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  • 08/25/2015 at 10:24 am in reply to: possible calf issue #76172
    AvatarRyan Flatley
    Participant

    Hi, 

    This video should help. There is no single best tissue to work. You have to consider all tissues that are limiting the movement of dorsiflexion. 
    Best, 
    Mike Caisse, PT, DPT, Movement Specialist, Mobility Certified Specialist, Crossfit L-1 Coach
    08/25/2015 at 10:21 am in reply to: Hip external rotation while walking? #76171
    AvatarRyan Flatley
    Participant

    Hi jsq, 

    I help people solve this problem everyday in my practice. The key is to improve your hip capsular mobility and soft tissue extensibility in the position of hip extension with internal rotation (https://www.youtube.com/watch?v=ZkzFT6rRMhQ) and then reinforce that shape with some neuromuscular re-education as  seen in the video. Then obsess over this mobility practice for about 20 hrs and you will begin to see that your gait will become more natural with the “feet straight” position. The key is to remember to keep your feet straight when you walk. 
    Best, 
    Mike Caisse, PT, DPT, Movement Specialist, Mobility Certified Specialist, Crossfit L-1 Coach
    08/25/2015 at 10:12 am in reply to: How does KSTARR make the shoulder neutral? #76170
    AvatarRyan Flatley
    Participant

    Hi Mitch, 

    If you’re looking for the neutral position for the shoulder it’s called the open packed position.

    Open Packed Position 

    The open packed position of the GH joint is around 50 degrees of abduction with slight horizontal adduction and external rotation.  However, the point of maximal capsular laxity has been found to be 39 degrees of abduction in the scapular plane, which suggests that the open packed position may be close to neutral position of the shoulder.[6]

    This position allow the capsule to rest with minimal stress on those tissues. It’s usually used for post surgical patients to allow maximal healing ~ 4-6 wks depending on the sx. 

    08/19/2015 at 9:26 am in reply to: left hip & ankle collapse #76149
    AvatarRyan Flatley
    Participant

    Hey Biggels, 

    Check your ankle and hip ROM by trying to sit and hold a pistol on the L side (https://www.youtube.com/watch?v=q3UGl2rHz18). If you’re not able to hold it, this might explain a lot of your issues and compensatory movements. You can easily find ways to reclaim this joint position on MWOD. I would also take a look at pelvic symmetry (https://www.youtube.com/watch?v=INBY84sqrR0). If that’s off then fix it with smashing L QL, TFL, psoas, rectus femoris, high glute medius and minimus then perform pelvic correction as seen in the video. I’d like to know if this helps so please keep me updated. 
    Best, 
    Michael Caisse, PT, DPT, Mobility Specialist, Crossfit Coach
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