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Re: Functional Exercises
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Re: Functional Exercises - August 1, 2005 2:03:00 PM
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anoopbal
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[QUOTE]That is function, the sidelying abduction looks nothing like it and does not eliminate the Trendelenberg gait pattern because it does nothing to give the muscles in question the proper cue to contract. (smart vs dumb muscles) [/QUOTE]I agree. But then how do you strengthen the abductors in a more functional way , as in the trendelenberg gait?
I think isolation exercise has a purpose too. I think these exercsees strengthen the musculoskeletal ystem in question which then can be appropriately integrated into the the desired functional movement by movement re-education.
Anoop
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Re: Functional Exercises - August 1, 2005 2:41:00 PM
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truthseeker
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one way is to have the patient stand on both feet and shift their weight from one foot to the other keeping their trunk upright. then they progress to standing on one foot with their pelvis level. then they progress to standing on one foot while "reaching" out with the weight bearing trochanter to a target and returning, then you make it go faster, farther, add sagittal plane tweaks, transverse plane tweaks, etc . . .
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Re: Functional Exercises - August 2, 2005 2:56:00 AM
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truthseeker
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excellent article gary. I especially liked the example with the old guy and opening the window. bad feet equals bad function. its all about balance baby.
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Re: Functional Exercises - August 2, 2005 8:15:00 AM
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gary s
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From: wantagh, ny, usa
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Tom,
Thanks for your response. This is why I am so impressed with Tai Chi. It was/is a martial art--balance and function.
Gary S
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Re: Functional Exercises - August 2, 2005 8:37:00 AM
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anoopbal
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Tai Chi is excellent. It teaches you to keep the spine stable while you move around your limbs. I would say thats the basis of quality functional movements.As well, heightening your awareness of movemment.
Good article, Gary.
Anoop
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Re: Functional Exercises - August 2, 2005 2:33:00 PM
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gary s
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From: wantagh, ny, usa
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Anoop,
I appreciate your comments. Spinal stability is one factor, but what makes Tai Chi unique is it's development of what some call "ground force". Body power comes from skillful manipulation of this ground force. This requires among other attributes, superior balance. Tom hit the nail on the head.
Gary
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Re: Functional Exercises - August 2, 2005 2:44:00 PM
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Jon Newman
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From: Amherst, WI
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Gary,
Nice to see that you write. I've notice ATC's do this much more frequently than PT's. I think you and Barrett are good role models for bringing perspective to everyday life--the very thing we help people with.
Good article.
jon
_____________________________
[URL=http://www.sonymusic.com/clips/selection/30/064887/064887_03_03_30.wav]Evidence[/URL]
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Re: Functional Exercises - August 2, 2005 3:08:00 PM
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truthseeker
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If any of you really want an outstanding CEU course in functional exercises I whole heartedly recommend Gary Gray's courses. They are spectacular and will completely change the way most of you approach patient care.
example: right handed pitcher sprains his R ankle and later that season develops rotator cuff tendinitis. all because his R subtalar joint does not move properly. (Ground force)
try to play catch with someone with a nerf ball in a pool. the lucky person who is in the shallow end can throw and catch much better than the one in the deep end.
Discuss.
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Re: Functional Exercises - August 2, 2005 3:36:00 PM
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gary s
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From: wantagh, ny, usa
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Tom,
Someone once told me that Tom Seaver was the only pitcher he ever saw who "threw with his legs"
Gary
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Re: Functional Exercises - August 2, 2005 4:04:00 PM
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truthseeker
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Is that for real? I expected to see Godzilla peak his head into the frame at any minute.
I think that most of the successful pitchers that have long careers like clemens, Ryan, and Randy Johnson throw with their legs.
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Re: Functional Exercises - August 2, 2005 4:26:00 PM
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gary s
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From: wantagh, ny, usa
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Tom,
It's for real. Classical physics, action/reaction.
Gary
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Re: Functional Exercises - August 5, 2005 5:16:00 AM
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Yogi
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Gary, at first that doesn't look real, it looks like the attacker must have pushed off with elbow extension in order to rebound with so much force that he is elevated into the air. But if this is occurring at a greater velocity than it appears, the momentum will add force. However this is actually an example of loss of balance, with careful freeze framing you can see the point in the air when the fellows body goes out of the center of gravity in relation to the ground.
I actually had to push off a rushing bulls forehead once to keep from being gored, and the moment before I remember thinking, I hope I don't just push myself off my feet and fall underneath him. I pushed to the side and both feet did leave the ground, but I landed on my feet and his momentum carried him past me even though he tried to hook me as he went by. Luckily it was only a horned hereford, not a longhorn.
The defender certainly stays gounded well. It still looks like a lot of reaction for the action, to rebound the fellow into the air, unless as I said, he actually pushed off.
Regardless, excellent sample, quite entertaining.
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Re: Functional Exercises - August 5, 2005 4:32:00 PM
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gary s
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From: wantagh, ny, usa
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Yogi,
I do believe that the clip is slow-mo'd. I've seen the entire video. The defender, Prof Cheng, catches his student coming in at the precise moment when the student is least grounded. The professor on the other hand is dug in. He had the ability to direct the incoming kinetic force through his rear leg, into the ground. In fact, one of Cheng's signature phrases was, "Receive the strength of the earth".
The harder you throw a ball against a wall, the greater the rebound.
Gary
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Re: Functional Exercises - August 5, 2005 5:19:00 PM
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anoopbal
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Cool video, Gary!
I think this definetly has something to do with the famous bruce lee punch.
Anoop
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Re: Functional Exercises - August 5, 2005 5:44:00 PM
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gary s
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Anoop,
It's in the same neighborhood.
Gary
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Re: Functional Exercises - August 6, 2005 12:02:00 PM
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Yogi
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Thanks, Gary, for the answer. Yes, I thought it had to be slow-mo.
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Re: Functional Exercises - August 6, 2005 12:18:00 PM
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Randy Dixon
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I hate to be a party pooper, but having been involved in martial arts for over 20 years and doing tai chi for most of them, and loving it, I have to admit to a good deal of skepticism and doubt when viewing that video. It seems pretty exaggerated to me. 300 pound linemen don't get that kind of reaction, and they study real hard and work real hard trying.
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Re: Functional Exercises - August 6, 2005 12:20:00 PM
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gary s
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To close this thread (maybe):
The tape is authentic. It was done in Taiwan in the early 60's There's a story behind this particular demo that I've heard, but have no way of knowing if it is valid. The professor's student (the one who becomes airborne), who is now teaching in the USA, had just won a brutal martial arts tournament using his Tai Chi skills. The professor who was a highly cultivated individual(painter, caligrapher, poet, physician) was not too happy with his student for using this precious art in a tawdry tournament. So the clip was the Professor's way of putting the student in his place. Again, an interesting story--don't know if it's true.
What I really wanted to bring out and attempted to say in that article was that we need to re-examine the concept of ther ex, especially with seniors. I've gone in to places, supposed state of the art, where for all intents and purposes patients were doing body building exercises. Unfortunately this is the standard. There should definitely be more emphasis given to making seniors more skillful on their feet. This will translate in to more over all functional bodily power. Wouldn't it be wonderful for our patients to have even a minute percentage of the skill that the Professor demonstrated?
Gary
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