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Archive for the 'injuries' Category


Cues for the Shoulder

Posted by Body thinker on May 4, 2008

by Lesley Powell

Ohhh the scapula comin around the ribcage.
Ohhh the scapula comin around the ribcage.
Ohhh the scapula comin around the ribcage.

Hee Haw

Freeing the Shoulders to Connect to the Core , an article in Pilates Pro, I go over how the bones of the shoulder girdle move. I always in my lesson plans with clients, am teaching them about their bodies.

“Embodied Anatomy improves function” Eric Franklin

One of the first things that I teach is how the scapula glides. When the scapula moves properly, you will solve many problems why the shoulders are up and tense. You will also improve the connection to the anterior serratus.

The movementscapula-humeral rhythm

  1. Begin to raise your left elbow to the ceiling, feel the shoulder blade gliding wider on the ribcage. Gradually rotate the humerus bone outward so the entire left arm bent is now facing the wall in front of you. Reach the left elbow to the ceiling to help abduct the scapula more.
  2. Glide the scapula in more upper rotation and gently increase the outer rotation of the humerus bone to bring the left elbow over your head. The arm stays in the same plane as the scapula and gradually rotates more outward. For most, this will bring your elbow in front of your ears. (To get the elbow in line with the torso, one has to improve the mobility and the mechanics of the scapula).
  3. As if you were running the film backwards, return the arm back to your hip paying attention to the gradual rotation of the arm and the scapula. When the arm returns to the hip, the arm is slightly inwardly rotated.
  4. Repeat 4 more times
  5. Reverse to the other side and other arm

full arm circle 2

Now try a full arm circle. Can you initiate the movement from the shoulder blade? If you have a partner, let the partner place their hand on the shoulder blade to assist in its gliding. Do not worry about depressing down right now. See if you can get the tip of your scapula to make a small circle around your ribcage. As the scapula follows the curves of the ribcage, many of the problems of the shoulders can be solved.

Next week: Anterior serratus training.

Posted in Bartenieff Fundamentals (BF), Holistic fitness, Post-rehabilitation, Professional Teacher tips, Rehabilitation fitness, injuries, wellness | No Comments »

Rotation- getting around to the essence of being

Posted by Body thinker on March 25, 2008

By Dr. Martha Eddy and Lesley Powell

Lesley: When I was working at Dr. Bachrach’s Center of Sports Medicine, one of the client with a back injury came to work with me. He asked how long would it take to get back to playing tennis. I didn’t answer, I just started doing the Bartenieff Fundamentals with him, particularly the knee drop, diagonals and arm circles. BARTENIEFF FUNDAMENTAL BODY HALFThis client had very little rotational ability in his body. When a person is unable to move well in one plane, they will often overuse the other planes. It was clear how he misused “his body in space” had led to his back injury. His rotation improved immensely as well as total body mobility.

The rotary factor is an important in all of our movement. To rotate is to be human. First look at the human body. There is not one bone without some kind of curve and/or spiral. The pull of the muscles on the bones must follow along the lines of the bones. Rotation is underlying in all of our movement. The movements of the bones are usually rolling, gliding and rotating. Rotation has enabled us our mobility and strength. It is rotation that enables us to make level changes and move through space. The simple action of getting out of bed requires internal and external rotation of the thighbones and the pelvis rotating on the femur heads. Observe a baby lying on the floor and its transitions from the floor to sit, crawl and eventually stand up. You will see gradated rotation of the thighbones and the pelvis to accomplish these tasks.

Martha: I am glad that you talked about babies Lesley. We all begin as babies and babies usually begin their movement workout on the floor. On the floor we can spread out, relax, and see the world. Judith Kestenberg - child psychiatrist and movement expert noted that children gain movement repetoire first on the floor and during this time they gain spinal flexibility and perceptual flexibility.

As we go grow older, the LMA systems believe, that this flexibility transfers to the ability to explore options. In our BodyMind Fitness approach we encourage clients who have lost their capacity to twist and spiral physically to find the horizontal plane again AND to re-engage in exploring options within their environment and attitudes. halfdia2 copyOur approach to rotation has nuances as well. We use phyiscal therapist Irmgard Bartenieff’s brilliant concept of gradated rotation to activate muscle chains in a sequential fashion. This awareness gives equal power to all of the joints along the pathway (from vertabra to vertebra or from finger tip to elbow). By equalizing forces we balance muscles and realign joints. Then we ask clients to note what feels different and how this new way of movement may bring out a new attitude or choice, or not. Options are always options. To quote Bartenieff - “there are always multiple possibilities.” In our fast paced forward moving world the pressures of life sometimes block out our sense of options.

At CKE our motto is “relax, feel, move, take action.” In our BodyMind Fitness work we often also take the somatic approach to finding rotation by getting down on the floor. On the floor we take time to breathe, widen, release, spread out - letting go of the intensity of gravity. Then we activate core and distal muscles with awareness of our movement through space. Instead of just crunches we provide movement options in many different directions. Rotation is just part of the picture but one that is often missing. Our3D Fitness series puts all the pieces of the puzzle together. Join us on April 12 or send a friend at Movements Afoot
Go to online scheduling and workshops to sign up!!

Posted in Bartenieff Fundamentals (BF), Conditioning, Holistic fitness, Personal training Certification, Professional Teacher tips, abdominals, back pain, core strengthening, injuries, low back pain, wellness | No Comments »

How to work with a client w. Lumbar Lordosis

Posted by Body thinker on March 20, 2008

I have a possble client with a severe lumbar lordosis. Is there specific movements to try on her to correct/help/improve? Any certain ones to really avoid? I have a few ideas but I would love your input.

BBU Student

by Lesley Powell

When a client comes in with certain misalignments, I first observe throughout the lesson how the client organizes movements, what is tight and what is weak. Each client arrives in a certain posture for different reasons: some are structural, habitual, an injury, history of fitness and cultural.

I always go to the basics first, core support, observing what is mobilizing and stabilizing. Their patterns of posture will reflect in all the exercises even simple ones like cat & camel, bridging, basic abdominal training and back extensors training. Part of making change in a client is making them aware of their habits.

How do they lie on their backs? Is the tension of their backs hyperextending their ribs? If I have them stretch the back muscles, does that help? Sometimes just saying “let your back go” can make a change. We all have patterns how we all hold tension. Learning to relax is key. Breath is a great way to help relieve tension.

I always look how they use their legs. When the legs are weak, the back has to carry the load. When they are doing bridging, footwork, etc., what is initiating first; the legs or the back? For instance, observe how they do a neutral bridge. Are they arching their backs to get the pelvis up? Get them to initiate through the legs. Make the movement small until they understand to push from the legs.

Sometimes they are so used to lifting their legs from their backs, they feel pain. Work in small ranges of motion until they can move painfree. Lying prone and lifting their legs, they always feel pain. Take the exercise to a different position and see if they can initiate from the correct place. For example, bridging, Pilates footwork and leg straps or modified side leg kicks. How is their form? Can they differentiate the leg from a stabilized pelvis?

Remember to have patience. A posture is created from years of habits. Keep observing, problem solving and making sure the movement principles are within each exercise.  If a client is always in pain, make sure that they see a medical professional to rule out serious problems like disk herniations.

Posted in Professional Teacher tips, abdominals, back pain, back pain exercises, back pain relief, injuries, low back pain, posture, wellness | 2 Comments »

Abdominals come in many Flavors

Posted by Body thinker on February 16, 2008

by Lesley Powell

“Abdominals come in many Flavors” Doris Pasteleur Hall

“I do have a question - on the KNEE STRETCH & KNEELING ABDOMINAL SERIES - why would you choose the rounded back vs the flat back — would it be for body type, body issues, difficult/easier, different focus? Could you explain.” Kris

For a healthy body, training the abdominals with the spine in many positions of neutral, flexion, extension, lateral flexion and rotation is very important. The core muscles coordinate differently for each position. Training core muscles for dynamic movement is essential. This kind of training supports the physicality for good posture and necessary for our movement loves. This will also teach clients how to use their spines without unhealthy compression. A healthy spine should be able to move through all planes: flexion-extension, lateral flexion and rotation.

Knee stretch is the preparation for Advanced Knee Stretch, plank pose, downward dog, Long stretch and Up stretch. It teaches the client the coordination of the all the limbs with the core.
Knee stretch

Advanced Knee Stretch

Certain health conditions require modifications. With osteoporosis of the spine and disk problems, knee stretch in flexion is contraindicated. With Stenosis and spondylolisthesis (go to BBU’s Movement principles - info about neutral spine), knee stretch in flexion is a great exercise. As with Stenosis and spondylolisthesis, you might have the client perform a neutral spine with a imprinted spine or supported neutral.

Posted in Conditioning, Medical fitness, Personal training Certification, Pilates, Professional Teacher tips, abdominals, back pain, back pain exercises, back pain relief, core strengthening, injuries, posture | No Comments »

3-D Core

Posted by Body thinker on February 6, 2008

by Dr. Martha Eddy & Lesley Powell

Traditionally in fitness “core” use to refer just to the abdominals. When someone has back problems, the traditional approach has been to train the “abs” and then the back separately. In our BodyMind Fitness training, one has to train the spine 3 dimensionally for posture and daily movements. First a person has to get in touch with how the spine moves in different directions - moving front-back, sideways and rotating.

Bartenieff Fundamental- Arm Circle 2
3-D Spine with Dr. Martha Eddy & Lesley Powell at Movements Afoot
Dates: Sat   4/12/2008
Time:  4:00 PM - 6:00 PM
Somatic Saturday with Dr. Martha Eddy & Lesley Powell
April 12 4-6 PM $60

In our upcoming workshop at Movements Afoot, the 3-D Spine the 3-dimensionality refers to the anatomy of the spine as well as to these various movements of the spine. Part of the lack of effectiveness in overcoming back problems is that people do not understand how the spine moves. So in our workshops, we get you to experience how the spine works. We look at the shape of each vertebra and the Sliding action of the facets in movement. The 3-D core refers to the volume of the torso and the internal contents. This awareness gives you a different understanding of your body. We learn some of the organ anatomy and how to breathe into the torso to feel supported.

IN our upcoming workshop at the BodyMind Expo called Laban Space Harmony: Bringing 3-D to your Session we will incorporate concepts from the 3D Spine, 3D Walking, and 3D Swing. Perhaps you will join us in New York or in CA!

Posted in Bartenieff Fundamentals (BF), BodyMind Centering, Holistic fitness, Medical fitness, Personal training Certification, Professional Teacher tips, Rehabilitation fitness, abdominals, back pain, core strengthening, injuries, posture, wellness | No Comments »

Teaching Teaching

Posted by Body thinker on January 19, 2008

by Lesley Powell, Director of Movements Afoot

Testimonials

This month I taught Balanced Body University’s Pilates Mat I-II. It was so wonderful to teach just the right amount of material for a weekend course and have the time for everyone to intellectually and physicality experience new materials. Sometimes courses are so jammed pack with information without enough time to experience the material on a physical level.

Students were really able to make changes in their own practice and practice new teaching techniques on their colleagues. They learned to problem solve teaching with the Pilates material on different bodies. When issues came up such as the spine was too tight to do a rollup, I was able to give information how to open the back and how the BBU’s movement principles can facilitate change.

We also talked about teaching. Teaching is a passion and a skill. To be a successful teacher, one has to understand how clients’ learn, how to cue well and lead different teaching situations from privates to group classes.

Dr. Martha Eddy once led a class on the nervous system and learning. We were to learn a simple hand phrase.

  1. We copied her phrase
  2. counted it
  3. gave names/images to each movement
  4. sounds to each movement
  5. use tactile cues such as using the floor, wall or our bodies

Then we talked to each other which method helped us learn the phrase. Everyone had different answers! I am such a visual learner and assumed others were the same. This class really taught me to try to understand my client’s preferences for learning.

The students had to teach a 45 minute class to each other and then I was to evaluate them. How I wished someone helped me in my earlier years of teaching. How one talks, phrases their voices and organizes the class are essential ingredients to a successful class.

In the structure of Balanced Body University’s Mat courses, there is detailed information about teaching. How wonderful to go over these materials, talk about our own teaching experiences, dealing with different types of clients and how to improve teaching skills.

Posted in Bartenieff Fundamentals (BF), Conditioning, Holistic fitness, Personal training Certification, Pilates, Professional Teacher tips, abdominals, back pain, back pain exercises, back pain relief, core strengthening, injuries, low back pain, pelvic floor, scoliosis symptoms, transverse abdominals, wellness | No Comments »

Teaching clients with hip Replacements

Posted by Body thinker on November 12, 2007

by Lesley Powell, Director of Movements Afoot

When teaching clients with hip replacements, it is important to find out what kind of hip replacement did they have. At the moment, there are 2 different type of surgeries: the incisions are in front of the hip or in the back. Because of the incisions, this leaves the hip vulnerable to displacement due to weakness and the incision. I highly recommend that you and the client talk with their Doctor about their surgery and contraindications for training. With new advances in hip replacement, things are changing.

For instance, surgery from the back, movements of deep hip flexion is contraindicated. That means not to push hamstring flexibility by trying to bring the leg close to the body. Training the posterior hip is very important. Building strength of all the muscles of the hip and legs is important. In Pilates, diminished range of leg circles are great. Full short spine is not recommended. (Some of range of motion depends on their fitness before the surgery. Dancers have a unique range of motion.)

The most important thing to remember with hip replacements is not to push extreme range in the hip. Building dynamic strength is essential. Some clients, who tried to avoid surgery, developed compensation habits around the painful hip. Part of your teaching might be teaching your clients better function of using their legs.

Posted in Holistic fitness, Medical fitness, Pilates, Post-rehabilitation, Rehabilitation fitness, back pain relief, hip pain, injuries, wellness | No Comments »

Integrating the Breath

Posted by Body thinker on October 29, 2007

By Amy Matthews, Certified Laban Movement Analyst, BodyMind Centering and Yoga teacher

Breath is an amazingly powerful tool for increasing the effectiveness of our fitness training and enhancing our movement skills. An appropriate and efficient breath pattern supports core strength, stabilizes the spine and creates freedom in the limbs – and when we hold our breath, we make ourselves work much harder than we need to, and create situations where we are more likely to overwork and injure ourselves.

Paying attention to the breath is an excellent way to gauge the appropriate level of exertion, and to tune in to what’s going on in your body. Sometimes we hold our breath to avoid feeling pain or to hide from an experience – and when we’re avoiding a sensation, we’ll be less able to attend to the rest of the experience (such as sensing form or timing or alignment).

On the other hand, changing a habitual breathing pattern can be one of the most profoundly unsettling things you can ask of yourself, or someone else. When we change our breath we are affecting ourselves in the most fundamental ways we can imagine – many of our breath patterns were developed as very young children, and in one way or another had to do with survival on some level.

It’s impossible to say that there is one ‘right way’ to breathe – it depends on the situation, the position of the body, the action being performed and the person performing it (with all the experiences that the person brings to that moment).

When we work with someone to help them find a ‘better’ way to breathe, we need to take into account the anatomy and kinesiology of the ribcage, spine and accessory structures that affect breathing (which could be just about anything in the body!). At the same time, we need to be sensitive to the effects of the breath on the body and on the psychological states and emotions of the mind and spirit.

With knowledge, skill and sensitivity, we can use various movements and exercises to help people have different experiences of their breath, and increase the number of options they have about how to breathe.

ByAmy Matthews, CMA

Posted in Bartenieff Fundamentals (BF), BodyMind Centering, Holistic fitness, Professional Teacher tips, injuries, wellness | No Comments »

Pilates & MS

Posted by Body thinker on October 24, 2007

by Lucia Cammarata, client at Movements Afoot

The Pilates instruction I have experienced at Movements Afoot has empowered me in more ways than I can possibly mention. It is exhilarating physically, emotionally, and intellectually. I find it goes beyond the mind-body connection, it plugs straight into the cosmos, the universe. This is essential for any true process of healing.

Pilates at Movements Afoot, taught me to enhance my somewhat limited walking capabilities (due to MS) through incorporating groups of muscles in synchronicity rather than the isolated ones I was using previously. Also, I was able to better identify slipshod shortcuts I was using in place of correct form in perambulation. Again this not only enhanced my physical ability and strengthened my physical core, but served to strengthen the crucially important psychological-spiritual core.

Posted in Conditioning, Holistic fitness, Post-rehabilitation, Rehabilitation fitness, back pain relief, core strengthening, injuries, posture, wellness | No Comments »

Being a Part of BalancedBody’s Vision for Pilates

Posted by Body thinker on October 22, 2007

by Lesley Powell, Director of Movements Afoot

This last week I completed the second week of training to become faculty of BalancedBody University’s faculty. I am so grateful to be a part of new community that has deep values towards Pilates history as well as pioneering new innovative and creative techniques to enhance our lives and our clients. BalancedBody has created a unique educational program for beginning and continuing education for all.

bbu’s manuals are absolutely exquisite with great photos, great writing about the exercises and more. They give detail information about how each machine works, the differences of spring loads and safety issues for each piece of equipment. There is a section of detailed examples of different kinds of workouts: different workouts from classical to a atlethic workout, different themes of exercises on each machines (i.e. list of exercises for spinal mobility on all pieces of equipment) and information about how to design workout for clients with injuries and medical conditions.

BalancedBody’s vision is Pilates for real people. Some styles of Pilates expect you to fit into expectations of a dancers’ fitness. Pilates can enhance everyone’s lives. There are many days that I practice Level I Pilates to address my hyper-mobile sacrum. Pilates creates the balance of strength and mobility in my body.

I am so excited to finally find a large community of professionals that are truly committed to wellness, education and community.

Posted in Conditioning, Holistic fitness, Pilates, Post-rehabilitation, Rehabilitation fitness, abdominals, back pain, core strengthening, injuries, posture, wellness | No Comments »