Oov Case Studies

Chapter 1

General Mobilization in Shoulder Girdle

Hi, I'm Daniel [inaudible]. I'm the developer of the [inaudible]. I'm very happy to be back at a plot is any time we're going to go and do three case studies today. The first one being um, just a general mobilizer of our body. The dental industry has done an amazing job at educating all of us that we need to brush our teeth to prevent cavities in movement and in physical health. We tend to hand it over to someone else to do so. This is what we've developed. This is our brushing teeth to keep our body moving and moving well.

We do lots of three d motion capture collection on looking at patterns within people's bodies and how that leads to predicting of injury and especially in our area of interest, lower back injury. And we find these areas that we're going to work on today are the major contributing factors to first of all see where, where people are moving or not moving and finally how they can change them. The second case study we're going to look at is lower back pain and a progression of the first to start to look at how we can start to change how our body moves from our torso, from our pelvis are really, really high indicator on if anyone has any lower back pain or is going to develop lower back pain. And the last case study we're going to do is for those people who feel a little bit light headed when they're on the earth or have had a any sort of previous migraine headaches or concussion and a way to load the occipital Atlantic joint or the very, very top joint in the in the spine where the skull rests on it to give that more information for the body to know the brain, to know where the body is. And it's amazing to watch what happens to the body.

So we're going to do those three case studies and we're looking forward to seeing some change in people's bodies and how they move. Okay, so we're going to start with John First. John's going, we're going to do, the first case study we're going to do is just brushing our teeth and how we can get the big parts of our body moving our shoulders and our hips relative to our trunk and rebalance the information that our body has to see if it moves more efficiently and works more efficiently. So the first thing I'm going to set up is mimic someone doing this against the wall. So we've just got a box against the bench here, but you can do this at home against the wall. So we're going to take John, get John to put one foot in front of it, the other with his heel against the box or against a wall. And I'm going to place the very, very bottom of the large end of the youth down to the base of his big toe. And then from that we're going to get John to rest his tailbone or cities tailbone, right on the very end of the large end of the UHF. Okay? So when, and you're going to come down really, really low on the end of the year before you come back. Venus. Going to get, you're sliding down your tailbone right down the very end of the you. Perfect.

Okay. Now, if anyone's got a SIJ or problem or a pain in the, in the SACROILIAC joint, what you can then do is get them to put one foot or, or you put your one foot up against the wall as you're leaning back. So you just put that foot up. Okay. And then coming back really slowly and we're going to slide John down. Just a touch coming down towards me. Yep, great. And a little bit more and the other foot up on the box.

So we're going to look to see where we can get John comfortable coming down a little bit more. I might put a towel under John's head to give him more support, but all I'm looking for is getting him to be a little bit more relaxed. Comfort's the most important thing with working with you. Okay. So what we're going to look at with the setup that I've done is I've put a piece of theraband underneath the crosswords. We're going to use some band around John's needs and we're going to look to see if we can give his body a little bit more information, especially under east centric load or loading the body up so that the tissues long and tight, this is when our body gets the most amount of information from that part of the body.

It's why plot is so successful that changing how people move because it's an East centric motor control exercise program. So we're going to give his body lots of looks through loading the tissue very, very slowly. So he's brain's got lots of feedback. So what I'm going to do, I'm going to scoot around the other side and we're going to get some theraband around his knees. Okay. To give him a little bit more information with the lower half of his body. Okay. So just move those knees a little bit hip with the part and you feet hit with the top. Perfect. And you can see what just happened with his, with his trunk and especially the anterior part of his body just settled in. As soon as I gave his body that information through the side.

If you just relax those knees down again, just relax and just bring the knees together again. You can say when that pressure goes off, he's not as connected through the anterior chain. Okay. So when we get his feet wider apart and load him up, look what just happened. He connects through the front half of his body. What's amazing and what we're finding, everything is just information. Okay.

And if the brain gets three dimensional information of where it is in space, it organizes itself like what Brent Anderson talks about, spontaneous organisation at the body. But it needs three dimensional information. It needs information from all three planes to give it reference of where it is. We live in a sagittal world, everything is in this front back plane. Okay. So we get a lot of information from our back, but not so much from the other planes of movement.

And it's interesting that when I give someone lateral line activation, their body really organizes itself. So we're going to have a look quickly just to John's range of movement with his shoulders. And just letting them fall back down. And you can see the difference between how one hand that wrist is closer to the ground and the other one it's a little bit of a gap. So we're going to see if we can change the information around that shoulder to see if his body automatically just changes. And you can see he's heads up a little bit.

So we're going to see if we can change again the information through the shoulders to change his head position. So what I'm going to do, his arms up is give John to weights cause he's a strong lad. So we're going to give him more information. Weight is just information and in the old days I was taught that just holding those there for a minute and look at how his trunk changes. As soon as we give him that information, he just fires up his anterior chain spontaneously. I didn't have to cue it. Okay. It turns on on its own, remembering that when we were on the IRV, we're working on a three dimensional device, so his body's getting information three dimensionally, it's rotationally unstable. If you want to learn more about how the wave works.

Seed some of our earlier tutorials in conversations, so from him, I'm going to give John the information. We're going to just hold you there for a minute. That's it. And you can see he's already starting to shake. That's when change is taught to take place. Shaking is a natural mechanism out of our body.

It's when we have a massive fright. We naturally shake afterwards. It's our nervous systems way of rebalancing the tension of all the tissues in our body. Don't stop it. Allow it to happen. Every animal shakes after. It's after a big fright. So super slowly.

You're going to let those weights fall over the top of your head. Super slow. But what I want you to try to do is you're going to try to stop them falling. There we go. So it's almost like I'm giving him the feeling that the weights are falling over his head, but he's resisting them falling, so he's almost pushing up as they're falling down, which is going to connect more with his serratus anterior and his anterior chain. So I'm going to really fire that anterior chain up as you saw and make him work.

He centric Lee all the way super slowly. I know he's a bit out of balance. That's great because I, we saw what happened with that shoulder, right? So I'm getting lots of information that he's, that's what he likes to do. I'm not going to change it. I want to see if information can change that. Hold that then cool.

Now coming back cover really slowly and I'm giving him lots of information. First, he's got six pounds there and in the old days I would have started with a really, really lightweight and progressed him to a higher weight. Now I do the opposite, so now I give him lots of information. First you can see what's happening here at his trunk and then we'll slowly take it away. And again, sorry. Yep. Super slow going back over the top of your head. And again, that's it. And look at all the little changes his body's taking doing. It's figuring out how to do this.

I'm not making him do this. His body's finding the most efficient way to do this. Slowing someone down. Super important because it gives the brain more time to get information from all of the rest of the body to make these changes. When you move fast, that's great. That's training fast twitch fibers. It's really great way to train explosively, but what the difference is there and hold that there. Awesome Hall that day.

The difference is is that you're using the information. You've already got an extrapolating that if you want to change movement coming back up, then you actually slow someone down to give the brain more chance to listen to all of the parts of the body. You increase the information from those parts. We're going to do two more John, but I'm going to take one of these weights away from you. I'm going to take the bottom went away. So I grabbed that into your hand. Okay. And now super slowly.

Okay. And you can see John's body's really jumping around. It's, it's, it's moving around a lot, which is great cause now I know that we're really in, in a change mode with his body and this is how slowly you need to move. And we'd do this movement with like, I just worked with a Jill gold medalist two days ago or with, you know, an 85 year old who needs to create more movement through their shoulders and, and more connection through the front and back of their body. So you really starting to get lots of information, which is what John's liking to do him. Okay. And we saw that with that um, position. Okay.

And coming back really slowly, he's working really hard through this anterior chain. Okay. Awesome. And giving me that and relaxing elbows down to the ground, taking one I'm down and the other hour down. Okay. How do your shoulders feel? They're great. So what you're going to find when you do this is we're making everything fire up, everything having to work. And when you move slowly, you saw the little jumping.

He's nervous systems having to figure out the most optimum way to do that. Okay. From him. The next position, his arms go totally out to the side. Okay? And these might be a little bit heavy, but we can always drop them down to another one. So again, nice and strong through the band, keeping your feet pushing against the wall. So we're going to just keep nice and strong in the lower half. And now watch what happens with his lower ribs. Just lift those weights up.

One 16th of an inch of the metric people one millimeter off the ground. Look at that. Just turn, I'm dropping back down. If someone's flaring their ribs, they're not getting enough information through their anterior chain. Simple. You need to upregulate inflammation into the anterior chain, not dropping their ribs down. Dropping their ribs down for me creates rigidity. And we find when people do that, they move less and they have less disassociation of their trunk from their pelvis. I a higher risk of lower back pain. Okay?

We need to get integrated movement where the body can still move individually. Okay? And Sig mentally. So lifting weights up and look at that. He just comes online. It's great. So now what you're going to do is you're going to brush the back of your hands all the way along the ground, coming down towards your hips, but slowly, slowly, that's it. And you're going to go nice and slow. That's, oh all the way down.

Okay. Just try to figure out what you need to do to make this easy. Okay? Calming Down, just slowly coming down. Fantastic. That stop. Now from here, we're going to turn the palms out as wide as you can and now from here you're going to brush those weights back up along the ground, but you're going to keep turning, keep turning that seed.

You can see that left shoulder now is starting to catch up with a right. You can see that asymmetry that was happening overhead and if he continues this work, it'll start to level itself out. But I think it was definitely this plane of movement that this shoulder needed more feedback from and we can have a look to see if it changes that. Again, keep turning, keep turning. That's it. And you're just going to bring those pounds up. Heap, turning them, keep turning them. That's it, and now you're going to hold, keep holding that. You're going to hold that for five seconds. So now when we hold someone in a position, again, the body's having to figure this out. It's this Koch contraction.

When the body starts to find the optimum tension relationship between all of the things that are going on in his body, he's got loads of information coming in. If you could see his eyes, his eyes, he's looking in, he's hearing me talk. But yeah, he's sort of like, okay, whatever, Daniel, right? Because he's got so much information coming in that he's more focused on that than what I'm actually saying. And that's where I want people in. I want them in flow state.

I want them listening to the 11 million instructions per second when they thinking about detail coming back down. It's sequential. It's training mode. It's 40 instructions per second. When you take people into play mode, right? They go into simultaneous, simultaneous big picture, 11 million instructions per second. Everyone's been in flow state. They know that feeling. Okay? So that's where we want to take them coming back, coming back. Awesome. Wow.

Look at these anterior chain working this time. The ribs were coming up last time, but this time they're really well connected aren't they? Do you feel more connected through here this time? So now turn those palms out again. Keep turning them. So we've got three pounds with him with these. This is heavy.

So you know for a lot of people one pound is plenty in this coming up. Keep turning and coming up. So I really want you turning that to Eggers. That shoulder. Did you feel that just dropped down? It's like Kate turning and this movement, dropping that shoulder joint down into the socket because when we're in front of ourselves that shoulder comes up and forward. So we need to do the opposite to show the brain that there's all this other potential of all of this other space in the joint. We say this to our patients.

When you do this, it's like Google maps for the brain actually straight view. It's giving you all the bits of information and we're updating the operating system to actually get a different view of those joints. So then it's going to start to use that mall. Hold that there. Wow. But you can say, I've never queued him once for his call and he's like, he's on his own. Okay. One more time. You can come down really slowly. And another one, I like three. But what you'll find, what's really strange about this work is that you start to fatigue. Yeah.

Because that's where we're purposely doing because we're fatiguing all the fast twitch muscles in a very fast twitch because their metabolic cycle, right is only about 30 seconds or so. And then what we start to do is we start to fire up all the slow twitch muscles where they are the muscles that are actually our scaffold. So I'm purposely fatiguing him to access all the little muscles. So coming around turning and what we also do is break down that rigidity strategy. So keep coming out really slowly. One more time and keep turning them. Okay. Here we go. Keep turning, keep turning.

And as we break that rigidity strategy down, what's really strange is that you get more fatigued, but the movement almost becomes easier. You get more movement. Keep turning. Keep turning. I really going to drew up that air. It is k coming. K counting. Huh? That's fantastic. A little bit higher this time. Oh, awesome. Now hold for five for four.

Yes, for three theory. When you look, get his head changing for two for one and relax. Boom. Okay. That was awesome. How did that feel? Hard. Huh? No angels. Yeah. They called no angels. They like snow angels but they're no angels. Yeah. That's why we've now, I think we've aimed them at name them very aptly, haven't we now just relaxing everything and you can see how that left wrist is starting to sort itself out and the softness that he's getting around his neck, how his head sitting, everything is improved a lot. Is he looking even more linear this way even though we've not cured him in any way because we've changed the relationship between right and left shoulder.

Okay. If we have someone's head to one side, guaranteed that one shoulder is going to be higher than the other. We need to change your shoulder position. And we do this for lots of people with neck problems. So arms up in front now in front of you up here. So now, now we've taught his brain too. We've got movement there. We need to teach his brain how to control the movement.

So you're going to really slowly take one arm out to the side and thumb down to the ground. And we're going to take the movement outside. So because the IRV is rotationally unstable, you challenge someone more by taking the arm out to the side. Then what you do when you're taking their arm out and you're going to hold that there, look at the shaking, it's fantastic. Okay. And coming back. So what we've found now is that you add load to give the body more information to organize itself. We'll see in the last, um, case study we do with the Migraine concussion case with, uh, with um, loading the, Oh, a joint.

But when you want to train the brain on how to control that movement, we take the information, we take the load away. So he's now having to learn to use all of this extra movement that we've just created in his shoulder. Great. Coming up and when you can do that really nice and slowly, then we're going to decrease the amount of stability he's got here to challenge him to then learn again to what I called disassociate, move one part of his body while he controls another. So now lifting one leg up, great. Hold that, take that left arm out. So I always like to take someone, whichever leg they lift up. I don't ask them to lift a particular one, but they, I ask them always to move that opposite arm first because you're going towards the more stable side and hold that there.

Just hold it off the ground. It's not a holiday. We just can hold it off the ground. Good. Coming back. Okay good. Because again, if we put his arm on the ground, all of that information is gone. All of the tension, tension relations, you will play with it on this side to get you to go is to have a bit of a look. So coming again, coming up, keeping that leg up. You're going to bring this on really slowly. Fantastic.

I get that. Watch how much his body has to work. Look at all of this. He's having to use the band to find that control. Or you can now hold it there just off the ground. His body's having to work a lot now. I relaxed that I'm on the ground.

What just happened? He's lost all of it. There's no more communication between the body lifting that arm up of everything comes back online again. Look at the shaking, drop that arm down, drop the boom. It's gone. Everything's all the information's gone. Lifting the arm up hold. And that's the difference between working on a device that's dynamic versus the floor, which is static. The body's not having to find three dimensional communication coming back up again.

Beautiful. Okay. How those slings are starting to integrate as his, as he's moving the brains, the brains. So intelligent. A little bit of information goes a long way. She had the other side for me. Changing legs. Changing legs. Yup. Okay.

So this is what we do with the sh the pectoral girdle are the shoulders. I take brain this, I'm down to the ground and this is our brushing teeth. And I've got, you know, Olympic athletes that have been with us for many, many years who still brush their teeth like this. You know, because this is, you know, the most common strategy we see in people to try to find stability in the body's flection. And it's a sympathetic nervous systems to posture. It's a fight or flight response. We're trying to protect our organs. If there's a big bang now everybody would just go into protection mode. Okay?

So it makes sense that we're protecting our visceral number one, our head goes forward so we can use our diaphragm anymore. We use our accessories coming back up again. So either we do this and we live in that world now with computers and cars and all the of it and going the other, um, for me, oh, they twist. Okay. And what we're doing here is taking two of those away with his head coming back and being rotation out unstable. So he's got to find a new way to do all of this.

Awesome. And hold that day just off the ground. Great hold. And you can see with a little bit, you can do a lot. And I'm serious. I've had John's a great mover, but we've done two movements a little bit and look how much is Polly's working but super safely. We've never compromised his spine or his back or anything like that coming up.

Okay. Okay, you're coming up. Awesome. And now take her wrist and totally relax. Drop the leg down, keep you and relax your elbows and shoulders. And now letting that arm go. And you can see again where even a little bit more, even with the hand position, his arms are more level, his head's more level.

And he's got a really nice hollowing through his, his core he, which is means that we've got a really nice communication and negative pressure in the abdomen, which is great. Which means it pulls up the pelvic floor. Awesome. So we're going to go now to changing now the hip position relative to the Tulsa.

Chapter 2

Information for the Hip Joint

So now what we're going to do is the same way that we gave the shoulder joints inflammation and had the moving in different planes, the same way we are going to do that with the hip joint. Where what I'm going to ask John to do is just lift one leg up.

I never ask anyone which leg that want to lift up on position. He, because I know he wants to lift his right leg up. So we're going to lift one leg up and you're going to take that leg in a single leg, stretch as high as you can and as forward as you can. And I want that heel pushing up and toes back. So we're going to get some length through the back of the leg and activate the anterior chain. So now I'm going to get him to push his toes forward. Great. And bending the knee. So pushing the toes forward, but forward so forward in front of you. Yep.

And bending the NAIS and super slowly. It's like a famous rock. Now you're going to brush your toes down that box all the way super slow. You're not going to rest your foot on the box, you're just going to brush the toes down so you know where you are. So we're giving your brain information of where it is spatially, super slowly coming down. I mean way down to the ground and you're just going to touch the ground so you know where it is, but you're not going to rest your foot on the ground you so you can see the band he's pushing down into that band.

That fame has coming up. So before it went back and now it's coming up. So, so hold that there. And from here I'm going to get you to do a bent knee for lamb and you're going to hold, so keep holding it there. So you're going to hold that for about five, 10, 15 seconds. My, my 10 or 15 seconds, which is about 30 to a minute in most people's language. But what we're working on here is a pelvic sling. This a doctor works with this glutamate. So we, he sent prickly loading this abductor while he's got to isometrically hold this, um, glutamate and holding that Eh, and it's really working on opening up the front of that hip and coming back and we find people with lower back pain pushing, bring that foot down so you know where it is relative to the grant. Good.

And again, coming at like a windscreen wiper action and hold and we find people with lower back pain have I restricted movement of the hip on one side, which leads to a lack of control on the other. So the definition of stability is really interesting. When you read the Webster, Miriam Webster dictionary is a system in equilibrium that has a disturbance, right? That then finds equilibrium again is a stable system, but you have to add a disturbance. So the idea of the movies, it is the disturbance and every time someone gets balanced then you'll say that I'll take them into a different movement to create more disturbance. But we have to add the disturbance to the system to find equilibrium. Good coming back and motor control, we're going to do one more good is the brain taking inflammation, lifting that foot up off the ground. That's it. And holding that there and just letting me God that underneath, that's it and hold.

It's the motor control is the brain taking information from the environment and the body itself to give an appropriate defining word being appropriate response from the muscles and the joints appropriate. Okay. And if you're not getting the response that you get, you're wanting out of the body, then you haven't gotten enough information either from the environment or from the body. So hence the weight, the information here to give his body more information of where it is in space to get the appropriate response. As we saw with those weights when he, as soon as we put those weights in his whole anterior chain workout, got one good coming back and now you're going to brush. Okay. Your toes all the way, all the I am all the way, all the way. And taking that heel up high, pushing that heel and as far out as you can in front.

Good. And then pointing the toes again, bending the knee, coming back and resting that foot on the box for me. Great, and we're going to change shots. Lifting the other leg up and straightening that out all the way as high as you can, as high as he can. He'll at first pulling those toes back, getting some length through the back, firing up the anterior chain of the legs are pushing the foot forward now and now bending the name and you're going to just brush super slowly, super slow all the way down. You can see this hip is most of the Carter jumping mall can see it's not as smooth, so super slow. We're going to try to fill in that bit, those bits of information, touching the floor. Don't rest it then great, and now we're going to move that knee out and you're going to hold that foot to the ground and all that. Then you can see the shaking of that. A doctor going up into that hip flexor and this really fires up the gluten, mead, glute Max, all the external rotators that seats that hip.

There's a rotator cuff for the hip and this is really affecting that rotator cup of the hip the same way as what this did to affect the rotator cup calf of the shoulder. That's going to seat that. That's great. Good. And coming back, you can see how slow we're getting John to move. It's really important getting him to move slowly coming back because what we're then doing is giving more information to the brain. It's taking that foot away from that box for me, that's it. And how good John Likes to have a little bit of a holiday and push his foot into the box and the and the floor. So we just got to keep an eye on him. So I was looking for an easy way out, so we're just making sure that his body's having to work because if we do rest that foot on the ground, watch what happens. Just rest of foot, everything goes, everything goes, look, look what happens there. Just to add, if you take the hands away, everything goes. Now lift that leg up, boom.

Turns on. Okay. If you put someone on a flat surface, the body would do the appropriate response to the information. It's got the environment and itself of the muscles in the joints. That's the appropriate spots. When you lay someone on the ground, everything's relaxes. Okay. You put them on something dynamic and lift that leg off the ground. That's the appropriate response. Everything fires back up again coming back.

And again, one more. Can you feel the difference when you put that foot on the ground and yeah. Yeah, and just holding that there and you can see how strong he has to be. He to allow this to move. So what we're trying to do is get information on how to control everything else. While this moves, which we have to do in three planes, which we have to two, every time we will balance on one leg while we move another, we're going to do a class as well and we're going to really play around with that in standing. But that's really nice. He's really controlling that hip will good coming up, brushing those toes back up again, all the way back up, all the way and straightening that Liga size he can, holding that they're holding that.

They're pointing those toes now and coming down really slowly. That's it. Excellent. Something just kicked in the head, didn't it? Your quad and relax. Excellent. So now we're going to take this information away from him.

Take this off and take this off. I'm going to let his body just relax. I take one foot down to the ground and the other foot down to the ground. We're going to take this away and now what we're going to do is lift one leg and foot back down onto the, and we're going to put a [inaudible] ball under his foot. Now lifting both arms up on um, and the other. So now we're going to challenge his brain on how to learn to control this movement.

So you can say all of the bits of information we've added through the shoulders and through the hips. And he's got lots now that where this movement now is an integration of all of that information really good. And again, if the definition of stability is take a system that's an equilibrium, disturb it and let it find that equilibrium. Again, I didn't let anyone move until I've found equilibrium again. And you can see his body starting to find balance and once it finds balance, then we can start to disturb the system again. Okay, so now really slowly just roll that, pull away a little bit and hold that they're coming back. That's it. And you can see where we're working on now, getting that hip moving in the sagittal plane and again, a little bit further this time, slow lane, good and control and coming back.

And each time I'm just giving him a little bit further to go. So he's learning how to move this hip while he's controlling everything else. Okay, nice and stable. He's getting on that lift here. So the band is here that if I need to to give him more information, I would have had him hold on to the band, but he's doing it really well in this plan. But we might need to do that when he'd take his knee out to the side in a bit and they fall out and he might need some more information here, straightening out a little bit more.

Good and hold that they're coming back. Okay, awesome. Are you gonna do one more of those and see how far you can go this time? Well done and hold that. They're beautiful. That's great. And coming back, the care map stability is needing to use throughout his whole body to get, just to move that little leg, but we're having to do in space all the time when we take a step and you can see how this can really affect gait.

So now hold that ball there and now can you do a bent knee fall that for me please. You see as soon as we take him in the transverse plane coming back, he's struggling. So we're going to bring this band up. Glad I prepared and we're going to give him more. You're going to bring the elbows in and hands out. Awesome. And now, and I want just the hands a little bit lower for me. Just taking a little bit lower. They're a bit more information and I want to see, I know I've got enough information, just pull those arms out and they'll go in when he starts to get some and no, no, no elbow xen elbow straight and that's it.

There we go. I want to start to see some activation through the flings to now. Can you bend that knee? He's got more control. Hold coming back and just only go as far as you can control. Okay. So we really getting him to learn to move one hip in all planes while he controls the rest of his body. And there's loads of ways we can integrate all this later and you'll see a lot of that in the class. But we did a lot of integrated movement like this female. Yeah.

Okay. A hard movement, isn't it? To tenured your knee out on something that you want to roll on and coming back and one more did. That band helps a lot, doesn't it? It gives you a lot more feedback. Great. That's better. And coming back. Okay. Rest your elbows down on the ground and band down for me for a minute and we're going to change legs.

So now put one leg down the other side down and we're going to do the same on the other side. Lifting arms, Huh? Excellent. Let his body find balance before I get him to move. Okay. And nicely. He starts to organize and find it with no auditory carrying.

If I give him information, he, I could never give him oral information that gives him as much information as his body's having to get to. Now. And the other thing is if I want him to learn a movement, whatever information I give him through words, he can earn the then refer that to what he already knows to impart that. So it's actually subjective where this information is much more objective. It's like really giving input through his body, not what he thinks is correct form. Okay. And John's a good mover, but he's learning lots right now because he's having to find all different parts of his body to do this task. Slowly roll that ball.

And when you see kids learn, they figure out things and then you see this massive smile on their face. I've got it. And that's task based learning. And what happens there is there's the in the middle of your brain, the limbic system, our emotional response. The brain just goes back and there's this beautiful dopamine release that hardwires that learning experience up into the brain, up into the motor cortex and prefrontal cortex cake slowly moving that ball and down into the cerebellum membranes. And that hardwires it in. Yeah.

And we should use that task based learning experience to give our body ways to figure things out. And then it actually puts the hard wiring in and then we just retrain it with and we just repatterning and each time John would do this, he'll learn, he'll read repat and this, this learn to be experience and you're going to, each time you're going to go, you're going to go a little bit further. Couple more. That's it. That's great. And hold that there. That both sliding on the, on the wooden floor and coming back really slowly.

I'll hold that ball there for you until it gets to the mat. Great. And how old now from him? Can you take that knee out super slowly. Okay. Coming back, we're going to give you the band again and pull that band and elbows in the, there we go.

Do you feel where you get your, if you bring your elbows in, be in inside of your hands, then you get that anterior connection. Great. There you go. Now let that knee fall that I only go as far as you can control each time you're going to get a little bit more and hold it there. So way get to your and range, hold it there and then bring it back and again hold it then and then back to what this is now we've added lots of load and lots of information with all the toe touch and overheads in the no angels. So now this is the modal learning page part of it where he's having to take all that movement and that extra mobility and learn how to control them.

And this is, this is a better way to actually embed the learning experience we were finding because how many of you have gone to a great, plowed his class and you felt great afterwards and the next day you're back right back where you started. Okay. Or for me as a therapist treated lots of people, they look fantastic when they walk out the door and next week they walk back in and they're back where they started and it's like we've changed all the tissue but we haven't taught the brain on how to control all of that and if we can get it to control that, then we finding that there's less bounce back. This lets less of this going back to old patents. One moment. That's it. And then plot is, is a, is really an amazing way to add and take away load.

That's where all this amazing equipment is about. And that's why apparatus was developed to teach people how to do their mat work because it's giving more appropriate septic, a friend information, ingenious and excellent. Relax. Well done. Okay, well done. So what I'm going to get you to do now, we're just going to get you roll onto your side and we're going to get you to just roll on to side for a minute. Just roll onto your hands and knees. Take your time coming in slowly. Don't rush. You've been down on there for a lube arm. Sorry.

I just really want you to super slowly. We're gonna get you coming back up and standing back up again. Super slow coming up. Your head's been lower than your hips. And now what I want you to do is just have a little walk up and down the Mat. He's posture. Okay. Turning around again.

And how do you feel? Light. Light. He felt very light. Uh, they could have nicely aligned his do you feel quite organized? A little bit taller because what we've done is we've changed the information from front front to back side to side and rotationally and the brain's taken that on and changed it. And for me, what I say the most with you as your head positions changed. Yeah. Yeah. Awesome. Thank you so much. So this is our brushing our teeth. So this is getting our body ready to move and we ask all of our clients to brush their teeth before they come to the studio.

Much like you would brush your teeth before you go to see your dentist to be ready to move. Thank you so much John.

Chapter 3

Disassociation between Thoracic Cavity and Pelvis

Now we're going to work with Aaron in movements that then help disassociate the chest and the thoracic cavity from the pelvis. What we found with the three d motion capture is that when people can't move the ribs off the pelvis or the thorax of the pelvis, or they can predominantly and move one side well, but not to the other, that they, the pelvic instability is much higher and therefore the risk of injury of lower back is much higher. So what we're going to look at now with Erin and take her through all of the movements is learning to break down the Movement for through her ribs to get that Nice, this association of her, her pectoral girdle from her pelvic girdle. Now disclaimer, she's brushed her teeth. She needs to brush her teeth because if someone can't move their shoulders or control their hips and move their hips, then we're going to get her moving from somewhere else rather than where we need to move him. So she's breast the teeth, which is great.

Like what we did with John. So the first thing we're going to work on his brain, her arms, locking her fingers behind her head is we're going to work on lateral flection first. Now the joints in the spine are really interesting cause in our lower back, the vertical, and as they work up to our thoracic spine, they start to move in a different plane. So our vertical joints encourage more movement in the front back plane. And as we go up then they encourage more rotation.

Now what's also interesting is that when our lumbar spine has a curve in it, then those vertical joints close down and you can't get rotation in the lower back. But when they, when you go forward and you reduce that curve in your lower back, they open up and then there's play in those joints. And anyone who's at a disc injury, they find that it's actually flection and rotation and everyone goes, I was just bending down to pick something up that actually creates that injury and inflection and rotation. And what we find is that flection first, which closes down the ability to, to rotate in the thoracic spine and then that rotation, which means they then twist through their lumbar spine, that increases the risk of injury. So this is a really good way to break this movement down. And we're gonna take some really great classic mat work from Glottis and adapted to getting to this association of the thorax from the pelvis. So I've got Aaron set up with some band her feet up against the wall or the box here. I'm going to start with her hands behind her back, which opens up her rib cage.

And the [inaudible] is going to give her feedback the whole time of learning to control this because if she starts to try to move from here, she's going to get lots of feedback and she's going to have to correct it. I don't need to cue that she's got feedback for them. So the first thing we're going to work on though is lateral flection. Because if you don't have lateral flection, you're not going to be able to have rotation. Okay? And it's just the way the joints are.

So we're going to open those joints at first to give her space, then eventually to go into rotation. So the first movement we're going to do is now lifting just a touch. That's him. And you're going to slowly move over to an side. So we cut it into a little tiny little chest lift coming back and getting her to move from side to side.

We did that chest lift and again [inaudible] so we can either use a band or a ball here, a ball, we'll get more connection here, but it also flexes someone more. I like band because we create more length in the spine to give her some more space to move from. And again, great. And I'm just going to give it some tactile cues of where I want her to move from that him and she, I want her to move a little bit from higher up in there that it. And we're going to get that opera thoracic spine.

She moves really well from those lower ribs. She likes to move from those lower ribs and we're gonna get her moving. Eh, there we go. One more. That's great. Good. And one more coming back the other way and hold.

And you can see even with lateral flection, she's rotating a little bit. It's a coupled motion. So what we're then going to do now is we're going to take her through the different planes of rotation. So the more you rotate in this plane, the frontal plane or the sagittal plane, the more the upper thoracic spine needs to rotate. The more you rotate in the transverse plane, it's more the lower thoracic spine.

And we're going to take around through a different clock movement. So if her head is 12 o'clock, her legs, six from the camera point of view, that's one, two, three and here is 1110 nine and we're going to start with you. Tell me which one you want to move first. Okay. Okay. That one. So we're going to get you to look at that top hand. So turn your head and look at that top hand.

And then now bringing this hand into just above your armpit and you're going to roll that hand and you going to turn yourself to come and reach into that hat. Fantastic. And I want you to keep nice and strong here and coming back. Good. And slow it down. Yeah. And again, just keep that on there. It's okay. We're going to work through a couple of movements. Great. And coming back one more.

And now what we're going to do is give her party a little bit more information coming back. So now I want you to lift that. I'm just off the ground. Great. So now super slowly coming up and look all of a sudden how much more connection she's got through her anterior chain. Great. And again, excellent. And now can you hold that weight for me? Yeah, there we go. So you can see it at all times. She's having to control her pelvis.

So she's really having to move through her thoracic spine. One moment. Great. There it is. And relax. Now we're going to take the arm to one o'clock and again, slowly, I mean perfect and back and again. Great. And by that lifting that armor and turning.

Excellent. And again, very good. And now, and I'm not going to give her away at this time cause she's moving better. We're going to go down to two o'clock. So the wait was just about giving her more connection. Okay, so I'm down on the ground. First of all, let's just get you feeling what that movement is. Great.

And you can see all times her pelvis is being controlled. If she's got lots of feedback of where that pelvis is. Yup. And I think he, we need a little bit more weight. There we go. So I feel like you connecting a little bit more with that weight and you can see that as we send people, as we get lower, they get a house at a time as they get.

Some people are higher, their upper thoracic spine doesn't move as well. So we can really start to also use this as an assessment. So you can start to feel in yourself, which part of your thoracic spine moves well. Okay. And you can see she's struggling here on this transverse plane at the three o'clock. Okay. So now lifting that amount and coming back to, to neutral for me and now going over slowly controlling good.

And we found when she worked laterally that she didn't laterally flex to this left side as well as she did to the right. So this is making sense by her rotation to this side is not as good. I'm going to give you a bit more information. There we go. Okay. Cause he, I look at the range of movement change as soon as we add some information.

So if I see someone not doing a movement, well we need to add more information. Great. How's that feel with that weight and more connected. It's also affecting that posterior sling with that lat to that, to that glute. Awesome. Relax. So now we're coming up to the other side. Okay. Yourself level looking up at it, your hand.

Fantastic. And we can play around with all sorts of things. We get our rotational um, athletes playing with medicine balls in this plane and all different planes having to move them in different plans so you can really take this and extrapolate it to lots of different things and you can see how much better she rotates through this side than what she does with the other side. And we saw that in the lateral flection and I don't need to give her that feedback of that weight because she's doing pretty well there. So now coming down to 11 or some chopping that hand down just to a couple with no load. Good on that.

Lifting a man looking at the hand [inaudible] great, very good. Does it feel easier on this side and coming down and really resting that arm down. Okay. We'll see if the same thing happens with your lower thoracic spine. Good and lifting armor. So coming down a little bit where you were. Yeah, so you can see the thoracic, the lower thoracic and the lower ribs down.

They move well in the sagittal plane but they don't, we move well posterially for to rotate. So we're giving her that little bit of feedback cause that weight by holding that weight up, see how it locks that rib down a little bit more so it gives more stability here or let her reach more from the back there cause that's what we're trying to get her to do. If to feel is that to let that go. Okay. Narrow. Just rest. Then I'm down on the ground. Okay, good. And the more we can connect to through here, the more that gives that space to move as well. So lifting that weight up. Oh awesome. There we go.

She likes to lift that arm up a little bit when she's coming over here. Good. Couple more. There is and last one drop. That rib comes down nicely. That'll give that space in their last one at nine o'clock. I'm on the gram two. We're really working on getting that segmental movement of the thoracic spine relative to the pelvis. Again, making sure she's, you know, made sure that the shoulders and hips are moving well individually.

Great. Fantastic. Yeah or no. Excellent. And relax for now. Have a little rest. It's hard work, isn't it? So what we're gonna do is take one foot down to the ground, the other foot down into the ground.

You're going to slide down the over a little bit, a little bit lower down. So you tell burn down a little bit to the larger end. Okay. So now we're going to take her to, to start to integrate this movement in a different plane. So we're going to start to use our roller. I'm a little bit more. So to do that, we like to have someone a little bit lower on the roof to help facilitate that roll up.

So we're going to get you arms above your head and coming up one vertebrae at a time. Let's just get you up a couple of times, but give you that feeling and hold and coming back down again. I want you to a little bit lower. Yup. Good. And again, here I want you to fold there. That hip, that's it. Good. And coming back down and one more and you really want to feel that fold. Uh, you folding up not too much through here and just more folding those hips. That's it. And just feel like those hips dropping. There it is. Hold. So from here, lean back just a little bit. From there, that's it. Hold arms to either side of your knees, palms facing the ceiling. Can you reach forward? Good and back. Perfect. And the other side and back and good and the other side and forward and the other side and forward. Great.

And yeah, and coming back down really nice and slowly have your wrist. So now we're going to start with some rotation with your feet down a little bit. Cause when we put the feet down on the ground, the pelvis is more open. When the feeder up it locks the pelvis in a little bit more. So we're challenging her more now. Okay.

So you're going to need to use the band. So now you're going to do a slight chest lift and little bit less and a little bit less just off the ground. And there can you take a look over to the left elbow and you're going to bring that right elbow over to the left. Great. And back and the other side. Perfect. And back.

And look at how she's having to control here while she moves through her thoracic and the other side. Great. So we've taken her into the lateral, both good and one more fantastic. And now coming back down and each time you see she's having to control. While she's moving her thoracic spine. So the last one, we're going to do his arms in front of you. Okay. And then you're going to bring your arms up as you roll up and really softening and folding those hips. Good hold. So you're going to bring arms in front, relax a little bit through the inner lane, back, just a touch. Great.

So you're going to be nice and long through the spine. Now you're going to take the opposite. Um, so, um, up on the opposite knee and that hand behind your head, looking at that elbow, the, and you're going to reach forward, good and back, and really rotate. So you're looking at that elbow as it's going back. That's it. So you're looking at the oboes, it's going back and now we're keeping your low doses nice and safe. So you know, there's no discretion. She's moving through her knee, her hips, and she's really having to rotate. And this is a much more dynamic move and you can see how we've built her and progressed her into this rotation. Change sides for me. Yup. Perfect.

And you're really looking at that, that hip and you're rotating through the gray and reaching forward as you're looking at that over correct. Okay. Female. Great one more and coming back down. Super slow and relaxing. So what we've worked on with Aaron is first of all, some lateral flection to open up those facets in that, in that coronal plane.

Then some passive rotation with a little bit more activity in through the different planes of movement. And then by dropping her feet down and opening up her pelvis more were challenging her to control her pelvis more while we dynamically get that reflection in rotation in her thoracic spine. And as I said, what we've found is if you cannot move this of this, then something else has to move forward. So then the pelvis starts to move. And that's where we say at SACROILIAC joint issues or disc issues. Um, a lot of the time people move really well one way but poorly the other way, especially ladies who have a bag always over the same shoulder and they're always over on one side. So they rotate their spine flexes. So they really rotate one way well, but they don't rotate the other way.

You watch anyone who walks and they walk laterally, they walk side to side. These people are lacking thoracic rotation. So if I see someone walking side to side with the law and there's side to side decides great. As long as they can rotate. But if they have side to side, then they're not able to then rotate the spine at the end. They do using lateral flection to get that leg up rather than lateral flection with rotation. Okay. So we're going to roll. You are off to the side. We'll just take the band off and we're going to get you to walk around and you're going to walk up and down the map and you're going to tell me how now the feel of your thoracic spine relative to your pelvis or just have a little bit of a wall and let yourself go and just let yourself feel like where you need to, where you want to move your arms go. Yup.

Yeah, yeah. So you feel like your ribs are less compacted down? Yeah. And they'll let you, so let your arms move as well when you're walking and just feel if, if you can feel it, getting that, that rotation going as you walk. That's what we look for. We look to see can someone move with that rotation in the gate. Okay. Because that is the key to being able to get, it's almost how it's also how our body creates talk. It's like, it's like a spinning top one needs this being one way to the other to build that tension in the tissue to be able to push off. And if we can't build that talk, then we're going to use something else. Thank you so much.

Thank you so much for them.

Chapter 4

Concussions, Migraines, and Headaches

Now the third of our case studies, we're going to work with Juliana. She's had five concussions in how many years? In six years. Um, and this, uh, set up works equally as well with anyone who gets migraines, headaches or anyone when they lie on the earth and they don't have vertigo. Like they've been shown that they don't have very good, but they feel a little bit out of sorts that this, this really gives the brain inflammation through the very top joint of the spine. And why this is really important.

It's called the occipital atlantal joint. It's the top where the skull sits on the top of the spine. It is the number one joint in the body with the most amount of uh, appropriate acceptors in the body. So it is the most important joint for the brain to know where it is in space. Cause eyes also dictate our posture.

And it's really interesting cause when you look at indigenous cultures where they carry things on their head, their posture is perfect. And that is because the brain's getting lots of, of where the head is relative to their body. Number two, incidentally, a proprioception proprioceptors of any other joint is the hips. So then if we can load the hips with the La, which are really great way to do that, is on a reformer cause that reformer gives lots of ground force up to, to load the hip. That's also a really great way to give the body information from the hip and the OAA joint and the whole body starts to organize itself. So normally if you look back through the tutorials and the earliest ones we did was how to set up comfortably on the move and put something under the head.

And normally we put towels or something under someone's head. We're not going to do that with these. Um, with someone who does have any sort of upper cervical spine or dizziness or, um, or headaches, migraines, et Cetera, we're going to put their head on honorable because what this does is it takes away, we find with those people, they have a very strong rigidity strategy around their neck and they like to grip from there. And when we do assessments, they like to balance from there. So what we're going to do is take that away. Cause if they tried to grip the balls, gonna move underneath them and they're not allowed to do that. But it also allows us to, when we load the head that it gives a beautiful, more freedom for the, for the joint to find its congruency or where it's ideally safe.

Now, a very famous physio, physical therapists who did lots of work 30 years ago on transverse abdominal lis, Carolyn, Carolyn Richardson is now using an antigravity system for the European space station where she's loading the head the same way in our studio in clinic. We'd use that cap so it's a cap with some bands around it to load the head, but he, we're going to use some theraband and what's nice about this technique is I'm going to let Juliana put whatever information she needs, what she feels comfortable with. So we're going to first of all look at your arms up in the air and we're going to get you to lift one leg up and she's pretty good on that side. You can see she's doing a little bit of a trickle coming back down and lifting the other Lego and you can see straight away that she wasn't going to be as confident in that. She took a big deep breath in to preparing herself to lift that up.

But she's done pretty well in the end, but good. So we're going to see if, if that's a problem of her muscles and core and everything working or because of these concussions is her brain not getting enough information from where the head is relative to the potty. So just drop he lift that head up for me. Just dropping back down. I'm just going to take a little bit of air out of this because I don't want her to head up and forward. I just want her head nice in mutual with the rest of her body. So it's just about finding where someone is comfortable. Great.

And we find this is fantastic for all of those people that we've mentioned. So the key to this is having the band over the top of the head and making sure that it's not going to slide. So I'm going to hold it there for her and hands a little bit higher up. Yup. Just to touch higher on the band and you're going to then control how much you put in. Yep. And now look what just happened with her chin. It dropped down. How's that feel? Awesome.

Can you lift those elbows just off the ground a little bit? Awesome. Look what just happened here. Okay. All of a sudden, can everyone say that she just came online? Do you feel that, okay, when, as soon as you lifted those elbows up, you came more online. Okay. How does that feel on your neck? And if I feel Juliana's traps, they're nice and relaxed. So that's telling me that she's not using all of these other muscles. She's, we're just learning that joint up. It's actually relaxing the tissue around it.

So now can you both elbows off the ground? Can you lift one leg up? Awesome. Can you lift the other leg? All of a sudden she's better. All of a sudden she's better. So now was it the fact that she didn't have any core strength?

She's applaud his instructors. Coaches can have core strength. Okay. Or was it the fact that her nervous system, I am out of control, that it's taking information from the outside environment and the body to create the appropriate amount of force through the muscles and the joints. Maybe she wasn't getting enough information from this joint because it's the number one priority of any joint in the body, number one. Okay. And she's had five concussions in six years and that means head knocks and it means that that joint is going to be whiplash. You know, all of these other incidences that compromise that joint. So what we're going to do is wait, just relax for a second.

We're going to train Juliana in that, in this position, and we're going to teach her to control her hips and move her hips while she's got that information. And then we're going to take that information away to see if we've actually improved her function. Okay. So which leg was the tough one? Okay, so let's, let's start with this one first because that's what you would want to do already anyway. Right? Okay. So you're just going to now just put that band on leftovers. Great. And you just give it enough you need. And now when in your own time you are just going to roll that pull away and you can just, as I said, you can straighten your arms more to give you more information, bend your arms a little bit to give you less information.

That's actually really good. How's it feeling? It feels like very tangible, if you will. How's your neck feel in this position? Okay. But the key is that she's regulating the k that she's regulating how much? Four. So she's feeling good with her neck. Okay.

But the key is that she's controlling how much I could never tell her how much the push, it's a feel thing further. So now from here, can you bend that knee out to the side? Awesome and back and just slowly work into it. And this is the same way with John is that we gave him band underneath the even he pushed up that gave him more information of his anterior chain that now we're just giving a different amount, different type of information through their, their head into the top joint. And it's the same process that we went through with John and look at how much better you're getting it moving that isn't it amazing. Yeah. And this is what we're finding.

It's not just lifting that leg up and putting it down onto the ground and changing legs. Great. That it's not about muscles being weak or Lina, it's actually about that the body's not getting the appropriate information from the environment or itself. Okay. To, to have the appropriate response. Okay. So coming. Excellent. So both elbows off good and, and what we're doing here is just giving her some nice movement through the hip that she's getting that imagery of the hip and starting to marry this position of the, the head and the information at the head with her hips. Definitely. If she was my client, I'd progress her on to a reformer and tie that in together and really out regulate the hips a couple more. That's great. You can have, she's really working well through there. Now from there, just take that knee out slowly.

And our Nico as far as you can control. And what I love about this work is that I'm not busy doing all of this detail, that I'm actually able to sit back and watch and learn what her body's doing and then give her the appropriate information that she needs to learn to control the movement. So let turns me into the student that I actually observe more. I sit back more, I think more big picture, you know, and what we talk about is that in the old days I used to have to think globally, can tell those shoulders, drop those ribs, control this to move the leg head to act locally. Now the paradigm has flipped is that now I can think locally, think locally, let's load that joint to actually get a global response.

What we saw with her, just lifting that leg up. Awesome. Have arrest elbows town. Take a little bit of pressure off that. Yeah. Now turn that band on again. Good lifting one lego great and back. Okay. Look at her anterior chain working in the other.

Awesome. Excellent. That's really great. Now relaxing the band. Who are going to take the information away for you. I'm up now lifting one leg up. Awesome. Great.

And the other one so much better than it was before. And again, it holds true that I will give the information for awhile and then as we given that, that information, slowly take that information away until she can control that movement. We might've had to put a ball underneath that foot and get her rolling that ball again without the band until she can control that movement. Awesome. Now rolling off onto your side and we're going to move that away and you're going to stand up and have a little walk around you. Tell me how you feel. That's good. That's tall.

How's your neck position feel? Felt left out farther. Further back. Your head's definitely further by. Fantastic. So what we really today was about and the three case studies we're about is first of all brushing teeth, taking uh, an idea of maintenance of the body to, to give it information, to have it moving well each day and slowing that movement down and loading that tissue.

Like what we did with John to give the brain lots of information for it to find a new way of doing something, number one. And then with Aaron, we really broke down to get that segmental movement of the thoracic spine from the pelvis and lumbar spine and, and getting that moving sick mentally. And lastly, with Juliana, we loaded her occipital Atlanta joint to start to give her brain more information because of her history of where her head was relative to her body. But there's a really common theme in all of this is all we've done is give the body more information, but objectively through weight, through feedback of the oof to control the actual skeleton and spine. Okay. Through bands, through bowls. Okay. And it's adding that environmental information to help the body find the appropriate response. Okay.

And as we did with John is there's no words that I could have said for him to do all of those things, you know, there's no words, but that information was forcing his body to find the optimum position. So thank you for joining us for these case studies. Um, plays, look back at any of the other tutorials for any information on the basics, on how to position yourself on the move. And thank you for, to pull out is anytime.