Anatomy and Health for Programmers
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0:00Casey Muratori: Introducing Dr Emily Scherb
0:00Casey Muratori: Introducing Dr Emily Scherb
0:00Casey Muratori: Introducing Dr Emily Scherb
1:45CM: Give us a little background
1:45CM: Give us a little background
1:45CM: Give us a little background
2:09Emily Scherb: Early career as a circus artist before becoming a doctor in physical therapy
2:09Emily Scherb: Early career as a circus artist before becoming a doctor in physical therapy
2:09Emily Scherb: Early career as a circus artist before becoming a doctor in physical therapy
3:36CM: Do you see a lot of people with computer-related injuries?
3:36CM: Do you see a lot of people with computer-related injuries?
3:36CM: Do you see a lot of people with computer-related injuries?
3:56ES: Most people have pain due to working
3:56ES: Most people have pain due to working
3:56ES: Most people have pain due to working
5:06CM: So people may come in not thinking it's work-related, but it is
5:06CM: So people may come in not thinking it's work-related, but it is
5:06CM: So people may come in not thinking it's work-related, but it is
5:32ES: Or people say "oh yeah, and I have this thing when I'm working"
5:32ES: Or people say "oh yeah, and I have this thing when I'm working"
5:32ES: Or people say "oh yeah, and I have this thing when I'm working"
5:38CM: So it's a bit of a doorway question?
5:38CM: So it's a bit of a doorway question?
5:38CM: So it's a bit of a doorway question?
5:47ES: Patients saying they've had the issue since they were fifteen
5:47ES: Patients saying they've had the issue since they were fifteen
5:47ES: Patients saying they've had the issue since they were fifteen
6:05CM: Could you tell us about Diagnosis vs Symptoms?
6:05CM: Could you tell us about Diagnosis vs Symptoms?
6:05CM: Could you tell us about Diagnosis vs Symptoms?
6:54ES: Diagnosis vs Symptoms
6:54ES: Diagnosis vs Symptoms
6:54ES: Diagnosis vs Symptoms
8:59CM: Unfortunate self-diagnosis
8:59CM: Unfortunate self-diagnosis
8:59CM: Unfortunate self-diagnosis
9:26CM: Do primary care physicians tend to properly refer patients?
9:26CM: Do primary care physicians tend to properly refer patients?
9:26CM: Do primary care physicians tend to properly refer patients?
9:58ES: Good primary care docs
9:58ES: Good primary care docs
9:58ES: Good primary care docs
11:07CM: Is physical therapy something you can go to directly?
11:07CM: Is physical therapy something you can go to directly?
11:07CM: Is physical therapy something you can go to directly?
11:51ES: Most states, including Washington, do allow direct access to a physical therapist
11:51ES: Most states, including Washington, do allow direct access to a physical therapist
11:51ES: Most states, including Washington, do allow direct access to a physical therapist
12:31CM: Are there resources for finding physical therapists in this school of thought?
12:31CM: Are there resources for finding physical therapists in this school of thought?
12:31CM: Are there resources for finding physical therapists in this school of thought?
13:32ES: Recommend the American Physical Therapy Association,1 the word of mouth network, and emailing in2
13:32ES: Recommend the American Physical Therapy Association,1 the word of mouth network, and emailing in2
13:32ES: Recommend the American Physical Therapy Association,1 the word of mouth network, and emailing in2
14:31ES: School of Thought: Movement System Impairments
14:31ES: School of Thought: Movement System Impairments
14:31ES: School of Thought: Movement System Impairments
15:03CM: So you have a professional subnetwork, but people may email in?
15:03CM: So you have a professional subnetwork, but people may email in?
15:03CM: So you have a professional subnetwork, but people may email in?
15:44CM: How do you start to investigate a problem?
15:44CM: How do you start to investigate a problem?
15:44CM: How do you start to investigate a problem?
16:28ES: Systematic exam: 1) Starting with posture, especially the shoulders
16:28ES: Systematic exam: 1) Starting with posture, especially the shoulders
16:28ES: Systematic exam: 1) Starting with posture, especially the shoulders
18:17ES: Pull up the shoulder girdle
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18:17ES: Pull up the shoulder girdle
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18:17ES: Pull up the shoulder girdle
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19:15ES: Shoulder girdle, hanging the arm off the body
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19:15ES: Shoulder girdle, hanging the arm off the body
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19:15ES: Shoulder girdle, hanging the arm off the body
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20:43CM: Can you unpack how muscles change how they situate things?
20:43CM: Can you unpack how muscles change how they situate things?
20:43CM: Can you unpack how muscles change how they situate things?
21:36ES: Understanding muscles, their stiffness, and thinking of them as springs
21:36ES: Understanding muscles, their stiffness, and thinking of them as springs
21:36ES: Understanding muscles, their stiffness, and thinking of them as springs
22:43CM: What decides the rest position of muscles?
22:43CM: What decides the rest position of muscles?
22:43CM: What decides the rest position of muscles?
23:29ES: Neurological and physiological body efficiency / adaptability
23:29ES: Neurological and physiological body efficiency / adaptability
23:29ES: Neurological and physiological body efficiency / adaptability
25:09CM: So muscles may change their shape eventually?
25:09CM: So muscles may change their shape eventually?
25:09CM: So muscles may change their shape eventually?
25:37ES: Eventually, but long long term
25:37ES: Eventually, but long long term
25:37ES: Eventually, but long long term
25:44CM: So it's mostly mental?
25:44CM: So it's mostly mental?
25:44CM: So it's mostly mental?
25:48ES: Mental and based on the strength of the muscle
25:48ES: Mental and based on the strength of the muscle
25:48ES: Mental and based on the strength of the muscle
26:05CM: So a stronger muscle becomes tenser by default?
26:05CM: So a stronger muscle becomes tenser by default?
26:05CM: So a stronger muscle becomes tenser by default?
26:14ES: Muscle stiffening at rest
26:14ES: Muscle stiffening at rest
26:14ES: Muscle stiffening at rest
26:30CM: So an exercised muscle has a stronger "base level" of pulling?
26:30CM: So an exercised muscle has a stronger "base level" of pulling?
26:30CM: So an exercised muscle has a stronger "base level" of pulling?
26:56ES: Balance and Global Exercise
26:56ES: Balance and Global Exercise
26:56ES: Balance and Global Exercise
27:41CM: Why may an unusually positioned shoulder be causing the problem?
27:41CM: Why may an unusually positioned shoulder be causing the problem?
27:41CM: Why may an unusually positioned shoulder be causing the problem?
28:17ES: The problem is in "the things you do that cause the passive resting tension"
28:17ES: The problem is in "the things you do that cause the passive resting tension"
28:17ES: The problem is in "the things you do that cause the passive resting tension"
28:37ES: Forces in the shoulder joint in the slightly abducted arm
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28:37ES: Forces in the shoulder joint in the slightly abducted arm
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28:37ES: Forces in the shoulder joint in the slightly abducted arm
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33:10CM: Taking our 2:1 shoulder motion ratio as read, may a movement impairment be caused, not by an unusual rest position, but by the brain moving joints in the wrong ratios?
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33:10CM: Taking our 2:1 shoulder motion ratio as read, may a movement impairment be caused, not by an unusual rest position, but by the brain moving joints in the wrong ratios?
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33:10CM: Taking our 2:1 shoulder motion ratio as read, may a movement impairment be caused, not by an unusual rest position, but by the brain moving joints in the wrong ratios?
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34:53ES: Systematic exam: 2) Looking at how they move their arm, for a symptom in the sequelae of symptoms
34:53ES: Systematic exam: 2) Looking at how they move their arm, for a symptom in the sequelae of symptoms
34:53ES: Systematic exam: 2) Looking at how they move their arm, for a symptom in the sequelae of symptoms
36:09CM: Let's go further into the second part of the exam
36:09CM: Let's go further into the second part of the exam
36:09CM: Let's go further into the second part of the exam
36:47ES: Systematic exam: 2, continued) Moving, and looking for the strength of muscles
36:47ES: Systematic exam: 2, continued) Moving, and looking for the strength of muscles
36:47ES: Systematic exam: 2, continued) Moving, and looking for the strength of muscles
38:28CM: Is it a thing to have difficulty in consciously targeting muscles?
38:28CM: Is it a thing to have difficulty in consciously targeting muscles?
38:28CM: Is it a thing to have difficulty in consciously targeting muscles?
39:20ES: Consciously targeting muscles, and cueing
39:20ES: Consciously targeting muscles, and cueing
39:20ES: Consciously targeting muscles, and cueing
40:31CM: What did you want to say about spinal alignment and plumb line?
40:31CM: What did you want to say about spinal alignment and plumb line?
40:31CM: What did you want to say about spinal alignment and plumb line?
41:02ES: Spinal alignment and plumb line, e.g. bicep firing
41:02ES: Spinal alignment and plumb line, e.g. bicep firing
41:02ES: Spinal alignment and plumb line, e.g. bicep firing
43:03ES: Spinal structure
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43:03ES: Spinal structure
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43:03ES: Spinal structure
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45:44CM: Could you talk more about muscle stabilisation?
45:44CM: Could you talk more about muscle stabilisation?
45:44CM: Could you talk more about muscle stabilisation?
46:54ES: Muscle stabilisation
46:54ES: Muscle stabilisation
46:54ES: Muscle stabilisation
48:10ES: Shoulder stabilisation, countering the arm's downward force
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48:10ES: Shoulder stabilisation, countering the arm's downward force
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48:10ES: Shoulder stabilisation, countering the arm's downward force
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49:48CM: So the energy must flow back to where you're grounded?
49:48CM: So the energy must flow back to where you're grounded?
49:48CM: So the energy must flow back to where you're grounded?
50:45ES: For an aerialist in space it is about how it interacts with your stability internally
50:45ES: For an aerialist in space it is about how it interacts with your stability internally
50:45ES: For an aerialist in space it is about how it interacts with your stability internally
51:05CM: Does a shoulder movement involve a different series of muscles when sitting and standing?
51:05CM: Does a shoulder movement involve a different series of muscles when sitting and standing?
51:05CM: Does a shoulder movement involve a different series of muscles when sitting and standing?
51:54ES: The legs are still involved when you're sitting
51:54ES: The legs are still involved when you're sitting
51:54ES: The legs are still involved when you're sitting
52:53CM: What does pain mean?
52:53CM: What does pain mean?
52:53CM: What does pain mean?
53:33ES: Pain: Nervous (numbness, burning, tingling) and Muscular (dull achiness, sharp spasm)
53:33ES: Pain: Nervous (numbness, burning, tingling) and Muscular (dull achiness, sharp spasm)
53:33ES: Pain: Nervous (numbness, burning, tingling) and Muscular (dull achiness, sharp spasm)
55:02CM: Do these types of pain indicate what has happened to, or been picked up by, the nerve?
55:02CM: Do these types of pain indicate what has happened to, or been picked up by, the nerve?
55:02CM: Do these types of pain indicate what has happened to, or been picked up by, the nerve?
56:16ES: Understanding nervous pains
56:16ES: Understanding nervous pains
56:16ES: Understanding nervous pains
57:28CM: And what about muscular pain?
57:28CM: And what about muscular pain?
57:28CM: And what about muscular pain?
57:49ES: Understanding muscular pains, as your brain trying to figure out what's going on
57:49ES: Understanding muscular pains, as your brain trying to figure out what's going on
57:49ES: Understanding muscular pains, as your brain trying to figure out what's going on
58:24CM: So your brain is used to receiving certain signals, and when it doesn't, its way of saying this is with a "dull ache"?
58:24CM: So your brain is used to receiving certain signals, and when it doesn't, its way of saying this is with a "dull ache"?
58:24CM: So your brain is used to receiving certain signals, and when it doesn't, its way of saying this is with a "dull ache"?
58:59ES: Sensation receptors, with broader interpretation than direct sensation
58:59ES: Sensation receptors, with broader interpretation than direct sensation
58:59ES: Sensation receptors, with broader interpretation than direct sensation
59:27CM: So this explains the difficulty in diagnosis?
59:27CM: So this explains the difficulty in diagnosis?
59:27CM: So this explains the difficulty in diagnosis?
59:59ES: Verbalising feelings
59:59ES: Verbalising feelings
59:59ES: Verbalising feelings
1:00:50CM: Could you talk about referred (misplaced) pain?
1:00:50CM: Could you talk about referred (misplaced) pain?
1:00:50CM: Could you talk about referred (misplaced) pain?
1:01:12ES: Referred pain
1:01:12ES: Referred pain
1:01:12ES: Referred pain
1:03:19CM: Could you talk about vascular ailments?
1:03:19CM: Could you talk about vascular ailments?
1:03:19CM: Could you talk about vascular ailments?
1:03:46ES: Hunt for a vascular resource
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1:03:46ES: Hunt for a vascular resource
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1:03:46ES: Hunt for a vascular resource
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1:04:44ES: Blood vessels and nerves of lateral cervical region
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1:04:44ES: Blood vessels and nerves of lateral cervical region
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1:04:44ES: Blood vessels and nerves of lateral cervical region
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1:06:20ES: Blood vessels and nerves at cervico-thoracic junction
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1:06:20ES: Blood vessels and nerves at cervico-thoracic junction
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1:06:20ES: Blood vessels and nerves at cervico-thoracic junction
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1:06:44ES: Posture and movement affecting blood flow and causing all sorts of symptoms
1:06:44ES: Posture and movement affecting blood flow and causing all sorts of symptoms
1:06:44ES: Posture and movement affecting blood flow and causing all sorts of symptoms
1:07:42CM: Do the extremities get the least of the nutrients if the flow is blocked?
1:07:42CM: Do the extremities get the least of the nutrients if the flow is blocked?
1:07:42CM: Do the extremities get the least of the nutrients if the flow is blocked?
1:08:03ES: Multiple things going wrong, i.e. double-crush
1:08:03ES: Multiple things going wrong, i.e. double-crush
1:08:03ES: Multiple things going wrong, i.e. double-crush
1:09:04CM: Could you talk about medial or lateral epicondylosis?
1:09:04CM: Could you talk about medial or lateral epicondylosis?
1:09:04CM: Could you talk about medial or lateral epicondylosis?
1:09:41ES: Medial and lateral epicondylosis (tennis elbow)
1:09:41ES: Medial and lateral epicondylosis (tennis elbow)
1:09:41ES: Medial and lateral epicondylosis (tennis elbow)
1:11:07CM: Could you talk about carpel tunnel syndrome (and other nerve issues)?
1:11:07CM: Could you talk about carpel tunnel syndrome (and other nerve issues)?
1:11:07CM: Could you talk about carpel tunnel syndrome (and other nerve issues)?
1:11:15ES: Carpel tunnel syndrome
1:11:15ES: Carpel tunnel syndrome
1:11:15ES: Carpel tunnel syndrome
1:14:47ES: Palmar carpel tendinous sheaths
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1:14:47ES: Palmar carpel tendinous sheaths
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1:14:47ES: Palmar carpel tendinous sheaths
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1:16:12ES: Cutaneous nerves of upper limb
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1:16:12ES: Cutaneous nerves of upper limb
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1:16:12ES: Cutaneous nerves of upper limb
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1:18:07ES: De Quervain's
1:18:07ES: De Quervain's
1:18:07ES: De Quervain's
1:19:46ES: A spine!
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1:19:46ES: A spine!
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1:19:46ES: A spine!
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1:20:09ES: Muscles of right upper limb (de Quervain's)
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1:20:09ES: Muscles of right upper limb (de Quervain's)
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1:20:09ES: Muscles of right upper limb (de Quervain's)
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1:21:22ES: Shoulder impingements
1:21:22ES: Shoulder impingements
1:21:22ES: Shoulder impingements
1:22:49ES: Right shoulder rotator cuff
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1:22:49ES: Right shoulder rotator cuff
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1:22:49ES: Right shoulder rotator cuff
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1:24:09CM: Then you just have "neck pain and shoulder pain"
1:24:09CM: Then you just have "neck pain and shoulder pain"
1:24:09CM: Then you just have "neck pain and shoulder pain"
1:24:12ES: Neck pain and shoulder pain, including MRI imaging anomalies
1:24:12ES: Neck pain and shoulder pain, including MRI imaging anomalies
1:24:12ES: Neck pain and shoulder pain, including MRI imaging anomalies
1:26:04CM: So we need to get MRI'd all the time?
1:26:04CM: So we need to get MRI'd all the time?
1:26:04CM: So we need to get MRI'd all the time?
1:26:13ES: Conservative care, conservative management are the better way to go
1:26:13ES: Conservative care, conservative management are the better way to go
1:26:13ES: Conservative care, conservative management are the better way to go
1:26:30CM: Are there preventative exercises or habits that you recommend?
1:26:30CM: Are there preventative exercises or habits that you recommend?
1:26:30CM: Are there preventative exercises or habits that you recommend?
1:27:43ES: Two simple things: 1) Change positions
1:27:43ES: Two simple things: 1) Change positions
1:27:43ES: Two simple things: 1) Change positions
1:28:14ES: Two simple things: 2) Do any activity that is not sitting
1:28:14ES: Two simple things: 2) Do any activity that is not sitting
1:28:14ES: Two simple things: 2) Do any activity that is not sitting
1:28:42ES: Exercise for Computer Users: Reverse Wall Slide / Wall Angel
1:28:42ES: Exercise for Computer Users: Reverse Wall Slide / Wall Angel
1:28:42ES: Exercise for Computer Users: Reverse Wall Slide / Wall Angel
1:31:17CM: Thank you, Emily
1:31:17CM: Thank you, Emily
1:31:17CM: Thank you, Emily