Shirley Sahrmann, author of the slammin’ book Diagnosis and Treatment of Movement Impairment Syndromes talked mainly about lower back pain it’s correlation with the hips. It goes hand-in-hand with the joint-by-joint approach that we all should follow. I just want to say that being around the keynote speakers this past weekend would be (and is) as if you are talking with “thee” most bright people in any field. There is nothing like it. Anyways, basically, not having enough mobility at the hips causes compensatory unwanted motion at the lumbar spine. Relative flexibility is a term that most people should come familiar with. It means that one segment of the body can become more “eager” to move than another. One example could be someone who flexes their shoulder (raises their arm overhead) and their low back extends (most likely hyperextends) rather than their shoulder reaching through to its end range. Since their lumbar spine is more flexible than their lat, this compensation occurs.
How does this play into pain and terrible movement impairments? The hips should be relatively more flexible, more readily to move in order to keep hip flexion…hip flexion not lumbar flexion. At the beginning of hip motions the spine should be kept stable, which can depend on motor control and relative flexibility. The take home is that when the spine is relatively less flexible than the hips, there is a reduction in the repetitive stress and degeneration to the vertebral disks and joints.
My mind is running wild just thinking about how awesome the Boston Hockey Summit was. Because of that, I think that I best keep it simple.