Revamped Human Performance

What does your Posture say about you? 🤔
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Posture is a snap shot of a persons movement pattern.
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It gives us a clue into the stresses imposed on the individual from a day to day basis.
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This patient came to me for chronic back pain. During the physical exam we found her to be a dominant chest breather with weak and inhibited glutes, core musculature, and severe valgus collapse with the squat.
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Things take time and consistency. And with a decade+ of chronic pain progress will be slow but slight changes in posture validate me that we are in the right direction.

This diagram illustrates the concept of the “Joint by Joint” approach.
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The joint by joint approach was popularized by Gray Cook and Mike Boyle.
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Essentially this approach categorized joints/regions of the body into two categories based on their inherent anatomy; stable and require mobility, or mobile and need stability.
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This can be an over simplification as all joints need both, however it is a great starting point and can aid coaches as well as athletes in understanding their bodies.
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For example let’s look at the spine.
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The thoracic spine is considered stable and needs mobility as the ribs attach to our thoracic vertebrae.
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The lumbar spine on the other hand is considered mobile and requires stability, which is why the most common levels of degenerative disc/joint disease are seen in the lumbar spine.
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Now let’s compare the lumbar spine to the cervical (neck) spine. Both regions of the body are classified as mobile areas that require stability. But when you compare them to each other you could classify the lumbar spine as stable (due to the organs, muscle and other tissues surrounding the area) as compared to the cervical spine.
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All joints of the body must do their job, otherwise some get overworked.

Patient Education ✏️ 📄
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Treatment consists of 3 key components: passive modalities, active modalities, and patient education.
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I believe it is important to spend the time to explain what is going on, what we are doing, and how that will help fix the problem.
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Here is an example of pt education for a disc herniation.