When I first came out of college I’d been the first to admit that the majority of rehabbing was putting strength on something if it wasn’t performing or the old reliable ‘the glutes for not firing’ was the answer to most things so I’d bury my elbow into your glutes for half an hour and tell you to go strengthen them. This didn’t always sit well with me and even though there may have been some short term results it was very seldom the solution.
Thankfully I kept asking questions and this opened up the opportunity to do yearlong pro-sport mentorship with Dave O Sullivan and a whole new evidence-based narrative on how the body functions and rehabilitation. His system takes in other practices from PRI to Anatomy in Motion, and studies from such people as Louis Gifford and Lois Laynee to name a few.
The big moment was when I realised that someone who plays sport is not always a good indicator of health or fitness. Just because they play a sport at a high level or not, you’d expect that they are functioning well. But the reality is in a lot of cases they are pushing the limit week in week out to stay on the pitch and as the season intensifies or games or races start coming thick and fast then the body breaks down.
There are five main factor we look at in Alleviate
Look at their biomechanical leaks – from midfoot to ribcage and from ribcage through shoulder to fingers.
- Midfoot pressures
- Required stiffness at ankles
- Co- contraction at knee
- Hip mobility and co-contraction
- Ribcage positioning and mobility from lower limb up and upper limb down
- Ability to tolerate load through shoulder, elbow and wrist efficiently
Use hands on techniques to desensitise overloaded structures and low load exercises to drive home the required movement pattern.
Ribcage mobility and breathing and respiratory system plays not only a massive role in movement variability it also has a massive effect on the nervous system.
Challenge base of support under low loads.
Increase speed of movement and load appropriately as client earns the right to proceed.
If you are fed up getting by game to game with old niggles or pains then its time to overcome these inefficiencies and make yourself robust. As Louis Gifford put it, we are looking for ‘thoughtless fearless movement’ when we race, play, fight or go into battle. If there is a fear avoidance at the back of you mind about pulling a hamstring or tearing your groin then the ability to perform at you best is erased.
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