Latest / The STA Clinician Podcast / Ep.220: 'Dynamic Shoulder Reconditioning' with special guest Tim Stevenson

Transcript

Ep.220: 'Dynamic Shoulder Reconditioning' with special guest Tim Stevenson · The STA Clinician Podcast

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Music.
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We're live. Welcome to the Sports Therapy Association podcast, episode 220.
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My name is Matt Phillips, creator of runchatlive.com. And as always,
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this episode has been recorded live on the Sports Therapy Association YouTube
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channel and Sports Therapy Association Facebook page.
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So here we are. We've reached the last episode before Therapy Expo 2024.
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There won't be a live episode recording next Tuesday because we'll be getting
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on our trains and mopeds and vans and transits and all that sort of stuff to
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head up to the Birmingham NEC in time to start two days of fantastic education
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CBD and networking on November 27th and 28th for Therapy Expo.
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Obviously the STA Theatre will be there live and functioning across the two
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days bringing you some amazing fantastic speakers a chance to listen learn interact
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and hang out with fellow therapists So really looking forward to that.
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Before I bring up tonight's guest, who is, I'm glad to say, one of the speakers.
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I haven't had a chance to bring you all the speakers. I wish I had,
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but time doesn't give that luxury.
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But I am extra thrilled to be able to bring you for the second time,
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because the first time didn't quite work because there's some technical difficulties at our end.
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But I'm really thrilled to be able to bring you very shortly,
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Tim Stevenson, shoulder strength and conditioning specialist and co-founder
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of Dynamic Shoulders. shoulders.
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But before I do that, I must give a warm thank you to last week's guest,
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the wonderful James Earls, who was with us in episode 219, discussing the shortcomings
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of the traditional approach to learning anatomy.
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And indeed, James Earls will be at Therapy Expo next week on day one,
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1.45 in the STA Therapy Update Theatre,
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giving a Q&A session entitled Anatomy of Soft tissue therapist what should i
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be learning he's also going to be in the hands-on hub also in theater b all
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of which you can hear about in last week's episode so check that out it's available
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on all popular podcast apps and youtube and that would be episode 219.
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Right then, people are joining us live. If you listen to podcasts,
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then we do record this live.
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So people are able to come and leave their questions on the screen and share
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any comments. For example, Nicky Mansfield has said, evening all,
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Cambridge is in the house.
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So sit down with the kids as I'm Nicky. Thank you, Nicky, for joining us.
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Looking for some very tricky questions. OK, Nicky, put your hat on.
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Give Tim some good, awkward questions, please, for tonight.
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Also, Lindsay Penn says, evening, everybody. Good to see you, Lindsay.
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Thanks for joining us. and sir glenn murphy mbe is
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in here as well and evening folks like i say listen
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to the podcast fancy joining us live then just not next week but
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from then then's forth onwards normally on a
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tuesday o'clock right so we do come like i've said to the last episode before
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therapy expo entitled dynamic shoulder reconditioning like i say very shortly
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i'm going to bring up tim stevenson shoulder strength and conditioning specialist
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and co-founder of dynamic shoulders tim himself is going to be speaking at Therapy Expo next week,
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including a shoulder injuries Q&A session in the STA theatre on day one,
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which is November the 27th, Wednesday, at 4.25pm.
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So without further ado, let's bring up my guest for this evening. Fingers all crossed.
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I'm not even going to think about what happened a few weeks ago.
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It's just not going to happen again. Let's bring him up. Tim Stevenson of DynamicShoulders.com.
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So tempting fate aren't i what a nightmare can i
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just publicly apologize again to you tim so sorry you don't need to oh i do
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a test room but i have come in a more relaxed environment this week just sitting
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oh no you're so good you're so good to me yeah it's so nice you you you definitely
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hey i would gladly train with you because i feel safe in your hands definitely
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good right now i really I appreciate it.
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I'm really looking forward to hearing all about shoulders, shoulders,
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shoulders is what I put on the advert because anybody looking at you at the
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moment live will realise that you are shoulders, shoulders, shoulders.
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And also anybody who follows you on Instagram, a wealth of information.
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And I think probably the best thing to do is to start out how you became a specialist
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in looking after shoulders. Right from the beginning?
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Well, start to start. Short summary. Okay, so there's two strands here,
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personal and professional.
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So let's start with the personal one because it sort of dovetails a little bit
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into what I'm going to do at Therapy Expo next week.
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I first dislocated my shoulder when I was about 19 years old,
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playing rugby at university.
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That was the first of many repeated instances
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of dislocation or instability i ended
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up having a surgery continued playing again afterwards took
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a break while i lived abroad for a few years came back dislocated my
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shoulder again had a second surgery did the rehab
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rehab put me back to a place and then
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finally the last time i dislocated my shoulder i was on
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my snowboard post second surgery and at
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that point i was like done the rehab isn't working to
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get me back as a sort of life i want to live the person that I
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am the things that I get enjoyment out of the rehab that I've been prescribed
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hadn't worked to a level that I needed it to
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so that was the story which kind of underpins a personal journey
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the professional journey is 16 years in professional strength
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and conditioning full-time I spent the most amounts of that
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of my career in elite Paralympic sport which is where
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we originally connected at the London 2012 games after Richard Whitehead
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had just conquered the 200 meter field i've
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led the swimming program from 2016 through
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to 2021 at the brit at the games
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with british pariswimming and paralympics gb in 2016 just have one individual
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athlete which who competed a wheelchair racer at paris started the school of
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calisthenics in around 2013 after we took a real deep dive into bodyweight training
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in a progressive approach myself and jacko my partner in that business.
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Which was my thought experiment originally of if I can learn to handstand,
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that will give me some confidence that my shoulders are stable. This was part of my.
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Experiment to see if i could find a better
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way to recondition my shoulders than what i've been prescribed previously
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so having done a lot of work in swimming the
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overhead sport the shoulders that we'd seen my personal journey what
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we'd learned through calisthenics which was that this stuff is pretty
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pretty good for the shoulder we sat down and said
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there's a whole piece of work here which is potentially
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going to change the way that people can rehabilitate or recondition shoulder
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if they are an athletic type fitness and fitness enthusiast athletic person
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and performance minded they want to get after it they want to be an active life
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they want to do things and they might have come from that previous background
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of having had shoulder injuries in the past,
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what do those people need and dynamic shoulders was effectively born out of of that whole,
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amalgamation of of experiences and that was three years ago so the last three
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years we've done nothing but recondition people with shoulders that have had
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a little bit of a tough time or for whatever reason have kind of they've found
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themselves in place with shoulder pain,
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or issues which is stopping them from doing the things that they want to be able to do.
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Great let's unpack that a little bit a massive illustrious story
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and it's interesting let's start at the beginning it's it's amazing how many guests
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do come with a story
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of unsuccessful rehab yourself i'm
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thinking dr claire minshel for example the same sort
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of thing with back injuries and it's interesting that
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that spurs you on to think well even jacko himself you mentioned
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jacko as well who we had in episode 160 with his
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breath breath work for head trauma that came out of as
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i'm sure you know better than everybody a lack of
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rehab and basically being told to just go home sit in the dark and
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that's as much as people can do it was like well hold on that's not surely not
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so you guys have had to do your own research and thought this isn't working
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so it's interesting do you think it makes you a better practitioner to have
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suffered that and it makes you realize what it's like for some of your kind
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of clients what they're going through,
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yeah it's an ironic thing isn't it i remember when i was
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staring down the barrel of the second surgery and it would that was
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where i had to call time on playing rugby because at that point i
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was i'm i'm not doing the rehab again
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if anybody is listening to this who's had a shoulder surgery they'll know
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that it's brutal if you're an active person the the
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function that you lose post shoulder surgery is really tough because it takes
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ages and you can't do any of the things that you want to be able to do it's
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even difficult to train legs in the gym because you can't back squat or front
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squat or anything so it certainly gives you a context of what what it's like
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psychologically to go through that process with people.
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With an with an active population an athletic population they
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just want to be back in the gym they want to train they want to do their sport there's there's
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definitely there like a real issue about the urgency
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that comes with it so does it
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make you a better practitioner you can still put people back together
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and get people great outcomes having not dislocated the shoulder I think
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it gives me a much greater level of empathy with what people are
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experiencing I know what it's like when when somebody says to a therapist
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I don't trust my shoulder I don't have confidence in
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my shoulder I think that's quite difficult to really understand
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what that means unless you've been in a situation like
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I think I'm going to dislocate my shoulder if I don't move yeah so
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it's definitely not essential but it it gives you an extra layer that you can
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potentially speak to with with clients and there's a lot of people who we've
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worked with who have come to us because they they said well you know what it's
9:32
like and you've done it yeah so that doesn't mean that everybody should go out
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and dislocate a shoulder just to see what it's like.
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No no at all we're not recommended that just uh gary gary
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benson the founder of the sts in the house we're not saying that gary just okay
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no but it's it's very interesting you don't need to have suffered
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what a person suffers to show empathy it's more a
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case of listening and and letting them speak and and showing
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that you're there to support them but i think looking after
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runners for example on the occasions where i remember once
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i had a pain suddenly and i thought
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right that's it it's going to be a stress fracture second metatarsal
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or something i was so sure of it and i was limping around and thinking
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oh i've got this bad to happen eventually straight away and
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this is somebody who has spent a good many years talking to
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other patients about the dangers of catastrophizing and kind of worrying
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about the worst thing fortunately i was in a multidisciplinary clinic
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and went to a podiatrist to have a little look yeah it's just a
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corn they just took it out it was fine you know but i
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always remember that story because even though i live and
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breathe this kind of psychosocial factors and don't know
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you know it's not I was straight away thinking the worst and I
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think that's sometimes useful when we do get injured to realize how scary it
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can be for patients however big and strong and happy you are we do kind of worry
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about the worst and and also taking the sport away from us I mean that's like
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it's been described as like grieving isn't it when suddenly you can't do your
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activity again so I think it's useful for us to get injured that.
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Yeah, I 100% agree. One of the things I'll talk about next week is around identity.
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And when we're dealing with athletic people, when I had to stop not playing
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rugby anymore, I'd played rugby since I was 9, 10 years old.
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And at that time, I'm like mid-20s or late 20s.
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That's a significant part of my life which has been dedicated to being a rugby
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player. And all of a sudden I remember sitting there and I'd be like,
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it was painful to be like, I'm not a rugby player anymore. I actually don't know who I am now.
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I had to go on this whole journey of exploring, like what am I going to do with
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my weekends now? Because I'm not playing the sport that I grew up, that I still love now.
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It is. And that's the thing I think is recognizing that with people that it's tough.
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And again, this is exactly the sort of stuff I'm going to talk about
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next week is to how we can actually potentially manipulate and
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change the environment in terms of how we deliver shoulder reconditioning
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so that we can get better results for people
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by some relatively simple straightforward things
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which is just a different way of thinking about it recognizing who is
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the person who's standing in front of you let's bring
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that up because i'm conscious now anyone who's listening so far
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thinking on therapy expert if you are going to therapy expo then this
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is gonna be for you if you're not going to therapy expert there's still time probably
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to get a ticket somehow and sort it out i don't want to increase the
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whole fear of missing out sort of thing but if you haven't got
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it now then i'm sorry i empathize but for all of
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this you are coming along then let's chuck up on the
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screen now some information on when you could get to see
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tim stevenson so on day one which
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is the 27th 1 20 p.m in theater b
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like tim just mentioned shoulder reconditioning how to stack the deck and get
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game changing results so that's on day one and then later on in the afternoon
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at 4 25 which is how the sta theater is going to be operating a lot these days
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tim is going to join us for a Q&A session on shoulder injuries, which will give.
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You a chance if you did go to the theatre be at
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120 to get closer to tim and be
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able to ask some more kind of questions on the same sort of level rather
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than in the theatres where you're kind of great information but you
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can't really get it close and get those personal questions
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so that'll be at 425 in the sda
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therapy update theatre and obviously we've
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got a speaker lounge as well this year which will be working well
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next to the sda stand where speakers if they've got time
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are encouraged to kind of hang around a little bit after or before and again
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just offer advice and chat with delegates who
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are coming in so very excited about that all
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these details will be on the show notes as always i want to let's hide that
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for a sec i want to nikki just reminded me here so nikki mansfield who is going
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to be a therapy exmo in the week she said oh yeah he's jacko's calisthenics
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buddy i thought i recognized the face and the shoulders you must get so much
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of that i bet you'd never get tired of it but um jacko's brother as well it's never like oh.
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It's actually tim and jacko just for the record oh listen to that nikki what have you done here,
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you put a compliment wrapped up in a kind
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of a nikki i don't know how you're going to come back with that uh yeah
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but anyway but the calisthenics things i'm really interested in
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let's have a look at you and your kind of sidekick jacko
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in this photo here there you
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go the sidekick jacko um so we're talking in case you're wondering who
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this jacko character is then like i said um it's really worth
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checking out i mean these two together a formidable force
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but david jacko jackson and was a guest in episode 160 talking
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about breathwork for head trauma and and he mentioned as well
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the whole calisthenics journey and how his his goal in
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life after having to give up rugby and and really traumatic time for him was
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to be able to do this human flag and you can't see this on the podcast obviously
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but here we have a wonderful photo of a rather large guy in the middle with
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yourself and sidekick Jacko doing flags on this guy just holding on to his ankles and his forearms.
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What is it about? How difficult? Oh yeah, you said yeah, yeah, yeah.
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He makes you two look slightly small. Yeah, he's a big man. You and Jacko are big guys. But,
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i mean okay for people who are looking at this photo i
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recommend you go to youtube and have a little look at it is that as impossible
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as it looks or presumably not to be able to do that what sort of training you're
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looking at jack i used to tell me off because in workshops i'd say it's relatively
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easy and it is in the sense of the skill component of it is not that difficult to do
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there's a there's a high level of let's say neural connection requires
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just learning how to create the force but essentially in the
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human fact the bottom arm pushes into the object which
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in this case is shawn's tibia and
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then the the top arm is the pulling arm so
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normally we do it straight arm so it's like imagine it
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on on the the top arm it's a single arm active hang so
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you're really pulling hard into that retraction downward
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rotation from the scapula effectively you're connecting that
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that tension down the lateral obliques and
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into the hip to kind of hold that top support position and you're
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pushing out from the bottom hand so it's just
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generally it's a matter of being very specific with the training there are some
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drills and progressions you can do to ease the the transition from beginning
15:55
to the full movement pattern but it's i'd say it's not the most difficult calisthenics
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move to learn it just requires some consistency.
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Of effort and what is
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it nicky's just come back here with uh let's just check what
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she did sorry no offense intended i just met jacko
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first she met jacko first there you go it's fair i was
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and can you go
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because again people probably haven't got a very good idea about
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calisthenics or they think it's for the elites or they see photos
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like this and think well that's not going to help me what is it about calisthenics
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which i suppose in your view gives us a better
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path to follow for strengthening shoulders and rehabbing
16:35
shoulders as opposed to traditional methods yeah i
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mean people should probably bear in mind listening to this around the shoulder
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which i dislocated had the surgeries on is my left shoulder so that's
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actually the the one in the most
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cases if i'm doing a human flag would be the one which i put on the bottom that's my
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the arm which i actually ironically feel more confident in the
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thing that i think was was valuable in calisthenics and what it taught me from a
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shoulder reconditioning perspective is we are essentially taking
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what we know from a rehabilitation perspective which is evidenced
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in the literature around when we're trying to rehabilitate the shoulder some of
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the key things we're looking towards particularly around shoulder instability will
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be to restore range of motion improve neuromuscular control
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and integrate the kinetic chain so ground-based movements
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closed chain patterns that's where we'd always start with with the rehab journey
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what calisthenics does if you think about what we're doing is we're hand balancing
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we're hanging on bars we are using gymnastics rings it's a it's a pretty much
17:30
a closed chain dominant environment in the most part so.
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The way that I looked at it and was like, well, all we're doing is taking the
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principles that we know from an early rehabilitation perspective,
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and we're scaling them under greater intensities.
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So all the good things that happen in early stage,
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we can now move into more of a strength and conditioning type conversation to
17:51
continue to move people on that upward trajectory of building shoulders,
17:55
which they can trust essentially, and do more with.
17:59
So it was, that was kind of it was that calisthenics journey which that sparked
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in my mind going how do we actually kind of package this up or use this for
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an audience of people that aren't interested in going down a calisthenics route
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because it's it's a pretty kind of dedicated way of training,
18:15
but would benefit from doing more hanging patterns some more ground-based movement closed chain.
18:22
Progressions trying some hand balancing things and then how do we put that into
18:25
a bigger conversation that would fit in with barbells, dumbbells,
18:29
kettlebells, band work, mobility practices, whatever that might be.
18:33
So it was effectively looking at how all the tools that we've got available
18:36
and building out that toolbox for things which were particularly effective for the shoulder.
18:41
Fantastic. Very interesting. You mentioned as well, a lot of work that you've
18:46
done with para-athletes and Paralympic gold medalists.
18:49
What about, I'm interested, what are some of the, what's some of the experience
18:53
you've gained of doing that,
18:54
which have helped you in terms of working with able-bodied
18:58
athletes or anybody in terms of looking after the shoulders what's some of the
19:02
takeaways you've gained from that experience yeah it's a really interesting
19:06
one because it's something i've actually been reflecting on for quite a few
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years when i was deep into paralympic sport and i was like all i was doing and
19:11
it was my passion i still is i loved it it was it was
19:14
it was a ground to go and test yourself learn
19:18
and to think outside of the box and to be really challenged
19:21
i would recommend any practitioner goes and spends time in
19:24
a in a in a paralympic or working with athletes with
19:27
an impairment of some whatever opportunity you can get because
19:30
it is it would completely change your perspective on how you
19:33
see things but then also how you
19:36
can actually then deliver innovative and dynamic strategies
19:39
for people the thing that i love the most about it was it solving complex problems
19:44
there's there's so much within there about how you need to understand how you
19:50
can use environment so an example of that would be one of the first the first day on my.
19:57
Consultancy contract with British Paraswimming it was on pretty much the 1st
20:01
of January 2016 I come in to take over the Strength and Condition program into
20:04
the Games which is actually the worst time to take on a program because you
20:07
are nine months out of the Paralympic Games and so you've done none of the preparation
20:10
work and you're now carrying all of the responsibility to make sure that people arrive physically,
20:15
in a good place, ready to compete. So we arrive in Thailand on training camp.
20:21
It's amazing. We've got 12 athletes. I think it was there lined up on a pool deck.
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It's day number two or the afternoon, the first day, I think.
20:27
And the head coach says to me, right, Conor, let's get them prepped and get them warmed up.
20:30
And then him and the assistant coaches went and sat by the side of where I was doing the warmup area.
20:34
And they'd never seen me coach before because I'd been recruited by the performance director.
20:38
So now I've got one athlete with intersection impairment. I've
20:42
got a vision impairment i've got cerebral palsy there's
20:45
athletes with arm amputees leg amputations like we've got
20:47
a whole broad brush of just different classification of swimmers so how do you
20:52
then in front of those that diverse group of athletes and what they all can
20:57
individually do and what they need and what's going to help them to prepare
20:59
for the session go and deliver something which hits the mark across the board
21:02
and that was me and my element like i i just love that sort of stuff.
21:07
So you also with paralympic sport get extremely good
21:10
at understanding how we can
21:13
train with injury to a point or
21:15
with a system which is not fully as you
21:19
would have in an able body population so for example we've got
21:22
an arm amputee so we've got one full working arm
21:25
and then we've got one arm amputated at the
21:28
elbow that shoulder is now going to have a significantly different
21:31
level of load going through it it's going to be able to do different stuff from
21:34
a strength training development perspective so for
21:38
a long time in paralympic sport i was kind of going what we're doing here
21:40
where's this value in wider things we're just very niche is
21:43
it just paralympic sport is that what we're good at now stepping
21:46
out into a bigger world of working with people their
21:49
shoulders of all different types of backgrounds and able-bodied people i'm really
21:54
good at understanding how to get to root cause of of what's going on from a
21:57
systems perspective from a movement movement first perspective and then putting
22:02
together strategies of all different types of variations of exercise is based on what people can do,
22:07
can't do, because we're constantly in a Paralympic environment working around
22:10
different potential problems or barriers, which makes it difficult to just go,
22:15
here's one standard program for 10 people, off you go.
22:18
So that problem-solving nature is something that was 100% crafted in Paralympic sport.
22:23
And what we do now really well with the shoulder is in one session,
22:26
we could just really quickly get down to what matters and come up with a solution
22:31
which is going to move people to a better place. So I'm really thankful for
22:36
that time that I spent there.
22:37
That's really cool yeah so thinking outside the box and you've
22:40
got to work with the individual in front of you i guess with power athletes but
22:43
so you've got to do the same thing with with able-bodied people just
22:46
because they're all able-bodied doesn't mean they're not individuals with different
22:49
needs i mean we've got some i know you're working with charlotte henshaw who
22:53
was somebody who i believe you managed to help incredibly you
22:56
know with the pb and stuff what was some of the ideas or
22:59
secrets you had with that which made it all possible yeah charlotte
23:02
was a really interesting one so she's actually now in para canoe she's gone on
23:05
to be extremely successful double gold medalist in the
23:08
last games i think with paracanus she's she's really found her sport
23:11
and she so deserved it because she had she didn't
23:13
have an easy time in swimming it's probably fair to say so
23:17
charlotte is 100 meter when when she was swimming she was 100 meter
23:20
breaststroker in an s6 classification so if you think about charlotte breaststroking
23:25
she is literally just arms for 100 meters so we tried for the first season or
23:31
two we tried a pretty standard strength and conditioning approach linear periodization
23:34
we kind of go through the We took all the phases off and she was going into the majors,
23:39
like our June to sort of August, September major competition period after trial.
23:44
And it just wasn't kind of hitting the performances that we thought she was
23:48
capable of. And she hadn't PB'd for years at this stage.
23:52
So we sat down the following season and I said, so Charlotte,
23:55
when do you feel the best in the water? And she said September to December.
24:00
And that is typically when we would do our lower load higher volume type where
24:04
we build the chassis up around that type of year so that we can then go and
24:07
do more strength work post january into trials more kind of speed power work
24:11
as you would normally do in strength and conditioning.
24:13
So that would normally look like we might be going 16
24:17
18 20 repetitions one kilos y's
24:20
t's w's a scap focus kind of strengthening work
24:23
cuff strengthening work and we just hammered the shoulder from a volume and
24:27
strength endurance perspective and this is relatively non-textbook savvy or
24:32
non-textbook agreeable in many strength and conditioning circles because i've
24:37
been in a workshop with strength and conditioning coaches before where they said,
24:41
If you're doing more than 12 reps, then you don't know what you're doing.
24:44
And I was like, well, I think that's not always the case.
24:48
So I'm kind of like up at the upper thresholds of doing stuff,
24:51
which I hadn't really probably been tried before.
24:53
But we just decided that if for Charlotte particularly, the performance limitation
24:57
that we identified was as soon as she's coming in at back 50,
25:01
so she's coming back after the first length,
25:03
that less 25 meters, as soon as that elbow drops because the shoulder runs out of fatigues.
25:10
Then she loses that catch position if she loses the catch
25:13
position she starts slipping the water so she's therefore losing a
25:16
lot of stroke efficiency so we were like if we can
25:18
keep your elbows higher for longer we're going to continue to
25:22
maintain better swimming technique for the back end of the
25:24
race she broke her pb that year three three times in about three months having
25:29
not pb for about three or four years prior to it and i'm not saying that was
25:32
all what we did but it was definitely a strategy where we were like what we
25:36
are currently doing is not working so let's try something different and it and
25:40
it and it paid off for a big time fantastic great example.
25:44
Right so we've got some questions here we'll get let's get into shoulder shoulders
25:48
yes we've got some questions here if you are listening if you have joined us
25:51
live you're here to ask questions people that's hopefully the best thing we
25:54
can do for you so feel free to put something in here nicky mansfield has got
25:58
a scrunchie in here really happy to hear you reference the entire kinetic,
26:01
chain do you integrate whole body movements in the rehab plan
26:04
right from the start or stack them in after a period
26:07
focusing locally first that's a
26:09
great question yes kinetic chain first so the
26:12
first assessment that we will do we'll look at people's squat and
26:15
single leg squat patterns so we start big and
26:19
then we'll dial in from there ultimately the reason
26:22
for doing that from assessment perspective is i want to just see how the whole thing
26:25
moves like what's what's going on what's the movement quality like what's
26:28
competency like things like a single leg squat
26:31
for us are really important because it will highlight whether we've got any
26:33
potential lower limb issues which could be
26:36
causing a problem for the shoulder in a sense of if
26:40
we have let's say some some control or balance
26:43
stability position issued around pelvis knee ankle we may not have a stable
26:48
base for the shoulder to work on top of so we can go locally to the shoulder
26:53
directly if we wanted to but what we'll probably find is when you put somebody
26:56
back into an environment if they are involved in the whole body sport throwing striking.
27:01
Crossfit whatever it might be if that lower body
27:04
isn't dealt with that shoulder is just
27:07
going to break down again which is often why you'll see people find themselves
27:10
in this repetitive injury cycle and a
27:13
good example of that would be in a weightlifter that we worked with so getting shoulder
27:16
pain loves to snatch he's in crossfit when
27:20
we screened him his single leg squat was was pretty shaky
27:24
pretty disastrous so you look at it and go well if
27:27
you can't generate and and stabilize force on a single leg when you're trying
27:32
to pull that bar off the ground we probably haven't got particularly good force
27:36
generation in the snatch pattern so therefore as we're bringing the bar up we're
27:41
going to have to work super hard from the shoulder to compensate for the.
27:44
Lack of force generation from the lower body so that shoulder's
27:47
having a horrible time just hiking that bar through that transition
27:50
phase to get it into a snatch shape so i'm not surprised you've
27:53
got some subacromial type pain so the
27:56
first thing we're getting to do is go back and we're going to go and dial in and
27:59
focus on building out lower limb single leg
28:02
exercises so box step ups or the single squat type.
28:05
Patterns whatever it might be and it turns out
28:08
he's horrible at them like he hates them and and that's probably
28:11
a pretty good indicator that he should be doing more of them so
28:14
we'll have that in the program but we'll also work locally i
28:18
think the way that we work is more in line with the
28:21
strength and conditioning type approach rather than the three exercises
28:24
that you'll often get from a physiotherapist now people
28:27
say that people can only ever give three exercises because
28:30
that's all people can do i'm like but i work with athletic
28:33
people they're used to spending 60 to 90
28:36
minutes in their gym three to five or six times a
28:39
week they can handle and they need and want more
28:42
than three exercises so where i have a program to
28:45
play with i'll stack the deck on all of that so we'll have some
28:48
mobility some control which will be focused on the local musculature
28:51
around the shoulder cuff strength and whatever it might to be we'll integrate
28:54
that with something which is going to bring that whole chain together
28:57
so something which is very kinetic chain focus which could be
29:00
ground-based movement it could be a single squat with a row
29:03
it could be a box step up to press something where i'm working the whole
29:06
chain together and the back end of the program will be more just kind of standard
29:10
meat and veg strength work so we'll go push pull pressing kind of patterns just
29:14
to go and build that strength in different ways to complement what we've tried
29:19
to achieve further the program or to ingrain what we've tried to focus on through the program.
29:25
Excellent. Great example. And I guess what you're talking about with the weightlifter,
29:28
that could apply with the whole kinetic chain, even if it's a sports person
29:31
and they're kind of playing rugby or having to stop suddenly and then throw
29:35
or catch or lower or move up a body.
29:37
It's the same analogy, isn't it? They're going to have to be secure in their
29:40
lower half if you're hoping to rehab the top half and make those same sort of checks.
29:45
Yeah, absolutely. I think it's, I can't not deal with the whole kinetic chain.
29:51
If I see something at sometimes I'm screening somebody, depending on how much
29:54
time we've got to work with somebody, the initial question is,
29:58
is it impacting the shoulder?
30:00
So do I, because you could always find something which you could improve in
30:04
somebody's squat or lunge pattern or hinge pattern. There's always something you can do.
30:08
But the question is like, is it significant right now in terms of getting the
30:11
shoulder to a better place?
30:12
But I want to make sure that I've cleared that before. I just assume that it's
30:15
going to be a cuff problem because you can just go bang away on a cuff and,
30:18
and, and, and finally you've missed the one of the big like low hanging fruits
30:23
of actually getting that person a long-term outcome.
30:26
It's very interesting. I love when it happens. One of the joys of my work,
30:30
obviously I choose my guests because of people I admire like yourself and I've
30:33
read your work and I just, you know, I, some people say I should have guests
30:36
that I don't like much on, but it'd just be a rough shower.
30:38
I wouldn't be interested to challenge my biases, But I love how, for example,
30:43
you last week, we had James Earls, who was talking about how the traditional
30:47
method of learning anatomy is kind of looking at just the knee that hurts and
30:51
going to massive details about all the structure and everything around it.
30:55
And and he says it just doesn't make sense because it needs to be the other
30:57
way around. Let's look at movement.
30:59
First of all, let's look at just how someone's standing moving up and then the
31:04
effect of that on the knee.
31:05
And then we can understand, you know, what's going on at a smaller detail to
31:09
provide that movement. But, and that kind of, I think is why,
31:13
like, as you've been saying, sometimes we do just focus on the rotator cuff and that area there.
31:17
And we're trying to rehab that, but we haven't taken into consideration that
31:20
what the pelvis is doing, what the knee is doing, what the contralateral leg
31:23
is doing will depend on whether that muscle is going into internal,
31:27
external, whatever it is.
31:28
Everything can change depending on what the kind of chain is doing. So it all ties together.
31:33
Yeah. Yeah. It's very interesting.
31:36
More questions, people, if you want. Otherwise, I'm going to continue with my
31:39
wants and you don't want that, honestly. So great question, Nikki.
31:41
Let's have other people in there asking questions.
31:43
And incidentally, if you are listening to the podcast and you've got some questions
31:47
as well, then I do recommend you go along to YouTube and write your question in there.
31:51
I promise you I'm a sad little nerd and I will go to YouTube to check.
31:55
And if there is any question in there, I will be there within a flash.
31:58
I'll talk what I'm doing because I like the conversation to continue.
32:00
So, yeah, use YouTube if you've got a question about anything we're talking about.
32:03
And I promise you I will get back to you. I'm not that little,
32:07
6'6", but I am a sad nerd. Okay, I do want to give you the wrong idea.
32:12
Right, and what you've been saying there, I mean, you mentioned,
32:15
for example, stacking the deck.
32:16
That's exactly like you said, what you're going to be talking about in Theatre
32:18
B on day one at 1.20pm, shoulder reconditioning, how to stack the deck and get
32:23
game-changing results.
32:26
I wanted to ask you also about...
32:30
One of the ways of knowing how the rest of the kinetic chain
32:33
is involved in the sport is having played that sport yourself
32:36
it gives you i mean you can learn it but it kind of
32:39
helps if you've played that sport because you know oh that's happening down
32:42
there and you're going to have this happening and you understand is that
32:45
really quite important when it comes to helping
32:48
somebody to have experienced the sport they're doing
32:50
as well i suppose as the rehab which you're going to give them it's interesting
32:54
because i think in the first five years of my career i spent working in
32:57
university at Trent not even Trent university and as
33:00
part of that I ran the performance squad strength and conditioning programs
33:03
and also worked on the task program now with tasks at university I mean I had
33:08
weight boarders golfers horse riders like you any sport you can you can imagine
33:13
I think in the first five years I'd done over 30 different sports because it
33:17
was just such a melting pot of.
33:20
Different athletes which for me was at the beginning of my career was amazing because,
33:25
it very much takes you down and like I said before it's a movement first approach
33:29
so if I understand movement then I can pretty much I understand function anatomy I can pretty much,
33:36
program for anybody based on the understanding of what are the key positions
33:40
and patterns that you need to be able to move in and out of and then where are
33:45
the potential strength opportunities or the force generation opportunities or
33:49
how can we prepare you best for that sport so I could never have played all of those sports.
33:56
What I do think is important is that people are moving in a way where they understand.
34:01
Their own body they are they've got a good level of kinesthetic awareness
34:04
they actually practice to a point some level of
34:07
functional or some kind of
34:10
like training based methodology which is which has a
34:13
focus on movement or you're
34:16
trying different things my training i'm not particularly good at anything calisthenics
34:19
was probably the one thing that i spent the most amount of time apart from
34:22
would be trying to get decent and i still wasn't that good at it because
34:26
my programming my training is always a research calisanes
34:29
was a research project i wanted to know what it felt like to do it so that i
34:33
could have more tools to use with the athletes that i coached so i've done bits
34:37
of hypertrophy training i've done bits of maximal strength training like so
34:41
i have an experience of quite a broad things i'm a very much a generalist if
34:45
you look at how i train and have done.
34:48
But that has added a huge amount of
34:51
options to my programming potential
34:55
when i can go this would be the right thing for you because I can
34:58
write a program which is max strength focus because we've done
35:01
that before we know what the variables are so I am
35:04
always from a coaching perspective big on you should be moving you
35:07
need to understand movement you need to know movement personally because
35:10
that is the biggest and the best tool that I've probably ever had
35:12
of being able to actually get buy-in with athletes and communicate what
35:16
I want them to do and understand when I sit down to write a training program
35:21
what is it going to feel like to do that session because I think it's very easy
35:26
to put down a fitness session that you're never going to do i i kind of set
35:30
out early days of my career that i would never write a session that i wasn't prepared to do myself.
35:34
And not that i would be able to do it to the level of the athletes i was
35:37
coaching but i'd do the session because it's very
35:40
easy for a coach to go i'm going to put a session on the board that'll make
35:42
you sick anybody can make sick it's not hard to get someone to puke if you're
35:46
getting to run long enough but what's the what's the physical adaptation would
35:50
you do that session and would you be prepared to actually understand what it
35:53
is that you're asking other people to do so So maybe I'm old school with that,
35:56
but that's the way I would.
35:57
I still think it's important to have some context around what it is that we're delivering.
36:02
I think that's really good advice. And like you said, it doesn't mean you've
36:06
got to do what you're going to give them, but with suitable regression and progression,
36:09
which should be there anyway, if you're giving somebody an exercise,
36:12
you can at least go through it and see if you can do it with less load or less
36:17
power or force, whatever it is.
36:19
So that's a really important takeaway for therapists out there,
36:21
I think, and not just learn it from a book.
36:24
You you've got courses and you're very interested
36:27
in that and trying to provide that information for people what
36:30
kind of recommendations would you give for people who do want to understand
36:33
a little bit more what their clients are going through if not everybody who
36:36
looks after crossfitter can sign up with a gym and do crossfit it just might
36:39
not be their personality so what other things could they they get hold of yeah
36:43
and there's so much opportunity these days i mean if people are training in
36:46
the gym regularly i mean i know some people gym is not their thing but at,
36:50
i'll come at this from my bias as you mentioned before around i'm a strength
36:53
i'm my background strength and conditioning so strength is is is always for
36:57
me going to be part of the solution and i'm yet to even if you talk in therapy
37:00
circles we are now more so in physical therapy.
37:04
Coming into a place of exercise first and strength
37:08
training is going to part of that and you've seen the shift in the industry of
37:11
therapists now starting to invest all the opportunities like
37:14
people like clemens you're doing great work in strength and conditioning for physiotherapists
37:18
and rehab professionals the industry is realizing that
37:21
actually where the the standard education stops isn't
37:24
actually enough to take people the the
37:27
client this is or the patients where they actually need to be if they are an
37:31
actual an active person or for whatever they want to do in
37:33
their life so i think the
37:36
the opportunity then to kind of to and to go to
37:39
a gym and go do you know what i mean what's crossfit like i've never done crossfit before
37:42
what is an emom well you can go and find those on the internet you
37:45
can find a beginner's base emom where you could just go and put a clock on
37:48
and you can just go and give it a go and you might hate it
37:50
but at least you now know when somebody comes in and goes oh yeah.
37:53
I love doing e-moms you go i cannot e-moms it's done one you
37:56
don't have to go e-what which is a little bit awkward if you're
37:59
trying to build that buying and rapport with the with the client and
38:03
get them to trust you which is an important part of getting like good
38:06
outcomes so i think having some
38:08
exposure some willingness to go and try new things and and to suck
38:11
at it is is good and then i think from from our side if
38:15
people are looking to kind of improve their ability to
38:18
be able to provide rehabilitation advice for
38:21
or exercise prescription for for their
38:24
clients is to i mean you can get programs we
38:27
have programs that people can can can buy and
38:30
and view it through the lens of i am just a participant doing
38:33
this program what's it feel like to do this program back to
38:36
my earlier point of just try the thing to to learn about
38:39
the exercise than what you're doing you can see the
38:41
program and how it's structured but you can also then
38:44
take those exercises and go I really got that great that one felt
38:47
great this exercise would be perfect for x client that
38:50
I see that has got this shoulder problem and now I understand that
38:53
a little bit better and how to help that person so I think
38:56
there's a big there's so much education out there I think with social media
39:01
there is so much conflicting advice it's confusing it's sound bites and all
39:05
the time people are not getting the depth if like trying to learn from social
39:10
media use that as your prime education source is a disaster.
39:14
But I think it's, I also very much I'd recognize that knowledge that we've probably
39:18
all got courses that we bought in 2021 that we haven't finished yet because
39:22
learning online on demand is difficult to find the time to do it. So.
39:28
Pick some other way and if you train five or six days a week
39:31
or three times a week then that's a great opportunity every time you go
39:34
in the gym or go and train to learn something which you can implement with
39:37
your clientele excellent you
39:41
mentioned you so you've got some courses which allow people to kind
39:44
of see what you do and what the people you're training do
39:47
is this available on the website let me just bring up a yeah it
39:50
is bring this up so we're talking now about the website dynamic
39:53
shoulders.com there's a load of information on there
39:56
but if people go there what should they check out first on there yeah
40:00
so it's an overview of what we do we're very much in that delivery space
40:03
to clients or people that are working with they've got shoulder pain
40:05
if you were to click on services we do have an education
40:08
course which we designed i created that for
40:12
personal trainers strength and condition coaches people basically not
40:15
necessarily coming at this from a physiotherapy background where they
40:17
may have already had a level of education however having said that
40:20
there is the level of education in basic
40:23
undergraduate physiotherapy courses around the shoulder is probably not particularly
40:26
extensive but it depends on what you want to do in that rehab space with the
40:30
shoulder from where where on that spectrum do you want to work early stage rehab
40:34
or where we are which is more like in that later stages onwards so there's there's
40:39
a course there for people that are interested in learning more about the shoulder
40:42
if you're coming at it from a personal training strength and conditioning sports
40:44
therapist type perspective.
40:46
The training programs that we have on there also we just released our functional
40:50
fitness program which is targeted specifically towards across the audience but
40:53
to be honest it would work for
40:55
80% of most sports because it's basic general foundational conditioning for
41:01
the shoulder so if you were looking for something where you were you could actually
41:04
experience a training program and see how we put it together then that would be a great place to start.
41:08
It's amazing so there you go people check out dynamic shoulders.com and
41:12
also while we're on the topic of kind of places to
41:15
to learn and your instagram feed is really cool you do an awful
41:18
lot of work don't you you're putting out a lot of valuable meals you
41:21
must spend a lot of time doing that is it kind of
41:24
without giving too much of it away are the snips from actual
41:27
courses or are you just lining up so yeah
41:30
well to be honest now we actually they were shot live so.
41:33
Instagram is a challenge in terms of creating content so
41:36
that was a workshop which we shot a live workshop which
41:39
karen filmed so we just that was six hours of
41:42
delivery so there's quite a few soundbites in no it looks like
41:45
it because sometimes you see people producing these wheels you're thinking that's not
41:48
part of a course that was just like 20 seconds it's like
41:50
watching mike tyson training for a jake paul fight and then
41:53
realizing he can't box at all now obviously people
41:56
going but he was so good in his training it's like yeah for those
41:59
six seconds embarrassing anyway i won't go down that rabbit hole but
42:02
yeah no that's why i think your instagram there's the material you
42:05
put out there looks so real because you can see that you are actually
42:08
delivering and you're showing and you're demonstrating it's not just
42:10
a little 15 second you know sprint and
42:14
saying this is how i run a marathon with this running form no good stuff
42:17
so people should never go to instagram and watch you there's people out
42:20
there that listen to this that are working and they're looking to try and and
42:23
scale their social media speaking to cameras
42:25
is is and delivering that way is tough and it
42:28
takes so it takes a while i mean we did it with all the way with calisthenics we were
42:31
a content machine with calisthenics we put out so much content
42:34
but if you're delivering something you have an opportunity if you
42:37
can just find an opportunity to just be in your natural environment and record
42:40
it depending on how you work and where you kind of get obviously permissions
42:45
of people that are involved and whatever but you'll do your best work when you're
42:48
just kind of waxing lyrical and in the flow rather than when you feel like you're
42:51
pressured and then you can just grab little sound bites from that it's a really
42:54
easy way to get lots of content.
42:56
Great stuff right we're time is
42:59
ticking on people obviously like i say if you've got any questions and put
43:02
them in the comments section i wanted to
43:04
talk a little bit about chaos because i've
43:08
watched a lot of your material and i've read and listened to
43:10
other podcasts and you mentioned the word quite a lot and last year
43:13
that was the buzzword for me of looking at other specialists
43:16
like andrew mccallie's coming back this year and andrew jackson i don't think
43:19
she's coming this year but there was quite a few people who were talking about chaos
43:22
it was being suggested that that could be one of
43:25
the missing links as to why previous injury is such a
43:28
good kind of precursor of re-injury because a
43:31
lot of the time we're not involving this chaos in a
43:34
rehab what is that to you what does it mean for people who aren't familiar with
43:37
this term chaos what is it and how do you introduce it in shoulder rehab i love
43:42
this topic i think this kind of came a while back around the original part of
43:48
the philosophy was prepare for chaos and then you'll be all right,
43:51
hopefully or you'll be better than anyway if you're not prepared for chaos and I
43:54
let's take this through a rugby lens right because you can't control what happens
43:59
on on the pitch you can't control where the ball is you can't control the tackle
44:02
contact situation that well you can't control the rook if you go in there you
44:06
don't know if you're going to get cleaned out you're jackaling for the ball
44:09
you have to reach over a player put your shoulder in a relatively exposed position to be able to do that.
44:14
But oftentimes what we would prepare for for those kind of sports in a strength
44:19
and conditioning environment would be the bench press, a bent over row,
44:22
some pull-ups and a shoulder press.
44:24
And you're going, well, that's fine if the sport is happening in these kind
44:28
of sagittal playing positions, but it doesn't.
44:31
People won't dislocate their shoulder necessarily here.
44:33
They're more likely to dislocate it when they stick their arm out for a tackle
44:36
as somebody goes and blows through it, which is what happened to me.
44:40
So if we've never exposed the brain
44:42
the shoulder to different varying positions
44:46
and patterns and challenges and and force the shoulder
44:48
to move in different ways under those intensities
44:51
then it's no surprise that when we find ourselves
44:55
in a somewhat chaotic environment we stick our arm out
44:57
somewhere or the shoulder gets hit in a certain way and the
45:00
brain's like got no idea what to do with that
45:03
because i've never been there before so and
45:06
to make that a bit more a practical example we are big on gymnastics rings so
45:10
because it allows me to get the shoulder loaded into pretty high intensity work
45:15
into these wider long lever type positions i can move the rings i can move the
45:22
shoulder i can load it up i can there's lots of different ways to progress it.
45:27
So when we then find ourselves in a more chaotic environment
45:30
whether that's an action sport or a pitch or whatever it
45:32
might be crossfit we're able
45:35
to build motor skills strength
45:38
robustness rate force to them whatever it
45:41
might be in terms of what we're actually getting there's a number of different phrases i've
45:44
used there but in terms of we're getting things which are positively going
45:47
to prepare us for uncontrollable activities
45:51
or actions within the sporting context so i think
45:54
it's we kind of can encapsulate that in physical
45:57
literacy particularly around the shoulder you have
46:00
more degrees of freedom and more movement options than
46:03
any other joint in the human body so why would we only train those in such limited
46:08
ways it makes no sense if we were working in lower body sport we would have
46:13
agility type where we'd be looking to cut change our direction we'd look at
46:16
frontal plane type patterns yet we don't do that for the shoulder we stick to very rigid,
46:22
basic gym exercises or patterns so preparing for chaos is preparing to show
46:27
us a move in all the different ways that you can do it under appropriate loads
46:30
based on the demands that you
46:31
want to place upon it in the sport or the activity that you want to do.
46:35
Excellent. And I guess also reacting to unexpected demands.
46:40
So somehow you've got to incorporate. So how do you recreate?
46:44
I mean, eventually, I suppose that's why the sport becomes part of rehab.
46:47
You gently ease somebody into sport rather than just say, right,
46:49
go and play, you know, two halves, you're going to be fine.
46:51
But before you actually or maybe at the
46:54
same time you are allowing him to play half a match or something how
46:57
do you recreate that in the gym setting that kind of
47:00
chaos what's give me a couple not all of it say
47:03
something let's have you what are some of the exercises you think
47:06
our listeners might not think of which can create that necessary
47:09
chaos yeah and this is you take
47:12
strength and conditioning principles around how we might train agility so
47:16
agility would go from relatively programmed patterns where i'm going to go and
47:19
run a line i'm going to go and run change direction i'm going to cut right to
47:22
red cone whatever it might be all of a sudden that progresses to somebody giving
47:25
you a call of whether you're going to go left or right so now you're having
47:27
to respond or we're going to go and show them a color because it's a visual
47:31
thing i'm going to step a certain way or whatever it is so you're now reacting and responding to an.
47:36
Different environment the same thing could happen at the
47:38
top end in the shoulder type approach you could
47:42
put somebody into a situation where they've got a theraband for
47:45
example we're loading the shoulder up so the band's behind the the
47:48
attached ring behind me and somebody's going to signal whether they want me
47:51
to go into a y a t or an a position now i'm going to have to go and watch that
47:55
i'm just going to throw my shoulder out based on a stimulus for example or whatever
47:58
it might be that band is then going to be loaded which is going to pull my shoulder
48:02
backwards and i'm going to have to dynamically stabilize that quite quickly
48:05
in order to be able to hold that shape.
48:07
So it's there's a there's a number
48:10
of different ways that we can do it but that's kind of like
48:13
at the sharp end in terms of the the the coaching
48:16
or the coach interaction within that the ground
48:19
base level for us is just can can we start to build
48:22
plyometric strength around the shoulder can we start to to kind
48:26
of get the shoulder moving more explosively plyometric push-up type progressions
48:29
and we might start just in quite close just normal patterns
48:32
we might then actually start to go plyometric push-up and
48:35
the job is then to go and catch wide and stabilize so
48:39
when i go back onto a rugby pitch rather than being good
48:42
here in a plyometric position i actually can create
48:45
force i can push off i can stick my arm out and i can create
48:48
quite high levels of stability or control
48:51
and think about what we talked about right at the top
48:53
of the show that's massively integrated with
48:56
the kinetic chain because i'm now having to stabilize in
48:59
that push-up position and control create tension through the rest of
49:02
the system so i can hold that shape it's a
49:05
very different transfer into the sports environment
49:08
of a chaotic environment as opposed to lying on
49:11
a bench press supported by the bench on
49:14
the ground and just pushing a bar up and down where that's actually arguably
49:18
not that transferable in some ways that's probably a very loaded term for strength
49:24
and conditioning coaches and sports people around transfer training but let's
49:28
say there's a role for both of those things in terms of preparation for a sporting environment.
49:34
That's great. Yeah. Two classic examples. So you've got the reactive thing of
49:37
you indicating when and what direction that athlete's going to move.
49:41
So you mentioned, for example, with the third band, rather than just doing sets
49:44
of 10 under their control in an area in time.
49:48
And then you've got, yeah, the plyometric stuff. And essentially what we're
49:51
talking about as well is kind of playing.
49:53
I mean, this is why kids grow up so strong normally if everything's going right,
49:56
because they're doing that automatic responding to each other,
49:59
ducking and diving and pushing and playing.
50:01
Yeah and i guess that's something i think i've heard you talk about as well is
50:03
is make activities as close to fun or
50:06
like like a sport as you can rather than just
50:09
the stagnant bicep curl in a mirror yeah 100
50:13
we there's two things in this one plays massive
50:16
plays is is there was
50:20
a there's a period i don't know when it was but when
50:23
did exercise become so dull we we put
50:26
people in an indoor box and we put static machines there and
50:29
we said this is you move this weight from that position you go backwards and
50:32
forwards and we're going to do that 10 times i think
50:35
it's funny when you look back you see some of the videos from particularly like
50:38
america does this quite well they go what does like physical education look
50:41
like in the 60s well there's some i won't go down the rabbit hole of why education
50:46
like that in the 60s but there's the you see people climbing ropes and swinging
50:49
on rings and doing like stuff which actually made them quite good at moving.
50:53
Whereas now our training and exercise can look like we sit down in the gym we
51:00
like yeah so i think getting back to this idea of play it's so good for the brain we get to utilize,
51:09
the most wonderful thing that we have probably in
51:12
this whole kind of conversation which is neuroplasticity and the ability to
51:16
learn to move in new ways it's a game changer from a physical literacy perspective
51:21
it's shown to be positive from a brain health perspective like there are so
51:25
many benefits of just having play or learning a new skill like a handstand or whatever it might be,
51:31
and the other conversation to have around this is i have a seven-year-old little boy called jack who.
51:38
He yeah he's i'm smiling because we have
51:40
we have a gym in our in our conservatory so he comes down
51:43
we train early in the morning so jack will come down in his pajamas he's been doing
51:46
this now for about two years jack can do plyometric push-ups
51:49
not because i've taught him or because i've told him to do them but he
51:52
sees me doing them so he'll come in now i'm not even doing them
51:55
in the gym in the morning and he'll come down he gets weight plates out
51:57
to jump up onto and he'll sit and he'll just do 20
52:00
plyometric push-ups up down up down up down i'm like
52:03
it's play i'm not going to them to stop and and
52:06
if anybody kind of comes up and goes our kids shouldn't be doing these sort of
52:09
things like kids do stuff like jump off boxes and
52:12
walls and stuff under way more forces through the system than
52:14
we ever need to worry about in a sensible just playing
52:18
around and being in and around in a gym environment under
52:21
my observation and control but i
52:24
just think it's to him it's not training it's not exercise it's
52:27
just this looks fun can i do that i want to see if i can
52:30
do that thing and it's so beautiful to see but
52:33
it gets it gets drained from us as we
52:35
go from childhood to adulthood and if
52:38
you look at what as a big part of why how we recondition shoulders
52:41
well can you hang can you swing can you rotate it's play
52:45
the brain is task focused so
52:48
if we can create an environment in which we challenge the brain to
52:51
move in new ways give it a job to do you will get way
52:54
more out of your performance progression as opposed to.
52:57
If the brain is bored sat on a bench just pushing weights from
53:00
a from an actual kind of usefulness or
53:03
development as a as a human to be able to do things with
53:06
your body until the passion's coming out in
53:09
that end no it's great i really it's
53:13
funny because you hear yourself explaining it and it's it makes
53:16
so much sense we're returning somebody to be able to play their
53:19
sport so why is our rehab not playing as well why are we not why are we making
53:24
the duties there may be a place for like isolated exercises especially in the
53:28
beginning stage maybe depending on the individual but eventually you've got
53:32
to start playing and amazing i'm really interested in you do you know you probably
53:36
don't know john scriven from jersey from move well i know the name,
53:40
Yeah, you guys, I mean, we've had him on the show before on episode 177,
53:43
and he was talking about physical literacy, real geek.
53:46
I mean, if you two get together, you're either going to just explode because
53:49
you're not allowed to be in the same kind of force field together.
53:52
You're going to be as a magnet. Exactly.
53:54
Or you're going to sit down and miss your presentation somewhere else because
53:58
you're going to have so much in common. But Heathen will be a therapy expert this year.
54:01
And yeah, so much sense coming from both of you and crossovers of,
54:06
again, showing how in the 60s, what people were doing was actually really cool.
54:09
And somewhere along the line we lost it all but yeah
54:12
great stuff but look it's 8 57 uh lindsey
54:15
penn i think has summed up what i think a lot of listeners are thinking sounds great.
54:18
We'll be planning my 2025 cpd in december so that will
54:20
be added to the list there we go well done lindsey good
54:23
to hear we're probably going to run we don't do a.
54:26
Huge amount of coach education we will probably run one face-to-face coach.
54:30
Education program next year we do them if
54:33
we get invited in-house to go and do them but in terms of us hosting one
54:36
there'll probably be one next year at some point so if people are interested in coming
54:39
to a live experience where we actually kind of get to go in the gym and we'll
54:42
we'll do the whole kind of thing face to face the best
54:45
way to do that is get us on social media on our main
54:48
channels instagram so at dynamic shoulders and subscribe
54:51
to the email newsletter which will communicate all
54:54
of these kind of course opportunities out so that would be the big kind of
54:57
thing if you want to stay in touch with what we're doing then then come and find us and
54:59
stay connected and what part
55:02
of the country you're in where are you i forget well we live in
55:05
nottingham but we generally get all over the place at the
55:08
moment to be honest i'll probably hear about 50 of the
55:11
week so yeah yeah we spend quite a lot of time
55:13
in london these days as well wonderful right so
55:17
there we go people now we've been talking about tim's
55:20
involvement with para olympic athletes and with
55:23
people with missing limbs and so on which has
55:26
reminded me and i just want to announce this now before you finish
55:29
the podcast i'm really thrilled to announce that
55:32
one of my guests from episode 200
55:36
it's going back now but some of you will remember we had richard dickie davis
55:42
and rich potter who were two army veterans both single leg amputees and they
55:48
recently returned from their limitless expedition snowman trek in bhutan let
55:53
me just bring this up on the screen for those of you like the visuals.
55:56
And which i know there are some of you in here who come here for that very reason.
56:00
Um so yeah they recently came back rich davis
56:03
had to actually come back a little bit early because i mean tragically and
56:06
he'll be talking about this at therapy expo work which is what i'm building
56:09
up to is coming along here to cut short towards the
56:12
end we had to cut short just because literally a stump just couldn't deal with
56:15
it anymore it was a physical thing mentally he could have gone and finished it
56:17
but basically the prosthetic and the stump were
56:20
not getting on considering that they were doing one of the most world
56:24
famous difficult treks in the himalayas in bhutan but
56:27
i mean i'm thrilled to say that richard dickie davis is going to be with us
56:30
at therapy expo next wednesday on day one at
56:33
1 30 p.m we really didn't have space in
56:36
the sta theater but fortunately a gap has appeared in the
56:39
hands-on hub which is right next to the sta stand so rich
56:42
is going to be there at 1 30 p.m on day one
56:45
and to talk about soft tissue therapy well about
56:48
his limitless expedition and also he's gonna
56:51
be joined by Carla Bickerstaff who is an STA member
56:54
has been on the show before as well and they're going to talk about
56:57
soft tissue therapy for amputees and they're going
57:00
to demonstrate some of the manual therapy and massage that can be used
57:03
with amputees and hopefully kind of get rid
57:05
of some of the taboos and the misinformation and the
57:08
kind of just general fear which we have when somebody
57:11
doesn't look quite like us including missing limbs word
57:14
has it and I'm knowing which as I have and met him
57:17
a stump will be produced and you'll be able to get your hands on
57:20
it which i think is just a beautiful thing to be able to do there's often
57:23
people think it's gonna be hard it's gonna be soft it's gonna hurt and
57:26
things like how do you get somebody who's missing a leg to actually do.
57:29
A quad stretch if they're a lower limb amputee you've got no ankle to hold on
57:32
to you've got there's nothing there so what do you do how do you help them and.
57:35
That sort of stuff so there's so many questions which probably people and therapists
57:39
will have that might avoid you from working with somebody who has is missing
57:44
a limb or maybe prevents you from actually entertaining the thoughts.
57:47
So it's going to be a hugely informative and wonderful.
57:52
People to work with as well to listen to so come along if you
57:55
are free on day one at 1 30 p.m and for
57:58
soft tissue therapy for amputees with a fantastic rich
58:01
dickie davis another reason to
58:04
come to therapy expo so there we go right that's
58:08
it thanks tim second time i'm saying this for
58:11
such an informative hour in the first one or not i'm not sure you
58:14
know what both i am inspired and impressed
58:18
and man crushed even more than i was before because
58:21
yeah no i just love the stuff that comes out your mouth it's so good and
58:24
so useful to to our listeners and therapists so i
58:27
can't wait to meet you again last time we met i
58:30
think was what was it which year was it 12 years ago 20 i remember meeting you
58:33
i think it was um outside the um you know the the arena it was a long time ago
58:38
it was amazing with richard whitehead up there and it was a great time so it's
58:41
gonna be great to see you again in person you haven't changed at all i'm sure
58:43
i have but yeah It's been great to spend some time with you and host you in the STA theatre.
58:48
I'm looking forward to it. Great. So that's it, people.
58:52
Like I say, there won't be a live episode recording next week.
58:54
Thank you, everybody, who did join us live.
58:56
Brian Huxley, thank you for sharing your comments. Yeah, another enjoyable session.
58:59
Thanks, Tim and Matt. Thank you, Brian. Thank you, guys, for coming along.
59:02
I really appreciate it. And if you listen to the podcast, and thank you as well.
59:05
The downloads are still regular and happening, and even some months,
59:08
they're just increasing.
59:09
So I really appreciate it. The one thing you could do if you don't want to be
59:13
self-centered and purely egotistical is share it.
59:16
And the best way you can do that is either sharing on your feed.
59:19
I'll check out this episode with Tim Stephenson, Sports Labian Association podcast.
59:22
Just put it out there because we all do this.
59:26
Well, the podcast is to get the good word of our guests out there to therapists
59:30
to improve healthcare and to help the patients out there.
59:33
Obviously, if you're helping more people, it's going to be a better business
59:35
for you. You're not in this for the money therapists.
59:37
We know that you would be doing something far different. You don't get much
59:41
money for helping people these days. You get money for raising money for other people.
59:44
So we want to help you make money by doing something which is beautiful,
59:50
which is healthcare, helping others.
59:51
So help us by leaving a rating for the
59:54
podcast for sharing it for leaving a
59:57
little comment in there the same way as you do it when you're buying something on
59:59
amazon just do it for the podcast it makes a big difference i always say
1:00:02
we get about 2 000 downloads or something since apple
1:00:05
changed their publishing way and it was 3 000 went down
1:00:08
to 2 000 now but and yet we we've only
1:00:11
got about 37 38 reviews so like 1
1:00:14
672 of you wherever it is they're letting
1:00:17
me down so please don't do that guys if you're
1:00:20
listening to this take two minutes one minute even
1:00:22
just leave a rating and review okay and if you are coming to
1:00:25
therapy expo then be sure to come and say hi to tim
1:00:28
whether it be in the theater at the sda theater and myself and uh and yeah we'll
1:00:33
spend some time together hang out in probably what is still one of the best
1:00:35
therapy kind of conventions and conferences in the world would you agree tim
1:00:40
it's my first time i'm excited oh of course it's true yeah yeah yeah that's
1:00:45
gonna be great be really interesting to hear to hear what you think about.
1:00:49
You're going to meet some great people hopefully that's what i love standing back and
1:00:51
seeing for example you meeting john scriven have you met claire before
1:00:54
claire mitchell yeah we know kind of each other there you go common grounds
1:00:58
isn't it so obviously people like that will be there mike james and maybe other
1:01:01
people angela jackson andrew mccullough yes i met a shoulder rehab conference
1:01:06
there you go years ago so it's gonna be great to see you guys hanging out just
1:01:09
chewing the fat together it's wonderful be great all right thanks again tim really appreciate it,
1:01:14
and yes see you next week see you next week yeah thanks everyone take care look
1:01:19
after each other and we'll see each other soon bye.
1:01:21
Music.