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The Zac Cupples Show

A show where we discuss all things rehabilitation, training, performance, health, nutrition, sleep, stress management, learning, and many more.

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All About the Ribcage

Learn how reaching and improve upper body mobility Movement Debrief Episode 117 is in the books. Here is a copy of the video for your viewing pleasure. Here is the setlist: What order should I prioritize improving ribcage expansion? What is the manubriosternal joint? What happens when I have mixed compensations at the sternum? How can I encourage ribcage dynamics without increasing secondary compensations? What is different about infrasternal angle presentations between 90-110 degrees? How do I go about improving these particular infrasternal angle presentations? How can thoracic sidebending be useful with improving ribcage dynamics? If you want to watch these live, add me on Instagram. Enjoy! t Show notes Check out Human Matrix promo video here Here are some testimonials for the class  Want to sign up? Click on the following locations below: August 1st-2nd, Boston, MA (Early bird ends July 5th at 11:55pm!) September 12th-13th,  Montreal, Canada (Early bird ends August 16th at 11:55pm!) [6 CEUs approved for Athletic Therapists by CATA!] October 3rd-4th, Ann Arbor, MI (Early bird ends September 6th at 11:55pm!) November 7th-8th, Charlotte, NC (Early bird ends October 11th at 11:55pm!) November 21st-22nd, San Diego, CA (Early bird ends October 25th at 11:55pm!) May 1st-2nd, 2021, Minneapolis, MN (Early bird ends April 4th at 11:55pm!) Atlanta, GA (POSTPONED DUE TO COVID-19) Dickinson College in Carlisle PA (POSTPONED DUE TO COVID-19) [Approved for 14 Category A CEUs for athletic trainers] Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free! (Release date not known yet :(  Here's a signup for my newsletter to get nearly 5 hours and 50 pages of content, access to my free breathing and body mechanics course, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies.  Human Matrix Foundations Infrasternal Angle Compensations and Treatment Below is a picture of the sternum Below is a picture of how shoulder testing is specific to various areas of the ribcage Check out the fiber orientation of the subscapularis below: [caption id="attachment_12234" align="aligncenter" width="600"] Photo credit: Dr. Johannes Sobotta[/caption] and the fiber orientation of infraspinatus and teres minor: [caption id="attachment_12235" align="aligncenter" width="600"] Photo credit: Jmarchn[/caption] Reaching: Theory and Practice Hip Rotation Explained Here is the example exercise of Bill's for posterior expansion What areas should I prioritize when improving ribcage dynamics? (1:01) Hi Zac, around how long do you recommend for each of the three general steps (improving bucket handle, then pump handle, then posterior expansion) before moving on to the next area if a client is doing the relevant exercises daily or twice a day. The manubriosternal joint (14:34) In one of your movement debriefs about being stuck in a pump handle down position, you mentioned a bent manubriosternal joint. What is that, and how does it happen? How do you test for it? Treatment? I tried to google but didn't really get anywhere, do you have any links you can share? Thank you, Is "the stack" being achieved? (30:24)  How do you know if you are stacked properly? Addressing shoulder external rotation limitations (31:20) It seems like there is a contradiction behind the concepts of expansion relationships and length-tension relationships and/or muscle "stiffness," but I figure it is because I am just not grasping something fundamental. Let's say a client has a limitation in shoulder external rotation. This would seem to indicate that one causative factor is a lack of posterior expansion, in order to help drive the scapula out of adduction and internal rotation, and restoring a better relationship at the glenohumeral joint. But, if I were to drive a position of posterior expansion, which usually entails contracting the pectorals in order to compress the anterior chest wall, this might exacerbate stiffness in the pectorals, further limiting external rotation at the glenohumeral joint. So is it important to concern ourselves with this contradictory dynamic relative to the goals? It seems like I could construct a similar example with a lack of internal rotation, too. Is this because breathing is such a 'meta-system,' and it affects these muscular relationships more powerfully than contractions ever could, or am I misunderstanding something about these relationships? Immobile infrasternal angles (38:31) I found your point about the individuals with infrasternal angle range between 90 & 110 degrees really interesting because I have not seen this covered before. If you get an opportunity to expand on that group of people in future podcasts that would be great ie what is your approach with them. Thoracic sidebending (43:55) AWould you be able to do a question on/answer on how does the pelvis, thorax and neck reposition itself during left and right sidebending (left and right thoracic abduction) and how does inhalation/exhalation work?  Do you have to be in left/right thoracic abduction before the trunk will rotate (via an inhalation of whichever leaflet of the diaphragm is being used to inhale)? Sum Up Focus on addressing restrictions associated with reduced infrasternal angle dynamics first, then superficial compensation Spend as much time as needed for a client to learn a task. If your client is diligent, expect to change exercises every 1-3 weeks The manubrium is associated with anterior expansion at T2-4, and the sternal body is T6-8. Assess these regions by shoulder horizontal adduction/internal rotation at 0 degrees abduction, and shoulder internal rotation at 90 degrees respectively A proper stack is when visually the thorax and pelvic are atop one another Reaching without utilizing a superficial compensatory strategy is how to ensure the entire movement system because dynamic when targeting specific areas Infrasternal angles between 90 and 110 degrees are utilizing secondary compensation strategies. Redouble your efforts on normal respiration coaching Sidebending can be used to improve bucket handle dynamics and is useful to practice before driving rotation Image by  Nicolas Raymond

53mins

18 Apr 2020

Rank #1

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Deadlift Stance, Measuring Hip Rotation, and Hemorrhoids - Movement Debrief Episode 102

Movement Debrief Episode 102 is in the books. Here is a copy of the video for your viewing pleasure, and audio if you can't stand looking at me. Here is the set list: How does the infrasternal angle (ISA) relate to deadlift stance? Which ISA presentation are typically better deadlifters? How can I select the most effective deadlift stance What’s the difference between measuring hip rotation in sitting, prone, and supine? What are hemorrhoids? What may be a mechanical cause for hemorrhoids? What movement limitations may be present? How can I go about improving hemorrhoids? If you want to watch these live, add me on Instagram. They air every Wednesday at 7:30pm CST. Enjoy! t Below are the links mentioned in the show notes Check out Human Matrix promo video here Here are some testimonials for the class:  Want to sign up? Click on the following locations below: November 23rd-24th, New York City, NY January 25th-26th, Scotts Valley, CA (early bird ends December 24th) April 4th-5th, 2020, Atlanta, GA (early bird ends March 6th at 11:55pm) The Uprising with myself, Pat Davidson, and Seth Oberst, February 8th-9th (early bird ends January 3rd) May 23rd-24th, 2020, Dickinson College in Carlisle PA  (Early bird ends April 26th at 11:55pm!) June 6th-7th, 2020, Minneapolis, MN (Early bird ends May 3rd at 11:55pm!) August 1st-2nd, Boston, MA (Early bird ends July 5th at 11:55pm!) September 12th-13th,  Montreal, Canada (Early bird ends August 16th at 11:55pm!) October 3rd-4th, Ann Arbor, MI (Early bird ends September 6th at 11:55pm!) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free! Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies: Squat stance Improving the Deadlift: Understanding Biomechanical Constraints and Physiological Adaptations to Resistance ExerciseFemoral anteversion. A clinical assessment of idiopathic intoeing gait in children.Hip rotation range of motion in sitting and prone positions in healthy Japanese adults.Ben HouseBryan Walsh Bryan Walsh’s Functional Medicine and Family Tour Course Review Healthy Gut, Healthy You Deadlift Stance What about the ISA in relation to deadlift stance. Is there a stance more optimal based on your ISA angle? Measuring Hip Rotation What’s the difference between measuring hip rotation in sitting, prone, and supine? Hemorrhoids Dude!  Speaking of stress...Any suggestions for a stressed out butthole; ie: hemorrhoids? Have you treated any patients with this issue? Any specific things you have found to be helpful? Any common presentations in terms of ISA/IPA?

37mins

7 Nov 2019

Rank #2

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Pelvic Dynamics, Lower Back Weakness, and Finances - Movement Debrief Episode 103

Movement Debrief Episode 103 is in the books. Here is a copy of the video for your viewing pleasure. Here is the set list: What are the inhaled and exhaled orientations of the pelvis? What movement strategies would you use to improve dynamics of each orientation? How often is each orientation found? Why might clients feel lower back weakness? Is there a time when you work on lower back strength? How do you educate clients who say they have lower back weakness? What are some of the key financial areas to focus on as a new grad? What are some good financial resources? If you want to watch these live, add me on Instagram. They air every Wednesday at 7:30pm CST. Enjoy! t Below are the links mentioned in the show notes Check out Human Matrix promo video here Here are some testimonials for the class Want to sign up? Click on the following locations below: November 23rd-24th, New York City, NY January 25th-26th, Scotts Valley, CA (early bird ends December 24th) April 4th-5th, 2020, Atlanta, GA (early bird ends March 6th at 11:55pm) The Uprising with myself, Pat Davidson, and Seth Oberst, February 8th-9th (early bird ends January 3rd) May 23rd-24th, 2020, Dickinson College in Carlisle PA  (Early bird ends April 26th at 11:55pm!) June 6th-7th, 2020, Minneapolis, MN (Early bird ends May 3rd at 11:55pm!) August 1st-2nd, Boston, MA (Early bird ends July 5th at 11:55pm!) September 12th-13th,  Montreal, Canada (Early bird ends August 16th at 11:55pm!) October 3rd-4th, Ann Arbor, MI (Early bird ends September 6th at 11:55pm!) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!  Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies: How to Deadlift: A Movement Deep Dive How to Build an Online Service, Training Obese Clients, and Building Relationships Here’s how many Americans have nothing saved for retirement Get Rich SlowlyI Will Teach You to Be RichRamit Sethi Blog The Total Money Makeover: A Proven Plan for Financial Fitness Nate Green Ben House Vanguard Pelvic Dynamics Can you explain spinal and pelvic inhalation and exhalation in reference client position strategies and exercise choices. (If you are elevating heels for lifts with clients who need ROM and more inhalation strategies...what modifications do you use for clients that are more inhale based?) Lower Back Weakness Lord Zed, my smooth headed movement master Debrief question: From time to time I get "my lower back is weak" from new clients. Most of the time I find it's more to do with not being able to squat/hinge effectively or find their abs, but is there a scenario where you would recommend a non-athlete to work on lower back strength? Finances I passed my CSCS and am a licensed PTA! I’ll be doing some online training / local stuff on the side. With all that and the fun student loans that’ll be kicking in soon, I’ve been doing a lot of budgeting. I saw in a podcast with you and Michelle Boland that you spoke of expensing certain things with taxes and some spreadsheets you’ve got going. I’m looking to get on your level, brotha. Could you recommend some financial books, articles, etc. that may help a new grad? Any specific things I should focus on besides paying loans off ASAP? I appreciate any insight you have. Thanks a ton, Zac.   Photo credit: wellcome images 

35mins

14 Nov 2019

Rank #3

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Hip Rotation Explained - Movement Debrief Episode 111

Movement Debrief Episode 111 is in the books. Here is a copy of the video for your viewing pleasure. Here is the setlist: What is the relationship of the infrasternal angle (ISA) to the compressive and expansive strategies at the pelvis? What would hip rotation limitations look like in these compensatory strategies? What does limited hip internal and external rotation signify? What interventions would need to be done to improve hip rotation? Do I have any favorite moves? Why would unilateral Sacroiliac (SI) joint pain occur? How does sacral rotation occur? What types of activities could improve sacral rotation capabilities? How can tensor fascia lata (TFL) cramping be reduced during the hip shift? If you want to watch these live, add me on Instagram.  Enjoy! t Below are the links mentioned in the show notes Check out Human Matrix promo video here Here are some testimonials for the class:  Want to sign up? Click on the following locations below: March 28th-29th, Madison, NJ (SOLD OUT!) April 4th-5th, 2020, Atlanta, GA (early bird ends March 6th at 11:55pm) May 23rd-24th, 2020, Dickinson College in Carlisle PA  (Early bird ends April 26th at 11:55pm!) [Approved for 14 Category A CEUs for athletic trainers] June 6th-7th, 2020, Minneapolis, MN (Early bird ends May 3rd at 11:55pm!) August 1st-2nd, Boston, MA (Early bird ends July 5th at 11:55pm!) September 12th-13th,  Montreal, Canada (Early bird ends August 16th at 11:55pm!) [6 CEUs approved for Athletic Therapists by CATA!] October 3rd-4th, Ann Arbor, MI (Early bird ends September 6th at 11:55pm!) November 7th-8th, Charlotte, NC (Early bird ends October 11th at 11:55pm!) November 21st-22nd, San Diego, CA (Early bird ends October 25th at 11:55pm!) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free! (Release date not known yet :( Here'sa signup for my newsletter to get nearly 5 hours and 50 pages of content, access to my free breathing and body mechanics course, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies:   Here are a bunch of debriefs on the infrasternal angle and thorax Want to sign up for the Human Matrix Foundations seminar? You can find that here Here is a great hip flexion test video courtesy of Daddy-O Pops Bill Hartman Before working on maximizing sacral movement, the first step is to achieve the stacked orientation. Think you got it? Test yourself by trying this activity You could also go with a chair and wall tilt to teach this If you want to progress sacral counternutation, then you'll want to squat. I start my peeps at high depths here Then work to lower depths here If you want to maximize sacral nutation, then you'll want to drive hip extension. An amazing move would be the rolling skywalker You can progress this to a sidelying stride Here is an example of a retro walking exercise (and me with hair and 20 extra pounds): Here is a link to a squat test you can do. The biomechanics are a bit outdated in explanation, but it's a good test nonetheless, and close to what I do in the clinic Try to get below parallel without cheating: Interpreting Hip Rotation Assessments (1:04) Brian Paxton Question for next Debrief ... Zac, would you please explain the relationship of the ISA, compressive and expansive strategies of the pelvis, and the implications this has with either a lack of hip ER and IR ? Would one need to improve posterior or anterior expansion at the pelvis to improve hip ER or IR? If so, how would you suggest How Does the Pelvis Rotate? (23:51) Chase Fam, can you discuss one-sided SI J pain in the next debrief? I feel as though bilateral nutation/counternutation has been covered quite clearly, but I still don’t have a great understanding of why 1 sided SI J pain (specifically right side) might be persistent. I have an incredibly hard time with retro walking where the right leg is coming back and being loaded and often have issues with the right SI J feeling mal-positioned and affecting same sided hip and knee causing pain. Troubleshooting the Hip Shift (30:57) Scott Hey Zac big fan any advice every time I do hip shift right my TFL almost cramps and gets tight any advice on what could be going on and if any drill might help Sum Up Hip external rotation loss corresponds with concentric posterior outlet Hip internal rotation loss corresponds with concentric anterior outlet Though particular infrasternal angle presentations can have certain rotation restrictions, progressive compensation can change one's bias Interventions should focus on teaching the stack, restoring counternutation, and then improving sacral nutation Sacral rotation occurs by ipsilateral counternutation and contralateral nutation Before shifting, make sure you have the ability to stack and can squat below parallel If cramping occurs during a shift, consider reducing hip flexion or adducting/abduction before shifting Photo by Nicole De Khors from Burst

44mins

3 Mar 2020

Rank #4

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Breathing for Beginners, Manual Therapy, and Tongue Posture - Movement Debrief Episode 88

Movement Debrief Episode 88 is in the books. Here is a copy of the video for your viewing pleasure. Here is the set list: How would you teach someone to coach breathing if the infrasternal angle cannot be measured? How could a manual therapist apply the principles that I teach? What areas should a manual therapist prioritize based on assessment? How is tongue posture affected by spinal/pelvic posture? If you want to watch these live, add me on Facebook They air every Wednesday at 8:30pm CST. Enjoy! and the audio version: Below are the links mentioned in the show notes Check out Human Matrix promo video here Here are some testimonials for the class: Want to sign up? Click on the following locations below: August 3rd-4th, 2019, Cincinnati, OH August 24th-25th, 2019, Vancouver, BC (early bird ends July 26th at 11:55pm) September 21st-22nd, Raleigh, NC (early bird ends August 23rd at 11:55pm) October 5th-6th, Boston, MA (early bird ends September 6th at 11:55pm) November 23rd-24th, New York City, NY (early bird ends October 27th at 11:55pm) December 7th-8th, Orlando, FL (early bird ends November 8th at 11:55pm) January 25th-26th, Scotts Valley, CA (early bird ends December 24th) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!  Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies. Here is a video on how to assess the infrasternal angle Here is a debrief on the infrasternal angle Here is a debrief on the Ober's Test. If you'd like a video of what I'm talking about, here is a great video by my dude, Doug Kechijian. Dr. Zaghi discussing airway Here is an informative video on myofunctional therapy

26mins

27 Jun 2019

Rank #5

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Tibial Rotation, Knee Pain During Resets, Deep Neck Flexors and Tongue - Movement Debrief Episode 93

Movement Debrief Episode 93 is in the books. Here is a copy of the video for your viewing pleasure. Here is the set list: What is tibial external and internal rotation? what calcaneal position is associated with these tibial moves? How does the hip impact these tibial motions? What exercises can I use to change tibial rotation? Why might clients get knee pain during certain resets? How can I coach patients out of having knee pain during these activities? Is there a place for deep neck flexor contraction during resets? How about tongue posture? If you want to watch these live, add me on Facebook They air every Wednesday at 8:30pm CST. Enjoy! t Below are the links mentioned in the show notes Check out Human Matrix promo video here Here are some testimonials for the class Want to sign up? Click on the following locations below: August 24th-25th, 2019, Vancouver, BC October 5th-6th, Boston, MA (early bird ends September 6th at 11:55pm) November 23rd-24th, New York City, NY (early bird ends October 27th at 11:55pm) December 7th-8th, Orlando, FL (early bird ends November 8th at 11:55pm) January 25th-26th, Scotts Valley, CA (early bird ends December 24th) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!  Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies: 90/90 hip lift: A movement deep dive If you want to know all about infrasternal angles, I would check out these debriefs. This move here is one of the more regressed activities I'll give someone who has difficulty with something like a 90/90 hip lift July 2019 Links and Review Bill Hartman Joe Cicinelli

29mins

22 Aug 2019

Rank #6

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Kegels, Overhead Reaching, and Overuse vs Deconditioned - Movement Debrief Episode 104

Movement Debrief Episode 104 is in the books. Here is a copy of the video for your viewing pleasure. Here is the set list: What are pelvic diaphragm mechanics during breathing? How do these mechanics relate to two different types of kegel (holding in urine vs gas)? Is there a reason to encourage a kegel? What could be the negative implications of a kegel? What breathing mechanics does reaching overhead encourage? What type of reaching would each infrasternal angle presentation benefit from? What are some signs to differentiate an overuse injury vs tissue deconditioning? How do you encourage someone with an overuse injury to proceed? How do you encourage someone with tissue deconditioning to proceed? If you want to watch these live, add me on Instagram. They air every Wednesday at 7:30pm CST. Enjoy! t Below are the links mentioned in the show notes Check out Human Matrix promo video here Here are some testimonials for the class Want to sign up? Click on the following locations below: November 23rd-24th, New York City, NY January 25th-26th, Scotts Valley, CA (early bird ends December 24th) April 4th-5th, 2020, Atlanta, GA (early bird ends March 6th at 11:55pm) The Uprising with myself, Pat Davidson, and Seth Oberst, February 8th-9th (early bird ends January 3rd) May 23rd-24th, 2020, Dickinson College in Carlisle PA  (Early bird ends April 26th at 11:55pm!) June 6th-7th, 2020, Minneapolis, MN (Early bird ends May 3rd at 11:55pm!) August 1st-2nd, Boston, MA (Early bird ends July 5th at 11:55pm!) September 12th-13th,  Montreal, Canada (Early bird ends August 16th at 11:55pm!) October 3rd-4th, Ann Arbor, MI (Early bird ends September 6th at 11:55pm!) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!  Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies: Motion of the shoulder complex during multiplanar humeral elevation. Central Projection of Pain Arising from Delayed Onset Muscle Soreness (DOMS) in Human Subjects The pain threshold of high-threshold mechanosensitive receptors subsequent to maximal eccentric exercise is a potential marker in the prediction of DOMS associated impairment What are the four cardinal signs of the inflammatory response? Kegels Can you also relate pelvic diaphragm mechanics to the cue "pretend like you are holding in gas" and when to use that cue? If you cue " hold in gas on the inhale does it activate pelvic floor? Shouldn't you want pelvic floor to activate on the exhale...moving up like a piston with the thoracic diaphragm? Overhead Reaching Also, doesn’t incline or overhead encourage pump handle activity. If I have a wide isa with an inhaled pump handle, wouldn’t I want to avoid too much of that? Overuse vs Deconditioned When is it overuse (someone did too much and needs recovery) and when do you encourage a person to do more (they are deconditioned)?   Photo credit: Annie Spratt 

33mins

21 Nov 2019

Rank #7

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Toe Touch, Big Toe Extension, and Snoring - Movement Debrief Episode 89

Movement Debrief Episode 89 is in the books. Here is a copy of the video for your viewing pleasure. Here is the set list: Do I use a toe touch? What information does the toe touch tell me? Is being able to palm the floor desirable? How do I improve someone's toe touch? How can big toe extension become limited? How does the first ray influence big toe extension? How does calcaneal position influence the big toe? How do I go about improving big toe extension? Are there any modifications to consider for hallux rigidus? What course of action should someone take who both snores and does not feel rested upon waking? What are some key hygiene measures to consider? What are key exercises to focus on? When should referral occur and who should you go to? If you want to watch these live, add me on Facebook They air every Wednesday at 8:30pm CST. Enjoy! https://www.youtube.com/watch?v=e5vlJOZBN7c&feature=youtu.be and the audio version: Below are the links mentioned in the show notes Check out Human Matrix promo video here Here are some testimonials for the class:  Want to sign up? Click on the following locations below: August 3rd-4th, 2019, Cincinnati, OH August 24th-25th, 2019, Vancouver, BC (early bird ends July 26th at 11:55pm) September 21st-22nd, Raleigh, NC (early bird ends August 23rd at 11:55pm) October 5th-6th, Boston, MA (early bird ends September 6th at 11:55pm) November 23rd-24th, New York City, NY (early bird ends October 27th at 11:55pm) December 7th-8th, Orlando, FL (early bird ends November 8th at 11:55pm) January 25th-26th, Scotts Valley, CA (early bird ends December 24th) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!  Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies. Bill Hartman Infrasternal angle and posterior thorax debriefs can be found here pelvic tilts part 1 and part 2 Here are a couple inverted activities I like for posterior expansion. The first, the elevated rockback reach followed by decline quadruped on elbows Here are some of my favorite toe touch moves. First, the toe touch to squat progression Followed by the drunken turtle and of course, the drunken scorpion Here is a great move for calcaneal inversion Here is a great move for calcaneal eversion Here is a whole blog on improving your squat Joe Cicinelli Ben House

24mins

8 Jul 2019

Rank #8

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Zone of Apposition, Total Hip Replacement, and Client Wants vs Needs - Movement Debrief Episode 74

Movement Debrief Episode 74 is in the books. Here is a copy of the video for your viewing pleasure. Here is the set list: What is a zone of apposition (ZOA)? How does one attain a ZOA? Are we expected to keep a ZOA at all times? What activities should be focused on after a total hip replacement? What considerations should be made for specific procedures? How do we get patients/clients to focus on things they need vs what they want to do? How can I educate patients/clients better on how certain activities can be beneficial to them? If you want to watch these live, add me on Facebook . They air every Wednesday at 8:30pm CST. Below are the links mentioned in the show notes Check out Human Matrix promo video here Here are some testimonials for the class  Want to sign up? Click on the following locations below: February 2nd-3rd, 2019, New Providence, NJ May 18th-19th, San Antonio, TX (early bird ends April 19th at 11:55pm) June 8th-9th, 2019, New York, NY (early bird ends May 10th at 11:55pm) August 3rd-4th, 2019, Cincinnati, OH (early bird ends July 5th at 11:55pm) August 24th-25th, 2019, Vancouver, BC (early bird ends July 26th at 11:55pm) September 21st-22nd, Raleigh, NC (early bird ends August 23rd at 11:55pm) October 5th-6th, Boston, MA (early bird ends September 6th at 11:55pm) December 7th-8th, Orlando, FL (early bird ends November 8th at 11:55pm) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!  Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies: Action of the diaphragm on the rib cage. Mechanics of respiratory muscles A meta-analysis comparing the direct anterior with other approaches in primary total hip arthroplasty Here is a link to all of my hip debriefs Here is a move to restore hip extension for someone with a posterior approach to a total hip replacement Here is a move to restore hip extension for someone with a posterior approach to a total hip replacement I like this move to restore hip abduction. It's also pretty solid for hip extension Here is a link to the squatting bar reach movement deep dive Here is my current squat that I like to use Here is a guest post from my homegirl Lucy Hendricks on why you ought to embrace failure. 

28mins

24 Jan 2019

Rank #9

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Belly Breathing, Cramping, and Exhales - Movement Debrief Episode 77

Movement Debrief Episode 77 is in the books. Here is a copy of the video for your viewing pleasure. Here is the set list: Why is belly breathing not beneficial? What should happen during "normal" respiratory mechanics? What happens when you belly breathe? Why would certain muscles (e.g. back, hamstrings, etc) cramp during breathing activities? What are the two ways I coach exhales? When indications would lead you to choosing a specific exhalation strategy? If you want to watch these live, add me on Facebook They air every Wednesday at 7:30pm CST. Below are the links mentioned in the show notes   Check out Human Matrix promo video hereHere are some testimonials for the class   Want to sign up? Click on the following locations below:   May 18th-19th, San Antonio, TX (early bird ends April 19th at 11:55pm)   June 8th-9th, 2019, New York, NY (early bird ends May 10th at 11:55pm)   August 3rd-4th, 2019, Cincinnati, OH (early bird ends July 5th at 11:55pm)   August 24th-25th, 2019, Vancouver, BC (early bird ends July 26th at 11:55pm)   September 21st-22nd, Raleigh, NC (early bird ends August 23rd at 11:55pm)   October 5th-6th, Boston, MA (early bird ends September 6th at 11:55pm)   December 7th-8th, Orlando, FL (early bird ends November 8th at 11:55pm)   Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!    Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies. Mechanics of the Respiratory Muscles Here is the zone of apposition debrief Hotshot Here is an example of a move in 90/90 (or if you want to learn more in-depth about it, go here) and a move in hooklying here. Effects of posture on chest-wall configuration and motion during tidal breathing in normal men Here is a debrief on the infrapubic angle Here is a debrief on the infrasternal angle Here is a debrief on the pump handle 

32mins

21 Feb 2019

Rank #10

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Pecs, Extreme Postures, and Foam Rolling - Movement Debrief Episode 81

Movement Debrief Episode 81 is in the books. Here is a copy of the video for your viewing pleasure. Here is the set list: Are pecs still useful in improving lower thorax variability? Do you still use pec squeezes in treatment? With extreme kyphosis or thoracic spine flattening, what test results are expected? What treatment recommendations are there for these posture types? Should visual postural changes be expected in these folks? Is self-myofascial release useful? If you want to watch these live, add me on Facebook They air every Wednesday at 8:30pm CST. Enjoy! and the audio version:   Below are the links mentioned in the show notes Check out Human Matrix promo video here: Here are some testimonials for the class:  Want to sign up? Click on the following locations below: May 18th-19th, San Antonio, TX (early bird ends April 19th at 11:55pm) June 8th-9th, 2019, New York, NY (early bird ends May 10th at 11:55pm) August 3rd-4th, 2019, Cincinnati, OH (early bird ends July 5th at 11:55pm) August 24th-25th, 2019, Vancouver, BC (early bird ends July 26th at 11:55pm) September 21st-22nd, Raleigh, NC (early bird ends August 23rd at 11:55pm) October 5th-6th, Boston, MA (early bird ends September 6th at 11:55pm) December 7th-8th, Orlando, FL (early bird ends November 8th at 11:55pm) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!  Here's a signup for my newsletter to get nearly 3 to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies Here is a debrief on the infrasternal angle Here is a debrief on the pump handle Here is the sidelying pec twist activity. I like this for posterior expansion and restoring trunk rotation Here are the course notes for "The Revolution: A Deep Dive into Antifragility" where I discuss variability. Here is the debrief on deviated septums. Learn a lot about upper airway on this one. The effects of self-myofascial release using a foam roll or roller massager on joint range of motion, muscle recovery, and performance: a systematic review The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. Selected Fascial Aspects of Osteopathic Practice Seth Oberst Seth Oberst's Stress, Movement, & Pain Course Review

27mins

18 Apr 2019

Rank #11

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Better Breathing Buy-in: Educating Clients in 4 Easy Steps

I get a lot of questions from fam such as yourself, wondering: "Zac, you do some weird, wild and crazy things. How do you get buy-in with someone who has an issue that is seemingly unrelated to do the things that you want them to do?" Maybe they're seeing you for wrist pain. Why the heck would I be breathing if my wrist hurts? Or maybe they're squatting. Why would filling my upper back up help me squat more effectively? I have both had many successes and failures explaining what I am doing. Through these trials and tribulations, I've broken down education into a four step process with one concept in mind: the outcome. Below, I break down what those four steps are, and how you can implement this strategy into your practice. Enjoy the video and modified transcripts, as well as the links I mention in the talk. The Outcome We are not focused on the outcome that we want as movement practitioners, but the outcome that the client wants. The client wants his or her wrist to feel better. They want to squat so they can get that badonkadonk like Big Z. And it is big, don't get it twisted. [caption id="attachment_5595" align="alignnone" width="525"] I had the second largest glute circumference out of my entire class in PT school. That's counting men and women. You can't mess with this.[/caption] The outcome is what we always have to keep in mind when are educating our people. Thoroughly understanding what outcome they want occurs by listening to them. Hearing their story. Hearing their concerns and what their barriers are. This is all incredibly important because it builds that rapport and connection, establishes trust with the person you're working with; a huge step in attaining buy-in. With the outcome in mind, here is how we can educate our people to let them know that the stuff that we're doing, while seemingly unrelated, is critical to helping them meet whatever outcome they desire. Step 1: Set the Stage I have a friend of mine. She's a dear friend. She's all about setting expectations. You want to let people know what they're getting into from the outset. No surprises. I never want to see this look during a movement consultation...nor do I want a kid for that matter[/caption] Usually, after a patient or a client has told me their goals, I assimilate them into the back of my head. Because throughout the whole educational process, I'm going to be peppering my story with that goal. My rap might start off like this: "Thank you so much for answering all my questions and telling me about why you're here. That's incredibly helpful for me because it allows me to make more informed decisions." I'm thanking them for playing an active role in this process. "Here's what we're going to do today. I'm going to take a look at just about everything on you." I've set the stage. They're going to get a very thorough evaluation. It's at this point where you can link the complaint to contributing factors. "Your whole body moves as a cohesive unit and works together." People understand this because I think we've all been in pain and know that we compensate. "A lot of times what can happen, in order to manage the stressors that you undergo both within your body and in the environment." I use "stress" very loosely, and I make sure I tell people that because I don't want to convey that people are stressed out and that's the problem (even though it probably is). I'll say things like a stressor could be the the mechanism of injury that the client had, or not sleeping well one night. Or a loss of movement could be a stressor. [caption id="attachment_5598" align="alignnone" width="525"] Where is the "oh my shit" part on this gauge?[/caption] "In order to manage those stressors, your body may utilize protective strategies, such as reducing movement in particular areas." This is how we can illustrate to our people why movement limitations happen. And this reigns true in pain or with our squatting example. Squatting might be challenging because the body has to work in a certain fashion. If unable to coordinate that, the body may take the path of least resistance to make that movement happen. A lot of times this can result in movement limitations. "Movement limitations can increase pressure and strain in particular areas." If you're in pain, maybe these limitations increase the amount of load on the wrist with opening doors. Now I linked the limitations with the problem. For squatting, movement limitations occur to make the squat easier, but they limit depth.   There will be an example boom I just linked it to the outcome. "We are going to focus on restoring those movement limitations. The hope would be that doing so will even out the workload distribution throughout your body, which can help with pain, improving limited tasks, or enhance fitness. Do you have any questions before we get started?" That's how I will end the talk. Usually most people are nodding along because most understand that we compensate when we're hurting or when we can't move. If one part of you is working overtime, then that probably means another place is under working. No one likes to work two jobs at once. Step 2: Show How the Movement Limitations They Have Relate to their Outcome. You've done a thorough assessment. You have a picture of where they can and can't move. Your job now is to show how these movement limitations are related to the main problem that they're seeing you for. If it's your wrist pain person. What I may say is: "Your wrist checks out great. So does your elbow! What I think is happening now is your shoulder doesn't really move so well, and that can be related to how well you can move air into your upper trunk. So what may happen is because this area is not moving effectively, your wrist may uptake more stress when doing the activities which are problematic. That extra workload may be a contributing factor to your pain. If we can improve your mobility, that may even out the workload distribution, reducing stress and helping with pain." Another great example is when someone's knee hurts when they walk. If they lack hip extension, the hip may move more forward, increasing stress on the knee. Loosening up the hips could reverse this. [caption id="attachment_5599" align="alignnone" width="525"] Yikes, what a lineup[/caption] In our squat example: "You may not be able to squat to full depth because the curve in your lower back is a bit deep secondary to a rib cage strategy that you are utilizing. It's harder for you to close the frontside of the body down. So what happens is as you descend down into a squat, you hit end-range much sooner, as some roundedness is required to go full depth." Whether that's pain or performance, you can see the common trend that I try to relate my findings to their goals. Improving these findings may lead to better movement capabilities, which ought to allow you to go back to the task at hand. In the pain case, because of reduced stress, in the movement case, because of greater options. Relate back to the outcome as much as possible. Step 3: Show how Breathing Can Influence These Limitations After I've asked if they have any questions about my spiel, I say: "we're going to start with an exercise focused around breathing. Your whole body is involved every time you breathe in and breathe out, and it's an easy way to impact how your body moves" In the wrist pain case: "You need a sturdy foundation for your arm to do all the wild and crazy things that needs to do. Since your arms and your legs are attached to the trunk, which is involved big time in breathing, we can utilize a particular breathing strategy to set a solid foundation for us to do the things we need to do with our arms." In the case of our squatter: "If we can have you effectively get the air out of the front, you'll be able to squat lower because you'll be able to bend in a way that we need you to." Readily admit that this is going to be a little strange. Because they're probably wondering how breathing will help their pain. It's an easy sell when it's a shoulder because most of your shoulder muscles attach to your ribcage. It's also easy for lower back pain, since the diaphragm attaches to the lower back. So to in the pelvis, since the goods are pushed downward with each breath cycle, impacting the pelvic floor.  All of those are easy sells. "I get that this is very strange. But if we can get you to do this effectively, I think you will see some pretty remarkable changes in some of the areas that I showed you were limited, especially once we start incorporating things with the arms in the legs." This is how you can bridge the gap from someone who has a distal complaint or someone who has a hard time rowing, reaching, or squatting. Step 4: Execute You've set the stage. You've shown how these limitations relate to the outcome that they want. You've educated them on how breathing can potentially impact their issues. Now you've got to deliver. [caption id="attachment_5601" align="alignnone" width="525"] No signature required[/caption] Execution involves expert level coaching with the task at hand; focusing predominantly on whatever is most important to reaching the client's specific outcome. As movement professionals, that's making sure that the breathing mechanics are immaculate: get as much air out as possible, pause, and keep abdominal tension during the inhale. That's going to set the stage for allowing multidirectional expansion of the thorax the abdomen and the pelvis. If we have the aforementioned breathing strategy and then we place the body in positions that it struggles to achieve,  we ought to be in bidness. If you want to up your coaching game, you'll want to sign up for my newlsetter and listen to some of my breathing talks. [yikes-mailchimp form="1" submit="Yes, I'd like to get better at coaching!"] The talks however, are no substitute for in-person coaching. That's where my seminar, Human Matrix, comes in. https://youtu.be/kkGEX8LqNhQ Sum Up To summarize. Set the stage. Let them know what they're getting into. Let them know how this comprehensive evaluation that we're going to perform will help them get their outcome. Show how the limitations that they have relate to their complaint. The limitations we've found may contribute to your complaint. If we can get you to improve upon these limitations, I think you'll be able to reach your goals more effectively. Show how breathing can influence these limitations. Your whole body is involved every time you breathe in and breathe out. Executing effective breathing can place air into restricted areas, improving mobility. This sets the foundation for the arms and legs to act to go into posiitions they cannot achieve. Execute. Make sure you are coaching the stuff that you are trying to do with your clients in the most effective manner possible. How do you get buy in for your interventions? Comment below and let the fam know!

17mins

29 Nov 2018

Rank #12

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Rib Rotation, Shoulder Issues, and Biomedical Education - Movement Debrief Episode 98

Movement Debrief Episode 98 is in the books. Here is a copy of the video for your viewing pleasure. Here is the set list: What does rib external and internal rotation look like? How do I approach improving shoulder mechanics? Any current training considerations for shoulder issues? Why do medical providers often educate in a manner that induces fear-avoidance and fragility? How, as movement professionals, can we deal with these issues? If you want to watch these live, add me on Facebook They air every Wednesday at 8:30pm CST. Enjoy! and the audio version:   t Below are the links mentioned in the show notes Check out Human Matrix promo video here Here are some testimonials for the class Want to sign up? Click on the following locations below: October 5th-6th, Boston, MA November 23rd-24th, New York City, NY (early bird ends October 27th at 11:55pm) December 7th-8th, Orlando, FL (early bird ends November 8th at 11:55pm) (CEUs AVAILABLE FOR TRAINERS AND MORE) January 25th-26th, Scotts Valley, CA (early bird ends December 24th) April 4th-5th, 2020, Atlanta, GA (early bird ends March 6th at 11:55pm) The Uprising with myself, Pat Davidson, and Seth Oberst, February 8th-9th (early bird ends January 3rd) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!  Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies: Check out this debrief on the infrasternal angle 90/90 hip lift is where I start a lot of my narrow infrasternal angles Here is the sidelying tilt with 120 reach. I start my wides here.  Decline quad on elbows is great for expanding the upper thorax

28mins

3 Oct 2019

Rank #13

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Infrasternal Angle Compensations and Treatments

A deep dive into the infrasternal angle Movement Debrief Episode 115 is in the books. Here is a copy of the video for your viewing pleasure. Here is the setlist: What are the primary compensatory strategies with a wide and narrow infrasternal angle? What would be secondary compensations seen with these infrasternal angles? What test results would each infrasternal angle have? What exercises should be programmed for inhalation and exhalation strategies? What is the upper thorax presentation for each infrasternal angle? What exhalation strategies should each infrasternal angle use? Are there times it's okay to deviate from these strategies? If you want to watch these live, add me on Instagram.  Enjoy!  t Show notes Check out Human Matrix promo video here Here are some testimonials for the class Want to sign up? Click on the following locations below: May 23rd-24th, 2020, Dickinson College in Carlisle PA  (Early bird ends April 26th at 11:55pm!) [Approved for 14 Category A CEUs for athletic trainers] June 6th-7th, 2020, Minneapolis, MN (Early bird ends May 3rd at 11:55pm!) August 1st-2nd, Boston, MA (Early bird ends July 5th at 11:55pm!) September 12th-13th,  Montreal, Canada (Early bird ends August 16th at 11:55pm!) [6 CEUs approved for Athletic Therapists by CATA!] October 3rd-4th, Ann Arbor, MI (Early bird ends September 6th at 11:55pm!) November 7th-8th, Charlotte, NC (Early bird ends October 11th at 11:55pm!) November 21st-22nd, San Diego, CA (Early bird ends October 25th at 11:55pm!) Madison, NJ (POSTPONED DUE TO COVID-19) Atlanta, GA (POSTPONED DUE TO COVID-19) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free! (Release date not known yet :( Here's is a signup for my newsletter to get nearly 5 hours and 50 pages of content, access to my free breathing and body mechanics course, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies   The action of the diaphragm on the rib cage All About Squats - Movement Debrief Episode 112 Here is an example of a true squat. Note the vertical displacement of the pelvis Here is a pic of ya boi being hingy-AF at the mid-thoracic region of my thorax during the toe touch Here is the reaching debrief The Guide to Remote Coaching Wide and narrow infrasternal angle compensatory strategies (1:12) Hey Big Z, I like what you did during this debrief in regards to describing the Wide infrasternal angle (ISA), and then space-time changes you might see in regards to pump handle. Could you take this a couple of steps further in a future debrief, describing both a wide and a narrow ISA?  I am interested in hearing layer by later compensatory mechanics over time in both the thorax and pelvis as the body must continue to find ways to inhale and exhale. If it's not too much, could you then describe what your expectations are in regards to table tests at the femur and shoulder as these compensations occur? Thanks in advance! E-$ Programming for wide and narrow infrasternal angles (15:26) Zac, I've been curious about inhalation bias vs. exhalation bias and how that relates to an ISA. For example, I've been looking to incorporate box squats and toe touch exercises to my workouts and I was curious what exercises were good for what type of biases.  Upper thorax compensations with narrow and wide Infrasternal angles (24:20) Question 1: Hi Zac! There is a confusion going on in my head. I've watched your video "Breathing Mechanics 101" where you were talking about ISA. There you said that a wide ISA is able to expand posteriorly and a narrow one anteriorly. But wouldn't that be right opposite due to fact that a narrow one is more inhalation biased where he is able to push the spine backward and vice versa with the wide? Thank you so much for your answer Question 2: It is possible to have a narrow ISA, with a flat spine, but abducted scapula, shoulder flexion, and external rotation limitation?  What type of exhalation strategies should narrow and wide infrasternal angles use? (32:57) Are there ever situations for wide ISA people like myself to use open mouth exhales? I know the use of open vs closed mouth is just to facilitate activation of certain areas that are normally needed in wide vs narrow ISA presentations, but are there exceptions to this and what might those be? Or does it even matter?  Sum Up An exhalation-biased spine (spine pushed forward) compensates with an inhaled (wide) infrasternal angle An inhalation-biased spine (spine pushed backward) compensates with an exhaled (narrow) infrasternal angle Inhale restrictions show reduced flexion, abduction, and external rotation. Exhale restrictions show reduced extension, adduction, and internal rotation Simultaneous inhalation and exhalation restrictions can occur throughout the body as secondary layers of compensations Increase the probability of success by programming pursed-lipped exhales for wide ISAs, and open mouth sighs for narrow ISAs. Strategies can be flip-flopped if there is pain or the person has difficulty moving any air whatsoever. 

42mins

4 Apr 2020

Rank #14

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Asymmetries, Foot Position, and Educating Practitioners - Movement Debrief Episode 105

Movement Debrief Episode 105 is in the books. Here is a copy of the video for your viewing pleasure, and audio if you can't stand looking at me. Here is the set list: Is it more important to correct axial skeleton imbalances or side to side asymmetries? Should we do bilateral lifts to challenge the weak side to "keep up", or should we perform single sided activities to even things out? How important is foot positioning during resets? What are some strategies to drive calcaneal inversion or eversion? How do you communicate more specific treatment goals with other practitioners who aren't familiar with your model? If you want to watch these live, add me on Instagram. They air every Wednesday at 7:30pm CST. Enjoy! t Below are the links mentioned in the show notes Check out Human Matrix promo video here Here are some testimonials for the class:  Want to sign up? Click on the following locations below: January 25th-26th, Scotts Valley, CA (early bird ends December 24th) April 4th-5th, 2020, Atlanta, GA (early bird ends March 6th at 11:55pm) The Uprising with myself, Pat Davidson, and Seth Oberst, February 8th-9th (early bird ends January 3rd) May 23rd-24th, 2020, Dickinson College in Carlisle PA  (Early bird ends April 26th at 11:55pm!) [Approved for 14 Category A CEUs for athletic trainers] June 6th-7th, 2020, Minneapolis, MN (Early bird ends May 3rd at 11:55pm!) August 1st-2nd, Boston, MA (Early bird ends July 5th at 11:55pm!) September 12th-13th,  Montreal, Canada (Early bird ends August 16th at 11:55pm!) October 3rd-4th, Ann Arbor, MI (Early bird ends September 6th at 11:55pm!) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!  Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies Motion of the Shoulder Complex During Multiplanar Humeral Elevation Hand-Grip Strength: Normative Reference Values and Equations for Individuals 18 to 85 Years of Age Residing in the United States Are asymmetries in the body related to injury risk? Effect of changes in pelvic tilt on range of motion to impingement and radiographic parameters of acetabular morphologic characteristics. Asymmetries (1:23) Yo Zac!! Whats more important: correcting a front-back imbalance (axial skeleton) or side-to-side imbalance...  and should we do bilateral lifts to challenge the weak side to "keep up", or should we be doing way more unilateral all day long?  I'm asking bang-for-buck- obviously the easy answer is "both"... But what does research suggest is the most effective way to improve symmetrical strength and function?  Thank you a million! Foot Position (16:40) How important is foot position during resets? Out of interest. If we are heavily inverted and  Er at the hips Educating Practitioners (26:28) Hey Lord Zed How do you communicate more specific treatment goals with other practitioners who aren't familiar with your model and look at you like you just farted in their cereal if you mention, for example, increasing movement of the rib cage to help a shoulder move better. There's a couple of guys near me who are in to cracking bones and needles (therapists, not gangsters) and its tricky to find common ground. Hope that makes sense. Thanks Zac, really appreciate you. Sum Up Most people are limited bilaterally, even though asymmetries are present Bilateral exercises often encompass those movements which are unilateral; these are not mutually exclusive Bilateral exercises teach fundamental components needed to maximize movement options Both bilateral and unilateral exercises ought to be included in a comprehensive movement program Poor foot positioning could negatively impact available hip motion  Keeping the legs "centered" during resets may allow for maximizing movement options coordinated with respiration Communicating with those who think differently than you requires understanding the other person, translating your techniques into their framework, then education once the other is ready Photo by Nino Liverani on Unsplash

37mins

12 Dec 2019

Rank #15

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Rotator Cuff Tears, Posterior Pelvic Tilt, and Finding Good Clinicians - Movement Debrief Episode 76

Movement Debrief Episode 76 is in the books. Here is a copy of the video for your viewing pleasure, and audio if you can't stand looking at me. Here is the set list: What is the difference between traditional rotator cuff rehab and the stuff I do? How do I treat the protocols for post-op repairs? What is the purpose of posterior pelvic tilting? Are there any instances in which a posterior tilt is not warranted or an anterior tilt would be emphasized? When a referral out is warranted, what qualities do I look for in a good clinician? If you want to watch these live, add me on Facebook They air every Wednesday at 8:30pm CST. Below are the links mentioned in the show notes Check out Human Matrix promo video hereHere are some testimonials for the class    Want to sign up? Click on the following locations below:   May 18th-19th, San Antonio, TX (early bird ends April 19th at 11:55pm)   June 8th-9th, 2019, New York, NY (early bird ends May 10th at 11:55pm)   August 3rd-4th, 2019, Cincinnati, OH (early bird ends July 5th at 11:55pm)   August 24th-25th, 2019, Vancouver, BC (early bird ends July 26th at 11:55pm)   September 21st-22nd, Raleigh, NC (early bird ends August 23rd at 11:55pm)   October 5th-6th, Boston, MA (early bird ends September 6th at 11:55pm)   December 7th-8th, Orlando, FL (early bird ends November 8th at 11:55pm)   Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!    Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies. Here is a debrief on pump handle mechanics Here is a debrief on posterior thorax expansion Here is a debrief on the infrasternal angle (for buckethandle mechanics) Bill Hartman Here and here are a couple squat variations that I like to improve posterior thorax expansion Here is an armbar variation I enjoy (courtesy of Lucy Hendricks) Here is my post on post-operative care for the upper body Here is my post on Graded Motor Imagery Reduced variability of postural strategy prevents normalization of motor changes induced by back pain: a risk factor for chronic trouble The effect of muscle fatigue and low back pain on lumbar movement variability and complexity Joe Cicinelli Dr. Zaghi, the guy who did my tongue surgery

38mins

14 Feb 2019

Rank #16

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Shoulder Abduction, Chiropractic Adjustments, and Ending Passive Care - Movement Debrief Episode 66

Movement Debrief Episode 66 is in the books. Here is a copy of the video for your viewing pleasure. Here is the set list: How does one go about improving shoulder abduction? What are my thoughts on adjustments or manipulations? Could adjustments potentially create laxity over time? When could these techniques prove useful? How do I get patients out of the "I need to be fixed" mindset? How do I encourage patients to buy in to an active approach to their recovery? If you want to watch these live, add me on Facebook or Instagram. They air every Wednesday at 7pm CST. Enjoy! Here were the links I mentioned: Check out Human Matrix promo video here Here are some testimonials for the class Want to sign up? Click on the following locations below: Portland, OR on November 10-11  December 8th-9th, Charleston, SC (early bird ends November 11th) February 2nd-3rd, 2019, New Providence, NJ (early bird ends January 4th) SIGN UP FOR THE REVOLUTION featuring myself, Pat Davidson, and Seth Oberst February 9th-10th in Boston. MA If you want to learn about all the things thorax-wise that I talked about, go here Spinal Manipulation Institute The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. Fascial plasticity – a new neurobiological explanation: Part 1 Selected fascial aspects of osteopathic practice Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies:

30mins

1 Nov 2018

Rank #17

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How to Build an Online Service, Training Obese Clients, and Building Relationships

Online services in our industry are still a little bit of a gray area. The logistics are uncertain, and how in the heck can we train or help someone from a movement perspective over the internet? That's what this outstanding conversation between myself, Michelle Boland  (Instagram: mboland18), and Erik Kreuger. Below are the list of topics that we cover: What an online assessment for rehab and training looks like How to elicit behavior change How to stay consistent Productivity systems I have in place Training obese clients and so much more  Enjoy

56mins

27 Nov 2018

Rank #18

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Elevated Heels, Pelvic Floor, and Identifying with Medical Labels - Movement Debrief Episode 79

Movement Debrief Episode 79 is in the books. Here is a copy of the video. Here is the set list: Why is it useful to elevate the heels during squatting? Why do I coach "holding in gas" during inhalation? How does this cue impact pelvic floor? Is there a difference between holding in gas and kegeling? What is my educational approach like for someone who identifies with a medical label? If you want to watch these live, add me on Facebook They air every Wednesday at 8:30pm CST. Below are the links mentioned in the show notes Check out Human Matrix promo video hereHere are some testimonials for the class    Want to sign up? Click on the following locations below:   May 18th-19th, San Antonio, TX (early bird ends April 19th at 11:55pm)   June 8th-9th, 2019, New York, NY (early bird ends May 10th at 11:55pm)   August 3rd-4th, 2019, Cincinnati, OH (early bird ends July 5th at 11:55pm)   August 24th-25th, 2019, Vancouver, BC (early bird ends July 26th at 11:55pm)   September 21st-22nd, Raleigh, NC (early bird ends August 23rd at 11:55pm)   October 5th-6th, Boston, MA (early bird ends September 6th at 11:55pm)   December 7th-8th, Orlando, FL (early bird ends November 8th at 11:55pm)   Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free!    Here's a signup for my newsletter to get nearly 3 hours and 50 pages of content, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies. Bill Hartman Postural and Respiratory Functions of the Pelvic Floor Muscles Bryan Walsh

25mins

4 Apr 2019

Rank #19