Hey Mwodies,

Today’s mission is to tie together the last few episodes of the MWod.  We want to bridge the idea of pathognomonics and movement errors.  As often as we can, we want to put the bulk of our energy into improving and maximizing motor control before we default to mobility.  Of course if every athlete had NORMAL motion ranges (not crazy gymnast/martial artist) then we’d always be dealing with aspects of motor control.  In fact, a useful way of thinking about restricted ROM is that it ultimately limits the athlete’s tolerances for poor movement and poor positioning. Healthy tissues and normal ranges equal breathing room and possibility.  If sport/mission/fighting has taught anything, it’s that we can count on less than ideal circumstances and impossibly difficult positions (running a 40m dash does not look like tackling, scrambling to cover, or modern dance for example.)  As often as possible, we need to improve the number of motor options an athlete has.  (Think brutally steep scrambling up the side of a mountain vs. a run on a track.)  The gym is the lab.  It’s where we can compress movement faults and faulty motor patterns into the course of a training session.  Got a good position? Great, now challenge that position with load, metabolic demand, cardio-respiratory demand, stress, and speed.  Good strength and conditioning is both a stimulus for adaptation and a diagnostic tool.  We measure the effectiveness of any program by measuring wattage, poundage, and reps, as well as how well the athlete performs in the sport/mission/emergency situation.  Improving position improves efficiency, maximizes output, and safeguards against tissue failure.  We don’t need movement analogs and correlates. We don’t need to learn an entirely new movement language to understand the set of movements with which we are already training.   It’s more simple than that.

We just have to “see” with better eyes.

Part 1

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part 2

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part 3

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Kstar

Ps. I know I got the wrong hamstring!  I was thinking of the Pes Anserine.  Say grace before tea.  It’s not my fault! Jesse Burdick had me carb depleted!

 

21 Responses to “Episode 361/365: Pathomechanics and IT Band Hell”

  1. Jesse January 21, 2012 Reply

    So what should this athlete be working on to correct this?

  2. Chris January 21, 2012 Reply

    I sense from the repeated mentions of ‘movement correlates’ on Mwod and CFJ that you’re referring to the FMS?

  3. craig January 21, 2012 Reply

    we are missing part 3 kstar ;)

    thanks for everything

  4. christopher johnson January 21, 2012 Reply

    Great post! I have an awesome technique that you’ll love to use with this patient. Ill let you know when I post it on youtube. Keep up the great work.

  5. christopher johnson January 21, 2012 Reply

    Thought you might also enjoy reading my most recent post on determining when an injured runner is able to return to training…it highlights a few key concepts that you have touched on in the past.
    http://www.chrisjohnsonpt.com/critters-corner

  6. Jason Hutchcraft January 21, 2012 Reply

    where’s the other video? Part 3 I presume

  7. Juliet January 21, 2012 Reply

    Chris,
    I most certainly do not mean the FMS. Cook is a forward thinking revolutionary stud muffin. He was having people overhead squat back in 96/97. We were still doing back and bi’s. As training has progressed, as the internet has progressed, so too has our thinking. Cook has very much evolved by the way. Check out his thinking about MoveNat etc. And, I know a ton of “good’” coaches that are brilliant at programming, but still don’t understand what it is they are seeing.

    CJ,
    Thanks for the post!

    Jesse,
    What are the movements the athlete should be correcting? Hip extension and related structures, ankle rom/df, TFL smashing, mulligan knee mobs, and better movement practices.

    kstar

  8. Jeff January 22, 2012 Reply

    Thank you SO much for posting this – its exactly the issue I have and this gives me an awesome starting point to correcting funkiness. Is the condition reversible, or will it just be manageable with constant mobility work over time?

  9. peter January 23, 2012 Reply

    Best post yet Kstar, I see this with Cyclists all the time. Stretching and Rolling the IT band seems to becoming the standard prescription for pain in the leg. Hopefully this post makes change !

  10. Erica January 23, 2012 Reply

    WOW. I expect nothing less from KStar, but this post is amazing. Seriously, it almost ready like poetry to me. I am a total groupie.
    Outstanding work from the pocket DPT!

  11. Zac January 23, 2012 Reply

    This is the EXACT problem I have with my left hip/knee/leg/ankle. I see what’s wrong, but what should I do to correct it/decrease pain?

  12. Mark Davis January 23, 2012 Reply

    This guy is my ankle soul mate. Or is that sole mate?

  13. Stephane Gregory January 24, 2012 Reply

    Great post, with some smart thinking about ITB issues. I especially like the point that the ITB is not likely to become looser, as therapist tend to focus too much on the ITB rather than why ITB is being loaded excessively.
    You mentioned that the athlete was using appropriate POSE method and doing drills already, then why is he still compensating?
    Also, if he is compensating to that extent, does he need to lay off the running while he corrects his movement patterns, or would you try and maintain his volume of running?

    Thanks,

    SWGG

  14. Scott Pitz January 27, 2012 Reply

    Couple questions…is another symptom of this an over developed vastus medialis? Perhaps I am trying to project my mobility problems into a different set problems but I was a swimmer through college. Specifically a breastroker. It helps to have turned out feet for the kick and I wonder if the breaststroke kick reinforces some of these problems? The inside of my upper leg is way more developed than the outside of my leg. Also, I wonder if this athlete was a swimmer too?

  15. Steven January 31, 2012 Reply

    First time poster, great site, use it constantly.

    I am curious to know if anyone has ever been able to fix this in themselves or another athlete. I would make this guy look pigeon toed. I have been this way since birth(I’m now 30), I am in no other way handicapped and despite being fairly athletic cannot run very fast or jump high. As a kid I would have given anything to have straight feet.

  16. Ricky January 31, 2012 Reply

    Extremely informative as usual. As someone said earlier, what should we be doing to fix this? Will the half lacrosse ball at that T intersection of the ITB help to rid of that “popping” some of us get during squats?

  17. Charles January 31, 2012 Reply

    Kelly please describe how to position your feet when doing the jump from the ground. The camera angle didn’t allow me to see how you were doing the jump and I have had some trouble replicating the movements. Thanks!

  18. Laurie February 2, 2012 Reply

    I am completely disgusted, I just had lateral release surgery on Jan 13th and I wish I would have seen this before allowing my IT Bands to be mutilated. This makes perfect sense to me and I know now exactly where my issue originated. I have had my coaches screaming at me in the past to work on my hip flexors and I took it with a grain of salt and never realized the importance of hip flexion. I am looking forward to seeing what mobility exercises I can in my rehabilitation to retrain my IT bands and prevent a future re-occurance.

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