APPLICATION OF THE EXOS MOVEMENT-BASED METHODOLOGY OPTIMIZING MOVEMENT QUALITY KEY EVENTS IN OUR HISTORY 2009 Core Performance opens first Corporate Performance Centers with Intel & Google 1999 Athletes’ Performance founded by Mark Verstegen opens in Tempe, AZ 2005 Start of relationship with German National Soccer team in preparation for 2006 World Cup 2007 Argentina Rugby 2014 2012 AP trains 14 NFL 1st Rd picks 2011 EXOS brand launch 2013 Fast Company – Most Innovative Company in Sports NFL Players Association The Trust Program 2011 Intel IRB study published 2003 Athletes’ Performance – opens at the Home Depot Center in Carson, CA 2006 AP begins providing solutions to the Military 2008 CPRO & CPESD invented 2010 Chinese Olympic Federation 2011 2013 Mayo Clinic AP begins working with US partnership National Men’s Soccer Team 2011 2013 Selected as sole Human Performance Provider for U.S. Special Operations Forces as part of Preservation of the Force and Family (POTFF) program Series D 2 Provide the finest performance systems, specialists and facilities seamlessly integrated to efficiently and ethically enhance our athlete’s performance 4 TRAINING SYSTEM - GOALS Improve performance 5 Improve Performance Training goal Force Velocity 6 PILLAR PREP MOVEMENT PREP EXOS TRAINING SYSTEM PLYOMETRICS MOVEMENT SKILLS REGEN ESD MEDICINE BALL STRENGTH & POWER 7 TRAINING SYSTEM - GOALS Improve performance Decrease injury potential 8 SHOULDER HIP SPINE KNEE ANKLE Knee Pain Is it always the knee’s fault? 9 Musculoskeletal Regional Interdependence Force propulsion Force absorption 10 POSITION Absorption Left Humeral Extension - IR Left Scapular Adduction Left Thorax Rotation Left Hip Flexion - IR Left Knee Flexion w/ Tibial IR Left Ankle Dorsiflexion Ankle Dorsiflexion POSITION Propulsion Right Humeral Flexion - ER Right Scapular Abduction Left Thorax Rotation Right Hip Extension - ER Right Knee Extension w/ Tibial ER Ankle Dorsiflexion Right Ankle Plantar Flexion Human Movement Consider all the variables 13 Decrease Injury Potential Base position, high split, low split, single leg stance Posture Progressively working towards full weightbearing Input Modifying the environment to improve coordination or develop capacity Full Weight-bearing Partially vertically loaded Suspended, spine loaded horizontally Supine, prone, side lying Kneeling Quadruped Non weight-bearing 14 Decrease Injury Potential Capacity – transitioning into higher level movements such as those within the XOTS Increase Complexity No load. The assist from before is removed as a challenge to the Neuromuscular system Load is applied in an effort to assist in the coordination of an action from proximal to distal Posture Progressively working towards full weightbearing Input Modifying the environment to improve coordination or develop capacity Neutral Assisted 15 TRAINING SYSTEM - GOALS Improve performance Motivation through education Decrease injury potential 16 Motivation Through Education Unconscious Incompetent Conscious Incompetent Conscious Competent Unconscious Competent Noel Burch: 4 Stages of Competence 17 TRAINING SYSTEM - GOALS Improve performance Decrease injury potential Motivation through education Produce results 18 Improve performance + Decrease injury potential + Motivation through education Produce results 19 Client-centric approach Client Seamless Integration Injury Training Rehab Life Strength Coach Rehab Specialist POSITION PATTERN POWER FUNDAMENTAL IDEA SKILL Subjective complaint PERFORMANCE MOVEMENT COMPETENCY Objective findings Correlate objective findings with the subjective complaint 22 FUNDAMENTAL IDEA SKILL SKILL PERFORMANCE POWER MOVEMENT COMPETENCY PATTERN POSITION ‘Movement Competency’ is comprised of both local biomechanical joint / segment contribution (position) and the coordination of movement (pattern) 23 FUNDAMENTAL IDEA POWER Capacity PATTERN Fundamental Movement POSITION Restorative Input 24 FUNDAMENTAL PATTERN ASSESSMENT HISTORY Two eyes Two ears One mouth What should it look like? What does it look like? BASE LEVEL SCREENS Rule out structural pathology Rule out neurological pathology BASE LEVEL SCREENS Rule out structural pathology EXOS PILLAR PREREQUISITE ASSESSMENT Why? Joint Dynamics (JD) Tissue Compliance (TC) Neuromuscular Control (NMC) 25 FUNDAMENTAL PATTERN ASSESSMENT HISTORY Two eyes Two ears One mouth What should it look like? What does it look like? MOVEMENT ASSESSMENT What should it look like? What does it look like? BASE LEVEL SCREENS Rule out structural pathology EXOS PILLAR PREREQUISITE ASSESSMENT Why? Joint Dynamics (JD) Tissue Compliance (TC) Neuromuscular Control (NMC) 26 FUNDAMENTAL PATTERN ASSESSMENT should it look like? DETERMINE HISTORY WHY MOVEMENT LOOKSWhat What does it look like? Two eyes Two ALTERED ears One mouth View movement (consistent or inconsistent expressions) through 3 lenses: BASE LEVEL SCREENS Rule out structural pathology 1. Removal of segments 2. Weight bearing vs. non-weight bearing 3. Active vs. passive range of motion EXOS PILLAR PREREQUISITE ASSESSMENT Why? Joint Dynamics (JD) Tissue Compliance (TC) Neuromuscular Control (NMC) 27 FUNDAMENTAL PATTERN ASSESSMENT HISTORY What should it look like? What does it look like? Two eyes RESULTS LEAD TO 1 OF 2 CONCLUSIONS Two ears One mouth 1. Neuromuscular control dysfunction 2. Joint dynamics and/or tissue compliance dysfunction (this warrants further EXOSlocal PILLAR PREREQUISITE biomechanical testing) BASE LEVEL SCREENS Rule out structural pathology ASSESSMENT Why? Joint Dynamics (JD) Tissue Compliance (TC) Neuromuscular Control (NMC) 28 FUNDAMENTAL PATTERN ASSESSMENT HISTORY What should it look like? What does it look like? Two eyes NEUROMUSCULAR CONTROL | JOINT DYNAMICS | Two ears One mouth TISSUE COMPLIANCE BASE LEVEL SCREENS Rule out structural pathology = A movement diagnosis. EXOS PILLAR PREREQUISITE ASSESSMENT Why? Joint Dynamics (JD) Tissue Compliance (TC) Neuromuscular Control (NMC) THE WHY 29 DESIGN WITH GOALS IN MIND Target ‘the why’ to affect required change at local biomechanical joints, fundamental pattern components, and fundamental patterns 30 EXOS PT Framework 31 How do we get there? Remove barriers locally Restore Fundamental Patterns Bridge to skill/life Bridge to XOTS Restore Global Movement Themes Complexity Capacity Fundamental Movement Restorative Input Rehab Specialist Strength Coach 32 SYSTEMS Organize the tools Create a common language 33 THANKS [email protected]