loaded movement training for the post natal clientexhibition+ser… · 1. supports/stabilizes the...

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Loaded Movement Training For The Post Natal ClientAuthor + Tutor: Jenny Burrell BSc (Hons), Dip SMRT, WHNC

Head of Burrell Education, UK.


Why Loaded Movement Training In The Post Natal Period? Because

Moms Are Athletes….


What do moms do all day??

Squat/Crouch

Walk/Lunge

Push

Pull/Drag/Reach + Carry

PullBend Over

Rotate

Balance

Move From Floor To Standing


Why Loaded Movement Training in the Post Natal Period?

• It mimmicks real l ife….it looks like what moms DO!

• It’s easy to regress/progress

• We combine strength with CV work

• It’s integrated re: the Inner Unit – unconscious Pelvic Floor Work

• Integrated Core Work in a FUNCTIONAL POSITION!!

• It’s integrated re: the Global System – nose to toes

• Facilitates easy, fun and interesting mobilization

• Facilitates easy, fun and interesting strength-work

• Returns the mom safely to ‘athlete’ mode

• Probably the most interesting tool that’s been applied to this population for a long time….


What can we help the Post Natal client with?

Fat Loss

Strength For ADL

Pelvic Floor

Abdominals

Nutrition

Vitality/Energy

Support System

Recovery Mindset

Is your service

really speaking to

the needs of your

clients? Are you

solving as many of

their problems as

possible?


Fat Loss, Mental Well-Being, Energy, Nutrition & Hormonal Balance


Rectus Diastasis, Core Function & Abdominal Tone


The Pelvic Floor Muscles – Form + Function


The Roles of the Pelvic Floor

1. Supports/stabilizes the pelvic organ outlets.

2. Supports/stabilizes the pelvic organs against prolapse.

3. The fascial layer connects both locally and globally to the entire myofascial/musculoskeletal system.

4. Function is under the control of both the Parasympathetic and Sympathetic nervous system.

5. It has a role in sphincteric closure and release to prevent or aid bowel movements, urination and release of gas.

6. When functional, helps to resist intra-abdominal pressure.

7. Has a role in sexual function and plays a role in arousal/orgasm.


How Has Tensegrity Been Altered?


Post Natal Biomechanical Considerations

• Foot proprioception may stil l be altered

• Centre of Gravity/Mass has altered

• Rapid change in weight and size and then loss of weight

after birth

• Stil l potential for hormonally driven joint laxity/instability

• Deconditioned Musculoskeletal System and CV

• Greater potential for fatigue and lower capacity for

‘athletic’ work.

• Low rest = high cortisol!


Dynamic Integrated Mobilization - 21st Century ‘Stretching’ For The

Post Natal Client


Typical Post Natal Natal Ailments/’Issues’

• Diastasis

• SUI

• Recovery from tears and lesions

• Prolapse

• Low + Thoracic Back Pain

• Upper + Lower Crossed Syndrome

• Knee Pain

• QL Pain

• Glute Amnesia

• Anterior + Lateral Hip Restrictions


Typical Post Natal Natal Ailments/’Issues’

• Anterior + Lateral Hip Restrictions

• Rib Pain

• Foot Pain

• Anterior Low Leg Pain

• Quad Pain

• Piriformis Pain

• Symphysis Pubis Pain

• Carpal Tunnel Pain

• Faulty Breathing Strategy

• Poor Intrinsic Core Synergy®


Integrated Pelvic Floor + Core Training For The Post Natal Client


Kegels vs Movement Study,

2011


Progressing Integrated Functional Training For the Post Natal Client

• The Kegel

• The Breath

• PF Visualization

• Tension – Already has increased tension throughout the

local and global systems

• Add Purposeful Movement – Looks Like ADL’s

• Increase Dynamic Nature of the Movement + Add

Locomotion


Key Mobilizations For All The Myofascial Lines

• Inverted Feet Sagittal Tilt

• Dynamic Adductors Release with Sagittal Tilt

• Everted Feet Frontline Release with Sagittal Tilt

• T-Step and Shift

• Split Stance Lateral OH Reach with Sagittal Tilt

• Yoga Thoracic Waves (Handle Holds)


Key Integrated Functional Movements – With Adaptations For The

Diastasis and PF ‘Aware’ client

• Integrated, ‘Tensioned’ Training Squat

• Squat and Cyl inder Li f t progress to add step when core is ready to be loaded

• Modif ied Squat and Thread The Needle – progress to ful l when cl ient is restored.

• Lateral Ti l ts – OH/UH

• Front Carry Hold – Squats, Anterior/Posterior /Lateral Lunges

• Sagittal Ti l t Storks – make ‘high’ or regressed to Pranks

• Lateral Step + Shoulder Height Ti l t – remove for Diastasis cl ient

• Ice Skaters – unload i f load is inappropriate

• Walking Lunge + Drag – unload to normal walking lunge i f inappropriate

• Squat, Fl ip + Jog – Progress with speed

• Deadli f t + Shift – regress to mega or resistance band or f loor bidgewith adduction


Creating a Post Natal ‘Circuit’ Class – Be Aware Of………………

• Building PRESSURE through the core

• Speed

• Complexity

• Load

• Lever Length

• Rotation if the client has Diastasis

• Work Time vs Rest Time – don’t exhaust

• How the client feels after the session

• Hydration – esp if breastfeeding

• Building a Community – Leave Time To Talk


Contraindications and Signs to Cease Post Natal Exercise

• Post Natal bleeding that resumes after cessation

• Dyspnoea before exertion

• Dizziness

• Headache

• Chest pain

• Muscle weakness

• Calf pain or swelling (need to rule out thrombophlebitis)

• Prolapse symptoms


Can we apply EPOC + HIIT Principles to the Post Natal Client without

doing BURPEES??

• 100%

• We ‘rule the tool’

• Alter work versus rest periods

• Alter complexity of the movement

• Alter the speed of the movement

• Add low to high movements

• Add progressive external loading

• Increase time under tension

• Focus on the eccentric phase


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loaded movement training for the post natal clientexhibition+ser… · 1. supports/stabilizes the...

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