1/4 Hour Neuro #54: "Finally the Best Method to Improve Mobility"

The Ever-Present Question of the Best Mobility Method

Every week, new questions arise regarding the best methods to optimize mobility. A recurring inquiry is about the "best" approach to enhance hip mobility. Despite the abundance of tools and techniques, it is crucial to understand that the solution does not lie in a single method, but rather in a holistic and personalized approach.

This debate highlights the importance of not limiting oneself to just one tool. Whether it’s FRC, primitive reflexes, FMS, or other proprioceptive approaches, each of these tools has its advantages and limitations. The goal is to find the main entry point of the issue and work pyramidally based on individual needs.

Mobility vs Flexibility: An Essential Distinction

It is fundamental to distinguish mobility from flexibility. Flexibility refers to the ability to achieve a large range of motion passively, without conscious motor control. In contrast, mobility involves not only this range but also precise motor control and muscular awareness throughout the movement. It is this mastery that allows for functional use of the joint range.

Exploring Different Approaches to Mobility

Controlled Proprioception (FRC, Cario Mac)

FRC (Functional Range Conditioning) and Cario Mac are methods that focus on controlled proprioception. They involve exercises aimed at improving body awareness and motor control in specific ranges. These approaches strengthen the neural connections between the brain and muscles, allowing for better movement management.

However, limiting oneself solely to proprioception would be a mistake. Proprioception is just a tiny part of the entire sensory system. If other systems, such as the vestibular or visual systems, are limiting, proprioceptive exercises alone will not lead to significant improvement. Therefore, it is crucial to integrate these elements for a comprehensive approach.

The Functional Movement Screen (FMS)

The FMS is a screening tool used to identify movement limitations and asymmetries. It is not a true injury prevention tool, but a means to spot what is wrong at a given moment in a specific movement. For a novice coach, the FMS can be an excellent starting point as it provides a foundation for implementing targeted corrections. However, it is not enough on its own for a complete mobility assessment.

The Influence of Primitive Reflexes and the Neuro-Sensory System

Primitive reflexes play a crucial role in motor development and mobility. For example, hip mobility is significantly influenced by the primitive reflexes of the foot. Working on crawling and the primitive reflexes of the foot can enhance the dynamics of the pelvis and hips, which goes beyond a mere proprioceptive exercise around the joint. This demonstrates the importance of viewing the body as an interconnected system.

The neuro-sensory system, including the visual and vestibular systems, is also a major player in mobility. An imbalance in these systems can lead to movement restrictions. For instance, vestibular stimulation can sometimes instantly improve shoulder mobility and reduce associated tension, something that a proprioceptive exercise alone could not achieve.

The Importance of Individualization and a Global Approach

The "best" method for improving mobility is the one that is tailored to the individual. Each person has different limiting factors, whether it's proprioception, the vestibular system, the visual system, breathing, or even nutrition. Therefore, it is imperative to conduct a thorough assessment to identify the underlying cause of mobility deficiencies.

A holistic approach involves not focusing solely on the joint with the restriction but considering the entire body and its systems. Breathing, for example, can have a significant impact on shoulder and trunk mobility. Mobility issues may reflect more fundamental factors such as diet quality or stress levels.

For athletes, improving mobility must be task-specific. If an athlete lacks mobility for a specific movement like a high kick, it is essential to practice that movement regularly so that the brain can adapt and integrate this new capability. Working on mobility in a decontextualized manner does not guarantee performance in a complex movement.

In conclusion, the "best" method does not exist in itself. It is a set of tools and skills that the practitioner must master to adapt them to the specific needs of each individual. The goal is to achieve results, regardless of the tool used, by combining neuro-sensory approaches, proprioceptive methods, and considering the fundamental aspects of health.