Network Magazine spring 2014 | Page 62

system, visualise a person who is attached by their feet to the end of a bungee cord as they jump off a bridge. If the bungee cord gets the right amount of tension on it as the person nears the ground, then he or she will be saved from smashing into the earth. However, if the bungee cord doesn’t pull tight at the right time, the person will impact the ground with dire consequences. The muscles of our body act in a similar way. If these ‘bungee cords’ work together they can protect our musculoskeletal structures (especially the joints) from excessive stress by pulling tight at the right moment to help slow down force through our body as it moves and interacts with the ground or an object. In addition to controlling forces through the body, our body’s muscular bungee cord system also stores energy that can be used to create strong, powerful movements as this energy is released (i.e. when the muscle fibres contract). Just like when the bungee cord reaches its maximum stretch and pulls the person powerfully back up to where the bungee cord is anchored, our muscles contract powerfully to create and continue movement. A fresh approach to anatomy and exercise Understanding anatomy in real-life terms and thinking about how muscles in the body work to slow down the forces of nature by lengthening like bungee cords will enable you to create effective exercises that build strength, improve function and eliminate pain. Here are two examples of how you might apply this new way of thinking about muscle function to design better exercises. lunging) the stored energy in these structures created by lengthening subsequently assists the soleus muscle to shorten and contract to help plantarflex the ankle (i.e. push the foot down) and straighten the knee. Hence, the real-life function of the soleus muscle (via the Achilles tendon) is to slow down dorsiflexion (i.e. bending) of the ankle and flexion (i.e. bending) of the knee. As such, a more appropriate functional exercise for strengthening the soleus muscle would be deep squats where the ankle and knee are flexing together. This exercise would help train and strengthen the tissues of the lower leg to better absorb shock to the ankle and knee, and maximise the stored energy potential of the muscle to improve performance. Bear in mind that most people will not be used to performing exercises that work muscles in primarily an eccentric (i.e. lengthening) fashion, and doing so can be surprisingly taxing to the muscles and joints. Therefore, before beginning or recommending any program of functional strengthening that includes exercises that place the muscles under a lengthening load, perform self-myofascial and isolated stretching exercises to help prepare the tissues for these additional stressors. For example, before attempting the deep squat above, have clients massage and stretch their calf muscles and quadriceps (as the knee will also be flexing) (Price and Bratcher, 2010). 2. The erectors and abdominals Traditional anatomy teaches that the erector spinae group of muscles helps straighten the 1. The lower leg The Achilles tendon is a very important structure in the lower leg that connects the calf muscles (gastrocnemius and soleus) to the calcaneus, or heel bone. The Achilles tendon and calf muscles help produce a lot of energy to assist with powerful movements like squatting, lunging, walking, jogging and running. When a person is performing actions such as squatting, lunging, or going up stairs, the lower leg (i.e. tibia and fibula) moves forward over the foot as the heel remains planted on the ground. This forward movement of the lower leg causes the Achilles tendon and soleus to elongate which helps load the ‘bungee cord’ feature of these tissues (see Figure 1). Traditionally, we have been taught that the primary action of the soleus muscle is to plantarflex the ankle when the knee is bent (Kendall. et. al., 2005). This is why seated calf raises are commonly recommended as an exercise to work the soleus muscle. However, in real-life movements (e.g. squatting and 62 | NETWORK SPRING 2014 Figure 2: The bungee cord systems of abdominals and erector spinae ()