Now What?
You have done all your ‘functional screening” and you have found all these restrictions and limitations. What do you do now? How do you approach fixing those things? Can they be fixed or are they part of that individual’s movement signature or fingerprint? Are these legitimate questions and concerns or am I overreacting? I know that I am a coach. As a coach my job is produce results, do no harm, and progress them toward their goals. For me the ultimate accountability is what occurs on the field. I could not help but think as I watched Roger Clemens and Greg Maddux pitch an inning last night – what would a function movement of those guys show? I think it is pretty predictable; there would be some terrific imbalances. Where do you intervene? How do you intervene? Will it matter? Remember everything is connected. Some connections are very visible and some are quite transparent. The body will protect where it needs to, loosen where it needs to, it will accommodate and adapt, so lets train and rehab it as the highly adaptive organism it is. GIVE THE BODY CREDIT FOR IT”S WISDOM!
posted by Vern Gambetta @ 7/20/2006 06:46:00 AM
6 comments
6 Comments:
No overreaction, you're right on. I would use the old adage - "If it aint broke, don't fix it."
Kevin M. Lake Placid
Would this be Kevin M. from the OTC? I volunteered there back in the summer of '97. Great experience!
"The body will protect where it needs to, loosen where it needs to, it will accommodate and adapt, so lets train and rehab it as the highly adaptive organism it is."
Is this assuming that the body has had enough time to recover and adapt? And what if it doesn't- in the skelletally immature athlete?
The osteopathic school of thought is that a hypermobile segment is often caused by a hypomobile segment somewhere else up or down the chain. I did a presentation at the '05 EATA convention that hypothesized how a neglected old ankle sprain could show up at the glenohumeral joint, and how to screen for it.
Any PT's or ATC's care to comment?
I have to ask "what does not broke mean"? Does it mean no pain? function fine? Just because there is no pain sure does not mean everything is going to stay fine.
In regards to the FMS it is simply a tool and nothing more or less. I listened to Gray Cook very skeptically talking about the FMS in Chicago this Spring. I think his desire it to detect imbalances that can increase microtrauma/injury and affect performance. With any test/screen it needs to be done appropriately and results interpreted correctly. I do not think his goal is a lot differenct than Gary Gray with his profile. If balance in symmetry is not somewhat important then why not train to create these imbalances that we expect to see in certain populations? If a little assymmetry is good then could we not accentuate it because more is better? Why not change a pitcher's workout to better create these imbalances that we see in the Rocket and other's.
To Cook's credit he did say he is open to questioning and would pull the whole idea of the FMS if proven wrong. No word if he would give refunds to those that bought his materials.
A problem I do have with the FMS is the exercise prescriptions to correct the problems. If testing is exercise and exercise is testing then some of the suggested exercises do not seem much like the test performed.
Another problem I had is the promotion by a nationally acclaimed university hockey conditioning coach. He claimed there was a drastic reduction in groin injuries when he started using the FMS. My question is why does someone that has written many books and video along with many lectures need a FMS to prevent groin injuries. I would think that he would know enough to keep it from being a problem.
Just my thoughts on a touchy subject.
Mark Day D.C., CSCS, DACBSP
In my general fitness space I see people lacking fundamental movements everyday. With first time clients and FMS postions they seem confused,(as did I). When I have them preform fundamental movements in all planes they seem to get it and sometimes can't believe how limited their ROM is. Then I can transform those fundamentals into their everyday life. Thank you Vern for re- introducing that word "funamental". G.O.
Using Roger Clemens as an example might not be the best Vern when the guy pulled his hamstring during the World Series. Wisdom? The body may create a buffer but some predictable patterns do arise from testing.
Post a Comment
<< Home