tag:blogger.com,1999:blog-83599628275555187002024-03-13T10:31:50.201-07:00Kettlebell Therapy™Restoring Body Movement & Optimizing Functional PerformanceDr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.comBlogger66125tag:blogger.com,1999:blog-8359962827555518700.post-53677295634817885062013-04-21T20:21:00.002-07:002013-04-21T20:22:58.855-07:00Healthline Kettlebell ArticleA couple weeks ago, I had the pleasure of being interviewed by Treacy Colbert, who writes for Heathline. The topic: KETTLEBELLS! Specifically, kettlebells for men. We had a great discussion about the trends, possibilities, science, and uses.<br />
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For your enjoyment: <a href="http://www.healthline.com/health-slideshow/kettlebell-workouts-men" target="_blank">Kettlebell Workouts For Men</a> from <a href="http://healthline.com/">Healthline.com</a><br />
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<a href="http://2.bp.blogspot.com/-CMtMwG4m7-4/UXSsmR9HqcI/AAAAAAAAAwM/N8Kk2EkJU_8/s1600/285x285_Kettlebell_1a.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-CMtMwG4m7-4/UXSsmR9HqcI/AAAAAAAAAwM/N8Kk2EkJU_8/s1600/285x285_Kettlebell_1a.jpg" /></a></div>
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<i>From Healthline.</i></div>
Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-2417588306707036912013-03-06T23:01:00.000-08:002013-03-06T23:01:23.689-08:00Introducing Blog @DrBenFungI am very excited to announce that I've started a new website: <a href="http://www.drbenfung.org/" target="_blank">Blog @DrBenFung</a>!<br />
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<a href="http://www.drbenfung.org/" target="_blank"><img border="0" height="62" src="http://4.bp.blogspot.com/-nQ8zZ4kMowo/UTg6n6QrvfI/AAAAAAAAArs/CqKUyzxBTnc/s400/Blog+Pic.jpg" width="400" /></a></div>
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This new blog is located at DrBenFung.org & will contain expanded content featuring physical therapy best practices, business strategies, marketing tactics, healthcare advocacy, health & wellness, and other content which expands past the realm of Kettlebell Therapy.<br />
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I'm making some finishing touches on the web design and will soon be posting a series of blogs on CSM 2013.<br />
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Thank you all for your support!<br />
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My very best,<br />
-Ben<br />
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<br />Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-15268691633601402162013-02-06T11:24:00.000-08:002013-02-06T11:24:33.964-08:00Kettlebell Therapy nominated "Best Use of Social Media"!<br />
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Wow! I want to thank you all so much for this!! When I received the e-mail from <a href="http://www.therapydia.com/blog-awards" target="_blank"><span style="color: blue;">Therapydia</span></a>, it actually came as a complete surprise. The Kettlebell Therapy blog has been nominated in the "Best Use of Social Media" category of the PT Blog Awards sponsored by Therapydia!!</div>
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Thank you all so much! I'd love for your support in voting for this blog!</div>
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<a href="http://www.therapydia.com/blog-awards" target="_blank"><img border="0" height="200" src="http://3.bp.blogspot.com/-mC_Qni7yW_o/URKtRWJI8zI/AAAAAAAAApI/xwZ7mjen_NE/s200/BlogAward-Badge-Nominee-Silver1-e1359672085431.png" width="200" /></a></div>
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<a href="http://www.therapydia.com/blog-awards"><span style="color: blue;">http://www.therapydia.com/blog-awards</span></a></div>
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Best of luck to all the candidates in all categories!!</div>
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Sincerely,</div>
-Ben<br />
Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-12949693897885196102013-01-14T22:13:00.000-08:002013-01-14T22:24:23.202-08:00Lessons from a Disney New Year (Part 2)<span style="text-align: justify;">Continuing from my last post, </span><b style="text-align: justify;"><a href="http://www.kettlebelltherapy.com/2013/01/lessons-from-disney-new-year-part-1.html" target="_blank"><span style="color: blue;">Lessons from a Disney New Year (Part 1)</span></a>, </b><span style="text-align: justify;">we
left off with the question: How can we utilize Disney’s business principles to
strengthen Physical Therapy practice and maintain a competitive advantage?</span><br />
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<o:p></o:p></div>
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To answer these questions, we
must first identify the state of each principle in current Physical Therapy
practice. <b><i><a href="http://www.kettlebelltherapy.com/2013/01/lessons-from-disney-new-year-part-1.html" target="_blank"><span style="color: blue;">Please read here for my thoughts from Part 1.</span></a></i></b></div>
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<b>(1) Order Qualifier: Uniqueness – Disney is unique and constantly
improving. Is Physical Therapy unique and constantly improving?<o:p></o:p></b></div>
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This is really a two part
business practice by Disney so I’ll discuss each part separately.<o:p></o:p></div>
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<b><i><u>Disney is Unique<o:p></o:p></u></i></b></div>
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To achieve Disney standards,
Physical Therapists must first distinguish themselves from other apparently
similar professions (not that I have anything against apparently similar
professions). Our problem as Physical Therapists is that we lack a unique,
globally (and easily) recognized services, duties, responsibilities, and
especially - brand name/icon/phrase/identifier. Disney’s key identifier: Mickey
Mouse, is one, if not THE most recognizable and identifiable icon in our world
today. Unfortunately, we as Physical Therapists do not have such an icon.<o:p></o:p></div>
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<a href="http://3.bp.blogspot.com/-F5LeidlXMFk/UPDzCzJ07BI/AAAAAAAAAoM/8kRvpw4Gf5c/s1600/Mickey_Mouse.svg.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="http://3.bp.blogspot.com/-F5LeidlXMFk/UPDzCzJ07BI/AAAAAAAAAoM/8kRvpw4Gf5c/s200/Mickey_Mouse.svg.png" width="173" /></a></div>
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I’ve heard Physical Therapists
described as, or in combination of, a chiropractor, a massage therapist, a
personal trainer, a nurse that walks people in the hospital, an athletic
trainer, a pain counselor, a movement expert, an exercise specialist who uses
exercise for rehabilitation… the list goes on and on. Nothing is truly
definitive in the public’s eyes or ears (and, perhaps in our own).<o:p></o:p><br />
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Say:
chiropractor – words like spine, adjustment, or “cracked my back” tend to come
to mind.<o:p></o:p></div>
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Say: massage
therapist – simply the word “massage” or the image of hands being placed on a
sore neck and shoulders will immediately come to mind.<o:p></o:p></div>
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For trainers: words
like exercise, fitness, weight room, losing weight, sport performance come to
mind.<o:p></o:p></div>
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I know I’m preaching to the choir
when I say that Physical Therapists do so much more than we are credited for,
and, that Physical Therapists practice quite differently between each setting
and even within each setting. Nevertheless, we still painfully lack an iconic
moment which can help the public quickly identify Physical Therapists.<o:p></o:p></div>
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<b><i><u>One Possible Solution?<o:p></o:p></u></i></b></div>
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Strongly branding Physical Therapy
has been a monumental struggle. As said before, Physical Therapists work in so
many different settings, and, even in each setting each clinician is just as
diverse in practice. Perhaps we can use Disney as a model.<o:p></o:p></div>
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Disney is much more than “just”
Mickey Mouse. Yet, we all automatically identify Mickey with Disney. Despite
that key iconic moment, we also automatically associate Disney with its many
other achievements, products, and services in the same vein. What does this
tell us? Simply this: Physical Therapists need our own iconizing moment; we need
a Mickey Mouse Moment for Physical Therapy realizing that such a moment will not take away from the breadth of our scope of practice.<o:p></o:p></div>
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APTA’s Vision 2020 states the
phrase for Physical Therapist as experts in areas “related to movement,
function, and health.” Don’t get me
wrong, I support the vision. I’m just not sure if the general public will have
a consensus identification of “movement, function, and health” equals Physical
Therapist the way they do "Mickey Mouse" equals Disney (or ... “spine” equals chiropractor).<o:p></o:p></div>
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The Physical Therapist’s iconic
moment needs to be accurate and MARKETABLE. Sometimes what we do is hard to
market – even to each other! After learning more about Disney, I’m just not
sure “movement, function, and health” is the Mickey Mouse we need.<o:p></o:p></div>
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I mentioned in my preface, I
don’t have the answers to everything – not by a long shot… so I pose this
question: What is/should a Physical Therapist’s Mickey Mouse Moment look like,
sound like, be written as… be at all?<o:p></o:p></div>
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The only phrase that came to my
mind that applies to ALL PT settings is: “Pain Relief & Movement Medicine.”
Perhaps these aren’t the best pair of phrases, nevertheless, that’s all I was
able to come up with. I know this branding issue has been discussed many MANY
times – perhaps reflecting on Disney will give us new ideas or polish up the
already good ones? I remember seeing on Twitter some really good ideas as of late so I hope you will chime in! Better yet,<b> <a href="http://twitter.com/DrBenFung" target="_blank">Tweet Me!</a></b> and I will retweet you using<span style="color: blue;"> <b><a href="http://twitter.com/#brandPT" target="_blank"><span style="color: blue;">#brandPT</span></a>.</b></span><o:p></o:p></div>
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<b><i><u>Secondly, Disney is constantly
improving itself:<o:p></o:p></u></i></b></div>
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Disney is also ever changing and
ever improving. In Physical Therapy, our evidence continues to improve,
however, the human body doesn’t change all that much. What does change and is
already constantly improving? Technology.<o:p></o:p></div>
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Physical modalities, imaging, and
biofeedback technology MUST be continually explored, re-researched, adapted,
improved, and developed. Why? Because we live in a technologically dominant
world; it is business suicide to ignore this facet of Physical Therapy business
practice. Imagine if Disney never explored computerized animation and stuck
with the “old ways” of hand drawn full length features. Imagine if Disney never
blended Mickey Mouse with patriotism, Star Wars, the Old West, ABC, and other
cultures. Oh, yes – imagine if Disney didn’t acquire Pixar!? Disney would not
be Disney without these continual technological integrations and business improvements.<o:p></o:p></div>
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<b><i><u>Another possible solution?<o:p></o:p></u></i></b></div>
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We all know ultrasound doesn’t
have the best evidence for most musculoskeletal impairments and that many of
the classic physical modalities have proven to be less than efficacious. Perhaps
this is just my bioengineering side confessing my own guilt for lack of action;
Physical Therapists are highly creative individuals – perhaps it is time that
we look into equipment design, patents, and information technologies which can
be applied to patient care, patient education, and compliance/accountability.<o:p></o:p></div>
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If we don’t, then the public at
large will continue to see this:<o:p></o:p></div>
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<o:p>"Fat wallets known leading cause of back problems"???</o:p></div>
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<a href="http://2.bp.blogspot.com/-4_tKFzpN5XQ/UPDzZYAm4uI/AAAAAAAAAoU/x7vE-wfvAz4/s1600/Fat+Wallet+Back+Pain.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://2.bp.blogspot.com/-4_tKFzpN5XQ/UPDzZYAm4uI/AAAAAAAAAoU/x7vE-wfvAz4/s320/Fat+Wallet+Back+Pain.jpg" width="244" /></a></div>
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"FDA cleared to treat Herniated Discs, Spinal Stenosis and Spinal Degeneration"???</div>
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<a href="http://4.bp.blogspot.com/-HuVMRSh7glc/UPDz0qDlIfI/AAAAAAAAAok/8lgQczqSgf4/s1600/Treat+Back+Pain.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://4.bp.blogspot.com/-HuVMRSh7glc/UPDz0qDlIfI/AAAAAAAAAok/8lgQczqSgf4/s320/Treat+Back+Pain.jpg" width="260" /></a></div>
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Oh, Really!? … My fellow Physical
Therapists, I think we can do a LOT better.<o:p></o:p></div>
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Again, I don’t have all the answers
on this one and perhaps this is where Disney’s magic happens; Disney has Imagineers
constantly thinking up the next best thing. Perhaps Physical Therapy
corporations and hospital based operations need to support more Physical
Therapy research & development. How else can we emulate Disney’s success
through this Order Qualifier principle if we don’t continually change and
improve with technology? Thoughts?<o:p></o:p></div>
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<b>(2) Order Loser: Disney is Quality, Consistently. Does Physical Therapy
have consistent quality?<o:p></o:p></b></div>
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EVERY Disney Cast Member will
basically give you the same service experience given their duty. This is part
of the magic of Disney; no matter where you go, Fantasyland is Fantasyland and
Adventureland is still Adventureland. Well what does this mean for Physical
Therapy practice?<o:p></o:p></div>
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<i>*Sighs...*</i> This one is a bit difficult to swallow... even for me as
I’m writing it. As mentioned above in the “Unique” Order Qualifier section
above, Physical Therapy practice is very diverse in practice and thus is has
much variability. Variability means that the clinical approach, the methods,
the techniques, and therefore the outcomes are just as different. We see this
in social media all the time and we’ve all said it - “All PT is not made
equal.” Given that we lack our Mickey Mouse Moment, perhaps we should being
thinking about becoming more equal. The quality and consistency of service rendered
by Disney Cast Members are products of the highest level of service training.
This quality is perpetuated by the minute by minute expectations of Disney management
and customer a like.<o:p></o:p></div>
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<b><i>One Possible Solution?<o:p></o:p></i></b></div>
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One possible solution is as
follows: since the DPT is in full motion, once the DPT becomes solidly set in (say
2015), the Physical Therapy profession could benefit from the same philosophy
of training Disney has for its Cast Members. Disney doesn’t think it’s too much
to ask for Cast Members in each setting to be consistent, and, I think it’s not
unrealistic to consider this for the future of Physical Therapy practice.<o:p></o:p></div>
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For us PT’s, post professional
residencies and fellowships can be held as a hiring prerequisite for new
graduates, or, perhaps more effectively – Physical Therapy managers should
provide a substantial financial or benefit incentive to having completed
residency and/or fellowship as a new graduate. Over time, this would in effect
“raise the bar” at a national level (speaking of the United States, of course) to
the point where a post-doctorate is seen as the now fellowship status. Of
course, raising the bar is always a good thing when it comes to quality
standards. This idea for post-graduate training is appropriate for new
graduates, however, is unreasonable for already practicing clinicians; it would
be downright unfair to ask practicing clinicians to “go back” for “more
training” and insult their already gathered clinical experience.<o:p></o:p></div>
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Personally, I see this potential
scenario as being in the duty and stewardship of the Physical Therapy hiring
managers. Academia can pump out all the DPT’s we want. We can even make a
combined DPT/DSc/Ph.D. degree in Physical Therapy. None of that will matter if the
people paying Physical Therapists don’t care and don’t incentivize for better
quality - consistent quality for that matter. After all, we’re talking business
and business principles.<o:p></o:p></div>
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To make this truly work, residencies
and fellowship would have to be strictly unified in terms of methodology, training,
approaches, didactics, etc. “All PT is not made equal” but we really need to
become more equal in order to prove a unified quality front. A Disney
experience is largely the same because Cast Members are trained the same way;
sure, there are creative differences which Cast Members are allowed (ie. the
Skippers at Disney’s World Famous Jungle Cruise) – however, these experiences
are largely more similar than they are different.<o:p></o:p></div>
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<br /></div>
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BUT! Physical Therapy an art and
science, correct? Would unifying and standardizing national
residency/fellowship programs lose that art of therapy? I should say no. Disney
is highly unified and is FAR from losing its artistic side. Disney is
inherently artistic, and, the art of caring in Physical Therapy flows from
similar veins. Disney isn’t talking lemmings and neither am I; Disney’s about consistency
and high quality. I think this principle is a wise place where Physical
Therapists can turn to for the future.<o:p></o:p></div>
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<b>(3) Order Winner: The nostalgic Disney experience creates self-marketing
customer loyalty. Does Physical Therapy practice provide an experience that
does the same?<o:p></o:p></b></div>
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As a profession, we have a lot to
learn about both marketing and the act of providing customer service; how to
leave patients and clients with that Mickey Mouse Moment where they long to
come back (clinical compliance plus customer loyalty) and become absolutely
eager to share their experience (market perpetuation).<o:p></o:p></div>
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<div class="MsoNormal" style="text-align: justify;">
<b><i>One Possible Solution?<o:p></o:p></i></b></div>
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Elements of business school need
to be tied into the DPT curriculum, and, courses should be authorized as board
approved CEU’s. Suggested key topics could include Operations Management,
Supply Chain Management, Marketing, Microeconomics, Social Psychology, and
Customer Satisfaction.<o:p></o:p></div>
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<br /></div>
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Additionally, it may be helpful
to glean from the Disney experience as listed in <a href="http://www.kettlebelltherapy.com/2013/01/lessons-from-disney-new-year-part-1.html" target="_blank"><span style="color: blue;"><b>Part 1 </b></span></a>– as well
as the many other acclaimed service companies such as Southwest Airlines & Ritz-Carlton Hotels.</div>
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<o:p></o:p></div>
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<br /></div>
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<b><i>Another Possible Solution?<o:p></o:p></i></b></div>
<div class="MsoNormal" style="text-align: justify;">
Disney, after all, tends to be a
family gig. I’ve always wondered, why not Physical Therapy? We have family
physicians, family dentists, family optometrists… we even have family hair
stylists! I think exploring the possibility of a Primary Care Physical
Therapist should be considered.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
After all, who is better
qualified to detect developmental impairments, and, who better to prevent injuries
during adulthood (work injuries) all the way through geriatrics (fall prevention) – Just a thought. I’ve
always thought it made sense as a business concept for the profession.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b>Some Corollary Thoughts:<o:p></o:p></b></div>
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A large part of healthcare is an
experience for which patients, family, and clients receive service; it could be
said that healthcare itself is in the business of service. Physical Therapists need much more
schooling for business acumen. In this day, age, and economy, it is no longer
the case that being better means getting paid better. These days, being better
means you get to stay in business and fight another day. We need to restructure
our thinking as a professional culture; being clinical experts is no longer
enough - being astute business minded professionals needs to be just as
important.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b>Barriers: Like all change, positive or negative, change means barriers.<o:p></o:p></b></div>
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Perhaps the most striking barrier
we have is general lack of autonomy. We can’t choose our own adventure if we
don't own the book. Physical Therapists need national (if not global) direct
access and autonomy. We also need to fight for an expanded scope of practice
(ie. dry needling, imaging, military prescriptions rights… how about diagnosis
rights?!) Nevertheless, autonomy is the cornerstone for which a better future
for Physical Therapy practice can be built.<o:p></o:p></div>
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<b>My Take Away from all this...</b></div>
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So if there is a take away for
these two posts, I’d say that the greatest lesson I gleaned from my Disney New
Year is that Physical Therapists need to create a unified Physical Therapy
Mickey Mouse Moment.</div>
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<a href="http://3.bp.blogspot.com/-RyGUDBUPai8/UPD0QWDPkqI/AAAAAAAAAos/uWr-37omHJs/s1600/Mickey+Mouse+-+Steamboat+Wille.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="130" src="http://3.bp.blogspot.com/-RyGUDBUPai8/UPD0QWDPkqI/AAAAAAAAAos/uWr-37omHJs/s200/Mickey+Mouse+-+Steamboat+Wille.jpg" width="200" /></a></div>
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We need to build on that moment to create that unique
iconic experience for our patients, clients, and public at large. From that
icon we can forge unified training to provide consistent, high quality care
using strong business acumen to bring Disney level customer service in order to
perpetuate self-marketing, customer loyalty.<o:p></o:p></div>
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<b><i>Phew! Wow. I think that’s it!</i></b><o:p></o:p></div>
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I want to thank you again for
sharing with me in these Lessons from a Disney New Year. It was a challenging
write up to balance and express. I look forward to learning from your comments and wisdom.<o:p></o:p></div>
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Sincerely and Respectfully,<o:p></o:p></div>
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-Ben Fung<o:p></o:p></div>
Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com3tag:blogger.com,1999:blog-8359962827555518700.post-63954690025113237182013-01-14T03:00:00.000-08:002013-04-02T16:12:48.597-07:00Lessons from a Disney New Year (Part 1)<br />
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<i>To celebrate New Year 2013, my dear wife and I spent an amazing – yes – magical New Year at Walt Disney World. In fact, we spent nearly a full week at Disney World in a very much needed, long awaited vacation. During this vacation, I observed some incredible business practices of the Walt Disney Company, and, further gleaned some insider information from my wife who is a former Disneyland Cast Member.<o:p></o:p></i></div>
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<a href="http://3.bp.blogspot.com/-CohalWxrccY/UPDxKE5ZVvI/AAAAAAAAAnw/mDWDcP191GM/s1600/Disney+Castle.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://3.bp.blogspot.com/-CohalWxrccY/UPDxKE5ZVvI/AAAAAAAAAnw/mDWDcP191GM/s320/Disney+Castle.jpg" width="215" /></a><a href="http://3.bp.blogspot.com/-qa56Qt4-lFM/UPDxVxjyd6I/AAAAAAAAAn4/7E8JSl3p2Jk/s1600/epcot+new+year.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://3.bp.blogspot.com/-qa56Qt4-lFM/UPDxVxjyd6I/AAAAAAAAAn4/7E8JSl3p2Jk/s320/epcot+new+year.jpg" width="188" /></a></div>
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<i>This blog post stems from curiosities from a business perspective, “what makes Disney so Disney?” Of course, this question has been discussed many times over. What struck my interest was the realization that powerful lessons from Disney’s business practices can be applied to strengthen Physical Therapy practice at large.</i></div>
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<i>Before I truly begin this post, I want to make two things very clear. First, among the many things I love in life, Disney ranks near the very top – so – if I appear to be a little distracted in my thoughts, it’s only because I’m a big kid and am very excited to write up a post using Disney as a framework. Second, and perhaps more importantly, if you’ve been reading my blog for a while and have been interacting with me via social media, you know me to be a positive persona; I’m an advocate and encourager. I feel I serve healthcare and the community at large best by being a constructive influence. The lessons I learned this New Year hold some truths which may be more challenging than my usual content. In that same vein, I want to also say that some of the lessons I learned left me with questions. I don’t nearly have the answers to them all, and, am hoping you will help me where I’ve been stumped. That said, I thank you for reading through this two part post, and, sharing with me in the lessons I’ve learned from a Disney New Year.<o:p></o:p></i></div>
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<b><u>Lessons learned from a Disney New Year: <a href="http://twitter.com/#solvePT" target="_blank">#solvePT</a> through Disney’s business principles<o:p></o:p></u></b></div>
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During my vacation in Orlando, Florida, I was able to spend a week on Disney World grounds inclusive of the Magic Kingdom, EPCOT, and Disney’s Hollywood Studios. I was also able to spend time at Downtown Disney as well as Disney’s Polynesian Resort. I noticed that no matter where I went, I received a more or less universal service demeanor from the Cast Members (Disney employees), and, that within the various sections/services/areas of Disney World (ie. attractions, stores, food services, environmental services, etc.), each had a unique and unmistakable attribute between them which made for an accurate reflection of their duties and responsibilities to the guests. Throughout this vacation, I also had some very enlightening conversations with my wife, who is a former Cast Member of Disneyland. Through all these discussions and observations, I came to conclude that the Walt Disney Company holds three integral attributes in business practice which are pivotal in gaining and maintaining an advantageous market position to its competitors; these business practices are crucial for success should Physical Therapists hope to bring <a href="http://twitter.com/#solvePT" target="_blank">#solvePT</a> to the next level (particularly in effect to <a href="http://twitter.com/#bizPT" target="_blank">#bizPT</a>).<o:p></o:p></div>
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<u>First a few business terms to be generally and briefly defined:</u></div>
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<o:p></o:p></div>
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<b>Order qualifier</b>: an order qualifier is an attribute (or combination of attributes) of a product/service which exists as a minimal satisfier for customers to buy into said product/service. <o:p></o:p></div>
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<b>Order loser</b>: an order loser is an attribute (or combination of attributes) of a product/service for which if present (or at times, absent) a business would lose a potential customer.<o:p></o:p></div>
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<b>Order winner</b>: an order winner is an attribute (or combination of attributes) of a product/service for which a customer chooses one business over a competitor.<o:p></o:p></div>
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Based on these business principles, I sought to define how Disney embodies these principles and glean from these lessons how these principles might be applied to Physical Therapy practice. Now of course, this is but a group among numerous business principles, these are simply three principles that I was able to clearly identify throughout my Disney New Year. <span style="font-family: Wingdings; mso-ascii-font-family: "Times New Roman"; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;">J</span><o:p></o:p></div>
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<u>Disney business principles in action!<o:p></o:p></u></div>
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(1) Disney is: Unique in nature and constantly improving. “There is only one Disney” (Order Qualifier)<o:p></o:p></div>
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<b><u><a href="https://www.youtube.com/watch?v=uFUO6o7lYow" target="_blank"><span style="color: blue;">There is only one Disney</span></a></u></b></div>
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I think this point is fairly self-explanatory. There is really only one Disney, and, no company has operated the way the Walt Disney Company has. Disney is not “just Disney”; Disney also owns the ABC Television Network and has recently acquired Lucasfilm, which of course includes Star Wars. The Walt Disney Company is a business running – business owning - business. They didn’t just stop with feature animations and products; they sought to and have successfully acquired advantageous business positions (whether it be market access or plain ownership) in all of its own best allies (ie. the long time blending of Star Wars and Disney cultures). This brings up the second half of this principle: Walt Disney himself said that Disneyland will never be finished. Disney is constantly changing, adapting, moving, and shaping itself for the future. The acquisition of Pixar is an incredible example of this. Disney is always improving itself or gathering the tools to do so. The ability to sublimely infuse the old classics with new innovations is part of what makes Disney so Disney.<o:p></o:p></div>
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(2) Disney: Provides high quality products and service experiences far surpassing that of competitors with impressive levels of consistency (Order Loser, if absent). Not only does Disney management demand high quality standards, Disney’s customers also expect it – why pay top dollar if it isn’t Disney quality? Also, if a Disney product or service isn’t Disney quality, then it no longer is unique (no longer an Order Qualifier) and is no longer Disney at all. Such a product or service is then rejected by customers and pulled from the line (Order Loser) – and thus – the quality of Disney also contributes to its own uniqueness (Order Qualifier). People buy into Disney because Disney is Disney no matter where or when you experience it; all the Cast Members are trained to provide the same service per attraction/shop/land. These qualities make Disney favored among competitors; after all, if annual membership to a theme park is cheaper down the road, why not go there? Because, it’s not Disney! - Order WINNER! Great segue.<o:p></o:p></div>
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(3) Disney: Gives the customer an experience which fosters nostalgia for which the customer “keeps on coming back” (Order Winner). This is perhaps the most powerful Order Winner many of us have been witness to. From childhood, generations have endeared themselves with the Disney culture in a positive emotional experience. This experience creates a social bond for with family, friends, co-workers, and strangers at the park can develop camaraderie about Disney, customer (brand) loyalty to Disney, and, on their own time share wonderful experiences at the “happiest place on earth”. In fact, nostalgia is one of Disney’s best perpetual marketing tools – love it or hate it – everyone can talk Disney (and usually have great things to say). What’s incredibly unique about the nostalgia building customer loyalty is that the Order Winning aspect of Disney builds on itself. Not only do customers choose Disney over competitors because of the memories, customers also choose Disney because of the consistent product/service quality (order loser, if absent) which is intrinsically unique (order qualifier). In essence, the experience itself and the memories created tie in the above business principles; Disney’s order winning attributes are birthed from consistent quality which is always unique, changing, and improving upon the classics.<o:p></o:p></div>
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<u>Applying Disney Business Principles to Physical Therapy practice:<o:p></o:p></u></div>
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So how does all this apply to Physical Therapy? How can we utilize Disney’s embodiment of these three business principles to strengthen Physical Therapy practice and maintain a competitive advantage?<o:p></o:p></div>
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To answer these questions, we must first identify the state of each principle in current Physical Therapy practice.<o:p></o:p></div>
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<b>(1) Order Qualifier: Uniqueness – Disney is unique and constantly improving. Is Physical Therapy practice unique and constantly improving?<o:p></o:p></b></div>
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<b>(2) Order Loser: Disney’s Quality is consistently high and consistently consistent. Does Physical Therapy practice have consistent quality?<o:p></o:p></b></div>
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<b>(3) Order Winner: The nostalgic Disney experience creates self-marketing customer loyalty. Does the Physical Therapist provide a service experience which creates self-marketing customer loyalty?<o:p></o:p></b></div>
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While we think on these questions and reflect on our own experiences, I’ll leave you with two business practices which Disney lives by to create magical experiences – every single time.<o:p></o:p></div>
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<b><u>Disney’s SERVICE Model<o:p></o:p></u></b></div>
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<b>S-</b>mile<o:p></o:p></div>
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<b>E-</b>ye Contact/Body Language<o:p></o:p></div>
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<b>R-</b>espect and welcome<o:p></o:p></div>
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<b>V-</b>alue the magic<o:p></o:p></div>
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<b>I-</b>nitiate guest contact<o:p></o:p></div>
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<b>C-</b>reate service solutions<o:p></o:p></div>
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<b>E-</b>nd with a thank you<o:p></o:p></div>
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Also, since the mid 1960′s Disney has had <b><u>Four Keys</u></b> for delivering great service:<o:p></o:p></div>
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1. Safety<o:p></o:p></div>
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2. Courtesy<o:p></o:p></div>
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3. Show<o:p></o:p></div>
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4. Efficiency<o:p></o:p></div>
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I’ll be posting <a href="http://www.kettlebelltherapy.com/2013/01/lessons-from-disney-new-year-part-2.html" target="_blank">Part 2 of “Lessons from a Disney New Year”</a> tomorrow and I look forward to your thoughts here on this blog, or, on Twitter or Facebook.<o:p></o:p></div>
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My Very Best Regards,<o:p></o:p></div>
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-Ben<o:p></o:p></div>
Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com6tag:blogger.com,1999:blog-8359962827555518700.post-64043590604983928082012-12-16T14:38:00.000-08:002012-12-16T14:38:18.409-08:00Kettlebell Swings: Lateral Relay Drill<span style="text-align: justify;">One of my favorite activities in
a group exercise setting is the Lateral (Side-Pass) Relay Drill. This activity
forces participants not only to lock in correct biomechanics - it challenges
balance, hand-eye-coordination, footwork, timing, and teamwork.</span><br />
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The concept is rather simple, you
swing a kettlebell and on the top of the swing, you release the kettlebell
laterally and make a pass to one side where your partner is ready to receive
the kettlebell in mid-air. Once you release the kettlebell, you run behind your
partner to receive the kettlebell in mid-air just as you passed it a moment
ago. This drill can be done every other swing, every three swings (for
beginners) or during every swing (for advanced participants).<o:p></o:p></div>
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Here’s a video of the Lateral
Relay Drill:<o:p></o:p></div>
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<o:p> </o:p> </div>
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At this time, I’d like to
introduce Elinor Smith who was featured in the above video. Elinor is a senior
fitness instructor extraordinaire. She teaches senior fitness classes and
one-one-one sessions in America’s Finest City - San Diego. During the making of
this video, Elinor had just turned 79 years of age!! I hope many of you reading
this blog are thinking: “Wow. I have NO excuse.” In fact, Elinor is in such
good shape that there are times I fear I can’t hang with her during a
one-on-one workout session – she is truly an inspiration. If you’d like to
contact Elinor, she can be reached at: <a href="mailto:ERSEdCons@aol.com">ERSEdCons@aol.com</a>
<o:p></o:p></div>
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Here are a couple pointers for
the Lateral Relay Drill:<o:p></o:p></div>
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<ul>
<li>Avoid wrist flicking during your
release. If you suddenly flick or extend your wrist when you pass the
kettlebell to your partner, what tends to happen is that the kettlebell will
flip in mid-air. This makes it difficult to make a successful relay and the
kettlebell will be dropped. Now for advanced groups, the flip becomes a new
variation of this drill – if you’re learning this exercise, keep it simple. No wrist
flicking… No flips! Do your best to keep the kettlebell handle level during the
mid-air pass.</li>
<li>Stand shoulder to shoulder! After
all, this is a team building exercise. You need to be very close to your
partner in order to pass AND receive the kettlebell successfully.</li>
<li>Run behind your partner the very
moment you release the kettlebell for the mid-air pass. Most beginners tend to
freeze right after the pass. By that time, you’ll be too late to receive the
bell as it will already be on its way to the ground. If the run behind becomes
too quick for beginners, you can add a third or fourth participant to allow for
more lag time.</li>
<li>DON’T SAVE THE BELL! If you feel
you’ve made a bad pass, or, will be unable to receive the bell… do NOT lurch
forward and try to save it. That’s a great way to break biomechanical
discipline and wreck your back (or shoulder … or neck… or wrist… or elbow… you
get the point) – don’t do it! If a bell goes out of control, yell out to your
partner (or group) and say “DROP!” Let
the kettlebell thunk against the floor and start over. No harm done.</li>
<li>Communication: You heard in the
video that Elinor and I constantly said “One and PASS”. This cued the both of
us to be ready for the pass as passer and receiver. This communication helps
eliminate mistakes and primes participants to help each other out if the
unexpected flipped kettlebell were to take flight. Communication is key to all
forms of team building activities.</li>
</ul>
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I hope you enjoyed this variation
on the kettlebell swing and team relay activities. I want to make a comment in
that individuals like Elinor are great examples of what true health and fitness
can look like. She is a model of what society's future in public health should be. If we
don’t influence each other to commit to the health she exhibits, we are all in
for a lot of trouble in the next 50 years.</div>
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As we come across the holidays
and usher in 2013, let this be an encouragement to you in refocusing not only
your efforts, but the efforts of your family and friends – choose to be well,
choose to exercise, choose to make healthy life choices. This exercise can be a
way to lock in a positive new habit. Fitness goals are always better achieved
through camaraderie and group accountability. Commit yourself to do this
exercise weekly with a group of friends or family – you’ll be shocked and
encouraged as to your progress in meeting your New Year’s fitness goals.<o:p></o:p></div>
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My Best to You All with the
Warmest Season’s Regards!<o:p></o:p></div>
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-Dr. Ben Fung<o:p></o:p></div>
Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-79583132396369220752012-11-05T12:46:00.000-08:002012-11-05T12:50:58.632-08:00Sharp Hospice Dinner Event<span style="text-align: justify;">I was privileged to be invited to </span><a href="http://www.sharp.com/hospice/index.cfm" style="text-align: justify;" target="_blank"><span style="color: blue;"><b>Sharp Hospice</b></span></a><span style="text-align: justify;">’s Volunteer
Dinner Event this past week to provide special music though my musical alter
ego. For those of you who may not know, I dabble a bit on the piano, amongst
other instruments, and enjoy playing improvisational impromptu, covers of movie
themes, Disney, Star Wars, and random pop and classics.</span><br />
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Sharp Hospice brings a comprehensive level of care that encompasses
a challenging, difficult, and very important aspect of healthcare; hospice aims
to bring comfort, compassion, and dignity during end-of-life stages for those
whose medical condition has come to a point where they and their loved ones have
decided to forgo further curative and/or aggressive medical measures.</div>
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I typically do not have very much contact with
the staff from Sharp Hospice during my hospital hours. This is because I generally am
consulted for patients who are still seeking care for recovery. However, there
have been several times where hospice has asked for my services to help teach
patients and family the safest measures of maintaining physical comfort,
mobility, and safety at home during these challenging times. Physical Therapy
certainly plays a part in the inpatient and home health setting when we come to
that fork in the road and we know it’s just not getting any better - it's time to help people live their days in the safest, most comfortable manner in a service which shows them love and meaning.<o:p></o:p></div>
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Through the dinner event, I learned a lot about the care
provided by Sharp Hospice. I found that it is a very personal, deeply emotional
if not spiritually entwined level of care. Sharp Hospice coordinates with
hundreds of volunteers who go out to patient homes to provide very necessary,
loving care during the end of days. Throughout the special dinner event,
celebrating the contributions of the Sharp Hospice volunteers hosted much
laughter, fond memories, tears, and a deep conviction from all in the room that
the responsibilities of serving in hospice is much more than just a job – it is
a calling. Many of Sharp Hospice volunteers engage in a very special activity in
making “Memory Bears”. Memory Bears are teddy bears made from the clothing and apparel
of the loved ones under Sharp Hospice’s care. These volunteers, quite
frequently, will go far out of their way to find more material to better exactly
match the original fabric the family and patient gives them for the production
of these beloved bears.<o:p></o:p></div>
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<a href="http://4.bp.blogspot.com/-01sgLCaqeKo/UJgmilVb12I/AAAAAAAAAnI/e7Zmhg-RZ2M/s1600/Memory-Bears_hospiceapproved_1_75x75.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="http://4.bp.blogspot.com/-01sgLCaqeKo/UJgmilVb12I/AAAAAAAAAnI/e7Zmhg-RZ2M/s200/Memory-Bears_hospiceapproved_1_75x75.jpg" width="200" /></a></div>
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One of the bears was made from the hat and favorite shirt of
a patient. However, the hat only had so much material and the volunteer was
having trouble completing the bear. This volunteer went to many fabric stores
around town and failed to find an exact match until she went on a personal trip
up the coast. During this trip, she walked by a hat store and found an exact
match, purchased it for the patient, and completed the very meaningful gift.<o:p></o:p></div>
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<a href="http://4.bp.blogspot.com/-kwLfPzpxoWs/UJgggKZ8NYI/AAAAAAAAAmk/SAKME-fIYCs/s1600/Hospice+Banquet.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://4.bp.blogspot.com/-kwLfPzpxoWs/UJgggKZ8NYI/AAAAAAAAAmk/SAKME-fIYCs/s320/Hospice+Banquet.jpg" width="320" /></a></div>
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In summary, the event was amazing; a profound celebration
and recognition of a very tightly knit group of volunteers and staff members. Playing
piano in an establishment with the deep wood architecture of the 1950’s was
also a great pleasure. Oh yes, I was also very happy to see a true, medium-rare
steak for dinner (yes, I am a big foodie).<o:p></o:p></div>
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<o:p> </o:p> </div>
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Spending your last days with loving volunteers who are
willing to give their all for your final moments is job that is compensated by deeper
means - rewarded by measure far beyond the value of any financial tender.<o:p></o:p></div>
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<br /></div>
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<a href="http://1.bp.blogspot.com/-UHzW7fCY_84/UJgghZ2jjCI/AAAAAAAAAms/mRbA5I5rTOE/s1600/Hospice+Book+Thankyou.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://1.bp.blogspot.com/-UHzW7fCY_84/UJgghZ2jjCI/AAAAAAAAAms/mRbA5I5rTOE/s320/Hospice+Book+Thankyou.jpg" width="228" /></a></div>
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I want to thank Sharp Hospice, the organizers of the event,
and the many volunteers for allowing me the honor of
being part of your celebration.<o:p></o:p></div>
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<br /></div>
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My very warmest and best regards,<o:p></o:p></div>
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-Ben<o:p></o:p></div>
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<br /></div>
Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com1tag:blogger.com,1999:blog-8359962827555518700.post-33208645977717901842012-10-24T20:25:00.001-07:002012-10-24T20:25:46.462-07:00Top 5 Exercises for a Healthy Spine<br />
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<i>One of the perks of attending <a href="https://www.82sharp.sharp.com/Sections.asp?dblink=1&ServLink=11&ClassLink=2982&Survey=" target="_blank"><span style="color: blue;"><b>my health-fitness-wellness program at Sharp Healthcare</b></span></a> is receiving a weekly "Kettlebell & Physiokinetic Health Tip of the Week." I've received some requests to make these posts public, however, it wouldn't be fair to all my students who come to class to make it a "regular" thing to be shared. Nevertheless, I've been hearing a definite increased incidence of spine related problems, and so, I feel this is an appropriate post to share. Please enjoy an excerpt from my personal, Top 5 favorite exercises for a healthy spine!</i></div>
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<a href="http://1.bp.blogspot.com/-9xqb6kWTSww/TzeOAOmScDI/AAAAAAAAAYA/cof3pOhsIkw/s1600/Spine.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-9xqb6kWTSww/TzeOAOmScDI/AAAAAAAAAYA/cof3pOhsIkw/s1600/Spine.jpg" /></a></div>
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<i><br /></i></div>
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There is perhaps no more structurally integral part of our
body than our spine. It is the lattice which supports our vital organs, it is
the biomechanical foundation of the core complex, it protects our central
nervous system along with our cranium, and, you only get ONE - unlike hands and
feet... what affects the spine affects everything. If you stub a toe, you may
cause compensatory motions up the chain or on the opposite side, but, it
probably won't be as global or as salient as an injured back when even coughing or sneezing
hurts.</div>
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<o:p></o:p></div>
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To identify the any “top 5” exercises, we need to first
identify the risk factors. For the spine, repeated force loading (habitual
movements) and chronic posture are what I consider to be the two of the biggest predictors of injury and
pain. In class, we talk about posture ALL the time; posture is the foundation
of good biomechanics and exercise form. However, repeated movement isn't
discussed as often since we do all sorts of movements in the program which
create muscular balance. Unfortunately, our daily lives tend not to be so
balanced.<o:p></o:p></div>
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For our back, forward bending is the enemy; for the neck,
the repeated head forward position is the enemy. Sadly, how often do we do
these movements? Every time we lean forward to look at small fonts on a
computer screen…<o:p></o:p></div>
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<a href="http://4.bp.blogspot.com/-3XQldEcM6_E/UIirtlJZRcI/AAAAAAAAAk8/PQPEDBJ364k/s1600/image001.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-3XQldEcM6_E/UIirtlJZRcI/AAAAAAAAAk8/PQPEDBJ364k/s1600/image001.png" /></a></div>
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Every time we bend forward to pick up something off the
ground… even getting in and out of the car and when we go to tie our shoes.
And, to make it worse, gravity does NOT help. Gravity forces our spine to
collapse on itself, just like a slinky.</div>
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<o:p></o:p></div>
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<a href="http://2.bp.blogspot.com/-yJpVqixHuus/UIirt-KfZFI/AAAAAAAAAlE/yN-MdrNdvhU/s1600/image002.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-yJpVqixHuus/UIirt-KfZFI/AAAAAAAAAlE/yN-MdrNdvhU/s1600/image002.jpg" /></a></div>
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So the bottom line is that forward bending, slouching...
ANYTHING forward where the distance between the chest and belly button is
shortened – those are bad deals for our spine. Logically, that means anything
backwards is good, right? Well, in a great many of case, RIGHT! The
biomechanical structure of our spine hinges on balance. For every forward
movement, we need a backwards one. For every right leaning movement, we need a
left leaning one. Balance.<o:p></o:p></div>
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The picture below depicts a dramatic graphic of too much
pressure from side bending. The purpose of this picture really is to
demonstrate that the tissues in the spine move; just like any balloon, if you
over pressure one side, it is likely to bulge or pop out the other. If you put
pressure on the bulge, the balloon is likely to take normal form again and thus evenly distributing pressure/load.<o:p></o:p></div>
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<a href="http://1.bp.blogspot.com/-FE2qV0hIHG0/UIiruPZX1UI/AAAAAAAAAlM/SX8iR_0zRfg/s1600/image003.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="163" src="http://1.bp.blogspot.com/-FE2qV0hIHG0/UIiruPZX1UI/AAAAAAAAAlM/SX8iR_0zRfg/s200/image003.jpg" width="200" /></a></div>
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<o:p></o:p></div>
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So with these thoughts in mind, here are my personal favorite, <b><u>Top 5 Exercises
for a Healthy Spine</u></b>:</div>
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1. Prone Press Ups and/or Standing Back Bends:</div>
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<a href="http://2.bp.blogspot.com/-1YVOsNblY3w/UIiruYzBS4I/AAAAAAAAAlU/haE-6B3h7HI/s1600/image004.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-1YVOsNblY3w/UIiruYzBS4I/AAAAAAAAAlU/haE-6B3h7HI/s1600/image004.jpg" /></a></div>
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These exercises are very important to prevent (and treat)
low back disc impairments. If you feel like your back is stiff after sitting or
bending forward, there’s a good chance you need to do these exercises up to 10
times every 1-2 hours. If performing the standing back bends is a bit too
aggravating or uncomfortable, do it in lying. Laying prone will un-weight your
spine allowing for more flexibility in a more forgiving application of physics.
In either case, the most important concept is repetition at END RANGE of
motion. Going back as far as possible and/or as is comfortable is the only way
you will be able to reverse the abuse of forward bending, hunching, slouching,
and all the other nasty habits we’ve formed in the computerized, smart phone
using world.</div>
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<o:p></o:p></div>
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2. Hip Flexor Stretching<o:p></o:p></div>
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<a href="http://1.bp.blogspot.com/-T9mHS5qdGm0/UIiru6NQkkI/AAAAAAAAAlc/TEI_OfXMJng/s1600/image005.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-T9mHS5qdGm0/UIiru6NQkkI/AAAAAAAAAlc/TEI_OfXMJng/s1600/image005.jpg" /></a></div>
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As mentioned in previous Tip of the Week’s, the Hip
Flexor muscle group actually attaches to lumbar spine. Tightness here can cause
low back pain, muscle imbalance, faulty movement patterns… the works. This is
chronically tight because our hips are almost always in a flexed position (ie. sitting, crouched, or kneeling). Stretching the hip flexors tend to be an exercise for which many people find relief.<o:p></o:p></div>
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3. Chin Tucks<o:p></o:p></div>
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<a href="http://1.bp.blogspot.com/-0EK8Y7RzjPw/UIirvYkew9I/AAAAAAAAAlg/SbJckKWelTs/s1600/image010.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="140" src="http://1.bp.blogspot.com/-0EK8Y7RzjPw/UIirvYkew9I/AAAAAAAAAlg/SbJckKWelTs/s200/image010.jpg" width="200" /></a><a href="http://1.bp.blogspot.com/-gEFNMEQACkU/UIirvjipWKI/AAAAAAAAAls/qbxszBBT-w8/s1600/image011.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-gEFNMEQACkU/UIirvjipWKI/AAAAAAAAAls/qbxszBBT-w8/s1600/image011.jpg" /></a></div>
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On the far right, we see a two part diagram depicting poor
posture “BAD” and ideal posture “GOOD”. The Chin Tuck exercises is a neck
retraction movement – the purpose is to hyper reverse that awful head forward
position we develop with too much sitting, too much computer work, too much
texting, too much modern life… </div>
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<o:p></o:p></div>
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<o:p></o:p></div>
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4. Stretching the Upper Traps & Levator Scapulae<o:p></o:p></div>
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<a href="http://2.bp.blogspot.com/-pjdSiMvWKEs/UIirwFPrbdI/AAAAAAAAAl0/GiayGXXluhk/s1600/image014.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-pjdSiMvWKEs/UIirwFPrbdI/AAAAAAAAAl0/GiayGXXluhk/s1600/image014.jpg" /></a><a href="http://1.bp.blogspot.com/--B7hizPapWE/UIirwVCkXrI/AAAAAAAAAl8/_AGtlYoPORE/s1600/image016.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/--B7hizPapWE/UIirwVCkXrI/AAAAAAAAAl8/_AGtlYoPORE/s1600/image016.jpg" /></a></div>
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This is a follow up to the Chin Tucks. Holding your head on
top of the spine is only as good as the restrictions you have. The muscles at the
base of your head and back of your neck are too tight, you will be fighting
yourself with the Chin Tuck exercise. Be sure to implement these two stretches
to maximize the postural correction of the Chin Tuck and minimize the tension in the tissues. A neat FYI: these
stretches are useful in alleviating tension type headaches.</div>
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<o:p></o:p></div>
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5. Functional Wall Squat with Thoracic Spine Extension &
Scapular Squeezes<o:p></o:p></div>
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<a href="http://2.bp.blogspot.com/-DupBbSEy7YM/UIirw45la2I/AAAAAAAAAmE/VOAJPLeNVMU/s1600/image017.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-DupBbSEy7YM/UIirw45la2I/AAAAAAAAAmE/VOAJPLeNVMU/s1600/image017.jpg" /></a><a href="http://4.bp.blogspot.com/-D7qONcS2T9A/UIirxOcwKyI/AAAAAAAAAmI/alxwdRfCpxg/s1600/image018.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://4.bp.blogspot.com/-D7qONcS2T9A/UIirxOcwKyI/AAAAAAAAAmI/alxwdRfCpxg/s1600/image018.jpg" /></a></div>
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This exercise should look more or less familiar. We perform
the <a href="http://www.kettlebelltherapy.com/2011/08/breaking-down-functional-wall-squat.html" target="_blank"><span style="color: blue;"><b>Functional Wall Squat</b></span></a> in class from time to time to ensure good squatting
mechanics and good spinal posture. This is an excellent mid-morning and
mid-afternoon exercise to really ensure that your spine is getting a break from chronic loading patterns. Try holding this position for 30 seconds and repeat 3 times.</div>
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And – That’s it! Those are my personal, Top Five (F<i>avorite</i>) Exercises for a
Healthy Spine. Consistency & frequency are keys to living a healthy life: in general, going through
these 5 exercises and performing them at least three times a day will give
you the best results.</div>
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Until Next Time!</div>
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<br />
Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-38561669617278048232012-10-12T19:56:00.000-07:002012-10-12T19:56:55.595-07:00Peering Into the Future: Reflecting After the Sharp Women's Health Conference<div style="text-align: justify;">
Last Saturday, October 6th, 2012, I was once again invited to the Sharp Women’s Health Conference in San Diego. Previously recognized as the National Speaking of Women’s Health Conference, this was my third consecutive year speaking, exhibiting, and promoting health at this very highly regarded event. Over the past three years I’ve noticed a definite shift in the topics of interest for Women’s health as it pertains to physical health and fitness. Now of course the irony is that the organizers of this event keep picking a man to speak on Women’s Health-Fitness (hope I’m not bargaining myself out of a job…). Nevertheless, this post expresses some of my thoughts on the trends I’ve observed.</div>
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<a href="http://1.bp.blogspot.com/-WZJAubzD9nM/UHjKj_vt4HI/AAAAAAAAAkY/TUnQDxNVi3k/s1600/Red+Carpet.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://1.bp.blogspot.com/-WZJAubzD9nM/UHjKj_vt4HI/AAAAAAAAAkY/TUnQDxNVi3k/s320/Red+Carpet.jpg" width="240" /></a></div>
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<i>At the Red Carpet Welcome!</i></div>
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Three years ago, the focus for Health-Fitness was on weight loss; toning up, melting fat, improving body composition, building lean muscles – these were the catch phrases which sold like hot cakes. Nobody could get enough of new exercise regimens, techniques, and modalities so long as it had some relation to the topics above. However, this year, I noticed much of the focus shifted to longevity of health. There was an unmistakable interest in mental, emotional, and physical health as it relates to the “day to day”, if not “minute to minute”, habits necessary to live a whole life of wellness. From the physical health-fitness standpoint, much of the interest came from women wanting strategies of health maintenance, injury/disease prevention (ie. osteoporosis), musculoskeletal pain relief/treatment/management, and safe exercise habits.</div>
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<a href="http://1.bp.blogspot.com/-dwtYcBN4UGw/UHjKh542idI/AAAAAAAAAkI/BaRy2AU8B_M/s1600/Exhibition+Hall.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="207" src="http://1.bp.blogspot.com/-dwtYcBN4UGw/UHjKh542idI/AAAAAAAAAkI/BaRy2AU8B_M/s320/Exhibition+Hall.jpg" width="320" /></a></div>
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<i>Setting up in the exhibition hall.</i></div>
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Perhaps what was most impressive this year was the exhibition hall. Over a hundred exhibitors gathered to give freebies, loot, goodies, and samples as well as sound advice from health care professionals to nearly a thousand attendees. Fitted with a fashionable lounge in the center of the hall, the aisles were booming with interest. Two Physical Therapists and an Exercise Physiologist ran a booth called the “Physical Health and Fitness Assessment”. Essentially, this booth screened for postural deviations and limitations in physical fitness/function. As women screened positive for impairments, the Exercise Physiologist would send individuals down toward us, Physical Therapists. Education was then provided on proper body mechanics, functional movement, physical activity, and management strategies in regards to musculoskeletal pain. Our booth was so popular we caused some traffic problems in our corner – a very rewarding experience.</div>
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My talk this year was called: Be the “Bell” of the Ball: Kettlebell & Core Conditioning. The focus of my talk primarily centered on the core itself, foundational strength in the hips, and the trouble spots of the upper extremities. If you ever talk to a group of women about fitness, it’s ALWAYS about “Arms, Abs, Thighs, and Butt.” Being the “Bell” of the Ball was very well received, and, I have to remark an entertaining observation about one of the exercises I covered during my breakout session: Hot Potatoes! The “Hot Potatoes” exercise is typically met with mixed the emotions of a genuine love-hate relationship in my kettlebell and health-fitness program at Sharp Healthcare. Everyone loves the physiological effect, and, everyone hates how difficult the silly little exercise can be. One of the women in my health-fitness program at Sharp Healthcare sarcastically comments “Yay! The ONLY potatoes I’m allowed to have!!”<br />
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<object width="320" height="266" class="BLOGGER-youtube-video" classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0" data-thumbnail-src="http://i.ytimg.com/vi/l9ST_bgn-Kc/0.jpg"><param name="movie" value="http://www.youtube.com/v/l9ST_bgn-Kc?version=3&f=user_uploads&c=google-webdrive-0&app=youtube_gdata" /><param name="bgcolor" value="#FFFFFF" /><param name="allowFullScreen" value="true" /><embed width="320" height="266" src="http://www.youtube.com/v/l9ST_bgn-Kc?version=3&f=user_uploads&c=google-webdrive-0&app=youtube_gdata" type="application/x-shockwave-flash" allowfullscreen="true"></embed></object></div>
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<i>Video of the "Hot Potatoes" kettlebell exercise.</i></div>
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The women learning Hot Potatoes at the conference were immediately impressed by two things. First, that the exercise immediately elevates heart rate and respiratory demand. Second, how much core and arm control is required to quickly pass a cast iron ball between your palms in a controlled manner. Of all the exercises I went over, I do believe that “Hot Potatoes” was the most popular.</div>
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<a href="http://4.bp.blogspot.com/--IeqGWVL-5E/UHjKi11OHTI/AAAAAAAAAkQ/RpU15CEdTrs/s1600/Grand+Balloom.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://4.bp.blogspot.com/--IeqGWVL-5E/UHjKi11OHTI/AAAAAAAAAkQ/RpU15CEdTrs/s320/Grand+Balloom.jpg" width="320" /></a></div>
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<i>The banquet hall and the feeding of nearly 1000 attendees!</i></div>
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As always, I thoroughly enjoyed myself as a doctor (a teacher), as a Physical Therapist, and as a healthcare professional who always advocates for public health through physical activity. This passion was only bolstered this last week when I met a patient who was admitted to the hospital for shortness of breath. After dozens of negative results on medical tests and imaging, I was consulted for her case. I found that she was short of breath because of a very predictable and preventable chain of events:</div>
<div>
<ol>
<li style="text-align: justify;">She had gained a lot of weight since retirement causing back pain</li>
<li style="text-align: justify;">The patient was given a back brace by a physician to “manage” the low back pain</li>
<li style="text-align: justify;">The brace caused inhibition of her diaphragm and thus she learned to become a very proficient upper chest breather</li>
<li style="text-align: justify;">Now that her breathing patterns were altered, she had a very difficult time utilizing her diaphragm, especially when trying to recover breath with exertion – hence the shortness of breath without “evidence” of cause.</li>
</ol>
</div>
<div style="text-align: justify;">
No amount of diagnostic tests would have yielded this discovery; only movement analysis and assessing exertional capacity does. In either case, my prescription to her was a complete lifestyle change. She has many years of retirement left and recognizes the need to become active, lose weight, eat right, and live well. For this patient, exercise is the medicine and movement is the therapy that will birth wellbeing.<br />
<br /></div>
<div style="text-align: justify;">
</div>
<div style="text-align: justify;">
I think for myself, a personal take away message is how important it is to address longevity of health and not just the very popular short term goals of toning up or losing 20 pounds. I mentioned in my lecture that the path to health-fitness must be paved by a systematic, scientific method which is generously supported by genuine social investment – friends, family, clubs, and groups – to create a sense of ownership, belonging, and accountability to live well and make strong, healthy life choices. The future of healthcare must tend to a new generation at which age 79 is still young. What proof do I have? Ask the 79 year old woman in my class who started a new career as a senior fitness instructor – she swings kettlebells, she snatches, she does flutter kicks, bear crawls, duck squats, functional wall squats, windmills, Turkish get-ups… she has now taken up Suspension Training in my class. This incredible young woman has taken upon her the charge of ensuring her peers stay well, stay healthy, and live life to the fullest. THAT, my friends, can be and should be the public’s healthy future. I sincerely hope that all healthcare professionals will battle for public health that all 79 year olds will be as healthy as this one.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
As always, I give my sincere thanks for reading and supporting my blog & this website.</div>
<div style="text-align: justify;">
<br />
<br /></div>
<div style="text-align: justify;">
Until next time, I remain Yours in Service,</div>
<div style="text-align: justify;">
-Dr. Ben Fung, PT, DPT</div>
Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-74960469911234043472012-09-25T21:22:00.001-07:002012-09-25T21:24:19.604-07:00Reflections: MDT McKenzie A<br />
<div class="MsoNormal" style="text-align: justify;">
<i>This past weekend, I had the pleasure of attending my first McKenzie Method®
course (Part A) of Mechanical Diagnosis and Therapy™ (MDT). I received some
training in MDT during my courses in PT school as well as during the clinical
affiliations I had. However, this was my first formal training in MDT from the
institute itself. The following are my reflections upon this weekend’s
experience.<o:p></o:p></i></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-3eieoginoQs/UGKAz-s3TcI/AAAAAAAAAjw/EHNlmI1ooZk/s1600/MDT+Logo.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="313" src="http://2.bp.blogspot.com/-3eieoginoQs/UGKAz-s3TcI/AAAAAAAAAjw/EHNlmI1ooZk/s320/MDT+Logo.jpg" width="320" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Coming into McKenzie Part A, I
knew it would be an introductory course to both MDT as well as the McKenzie
Method of evaluating and treating the lumbar spine. I had positive feelings coming into this
experience as I have used (admittedly) scattered MDT principles to treat (very
successfully) patients in the past. I relished the chance to learn in a more
formal and official capacity.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
McKenzie Part A is a 4 day course
– 1 day online, 3 days in class. Much of the introductory material is taught
through online modules and is dived into immediately on day 2 – no lag time
whatsoever. While my understanding of the McKenzie Method is yet to be fully
matured, the immediate impression I had was that MDT utilizes a classification system
with unique language for very logical treatment approaches which require
constant clinical judgment, re-assessment, as well as solid understanding of
biomechanics (physics – Yay! No, seriously, I love physics). In my experience, most clinicians (and
patients) become nervous when they feel they are being put in a box or are
being subjected to a “cookie cutter” approach. Mechanical Diagnosis and Therapy
is FAR from a rigid, linear process and requires sensitivity to patient
symptoms, especially to nuances during patient interviews.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
I really appreciated that the McKenzie
Method REQUIRES flexibility, problem solving, and creativity – all under a
systematic vector of approach. Additionally, I really enjoyed the fact that MDT
is a patient empowering approach. The course included guest patients for the McKenzie Diplomat ( Dip. MDT) instructing the course to demonstrate the MDT process – some patients came the next day so that
the students could see the rapid change in the patient’s functional status.
What impressed me was how willing the instructor was to explore painful ranges
of motion. It was genius to me once I realized that not only was this a patient
education strategy, it was also a wonderful way of ensuring that fear avoidance
behavior would not set in and begin a terrible cycle of hypersensitivity. Oh!
And, guess what? Several patients came back pain free!</div>
<div class="MsoNormal" style="text-align: justify;">
<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
I also enjoyed listening to the familiar
reprise “END RANGE!” (a la <a href="http://www.themanualtherapist.com/" target="_blank">Erson Religioso</a>’s post: <span style="color: blue;">“<a href="http://www.themanualtherapist.com/2012/08/q-time-what-is-overlap-between-smt-and.html" target="_blank"><span style="color: blue;">PS. End Range</span></a>”</span>)
This was a theme that I didn’t truly catch onto until I saw the instructor work
with guest patients and really … and I mean REALLY push them into end range.
From a biomechanical standpoint, it makes a lot of sense. If a disc was
posteriorly deranged, it took a lot of anterior pressure (whether repetitive or
traumatic) to derange the tissue. To reduce the derangement, wouldn’t it take a
formidable amount of reverse (posterior) pressure? Can you tell I loved the
biomechanics of MDT?!<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
There were other very informative
tidbits which were discussed in the course. The instructor took time to mention
certain trends in healthcare in her area of the East Coast (USA). It was
mentioned that certain insurance carriers have a separate and higher paying
billing code for credentialed MDT practitioners. Even more striking, it was
mentioned that certain insurance carriers will ONLY cover PT services if
provided by a McKenzie clinic. These happenings were said to be attributed to
MDT being shown to get patients better, faster, and for the long run. The
literature demonstrated it and the companies footing the bill want to save
their own cash – who better to see their patients than those who will help save
everyone money?<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
To be credentialed by the
McKenzie Institute as a clinician certified in Mechanical Diagnosis &
Therapy (Cert. MDT), one must complete McKenzie Part’s A, B, C, and D – what is
currently a 17 day program, and, additionally pass a lab/skill examination
proctored by McKenzie Diplomats (Dip. MDT). The Mechanical Diagnosis and
Therapy credential is not a weekend warrior certification. It requires a lot of
dedication.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
In the end, I contemplated what I
learned. In short, my current impression is that the McKenzie Method is an
evidenced based clinical approach based on systematic evaluation, assessment,
treatment, re-assessment, and patient empowerment using a sublime utility of
low tech, high concept.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Just today, I had the opportunity
to help a patient admitted to the Emergency Department. The patient had a
history of back pain and surgery. 10 days ago, he helped a
friend build a full size pool table. Initial soreness was felt in the low back,
unfortunately, radicular pain quickly crept up until yesterday, the camel's back "broke" – the pain was so bad, walking was an
impossibility. He wanted to drive himself to the ER, however, was unable to get
out of bed. I was consulted by the physician and performed an MDT evaluation
resulting in a below knee, unilateral derangement with deformity (he had a
lateral shift to the left). Upon evaluation, this patient was unable to lift
his right leg off the bed. In fact, attempting this would cause him to scream
due to the sudden electrical sensations and pain in his low back and buttocks.
After correcting the shift and encouraging end range extension via extension in
lying, he was actually able to achieve an active straight leg raise without any
symptoms! Think I was surprised? You should’ve seen <b><i>his</i></b> face!<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
I intend on taking the rest of
the McKenzie courses and pursue credentialing. I guess you could say that MDT
has a new fan.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
I am not yet MDT credentialed and wouldn't presume to call myself a McKenzie expert. Therefore, I encourage those of you who wish to learn more to visit
the <a href="http://www.mckenziemdt.org/" target="_blank"><span style="color: blue;">McKenzie Institute’s website</span></a>,
and, join us for some discussion at<span style="color: blue;"> <a href="http://www.themanualtherapist.com/p/manual-therapists-forum.html" target="_blank"><span style="color: blue;">the Manual Therapists forum</span></a></span>.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Until next time!<o:p></o:p></div>
Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com5tag:blogger.com,1999:blog-8359962827555518700.post-14005441815746421402012-09-10T17:54:00.000-07:002012-09-10T18:04:06.286-07:00Product Review: Jungle Gym XT by Lifeline USA<div class="separator" style="clear: both; text-align: justify;">
Recently, suspension
training has been growing in popularity much as kettlebells have been.
Suspension systems have been said to be functional strength training with
particular focus on the core throughout all techniques. Commercially, TRX® is
probably the best known suspension system. Unfortunately, many suspension
systems are also quite expensive – especially considering that the construction
is merely nylon straps ending with attached handles, stirrups, and anchor.
Since suspension training has garnished the attention of much of the kettlebell
crowd including yours truly, I decided to take a look at the products out there
and made an unsolicited review for the one I felt best suited my needs. Having compared various
products, the<a href="http://www.lifelineusa.com/products/jungle-gym-xt.html" target="_blank"> <span style="color: blue;">Jungle Gym XT by Lifeline USA</span></a> stood out for several reasons:</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<u>Strengths</u><o:p></o:p></div>
<ul type="disc">
<li class="MsoNormal" style="text-align: justify;">Excellent
production quality - as good as if not better than that of competitors.<o:p></o:p></li>
<li class="MsoNormal" style="text-align: justify;">No Y connector.
This allows for the user to change directional vectors with varying
widths.<o:p></o:p></li>
<li class="MsoNormal" style="text-align: justify;">Has the ability
to interlink and wall mount.<o:p></o:p></li>
<li class="MsoNormal" style="text-align: justify;">One of the
biggest advantageous is perhaps the high quality plastic handles and
stirrups. This design is very easy to clean after use which is a big plus
for hygiene. Also, since the handles and stirrups are made from high
quality plastic, there is no need to replace foam from wear and tear.<o:p></o:p></li>
<li class="MsoNormal" style="text-align: justify;">Cost - Just
$99.99<o:p></o:p></li>
</ul>
<div class="MsoNormal" style="text-align: center;">
<i>Example
of mounting the system for wide grip and traditional narrow vectors of pull.</i><o:p></o:p></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-CPiyfsudpxA/UE58M1_t6bI/AAAAAAAAAjE/2bWr_UuSS2k/s1600/far.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="http://2.bp.blogspot.com/-CPiyfsudpxA/UE58M1_t6bI/AAAAAAAAAjE/2bWr_UuSS2k/s200/far.jpg" width="150" /></a><a href="http://3.bp.blogspot.com/-VfSoJPKs818/UE58MF3roUI/AAAAAAAAAjA/kWg0ErqgYrA/s1600/Close.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="http://3.bp.blogspot.com/-VfSoJPKs818/UE58MF3roUI/AAAAAAAAAjA/kWg0ErqgYrA/s200/Close.jpg" width="150" /></a></div>
<br />
<div class="MsoNormal" style="text-align: center;">
<i>As you
can see, the handles and stirrups are made from high quality, semi-rigid
plastic.</i></div>
<div class="MsoNormal" style="text-align: justify;">
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-_V5yqYpka6E/UE58N-HnjMI/AAAAAAAAAjU/A7stHxkkT7A/s1600/susp+row.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://4.bp.blogspot.com/-_V5yqYpka6E/UE58N-HnjMI/AAAAAAAAAjU/A7stHxkkT7A/s320/susp+row.jpg" width="320" /></a></div>
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<u>Weaknesses</u><o:p></o:p></div>
<ul type="disc">
<li class="MsoNormal" style="text-align: justify;">Just one that I saw: no carrying bag - solution... I use a small gym bag.<o:p></o:p></li>
</ul>
<div class="MsoNormal" style="text-align: justify;">
<br />
My general impressions of suspension training are these: <o:p></o:p></div>
<ul type="disc">
<li class="MsoNormal" style="text-align: justify;">Suspension
training is much like kettlebells; simple tool, solid science.<o:p></o:p></li>
<li class="MsoNormal" style="text-align: justify;">Technology is
always subservient to foundational concepts. The
foundational concepts of suspension training revolves around lever arms,
distance, angle, and gravity.</li>
<li class="MsoNormal" style="text-align: justify;">Resistance in
suspension training holds its maximum in one’s available body weight,
minimized with increasing angles to horizontal (ie. gravity eliminated
active range of motion).<o:p></o:p></li>
<li class="MsoNormal" style="text-align: justify;">Suspension
training is ideal for core stability, control, kinesthetic awareness, and
is excellent for shoulder dynamics. With a mirror,
I found it to be a great tool for individuals with poor
biomechanical/postural awareness.</li>
<li class="MsoNormal" style="text-align: justify;">Finally,
suspension training tends to be on the weaker side in terms of resistance
for lower extremities because the hardest exercise one can perform in
terms of gravitational load is single leg activities.<o:p></o:p></li>
</ul>
<div class="MsoNormal" style="text-align: justify;">
Generally, it is very hard to injury yourself during suspension
training unless you are overtraining or face planting. However, the maximum
resistance is still limited to body weight and gravity. There is
definitely a coolness factor to it as you’ve probably seen pairs or small
groups of individuals at a park, working out with suspension devices from
trees, poles, pull up bars, etc. In any case, suspension training is a
tool I’ve been increasing integrating into my practice, and, I hope that
this review of the Jungle Gym XT has been helpful for you.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<b><i><u>Until
Next Time!</u></i></b></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-jiPHPxkSRB8/UE58NQNyBfI/AAAAAAAAAjM/0tVA0v23Fp8/s1600/getting+on.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://3.bp.blogspot.com/-jiPHPxkSRB8/UE58NQNyBfI/AAAAAAAAAjM/0tVA0v23Fp8/s320/getting+on.jpg" width="240" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<br />
<br />Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-34270024908477088082012-08-22T12:59:00.000-07:002013-03-06T17:11:32.813-08:00The OMPT Channel Review<div style="text-align: justify;">
Dr. Erson Religioso (creator of<b><span style="color: blue;"> <a href="http://www.themanualtherapist.com/" target="_blank"><span style="color: blue;">The Manual Therapist blog</span></a></span></b>) and
I were fortunate enough to connect over the blogosphere just a little over a year
ago. In fact, we actually began our blogs around the same time, however, we’ve seen
something very special in the hands of Dr. "E".</div>
<br />
<div class="MsoNormal" style="text-align: justify;">
We have seen his efforts thrive through products such as
the <a href="http://www.edgemobilitysystem.com/p/static-home.html?a_aid=DrBenFung" target="_blank"><span style="color: blue;">EDGE tool</span></a>, <a href="http://www.themanualtherapist.com/p/stop-thought-viruses.html" target="_blank"><span style="color: blue;">Stop Thought Viruses</span></a>, and, perhaps one of the most important
resources for manual therapy,<b><span style="color: blue;"> <a href="http://www.edgemobilitysystem.com/p/static-home.html?a_aid=DrBenFung" target="_blank"><span style="color: blue;">The OMPT channel</span></a></span></b><span style="color: blue;">.</span><o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Through The OMPT Channel, Dr. Religioso offers direct video access
to information and techniques centering but not limited to Orthopedic Manual Physical
Therapy. What is perhaps the most striking about the quality of the content is that he makes available Fellowship level strategies and techniques. This level of information is typically available only to individuals
who have received a graduate degree in physical therapy, and, have undergone an additional two
years of intensive post-graduate training. Many in
the profession consider fellowship level training as the highest post-graduate
level of training available to orthopedic manual therapy.</div>
<div class="MsoNormal">
<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
The OMPT channel offers a wide array of content spanning
from EDGE tool techniques and spinal manipulation to eclectic strategies and
assessments gathered though Dr. E’s own personal experience (<a href="https://plus.google.com/106181539896758164397/about" target="_blank"><span style="color: blue;">for which his accoladesspeak volumes</span></a>).<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
The price of such a resource is unthinkably affordable at $4.99
a month, or, $49.99 a year. The channel’s interface is very easy to use, and, the videos are clear and quickly understandable - I'd expect nothing less from a faculty member of several Doctor of Physical Therapy programs.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
As a Physical Therapist who practices in three very
different settings of Acute Care, Wellness, and concierge Home Health, the OMPT
channel is an invaluable resource to me when I need another perspective or
review of technique. <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
I highly recommend the OMPT channel to practicing
clinicians, and, especially to Physical Therapy students studying manual
techniques for practicums, labs, and examinations.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
My kudos and deepest appreciation to Dr. Religioso for
sharing his knowledge, and, making it available in such an
easily accessible venue.<o:p></o:p><br />
<br /></div>
<div style="text-align: center;">
<a href="http://www.edgemobilitysystem.com/p/static-home.html?a_aid=DrBenFung" target="_blank"><img alt="" height="320" src="http://1.bp.blogspot.com/-fIH0zC8wSTM/T1OMkgWBUWI/AAAAAAAAkfE/yTvz0nGS9aA/s320/mini-Picture32.jpg" title="" width="320" /></a></div>
Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-90456512747960420292012-08-13T15:22:00.000-07:002012-08-13T19:25:33.614-07:00Blogiversary Giveway Winner<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-kvSKItu-d1Q/T_fILDh0kuI/AAAAAAAAAhE/fy-vE20i9d8/s1600/KB+giveaway.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="214" src="http://3.bp.blogspot.com/-kvSKItu-d1Q/T_fILDh0kuI/AAAAAAAAAhE/fy-vE20i9d8/s320/KB+giveaway.jpg" width="320" /></a></div>
<div>
<br /></div>
<div style="text-align: justify;">
Congratulations to Kevin Pozzi, winner of the Kettlebell Therapy™ Blogiversary Giveway!</div>
<div style="text-align: justify;">
</div>
<div style="text-align: justify;">
Kevin Pozzi, PT, MSPT, OCS, ATC is a Physical Therapist and Clinic Director of the Centreville location of<span style="color: blue;"> <b><a href="http://www.thejacksonclinics.com/" target="_blank">The Jackson Clinics</a></b></span>. Recently completing a credentialed orthopedic residency at the Jackson Clinics, Kevin earned the Orthopedic Clinical Specialist (OCS) credential and will be formally receiving his OCS at the American Physical Therapy Association Combined Sections Meeting in San Diego, January 2013. Kevin wishes to convey how the experience through the Jackson Clinics brought him to a whole new level of practice as a Physical Therapist. Let’s all congratulate Kevin on his completing the residency, OCS, and, winning the 20lb kettlebell giveaway!</div>
<div style="text-align: justify;">
</div>
<div style="text-align: justify;">
Kevin Pozzi, PT, MSPT, OCS, ATC is available via:</div>
<div style="text-align: justify;">
<a href="mailto:kpozzi@thejacksonclinics.com">kpozzi@thejacksonclinics.com</a></div>
<div style="text-align: justify;">
<a href="http://www.facebook.com/thejacksonclinics">http://www.facebook.com/thejacksonclinics</a></div>
<div style="text-align: justify;">
<a href="http://twitter.com/jacksonclinics">http://twitter.com/jacksonclinics</a></div>
<div style="text-align: justify;">
<br />
<br />
The 20lb kettlebell was kindly provided by <b><a href="https://www.facebook.com/profile.php?id=100003558203230&sk=info" target="_blank"><span style="color: blue;">David Lee </span></a></b>and <b><a href="http://dldiscountfit.com/" target="_blank"><span style="color: blue;">Discount Fitness in San Diego.</span></a></b></div>
Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-45203643768154426482012-08-05T21:03:00.000-07:002012-08-05T21:03:00.948-07:00Five Fingers Five Month Follow Up<br />
<div style="text-align: justify;">
5 months ago in March, I got a pair of Vibrams® TrekSport to experience for myself the Five Fingers footwear experience. I gave an initial impression on the product (<a href="http://www.blogger.com/"><span id="goog_1276211743"></span>click here for Dr. Fung’s original Five Fingers Experience<span id="goog_1276211744"></span></a>) and have since been using it for a wide variety of activities.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
In the last 5 months, I’ve used my Vibrams® for running (jogging and sprinting), regular walking, days at amusement parks and fairs, in the sand, to the grocery store, for kettlebell training, boot camp style exercise, suspension training, and in the gym. I’m happy to say I am VERY pleased with the long term aspect of the five fingers experience.</div>
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To break it down a bit, let’s categorize by functionality: basic ambulation, running, and cross training.</div>
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<b>Ambulation:</b></div>
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Now 5 months into wearing these toe-shoes whenever I can, I found that I'm still heel striking when ambulating – and, why not? There really isn't that much impact when ambulating and so I didn't find myself wanting to avoid the heel strike. I did experiment with forefoot striking during basic ambulation and didn't feel the need until I came to walk on rocky/jagged surfaces, uneven surfaces, or unstable surfaces (like sand). This was interesting to me because I also practice Physical Therapy in the Acute Care setting where I see a lot of trauma from falls. Thinking back on my own experiences, I asked myself, "When do you most often fall? When you land on your heel or when you land on your toes?" Answer: For me, I fall when I land on my heel. It makes perfect sense; there is far less surface area on the heel than there is on the forefoot for traction - not to mention once the heel lands, the only balance strategy available (since the knee is extended and engaged) is from the hips and above. However, in the moment of slipping and falling, the hip strategy betrays us because most of the time the slip causes the foot to slide anteriorly and the body relatively moves posteriorly as a result. However, if one was to slip on a forefoot strike, one can place the entire foot flat on the ground to create more traction from increased surface area as the foot slides which causes minimal displacement of the body's center of gravity over its base of support. Fall prevented.</div>
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<b>Running:</b></div>
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I must say that I am by no means an avid runner. In fact, I’m probably the farthest thing from an avid runner as it gets. I’m a natural and agile sprinter when it comes to locomotion, and, that’s about it. Nevertheless, the first thing I noticed as I took more short runs (3 miles or less) is that I became less and less tempted to heel strike. I also noticed a very natural sinusoidal oscillation in my vertical height as I ran. What I found most interesting was how aware of the ground I was. Very likely, this is a self protective mechanism since landing on even a small pebble would still be uncomfortable in these footy shoes. </div>
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I must note I was impressed in that I typically get a very annoying knee pain when I run for distances greater than that of quarter mile sprints. I never once experienced knee pain when running with my Vibrams. I also am very flat-footed and typically get all sorts of lovely foot pain with regular running shoes – no such pain ailed me. I've heard it said that forefoot running may take on more stress in the Achilles tendon – I experienced no such event. If anything, from a biomechanical perspective, the connective tissue of the gastrocsoleus complex are perfect for taking on stress compared to that of the anterior tibials. Also, with every forefoot strike, one must eccentrically control dorsiflexion with the plantarflexors; a type of muscle movement which is a commonly prescribed as therapeutic exercise in treating and preventing Achilles tendonitis.</div>
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<b>Cross Training:</b></div>
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Two words: L O V E D I T ! Most of my physical training & conditioning is done with kettlebells, suspension devices (review coming soon!), body weight exercises, power yoga, sprints, and beach training. For all those activities, working out in footwear which is ultra close to the ground was an absolute pleasure. However, even when I hit the gym for select exercises for old fashion weight training, I found that using the footy shoes felt much more comfortable than traditional footwear. The only downside of cross training with thin footy shoes is foot protection. At one time, I stubbed my right great toe on a lovely rock the size of a softball. Not cool. Thoughts down the same line came to me in the weight room - what if something dropped on my foot? Nevertheless, my cross training experiences with Five Fingers were overwhelmingly positive.</div>
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<b>Summary:</b></div>
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When I had the pleasure of wearing my footy shoes several days in a row, I noticed how annoyingly unnatural my athletic shoes felt. If it wasn't for the lack of foot protection on the lateral and dorsal sides of the footwear itself, I feel that the Vibrams® TrekSport would be a perfect form of footwear. During ambulation, running, and cross training, I felt that wearing footy shoes was far more comfortable and natural during function. Also, much of the foot and knee pain I used to experience with standard athletic shoes with running completely disappeared with the use of my Vibrams. I do want to note that the only time I felt any discomfort with my Vibrams were long days on my feet (>12hrs), however, who wouldn't have slightly sore feet after 12 hours of walking?</div>
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I highly recommend the Five Fingers experience. Whether you are in pain or pain free, physically impaired or at high levels of performance - I believe that the natural foot mechanics are an advantageous experience for just about anyone. Although the footy shoes may not be within everyone’s sense of fashion, it’s worth the try. Who knows, you might just like it!</div>
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<br /></div>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com2tag:blogger.com,1999:blog-8359962827555518700.post-84721861203649217482012-07-17T23:49:00.000-07:002012-07-17T23:49:45.453-07:00Kettlebells for Knee Pain<br />
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According to a survey by the Center for Disease Control and
Prevention, 30% of adults reported some type of joint pain during the last 30
days. Knee pain ranked as primary joint of complaint for this particular survey<sup>1</sup>.</div>
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<a href="http://2.bp.blogspot.com/-MDkr25uXehw/UAZbTCO0uVI/AAAAAAAAAhQ/dii9GrFQuts/s1600/knee+pain.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="http://2.bp.blogspot.com/-MDkr25uXehw/UAZbTCO0uVI/AAAAAAAAAhQ/dii9GrFQuts/s200/knee+pain.jpg" width="150" /></a></div>
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In the world of rehabilitation, scientific literature has
been pointing to the muscles of the hip as a major player in knee pain<sup>2</sup>.
Strengthening the Hip Abductors (Gluteus Medius) and the Hip External Rotators
have been specifically highlighted as a source of pain relief for the knee<sup>3,
4</sup>. This stands to good reason when analyzing the functional mechanics of
the knee; the orientation of the knee is controlled by the position of the
femoral head. The position of the femoral head is controlled by the muscles of
the hip. In other words, the hip dictates the orientation of the knee in space,
and thus, acts as the guide-wire for the muscles of the knee. A good
directional pull from the muscles of the knee encourages good movement at the
knee joint itself. Good movement decreases stress forces which then can
decrease wear and tear, and, ultimately offers pain relief.</div>
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To address knee pain by strengthening the hip, kettlebells
can be used as a functional therapeutic exercise. Here are a couple kettlebell exercises
which can target the muscles of the hip:</div>
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<b><u>High Knees<o:p></o:p></u></b></div>
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The Hip Abductors are responsible for maintaining pelvic
motion and femoral alignment during function. The High Knees are a great exercise
for the Hip Abductors because it combines strengthening with balance. In this
exercise, the lifting leg is the extremity which applies force. The stance limb
is the side which is being strengthened. This exercise is performed by raising
a kettlebell up by the foot until the knee of the lifting limb is at the height
of hip – a “high knee”. By lifting up
the kettlebell using dorsiflexion and hip flexion, a sudden downward force is
created on the side opposite to the stance limb. This force then requires the
hip muscles of the stance limb to engage and prevent a sudden drop in pelvic
height on the lifting side. There are a
couple compensatory movements to watch for including excessive leaning, lateral
shifting, and forward flexion of the spine.
The forward flexion of the spine is caused because when lifting the
kettlebell with the “high knee” technique, the lifting extremity utilizes the
hip flexors which are connected to the lumbar spine. If one does not control
posture and engage the muscles of the stance limb, then the body will want to
flex forward. If there is trouble with
leaning or weight shifting, then a lighter weight should be used.</div>
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<b><u>Side Swings<o:p></o:p></u></b></div>
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<b><u><br /></u></b></div>
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Resisting the motion of hip abduction and external rotation
requires that a force is applied which encourages femoral internal rotation and
adduction. One of the best exercises to
apply this force and thus strengthen the muscles of the hip for knee pain is
the Side Swing. By swinging the kettlebell
on the side of the body, more weight is pulled over the lower extremity (and
hip) you wish to strengthen. This same pull will also attempt to bring the knee
and femur into a position of adduction and internal rotation. By side swinging
in correct mechanics, we then resist the unwanted motion of hip internal
rotation/adduction and therefore will strengthen the hip abductors and external
rotators. </div>
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<b><u>The Single Leg
Deadlift: Golfer’s Lift Variation<o:p></o:p></u></b></div>
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<b><u><br /></u></b></div>
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This version of the Golfer’s Lift is a variation of the
Single Leg Deadlift. The purpose of this exercise is to focus strengthening at
the hip while limiting motion at the knee. Once again, we find ourselves in an
exercise where the stance limb is the limb which is being strengthened. By
moving into the combination of a deadlift and mini-lunge, the hip abductor must
be activated to prevent changes in the horizontal position of the pelvis. By
holding the kettlebell on the opposite side of the stance limb, additional
muscle recruitment is forced upon the hip abductors. This exercise also
requires that the individual is in good control of knee position; avoiding
adduction and internal rotation is of key importance. Additionally, maintaining
the single leg stance is an added challenge for control and balance. Do your
best to limit the contact of the trailing limb. Finally, spinal posture must be
preserved for safety during this exercise.</div>
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</div>
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In the address of knee pain, training and strengthening the
body in functional movement is always a desireable plus. Many of my patients
and clients who used kettlebells for therapeutic exercise consistently remarked
that the areas of complaint always felt better after kettlebell exercise. Despite
the repetitive squatting motions of most swing based exercises in kettlebells, the
population I encounter who most consistently express that their symptoms
improve after a session with kettlebells are those who have knee problems. When
the call for treating knee pain with exercise is made, I hope that kettlebells
will be one of the therapies that will answer the call.</div>
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<b><u>References:<o:p></o:p></u></b></div>
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<br /></div>
<ol start="1" style="margin-top: 0in;" type="1">
<li class="MsoNormal" style="text-align: left;">Center
for Disease Conrol and Prevention. <a href="http://www.cdc.gov/Features/dsJointPain/"><span style="color: windowtext;">http://www.cdc.gov/Features/dsJointPain/</span></a></li>
<li class="MsoNormal" style="text-align: left;">Dolak
et al. Hip strengthening prior to functional exercises reduces pain sooner
than quadriceps strengthening in females with patellofemoral pain
syndrome: a randomized clinical trial. J Orthop Sports Phys Ther. 2011
Aug;41(8):560-70. Epub 2011 Jun 7.</li>
<li class="MsoNormal" style="text-align: left;">Bolgla
et al. Comparison of hip and knee strength and neuromuscular activity in
subjects with and without patellofemoral pain syndrome. Int J Sports Phys
Ther. 2011 Dec;6(4):285-96.</li>
<li class="MsoNormal" style="text-align: left;">Khalil
Khayambashi et al. The Effects of Isolated Hip Abductor and External
Rotator Muscle Strengthening on Pain, Health Status, and Hip Strength in
Females With Patellofemoral Pain: A Randomized Controlled Trial. J Orthop
Sports Phys Ther 2012;42(1):22-29, Epub 25 October 2011.
doi:10.2519/jospt.2012.3704 </li>
</ol>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-45459555345005588032012-07-06T22:30:00.000-07:002012-07-06T22:30:08.127-07:00Kettlebell Therapy™ Blogiversary Giveaway<div style="text-align: justify;">
Hi Everyone,<br />
<br />
July 17th marks the 1st year anniversary of the Kettlebell Therapy™ blog. I wanted to express my deep thanks to all of you for your continuing support. It's been a fun experience filled with meaningful connections and growing friendships locally, nationally, and internationally via the powerful link we share through social media.<br />
<br />
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<b>To mark this occasion, I am holding a kettlebell giveaway!</b></div>
<br />
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<a href="http://2.bp.blogspot.com/-kvSKItu-d1Q/T_fILDh0kuI/AAAAAAAAAhE/fy-vE20i9d8/s1600/KB%2Bgiveaway.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="214" src="http://2.bp.blogspot.com/-kvSKItu-d1Q/T_fILDh0kuI/AAAAAAAAAhE/fy-vE20i9d8/s320/KB%2Bgiveaway.jpg" width="320" /></a></div>
<br />
<br />
The kettlebell is 20lbs and this giveaway starts on 7/8/12 and ends on the 7/31/12. Due to shipping considerations, only individuals in the USA and Canada are eligible to receive the 20lb kettlebell.</div>
<a class="rafl" href="http://www.rafflecopter.com/rafl/display/16f6a51/" id="rc-16f6a51" rel="nofollow">a Rafflecopter giveaway</a>
<script src="//d12vno17mo87cx.cloudfront.net/embed/rafl/cptr.js">
</script>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com6tag:blogger.com,1999:blog-8359962827555518700.post-2550542742003732322012-06-25T18:00:00.001-07:002012-07-01T15:04:26.395-07:00The Rotater Review by Dr. Ben Fung<br />
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<i>A little while back, I was asked by the people from <a href="http://therotater.com/wp/" target="_blank"><span style="color: blue;">The Rotater</span></a> to take some time to review their product. I want to first make the disclaimer that this review exclusively reflects my own thoughts and experiences, and, that the Rotator has neither offered nor provided incentive or financial gains from this review.</i></div>
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<a href="http://4.bp.blogspot.com/-SZ2WP49gxzY/T-kJI2PmffI/AAAAAAAAAgY/BrE5FTlnOVo/s1600/Rotator+Pic.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="87" src="http://4.bp.blogspot.com/-SZ2WP49gxzY/T-kJI2PmffI/AAAAAAAAAgY/BrE5FTlnOVo/s400/Rotator+Pic.jpg" width="400" /></a></div>
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My first impression of the Rotater was actually through Twitter - a testament to the connective power of Social Media (a shout-out to <b><a href="https://twitter.com/#!/search/%23solvePT" target="_blank"><span style="color: blue;">#solvePT</span></a></b>). As I can be a skeptic and even cynic at times, it took several rounds of Twitter #FollowFriday #FF’s recommending the Rotater before I took a few minutes to check out their website. The first thing I saw was a picture of an individual stretching themselves into a rather generous range of shoulder external rotation. To be honest, I was a little bit alarmed. Most individuals do not have that level of flexibility, and, in certain contexts, such a level of flexibility can be counterproductive as one may be gaining range from the wrong regions of the body.</div>
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In any case, since I was going to write up a review, I put that impression aside to test the instrument with a clean slate; as with my <a href="http://www.kettlebelltherapy.com/2012/03/dr-fungs-five-fingers-experience.html" target="_blank"><b><span style="color: blue;">Vibrams, I would first test it on myself</span></b></a>. The package came in the mail consisting of the Rotater, the Strong Arm Attachment, several sheets of instructions, and an instructional DVD.</div>
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Like most males, I immediately picked up the instrument and decided that I did not need or have use for instructions. I began poor attempts at properly utilizing the Rotater, fumbling it every which possible way. Finally, I took a look at the instructions for correct use. I performed several variations of shoulder stretching in rotational glenohumeral movement. Experiencing the comfortable stretch with a precisely isolated mechanic to the shoulder joint proper, I quickly popped in the DVD for more information.</div>
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Surveying the DVD menu, the BLOOPERS section caught my eye - I had to take a look. Sure enough, the instructor on film was fumbling around with the Rotater - just like me! Good! I wasn't the only one. </div>
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Obviously, this simple tool came with higher levels of concept (much like kettlebells!). Watching the entire DVD through, I was thoroughly impressed with the distinct advantage of self controlled shoulder orientation during stretching and strengthening. It is this ability to control glenohumeral orientation at various angles of shoulder flexion, extension, abduction, and/or adduction (and combinations thereof) that was the most appealing to me. When utilizing therabands, resistance cables, or pulleys - it can often be a challenge to strengthen movements in precise orientations of the shoulder joint. With the Rotater, one can quickly transition between any shoulder angle without complex maneuvering or hassle with a contraption’s setting – this I liked... A <place w:st="on">LOT</place>.</div>
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The second big advantage I found with the Rotater is that the instrument naturally isolates shoulder rotation and prevents very common compensatory movements for restricted shoulders. Not so with other methods of isolating shoulder rotation; the Rotater beats out any towel, ball, wedge, pillow, hand, fist, or belt. The Rotater also has various set distances where one can apply the Wrist Strap for stretching, or, the Strong Arm Attachment for strengthening – a very nice feature for variations in arm length. </div>
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The tubing strength for the Strong Arm Attachment has generous strength and can be adjusted for length to create more or less tension for various levels of strength. The Rotater also offers <a href="http://therotater.com/wp/products/" target="_blank"><span style="color: blue;">different levels of tensile strength</span></a> for the Strong Arm Attachment to cater for different levels of ability. However, for the Rotater to be used independently, one must have at least one healthy upper extremity to hold the handles of the Rotater.</div>
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I feel that the Rotater is ideal for athletic populations; for more acute or complex injuries, or, the geriatric population, using the Rotater independently can be a challenge. But who says one must use the Rotater independently? When using the wrist straps, the Rotater is a great tool for Active Assisted Range of Motion in the clinical setting. Additionally, it can be used for manually resisted shoulder rotation as a mode of strengthening.</div>
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The Rotator is a great tool for improving shoulder rotational performance, however, I highly advise that one first receives proper instruction from a healthcare professional before using the Rotater. This point is supported by the people at the Rotater in that during several segments of the instructional DVD, reference to the expertise of Physical Therapists, Physicians, or Surgeons prior to the use of the Rotater were made. This is very much appreciated as I’ve seen far too many instructional DVD’s leave individuals to explore the nuances of human movement without in-person-instruction - an exploration which commonly produces injury.</div>
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The Rotater instructions and DVD are clear and concise. The instrument is sturdy and conveniently light. The Rotater is a tool that can help fashion functional independence by empowering the individual to apply stretching and strengthening of controlled shoulder rotation. As a Physical Therapist, I am thoroughly enjoying the Rotater and will continue it's use in shoulder rehabilitation.</div>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-66442584701730740922012-06-17T16:17:00.001-07:002012-06-17T18:29:29.512-07:00Unsnagging the Kettlebell Snatch (Part 4)<div style="text-align: justify;">
<i>Continued from last
post, <b><a href="http://www.kettlebelltherapy.com/2012/05/unsnagging-kettlebell-snatch-part-3.html" target="_blank"><span style="color: blue;">Unsnagging the Kettlebell Snatch (Part 3)</span></a></b></i></div>
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We’re about to go over a few of my favorite drills to
correct for the common snagging points during the kettlebell snatch. First, let’s finish up the discussion on the
last few common mistakes seen during the snatch.</div>
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1. Missing Pre-Swing:
The pre-swing is a critical aspect for the version of the snatch I
subscribe to. This is because the
pre-swing allows for preserved momentum through a form of plyometrics which
eliminates aberrant movements during technique.
Additionally, with a pre-swing integrated during every snatch
repetition, the only time the kettlebell is motionless is at the top of the
snatch. This is the very purpose of centripetal
ballistics with kettlebell – continuous preservation of motion and momentum
during high intensity exercise. The
missing pre-swing can lead to jerky motions at the bottom of the snatch during
movement initiation and may lead to excess stress at the wrist, elbow,
shoulder, and/or neck. Again – excessive
stress forces are ALWAYS BAD.</div>
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2. Controlling the Descent:
The key behind kettlebell centripetal ballistics is that one does not
control the momentum of the kettlebell during mid-swing. In fact, trying to control
the descent of the kettlebell utilizes the muscles of the arms and shoulders,
primarily the anterior deltoids and the wrist extensors. The centripetal decent accelerated by gravity
sums a significant amount of force. I’ve
been told from engineers that it can be as high as 4-6x the weight of the
kettlebell due to gravitational acceleration. Trying to control this descent
with small muscle groups such as the wrist extensors can be too much for your
tissues and can cause irritation or injury.
Fortunately, with correct technique, the prime movers which control the
height and descent of the kettlebell originate from the lower quarter and the
core – muscle groups with generous amounts of power to disperse the stress
forces.</div>
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3. Missing Rotational Dynamics: This is related to the concept of preserving
momentum. This is a very subtle dynamic
during the kettlebell snatch. Ideally,
during the pre-swing, the wrist is pronated and shoulder is internally
rotated. Once initiation of the lock-out
is underway, the wrist moves into supination and the shoulder into external
rotation. For those of you Physical
Therapists who are big fans of Proprioceptive Neuromuscular Facilitation (PNF)
– can we say D2 pattern? Pretty neat, huh?
This dynamic of moving into shoulder flexion, external rotation with
wrist supination at the top of the snatch matched with the shoulder extension,
internation rotation and wrist pronation at the bottom of the snatch completes
the nuance of momentum preservation and plyometrics throughout the upper
extremity kinetic chain. If you are not
properly engaging in this movement, you are likely to also feel a jerky motion
during the initiation of the “lock-out”, or, you may feel difficulty in
<b><a href="http://www.kettlebelltherapy.com/2012/05/unsnagging-kettlebell-snatch-part-2.html" target="_blank"><span style="color: blue;">decelerating the kettlebell</span></a></b> at the top of the snatch. For many individuals, this is the missing link for kettlebell
deceleration.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Let’s take a look at these common mistakes in this
compilation video:</div>
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/y-ezfHDIG10?feature=player_embedded' frameborder='0'></iframe></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Remember, the Swing family of kettlebell ballistics utilizes
the exact same mechanics and technique from the ground up and throughout the
rest of the body. The only variations are found in the grip of the kettlebell,
and, the arc and height of travel. If
you record yourself performing the snatch, clean, high pull, and snatch – you
should notice that the feet, legs, hips, core, and scapulae play the exact same
role in each exercise. The position of
the arm, the grip, and the path of travel for the kettlebell are the only
changes for each exercise. If you are
able to master this concept, the Swing family is yours to own!</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Now – let’s talk about a few drills I like to utilize to
solve the issues of trying to control the descent, uncontrolled arc of travel,
uncontrolled height of travel, and poor lock-out movement patterns.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<u>Towel Swing: Trying to control the descent<o:p></o:p></u></div>
<div class="MsoNormal" style="text-align: justify;">
Let’s start with the basics.
Since the snatch is one of the highest level forms of the Swing family,
it is beneficial to revisit the swing mechanics with the Towel Swing. This is a common and ingenious way to force
individuals to use their bodies rather than their arms during swing
mechanics. Since an additional kinetic
chain is added to the equation, and, the chain is loose and muscularly
disconnected to the body – individuals are forced to recognize the drooping
bell as poor mechanics.</div>
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/sv7vKH4t9QU?feature=player_embedded' frameborder='0'></iframe></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<u>Wall Snatch: Solving for an uncontrolled arc of travel</u></div>
<div class="MsoNormal" style="text-align: justify;">
The Wall Snatch drill is a clever two person drill to solve
for uncontrolled arc of travel. One
person uses a barrier as a “wall” which gives a visual and physical cue for the
person struggling with the arc of travel to avoid. By placing a vertical wall close to the
individual, one must force themselves to perform a vertical lift rather than a
long, circular arc of travel which can cause poor deceleration at the top of
the snatch.</div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/iLf8Oc6UGtI?feature=player_embedded' frameborder='0'></iframe><br />
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<u>High Pull Snatch Drill: Solving for an uncontrolled
height of travel<o:p></o:p></u></div>
<div class="MsoNormal" style="text-align: justify;">
This drill is a great way of progressing to the snatch as
well as controlling for height of travel. By using the High Pull exercise, one
can progress the pull higher and higher, one quickly gets to a point where the
technique must simply morph into a snatch since the pull can only get so
high. If the individual is still
struggling with an excessive or insufficient height of travel, the kettlebell
is likely too light or heavy, respectively.
The other possibility is that the individual is not performing the snatch
technique with the proper lock out technique which would yield poor momentum to
complete the technique.</div>
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/2HhzUFPpl5w?feature=player_embedded' frameborder='0'></iframe></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<u>Lock Out Hop Drill: Solving for poor lock out mechanics
during initiation</u></div>
<div class="MsoNormal" style="text-align: justify;">
Completing the lock out is essential to reach and preserve
the levels of momentum for kettlebell centripetal ballistics. Sometimes, it’s just a plain struggle to
master this movement pattern. A nice
drill to accentuate this movement is the Lock Out Hop Drill. This drill is simply hopping up off the group
using all lower quarter muscles groups EXCEPT for those of the ankle/foot. By launching off the ground from the heels,
one must utilize knee extension and hip extension as the primary movement
patterns to “catch air”. Take a look!</div>
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/81Y9zPMCh0w?feature=player_embedded' frameborder='0'></iframe></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
The Kettlebell Snatch is considered by many as the highest
form of kettlebell centripetal ballistics, requiring the most control, power,
and energy to perform over time.
Hopefully this series of Unsnagging the Kettlebell Snatch (Parts 1 – 4)
were helpful in helping you master your kettlebell snatch.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Lastly, my kettlebell health-fitness-wellness program,
“<a href="https://www.82sharp.sharp.com/Sections.asp?dblink=1&ServLink=11&ClassLink=2982&Survey=" target="_blank"><span style="color: blue;"><b>Kettlebell and PhysioKinetic Fitness</b></span></a>” was nominated as Best Health-Fitness
Studio in <st1:city w:st="on">San Diego</st1:city>
for 2012. I deeply appreciate your
continual support here at Kettlebell Therapy™, and, if you have the time – I
would appreciate you make a log-in & making daily votes at: <a href="http://www.utsandiego.com/bestof/2012/vote/sports-recreation/health-fitness-club/" target="_blank"><span style="color: blue;"><b>Best of San Diego 2012: Health-Fitness Club</b></span></a></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Until Next Time!</div>
<div class="MsoNormal" style="text-align: justify;">
-<b><i><a href="http://www.drbenfung.com/" target="_blank">Dr. Fung</a></i></b></div>
<div class="MsoNormal" style="text-align: justify;">
<a href="http://twitter.com/DrBenFung">Twitter.com/DrBenFung</a></div>
<div class="MsoNormal" style="text-align: justify;">
<a href="http://facebook.com/DrBenFung">Facebook.com/DrBenFung</a></div>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-10750458282180846452012-05-30T15:00:00.000-07:002012-05-30T15:00:48.036-07:00Unsnagging the Kettlebell Snatch (Part 3)<div style="text-align: justify;">
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<div class="MsoNormal" style="text-align: justify;">
<i style="mso-bidi-font-style: normal;">Continued from last
post, <a href="http://www.kettlebelltherapy.com/2012/05/unsnagging-kettlebell-snatch-part-2.html" target="_blank"><b><span style="color: blue;">Unsnagging the Kettlebell Snatch (Part 2)</span></b></a>:</i></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
In our last post, we discussed the two most common snagging
points during the kettlebell snatch: uncontrolled arc of travel, and,
uncontrolled height of travel.<span style="mso-spacerun: yes;"> </span>Let’s cover
some more common mistakes seen during the snatch and we’ll move onto some
drills to correct these mistakes.</div>
<br />
<div class="MsoNormal" style="text-align: justify;">
<b><u>Other common mistakes:</u></b></div>
<ul style="text-align: justify;">
<li>Circumduction – This is a compensatory movement due to
insufficient vertical height of travel during the snatch.<span style="mso-spacerun: yes;"> </span>By snatching the kettlebell in a lateral
circular motion, the final height of travel is less than that of the correct
technique.<span style="mso-spacerun: yes;"> </span>Now the video below is definitely
exaggerated, however, keep this compensation in mind – you may be doing it
without even knowing it.<span style="mso-spacerun: yes;"> </span>To correct this
problem, pop into the lock-out position of terminal knee and hip extension with
exaggerated explosiveness. This usually corrects the problem and will give you
the vertical height you need.</li>
<li>Heel Lift (Plantar Flexion) – This is also a compensatory
motion due to insufficient vertical height of travel.<span style="mso-spacerun: yes;"> </span>However, most people end up using plantar
flexion because the kettlebell they are using is too heavy.<span style="mso-spacerun: yes;"> </span>Try a lighter kettlebell and focus on keeping
your feet flat on the ground and using your knees, hips, and core to propel the
bell upward.</li>
<li>Late or missing Hip-Pop (Hip Extension) – I don’t see this
compensatory motion all too often, however, it comes up frequently enough that
I felt it was worth mentioning.<span style="mso-spacerun: yes;"> </span>This tends
to happen due to weak gluteals, tight hip flexors, and/or insufficient shoulder
flexion.<span style="mso-spacerun: yes;"> </span>I also see this occur from time
to time when individuals focus too much on knee extension that they forget to
engage their hip extensors.<span style="mso-spacerun: yes;"> </span>Again, the
video is highly exaggerated and the actual compensation is more subtle than it
is pronounced as seen in Circumduction or lack of Knee extension (below).<span style="mso-spacerun: yes;"> </span>If the root of the problem is just
forgetfulness in engaging the hip muscles, a heavier bell will take care of the
problem.<span style="mso-spacerun: yes;"> </span>The increased weight will
require the individual to fully engage all the muscles required for the
vertical component of the snatch.<span style="mso-spacerun: yes;"> </span>If the
problem is weakness in the gluteals, then stick to cleans and squats until the
individuals develops the strength necessary for the current weight.<span style="mso-spacerun: yes;"> </span>One can also use a lighter bell just to
master the technique.<span style="mso-spacerun: yes;"> </span>However, if lack
of range of motion is the problem, then stretching and Physical Therapy may be
the path of choice.</li>
<li>Late or missing Knee Lock-out (Knee extension) – Lack of
proper knee extension can occur simply because the individual is focusing
intently on the hip-pop motion.<span style="mso-spacerun: yes;"> </span>This can
also be an accentuated compensatory motion which remained undetected until the
high intensity demands of the snatch.<span style="mso-spacerun: yes;"> </span>I
also see this compensation kick in when individuals have tight hamstrings.<span style="mso-spacerun: yes;"> </span>For hamstring tightness, again, stretching
and Physical Therapy is a sure path to fixing the problem (and future problems
which may remain a ticking time bomb).<span style="mso-spacerun: yes;">
</span>If the individual is simply forgetting about the knee lock-out motion, a
heavier bell or a visual cue (ie. a mirror) is a great way to get the muscles
to engage properly.<span style="mso-spacerun: yes;"> </span>However, if this
stems from poor technique hidden since the infancy of learning the kettlebell swing,
then one must go back to the origins to fix the problem.<span style="mso-spacerun: yes;"> </span>Pick out a light bell and progress to a
generously heavy kettlebell for the individual.<span style="mso-spacerun: yes;">
</span>Work on technique and intently contracting the quadriceps and the
gluteals at the top of the swing.<span style="mso-spacerun: yes;"> </span>As you
progress to the heaviest kettlebells, one will be forced to utilize as many
muscle fibers as possible.<span style="mso-spacerun: yes;"> </span>There are a
couple other drills to address the knee lock-out deficiency which I will
discuss in the next post.</li>
</ul>
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/meN5q9jn5W0?feature=player_embedded' frameborder='0'></iframe></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
So let’s talk about two drills I like to incorporate for
individuals struggling with the snatch.<span style="mso-spacerun: yes;">
</span>Again, the two most prevalent problems during the snatch are
uncontrolled height of travel and arc of travel.<span style="mso-spacerun: yes;"> </span>The best way to address this is utilizing the
kettlebell clean – the precursor to the snatch itself.<span style="mso-spacerun: yes;"> </span>I’ve mentioned in the past I really enjoy the
natural physics aspect of kettlebell exercise for numerous reasons – one big
reason is that it is self limiting.<span style="mso-spacerun: yes;"> </span>At a
certain level, compensation is not an option because the body simply cannot
handle the physics. The result – the kettlebell simply falls harmlessly to the
floor and the individual needs to start over and re-evaluate technique.<span style="mso-spacerun: yes;"> </span>For the other interesting compensatory
motions, using a staged kettlebell snatch routine is a great way to self-check
technique and achieve the proper snatch.<span style="mso-spacerun: yes;">
</span>Again, utilizing a lighter bell and progressing to a heavier kettlebell
is a great way to tease out all the problems; when intensity increases, all
the funny compensations come out of the woodwork – and – correction is forced
due to the intense load.<span style="mso-spacerun: yes;"> </span>If the
individual cannot correct, the bell will not properly move.<span style="mso-spacerun: yes;"> </span>I will discuss this further in my following
post.<span style="mso-spacerun: yes;"> </span>The other drill I like to use is
an ultra-light snatch drill.<span style="mso-spacerun: yes;"> </span>Using grip
vs. technique to decelerate the kettlebell at the top of the snatch is a very
common problem.<span style="mso-spacerun: yes;"> </span>Using a small
kettlebell, one can tease out this problem and practice smooth technique vs.
forced results.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
</div>
<div class="MsoNormal" style="text-align: justify;">
<u><b>Heavy Clean and Release:</b></u><span style="mso-spacerun: yes;"><u><b> </b></u>
</span>Progressing to a generously heavy kettlebell, practice cleaning and
releasing at the top of the vertical height of travel.<span style="mso-spacerun: yes;"> </span>Remember to keep the kettlebell as close to
the body as possible.<span style="mso-spacerun: yes;"> </span>The larger the
bell, the farther the kettlebell will be away from your body simply due to the
dimensions of the kettlebell.<span style="mso-spacerun: yes;">
</span>Nevertheless, the key aspect of focus is that vertical release.<span style="mso-spacerun: yes;"> </span>If you are doing this properly, the
kettlebell should be easily released and caught at the highest point of
travel.<span style="mso-spacerun: yes;"> </span>If you are having an excessive
arc of travel, or, are not engaging your lock-out technique, the kettlebell
will travel away from you when you release it.<span style="mso-spacerun: yes;">
</span>Another tip: if you ARE properly locking-out at the top of clean, you
should see a slight jolt in your body.<span style="mso-spacerun: yes;">
</span>This signifies that you are indeed engaging knee extension and hip
extension with sufficient force and intent.</div>
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/Ej2bwBtgTTg?feature=player_embedded' frameborder='0'></iframe></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<u><b>Ultra-Light Snatches:</b></u><span style="mso-spacerun: yes;">
</span>If decelerating the kettlebell with technique vs. grip is the problem,
using an ultra-light kettlebell is a great way to practice technique.<span style="mso-spacerun: yes;"> </span>The lighter kettlebell poses less of a threat
to the tendons of your wrists.<span style="mso-spacerun: yes;"> </span>Try
practicing the snatch and ending the snatch with an open grip.<span style="mso-spacerun: yes;"> </span>This forces you to decelerate the kettlebell
using technique.<span style="mso-spacerun: yes;"> </span>It is also a very good
test to see if you are using your legs, hips, and core to propel the kettlebell
vs. using your arm to lift.<span style="mso-spacerun: yes;"> </span>If you are
able to perform the ultra-light snatch, then move onto the next heaviest
kettlebell – be sure to end the top of the snatch with an open hand.<span style="mso-spacerun: yes;"> </span>If you are even tempted to close your grip,
then you are more likely to compensate for technique – this means you should go
back to the lighter bell until you can master the open grip snatch.</div>
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/Unq1nSlqJzQ?feature=player_embedded' frameborder='0'></iframe></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
Notice how early the hand should open during the Ultra-Light Snatch, Open Grip Drill.</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-YtfzU21Dklw/T8aVvpYja0I/AAAAAAAAAfw/by16F-4hmpM/s1600/Ultra-Light+Snatch+Open+Grip.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="186" src="http://3.bp.blogspot.com/-YtfzU21Dklw/T8aVvpYja0I/AAAAAAAAAfw/by16F-4hmpM/s320/Ultra-Light+Snatch+Open+Grip.jpg" width="320" /></a></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
There are few more common areas which snag up the
snatch.<span style="mso-spacerun: yes;"> </span>More videos, more discussion,
and more Kettlebell Therapy™ to come!</div>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-62083921769552162462012-05-21T12:23:00.001-07:002012-05-21T13:01:18.368-07:00Unsnagging the Kettlebell Snatch (Part 2)<div style="text-align: justify;">
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<div class="MsoNormal" style="text-align: justify;">
<i style="mso-bidi-font-style: normal;">Continued from last
post, <a href="http://www.kettlebelltherapy.com/2012/05/unsnagging-kettlebell-snatch-part-1.html" target="_blank"><b><span style="color: blue;">Unsnagging the Kettlebell Snatch (Part 1)</span></b></a>:</i></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
First, let us review a couple key points of the kettlebell
snatch – during the snatch:</div>
<ol style="text-align: justify;">
<li>The body movement (excluding the arms) should look just
like the swing:<span style="mso-spacerun: yes;"> </span>your body should lower
into a functional squat; it should explode into a Locked Out position; your spine should be
straightened and extended in bias; your shoulder should be loose and relaxed
during movement.</li>
<li>The arc of travel should only exist in the motion of the Pre-Swing.</li>
<li><span style="mso-spacerun: yes;"></span>Once you initiate
movement with your Lock Out, you should pull the kettlebell as close to your
body as possible making the path of vertical travel as close to the body as
possible (much like a Kettlebell Clean)</li>
<li>The height of vertical travel should stop BEFORE the
moment of snatch completion to allow for proper deceleration of the kettlebell via technique, NOT gripping.</li>
<li>Your upper extremity should move from a starting
Pre-Swing position of Pronation, Internal Rotation into Supination, External
Rotation and terminal Shoulder Elevation and Elbow Extension.</li>
<li>At the top of the snatch, be sure your wrist is neutral
by keeping your knuckles pointed to the sky.<span style="mso-spacerun: yes;"> </span></li>
<li><i>(6a) </i>This is where a properly designed kettlebell is in
order.<span style="mso-spacerun: yes;"> </span>If your kettlebell is bearing weight against your carpals, the handle is not long enough for your body’s
needs.<span style="mso-spacerun: yes;"> </span>If the bell is too long, it
begins to smack the proximal half of your forearm, and, is now too long for your
body.<span style="mso-spacerun: yes;"> </span>The ideal landing zone for the
kettlebell to bear weight at the end of a snatch is the distal half of the
forearm in the interosseous muscular space.</li>
</ol>
<div class="MsoNormal" style="text-align: justify;">
</div>
<div class="MsoNormal" style="text-align: justify;">
<i style="mso-bidi-font-style: normal;">Please refer to
<a href="http://www.kettlebelltherapy.com/2012/05/unsnagging-kettlebell-snatch-part-1.html" target="_blank"><b><span style="color: blue;">Unsnagging the Kettlebell Snatch (Part 1)</span></b></a> for details of my preferred snatch
technique.</i></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
So now let’s talk about common problems, hang-ups,<span style="mso-spacerun: yes;"> </span>and mistakes – followed by some solutions and
practical drilled to perfecting the snatch (in follow up posts).</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Perhaps two most common snagging points with the snatch are
these:</div>
<div class="MsoNormal" style="text-align: justify;">
1. Uncontrolled Arc of Travel, and,</div>
<div class="MsoNormal" style="text-align: justify;">
2. Uncontrolled Height of Travel </div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<u><b>Uncontrolled Arc of Travel</b></u></div>
<div class="MsoNormal" style="text-align: justify;">
</div>
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/i-MjFuEwI3I?feature=player_embedded' frameborder='0'></iframe></div>
<div class="MsoNormal" style="text-align: justify;">
The Uncontrolled Arc of Travel usually yields a kettlebell
traveling at high velocity toward the end of the snatch which remains
uncontrolled.<span style="mso-spacerun: yes;"> </span>It also makes the
kettlebell flop over the top of your wrist, rather than your wrist moving
around the center of mass of the kettlebell to control deceleration.<span style="mso-spacerun: yes;"> </span>This leads to painful beatings of your wrist
extensors.<span style="mso-spacerun: yes;"> </span>Many individuals learning kettlebells
who do not receive detailed instruction regarding this common snag come home
with terribly bruised forearms.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
Picture Sequence of Uncontrolled Arc, versus,<a href="http://4.bp.blogspot.com/-ZwC_BXgNm_k/T7qccvmYwWI/AAAAAAAAAfM/DvOK9TKHjPM/s1600/UncontrolledArcPics.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="147" src="http://4.bp.blogspot.com/-ZwC_BXgNm_k/T7qccvmYwWI/AAAAAAAAAfM/DvOK9TKHjPM/s320/UncontrolledArcPics.jpg" width="320" /></a></div>
<div class="MsoNormal" style="text-align: center;">
</div>
<div class="MsoNormal" style="text-align: center;">
Picture Sequence of proper technique.</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-A2uoYOVHfb8/T6d4m8-n0sI/AAAAAAAAAds/7tpNIv0Exps/s1600/snatch+vertical+lift.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="212" src="http://3.bp.blogspot.com/-A2uoYOVHfb8/T6d4m8-n0sI/AAAAAAAAAds/7tpNIv0Exps/s320/snatch+vertical+lift.jpg" width="320" /></a></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
For the Uncontrolled Height of Travel, two common
compensatory strategies naturally emerge. The first common snagging point is an
Excessive Height of Travel. <span style="mso-spacerun: yes;"> </span>The second
compensatory expression is Insufficient Height of Travel. </div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<u><b>Excessive Height of Travel</b></u></div>
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/DDgwD-E8in0?feature=player_embedded' frameborder='0'></iframe></div>
<div class="MsoNormal" style="text-align: justify;">
Desperate to create enough vertical height for the snatch
technique, an individual creates too much vertical momentum making the
kettlebell, once again, flop over the top of the wrist.<span style="mso-spacerun: yes;"> </span>The excess of vertical momentum translates to
angular momentum creating too much velocity for an individual to decelerate
through the means of proper technique.<span style="mso-spacerun: yes;">
</span>Therefore, to prevent the forearm from getting banged up, most
individuals will grip intently to prevent the kettlebell from flipping over the
top of the wrist leading to an almost drooping finish to the kettlebell
snatch.<span style="mso-spacerun: yes;"> </span>The key difference between an
Uncontrolled, Excessive Height of Travel and the Uncontrolled Arc of Travel is
that with the Excessive Height of Travel, the individual is successfully
bringing the kettlebell close to their body creating a vertical lift.<span style="mso-spacerun: yes;"> </span>The Uncontrolled Arc of Travel has no
vertical lift component – it is as if the individual is doing kettlebell swing
too high and accidentally turned it into a bad kettlebell snatch.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
Picture Sequence of Uncontrolled Arc, versus,</div>
<div class="MsoNormal" style="text-align: center;">
<a href="http://2.bp.blogspot.com/-4FZ-cCcUWZA/T7qccKLTwDI/AAAAAAAAAfE/lsIUnRreDXI/s1600/ExcessiveHeightPics.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="188" src="http://2.bp.blogspot.com/-4FZ-cCcUWZA/T7qccKLTwDI/AAAAAAAAAfE/lsIUnRreDXI/s320/ExcessiveHeightPics.jpg" width="320" /></a> </div>
<div style="text-align: center;">
Picture Sequence of proper technique.</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-_HGOMppapqo/T6d-EhDRyxI/AAAAAAAAAeA/MVybWGyrhKU/s1600/snatch+sagittal+snap+shots.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="151" src="http://4.bp.blogspot.com/-_HGOMppapqo/T6d-EhDRyxI/AAAAAAAAAeA/MVybWGyrhKU/s320/snatch+sagittal+snap+shots.jpg" width="320" /></a></div>
<div style="text-align: center;">
</div>
<div class="MsoNormal" style="text-align: justify;">
</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<u><b>Insufficient Height of Travel</b></u></div>
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/XbPLQHE0Z8c?feature=player_embedded' frameborder='0'></iframe></div>
<div class="MsoNormal" style="text-align: center;">
</div>
<div class="MsoNormal" style="text-align: justify;">
</div>
<div class="MsoNormal" style="text-align: justify;">
Having whacked themselves on the wrist/forearm one too many
times, an individual will not bring the kettlebell height up to bear and will
use a Partial Snatch, Clean and Press compensation to seemingly make the
required height of the snatch technique.<span style="mso-spacerun: yes;">
</span>This one is fairly easy to spot. The problem with this compensatory movement is that not only is the total benefit of the snatch technique now robbed from the individual, now each repetition done incorrectly yields excessive stress forces on the wrist, forearm, elbow, and shoulder complex. As always, excessive stress forces are ALWAYS BAD. For this reason, when demonstrating poor technique, I ALWAYS use a small kettlebell to avoid excessive stress and injury. This is highly advised if you are an instructor. There is nothing more embarrassing than an instructor demonstrating poor technique and getting hurt in the process.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
There are many other common snagging points for the
kettlebell to discuss. Also, there are some nice drills and key points of focus
which aide in perfecting the snatch technique. More coming up in Unsnagging the
Kettlebell Snatch (Part 3)!</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Stay tuned! </div>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-57238597172457615872012-05-07T00:11:00.001-07:002012-05-07T18:42:03.742-07:00Unsnagging the Kettlebell Snatch (Part 1)<div style="text-align: justify;">
</div>
<div class="MsoNormal" style="text-align: justify;">
The kettlebell snatch is one of the more advanced techniques
belonging to the <a href="http://www.kettlebelltherapy.com/2011/07/what-is-ballistic-kettlebell-swing.html" target="_blank"><span style="color: blue;"><b>“Swing” family of centripetal ballistics</b></span></a>. Touted as the most explosive kettlebell
exercise, requiring the highest cardiorespiratory demand, the snatch is a skill
worth learning and mastering.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
There are many key points of focus to master for proper
execution of this fluid yet explosive technique. Not only are there many points
of focus, there are also various opinions as to how to perform the
kettlebell snatch correctly. Despite the
range of preferences, techniques, forms, etc. - many will agree if done
improperly, one can easily experience back pain, shoulder pain, neck pain, a
wincingly bruised forearm, tendonitis, or worse!</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
This series of posts will examine some of the common
mistakes which may be snagging up your snatching style, and, provide some
guidance and hopefully some solutions to unsnagging your kettlebell snatch.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
In order to discuss “what is bad form”, you must first
define “what is good”. The version of
the snatch I’ve personally adopted was chosen because of its biomechanical
compatibility with the human body. Biomechanics is important for a wide array of
rationales. However, it all boils down to one thing:<b> <a href="http://www.kettlebelltherapy.com/2011/08/top-5-worst-gym-machines-and-kettlebell.html" target="_blank"><span style="color: blue;">excessive stress forces are ALWAYS bad</span></a></b><span style="color: blue;">.</span> Good biomechanics means less stress forces – which is good!</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The version of the snatch I’ve adopted is comprised of the
following components:</div>
<div class="MsoNormal">
</div>
<ul>
<li style="text-align: justify;">A Pre-Swing
with Wrist/Forearm Pronation and Humeral Internal Rotation</li>
</ul>
<div>
</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-Ccg3Ycwspyk/T6d3reIQd4I/AAAAAAAAAdk/94_jFAS1CT4/s1600/pre-swing+internal+rotation.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" height="200" src="http://1.bp.blogspot.com/-Ccg3Ycwspyk/T6d3reIQd4I/AAAAAAAAAdk/94_jFAS1CT4/s200/pre-swing+internal+rotation.jpg" width="107" /></a></div>
<ul>
<li style="text-align: justify;">A Minimal
Arc of Travel coinciding with the “Lock
Out” Initiation (knee extension & hip extension)</li>
</ul>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-A2uoYOVHfb8/T6d4m8-n0sI/AAAAAAAAAds/7tpNIv0Exps/s1600/snatch+vertical+lift.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="132" src="http://3.bp.blogspot.com/-A2uoYOVHfb8/T6d4m8-n0sI/AAAAAAAAAds/7tpNIv0Exps/s200/snatch+vertical+lift.jpg" width="200" /></a></div>
<ul>
<li style="text-align: justify;">During
Vertical Lift: Smooth transition to Neutral Wrist/Forearm with Humeral
External Rotation (remind anyone of PNF D2 Pattern?)</li>
<li style="text-align: justify;">A loose
grip as the kettlebell approaches the Vertical Limit</li>
</ul>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-C3CNeaXM5es/T6d5YAmTaXI/AAAAAAAAAd0/bgpMMoN9Drg/s1600/Loose+Grip+Snatch.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em; text-align: center;"><img border="0" height="200" src="http://2.bp.blogspot.com/-C3CNeaXM5es/T6d5YAmTaXI/AAAAAAAAAd0/bgpMMoN9Drg/s200/Loose+Grip+Snatch.jpg" width="93" /></a></div>
<ul>
<li style="text-align: justify;">As the
Vertical Limit is approached: Terminal Shoulder Elevation, Elbow
Extension, Wrist Neutral is performed coinciding with kettlebell rotation over
metacarpals. Notice the most slight altitude change once initial contact is made at the Vertical Limit which coincides with first contact of the kettlebell with the forearm. This is necessary for controlled deceleration of the kettlebell without use of gripping.</li>
</ul>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-0pi-nBl-YSw/T6eAmochwSI/AAAAAAAAAeM/2Nx6Lj582Nw/s1600/snatch+snap+shots.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="171" src="http://2.bp.blogspot.com/-0pi-nBl-YSw/T6eAmochwSI/AAAAAAAAAeM/2Nx6Lj582Nw/s320/snatch+snap+shots.jpg" width="320" /></a></div>
<ul>
<li style="text-align: justify;">At the
Vertical Limit: the kettlebell lands gently upon the forearm at the
interosseous muscular space (between the ulna and radius). From this view, you will notice that the deceleration of the kettlebell again is not done through grip. You can also see deceleration is performed from the shoulder girdle and core engagement. This is evident due to the fact the elbow is fully extended to prevent a micro-press substitution for deceleration.</li>
</ul>
<div style="margin-left: 1em; margin-right: 1em; text-align: center;">
<a href="http://4.bp.blogspot.com/-_HGOMppapqo/T6d-EhDRyxI/AAAAAAAAAeA/MVybWGyrhKU/s1600/snatch+sagittal+snap+shots.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="151" src="http://4.bp.blogspot.com/-_HGOMppapqo/T6d-EhDRyxI/AAAAAAAAAeA/MVybWGyrhKU/s320/snatch+sagittal+snap+shots.jpg" width="320" /></a></div>
<div class="MsoNormal">
<ul>
<li class="MsoNormal" style="text-align: justify;">At the
Vertical Limit: there can be a slight pause, however, do not wait too long and lose the rhythmical cadence essential to the Swing family.</li>
<li class="MsoNormal" style="text-align: justify;">The
release of the snatch for the next repetition is done by bringing the kettlebell
forward through shoulder extension. The kettlebell will begin to fall downward and will be eccentrically controlled at the bottom
of the arc of travel into wrist/forearm pronation and humeral internal
rotation to initiate a quick stretch/plyometric effect.</li>
<li class="MsoNormal" style="text-align: justify;">Immediately
explode into the Lock Out position with a Vertical Lift for another
repetition.</li>
</ul>
<br />
Did all of that sound more or less familiar? All right then.
Let’s take a look at a snatch video.<br />
<div class="separator" style="clear: both; text-align: center;">
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<br />
<div style="text-align: justify;">
So that my favored version of the kettlebell snatch. There are definitely variations of the snatch, each with their own purpose and intent. Again, I chose this version as my staple because it incurs minimal stress forces and preserves best biomechanics during exercise.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Stay tuned for the upcoming posts which will cover the common mistakes, substitutions, and solutions to unsnagging the kettlebell snatch. Until next time!</div>
</div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
</div>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-23965309214212612662012-04-29T23:23:00.000-07:002012-04-29T23:23:16.678-07:00Kettlebell Core Beginnings<div style="text-align: justify;">
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<div class="MsoNormal" style="text-align: justify;">
<i style="mso-bidi-font-style: normal;">Hi everyone. I know
it’s been a while since I’ve been able to write a new post, and, wanted to extend
my gratitude to my family, friends, and faithful followers/subscribers for
being patient with me during this time of me being completely swamped. This
post comes from a personal experience with several clients this month who all
seem to be having the same problem with low back pain and core control. Enjoy!</i></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
The strengthening and training the core is always a hot
topic, and, rightfully so. I’m sure just about everyone agrees that the core is
crucial to good physical health. This seems to be the thematic trend in the
people and patients I’ve been coming across for the past month or so. What is
described as functional lumbar instability commonly presents as poor control of
the spine during dynamic movements. This can yield aberrant movements in the
associated tissues which can cause excessive stress forces thus yielding a
painful back. Since, we’ve already discussed the general sense of how
kettlebells can help with back pain (<b style="color: blue;"><a href="http://physicaltherapyweb.com/articles/kettlebell-back-pain.php" target="_blank"><span style="color: blue;">Physical Therapy Web Space</span></a></b>, <span id="goog_1872531140"></span><a href="http://www.cyberpt.com/kettlebelltherapybackpain.asp" target="_blank"><b style="color: blue;">Cyber PT</b><span id="goog_1872531141"></span></a>,<span style="color: blue;"> </span><b><a href="http://www.kettlebellsusa.com/swinging-away-back-pain-by-dr-benfung-the-science-behind-kettlebells.html" style="color: blue;" target="_blank">Kettlebell USA™</a><a href="http://physicaltherapyweb.com/articles/kettlebell-back-pain.php" style="color: blue;" target="_blank"><span id="goog_1872531159"></span></a></b>), I felt it was high time to highlight some of the beginnings
of using kettlebells to strengthen one’s core.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
While I often use cables, pulley, bands, and suspension
systems to strengthen the core, the kettlebell still offers and accentuates the
physical forces experienced in real life.<span style="mso-spacerun: yes;">
</span>For this reason, it will always be one of my go to instruments for
functional strength.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
One of my favorite beginning core progressions is the use of
diagonal movements to incorporate all three dimensions of movement and thus
core control. Commonly associated with exercises such as Lift and Chop or PNF
diagonals, the Seated Diagonal Lift is a great way to take advantage of natural
core function during dynamic movement.</div>
<div class="separator" style="clear: both; text-align: center;">
<iframe allowfullscreen='allowfullscreen' webkitallowfullscreen='webkitallowfullscreen' mozallowfullscreen='mozallowfullscreen' width='320' height='266' src='https://www.youtube.com/embed/TgJ9h5RNOTo?feature=player_embedded' frameborder='0'></iframe></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Best done while sitting on a physio-ball, grab a kettlebell
by the horns so that it is inverted. The bottom of your bell should be facing
up and the horns down to the ground. Sitting on the ball, tighten up your core
so that you are stable. While core bracing, you should still be able to breathe
easily and carry a conversation. That is how you know you’ve properly engaged
your core. Lift your kettlebell in diagonals from one hip to the opposite
shoulder. Do your best to keep your arms as straight as you can, however, a
little elbow bend won’t hurt anything. Be sure that your trunk always faces
forward as to stabilize your spine. The movement comes from the shoulders and
the shoulder blades. If you are doing this right, you should feel your core
contract with each change of direction. Also, the faster you lift in these
diagonals, the more hardy the core engagement.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
The Seated Diagonal Lift is a great way to begin core
training in a safe dynamic manner. I find this exercise especially helpful for
individuals with chronic back pain with a poorly functioning core musculature.
It is also great as a beginner’s level core exercise to set a good foundation
for a solid program.</div>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0tag:blogger.com,1999:blog-8359962827555518700.post-76724928287232508102012-04-25T01:20:00.001-07:002012-05-02T21:17:26.090-07:00Kettlebells on KUSI NewsSan Diego's one and only<b><span style="color: blue;"> </span><a href="http://www.kusi.com/video?clipId=7029458&autostart=true" style="color: blue;" target="_blank">KUSI News</a></b> was kind enough to invite <a href="http://kettlebelldynamics.blogspot.com/" target="_blank">Mike Rein</a> and myself, in collaboration with<b> <a href="http://www.sharp.com/" style="color: blue;" target="_blank">Sharp Healthcare</a></b><span style="color: blue;">, </span>for a morning interview about kettlebell exercise.<br />
<br />
Here is the updated clip with teasers and the official clip via KUSI News:<br />
<div class="separator" style="clear: both; text-align: center;">
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Our deepest thanks to KUSI News, the leaders at Sharp Healthcare, and the Sharp Healthcare Marketing & Communications team for organizing this successful interview!<br />
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With Gratitude,<br />
-<b><a href="http://twitter.com/mikerein25" style="color: blue;" target="_blank">Mike Rein</a></b> &<span style="color: blue;"> </span><b style="color: blue;"><a href="http://www.facebook.com/DrBenFung" style="color: blue;" target="_blank">Dr. Ben Fung</a></b>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com2tag:blogger.com,1999:blog-8359962827555518700.post-51388657581363573002012-04-12T11:55:00.000-07:002012-04-12T11:55:05.585-07:00Preventive Therapy: Calf Stretches<span style="font-family: Arial; font-size: x-small;"><span style="font-family: Arial; font-size: 10pt;">Today’s Preventive Therapy tip is inspired by my <i><span style="font-style: italic;">“love”</span></i> of high heeled footwear. In case you haven’t experienced my spiel about how terrible high heels are for your physical health, here is the Cliffs Notes version: Walking with heels cause the ankle to plantarflex downward creating excessive stress forces at the foot & ankle which causes compensatory muscle movements at the knee, hip, pelvis, and spine. Excessive stress forces are ALWAYS bad for the body and can cause long term changes to your body - <strong><em>bad</em></strong> changes. As a result, I’ve treated patients with foot pain, calf pain, headaches, back pain, neck pain, shoulder pain, and even jaw pain due to chronic use of high heeled footwear. Not to just seemingly pick on women’s footwear; ANY footwear with a raised heel can cause this problem when chronically worn - cowboy boots are culprits too!</span></span><br />
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<span style="font-family: Arial; font-size: x-small;"><span style="font-family: Arial; font-size: 10pt;">However, high heels are an industry standard to certain lines of professionals and there is no avoiding them. If you must wear heels, then I highly suggest stretching these two muscles:</span></span><br />
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<span style="font-family: Arial; font-size: x-small;"><span style="font-family: Arial; font-size: 10pt;"><span style="mso-list: Ignore;">1)<span style="font-family: Times New Roman; font-size: xx-small;"><span style="font-family: "Times New Roman";"> </span></span></span></span></span><span style="font-family: Arial; font-size: x-small;"><span style="font-family: Arial; font-size: 10pt;">The Gastrocnemius</span></span></div>
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<span style="font-family: Arial; font-size: x-small;"><span style="font-family: Arial; font-size: 10pt;"><span style="mso-list: Ignore;">2)<span style="font-family: Times New Roman; font-size: xx-small;"><span style="font-family: "Times New Roman";"> </span></span></span></span></span><span style="font-family: Arial; font-size: x-small;"><span style="font-family: Arial; font-size: 10pt;">The Soleus</span></span> </div>
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<span style="font-family: Arial; font-size: x-small;"><span style="font-family: Arial; font-size: 10pt;">Both of these stretches MUST include turning the foot and pointing the toes of the foot behind inward toward your opposite heel. Without turning your foot inward, you will not experience an effective stretch. Also, do your best to keep your heel on the ground during this stretch. Both of these stretches will affect the calf of the foot behind your body.</span></span></div>
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<span style="font-family: Arial; font-size: x-small;"><span style="font-family: Arial; font-size: 10pt;">These two stretches can relieve ankle/foot/calf pains due to changed mechanics secondary to footwear. These stretches will also prevent any adaptive changes which may make your body at higher risk of injury. Try doing these stretches before lunch, after dinner, and before you go to bed.</span></span></div>
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Also, I'm sure you've noticed a new model in our images. Please welcome and support <span style="color: blue;"><strong><a href="http://www.blogger.com/profile/12869869333782300552" target="_blank">Mr. Mike Rein, MS, BS - Exercise Physiologist, Exercise Specialist</a></strong></span>. Mr. Rein has been developing a blog called "<span style="color: blue;"><strong><a href="http://kettlebelldynamics.blogspot.com/" target="_blank">Kettlebell Dynamics</a></strong></span>" - please take a look and support him!</div>
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<br /></div>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com3tag:blogger.com,1999:blog-8359962827555518700.post-65282799011562227162012-04-04T11:52:00.000-07:002012-04-04T11:52:34.692-07:00"Swinging Away Back Pain" at CyberPT<div style="text-align: justify;">
Kettlebell Therapy™ and <a href="http://www.cyberpt.com/" target="_blank"><span style="color: blue;">Cyber PT</span></a> are proud to present yet another one <a href="http://www.facebook.com/DrBenFung" target="_blank"><span style="color: blue;">Dr. Ben Fung's</span></a> featured articles integrating kettlebells and Physical Therapy. Kettlebells have incredible applications as a mode of corrective, therapeutic exercise in the practice of Physical Therapy and Rehabilitation. The following introduction features Dr. Fung's article on the treatment of back pain with the use of kettlebells.</div>
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For your enjoyment: <b><i><a href="http://www.cyberpt.com/kettlebelltherapybackpain.asp" target="_blank"><span style="color: blue;">"Swinging Away Back Pain"</span></a></i></b></div>
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<i style="text-align: justify;">There have been estimations stating that 80% of Americans will experience back pain some time in their life1 (Web MD, Mayo Clinic). Choosing an appropriate therapeutic corrective exercise to address back pain can be quite the conundrum. One of the many goals in addressing back pain with movement is not only to modulate the pain, but to keep the pain at bay during functional activities. Of the many therapeutic exercises available to address back pain, preserving functionality can be a challenge. Correction during specific and isolated movements is more easily achieved than it is maintained during an actual functional performance.</i><br />
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<i>As therapeutic relief and maintaining correct movement are central goals in movement based therapy, an ideal exercise for a back program would be that which both relieves pain and prevents further injury by fortifying functional spine mechanics. Kettlebells have recently garnished considerable attention in the world of Physical Rehabilitation. Despite the kettlebell being nothing more than a cast iron wrecking ball with a handle on top, there have been studies exploring kettlebell exercise for lower extremity sports rehabilitation2, musculoskeletal health3, and cardiovascular exercise response4, 5.</i></div>
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For the rest of the article, please visit<a href="http://www.cyberpt.com/kettlebelltherapybackpain.asp" target="_blank"><span style="color: blue;"> Cyber PT </span></a>or follow the link below:</div>
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<a href="http://www.cyberpt.com/kettlebelltherapybackpain.asp"><span style="color: blue;">http://www.cyberpt.com/kettlebelltherapybackpain.asp</span></a>
</div>Dr. Ben Funghttp://www.blogger.com/profile/17599208474693481235noreply@blogger.com0