What Year Is It? The Journey Begins Where we started with the FMS - - PDF document

7/18/2013 Jim Raynor, Karen Rakowski, Brandon Hetzler 1 Movement Restoration: Integrating Functional Movement Systems in the Clinical Setting

Brandon Hetzler, Karen Rakowski & Jim Raynor “Improving movement always, and in all ways”

What Year Is It?

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The Journey Begins

Where we started with the FMS

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The Journey Got Longer

1998-2003 WE FAILED

–In application –In research –But, we knew we were on to something

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The Journey Got Crowded

• Sports Medicine

Departments Consolidated

• Performance/Injury

Prevention

• Sports Injury Therapy
• Medical Fitness Model
• Outreach Program
• Undergraduate athletic

training education

• Graduate athletic

training education

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Not Satisfied

• FMS
• FMS Level 2
• Dabbled into the

“ground up” progression

• Introduced to kettlebells
• SFMA
• SFMA Level 2

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The Journey Got Complicated

We want a protocol Why?

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Birth of Movement Restoration

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Problem One

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Mistakes Anyone?

• Using the FMS & SFMA together
• Not trusting the tool
• “I don’t have time to treat

everyone’s cervical dysfunction!”

• Trying to get all the DN’s to FN’s
• Screening & assessing movement

quality but failing to apply the same rules to the interventions...

• Using FMS for “diagnosis”
• Lack of attention to detail

administering the FMS/SFMA

• Being too detailed with

interpretation

• Making it the _MS
• Treating the score
• Trying to fix a squat with a squat, a

roll with a roll...

The Missing Piece

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“Standard Operating Procedure”

Movement Assessment “Exercise”

The "Corrective Exercise" Paradox

• What is corrective exercise?
• "Corrective exercise is like

vegetables and lifting is

• steak. Steak makes you

strong, vegetables make you healthy." Pavel

What do you do?

• 19 year old Female basketball

player

• Goal is to get stronger and

faster for basketball

• No pertinent medical history
• r medical conditions
• Point A / Point B

A B

Movement Assessment SOP

Group activity

• 4-5 people
• Come up with 2 exercises to address the previous slide

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“Exercise” SOP Neurodevelopmental Sequence

(NDS)

"Simplicity is the ultimate sophistication."

Da Vinci

Missing the point

Crawling Rolling Breathing Single Leg "Stuff" Squat “Stability and Motor Control are posture specific.”

• Gray Cook

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How do we apply this approach across the "subject" spectrum?

• Movement develops in a sequential fashion
• Strength develops in a sequential fashion (What “strength” pattern develops first??)
• Movement progression stays the same, movement “intensity” varies

"Training" Rehab The Rehab/Training Continuum Moving

• 17 year old male 6 months into his rehab

for ACL reconstruction

• All 2's, no asymmetries, but doesn't feel "right"
• Wants to get back to high school sports

Examples

• 21 year old college female
• All 2's, no asymmetries
• Wants to improve her game
• 56 year old female housewife
• All 2's, no asymmetries
• Wants to fit into a dress for her son’s upcoming

wedding and "firm up" 1 2 3

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Our Solution? An Exercise SOP

A B

karen.rakowski@mercy.net simplykettlebells@gmail.com SPORTS MEDICINE & ATHLETIC TRAINING PROGRAM