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Gary Gray
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Gary Gray - July 16, 2008 10:16:27 PM
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ICPTmike
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first time poster... my question is to all PTs, how many of you are familiar with Gary Gray and his approach to functional exercise and training? my current clinic is very much on board with his 'functional science' and i have enjoyed what i have experienced of him. i have yet to attend one of his seminars but look forward to doing so in the future... just curious as to how prevalent (in this small cross section of clincians) his influence is!
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RE: Gary Gray - July 17, 2008 8:42:06 AM
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Tom Reeves DPT ATC
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He is my idol. I have been to 7 of his classes and each one turns on a new light bulb. To see him in person is a treat and re-energizes me to think about how I am treating my patients.
The strategies I have learned in his courses, without getting specific, have changed my entire paradigm of treating orthopedic disorders and neuro disorders as well.
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RE: Gary Gray - July 17, 2008 10:52:21 AM
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PTupdate.com
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" He is my idol"..............?
"To see him in person is a treat and re-energizes me"
Tom, you're givin' me the creeps
_____________________________
John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com
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RE: Gary Gray - July 17, 2008 2:37:37 PM
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SJBird55
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Gary Gray repackages what you already know and have learned in grad school. He's very dynamic and easily captivates his "audience." He uses catchy words/phrases.... but he's regifting. You already know what he teaches; you just haven't thought about it in the same terms or with the same perspective Gary presents. Excellent review course combining biomechanics with function but nothing "new."
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RE: Gary Gray - July 17, 2008 3:34:30 PM
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buckeye
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SJBird puts it well. Gary Gray is excellent at thinking outside of the box for functional exercise. I have never attended a course but worked with therapists who have attended - they are able to 're-regift' the information.
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RE: Gary Gray - July 17, 2008 6:00:37 PM
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jsalva
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I have been to his course and as previously stated, he definitely thinks about things from a different perspective, and is very captivating. My gripe was that there was nothing concrete about his approach. It seemed abstract to me, and didn't work well with my learning style. I will say that I do incorporate some of the things from the course into treatment.
John
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RE: Gary Gray - July 17, 2008 6:52:50 PM
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Tom Reeves DPT ATC
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After the first course I left feeling like Jsalva does. He would say things like "after this course you will know 100 ways to train the knee to control the transverse plane" I kept waiting for the list or demonstrations of them and never got them. He said things like that for every joint in every plane, still no list.
I got back to work after the course and all three of us that went felt the same way. We then asked each other, or they asked me anyway, what one way to train the LE to control the transverse plane at the knee and I said " stand on one foot and rotate the navel to the right and then back to the left while maintaining balance" there is one. now close your eyes, 2, now do it on a pillow,(3) Now do it while wiggling a body blade in the sagittal plane (4) etc . . .
The point of Gary's course and his approach is to actually rethink what we were taught in school. Quad sets for example or TKEs to straighten a flexed knee were what we were taught (here we go John) Those two particular exercises can straighten the knee but they do not provide the natural proprioceptive input that tells the knee to get straight without conscious thought. No one thinks about straightening their knee in gait, it just happens. It happens because of countless repetitions of walking/running/serving/pitching etc . . . that train the muscles to fire. With all due respect SJ I think that Gary puts the foot on the ground and stresses the essential effect of proprioception and training rather than the Kendall approach of finding individual weak muscles and exercising them in isolation.
That was new to me. We learned what proprioception was in grad school but it was rarely the basis for ACL rehab or treatment of plantar fasciitis. So, I think that it IS new.
Nowhere in PT school or AT school did I learn that the soleus is essential in the extension of the knee during gait. Heck, it doesn't even cross the knee. BUT when the foot is on the ground and the soleus contracts, the tibia moves backward and as the femur moves forward, viola, you get knee extension. On another thread there is a question as to how people get full knee extension after TKA. I do it in a bunch of ways and often the best way is to have the patient do posterior lunges to activate the soleus and tibialis posterior.
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RE: Gary Gray - July 18, 2008 7:43:46 AM
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SJBird55
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Forgive me for using terms that seem to be considered "fighting" terms over on another thread. Tom, it's just open chain versus closed chain. Kendall was all about open chain - it's somewhat easy to observe what happens when one contracts a muscle in open chain. Gary is all about closed chain and what happens when the muscle contracts. A soleus will always be involved in plantar flexion, but when the foot is on the ground, the other factors that need to be considered are gravity and the other joints. You actually DID know that "closed chain" plantar flexion causes knee extension. If a patient has knee hyperextension issues during terminal stance due to a stroke, what do you do? You suggest an AFO with 0-10 degrees of dorsiflexion to reduce the knee hyperextension.
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RE: Gary Gray - July 18, 2008 8:04:24 AM
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Tom Reeves DPT ATC
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I guess you are right. I really had never applied those concepts to "normal" function when dealing with orthopedic patients. I might have eventually without going to GG courses, but am thankful for the enlightenment/redirection/light bulb/ aha moments anyway.
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