Finally, a Principle-Based Resource for the Fitness Professional who works with the General Population Client with Shoulder and Hip Dysfunction!
I suspect that if you work with the general population, your clients are probably very similar to mine. You know, the every day clients that present with the primary goals of developing better balance, improving their performance, and of course, losing weight.
However, these are also the clients that present with some of the most challenging issues. While most of these individuals come in to see you with their own goals and desires – strength, flexibility, weight loss, etc. – they also present with a multitude of postural and movement dysfunctions including but not limited to low back pain, impingement syndromes, and degenerative joint conditions. And many of them have a history of surgeries, joint replacements, and other orthopedic or neurological issues that have complicated their issues even further.
And I also suspect, that like me, you have been frustrated at times when injuries, pain, and/or movement dysfunction have prevented you from training your client the way you or they would like. And many of the suggestions that have been presented by many of the industry experts – while they may work with athletes or individuals with superior ability – just aren’t appropriate for the clientele you and I work with. In fact, some of these strategies actually will lead to increased problems.
You wouldn’t go to a knee surgeon if you required shoulder surgery so when you are looking for real world corrective exercise and training strategies that work with the general population go to the industry expert that works with the population you work with.
If this pretty accurately describes your clientele, than I have some great news for you. For the past 18 months I have been intensely focused on collecting some of the best information from industry leading experts in both the fitness and rehabilitation industries and picking out the ‘best practices’ to create a powerful strategy to help you work with some of the more challenging clients.
If you want to understand how to effectively work with challenging clients, if you want to understand how to apply corrective exercise strategies that can make your exercise more effective, if you want to reach and help more people with your unique message, then this resource is for you.
Because if you understand functional anatomy, if you can apply the fundamental principles that govern movement, and if you continually improve your knowledge and skill level, you can establish yourself as part of your client’s health care team. And if you combine this knowledge and skill with an ability to serve your clients with humility, integrity, and confidence, you can establish yourself as the ‘movement based solution to the health care crisis.’
Why do we need or even care about a movement based approach to the health care crisis? Just consider a few of these startling statistics:
- The United States spends approximately $2.1 trillion on health care each year or 16% of its gross domestic product.
- Americans spend approximately $216 billion on prescription medications every year – a large majority of these medications are related to treating musculoskeletal symptoms.
- Arthritis and other musculoskeletal conditions are cited as the most common causes of chronic disabilities in working age adults.
- There are nearly 157 million visits to doctor’s offices for musculoskeletal conditions at a cost of $215 billion per year.
And in case you need more evidence, there are nearly one million hip and knee joint replacements every year in the United States and this does not even take into consideration the several million orthopedic surgeries that occur on the low back, shoulder, hip, and knees because of degenerative joint changes related to…poor movement patterns.
From a common problem comes an uncommon solution.
I didn’t set out to create a different strategy – I just wanted to do right by my clients and improve the fundamental components of how they moved including how they were breathing, how they were stabilizing and mobilizing their joints, and how they were integrating these components into their fundamental movement patterns of pushing, pulling, rotating, squatting, lunging, and bending. I sat down and gathered all the information I could get my hands on – information that I gathered from over 10 years of education and over 10,000 hours of learning, sharing, and teaching with industry leaders from the fields of training, conditioning, and rehabilitation. Combined with over a dozen years of trial and error, I started creating a ‘best practices’ strategy to help my patients and clients move better. This strategy – which would eventually become the basis of the Integrative Movement System™ – made a tremendous difference in the lives of my patients and clients allowing more of them move with less pain and dysfunction. And not so surprisingly, they were able to accomplish their health and fitness goals.
The great news is you don’t have to be a chiropractic physician, physical therapist, or medical doctor to dramatically change the health of your clients. You just have to have the desire to help improve the lives of your clients and the discipline to appropriately apply the principles that govern human movement.
In his book “The Corrective Exercise Approach to Common Hip and Shoulder Dysfunction,” Evan Osar does something very few people have been able to do. He has taken the complex subject of human motion and made it understandable without “dumbing it down.” He takes you on a journey from how motion is developed in infancy to the unfortunate dysfunctional place many adults currently occupy and then teaches how to observe, evaluate and train successfully. This amazing resource should be part of any serious trainer’s or therapist’s library. Evan is one of the first people I call when I have issues with my professional golfers. This book will allow him to help you as well.
–Ben Shear – Director of Performance, Athletic Edge
As to methods there may be a million and then some, but principles are few. The man who grasps principles can successfully select his own methods. The man who tries methods, ignoring principles, is sure to have trouble.
–Ralph Waldo Emerson
What are the principles?
Principle 1: Respiration must be normalized.
Why the focus on breathing? As physical medicine doctor Karl Lewit so profoundly suggested, ‘If breathing is not normalized, no other movement pattern can be.’ The ramifications of faulty respiratory patterns will be seen in all our client’s patterns in the form of poor stabilization and postural strategies. You will discover how to establish optimal breathing patterns so you can help your clients establish the basis for optimal stabilization patterns. Watch the video description of proper breathing.
Establishing three-dimensional breathing (page 179)
Establishing optimal core stabilization strategies are necessary for establishing optimal shoulder and hip patterns. And core stability is much more than just tensing the abdominal muscles. The ability to coordinate respiration and activation is one of the key components to improving trunk stabilization and thereby improving shoulder and hip function. Discover exactly how to coordinate activation of the deep stabilization system with diaphragmatic breathing.
Establishing core activation and coordination with breathing (page 180)
Principle 2: There must be optimal joint centration.
To preserve their integrity, joints must be optimally aligned and stabilized during functional activities. The ability to maintain optimal joint control is key to producing efficient movement patterns. Centration is the ability to both stabilize and dissociate a joint whether at rest, in an isometric position, or during dynamic movement. Click on the video below to see an illustration of joint centration.
Understanding joint centration in corrective exercise (page 53)
Principle 3: There must be optimal integration of respiration and centration while performing the fundamental movement patterns.
Whether your client’s goal is to lose weight, run a marathon, or simply get through the day with better function and less pain, they must be able to successfully perform the fundamental movement patterns while maintaining optimal respiratory patterns and joint centration. These patterns – squatting, lunging, pushing, pulling, rotating, bending, and gait form the basis of every functional activity your client will perform. Your corrective exercise strategy must include integration of these principles to help marry your client’s needs with their functional goals. Discover how to integrate centration of the lower extremity during the squat patterns.
Teaching the concepts of integration during the squat and split squat (page 220)
Many of our clients present with muscle inhibition secondary to trauma, surgery, and pain. It is often necessary to activate these muscles prior to instituting a corrective exercise strategy. There are several effective strategies for activating inhibited muscles – you will discover how to incorporate visualization, isometric positions, palpation, and breathing (V.I.P. + B™) to dramatically improve your client’s movement strategies. See how to incorporate the (V.I.P. + B™) strategy to improve your client’s scapular and spinal stabilization.
Integrating the V.I.P.+B™ into a corrective exercise strategy (page 161)
Do you work with clients with scapular ‘winging’ and are looking for an effective strategy for establishing shoulder stabilization? Improving scapular mechanics begins with understanding what constitutes proper scapular mechanics. The video below helps illustrate the proper scapular mechanics during functional activities.
Establishing optimal scapular mechanics to improve shoulder function (page 190)
Postural control of the thoraco-pelvic canister sets up proper shoulder and hip patterns. Many clients present with postural alterations that directly lead to dysfunction in their shoulders and hips. A simple postural assessment will enable you to quickly determine how trunk and pelvic posture directly impacts your client’s shoulder and hip movement.
Performing a postural assessment of the spine and pelvis (page 122)
Establishing and controlling neutral spine posture is a critical component to improving shoulder and hip mechanics. Discover why it is so critical to improving movement patterns and how to incorporate neutral spine posture into your corrective exercise strategy.
Establishing neutral spine posture during corrective exercise (page 221)
During corrective exercise, we can utilize ipsilateral stabilization patterns to restore unilateral weakness of shoulder and hips while contralateral patterns can help restore contralateral shoulder and hip dysfunction. To see how to set up a client during pushing and pulling patterns utilizing ipsilateral and contralateral stabilization strategies of the trunk, shoulder, and hips, see the video below.
Utilizing ipsilateral and contralateral stabilization strategies during pushing and pulling patterns (page 172-3)
Looking to improve function of the gluteus maximus? Discover how the foot sets up proper centration and activation of the deep gluteus maximus fibers necessary in leveling the pelvis and providing support in single leg stance.
Establishing the foot tripod and medial chain connection to the deep fibers of gluteus maximus (page 176)
Additionally, The Corrective Exercise Approach to Common Shoulder and Hip Dysfunction contains:
- over 300 pages of information on the corrective exercise approach to the shoulder and hips;
- more than 200 color images to help illustrate the corrective exercise and conditioning concepts of theIntegrative Movement System™;
- ‘keys to success’ text boxes for quick reference and clinical pearls;
- and much more.
What are industry experts saying?
–Mike Boyle – strength and conditioning consultant, Boston Red Sox
” Evan has succeeded in bringing together important rehabilitation principles and thought provoking concepts in an attempt to weave them into a practical framework that can be applied in the either the gym or the clinical setting. I commend him on this well-illustrated and concise text of corrective exercise approaches to common hip and shoulder dysfunction.”
–Robert Lardner, author of Assessment and Treatment of Muscle Imbalance
“Dr. Evan Osar has the unique ability to blend the worlds of rehabilitation and performance that so few can bridge. His new text, “The Corrective Exercise Solution to Common Hip and Shoulder Dysfunction,” absolutely spans the gap that every strength coach, personal trainer and sports medicine professional should be striving to understand. Quite simply, if you don’t understand the entire spectrum, from dysfunction to high-level performance, you’re missing the boat. Luckily for you, Dr. Osar shows you the way.”
–Mike Robertson, Robertson Training Systems
“Dr. Osar has been and continues to be such a valuable resource. I’ve been fortunate to know and work with him on a personal level and learn something every single time we interact. And this book is no different — he has such an incredible skill of translating amazingly complex topics into useable nuggets that fitness professional or physical therapist can benefit from. Corrective Exercise Solutions to Common Hip and Shoulder Dysfunction should be a staple in your resource library if you work with the individuals with pain or postural and movement dysfunctions.”
–Chris Mohr, PhD, RD, CSSD – Mohr Results
This book is an absolute must if you currently work with challenging clients, want to establish yourself as a corrective exercise specialist, and help clients with:
- Degenerative joint conditions of the spine, knees, and/or hips that limit their ability to exercise;
- Impingement syndromes of the shoulder or hip that create movement dysfunction during common exercise patterns;
- Postural dysfunctions such as forward head, forward shoulders, spinal alterations, and pelvic tilts that overload and lead to degenerative changes and disc problems of the lower neck and back;
- Alterations in breathing strategies that directly contributes to stabilization and postural issues.
- Painful movement patterns that limit an individual’s ability to exercise.
Discover the techniques, strategies, and skill set that is required to work with the general population clientele with postural and movement dysfunction.
Finally, a responsible and applicable resource for you, the fitness professional that works with the general population. Let me show you how to work with the general population including the baby boomers, seniors, pre and post natal, and pre and post rehabilitation client by applying the principles of corrective exercise.
“It is clear that Dr. Osar has beautifully blended within these pages many years of personal practice and study under many of the best in the fields of manual medicine. This is a book I am proud to keep, not on my shelf, but on my desk where it will stay open and accessible. This book will not disappoint any student of early fundamentals, the seasoned clinician who wants to take their practice to another level or the strength and conditioning specialist who is looking to understand the fundamentals of corrective exercise as they apply in the training environment.”
–Dr. Shawn Allen, The Gait Guys
Providing you with the resources you need to become the ‘movement-based solution to the health care crisis.’
Your friend and colleague,
Dr. Evan Osar