Conjugate in the Clinic: Michal Bazgier’s Internship Project

We wanted to showcase the final project from Michal Bazgier, a practitioner based in the Czech Republic, who recently completed an internship exploring the innovative application of Conjugate in the Clinic to address a hip joint case.

Michal’s project highlights how a strategy traditionally used for strength training can seamlessly adapt to clinical environments to enhance treatment outcomes. By leveraging Absolute’s Conjugate Strategy, he demonstrated how to address multiple physical capacities simultaneously, stimulating the individual from Point A (current state) closer to Point B (optimal physical state).

Here are Michal’s case notes from the treatment section, providing detailed insights into his application of the Conjugate Strategy during the hip joint treatment in the video:

CONJUGATE IN THE CLINIC: Hip as a dimension joint.

In this article we want to show how important it is to use multiple inputs simultaneously and think about joints more in a 3D space rather than single motions. In this hip specific case, we will show how we use multiple inputs to improve connective tissue architecture, build load bearing capacity, get better afferent and efferent flow and overall move closer to Point B. Readers of Absolute will understand that hip joint dysfunction often has multiple contributing factors that must be parsed by the practitioner and placed into a framework whereby there is an establishment of a hierarchy of needs and a linkage between all of those needs and how acquiring them may be accomplished through multiple treatment and training inputs simultaneously. This framework as described previously at Absolute is Conjugate in the Clinic. Let’s get into it!

TODD, Hip and lower back pain

Patient, named Todd, is describing discomfort in his right hip that feels like a pinching sensation on the front side of the hip where Musculus Rectus Femoris is attached to the SIAS (Spina Iliaca Anterior Superior). This behavior is occurring while doing tricks on skateboard (especially “ollies“ where his right hip is the back leg on the skateboard) where he has to go into hip flexion. This is also associated with lower back pain while walking. Tod is describing that if he misses a step with his right leg while walking he can feel sharp pain going from SIAS down to the middle of the thigh.

ASSESSMENT

During the assessment of Tod’s hip we found these major findings:

• Internal Rotation: Stopped by pinching and blocking on the front side of the hip closer to the SIAS.

• External Rotation: It was associated with lateral deviation of the thigh. At the end range of external rotation Tod was feeling stretch on the posterior side of the hip and on the lateral side of his hamstrings. There was no pinching or blocking.

• Flexion with Bend Knee: Tod was describing pinching and blocking in the front of the hip (closing angle) where his Musculus Rectus Femoris is attached to the SIAS. He also described mild stretch on the back side of his hip.

• Flexion with Straight Knee: Flexion was associated with pelvic movement right around 45 degrees of hip flexion. Tod described that while he is walking he feels that more in his back than his hips. This assessment proved that to be right because his right hip is not moving accordingly to the pelvis so pelvis does its job for the hip.

This assessment and Todd’s description showed us the dysfunction of his hip joint. There is a limitation in rotational movement (Internal Rotation) but also in linear movement (Flexion). We are dealing with suboptimal connective tissue of the hip joint capsule that is leading to abnormal behavior. Suboptimal connective tissue of the posterior hip joint capsule is pushing the ball out of the socket so it pinches on the opposite side while doing rotational and also linear movement. Lateral deviation while doing external rotation shows that the ball is getting rejected out of the capsule because of the abnormal connective tissue, meaning: he is trying to rotate with his femur but it is going into the linear motion instead.