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Anterior oblique subsystem (AOS). The role and function of the external obliques, anterior adductors, and abdominal fascia in the stability, strength, and power produced between the lower and upper body. Summary of the function, arthrokinematics, integration between individual subsystems, behavior in postural dysfunction, exercise selection for the AOS, and examples of subsystem exercises and progressions.

Anterior Oblique Subsystem (AOS)

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I have almost completed my CPT certification and am half-way through the Human Movement certification to inform my massage practice. The different modalities of reading, watching audiovisual materials, and attending live or recorded webinars have been important to my learning style and for review.

Brookbush Institute has the most detailed, specific and effective tools for online learning for movement and/or bodywork professionals. I love the combination of the videos as well as the text available online.

I recently completed the CPT course. It was demanding yet practical. I would highly recommend it for anyone wanting an education about human movement.

I have my personal trainer certificate through here and am almost finished my human movement specialist certification. Overall, the education that Brookbush has packaged together for clinicians and trainers is invaluable. I am a physio assistant so coming from more of a rehab background I appreciate that this education has been beneficial both as a trainer and in a rehab setting. I love that I have been able to do all learning at my own pace and able to work around my schedule. Thank you for setting up this platform! Highly recommend :)

I have been a massage therapist for 10 yrs and I feel like all the “pieces” I’ve learned throughout the yrs have been put into place and can see the full picture. I am also a member to tons of great content since I love to learn! I plan to get my CPT through them as well.

I have been following Brent Brookbush for nearly a decade- back when I was a personal Trainer and now as a Physical Therapist. BBI is an incredible resource for any movement nerds and corrective exercise specialists! The information is thorough with multiple real world applications. I am looking forward to an in-person Manual Therapist course the second they do one a little bit closer to Virginia ;)

I have taken both the Human Movement Specialist and Certified Personal Trainer certificate programs and have found the value in understanding the how and ways the body moves and functions and from evidence, non-biased, outcome, conceptual, theoretical, and practical approach to helping my clients/patients look better, feel better, and move better.

Over the last years I've returned time and again to Brookbush Institute for stellar coursework as I've worked toward a Human Movement Specialist certification. (I'm currently ACE CPT, and in training with Anatomy Trains for Structural Integration Manual Therapy.) Every Brookbush Institute module is fantastic and each one includes detailed informational videos, written descriptions of how to-do, and, more importantly, why to-do!

I am a 70 yr old chiropractor and no other healthcare provider was able to come up with an exercise protocol particular to my structural and balances and muscle deficits and keep me in the game. And as for continuing education on human skeletal movement, the website is phenomenal full of great exercises for particular mechanical dysfunction.

The H.M.S. is the most valuable certificate I have earned and was a fraction of the the cost of my others. Define the best bang for your buck!

Brookbush is the most efficient Personal Training Certification I have ever come across. All the lessons are well thought out and very straight to the point.

I am getting my Master's degree in Kinesiology, and I would like to say that I have benefited greatly from the rich, comprehensive, well-documented scientific content of Brookbush Institute that links theory to practical applications. Proudly I've got my CPT certificate, and I am on my way to get my HMS certificate.

Having courses count towards different certifications makes it so users can transition seamlessly from one certification to another. In my case, going from earning the BI CPT to earning the BI HMS was an easy decision and I am proud to have earned both certifications. I have also had the pleasure of going to a Live HMS workshop that was well taught by Instructor Boettcher and that was excellent to see how the methods and techniques are implemented.



I have been a member of BBI for years and every course I have taken has been incredibly informative. I learn more from these courses than I do at local CEU courses for my PTA license. I also earned my CPT and HMS certifications through the platform. It was so convenient and the content was top notch! Forever member.

We learn principles in academia, we learn cool new modalities via whatever specialty certification, but BBI really concentrates on the nuances of passive treatment and they do a fantastic job. The format in which BBI instructs soft tissue specialists (DPTs, Chiros, ATs) like myself feels like almost like an apprenticeship. You get a thoroughly detailed explanation of the “why’s”, and a visual comprehension of how to apply. Personally, I believe application is where the good and the great are distinguished.

Brookbush has been incredibly helpful since I was in massage school and now as I’m in my career! I run my own practice and it gives me the resources I need to not only improve what I already know, but also help me navigate better, more efficient ways of treatment.

Totally loving the convenience and affordability of this program with my crazy lifestyle! I feel like I am getting a quality education without a massive cost! My favorite part is the videos I can watch in the courses. I learn so much better that way. Once I really spent more time on the site, I figured out how to maneuver around a lot better! I enjoy the sense of humor, as well as the easy explanation, and short tests. And if I am really tired, I can have the computer read me the lessons. 😁

Challenging concepts are explained in very understandable terms without dumbing down the material, and I find this program to be superior in quality to other personal training programs.

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This course describes the anterior oblique subsystem (AOS). The anterior oblique subsystem may also be referred to as the anterior oblique sling, oblique sling, anterior oblique myofascial synergy, and is similar to the concepts of muscle synergies, myofascial lines, myofascial trains, anatomy trains, myofascial meridians, superficial front line, functional line, spiral line, and the serape effect. This course covers a detailed analysis of the anterior oblique subsystem (sling) including anatomy, research, integration techniques and a sample routine.

The Anterior Oblique Subsystem (AOS) is comprised of:

The concepts and techniques described in this course may be particularly beneficial for neuromuscular re-education, coordination, motor pattern integration, whole-body strength, functional strength, and sports performance. Sports medicine professionals (personal trainers, fitness instructors, physical therapists, massage therapists, chiropractors, occupational therapists, athletic trainers, etc.) should consider adding these exercises to their repertoire to improve the outcomes of their integrated exercise programs, sports performance programs, and therapeutic (rehabilitation) interventions.

For additional self-administered joint mobilization techniques check out:

Course Description: Anterior Oblique Subsystem

Anterior Oblique Subsystem Study Guide

Study Guide: Anterior Oblique Subsystem

Introduction

Anterior Oblique Subsystem Function

The adductors and exertnal obliques comprise the Anterior Oblique Subsytem

Function

Knee valgus (functional valgus) during squats, running, and landing

Signs of AOS Dysfunction 

Introduction: Anterior Oblique Subsystem (Sling)

Research Corner Abdominal Fascia

Transverse abdominis and abdominal fascia

Abdominal Fascia (Anterior Layer)

Research Corner Rectus Abdominis

Muscles that attach to the pubis including Fascial Attachment between Rectus Abdominis and Adductor Tendons

Rectus Abdominis (and Pyramidalis)

Research Corner External Obliques

The multiple layers of the abdominal fascia including rectus abdominis, external obliques, internal obliques, and transverse abdominis

 External Obliques

Anterior Adductors

Muscle Attachments on Anterior Pelvis, Femur and Lumbar Spine - Donald A. Neumann, &ldquo;Kinesiology of the Musculoskeletal System: Foundations of Rehabilitation &ndash; 2nd Edition&rdquo; &copy; 2012 Mosby, Inc.

Pectoralis Major

Serratus Anterior

The attachments of the serratus anterior on the ribcage and scapula

Research Corner 

Summary of Research Findings

A distinction can be made between anterior and posterior layers of abdominal fascia and the muscles that invest in those layers.

The anterior layer of the abdominal and oblique fascia is invested by the rectus abdominis and pyramidalis, external obliques, pectoralis major, serratus anterior, and anterior adductors.

Any change in anterior trunk muscle activity results in a change in the activity of all trunk muscles and an increase in tension in fascial layers.

Force imparted by any trunk muscle will be transmitted between all layers of the abdominal fascial network.

The rectus abdominis may play a role in tensing the abdominal fascia and its tendon may have fascial continuity with the adductor longus.

The rectus abdominis and external obliques behave like a global mover of the spine

In those exhibiting dysfunction, the rectus abdominis and external obliques behave like over-active synergists (long-over/active).

Research suggests there may be a relationship between the adductors and anterior trunk muscles.

The adductors have a propensity to become short and over-active.

Superficial fibers of the pectoralis major and the serratus anterior invest in the fascia of the external obliques and sometimes the rectus abdominis.

The pectoralis major has a propensity toward prime mover inhibition, that is, becoming short/under-active in those exhibiting dysfunction.

The serratus anterior has a propensity to become long/under-active and may benefit from targeted intervention prior to multi-joint patterns.

The pectoralis major and serratus anterior work in synergy during pushing and increasing instability may increase core recruitment (AOS recruitment)

More on Function

Dr. Brookbush instructs how to regress a stability ball push-up.

Practical Application

Influence on Intervention

Best-use and Progressions

Step Up to Chest Press

Dynamic Lunge to Press

Sled Push

Videos

Sample Program: Anterior Pelvic Tilt

Willard, F.H., Vleeming, A., Schuenke, M.D., Danneels, L., Schleip, R. The thoracolumbar fascia: anatomy, function and clinical considerations. Journal of Anatomy, 2012. 221, 507-536.

David G. Simons, Janet Travell, Lois S. Simons,

 Travell & Simmons’ Myofascial Pain and Dysfunction, The Trigger Point Manual, Volume 1. Upper Half of Body: Second Edition 

Sanchez ER, Sanchez R, Moliver C. (2014). Anatomic relationship of pectoralis major and minor muscles: a cadaveric study.

Porterfield, J. A., & Derosa, C. (1998). Mechanical low back pain: perspectives in functional anatomy.

Juker, D., McGILL, S., Kropf, P., & Steffen, T. (1998). Quantitative intramuscular myoelectric activity of lumbar portions of psoas and the abdominal wall during a wide variety of tasks.

 Medicine and science in sports and exercise 

Andersson, E., Oddsson, L., Grundström, H., & Thorstensson, A. (1995). The role of the psoas and iliacus muscles for stability and movement of the lumbar spine, pelvis and hip.

 Scandinavian journal of medicine & science in sports 

McGill, S., Juker, D., & Kropf, P. (1996). Quantitative intramuscular myoelectric activity of quadratus lumborum during a wide variety of tasks.

Brown, S. H., & McGill, S. M. (2009). Transmission of muscularly generated force and stiffness between layers of the rat abdominal wall.

Folkow, B., Gelin, L. E., Lindell, S. E., Stenberg, K., & Thorén, O. (1962). Cardiovascular reactions during abdominal surgery.

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Levine, D., & Whittle, M. W. (1996). The effects of pelvic movement on lumbar lordosis in the standing position.

 Journal of Orthopaedic & Sports Physical Therapy 

Kim, H. J., Chung, S., Kim, S., Shin, H., Lee, J., Kim, S., & Song, M. Y. (2006). Influences of trunk muscles on lumbar lordosis and sacral angle. European Spine Journal, 15(4), 409-414.

Snijders, C. J., Hermans, P. F., Niesing, R., Spoor, C. W., & Stoeckart, R. (2004). The influence of slouching and lumbar support on iliolumbar ligaments, intervertebral discs and sacroiliac joints.

Andersson, E. A., Grundström, H., & Thorstensson, A. (2002). Diverging intramuscular activity patterns in back and abdominal muscles during trunk rotation.

Cholewicki, J., Panjabi, M. M., & Khachatryan, A. (1997). Stabilizing function of trunk flexor‐extensor muscles around a neutral spine posture.

Hodges, P. W., & Richardson, C. A. (1997). Contraction of the abdominal muscles associated with movement of the lower limb.

O’sullivan, P. B., Grahamslaw, K. M., Kendell, M., Lapenskie, S. C., Möller, N. E., & Richards, K. V. (2002). The effect of different standing and sitting postures on trunk muscle activity in a pain-free population.

Fujitani, R., Jiromaru, T., Kida, N., & Nomura, T. (2017). Effect of standing postural deviations on trunk and hip muscle activity.

Ng, J. K. F., Richardson, C. A., Parnianpour, M., & Kippers, V. (2002). EMG activity of trunk muscles and torque output during isometric axial rotation exertion: a comparison between back pain patients and matched controls.

Ng, J. K. F., Richardson, C. A., Parnianpour, M., & Kippers, V. (2002). Fatigue-related changes in torque output and electromyographic parameters of trunk muscles during isometric axial rotation exertion: an investigation in patients with back pain and in healthy subjects.

Cholewicki, J., Silfies, S., Shah, R., Greene, H., Reeves, N. Alvi, K., Goldberg, B. (2005). Delayed trunk muscle reflex responses increase the risk of low back injuries. Spine. 30(23), 2614-2620

Larsen, L. H., Hirata, R. P., & Graven-Nielsen, T. (2016). Effects of unilateral and bilateral experimental low-back pain on trunk muscle activity during stair walking in healthy and recurrent low-back pain patients. In

O'Sullivan, P., Twomey, L., Allison, G., Sinclair, J., Miller, K., & Knox, J. (1997). Altered patterns of abdominal muscle activation in patients with chronic low back pain.

Rizk, N. N. (1980). A new description of the anterior abdominal wall in man and mammals.

McGill, S. M. (1991). Kinetic potential of the lumbar trunk musculature about three orthogonal orthopaedic axes in extreme postures.

McGill, S. M. (1991). Electromyographic activity of the abdominal and low back musculature during the generation of isometric and dynamic axial trunk torque: implications for lumbar mechanics.

McGill, S. M. (1992). A myoelectrically based dynamic three-dimensional model to predict loads on lumbar spine tissues during lateral bending.

McGill, S. M. (1996). A revised anatomical model of the abdominal musculature for torso flexion efforts.

De Troyer, A., & Estenne, M. (1988). Functional anatomy of the respiratory muscles.

Danneels, L. A., Vanderstraeten, G. G., Cambier, D. C., Witvrouw, E. E., Stevens, V. K., & De Cuyper, H. J. (2001). A functional subdivision of hip, abdominal, and back muscles during asymmetric lifting.

Hodges, P., Cresswell, A., & Thorstensson, A. (1999). Preparatory trunk motion accompanies rapid upper limb movement.

Drysdale, C. L., Earl, J. E., & Hertel, J. (2004). Surface electromyographic activity of the abdominal muscles during pelvic-tilt and abdominal-hollowing exercises.

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Bogduk, N., & Macintosh, J. E. (1984). The applied anatomy of the thoracolumbar fascia.

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Granata, K. P., Slota, G. P., & Wilson, S. E. (2004). Influence of fatigue in neuromuscular control of spinal stability.

Lehman, G. J., Hoda, W., & Oliver, S. (2005). Trunk muscle activity during bridging exercises on and off a swissball.

Hungerford, B., Gilleard, W., Hodges, P. (2003) Evidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint pain. Spine 28(14), 1593-1600

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Snijders, C. J., Slagter, A. H., van Strik, R., Vleeming, A., Stoeckart, R., & Stam, H. J. (1995). Why Leg Crossing?: The Influence of Common Postures on Abdominal Muscle Activity.

Padua, D. A., Bell, D. R., & Clark, M. A. (2012). Neuromuscular characteristics of individuals displaying excessive medial knee displacement.

Mauntel, T., Begalle, R., Cram, T., Frank, B., Hirth, C., Blackburn, T., & Padua, D. (2013). The effects of lower extremity muscle activation and passive range of motion on single leg squat performance.

 Journal Of Strength And Conditioning Research / National Strength & Conditioning Association 

Bell, D. R., Vesci, B. J., DiStefano, L. J., Guskiewicz, K. M., Hirth, C. J., & Padua, D. A. (2012). Muscle activity and flexibility in individuals with medial knee displacement during the overhead squat.

Anterior Oblique Subsystem (AOS)

Related Courses:

Course Description: Anterior Oblique Subsystem

Study Guide: Anterior Oblique Subsystem

Introduction: Anterior Oblique Subsystem (Sling)
2 Sub Sections

Research Corner
6 Sub Sections

Summary of Research Findings

Practical Application
3 Sub Sections

Videos
3 Sub Sections

Sample Program: Anterior Pelvic Tilt

Bibliography

Related Courses:

Comments

Guest

Anterior Oblique Subsystem (AOS)

Related Courses:

Course Description: Anterior Oblique Subsystem

Study Guide: Anterior Oblique Subsystem

Introduction: Anterior Oblique Subsystem (Sling)2 Sub Sections

Research Corner 6 Sub Sections

Summary of Research Findings

Practical Application3 Sub Sections

Videos3 Sub Sections

Sample Program: Anterior Pelvic Tilt

Bibliography

Related Courses:

Comments

Guest

Introduction: Anterior Oblique Subsystem (Sling)
2 Sub Sections

Research Corner
6 Sub Sections

Practical Application
3 Sub Sections

Videos
3 Sub Sections