Movement Mobility 101
Movement Mobility 101
Movement Mobility 101
Video 1 - Introduction
Position -
Motor Control: Skill transfer exercise, corrective exercise (FMS, crawls etc) - Start here
1. Mechanical faults can be fixed with cues (coaching).
2. Athletes working at limits of available position can be protected and optimized within available
capacity
3. Motor control sets condition for mobilization
Mobilization: Links after Motor Control (intergrated)
Demo 1: Arm out fingers spred try bend arm > look up > try bend again (not across body)
Demo 2: scarecrow Arm out Internal rotation > ribs out arch low back > try internal rotate again
Achieving Neurtral - Formal spinal shape sequencing reduces movement variability in complex tasks.
How you achieve neutrak us at times more imortant then whether you are neutral – starting in a
maintained shape and going as far as you can in that, not putting tension trying to get in to end position.
Minimizing translation into braced neutral – avoid compromised position.
Braced position priority: fixed extension (load in less advantagous position) > fixed flex (staying round
the whole time picking things up) - these lead to translation movement across motion segments
(movement underload – eg rounding under axial load) Translation/Flexion/Roation Injury Trap.
• Point toes (cant do all the time) eg. Get toes down when squatting
• Pull bellybutton towards spine (belts encourage outward belly hold) - peak tension leaves little movement: find whats right for the situation (skill that
needs practice)
• Standing: Feet straight and screw feet in (torsion) - locks pelvis in place
Video 9 - Bracing
& Breathing: Practical Applications - (any back related issues = start here)
Point toes > Squeeze butt = pelvis and spine connected (more specific than tilt pelvis + toes first enable
better quality glute squeeze + now can optimize belly)
(hand on belly and breath – easy belly coming up and coming down) > (bellybutton towards spine on
exhale – should have flat belly here) = stiffness “big breath” (in stiffness) - compressed/small area
around spine
How much stiffness? Flared/exposed ribcage – grab thumbs with arms up and then move over head we
should see no change in stiffness/pelvis (if can get all the way back = full range) (no bend in elbows)
Butt off in arms up? Loss of pelvis position – not able to get this same position when already in arms up
position.
In plank (additional load through legs) – shoulder over wrist, neutral head, glutes squeezed, abs stiff,
controlled back. (wide feet? Makes it harder to engage glutes
Standing (gravatational load) - feet under shoulders, big toe on ground, squeeze butt, abs stiff
breath/exhale - ears should be over shoulder (enough tension to maintain tension: don’t need to be
full).
Arms over head – no change in LPx position
Push Up/Plank: Ground up, segments all move together, engage abs and glutes bracing
Yoga Extension = without proper sequencing we get a large hinge point = need to worm up effectivly
Noticed: Legs straight in extension
Cant squeeze glutes while on knees (knee push ups): Would rather the go all the way down and worm
up with all the right activations.
ROM Test – leg straight? Sequence first – no spinal flinch – not just hamstrings
Hip ROM – int/ext rot – hip needs to be in back of socket – winding up of fascia
Shoulder ROM – full internal with shoulder pinned down – hand should be inline with hip “hold a bar”
if missing rom shoulder can come up – wind up system
Working up and down stream to maxmise the neural integridty of the body to get into proper shapes
Failing to depress the shoulder in overhead movements creates mechanical slack for the nervous tissue
of the arm.
Video 14 - Principles Protect us from Complexity
Common movement faults
take hands put them behind back, scoot back on seat if needed – in this position and slump – we can see
kink in neck and rounding of upper back (lost integrity – sympathetic chain ganglia- loss of power)
Tuck check – see if it makes things worse? Causes increased length demands in spine “used as
tensioner”
Sit up, straighten legs out - see if any lumbar curve “another tensioner”
Now slump here = more pressure, with head down even more again, brings toes up “yet another
tensioner”
Ergometer – full seat slide = preloaded Lx = at full catch – curved Tx broken Head and loss shoulder
stability = incomplete mechanics (if you cant maintain straight and neurtal)
1) Motions of flexion have a corresponding external rotation torsion force (fist in shirt example)
Every position we are in has a corrisponding stabilization force (cant have stability without rotation)
Mobility creates stability
Extension, still has stabilization ration – failure to ident rotation compents = missed components of full
ROM
Shoulder > OH FT Press Hang = all start and finish positions need to be looked at
Imcomplete = vampires on whole system = Compensations elsewhere – need compentency in all
Press – IR – missing Ext in whole joint or shoulder don’t wind up or come forward
Squat/Hinge - torso upright = overhead/air squat – hips below knees, shoulders out and roller out
Hand behind neck = increase demands – should see same orintation
90 degrees with legs straight no problem - don’t round back legs straight,
Flex + ER – Lil plantaflexion
Lunge/Run - no change in spine, vertical shin, back knee should beable to drop to ground (knee behind
hipetc) no rear leg turn out
Ext + IR
Pistol – double leg, feet together, and L and R with full hip flexion and foot straight/dorsiflexion
Full Flexion of hip and Full Dorsiflexion of ankle
PART 2
In plank: Hands forward/Shoulders over wrist/arch in hand(like foot) - screw shoulders into ground via
hands – amouint of torsion able to create decreases with ER
Hands straight!
Over Head - “arm pits forward” “dumbbell like hammer” (not elbow bent and dumbell spin)
Pistol – create rotational stability at the hip – watch rotation in areas that should not have it
It is easier to hide mechanical restrictions in closed torque systems
In runners, fixing rounded upper backs and forward head and neck position has to include improving
shoulder mechanics
Only one out of 3 (abs) - when sitting we start tension hunting “hanging on the meat”
Posture = position
Try to find tension with extion and flexion
Rec fem becomes tight - “theater sign = knee caps hurting after sitting too long”
psoas shorter – trying to maintain stability of spine
Iliacus tighter – pelvis to fem
Sitting on ground = lotus position – hip capsule activated (now abs and hips on 2/3)
Transferability of positions – the next step is less efficent (athletes default poor activity)
Bunion? Bring foot through flared out (foot rolls onto it on take off)
Push to a pull within movement context (eg. 1Press, 2push press, 3push jerk/snatch/Mm up)
Eg. Pullup – OH – movement – Front rack (head thrown back to finish etc)
circular tunnel conscept
PART 3
Car in ditch, - rope to bumper and tree – friends put pressure on the middle of rope pulls car out
• In missing internal shoulder rotation, the head of the humerus often translates anteriorly to
compensate. This is an example of a translational load
• If an athlete is landing with turned out and collapsed feet, the medial malleolus (inside ankle
bone) can often act as a vector load on the tendons running through that system
Get tools and underlying rational to get more skilled and athletic
Resitiction or pain problem? Work through the system -
System:
- Motor control
- Sliding surfaces (ability of tissues to slide over one another ART/Rolf/Rollers/Voodoo etc)
- Muscle dynamics (trigger points, PNF) how the contractile tissues are working, stiffness?
- Joint Capsule – 50% of motion restriction can be from here (Distraction, Gemini, 2xLacross
1. All humans have the right to know and perform basic Maintenace on them selves
Ident poor patterns, beable to fix it ourselves and our families
Just because something doesn’t hurt doesn’t mean there isnt something to be worked on
Like a car with a handbrake, if you try to ride with it on even a little it creastes drag
Achillies has pulled- and added extra to normalise tension – creates fraying/tendonopathy and
compression anterior ankle.
Planta Fascia – loads straight through the toe, when foots turned out this does not happen (torsion and
rotation created + callous on edge of foot + toe cuts in over other toes (bunion) + collapse of arch
All beacause of missing ankle ROM – and movements in the lower leg + collapse knee
Tib tuberosity – with foot turned out – creates off access point (osgoods slaters - appophositis)
Trigger point, post surg, tender points, areas that need to contract
When muscular tissues appear to lengthen with techniques like contract/relax, tissues are just behaving
like a stretchy rubber band
2. Pin/tack and floss – unglue, movement to all layers, take limb through normal range
-mobilise at the position of restriction
-keep working area until pain ameliorates
3. Pressure wave – slow roll, deep and let tissue yeild, back and forward and side to side
Width of fingers
50% Tension
Single wrap initally, then 50% overlap there after
Tight on top – not much worry about underneith
Hand on chest (fingers up and down) – help create rotation (2 hands unwind elbow both directions)
Bend and rotate
Actively
Good mornings, Squat, Lunge, all archatypes possible, with band traction pulling backwards and
forwards, knee lunge forward and back
Trap tissue with hand/foot and have patient internally rotation while laying on back
Starting to feel funny? Take off – probs wont get to 2 min
Give tissue time to normalise before appliying again
Take through full ROM, up onto toe, open hip up and squat etc
support self by holding chair etc
Stay ahead of the swelling – while on the field, let the tissues down and heal them selves
Tweek or sprain useful first thing to do
Restoring slidalblity of the skin and bring in nurtians, blood flow, hydration etc
Tendoniopations, apophositis,
Find those restictions while restablising sliding of skin
PART 4
Can I get into a pistol shape? Sign for full Ankle ROM
Feet together in squat and not fall over
Enough ROM in hip to keep back flat in Squat (not going to round back if lifting something heavy)
Joint capsule before training – STT after training (unless specific area that needs action)
Stand on 1 leg and bring knee up past 90 degrees without much hip compensation (belly, butt, abs tight)
Reset Hip – 4 pt, femur pressure into hip joint, guide WB leg straight with nonWB leg.
Contract relax anything in that position - don’t change anything in this position
Push hip back, with line of force through femur, drive to back of the socket as you increase hip flexion
Spend 2 minutes, move hip around, oscilate in and out of tension, winde up, hunt.
Can also rotate IR/ER WB leg with Non WB leg and then do the same hunting
Don’t round back
If you get a PINCH use next technique
Retest Hip with 1 leg stand
But squeeze test – the side with the better socket positioning will squeeze harder or in DL one leg ROM
Reorganise head of femur into socket!
Pinch – use lateral distraction – same thing in positon you felt pinchwith banded distraction (thick band)
Can you get fingers under scapular in resting position – out of position, shoulder infront, scap out to side
Head of shoulder infront of pec/nipple – another bad position
Resting position ER shoulder ribcage stable, should beable to see rhomboids through shirt
Thumb forward.
Can you see kink in neck?
Shoulder forward – pecs shorten – can cause shearing around sternum
ACJ in good position when arm ER
IR shears SCJ – sulcus sign?
Scapular down and back? Dosnt talk about primary position
Tx – 1.bend knees up, push pull opposite directions 5sec each side 3 times x 2
2.Ball between knees, squeeze (or resisting with friend) 5sec 3times x 2
1 2 1 2 Recheck – Stt, Gut smash, QL lacrosse,
Pelvic faults are usually acute onset
Warmup is good teaching time, what is athletes ready state, what positions are missing from workout
“touch all of the corners”
Joint capsule before work infront of workout/session - if athletes have incomplete ROM – may need
prior as well. Doesn’t impact force production like static stretching – improving position – ramp up –
Coffee - sympathtics
Exercise/Workout session - Once hot n sweaty might add in focused mobility activities if you have a
specific grissily area
Try to keep STT to a min prior – Sliding surfaces and Mm Dynamic post exercise – brings body back
down
Parasympathetics
Load + volume over time – speed no part until tissue healing is appropriate
When stable can move to Cat 2 and start progressions again
Competency in start and finish movements – eg FR > OH For press shape – do I have isometric/static
capacity (can athlete maintain positions/stablity) - without movement – restore pain free end range
Controlled or timed eccentric and concentric motion (tempo) should be considered an essential tool
during rehabilitation programming
Incomplete mechanics – what are basics that humans can do = archatypes. motor control
problems?Incidents – tissues that hurt when you move (missing ROM and leads to pain with movement
(during or after)). Tells us something about mechanic – could just be technique - which can be cleaned
up easy
Injuries – incidents can become,
Eg. Missing IR > shoulder gets sore (goes with rest) > new load etc can lead to tore tendon
Good movement = come out unharmed doing 1-100+ times
Therapist can get out of pain but just gets back to incomplete mechanics – no time/$ to full get out of
this area “sub incident level” - can ultimatly get flared up again – stuck in a cycle
-not getting regular contact. Difficult to see all the poor mechanics
Coachs continue to improve mechanics – increase weight speed etc etc with training
Gym – sue – injury = why wait until issues happe catch early (when just starting to get painful
movement)
14 Day Challenge: Find the blind spots, 10-15mins on each, some favs, 15min to spend on each
archatype
1. Hip Hinge - should beable to get to 90, legs straight (slight ok not bent through), no rounding.
Achive SLR 90 degrees with straight leg. Squat/Pull only difference is amount of leg bend.
a. Hip Capsule Mob – Lateral pull, WB through femur, can IR/ER floss in and out 2
mins/side
b. AP pull – down dog, lock out straight hooked leg, bend and lock, 30-40x, fingers ground
c. Supernova/softball - feet on chair, ball on high glute, ER knee out with lateral hunt 2-
3min
d. Ball again – QL, peel open, in from side and get under, supine, knees fall side slow 2-
3mins
2. Squat – “hip cap 50% of ST restriction” “no jerky, no pain on compression”
Air Squat – forward torso, big toe on ground, knee outside, feet straight, back straight
Test – hands above head X, air squat with hands up without collapse
a. 4pt away – oscilate, knee to chest & ER and IR
b. Ham Roller – seated not just back and forth, side to side shear “pencils in rubber band”
c. Pt 2 Roller – with leg straight – both from isch to knee
d. Supine distraction + loop toes - leg up knee chest > straighten, take across and away
COG
e. Ball TFL – side lye, hunt, 2mins a side circle around front to rim to glute min
3. Overhead Lats - No change in ribs with arms over head. both arms. test retest.
a. Tx Roll hug - hunt all over, moving as much as we can. Side to side, breath on stickies
b. Tx Gemini – Start bottom of ribs hug, arms over head crunch, Segment 1 at a time
i. Weight on chest with single arm over head more upper Tx
c. Arm to lats axilla ball – arm up, back and forth, breathe spots, contract into ball
4. Overhead Ant – Breathing, work on painful areas
a. Serratus smash – wined up ball,
b. SubScap smash – gemini dig in to back of scapular, lift arm with arm up
c. Overhead distraction – wined up/rotate, kick leg back lean forward
d. Lacrosse Ball Traps – arms over head and side to side, hips up
5. Front Rack Rotation – Elbow up flat, wrists out side, hands outside shoulders, wrists flat moving
forward. Shoulder wound up, ext tolerant upper back. Break the bar with bend elbow
a. Banded pull away – little rotation with shoulder rest, hold band against arm with other
b. Frontrack stretch – FR shap with band low and pulling down, hold elbow and hunt, C/R
c. Elbow Banded Pipe wind – With pipe held w elbow on bench, ER, 2mins
d. Tricep Smash – using bar(wine bottle or 2 lacrosse balls) to hunt and scrub distal triceps
6. Front Rack Ribs – capture the rib joint as it comes into spine
a. Rib Scrub – High traps single ball hunt, 30-40 secs, start 1st rib and move down 2-3
b. Post Shoulder ERs – Ball scrub hunt, 2-3mins
c. Wrist traction - backwards pushup position (test – stiffness = pain) shoulder over hands.
Traction, band on carple bones, get them to glide on radius, other hand on hand
d. Wrist smash - with bar roll hunt, moving wrist around
7. Pistol ankle – Full hip Flex, Ankle, knees together heels together, foot hanging out ok, hands out
a. Ankle carple distraction – below maleolous, weighted ball on knee out, floss, 2mins
b. Heel mobs – calcaneous stiff with collapsed arch, push M>L with foot on stack, elbow on
knee – can also use kettle bell M>L to twist
c. Heel smash – roller/barbell achilles rotation and toe points, opp foot on top (bone saw)
d. BONUS test – spend 10mins squat, fist bw to exaggreate
8. Pistol Hip
a. Hip Distraction – lateral and AP, end range knee out open, push out, knee hug, also do
all the same with weight on lateral foot 5mins
b. Shin smash – single or dbl ball, tight? C/R
c. Low Quad Smash – supra patella pouch focus, 2mins,
d. Banded Pistol – band around hips, down into leg flat pistol, can have band around knee.
No band? Hold fixed object until you can feel burn then switch.
9. Hang Scap – row, pull, swimming, KB swing, general resting position. Check supine, IR/ER
shoulder at 90 while compressingshoulder down. Test – supine bridge arms in small shoulders
remain on ground while lowering
a. Elbow distraction – lean away with hand behind back and twist body away
b. Scap Lower smash – hand on ball, breathing with weight, hunt (IR) outline of blade
c. Post Shoulder Smash - (ER) this time moving arm IR and ER at 90 2mins
d. Ant Shoulder Smash – barbell on shoulder while IR and ER at 90 – can put foot on
10. Hang Pec – PecMinor can pull on scap, breathing stress
a. Pec Smash – On bench, Ball sternum to ACJ, move shoulder hunt, smallOB 30-40reps
b. Subscap Rail – Load up SS and same hunt, SmallOB take arm forward and back
c. SOB Bridge – Bridge with arms in SmallOB, shoulders back of socket, hips up and dwn
10mins – no banana ribs! C/R
11. Lunge capsule– back and knee problems, error w foot turn out, knee easily behind hip, spine
neutral, toe 70-90 degrees, verticle shin, rear knee close to ground.
a. Couch stretch - Test – shin vert, torsa not broken, glutes can be squeezed and activated,
knee into corner, challenges end range, can bring front leg up onto box, this should be
effortless
b. PA lunge distraction – for ant hip, 150lb, can press down on back to challenge more, osc,
can also raise up and down
c. Adductor hydrant smash – ext and flex leg while KB is into adductors like a dog, 3-4mins
12. Lunge ST – High quads (iliaccus, psoas “quads of spine”, abdominals) - flex hip
a. Gut Smash – KB into pelvic bowl with handle or base, iliac crest, breathe all the way
in/out
b. Quad Smash – across, wined up and across (with Superfriend foot) back and forth of
foot. Roller can so it solo, side to side, full semi circle of quads
c. Puppet splits – lunge/front splits position with band around armpits and fixed to pullup
bar. Keep butt swtichted on
13. Press – missing IR shoulder rotates forward, also miss ext, BP Dip Row Off floor Run MU,
a. OH Flip – top of door band walk out, basic opener, then flip arms to side, breathe, rot
b. Banded Hook – arm in small band around elbow palm away, C/R
c. Bicep Smash – BB rolling arm out, leg on bottom of bar
d. Test getting into bottom of pushup
14. Press 2 – vertical formam, shoulder don’t translate forward, head straight down, pinch scap,
shoulder infront of pec (bad)
a. Bar lean away – hands on bar behind, hands together, squat down (yoga arms around
head)
b. CTx Smash – c7t1 dbl lacross, hips up, hands small, hug, rock, OH, hunt
c. Lat Smash – axila dbl lacross, back and forth across lat tendon, side to side down to ribs