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#101 |
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Enjoy a moment of whimsy
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Hi John,
More questions. Hope that's ok. Do you have any sources for the preventative aspect? Do you think if everyone was conditioned as you suggest that the commonality of back problems would significantly diminish? If the TSM is reflexive why are so many people deconditioned? Are these people areflexive?
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#102 |
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Human Primate Social Groomer and Neuroelastician
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Diane www.dermoneuromodulation.com SensibleSolutionsPhysiotherapy HumanAntiGravitySuit blog Neurotonics PT Teamblog Diane Jacobs.com (personal website) Canadian Physiotherapy Pain Science Division (Archived newsletters) Canadian Physiotherapy Association Pain Science Division Facebook page @PainPhysiosCan WCPT PhysiotherapyPainNetwork on Facebook @WCPTPTPN Neuroscience and Pain Science for Manual PTs Facebook page @dfjpt SomaSimple on Facebook @somasimple "Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley “Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial “If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis "In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth "Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire |
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#103 | |
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We are walking since 5/7 millions years and just try to walk like a chimp is the best way to have shoulders and neck problems. Your forelegs are too short and you're looking at the floor. Not a chance to survive. ![]() The spine is never axially loaded that is why I asked a curvatures' question you ignored! ![]() BTW, why are you ignoring the fact that a torso, in a heavy lift, is a secondary thing since that the real force of lifting is done by legs.
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard |
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#104 | |
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Do not be so shy, if you have good ones, people will come to your workshops, if you have not, I'm sorry for you.
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard |
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#105 |
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I may provide a body snatch example that proves the back extends and the belly expands in the same way during the lift of the load. It is mandatory. -Bernard
This is basically what I am trying to say. So I agree with you here. You're dead again, John. We are walking since 5/7 millions years and just try to walk like a chimp is the best way to have shoulders and neck problems. Your forelegs are too short and you're looking at the floor. Not a chance to survive. -Bernard The spine didn't develop in man, it developed before man, nature isn't wasteful and it simply made changes. That is the evolutionary point. Besides, I would have to see your evidence for the claim that we have been walking completely upright 5-7 million years ago. This is way before Homo sapiens have been identified. BTW, why are you ignoring the fact that a torso, in a heavy lift, is a secondary thing since that the real force of lifting is done by legs.-Bernard Then why all your concern with the compressive forces? If you support a weight through the upper body, either through grasping or carrying and stand how do you bypass the spine? I guess the smiley signifies that as a joke, like this one: Person 1: The Polish Space Agency has declared that it will send a manned flight to the sun. Person 2. You can't go to the Sun, it is too hot. Person 1. Yeah, but we're going at night. The spine is never axially loaded that is why I asked a curvatures' question you ignored!-Bernard I'm not sure how to answer that one either. What do you mean the spine is never axially loaded? Because of the force distrubition of the spinal curves? I think we need more information on your thoughts here. |
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#106 |
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More questions. Hope that's ok.
Do you have any sources for the preventative aspect? Do you think if everyone was conditioned as you suggest that the commonality of back problems would significantly diminish? If the TSM is reflexive why are so many people deconditioned? Are these people areflexive?-Jon I have some short answers of my own. #1 There are a few studies that show conditioning or the condition of either the abdominals and/or extensors is correlated with less back pain. Lieber-Sorenson is one that come immediately to mind. #2 Not in the general public. We don't exactly know what is causing most back problems, while many chronic LB patients display motor control dysfunction with the TrA it probably isn't causative. #3 Because something is reflexive doesn't mean that that reflex can't become inhibited or distinguished, nor does it mean that it can't become dysfunctional, and even if the reflex is healthy doesn't mean that structurally the body is capable of performing what is demanded, different stimuli produce different reactions and some reactions are not going to be common enough to ensure the bodies ability to perform it. I think this is very similar to the question: if corrective movement is instinctive why are there so many people who don't do it? |
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#107 | |
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Randy, I think it's common consensus among evolutionary biologists and ethologists that the upright posture evolved long before human primates did.
Here's one source, William Calvin. Quote:
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Diane www.dermoneuromodulation.com SensibleSolutionsPhysiotherapy HumanAntiGravitySuit blog Neurotonics PT Teamblog Diane Jacobs.com (personal website) Canadian Physiotherapy Pain Science Division (Archived newsletters) Canadian Physiotherapy Association Pain Science Division Facebook page @PainPhysiosCan WCPT PhysiotherapyPainNetwork on Facebook @WCPTPTPN Neuroscience and Pain Science for Manual PTs Facebook page @dfjpt SomaSimple on Facebook @somasimple "Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley “Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial “If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis "In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth "Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire |
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#108 | |
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Randy,
Please use the board facility for quoting About our old ancestor Did I say that man was designed to carry heavy lifts at night? You perfectly know, Randy, that a snatch needs "legs". I'm not joking but just pointing out that John try to focus the discussion on an accessory spot. Quote:
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard Last edited by bernard; 05-01-2007 at 08:03 AM. |
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#109 | |
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Quote:
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard |
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#110 | ||
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Quote:
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I'm quite sure that inactivity is part of a real cause but I can't agree with John's statement that comes from nowhere.
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard |
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#111 |
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Phys Ther. 2005 Mar;85(3):209-25. Related Articles, Links
Comment in:Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Koumantakis GA, Watson PJ, Oldham JA. School of Physical Therapy, Drosopoulou 6, Kypseli, Athens 112 57, Greece. gak4@otenet.gr BACKGROUND AND PURPOSE: The purpose of this randomized controlled trial was to examine the usefulness of the addition of specific stabilization exercises to a general back and abdominal muscle exercise approach for patients with subacute or chronic nonspecific back pain by comparing a specific muscle stabilization-enhanced general exercise approach with a general exercise-only approach. SUBJECTS: Fifty-five patients with recurrent, nonspecific back pain (stabilization-enhanced exercise group: n=29, general exercise-only group: n=26) and no clinical signs suggesting spinal instability were recruited. METHODS: Both groups received an 8-week exercise intervention and written advice (The Back Book). Outcome was based on self-reported pain (Short-Form McGill Pain Questionnaire), disability (Roland-Morris Disability Questionnaire), and cognitive status (Pain Self-Efficacy Questionnaire, Tampa Scale of Kinesiophobia, Pain Locus of Control Scale) measured immediately before and after intervention and 3 months after the end of the intervention period. RESULTS: Outcome measures for both groups improved. Furthermore, self-reported disability improved more in the general exercise-only group immediately after intervention but not at the 3-month follow-up. There were generally no differences between the 2 exercise approaches for any of the other outcomes. DISCUSSION AND CONCLUSION: A general exercise program reduced disability in the short term to a greater extent than a stabilization-enhanced exercise approach in patients with recurrent nonspecific low back pain. Stabilization exercises do not appear to provide additional benefit to patients with subacute or chronic low back pain who have no clinical signs suggesting the presence of spinal instability. Publication Types:PMID: 15733046 [PubMed - indexed for MEDLINE] These patients are not the 1% missing !
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard |
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#112 |
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Enjoy a moment of whimsy
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Hi Randy,
Thanks for the response. I'll look into the Lieber-Sorensen reference. On a side note, I've heard of Biering-Sorensen. Do you suppose it is the same team and Beiring got married (or vice versa)? On point number three, reflexes are a subset of instincts. Not all instincts are reflexes on my understanding. What do you suppose accounts for this epidemic of core dysreflexia?
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#113 |
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Enjoy a moment of whimsy
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Hi Randy,
I looked for a reference with that author. Now I'm wondering if you meant Biering-Sorensen in the first place and simply made a mistake with the name. If it wasn't in error, could you provide more a reference? Thanks.
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#114 | |
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I agree with most of what is posted in your link, however that has nothing to do with what I have suggested. I am not an ab sucking, nor ball balancing advocate which is what your link is primarily in response to. |
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#115 | ||
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Hi Bernard, I am not sure of your "glib" responses, but it would seen that you believe that spines have only been around for 5-7 million years? I'm sure most who study evolution would find that a bit short. Quote:
I can only surmise that you are "playing dumb" for enjoyment, or to stimulate exchange. What heavy lift are you talking about where the "real force" is done by the legs? What is a "real force"? Does that mean that the Torso creates "unreal force"? Any force that is transmitted through the Kinetic Chain that includes the Torso has to be dealt with. I haven't seen in this discussion where we are limiting the discussion to Primary Movers. A Kinetic Chain has force creation and management requirements and one cannot exist without the other for a successful lift or opposition to the force load. |
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#116 | |
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It seems you have a very strange web personna. I only meant that this medium is much more limiting than a one on one or personal interaction. |
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#117 | |||||
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More questions. Hope that's ok.
Quote:
Since my system is rather different than anything (most similar to McGill) there is no data of that type. Proving prevention would require a huge study, over great periods of time. Quote:
Additionally, when awareness is instilled, the instances where "additional and volitional" implementation are required will have a higher percentage of success. Quote:
Quote:
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#118 |
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#119 |
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#120 | |
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I have tried all your links and none have lead to a list of the "exercises" used, or how they were implemented. Without these this study has no significance. |
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#121 | ||
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Hi John,
You state: Quote:
Quote:
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#122 | ||
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Well the interesting thing about back injuries, is that they are many times complex and can be so "general" that it is difficult to be specific. In fact I should have added "force related injuries" not caused by "unmanageable" forces like car accidents, high impact falls, etc. I don't find studies usefull to this except to categorize causes. Quote:
That has also been my observation. There are some (and I am among them) who beleive a "reflex" can be trained via repetitive volitional activation. It has also been demonstrated that a "reflexively initiated action" which is what we (I) am talking about, is also improved via conditioning of the muscles involved, since deconditioning is a distinct disadvantage. |
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#123 | |
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Hi John,
I noticed you put reflexes in quotations and I'm uncertain why that is. When I think of reflexes I think of things like knee jerk, photic sneeze, righting, etc. I know it is funny when cartoons show a body builder at a doctor's office and the goofball doctor taps the body builder's knee and gets kicked over. The few times I've seen that almost happen in the clinic is with someone with a significant pathology that could hardly pass as well conditioned. Quote:
Regardless, while I don't think a study would likely help your case, it might, and either way it would help increase our understanding.
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"I did a small amount of web-based research, and what I found is disturbing"--Bob Morris Last edited by Jon Newman; 06-01-2007 at 03:50 AM. |
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#124 |
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I don't want to detract too much from the thread but when we talk about "back injury" I presume this is distinct from "back pain." Of course we know there is little direct correlation between tissue damage and pain. John is your approach directed at those who have incurred actual injury? If so, how are you determining that injury has occurred? Or are you drawing a correlation between 'incorrect' or 'inefficient' biomechanics and pain?
In my practice, I treat a lot of back pain, almost exclusively in the absence of any objective injury. I dropped protocols of spinal stabilization from my treatments a few years ago and have never noticed any discernible difference in outcomes; this being just my observation of course. In fact I find the cognitive element involved in teaching core stability negatively influences the patients experience of movement, increasing the likelihood of unhelpful fear-avoidance behaviors. If we apply evolutionary reasoning to this argument, what would be the advantage of altered abdominal motor patterns to the individual suffering from back injury, or pain? Eric |
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#125 | ||
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Quote:
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I am beginning to also think your quote attributed to me "comes from nowhere". I can't seem to find it anywhere in my postings. Can you point me to the post so I can see the context? |
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#126 | |||
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Human Primate Social Groomer and Neuroelastician
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Hey John,
Quote:
Quote:
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__________________
Diane www.dermoneuromodulation.com SensibleSolutionsPhysiotherapy HumanAntiGravitySuit blog Neurotonics PT Teamblog Diane Jacobs.com (personal website) Canadian Physiotherapy Pain Science Division (Archived newsletters) Canadian Physiotherapy Association Pain Science Division Facebook page @PainPhysiosCan WCPT PhysiotherapyPainNetwork on Facebook @WCPTPTPN Neuroscience and Pain Science for Manual PTs Facebook page @dfjpt SomaSimple on Facebook @somasimple "Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley “Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial “If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis "In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth "Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire |
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#127 | ||||
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I know what he said, but you forgot to cut and paste his intro of : You're dead again, John. Quote:
Quote:
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It seems that many go to such "extremes", and have a tendency to "project" a bit too much. I haven't written anything about "hard thick armor" and my only mention of weight lifting was to a post of the same from Bernard. In simple, I have studied and know the Torso Stabilization Mechanism and feel I understand it quite well. That Mechanism is inclusive of the sum total of actions, structures and processes that may be called upon to support the Torso, including the spine, during all activities. Anyone in therapy knows that "strengthening" a body may require progressive force stimulation. But that is not the total of the situation, since flexibility and more specific kinetic chain work is sometimes needed that may be more similar to Pilates or other disciplines. The implementation and conditioning of the Torso has to be focused on the daily needs of the individual with as much added insurance as one might deem necessary. So yes there can be weight training actions for gross muscular strength if needed, but the average person will only need a therapeutic amount to regain and maintain condition. Of greater importance and of greater difficulty to implement, is the educational awareness of effective postures and positions that more effectively support the more delicate (or injured) tissues. There are many "back experts" who are well regarded and are completely off the mark, with obscure, and absurd studies of inhibited TvA and Multifidus and the like. I have walked in the shoes of one who has pathology in the region, and am adept enough, and educated enough to understand what happens "when I do this". While you may not agree with me, I would suggest you look at my suggestions for what they really state, and if they don't align with yours, simply ask me why. If I haven't an answer, then we can explore for one. If I do, you can compare and align it with your understanding, and see where it needs adjustment. Thanks for your response. |
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#128 | ||||||
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Quote:
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![]() BTW, what is a very strange web personna? Quote:
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![]() http://www.somasimple.com/forums/sho...&postcount=125 Quote:
So John, you seem a very talkative person but you're unable to bring a single argument that answers to our questions: You're not a strange web personna for sure, just a common guy we are seeing constantly on the site: Big claims, no fact or theory. This is the strange thing.
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard Last edited by bernard; 06-01-2007 at 07:15 AM. Reason: typo |
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#129 | |
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http://www.spinalhealth.net/ana.html
Quote:
__________________
Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard |
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#130 | |||
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I am not sure why you feel I have confusion regarding the Psoas. What makes you think I ignore the Psoas function in the Olympic Snatch? I have never disscussed its role in the snatch with you. But since you're in the question answering mood, I would be interested in the "crucial placement" ( I assume that means bodily position) you speak of, and your explanation of the biomechanics involved with the "external rotation of the feet" so as to "maintain the lumbar curvature". While I have no dispute that the Psoas is, and can be, a "stabilizer" here, I would like to hear your "interpretation" of the "basic biomechanics" and Mechanism. You see, it is part of the TSM. Please be as detailed as possible. Quote:
I can only believe that, as another poster stated, that there seems to be somewhat of a language barrier, which creates an even more difficult communication. |
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#131 |
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John,
It is not because you lost all credibility with my previous post that you may answer to asked questions with some other questions. If you are unable to understand that we lift heavy loads with the lower limbs and that the spine absorbs loads (increasing the curves), spreading it within active "shock absorbers" (our muscles) then there is a terrific work you have to do with biomechanics. I'm thinking that you're focused on your TSM but in my opinion, the torso is not a think that is still in the air without any ground connection. There is a pelvis, and some primary movers (legs). You try to "tighten" a body segment that needs all the contrary to be fully effective because you're afraid of shear stresses that never come in the real world. More, if the buttocks move when we are lifting some heavy things that's normal that the torso moves: there is a constant COG adjustment. Trying to limit this normal planning is the best way to make heat with muscles and lose the intelligence of Nature's design.
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard Last edited by bernard; 06-01-2007 at 11:15 AM. Reason: typo |
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#132 | |||||
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I can only say that I am not concerned with you're affecting my credibility. Obviously you wish to "play some game" here. My interest lies in discussing the topic. If you would like to point out any "on topic" question you feel I didn't answer, please do. Meanwhile, you have "side stepped" my question about details regarding your assertions regarding the stabilizing function of the Psoas. If I remember correctly, you also failed to answer how the Sherpa you posted could carry that pack up a steep incline, without activating the abdominal musculature to control the load on his back. There is no need to be so adversarial. One can have "contentious exchange" without negative emotion. Quote:
I have much experience and background with the study of Kinetic Chains. As such, I analyze the transitional force loads to the chain, from base to force, though the chain. This allows us to understand what, and which process, structure, or muscle action manages what part of the summed action. Quote:
Somehow I get the idea, you think I am suggesting some type of continual "over" action, and that is not the case. Quote:
Conditioning the system, simply helps insure that it has a wide range of capability from which to accommodate daily or even athletic needs. However, from what you have posted, I get the impression that you don't value the degree of torso stability needed for "heavy" loads. This could simply be that we have different ideas of what constitutes "heavy", or you have not lifted these loads yourself to be able to speak firsthand about them. Additionally, you may not have experience of lifting with a disc pathology to determine what support needs are required, and to what degree. Quote:
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#133 |
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Human Primate Social Groomer and Neuroelastician
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John, the comm gap may be due to a couple things, I think:
1. We are a bit leery on this board, of hard physical training concepts based on personal perception. The language we encourage here is neuroscience. 2. Mostly we are interested in treating persistent pain from a nervous system standpoint, not in physical training for the sake of physical training of body parts, be they torsos or abs or what have you. It may well be that the horse (thread) is dead, and flogging it with whatever conceptual whip you might have, even a really cool and novel and original one, is to no avail.
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Diane www.dermoneuromodulation.com SensibleSolutionsPhysiotherapy HumanAntiGravitySuit blog Neurotonics PT Teamblog Diane Jacobs.com (personal website) Canadian Physiotherapy Pain Science Division (Archived newsletters) Canadian Physiotherapy Association Pain Science Division Facebook page @PainPhysiosCan WCPT PhysiotherapyPainNetwork on Facebook @WCPTPTPN Neuroscience and Pain Science for Manual PTs Facebook page @dfjpt SomaSimple on Facebook @somasimple "Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley “Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial “If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis "In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth "Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire |
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Admin, Moderator...
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John,
About credibility:I cited Quote:
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BTW, I'll play guilty since I'm a trekker and I took the time to confirm my opinion before I put the Sherpa's picture on the site. Did you know that they compress the spinal curves? (look at the head!) and did you know that they extend the spinal curves at the same time, putting the weight on the top of the backpack. That makes sence to me. It works perfectly because they understood the importance of this fact. Quote:
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard Last edited by bernard; 08-01-2007 at 08:47 AM. |
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#135 |
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Physiotherapist
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John said
"Having lifted "heavy loads" for over 45 years, and still lifting them, I feel I have a rather complete grasp on doing so." John, this is an example of what makes this discussion so difficult. I know olympic lifters, brick layers and farmers who lift as much if not more than you. Does this make them experts too? I know for a fact that the olympic lifter would NOT know a TrA if it bit him on the *ss. You see, you can't just bring personal experience and general postulations to this board and expect to receive respect for the "science" of the approach. You should continue to do what you do, but don't expect anyone to change their mind here about core strenghtening based on your presentations. Need more definitions (what is back pain or injury - what is "normal" - ) and much more than "understanding kinetic chains" to understand human motion and function. John said: "There are some (and I am among them) who beleive a "reflex" can be trained via repetitive volitional activation." Yes, but do you have any real evidence that these trained reflexes (say: in a javelin thrower) become automated? Since that is what a regular non-athlete activity requires. Every time an athlete throws the javelin, he still goes through the visualisation of the throw, the whole pattern....Not exactly reasonable when working in a busy warehouse... I believe that if you can get anyone to be positive about movement and moderate cardio, you have a BIG gain in their health potential. I don't believe that you have given enough here to make bigger claims than that. thanks for your contributions - always good to be pushed to think. |
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#136 |
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Admin, Moderator...
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Dyn Med. 2006 May 31;5:6. Related Articles, Links
Assessment of neuromuscular and haemodynamic activity in individuals with and without chronic low back pain. McKeon MD, Albert WJ, Neary JP. Human Performance Laboratory, Faculty of Kinesiology, University of New Brunswick, Fredericton, Canada. walbert@unb.ca. ABSTRACT : BACKGROUND : Biering-Sorenson (1984) found that individuals with less lumbar extensor muscle endurance had an increased occurrence of first episode low back pain. As a result, back endurance tests have been recommended for inclusion in health assessment protocols. However, different studies have reported markedly different values for endurance times, leading some researchers to believe that the back is receiving support from the biceps femoris and gluteus maximus. Therefore, this study was designed to examine the haemodynamic and neuromuscular activity of the erector spinae, biceps femoris, and gluteus maximus musculature during the Biering-Sorenson Muscular Endurance Test (BSME). METHODS : Seventeen healthy individuals and 46 individuals with chronic low back pain performed the Biering-Sorenson Muscular Endurance Test while surface electromyography was used to quantify neuromuscular activity. Disposable silver-silver-chloride electrodes were placed in a bipolar arrangement over the right or left biceps femoris, gluteus maximus, and the lumbosacral paraspinal muscles at the level of L3. Near Infrared Spectroscopy was used simultaneously to measure tissue oxygenation and blood volume changes of the erector spinae and biceps femoris. RESULTS : The healthy group displayed a significantly longer time to fatigue (Healthy: 168.5s, LBP: 111.1s; p </= 0.05). Significant differences were shown in the median frequency slope of the erector spinae between the two groups at 90-100% of the time to fatigue while no significant differences were noted in the haemodynamic data for the two groups. CONCLUSION : Although the BSME has been recognized as a test for back endurance, individuals with chronic LBP appear to incorporate a strategy that may help support the back musculature by utilizing the biceps femoris and gluteus maximus to a greater degree than their healthy counterparts. PMID: 16734915 [PubMed - in process]
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard |
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#137 |
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Clinician and Researcher
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Great find, Bernard!
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Jason Silvernail DPT, DSc, FAAOMPT Board-Certified in Orthopedic Physical Therapy Fellowship-Trained in Orthopedic Manual Therapy Certified Strength and Conditioning Specialist The views expressed in this entry are those of the author alone and do not reflect the official policy or position of the Department of the Army, Department of Defense, or the US Government.
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#138 | ||||
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Intersting how you "edited" what was asked. I didn't ask how a Sherpa carried a pack up an incline, I asked: "If I remember correctly, you also failed to answer how the Sherpa you posted could carry that pack up a steep incline, without activating the abdominal musculature to control the load on his back." You were claiming that activation of the abs was not only not nessessary, but detrimental. Asking a question about "spinal curvature" to deflect the question is not a sufficient answer. While I would be interested in your suggestion that the curves are both compressed and extended at the same time, we need to answer the first questions first. Do you claim that the Sherpa does not have activation of the TSM, including the abdominals? Quote:
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What was the cause? Was it part of a trauma that caused the whiplash? To what degree was there any disc damage? |
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#139 | ||||||
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Apparently you didn't read some of my earlier posts. I somehow get this strange "vibe" that you feel someone with "hands on, or personal experience" somehow has less knowledge. My point, was that one can "learn" only so much from studies and text books and I have my fair share of those, but when you can actually experience your education and knowledge base in action and do so for many years it offers greater validation to "the nuts and bolts" of the physiology and biomechanics. If a TvA "bites you in the ass" you have a large problem, and I would suggest that I have not only a reasonable knowledge and understanding of the TvA, but understand its function in "stabilizing the torso" to a substantially greater degree than the TvA promoters like our pals from "down under". Quote:
What "definitions" are you talking about that I need defining? Most people know if they have back pain and or suffered injury, I might agree that "normal" might need defining. Further, that is relevant to treatment, but only to the point of knowing the specific goals, limits, and approximate timetable of the rehab to rehabbed condition. Regarding "kinetic chains", Steindler found them valuable to understanding the myriad of forces we have to deal with in complex actions. I would be interested in what you suggest need to be understood (or more precisely what you might feel is lacking in understanding here) Quote:
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And training an action to take place through repetitive action to the point it happens, "without" volitional control, might qualify as a reflex, but I was talking about learning or relearning a motor nerve pattern so that it happens, without cognizance. Quote:
Did you read what I wrote? I am happy I have stimulated you to think, yet you didn't respond to the content. You responded to my adding my experience to my "knowledge base". You know there are many "so called" back experts, who can quote you study after study of "inhibited TvA and Multifidus" and how they now responding "milliseconds" slower than they should for reasonable Torso Stability, and how to take a Sphygmomanometer or some other device and measure the function and condition of the TvA. On this "evidence" then craft sophisticate protocol to "re-educate and re-condition" these lagging systems. THAT!!!! is what needs to be questioned. To be sure, I am only too happy to be as detailed as necessary for you to understand the TSM, but let me assure you, it IS NOT walking around holding your breath and keeping your abs tensioned, as I think a few have assumed. |
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#140 | |
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Hello John and fine to see that you have some courage/temerity to fight the beasts we are.
I must say that I'm very glad you came back to the site since you are a perfect example for the readers/members. Perhaps I was too "light" in my previous posts and because I have seen your "silhouette" on your site, I think you are able to carry "heavier" sentences. Beware, I'm not so "insouciant" as Diane wrote it but certainly cynical and I like "sharp" phrasing. I'm sorry but "political correct" speaking is a thing that I consider as weird and non constructive, so... Quote:
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard |
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#141 | |
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Experts are focused on spines and think the problem and solution are at the same place. The solution is elsewhere as "underdevelopped" people are showing it. Spine absorbs and transmits forces : You have just to point out where and how?
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard Last edited by bernard; 12-01-2007 at 01:26 PM. Reason: verb |
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#142 |
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Physiotherapist
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OK, John, briefly.
"I would be interested in what you suggest need to be understood (or more precisely what you might feel is lacking in understanding here)" The nervous sytem. Which is made clear by this: "While visualization of an act can certainly help one to "learn" and produce a volitional complex task, it has nothing to do with a reflex." You so missed the point - even with ALL the movement-pattern training of an athlete, they still feel they need to visualize for optimal effort for the required task. and: "but I was talking about learning or relearning a motor nerve pattern so that it happens, without cognizance." How do you think a "motor nerve pattern" develops? And what "content" do I need to respond to? Your posts are rife with "I believe" , "I am under the impression", and so on. First, I agree that any training involving physical motion is potentially beneficial, but when you suggest a certain "approach" is superior to others, you need more than theories, suppositions and observations to convince me. Furthermore, I agree that "targeting" TrA or any other single muscle system is most always nonsense and not vakid for core "stability". You bring in others who claim things - I don't care or support them - I am talking about YOUR statements and your claims. "I haven't mentioned "cardio" anywhere on this listserve???? " John, I never said you did......I said that getting folks to move and do some cardio is a fine goal all by itself.... You mention "content" - they are suppositions and theoretical models. To convince me, much, much more than that is needed. |
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#143 | ||||
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Your resistance to my suggestions, especially since they were made in "opposition" to some of your suggestions is by no means unexpected. Additionally, since I have only written a small amount, you are likely "projecting" the ideas of others into my assertions to "fill in the blanks". Let me assure you, I am interested in your opinions and ideas, for my quest is not to "prove I am right", but to find the most meaningful solutions to force transmission through the Torso. Quote:
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I might also suggest that a Sherpa might be interested in certain elements of understanding the TSM and what he might do to "improve his capability" and or reduce his injury potential. I can only assume you are certainly not saying that Sherpas do not develop injuries specific to their activities. We are in agreement then, that the abs and other muscles of the TSM "activate" as needed to stabilize the torso, and that activation could be light to very engaged, depending on the dynamic attitude of the load and how the stress is sensed. And you didn't set "any trap". I chose to ignore your curvature question, since you didn't include enough information or suggestions about it, to add it to the discussion. If you care to, I am still waiting for you to explain how it extends and compresses at the same time. Additionally since it seems your "concern" is disc compression, please supply any information regarding the dynamic loading and its affect on disc compression. As well, I am waiting to hear what caused your LBP and if you suffered disc damage and to what extent. Since you claim you have "rehabbed" or "ended" the pain with your "discoveries", I would be interested in your therapy. As you know most studies seem to suggest that back pain will subside within 3-8 weeks or so without "ANY" treatment. so what did you do that "specifically" ended yours? |
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#144 | |||||
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Posting that you "beleive" or are of the "opinion", is generally a "non-threatening" method to offer information. I doubt you can say that anything and everything you write, is 100% certain, and if you do, you are likely mistaken. It is a fact of life. Quote:
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If you have specific "claims" I have made, I would be happy to address them. Quote:
If you would like to offer a "specific example" of my suppositions and theory that you question, we can explore it. One would think from what you are saying (or questioning) that there are some "hard truths" to this subject. My purpose, is simply exchanging ideas and comparing. Truths, or most likely and logical candidates, will not be threatened by additional information. They will either be strengthened, struck down, or amended. Nothing wrong with that process. I have no doubts presently that what I teach my clients and students is as accurate and meaningful as anything I know of. If something adds to that, then I want to know about it, for I will assimilate it. I can only assume that is what this list serves as a main purpose. |
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#145 | ||
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#146 |
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John,
I just wanted to thank you for your contributions and trying to keep it on subject. I think we could explore the whole issue a lot more if others weren't so concerned with shooting you down and instead concentrated on what is presented without reading their own biases into it. Frankly, I'm still not sure what you are recommending. |
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#147 | ||||||
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Admin, Moderator...
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard |
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#148 |
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Admin, Moderator...
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So actually, I have pain 2/10 some minutes/year because an injury may bring sequels.
Additionally I never, never tell a patient to strength their abs. I forgot it and give in place some painfree walking duty or Tai-Chi moves.
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard |
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#149 | |||
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Now, that said, I too find some "highly regarded" conditioning programs for the Torso (core) to be ill conceived and in some cases even contributory the problems of the Core. No body system continuously maintains itself to maximum condition without awareness, care and conditioning. |
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#150 | |
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Admin, Moderator...
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We are all agreeing to this but we do not on maximum expectations. John, Another silly question from a stupid PT: Is there a single example (in Nature and primates) showing a strong abdominal musculature? Just curious.
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Simplicity is the ultimate sophistication. L VINCI We are to admit no more causes of natural things than such as are both true and sufficient to explain their appearances. I NEWTON Everything should be made as simple as possible, but not a bit simpler. If you can't explain it simply, you don't understand it well enough. Albert Einstein bernard |
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