When working with a client who requires conditioning to prevent injury or ‘pre-habilitation’ the most difficult aspect is being able to identify what could be a cause of what may go wrong! Of course the list could be endless. Where do you start?
Prior to training application effective screening is a must which should include Injury history past and present, movement/postural screens that allow you to identify any imbalances, restrictions and compensations and relevant strength and stability tests.
Once screened effective progressive training (controlled overloads) should be applied with correct recovery and nutrition effective periodisation one would assume.
3D Movement Analysis
There are numerous protocols out there for screening the neuromuscular and skeletal systems from static to dynamic posture assessments through to passive/active range of movement and numerous strength/stability tests.
At KiMotion once a client is cleared medically part of our approach is to apply the principle of active upright and dynamic motion analysis to help us identify where there may be discrepancies in how the bones move, what the joint motion feels and how the muscles consequently react throughout the segments of the kinetic chain in a given movement.
With this method you will be able to get more relevant information about how the client moves in upright function as opposed to laying them on a therapy couch using a passive approach.
The principles developed by the Gary Gray and the Gray Institute has significantly influenced how we operate in practise and to aid our observation we use video analysis to see exactly how our client performs in various assessment screens; ideally non-fatigued and then fatigued so as to exaggerate any issues. Once any discrepancies are identified strategies are put in place and techniques applied to improve the motion/discrepancy.
The clip below shows a client before and after techniques to mobilise have been applied and these analysis skills and techniques form part of our Level 1 Course.
Before Mobilisations – Pause the clip at 1:19 and you will see increased left hip flexion and forward lean in order to load his left glute max
After Mobilisations - Pause the clip at 0:46 and you will see increased left hip adduction, internal rotation and less forward lean in order to load his left glute max more effectively in all it’s 3 planes – ensuring a more efficient kinetic chain function.
Gary Gray, Dr David Tiberio, Doug Gray Gray Institute