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Brian Bradley has listed no financial interest/arrangement that would be considered a conflict of interest.
Brian Bradley has a direct affiliation with Egoscue, Inc. but has no affiliation with Dr. Kolar.
Tuesday, March 8, 2011
Brian BradleyVP, Therapy Protocol
Egoscue, Inc.
Tuesday, March 8, 2011
Brian Bradley
800-995-8434
bbradley@egoscue.com
www.patchfitness.com
Tuesday, March 8, 2011
Assures proper O2-CO2 ratio during normal daily breathing and is especially important during bouts of exertion or exercise.
O2=Low Acidity CO2=High Acidity The more efficient you breathe, the more
cardiovascular fitness you have. This translates into a more stable spine.(McGill)
Tuesday, March 8, 2011
The diaphragm was first described as a respiratory muscle with a postural function by Skladal, et al.(Liebenson C, Rehabilitation of the Spine. 2007)
Tuesday, March 8, 2011
© 2006 Primal Pictures
Tuesday, March 8, 2011
© 2006 Primal Pictures
The coordinated function of the diaphragm with the abdominal muscles is crucial for the anterior stabilization of the lumbar spine.(Kolar)
Tuesday, March 8, 2011
© 2006 Primal Pictures
The coordinated function of the diaphragm with the abdominal muscles is crucial for the anterior stabilization of the lumbar spine.(Kolar)
Horizontal by 4th month of life.
Tuesday, March 8, 2011
© 2006 Primal Pictures
The coordinated function of the diaphragm with the abdominal muscles is crucial for the anterior stabilization of the lumbar spine.(Kolar)
Horizontal by 4th month of life.
*Spinal extension(non-pelvic induced): inhibits the abdominals and the diaphragm from stabilizing the spine anteriorly.
Tuesday, March 8, 2011
Tuesday, March 8, 2011
Tuesday, March 8, 2011
Maximum load bearing, i.e. The best possible distribution of the load at the articular surfaces. (Implies maximum contact of the articular surfaces during each position in the course of movement.)
Tuesday, March 8, 2011
Maximum load bearing, i.e. The best possible distribution of the load at the articular surfaces. (Implies maximum contact of the articular surfaces during each position in the course of movement.)
Shoulder, spine, hip, knee, & ankle joint centration are accomplished ONLY when correct posture and joint position are achieved.
Tuesday, March 8, 2011
A faulty relationship of the various parts of the body which produces increased strain on the supporting structures and in which there is less efficient balance of the body over its base of support.
Florence Kendall, Muscles Testing and Function with Posture and Pain, 2005.
Tuesday, March 8, 2011
Tuesday, March 8, 2011
Tuesday, March 8, 2011
Tuesday, March 8, 2011
Tuesday, March 8, 2011
Attachments: *Central Tendon *Lower 6 Ribs and
their cartilage *Xiphoid process1-4 Lumbar bodies and
discs *Arcuate Ligaments
Tuesday, March 8, 2011
Diaphragmatic breath is always 3-Dimensional. An expansion that encircles the lower ribs, moving them without needing to enlist the intercostal muscles of the ribs.(+) In fact, there should be an actual spreading of the ribs.(palpation)
“Belly breathing”, commonly taught, causes the belly to distend forward and the drag it exerts can actually inhibit diaphragmatic breathing.(-) This movement is easier and often the path of least resistence. (Kolar, Liebenson, 2007)
Tuesday, March 8, 2011
Tuesday, March 8, 2011
The “bracing” of the abdominals during normal breathing should occur involuntarily.(TVA vs. Rectus Abdominus)
Tuesday, March 8, 2011
The “bracing” of the abdominals during normal breathing should occur involuntarily.(TVA vs. Rectus Abdominus)
Practicing a method to improve one’s posture, causing a better balanced muscular action, can create this needed, unconscious pattern to occur. This motor program can be altered by poor posture
and dysfunctional movement patterns.
Tuesday, March 8, 2011
Upper trapezius Levator Scapulae Internally rotated and Hinged Humerus Shortening of Pectoralis Compression of SC and AC joints
Tuesday, March 8, 2011
Tuesday, March 8, 2011
Rising up of the entire rib cage Chest movement dominates
over abdominal movement No lateral movement of the
lower ribs Reversed breathing movements
of the abdominals(paradoxical) Inability of the abdominal
muscles to “brace” the movement
Sighs and yawns are frequent OBLIQUE movement of
diaphragm
Tuesday, March 8, 2011
Tuesday, March 8, 2011
Negative pressure develops, especially in the upper fibers of the lungs.
Tuesday, March 8, 2011
Negative pressure develops, especially in the upper fibers of the lungs.
During inhalation, the scalenes become primary stabilizers to prevent an inward movement of the upper rib cage.
Tuesday, March 8, 2011
Negative pressure develops, especially in the upper fibers of the lungs.
During inhalation, the scalenes become primary stabilizers to prevent an inward movement of the upper rib cage.
SO…is posture relevant?
Tuesday, March 8, 2011
Negative pressure develops, especially in the upper fibers of the lungs.
During inhalation, the scalenes become primary stabilizers to prevent an inward movement of the upper rib cage.
SO…is posture relevant? Is C-Spine curvature relevant?
Tuesday, March 8, 2011
Negative pressure develops, especially in the upper fibers of the lungs.
During inhalation, the scalenes become primary stabilizers to prevent an inward movement of the upper rib cage.
SO…is posture relevant? Is C-Spine curvature relevant? Is Pelvic function relevant?
Tuesday, March 8, 2011
T-4 is the actual beginning of cervical spinal function.
Thoracic spine involved in flexion, extension, side flexion and rotation of the head.
(spinalis cervicis, semispinalis capitis, splenius capitis, splenius cervicis, longissimus cervis…T-4,5,6)
Tuesday, March 8, 2011
Prone crawling facilitates postural extension(Umphred, 2001)
Brugger, Janda, Kolar, Vojta, Lewit(Tonic/Phasic) Phasic(6 weeks to 4 years complete)
Functional chains of movement for developmental reflex locomotion Creeping Pattern Rolling Pattern Crawling Pattern
Tuesday, March 8, 2011
Tuesday, March 8, 2011
In co-activation of the diaphragm and the abdominal muscles, IAP is produced.
Very important role in anterior stabilization of the lumbar spine.
In order for pelvic floor, psoas, and a coordinated juncture at the thoracic-lumbar spine…IAP must be achieved.
Tuesday, March 8, 2011
Let’s talk about the direct muscular link from the Scapulae…down the thorax…to the pelvic floor.
Tuesday, March 8, 2011
© 2006 Primal Pictures
Scapula position is directly dependent upon normal thoracic spine extension.
Increase in flexion of thoracic spine causes anterior tilt of scapula.
Results in an inability to facilitate efficient movement due to oblique angle.
Tuesday, March 8, 2011
© 2006 Primal Pictures © 2006 Primal Pictures
Tuesday, March 8, 2011
© 2006 Primal Pictures
Common Functions: Upward Rotation of Scapula(LF), Downward Rotation of Scapula(UF), Protraction of Scapula, Depression of Scapula, Stabilizes medial border of scapula during arm movements at the shoulder.
Tuesday, March 8, 2011
© 2006 Primal Pictures
Interdigitates with Serratus Anterior & Lat
Unilateral Functions: Lateral thoracic & lumbar spine flexion, C-rotation of trunk
Bilateral Functions: Thoracic & Lumbar Flexion, Abdominal wall support, Forced expiration
Tuesday, March 8, 2011
© 2006 Primal Pictures
Overlooked Function: Form the punctum fixum(fixed end point) for the deep stabilizing system(Kolar, 2007)
Basically explains the need for a fully functional, efficient scapula and shoulder.
You must “anchor”
Tuesday, March 8, 2011
Supine Rib Lateral Movement Test
Sitting Rib Lateral Movement Test
Movement of the Sternum Test
Pullover Test(shoulder flexion)
Tuesday, March 8, 2011
Tuesday, March 8, 2011
Tuesday, March 8, 2011
Feet straight—a MUST! Pillow-Knee /
maintained Elbow pressure to block Unilateral movement of
upper extremity causes abdominal wall and lumbar spinal stabilizers to facilitate(hip translation and rotation movements).
Tuesday, March 8, 2011
Feet straight—a MUST! Pillow-Knee /
maintained Elbow pressure to block Unilateral movement of
upper extremity causes abdominal wall and lumbar spinal stabilizers to facilitate(hip translation and rotation movements).
Tuesday, March 8, 2011
Hips off of heels about 6 inches.
Knees and heels hip width apart.
Joint CENTRATION Roll hand over and
press elbow into floor. Breathe posteriorly
expanding the rib cage.
Tuesday, March 8, 2011
Feet wider than hips and pointed straight.
Slow, deliberate movement with slight pause at start position and at the end point of twist.
Relax upper body, especially upper back.
Watch for sternal tilt!
Tuesday, March 8, 2011
*Lumbar spine stabilization.
*Femur rotation*Humerus Centration*Scapular downward and
inward movement*Thoracic spinal change
as the e-cise progresses.
*Posterior breathing to facilitate a better pattern of movement.
Tuesday, March 8, 2011
Tuesday, March 8, 2011
Primative Movements www.patchfitness.com
Tuesday, March 8, 2011
Egoscue P: Pain Free: A Revolutionary Method For Stopping Chronic Pain. Bantam, 1999.
Egoscue P: The Egoscue Method Of Health Through Motion. Harper Collins, 1990.
Liebenson C: Rehabilitation of the Spine. Lippincott, Williams, & Wilkins, 2007.
Kendall F, Muscles Testing and Function with Posture and Pain, 2005.
Shirley D, W. Hodges: Spinal Stiffness Changes Throughout the Respiratory Cycle. J of Applied Physiology, 2003.
Tuesday, March 8, 2011
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