Does McKenzie’s derangement syndrome fit into a traditional patho-anatomical model? And if not, does it matter anyways?
With the derangement syndrome, we witness lasting changes in movement characteristics, strength, reflexes, and dural signs after the performance of directional preference movements. Mechanical and symptomatic responses to mechanical loading strategies, consistent with the operational definitions of McKenzie’s derangement syndrome, exist throughout the musculoskeletal system. The problem lies in providing a clear and consistent systemic or anatomical foundation to explain the phenomenon.
It is my proposal that the central nervous system may in fact provide the basis for McKenzie’s derangement syndrome, and may also provide yet another reason for MDT as a systems-based approach to musculoskeletal care.
There is an intriguing perception of money and its relationship to health in our community. For many, spending more money on some item or service equates to the perception of a higher quality of service. There are some very interesting cost dynamics and perceptions that take place in health care as well.
There is a commonly-held perception that if a personal trainer or coach is more expensive, then they MUST be good. We see the same in the world of health care – the greater the cost (or the longer the waiting list), the better the provider must be. But where are the outcomes? Accountability? Results?
In most businesses, good quality work and/or service is rewarded with economic prosperity. You provide a good outcome, and you do well economically. You provide a lousy outcome (on a regular enough basis), and you are looking for a new career. But for some reason, these basic rules of capitalism (and quality) seem to change when there is any mention of “health”.
Two lanes of asphalt stretched out before me. The sound of the rubber against the road. The gentle vibration of the car beneath me.
Peace. Tranquility. I am not sure you can describe it any better than that.
For years, writers and musicians have expressed their sentiments about the open road and our cultural fascination with the automobile and all that it represents. There is something tantalizing and adventurous about being out on the road. Maybe it is the freedom that it evokes within us. Maybe all roads lead to somewhere – and nowhere – at the same time. Maybe it reminds us that it is all about the journey, and not the destination.
For me, it is about the insight that springs forth when faced with a blue highway and nothing but time on my hands.
This is the 13th in a series of RunSmart videos. The series is on-going, with a new video released on a biweekly basis. These videos complement the material presented in the book “RunSmart: A Comprehensive Approach To Injury-Free Running”. The full series of videos can be found here. A compilation of the first 10 videos will be available on Vimeo as well.
For those of you that are interested in a more interactive learning environment, consider attending a Level One (half day), Level Two (one day), or Level Three (two day) RunSmart program. The Level One program is 4 hours and focuses on basic training principles and running mechanics. The Level Two program is 8.5 hours and focuses on injury prevention and performance optimization. The Level Three program is a two day, 15 hour program that includes a comprehensive approach to running injuries. The next Level One program will be offered in Austin on June 3, 2012. The next Level Three program will be offered in Reno, Nevada on May 5 – 6, 2012 at the University of Nevada.
In this video, I discuss the issue of training principles and how they are consistent regardless of the race distance. Many coaches and athletes continue to focus on the variation of energy systems with race distance. However, the training principles that are underlying the plan should remain consistent across all race distances.
Look around you any day of the week and you will probably find someone in an uproar over their rights. “I have the right to do such and such in this country”, they will say. And yes, Virginia, rights do come with the Constitution and citizenship.
But with those rights come responsibilities. You really can’t have one without the other – at least if you want the system to work effectively.
Episode 37 of the Rhubarb Report delves into the right to stand your ground – depending on the state, of course - along with a discussion of unalienable rights. Should you peruse Episode 37 a little further, you’ll even find a rather intriguing Top 10 list that might just get you thinking, just in time for November’s election.
The recovery run is a pretty common training session in a runner’s arsenal. It will almost certainly be found in the majority of training programs and approaches to training.
The concept underlying the recovery run – active recovery – starts out with some good sport science to support it. The theory underlying active recovery is simple - recovery post-workout can be facilitated if the athlete continues to perform lower intensity activity during their cool-down process.
This assumes that the active recovery is done immediately after the completion of the main training session.
What it has become in today’s training regimes is far from the original intent of the activity.
The University of Texas men’s basketball program seems to be stuck in a bit of a rut these days. There seems to be a bit of an identity crisis. Is this a program that promotes the “one and done”, NBA farm club mentality? Or does it truly desire to be one of the elite programs in the NCAA?
The problem has existed in earnest over the past decade, but the impact has been felt dramatically over the past 4 years. Sure, there are 14 consecutive NCAA tournament appearances. Numbers like that are reflective of a developing national program. But look a little deeper. Since the Final Four appearance in 2003, what has happened? Worse yet, over the past 4 years they have advanced to just the First Round twice (2010 and 2012) and the Second Round twice (2009 and 2011).
Maybe this is the question that needs to be asked of coach Rick Barnes before the 2012 – 2013 season. Is the goal to be a fertile ground for wannabe NBA players? Or is the goal to truly develop players and build a program?
Allan Besselink, PT, DPT, Ph.D., Dip.MDT has a unique voice in the world of sports, education, and health care. Read more about Allan here.