the joint by joint approach marc heller dc n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
The Joint by Joint Approach Marc Heller, DC PowerPoint Presentation
Download Presentation
The Joint by Joint Approach Marc Heller, DC

Loading in 2 Seconds...

play fullscreen
1 / 15

The Joint by Joint Approach Marc Heller, DC - PowerPoint PPT Presentation


  • 153 Views
  • Uploaded on

The Joint by Joint Approach Marc Heller, DC. With thanks to Mike Boyle, who coined the term http://www.strengthcoach.com/public/1282.cfm Stability- for LB and Pelvis Mobility- for Thoracics and Hip. 1. More on the joint by joint. The thoracics are built for stability

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'The Joint by Joint Approach Marc Heller, DC' - paulette


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the joint by joint approach marc heller dc
The Joint by Joint ApproachMarc Heller, DC

With thanks to Mike Boyle, who coined the term

http://www.strengthcoach.com/public/1282.cfm

Stability- for LB and Pelvis

Mobility- for Thoracics and Hip

1

more on the joint by joint
More on the joint by joint

The thoracics are built for stability

Connections to rib cage

Tendency to get stiff

Neither chest breathers or belly breathers move the lower thoracics

2

lumbar and pelvis tendencies toward excess mobility
Lumbar and PelvisTendencies toward excess mobility

Designed as a hinge, between trunk and legs

In females, designed to open for childbirth

In hypermobile people

After injury, structures that do not heal

3

the brilliance of the joint by joint approach
The brilliance of the joint by joint approach

See the big picture

Recognize what areas, in general

Need more flexibility

Which need more stability

4

does this mean i should not mobilize the lower back should not release low back muscles
Does this mean I should not mobilize the lower back, should not release low back muscles

NO, this is not a rule

It is a guide

Be more selective

Be aware of the general tendencies

5

why low force what is low force
Why Low Force?What is Low Force?

An attitude, just enough pressure

Getting more information from a lighter touch

A Safer way to mobilize

Don’t upregulate the pain receptors

Don’t startle

6

pain creates inhibition
Pain creates Inhibition

Pain (any pain) causes

profound inhibition of stabilizers

transverse abs, multif, psoas, pelvic floor

And Gluteus medius and Gluteus Maximus

Weakness and timing delay

7

what do the stabilizers do
What do the stabilizers do?

The stabilizers are small muscles,

Connecting individual joints

Centrally located in the trunk (primarily)

They control small motions

They have precise innervation

They are designed to be able to activate for longer periods.

8

slide9

Pain

Inhibition

Instability

The vicious cycle of pain

9

vicious cycle
Vicious cycle

Pain- creates inhibition of stabilizers

Inhibition allows excessive movement

(Especially at weak links, pain sites)

Excessive movement stresses weak links

And creates pain

10

muscular patterns hypo
Muscular Patterns- hypo

Multifidi, psoas,

(plus transverse abs, pelvic floor, deep sacral gluts)

Loss of stabilizer function

11

muscular patterns hypo hip
Muscular Patterns- hypo- hip

Hip stabilizers that get inhibited

In frontal plane, gluteus medius

In saggital plane, gluteus maximus

And psoas- as both a stabilizer and as a hip flexor

12

muscular patterns hyper
Muscular patterns- Hyper

What happens in dysfunction and pain

Hypertonic, erector spinae

Bulk at T-L junction

Hypertonic- rectus femoris and TFL

13

mobility vs stability theme
Mobility vs Stability theme

Thoracics and TL need more mobility

Lumbars and Pelvis need more stability

In LB pain, vicious cycle

Of rigidity in wrong places

Loss of stability, excessive movement at the weak links

(but the patient experiences stiffness)

14

and on we go
And on we go
  • The rest of the class goes into the details,
  • Where and how to mobilize
  • How to train for basic stabilization
  • Management of discogenic and SI pain
  • How to mobilize SI and the facet joints, and decompress the disc
  • How to assess and mobilize the hip joint