Love this in depth break down! Thank you for the time to be extremely descriptive. Not sure about the other's but these types of case studies with assessment, thought process, and programming are very helpful for my way of learning.
In the case of the above mentioned athlete, the first aim is to be able to access capsular tissue of the hip joint. This is achieved through ME PAILs/RAILs. I assume you are choosing a position that biases hip flexion and Int. Rot. - eg. 90/90 - and sticking with that position each time the athlete preforms ME P/R. What if this position does not elicit the outcomes you were looking for? Will you look to change the position the method is taking place in, or will you reassess the athlete to see if something was overlooked?
Good question - I assess the hip joint to tease out what specific area of the capsule is suboptimal is causing the joint dysfunction. This is something we can do a video on. For athletes who I assess that have suboptimal capsules and joint dysfunction, rarely do I use 90/90. In doing it this way, I do not have to be concerned if positive and favorable training effects are being elicited.
If I understand correctly, you assess the hip joint capsule, find the area of capsular restriction, and begin applying PAILs at the appropriate intensity to that area?
I am assuming you see most athletes irregularly (as in the case with this NFL athlete) - meaning homework is essential. Are you showing the athlete how they can re-create a similar position to access the capsular restriction and apply inputs in on their own?
Good question - based off the assessment I treat accordingly for that session. For homework, based off of the session I prescribe training from the exercise library that is on Gain Acces.
Why did you not assess the knee? Probably is secondary for athlete's problem, but in the second session I think coul be useful to assess the rotational capacity of the knee!
Would be useful to make a short video in which you show us some example of the input 2-3 (sorry, I didn't attend the ISM yet); if I understand correctly, Input 2 refers to pogressive loading with iso at lenght (PAILs) and Input 3 to lenght (eccentric work)? Could you tell me if I'm wrong?
I did assess the knee joint, just didn't write about it. We did a video where I discus the findings at the knee joint.
Yes you understand the overall strategy of progressing from input 2 and 3, just like anything there are nuances to make it more specific - but your overall understanding is not wrong.
Also from your feed back form athletes in the multiple sports are you finding that a majority or good portion are not getting any form of assessments to this degree, if any when going into off season training or even from a medical/physical standpoint? The ones I have either worked with or just have had discussions with state that most is just come in and have exercises that they go through as some form of warm up or screening tool and programming goes from there. Similar in terms of rehab or in season "treatment" Trying to find ways to bring this to light within team settings or even within the players themselves as they get pulled in all these different directions and sold on all of these gadgets, therapies, and silver bullets. As well as what you mentioned in the post, do they stick with it and continue with training or get distracted into the flashy exercise stuff. How do you go about in discussion with them or the gym/trainers they work with to focus in on doing the work they can see makes change and builds the capacity and qualities they need for sport and longevity and not get bogged down in what they think they have to do because it has been the way or it is what they see others doing?
Given that you only had the brief moment with the athlete and they are not coming from a place that utilizes FRS/ISM methods, what communication strategies do you use in order to increase the likelihood of them following through with care model when they are back at the place they train? Are you contacting or having any discussions with their strength coach/medical staff as to your reasoning or strategies to implement into their program? I have had difficulties in the past with once athletes return back to their training facilities, if the place doesn't utilize certain methods or standards they fall back into what they were doing. Just trying to figure out different ways to address this and communicate the message.
Love this in depth break down! Thank you for the time to be extremely descriptive. Not sure about the other's but these types of case studies with assessment, thought process, and programming are very helpful for my way of learning.
Of course! Thanks for the feedback!
Hey John,
In the case of the above mentioned athlete, the first aim is to be able to access capsular tissue of the hip joint. This is achieved through ME PAILs/RAILs. I assume you are choosing a position that biases hip flexion and Int. Rot. - eg. 90/90 - and sticking with that position each time the athlete preforms ME P/R. What if this position does not elicit the outcomes you were looking for? Will you look to change the position the method is taking place in, or will you reassess the athlete to see if something was overlooked?
Thanks
Good question - I assess the hip joint to tease out what specific area of the capsule is suboptimal is causing the joint dysfunction. This is something we can do a video on. For athletes who I assess that have suboptimal capsules and joint dysfunction, rarely do I use 90/90. In doing it this way, I do not have to be concerned if positive and favorable training effects are being elicited.
If I understand correctly, you assess the hip joint capsule, find the area of capsular restriction, and begin applying PAILs at the appropriate intensity to that area?
I am assuming you see most athletes irregularly (as in the case with this NFL athlete) - meaning homework is essential. Are you showing the athlete how they can re-create a similar position to access the capsular restriction and apply inputs in on their own?
Good question - based off the assessment I treat accordingly for that session. For homework, based off of the session I prescribe training from the exercise library that is on Gain Acces.
Thank you John
Great topic and thought processs!
Why did you not assess the knee? Probably is secondary for athlete's problem, but in the second session I think coul be useful to assess the rotational capacity of the knee!
Would be useful to make a short video in which you show us some example of the input 2-3 (sorry, I didn't attend the ISM yet); if I understand correctly, Input 2 refers to pogressive loading with iso at lenght (PAILs) and Input 3 to lenght (eccentric work)? Could you tell me if I'm wrong?
I did assess the knee joint, just didn't write about it. We did a video where I discus the findings at the knee joint.
Yes you understand the overall strategy of progressing from input 2 and 3, just like anything there are nuances to make it more specific - but your overall understanding is not wrong.
Thanks John for the answer, I appreciate!
Input 2 - Connective Tissue Architecture - Improve connective tissue architecture (elevator vs. escalator)
Think Length/Loading progression -> At Length/To Length
Eg. Isoramping - Positional Isos - - - ENG
Input 3 - Connective Tissue Load Bearing Capacity - Build connective tissue load bearing capacity
Can choose sports specific strategies
At length, to length, to length with optimal velocity - what rate does the tissue need to absorb load?
Ballistic Isos, overspeed eccentrics, pulses
Yes this is more detailed - good understanding!
Also from your feed back form athletes in the multiple sports are you finding that a majority or good portion are not getting any form of assessments to this degree, if any when going into off season training or even from a medical/physical standpoint? The ones I have either worked with or just have had discussions with state that most is just come in and have exercises that they go through as some form of warm up or screening tool and programming goes from there. Similar in terms of rehab or in season "treatment" Trying to find ways to bring this to light within team settings or even within the players themselves as they get pulled in all these different directions and sold on all of these gadgets, therapies, and silver bullets. As well as what you mentioned in the post, do they stick with it and continue with training or get distracted into the flashy exercise stuff. How do you go about in discussion with them or the gym/trainers they work with to focus in on doing the work they can see makes change and builds the capacity and qualities they need for sport and longevity and not get bogged down in what they think they have to do because it has been the way or it is what they see others doing?
Good questions
I understand the topic you are discussing but what is the specific question?
Given that you only had the brief moment with the athlete and they are not coming from a place that utilizes FRS/ISM methods, what communication strategies do you use in order to increase the likelihood of them following through with care model when they are back at the place they train? Are you contacting or having any discussions with their strength coach/medical staff as to your reasoning or strategies to implement into their program? I have had difficulties in the past with once athletes return back to their training facilities, if the place doesn't utilize certain methods or standards they fall back into what they were doing. Just trying to figure out different ways to address this and communicate the message.