Daily Maestroism

DM #275

Wednesday, February 22nd, 2017

DM #275: Makes perfect sense when you read it, and yet I see therapists and trainers attempting to help out their patients and clients with exercises that directly conflict with this concept.
Yesterday’s posts were all about mobility versus stability, and how a lack of stability can masquerade as a loss of mobility. Tonight’s DM continues this discussion, but now we’re talking about exercise prescription.
If your assessment determines that your patient has a stability motor control dysfunction, then having them simply try to get ‘stronger’ by having them perform that same movement in that same position ain’t gonna do jack.
Example, if you can’t fully raise your arm while standing up because of stability motor control issues, having you constantly try to raise your arm without modifying the position or giving you any kind of assistance will only make you stronger in the range that you can actively, and actually, lift your arm.
If we’re trying to re-pattern a movement or gain control over new ranges of motion we must set ourselves up for success by changing either the position or resistance (this can also mean providing assistance) so that we can actually get into that new range, contract those tissues, expose those tissues to stress, and see some gains.  A bit of a ‘no duh’ moment, but something that gets messed up all too often. Whether you’re looking to repattern, strengthen, stabilize, whatever you want to call it, you have to have access to that range, otherwise you’re just working on what you already have. Find a way to get into that new range or else you’re not gonna get anything.
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