JEMS Movement ART The Science and Art of Beautiful Movement

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, JEMS Movement ART The Science, and Art of Beautiful Movement. , A Dance of Integrated Factors, Movement is the result of a complex interplay of shifting relationships and its expression involves physical . psychological and emotional factors Each movement requires that we both create and control forces which in. itself involves the coordination and timing of body parts posture proprioception functional mobility balance and. calibration of muscular tension 4 , The diagram below illustrates just a small number of the elements involved in effective movement or Movement. Efficacy The term stability is not featured as stability is not an independent entity but the result of many. interdependent factors , Confidence emotional, Sound movement equilibrium and psychological. patterns in the responses in the functional, functional environment environment.
Sound, understanding and, execution of Sound patterns at. technique speed or variable, speed, Sound movement. patterns through Fatigue resistant, the full necessary movement patterns both. range of motion neuromuscular and, for the functional physiological endurance . task, eccentric concent, ric inner to outer, range control .
Sound movement patterns, at the necessary and, required loading for the. functional task strength , Diagram from Elphinston J 2013 Stability Sport and Performance Movement Practical Biomechanics and Systematic Training. for Movement Efficiency and Injury Prevention Second Ed reproduced courtesy of Lotus Publishing UK . Copyright Joanne Elphinston for Elphinston Performance Ltd 2013 All rights reserved . , JEMS Movement ART The Science, and Art of Beautiful Movement. , How can we integrate this idea with existing control paradigms . Firstly the principle of the three Vs variety variation and variability can be used to expand and diversify a. patient s capabilities thus ensuring that they achieve a larger functional window . Variety means that different types of tasks are used to address and develop a single specific objective For. example for the specific objective of developing trunk control in neutral a therapist may change the patient s body. orientation and angle against gravity shift the bias from anterior to posterior chain change the support point . challenge their balance or introduce neuromuscular tasks The patient is therefore guided into developing a sound. sense of spinal position regardless of position and a range of different control strategies to control it . , Variation means that a single task is diversified in order to increase adaptability Changing a plane of movement .
moving one body part from another altering speed or range of motion involved in the task or modifying the base. of support are all methods for incorporating variation . Variability introduces a degree of unpredictability sudden change and the possibility of the unexpected This is. where we randomise and diversify the skills mixing up speed load direction intensity and task Variability in the. rehabilitation programme encourages the patient to rapidly respond and organise themselves under changeable. conditions and to gain confidence in their capability The patient does not have to be a high performance athlete. to benefit from the introduction of variability into their programme A low back pain patient will widen their. functional window and increase their chance of regaining spontaneous unselfconscious movement if they are able. to confidently cope with variable speed direction and movement tasks . It is therefore possible to quite simply provide a patient with a cocktail of motor learning opportunities . Secondly in order for training to meet a patient s functional requirements it is helpful to understand movement in. terms of the functional force management strategies that the patient uses . Functional Force Management, Functional Force Management is the manner in which we create and control forces and represents our capacity for. physical expression through qualities such as power speed or balance and for physical conservation or. protection through strategies such as shock absorption and force sharing to divert pressure from body structures. 3 , There are four key elements to Functional Force Management . 1 How effectively force is generated and directed . Example The throwing action represents a good illustration of force generation A good thrower will initiate their. action from the lower body first stepping into the motion and then rotating the pelvis to create torque through. the body which both supports and facilitates the shoulder A poor thrower initiates the action from the arm . increasing loading on the shoulder and elbow and reducing potential power The poor thrower may present with. shoulder pain but for effective transference to function isolated scapular and rotator cuff work is insufficient to. normalise the loading on the shoulder The patient requires a more effective force generation strategy so they will. benefit from experiencing forward weight transference and rotational motion of the pelvis as well as integration of. the shoulder with the trunk as a part of their rehabilitation . 2 How effectively forces are transmitted throughout the body . For optimal efficiency the body transmits forces up down and across the body A key stability training error is. the blocking of these forces by over controlling certain body parts If forces are blocked from moving through the. body overload will result somewhere in the system . Copyright Joanne Elphinston for Elphinston Performance Ltd 2013 All rights reserved . , JEMS Movement ART The Science, and Art of Beautiful Movement. , Example Normal walking and running use counter body rotation Gracovetsky s spinal engine 5 to achieve. biomechanical efficiency Force flows diagonally up and across the body in diagonal patterns utilising the elastic. potential of the myofascial slings dispersing excessive load across multiple joints and lengthening the stride The. thorax must be able to rotate independently of the pelvis but it cannot do this if the patient has been trained to. maintain a constant fixed relationship between these body segments Excessive fixing in the core prevents this. central zone from effectively transmitting force between the upper and lower body thereby diminishing efficiency. and increasing loading on the lower body propulsive structures . 3 How effectively forces are dispersed or shared across a large surface area in the body . Stress Force Area is a fundamental engineering principle To decrease structural stress you must increase the. area across which that force is borne Whether referring to bridges buildings or bodies the effect is the same . Example When a patient presents with neck pain and can be observed using a shoulder elevation strategy every. time they load their upper limbs they are bearing maximum load over a small surface area in this case the. relatively small structures of the neck If instead they shared the forces of the upper limb across the broad surface. of their thorax as they would if they accessed serratus anterior and lower middle trapezius the stress on specific. structures would be reduced By understanding the patient s force management strategy for the upper limb it is. possible to identify a mechanism for the neck pain Training a more sustainable upper limb strategy will be the. foundation for the rehabilitation plan , Elevation Force sharing.
4 How effectively force is dispersed and released from the body . Example When landing from a jump a coordinated sagittal plane action between hips knees and ankles helps to. disperse vertical force Many athletes can be observed blocking their landing through excessive co contraction. around the knee If the knee is effectively immobilised it can no longer contribute to the shock absorption and. force dispersal mechanism in the lower body However those forces must be managed somewhere and the body. has a number of possibilities It can divert the forces from the sagittal plane which is blocked at the knee into the. frontal and transverse planes by adducting or internally rotating the hips It can try to disperse the force in the. sagittal plane by tipping the trunk forward It can also jam the force into a spine which has collapsed into. extension creating high lumbar stress In all of these scenarios force pools within focal areas in the body instead. of moving safely through the kinetic chain , Conceptualising movement through the generation and transmission of force allows us to appreciate the. biomechanical interactions throughout the body and the integration necessary for fluency and efficiency It also. gives us a means for understanding movement dysfunction in a practical way . Strategies for managing forces are dictated by the task being performed and a number of different strategies are. available for different situations This will vary the muscle actions used Withstanding a rugby tackle for example. will involve a different trunk control strategy to running a marathon . Copyright Joanne Elphinston for Elphinston Performance Ltd 2013 All rights reserved . , JEMS Movement ART The Science, and Art of Beautiful Movement. , The examples below illustrate just some of the possibilities . The Suit of Armour strategy , Suit of Armour otherwise known as the compression strategy involves stiffening of the large trunk muscles It is. primarily a protective behaviour which constrains the shoulders and hips and locks the trunk to the pelvis using. high muscle force In terms of force flow the impulse is compressive and directed centrally into the body In. essence it halts force transmission through the body and eliminates independent motion between zones This. strategy would be extremely useful when withstanding an impact such as a rugby tackle for example . This strategy however has a high energy cost and is not a sustainable strategy to use continuously Neither is it. helpful when fluent efficient dynamic movement is necessary because its role is to restrict and constrain motion . Training for this strategy will involve higher threshold global activation . The Elastic Support strategy , The Elastic Support strategy funnels forces between the upper and lower body via the central musculature of the.
trunk while maintaining freedom of motion of hips and shoulders Running would be a good example of this. strategy The Elastic Support strategy allows the body to lengthen while remaining connected and controlled . Training will involve low effort control through full shoulder and hip range . The Neuromuscular Response strategy , A Functional Force Management discussion must also include the Neuromuscular Response strategy This is the. body s capability to cope with the unexpected to be able to respond instantly to an external challenge minimise. potential body stress and regain control and balance It is a stabilising response that must be instant adaptable. and above all not rigid in order to be able to successfully cope with the unpredictable Whether slipping on ice . being bumped in a crowd or contacting an opposing player on a netball court this strategy is essential It can be. trained at all levels and from very early stages of rehabilitation 3 . It can therefore be seen that more than one control strategy is required to cope with the wide range of functional. possibilities that we may encounter ,Towards a Model of Movement Efficacy. Movement efficacy which is the expression of effective force management integration of whole body systems . coordination adaptability and spontaneity is a phenomenon applicable from childhood throughout the life span . With sufficient understanding of normal movement and the range of strategies through which we cope with our. functional demands it is possible for practitioners to transcend localised prescriptive models of stability to create. balanced progressive exercise programmes relevant to the patient as an individual and to their functional. requirements , Concepts and text excerpts from the newly updated edition of Stability Sport and Performance Movement . Practical Biomechanics and Systematic Training for Movement Efficiency and Injury Prevention Second Ed . Lotus UK and from JEMS Movement A R T Analysis Rehabilitation and Treatment courses . For more information visit , Website www jemsmovement com. Facebook JEMSMovementART, Twitter JEMSMovement, Copyright Joanne Elphinston for Elphinston Performance Ltd 2013 All rights reserved .
, JEMS Movement ART The Science, and Art of Beautiful Movement. ,References, 1 Vasseljen O Unsgaard T ndel M Westad C and Mork PJ 2012 Effect of core stability exercises on feed . forward activation of deep abdominal muscles in chronic low back pain a randomized controlled trial Spine. 37 13 1101 8, 2 Critchley D Pierson Z and Battersby G 2011 Effect of Pilates mat exercises and conventional exercise. programmes on transversus abdominis and obliquus internus abdominis activity Pilot randomized trial Manual. Therapy 16 183 189, 3 Elphinston J 2013 Stability Sport and Performance Movement Practical Biomechanics and Systematic. Training for Movement Efficiency and Injury Prevention Second Ed Lotus UK. 4 Elphinston J 2010 2013 JEMS Movement A R T clinical course content. 5 Gracovetsky SA 1997 Linking the spinal engine with the legs a theory of human gait In Vleeming A Mooney. and Art of Beautiful Movement A Dance of Integrated Factors Movement is the result of a complex interplay of shifting relationships and its expression involves physical

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