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Tuesday, June 6, 2023

Posterior Oblique Subsystem Integration

Brent Brookbush

Brent Brookbush

DPT, PT, MS, CPT, HMS, IMT

Video Inspired Question - Posterior Kinetic Chain Integration :

David Weinstock (Author of Neurokinetic Therapy ) Asks:

  • Your explanation is great. When someone has been compensating for a long time and you give them a big movement exercise, how do you keep them from adopting a compensation patterns to perform the movement? For example, when you row, your post delts and rhomboids can substitute (become synergistically dominant) for dysfunctional lats?

Brent Brookbush

  • Great question David, this is a fundamental problem with some corrective exercise programs. We must fix the peaces before we try to assemble the puzzle. If we try to use multi-joint exercises alone to correct dysfunction we will fail - due to restriction that leads to relative flexibility, altered recruitment patterns, and synergistic dominance as you mentioned.

In B2C Fitness programming, my personal programming (which may incorporate manual techniques), and NASM CES programming - we use integrated exercise after we have released and lengthened short/overactive structures and activated long/underactive structures. Integrated exercise is a means of reinforcing the new movement pattern we established, after we have “fixed our pieces.” Using knowledge of the integrated core subsystems to better select our integrated exercise is a way of refining our exercise selection. We fix the pieces and then assemble the puzzle with an exercise that may improve balance between dysfunctional core synergies. Thank you for the incredibly important question David… This was in definite need of clarification.

POS Integration

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