The Pinnacle Performance Podcast 28. Zac Cupples - Exercise vs Manual Interventions, Layers of Compensations in Human Patterns, The "Pathological" Shoulder & Pelvis, Vision Considerations, & Infrasternal Angle Shop Talk
Oct 26, 2023
Physical therapist Zac Cupples discusses exercise vs manual interventions, incorporating corrective exercises in weight training, load, adaptations, and corrective exercises, L-shaped headstands as a form of inversion, and the desirability of LASIK surgery for dysfunctional vision.
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Exercise Over Manual Therapy
- Teach clients to reproduce desired movement patterns for lasting change.
- Use manual therapy to help clients understand movements, not as a primary treatment.
Compensations Linked to ISA Structure
- People have a structural bias in movement based on their infrasternal angle (ISA).
- Wide and narrow ISAs predict different movement restrictions and compensations.
Anecdote on Shoulder Subluxation
- Zach shares a story of a kid with shoulder subluxation that improved by increasing thorax mobility.
- He used mobility exercises to reduce instability rather than relying on ligament treatment.