The Concept of Regional Interdependence - A Physical Therapy Perspective
What is regional interdependence?
“The concept that seemingly unrelated impairments in a remote anatomical region may contribute to, or be associated with, the patient’s primary complaint.” (Wainner et. al. 2007)
“The patient’s primary musculoskeletal symptom(s) may be directly or indirectly related or influenced by impairments from various body regions and systems regardless of proximity to the primary symptoms.” (Wainner et. al. 2007)
Often during the examination process, your physical therapist will identify areas that may be contributing towards your primary issues in a way you may not expect.
For example, ankle mobility can be causing difficulty with squat mechanics. Limited ankle mobility, particularly lack of dorsiflexion, can cause compensations at the hips and low back during squatting movements, potentially leading to discomfort in those associated areas. Tibial translation forward allows for good positioning and decreases the likelihood of using the trunk or hips to take up the slack.
This concept is hammered in physical therapy programs across the country, but what does this mean for you, the athlete?
Be aware of your deficits - If you don’t know what you struggle with, try to identify things that may be stiff or hypermobile. This awareness will help give you a framework for what needs to be warmed up, mobilized, or stabilized.
Be honest with yourself - Whatever you find difficult, know that is something you can improve and you should address. Don’t do the same routine over and over, rather adapt to what the needs of your training require. If you know your ankle mobility stinks – work on it.
Don’t settle for cookie-cutter - Find someone who is specifying exercises specific to your situation. Don’t get me wrong, bridges are fantastic… but you can always change small variables and derivatives to fit individual needs.
Don’t be afraid to ask for help - Realize there are some great resources out there to help. A MoveWell PT is ready for you on-demand for a consultation or evaluation. Our training is geared towards identifying those deficits and equipping you with tools to improve them.
Remember that pain may be occurring in one area of the body, but the underlying issue might involve a region above or below. Realize that a trained Physical Therapist can guide you through connecting the dots, giving you a greater understanding of how your body functions and adapts. Book your session today or call 205-304-1181 for more information.
