2017年2月26日 星期日

翻譯文章 來自Hans Lindgren DC的 DNS Plank - DNS的棒式練習

DNS的棒式練習

讀過我文章的朋友們都知道,我其實不是很喜歡所謂的棒式運動。棒式運動在某些層面來說,是處於領銜地位。然而,如果沒有學會由內而外來正確的誘發核心,棒式運動不僅沒有這麼傳神的訓練效果,甚至當錯誤動作型態發生時,會給肩膀和下背帶來更多不必要的負擔。偏偏我非常少看到訓練者可以正確地展現棒式運動。為了能夠更挑戰棒式運動,有一個被稱為”長槓桿棒式”的變化版本將介紹給大家。將兩手肘置於頭部前方,並依照你的需求來增加寬面,當動作正確時,它將是個比傳統棒式更好的選擇。DNS的動作模組中,當然也有棒式的擺位,不僅更挑戰,同時也兼具功能性。
DNS棒式
DNS棒式是從DNS動作模組中的”誘發性擺位”所衍生出來的。訓練者採趴姿、手肘支撐,手肘約與耳朵同高,置於頭部前方。膝蓋的內側、另一腳的大腿都是支撐點。頭轉向大腿支撐那一側。我喜歡直接就用功能性動作模式練習以確保肩帶與骨盆帶彼此處於對側動作模式。
DNS plank訓練者將軀幹抬離地面,以膝蓋內側及對側手肘做支撐。並強調脊椎在正中位置下做延展,同時保持支撐側的肩關節在軸心化的位置。此時,支撐側的膝蓋和支撐側的手肘藉由斜向肌肉群彼此相連且達到完全活化狀態。當訓練者能力提升後,進階版的運動可加入非支撐側的上肢離開地面以增加難度,甚至給予彈力帶來增加阻力的練習。
DNS plank theraband在動作變換時,頭部的動作都應該由胸椎第四-第五節開始啟動。需要熟記的重要動作指引重點:

  • 支撐的肘與膝互為相反側(對側的動作型態)
  • 頭部些微面像支撐肘側
  • 肩帶與骨盆帶的軸在枕側彼此收斂
  • 維持正中的脊椎-頸部延伸,沒有過多的胸腰交界後凸或腰椎前凸,以及避免骨盆前傾
  • 維持肩關節在軸心化的位置(不能有翼狀/內收/聳起的肩胛骨動作)
  • 正確的呼吸並同時維持足夠的腹內壓,以支持脊椎穩定


DNS Plank
Posted by Hans Lindgren DC on 11 November 2014 | 0 Comments
Tags: DNSCoreExercise

Anyone who has read my previous blogs would know that I am not a big fan of the plank exercise. The plank has for some reason almost taken the "pole-position” in the core training world, however the downfall with most individuals planking efforts is not only that it is a fairly non-challenging exercise if they have learnt to activate the core from the inside out, but with poor form it also creates excessive and unnecessary loading of the shoulders and lower back. There are actually very few individuals I have seen performing their planks correctly.

To add more challenge to the plank exercise a version called the long lever plank has been introduced. Moving the elbows above in front of the head and spreading the support points further from each other will increase the demand, and if performed correctly is a much better option to the traditional version.
The DNS program introduces a planking position which not only is more challenging but also is very functional.
THE DNS PLANK
This exercise is developed out of one of the “facilitation positions” in the DNS program.
Start by lying on the stomach in a position where the support is on the elbows at the same level as the ears, the medial side of the knee on one side and the thigh on the other side. The head is initially turned to the side with the thigh contact. I prefer to set this exercise up in a completely functional pattern straight away by making sure that the axis through the girdles (shoulder and hips) are in a contra-lateral pattern (converging)
DNS plank
The individual is then instructed to lift their torso off the ground by supporting on the inside of the knee on one side and the elbow on the other side. Emphasis is on elongating the spine by keeping it in a neutral position while maintaining the shoulder on the support side in a centrated position.
The oblique muscle chain connecting the supporting knee with the supporting elbow on the other side is now fully activated.
As ability increases, progressions of this exercise include lifting the non-supporting arm off the ground, moving it around, and later even introducing resistance to movements of that arm with the use of a Theraband. Moving the neck in flexion extension and rotation from the T4-5 level is yet another variant of progression.
DNS plank theraband
Important cues to remember:
  • Elbow and knee support  on opposite sides (contra-lateral exercise).
  • Head slightly turned with the face towards the supporting elbow.
  • Girdle axis (shoulder and hips) converging on non-facial side.
  • Maintain a neutral spine – long neck, no excessive Thoraco-lumbar kyphosis or lumbar lordosis and avoid pelvic anteversion.
  • Stabilize the shoulder in centrated position (no winging, adduction or elevation).
  • Breathe correctly while still maintaining adequate intra-abdominal pressure for spinal support.

2017年2月22日 星期三

案例分享 1

案例分享
C:\Users\anastasia\Desktop\部落格\02052017 franky and gf\GF\前正面.jpgC:\Users\anastasia\Desktop\部落格\02052017 franky and gf\GF\前後面.jpg
調整前
C:\Users\anastasia\Desktop\部落格\02052017 franky and gf\GF\後前面.jpgC:\Users\anastasia\Desktop\部落格\02052017 franky and gf\GF\後後面90085.jpg
調整後

案例簡單說明:




於是使用了下列方式進行調整:


結尾與討論:



觀察和調整這位小女生的過程中,共用到了Janda、NKT、DNS的檢測概念及技巧,以及SCS及DNS的調理方法及訓練。這代表我們平常的工具箱內的工具是可以互相搭配、相輔相成的。這位小女生很怕痛,所以我選擇用這樣的調整方式,讓他在完全無痛的狀態下,重新認識和重啟自己的身體。做完後,治療師也不會累且成就感滿滿~~~