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Tag: serratus anterior

How do you know if you reach the “right way”?

I’m looking for a flush scapula on the rib cage. If I see it coming off of the rib cage in any area, then I want to fix it. The only other situation where this doesn’t work is when someone is substituting scapular elevation for protraction.

Scapular winging is likely when the rib cage is wide. When you look down on it from above, it looks more like a rectangle and less like a circle. This makes it difficult for the scaps to swing around because they have to make a sharp turn.

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Safely Reaching the Arms Overhead

Are you one of those people who likes to do overhead barbell pressing… but has no business pressing a barbell overhead?

How do you get your arms overhead? How do your clients get their arms overhead? Do you have the range of motion to do it safely? Or are you just overloading your back and irritating your shoulders?

I don’t want to sit here and pretend to tell you that I have the magic answer. It doesn’t work like that.

What I CAN offer you, however, is some insight on some of the things that have seemed to work for me… even the things that are a little counterintuitive.

Today we’ll discuss some things that have helped my clients safely perform overhead work.

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Hey Fitness People, Let’s Talk About the Serratus Anterior

You can never know enough anatomy.

If you know your anatomy, you can apply it in unlimited different ways.

The problem is that schools don’t always go very in depth into anatomy. Trust me, I’ve been there (for nine years). My desire to change this was why I taught anatomy to exercise science students for two years.

One of the most neglected muscles in school anatomy curricula these days is the serratus anterior. I want to take you through the basic attachment sites, a few reasons why you should care, and then I’ll leave you a few ways you can train this muscle.

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Impingement and Instability – A Recap

I spent this past weekend in lovely Phoenix, Arizona to reunite with old friends, meet the legend that is James Anderson, and learn all the things. Check out the Twitter action.


Phoenix is seriously 40 degrees warmer than Indianapolis and seven thousand less percentage humidity, so I was immediately caught off guard. Though I didn’t have my physical therapist friends test me right away, I’m pretty sure the unpredictable environment would have stolen my neutrality, had any remained after four and a half hours on a plane.

It didn’t.

I don’t get to put things in practice as much as most of the other attendees, so this overview is both for you to become aware of what the Postural Restoration Institute is doing, and for myself to cement the information.

I’ll give you some of the highlights of my notes in bullet form. Quotations will not be attributed to any one person to protect anonymity. You can assume I said the inappropriate things and that James said the intelligent things.

“PRI is neurology, but the mechanicoventilatory system is used to regulate neurology.”

This is a big deal. A lot of people think PRI’s system is just to strengthen some well-illustrated muscles. This couldn’t be further from the truth. The concept of neutrality is the centerpiece. This neutrality isn’t just a pelvis that is in the right position, but a brain that doesn’t perceive harmless stimuli as threatening. We can use these muscles, your shoes, your eyesight, and a million other things to get you neutral. My good friend and hotel-mate, Zac Cupples, gave me neutrality (albeit only for a short while) by softly saying, “Lance, just go neutral, bro.”

“Ron Hruska puts his hands on a joint – and he’s not thinking about that joint.”

That joint is the farthest thing from his mind. This ties into the previous quote. Neutrality is neurology, not biomechanics.

“Girl, that ganglia’s so hot.”

The new pickup line for women who are stuck in extension. James quickly illustrated this point to us by having my table neighbor, Maegan, stick her arms into some bands running vertically down a stretching cage. The bands represent the sympathetic trunk. Maegan’s arms represent closing of the posterior mediastinum from extension. An extended spine forces the vertebrae anteriorly, which compresses the contents of the posterior mediastinum.

Mediastinum transsection

A side note that I want to mention: this is why PRI is my crack addiction. James prioritized. He opened with the neurology talk and vividly has Maegan demonstrate to us the detriment of an extended posture. As someone who helps others learn anatomy, I admire the teaching ability of the presenters.

“Don’t fight the brain.”

This was something Mike Cantrell opened my eyes to last month at Postural Respiration. A big breath is worth nothing if it’s perceived as a threat, even if you’re doing a manual technique at the time. The purpose isn’t to get as much air in as possible. So if you see someone fighting through inhalation with their neck muscles, you need to stop that. Slow inhales. Let it come in – don’t make it come in. The same can be applied to putting weight on your right leg. You don’t need to only have your left leg down for PRI techniques to work.

“When I wear these shoes, my arm freeze up.”

Frontal plane support at the heel helps you maintain neutrality. Your soft Nike Frees could be throwing you into a state of extension. Check out the 2013 Hruska Clinic recommended shoe list.

“When I squat the way the strength coaches tell me to, I can’t get off my right quad?”

We discussed the bro mentality that more weight is always better. James suggested looking at the objective outcomes like 40-yard-dash time and vertical jump and seeing what actually improves those measures.

“How come I’m squatting heavy, but my vertical is going down?”

See above.

“Make a neurological wedding between the left heel and the floor.”

This alludes to the six reference centers they discuss. If your client can feel those, you’re doing things well. These reference centers are going to be useful when coaching exercises.

“I got Apollo Ohno right butt syndrome.”

Apollo Ohno has to turn left to be good. His right glute max is working well in the transverse plane instead of the general PEC patterned individual’s “sagittal plane only” right glute max.

“‘Trunk’ means above T8.”

This was something I had struggled with for a long time. Now the semantics make sense.

“The key to triplanar performance rests in a triplanar ZOA.”

The Zone of Apposition (ZOA) is not found unless it is found in all three planes. Thoracic abduction (a frontal plane translation), lateral flexion, rotary orientation, and extension all need to be taken care of. Abs are not a good thing if you have them without a triplanar ZOA. Use exhalation to get good abs.

“That’s my favorite weight belt called bilateral low trap.”

Picture the spine as a flagpole. Each low trap can prevent the flagpole from tipping over (in the frontal plane). A right arm reach can orient the spine back to the left. It can also get you a triplanar zone if you couple it with exhalation. Hold the reach. Inhale. Then you get right trunk rotation with filling of the right mediastinum. Right low trap is important to consider because it’s being lengthened from both ends (scapula protracts, IRs, anteriorly tilts while spinous process moves away).

Appreciate the lower trapezius!

“Serratus without low trap day at the gym? Stay home.”

The upper body musculature works together to intricately. Right upper trap opposes subclavius. Low trap is useless without serratus and vice versa.

Look at that serratus sling!

Right serratus anterior acts as a sling on the side of the chest. When this contracts, it pushes the thorax to the left side. A movement called left thoracic abduction. The left low trap pulls the spine into left thoracic abduction at the same time to reinforce this movement. And this is only the frontal plane.

“Breathing is gait and gait is breathing.”

If you don’t use the mechanicoventilatory system as a tool, you’re making things hard on yourself.

“Left pec is a stupid muscle.”

Why is he trying so hard to get air in? Just get a left ZOA instead.

 

I love PRI. It is my addiction. See you at the next course! They’re coming to Indianapolis next year…

This may have further confused my search. What should I do with the rest of my life? Well, I don’t know, but I want to be able to get people neutral. What’s the best avenue for that?

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