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Treating Patients Who Work at a Desk

 

 

So we’ll be looking at movement, corrective exercises and some other things to be able to recognize patterns in patients when you’re looking at it from a channel perspective.

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  Due to the unique language of acupuncture, there will be errors, so we suggest you watch the video while reading the transcript.

Hi, thanks for coming today. My name is Brian Lau and sometimes I present with these AAC webinars with Matt Callison, but he wasn’t able to make it today. And I’ll be presenting solo, but this is something I’m gonna be presenting a little bit more of an expanded view on at the Pacific Sports and Orthopedic Acupuncture Symposium.

Which if you’re watching this live is coming up in spring, but you might be seeing this. , it’ll be an ongoing event, so maybe check it out another time. So this is a little sample of that and I’m gonna be expanding on it quite a bit at that symposium. So what I’m gonna be looking at today is specifically treating patients who work at a desk.

But this is really looking at more movement oriented aspects of the channels, looking at the movement from a channel perspective. So while sitting if we’re in a static position is not really moving, but it is moving cause we’re holding the position. So we’ll be looking at movement, corrective exercises and some other things to be able to recognize patterns in patients when you’re looking at it from a channel perspective.

So we have this nice image in the beginning title slide. And I took this from the internet and I liked it cuz it says bad posture and I guess it’s not great posture. That could definitely cause strain. We’ll talk about this a little bit more in a second, but I generally don’t think anything is a bad posture.

There’s positions that have a use and that particular position of somebody was crouching over and had to look up. It’s a fine position, but if we’re gonna hold that for a prolonged period of time, it becomes problematic. and it can definitely lead to pain. So I don’t really like to think about good posture or bad posture.

I like to think of movement potential and the ability to move in and out of a particular position and to move in and out of that position with ease. So that’s a little bit more of the take. We’ll be looking at and we’ll go through some specifics on that. So let’s jump right in. So first of all, prolonged sitting puts a strain on the body, especially if the patient sits with poor posture.

Yes, I just said that maybe nothing’s could be totally bad posture, but if they’re sitting in a position that’s collapsed, that’s putting pressure on the organs, that’s putting pressure on the joints for a prolonged period of time, that’s gonna lead to problems. , and this is the frequent position the patients will sit in, is they’ll have their back and shoulders rounded.

So you could say scapular protraction would be there and their heads are forward. The myo fascia of the back is not engaged and it’s locked long. So things like the lower T trapezius, the erector spinna in certain regions, those are all gonna be in a long position and they’re failing to bring the body back into extension.

And then the other key point is that the core is not gonna be. We’ll be looking at that from a movement perspective here in a second, but that’s gonna be the general thing that you’re seeing with people. They get tired, they’re there at the desk for a long time. Things start to sag and slouch.

When they do that for prolonged period of time, that can lead to many injuries that obviously all of us see in our clinical practices. So these will be things like muscle tension, headaches, you can see especially. Younger kid in the bottom picture, a great picture that’s not staged.

That was a camera that was on, on particular people. And these were just live action shots that they got. You can see how much capital extension that younger kid has and how much tension that’s gonna put on things like the suboccipitals. And the cervical muscles that can refer into the head and create very much of a tension type headache pattern.

So tension headaches are gonna be a massive one that’s going to be pretty prevalent with office workers. Thoracic outlet syndrome is the scaling shorten and the peck minor shorten that’s gonna look, have a potential for entrapment sites for the brachial plexus. And then they’re gonna have symptoms down into the arms.

Rotator cuff tendonopathies. It’s putting the shoulder in a bad position and especially with activity that’s gonna tend to put more strain and wear and tear on the shoulder. Peri scapular pain, both the cervical fast sets muscles like lava or scapula. Other things can refer into that peri scapular region.

So that’s gonna be a common complaint and all of that’s gonna put a lot of undue stress on the cervical joints and lead to premature or increase the chances of degeneration. For generative disc disease and that can lead to a whole host of other problems. So it’s a massive problem. Many of our patients are office workers.

They sit for prolonged periods of time on the desk. So it’s really important to be able to have a good working knowledge to be able to help them come out of those patterns. And we’ll look at some acupuncture ideas, but I wanna start with looking at it a little bit more from a movement standpoint, because I think this is something that we can.

Really increase our effectiveness if we can give them some movement reeducation. So just a little bit of something I’ve been working on, especially starting just a little bit before covid and then all of a sudden I had a little bit more time when I had my practice closed for a little bit then have it closed too long.

But that sort of allowed me to really start getting into my own training. and as I was getting into a lot more movement training, I have a pretty extensive background with Qigong and Tai Chi and some martial arts. But I started doing a lot of body weight calisthenics and just something I was really interested in.

When I was younger, I used to be a wrestler and wrestlers have a lot of similar training where we use a lot of body weight type, climbing rope. pull-ups and a lot of other body weight type stuff. You’re obviously, if you’re wrestling, you’re using a lot of other people’s body weight as you’re doing competition.

It’s something I was really interested in when I was younger and I of started coming back into it in my, I guess this is just before my fifties and really enjoyed it. But since I’m an anatomist and since I’m looking at the channels a lot, especially the channel sy and thinking. Movement quite a bit.

As I’m doing all these exercises, I’m going over my head what channel am I working with? How is this organizing between channels? It’s just something that’s really taken a hold with me and I’ve been really looking a lot more at developing a system for understanding movement through the perspective of the channels and use.

And generally, most of the movement that we’re gonna be looking at is gonna fall under one of three categories, and these will be. The Y and Shao yin channels, so movements that are organized around those. That’s primarily what we’re gonna be looking at today. So we’ll come back and talk about that one.

But that’s gonna be primarily extension type movements and we’ll add to it a little bit in a second. Shao y and Joy Yin. So the Shao y and joy Yin channels. So these will be actually one of two things that are co-related, either side bending type motions or snowball. So when we’re walking and moving, we’re stabilizing from our sides and preventing excess movement.

So that would be part of it. Or just literally like side bending type motions and also rotational type move movements. Maybe another webinar we can go into a little more detail of how those are co-related through the joints to this pelvic joints. But for now we’ll just keep it simple side bending and rotation.

and then Ming based patterns, much more flexion oriented type positions. We can look at the movements from the channels and design very health giving type, Chiang, movements that are organized through the channel. Syk, these movements can open fossil planes, mobilize joints, and mobilize and massage the organs.

So looking at the movement of the organs and the movement potential of the organ. Those channels actually take the organs into a movement. Briefly going back to Shain SHA Yin, the liver itself has a rotational type movement where it rotates around the the su inferior venava. So the, any type of rotational movement’s.

Also mobilizing the liver side. Bending the liver has a side bending type motion where it kind of moves and side bends. So any side bending type of movement will also mobilize and move the. So understanding the channel syk and their movement actually gives a little window into understanding how to self mobilize the organs through movement, which is really a lot of what Chiang and those types of exercise systems are about.

But we can just look at it a little bit more with a modern lens. So let’s go today into the ta, young Shein pattern. So this would be urinary bladder, small intestine. I know you everyone knows this, or at least if you’re an acupuncturist, So urinary bladder, small intestine, kidney and heart. We’ll be focusing a little bit more on the urinary bladder, kidney portion, but these movement patterns engage the back and the core lines.

So those are gonna be a big part of it. The general movements involve hip and spine extensions, so they’re things that lift us and bring us upright into the world. So extension. Would be the big part of it. Spine and hip extension, scapular depression. So they help pull the scapulas down.

Again, this aspect of lifting us up into the world. So very open and upright and present in the world. We’re gonna have external rotation, especially the small intestine sy channel. An extension, so shoulder external rotation, extension, elbow extension. all of this with a very stable core because as you’re going into extension, it’s easy If those muscles in the back are in the urinary bladder channel and small intestine channel are too overactive in some respects, they can over overextend us.

So we need the stability of things like the transverse dominance to keep us stable. So there’s a nice relationship between how the back and the front work, especially via the kidney and the urinary bladder channel. , both of them, to give us a sort of extension, this nice expanded spine and nice upright posture that’s really prevalent in much of, much activity we do.

And sometimes becomes less prevalent when we’re sitting and starting to fall and collapse a little bit. So these would be active sitting and just to keep us upright and keep us in a really good decompressed position of the spine. So the movements are gonna include things like stacking the spine and pelvis, stabilization of the shoulder girdle and engagement of the core.

So I have a little video here that you could use this for an exercise for office workers. It’s not the main one I’m gonna be showing for today, but just to highlight some of these features. It’s a front lever progression. So a front lever would be if I were holding onto the bar and making myself completely.

Horizontal with the ground, something I’m not able to do, working towards it, maybe in the year next year, come back and we’ll see how I’m doing on that. But it’s a very difficult exercise it takes a lot of strength in the back, a lot of strength in the core. But this would be an easier way to do it.

You can see being at a much less angle where I’m more upright, still at an angle. I have to extend the back to be able to get upright. I have to externally rotate the shoulders. I have to pull down with the lats and I have to stabilize with the core. And I think you can see all of that a little bit better with the actual movement.

So I’m gonna play the video. This is a pretty short video about a minute. The very first thing I’m gonna do is relax the arms so they become passive shoulders go into protraction. I become rounded in the back. Then I’m gonna start to let that relax all the way down the back. I’m not sticking my behind out.

I’m just letting the spine stretch and drop until I’m underneath the band passively hanging. And when I’m ready, I’m gonna start to push up, haul into the band, gauge the lats gauge, the lower trapezius gauge, the core return to that straight line.

All right. So that’s a very nice exercise cuz it massages the spine and basically going into a lengthened. In the urinary bladder, small intestine channels. And then the standup portion is where I start to engage those structures. So I engage ’em from a position where they’re already lengthened.

And, a pretty decent full length position and then engage ’em from that position to come back to an upright posture. So I sometimes use that as a nice warmup exercise and just to inform and give information to the channels before doing something that might be more strenuous.

If I’m doing, trying to do the front lever, working with that and putting more strain in the body, I like to have a a good warmup to where I start to inform the body of what muscles are activating and how is the. Organizing those movement between the channels. You don’t have to think about it so heady, but just how does a body organizing that movement before I go into something that’s a little bit more difficult.

But that is a really nice exercise by itself for for people who are in offices. If you have a setup for something like that, it can be really nice. But I’ll show so one that’s maybe a little bit more accessible in the. . So let’s briefly go over some channel information. So as all of us know, the urinary bladder channel moves down, starts at the brow and travels down to the foot.

But how about the Sinu Channel? So the Sinu Channel, we of already saw it a little bit with this previous video. The Sinu channel tends to pull downward. to create an upright posture. I really like this image on the right, which is from a outer print book from an anatomist John Hall Grundy, who Tom Myers, if you’ve ever studied with him, really likes this book quite a bit and uses some of his images.

I, I think his images are great. They’re very thoughtful. He gives just these dissection images. Sometimes this one’s more of schematic. That kind of shows the body from a different perspective. That helps us understand something about the body. And this one’s kind of showing that aspect of those erector spina, almost like a pulley.

And what they’re doing is they’re pulling to bring us upright. Yeah, maybe they can get too tight in areas and over pole, but they’re just like this, those hands on the ropes or just of lifting us up. They’re lifting us up from the back. They’ll lift the front upwards. So the downward pole in the.

lifts us upwards in the front. Very good representation of the urinary bladder sinu channel. So we would have that capacity at things like the lower trapezius. See if I can get my cursor on here. So lower trapezius is gonna pull down on the scapula to help lift and open the chest. The erector spin A is gonna pull on the spine to help us come out of flexion and into extension.

GLUT Maximus is going to help us prevent us from going too much into an anterior tilt to the pelvis. So it’s gonna drop the pelvis down and keep the pelvis in a good neutral position. So when it gets weak and inhibited, sometimes people will then go into more of an anterior tilt to the pelvis and put strain on the back so it helps stabilize the back, stabilize the SI joint muscles like the lateral portion.

of the leg here, this lateral branch of the UB channel on the bottom left which I interpret as the Proteus longest and brevis, those help. Or if they get too short, let me say it. That way, if they get too short and lift excessively, they’ll help, they’ll collapse the foot into the medial arch. So we have a technique that we show, and we have this on our YouTube channel where we pull those down, descend help.

Propri receptors understand they don’t need to be so excessively lifted. They can drop down to help take away that dropping into the medial arch. And then we’ll combine it with a lifting technique on the medial arch at things like kidney two, which is the abductor hallucis motor point. So I was gonna put that into my presentation.

I wasn’t sure if I’d have time, but that is on our channel. I decided not to put it. Not relevant necessarily to office workers specifically, but just to understand that downward aspect of the channel and how the channel in pathology sometimes can excessively lift. So the kidney channel moves up and stabilizes.

So when we start looking at the channel sinus, we have structures like in front of the spine. The so as major. The anterior longitudinal ligament, a big stabilization of the the spine in the front of the spine, and then this portion at the neck up at the top of the spine there on the image on the right would be the longest coli and longest capitus.

Those are very important for stabilization of the neck, so when those get weak and inhibited the neck tends to jut out. So they have a certain amount of ability to keep the neck in a nice upright stacked.

The kidney channel also. Not, if you look at the description in the ling shoe of the SY channel, it’s pretty vague. You have to really start looking a lot at cadaver dissection and some research, fossil research. You have to bring a lot of things together, I think, to get a good understanding of what structures could be potentially part of this INU channel.

It’s a work I’ve been doing for about the past 10 years. But it would be hard to find a description from the Ling shoe that talks about things like the transverse of Dominus as part of the kidney sinew channel. But if you look at the channel system as a whole, the low connecting point does talk about the core in a way.

because this channel, this low connecting channel, travels up the abdomen following the kidney channel. Question I have is what depth? I think it’s at the depth of the transverse abdominus that goes to a point just below the pericardium. If the transverse abdominus is part of those structures, it’s gonna blend in with the diaphragm pretty seamlessly.

And then the heart sits right on top of the diaphragm. So that would technically go to a point just below the pericardium. And then those the multifidi connects also with the pelvic floor, but also I’m sorry, the transverse of dominus connects with the pelvic floor, but also the multifidi, these deep lumbar muscles that are stabilizing muscles of the spine.

So I think the kidney low channel is really giving some kind of description, maybe not of the muscles, but of the ability for those muscles. to stabilize a big part of the kidney channel to stabilize the lumbar region to support. And I think their description, their trajectory hints at these core stabilizing structures of the transverse, a dominus, the pelvic floor, the diaphragm, and the lumbar multifidi.

in sports medicine, acupuncture, we take those core structures and put ’em in the Sinu channel just for ease. So the kidney sinu channel would include those core stabilizers of the spine, the SOAs, which is other, and also a core stabilizing muscle, at least the portion, the stabilizing, the , the deeper fibers and the more superior fibers of the soaz, which are really stabilizing the spine are part of the kidney channel.

A little bit of a aspect of the ql. Also, all of these stabilizers of the spine really speak to the kidney channel and its lumbar and spinal stabilization role. But then also, like I said, up in the neck we have those longest coal, iron capitus. So very much about standard. So collectively the urinary bladder in the kidney sinew channel are looking at balancing the spine in a very easy way, or at least a simple way of looking at the spine.

is to look at the curves of the spine. Cause it’s tricky when you start doing postural assessment. Is that right? Is that normal? So one thing you can look at is there a balance between these curves of the spine? And what these curves are is things like the cervical lordosis that’s in that picture is referred to as a secondary curve, meaning that it’s not there at birth.

As we, start looking up into the world and put strain in the body, we start developing that secondary curve in the cervical. primary curve in the thoracic spine that’s there at birth, we have just an a c curve, so they call that a primary curve. And then same thing as we’re crawling and moving and eventually stand up and walking, we start developing a secondary curve at the lumbar spine.

So looking at that kind of curve of the spine can help us understand if the, there’s a good balance between the urinary bladder and kidney channel because we want a really good balance between those curve. We don’t want all thoracic curve or we don’t want an excessive cervical lordosis or an excessive lumbar lordosis or maybe a flattening of the lumbar lordosis.

Some people naturally have less curvy of the spine. Some people have naturally more curvy of the spine, so you can start looking and seeing is there a balance between those secondary and primary curves. Back to Tom Myers, his work, I’ve studied a little bit. , he also extrapolates that out to the posterior knee, which isn’t a spinal curve, but that’s a normal, there should be a little bend, a little gentle lordosis and if you wanna call it that in that posterior portion of the knee.

But as you look at people, sometimes their knee becomes hyperextended and say, so they’ve lost that curve relationship or even the arches of the feet. So you can take that idea of that balance of the curves all the way down the. Into the knees, into the feet and the arches. So we want just a nice, even ebb and flow in those curves of the spine.

So I think you can agree looking at those images of the desk sitters that were dropped, , their balance was lost. They have a, capital extension, a strong curve up at that upper part of the cervical spine. But everything is, the whole spine is in curved. They’ve lost a little bit of the lumbar curve.

There’s not a really good balance between those positions. So let’s look at an exercise and we’ll talk acupuncture. And we’ll also look at a myofascial release technique. Let’s look at an exercise that is a little bit more accessible. Cause people can do it in a chair. This is something you can work with them.

on. This is gonna be a seated exercise. It’s modified from a Chiang pattern eight pieces of brocade for those who know it. This is the second move. It’s two hands, hold up the heavens and it stacks the spine. That’s gonna be the first thing it does, but then it’s also gonna start moving in the frontal plane.

So a side bending movement. The reason of that is because, Office workers, everything is moving forward or back. Maybe the neck shutting backwards or forwards. Maybe the thoracic spine is sinking back, but everything’s moving away from that frontal plane. The head maybe moves away from the frontal plane, the back moves away from the frontal plane.

Everything is in. That front and back position, maybe those people exercise, maybe they don’t. But frequently when people exercise, everything’s in that front and back position. Like running much of weight lifting, everything’s flexion, extension, flexion extension. So most people, especially office workers, aren’t doing enough movement in the frontal plane, like side bending motion.

So this exercise is gonna stack the spine, get a good balance in the spine, get a good stability in the. Engaging those back muscles and then it’s gonna start going into a side bending motion to help bring in a different movement potential that they’re not probably, or let’s just say they’re more than likely underutilizing.

And that can really give a little tensional support from the side and help that elevation and lift coming up the body. So I’m gonna go ahead and play that video.

Many of my patients sit for prolonged periods of time in this position, the head is forward, the back muscles are under slack, and the core is not engaged. Prolonged times are spent with major parts of the spine move forward or back. Let’s look at a simple Qigong exercise that can be a mini break from sitting and help alleviate some of these issues.

This Chigong pattern is one of the eight movements in a system called the Eight Pieces of Bou. This is a great chigong exercise for office workers since it highlights an engagement of the back and core while performing a side to side movement. These are movements which are frequently absent and sitting, especially if the posture suffers.

The exercise can be performed standing or seated. Here we see it standing, but we will look more detailed at the seated version since it can be easily adapted to a work environment.

Start by sitting upright on the sit phones or the issue two Verocity. Roll off the back of the zip bones and round the back, then roll back onto the zip bones, engage the back and core, and grow back to an upright position. Again, roll off the back of the sit bones and round the back. Roll back onto the sit bones.

Engage the back and core. Grow to an upright position. Repeat the same movement, but this time, rotate the arms and turn the palms up.

Turn the palms down as you grow back to upright.

Now let’s look at the full movement roll down. Like before, interlace the fingers as you grow and expand. Start to turn the palms towards the sky. Get the elbows lined up with the side of the body. Reach upward and maintain an open chest.

End to the side, allowing the opposite side ribcage to open and the spine to curb. Keep both sip bones on the seat. Return to the midline and then repeat and stretch to the opposite side.

Return to the midline stretch up. Then let everything relax down while bowing the spine. As the hands passed, the solar plexus row opened the chest gauge the back and horn. The entire movement can be repeated several times. At least three times would make a great little mini break and help bring back length and ease while sitting.

All right, so that’s on my YouTube channel. It’s Jing Jin Movement Training, if you wanted to check that out. It goes through a practice run of it if you wanted to do it with the video. So that it gives you a chance to practice that. I think there’s three three repetitions of that. If you were to work with that on a pa with a patient the whole movement’s great because of that side bending aspect.

Again, that’s a movement that they don’t often do and everything that they are doing is forward and backward generally. So it’s nice to have some tensional support. Put into the body from the side to help give tension, good tension to give, like stabilization, kinda like an old-fashioned boy scout pup tent.

You want a nice balanced pole in all of those wires that are giving the tent nice shape. So it’s nice to have that little pole from the side. But if you didn’t have the time, or maybe a patient wasn’t super aware starting with that, rolling off the sit bones and letting the spine. and rolling back on the sit bones and letting the spine stack is a really great educational tool for the patient because my general view, again, is that there’s not a good or bad position for the body.

If I were to roll off the sit bones and curve and I were reading a book and I had a book in my lap, that’s not a bad position. I have a nice, I wouldn’t wanna be there all day, but it’s a nice curve through the spine. It’s a balanced curve. And if I roll back up on my sit bones and stack everyth I think that’s a good position. Again, I wouldn’t wanna necessarily sit in that all day. I wanna get up and move around a little bit. Where I think people run into the most trouble is when the spine is not working in a balanced position. Maybe they’ve rolled off the set bones, they’ve collapsed the chest, but then they arch the head up.

So part of the spine is inflection, and then another part of this spine is making up all that difference and. and that position is where people I think tend to get in into more trouble. It’s fine for a momentary movement, but when you’re holding that position, it’s not a particularly comfortable position.

Puts a lot of strain on the neck and the shoulder girdle and can lead to injuries. So I like that aspect of rolling up onto the sit bone so they can get that support under them from the pelvis. And finding that position of stacking the chest, bringing the head back, lining everything. , but you don’t want ’em to go too far, you don’t want ’em to roll off the front of the hip bones and hyperextend either.

So it’s just finding that balanced tone from the pelvis, torso, shoulder, girdle head, everything is comfortable, balanced, and it’s a much more injury-free position. Doing that, I think is a better strategy than trying to dictate to somebody how to sit and pull the shoulders back and everything becomes very stiff.

Finding that relationship of how the pelvis stacks on the chair and everything else stacks above it is a really great tool. Acupuncture can be very useful for obviously for a lot of these injuries. So if we’re looking at acupuncture, we have to spec specify really what they’re coming in for. So a lot of the local base injuries are gonna be more specific treatments for those.

I’m not gonna get into that cuz there’s a whole host of them. Learning how to treat and recognize those particular injuries can be very useful in guiding that. But just some general guidelines for distal points. If people are in that position for a long period of time and they’re not engaging the back, those back muscles tend to get inhibited and they have a hard time finding those muscles that help depress the scapula externally, rotate the shoulder girdle, stack the spine.

So UV 64 SI four is really a wonderful combination, both of them being source points to help. Channel T to help inform the channels and give a little bit of energy to the channels to help them find those find those muscles and engage those muscles more effectively. So UB 64, SI four are really a great great treatment.

UB 60 SI three. Obviously a lot of people use that combination of their acupuncturist. UV 60 as many people know is really working on that excess young that rises up the channel. So there’s people who have their ears up against their, their shoulders up against their ears, and everything tenses.

And that channel rises excessively that, especially if it’s much more of a tension stress high-end type thing is a really great point to help descend that chi down the channel. S I three obviously used for a lot of neck pain. So those are great great combinations for those people who have a lot of excess rising of the back of the body.

And leading to things like tension headache tension headaches, kidney four, low connecting point of the kidney channel can really help engage the core structures if they have a very weak and inhibited core like transverse, abdominous, pelvic floor, that kind of stuff. And then working with local motor points for things like the rhomboids upper and middle trapezius and the chest muscles to help balance the front and the back can be a great strategy.

So last thing we’re gonna look at today is the am myofascial technique that’ll help stack the spine and Descend. The channel in the back descend the urinary bladder channel. So this is a technique we teach at sports medicine, acupuncture program. And we have, I have this one up on my YouTube channel, Jin Movement training.

There’s a similar table technique to this on the sports medicine, acupuncture, YouTube channel.

Let’s look at a myofascial technique where we spread down the urinary bladder. Jin, especially concentrating on the erector speed. A muscle room. We will have the patient roll forward vertebra by vertebra.

While they are actively flexing the spine, we will spread through the tissue to soften and lengthen any areas where the erector being a or bunched. So you can do this with both hands simultaneously or one hand at a time. Both hands is nice, but sometimes it’s good to guide the patient by working on one side while you’re assisting them.

It depends on their ability to do this. First thing they’re gonna do is make sure they’re solid in their feet. They can even give a little small push back into their feet so that they can support against your pressure.

Now let the head go and she’s just pulling me through the erector. Speeding. So I’m lengthening, I’m looking for balanced movement. Okay, let the left shoulder go that. You can just go straight down. So with women, you’re gonna have to readjust around the bra straps there. You gonna stop for a moment so when they stop, you’re gonna sink back in and then have them go deflection as you spread through the erector.

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and hold. Stop for a moment.

Sink back in and then have them continue down in deflection the whole time being supported in the feet. Let the left shoulder go a bit. There you go. Good. And now continue to drop and you’re spreading through the erector. Speeding now into the lumbar.

All right. Now you can help them as a stack. So behind settles first, a little bit more weight here. There you go. A little bit more.

A lot of people wanna come up instantly with the head. I’m gonna do this incorrectly for a second. A lot of people wanna come up here first, but we want them to stack first and get the support stack chest. and they’re in a neutral position.

Great. So that’s a bench work technique that’s very common in structural integration. It’s the type of work I did before an acupuncturist. Rolfing is a type of structural integration. We do a ton of bench work. I really like it cuz the patients are actively engaged and they’re they’re able to informed the body, by that movement of stacking, in this case, stacking the spine.

If you do go to the YouTube, my YouTube channel at the Jing Jin Movement Training and watch that particular video, I’ll give you something to look for. She had a hard time stacking her lumbar spine. and I of wish I would’ve pointed it out on the video. I of noticed it when I was demonstrating the technique that I didn’t wanna take the time there.

But as I, as she goes to stack the body, she has a very difficult time coming outta flexion with a lumbar spine and then misses it and comes up above it. And she has a tendency to have like a lot of people who are very athletic She has a pretty notable anterior tilt to the pelvis, so maybe a little more time spreading through that lumbar region.

A little bit more time stacking would’ve been indicated. But I was just doing it as a demo. But anyway, something to sharpen your eyes. You can look and see, cuz what we wanna see is that each vertebral level moves apart one by one, and then each one then stacks from the bottom. That’s kind of part of that training of the UB Jing gin to get that stacking and get that upright posture so that then people can feel comfortable in their seated position.

So thank you to American Acupuncture Council for for having me for this webinar has been very nice presenting on some of these ideas. These are, like I said, things that we teach within the sports medicine acupuncture program, especially in. One of the classes that I helped co-develop the class that’s looking at assessment and treatment for the channel sy use.

So check that out. If you get a chance, you can also, like I said, check out those YouTube channels and hope to see you guys again. So thanks. Thanks again to American Acupuncture Council.