播客主讲师圆桌会议

主教练圆桌会议:颈椎 - 第二部分

国家运动医学研究院
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在这个由两部分组成的系列文章的后半部分中,Wendy Batts和Marty Miller回顾了最常见的补偿,并提供了纠正性锻炼技术和编程,以扩展您在处理颈椎补偿时的知识。
从最了解NASM的大师导师那里获得您所需要的所有信息!
转录物:
Marty Miller:
你好,每个人都欢迎来到本周的“大师教练圆桌会议”。我在这里我是区域大师教练Marty Miller与我的地区大师教练和亲爱的朋友想念Wendy Batts。Wendy,今天一切如何?

温迪棉絮:
我是伟大的。你好吗?
Marty Miller:
真棒真棒。所以今天,温迪,我们将继续继续那个颈椎。我们上周审查了一部分。所以,如果你是本周的新手,你就像,那么,一部分发生了什么?好吧,好消息是你可以回去看看。转到任何短信,Facebook页面或YouTube频道,我们经历了一些很棒的内容。这让我们在这里完美地进入第二部分,我们将进入赔偿金。但是,当您正在查看宫颈脊柱时,真的有些程序设计了包括这些部分的重要性。我们真的经历了最后一次颈椎是多么重要,以及它如何影响身体的其他部位。为什么不幸的是,有时这种遗忘了。 So Wendy, if you want to maybe give us some more tips and pointers on where we're heading today. And we'll get right into it.
温迪棉絮:
当然,如果我们看看下一个幻灯片,你可以告诉你我们要讨论的内容。而且我认为主要是,正在对膝盖和解剖学进行审查,我们想考虑我们需要专注的关键肌肉,以便纠正运动不平衡,特别是在上肢。更具体地在颈椎脊柱中,我们将讨论我认为是识别这些赔偿的最简单方法的评估。和马蒂到你的观点,我们经常看到它,但我们只是主要看到更多的前锋。但我认为我们真的需要看起来很多关于旋转和横向旋转。所以我们将谈论一些共同的运动障碍。然后我们将为您提供两个特定的程序设计一个额头,另一个对圆形肩部有一点,因为它可能会影响颈椎以及颈部肌肉中发生的情况。所以希望你今天喜欢,你会发现它非常有帮助。
Marty Miller:
当然,他们会有温迪,然后这将使他们成为想回去观看宫颈脊柱,当然总是。让我们挖掘肌肉。为什么你想带我们穿过关键的肌肉,为什么我们需要考虑这些肌肉。
温迪棉絮:
当然。所以你知道我们如果你喜欢解剖学,我们将在纠正运动专家中进入这一点,我们显然在我们认证的私人教练课程中到了一定程度。知道这些肌肉很重要。但是,如果你现在不真正熟悉解剖学,这是你不担心的东西,你可以通过你在运动障碍中看到的东西。如果你看到额头,如果你看到旋转,这些是将参与的肌肉。但是你仍然可以与某人合作并解决他们的姿势并在正确的位置得到头部,而不必知道这些肌肉的所有肌肉。但我们始终鼓励您继续考虑这些肌肉继续调查它们,因为那么您只需更具体地了解您所看到的补偿。但正如我之前所说的那样,如果你看到额头,你看到圆润的肩膀,这些是将从这里过度活动的角度涉及的肌肉。然后我们将讨论深层颈椎弯曲者将成为后陷阱,低陷阱。
Marty Miller:
但这一切都回到了姿势,我们总是试图将姿势重置为中性,五个运动链检查点。但我们喜欢把这些列出来,我们不打算具体地讲,我们会一个一个地讲这些肌肉。但就像我说的,不要过于关注身体的位置和让人们回到正确的理想姿势。我认为重要的是,你们知道,提醒你们,我们有解表。
温迪棉絮:
按照Marty的观点,我们接下来要讨论评估部分。但如果你还不确定要做什么,只是拿出解决方案表,让它帮助你,它会告诉你什么肌肉,你要想泡沫辊如果能够泡沫辊,肌肉,你需要什么,当然,我们需要加强。想想看,如果过度活跃,它还是弱的,如果不活跃,它还是弱的。所以我们仍然要努力使整个关节得到适当的运动以及整个组织得到适当的对齐。所以它会让你看起来更好,感觉更好,越来越好。就像我说的每周都有。我记得很久以前,当我们学习这个的时候要教它你知道,解剖学有点吓人。但是你查阅解表的次数越多,你就会用得越多。这是学习解剖学最好的方法之一,而不是只盯着书本试图记住肌肉,对吧,因为那是死记硬背。但当你从三维角度看的时候,你回过头来找到解决方法,对我来说,这是另一种开始记住所有这些肌肉的简单方法。

Marty Miller:
是的。我也认为,如果你记住了一些东西,你不会真正去思考它的作用。我的意思是,你可以说,是的,它从这里开始,到这里结束。但如果你不去看它在做什么,因为有一些东西使它弯曲,有一些东西使它旋转,有一些东西只发生在一侧。我想很多时候人们在看评估的时候,我们会想,如果我在左边太过活跃,那么我们相遇了,我们可能错过了右边。但情况并非总是如此。这就是为什么当我们接下来讨论评估时,它是非常非常具体的,如果你只看到了一边的东西,那是可以确定的。我认为这在颈椎中是非常常见的。
温迪棉絮:
是的,绝对。

Marty Miller:
向前进。所以,你知道,一个伟大的,伟大的幻灯片,我肯定的是,如果你想回顾它,但你知道,我们都认为这是如此重要,因为不幸的是,这是我们所看到的,我们越来越多地走进健身房,我们仍然看到人们这样做,而他们在跑步机上这样做,同时他们在一些有氧运动设备上,甚至在代表之间检查如果他们收到了短信或电子邮件。不幸的是,因为我们大多数人都是报价,仍然在家中工作,我们能够通过我们的技术和我们的工作,无论我们在做什么。随着时间的推移,你可以开始看到我们不得不通过俯视我们的贫困颈椎的压力量,并且看着我们的手机或看电脑或者只是在那个位置看更长的时间。并记住,当你连续一遍又一遍地进行时,会发生赔偿,然后你的身体认为这是一种新的常态。因此,因为它会采取最小阻力的路径,如果肌肉总是过度活跃,而且它在缩短的位置,而且长时间,那么我们的大脑会像,那么,你知道什么,我们知道什么,我们只是为了保持这种方式。然后你会弥补你想要做的任何动作,即使你可能不使用正确的肌肉来做到这一点。 So and then, you know, we talked about this, when you sleep, very few people sleep with their neck in neutral, I like I said, I like to be a left side sleeper, for the most part. So again, I had to purposely try to train my body to sleep a little bit on both sides, I had to evaluate my pillows, but then we also go in the gym, and somehow people then feed into this position with the exercises they choose. So this is why it's so important to try to get people out of that position.
温迪棉絮:
是的,我们对五个动力链检查站谈了这么多。如果你看这个个人,甚至是它说10到12磅的人,就像这个人一样,或者这个数字,这是你在左边看到的第一个,这不是一个东西就像左上角和右下方之间存在很大差异。然而,随着时间的推移,左上角成为右下角,因为它发生一遍又一遍。所以即使有一个轻微的补偿,这就是为什么我们总是说你想注意它,因为如果没有,它可能会变得更糟。这些补偿将存在。如果你可以再次让自己摆脱一些职位,我的意思是头痛的数量,只是紧张,你知道,你会强调你的脖子和一切。和伙计们,我遇到了散步证明它是真正照顾你的颈椎的重要性,你很容易当你在这个位置时,开始失去它失去颈部的曲率,然后你真的要去在您的光盘和椎骨中有很多问题。你知道所有周围的肌肉,肯定不乐于处理。 Nope, no one. And again, we tried it in last week. But look what's happened already at the scapula right. So this isn't just the cervical spine, but that's why Part One was part one. That's right, and then what the scapula starting to get winged, then your shoulders not functioning right, and then it's gonna lock down even more of your neck and then when your shoulders aren't functioning right, your lower backs probably gonna have to do more, which is gonna affect your knee because your hips tell your knee what to do, but also does your ankle. So I mean, it's, it's a lot of us don't want to exercise and you gain 30 pounds, right? Oh, yes. Okay, that's that's, that's not a positive way of looking at this. So another reason why this is important.
Marty Miller:
确切地。这是正确的。所以让我们谈谈如何识别它。因此,如果我们查看下一个夫妇幻灯片,我们将谈论肩部移动性。而且你知道,当我们考虑肩部移动性时,我们想到评估,我认为移动性是一种东西,因为它是新的。我们不够谈论它。现在我们过去真的经历了Uni使用焦米。所以记住我们测量特定关节的人类量角器,我们从理想中都说,这个人在哪里,我们可以做些什么来使它们更加理想和具体的运动范围。因此,如果你没有经历新的CES内容,我认为这对你来说是非常,非常有益的,因为这需要几秒钟,这没关系很多时间。要么你把它们放在这个位置,他们通过或失败。
温迪棉絮:
好了,到另一边去,通过或不通过就完了。举个例子,你会在上面的图片中看到这个人,他们在做肩膀弯曲,他们躺在桌子上,他们可以躺在地板上,他们可以躺在垫子上,无论你能找到什么,他们的肘部没有弯曲,他们把它和肩膀保持一致,他们能成功地把整个手臂触到地板、桌子或地面,不管他们躺在什么地方,没有任何补偿,如果他们能做到,他们就会通过。然而,我们也可以说,现在我们看头顶下蹲,如果他们的手臂向前倾,那么很不幸,手臂向前倾,但他们通过了灵活性测试,我认为强调这一点非常重要,那么就会是不活跃的肌肉允许这种补偿而不是过度活跃的肌肉限制了关节。我认为这就是这些流动性评估的美妙之处。我用肩膀弯曲作为例子。但是对于内旋和外旋也是一样的,通过外展,胸部伸展,旋转,所有这些评估都可以告诉你上肢发生了什么,它可以帮助你更具体地分解它。然后你可以比较过渡性评估和行动能力评估的结果来设计一个非常个性化的项目来帮助人们增加行动能力,甚至可以帮助他们摆脱一些慢性疼痛。因为,如你所见,在这张图中,随着时间的推移,这种姿势会产生很多不适。 And I think the important thing of since you brought just mobility assessments in general, is for years, we've been told, what if somebody can't do an overhead squat assessment, and we've worked around that most people can. But if you really do a series of mobility assessments, you're going to know pretty much what their overhead squat would look like. So the middle mobility assessments are another great way to have that tool in your arsenal, that in case you run into somebody that really doesn't want to do an overhead squat, or can't, you can start going body part by body part with the mobility assessments, and you're going to pretty much know what their overhead squat would look like. And oftentimes, if I'm doing, you know, these mobility assessments, and let's say, I'm doing them in a place where I can't have them lay down, or even if my client can't lay down for some reason, you can actually have this person stand up against a wall, their back completely flat with their heels, their glutes, their shoulders, their head, maintaining contact with the wall, and then having them go through these specific exercises, with the exception of the thoracic extension and rotation, of course, and you can say, pass or fail, because what we're really focusing on is what's happening at the hip complex? And are we getting that range of motion? To do it in our arms, but we're sacrificing what's happening at the hips? And is there some kind of movement? Or if they bring their hands, for example, overhead? Do they kind of go out into more of the scapular plane in motion, because they don't have the extensibility in their lap, if they do any of those things, or bend the elbow or the arm just they just can't do it. All of those are, quote, fail, which means they can't, which will allow you again, to determine what's happening at that specific joint and what you can do to best fix it.
Marty Miller:
是的,绝对没有,解释得很清楚。这就是为什么,你知道,我们真的想确保人们对这些感到舒服,因为有这样一个伟大的工具,它真的帮助你和你的客户沟通,告诉你为什么你选择这些练习或编程。这是另一种很好的方法,你知道,巩固你对正在发生的事情的想法,你可以解决它。这是为什么。再一次,花几秒钟,这不是需要一段时间的事情,像测角器仍然喜欢的那样。我仍然喜欢它,因为我用它。如果你没有这样的练习,这需要很长时间,不是很长,但确实需要时间。你要站到那个位置,让客户拿着,找到正确的尺寸,写下来。而不是做这个,做这个,做这个。是的,没有。 Yes, no. Okay, let's move on. So, and I think you know, it's important. I know, we kind of went out of order, but I wanted to talk about and I know you did, as well, Marty, we wanted to talk about the mobility first. So now when we can talk about the ones that were more comfortable with, which are the transit, you know, the transitional assessments that you're seeing here, there's other ways that once you get that you can be done. Or if you want to add those other ones in, it's just a little deeper dive. But of course, these are going to be your initial assessments that you do.

温迪棉絮:
绝对地。所以再次,我们总是会谈论评估的重要性,当您听到我们任何一个但温迪和我来说,我们绝对会掩盖我们要做所有这些评估的那一点,因为它只是这样的价值每一个练习,每一个rep,每一个rep都是一项评估,但我们希望看到他们在哪里开始,我们可以为他们创造最好的程序。
Marty Miller:
是的,你知道,开销蹲坐,如果有人不能这样做,做推,拉,看看你可以在右下方看到这个人吗?她正在提升较大的时间,大时间。所以你知道,也许你在开销蹲下期间错过了。所以我想,做推池,我真的没有让他们进行评估,我可能只需要他们教导他们如何做适当的运动力学。我想看看他们是如何移动的。第一次练习之一,我可能会把它们放在那里,只要他们能够,你知道,站立和正确的位置可能是一个交错的姿势,胸部压在电缆上。再次,这是一个推动的评估,我只是看到他们的身体如何反应?所以我给他们一项运动,做了他们喜欢的东西。但是,我仍然在评估,即使我不是在说我正在做评估,以及池的同样的事情,我认为游泳池或行告诉我这么多信息,因为我可以看到他们能得到进入抑郁症? Are they spinning up the shoulder? Do they increase internal rotation? What's happening at the neck? And how far back? Are they going? Do they elevate is one side going back further? So just little things like that? Remember, every exercise and every movement that occurs at like, during that time with you or at the gym? You should always be assessing? Because if we're not assessing, we are
猜测。

温迪棉絮:
继续。所以现在你显然是我们对肩膀本身谈论的移动性评估。我们现在要谈论颈部移动性评估很多。和马蒂,我认为这些是如此未充分利用。我们经常说,你知道,在过渡运动中,你有前脖子吗?你是摔倒的手臂吗?你绕你的肩膀吗?是的。好的。
Marty Miller:
是的,嗯,有趣。你知道,上周,我们都谈到了我们的问题。有这么多,但你上周要回去洗漱。但我记得可能是一年开始的,我们在亚利桑那州出来,我有一些,就像我左菱形地区有点痉挛。我知道这是不喜欢的,只是让我泡沫滚动并尝试工作。但是因为你知道,当别人有评估时,你总是更容易,你快速看着我,你看着我的脖子旋转,我们看着几件事,就是来自我的宫颈,我左侧紧紧地,这在我的肩膀上导致了问题,以及我的运动,而我的菱形感受到它的磨损。所以一旦我调整了修复了我的纠正练习计划,没有问题,对。所以我不必忍受这些慢性等艰苦疼痛和痛苦。我们在这里治疗伤病。但是你知道,只是像是的那样唠叨,我留下了这个或我的权利。 So again, there's so many people have such a lack of range of motion and good control in their cervical spine. And then we are going into exercise that feed into it like the plank where their head falls off in a sense, or the crunches where they're yanking on their cervical spine, then the way they sleep and the way they're sitting at their computer. And then we wonder why when we do the assessments like oh, my God, you have like a third of the range of motion, you should. So these are very easy to do. You can see this person here just sitting in the chair. And we have all the specifics on how to in our content. But to get somebody to go, you know, into cervical extension, cervical flexion, very easy. You don't have to be overly skilled with the range of motion and the percentages because it's it's very simple, right? Can they tuck their chin to their chest? Can they look straight above the up towards the ceiling. And then when you look at the lateral flexion, everybody knows 45 degrees. So thank goodness, that's the normal range of motion. Right? And then with the rotation, it's can they get their chin without all these body parts moving over the opposite shoulder? There's some nuances to it because people will rotate and cheat and sometimes you'll miss a little bit. But these to me, Wendy are pretty glaring with the past fails. Yes. And one one that I think is pretty funny is the lateral flexion. I do this all the time with my clients. And I usually use my hand as a point to because it allows me to kind of dictate that if I put my hand here, I kind of know someone's head and I can say Does it hurt your touched my hand? That's, that's more of a cue to say, Can you do that? If they can't, most of the time, they're like, look how far I can go when there's like eyes are completely looking at the ceiling. They're doing everything they can to try to hit that specific point. And you're going to cue them you're going to do whatever you want to do that's going to best give you the results that you're looking for. And just know that I would say 90% of my clients will fail a majority of these just because they are so locked up in in their cervical spine or their shoulder or something that's causing the decrease in lack, or a decrease in range of motion. So very useful, very helpful. Yes. And that's what I like doing them in a seated position because I always see like the I'm a little teapot thing where people like, they're trying to get their ear down their whole body's going. So putting them in a chair just really takes out the hips and has less ability for them to compensate. But I would tend to say, Wendy, even with my athletic population, I'd say over 70% fail the majority of these higher.
温迪棉絮:
哦,当然。当你告诉他们你知道,就像,再次,你不是说,哦,失败了,但是你知道,有时候,是的,你不会有理想的运动范围。是的。所以当马蒂和我随意地讨论这个问题时,我们想教你如何快速完成。但记住,你的人际关系建立技巧贯穿始终?不要说这是一次巨大的失败。我对你们说。我是说马蒂和肯有时会开玩笑说,嘿,在车上,你觉得怎么样?我说,没有。你们知道吗,但我们已经在一起20多年了,所以我很乐意说,你知道,不。 And then you do the same for me. I mean, my walk and Marty's like, what is your foot doing? And like what's attached, and he's like, going the wrong direction, fix that. And so you need to have people and like, Look at yourself, because there are things that to Marty's point, he didn't realize that he might have you know, that he was kind of locked up in certain areas. And I was going through some basic mobility assessments and basic range of motion that he wasn't able to do, we were able to really pinpoint what he could do to help correct some of his issues. And it took like two days to feel a difference. I mean, that's the crazy, I mean, the first session, you know, you're on the right track, but two, three days, and then again, doing the whole model. I was like, boom, I'm back. Like, that's the beauty of it, if you catch it early, yes. Because if not, you have to get an MRI and they'll tell you what, you're going to have a distant blows, and you need to get surgery, and then you're going to say, No, I'm not going to get surgery, I'm going to try to do some corrective exercise first, and then you're going to show them that you didn't need surgery. And all as well see, look, back to go back to
一。你会知道这个故事。
Marty Miller:
是的。但是记住,这些是我们在前几张幻灯片中讨论的肌肉当我们讨论特定的肌肉时。所以如果你看到任何偏离理想状态的情况,不管你是在做运动评估,还是在做运动评估,只要记住会有肌肉引起这些补偿。所以我们说这些是缩短的肌肉,然后这些拉长的肌肉会允许这些补偿。所以当你看到缩短,这意味着你要滚动或做一些自我肌筋膜技术。然后你要静态地拉伸它们,试图增加适当的活动范围。然后你会想另一边是什么。然后你要做一些非常简单的激活练习试着让它重新参与到它最初应该做的事情中去。

Wendy Battis:
是的,这就是整体而言,最重要的是我认为确定你需要专注的东西,而是完整的。而且我的意思是,如果你需要只是在移动性上工作,那么你很好。如果您需要在激活上工作,那就太好了。但如果你需要两者,如果你只做四个步骤中的一个,你就不会得到结果。这就是美丽在于流动性,你将能够确定你的时间最好的时间。我的流动问题更多地是一种激活。现在再一次,如果我缺乏移动性,我保证你有一个弱点。但是一旦我增加了这种运动范围,就会恢复良好的姿势,我将在无论如何都要激活这些肌肉。所以这就是为什么正确的原因是为什么星期三晚上我们这样做是因为我们喜欢这个模式,因为它真的改变了我们的职业生涯。因为它给了我们蓝图和泰茨,你会有所不同,你会与众不同,人们就像,我知道,别人不这样做。 That's okay, be different. And I like to be different, because I'm going to also get results, that's going to lead to positive testimonials. And there's going to be coming back. So I'm going to build my business because I'm different. And I'm only different because I care and I'm looking at what is with their body in comparison to what I read in a magazine, which is the exercise of the day. So just remember that there are specific things that are causing certain compensations, find out what those compensations are, review this again, take a screenshot of this slide and you're going to be able to help someone feel and move so much better, especially if they're having constant headaches.

Marty Miller:
绝对地。这就是如果你让人们的头部和颈部移动好,那么他们将能够减少线条,他们很棒。是的,胸部移动性是您正在寻找宫颈的内容,腰椎稳定性是您正在寻找的。因此,如果您在所需的地方有很多移动性,则需要稳定,将有多个问题将是涟漪效果。

温迪棉絮:
绝对地。

Marty Miller:
向前迈进,如果我们现在看看,我们现在谈论的一些差异现在,我们现在有点谈论你在这里看到的内容和结果,我们将首先谈论前锋。所以当我们说出头部,记住,当你从侧视图中看五个动力链检查点时,你的耳朵,肩膀,臀部,膝盖,膝盖和你的脚踝应该是一条直线,如果你看到头部,即使它略微前进,但它并不理想。
温迪棉絮:
记住,如果他们有圆形的肩膀,你不希望你和过滤符合你想说的话,如果我画了一条直线,你就会从关节到关节一路走到我刚刚吵架的联合关闭,没有制作一个c,你知道,就像,你有你的耳朵和你的肩膀,然后你回到正常,然后它燃烧并做某事或者甚至是一个坏的。所以想一想。然后马蒂,如果你愿意的话,你想要通过一些四个步骤过程中的一些吗?
Marty Miller:
是的。所以你现在看到额头是什么让我们谈谈抑制。当我们看着颈椎时,我们并没有说抓住泡沫滚筒,然后滚动你的脖子或垒球,吧?在我们的所有内容中,我们都经历了所有这些,所做的和不做,或者你可以说是适应症禁忌症。所以随着颈椎,你显然会小心。所以我自己和温迪,我们有一个触摸许可证我们的不同。我是一位运动训练师。因此,我可以做出练习的范围,我被允许做Wendy是按摩治疗师,手动治疗师,她的练习范围是不同的健身,没有触摸软组织并操纵它的实践范围。但我们仍然希望您学习如何抑制,有泡沫辊,垒球,网球,振动技术的技术,与超伏等类似的振动技术。但不要只是抓住它并玩它,确保你真的已经研究过它并理解你能做什么而不能做到的。 So going past that with the inhibit. Sometimes I've always had to send people to massage therapist because their neck is so tight, that I don't feel comfortable teaching them how to do it themselves. And I say, Hey, here's what you need for your best outcome, whether you choose to get a massage or not. That's, I'm just here to tell you how to get your best outcomes. So with that being said, I'm sure when I turn it back over to Wendy, she may have some tips and things like that as well. And all that is in our text, so you'll have access to that you can review that again. But when we look at the lengthening, I truly believe these muscles are ignored. I rarely see people doing neck range of motion. In any fitness center, you might see it in more physical therapy. On occasion, I do see it in the gym, and I'm like, Dear God, they're trying to break their neck off. Where these are gentle, these are not forceful stretches because of the region of the body we're looking into, we're gonna glide in and glide out of these. But the levator scapula is a very important muscle. It's one of these muscles is runs deep in the side of the neck. It elevates your scapula, and it's one of those muscles that gets very overactive and can cause they have a forehead position, upper trap, this is one of the muscles that people like to train, I train muscles that are under active or have good symmetry, I'm not going to strengthen a muscle that's already overactive. So if I see somebody where their natural tendency is to elevate their shoulders, that's telling me the upper trap is plenty strong. Yes, people like to do shrugs and upright rows, but those are not exercises you're gonna see myself and when you do when somebody already in that forward head or that shoulder elevated position sternocleidomastoid we just shorten it to scms. That big muscle I think you call it the big honker muscle in the front of your neck is the one you can grab. I call it the E t muscle because I'm a child of the 80s it's the one that pulls our head forward. But that's the muscle that is always drawing our head forward. So it's going to be overactive. The pec minor is another muscle lies deep under the PEC major that has that ability to pull and draw my head forward. And then there's a lack of thoracic spine extension and rotation. So these that are areas of the body in the muscle that we need to down regulate a little bit.

温迪棉絮:
所以我们用软组织工作,然后静态拉伸然后翻转脚本,我们看看那些肌肉造成坏运动的肌肉。然后我们看看是什么允许它,所以允许它是一种受损的东西,需要稍微醒来一点。所以这些是深颈部屈肌。所以这是屈肌轰动屈肌大篷车。所以它是随时随地所做的那样,我是否只是站在一个好的姿势,为什么我的二头肌或我的三头肌或真正做下巴靠在地板周围的墙上,然后颈椎射门脊柱带抗杆颈椎缩回,所以很多人都会放一个非常轻的乐队。他们只做下巴,他们没有像你看到足球运动员那样的加权练习。这是不同时间的不同谈话。但这些是你能做的一些事情。再次,它非常柔软,非常温柔。 I even have people do positional isometrics. But if you do a plank well, and you keep your head and neck in the right position, guess what you're doing all those activation exercises right there. So there's a lot of cool ways to do it. And then to wrap this part up the integration, Cobras, bird dogs pushing and pulling and pressing the ball squat, of course, we have curled overhead press, but the one we always would also put in there if you know us squat row. But anything where I keep my head and neck in the right position, I'm getting that activation of the proper muscles. But we do want to start first with the inhibited lengthened, so those other muscles have a better chance of being recruited.

Marty Miller:
所以那么我看到Barney的很好,紧凑,短到了,我喜欢它。那么如果我们看看下一个,我们谈到了圆形和前向肩部计划,通常需要记住,当你有圆形的肩膀时,或者如果它们是前进的,那么它会影响发生的事情脖子。所以当你想到你围绕你的脖子,或者你的肩膀前进,但你甚至有良好的颈部姿势,你甚至可以感受到自己的提升。以及此处发生在此胸骨细胞瘤或我的大鸣喇叭肌肉。
温迪棉絮:
它能影响所有这些的原因是因为它连着你的胸骨,锁骨和耳朵后面的乳突。所以当你想到它的位置,所有的原点和插入都会影响到周围的情况,比如圆形的肩膀。另外,如果我的肩囊没有很好的活动范围,它会锁住一些我需要的肌肉,以便适当地移动它们,以及在我脖子上的肌肉的伸长位置。所以当我们想到抑制,你的观点,马蒂,当你使用某种自我肌筋膜技术,确保它是聪明的,你知道,你不想震动,你知道,或者把一些周围的肌肉,非常接近一个椎骨的椎骨和你经常打,其中的一些机器,你很强壮,能折断骨头。所以如果你用的是DMS深层肌肉刺激器,你可以运送骨头,高压氧和兽药更宽容,但是,要聪明。
Marty Miller:
另外,想想对我来说,这让我的大脑很混乱。我不会在颈椎上做任何振动因为我已经觉得我要发疯了,我个人不喜欢那种感觉。所以手动疗法或类似的东西,对你来说是一种真正的方法,你知道,让颈部活动过度的肌肉放松。
温迪棉絮:
我认为这是一个很棒的想法。而PEC次要,当然是一个专业的,他会通过抑制然后延长以及拉特。所以请记住,因为拉特,一个开始腰部,它们在肩部的上部安装,它可以让你进入那个圆形的肩部位置。因此,拉特是延长或抑制的一个非常重要的区域,然后延长。然后到你的观点,为什么我们拥有更多的胸椎动员,我们真的看起来更加抑制,因为它处于加长的位置,我们需要向下调节一些肌肉。然后也只是通过前进和漂亮而轻松,你试图让你的脊椎进入更多的屈曲和扩展。因为圆形肩膀,你被困在那个位置。因此,您正在失去流动性和胸椎应该与运动有完整的诚信。所以这就是为什么那里的原因。和旋转的同样的事情,试图让更多的运动变得有点。

Marty Miller:
当然,当你在锻炼过度活跃的肌肉时,我们真的想把重点放在关节另一侧处于加长位置的肌肉上。所以激活这些肌肉非常重要,我们用的是非常慢的节奏,所以更多的是四比一的节奏。或者如果你在看新课本,我们会说4到0。因为我们现在在你的重复范围内有四分或四计数,但是你要做一些像球组合的事情,你要努力完成你知道你整个肌腱套更好的活动范围。这是一个难以置信的练习。如果有人不能保持俯卧姿势。所以在球的时候脸朝下,然后让他们站着,臀部弯曲一点。所以他们仍然在对抗重力通过运动,直到他们的核心工作,他们开始能够保持五个动力链检查点,然后最终让他们下来到球上,这样做。肩膀外旋转器如果你在正确的沉积中,考虑外旋转器的位置。做抗带时钟模式,我们在之前的网络研讨会上讨论过,我们都认为这是一个难以置信的练习。 But it's basically where you take a mini band that you would do like lateral toolbox, and you would have your hands, pretty much shoulder with the part to start and then you just do a clock pattern. So left hand would go to 12 o'clock, and then nine o'clock, and then six o'clock. And you could do the same thing, you know, going 12 to three, or whatever, whatever number you want to go to, but you're trying to just very light resistance, trying to get your, you know, freedom. So the degrees of freedom back into the shoulder, which will also allow your clavicle to move the way that it's meant to move and rotate, it'll allow, like you talked about the levator scapula, remember, that attaches to the first two ribs. So your diaphragm is going to, you know, also play a big role and be affected with this particular compensation. So, you know, think about doing the external rotation at 90 degrees. So with the cable, just bring it out at 90 or you can even come up this way at 90 depending on compensation.

温迪棉絮:
最后但同样重要的是积分,把它们放在一起马蒂一号蹲了一排,我没有把它放在另一个程序里,因为我们知道这里有。我知道。但是加上俯卧撑和加号,我们上周和第一部分讨论了加号的重要性。但要记住,我们是想让锯颚肌重新激活。这是主要肌肉之一,当你有翅膀的时候就会变得不活跃。所以当肩胛骨脱离胸腔时,任何时候你都要做一点推的动作,给它更多的爱,确保你这样做的时候你不会进入脊椎弯曲。最后一种是最后一种但不是最不重要的一根腿缆。所以,单腿电缆D一种模式。当我们讨论d1 d2,我甚至不知道,它更对角线,一个对角线2,但它几乎就像你在做一个x,所以你在一个方向上运动就像D在另一个方向上运动d2。所以当你做这个动作的时候你会认为你只是在做X的一边并且真正地通过肩胛骨平面的活动范围来做,然后向下。 So, Marty, I don't know if people often say, well, what's this D one thing? That's how I explained it. I don't know if you have a better way?
Marty Miller:
不,只是当我们当我们看肩膀的时候,它是一个球窝关节。我们在寻找它在三个运动平面内都能旋转的能力。所以我只是我只是看它的功能方式肩膀的运动设计。所以我从内旋转变成了额外的旋转或者额外的旋转变成了内旋转。所以盂肱关节和肩胛骨以及稳定的脖子一起工作的方式,是一种很棒的模式,我把PMF模式放到我的肩膀项目中,几乎每一次都是一些版本。

温迪棉絮:
它的负荷并不重,你知道,我可能有能力比别人多做一点负荷,因为我经常做。但对我来说可能是7.5磅的重量我已经做了很多年了。所以我让人们只是用运动的范围与他们的体重,只是为了得到运动模式,这几乎就像一个不正确的术语,而是一个滑翔运动或使用牙线类型你刚刚模式,因为我们的身体不应该只是工作在一个平面的运动。你知道,身体有一些部位,但很少。我知道,对吧?

Marty Miller:
我喜欢我自己的PNF或者deewan图案,这一直是我喜欢的东西,因为我真的喜欢当我下来的时候,我必须自己做鸡肉卷。然后我要进行额外的旋转。这是我希望我的身体生产和减少的方式,所以我是一个超级粉丝。也许是因为我打棒球的经历,但我很喜欢这些图案。我用手环,哑铃和各种体重的东西。这就足够了。

温迪棉絮:
大点。这样我们就有了保释的可动用范围。所以记住,当你往上走的时候,试着把你的大拇指也竖起来。所以当你向上时大拇指向上因为你想要打开,而不是去如果你向下大拇指,你会让自己进入内旋转,这会导致撞击。感觉不太好。另外,它会限制你的活动范围。如果你的肩膀是向前圆的,你就把自己投入到你想要训练的补偿中。是啊,所以非常重要的是要一直想大拇指朝上,这样会更安全,除非你认识某人,意思是医生会告诉你不是这样的。但在我的职业生涯中,从来没有出现过这种情况。我想我还想说的是我总是告诉人们想要拔出剑因为你想要离开你的身体。 Some people come real close. And it's generally because the weight is too heavy if they're using weight so it's out some if you have a sword, you can't pull it straight out. You have to draw it out away from you. And that's the patterning that we're looking at.

Marty Miller:
对我们来说,我喜欢它,成为战士是英雄。

温迪棉絮:
这就给我们带来了关键的启示。令人震惊。但评估。第一,我很惊讶,我不知道,评估是关键。如果你不是在评估,你是在猜测我们每次都会这么说因为它很重要。伙计们,你可以训练一个人一整天,如果他们进来,他们只是他们有不适,他们有补偿。你真的不关注那些,你只是做基本的二头肌,三头肌,腿,胸部,你知道的,做紧缩五分钟,然后他们出了这个门,你真的不帮助别人,你不会,他们不会达到他们的目标,他们将可能留下来,你知道,某种痛苦。再一次,我不是在说我们可以减轻疼痛,我们不是医生,然而,如果我们注意到一个补偿,我们可以训练和提示出来,他们可能如果尤其是压缩的椎骨,你可以自己排队,正确的,可能会让自己的痛苦。我们所做的就是拉伸和激活,然后把所有的东西用集成组件组合在一起。所以我想这就是我怎么强调都不为过的原因之一。 If you're really if you're new to this, spend more time on the assessments, start to identify it practice on the friends practice on family, practice on everyone, because you can just have them keep doing it until you see it. And they're a lot more forgiving than when you have a client say, Can you do that? Again? They're gonna be like, No, I just did 30 squats, what do you mean, do it again, you're going to focus, of course, what's causing and allowing those compensations. And then take that sheet where all the notes are designed programs, you can use the program's examples that Marty and I just gave you, there are still some other examples in the new CES content. When we were looking at the mobility stuff, there are specific exercises that you're probably going to find very, very useful. And then, you know, just understand that the CES can be implemented as the extended warm up in any of the phases that you're doing. Just make it specific for that client. And then if you want to add a few more things in the integration component, to prepare them more successfully for that phase of training, that would be the time to do so.

Marty Miller:
然后很明显,最后,使用模型的两个部分,我每天都使用CES。我想是它成就了我的事业。我说,甚至在Facebook页面上,也有人说,你觉得这个或这个怎么样?我两个都喜欢,因为它是在两个之间,我是说,是的,我为ASM工作过,但我相信ASM会像我做的那样把你们都搞砸,因为它管用。事实上,我认为CES让我与众不同。记住,我喜欢与众不同,但那是那是更适合我的工作。我可以修复人们,我只能通过做评估来修复他们,然后用这些评估来做一些事情,从而产生非常好的结果。非常非常大的幻想。
温迪棉絮:
是的。同意。同意了。如果你想找到我们,可以给我发邮件,地址是温迪
点batts@nasf.org。或者你可以在Instagram上找我Wendy dot batts13。
Marty Miller:
然后我的信息在这里。nsm dot O R G的马蒂·米勒和Instagram的马蒂·米勒医生7岁,2岁。温迪,我很乐意。我知道下周我们也会推出一些很棒的内容。所以今天参加的每个人,非常感谢你们。回头看看第一部分,下周四下午3点

作者

国家运动医学研究院

国家运动医学研究院

自1987年以来,美国国家运动医学研究院(NASM)一直是为健康和健身专业人士提供循证认证和高级专业知识的全球领导者。我们的产品和服务经过科学和临床验证。它们被世界各地的领先品牌和项目所推崇和利用,并开启了数千个成功的职业生涯。