I’m a big fan of the joint by joint approach as a basic understanding of how the joints in the body interact for movement. As a refresher the joint by joint approach was popularized by Gray Cook and later Mike Boyle. It basically identifies our body as a system of joints that either require more stability or more mobility for optimal function. I’ve written quite a bit about it in the past, if you’re interested click HERE. Using the shoulder as an example:
Now, there’s a lot of good information that can be gleaned from this approach. For the most part I agree with the joint by joint approach. However, when it comes to rehabilitation of the athletes I see some of these basics principles fall apart. Here are a few examples:
I can think of a few examples off the top of my head where endurance and strength are a major requirement for the thoracic spine when training (Think coming out of the hole in a clean). It also gets a bit wishy washy when we start talking about which muscles need a mobility intervention vs. a strength intervention.
In this month’s Insiders Webinar I went through the shoulder throughly and talked the specific needs of the shoulder and local joints as it pertains to our population. What does the shoulder need in order to perform olympic lifts, power lifts and basic gymnastics movements. What do we need to rehabilitate, get back to our activities and stay healthy?
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Daniel Pope, DPT, OCS, CSCS
5 Great Exercises for Strong and Resilient Shoulders
Fitness Pain Free Podcast Episode 25 – The Joint by Joint Approach for the Upper Body
Fitness Pain Free Podcast Episode 24: Introducing the Joint by Joint Approach – Lower Body and Lumbar Spine
How to Put Together a Mobility Program for Athletes
Evidence Based Guide to Eccentrics for Mobility
How to Tell the Difference Between Mobility, Technical and Strength Issues When Someone Has Poor Technique
How Often Should I Stretch?
The Best Manual Techniques to Improve Overhead Mobility