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Oscillating Technique with Isometric Stabilisation (OTIS) & Impulse Technique with Isometric Stabilisation (ITIS)

28/6/2017

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Purpose
 
  • The OTIS is an oscillating technique with isometric stabilisation. The ITIS is an impulse technique with isometric stabilisation. It challenges static stability of the weight bearing lower quarter.
Description
 
  • OTIS:
    • Start in standing, on one foot. Turn the stance foot into external rotation up to 40 degrees, whilst maintaining the pelvis forward facing.
    • Take hold of a tubing, attached lateral to the stance foot.
    • Pull the tubing in short oscillations at a frequency of between 60-80Hz whilst maintaining balance.
  • ITIS:
    • Start in standing, on one foot. Turn the stance foot into external rotation up to 40 degrees, whilst maintaining the pelvis forward facing.
    • Have a partner toss a medicine ball across the front of the body, from opposite side of the stance leg. Resist the tendency to be rotated by the impulse of the ball.
Variations
 
  • Turn the foot into internal rotation and have the tubing attached on the side that the toes are pointing. Perform oscillation. 
Implications
 
  • The oscillations and impulse create reflexive co-contractions around the hip, pelvis and trunk.
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High knee grab, lunge to twist to split downward dog

27/6/2017

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​Purpose: 
A whole body movement exploration for pre-training and pre-competition. 

Description: 
In standing, flex on hip, grab it and pull it high, maintaining tall posture. Step out into a lunge with the right foot. Grab the right foot by right hand, place the left hand alongside it, shoulder-width apart. On exhalation, lunge further into a stretch. Keep the back knee off the ground. Take the right hand off the foot and twist the trunk towards the front foot, raising the right hand towards the ceiling, reaching vertically. Return to the ground with both hands down, then shift weight backwards to create a stretch on the front leg, then step up to the start position and repeat on the other side. 
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Reactive Neuromuscular Training of Split Squats

12/3/2017

1 Comment

 
Correcting split squat drills is best done at a subconscious level, since stability is reflex driven, no conscious driven. 

The use of a FMT (Functional Movement Tubing) or kettlebell, introduces destabilising force in planes of movement (coronal and transverse) that is perturbing the main plane of movement - sagittal. 

In the presence of minimum, or improved, mobility, to get into the start and finish position, the FMT creates reactive neuromuscular training to the pattern, improving the pattern for other training events that require power in a split squat, like the Bulgarian Split Squat.
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Linear and lateral movement drills for knee rehab, and movement preparation for running.

15/2/2017

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​Linear and lateral movement drills can be used as knee rehab drills. My athlete is a Shanghai Womens Handball Professional with clinical lateral meniscus lesion of the right knee which did not clearly appear on MRI. The Chinese MRI report included femoral and tibial bone bruising, although I couldn't see it on the MRI, so she's being rehabilitated and treated based on clinical signs and symptoms. (Background song - Art vs Science "Friend in the field" & Ben Harper's "Fight for your mind" - they kind of sum up being a sports physiotherapist in China.
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Quad stretch to toe touch.

14/2/2017

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​One of the more difficult movement preparation drills - the quad stretch to toe touch - challenges dynamic stability on the stance leg, and mobility on the other leg.
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Quad stretch walk with hip internal rotation.

14/2/2017

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​In movement prep, a great drill that follows the high knee march and leg cradle is the quad stretch with hip IR walk. The natural flow of movement of the hip in extension is to rotate into internal rotation. Performing a walking drill over 10 metres, pulling the knee into flexion, hip into extension and applying a little hip internal rotation is a nice way to a) check that hip E and IR is comfortable, and b) lubricate the tissues into this pattern. 
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Reactive Neuromuscular Training for Paddlers 

9/2/2017

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​Some neural activation drills for paddlers, built on previous mobility drills as part of the movement preparation package for the Australian Aurora's Dragon Boat Team for the 2015 World Championships.
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Inchworm with up and down dogs

9/2/2017

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​The classic inchworm mobility drill, with some added up and down dog transitions, as part of the movement preparation package for the Australian Aurora's Dragon Boat Team for the 2015 World Championships.
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Core-activated hip extension stretch & hip external rotation and extension stretch

8/2/2017

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The hip anatomy should permit a minimum of 10 degrees extension, 120 degrees flexion, 30 degrees internal rotation, 40 degrees external rotation. Now, the shape of the hip capsule and ligaments dictates that as the hip approaches full hip extension, the anterior capsule tightens, pulling the hip into more internal rotation. So, for a mobility drill to achieve an increase in hip extension range of motion, hip internal rotation is a natural permission - extend with a neutral or slightly internally rotated hip to permit more hip extension. Also, activate the core to stabilise the trunk when mobilising hip extension - to do this, lock the elbows, press down on the front knee - this activates the pecs and obliques to bring the ribs closer to the pelvis, thus preventing lumbar extension with this mobility drill - this isolates hip extension. Use breathing strategies to permit further range of motion. 

The second element is that of increase external rotation mobility of the anterior capsule, whilst in some extension - the key movement is abduction/external rotation, adding extension as tolerated. Core activate as above. 

Be gentle on yourself - pushing into pain sends a signal to the nervous system to resist. 
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Wall Drills for Acceleration Mechanics

2/2/2017

1 Comment

 
When a runner's trunk and pelvis position breaks down, send them back to the wall to assist stability. Cue them to press into the wall, which provides compression sensation to the mechanoreceptors in the spine, via the upper limb. This causes reflex stabilisation, permitting better mobilisation of the lower limb. 

Maintain an isometric stance on the ground. 

Start with isometric holds (great for achilles rehab) for 10-15 seconds. 
Progress to alternating march. 
Then to quick switches. 

Add a "load and lift" - also part of achilles rehab (except for those who don't tolerate load at length), to check for single leg triple flexion force absorption competency - a great acceleration mechanics drill.

​Purpose: 
To drill acceleration mechanics

Description: 
  • Lean against the wall, hands flat, body at an angle with feet far enough away such that you are weightbearing on the forefeet. Cue "from head to heel, be as strong as steel."
  • Look at the space between the hands. 
  • Pull one leg into hip flexion, knee flexion and ankle dorsiflexion. Hold for 10-15 seconds, then switch. This is called the wall-drill posture hold. The hip angle doesn't need to be more than 80 degrees, whilst the knee and ankle should be tightly flexed under the thigh. 
  • Progress to alternating rhythmical steps. Foot strike should be mid to forefoot - picture a big red button under the midfoot  - hit that red button when the foot hits the floor.
  • Progress to the "switch" - count "1-2", to obtain the rhythm of switching stance leg. Do 5 reps before changing stance leg. 
  • Progress to "load and lift" - from a hip flexed position, extend the leg way out behind whilst single leg squatting on the stance leg. The trailing leg should remain with tight ankle dorsiflexion, then explode back into hip flexion/knee flexion/ankle dorsiflexion. You can push the wall away from you so that you have a straight line from hands, through shoulders, trunk to hips and heel. Repeat for 5 reps and change sides.
Implications: 
  • The "holding up the wall" cue stimulates compression through the upper limbs and trunk, providing reflex stimulation to be stable through the trunk to the hips. It remains a useful drill for cueing trunk stability and the scissor action of accelerating. 
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  • Home
  • Services
    • Specialist Performance Services >
      • Sports Physiotherapy >
        • Fees and Conditions
        • FFC Medical & Physio Questionnaire
        • Pre-Physio Questionnaire
      • Movement Evaluation Services
      • Access Bars
    • Events & Courses >
      • SFMA 2 Adelaide, 2023
      • Masterclasses >
        • Masterclass Summit 2020
        • Max Velocity Training For Physios
        • How Strong Is Strong Enough?
        • Masterclass Bundle 1
        • The 3 Unstoppable Ways to Get Your Ideal Career In Sport
        • Clinical reasoning stems disruptive innovation - “Change or be changed"
        • Neuromobilisation for recovery
        • Scott Hopson: Stress & Expression
        • Alternative Physiotherapy Strategies For Calf Injuries
        • How to implement a movement philosophy approach in a first division professional soccer team. A real case scenario with 3 years follow up
        • Re-Designing Your Warm-Up To Increase Effectiveness Through Co-Operative Strength And Physical Therapy
      • Secrets Series
      • FMS Courses
      • Kettlebell Courses
      • Exercise videos
      • Bridging The Gap - A Case Study
      • Exercise Tubing Program
  • Shop
  • Book
  • Contact