberosity Sacrotuberous ligament Sacrum/sacrotuberous fascia Erector spinae Occipital ridge Galea aponeurotica Epicranial fascia

59

Biomechanical Functions

Function Performance Outcome Supports full upright position Controls side to side sway when running or cycling Primarily Slow Twitch Anti-Gravity (Endurance Based) Concentric Extension (except for the knee) Upright Position Eccentric Flexion (except for the knee) Resists Flexion Moment Flexion of the knee Control of the Knee

60
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SLIDE 21 61

Stretch the Chain

62

Tape the Chain

63
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SLIDE 22 64 Chuck Wolf - www.humanmotionassociates.com 65

Joint by Joint Relationship

66

Mobility vs. Motor Control

RockTape Mobilize

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SLIDE 23 67

Taping Sections

  • f the Chain

Pre Tape Post Tape

68 69 Credit: Anatomy Trains

Performance Front Chain

Sagittal Plane

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SLIDE 24 70

Performance Front Chain

Dorsal Toe Extensors Short/Long Toe Extensors Anterior Tibialis Anterior Compartment Sub patellar Tendon Patella Rectus Femoris (Quads) Pubic Tubercle/AIIS Rectus Abdominus 5th Rib Sternalis Sterno-chondral fascia Sternal Manubrium SCM + Mastoid Scalp Fascia

71

Biomechanical Functions

Function Performance Outcome Flex trunk and hips Upstroke of cycling, swing phase

  • f running

Extend the knee Down-stroke of cycling and kicking improvements, controls landing forces Dorsi flex foot Heel strike, improvement in stability Primarily fast twitch Improve power, speed and explosive movements Balance performance back chain Helps improve core stability

72
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SLIDE 25 73

Fascial Manipulation - Stecco

74

Stretch the Chain

75

Tape the Chain

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SLIDE 26 76 77 Chuck Wolf - www.humanmotionassociates.com 78

Taping Sections

  • f the Chain
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SLIDE 27 79 Credit: Anatomy Trains

Performance Lateral Chain

Frontal/Coronal plane

80

Performance Lateral Chain

Frontal/Coronal plane

81
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SLIDE 28 82

Performance Lateral Chain

1st and 5th Metatarsal Bases Peroneals (Fibularis group) Lateral Crural Compartment Lateral Tibial Condyle ITB Abductor Muscles TFL Gluteus Max Iliac Crest, ASIS, PSIS Lateral Abdominal Obliques Ribs Ext/Int Intercostals 1st/2nd Ribs Splenius Capitis SCMOccipital Ridge/ Mastoid Process

83

Biomechanical Functions

Function Performance Outcome Lateral bending of the trunk Controls side to side sway when running or cycling Abduction of the hip Control landing forces during jumping and running, squatting Eversion of the foot Toe-off in running gait Adjustable breaking mechanism Controls landing forces, provides stability of the pelvis and trunk Balances front and back chain Connects front to back chains to increase structural integrity

84

Stretch the Chain

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SLIDE 29 85

Tape the Chain

86 87 Chuck Wolf - www.humanmotionassociates.com
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SLIDE 30 88

Tape Sections of the Chain

89 Credit: Anatomy Trains

Performance Functional Chain

Transverse plane

90
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SLIDE 31 91

Performance Functional Chain

Tuberosity of Tibia Subpatellar Tendon Patella Vastus Lateralis Shaft of Femur Gluteus Maximus Sacrum Sacral Fascia LD Fascia, Lat Dorsi Shaft of Humerus Linea Aspera of Femur Adductor longus Pubic Tubercle and Symphysis Lateral Sheath of Rectus Abd 5th rib and 6th rib cartilage Lower edge of pec major Shaft of humerus

92

Biomechanical Functions

Function Transmission of strain from upper to lower halves of body Extending Arm Chains to Opposite Pelvis Acceleration and Deceleration Increase Power and Precision Rotation of the Trunk

93
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SLIDE 32 94

Stretch the Chain

95

Tape the Chain

96

Tape the Chain

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SLIDE 33 97 98 Chuck Wolf - www.humanmotionassociates.com 99 Credit: Anatomy Trains

Performance Core Chain

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SLIDE 34 100 101

Performance Core Chain

Temporalis Masseter Scaleni, Hyoid Muscles Longus Colli and Capitus Diaphragm TVA Psoas Major Q/L Iliacus Pelvic Floor Adductors Post Tibialis FHL FDL

102

www.rehabps.com. Open Scissors Centrated Rib/Pelvis Complex

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SLIDE 35 103 Credit: Anatomy Trains

Performance Core Chain

Relationship between breathing and performance core fascial chain

www.anatomytrains.com

104 This is a footer, so use it when you need it.

Tape the Chain

105 Credit: Anatomy Chains

Performance Arm Chains

Performance front arm chain Performance back arm chain

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SLIDE 36 106

Stretch the Chain

107

Taping the Chains

Performance front arm chain Performance back arm chain

108

Helical Chains

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SLIDE 37 109

Stecco Model - Helical Myers Model - Spirals

110

Upper Extremity Helix

Forearm Dominant Upper Arm Dominant

limits valgus stress and internal femur rotation

111

Lower Extremity Helix

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SLIDE 38 112 113

Pre/Post

Lower Extremity Helix

114

But there’s also room for a Subtitle. Don’t make it so long though.

This is a title.

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SLIDE 39 115

Pain and Movement Control

TWEAK TAPING

116

Joint by Joint Relationship

Insert Motor Control Stimulus

117

Tweak Taping Framework

1.Establish the direction of skin glide that gives the greatest improvement in an objective marker (pain, range of motion, movement) 2.For maximum effect, combine simultaneous manual skin glide with tape stretch

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SLIDE 40 118
  • Target: glenohumeral joint
  • Use for: pain, impingement, rotator cuff

pathology, UE nerve irritation, ROM

  • Example markers: push up, throw, AROM,

empty can test, etc…

  • Apply: locate epicenter of pain, apply

base just past epicenter, apply directional tension in the direction that most improved marker

Shoulder Tweak Taping

119

Directional Skin Glide

Directional Preference

120

Tweak Taping with Movement

Pull and Push in Preferential Direction

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SLIDE 41 121
  • Target: L/S Junction
  • Position: start standing and finish with hip
  • r lumbar spine flexed on chair/step
  • Apply: locate epicenter of pain, apply

base just past epicenter, apply directional tension in the direction that improved the test marker the most

Sacroiliac Tweak Taping

122

Directional Skin Glide

123

Pull tape & push skin in direction of improved marker

Directional Bias

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SLIDE 42 124

Apply Tweak Tape while person is moving in provocative movement pattern

With Movement

125
  • Target: medial compartment of

tibiofemoral joint

  • Good for: MCL pathology, medial

compartment OA, medial meniscus pathology, pes anserinus pain

  • Markers: stepping, squatting, running
  • Apply: locate epicenter of pain, place

base of tape just past epicenter, apply directional tension in the direction of most beneficial skin glide

Knee Tweak Taping

126

Attempt to find a preferential direction of skin glide

Skin Glide

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SLIDE 43 127 This is a footer, so use it when you need it.

Knee Tweak Taping

128

Fibular Tweak

Target: proximal tib/fib joint Position: long sitting or standing Measure: horizontal strip 2cm anterior to fibular head to middle of gastrocnemius Apply: locate epicenter of pain, apply base just past epicenter, apply tape with stretch in direction of the most beneficial skin glide (usually P- A direction in this case)

129

Muscle Belly Tweak Taping

Look for positive response to skin glide test across muscle tissue Apply short strips with 40-80% stretch on tape and simultaneous tissue glide

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SLIDE 44 130

Fascial Patterns/Tweak Taping

Sagittal Frontal Transverse

131

Concepts and Application

RockFloss

132

Joint by Joint Relationship

Insert Mobility

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SLIDE 45 133
  • Tissue Glide/Mobility
  • Fluid Capture
  • Pain Mitigation
  • Joint Centration

Indications

134
  • Deep-vein thrombosis,
  • Pregnancy,
  • Varicose veins,
  • High blood pressure
  • Cardiac disease
  • Blood Thinners

Contraindications

135

Mechanisms

Compression Shearing Move

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SLIDE 46 136

Directional Preference

Directional Shear

Floss Band

+

Tweak Taping

137

Mobility Instructions

Overlap

138

Wrapping

50% Overlap Add Tension - To Tolerance

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SLIDE 47 139

Finish

Tuck Method Completed Application

140

Movement - Non Weight Bearing

60 Seconds Open Chain

141

Movement - Weight Bearing

60 Seconds Closed Chain 60 Seconds

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SLIDE 48 142

Lower Extremity Applications

143

Upper Extremity Applications

144

Therapist Assisted Manipulation

Directional Preference

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SLIDE 49 145

Planar Dysfunction Fascial Planes Mobility Stability

Screen & Intervene

146 This is a footer, so use it when you need it.

Movement Pyramid

147

identify “motor chain” dysfunction treat dysfunctional chain lengthen movement pattern intervene (Tape/Floss/Modalities/etc…) train / educate pattern

The Framework - Big Picture

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SLIDE 50 148

identify “motor chain” dysfunction with screen lengthen movement pattern intervene (Tape/Floss) re-screen movement

The Framework - Today

No reliable methods

149 150

to obtain detailed description of patient/athlete’s dysfunction/ performance barriers:

medical history:

(OPPQRSTFID)

NOTE: inquire about past skin reactions to adhesives

performance history

areas of fatigue, weakness, discomfort, cramping, balance loss, etc..

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SLIDE 51 151

Screen to an Assessment

static posture movement screen rom assessment strength assessment

152

Movement Screening Systems

153

Process of Discovery

subconscious dysfunction conscious dysfunction conscious function subconscious function

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SLIDE 52 154

1

frontal plane

a vertical plane running from side to side; divides the body or any of

2

sagittal plane

a vertical plane running from front to back; divides the body or any of

3

transverse plane

a horizontal plane; divides the body or any of its parts into upper

155

Tech Support

156

Static Screen - Posture

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SLIDE 53 157

Dynamic Screen - Movement

158 159
  • 1. Breathing
  • 2. Rolling Screen
  • 3. Push Screen
  • 4. Scapular Screen
  • 5. Double Leg Stance
  • 6. Staggered Leg Stance
  • 7. Single Leg Stance

FMT Movement Screens

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SLIDE 54 160

Developmental Sequence

161

Screening Worksheet

In your course notes….. 162

Screen ReScreen

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SLIDE 55 163

Screen + Intervene

Screen Mobility Intervention (Floss) Motor Control Intervention (Tape) Re-Screen (Check your work)

164 Just varying degrees of RIGHT.

There is no WRONG or RIGHT.

165

BREATHING SCREEN

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SLIDE 56 166

Optimal Breathing Pattern

167

Abnormal Breathing Pattern

168

Breathing Screen Set-Up

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SLIDE 57 169

Breathing Screen - Dysfunction

Rib Flare Apical Pattern

170

Intervention Strategies

Mobility Intervention Motor Control Intervention

171

Screen/Intervene

Screen Mobility Intervention (Floss) Motor Control Intervention (Tape) Re-Screen (Check your work)

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SLIDE 58 172

ROLLING SCREEN

173

Instructions

www.functionalmovement.com

Anterior functional chain Posterior functional chain

174
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SLIDE 59 175 This is a footer, so use it when you need it.

Dysfunctional Pattern

Spilling over into secondary plane

176

Screen/Intervene

Screen Mobility Intervention (Floss) Motor Control Intervention (Tape) Re-Screen (Check your work)

177

PUSH SCREEN

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SLIDE 60 178

Checkpoints

  • 1. Feet
  • 2. Ankles
  • 3. Knees
  • 4. LPHC
  • 5. Scapulothoracic
  • 6. Cervical
  • 7. Upper extremity
179

Thumb Position

Men - Eyebrows Women - Nose

180

Dysfunctional Patterns

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SLIDE 61 181

Screen/Intervene

Screen Mobility Intervention (Floss) Motor Control Intervention (Tape) Re-Screen (Check your work)

182

SCAPULAR SCREEN

183 Form a Diamond Shape with Thumb/Fingers

Set-Up

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SLIDE 62 184 Raise hands/arms above the back of the head

Scapular Screen

185

Screen/Intervene

Screen Mobility Intervention (Floss) Motor Control Intervention (Tape) Re-Screen (Check your work)

186

DOUBLE LEG STANCE

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SLIDE 63 187

Checkpoints

  • 1. Feet
  • 2. Ankles
  • 3. Knees
  • 4. LPHC
  • 5. Scapulothoracic
  • 6. Cervical
  • 7. Upper extremity
188

Standardize the Screen

Be consistent 189

Dysfunctional Patterns

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SLIDE 64 190

Planar Dysfunctions

Sagittal Frontal Transverse

191

Screen/Intervene

Screen Mobility Intervention (Floss) Motor Control Intervention (Tape) Re-Screen (Check your work)

192

STAGGERED LEG STANCE

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SLIDE 65 193

Checkpoints

  • 1. Feet
  • 2. Ankles
  • 3. Knees
  • 4. LPHC
  • 5. Scapulothoracic
  • 6. Cervical
  • 7. Upper extremity
194

Planar Dysfunction

Sagittal Frontal Transverse

195

Screen/Intervene

Screen Mobility Intervention (Floss) Motor Control Intervention (Tape) Re-Screen (Check your work)

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SLIDE 66 196

SINGLE LEG STANCE

197

Checkpoints

  • 1. Feet
  • 2. Ankles
  • 3. Knees
  • 4. LPHC
  • 5. Scapulothoracic
  • 6. Cervical
  • 7. Upper extremity
198

Planar Dysfunction

Sagittal Frontal Transverse

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SLIDE 67 199

Screen/Intervene

Screen Mobility Intervention (Floss) Motor Control Intervention (Tape) Re-Screen (Check your work)

200

Performance Taping

Run Throw Kick Yoga

201

Performance Criteria

Turn On - Activate Accept Energy - Preload Stabilize Joints Release Energy - Unload Turn Off - Recover

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SLIDE 68 202

Timing

The sequencing and reaction of the forces within the global movement, in all three planes Without proper timing, there is not optimal loading

  • f the myofascial system in

all three planes

203

Rhythm

Our ability to “turn on” and “turn off” with “flow” Without proper rhythm, movement (or exercise) we do not get optimal timing in all three planes

Timing/ Rhythm

204

Read between the lines……

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SLIDE 69 205 206

Timing and Rhythm

207

RUNNING

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SLIDE 70

Pre-Contact Contact Swing

208 209

Cross-over Gait Over-stride gait Corrected gait

210 This is a footer, so use it when you need it.

Cross-Over Gait

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SLIDE 71 211

Performance Lateral Chain

212 This is a footer, so use it when you need it.

Over-Striding Gait

213

Performance Back Chain

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SLIDE 72 214

THROWING

Cock Up Phase Release Point Deceleration Phase

215 216

Acceleration

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SLIDE 73 217

Performance Front Arm Chain Performance Front Functional Chain

218

Performance Front Arm Chain Performance Front Functional Chain

219

Deceleration

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SLIDE 74 220

Performance Back Functional Chain Performance Back Arm Chain

221

Fascial Chains - Throwing

Performance Back Arm Chain Performance Back Functional Chain

Left Handed Right Handed

222

KICKING

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SLIDE 75

Pre-Load Contact Follow Through

223 224 225
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SLIDE 76 226

YOGA

227 228
  • Skin is an extension of the brain
  • Tape augments our KQ
  • Screen movements, not muscles
  • Tape movement, not muscles
  • Use fascia as a map/highway
  • Corrective Exercise - Re-Patterning

Course Summary

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SLIDE 77 229 Danny Porcelli, DC

The more you feel, the better you move. The better you move, the more you feel.

230 Capo

Be the Pig.

231
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SLIDE 78 232

Thank you