We are going to talk about the important of bridging and how to do it correctly.
How we use our legs is very important for posture, moving and helpful in backcare. Bridging is very helpful as the building blocks for better understanding of how the legs need to be strengthen.
When someone comes in with back pain, I look at their bridging.
Many are weak in the legs.
They compensate with their backs to initiate the movements of the bridge.
Our lack of understanding of the correct use of our legs creates different kinds of POSTURE.
First of all, the legs are not under-standing the relationship to the pelvis. When there is a poor tailbone-heel connection, the legs and feet work unevenly to support our upper bodies. For many, one tucks to bring the pelvis over the feet and pulled the front ribs down to solve the problem of a poor head-tail-heel connection.
So we are going to look at types of bridging and how to use them in your warmup.My teacher, Irmgard Bartenieff, created a great concept about the neutral bridge. The Bartenieff Fundamental, the pelvic shift forward, is a bridge with the spine neutral. The legs lift the pelvis up. The pelvic shift forward relates how we use the legs to move and support the pelvis.
Pelvic shift forward is a concept of how the legs and the pelvis influence the weight shift. The best example of this is our gait, walking. The pelvic shift forward is our getting from sitting on a chair to standing. The pelvis and the legs influence our moving forward in space. Our hips have to go through hip flexion and extension to propel us through space.
Poor posture and gait diminishes proper shifting our weight forward for simple actions. This poor action forces our upper bodies to shift us forward to walk.
The pelvic shift forward is a different bridge than the articulating bridge with the pelvis begins in posterior tilt. The articulating bridge is about the sequencing of the spine. For some clients with certain back injuries or spinal osteoporosis, articulating bridge is not recommended. The articulating bridge for a healthy spine is a great exercise of opening the back.
To extend the hip through the legs, one uses the hamstrings and depending on the force needed, the gluteals. We only think of the gluteals as of squeezing the buttocks. This is primarily the gluteal maximus and the fibers closer to the gluteal cleft.
Tucking occurs when both sides of the gluteal maximus are fired at the same time. In gait, we are firing one side of the gluteals at a time depending on the gait cycle. Recent research has proven the gluteals are being used to assist us in standing and moving on our legs. There are other sections of the gluteals we want to put our attention to. These muscles are the attachments to the femur on the side of our hips. The gluteal medius, gluteal minimus and the lateral fibers of the gluteal maximus help us to stabilize on one leg. The gluteals help us extend our hips especially in larger forces needed as in walking up stairs, changing levels such as a deep lunge to standing and standing on one leg. The tone needed to extend the hip is very different than in tucking.
Here’s my client question: 43 year old former dancer (ballet) and gymnast Runner in her late 20’s until recently when she has been sidetracked by hip bursitis. She spoke with her Doctor and Physical Therapist before starting with me. They said that she can do any type of movement provided it doesn’t cause her pain.They would prefer we don’t do extreme hip rotation.
In my visual assessment, I caught right away that she is bow-legged with hyper-extended knees and her parallel stance is not strong as she prefers turn out. Today, was our first session and we spent a lot of time on the Tower with Roll Down, Push Thru Seated Front and Circle Saw as I wanted to see core strength, rotation ability/mobility and articulation. When I got to Footwork (Bend & Stretch) I found a pattern that surprised me. I expected her to pattern her movement like I used to since I began with bow legs and hyper extended knees. But, instead of her knees splaying out, they come in and almost knock when she corrects her feet to parallel. So, we moved to Reformer Footwork and it was the same, when she pushes the carriage away, if I apply gentle pressure to her heels to “swing” them parallel, her knees “knock” inward. I put the Franklin ball between her knees to keep them apart (when, in my case, I use the ball to keep my knees more together). We then moved to bridging where I discovered the lack of hamstring strength. I focused on the hamstring connection for a while, did some pulling straps/swan and finished with mermaid. Can you offer me any suggestions? Am I on the right path? I do feel that we need to get her hamstrings stronger but will this help with the knock knee/footwork issue? Should I use something bigger than a ball, like maybe a yoga block between her knees?
Or between her ankles? H-E-L-P!! As always, thanks for you insight! Cheri
by Lesley Powell
How a client organizes in a static position can be different when moving. Watch how she organizes her body to stand on one leg. As she stands on one leg, look at the bone rhythms of the legs.
Does the foot remain stable, supinated or pronated?
Does the shins rotate inward or outward?
Does the femur rotate inward or outward?
What happens to the pelvis and spine?
She might have been doing some compensation patterns in standing to appear not knocked knee. Your working with her on creating balance in the legs is great. Be careful about pushing parallel if she can not maintain it on her own. She has been working on this pattern for awhile.
Sometimes with knocked knees, putting a block/ball between the femurs can be a poor cue. They should not be squeezing the block hard. It might be better to use a theraband tied around their thighs. The tightness of the theraband should be enough to get them to parallel not beyond.
Strengthening the abductors/rotators is important. Since her PT’s do not want her to do extreme range, keep the movements small.
Rotators – lie on the side with knees bent. Only lift knee a inch off the other leg. Or with theraband tied around thighs tightly lying on the back. Move one knee again in tiny range of motion.
Abductors – range of motion on side should not be higher than her hip
Standing – Can she stand on one leg without letting the knee knocking in?
Working on balance of all the leg muscles is important. Since she is not allowed to do range of motion, I would also teach some release techniques for lateral rotators, abductors and adductors, and feet as well.
by Doris Pasteleur and Lesley Powell
Edited by Dr. Martha Eddy
Movement is the shifting of the body’s weight on different surfaces. Different parts of the body may shift on the ground or surface. However the weight shift is the propulsion of the center of the body, the pelvis through space to cause locomotion or a change of levels and locomotion.
Building blocks: A good weight shift is the coordination of the body to (1) ground into the floor (surface) and (2) to move the body in a specific direction in space. Before we can move up, we must have the foundation of down, grounding. Grounding is a basic foundation. Without a foundation, there can be no building. Weight shift involves the coordination of dynamic alignment seen in the sequential leverage of our bones from toe to head, organized by the muscles, and accompanied by the fluids and organs moving in synchrony.
Propulsion: When a person releases his or her own natural body weight into the floor, it helps the brain estimate the amount work needed to coordinate the necessary push off to shift the body into space. Even when pulling a heavy load successfully involves having a person push her or his feet into the ground first. An improper weight shift puts undue pressure on the spine and superficial muscles of the limbs.
Pelvic Shifts: Irmgard Bartenieff divided the concept of weight shift into two building blocks of movement, pelvic shift forward and pelvic shift lateral. Of course this fundamental action includes multiple aspects, for instance the pelvic shift forward includes a pelvic shift back. A healthy gait has elements of both the forward and lateral pelvic shifts.
Weight shifts enable level changes from lying down to sitting to standing. They are the building block for locomotion – traveling across space. There is a constant changing relationship of weight shifts from one body part to another, a dynamic dance.
“What about ankles? My friend has old ankle injuries and has had little luck fixing them via surgery. I know alignment and muscle use can make a huge difference. Would it help him? Where should he start? “
Yes alignment and muscle balance can make a difference. Sometimes when there is an injury, you need to look above or below the problem. For instance, knocked-knees (valgus) usually puts the weight on the inside of the ankle. The ankle, knee and hips have to organize around this disfunction.
I have a Pilates client who has a pin in her ankle from a terrible fall. Because of the pin, she no longer has much range of motion in the ankle. I still train her feet, legs and work on alignment. Her gaining strength has made a big difference in her posture. When the foundation is weak, the entire body compensates.
A lot of bunion surgery is unsuccessful. What was not addressed is the movement patterns that caused the bunions. I highly recommend training like Pilates, yoga especially the standing poses to help build strength in the legs and torso to help with standing and walking. A good teacher can work with the limitations of an injury and help a client gain the necessary support for better function. Of course, certain injuries, such as my client with the ankle pin, will never return back to normal function. By improving overall tone, alignment and flexibility, my client has made incredible changes in function.
“One of the dirty secrets of the fitness world is that for all the talk about the importance of stretching, many athletes and other fit people don’t bother with it. It’s hard to gauge the benefits, and it seems as if the time could be better spent running, lifting weights, or perfecting sports skills. This sentiment is expressed by Dr. Bob Arnot in the foreword to “The Whartons’ Stretch Book,” and he says that the Whartons changed his mind. He went to them with a stiffened hip that he thought needed surgery, but after a regimen using the active-isolated stretching technique, his flexibility in that hip had increased 40 percent.
Active-isolated stretching is very different from what your high-school gym teacher made you do. Rather than holding a stretch for a half-minute, you hold it for just two seconds. This prevents the muscle from activating an instinctual braking device to keep itself from overstretching. Traditional stretching forces that braking to occur, and the Whartons think that’s not only counterproductive, but dangerous. If you force too deep a stretch while the muscle is doing all it can to keep itself from being stretched, something’s got to give. And a torn muscle will repair itself with scar tissue, ultimately making that muscle less flexible.”