Physical Therapists spend a lot of time talking to patients about creating more “optimal movement” patterns. But what does that really mean, and does “optimal” even exist??
The answer: sort of. We do have a general idea of what healthy movement patterns should look like, but as far as “optimal” goes, I think it’s a pretty loose term. Everyone is different, so what might be great for me may not be the same for you. Optimal may be a bit subjective, but I can assure you that healthy and unhealthy movement patterns do exist, and the latter of the two is what might ultimately lead to problems down the line.
So, now that we have terminology deciphered, let’s look at what healthy movement should consist of. This all comes down to 3 key components:
When all 3 components are well-balanced, our body is able to move the way it was meant to. However, when we start to develop imbalances between these things we begin to compensate and place excessive stress in areas we don’t want it. This is where the risk of pain and injury starts creeping in. Knowing which area your imbalances lie will help ensure you are focusing in on the most ideal types of exercises for your own needs.
Mobility is the ability to move a joint through its entire range of motion unrestricted. Each joint has a normal degree of movement allowed and is dependent on 2 main things:
Muscle length- Sometimes, a muscle is physically too short and it restricts movement at the joint.
Joint mobility- When our joints move, there is a smaller amount of movement that is occurring between the joint surfaces that you cannot see with the naked eye. When those joint surfaces are not gliding enough in the right direction, it affects our overall range of motion. (This one is difficult to judge on your own unless you know what you are looking for, but a PT can help determine if this is what might be effecting your mobility).
Sometimes only one of the above is limited, sometimes it's a combination. Either way, both can result in an overall loss of mobility, and without adequate mobility our muscles have a difficult time activating as they should.
Example: The Push-Up.
In order to perform a push-up, I need to first have enough mobility in my shoulder, wrist and elbow joints to even get into the proper position. If I can’t get there, it doesn’t matter how strong I am, I still won’t be able to complete the movement. OR I might get there, but it will only be because I am cheating and getting the movement from the wrong place.
It is essential to healthy movement that we maintain good mobility in both our muscles and joints to avoid developing compensations during functional movements.
Once we have achieved adequate mobility, we can start working on building stability. Stability is when the muscles surrounding a joint activate to hold the joint in proper alignment and create a solid foundation for our larger movements. There are a few different structures that provide stability to a joint including muscles, ligaments and joint capsules. Stability is different than strength in that it entails more low level muscle contractions that are underlying our bigger movement patterns.
Let’s look at our push-up example again:
During a push-up you need adequate strength in the chest and triceps to be able to perform the movement. However, it is the underlying stabilizers (in this case, the rotator cuff muscles) that are working to keep your shoulder joint in the proper alignment as you move through the motion. This stability component is largely responsible for preventing excessive stress and discomfort in the shoulder during the movement.
We usually think A LOT about strengthening muscles, but the stability piece often gets pushed under the rug. Going back to basics and mastering these smaller stabilizing movements will ultimately help you better progress your strength with less risk of injury.
We have gained adequate movement, created a stable joint, and now we must bring in motor control to tie it all together. Motor control is how a group of muscles are able to coordinate and move in-sync with one another to produce healthy movement that is free of compensations.
Often times I find this is the most difficult piece for my patients to achieve because we are really trying to re-program your brain to tell your muscles what to do and when to do it. You have been developing your movement patterns during various functional activities for years so, trying to change them can take a lot of time and repetition. The good news—once you learn motor control it sticks with you. Take, for instance, riding a bike. We have to crash 50x before we get it right. But once we learn it, we can ride a bike for the rest of our lives. Sure, we may need to brush up on it once and a while, but our brains have engrained that movement pattern and we can re-learn it with minimal practice.
Let’s apply the idea of motor control back to our push-up example:
First, we made sure there was enough mobility in the arm to get into position, then we made sure there was enough stability to support the movement in good alignment, now we need that last motor control piece to make sure all the shoulder and trunk muscles kick in when they are supposed to so you can actually coordinate the correct movement. This means being able to descend into your push up without shrugging your shoulders, flaring your elbows, or arching your low back.
Building mobility and stability is hugely important, but if you are lacking the muscle coordination and control you’ve got nothing! Taking time away from your lifting to master the correct technique will lead to bigger gains and less injuries. Moral of the story- HOW you lift is more important than how much you lift!
Now enter strength, power, speed and endurance.
You have laid the foundation for healthy movement, NOW you can worry about adding in these other elements. Get the basics down first, then amp up your training.
Take home message:
Does optimal movement exist? Sort of, but it looks a little different on everyone. Making sure your movement is healthy is what really matters in the long run. Hit all 3 of these key components, and you are well on your way to healthier movement. You may be limited in just 1 or all 3 of these areas, but the real take home point is that once you know where your problem lies, you can start to address it. If you don’t really know what the imbalance is, you might up wasting hours on exercises that may not be addressing the right thing just because you saw them on Instagram.
So, whats the best way to find out where your problems areas are?
Schedule a Physical Therapy session with me of course!! :-)
OR check out my upcoming workshop: The Healthy Shoulder Roadmap, where I teach you how to find your own limitations and work towards correcting them!!