Top 5 Fridays! My 5 Pre-Run or Workout Resets | Modern Manual Therapy Blog

Top 5 Fridays! My 5 Pre-Run or Workout Resets


Where would I be without MDT like resets? More asymmetrical and possibly injured that's where! Here are my 5 current pre-workout resets based on my current asymmetries.

 1) Repeated ankle plantarflexion
  • If I am limited in the half kneel ankle dorsiflexion test, I'll bust out 10-20 passive plantarflexion with slight inversion and retest
  • often I get right to the wall with little to no perception of "tightness"
2) Repeated tibial IR wrapped with an EDGE Mobility Band
  • next up is a tibial IR check in 90-90 sitting
  • if there is a loss (typically on my right side), I'll wrap my proximal calf with an EMB and perform the tibial internal rotation with half kneel either on the ground or up on a chair
  • next I go back to re-test 90-90 and it's often better in 10-20 reps
3) Repeated hip flexion
  • if I feel any pinch or loss of hip flexion or hip IR, it's repeated hip flexion
  • end range passively into flexion and slight abd/ER to go a bit further
  • re-check after 10-20 reps and the "FAI" like pinch is often gone
4) Thoracic whip to the right
  • this is easily checked with SFMA's lumbar lock shoulder ER test in quadruped
  • a loss for me is normally to the right being DN versus left being FN
  • ten thoracic whips to the right, followed by lots of nice cavitations - free of charge!
5) Ballistic Shoulder extensions
  • MRE patterns are a work in progress for me
  • I tend to be restricted bilaterally - which is why I don't work on them like I should, no asymmetry!
    • actually that's just laziness b/c there is no pain
  • I've been experimenting with ballistic shoulder extension, I thought, if it works for thoracic rotation, why not shoulder extension?
  • it ends up improving my flexion and MRE shoulder movements plus you do not need a counter or doorway to perform it passively
  • try it and report back - I even gave it to a patient in her late 60s for her shoulder and she loved it!


6 comments:

  1. Awesome stuff, dr. E. so do you find yourself using the pri stuff on patients now? Or are you still playing around with it?

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  2. Using more here and there, mainly on those who were not responding to my typical MDT + OMPT combo

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  3. I gave my husband, who has terrible shoulder mobility (and wants to play like Tiger) ballistic shoulder extensions because I knew he wouldn't take the time to do them passively. He did 2 sets of 10x, improved functional IR from sacrum to opposite scapulae bilaterally and his golf swing! He is now a believer and I see him flapping away to the bus stop every morning.

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  4. Awesome! I think they can replace the passive shoulder extension in most cases!

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  5. Big things with the SFMA shoulder patterns is that we stop the pattern once the back of the hand contacts the shirt/back. So any crawling or as Greg Rose calls it "dead fish" hops up the spine don't count. I love using video for this specifically spark motion because i can go frame my frame and stop it when I see the shirt dance.

    In no way is this comment related to the shoulder tx's shown however just wanted to help clarify the test.

    Thanks for sharing as always Edoggy.

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  6. Thanks for the clarification! That's a good analogy for the dead fish, I certainly don't own the movement on either pattern that's for sure

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