Dr. Shirley Sahrmann — A Legendary PT Does a Deep Dive on Tim’s Low-Again Points, Teaches Find out how to Unlearn Painful Patterns, Talks About Motion as Drugs (or

“Often the issue is that movement that’s problematic is happening throughout your entire actions. The physique follows the foundations of physics. It takes the trail of least resistance. So if it’s straightforward to maneuver there, it retains transferring there, and that’s what you’re attempting to alter to make it simpler to maneuver at different locations the place you need to be transferring extra.”

— Dr. Shirley Sahrmann

Shirley A. Sahrmann, PT, PhD, is Professor Emerita of Bodily Remedy at Washington University School of Medicine in St. Louis, Missouri. She obtained her bachelor’s diploma in bodily remedy and her masters and doctorate levels in neurobiology from Washington College, the place she joined the bodily remedy college and have become the primary director of their PhD program in motion science.

Shirley turned a Catherine Worthingham Fellow of the American Bodily Remedy Affiliation in 1986 and in 1998 was chosen to obtain the Mary McMillan Award, the Affiliation’s highest honor. She is a recipient of the Affiliation’s Marion Williams Analysis Award, the Lucy Blair Service Award, the Kendall Apply Award, and the Inaugural John H.P. Maley Lecturer Award.  

She has additionally obtained Washington College’s Distinguished School Award, the Distinguished Alumni Award, the Faculty of Drugs’s Inaugural Distinguished Clinician Award, and an honorary doctorate from the College of Indianapolis. She has additionally obtained the Bowling-Erhard Orthopedic Scientific Apply Award from the Orthopaedic Academy of the APTA. She has served on the APTA Board of Administrators and as president of the Missouri Chapter.

Her first e book, Diagnosis and Treatment of Movement Impairment Syndromes, has been translated into seven languages. Her second e book, Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines, has been equally influential in selling motion diagnoses.

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Wish to hear an episode with somebody who considers Dr. Sahrmann’s work an awesome affect? Take heed to my dialog with efficiency coach Eric Cressey, by which we mentioned why pinpointing the reason for lower-back ache could be so difficult, how seemingly unrelated meds can exacerbate ache, addressing and correcting suboptimal patterns of motion, enhancing thoracic mobility, defusing desk-bound harm, tips on how to ask the best questions when searching for therapy for what ails you, and rather more.

What was your favourite quote or lesson from this episode? Please let me know in the comments.

SCROLL BELOW FOR LINKS AND SHOW NOTES…

SELECTED LINKS FROM THE EPISODE

• Join with Dr. Shirley Sahrmann:

2023 Speaking and Course Schedule | LinkedIn

• Essential Anatomy 5 iOS app
• Essential Anatomy 5 Android app
• Diagnosis and Treatment of Movement Impairment Syndromes by Shirley Sahrmann | Amazon
• Movement System Impairment Syndromes of the Extremities, Cervical and Thoracic Spines by Shirley Sahrmann | Amazon
• The Shoulder Joint | TeachMeAnatomy
• Becoming a Physical Therapist | APTA
• What is Translational Research? | UAMS Translational Research Institute
• The Vertebral Column | TeachMeAnatomy
• Ilium | Physiopedia
• Lumbosacral Transitional Vertebrae: Classification, Imaging Findings, and Clinical Relevance | American Journal of Neuroradiology
• Pelvic Tilt | Physiopedia
• Lumbar Spinal Stenosis | Johns Hopkins Medicine
• Traction: Types, Risks, and Aftercare | Healthline
• Relative Stiffness: What You Know, What You Don’t, and Why It Matters | MedBridge Blog
• Tensor Fascia Latae (TFL) | Physiopedia
• Hip Flexors | Physiopedia
• Hip Abductors | Physiopedia
• Hip Adductors | Physiopedia
• Piriformis | Physiopedia
• The Finer Points of the Quadruped Position | Functional Movement Systems
• How to Wall Sit: Techniques, Benefits, Variations | Verywell Health
• Prone vs. Supine vs. Prostrate | Merriam-Webster
• Human Movement System: Our Professional Identity | Physical Therapy
• What Is Metabolic Syndrome? | Johns Hopkins Medicine
• Lumbopelvic Rhythm | Physiopedia
• Anatomy Of The Psoas & Iliacus Muscles | Dr. Nabil Ebraheim
• Femoroacetabular Impingement | AAOS
• A Comprehensive Guide to the Infrasternal Angle & Compensation Layers | Conor Harris
• Pump Handle Motion and Bucket Handle Motion | MedicoPhysio Actors
• Should Lumbar Support Be Positioned on Your Higher or Lower Back? | Autonomous
• Moving Precisely? Or Taking the Path of Least Resistance? | Physical Therapy
• Pilates: What It Is and Health Benefits | Cleveland Clinic
• Anterior Superior Iliac Spine (ASIS) | Wikipedia
• Quadratus Lumborum | Physiopedia
• External Abdominal Oblique | Physiopedia
• Paraspinal Muscles | Physiopedia
• Chronic Pain | Johns Hopkins Medicine
• Linda Van Dillen’s Research Profile | Washington University School of Medicine
• Enhancing The Movement System | Performance In Motion
• Peter Attia & Beth Lewis on Dynamic Neuromuscular Stabilization (DNS) | The Peter Attia Drive
• Dr. Shirley Sahrmann: Midlife Evaluation | St. Louis Magazine
• Shirley Sahrmann’s Lumbar Flexion Syndrome | Physiopedia
• The Confusing Concept of “Poor Posture” | Mobility Fit Physical Therapy
• Serratus Anterior | Physiopedia
• Latissimus Dorsi Muscle | Physiopedia
• How to Train Your Trapezius Muscle: Exercises & Workout | StrengthLog
• Stretching 101: Advantages and Disadvantages of Stretching | The Movement Athlete
• Kyphosis | Johns Hopkins Medicine
• Stretches for the Rectus Abdominis | eHowFitness
• Hip Bridges Are One of the Best Glute-Burning Moves — Here’s Why | Byrdie
• Shirley Sahrmann on Exercise and Aging Well | Physiospot
• Flexor Digitorum Profundus | Physiopedia
• How to do a Modified Push-Up | NASM
• Anterior Cruciate Ligament (ACL) Injuries | AAOS
• In-Toeing and Out-Toeing: Femoral Anterversion & Retroversion | SIM Physiotherapy
• What Is The Par Terre Position? | SportsLingo
• Scheuermann’s Kyphosis | Physiopedia
• Lordosis, Kyphosis, and Scoliosis: Know the Differences | Skoliosis
• AMA #41: Medicine 3.0, Developments in the Field of Aging, Healthy Habits in Times of Stress, and More | The Peter Attia Drive #231

SHOW NOTES

Editor’s Observe: Timestamps will probably be added shortly.

• Why Shirley’s first e book is so influential amongst bodily therapists.
• The correlation between life-style and well being hasn’t at all times been apparent.
• Low again ache: not a analysis, however a symptom.
• The difficulty with overdeveloped abdominals.
• What’s my drawback?
• The Motion Methods Syndromes (MSS) strategy.
• The fallacious stroll dwelling.
• Correcting dangerous habits.
• Psoas it goes.
• Different frequent culprits.
• Pump deal with and bucket deal with.
• The physique follows the trail of least resistance.
• Anterior superior iliac backbone (ASIS)
• How Shirley examines a brand new affected person.
• Assessing athletes vs. non-athletes.
• Dynamic neuromuscular stabilization (DNS)
• Collapso-smasho and squeezo-smasho.
• Correcting low shoulders.
• Stretching: sure or no?
• Addressing my belly stiffness.
• When the backbone doesn’t need to go alongside for the trip.
• How has Shirley made it to 86 together with her bodily and psychological well being intact?
• What males ought to learn about femoral retroversion.
• If it walks like a duck…
• Managing signs of Scheuermann’s illness.
• Parting ideas.

MORE SHIRLEY SAHRMANN QUOTES FROM THE INTERVIEW

“One of many issues I at all times cherished doing with sufferers was saying, ‘So, who taught you to stroll?’ They are saying, ‘No person.’ I say, ‘That’s the issue.’ Simply since you’re doing it doesn’t imply you’re doing it proper. You’re simply doing it.”
— Dr. Shirley Sahrmann

“Train received’t change the way in which you progress. You must change the way in which you progress, and that may enhance how muscle tissue operate.”
— Dr. Shirley Sahrmann

“Nothing is extra scary than ‘Right here comes the ache. What did I do? How did I do it? How do I get out of it?’ And should you’re exhibiting folks, should you go this fashion, it hurts, should you do it this different approach, it doesn’t harm … they’re in command of [their symptoms], they usually know what to do to lower them.”
— Dr. Shirley Sahrmann

“Often the issue is that movement that’s problematic is happening throughout your entire actions. The physique follows the foundations of physics. It takes the trail of least resistance. So if it’s straightforward to maneuver there, it retains transferring there, and that’s what you’re attempting to alter to make it simpler to maneuver at different locations the place you need to be transferring extra.”
— Dr. Shirley Sahrmann

“You need to chase your middle of gravity, not pull it.”
— Dr. Shirley Sahrmann

“It’s not inevitable what’s going to occur to you. You are able to do issues through life-style to enhance what your consequence’s going to be.”
— Dr. Shirley Sahrmann

“A minimum of 70 p.c of the folks with again ache, it’s as a result of their hip’s not transferring optimally.”
— Dr. Shirley Sahrmann

PEOPLE MENTIONED

GLOSSARY

Pathology https://en.wikipedia.org/wiki/Pathology

Glenohumeral joint https://en.wikipedia.org/wiki/Shoulder_joint

Glenoid cavity https://en.wikipedia.org/wiki/Glenoid_fossa)

Humerus https://www.merriam-webster.com/dictionary/humerus)

Side joint https://en.wikipedia.org/wiki/Facet_joint

Iliac crest https://en.wikipedia.org/wiki/Iliac_crest

Stenosis https://en.wikipedia.org/wiki/Stenosis

SI joint https://en.wikipedia.org/wiki/Sacroiliac_joint

Tensor fasciae latae (TFL) https://en.wikipedia.org/wiki/Tensor_fasciae_latae_muscle

Iliotibial band https://en.wikipedia.org/wiki/Iliotibial_tract

Piriformis muscle https://en.wikipedia.org/wiki/Piriformis_muscle

Psoas main https://en.wikipedia.org/wiki/Psoas_major_muscle

Psoas minor https://en.wikipedia.org/wiki/Psoas_minor_muscle

Infrasternal angle https://en.wikipedia.org/wiki/Infrasternal_angle

Lumbar backbone https://en.wikipedia.org/wiki/Lumbar_vertebrae

Thoracic backbone https://en.wikipedia.org/wiki/Thoracic_vertebrae

Intercostals https://en.wikipedia.org/wiki/Intercostal_muscles

Labrum https://en.wikipedia.org/wiki/Glenoid_labrum

Quadratus lumborum (QL) https://en.wikipedia.org/wiki/Quadratus_lumborum_muscle

Paraspinal muscle tissue https://www.physio-pedia.com/Paraspinal_Muscles

Latissimus dorsi https://en.wikipedia.org/wiki/Latissimus_dorsi_muscle

Rhomboids https://en.wikipedia.org/wiki/Rhomboid_muscles

Kyphosis https://en.wikipedia.org/wiki/Kyphosis

Lordosis https://en.wikipedia.org/wiki/Lordosis

Rectus abdominis https://en.wikipedia.org/wiki/Rectus_abdominis_muscle

Supine vs. susceptible place: Supine is mendacity in your again. Susceptible is mendacity in your abdomen.

Gluteus medius https://en.wikipedia.org/wiki/Gluteus_medius

Medial rotation https://en.wikipedia.org/wiki/Anatomical_terms_of_motion

Lateral rotation https://en.wikipedia.org/wiki/Anatomical_terms_of_motion

Femoral retroversion https://www.hss.edu/condition-list_hip-femoral-retroversion.asp

Scheuermann’s illness https://en.wikipedia.org/wiki/Scheuermann%27s_disease

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