resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
June, 2011, Vol. 11, Issue 06
Let's Talk about...Lunging
By Ben Benjamin, PhD
Lunging was an essential movement for the survival of our ancestors hundreds of thousands of years ago — and it's still a very important movement for people to master today. It should be a staple in every client's strength, conditioning or rehabilitation program.The lunge is an exaggerated form of walking that involves longer, higher and multi-directional use of the gait pattern. Instead of taking a normal step (like when walking), the lunge involves a longer stride, higher knee drive and can be done in any direction (forward, backward, laterally and at an angle).
From an evolutionary perspective, lunging was probably most important when carrying large building materials (trees, stones, etc.) or game meats through the woods back to the village. The terrain 100,000 years ago was much different than today's nicely paved sidewalks, floors and roadways. It was unpredictable and at any moment could change from dry to wet, high to low, or even become impassable. When a person was carrying a heavy load on this kind of topography, the ability to stabilize the trunk, hips, knees and ankles over the base of support was critical — otherwise, a person could injure one or more of those body parts and be immobilized, and therefore, a prime target for a bear or other predator.
Today, the lunge is a primary movement for many everyday activities and sports, though probably not carrying rocks or meat. Going up and down stairs, hiking, throwing a ball and sprinting all involve components of the lunge pattern. Identifying dysfunctions in movements of the lunge can be helpful for understanding why individuals hurt themselves doing specific activities involving that movement. For instance, the inability to execute a lunge properly gives the trainer or therapist valuable information about an individual's overall flexibility, neural function and mechanical viability and should always be assessed before prescribing a rehabilitation or performance program.
Let me explain what we mean by mechanical viability. For example, if a client has difficulty maintaining an upright torso while lunging, two or more things could potentially be happening. First, the psoas, rectus femoris or rectus abdominis might not have the length, with the back leg extended, to allow the trunk to remain tall. Therefore, the trunk flexes to avoid excessive stretch or discomfort. Second, the extension-ability of the spine (i.e. the mechanical ability of each vertebral segment to extend) might be limited because of misuse, poor training habits or postural abnormalities, thereby prohibiting the client from maintaining an upright position. This condition is only noticeable with the back leg in extension or while transitioning from one leg to the next during a lunge. The first condition requires very specific stretches, the second very specific mobilization techniques. In some cases, both might be necessary.
When lunging, the front foot should be flat and as parallel as possible with the knee aligned over the second and third metatarsal. The back knee should gently touch the floor; the spine should be erect and in a neutral position with the trunk stacked nicely in the vertical plane. A standard lunge, along with variations and common faults, can be viewed in the video below, compliments of IMAPTraining.com.You can see the video at www.benbenjamin.com/lunge.
Click here for more information about Ben Benjamin, PhD.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.