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An Open Letter to Crossfit: The 2 Mistakes (Part II)

By dr on November 1, 2014

Be sure to check out Part I for my thoughts on Crossfit and Mistake #1. Continue reading “An Open Letter to Crossfit: The 2 Mistakes (Part II)”

Posted in Patients, Professionals | Tagged assessment, Biomechanics, Prevention / Recovery, Shoulder | Leave a response

Everything is Moving Proximally

By dr on February 4, 2014

In the past 10-20 years there has been a trend towards stabilizing the proximal joint.  Everything seems to be going more and more proximally.  And this is a good thing!  It is providing us with better outcomes and quicker pain free rehabilitation.

If you look at the knee joint you can see the progress.  We’ve gone from isolated patella mobs and VMO strengthening to hip strengthening.  And now we are going even further up the chain and looking at lumbo-pelvic complex.

The same thing is happening with the shoulder.  We’ve gone from isolated thera band ER/IR to scapula stabiliztion.  And now we are going even further and looking at the thoracic spine and ribs.

And if we go just 1 step further at both joints we end up where it all began in the first place…the core. Continue reading “Everything is Moving Proximally”

Posted in Professionals | Tagged assessment, Core, Hip, Lumbar, Pelvis / Sacroiliac, Prevention / Recovery, Shoulder | Leave a response

The New Overhead Concept (Part II)

By dr on November 1, 2013

In Part I you learned the concepts behind upward rotation and the overhead shoulder.  This article builds off of these concepts and will show you how to properly assess and treat for the overhead shoulder.

I cannot emphasize enough how important a thorough assessment is before prescribing overhead shoulder exercises.  Without an assessment to determine any impairments or movement dysfunctions you will not be able to properly prescribe the correct exercises.  Before someone starts overhead movements you should make sure they’re clear in all of the overhead shoulder characteristics (Part I).  Failure to do so could result in injury. Continue reading “The New Overhead Concept (Part II)”

Posted in Professionals | Tagged assessment, Shoulder | 5 Responses

The New Overhead Shoulder Concept (Part I)

By dr on October 1, 2013

Traditional Down & Back

At this point we all know the importance of a stable and strong scapula for shoulder function.  Almost every PT, athletic trainer, and personal trainer trains the shoulder with a “down and back” cue.  This cue allows for a better stable position of the scapula and enables the rotator cuff to work more effectively.  Kolar has summed this concept up in a single sentence: Continue reading “The New Overhead Shoulder Concept (Part I)”

Posted in Professionals | Tagged Biomechanics, Prevention / Recovery, Shoulder | 2 Responses

Quadruped

By dr on June 1, 2013

The quadruped position is a very important developmental posture.  From this posture we learn to crawl and transition to half-kneeling (which then transitions into standing).  Through this posture we develop core, shoulder, and hip stability, learn reciprocal UE/LE motion, and begin to control our spine through our weight-bearing extremities.  The quadruped position has many details that are often lost or forgotten when training.  Mastering these subtleties and progressing within the edge of your ability will lead to a great effect on your stability. Continue reading “Quadruped”

Posted in Professionals | Tagged assessment, Cervical / Neck, Core, Hip, Lumbar, Pelvis / Sacroiliac, Prevention / Recovery, Shoulder | Leave a response

Breathing – Part I – Anatomy & Mechanics

By dr on February 1, 2013

The average person takes about 21,000 breaths a day.  This makes it one of the 3 biggest aspects of our patients life that we can have a profound effect on (other 2: posture & walking).

This post will discuss the holistic effects of breathing, anatomy, and the important cascade of events for proper breathing and inner core stabilization. Continue reading “Breathing – Part I – Anatomy & Mechanics”

Posted in Professionals | Tagged Biomechanics, Core, Hip, Lumbar, Pelvis / Sacroiliac, Prevention / Recovery, Shoulder | Leave a response

Subacromial Space

By dr on July 27, 2012

Regardless of the patho-anatomical etiology, most shoulder injuries involve a disruption in the delicate subacromial space (SAS).  Once this space is altered the structures (joint capsule, articular cartilage, rotator cuff, biceps tendon, bursa) have increased risk for damage and misuse.  This also leads to subsequent changes in muscle length-tension relationships, arthrokinematics, and motor patterns. Continue reading “Subacromial Space”

Posted in Professionals | Tagged Shoulder | 6 Responses

Shoulder Stability – Dynamic Stabilizers (3 of 3)

By dr on December 28, 2011

Dynamic Stabilizers of the glenohumeral joint include the contractile tissues and the associated sensorimotor system involved with proprioception, kinesesia, and the sensation of resistance.  For optimal shoulder stabilization the dynamic stabilizers must be working in an efficient synergistic fashion. Continue reading “Shoulder Stability – Dynamic Stabilizers (3 of 3)”

Posted in Professionals | Tagged Shoulder | Leave a response

Shoulder Stability – Static Stabilizers (2 of 3)

By dr on November 14, 2011

Static stabilizers are the non-contractile tissue of the glenohumeral joint.  They are very important in shoulder stability at end-range ROM and/or when there is a dysfunction of the dynamic stabilizers.  These static stabilizers set the base of support for the shoulder joint. Continue reading “Shoulder Stability – Static Stabilizers (2 of 3)”

Posted in Professionals | Tagged assessment, Shoulder | Leave a response

Shoulder Stability (1 of 3)

By dr on October 4, 2011

The shoulder is one of the most complex joints in the human body.  It has an amazing amount of inherit mobility, which in turn requires an adequate about of dynamic and static stability to function.  Then if you consider the manner in which we use our shoulders and the lack of anatomical support, it’s easy to see why Continue reading “Shoulder Stability (1 of 3)”

Posted in Professionals | Tagged Shoulder | 2 Responses

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What I do

Aaron works with individuals to help them rehab from injuries and achieve their physical goals.

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Phone: 865-414-0572

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History

Aaron's life-long passion for athletics lead him to study Exercise Science and Athletic Training at the University of Tennessee before obtaining his Doctorate of Physical Therapy at NYU.