Dr. Christie has spoken to many training groups throughout south Florida including Boca Raton Triathletes, Friends in Training, Team in Training, The Galloway Group, Chi Running, and has been featured on The Rockstar Triathlete Podcast. He is certified in Active Release Technique (A.R.T), A.R.T Biomechanics, Graston Technique, and Kinesio® Taping, which are the leading soft-tissue diagnostic and treatment protocols that deal with over-use strain that plagues today’s society. The ART Biomechanics certification allows Dr. Christie to evaluate patients running and walking gait for any biomechanical deficiencies that could lead to altered performance or injury cause. Dr. Christie has been the Chiropractic/Sport Medicine Physician for multiple football academies in South Florida. He is currently the Sports Chiropractor for XPE Combine Prep Program in Boca Raton, FL. This role includes treating the college football players during the NFL Combine Prep Program and during the NFL Combine in Indianapolis. He also has worked on over 300 NFL players and numerous MLB and NHL players for these strength & conditioning companies during their off-season Pro NFL/MLB programs

2. Chiropractic Physician
Active Release Technique® (ART)
Graston Technique®
Kinesio Taping® Certified
Certified Strength & Conditioning Specialist(CSCS)
ART Biomechanics Certified
Injury Consultant for Boca Raton Triathletes, Team
in Training, Friends in Training, Galloway Group
Health-Fit Chiropractic & Sports MedicineHealth-Fit Chiropractic & Sports Medicine
About Our Doctors

3. How Over-use Injury Occurs
II = Insult to Tissues
NN = Number of Repetitions
FF = Force of each Repetition
AA = Amplitude of each Rep
RR = Relaxation time b/n Reps
**Long-distance running has a HIGHHIGH Number of
Repetitions, and LOWLOW Relaxation time
Law of Repetitive MotionLaw of Repetitive Motion
I=NF/ARI=NF/AR

4. How do running injuries occur and why?
Cumulative Injury CycleCumulative Injury Cycle

5. 
Myofascial AdhesionsMyofascial Adhesions

6. Tonic (Postural) vs. Phasic (Prime Movers)
Lower Crossed Syndrome- Root Cause?
Tight Hip Flexors
Weak Glutes
Tight Low Back
Weak Abdominals
Reciprocal Inhibition
Prime Movers Becoming Stabilizers?
How should we train Stabilizers?
The Runner’s Misconception
Muscular ImbalancesMuscular Imbalances

7. 
Alternating Pattern of Mobility & StabilityAlternating Pattern of Mobility & Stability
Yellow = StabilityYellow = Stability
Red = MobilityRed = Mobility

8. Tight Hip Flexors → Weak Glutes
Weak Glutes → Tight TFL → Tight IT Band → IT Band Syndrome
What Can this cause?
Decreased Hip Extension leading to hamstring
strain/tightness or Low Back Pain
Decreased Hip Stability causing medial knee migration
Inefficient running leading to multiple
over-use injuries
Must find the weak link in the chain!
Kinetic Chain of EventsKinetic Chain of Events

9. “Terrible Toos": too much, too soon, too often, too
fast, too hard combined with too little rest
Follow a Concise Running Program
Even the “Perfect” can get injured- Learn to manage
Physical DemandsPhysical Demands ofof RunningRunning

10. Over Pronation- “Flat Feet”
Supinated Foot- “High Arches”
Decreased Dorsiflexion
Morton’s Toe
Decreased Big Toe Extension
Common Injuries
Plantar Fasciitis
Achilles Tendonosis
Shin Splints
Calf Strain
Stress Fractures
Foot, Ankle, Lower LegFoot, Ankle, Lower Leg

11. One-Leg Stance Stability
Trendelenberg’s Gait
Hip Extension
Excessive torso rotation
Hyperlordotic Lumbar Spine
Excessive Hip Adduction
Common Injuries
IT Band Syndrome
Gluteus Medius Syndrome
Hamstring Strains
Low Back Conditions
Piriformis Syndrome
Hip & CoreHip & Core

12. Muscular Support- Quads, Hamstrings, Calves, Poplitius
Patellar Tracking Disorders
“Wear and Tear”
Reaction Site
Common Injuries
IT Band Syndrome
Patellar Tendonosis
Arthritis
Chondromalacia Patellae
Pes Anserine Bursitis
Myofascial pain syndromes
KneeKnee

13. 
Increases stress at the knee
Q-Angle
Can Cause IT Band Syndrome, Medial
knee pain, foot/ankle pain
What are the Causes and Solutions?
Medial Knee MigrationMedial Knee Migration

14. 
Optimal Performance PyramidOptimal Performance Pyramid
Functional Movement
Functional Performance
Functional Skill
Skill
Funct. Perfromance
Functional Movement
Skill
Funct. Perf.
Mvmt
Skill
Funct. Perf
Functional Mvmt
Optimal Performance Over-Powered Under-
Powered
**Be Aware of the Under-Skilled Athlete as well****Be Aware of the Under-Skilled Athlete as well**

15.  Proper Warm-up and Cool-down
 Dynamic-controlled movement- Warm up
 Static-Holding the stretch- Cool down
 Areas to Target:
 Foot/Ankle
 Calves
 Hamstrings
 IT Band
 Quadriceps
 Hip Flexors
 Piriformis/Glutes
 Shoulders
 Foam Rolling/Massage Stick
 Helps release myofascial adhesions
Stretching BasicsStretching Basics

16. 
 Needed for prevention of injuries
 Running: Hip Stability and Foot/Ankle Stabiliy
 Cycling: Hamstring, Glute and Quad
 Swimming: Scapular and Shoulder Stability
Strengthening BasicsStrengthening Basics

17. Proper Warm-up
Proper Running Technique
Avoid abrupt changes in orthotics, running styles,
shoes, foot strike, etc.
Shoes- Fitting and mileage monitoring
Preventative Exercise & Stretching
Foam Rolling
Rest and Recovery
Functional Movement Screening
Injury PreventionInjury Prevention

18. 
Any Questions?Any Questions?
www.healthfitchiro.com
(305) 770-6393