Full Course Description

Movement Specialist Certification

Program Information

Objectives

Identify the role of neuromuscular movement assessment.
Assess conscious(cortical) and unconscious(cerebellar) proprioception testing for the patient/client as it relates to human movement.
Compare and contrast the difference between mobility restrictions and neuro/somatic restrictions (Brain vs.Tissue).
Integrate the “3 Movement Pillars” and how they relate to human movement control and performance (Brain (Neurological/Psychological), Midline, Mechanical).
Evaluate movement assessment techniques to identify faulty motor patterns in fundamental movements (e.g.squatting).
Critique and demonstrate proper use of compression floss bands, foam rollers, kinesiology tape (as a motor control tool) and mobility balls for movement limitations.
Screen and develop movement with the use of exercise bands, agility and conditioning equipment as well as body weight correctives with appropriate progressions and regressions.
Integrate the use of digital motion analysis to objectively capture human movement.

Outline

Movement Specialist Certification: Conscious Movement

3 Pillars to Human Movement
Brain (Neurological/Psychological), Midline (Fascia), and Mechanical (Motor Movement)

Conscious awareness (proprioception) as it relates to human movement
Members of the three movement zones:
- Ankle Complex
- Hip Complex
- Shoulder Complex

Screening concepts, and highlight evidence supporting selected screening approaches for the three movement zones of the body.

Brain Screen
- Threat Assessment (Psychological Readiness Questionnaire) to evaluated patient/client’s behavioral/motivational attachment to movement.
  - Personality Screen to evaluate the person’s learning style to provide the coach or practitioner with the necessary information to best create behavior change.
  - Evaluate Conscious Human GPS System - Conscious neurological assessment using 2-point discrimination testing to assess quality of body representation.
    - Foot Complex
    - Hip Complex
    - Shoulder Complex
Midline Screen – Screen fascia’s contribution to planar movement function or dysfunction.
- Planar movement quality assessment
  - Modified Bunkie Test
    - Foot Complex
    - Hip Complex
    - Shoulder Complex
Mechanical Screen – Static/Dynamic Human Movement Screening
- Differences of mobility, motor control, and stability (Movement Pyramid)
- Joint by joint approach to identify mobility or stability limitations in movement

Brain Screen

Workshop Psychological Readiness Questionnaire to assess threat appraisal of the three movement zones
Workshop The “True Colors Personality Screen” to assess the personality type of the individual as it relates to their “coachability”
Perform evaluation of Conscious Human GPS System (2-point discrimination) to measure body representation of the three movement zones

Midline (Fascial) Screen
Workshop Modified Bunkie Test

Prone Plank
Supine Plank
R + L Side Plank
Prone Plank - Feet Elevated (Shoulder Dominant)
Prone Plank - Elbows Elevated (Hip/Ankle Dominant)
3 Point Plank - Upper Body Emphasis (unilateral eval control Shoulder Complex)
3 Point Plank- Lower Body Emphasis (unilateral eval control Hip Complex)

Mechanical Screen
Introduce and demonstrate the importance of a safe, effective and efficient screen of a fundamental movement pattern (Deep Body Weight Squat).

Demonstrate and Practice Subjective Squat Screening
- Foot Complex
  - Mobility (lacks ankle DF) (soft: foam roll/ball/floss) (joint: floss/ex bands)
  - Stability (planar leak) (agility/conditioning equip or bands)
  - Motor Control (balance issue or bilateral imbalance) (vibe/floss)
- Hip Complex
  - Mobility (lacks flexion/pelvic tilt) (soft-bands, foam roller) (joint-banded mobes/floss)
  - Stability (planar leak) (plank progressions/BW/RNT w bands)
  - Motor Control (timing/awareness issue) spiky ball/vibration/pacinian upregulation
- Shoulder Complex
  - Mobility (lack of shoulder flexion with OH squat)
  - Stability rib flare
  - Motor Control (eliminate mobility and stability, then this is the culprit)
Demonstrate and Practice Objective Squat Analysis - Digital Motion Analysis Technology demonstration and comparison.
- Use digital technology to evaluate joint mechanics and performance of squat
  - Foot Complex
    - Dorsiflexion/Plantarflexion
  - Hip Complex
    - Flexion of Hip, Flexion of Trunk
  - Shoulder Complex
    - Flexion with OH Squat
Subjective vs objective analysis results

Improve Squat Performance: Use data collected from Brain, Tissue and Mechanical Screens
Demonstrate and practice corrective strategies to remediate identified dysfunctions of the three movement centers

Foot Complex Interventions:
Triage primary impairment

Mobility Impairment, initiates mechanical intervention
Stability Impairment, initiates tissue intervention
Motor Control Impairment, initiates brain intervention

Select appropriate tools mobility balls, exercise bands, foam rollers, compression flossing bands, kinesiology tape, agility and conditioning equipment
Re-Screen Squat to assess change

Utilize results from the screen to intervene:
- Mobility Intervention
  - Mechanical problem needs mechanical solution
  - If not Mechanical look to Tissue
  - Mobility Tactics – Neurologic Foam Rolling, Targeted Compression Floss Bands, Vibration techniques.
- Stability Intervention
  - Tissue problem needs tissue solution
  - If not Tissue, look to Brain
  - Stability Tactics – Exercise bands isolated exercise
    - Isotonic, Eccentric, Isometric use of exercise bands
  - Use of body weight plank progression/regressions
    - Sagittal Plane (Anterior/Post Chains) – Prone Plank Progressions/Regressions
    - Frontal Plane (Lateral Chain)– Side Plank Progressions/Regressions
    - Transverse Plane (Functional/Helical Chains) – Upper/Lower Anti-Rotation Control Progression and Regressions
    - Re-Screen Squat to assess change
- Motor Control Intervention
  - Brain problem needs brain solution
  - If not Mechanical or Tissue, Brain is only culprit left
  - Motor Control Tactics – Kinesiology Tape, Foam rollers, mobility balls, exercise bands and vibration
  - Threat Tactics- psych-social considerations, client/patient education, regressions of squat with equipment (chair), increased physical or psycho/social support

Hip Complex Interventions:
Triage primary impairment

Mobility Impairment, initiates mechanical intervention
Stability Impairment, initiates tissue intervention
Motor Control Impairment, initiates brain intervention

Select appropriate tools mobility balls, exercise bands, foam rollers, compression flossing bands, agility and conditioning equipment
Perform tool-based intervention
Re-Screen Squat to assess change

Utilize results from the screen to intervene:
- Mobility Intervention
  - Mechanical problem needs mechanical solution
  - If not Mechanical look to Tissue
  - Mobility Tactics – Neurologic Foam Rolling, Targeted Compression Floss Bands, Vibration
- Stability Intervention
  - Tissue problem needs tissue solution
  - If not Tissue, look to Brain
  - Stability Tactics – Exercise bands isolated exercise
    - Isotonic, Eccentric, Isometric use of exercise bands
  - Use of body weight plank progression/regressions
    - Sagittal Plane (Anterior/Post Chains) – Prone Plank Progressions/Regressions
    - Frontal Plane (Lateral Chain)– Side Plank Progressions/Regressions
    - Transverse Plane (Functional/Helical Chains) – Upper/Lower Anti-Rotation Control Progression and Regressions
    - Re-Screen Squat to assess change
- Motor Control Intervention
  - Brain problem needs brain solution
  - If not Mechanical or Tissue, Brain is only culprit left
  - Motor Control Tactics – Kinesiology Tape, Foam rollers, mobility balls, exercise bands and vibration
  - Threat Tactics- psych-social considerations, client/patient education, regressions of squat with equipment (chair), increased physical or psycho/social support

Shoulder Complex Interventions:
Triage primary impairment

Mobility Impairment, initiates mechanical intervention
Stability Impairment, initiates tissue intervention
Motor Control Impairment, initiates brain intervention

Select appropriate tools mobility balls, exercise bands, foam rollers, compression flossing bands, agility and conditioning equipment
Perform tool-based intervention
Re-Screen Squat to assess change

Utilize results from the screen to intervene:
- Mobility Intervention
  - Mechanical problem needs mechanical solution
  - If not Mechanical look to Tissue
  - Mobility Tactics – Neurologic Foam Rolling, Targeted Compression Floss Bands, Vibration
- Stability Intervention
  - Tissue problem needs tissue solution
  - If not Tissue, look to Brain
  - Stability Tactics – Exercise bands isolated exercise
    - Isotonic, Eccentric, Isometric use of exercise bands
  - Use of body weight plank progression/regressions
    - Sagittal Plane (Anterior/Post Chains) – Prone Plank Progressions/Regressions
    - Frontal Plane (Lateral Chain)– Side Plank Progressions/Regressions
    - Transverse Plane (Functional/Helical Chains) – Upper/Lower Anti-Rotation Control Progression and Regressions
    - Re-Screen Squat to assess change
- Motor Control Intervention
  - Brain problem needs brain solution
  - If not Mechanical or Tissue, Brain is only culprit left
  - Motor Control Tactics – Kinesiology Tape, Foam rollers, mobility balls, exercise bands and vibration
  - Threat Tactics- psych-social considerations, client/patient education, regressions of squat with equipment (elastic band), increased physical or psycho/social support

Copyright : 10/29/2019

Subconscious Movement: A Dynamic Systems Approach to Breathing and Gait Analysis

Advanced Movement Specialist Certification

Program Information

Objectives

Examine the role of neuromuscular movement assessment.
Assess automatic/unconscious awareness of human movement (breathing and gait)by screening the balance and coordination systems.
Compare and contrast the difference between mobility restrictions – neural vs. somatic restrictions (Brain vs Tissue).
Integrate the “3 Movement Pillars” and how they relate to human movement control and performance (Brain (Neurological/Psychological), Tissue, Mechanical).
Demonstrate movement assessments that identifies the ability to associate and dissociate segments of the body as they relate to gait/breathing movement patterns.
Apply, practice and employ corrective strategies that involve the ability to associate (integrate) and dissociate (mobilize) different segments of the body.
Critique and demonstrate proper use of compression floss bands, foam rollers and mobility balls for movement limitations.
Develop and appraise movement with the use of exercise bands, agility and conditioning equipment as well as body weight correctives with appropriate progressions and regressions.
Introduce and integrate the use of digital motion analysis to objectively capture human movement.

Outline

Advanced Movement Specialist Certification: Subconscious Movement
3 pillars to Human Movement

Brain (Neurological/Psychological)
Tissue (Fascia)
Mechanical (Motor)

Unconscious coordination as it relates to human movement (breathing and gait)
Role of the nervous system as it seeks safety and the ramifications of threat on human movement

Movement assessment techniques to evaluate the functions of 4 movement centers (Ankle Complex, Hip Complex, Thorax Complex and Shoulder Complex):

30,000 ft view
Brain Screen –
- Threat Assessment as it applies to Breathing and Gait (Psychological Readiness Questionnaire) to evaluate patient/client’s behavioral/motivational attachment to movement.
  - Ankle Complex (gait)
  - Hip Complex (gait)
  - Thorax Complex (breathing)
  - Shoulder Complex (breathing)
- Evaluate coordination and balance capability as it applies to Breathing and Gait
Tissue Screen – Evaluate fascia’s contribution to planar movement function or dysfunction in breathing and gait.
- Advanced Modified Bunkie Test
  - Ankle Complex
  - Hip Complex
  - Thorax Complex
  - Shoulder Complex
Mechanical Screen – Static/Dynamic Assessment of Breathing and Gait
- Discuss biomechanical association/dissociation concepts apply these concepts to breathing and gait

Brain Screen Methods Workshop
Measure the performance of unconscious coordination. Balance/Coordination Screens:

Physiology relationship to breathing coordination and gait coordination (Clinical relevance)
Identify unconscious coordination of the body: (cerebellar)
- Modified Rhomberg (Full-Body Coordination)
  - Dynamic upgrade: Tandem Walk
  - Dynamic upgrade: Backwards Walk
- Hand Tapping (Upper Extremity Coordination)
  - Dynamic upgrade: Nose Finger Nose
- Rolling Patterns (neuro-motor assessment)
  - Supine to Prone
  - Prone to Supine
  - Upper Body Quiet
  - Lower Body Quiet

Tissue (Fascial) Screen Methods Workshop
Workshop Advanced Modified Bunkie Tests:

Discuss physiology relationship to breathing coordination and gait coordination (Clinical relevance)
- Sagittal:
  - Prone Plank - Elevated (UE or LE)
  - Supine Plank - Elevated (UE or LE)
- Frontal
  - R/L Dynamic Side Plank - Hip Drop
    - Regression to knee (dosage is until planar spillage)
  - R/L Side Plank - Top Leg Lift
    - Regression to knee (dosage is until planar spillage)
- Transverse
  - 3 Point Plank - Upper Body Emphasis (eval control Shoulder Complex)
  - 3 Point Plank- Lower Body Emphasis (eval control Hip Complex)

Mechanical Screen of Breathing and Gait

Identify normal behavior of the four centers of human movement during breathing and gait

Discuss physiology relationships present in normal breathing coordination and gait coordination (Clinical relevance)
Introduce concepts of blocked vs slinky performance of unconscious movements.
- Block: Associated movements are dysfunctional
- Slinky: Disassociated or segmental/sequential motions are ideal
Observe subjective performance of the 3 of the 4 Centers of Human Movement during Breathing
- Is your breathing performance BLOCK or SLINKY
  1. Dissociation Assessment
    - Thorax Complex vs Hip Complex
      - Lumbar extension vs rib expansion cheat (supine)
      - Increase the hoop 360 breath (sit/stand)
      - Lateralization of breath (sit/stand)
    - Shoulder Complex vs Thorax Complex
      - Supine shoulder disassociation with thorax expansion (supine)
      - Supine shoulder disassociation with thorax expansion (sit/stand)
  2. Association Assessment
    - If breathing performance is blocked...dysfunction is present
Introduce concepts of blocked vs slinky performance of unconscious movements.
- Block: Associated movements -dysfunctional
- Slinky: Disassociate or segmental/sequential motions - ideal
Observe subjective performance of the 4 Centers of Human Movement during Gait
- Is your gait performance BLOCK or SLINKY
1. Dissociation Assessment
  - Ankle Complex vs Hip Complex
    - Shank progression
    - Bilateral comparison
  - Hip Complex vs Thoracic Complex
    - Pelvic R/L Rotation
    - Femoral IR/ER Assessment
  - Thorax Complex vs Shoulder Complex
    - Arm Swing
2. Association Assessment
  - If gait performance is blocked...dysfunction is present
Provide feedback on efficiency/economy of movement performance of breathing and gait.

Corrective Strategies to Address Movement Pattern Dysfunction

Ankle Complex Interventions:
- BRAIN Corrections – Threat Reduction Correctives
  - Improve unconscious coordination awareness via balance, coordination correctives
  - Instruct novel use of exercise bands and agility and conditioning equipment as sensori-motor tools
  - Re-Screen Gait to assess changes
- TISSUE Corrections –
  - Fascial Stability - Use of exercise bands and agility and conditioning equipment to improve planar control
  - Re-Screen Gait to assess change
- MECHANICAL Corrections – Movement Correctives
  - Disassociation Tactics – Therapeutic exercise bands, compression flossing bands, mobility balls, corrective exercise bands, foam rollers, and agility tools to aid in dissociation of body segments.
  - Stability Tactics – Therapeutic exercise bands
    - Global Movement Correctives
  - Re-Screen Gait to assess change
Hip Complex Interventions:
- BRAIN Corrections– Threat Reduction Correctives
  - Improve unconscious awareness via balance, coordination, and use of agility and conditioning equipment.
  - The novel use of exercise band as sensori-motor tools
  - Re-Screen gait to assess change
- TISSUE Corrections –
  - Fascial Stability - Use of exercise bands and agility and conditioning equipment to aid in fascial stability
  - Re-Screen gait to assess change
- MECHANICAL Corrections – Movement Correctives
  - Disassociation Tactics – Therapeutic exercise bands, compression flossing bands, mobility balls, corrective exercise bands, foam rollers, and agility tools dissociation/differentiation of body segments to improve quality of body representation.
  - Stability Tactics – Corrective Bands (Focus on Global Methods for association/disassociation)
    - Global (Movement) Correctives – agility and conditioning equipment
  - Re-Screen Gait to assess change
Thorax Complex Interventions:
- BRAIN Corrections– Threat Reduction Correctives
  - Improve unconscious awareness via balance, coordination, and use of conditioning tools.
  - The novel use of exercise band, agility and conditioning equipment as sensori-motor tools
  - Re-Screen Breathing to assess change
- TISSUE Corrections –
  - Fascial Stability - Use of exercise bands and bodyweight to aid in fascial stability
  - Re-Screen Breathing to assess change
- MECHANICAL Corrections – Movement Correctives
  - Dissociation Tactics – Therapeutic exercise bands, compression flossing bands, mobility balls, corrective exercise bands, foam rollers, and agility tools dissociation/differentiation of body segments to improve quality of body representation.
  - Stability Tactics – Corrective Bands (Focus on Global Methods)
    - Global (Movement) Correctives – Foam Roller, Compression Floss Bands
  - Re-Screen Breathing to assess change
Shoulder Complex Interventions:
- BRAIN Corrections– Threat Reduction Correctives
  - Improve unconscious awareness via balance, coordination correctives
  - The novel use of exercise bands and mobility balls as sensori-motor tools
  - Re-Screen Gait/Breathing to assess change
- TISSUE Corrections –
  - Fascial Stability - Use of exercise bands and compression floss bands to aid in fascial stability
  - Re-Screen Gait/Breathing to assess change
- MECHANICAL Corrections – Movement Correctives
  - Dissociation Tactics – Therapeutic exercise bands, compression flossing bands, mobility balls, corrective exercise bands, foam rollers, and agility tools dissociation/differentiation of body segments to improve cortical awareness/control.
  - Stability Tactics – Plank progressions with equipment
  - Re-Screen Gait/Breathing to assess change