Discussing the value of IMPROPER alignment when training, the principal of progressive adaptation…and differentiating core “ability” vs “strength”
April 10, 2012
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During this speech concerning a mishmash of topics, Dr. Spina explains the importance of movement based goals with training vs. the individualized muscular focus often taken by most trainers. Topics such as ‘core training’, and ‘scapular stability’ training are used as examples to describe how current approaches fall short due to the fact that the end goal of the training is either incorrect…or poorly defined.
Also discussed is the concept of conditioning in positions of IMPROPER alignment in order to prepare the body for the imposed functional demands of ADLs and sport.
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wow, great insights there Dr Spina. You mentioned when a person is in (the real world eg, sports) put in a dysfunctional position, how is he/she gonna react. is this where proprioception / kinesthetic awareness training comes – eg. patient supine with shoulders flexed, then coach/ therapist does perturbation by quick slaps on the patient’s palm so that he/she has to quickly reorient and stabilise the joints?
Your example is a good one…however proprioception and kinesthetic awareness training constitutes only one aspect of “preparation” training as I was discussing. It is common for people to only consider this form of conditioning when considering injury prevention….however it involves much more. For example, joint loading in order to simulate collagen production (hence strengthening the joint capsules in “dangerous positions”), mobility conditioning – ie. creating strength in the outer ranges of motion to ensure functional flexibility….leading into the development of greater agility in order to avoid injury, progressive muscle loading in compromised positions which would be avoided by most (ex. abduction + external rotation of the G/H joint), etc…