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Recognizing your Athlete's Positional Preference and Tone for progressions & Regressions with Squatting

11/22/2015

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I think that most of us can agree the squat is one of the more important fundamental movements in strength and conditioning.  Yet it is also one of the worst botched movements out there.  Many of the athletes who come to me have no idea how to squat properly yet have back squats in their programs.  This is a perfect recipe for injury. 

Lets recap on some of the things we will see that demonstrate poor squatting patterns: extensor tone, poor t-spine mobility, poor hip mobility, poor ankle DF mobility, quad dominant patterns, lumbar spine flexion (aka butt wink), forward head, knee valgus, foot pronation, and more.  This is where re-teaching the fundamentals can be very important.  Once you've worked on all the mobility issues and basic strength progressions you need to see what your patient presents as.  If they have a tendency to be in a high threshold pattern or very extended then a barbell back squat is a poor choice.  Instead, starting them with a squat from the bottom position is better.  Progressing that to a KB or DB goblet squat can further help balance front to back.  Only then if their squat pattern has improved can you progress them to a barbell back squat.  If it hasn't then continue to work on what needs to be fixed to get them there and opt for a front squat or if you have access to a safety bar you can use that.  Furthermore, sometimes getting people into a trap bar and using a squatting pattern can be beneficial.  The point is, read your athletes position and determine if they are appropriate for the squat you prescribe for them.  

​- Brian

Check out the Insider access page for squatting tips, progressions and regressions posted this month!  

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Lumbopelvic Motor Control/hamstring Exercise

11/1/2015

1 Comment

 
As someone who has suffered from multiple hamstring strains I've done quite a bit of reading and research on this topic.  And while this topic is not going to be all inclusive in today's post, I am going to introduce you to a great video.  In the below video Matt talks about how to perform a motor control exercise for the hips.  What I love about this exercise is that you are working on hip stability on one side and mobility on the other.  

We often think about single leg control but don't alway recognize it with our motor control prescriptions.  A sprinter is a perfect example of someone who must have the proper balance of mobility and stability in each hip.  However, its not just the hip that plays a large role in this exercise.  It's the core muscles and the diaphragm that plays a role.  Both of those components are vital for this exercise to be a benefit.  For those of you without a band, I would encourage you to use the opening of a door.  
- Brian
1 Comment

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  • Home
  • About Us
  • Insider Access
    • About Insider Access
  • Online Courses
    • Hooper's Knee
    • Physical Therapist Entrepreneur Course
    • Physical Therapist Consultant Course
    • Orthopedic Management of the Cervical Spine
    • Return to Sport Essentials Course
  • Resources
    • Newsletter
    • Business Minded Sports Physio Podcast
    • Day in the Life of a Sports PT
    • Residency Corner
    • Special Tests >
      • Cervical Spine >
        • Alar Ligament Test
        • Bakody's Sign
        • Cervical Distraction Test
        • Cervical Rotation Lateral Flexion Test
        • Craniocervical Flexion Test (CCFT)
        • Deep Neck Flexor Endurance Test
        • Posterior-Anterior Segmental Mobility
        • Segmental Mobility
        • Sharp-Purser Test
        • Spurling's Maneuver
        • Transverse Ligament Test
        • ULNT - Median
        • ULNT - Radial
        • ULNT - Ulnar
        • Vertebral Artery Test
      • Thoracic Spine >
        • Adam's Forward Bend Test
        • Passive Neck Flexion Test
        • Thoracic Compression Test
        • Thoracic Distraction Test
        • Thoracic Foraminal Closure Test
      • Lumbar Spine/Sacroiliac Joint >
        • Active Sit-Up Test
        • Alternate Gillet Test
        • Crossed Straight Leg Raise Test
        • Extensor Endurance Test
        • FABER Test
        • Fortin's Sign
        • Gaenslen Test
        • Gillet Test
        • Gower's Sign
        • Lumbar Quadrant Test
        • POSH Test
        • Posteroanterior Mobility
        • Prone Knee Bend Test
        • Prone Instability Test
        • Resisted Abduction Test
        • Sacral Clearing Test
        • Seated Forward Flexion Test
        • SIJ Compression/Distraction Test
        • Slump Test
        • Sphinx Test
        • Spine Rotators & Multifidus Test
        • Squish Test
        • Standing Forward Flexion Test
        • Straight Leg Raise Test
        • Supine to Long Sit Test
      • Shoulder >
        • Active Compression Test
        • Anterior Apprehension
        • Biceps Load Test II
        • Drop Arm Sign
        • External Rotation Lag Sign
        • Hawkins-Kennedy Impingement Sign
        • Horizontal Adduction Test
        • Internal Rotation Lag Sign
        • Jobe Test
        • Ludington's Test
        • Neer Test
        • Painful Arc Sign
        • Pronated Load Test
        • Resisted Supination External Rotation Test
        • Speed's Test
        • Posterior Apprehension
        • Sulcus Sign
        • Thoracic Outlet Tests >
          • Adson's Test
          • Costoclavicular Brace
          • Hyperabduction Test
          • Roos (EAST)
        • Yergason's Test
      • Elbow >
        • Biceps Squeeze Test
        • Chair Sign
        • Cozen's Test
        • Elbow Extension Test
        • Medial Epicondylalgia Test
        • Mill's Test
        • Moving Valgus Stress Test
        • Push-up Sign
        • Ulnar Nerve Compression Test
        • Valgus Stress Test
        • Varus Stress Test
      • Wrist/Hand >
        • Allen's Test
        • Carpal Compression Test
        • Finkelstein Test
        • Phalen's Test
        • Reverse Phalen's Test
      • Hip >
        • Craig's Test
        • Dial Test
        • FABER Test
        • FAIR Test
        • Fitzgerald's Test
        • Hip Quadrant Test
        • Hop Test
        • Labral Anterior Impingement Test
        • Labral Posterior Impingement Test
        • Long-Axis Femoral Distraction Test
        • Noble Compression Test
        • Percussion Test
        • Sign of the Buttock
        • Trendelenburg Test
      • Knee >
        • Anterior Drawer Test
        • Dial Test (Tibial Rotation Test)
        • Joint Line Tenderness
        • Lachman Test
        • McMurray Test
        • Noble Compression Test
        • Pivot-Shift Test
        • Posterior Drawer Test
        • Posterior Sag Sign
        • Quad Active Test
        • Thessaly Test
        • Valgus Stress Test
        • Varus Stress Test
      • Foot/Ankle >
        • Anterior Drawer
        • Calf Squeeze Test
        • External Rotation Test
        • Fracture Screening Tests
        • Impingement Sign
        • Navicular Drop Test
        • Squeeze Test
        • Talar Tilt
        • Tarsal Tunnel Syndrome Test
        • Test for Interdigital Neuroma
        • Windlass Test