FMS

Introducing Dr. E and The EDGE

As I have mentioned, there are a lot of exciting changes coming to Henley Sports Performance, and one of the biggest is the partnership with Dr. Erson Religioso III. Dr. E is an Orthopaedic Manual Physical Therapist and the creator of The EDGE tool for assisted soft tissue manipulation. If you have been following the site, you’ve likely seen a few links to articles or videos Dr. E has posted on his website, www.themanualtherapist.com. Today, I would like to officially announce the partnership between Henley Sports Performance and The Manual Therapist. Dr. E has taken the time to answer a few questions for my readers about The EDGE and OMPT in general.

I need to be honest, I’ve been looking forward to this partnership ever since I received my EDGE in the mail. It’s an amazing tool that I use all the time on myself. Can you explain who should be using The EDGE and relate it to the other soft tissue manipulation tools on the market? 

Dr. E: Thanks Drew! This is an exciting opportunity! I designed the EDGE to be used by any health professional who is licensed to perform soft tissue manipulation on a client. The practices acts may vary from state to state, but that includes physical therapists, chiropractors, massage therapists, athletic trainers, occupational therapists, and osteopaths. Some in the Sports Performance world have purchased it for self treatment, which is fine, but I always recommend being evaluated by a health professional, particularly one who specializes in manual therapy for anything more than self treatment of simple tightness or limitations in movement.

There are definitely a lot of tools on the market, including a direct copy of mine. I originally designed it to be a versatile system, an all in one that was easily pocketable, relatively light, but high quality stainless steel. I believe the price is not the only value you get with the EDGE. The main thing I can offer is a willing evolution and open source community. I am always looking for feedback and evolving the shape/design every 1-2 iterations of it. I can also offer something my competitors don’t, which is regular and updated instructions and videos, even by request on my blog, facebook, and twitter pages. I use it daily, on all types of patients, from head to toe. I also teach courses in it locally in Buffalo, NY, or in house if your facility prefers.

I can say I’m very pleased and impressed with mine. So other than The EDGE, what methods do you use with your patients to facilitate recovery?

Dr. E: I have several certifications which lead to my specialization. I am credentialed in Mechanical Diagnosis and Therapy, by the McKenzie Institute USA, and also a Fellow of the American Academy of Orthopaedic Manual Physical Therapists. Much of my caseload is spinal, headaches, followed by general orthopaedic conditions. I try to combine the best of what the literature reports as effective and valid, like MDT for the spine, spinal manipulation, and stabilization with what actually works clinically, like soft tissue manipulation. I use both functional or movement based release, and instrument assisted release for “issues in the tissues.”

Other than hands-on work with clients, you work with several universities and students, correct?

Dr. E: Yes, I teach for 3 doctor of physical therapy programs, D’Youville College (my first alma mater before doctorate), Daemen College, and State University of New York at Buffalo. I also teach and mentor post-graduate physical therapists for the Orthopaedic Manual Therapy Fellowship programs at Daemen College, the McKenzie Institute USA, and Evidence in Motion. In addition, I am working on starting up a certificate in Orthopaedic Manual Physical Therapy at D’Youville College, and also teach continuing education courses in Neurodynamics, Spinal Manipulation, Comprehensive Soft Tissue Manipulation, and Temporomandibular and Craniofacial Pain.

You also run your site and maintain an incredible YouTube channel (which can be found here, it is an amazing resource for anyone who works on the human body and improving movement). Is there anything I am missing?

Dr. E: Well, I have a consultation practice within Rose Physical Therapy, owned by my good friend and former mentee Dr. Terry Rose, DPT, MS, FMS, FAAOMPT. We work very synergistically and have a blast daily! Both of us decided to go out on our own after working in management positions for 10+ years just about 1 year ago. The businesses are both doing well!

It seems as though much of your work is improving tissue quality to correct imbalances, deficits, etc. What can individuals do to maintain healthy tissue quality? 

Dr. E: It is! Although “issues in the tissues” are just one part of the problem. We look for dysfunction in the entire neuromusculoskeletal system. That being said, movement is key. The average person bends forward thousands of times a day. They also spent much more time sitting than standing. Get up and move! Try not to sit for more than 30-45 minutes. Get up and backward bend at your waist 10 times/hour. Sit upright, like everyone says their mother told them too (only she slouched too!) If everyone sat upright and moved more often, there would be a lot less general headache, neck, and lower back pain.

For the athletes, train globally and functionally. Seinfeld actually said it best “Lifting weights only makes you better at lifting weights.” Rest appropriately. Static stretching has pretty much been disproven to decrease injury, and some studies show may possibly decrease performance. However, early evidence shows dynamic stretching may be effective. Get screened by an FMS expert for injury risk assessment. Go to a manual therapist for evaluation at any signs of pain that can’t be helped with movement or form correction. Hydrate often!

More importantly, how do you think manual therapy and sports performance/strength & conditioning work together to reduce overuse injuries and maintain physiological balance? Athletes and people in general perform better when we are free of pain and in a state of homeostasis, what do you notice is lacking from individuals and their exercise programs?

Dr. E: I would say the average consumer or patient ends up on the wrong end or even the top of the bell curve. There is a bell curve in all professions.  What is lacking in both avenues, rehab and performance training is a “no pain no problem” attitude. Dysfunction and poor movement does not always equate to pain until it’s too late. In an ideal world, a physical therapist would screen at least annually, similar to a primary care physician. If we had “well visits” most likely a lot of overuse and postural based muscle imbalances could be prevented.

What is lacking in both professions are really science based programs and 1:1 personal sessions that base the patient’s or athlete’s program on them as individuals. It requires commitment on both ends. Training, and rehab, which are really just aspects of the same thing, but on different ends of the spectrum, require both parties to participate. Goals take work and there are no magic cures.

My colleague said at the FMS course that your average physical therapist doesn’t take the patient far enough. Referrals work both ways and once we get our patient pain free, it is certainly appropriate to send them on for further strength and/or performance training with a qualified trainer if you as a therapist do not have the facility, time, or training to do so. Both professions can learn a lot from one another!
 
I couldn’t agree more. It’s important for therapists and strength & conditioning professionals to have connections that allow the transfer of patients. I have been fortunate to work with excellent physical therapists and athletic trainers with whom I was able to transfer care with ease.  When an athlete I trained gets injured, I send them directly to the medical staff and once they are able to return, the PT/ATC trust me to correct the underlying problem. Without effective communication and transference of patients, there would be a lot more recurring injuries.
 
Thank you again for taking the time to inform my readers on your side of the industry. Keep the great information coming Dr. E!

Please be sure to visit Dr. E’s website at www.themanualtherapist.com and all the resources he provides. You can also see his most recent posts here, in the sidebar to the right. 


In addition to this new partnership, I am proud to announce I have successfully completed my NASM-CES certification and will provide details on the credential and my thoughts of it in the future. As always, if you have any questions, comments, or requests, please feel free to contact me at any time.
All the best,
 
Drew Henley, CSCS, USAW, CES
480-241-4112
Drew@HenleySP.com
Twitter.com/DrewBHenley
YouTube.com/DrewBHenley 
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Articles & Videos You Should See 11-14

I hope everyone had an enjoyable weekend for the holiday and showed their support for all those in our armed forces for their sacrifices they have made to allow us to enjoy our way of life. Here are this week’s Articles & Videos You Should See.
Articles
Resistance Training vs Static Stretching – In sports where flexibility is at a premium (swimming, gymnastics, baseball pitchers, etc.), it can be difficult to convince athletes to participate in weight training. They fear that the strength gains somehow come at the cost of their flexibility. This study will give you something tangible to get them into the weight room.
This Christmas Help an American Business – This is NOT a sales pitch of any sort. It is actually a great message and way to give during this holiday season that not only provides a service to your loved ones, but also helps others in your community by supporting local businesses. I will certainly be incorporating this into my holiday shopping this year.
The One Arm Press – I’m a big fan of unilateral training, especially single arm presses (great for hitting the core as well as smoking your shoulders). I’m not saying they should be in every program, but Dan John does a good job describing his method and use of the exercise.
Technique Highlight: SLR with Traction – An…interesting technique for improving hamstring flexibility and ROM of the hips. But Dr. Erson Religioso makes a point of reserving it for clients or athletes you’re sure can handle the technique. I’ve always been intrigued by the use of traction in therapy and this is another reason why.
Thoughts on the FMS Level 1 – Another appearance by Dr. E, this time his thoughts after attending the Functional Movement Systems seminar. I have used some of the aspects of the FMS in assessing athletes, but have not yet had the pleasure of attaining the certification. It is certainly on my list, right after I finish studying for the NASM CES advanced specialization. I liked his recognition that this industry needs the collaboration of all areas – strength & conditioning, physical therapists, ATCs, and doctors – in order to thrive.
The Myth of Symmetrical Programs – Great post by Mike Robertson on program design. To oversimplify it into a single sentence, programs should only be balanced if the athlete is balanced to begin, otherwise the goal is to ATTAIN balance. I highly recommend taking the link regarding row and bench as counterparts, lots of good information in there as well.
Videos
Hands On Neutral Spine – If your athletes are having problems with their deadlift technique, specifically rounding the back, Tony Gentilcore provides a great training tip. Have the athlete slightly bend the knee, then lower their shoulders until they rest with their hands on their knees. From this position, have the athlete lower their hips and shoulders at the same rate.
Volleyball Practice Warm Up and Strength Training – Great video by Joe Bonyai. I especially liked the mobility drills he has throughout the clip and would recommend most sports (not just volleyball) utilize them in their programs.
All the best,

Drew Henley, CSCS, USAW

480-241-4112

HenleySportsPerformance.blogspot.com

Twitter.com/DrewBHenley

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