Training the Back - Part 1: Science, Philosophy and Practicality
Stuart McGill
- Introduction
- The journey
- The Inventro Lab
- Referrals – basket case bad backs and elite performance backs
- Average bad back vs. tickling the dragon’s tail
- Philosophical approach – Have a reason for everything they do
- Evaluate current condition, current pain areas, what can they do pain free?
- Provocative testing – understanding
- Pain inhibits muscle contraction
- Capacity – using capacity up with poor posture throughout the day
- Flexion intolerant on slouched posture
- Building training capacity so they can actually train
- Myths – strengthen back -> improve back PAIN
- Perturbed motor patterns
- Back tests and mechanism of injury
- Greater motion – greater risk of injury
- Personality and back pain
- Spine power and spine mobility
- World class weightlifters and gymnasts
- Great athletes – motion comes from shoulders and hips – not muscle
- Rotation in back under load
- Loading the spine in compression
- Herniated disc – repeated flexion through spine vs. hips
- Cumulative trauma injury
- Training herniated disc clients – keeping them out of seated postures
- The “ready” position
- Ligament damage – biomechanically very difficult to do
- Using them too much
- How do you build a clientele? Success with ONE person
- Assess or refer out?
- There must be a reason for everything you do
- Time to step up