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MOBILITY AND STABILITY

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MOBILITY AND STABILITY

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  1. Mobility problems are movement dysfunctions. They are probably the byproduct of inappropriate movement, or they could be the result of a poorly managed injury, physical stress, emotional stress, postural stress, or inefficient stabilization. All these issues alone or in combination can reduce mobility in the body’s attempt to provide function at some level. Loss of mobility is sometimes the only way the body can achieve a point of stability, but that stability is not authentic. It is often seen or observed as stiffness or inflexibility, but on a sensory motor level, it is part of a system with no other available choice. It is basically engineered dysfunction at a local level to allow continued physical performance at a global level. -Gray Cook, Movement MOBILITY AND STABILITY

  2. MOBILITY- THE ABILITY TO PRODUCE A DESIRED MOVEMENT • STABILITY- THE ABILITY TO RESIST AN UNDESIRED MOVEMENT

  3. JOINTS • ANKLE- MOBILITY • KNEE-STABILITY • HIP- MOBILITY • LUMBAR SPINE-STABILITY • THORACIC SPINE- MOBILITY • GLENOHUMERAL JOINT-STABILITY • SHOULDER-MOBILITY

  4. Joint by joint theory • DON’T INCREASE ROM AT JOINTS THAT NEED STABILITY. INCREASE ROM AT JOINTS THAT NEED MOBILITY.

  5. Joint by joint theory • PROBLEMS AT ONE JOINT USUALLY SHOW THEMSELVES AS PAIN OR A PROBLEM IN THE JOINT ABOVE OR BELOW. • WHEN A SUPPOSEDLY MOBILE JOINT BECOMES IMMOBILE THE STABLE JOINT IS FORCED TO MOVE AS COMPENSATION BECOMING LESS STABLE AND MORE PAINFUL.

  6. Joint by joint theory • LOSE ANKLE MOBILITY GET KNEE PAIN • LOSE HIP MOBILITY GET LOW BACK PAIN • LOSE THORACIC SPINE MOBILITY GET NECK SHOULDER OR LOW BACK PAIN • Not always simply mobility issues, weak glutes and hamstrings can cause knee problems.

  7. ANKLE • IF THE ANKLE IS IMMOBILE IT CAUSES STRESS OF LANDING TO BE TRANSFERRED TO THE KNEE. (PLYOMETRICS, BASKETBALL PLAYERS). BASKETBALL SHOES CAN CAUSE ANKLE IMMOBILITY AND THEREFORE CAUSE THE INJURIES IN THE KNEES COMMON TO BASKETBALL PLAYERS. • Lack of dorsiflexion is a major problem. Our footwear and the way we train contribute greatly.

  8. KNEE-STABILITY • Black hole joint

  9. Knees are supposed to flex and extend and when they rotate too much or move valgus or varus too much we see problems with the knee. Once the knee is mobile it needs to be stable enough to stay inside the proper plane of movement

  10. HIPS • NEED TO BE STRONG AND MOBILE • SINGLE LEG EXERCISES WILL WORK THE STABILIZER MUSCLES (GLUTEUS MEDIUS, ADDUCTORS, AND QUADRATUS LUMBORUM. • WEAKNESS OF THE HIPS LEADS TO INSTABILITY OF THE KNEES

  11. LUMBAR SPINE • the core is designed to prevent rotation and counteract movement around the lumbar spine. If you look at the anatomy involved, the core (including the rectus abdominus, internal and external obliques, and transverse abdominus) is layered in a cross-hatched fashion that predisposes it to being stable and preventing rotation. • if your rectus abdominus were truly designed to promote spinal flexion, you'd have two long hamstrings

  12. Since the lumbar spine is designed for stability why would we do exercises that increase its range of motion. Increasing range of motion is not recommended and potentially dangerous. • Stop doing spine twist and crunches • Direct mechanism for disc herniation…maybe

  13. THORACIC SPINE MOBILITY • THORACIC SPINE MOBILITY WILL SPARE LUMBAR AND CERVICAL SPINE • THORACIC SPINE HAS A MUCH GREATER DEGREE OF ROM THAN THE LUMBAR SPINE (1-2 degrees vs 8-9 degrees) • Everyone needs it and its hard to get too much of it • As people get older spine loses ROM particularly extension

  14. SCAPULO-THORACIC JOINT STABILITY

  15. Stable base of the shoulder • SCAPULOTHORACIC JOINT STABILITY IS KEY TO THE HEALTH OF THE ROTATOR CUFF. IT IS USUALLY WEAK AND UNDERWORKED • IT IS THE STABLE BASE OF SUPPORT THAT ALLOWS THE SHOULDER TO WORK

  16. SHOULDER MOBILITY • DESIGNED FOR MOBILITY

  17. How does this theory hold up?

  18. Is it a mobility or a stability issue?

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