The Art of Screening, Part 2: Failure, Feedback and Success

There is an art to screening.

Screening must be performed with no agenda whatsoever. We are not trying to change the way people value exercise or activity. We are not trying to change the way people value medical intervention.

We are simply trying to ask, “How do you move? Can you do better on your own with more opportunities? Do you need help interpreting the opportunities? Where are your problems?”

By creating screens, we’re actually protecting you from the next experience that could create harsh consequences to what could be an opportunistic failure. If you fail a screen, it’s still a failure, but you’ve lost nothing. You’ve gained the opportunity to learn why you failed, what it means, and how you can change that.

A screen must ask you to do a very simple movement. Even though you could lie and do worse, you cannot lie and do better.

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The movements chosen for the Functional Movement Screen seem overly simplistic and almost elementary to the exercise professional. They seem like something any child should be able to do.

Those assumptions are very close to the truth.

On the flipside, the movements might seem excessive or ambitious for the healthcare professional working with aging adults. Why? Because we know that they will not do as well when compared to a younger version of themselves. However, we still make aging eyes read eye charts. We know they will often do worse, but we do not know the severity of decline or rate of change against a lifetime.

A poor score on an eye chart doesn’t hurt anyone and may actually prevent problems. Likewise, a poor FMS score doesn’t hurt anyone and may actually create clarity, direction and a logical decision for the next movement-based assessment.

The movement learning platform that gets us to adulthood is represented in the simple movements that all children possess in common. If you look at the developmental sequence of growth, children go through predictable phases: crawling, planking, kneeling, bridging, walking and running. On top of that, they build movements like jumping, carrying and climbing. They do this without a manual or an instructional video. They do it without a teacher or a coach. They do it in a very consistent and predictable way. The unpredictable factor is the decline of these abilities across the life span.

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Life happens and preferences are installed. Environments vary and we all travel a slightly different moving path based on the people around us, environmental fluctuations and our own internal drive to challenge ourselves (or our own internal drive not to challenge ourselves due to fear of risk or failure).

If we were to ask the honest question, in the simplest way, we’d say “Do you currently have the learning pathways of movement that you had when you started this journey?”

If you answer “No,” I’d like to know which ones are lacking. They would demonstrate the areas to revisit and help you regain the learning platform before I can expect teaching to occur. Think about that big, big mistake in exercise—we assume everybody must be taught exercise. There is no reason to teach it if they can already do it. If they cannot do it, we must ask ourselves, is it because they haven’t been taught or because they can’t learn? Have they not had a learning environment or are they not capable of learning without some assistance and feedback.

The movement screen is designed to separate those who can simply use better teaching—those who have embraced faulty habits and poor exercise programming—from others, who even if the program is good, cannot learn at the rate of those around them. Their current state of learning does not provide clean, clear and actionable feedback.

Let’s keep it simple and create an honest feedback loop. Before we ask questions about human performance and human work capacity—human skills in particular environments—we should have a measurement tool for the bottlenecks in the learning process. When you cannot complete a fundamental movement pattern, I’m not so sure you need a particular exercise, piece of equipment or even a new program, because you may have a learning dysfunction. We need to find out if that learning dysfunction is going to be long-term or short-term.

Movement screening separates those people having enough movement faculties to learn—even independently, from those who have plateaued and probably won’t make it much further without outside intervention. We see people who hit plateaus in their medical progress, in their ability to lose weight and in their ability to function in other environments. They just hit the wall and can’t change any further. Sometimes, even outside intervention doesn’t help much.

In the field of movement—our field, I think we can do better.

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The human brain is the ultimate learning system. Much of what we do with computer engineering is based on the brilliance of the neural network in the human brain. The only thing that can screw it up is poor input—the brain has nothing to work with. In computer terms, its “garbage in, garbage out.” But as long as that input can create consistent and beneficial patterns, the brain can learn from those patterns and successfully adapt to new environments.

The first demonstration of human learning is movement. We should screen it better.

. . . And by better, I mean, simply and honestly.

Move well enough to respond appropriately.

Move often enough to adapt accordingly.


Did you miss Part 1 of Art of Screening? Take a look for recommended reading and more thought on the philosophy behind screens.

The Art of Screening: Simple Questions

Screens are a good idea.

A screen creates a situation requiring a low investment of time and expertise that provides a high return of information regarding potential next decisions and beneficial priorities. The best screens work even when time is short and resources are scarce.

In times of convenience and in the presence of technology, screens are even more important because they keep us grounded in a standard operating procedure based on history and science. It forces the next new ‘shiny thing’ to prove itself against a set baseline. I like the way the book Sway by Ori and Rom Brafman elaborates on this concept and I highly recommend it.

YSway-the-Irresistible-pull-of-irrational-behavior-195x300ou see, a screen creates direction. It’s not an assessment. It lets us know if we need further assessment in a particular direction. The biggest misconception in the health and fitness world about the FMS is that it is an assessment.

When we think about movement screening, it’s better to think about good screening before considering the specific movements we would prefer to cram into our movement screen. We must protect ourselves from our own movement biases, our own movement methods, our own movement preferences and our own movement abilities.

Simply stated, the only agenda in movement screening should be the question, “does the individual being screened move well enough to enter at the next level?”

“Did they meet movement vital signs?” Yes. Then get on with whatever is next.

If we’re screening human beings, then the prediction of behavior is a very important thing. General behaviors will tell us a lot. Until we know general behaviors, asking questions about specific behaviors may not be the best use of our time. Psychologists know this all too well.

When the movement screen was first introduced, I was hit with a barrage of questions about a screen for soccer or a screen for baseball . . . or middle school or the military? My response: a movement screen should be species-specific, not sport, activity or even age-specific. That is what I have always said. Obviously, we can have different distributions, grades, and assigned values, but movement is movement. We need to do it from the time we’re born until the time we leave.

Young and old

At some level there should be a baseline for movement that holds our hand across the entire lifespan of movement existence. The FMS may or may not do this job, but the category is needed and proven. Screens across the life span create clarity and direction.

From the time you can recognize letters, you are exposed to an eye chart. As long as you have some degree of vision and letter-literacy, the eye chart can tell us if your vision is acceptable for movement to the next level or if you need a more thorough assessment. If the next level is reading and writing, you may be ready. If you would like to drive a motor vehicle, knowing about peripheral vision and color blindness are helpful and sometimes vital. Want to be a pro golfer? The ability to read distances is also key.eye chart2

It all starts with the eye chart, every time . . . all the time. Things change and baselines are the best way to apply science and objectivity to get to the truth when it seems unclear or hidden.

If I were developing a psychological screening questionnaire that would predict your basic and general behaviors, I would have to ask simple questions, while creating a situation in which you were forced to answer them honestly. That’s a hard task.

Let’s look at the first dilemma: asking a simple question. A simple question is one that cannot be misconstrued or misinterpreted, regardless of who is doing the asking. That’s the first and most important part of a screen: a question that can be reproduced by people of different skill levels in different situations. A simple question, hopefully, with the intent of improving both communication and accountability regarding the answer to that question, which then creates the second dilemma: the answer to the question is only beneficial if it is honest.

The simplest question I can ask you about movement is, “can you or can’t you?” Regardless of your answer, I should pick a movement and ask you to do it. If you choose, you could always do worse. But if I asked the question correctly, you can never do better than your ability.

When we’re trying to predict future behavior by asking a series of questions, we must decide whether we want to try to predict success or failure. If we follow the laws of nature, nature does not necessarily create success opportunities. Nature offers us non-failure opportunities. With our failures and non-failures, we learn about ourselves and our environments. If we learn correctly, we succeed. If not, we don’t succeed.

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We actually learn more through our failures than our non-failures, and that’s why following nature is so important. Some of our failures can have pretty harsh consequences—consequences that may not be deserved. Sometimes they’re not survivable. A little bit of prudence and learning needs to be pre-installed allowing us to gauge our own abilities in different environments.

We might not always succeed, but we can create opportunities where we quickly and clearly learn from failure. It is not necessary to fail the same way (action) at the same task (environment) a second time. Always modify the action or the environment if the desired result is not observed. Remember, modifying both at the same time destroys the feedback loop. Some of the most successful people in the world have a history of numerous failures, but it’s what they did with that information that took them to the next level.TOITW

They used a failure opportunity as a feedback loop. The Obstacle is the Way by Ryan Holiday is a study of this learning process—highly recommended.

Next time, we’ll delve deeper into improving the art of screening, the patterns of the FMS and keeping it all simple.

 

 

 


“What’s Behind a Mobility Problem” is my new talk at MovementLectures.com. It’s a good look into how my mind and our systems think about the causes and remedies of mobility problems.

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Networking

Lately, I’ve been pondering professional networks. With the advent of Facebook, Twitter and the like, I believe we actively manage our social networks better than our professional networks.

As a young physical therapist, I decided to move back to my hometown. I was very passionate about what I had to offer—both as a rehabilitation specialist and a strength and conditioning specialist. I wanted to be a community resource.

If you’d prefer to listen instead of read,
here’s an audio version of this article,
Episode 54 of Gray Cook Radio

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I could have easily joined a network-marketing group that met every Thursday morning at a local restaurant. I could have taken that opportunity to encourage people to refer their clients and patients to me for either conditioning or rehabilitation. I just didn’t like the confines of those networks. The busiest people in my town didn’t have time on Thursday mornings to go to a network-marketing group—they were too busy servicing the needs of the people who were already coming to them.

That left me asking myself the uneasy questions: ‘who was actually at those meetings and did I want to be their equivalent for my profession?’

I decided on a different approach. My staff and I began covering local football games. In the rural area where we resided, we did not have certified athletic trainers on the sidelines. We had EMT’s and paramedics in the end zone to deal with the high-end trauma and transport, but we wanted to be there to manage the orthopedic and sports medicine issues. We wanted to keep the emergency response team ready for when they were truly needed.

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We also tried to encourage our local sports coaches: “Don’t just call us in-season to deal with injuries. Let us interact with you pre-season to try to manage some of those. Let’s live the ‘ounce-of-prevention’ strategy and not just quote it.” We would speak to local runners’ groups or at tennis camps. We would accept any opportunity to be an educational resource.

We gave away a lot of time and service to try to distinguish ourselves as a professional group that could help the community.

We started talking to the podiatrists in town: “Can we help you manage your foot and ankle patients? We’ll look above the foot and ankle and deal with the issues that your specialty doesn’t have time to deal with. You’ve got plenty of patients with foot and ankle problems. What can we do to help?”

Here comes the important part. If you’ve only read that I was trying to educate the professionals in my community about how I could help them with their clients and patients, that’s not the whole story. From every person who I tried to be a referral for, I also asked for help.

I always sought out good nutritional counseling in my community. That may require two different people because the needs of a competitive body builder are different than those of someone with diabetes.

It is imperative that physical therapists know when to refer out to a surgeon. If we’ve mapped out some problems that obviously need a surgical consult, we need to act on that quickly—not after four weeks of rehabilitation doesn’t work. We should know the signs, symptoms and structural issues that probably need to be vetted by greater investigation through surgical consult or MRI.

MRI

I received cases from my professional network and I referred cases to my professional network. When I sent people, I didn’t just blindly refer them. I informed the provider, “This is what we’ve done and this is why I think you are the right person.”

There’s some vulnerability when we send a client or a patient to someone else. We have to know that there will be consistency in treatment and management. I think a lot of people are scared to make a referral—they’re scared that they will get blindsided.

Personal trainers have been scared to make a referral to me because they believe that they’ll lose the client or that I’ll tell the client not to train at all. That’s far from reality. These clients value fitness so much that they’re probably trying to cover a medical problem by staying fit. I wanted to help them with that problem, so we let the personal trainers and performance coaches in our community go through a movement screen and see the benefits. We let them attend the evaluations of the clients they referred to us.

We helped them deal with some of their physical issues and they in turn had a story that they could tell another client. “This is not just a mundane physical therapy referral. These guys know what they’re talking about. These guys know what they’re doing.”

For every person that you try to get to refer to you, also find a specialist or an expert to whom you can refer out. Got a cyclist? You should know somebody who can fit a bicycle. Like kettlebells, but you’re not certified? Find somebody who is. Think yoga is the right thing for this person as they become independent and free of low back pain? Find an instructor.

specialists

If you want to increase your professional network, by outsourcing problems so they can get managed by a specialist and by pulling stuff back in when it is your turn to be that specialist, it’s extremely important that you don’t just follow a recipe of network-marketing.

Know how to treat people when they come to you. Make their experience with you good and they will talk about it. When you’re not the expert, just make sure that the expert is in your contacts and you will still get the credit.

That’s right, when you make a referral, you share the credit of that good decision. Most of my professional network are people who I would trust with my family. Do I get a secondary gain for making that referral? In most cases, I don’t.

The ‘good’ people don’t need a kickback system. They’re busy enough. If many of your referrals are generated on the basis of a financial decision, you may want to reconsider how you work. It happens frequently in medicine—a referral is made and it’s somehow profitable or it locks somebody into the system. This is evident when medical professionals send friends and family to one place and everyone else to another.

Some of these same people are angered when you mention a second opinion of their assessment. I’m not scared, intimidated or insulted when somebody tells me, “Gray, I appreciate what you said. I’m going to get a second opinion.”

Here’s how I view that statement: either they’re getting ready to learn something or I’m getting ready to learn something. Learning is good. I missed something or I didn’t miss anything and they’re going to see that the integrity and authenticity of my examination was superior to the convenient diagnosis that someone else gave them.

If they go to someone else and they find something I missed, I don’t need to defend that miss. I need to own it and say, “I am so glad you got a second opinion because we haven’t been looking in that direction for your problem.”

That level of honesty makes you better. If we all managed our professional networks like people manage their social networks, we would all be so busy that we’d never have time for that Thursday morning network-marketing group.


“What’s Behind a Mobility Problem” is my new talk at MovementLectures.com. It’s a good look into how my mind and our systems think about the causes and remedies of mobility problems.

gray-cook-22

 

The Hardest Checklist You Will Ever Do

I want to give you a checklist that I’ve been working on for quite some time and it pulls together a few of my recent posts. I’m sure the checklist has made me better because it’s made me become a more objective critic of my work—both when I succeed and when I fail. It’s helped me to develop a systematic approach that brings clarity to my decisions as an exercise and rehabilitation professional .

If you’d prefer to listen instead of read,
here’s an abridged audio version of this article,
Episode 53 of Gray Cook Radio

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Whether you’re rehabbing somebody from an injury, an illness, a disease or a surgery; whether you’re physically training them for fitness, athletics or some other type of performance enhancement or tactical goal, you’re using movement to do what you do.

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You’re using exercise to (hopefully) complement movement, not so that they can continue exercising but so they can get to an activity that they’re focused on. Most fitness enthusiasts have a goal or a fitness activity that engages them. Hopefully, it’s not just burning calories, but an experience of connection and engagement. You’ll hear phrases like “I’m looking forward to the next time I get to do this!”

Helping someone find the best path to that place is my motivation. If it’s that important and I’m a professional, then I need a checklist to keep me on that path:

1) Am I creating independence?

2) Is what I’m doing sustainable?

3) Am I following a developmental approach?

4) Do I have a tight, objective feedback loop?

Now, let’s look at Question #1 and discuss independence. If somebody needs me in order to remain fit for the remainder of their life, then so be it.

There are some people who are going to need maintenance physical therapy or chiropractic for the rest of their lives. There are some people who, without a personal trainer (for some reason, whether it’s motivation or self-sabotage) would probably not be able to maintain fitness.

But let’s look at the big picture. If the fitness backbone—the healthy foundation on which our country should be built—needs to change, then we can only allow a few fitness enthusiasts and a few people who need rehabilitation to be completely dependent on the system. First, it’s not sustainable and secondly, it’s not really helping them to manage themselves. Remember, the goal of education is independence.

In every other facet of education, we talk about literacy and competency but do we graduate high school with physical literacy? Even if somebody throws a book in your face that you’ve never seen before or maybe a concept you’ve never thought about, you have the reading skills to at least ingest that material and find out if you like it or not. You have the mathematical skills to pay your taxes, pay your bills and to buy things you need without being taken advantage of.

But when it comes to physical literacy, I think the healthcare system and the fitness system take advantage of all of us because nobody is really fitness literate or health literate. When dropped in a new environment, most of us don’t know what to do, and I think that problem starts because most of us poorly gauge our own ability. We either overshoot and fail or undershoot and don’t get results.

I think one of the biggest issues on the current fitness landscape are people who far undershoot their physical ability and never get into the skill:challenge ratio that creates a workload or motor control challenge.

They never get better so they quit exercising or working.

Gait Analysis Clinic helps improve running, prevent injuries

Another large percentage probably overshoot their physical ability and bounce back and forth between injury and recovery until they die. We either bite off more than we can chew or not enough to sustain us. Therein lies the biggest problem.

We talked about a skill:challenge ratio and The Rise of Superman in a previous article, and I think we need to continue that thought. One of the best ways to keep people motivated in activity is to find something that gets them into or close to their flow state where they are engaged. At that point, they’re either an expert at what they’re doing and can explore boundaries or we’ve engineered a challenge to get them closer to that goal.Rise of Superman

The skill:challenge ratio is vital. I think it should be our ideal goal to try to make people who go through rehabilitation completely independent whenever possible. Even if they’re not back to normal, they can maintain health by following a routine or clearly understand what can improve and what cannot. They’re independent. They don’t need me unless they have another accident or some unfortunate relapse.

Secondly, I would like to think (being a strength coach or a personal trainer) that if my client or athlete wanted to go on a sabbatical or was taking a safari to Africa, they could get along fine without me. I’m here to help them evaluate where they currently are, better gauge their skill:challenge ratio and then put them on another fitness path.

I think the trainer of the future won’t be so much counting repetitions or reminding people to book three appointments a week. They’ll be managing hundreds of people—some with only three visits a year, some with three visits a month and some with three visits a week—depending on what their financial ability, goals, needs and lifestyle.

Question #2: Is what we’re doing sustainable? Even if time and resources are taken away from this individual, can they still sustain their level of fitness? In hard times, most will cancel their gym membership or their personal trainer’s fees. They’ll do those long before they’ll cancel cable or internet—I promise you that.

Can your health and fitness survive in lean times? When you have no significant time or money to dedicate to fitness, can you still be fit? Talk to a retired Marine. They’ll figure it out with push-ups, pull-ups, air squats or jogging—anywhere they can find a little space and time. It doesn’t cost a dime, just a little bit of time in between other activities.

Many of us spend more time going back and forth to a gym than actually in the gym. Moreover, the time in the gym doesn’t really make us that adaptable—it enables our current limitations and allows us to practice within them rather than confronting them. Figure out how to work out in any environment or figure how to be active in any environment. Then, anytime you want to check your workout, demonstrate that your activity level has kept you more than fit.

Question #3: Is what you’re doing fitting a developmental model? Do you have a scientific rationale for doing what you’re doing? Did it work?

Coaching DVDIn The Essentials of Coaching and Training Functional Exercise Continuums, I talk about mapping continuums. A continuum is about progressing somebody safely through a simple movement pattern to a complex movement pattern. Question #3 covers all of the background wisdom, that when married to an individual’s specific history results in well-planned, thoughtful development.

Our last, Question #4: Do you have a feedback loop so you don’t believe your own ‘BS?’ This will not only make you better . . . it’ll keep you from selling it to someone else.

I built Functional Movement Systems, first and foremost, to make my team and me better. A few young guns in the fitness and rehab world challenged ourselves and our education with higher feedback loops. We got better—not because we had been given greater resources, but because we were more resourceful with the limited resources we had. We never let our budget limit us.

If I’m not helping someone make their goals, I want to know it. If they can’t do this independently, I need to know so. I need to know if it’s unsustainable and when it departs from a developmental approach.

I want to know my mistakes before anybody else finds them. To achieve that consistently, then I have to professionally and ethically raise the bar on myself. I have to have a tight feedback loop, and I have to own those mistakes even if it hurts my pride some days.

Let’s revisit the questions:

1) Is what I’m doing creating independence? Did I achieve it?

2) Is what I’m doing sustainable? Did it work out that way?

3) Am I following a developmental approach? Did I follow through? 

4) Do I have a tight, objective feedback loop? Am I answering questions with as much professional integrity as possible?

Start asking yourself these four questions. They’re the hardest checklist you’ll ever do, but you’ll be far better for it.

Diet and Exercise

There was a time when the words diet and exercise said enough.

Diet was something that was good.  We didn’t have many bad food choices.  For much of history, we were working just to get enough.

Some cultures reached a balance between their needs and their environment. For them, the word diet never needed the word healthy placed in front of it.

If we hadn’t destroyed a good food economy (also, a good food ecology), we would never have to say healthy diet.

If you’d prefer to listen instead of read,
here’s an unabridged audio version of this article,
Episode 52 of Gray Cook Radio

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Exercise (and the broad term activity) share a similar history. In a hunter-gatherer culture or a balanced agrarian culture, there probably wasn’t much need for supplementary exercise. The activity level required to sustain life maintained a fitness level matched with the challenges that environment could provide.

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Henry Ford said, “Chop your own wood.  It will warm you twice.”  We know we need physical activity.  We also know that we have self-preservation needs.

Anytime that you can blend physical activity and self-preservation, do it!

I was raised in a small town in Virginia where activity was very high for the farming families. Exercise wasn’t necessary and was often considered frivolous—a mindless way to expend energy.

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I have had to balance this culture with my education in exercise science and my pursuit of credentials, both as a strength coach and a physical therapist, knowing that exercise—physical movement—is one of my tools. I have always encouraged clients and patients to work through correctives until they can resume a lifestyle that’s physically active enough that exercise will only be a supplement, not a requirement.

Supplementation is required for some people, who—due to a genetic problem, an injury or an ailment that’s long-lasting—might not absorb what they need from an otherwise balanced diet.  For these exceptions, be thankful that we have supplementation.

Likewise, when people have injuries, ailments or disease processes that somehow compromise their movement—either the sensory input and perception end or the motor output end and motor control end—we might need to supplement flexibility or a pattern to help them simply remain at a functional level.

The beginning of the current problems: we looked at diet and exercise and assumed that if we could do supplementary things to get you back to normal, we could use those supplementary things to supercharge you.

I often see up-and-coming exercise professionals fall into the same trap that I did: “if we just had more exercises or if we just did certain exercises more, it would fix everything.”

Albert Einstein once said, “If I had an hour to solve a problem, I’d spend 55 minutes thinking about the problem and five minutes thinking about the solution.”

Haven’t we inverted that?  We’ve witnessed poor movement patterns and, without trying to understand where they came from or what caused them, rushed right into local kinesiology and simple biomechanics with a solution.  “Oh, I know how to get that hip to extend.”

If the hip is not extending, then there’s either something wrong with the organism or something wrong with the environment.  If there’s pain, disability, ailment or impairment that can be medically measured and intervened on, then we must agree that there’s something wrong with the organism.

There’s no environment—no amount of bridges, planks or rolling exercises that will reset whatever is wrong with the organism.  We must look for that reset button.  We must determine if it’s an arthritic joint, a neurological problem, an avoidance of pain or instability?

If there is no sign or symptom indicating that there’s anything wrong with the organism, yet hip extension is not occurring on one or both sides, why shouldn’t we look at the environment?  We may learn that this person sits a lot. Except for when they run. When they do run, they can’t develop that beautiful erect posture that natural runners have.

Too much sitting forces them to realize the need to move and they jump into an activity—a lift, a press, a run, a sprint, a bear crawl. Whatever functional activity they believe they’re doing, they’re probably not bringing much integrity to it.

Your environment reinforces what you bring to it and before you know it, you’re a runner who sits all day and can’t even straighten up when you want to.  You’re a kettlebell presser who sits all day but can’t achieve that top alignment you so badly want.

The Functional Movement Screen serves me very well as I make those organism/environment calls. If you have pain—a ‘0’ on the movement screen—it is my job, ethically and professionally, to ensure there’s nothing wrong with the organism.  When you have pain on one of those seven simple movement patterns, in my opinion, you have a medical problem until a healthcare professional looking at all the different patterns, parts and processes says that you don’t.

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The screen puts on the brakes until we have more information. If you don’t have a past medical history or an injury within the last six months to a year, and you don’t have any pain on the movement screen at all but you do have what we call dysfunctions or scores of a ‘1’ on the movement screen, the very first thing I’m going to do is challenge you about your environment—not just your exercises.

How much are you sleeping?  Tell me about your diet?  Are you getting plenty of rest?  Do you understand the whole recovery regeneration cycle?  Are you bringing integrity to your exercises?  Are you doing a significant amount of patterning in one exercise but avoiding or ignoring another complementary pattern (that serves to balance posture)?

Einstein’s quote directs us you think deeply about why people move so poorly.  Is it because of a lack of an exercise science model or a lack of an activity level?  In my opinion, I would love to uncover the person who has such a high activity level that they appear fit on testing, yet they don’t exercise.

Bamyan province emerges as a model for Afghanistan’s potential

If you live in an urban environment and have to perform a sedentary job, that achievement may be impossible.  But if we could replace some of our exercise time with activity time, it doesn’t necessarily mean we wouldn’t meet our fitness goals.

We may actually find a little more joy, a little more commitment, a little more artistic value and a little more integrity with the energy we do expend.

When we’re going to move, it’s very biologically important to be engaged in our movement.  If we look at the natural environment around us, animals are 100% engaged in the moment and in their current activity.  When we have two electronic devices on our hip just so we can run—one so we can text and the other so we can listen to music—I’m not sure that many of the lessons that running in the environment could teach us are even accessible.

The exercise industry will always ask for new books, new articles and new discoveries of different exercise patterns that will somehow create a magic bullet for an entire lifestyle that’s broken.As_seen_on_TV

People tell me they don’t have enough time to screen, test or assess . . . because it won’t leave them with enough time to exercise. If they did their testing right, it’s likely there would be far less need for quantity of exercise and that the specific quality or type of exercise that’s needed would be identified.

Remember the carpenter’s rule:  Measure twice, cut once.  When we develop exercise programming to influence our client’s and patient’s environments, we are cutting.  We are cutting through their natural inclination to do something and making that decision for them.  We should make sure that decision does no harm and creates safety and economy in their endeavor.

I don’t think we can do things better than the natural environment.  When one person seeks to design a diet or design an exercise program for another person, it’s our charge to do it faster and safer than nature would—to do it economically. Nature can be harsh sometimes and people’s knowledge of their ability to do certain things can be skewed—too conservative or too aggressive.

How can we use the most efficient means possible to restore a harmonious diet and health or a harmonious exercise and activity level with fitness if we don’t have baselines? For a food industry that has inundated us with non-nutritive filler and a myriad of supplements, the baseline should be whole foods.

Our baselines should show us that we have taken clients and patients into fitness and function and not just made them endure exercises.

Exercises have been the product of the fitness industry for far too long. The product should be fitness—fit people. If the focus remains on exercise instead of achieving fitness, I fear that we will get worse before we get better.  Let’s shift that focus to the biomarkers of health and fitness. Then, we’ll find that exercises will emerge in a new way that complements activity level.