Accelerated Rehab Part 2 -Seattle

 

acceleratedrehab

ACCELERATED REHAB (& training): R2P Skills Review Course
with Jason Brown, DC, DACRB

  • Rehab 2 Performance logo Skills Review

  • CERT Prep

  • Master the Fundamentals

  • Excel with Efficiency

Hone your craft, improve your efficiency and clinical decision making, & prepare for  The CERT through Rehab 2 Performance (R2P) and the International Society of Clinical Rehab Specialists (ISCRS).

Assess movement of the extremities, Train the Brain.

Date:
November 22-23, 2014

Time:
Saturday 9am-5pm
Sunday 8am-1pm

Location:
NW Sports Rehab
33400 13th Pl S
Federal Way, WA 98003

Questions: Contact me

Registration:
Early bird through 10/22/2014


Registration Type
Registrant Name:
Registrant email:




Part 2 emphasizes extremity support and function.  Assessment and correction of the upper and lower quarters.  (It is not necessary to complete part 1 to register and appreciate part 2.)

OUTLINE:

  • Review of functional assessment methods aimed at detecting upper and lower quarter dysfunction.
  • Setting the foundation: the role of the torso (spine position, posture, and breathing) in extremity movement.
  • Proximal stability for distal mobility [and a conversation about how distal afferentation drives proximal stability].
  • Controlling the sagittal plane.  Stability and control in the frontal and sagittal planes.
  • Upper quarter mobility: thoracic spine, ribs, and wrist.   Assessment and active interventions.
  • Upper quarter stability: open and closed chain.
  • The interplay of mobility and stability in complex UE patterns.
  • Review of coaching, cueing, and motor control theory.
  • Role of proprioception.
  • Lower quarter mobility: hip and ankle.  Assessment and active interventions.
  • Lower quarter stability:  hip, knee, and foot.  Discussion of valgus collapse, trendelenburg, and hyperprontation.  Open and closed chain movements.
  • Clinical decision making:  How the assessment guides exercise selection.  How the Clinical Audit Process determines compliance.  Reassessment and the next step; progressions, regressions, and tangents.

 

Thanks for a thought provoking weekend! – Jamie Robertson, PT

 

This course organized my thinking better than any other course I’ve attended.

 

I just wanted to personally thank you for your seminar.  It really gave me clarity on many of the rehabilitation principles, especially motor control using the planes. – Ian Ledger, DC

 

On Monday morning I was already applying what I learned to help my patients.

 

I would consider it one of the best courses I have attended to date. The application of everything that was gone over in the Accelerated Rehab course was straight forward and the workbook that accompanied the course has been a tool that I have not let leave my side as I work with patients and athletes in their training. – Erik Haroldson, DC

Accelerated Rehab 1 Philadelphia

Accelerated RehabMovement Assessment and Active Care Seminar with Jason Brown, DC

  • Rehab 2 Performance logo Skills Review

  • CERT Prep

  • Master the Fundamentals

  • Excel with Efficiency

Jason W. BrownHone your craft, improve your efficiency and clinical decision making, & prepare for the Clinical Rehabilitation Specialist Certification through the International Society of Clinical Rehab Specialists.

 

Date:
October 4-5, 2014

Time:runner-chiropractic
Saturday 9am-5pm
Sunday 9am-2pm

Location:
Fitness Together
115 W State St.
Media, PA 19063

Questions?:

contact Dr. Tim Latham @ drtimlatham @ gmail.com

Registration:

Early bird through 9/1/2014

 


Registration
Registrant Name:
Registrant email:




What others have said about the course:

Thanks for a thought provoking weekend! – Jamie Robertson, PT

 

This course organized my thinking better than any other course I’ve attended.

 

I just wanted to personally thank you for your seminar.  It really gave me clarity on many of the rehabilitation principles, especially motor control using the planes. – Ian Ledger, DC

 

I would consider it one of the best courses I have attended to date. The application of everything that was gone over in the Accelerated Rehab course was straight forward and the workbook that accompanied the course has been a tool that I have not let leave my side as I work with patients and athletes in their training. – Erik Haroldson, DC

Part 1 Course Outline:

  • Functional model overview
  • Functional assessment:  Mag 7 and follow up assessments [train your eye and expand your toolbox]
  • Liebenson’s Clinical Audit Process  [CAP] (in detail with examples).  [How to use your assessment results to drive your exercise selection]
  • Discussion of how several models can fit together.  Combining the work of the Prague school (Janda & Lewit) & DNS, FMS & SFMA, McGill, Butler & Moseley to create synergy.  Find the strengths and limitations; harness the power and avoid the pitfalls. Including addition of current training theory and application for efficient, rapid results.
  • Sparing strategies & finding the functional range [avoid aggravation and encourage activity through the acute stages]
  • Mobilization (emphasis on thoracic, hip, ankle) [enhancing active ROM and proprioception through active mobility exercises]
  • Discussion of mobility and stability.  When to choose which tool.  Review of the CAP.
  • Core stabilization (creating an anchor, while maintaining mobility and the ball and socket joints).  Training the orchestra to play the right tune at the right time.  Then working to increase the volume and duration.  [create harmony of breathing and bracing, then add endurance and power.]
  • Motor control theory, motor learning, and cueing.  How to get your exercise selection to transfer into sport and ADLs. How to achieve retention so your progress lasts.

Part 2 then emphasizes extremity support and function.  Assessment and correction of the upper and lower quarters.

Summer Reading List

Every now and then I compile the books that I’ve recently read from around my house and bring them to the office for careful storage and future reference.  For those looking to add to their summer reading list, here’s some highlights that may be interesting. 

  1. The Brain That Changes Itself Norman Doidge, M.D.

    A great read.  Sharp examples of neuroplasticity and a quality discussion of the early discoveries combined with explanation of why it took so long to catch on.

  2. Predictably Irrational Dan Ariely

    Of similar topic: Also enjoyed How We Decide, Why We Make Mistakes, and the most research-anchored of them Thinking Fast & Slow.
    For those who are offering advice, prescribing self-care and wondering why some people make a quality decision and others don’t these books were insightful.

  3. How Children Succeed: Grit, Curiosity, and the Hidden Power of Character Paul Tough

    One of many along the talent lines from Coyle’s Talent Code and Colvin’s Talent is Overrated.  This one took an interesting perspective, but perhaps is limited in its scope like so many in this category; the Sports Gene and The Rise of Superman offer a different perspective and are really enjoyable for anyone who’s read one or more of the above.

  4.  The Body Bears the Burden Robert Scaer, M.D.

    I found this one a bit slow to read, but the subject matter is worth digesting.

  5.  Talent Identification and Development in Sport   Edited by: Joseph Baker, Steve Cobley and Jorg Shorer

    Also Developing Sport Expertise

  6.  The Sports Gene: Inside the Science of Extraordinary Athletic Performance David Epstein

    I opened this one expecting to disagree with some of its content, based on the title.  I was pleasantly surprised to find one of the most honest assessments of what we know, what we think, and what we don’t know on the topic of elite performance.  From the role of genetics, LTAD, and societal implications, it was truly a balanced offering on this subject.
    online review:  Mr. Epstein provides a careful and nuanced discussion of how nature, nurture and sports interact.  (I couldn’t have said it better.)

  7. The Rise of Superman: Decoding the Science of Ultimate Human Performance Steven Kotler

    Perhaps I started reading it just because it said Superman in the title, but this one was great.  It was a bit slow to read, but I think this was more due to my schedule than the writing style or content.  It unapologetically challenged many of the held beliefs from other talent and performance books, acknowledging that genes, parents, financial reward, etc do play a role in peak performance and accomplishment, but the fail to explain much of the explosion in alternative sports.  It offers a Flow perspective and uses this as a possible basis for these groundbreaking and barrier shattering performances.

  8.  Clinical Rehabilitation  Dr. Pavel Kolar

    An english version of a prior publication.  The book offered some unique information along with some general review of quality clinical rehabilitation.  It is short of a DNS laiden textbook that so many are in search of to fill in the gaps in our understanding, but it is a great resource.  Book preview…
    Also the DNS posters have been great communication tools for patients.

  9. Why Do I Hurt: A Patient Book about the Neuroscience of Pain Adriaan Louw PT, PhD, M.App.Sc

    Along the same lines as Explain Pain, but I’ve found this one to be more concise and approachable for patients than the abstractness of Explain Pain.  The straightforward wording and imagery has made this one a useful tool.  Thanks to BSMPG for introducing me to Louw’s work.

  10. Inner Fish  by Neil Shubin

    A unique look at the anatomy of evolution.

 

 

Northeast Summer Seminars 2014

I’m really looking forward to both of these events this summer.  For those in the Northeast, I hope to see you there.  July in Philly and August in New York’s Capital Region.

 

Liebenson in Philadelphia – July 18-20th (Part 1)
Prague School To Athletic Development Series

Part 2:  Dec 6-7. 

Facebook event

Course Registration

 

  • “Thanks for the excellent seminar/workshop!  Practical-patient oriented material that empowers healthcare practitioners with progressive clinical steps for improved outcomes.  Your work for the profession is admirable and greatly appreciated!  I will encourage my colleagues to attend your seminars.” – Deane Studer
  • “I just wanted to say thank you so much for the great work that you do.  You are an inspiring teacher and coach for myself as a part of the S & C as well as the coaching communities. The passion with which you approach your work is phenomenal.” – Sean Bur
  • “Very motivational and informative for all the right reasons, especially creating patient independence…Brilliant to be part of what is leading the truth about movement, forward!” – Jacob Steyn, DC

Movement Skill Acquisition and Transfer: Applying Coaching Science and Motivational Frameworks

With Nick Winkelman, MSc, CSCS

August 2-3 in Troy, NY.winkelmannick

Ideal for Coaches, Trainers, & Clinicians.

For those who coach movement, are your words effective?

For those who prescribe home exercise plans or design training sessions, are your designs optimal for motor learning?

For those who help create peak performance, how can you get results better and faster than you are currently?

 

COURSE OUTLINE:

  1. Movement Skill Development: Systems Overview

  2. Science and Application of Acceleration

  3. Acceleration Progressions

  4. Science and Application of Absolute Speed (Running)

  5. Absolute Speed Progressions

  6. Reactive Agility: Developing Speed that Transfers

  7. Reactive Agility Progressions

  8. Athletic Profiling: Testing for Transfer

  9. The Science of Coaching: Motor Control and Learning a Dynamic Systems Approach

  10. The Science of Coaching: Instruction, Feedback, and Cueing

  11. The Science of Coaching: Developing Environments that Motivate

Register Here

Winkelman Course in NY

Movement Skill Acquisition and Transfer:
Applying Coaching Science and Motivational Frameworks

with Nick Winkelman, MSc, CSCS*D | Director of Movement (Performance Innovation Team) @ EXOS  [formerly Athlete’s Performance]

Join us Saturday & Sunday, August 2-3, 2014 at RPI in Troy, NY for Movement Skills Acquisition and Transfer: Applying Coaching Science and Motivational Frameworks.

winkelmannickThis course is open to all professionals who strive to make people and athletes better.

Ideal for Coaches, Trainers, & Clinicians.

For those who coach movement, are your words effective?

For those who prescribe home exercise plans or design training sessions, are your designs optimal for motor learning?

For those who help create peak performance, how can you get results better and faster than you are currently?

 

COURSE OUTLINE:

  1. Movement Skill Development: Systems Overview

  2. Science and Application of Acceleration

  3. Acceleration Progressions

  4. Science and Application of Absolute Speed (Running)

  5. Absolute Speed Progressions

  6. Reactive Agility: Developing Speed that Transfers

  7. Reactive Agility Progressions

  8. Athletic Profiling: Testing for Transfer

  9. The Science of Coaching: Motor Control and Learning a Dynamic Systems Approach

  10. The Science of Coaching: Instruction, Feedback, and Cueing

  11. The Science of Coaching: Developing Environments that Motivate

The course is mixed lecture and practical.  Please come dressed to participate.  This includes bringing or wearing athletic footwear.

Date: August 2-3, 2014

Time:Saturday 9:00-6:00
Sunday 8:00-3:00

Cost:   $359
(register below)

Location: The course will be held at Rensselaer Polytechnic Institute (RPI) on their East Campus Athletic Village (ECAV).
ECAV is at 80 Peck Drive, Troy, NY 12065.  Look for D-Lot, the closest parking lot.

ECAV-RPII have the pleasure of attending Nick’s lectures in the past.  Those who attend will enjoy a very practical application of cutting edge coaching science and motor control theory.  Sharpen your practical skills by learning from someone in the trenches.

Men’s Journal article about this years NFL draft and NFL combine  preparation.

Winkelman’s Movement Lecture on The Science of Coaching.

 What We Say Matters: Part I  & What We Say Matters Part II

 Movement Skill Acquisition and Transfer:



Registration
Name:
Email:




Nearest airport: Albany, NY (There is a complimentary shuttle to the Troy Hilton Garden Inn)

Nearest hotel: http://www.troy.hgi.com/

Hilton Garden Inn Troy

235 Hoosick Street, Troy, NY, 12180
518-272-1700

Cumpelik

JiriCumpelik-rehabchiropractorGroupI had the pleasure of hosting Jiri Cumpelik, PT, PhD from Prague.  His physiotherapy and yoga background create a unique blend and a wonderful course.  We had a great group assembled and here are a few of the points and reminders I took away.  [Disclaimer: All brilliance is the result of Jiri’s skills and the history of the Prague school.  Any inaccuracies are my own.]

Breathing:

  • Breathing is often coached into the abdomen.  What is more ideal is to coach lower rib (lateral) expansion.  This leaves the abdomen as a fixed point.
  • Breathing is disrupted if the 3 points of contact for the foot are not kept.  Supportive shoes or orthotics can do this. You will find lateral breathing diminished.
  • When the diaphragm has sternal support breathing is anterior upper abdominal; with costal support it is anterior mid abdominal; with lumbar (TL junction) support it is lower abdominal.  Ideally it should be all 3 simultaneously and lateral expansion of the ribs should occur effortlessly.

Foot contact:

  • The foot is dependent on 3 points of support. This afferent information feeds the system.  Yes, this creates arches.  However, supporting the arch creates the illusion of proper positioning, but it does so without creating any of the necessary afferent info.
  • If you were repairing an archway or a bridge… would you support the arch or would you support the pillars?
  • Arch support or back support without improving afferentation is analogous to putting your team in the right positions, but with little or no communication from the sideline about what play or defense they should be running.  It looks good, but the tendency will be towards chaos and compensation rather than organized, efficient force.
  • Foot contact is often more toward the heels than it should be.  In standing and walking we need to encourage forefoot weight bearing without loading/overloading the toes.  The same is true in squat and dead-lift. The pressure through the heel should feel like it is going into the ground with a 45 degree angle posteriorly.

Posture:

  • Proper sitting doesn’t require a cushioned, supportive,  high back executive chair.  It requires quality input.  Likely a firmer chair.   Think of the piano player, someone who sits for peak performance.  They gracefully sit on an unsupported stool/bench.  With all the practice hours required, why don’t they sit on something more resembling a desk chair?  Do they know something most of us don’t?
  • “It is easier to move a chair than a sack of sand.”  – Reference to firm posture rather than slouched, jello-like, amoebic positioning of some people.  Having structure and support makes movement and control of the body more effortless.  Postural control creates efficiency.
  • Posture can be driven from the foot as described above, it can also be facilitated through the hand.  “Stretch the pinky” (elongate and radially deviate) is a way to get support from the upper extremity.  This can be acheiecd open chain and during gait on the reach forward as well as during true supporting functions.
  • Sitting posture should not be on the “sit bones” as so many conveniently describe.  Looking at the shape of the pelvis is sitting on the ischial tuberosity realistic?  Would you design a system to balance on a roughened, round object?  It was suggested that sitting on the ischiopubic ramus was more ideal.  With a slight anterior lean, this provides a ‘flat spot’ to balance on.  Try it. See what your body tells you.  (remember to use a firm chair)
  • Forward head carriage is understood to be compensatory.  The chin tuck can improve this.  It can also improve posterior breathing.  However, too much chin tuck can impair lateral breathing.  (We do not want to sacrifice lateral breathing for the appearance of good head position.  You can pack the neck too far.  I am playing with finding the right degree of chin tuck based on breathing patterns.  If lateral diminishes, you’ve gone too far.)
  • It must be practiced, “All the time”.  While we discuss sets and reps, one of the main take homes was that the small, but important changes we were making needed to be integrated into all activities.  They should become part of your life.  This was likely the hardest, but most rewarding part.  It requires a lifestyle change, not simply doing some correctives periodically as prescribed.
  • Posture is synergy (or as McGill describes “the orchestra”).  To get synergy back, play a few leading notes (movements or positions that can stimulate quality positions):  abduct the toes, elongate the pinky, open your mouth, “Kaa” (depress the hyoid), tongue position/movement, eye movement, feeling ground contact, …. & many more.  Once the musicians know what tune they’re supposed to be playing others come on line, listen to your body and recognize the changes.

Random:

  • Hand positions (even open chain) can drive breathing.  See mudras and experience it for yourself.  Some beautiful demos during a course break.
  • Children will be able to control their sphincter when they can stand on one leg.  [As this often happens around 3.5 years and we see children potty trained earlier than this, we question what happens?  While uncertain, hyperactive pelvic floor seems very possible to me.]

Final Thought:

Contemporary clinicians and trainers (and just about everyone who reads this blog) are aware that we think in terms of the CNS rather than specific muscles or joints.  We reference muscles or joints for the ease of communication, but we appreciate the fact that we are trying to create neurologic change and are evaluating neurologic dysfunctions in movement.  Here’s where I think many of us fall short.

I’ve seen the Gray Cook, PT quote, ““The brain does not think in terms of individual muscles it thinks in terms of movement”  referenced hundreds of times.  The problem I see is while we think we’re training the CNS, many take from this quote “movement not muscles”.  I think too many omit the word “thinks”.  (You’ll notice Gray put it in there.)  Doing correctives to improve movement isn’t enough (but it is a good start).  The brain is familiar with half kneeling, bear position, etc, ….   however it also doesn’t think in these terms.  The brain knows goals.  I want, I need.  As we use positions and movement to improve dysfunction we must engage the brain in thinking.  Run the mental program of reaching for a desired object, operate the software to open the mouth and eat a sandwich, and focus on ground contact & pushing away.  These external cues feed the CNS what it truly wants and knows.  (Ex.  grab the car keys, reach for the doorknob, give me a high-five.)  Give targets and goals during exercise.  They can be physical or based on mental imagery.  You’ll be surprised how much changes even with a different image of what we’re doing.   Follow the same principles of movement, but get the brain running the software it needs to.

Finally, a public thank you to Jiri Cumpelik for sharing his thoughts, ideas, and views.

Link of interest: A blog post from Geoff Girwitz who attended Jiri’s workshop in Newark.