Week 13: ITB, hand drivers and proprioceptors

This week was an introduction to more incredible new information. We had Gary Gray do a very realistic impersonation of a baby, to educate us on the Iliotibial band or Itty Titty Baby, as he calls it. This is a special band which is influenced by motion at the hip, knee and foot. The Tensor Fascia Lata, attached to the ITB, is eccentrically loaded in the front leg of gait. It is then stretched with hip extension in the back leg of gait, to assist with knee extension and tibial external rotation.  There are many ways to stretch the TFL, Glute Max, and ITB complex. It is best to simulate the stretch required in your clients function.

In the webcasts there were Functional Manual Reaction techniques for the front and back knee of gait, Translation and rotation of the pelvis, and using hand drivers to influence Chain Reaction Biomechanics (CRB). We are starting to integrate the upper body motion and pelvis with lower limb CRB.

There was a recap of GG1 lectures on proprioceptors. It is key to know about proprioceptors, to choose exercises which enhance proprioceptor stimulation, to improve movement throughout the body and allow the body to become a more robust system. The proprioceptors discussed were the Pacinian Corpuscles, Golgi- Mazzoni, Ruffini, Golgi Tendon Organs, Free nerve endings, Muscle spindle, Fascia, Golgi ligaments.

Doug Gray introduced 3D hopping matrices.  The choice of movement is limitless.

Finally, the learning opportunity looked at the stress on the Medical Collateral Ligament when the buttock was tweaked out (reduce support) during different lunge patterns.  By learning what happened in this LOP, the clinician is able to choose which lunge is safe for the MCL.

It is great to work up the body and start looking at how the pelvis and spine move. Week 14 starts tomorrow.

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