Understanding movement dysfunction is an ever illusive topic.  I can see myself in my 70′s still pondering the best ways to try and understand, categories and screen for movement dysfunction (hopefully in a warm country!!).  However, striving for the best framework to assess and treat is something we all have to do, otherwise we wouldn’t have a basis to work.  So where does movement dysfunction come from?

As best as I can work out at the moment there are 3 fundamental aspects that drive movement dysfunction:

  1. The Range of Motion
  2. The Speed of the motion
  3. The Sequencing

This for the most part this comes from learning with Gary Gray and Dave Tiberio.  Though also, the development of the process has come from working with John Hardy of the last x years.

1.  Range of Motion

Initially, I was taught that there are 2 sides to this coin…too much range or too little range.  Successful movement is challenged when there is excessive/limited motion at a particular joint or plane of motion.  For example, if there is limited dorsiflexion range at the right foot  (for what ever reason for now), the body will have to choose a strategy to cope with that limitation.  That may mean an early heel lift, a foot that spins out or many other possible changes to gait (for example).  At a local level this may or may not have local consequences, however, in both of these examples the hip will also have a choice to make.  If the heel is lifting early the knee will have to flex limiting the hips ability to extend and load in the sagittal plane.  Also, if the foot spins out the hip will be unloaded in the transverse plane at a time when you really want it to load strongly into internal rotation.

The one thing I would add to this excessive/limited ROM thought process may be to add that it makes a big difference not just how much range, but where in the range the motion takes place.  For example, if the joint starts near end range there may not have any more motion to give.  This may give a real challenge to the muscles that would normally be loaded in that motion.

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How does Posture fit in?

I guess this links into posture.  If for what ever reason you are already in the position it’s very difficult to create motion and therefore load in that motion.  Imagine trying to triple extend into an explosive jump, but starting standing upright!  It’s not going to result in a great jump, you have load into triple flexion first.  This is a global example of course, but in my head I’m seeing this breaking down into single joints and planes at that joint that is the trigger for movement dysfunction.

I guess the other thing I would add to the range of motion discussion would be something I have learned more over the last year or so, which is ‘why is the range limited?’  Is it a structural thing, or is it a motor skill issue?  If it is a structural thing, is it something that can respond to treatment or is it something that is anatomical and needs strategies to work around the limitation?  If it is a skill issue, what are the strategies needed to teach this individual the movement skill they need?

Where next?

This last point is something I am really keen to explore over the next year or so.  I mentioned yesterday how I am listening to a book about the psychology of sports performance and I really see a clear link into teaching skill.  Even if that skill is not sports performance, it is still the skill of movement.  I’ve written about my belief in using subconsciously driven motion many a time…and the more I read the more I find that backs that up.

OK…it’s fair to say I was planning on writing about all 3 points in this post and I’ve reached  my word limit having only made it though the first!!  So I’ll have to finish off next time (or two!)….the next post I’ll take a look at the how movement dysfunction is affected by the speed of motion.

Plan Your Content

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If you’re considering adding a blog to your site, you’ll want to have a plan beforehand. Planning your blog will help your subject matter remain consistent over time. It’ll also help you determine whether or not there’s enough material to maintain a steady stream of posts.

One pitfall many new bloggers run into is starting a blog that isn’t posted to frequently enough. A shortage of recent posts can give your visitors a bad impression of your business. One may think “I wonder if they’re still in business” or “they may want to hire a writer.”

A blog, like any other customer facing aspect of your business, communicates your brand. If it isn’t maintained and given proper attention, people will notice. Post regularly and keep your content fresh. Give your audience a reason to visit often.

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Categories and Tags

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If you write about a variety of subjects, categories can help your readers find the posts that are most relevant to them. For instance, if you run a consulting business, you may want some of your posts to reflect work you’ve done with previous clients, while having other posts act as informational resources. In this particular case, you can set up 2 categories: one labeled Projects and another labeled Resources. You’d then place your posts in their respective categories.

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Pages vs. Posts

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If you’re new to WordPress you may be wondering what’s the big deal behind Pages and Posts. At first glance they appear to be one and the same: if you were to create either a new page or a new post you’d be presented with nearly identical interfaces and in many cases the public appearance of pages and posts will look the same.

Don’t let this fool you. There’s a very fundamental difference between the two and that difference is what makes CMSs, like WordPress, great platforms for integrating blogs with traditional websites.

Pages

Think about the kind of pages that make up a typical website. Most often you’ll see pages like “Home”, “About Us”, “Services”, “Contact Us”, etc. Within WordPress these are often treated as Pages; documents that have no particular regard for the time they were posted.

For example, when you visit the “About Us” page of your favorite company’s website you don’t expect the content to be very different from what was available there a week ago.

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