Movements Afoot’s Blog
A BodyMind Think Tank – Taking fitness to the next levelArchive for May, 2008
SI Dysfunction
by Lesley Powell
“I have a training question for you. I have a client that has come to me with SI Joint problem. She is seeing a doctor who wants her to get an injection to diagnose it and at this point doesn’t know of any underlying cause for it.
I want to know what movements and exercises will be best for her. Should I work to strengthen the muscles around the SI joint? Also she is a fitness instructor who is pretty flexible & mobile in her joints. Is there anything I can do to bring some sort of stability to her ligaments/joints etc?” BBU Student
I have SI Dysfunction. I primarily got it from my dancing. Especially dancers and gymnasts are prone to this because of movements of extreme range such as splits, arabesques and attitudes can stretch the ligaments of the sacrum.
Lumbopelvic stability is essential and relieving for this condition. I have to work on this all the time. Pre-Pilates, BBU movement principles and/or Bartenieff Fundamentals(tm) are great to address this.
- Pelvic clock. Observe in 6-12 how both sides of the pelvis/sacrum is sequencing evenly on the floor. Sometimes the pelvis is rotated. The pelvic clock can educate your preferences of movement of the pelvis. Put attention to the sides not grounding as well.
- Pelvic floor, transverse abdominal & multifidus training
Thigh lift/toe taps/marching Look how they lift their legs. Many people are not gliding the thigh bone in the hip socket well. This will give the appearance of hip hiking or tightening around the femoral fold. 
Foam roll training is great for this.
It also addresses the stability of the legs. Other ideas on foam rolls- Bridging- getting the legs to do the work. Observe if the hips rise at the same time.
neutral bridging-pelvic shift forward
pelvic shift lateral-typewriter, figure 8’s, bridging with thigh lift - Sometimes mobility exercises such as full short spine are not great for my sacrum.
- Observe how they do foot work and standing. Is their weight on the outside of the foot. Training of the medial lines of the legs are also helpful.
Ohhh the scapula comin around the ribcage.
by Lesley Powell
Freeing the shoulderAn article about the shoulder-
Upper and downward rotation of the scapula can be a confusing anatomical term.
The term is about the placement of shoulder blade on the ribs in movement. Upper rotation is the healthy movement of the scapula following the lift of the arm in the front sagittal plane. The tip of the scapula will follow the direction of the hand moving up in space. The inferior border of the scapula (the lower tip of the shoulder blade) moves forward to the armpits and then up around to the front ribs. Downward rotation of the shoulder blade follows the movement of the arm sagittal back in extension of the shoulder. The superior border of the scapula moves up over the shoulder when the arm extends backwards.
HUMERUS-SCAPULA PUSHUP
To start
- Lie prone with a foam roll or a prop (bolster, blocks, books, etc.) under your thighbones.
- Your weight is on your forearms parallel with the humerus bone right under your shoulder socket. If you have a tendency to use your Lats too much, place the elbow slightly in front of your shoulders.
The movement
- Allow the shoulder blades to come together. You will feel slumped. Keep your head in line with your spine. Remember this is about the scapula moving not the spine.
- Press down on the forearms. Feel how the lateral border of each scapula revolves around the armpit towards your front ribs. The tip of your scapula moves towards your elbow. Observe how the clavicle is rolling over your shoulder. The length between your armpit and hips remain the same.
- Repeat three more sets
Observation
- Were you able to maintain your spine in neutral as your scapulae gliding together and apart? Did the clavicle remain wide the entire time? Were the ribs under the clavicle and the armpit remain the same distance apart?
Level II Scapula – full extension of the arm
The movement
- With weight on your parallel forearms, Allow the shoulder blades to come together maintaining a good head-tail connection
- Press the forearms into the floor. Feel the tips of each of your shoulder blades reach to your elbows. The space between your scapulas is wide with your spine in neutral.
- Lift your elbows off the floor while maintaining the stability of the scapula on the ribs. Keep the reaching of the connection of the tips of the shoulder blades to the elbow. You want to feel a line of reach from the tip of your scapula to your elbow to the hand. This is the hand scapula relationship.
- (Optional – if you were able to maintain the upper rotation of the scapula with straightening your arms, try this) Lift of your right hand off the floor by reaching the tip of the scapula more in upper rotation. Both shoulder blades should remain wide on the back ribs.
- Place your right hand back to the floor. Maintain the shoulder blades adhering gently around the ribs.
- Repeat to the other side.
Observation
As you improved the scapular connection, did you feel how it changed the length of your ribs? How did your ribs changed when you fully extended the elbow?
Cues for the Shoulder
by Lesley Powell
Ohhh the scapula comin around the ribcage.
Ohhh the scapula comin around the ribcage.
Ohhh the scapula comin around the ribcage.
Hee Haw
Freeing the Shoulders to Connect to the Core , an article in Pilates Pro, I go over how the bones of the shoulder girdle move. I always in my lesson plans with clients, am teaching them about their bodies.
“Embodied Anatomy improves function” Eric Franklin
One of the first things that I teach is how the scapula glides. When the scapula moves properly, you will solve many problems why the shoulders are up and tense. You will also improve the connection to the anterior serratus.
The movement
- Begin to raise your left elbow to the ceiling, feel the shoulder blade gliding wider on the ribcage. Gradually rotate the humerus bone outward so the entire left arm bent is now facing the wall in front of you. Reach the left elbow to the ceiling to help abduct the scapula more.
- Glide the scapula in more upper rotation and gently increase the outer rotation of the humerus bone to bring the left elbow over your head. The arm stays in the same plane as the scapula and gradually rotates more outward. For most, this will bring your elbow in front of your ears. (To get the elbow in line with the torso, one has to improve the mobility and the mechanics of the scapula).
- As if you were running the film backwards, return the arm back to your hip paying attention to the gradual rotation of the arm and the scapula. When the arm returns to the hip, the arm is slightly inwardly rotated.
- Repeat 4 more times
- Reverse to the other side and other arm
Now try a full arm circle. Can you initiate the movement from the shoulder blade? If you have a partner, let the partner place their hand on the shoulder blade to assist in its gliding. Do not worry about depressing down right now. See if you can get the tip of your scapula to make a small circle around your ribcage. As the scapula follows the curves of the ribcage, many of the problems of the shoulders can be solved.
Next week: Anterior serratus training.
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