Where we started with the FMS - Functional Movement · Where we started with the FMS 4 . 7/18/2013...
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7/18/2013 Jim Raynor, Karen Rakowski, Brandon Hetzler 1 Movement Restoration: Integrating Functional Movement Systems in the Clinical Setting Brandon Hetzler, Karen Rakowski & Jim Raynor “Improving movement always, and in all ways” What Year Is It? 3 The Journey Begins Where we started with the FMS 4
Transcript of Where we started with the FMS - Functional Movement · Where we started with the FMS 4 . 7/18/2013...
7/18/2013
Jim Raynor, Karen Rakowski, Brandon
Hetzler 1
Movement Restoration: Integrating Functional Movement Systems in
the Clinical Setting
Brandon Hetzler, Karen Rakowski & Jim Raynor
“Improving movement always, and in all ways”
What Year Is It?
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The Journey Begins
Where we started with the FMS
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Jim Raynor, Karen Rakowski, Brandon
Hetzler 2
The Journey Got Longer
1998-2003 WE FAILED – In application
– In research
–But, we knew we were on to something
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The Journey Got Crowded • Sports Medicine
Departments Consolidated
• Performance/Injury Prevention
• Sports Injury Therapy
• Medical Fitness Model
• Outreach Program
• Undergraduate athletic training education
• Graduate athletic training education
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Not Satisfied • FMS
• FMS Level 2
• Dabbled into the “ground up” progression
• Introduced to kettlebells
• SFMA
• SFMA Level 2
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The Journey Got Complicated
We want a protocol
Why?
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Jim Raynor, Karen Rakowski, Brandon
Hetzler 3
Birth of Movement Restoration
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Problem One
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Hetzler 4
Mistakes Anyone?
• Using the FMS & SFMA together
• Not trusting the tool
• “I don’t have time to treat everyone’s cervical dysfunction!”
• Trying to get all the DN’s to FN’s
• Screening & assessing movement quality but failing to apply the same rules to the interventions...
• Using FMS for “diagnosis”
• Lack of attention to detail administering the FMS/SFMA
• Being too detailed with interpretation
• Making it the _MS
• Treating the score
• Trying to fix a squat with a squat, a roll with a roll...
The Missing Piece
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Hetzler 5
“Standard Operating Procedure”
Movement Assessment “Exercise”
The "Corrective Exercise" Paradox
• What is corrective exercise?
• "Corrective exercise is like vegetables and lifting is steak. Steak makes you strong, vegetables make you healthy." Pavel
What do you do?
• 19 year old Female basketball player
• Goal is to get stronger and faster for basketball
• No pertinent medical history or medical conditions
• Point A / Point B
A B
Movement Assessment SOP
Group activity •4-5 people •Come up with 2 exercises to address the previous slide
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Hetzler 6
“Exercise” SOP Neurodevelopmental Sequence
(NDS)
"Simplicity is the ultimate sophistication." Da Vinci
Missing the point
Crawling
Rolling
Breathing
Single Leg "Stuff"
Squat “Stability and Motor Control are posture specific.” -Gray Cook
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Hetzler 7
How do we apply this approach across the "subject" spectrum? • Movement develops in a sequential fashion
• Strength develops in a sequential fashion (What “strength” pattern develops first??)
• Movement progression stays the same, movement “intensity” varies
"Training"
Rehab
The Rehab/Training Continuum
Moving
• 17 year old male 6 months into his rehab for ACL reconstruction
• All 2's, no asymmetries, but doesn't feel "right"
• Wants to get back to high school sports
Examples •21 year old college female
•All 2's, no asymmetries
•Wants to improve her game
• 56 year old female housewife
• All 2's, no asymmetries
• Wants to fit into a dress for her son’s upcoming wedding and "firm up"
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Hetzler 8
Our Solution? An Exercise SOP
A B
[email protected] [email protected]
SPORTS MEDICINE & ATHLETIC
TRAINING PROGRAM
