Physiotherapy & Rehabilitation

Physiotherapy & Rehabilitation Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Physiotherapy & Rehabilitation, Doctor, Kabul.

13/04/2023

Level of Herniation and their effects on Sensory and Motor Functions of the lower limb

Explained very well

Follow

́ctico

07/02/2020

Deadlifts, squats and most strength or power based movements are basically a flexion and extension of joints and their components. I've discussed flexion through the spine and deadlifts before and wether or not there is a safe and valid place for it but that is a somewhat different point to what I'm discussing today. An olympic lifter is more about fixed levers where as a powerlifter is wanting to capitalise more on flexors and extensors.

The spine has many dorsal extensors but few ventral flexors this is because the large trunk muscles flex the vertebral column when they contract. As most of a humans bodyweight (increased when a loaded barbell is picked up anteriorly) is anterior (in front of) the vertebral column the humans natural tendency and postural issues almost always lie in flexion. The internal rotation of the shoulders, anterior head tilt (the head is around 30% of your skeletal weight if memory serves me correctly) and relaxed anterior flexion.

Due to these issues the loads exerted through particularly the lumbar spine if an optimal pelvic position isn't achievable is huge. A simple test is to check if you can reach 90 degree flexion lying of the leg. If you can't dynamically reach that position the pelvis will ultimatelly fail to be in the right position. At this stage intelligent exercise selection and good coaching is key.

These are the main points I would make:

1. Consider how many of your clients would benefit from internally rotating the shoulders and anteriorly loading the spine (conventional deadlifts).

2. People with poor postural practice need to be coached the difference between hip and back extension. This will take time. If you client can't 'feel' their hamstrings and glutes in RDL's GM's etc the load is too great or they are tilting their pelvis to compensate for this poor anterior loading in day to day life. TAKE time to coach this and GET IT RIGHT!!! This can massively alleviate back, knee and hip pain even eradicate it.

3. Consider trap bar deadlifts, DB deadlifts and squats as a progressive tool. This allows you to coach both a better spinal and shoulder position. It will also serve to strengthen greatly the dorsal extensors. A lot of the time they are just fighting against forward flexion in poor squats and deadlifts.

4. Mobility around the hips are critical. Ensure during mobility they flex, extend, internally and externally rotate at the VERY least. "Warming up" on a bike or treadmill will NOT do this.

Enjoy your Sunday!!!

Address

Kabul
1234

Telephone

+93729212345

Website

Alerts

Be the first to know and let us send you an email when Physiotherapy & Rehabilitation posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share

Category