Recently there has been a shift in physio exercise interventions. We are beginning to learn and realise that we don’t have to be as specific as we first thought. We can’t target the VMO, setting those Scapulas ain’t that important etc etc. This is great, I’m all for effective simplicity. However, reading some blogs, social media posts, and having some discussions around our exercise and rehab interventions it feels like some have forgotten or abandoned an important and key principle of movement…
The S.A.I.D principle
This stands for, Specific Adaptation to Imposed Demand. The SAID principle asserts that the human body adapts specifically to imposed demands. In other words, by giving certain stressors on the human system, whether biomechanical or neurological or even psychological the system will adapt.
Now I do agree that many of the so called corrective exercise rehab gurus focus waaay too much on the minutiae of some exercises and the specific role of muscles during some movements, often coming up with some pseudo scientific bullshit, like ensuring your Gemellus Superior activates before your Obturator Internus as you do a split lunge with a rotational arm driver… these Naudi-Gray-Sahrmann disciples make my Cremaster cramp up.
However, those who claim we can just get our patients to do whatever the hell they want, whenever the hell they want, however the hell they want, based on their wants, wishes, and whims also make my Pyramidalis into spasm.
Simply put creating overload to a movement or task is needed for it adapt. Doing bloody bicep curls will not help your Achilles problem, doing foot intrinsics will not help your shitty shoulder. Doing very little will not get you very far.
Simply put patients often have to do stuff they don’t like/enjoy for a short while to move forward.
Now there is NO doubt that getting patients to engage with stuff that is not interesting for them, that is hard work for them, that is challenging for them, is difficult and frustrating for us to do, and I don’t have all the answers in how to do this effectively with everyone, in fact no one does!
But this is our role as physio’s within the healthcare system.
We have to constantly try to educate, encourage, enthuse, motivate, support, cajole our patients to do the hard stuff until its not hard anymore.
Now shut up and give me 20… and remember you #CantGoWrongGettingStrong
As always thanks for reading