David Grey - Movement Competency for the Foot, Ankle & Achilles Complex
Apr 26, 2024
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David Grey, a top Rehab Coach, discusses training considerations for the foot & ankle, connection between foot and hip, movement competency in Achilles function, and importance of movement coaching. They explore assessment techniques, training considerations, and optimizing movement skills beyond testing. The conversation emphasizes the significance of foot shape changes for proper movement potential and the role of coaches in enhancing athletic performance.
Focusing on restoring foot and ankle range of motion for movement competency is crucial in rehab.
Coaching individuals to move differently can aid in effective Achilles tendinopathy rehabilitation by emphasizing safe and optimal movement patterns.
Deep dives
Foot and Achilles Function - Understanding Movement Competency
Understanding the importance of movement competency in foot and Achilles function is crucial for rehab. Focusing on restoring range of motion and building strength to create positive movement patterns. For example, evaluating how an elite athlete lacked the ability to change shape at the foot during calf raises and learning to initiate plantar flexion correctly revealed new muscle activation and fatigue patterns. Engaging in plyometric work in a technically sound manner aids in boosting tolerance and movement quality.
Addressing Achilles Tendinopathy: Internal vs. External Factors
When dealing with Achilles tendinopathy, it's vital to assess both internal factors like movement competency and external factors like load metrics. Internal issues leading to altered movement patterns can greatly impact how the tendinopathy manifests and persists. Coaching individuals to move differently, focusing on safe and optimal movement rather than solely adding more weight, can significantly aid in rehabilitating Achilles issues effectively.
Developing Movement Competency in Rehab
In rehabilitating tendon issues like Achilles tendinopathy, it's crucial to address both the root cause and the subsequent movement adaptations that occur. Movement competency plays a major role in recovery, as altering faulty movement patterns and restoring optimal range of motion are key components. By coaching individuals to move in different ways and emphasizing proper movement mechanics, rehab outcomes can be greatly improved.
Balancing External and Internal Factors in Achilles Rehab
When approaching Achilles rehab, achieving a balance between addressing external load metrics and internal movement competency is essential. While load spikes can contribute to tendon issues, altering movement strategies and restoring optimal movement patterns are equally crucial. Fundamentally changing how individuals move post-injury aids in preventing persistent movement adaptations that may exacerbate the issue.
Episode 144: Dr Andy McDonald chats to David Grey a Rehab Coach based in Ireland. David regularly rehabs some of the the best athletes in the world, and he has delivered workshops and seminars internationally regularly consults with top Coaches & Therapists to help them get even better results with their own clients. In this conversation David and Andy discuss Davids movement based approach to assessing and training the foot, ankle and achilles complex.
Topics Discussed
Training Considerations for the Foot & Ankle
Importance of Hip Extension and Positive Shin Angle
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