CARs vs "Joint Circles" - FRS Creator Dr. Andreo Spina

FRS Creator @drandreospina explains why Controlled Articular Rotations (CARs) are NOT just 'joint circles,' but a tool to assess joint workspace, screen capsular space and identify programming needs.
Ref:
Zhou et al. Development of the circumduction metric for identification of cervical motion impairment. J Rehabil Assist Technol Eng. 2018;5:1-5

[@1freegrl]

You explained this so well. I've had lumbar fusion and osteoarthritis. I finally found a PT who seems to understand this. Instead of exercises and electrical stimulation they are helping me discover the actual muscles that support my spine and joints and to work on strengthening them by tightening and releasing. The sweet spot was when I could actually feel my abdominal/back muscle ( sorry IDK which one!) hug my lower spine and it felt good! Damned hard for me, as I tend to hold my breath and tighten all over, but I'm working on it. I've lived like this for 20 years, chronic pain from a work injury. This makes so much sense to me. Thank you!!

[@user-vh5np1ry8x]

Thanks for sharing this Dr Spina. Awesome clarification.

[@bt4885]

good info, bad audio

[@N1Fitness]

Fantastic explanation of where to start and why, love it!

[@barnabyvonrudal1]

Never really understood what a joint capsule was until now! What changes as a capsule becomes less restricted? It remodels and the tissue loosens?

[@RicoTheUnknown]

This is great, but what do we do to get the mobility back? Keep doing CARS or do we need other treatment on top? Thanks.

[@lawrencefenton2075]

Get assessed by a FRCms/FRA practitioner. Usually CARs is used to show your current global workspace of a joint - if we need more capsular space then CARs alone won't necessarily achieve this. We usually combine stretching (of fundamental joint motion) of said joint to stretch both superficial tissue and the capsule; post stretch we initiate our PAILs/RAILs (isometrics at end range) to work about keeping the newly acquired range of motion we now have access to. Combining this with FR (manual therapy in FRS) can be very benefical also.

[@RicoTheUnknown]

Lawrence Fenton thanks.

[@matthieuclerget2203]

So what is the solution (if there is) if we don't have a workable shoulder ?

[@NAZMli]

Great explanation Dr.

[@XxChipsxX]

🔥🔥🔥

[@philipevans576]

Boom!

[@fortressphysicaltherapy]

This is awesome! Great breakdown of information and visuals. Thanks much!

[@camiladebergerac825]

this doctor is all theory, left my occiput and c1 in worst shape ever four years ago....

[@d.martin.y4055]

How would you start to treat this situation, or any other similar immobile joint? Many thanks

[@lawrencefenton2075]

If you are wondering this for yourself, i'd recommend to go get assessed by an FRCms/FRA practitioner (you will learn and improve your body simultaneously). If you just want to know how we would usually go about creating more capular space then i responded to a comment above that explains that a bit.