So a couple of weeks ago I flew out to Dubai to teach a seminar at D.I.S.C – Diversified Integrated Sports Clinic who I have to say were you superb hosts with a keen fire burning to learn and discuss concepts based around injury rehabilitation and performance.
Initially the seminar pertained around the nature of spinal and neck pain, but as these things do it quickly evolved and expanded into greater in depth discussions around movement, assessment of movement literacy and ‘training’ movement efficacy.
The demographic of the ‘class’ was made up of Chiropractors, Physiotherapists, Strength and Conditioning Specialists and Trainers, Osteopaths and Sports Rehabilitators and as such the challenge was fitting the two day event around everyone’s needs, backgrounds and relevant understand of the process and parts we play within that
The team at DISC were keen to look at the logistics of patient transition through the process above and where they can implement the ‘integrated’ aspect of their ethos to which we discussed at length many times of the weekend.
The key underlying message to the group in terms of moving forwards was that; Movement is key, train movement not muscles
Movement Literacy Assessments – Standing, kneeling, single leg, weight transition
Here we looked at the crooks of how we move starting with the whole system, then breaking it down like a CSI at a crime scene into pieces of evidence in which we build our theory as to the reason behind the physical breakdown.
The neck, back and knee are often sites of pain and strife for the general population and sports professionals yet as Ida Rolf once said “Where the problem is, isn’t often where it actually is”
Meaning that although the pain manifests in these particular sites it’s often the underlying contributing factors that cause such problems, Dr Stuart McGill also uses this mantra.
Finding the influencers – the hip, thoracic spine, the ankle and foot
We then moved onto areas that can influence our movement capability and subsequently result in the body using the path of least resistance to find a way to move, then once found how we go about addressing those issues – do we mobilise? Do we activate? Do we educate, integrate?
The core stability debate
As a group the weekend moved on from detection and deciphering movement into how this then becomes a training or rehabilitation regime for the patient to engage with and then move forwards or if they struggle how we regress this.
We looked at rigidity training vs transverse abdominus vs full body movements and the role of breathing and staging ‘training’ so when to implement and how during anyone’s routine.
Neurodynamics – the mobile but sensitive nervous system
I rounded off the weekend with a more specific topic looking at the role the nervous system plays in both movement and pain
- Tension testing – Overt/Covert responses, peripheral / central pain mechanisms and nervous or interface involvement
- ‘Blockers’ to neural sliding and function
- ‘Flossing’ the nervous system and promoting movement
Movement, efficient, unlimited, uncompromised, powerful movement – unlocking the potential for the human experience and identifying the contributing factors to breakdown and injury and hypothesizing ways to develop care pathway and recovery strategies – we are but fragile yet powerful, all we have to do is unleash it
In all the seminar was a great success and superb experience,
Thank you to Paul Morana for hosting me and setting it all up, the feedback with everyone working together in the gym is great to hear!!
I look forwards to next years instalment!!