Would you like to view this video?

Human Movement Science Concepts 2: Video #27 of Introduction to Functional Anatomy

Video #27 of Introduction to Functional Anatomy covers Human Movement Science Concepts 2. This video will discuss how the body utilizes alignment, breathing, and coordination to produce efficient movements. The concept of movement science will explore how muscles, tendons, and ligaments interact with each other to create efficient and effective motion. Additionally, the video will introduce the biomechanics of human motion, including levers, pulleys, and force-couple relationships. By the end of this video, viewers will

Transcript

00:00:0400:00:06
Relative flexibility
00:00:0400:00:06
...blank
00:00:0600:00:10
is not, "You're relatively flexible."
00:00:1100:00:16
This is not, you're standing next to some guy go, "Well, compared to him I'm
00:00:1600:00:18
flexible.
00:00:1800:00:23
Relatively speaking, he can't even touch his knees and I can touch my shins."
00:00:2300:00:29
That's not relative flexibility. Relative flexibility is when one joint gets
00:00:2900:00:36
locked down, when one joint loses mobility, the proximal joints will start
00:00:3600:00:44
becoming too flexible to compensate that. Makes sense?
00:00:4400:00:49
I lose range of motion at one joint, other joints try to make up for it.
00:00:4900:00:57
So in this picture where is that guy's feet going? Out. His knees are
00:00:5700:01:00
going in, his feet are going out,
00:01:0000:01:03
it's a mess, it's a total mess. A very common mess.
00:01:0300:01:09
So what ends up happening is if I start losing dorsiflexion because, let's say my
00:01:0900:01:11
calves are tight, pretty common right,
00:01:1100:01:14
my body will go, "Well, I still have to get down.
00:01:1500:01:19
I don't have dorsiflexion, I still got to get down there,
00:01:1900:01:24
so you know what, I'm going to do, I'm going to steal from my knees."
00:01:2400:01:27
Sounds like a great plan doesn't it?
00:01:2700:01:32
I lost some mobility of my ankle, I think I'll steal from my knees and where do my
00:01:3200:01:35
knees go? Tibial external rotation.
00:01:3600:01:41
I try to shorten that lever length of my foot so that I can get down further and
00:01:4100:01:45
on top of it to make my limbs shorter I'm going to go ahead and bow in.
00:01:4500:01:54
That's the type of thing that sets up an ACL injury right, or at least a whole lot
00:01:5400:01:55
of knee pain.
00:01:5500:01:58
Well,
00:01:5800:02:04
we can go through this whole thing as we're going here. As length
00:02:0400:02:06
tension relationship start to change,
00:02:0600:02:09
I increase activity of certain muscles,
00:02:0900:02:15
I get altered reciprocal inhibition, which shuts down prime movers so I end
00:02:1500:02:18
up with synergistic dominance, because my synergists try to take over.
00:02:1800:02:25
Right, maybe this all started with relative flexibility. Of course once that
00:02:2500:02:32
happens I have to adopt a compensation pattern. A compensation pattern is the
00:02:3200:02:37
new movement pattern you've adopted to make up for the fact that all of this
00:02:3700:02:38
stuff is happening.
00:02:3800:02:42
Makes sense?
00:02:4200:02:49
Where is that guy compensating? His back. Now, don't get me wrong,
00:02:5000:02:55
this is a guy arching his back when he benches...a whole lot more weight than I
00:02:5500:02:56
could ever bench.
00:02:5600:03:03
You could put me on steroids from here into eternity and train the heck out of
00:03:0300:03:07
me, I'm not going to be able to bench as much as that guy. I take my hat off to this
00:03:0700:03:08
individual.
00:03:0800:03:13
This is sport. In sport, we do a lot of things that are very harmful to our body.
00:03:1400:03:20
My question is, if you saw somebody compensate like that just pushing open a
00:03:2000:03:21
door,
00:03:2100:03:28
what's going on there? What is he compensating for? Yeah, so maybe his
00:03:2800:03:31
intrinsic stabilizers are weak
00:03:3100:03:36
so who is he trying to use a whole lot of to get some stability back in his
00:03:3600:03:37
spine?
00:03:3700:03:42
Maybe his erector spinae right? We see a lot of extension so maybe it's the
00:03:4200:03:46
erector spinae coming in to try to compensate for the fact that he can't
00:03:4600:03:51
stabilize here for the amount of force he's trying to produce. Is that kind of
00:03:5100:03:54
starting to make sense?
00:03:5400:04:01
So what is optimal flexibility? Is that optimally flexible?
00:04:0200:04:08
That's actually hypermobile. It's a pretty picture, but it's hypermobile. Where is she
00:04:0800:04:09
hypermobile at?
00:04:0900:04:14
Yeah, can you guys see how she hinges right here?
00:04:1400:04:23
Yeah, that's not a great thing> That will lead to injury in time. She
00:04:2300:04:26
might feel great right now, but eventually that's going to cause
00:04:2600:04:27
problems.
00:04:2700:04:31
It is just as dangerous, remember our U shaped curve,
00:04:3200:04:39
think about it, it's just as dangerous to be too tight as it is to be what?
00:04:3900:04:47
too flexible. Anybody a dancer in here? You pay the price.
00:04:4700:04:51
It's very beautiful and it's great activity and at the end
00:04:5100:04:57
of the day, at the end of the day, nobody dies of a bicep attack. Guys get what I'm
00:04:5700:05:00
saying? Right, like everybody needs to be physically active.
00:05:0000:05:07
Orthopedic challenges are worth a lifetime activity and what it will do
00:05:0700:05:10
for your heart and respiratory system and your overall health.
00:05:1100:05:14
I'm not taking anything away from sport, but realize if you work for
00:05:1400:05:18
hypermobility are you eventually going to pay for it?
00:05:1800:05:22
Absolutely. If you don't need hypermobility for your sport, by all
00:05:2200:05:24
means do not trained for it.
00:05:2400:05:29
So let me just make this a little narrative for you guys and then we'll
00:05:2900:05:32
head to lunch.
00:05:4100:05:51
How many guys want to analyze an anterior pelvic tilt? You're wooed.
00:05:5200:05:57
Alright, so in order to analyze an anterior pelvic tilt,
00:06:0800:06:13
I need to start figuring out what joint actions occurred to get me into an
00:06:1300:06:16
anterior pelvic tilt.
00:06:1600:06:25
Hip...hip flexion and lumbar extension, good.
00:06:5500:07:00
Yeah so, an anterior pelvic tilt, your pelvis isn't a joint, right.
00:07:0100:07:04
Your pelvis is a bone under the control of your hip and lumbar spine.
00:07:0400:07:09
All right just stay with me you'll you'll get it by the time I'm
00:07:0900:07:10
done with this picture,
00:07:1000:07:16
providing I can get my art skills back together.
00:07:3200:07:35
So there's Slim, right?
00:07:3600:07:41
We have a cervical spine, his thoracic spine and since we're drawing an
00:07:4100:07:47
anterior pelvic to let me give them a pretty good lumbar curve here and and
00:07:4700:07:57
then a sloping pelvis, but a femur that goes straight down. Draw his ribcage,
00:08:0100:08:11
he's kind of barrel-chested, not really sure why. Actually, you know what, let me change this just a
00:08:1100:08:11
little bit.
00:08:1100:08:15
I know this won't be perfectly to scale but I want to draw the lumbar spine a
00:08:1500:08:20
little bigger so you guys can see. Let's draw his rib cage way up here.
00:08:2500:08:30
Does that look like an anterior pelvic tilt you? Good.
00:08:3100:08:37
So what happened to his psoas?
00:08:4100:08:49
They're definitely weak but they're weak because they're short right. So his psoas is short,
00:08:5000:08:55
well if it his psoas is short and he's stuck in hip flexion, who else is also short?
00:08:5500:08:58
Iliacus, good.
00:08:5800:09:01
So I'll have that one from the pelvis. What else?
00:09:0200:09:08
Yeah we could.. your erector spinae as your lumbar extensors, but let's save that
00:09:0800:09:13
What other hip flexors do I have? Rectus femoris is tight.
00:09:1400:09:17
What's this guy?
00:09:2400:09:36
TFL, right. So I got rectus femoris, psoas, iliacus, TFL - all short and overactive.
00:09:3600:09:50
Which means, like you mentioned my lumbar erectors are also going to be short and
00:09:5000:09:56
overactive because of the way this tilts I end up with excessive spinal lordosis,
00:09:5600:10:02
also known as what joint action? Extension. Who are my extenders of the spine?
00:10:0200:10:07
Erector spinae.
00:10:0700:10:11
And then we have one that attaches to the shoulder...
00:10:1100:10:17
Latissimus dorsi is also short and overactive. All right now let's start
00:10:1700:10:22
thinking through all the things we know that we just learned. If these guys are
00:10:2200:10:25
short and overactive what do they do to reciprocal inhibition?
00:10:3100:10:38
They're going to become..that's not the term I'm looking for yet...
00:10:3800:10:50
not that term either. So if my hip flexors are overactive they will do what?
00:10:5100:10:56
Tturn off your glutes via altered reciprocal inhibition. Right, so they shut
00:10:5600:11:00
down my prime mover.
00:11:0000:11:16
So we're going...these are going to be our long, under active muscles.
00:11:1600:11:23
My extensors are going to shut down who? So my lumbar flexors which are my
00:11:2300:11:29
rectus abdominis, obliques.
00:11:3200:11:35
I was kind of nice to this guy, right he should be shut down.
00:11:3800:11:42
So we got my internal-external obliques,
00:11:4200:11:48
who else might be shut down? Some stabilizers over here, yeah the TVA
00:11:4800:11:51
probably shut down.
00:11:5400:11:58
So those guys are shut down, that sucks.
00:11:5800:12:04
This is not a very pretty picture so far. Well if my glute max
00:12:0400:12:06
shuts down
00:12:0600:12:17
who has to become overactive? Your hamstrings, because they're the
00:12:1700:12:28
synergistically dominant, so then we bring out a new color. My hamstrings,
00:12:2900:12:39
especially my biceps femoris in this case are long and overactive because
00:12:3900:12:42
they are overactive synergists.
00:12:5900:13:03
How's this looking so far? Not very pretty right.
00:13:0400:13:08
That is not a pretty picture for performance, but is it common?
00:13:0900:13:16
Oh yeah. This is definitely common and realize, this is could have all started
00:13:1600:13:19
with one restriction.
00:13:2000:13:26
What might that restriction of started with? Maybe it's my psoas got tight.
00:13:2700:13:32
Maybe my psoas got tight or my rectus femoris got tight from, has anybody ever
00:13:3200:13:37
strained their rectus femoris, it's a pretty common strain right. Maybe that's
00:13:3700:13:41
what started this, so that all the other hip flexors joined suit - became tight and
00:13:4100:13:50
overactive so this would cause what? Relative flexibility. You guys get that?
00:13:5000:13:56
So a restriction in hip flexion may have caused an increase in lumbar
00:13:5600:14:02
extension, a change in pelvic position and now this whole thing that I've had
00:14:0200:14:10
to adopt is called what? Compensation pattern. You guys get how this all works
00:14:1000:14:18
together. You guys kind of understand these terms. (Would the relative flexibility be the lumbar extension.) In this case yeah, it'd
00:14:1800:14:25
probably be hypermobility at the lumbar spine. Very common.
00:14:2700:14:31
Does this kind of help make those terms makes sense? Can you guys see how this is
00:14:3100:14:33
all working together all the time?
00:14:3300:14:37
We could even go farther and go, "Do you think the change in all of the muscle
00:14:3700:14:41
activity here is going to screw up this person's arthrokinematics at the hip?
00:14:4200:14:47
Oh yeah, joints stay centered in large part due to muscle activity.
00:14:4800:14:54
Well center of gravity is still here, but realize that now these guys are pulling
00:14:5400:14:56
harder and these guys aren't pulling hard enough,
00:14:5600:15:00
which is going to shift the joint forward will shift the femur forward in
00:15:0000:15:06
this case. A little bananas huh? Give you got stuff to think about?
00:15:0600:15:09
Glad you learned your functional Anatomy yesterday because we couldn't even talk about this if we