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The Shoulder, Part II: External Impingement

By | Mobility, Training, Uncategorized | 4 Comments

by Dr. Austin Baraki, Dr. Michael Ray, and Dr. Derek Miles. In the first article of this series we discussed the concept of “normal” or “abnormal” scapular movement (i.e., scapular dyskinesis), which is the pathomechanical foundation upon which other shoulder-related diagnoses and narratives are built. “Shoulder impingement” is one of these ideas that is commonly discussed in the coaching, rehab, and orthopedic worlds. The narrative describes soft tissue structures around the shoulder (e.g., rotator cuff tendons and bursae) becoming compressed between the bony surfaces of the joint. Two types are discussed in the scientific literature: “internal” and “external” impingement. Let’s…

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Mobility Explained

By | Mobility | 16 Comments

Rolling through Instagram or Facebook, we find narratives and interventions claiming to improve something called “mobility”. We can select from options including stretching, foam rolling / body tempering, lacrosse ball smashing, voodoo flossing, power tools converted to guns being sold as therapeutic, and the list goes on. The level of marketing would make even Donald Draper of Mad Men proud. But are these implements doing what we think they are? Are we just hidden pliable versions of Gumby walking around, waiting for our supple potential to be released? Or, are we committing the post hoc ergo propter hoc fallacy? Before…

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Foam Rolling Diaries

By | Misc., Mobility, Recovery | No Comments

While I’m hanging out here on the foam roller I thought I’d write a bit about recovery and see what everyone is doing to help themselves do it ( recover) better. The most important things with regards to recovery are food, sleep, and hormones which are also related to food. The least important things with regards to recovery are foam rolling, stretching, and a ‘cool down’ period. Don’t get me wrong, people would likely be better off to incorporate soft tissue myofascial treatments, mobility work, and a cool down period on a rower or airdyne, but all of this pales…

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The “Flossing’’ of Fitness

By | Mobility | 2 Comments

Muscle mass is the number ONE biomarker of longevity. Simply developing and maintaining muscle will increase one’s likelihood of living ninety years more-so than any other given factor. Along with the obvious, sufficient muscle mass is positively correlated with the function of the body’s vital organs. You are capable of teaching the finer points of exercise and nutrition to your great-grandchildren! As Art De Vany once said, “you don’t lose muscle mass from age, you age from losing muscle mass”. With increased muscle, usually comes increased strength. The potential is there, but what’s the use if you can’t lift your arms overhead…

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