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Course Preparation Material
www.MyPTEducation.com
There is audio and video at YouTube
@Physio Detective - http://youtu.be/n3a3naVTxIs
 All Social Media

 CrossFit Experience

 @physiodetective

 Personally for over 2

 Blog
 www.physiodetective.com

years
 Games, Regionals and
all levels of CF athletes

 Clinic Website
 www.myphysios.com.au

 I work and train from
 Reebok CrossFit GCS,
 CrossFit Bodi Complete
 CrossFit Scorch

 All patients and sports fit

this model to be
presented

www.mypteducation.com (c) 2014
 Definitions
 Mobility
 Flexibility
 Stability
 Dissociation
 “Specific” vs

“Functional”
 What is “normal”

movement
www.mypteducation.com (c) 2014
 What is “abnormal” or

“dysfunctional”
movement
 Injury Prevention
 Training and

Rehabilitation Principles
 Principles of Assessment

and Treatment
www.mypteducation.com (c) 2014
Mobility:
 The ability to move or be moved

freely and easily

 In Crossfit: The ability to move

through the necessary range of
motion for the prescribed
movements to achieve optimal
efficiency and the required
movement standards

 How well can you move with

what you have

www.mypteducation.com (c) 2014
Flexibility:
 The quality of bending

easily without breaking
 In CrossFit: The amount

of range of motion you
have across one or more
joints
 How far can you move
www.mypteducation.com (c) 2014
Stability:
 The ability to maintain the desired

trajectory despite kinetic, kinematic
or control disturbances

 In Crossfit: The ability to complete

the prescribed movements without
excessive shearing or unwanted
motion in all joints

 How well you can control your

movement and posture



Stability of a dynamic system requires
consideration of the level of load, the mobility
requirements, predictability of the task and
real or perceived risk
www.mypteducation.com (c) 2014
Dissociation:
 The disconnection or

separation of something from
something else or the state of
being disconnected.

 In Crossfit: The ability to

move one body part without
moving other body parts

 How well you can keep

something still while
moving something else
www.mypteducation.com (c) 2014
“Specific” vs “Functional”:
 When most people say

“functional”, they mean
“specific”
 Most movements serve a

function
 Choose specific

movements for your goal!
www.mypteducation.com (c) 2014
 You have to know what

normal is for the activity
you are doing
 Technique
 Normal ROM
 Strength/Flexibility/
Control
 Movement standards
 Goal of movement

www.mypteducation.com (c) 2014
 Deviations from normal
 Painful movement
 Consider
 Different techniques,
 Anatomical differences,

 What are you training

for?
 Ability of your athlete

www.mypteducation.com (c) 2014
 What movements are we

testing?
 Problem Movements /

Postures
 Activities of daily living
 Exercises that cause
symptoms or poor
performance
 Stretches that cause
symptoms
 Specific movements of the
regions involved
www.mypteducation.com (c) 2014
 What is their starting

position/posture like?
 Look at the whole body
 Start from the feet up or

from the head down
 Use test/retest to see if it

is a problem

www.mypteducation.com (c) 2014
 How do they move?
 What is their technique like?
 What is their first

movement?

 Do poor starting positions get

better, worse or stay the
same?

 What is the range of the

movement?

 What exhibits failed load

transfer first?

www.mypteducation.com (c) 2014
 What region shows the

earliest signs of “Failed Load
Transfer”?
 The first region that moves or

stays still in an undesired way
 Sometimes this is very subtle
 I use Coach’s Eye to help my

patients see it too
 Coaches often have better

eyes than Physios and other
health professionals!
www.mypteducation.com (c) 2014
 For that region, what

system from the
Integrated Systems
Model is the “Primary
Driver”
 There can be “Co-

Drivers” meaning 2 or
more reasons why
dysfunction is occuring
www.mypteducation.com (c) 2014
The Integrated Systems
Model (Lee and Lee 2007)
 Holistic
 Can apply to any region

 Flexible to adapt to new

research findings

www.mypteducation.com (c) 2014
The person in the centre of
the puzzle:
 Goals
 Virtual Body
 Story
 Emotions
 Meaning
 How you affect your own

body
www.mypteducation.com (c) 2014
Articular System:
 Bones
 Cartilage
 Ligaments
 Capsule

www.mypteducation.com (c) 2014
Myofascial System:
 Muscles
 Fascia
 Tendons

www.mypteducation.com (c) 2014
Neural System
 Central Nervous System
 Brain
 Spinal Cord

 Peripheral Nervous

System
 Nerves

 Includes Motor Control

(Co-ordination)
www.mypteducation.com (c) 2014
Visceral System:
 Internal organs and their

tissues
 I also include medical

conditions, blood
vessels, and lymphatic
system

www.mypteducation.com (c) 2014
Strategies for
Performance and
Function:
 Technique

 How you do what you do
 How many ways can you

do the same thing?
 Is your way exacerbating
or relieving the problem?
www.mypteducation.com (c) 2014
Once the main region and
the main system has been
found, it gets easier:
 Specific treatment to
 Address restrictions
 Correct posture
 Teach correct

coordination
 Teach correct movement
patterns
www.mypteducation.com (c) 2014
Treatment Principles:
 Target Specific Regions
 Use Specific Positions

relevant to the problem
movement

 Get Specific Results
 Use pre-treatment testing
and retesting (Test/Retest)
 I don’t care what you do or

use provided it is legal!

www.mypteducation.com (c) 2014
 How do we rehab?

 Specifically
 Many people say

"functionally" but they
mean specifically!
• Mechanics
Consistency
Intensity
 (CrossFit HQ)

www.mypteducation.com (c) 2014
• Mobility
Flexibility
Stability
Strength
Power

Speed
Repetition
 (adapted from CF

Football)

www.CrossFitFootball.com
www.mypteducation.com (c) 2014
 Key Principle 1: Specific

Region

 Isolate the movement to the

joint / muscle / nerve /
regions you want

 Key Principle 2: Specific

Position

 Use positions that are similar

to your problem movement

 Key Principle 3: Specific

Results

 Test after 30secs – it should

be helping by now

www.mypteducation.com (c) 2014
 How do we scale?
 Within the limits of

the

correct
technique/movement

 Mobility and Flexibility Training
 Stability Training
 Strength, Power, Speed and Met-

Con Training
 A good coach and
programming
 "Mechanics, Consistency,
Intensity"

www.mypteducation.com (c) 2014
 What is an increased risk of

injury?
 More likely to get injured
when you push the body’s
systems to their endpoints

 How do we decrease the risk of

injury?
 Improve their technique
 Limit shearing and
compression forces
 Optimize fitness

 How do we "prevent" injuries?
 I don’t think we can...I think

we can only decrease the risk
www.mypteducation.com (c) 2014
 “Bulletproof” Your Body







Shoulders and Arms
Back
Hips
Ankles
Core
Pelvic Floor

 For everyone!
 Beginners to Elite
 Injured to No Pain

www.mypteducation.com (c) 2014
 Goals:
 Everyone will experience a

“wow!” moment at some
stage during the seminar
 To challenge your beliefs

about mobility, flexibility,
stability, and strength
 To teach you how to take

care of yourself and how
your coach and health
professional is part of your
team
www.mypteducation.com (c) 2014
 Nicole had 4 months of

worsening hip pain
 Couldn’t squat or run







anymore
Seen others but nothing
helped
Came to seminar skeptical
(thrown in as a last minute
replacement)
Check out her squat
5mins later, we had it
sorted
www.mypteducation.com (c) 2014
Before

After

www.mypteducation.com (c) 2014
 She learned how to
 Release the restrictions
 Fix her posture
 Control the problem rib
 Squat better
 Integrate it into exercises
 She can now run and

squat again – only 1
session needed

www.mypteducation.com (c) 2014
 “The magic happens in

person”

 You can only learn so much

from reading and watching
videos

 I have given away a

significant amount of
knowledge but I know few
people who could
implement what I have just
gone through on their own
www.mypteducation.com (c) 2014
 Exercise clothes, shoes and

whatever you need to move
well in
 Shorts and crop tops for

girls
 Guys, you may be asked to
remove your shirt
 Of course, no one is forced
to do anything!
 Bring your questions

 Be prepared to be

challenged!
www.mypteducation.com (c) 2014
 I can run seminars for

any length of time
 From 1 – 16hrs

 Obviously, the longer the

seminar, the more you
get out of it
 Contact me at
antonylo[at]mypteducation.com

www.mypteducation.com (c) 2014
 All Social Media
 @physiodetective

 Blog
 www.physiodetective.com

 Clinic Website
 www.myphysios.com.au

 I work and train from
 Reebok CrossFit GCS,
 CrossFit Bodi Complete
 CrossFit Scorch
www.mypteducation.com (c) 2014

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The Physio Detective Way - Seminar Preparation Lecture

  • 1. Course Preparation Material www.MyPTEducation.com There is audio and video at YouTube @Physio Detective - http://youtu.be/n3a3naVTxIs
  • 2.  All Social Media  CrossFit Experience  @physiodetective  Personally for over 2  Blog  www.physiodetective.com years  Games, Regionals and all levels of CF athletes  Clinic Website  www.myphysios.com.au  I work and train from  Reebok CrossFit GCS,  CrossFit Bodi Complete  CrossFit Scorch  All patients and sports fit this model to be presented www.mypteducation.com (c) 2014
  • 3.  Definitions  Mobility  Flexibility  Stability  Dissociation  “Specific” vs “Functional”  What is “normal” movement www.mypteducation.com (c) 2014
  • 4.  What is “abnormal” or “dysfunctional” movement  Injury Prevention  Training and Rehabilitation Principles  Principles of Assessment and Treatment www.mypteducation.com (c) 2014
  • 5. Mobility:  The ability to move or be moved freely and easily  In Crossfit: The ability to move through the necessary range of motion for the prescribed movements to achieve optimal efficiency and the required movement standards  How well can you move with what you have www.mypteducation.com (c) 2014
  • 6. Flexibility:  The quality of bending easily without breaking  In CrossFit: The amount of range of motion you have across one or more joints  How far can you move www.mypteducation.com (c) 2014
  • 7. Stability:  The ability to maintain the desired trajectory despite kinetic, kinematic or control disturbances  In Crossfit: The ability to complete the prescribed movements without excessive shearing or unwanted motion in all joints  How well you can control your movement and posture  Stability of a dynamic system requires consideration of the level of load, the mobility requirements, predictability of the task and real or perceived risk www.mypteducation.com (c) 2014
  • 8. Dissociation:  The disconnection or separation of something from something else or the state of being disconnected.  In Crossfit: The ability to move one body part without moving other body parts  How well you can keep something still while moving something else www.mypteducation.com (c) 2014
  • 9. “Specific” vs “Functional”:  When most people say “functional”, they mean “specific”  Most movements serve a function  Choose specific movements for your goal! www.mypteducation.com (c) 2014
  • 10.  You have to know what normal is for the activity you are doing  Technique  Normal ROM  Strength/Flexibility/ Control  Movement standards  Goal of movement www.mypteducation.com (c) 2014
  • 11.  Deviations from normal  Painful movement  Consider  Different techniques,  Anatomical differences,  What are you training for?  Ability of your athlete www.mypteducation.com (c) 2014
  • 12.  What movements are we testing?  Problem Movements / Postures  Activities of daily living  Exercises that cause symptoms or poor performance  Stretches that cause symptoms  Specific movements of the regions involved www.mypteducation.com (c) 2014
  • 13.  What is their starting position/posture like?  Look at the whole body  Start from the feet up or from the head down  Use test/retest to see if it is a problem www.mypteducation.com (c) 2014
  • 14.  How do they move?  What is their technique like?  What is their first movement?  Do poor starting positions get better, worse or stay the same?  What is the range of the movement?  What exhibits failed load transfer first? www.mypteducation.com (c) 2014
  • 15.  What region shows the earliest signs of “Failed Load Transfer”?  The first region that moves or stays still in an undesired way  Sometimes this is very subtle  I use Coach’s Eye to help my patients see it too  Coaches often have better eyes than Physios and other health professionals! www.mypteducation.com (c) 2014
  • 16.  For that region, what system from the Integrated Systems Model is the “Primary Driver”  There can be “Co- Drivers” meaning 2 or more reasons why dysfunction is occuring www.mypteducation.com (c) 2014
  • 17. The Integrated Systems Model (Lee and Lee 2007)  Holistic  Can apply to any region  Flexible to adapt to new research findings www.mypteducation.com (c) 2014
  • 18. The person in the centre of the puzzle:  Goals  Virtual Body  Story  Emotions  Meaning  How you affect your own body www.mypteducation.com (c) 2014
  • 19. Articular System:  Bones  Cartilage  Ligaments  Capsule www.mypteducation.com (c) 2014
  • 20. Myofascial System:  Muscles  Fascia  Tendons www.mypteducation.com (c) 2014
  • 21. Neural System  Central Nervous System  Brain  Spinal Cord  Peripheral Nervous System  Nerves  Includes Motor Control (Co-ordination) www.mypteducation.com (c) 2014
  • 22. Visceral System:  Internal organs and their tissues  I also include medical conditions, blood vessels, and lymphatic system www.mypteducation.com (c) 2014
  • 23. Strategies for Performance and Function:  Technique  How you do what you do  How many ways can you do the same thing?  Is your way exacerbating or relieving the problem? www.mypteducation.com (c) 2014
  • 24. Once the main region and the main system has been found, it gets easier:  Specific treatment to  Address restrictions  Correct posture  Teach correct coordination  Teach correct movement patterns www.mypteducation.com (c) 2014
  • 25. Treatment Principles:  Target Specific Regions  Use Specific Positions relevant to the problem movement  Get Specific Results  Use pre-treatment testing and retesting (Test/Retest)  I don’t care what you do or use provided it is legal! www.mypteducation.com (c) 2014
  • 26.  How do we rehab?  Specifically  Many people say "functionally" but they mean specifically! • Mechanics Consistency Intensity  (CrossFit HQ) www.mypteducation.com (c) 2014
  • 27. • Mobility Flexibility Stability Strength Power Speed Repetition  (adapted from CF Football) www.CrossFitFootball.com www.mypteducation.com (c) 2014
  • 28.  Key Principle 1: Specific Region  Isolate the movement to the joint / muscle / nerve / regions you want  Key Principle 2: Specific Position  Use positions that are similar to your problem movement  Key Principle 3: Specific Results  Test after 30secs – it should be helping by now www.mypteducation.com (c) 2014
  • 29.  How do we scale?  Within the limits of the correct technique/movement  Mobility and Flexibility Training  Stability Training  Strength, Power, Speed and Met- Con Training  A good coach and programming  "Mechanics, Consistency, Intensity" www.mypteducation.com (c) 2014
  • 30.  What is an increased risk of injury?  More likely to get injured when you push the body’s systems to their endpoints  How do we decrease the risk of injury?  Improve their technique  Limit shearing and compression forces  Optimize fitness  How do we "prevent" injuries?  I don’t think we can...I think we can only decrease the risk www.mypteducation.com (c) 2014
  • 31.  “Bulletproof” Your Body       Shoulders and Arms Back Hips Ankles Core Pelvic Floor  For everyone!  Beginners to Elite  Injured to No Pain www.mypteducation.com (c) 2014
  • 32.  Goals:  Everyone will experience a “wow!” moment at some stage during the seminar  To challenge your beliefs about mobility, flexibility, stability, and strength  To teach you how to take care of yourself and how your coach and health professional is part of your team www.mypteducation.com (c) 2014
  • 33.  Nicole had 4 months of worsening hip pain  Couldn’t squat or run     anymore Seen others but nothing helped Came to seminar skeptical (thrown in as a last minute replacement) Check out her squat 5mins later, we had it sorted www.mypteducation.com (c) 2014
  • 35.  She learned how to  Release the restrictions  Fix her posture  Control the problem rib  Squat better  Integrate it into exercises  She can now run and squat again – only 1 session needed www.mypteducation.com (c) 2014
  • 36.  “The magic happens in person”  You can only learn so much from reading and watching videos  I have given away a significant amount of knowledge but I know few people who could implement what I have just gone through on their own www.mypteducation.com (c) 2014
  • 37.  Exercise clothes, shoes and whatever you need to move well in  Shorts and crop tops for girls  Guys, you may be asked to remove your shirt  Of course, no one is forced to do anything!  Bring your questions  Be prepared to be challenged! www.mypteducation.com (c) 2014
  • 38.  I can run seminars for any length of time  From 1 – 16hrs  Obviously, the longer the seminar, the more you get out of it  Contact me at antonylo[at]mypteducation.com www.mypteducation.com (c) 2014
  • 39.  All Social Media  @physiodetective  Blog  www.physiodetective.com  Clinic Website  www.myphysios.com.au  I work and train from  Reebok CrossFit GCS,  CrossFit Bodi Complete  CrossFit Scorch www.mypteducation.com (c) 2014