Spinal & Pelvic Motion - Fryettes Laws of Spinal Mechanics
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- Опубліковано 28 чер 2024
- www.johngibbonsbodymaster.co.uk
John Gibbons is a registered Osteopath, Lecturer and Multi-published Author and in this video he will be teaching motion of the vertebral column and this is known as spinal mechanics. The origin was from Lovett in 1903 and then Fryette in 1918 and is known as the Laws of Spinal Mechanics. He also discusses the spinal engine model as proposed by Gracovetsky.
This motion follows the Lovett, fryette's laws or principles of spinal mechanics of type 1 (neutral) and type 2 (non-neutral).
Neutral mechanics or Type 1 is side bending of the lumbar or thoracic spine is coupled with horizontal rotation to the opposite side.
Non neutral mechanics or Type 2 is side bending of the lumbar or thoracic spine is coupled with horizontal rotation to the same side.
In another video John will teach you if the facet joint is stuck in an open position called an FRS (flexion, rotation and side bending) or fixed closed in an ERS (extension, rotation and side bending).
John also shows you in his other videos to assess the nerve root level of the adductors (obturator nerve through L3 reflex), patella tendon (femoral nerve through L4 reflex), semitendinosus (tibial / sciatic nerve of L5 reflex) and Achilles / plantar (tibial nerve of sciatic through S1 reflex) and a normal response is classified as 2++. Any reduced hypo-reflex (1+) or increased hyper-reflex (3+++) with Clonus and Babinski positive as might indicate some form of upper motor neurone lesion like Multiple sclerosis, stroke, spinal cord tumour or brain injury. Any altered reflex will need further investigation as a possibility of disc or neural pathology. These techniques and more is taught on the Neurological Master-Class at the University of Oxford.
In terms of his courses he offers, you can attend one at a time if you prefer or book all ten and receive a discount. Once you have completed all the courses you will be able to call yourself a Bodymaster Method ® Practitioner and be registered on his website with the letters 'BmP' after your name.
John is the Author of the highly successful book and Amazon No 1 best seller called 'Muscle Energy Techniques, a practical guide for physical therapists'. John has also written many more books and these include:
1. A Practical Guide to Kinesiology Taping and comes with a complimentary DVD.
2. The Vital Glutes, connecting the gait cycle to pain and dysfunction
3. Functional Anatomy of the Pelvis, SI joint & lumbar spine
4. The Vital Shoulder Complex
5. 2nd Edition of Kinesiology Taping
6. The Vital Nerves (released Oct 2020)
All his books are available to buy now through his website www.johngibbonsbodymaster.co.uk... or from Amazon www.amazon.co.uk
John now offers Advanced Training in all aspects of Sports Medicine to already qualified therapists (athletic trainers, sports massage therapists, osteopaths, chiropractors, physiotherapists, physical therapists, personal trainers, pilates teaches etc) in manual therapy to 'Diploma' Level. You need to have attended all of his ten individual Therapy Courses before the diploma is awarded. His venue is based at the idyllic venue of Oxford University, home of the first four-minute mile by Roger Bannister.
Courses available and all the dates are online www.johngibbonsbodymaster.co.uk:
1. Spinal Manipulation & Mobilisation
2. Advanced Spinal Manipulation
3. Kinesiology Taping
4. Muscle Energy Techniques
5. The Vital Shoulder Complex
6. The Vital Cervical spine
7. The Vital hip & groin
8. The Vital Knee
9. Advanced Soft Tissue techniques
10. The Vital Neurological system
11. Pelvis, SIJ & Lumbar spine
12. The Vital Glutes & Psoas
13. Acupuncture & Dry needling
The Bodymaster Method ® Diploma is now recognised as a training provider and accredited with the STO - Sports Therapy Organisation.
Thank you Mr John Gibbons. Well described video. Your videos and presentations are amazing. People like you have brought revolution in the field of osteopathy.
Regards from a Physio, India.
You are very welcome and thanks for the comments, regards JG
Thank you so much, sir. Using a free and accessible platform to convey your passion is really much appreciated.
Thanks for the message, it is appreciated. regards JG
Brilliant as always John. You will be well remembered in decades to come. Most people are happy to 'get by' but you lead the way. I attended a brilliant course deli free by you last year and you inspired me to retrain and gain new knowledge. At the age of 44 I'm a first year physio student. What I learnt fro. You most of all is the right attitude and approach to learning. Thank you so much x
Thanks a million Alan for the message, it is truly appreciated. regards JG
John hi. I have been following you for about 3 years. You are one of the best osteopaths in the world. Dr. Still would be proud of you!
Thats very kind of you to say, regards JG
Amazing clip John I really appreciate you sharing your knowledge it makes great sense how you deliver it
Thanks for the message, it is appreciated. regards JG
As a potential patient (hopefully) of yours Mr Gibbons, i am really impressed by your philosophy. How true that you need to know the old school/normal mechanics really well at first. Then only you can deeply relate to the dysfunction of the bio mechanics that the patient presents with. Techniques can be developed in trying to get things back to normalcy based on ACCURATE diagnosis. Thank you and all the very best spreading these basic and profound information for every therapist to work with. As the saying goes- ' rather than giving,teach a man how to fish and you feed him for the rest of his life'.
Thanks for the message and comments, regards JG
Thank you is not enough for your help in teaching and providing all these fundamental information.
So nice of you to say that, regards JG
Thanks for this video John!! Well done! You've explained the moving pieces of the human clock and how the human body works towards this brilliance!
Thanks for the comments, regards JG
Amazing information! I did this 10 years ago in school. This is so clearly expressed.
Glad you enjoyed it! regards JG
Hi John. I appreciate this video. It is so far the best what i have seen about Sacrum Torsion. Thanks
Best regards
Miki Gabor
Glad it was helpful! Thanks, regards jG
Mr. Gibbons thank you a lot.. it is very clearly the way you describe it.. PT student from Greece
Thanks Termis for the message and comments, pleased you like the video. regards JG
Hi , John . Great vídeo , fantastic the way you present the contend
Glad you enjoyed it, regards JG
Thanks John your great !! I love your videos. Sincerest appreciation from a massage therapist in Montana
Wonderful! Regards JG
I cannot ever thank you enough for the useful tips and education you shower on us. Your tips and techniques work miraculously for my clinical setup. I hope one day you set up Osteopath School in India; I would be the 1st to Support and enroll in the same. It's difficult & expensive for most of us to come to UK and study under you but these videos have helped enough.
You are so welcome! Regards JG
there is university in india where osteopathy is taught
Great video John!
Thanks for the message Tom and comments, pleased you like the video. regards JG
I absolutely love when the body is compared to vehicle mechanics, because of how closely related they are in design and function.
I guess being an ex military mechanic / electrician helps understand the biomechanics, regards jG
Dr. Gibbons, thank you very much for helping me better understand my body mechanics. To think that so many go to their graves without ever understanding as simple a thing as the ability to walk ! Makes us realize the insignificance of a human being compared to the enormity of his ego.
You are so welcome, regards JG
Thank u sir.... Waiting for your next video....
Thanks for the message and just added another one on the hip joint, regards JG
thanks for posting the video, true master
Thanks for the comments regards JG
Thank you John for the video, do you have or would you consider a video on rib mechanics and how all this integrates with spinal movement?
Thanks for the message, I am sure one day i will add one on the ribs, regards JG
i really appreciate not only the effort that you put into presenting your content , but also the continuous update and renewing of the manner with which you present your material. my first question would be, in two separate slides of your work , it was mentioned that flat lumbar spine was associated with posterior pelvic tilt as well as counter -nutation of the sacrum, and the same goes for hyperlordotic back (lumbar spine) , where anterior pelvic tilt and nutation of the sacrum also simultaneously exist .in the former scenario, and in the latter example as well, is flat back and hyperlordotic back always accompanied by the aforesaid patho-mechanics of the sacrum?? and if yes, would correcting the underlying presenting flat or lordotic back -whatever its cause is -automatically realign the sacrum into normal place or then i would have to re-position and reduce the sacrum back into normality too? my second note rather than a question would be , in the final informative and illustrative slide that you showed, i would assume that the sacrum would rotate to the left rather than the right , after the right innominate rotated posteriorly , because were the sacrum rotated to the right, it would act as a wedge blocking and obstructing further motion of the innominate as well i assume the rest of the chain.
Hello John. I very much enjoy your videos. They are so direct succinct and useful . i wanted to let you know, though you may already. We do not see the sensor light on the areas you are pointing. Its invisible.
Thank you good video, straight to the point.
Thanks for the message, it is appreciated. regards JG
Thank you so much!!! Great explanation!!
Glad it was helpful! Regards JG
brilliantly explained. it really makes sense the way you explain it, but I have to remember that a first-degree lesion/ stills lesion is a type 2 non-neutral spine mechanic, primarily due to a traumatic event. And a 2nd-degree lesion - thought to be postural or adaptive is more likely when the spine is in neutral and is a type 1 neutral mechanic!
Thanks for the comments, regards JG
Hi, great video indeed. Though quite difficult to comprehend as I still need to understand deeper and clearer. Trying hard. Cheers!
Thanks for the message and it is a difficult subject - stick with it.....regards JG
Great content !
Thanks for the message Ivan, it is appreciated. regards JG
Thank you so much sir 😊 this so informative thank you for your efforts 🙏
Thanks for the message and kind comments, regards JG
Excellent video- thank you, super helpful as I am currently a 2nd-year osteopathic student. I was wondering if you could do a video on functional leg length discrepancy and the possible causes? Thank you!!
Thanks for the message and i have a video on leg length discrepancy, regards JG
Thank you so much...these videos help me a lot to refresh my understanding of this area. What about if I have a blockage in posterior rotation of the right pelvic, can I automatically suggest, that the sacrum will be in L-on-L then???And is the rotation to the right of the lower lumbar spine also obligatory then?
Do you have online courses?
Thanks for sharing those videos.
Thanks Sir saurabh this side, nice vedio is this .Sir make a new full vedio on assessment of sacrum so we can understand sacrum as well..
Thanks for the comments and I dont need to do any more videos on sacral assessment as I have done lots already and on my channel, regards JG
Thanks for this video, the wonderful complexities of the human body never cease to amaze.
Have been searching for a single mind body connection thought to achieve proper posture and the one that seems to help is to do with maintaining the sacral angle, so, just thinking "30 degrees" whilst visualising L5 sitting at 30 degrees on the sacrum seems to help maintain a neutral spine and proper posture. How important is it to maintain the sacral angle and has any formal research been done on this concept?
Thanks for the message and comments - not sure if much research has been done but sure it needs it, regards JG
Very helpful!
Glad it was helpful! Regards JG
Hii John great video but please get a thicker laser it's very difficult to keep a track of your laser as to where it is pointing.
Thanks for the tip, if you turn the room lights to dim it looks better, regards JG
Thank you!! i finally understood thanks to you! With my pilates mind i just couldn't understand. for me a side bend is a side bend, if there is a rotation it is wrong! now i understand that it is a natural behaviour of the spine, brought up by our evolutionary curves. right?
Thanks for the message and pleased you understand the motion, regards JG
You are brilliant
Thats very kind, thanks for the message, regards JG
John with all my respect to creating these educational videos! What did you invent to put your name to the same page as those masterminds?
My name is there as I teach everyone who attends my courses about the pioneers of Spinal mechanics and have taught over 100k therapists as they are legends - remember I have written 8 books and on my 9th on the vital Spinal column plus I have devised the Bodymaster Method - what have you done or achieved out of curiosity? Regards JG
Hi Gibbons! Doing my best to understand the spinal mechanics... do you have a video showing your clinical assessment AND treatment of a rotated or painful sacrum? Curious to see how you’re able to access a R on R or Lon L torsion. Thank You
I do have videos on treatments for the sacral torsions, regards JG
Sir. Thank you very much for amazin video. As you said if Sacrum is rotating to right and left lateral bend then lumbar spine will rotate to left and right lateral bend. Also you said this is what happens everytime we walk. Now will this not create instability as of facet joint separation for L5-S1 ? As the opposite motions are creating facet separation. Please throw some light. Thank you..
Thanks of your excellent videos, superb I'd say. In this video at 12:35 there's a picture of RonR-position, I'd like to have the confirming information: spine vertebras are rotating right, do you mean counter clockwise or clockwise and are all of those above vertebras rotating same direction?
Thank you
You're welcome, regards JG
Hello John. My question is- in my case,while i was lying on my stomach in my bed, a heavy pressure on my glutal and sacral region (psis region) when my friends stacked on top of me, in that moment i literally felt something in my pelvis or sacrum glide/shift- the pressure caused a L on L sacral torsion(deeper psis on right). My Right asis is more anterior and my entire hip feels slightly rotated left on its axis. My pubic symphysis that should be in the centre has shifted a little towards left guessing because of right inflare of the pelvis or left outflare or just the L on L sacral torsion, i don't know. What is your take if that's the case. Thank you for considering and also if i may say so, i am still hoping for a response from Nick. Nick hasn't been able to reply yet to my email. Have a nice day Mr Gibbons and thanks for being so attentive towards a patient like myself. Appreciate your kindness and work ethic.
This is great. I did a complete study of your book on this subject. And now I'm going back to it again to double check the crib sheets I made from source.
I noted that I could use home exercise: stretch L piriformis for R-on-R dysf.
Can you confirm that I could prescribe home exercise: stretch R piriformis for R-on-L dysf.?
Or would it be home exercise: stretch R glute med for R-on-L dysf.? I may have seen this in another source and indeed this is what I've been suggesting.
I do manual techniques primarily however.
Thanks for comments and you could give the patient the 'sims' exercise to help correct forward sacral torsions. regards JG
This is great, is there any book that explains spinal and pelvic motion in different phases of gate cycle?
Thanks for the comments and i have a book called - Functional Anatomy of the Pelvis and Sacroiliac Joint where I explain all that - you can buy it on Amazon, regards JG
John you are the man. So if I have this correct: R-On-R is (L)Leg Fwd - (L)innominate Post. Rot - Sacrum (R)Rot - L/S (L)Rot & (R)SB - T/S (R)Rot - C/S (L)Rot - Head/Eyes (R)Rot.
John
Thank you for a very informative presentation
Can you give me a idiots eye view of how my pelvis and spine motion would be for a right handed golfer. Ie hitting ball to my left side.
Can I also ask that is there a focal point in out lower pelvic area than can help with a “ free release” type of motion.
Thank you for considering my question
John
Glad it was helpful! Regards JG
Does l3 and Higher up rotate in line with l4 l5? I can't find any image or animation which shows rotation from the sacrum to the occiput. I am working to restore my gait.
Thank you sir for your conceptual topic and nice presentation.....love from India
One doubt ...if a patient is having Convexity of lumbar spine towards left side is there any chance that he is having Right side rotated Sacrum.
Typically if the sacrum rotates right the lumbar will rotate left and side bend right, however, the sacrum can take the lumbar to the same side rather than the opposite so it is possible - regards JG
Hi John, interesting explanation, I have degenerative disc disease of the whole spine, including SI joint and bilateral ischial hip impingement. With one herniated disc and 6 bulging discs. This is the most helpful video I have come across. Have been doing my own exercise due to Covid, had nerve block and waiting for next pain treatment. I would like to know whether the si joint would impact on the walking stability, as after a while rh foot seems to rotate and it is the rh sacral joint which is the worse.
Thanks for the message and the SIJ is the foundation of the whole body (in my opinion) so yes it can affect not only the lumbar spine and thoracic spine above but the lower limbs and feet below, regards JG
John Gibbons thank you John, gives me hope that my walking will improve.
Anterior movement of the ilium in is combined inferior and lateral movement in relation to the sacrum correct?
Great video BTW.
If the innominate bone moves anteriorly then the sacrum will come back into relative counternuation, regards jG
Hey John, Vladimir from Brazil here. Where in the UK you teach? How long are your courses,and at last but not least..How much do you charge?lol
Jokes asside, I would love to attend one course of yours. Thank you for constant TEACHING!!
Attend my online courses as easier www.johngibbonsbodymaster.co.uk/training/bodymaster-online-courses/
Gr8 content
Thanks for message, regards JG
Hello Dr John. When checking for various landmarks in the sacrum for either a L on L or R on R, does it actually represent the accurate bony sacral position? because according to a particular experiment (if it had come to your attention too) in which a Roentgen Stereophotogrammetic Analysis (RSA) was used for the position of the sacrum. The title of the study is from 'Spine', 1998, "Manipulation does not alter the position of the sacroiliac joint ARSA". Would deeply appreciate your short opinion on it. Thank you for considering.
Palpation is all an 'awareness' for the position so not very accurate - ten therapists would palpate the sacrum sulcus and they say the left side is deeper, another ten would say the right side is deeper and another ten would say its level - so no real reliability between therapists if honest and the stats show that....I dont teach students to manipulate the SIJ as such as the motion directly at that joint is debatable - I say we can potentially move one bone on the other - so i do a technique to move the innominate on the sacrum so it is the iliosacral joint as the SI joint itself doesn't give any problems - only with ankylosing spondylitis - so it is the ligaments associated to the position of the bones that are probably responsible for the pain - its like saying my MCL (medial collateral ligament of knee) hurts but its not inside the knee joint that is responsible for the pain - it is the ligaments outside the joint that hurts...nothing wrong inside - hope that helps, regards jG
@@JohnGibbons you've mentioned you don't teach your students how to manipulate the SIJ. By that you mean you only manipulate the innominate? Don't you manipulate the sacrum itself too? Because i've seen your other videos in which you show on how to manipulate the sacrum when it is malaligned, nutated, torsioned etc. Could you please clarify. Thank you.
What would you recommend for youn man who have posterior pelvic tilt, however since many years ( the pain is improved with setting management ect ect however his real pain certainly is located in his Sij facet and much more his right side, the typical back stretches not enough to help however feels nice in such positions , the patient is a horse ride trainer however he felt worse when he stopped riding as example , feels slightly better riding . VAS 4/10 but it's always there .
Hard to comment without looking at him, regards JG
I'm currently learning some of this, though not Osteopathy, Orthopedic massage. I would like a deeper understanding why the sacrum moves in such a way, related to the innominate e.g. you mentioned posterior rotation of right innominate, as the leg gets ready for heel strike, the sacrotuberous ligament pulls on the sacrum, rotating it to the left. What pulls on it for the right sacral base to nutate at this time, to give a L on L? I would really like to understand, or have I got this wrong? Thanks
Thanks for the message and the sacrum rotates to the left on the left (L-ON-L) axis and right on the right (R-ON-R) axis by the motion of the innominate bones counter rotating anteriorly and posteriorly which 'drives' the sacrum into a rotation on its oblique axis, and then the lumbar rotates to the opposite direction - there are no muscles as such rotating the sacrum as it is done by the slackening and tensioning of the ligaments (sacrotuberous etc) that assist in its oblique motion, hope that helps, regards JG
@@JohnGibbons yes it does, thank you for replying!
Sir. Please clarify this important issue. As you shown in example in video, As we are steping forward left leg, it is Posterior pelvic tilt on that left side and APT on back right leg, so pelvis is anticlockwise rotating.
So Sacrum rotating to right and lateral bend to left.
Lumbar or core is rotated to left and lateral bend to right
Thoracic you said again opposite of lumbar as of cox wheel system, rotated to right. So this makes left leg forward and leg arm forward which is not the case when we walk. Left leg forward and right arm or thoracic forward should be the case. Kindly clarify on this please. Shall be thankful to you.. Regards
If you step forward with right leg then the innominate is posterior to tension the sacrotuberous ligament TO PROVIDE SIJ stability for weight bearing - the sacrum is now L-ON-L so rotated left and as you continue with through mid stance on right leg, the innominate rotates anteriorly slackening the sacroutuberous ligament allowing the sacrum to rotate to the right as in a R-ON-R. The Lumbar will rotate left and the thoracic will rotate right - same as sacrum. Hope that helps, regards JG
@@JohnGibbons Thanks a ton Sir for detailed and clear clarification.
I have a question, why ,in the swing phase of right lower limb, the sacral movement axis is left rather than right?
I explain it in the video, its also explained in my Pelvis book - and its not much money if you buy from Amazon. regards JG
Hello Dr John. Could a L on L torsion have a unilateral flexion component to it? if yes then could the SIMS technique be used or you have a different approach to it? as i am aware from your videos that you use SIMS to correct a Lon L / R on R sacral torsion, am i correct? Thank you for considering.
Probably as not sure and maybe the SIMS will help, regards JG
@@JohnGibbons thank you
What exercises can be done to exercise left-to-left rotation in the left sacrum and posterior rotation in the left ilium. Do you have such a video
I have videos for that as the technique is called SIMS, regards JG
@@JohnGibbons thank you
Dear John. I have been studying clinical practice for about 10 years. However, it is very frustrating that I have not yet been able to clearly solve this clue. I am curious about the difference between l on l and left unilateral sacral flexion. At this point, I wonder if the difference between the two is the change in the position of the axis or the posterior tilt of the pelvis. always cheering you on thank you
To me they are the same thing L-on-L or R-on-R is one side of sacrum in flexion or nutation but no doubt they differ depending on what book you read - regards JG
❤
so your saying that with type 2, the spine rotates toward, but what would the spinus process do ?
If the TP rotates to the right then the SP will move to the left, regards JG
# side bend to the one side and rotation to the opposite would only be relative to the each vetebral inferiorly? And type-1 neutral spine mechanics would actually occurs or happens in real life? Or just conceptual?
Thanks for the message and I explain more in another video, regards JG
Sir. Hello I like your video but I don't understand sometime because I dont know english very well. Please add Turkish subtitle for Turkish followers
Thanks for the message and not sure how to add Turkish subtitles to the video, I have a house in Turkey as well, regards JG
@@JohnGibbons thanks anyway ☺
Do you do any workshop in Scotland?
I will probably be there at some point this year, regards JG
Wow...
Thanks, regards jG
Unfortunately lumbar spine almost doesn’t rotate
Yes I know as roughly 5-10 degrees rotation in the whole of the lumbar spine, regards JG
👍👍👍
Thanks, regards JG
L3 - C3 relationship: ua-cam.com/users/shortszKa1EzhjIzo?si=cOz9lBu555DF9NaF
Is this a biomechanics lab
In a classroom, regards JG
the Video is good! but no emotion's ;-( like a boring teacher
Thanks for message and nothing boring about myself, regards JG