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Yoga Space Teacher Training 2016 Anatomy Basics Observing and Communicating Movement

+ Anatomy and

n Yoga’s original purpose? n When was defined? n What did people know of anatomy?

n Asana practice purely for physical benefits: Is this really yoga?

+ Anatomy and Yoga

n Yoga Asana as Therapy? n Specifics of therapy? n Does yoga cover all of these well? n Origins of yoga / n What was understood of therapy then?

n Have you had to manage an injury in respect to yoga?

n Is the body the temple or is it the tool?

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+ Introduction to Anatomy

n Yoga as a Complete System: n Asana one component of this system. n Mind body connection.

n Is Anatomical knowledge a requirement to practice Yoga?

n Is Anatomical knowledge a requirement to teach Yoga / Asana?

+ Benefits of Yoga: Musculoskeletal Perspective

n To create a balance between:

1. Skeletal Loading.

2. Mobility. n A Holistic balance between 3. Flexibility. Physical, Mental and Spiritual Health. 4. Strength.

5. Proprioception.

n Imbalance can lead to injury.

+ Language of Movement: Activity

n Common Misconceptions n Simple instructions reduce specificity n Over time this leads to general misunderstanding n Long misunderstanding can cause incorrect learning patterns (physically and cognitively)

n Where are your hips?

n How far can you flex your shoulder?

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+ Language of Movement:

n Frame of Reference. n Facilitates observation of alignment.

n Midline: Imaginary line through the center of the body (splitting left / right).

n Medial vs. Lateral (close-to / far-from midline).

n Distal vs. Proximal (limbs close to / far from body).

n Anterior and Posterior (front / back).

n Superior and Inferior (above / below).

+ Language of Movement: Anatomical Position

n Tool for Observation. n Frame of Reference n Starting point for referring to new postures.

n Not always in perfect plane: n i.e. describing external rotation of shoulder while arm is out to the side (abducted).

+ Sagittal Plane:

• Flexion: Reducing the angle at a joint. • Extension: Increasing the angle at a joint. • PlatarFlexion (ankle): Toes point • DorsiFlexion (ankle): Toes to shin

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+ Coronal Plane:

• ABduction: Moving away from the midline. • ADDuction: Moving towards the midline.

+ Transverse Plane:

• Supination (forearm) • Pronation (forearm) • External Rotation (limbs) • Internal Rotation (limbs) • Twists (spine)

+ Supine vs. Prone:

Supine = Super Sleeping Prone = Powerful Posterior Poses

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+ Activity: Instruct in Anatomical Terms

n Instruct one of the following postures using Anatomical Terms n

n Utthita Hasta Padangusthasana

n B

n

n Or pick your own

+ Different Systems involved in Movement

1. Nervous.

2. Muscular.

3. Skeletal.

4. Fascial.

n Act as one complete system.

n Breakdown for simplicity of understanding.

+ Nervous System

n Brain à Spinal Cord à Peripheral Nerves.

n Afferent vs. Efferent. n Affect: feel Effect: do

n Receptors n To know where you are and what’s happening.

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+ Nervous System

n Restriction or damage to nerves: n Altered Sensation: n Pins and needles, numbness, pain, confused sensation. n Generalised ache.

n Shifting between Sympathetic and Parasympathetic state/tone.

+ Skeletal System

n AXIAL. n Axis – Central n The base of movement.

n APPENDICULAR. n Appendage – limbs n End of movement

n Functions: n Movement via Muscle Attachment. n Protection. n Structure. n Storage of Minerals.

+ Skeletal System: Activity

n Major Bones: n Skull/Cranium. n Ribs: n Mandible/Jaw. n Fixed to sternum. n Vertebrae. n Free. n Cx: #7 n Sacrum: n Tx: #12 n Pelvis: n Lx: #5 n Ischial tuberosity. n Clavicle. n Femur. n Scapula. n Patella: n n Humerus. Tibia. n Fibula. n Radius. n Talus. n Ulna. n Tarsals. n Carpals. n Metatarsals. n Metacarpals. n More Phalanges. n Phalanges.

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+ Muscular System:

n Smallest Level: n 2x of Proteins – Actin and Myosin form a muscular unit. n Nervous system stimulation. n Facilitates attraction.

n MOVIE!

n Each muscle has an origin and insertion.

n Each muscle crosses one or more joints

+ Muscle Groups: Upper

n Cervical: n Elbow: n Extensors: n Flexors: n Sub Occipital n Upper Trapezius. n Biceps. n Flexors: n Brachioradialis n Deep Neck Flexors n Extensors: n Sternocleidomastoid (SCM) n Triceps. n Shoulder: n Flexors: n Wrist: n Pectoralis Major n Biceps n Extensors. n Anterior Deltoid. n Flexors. n Abductors: n Supinators. n Middle Deltoid. n Extensors: n Pronators. n Latissimus Dorsi. n Posterior Deltoid. n Dynamic Stabilisers: n Rotator Cuff Group.

+ Muscle Groups: Lower

n Lumbar: n Knee: n Extensors: n Flexors: n Hip Joint: n Hamstrings. n Hip Flexors: n Extensors: n Iliacus. n Quadriceps. n Psoas Major. n Ankle: n Extensors: n Plantarflexors: n Gluteus Maximus. n Gastrocnemius. n Abductors: n Dorsiflexors: n Gluteus Medius. n Tibialis Anterior. n Adductors: n Adductor Magnus. n External Rotators. n Piriformis.

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nTypes of Contraction:

n Concentric: reducing muscle length

n Eccentric: increasing muscle length

n Isometric: maintaining muscle length

+ Muscular System: Activity

n Using one another we will observe muscle activity and joint range of motion (ROM).

n Practice the three kinds of contraction.

+ Joints/Articulations n “Location at which two or more bones make contact.” n Points of Reference – Observation. n Joint position determines alignment n Anatomy: n Joint capsule: n Joint surface. n Synovial fluid from synovial membrane provides nutrition. n Articular Cartilage: n Prevent degeneration of the boney surfaces. n Ligaments: n Stabilisation.

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+ Joints/Articulations n Types: Differs depending on n Ball and Socket vs. Hinge function. Joints. n Ligamentous/Fibrous: e.g. Skull. n E.g. Hip/Shoulder vs. Knee/ n Cartilaginous: e.g. Ribs/Spine/ Elbow. Pubic Symphysis. n Expected range of motion? n Synovial: End feel? n Primary function = movement.

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Foot and Ankle

+ The Bones n Ligaments: n ATFL n CFL n Complexity! n DELTOID n 26 Bones. n Tibia n Fibula n Talus n Calcaneus n Tarsals n Metatarsals n Phalanges.

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+ The Movements

n Ankle: n Talocrural Joint: n Plantarflexion. n Dorsiflexion. n Subtalar Joint: n Inversion. n Eversion.

n Pronation (Flat Feet) vs.

n Supination (High Arches)

+ The Muscles

n Calf Muscles: Gastrocnemius & Soleus n Plantarflexion

n Peroneals n Eversion

n Tibialis Anterior n Dorsiflexion n Inversion

+ Virabhadrasana III – Warrior III

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+ In Asana n Arches: n The longitudinal: n Medial and n Role: Lateral arches. n The Body’s BASE: n Medial n Support of Longitudinal Arch: Body Weight. n Increased support n Thus need to from Tibialis be balanced, Posterior and flexible, strong Fibularis Longus and aligned! tendons.

+ In Asana II n Integrate into Asana: n E.g. Virhabhadrasana III: n “Grounding through the heel & big toe”.

n Pada Bandha: n Strengthening the arch. n Create a sense of strength from the femur down. n Outside heel and Base of Big Toe. n Increase arch lift.

+ The Knee

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+ Knee Structure

n TibioFemoral Joint n Ligaments: n Tibia n MCL / LCL n Femur n ACL / PCL

n PatelloFemoral Joint n Patella n Femur

+ The Menisci

n Tibial Plateau

n Provides Cushioning of Load

n Common Injury Site n Medial Knee Pain

n Clicking / Locking in JanuSirsasana

+ The Movements

n Flexion

n Extension

n Tibial Rotation n Unlocking vs. Locking n Slight External Rotation at Extension

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+ The Muscles

n Quadriceps n 4x n Extension

n Hamstrings n 3x n Flexion

n Iliotibial Band n Lateral Stability

+ In Asana

n Prefer Co-Contraction vs. Locking. n E.g. Trikonasana. n Particularly if hyperextension.

n Knee Beyond Ankle? n Loading on Posterior Menisci n Pain? Controlled?

+ In Asana II

n Medial Knee Pain: n E.g. Padmasana. n Hip Restriction and > Knee Motion in Padmasana. n More concern if history.

n Caution new students when positioning the knee. n Tendency to ýank and pull from the foot. n Activate the muscles behind to knee (knee flexors) to tension the knee joint against twisting.

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+ The Hip

+ The Bones

nFemur n Thigh bone

nPelvis n Ilium n Acetabulum n Hip socket n Ischium n Pubis nAcetabulo -femoral Joint

+ The Movements

n Flexion

n Extension

n Abduction

n Adduction

n Internal Rotation

n External Rotation

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+ The Muscles n Adductors n Adduction

n Iliacus + Psoas n Flexion

n Piriformis n External Rotation

n Gluteals n Max n Extension n Med n Abduction n Stability n Min n Deep, stabilisation

+ The Muscles II

n Quadriceps n Flexion

n Hamstrings n Extension

+ - Pigeon

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+ In Asana II

n Psoas n Influence on both hip and on spine. n Influence on Pelvic Tilt and Lumbar lordosis. n Iliopsoas vs. Hamstrings. n Common source of immobility.

+ Pelvis and Sacroiliac Joint

+ The Bones

nPelvis nIlium nIschium nPubis

nSacroiliac Joint nSacrum nIlium

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+ The Movements

n Fused Joint

n Strongest joint in the body.

n Contention regarding movement – possibly < 5 degrees.

n Primary Function n Weight Transference

+ Parivrtta Trikonasana Revolved Triangle Pose

+ In Asana

n Function: n ‘Central hub’ of the body. n Weight shift is the origin of every asana

n Possible pain source. n Particularly during Pregnancy. n Movement or sensitisation?

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+ Week 3

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The Spine

+ The Bones n 33 Vertebrae: n Cervical: C1 -C7. n Massive maneuverability. n Thoracic: T1-T12. n Articulate with the ribs. n Rotation n Lumbar: L1-L5. n Supports LOAD and MOVEMENT. n Flexion and Extension. n Sacral: 5 Fused. n Coccyx: 4 Typically fused

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+ The Movements

n Flexion

n Extension

n Lateral Flexion

n Rotation

+ The Global Muscles n Erector Spinae n “Back muscles”

n Quadratus Lumborum

n Rectus Abdominis

n Psoas

n Obliques

+ The “Core” II n The Real Core? n Moola Bandha - Root Lock - Pelvic Floor n Need for n Uddiyana Bandha - Lower individual Abdominals - Transverse Abdominis. activation? n Automatic n Multifidus. Activation during n Diaphragm. “Neutral Zone” and when stabilising. n Arms activity.

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+ Posture

n Is there an “Ideal Posture” or an “Ideal Zone” n Differing Beliefs vs. Latest Evidence.

n Don’t want to be locked into one position n Ability to distribute load n Reduce “Global Muscle Activation” in place for “ Local Muscle Activation” n Commonly Excessive Spine Strength and Inadequate Leg Strength. n Dissociation.

n Dissociation Activity. n Yoga Integrated.

+ Drop Back to – Urdhva Danurasana

n Lumbar spine naturally extends

n Aim to target upper (thoracic) spine in back bending.

n Some pinching / general tissue sensitisation can occur.

n Is this a back stretch?

+

The Shoulder

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+ The Bones

n Complexity! n Glenohumeral Joint (GHJ) n Scapula (Glenoid) n Humerus n Dynamic Stability n Acromioclavicular Joint n Scapula (Acromion) n Clavicle. n Sternoclavicular Joint n Sternum n Clavicle n Scapulothoracic Joint n Muscular connection

+ The Movements

n Flexion

n Extension

n Abduction

n Adduction

n Internal Rotation

n External Rotation

+ The Muscles

n Flexors: n Pectoralis Major (From Extension) n Biceps n Anterior Deltoid n Abductors n Middle Deltoid. n Extensors n Latissimus Dorsi n Posterior Deltoid

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+ The Muscles II

n Internal Rotators n External Rotators n Teres Major n Posterior Cuff n Pec Major n Infraspinatus n Teres Minor

+ In Asana

n Smooth shoulder movement: n Requires endurance, flexibility and correct neuromuscular control of the rotator cuff and the scapulothoracic musculature. n GHJ: n Ball and Socket: n Flexion/Extension – Abduction/ Adduction – Internal and External Rotation. n Most commonly dislocated joint.

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The Elbow

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+ The Bones

n HumeroUlna Joint n Distal humerus and proximal ulna

n RadioUlna Joint n Radius n Ulna n 2x Joints: n Distal n Proximal

+ The Movements

n HumeroUlna Joint: n Flexion and Extension. n RadioUlna n Pronation and Supination.

+ The Muscles

n Biceps n Triceps n Pronator Teres n Supinator

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+ Asana

n Practical Implications: n Observe for elbow hyperextension in downward dog and other forearm loading poses. n Pincha n Difficulty maintaining pronation.

+ Hand and Wrist

+ The Bones

n Radius

n Ulna

n Carpals

n Metacarpals

n Phalanges

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+ The Movements

n Flexion

n Extension

n Radial Deviation

n Ulnar Deviation

n Pronation

n Supination

+ The Muscles

n Extensor Group

n Flexor Group

+ Asana I

n Practical Implications: n Wrist muscles form a wrist bandha. n Generate strength here with regulated load activities.

n Complicated Students: n Adjust postures for discomfort: n Hands wider / turned out (maybe in?) n Change elbow position n Reduce load (go to knees) n Load forearms n Fists last (unsteady!)

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+ Put it into Practice:

n Remember the body is a collection of complex systems.

n Study of anatomy should be for the long-term n Come back to this in a year. n Re-read when trying to understand inflexibility or injury

n Observe to understand

n Beware creating “Anatomy classes”

n Do not disassociate!

n Beware simplification

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