If you want information on CATAPULTING your practice, learning new techniques, and being one of the best at what you do, go and check it out, a few minutes browsing sites to help your business........can't hurt?
We are headed over there, this site is dead, boring, and will go MIA very soon.........We will see you over there!
One of the biggest trends and continues become a tool that every trainer utilizes is Self Myofascial Release. SMFR (Self Myofascial Release) education and implementation is a great advancement in the health and fitness industry because it is in the best interest of our clients, we are obtaining greater goals, and decreasing pain!
A story about fascia.........
Fascia is a thick membranous envelope with a lubricating fluid. This is a continuous tissue that extends from head to toe, front to back, surrounding every orgran, blood vessel, nerve, muscle, EVERYTHING!.
The purpose of the Fascial System: The Support and Lubricate. An example of this is to create a gliding in between tissue, orgrans, and bone without any "catch"
Pull on a persons arm, they feel it in their shoulder and neck, even if only the skin is in traction. In health, fluids flow with relative ease from one fascial compartment to the next. When a traumatic injury pattern is established, the fascia may twist and compress. The exchange of fluid may become compromised, and physiology may be impaired.
What if there is an Adhesion between Neighbouring Tissues?
There will be pain in the area, due to friction of the surrounding tissue's, and there will be dysfunction along the myofascial chain.
An untreated scar will cause this. After the scar has become adhesed, it will bind all the tissue's, decrease the fluid, and increase the friction. No matter how many passes or SFMR techniques you perform, this will not decrease!
A common treatable scar that we see on a weekly basis at DT&R is a Scar from Appendix Surgery. Patients usually come into our office complaining of shoulder or knee pain, and after evaluation, we discover an adhesion, "unhappy" scar.
This scar sits right at the change of direction in the Anterior Spiral Fascial Chain and will cause a inferior tension on the Shoulder Joint, and Superior tension on the opposite knee!
Now, if you are a trainer or coach reading this blog, SCARS can cause havoc and headaches if you are trying to get your clients tissue to become more "pliable".
We receive emails from trainers all the time asking what the next step is and what to do if you came across a road block in SMFR....
The best way is to refer out, and get the scar to become pliable and moving better, then the practitioner should send that client back to yourself to work on the rest of the Soft Tissue and Myofascial Work.
What will the practitioner do?
- Graston or SASTM Technique
- Massage: Frictions around the Scar or Adhesed area
- Osteopathy: Scar Work (In my opinion, one of the best routes to go!)
How do you know if the scar is adhesed?
There is a simple way to assess if a scar is adhesed and causing issue or not.
1) Find the Scar
2) Go 2 Finder breathes Medially, Laterally, Inferior, or Superior from the scar site
3) Slightly contact skin and Fascia, then apply tension distally from the Scar
4) DOES IT MOVE??
If it does, there is an adhesion present. Refer or work with a practitioner that performs scar work, or Myofascial Release. Once treatment is underway, start to foam roll, use the stick, and other other tool become mobile, strong, and healthy!
On a separate note, we are going to dive into more BUSINESS info on here. If there is anything that you would like covered, post it at the bottom.
Here in Southern Ontario we are a hockey nation. It has been a great start to the year, the Maple Leafs are 4-0 (best start since I can remeber......), a few of our players are already in talks with Junior Clubs, and the Canadian Human Performance Centre and DT&R are expanding rapidly!
With the cold weather, hockey arena's back open, and hockey fever in the air, there seems to be a new wave of injuries that we are seeing in our clinic: Adductor Strains.
If an athlete comes into our facility with a "Groin Pull", it brings 2 conclusions to mind:
1) There is an imbalance present that is creating stress through the adductor muscle group
2) There is an improper conditioning and exercise progran implementation. (1 usually is lead into #2)
Most patients that come through our office, currently or have recieved regular manual therapy for the problem. This usually consist of a modality like ultrasound or laser on the affected area, massage thechniques or active release, and maybe some taping.
These athletes always seem to come back with the same complaint...........GROIN PAIN!
Why don't we fix the root of the problem so this never comes back and the athlete gets back to play or life at optimal performance??
A few Things to look for with "Adductor Pain":
1) The strength and muscle firing of the QL on the same side of the dysfunction. This could also lead to an imbalance in the pelvis which will cause dysfunction. There is a strong Osteopathic relationship between the QL and Adductor Group. Working and relieving one group, can counter balance the other, and vice-versa..
2) Pelvis Alignment. In my personal experience, the Innomonant or hip bone on the side of the dysfunction has an Anterior Rotation and Superior Shear. This will show as unlevel and ASIS (anterior superior illiac spine)
3) The Glute Max and External Rotaters are tight and weak. Yes, this is possible to have both present at once. This will cause a External Rotation of the femur resulting in excess force and strain through Adductor Magnus.
4) The Pubic Symphisis Joint. NO ONE EVER ASSES THIS JOINT. Either because the practitioner is nervous or unaware, it must be assesed and treat for every condition in the body!
5) Ankle Mobility. If the is a lack of Dorsi Flexion at the Sub Talar Joint, there will be an excess of Knee Flexion and Internal Rotation, thus causing a shear at the knee, and more stress through the Adductor Group.
Adductor Prevention is important to keep athletes on the field or ice. We should always be assessing biomechanics of the lower extremity, and muscle strength test to keep our patients and clients healthy.
Here is a video protocol. It is a basic stream of exercises for the readers at home that would like to prevent this injury:
2. We have just launched a great video with Mindi Obrien from Team Obrien Fitness and Dynamic Rehab. Rachel LeBlanc, Canada's newest IFBB Pro flew in from New Bruinswick (Far East Coast) over the summer to recieve treatments and workouts. Check out the video!
3. For all the Manual Therapist that read this blog, we are working on a new project that is going to take your business and practice to the next level.........that is all we are going to unleash now........
Everything I read online, from blogs, twitter, accounts, and articles, everyone seems to be a true advocate of find the dysfunction, treat the dysfunction, and pain will go away!
When it comes to the neck, all these rules seemingly disappear!
When a patient/client with chronic posterior neck pain (fairly common now in our society), most practitioners seem to work strictly on those muscles, the ones in pain!
Why do we do this? Does it Help Our Patients?
Most professionals do not truly understand the neck or sometimes weary of entering the anterior structures because there is so much “stuff” located here, like the brachial plexus, important arties, and lymph nodes.
There are many important structures that need to be addressed when dealing with posterior neck pain. For the purpose of this informational blog, we are only going to go through two:
Two anatomical components that we should look for when treating chronic neck pain or even shoulder pain is Cervical Fascia and Longus Colli Muscle. Working on those muscles in the back of the neck will only create instant pain relief.......and only last for a few hours.
First to the Anterior Fascia Structures: We are going to focus on Deep Cervical Fascia
Most of us tend to think of the myofascia, or the fascia, in terms of the musculature. The fascia, in its broader context, lines all the body structures, including the muscles, joints, and bones. Consider the middle cervical fascia, a structure that connects a whole series of muscles throughout the front of the neck
The deep cervical fascia surrounds the body of the vertebrae in the cervical spine. The Anterior part of this fascia extends down to the first rib. Motions palpate the cervical spine and look for the most restricted region from C2 down. On a personal note, I look to start laterally and move medially.
The correction of this fascia can follow the assessment.
The second anatomical structure that should always be assessed and treated with neck complaints is the Longus Colli muscle.
The deep flexor muscles of the neck are often referred to as the abdominals of the neck. Proper strengthening, manual therapy, and motion of these muscles are vary important for stability of the neck, and balance.
They lie right over the anterior cervical vertebrae. To get to this muscle, push aside the trachea and apply gentle pressure with your fingertips. Be wary of the carotid artery and internal jugular vein
Here is a great video that is for strengthening of the deep muscles of the neck:
Another Great way to Stretch Anterior Neck Muscles:
Sit or stand with your right hand around
your neck and your fingers and thumb on
the muscles on either side of your throat.
You may place your left hand on top of
your right for support as shown. Start with
your hands close to your chin and begin
with your chin at your chest
Slowly bend your neck backward as
you simultaneously slide your hands
toward your chest, stretching the muscles
on the front of your neck.
CAUTION: Always move slowly when doing neck stretches.
Try to elongate your neck so you don’t compress your vertebrae
(bones). Read all the instructions and cautions thoroughly
One of the most common injuries we see here at the Dynamic Clinic is shoulders. We have seen everything from adhesive capsulities (aka Frozen Shoulder), Tendinitis, Bursitis, a humerus split in half like a piece of chopped wood, Labral Issue's, pretty much everything in our therapy school books and beyond!
In my opinion, the shoulder is one of the most complex joints in the body to rehab and can be affected by every other part of the body.
One of the major issues with the shoulder is the neighbouring anatomical structures like the Thoracic Spine, and Visceral system need to be dealt with during rehab.
Also, the shoulder is a major pivot point of all Myofascial Chains of the body. An adhesion or lesion at the shoulder can cause a ripple effect along any fascial chain, causing dysfunction at multiple different area's. If there is an adhesion or lesion present somewhere else in the body (Liver, or opposite hip most common), than this can cause dysfunction in the shoulder.
In this blog post, my goal is not to go to far in detail about everything that can affect the shoulder, but to educate on the Rotator Cuff. Everybody has heard of the infamous "rotator cuff". Most of us think that is one muscle that rotates the shoulder, or more specifically the Glenohumeral Joint.
The rotator cuff is actually comprised of 4 separate muscle, all with separate actions. Across the board, the rotator cuff primary job is to actually stabilize the shoulder, THEN rotate.
Every wants to do rotation exercise, and more specifically, External Rotation before the muscles can even do there primary job.
Prior to any shoulder rehab or workout protocol, we must first asses 4 different componants:
Prep Workout Prior to Shoulder Rehab:
1) Make sure there is No Myofascial Adhesion's, ANYWHERE!
2) Make sure there is proper Thoracic Spine Mobility, if not, fix it.
3) Make sure proper body alignment. Hips, Legs, Shoulders, and Clavicle.
4) Make Sure there is adequate mmobility at the Clavicle, if not, always check Subclavius Muscle. If the clavicle is "locked", you will be in a nasty surprise for your shoulder(s).
Once these have all been worked on and cleared up, it is now appropriate to work on Shoulder Stability.
Our rule of thumb is the make the joint stabilized, then we can go for mobility.
On Friday October we are going to release a T-Spine Warm Up and Mobility Protocol, than a week today, we are going to release the ultimate shoulder rehab protocol.
Stay Tuned to this blog!
2. My partner in business, Taylor, has finally decided to start her own blog and twitter! We have been working towards this day for 2 years now.
We will be posting videos every few weeks to show her rehab and performance progress.
On a side note, as I type this blog, there is 3 packed, high energy boot camps going full tilt right now in the Canadian Human Performance Centre. I love this atmosphere! If you are in the GTA or Burlington/Hamilton Area, come check these camps and workouts out!
The Forgotten Foot...is an anatomical structure that influences the entire body.
Up to 25,000 steps per day (Average 10,000, but in our line of work it is a bit more!), Responsible for our Vertical Equiliberum, has proprioceptors that balance the ENTIRE body, and EVERY MYOFASCIAL CHAIN has a connection here.
So why does every trainer/therapist overlook this area when it comes to exercise programs and rehabilitaiton?
In Exercise and functional rehab, our goal is to create a balanced body. I am not talking about balancing on a BOSU (which you will never see in our facility!) I'm talking about balance as One Unit working together in movement, digestion, power, and cohesiveness!
To create that type of body or to rehab any low back, shoulder, and visceral dysfunction we need to always start by assesing and look at the foot first.
Besides the static function of absorbing gravity and create propulsion simultaneously, here are some interesting facts that we should know when talking about the foot:
A) The Sinus Tarsi, located between the Talus and Calcaneus, has the intraosseus talcalcaneal ligament which houses proprioceptors responsble for balanceing the entire body. Opening up this area can increase venous drainage of the entire foot!
B) Has a Diagram (Plantar Diaghram: Muscles that run horizantal and repsonsible for pressure regulation). This diaghram works with the Pelvic Diaghram, Thoracic Diaghram, and Cranial Diaghram.
C) The Subtalar Joint: Most Critical Joint in the Body.
D) Talus Bone. Has no muscle attachments (Hint: Every important bone in the body that should have great mobility, does not have muscle attachment). This bone is a POSTURAL BONE, relates to C1, T4, and L5. Having postural issues? - No one has shown you to check mobility at this bone, eh?
E) In Chinese Medicine and Merdian Therapies, each line (which ends at the Toe) corresponds to every organ vital to survival: Spleen, Liver, Stomach, Gall Bladder, and Bladder. MYOFASCIAL Adhesions, will cause a "block" in each orgran.
F) EVERY MYOFASCIAL CHAIN IS CONNECTED TO THE FOOT!
Think you have other issue's with your client or yourself that you can't figure out? Thought you did soft tissue work and mobility stuff everywhere possible? Check the integrity of the feet!
Even if you don't know anything about the foot, start to incorporate Stick Work and Golf Ball Rolling across your feet.
Stick Work on Feet
Having problems squatting or lunging? - Work on Ankle Mobility:
Pt.2 - We are going to write about Myofascial work, and chains that influence our feet!
2. My Top Five to Read Blogs:
Everyone who has access to internet or even a cell phone seems to have a blog of some kind. We are all experts in our own way, most bloggers just seem to write, and not be in the trench's, some (the good one's) produce blogs because they are passionate, love to educate and are damn good at what they do!
I have been following this blog since I was a 6am to 10pm Trainer at a major gym club. Now I run a full health care clinic & gym and now more than ever I get more information from Cresset.
3. On Tuesday, we filmed a great workout with Kasia from Body Movement Therapeutics and her correctice exercise program going into her show 5 weeks out. For corrective exercise, soft tissue work, and dynamic stuff, this was a killer workout. I have been getting facebook messages and emails since the afternoon that we filmed it. The YouTube Clip will be up Sunday.
Today is the first day that we are going to upload our new blog posting: "S*!&T that Get's You Motivated Mondays!"
Lewis on the Way Home
We are publishing this a little late, our puppy (also known as "king of the gym") Lewis went into an operation today. If you are a regular to the Canadian Human Performance Centre and Dynamic training & Rehabilitation, Lewis is a patient and client favorite at the clinic. We work with a number of chidren, and Lewis is a great addition to the children that come through.
As a busines coach and mentor that works with many therapist and trainers, my goal is to initially find that fire, the passion that drives all of us to work in the best industry in the world!
Every Monday Morning, Taylor and I sit down and review the ups and down of our week prior, plan for our upcoming week and talk shop with fit business, training philosophy and the "industry"
One of our goals is to give you a "snip-it" of our Monday Morning talk. We want to inspire, motivate, and remind why you are in this industry and how you can make a difference!
1. What Defines Your Success In the fitness Field??
We recieve this questions on a daily basis from inquires about our mentorship programs. Every trainer and therapist wants to be successful. But what is success?
Is it Cash Flow? Gym Expansion? Being able to take nice Vacations?
To Taylor and Myself, our success is not determined by a measurable number. It is determined by our clients success. Clients that have lost weight, Patients leaving our clinic pain free, a competitior winning the Skinny Jeans Challenge and giving back to fitness, THAT IS OUR SUCCESS!
Being successful in this industry is being the best at what you do, helping your clients & patients, and striving for excellence.
We are practitioners in the best business in the world. We can change lives, save lives, motivate, and educate. Strive to be the best!
We want to know how you define your success as a Trainer, Therapist, or Doctor. Leave a comment in the comment box and for the best "Definition of Your Success" comment we recieve, we will award it with a BP Corrective Exercise Package!
2. Fascia. It is one thing you should know about, incorperate with your clients, but will never know everything!
If you have never read an article, opened a book, or looked at an outline of fascia. I HIGHLY RECOMEND YOU DO THAT NOW!
In the 1980's fascia was the "stuff" thrown on the floor when we wernt through Cadaver Labs. Now, it is one of the most studied and researched part of anatomy in the human body. It contains more nerve endings than muscle tissue.
It is now considered a system all to itself. If every componant of the human body were absent except fascia, it would still cover every part and crevis in the body.
There is increasing interest in certain therapeutic communities in the role that fascia plays in musculoskeletal strain disorders such as low-back instability and postural strain patterns of all types, fibromyalgia, pelvic pain, and respiratory dysfunction, chronic stress injures, as well as in wound healing, trauma recovery and repair.
Self Fascial Work should be complimented in every program. Here are some great Techniques:
Now, this is a personal pet-peeve of mine. In every aspect of our industry we can make improvements with this point.
We are in a business of helping people. Whether you are a doctor, personal training ata club, or massage therapist we all have a unified goal of improving health and well-being (I dispise the word Well-Being, but it is needed here).
I recieve email after email, with excuses of why that cleint can't lose weight, or why that patient is still in pain.
If you haven't defined your success from #1 yet, this may be a point to look at. Be the best and ahead of the game, instead of making an excuse find the solution! This is our success, be passionate about what you are going to accomplish.
It is your JOB and Duty to find a solution to an issue your patient is having. They are coming to you, because they have a trust that you are doing this.
We are the key holding to unlock the health out of your patients and clients.
4. This gets me motivated!
Broken Foot?, Small Gym with Little Equipment?, Competition 6 Weeks Out?
Kasia Sitarz, Owner of small Personal Trainign Studio and Massage Clinic 45 Minutes North of DT&R, shows us the solution to a problem that most trainers and practitioners makes.
5. On the game plan for this week:
This week is going to be extremely busy at DT&R but Great! We have multiple events we are working towards, an article being published and filming a few videos.
On Wednesday, we will publish some businbess information that will help change your practi and fitbiz.
Please be advised that there are risk invloved in participating in any exercise program. By Participating in the Demand of Corrective Exercise and Fitness classes, members or participants are assuming all risks of injury that may result. Bogar Performance and Dynamic Training & Rehabilitation, our Therapist, Trainers, and our third parties shall not be liable for any claims for injuries or damages whatsoever, resulting or connected with the use of this blog and website. We further disclaim any liability caused by intentional or unintentional negligance.
The sole purpose of this blog is to be an education resource for trainers, therapist, and workout enthusiast. Pleas seek a Health Care Provider prior to starting any exercise program and therapy.
Welcome to the Bogar Performance Blog
Leader on Business Coaching
What is Bogar Performance?
Bogar Performance is an Alternative Health Care system that bridges the gap between rehabilitation and performance.
Our goal through BP is education and to be a leader in Alternative Health Care Industry.
We have created Synergistic Business Systems partnered with International Performance Educational Instition to mentor, coach and teach Massage Therapist, Personal Trainers, Chiropractors, and Osteopaths in the health Business.
We have also programmed an online therapy program through SMFR, NMA, and stretching. This program has been proven to increase performance, decrease pain, and increase mobility. We have found a systematic approach the bridges the gap between physiotherapy rehab, and performance in sport and life!
Adam is the President and Clinic director of Dynamic Training & Rehabilitation, Alternative Health Care Clinics located in Burlington, Ontario
Adam's education background is a Bachelor Health Science, Diploma in Massage Therapy, Contemporary Medical Acupuncture, Certified Olympic Therapist, SASTM and ART Provider, Sports Conditioning Specialist, Adam is also completing my Osteopathic program at the CCO in Toronto.
Working with multiple athletes from hockey, lacrosse, bodybuilding, and football, Adam noticed a gap between rehabing an injury and performing on the big stage. Adam has focused his practice in creating a system for athletes to become stronger, faster, healthier, and to prevent injuries through alternative health care medicine. The final product, Bogar Performance.
Dynamic Training & Rehabilitation:
At Dynamic Training & Rehabilitation, we take a 360' approach to health & fitness. We are continuously upgrading our tools in fitness and alternative health care to serve our clients better. Our belief is that the body is one, from the inside out. We are here to work with you from every aspect, utilizing a modern systematic approach, combined with specilized techniques.
Our Methodologies are second to none with a strong scientific basis. Our team is fulkly registered in their respective fields. Feel the diffference of how a Dynamic Health Care Approach can improve your life!
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