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Altered Motor Control - Review of Research Kyle Kiesel PT, PhD, ATC, CSCS This, of course is a complex question, but we have learned that the response to movement following injury is more complex than previously thought. One approach is to look at injury risk factors to, in a sense, we work backwards to help us answer the question. By considering risk factors for injury, we gain a better understanding of what happening in the motor control system after injury. It is clear from the peer reviewed literature that previous injury is by far the most robust factor related to future injury. With this fact in mind, it should make us feel somewhat uncomfortable as rehabilitationists that those with a previous injury, even after completing rehabilitation, are at the greatest risk of subsequent injury. . . . keep reading
Is the Present Day Athlete Prepared for the Initiation of Athletic Performance Enhancement Training? Robert Panariello MS, PT, ATC, CSCS The lack of early age athletic "preparation" as well as the common occurrence of youth athletic "sports specialization" is presently an all too common theme in the United States. The dream of a college scholarship and perhaps an ensuing professional payday appears to often be the incentive for such early sport specialization. However, too early a sport specialization does have its consequences. An example of such a consequence is the 12-year-old baseball pitcher whom I recently rehabilitated after arthroscopic elbow surgery. According to his father "this young man is going to be the next Roger Clemens". Obviously the father did not realize that throughout Roger Clemens athletic career, this Hall of Fame caliber pitcher never had elbow surgery. My time and experiences with this young athlete was my incentive to write this article. . . . keep reading
Audio Interview - Gray Cook updates the Joint by Joint Approach Anthony Renna asked Gray to update the Joint by Joint Approach a few months back on the Strength Coach Podcast. Ask Gray a question, get a 30 minute answer. Kidding Gray! It was a fantastic explanation and really takes you through his thought process so I annoyed Anthony enough he finally let me use it. Anyway, this is a must listen interview and I absolutely wanted to be able to share it with all of you. . . . keep reading
Super Stiffness Stuart McGill, Professor of Spine Biomechanics At a gymnastics or martial arts meet, or at a weightlifting competition, listen to the coaches advice to the athlete -- Stay tight! This means to maintain stiffness. Being stiff ensures that there will be minimal energy losses as forces are transmitted through the linkages. Optimal performance requires stability, and stability results from stiffness. Stiffness in the body results from muscular co-contraction. Used properly, it will assist in getting through "sticking points", enhance whole body strength and speed. Be stiff, and be compliant. Knowing the difference and when to be one or the other is a major way to improving performance. . . . keep reading
A Joint-By-Joint Approach to Training Mike Boyle MA, ATC In a recent conversation about the effect of training on the body, Cook produced one of the most lucid thought processes I have ever heard. Gray and I were discussing the findings of the Functional Movement Screen (www.functionalmovement.com), the needs of the different joints of the body, and how the function of the joints relates to training. One of the beauties of the Functional Movement Screen is that the screen allows us to distinguish between issues of stability and those of mobility. Cook's thoughts were simple and led me to realize that the future of training may be a joint-by-joint approach rather than a movement-based approach. . . . keep reading
Audio Commentary - The Case for Pre- and Post-Testing Joe Heiler PT In this month's audio commentary I'll discuss the benefits of pre- and post-testing, allowing our post-testing results to guide our treatment plans and HEP's, patient buy-in, plus a couple case studies to demonstrate the benefits of testing plus how the results ultimately guided the course of treatment. . . . keep reading
No More Pulled Hamstrings Mike Robertson Last year when we started working with the Indy Eleven soccer team, more than a handful of the guys were dealing with hamstring or groin pulls. So the question becomes, why does someone strain their hamstring? And equally as important, how do we address the underlying issues to keep this from happening time and again? Now I would be remiss if I didn't at least mention the Postural Restoration Institute here, as their philosophy and way of thinking has had a profound impact on our work at IFAST. . . . keep reading
2015 Teleseminar Interview #11 - Gary Gray In this interview Gary discusses the big pillars of Applied Functional Science, what is 'functional movement', his new movement screening system 3D MAPS (3 Dimensional Movement Analysis and Performance System), plus how they've organized the system to make it more user friendly for clinicians and trainers alike. . . . keep reading
Tim DiFrancesco PT, ATC, CSCS There is an exercise you are ignoring that can solve your core and posture dysfunction. That exercise is the loaded carry, and you need to being doing it. First you need to know the WHY - as in why it's such a big deal, and second you need to learn the HOW - as in how to do it correctly. Here is your guide on the loaded carry: Humor me for a second and follow the course of events below. Whether you're a pro athlete, an aspiring athlete or a human who enjoys getting more fit, consider how much of the following is familiar to how your typical day unfolds: . . .
Manual Therapy Technique of the Week - 6 point QL release Andy Barker PT Quite often those patients and athletes that present with lower back tightness are overactive in their lumbar extensors. The vast majority of treatment techniques to release the extensors are in prone i.e. in extension. I have played around with a few positions and have found using a 6 point position for instrumented techniques to have very good results. . . . keep reading
2015 Teleseminar Interview #10 - Sarah Mottram Sarah has developed the Kinetic Control system and Performance Matrix along with Mark Comerford. In this interview she discusses the founding principles behind these systems plus identifying and treating uncontrolled movements, how pain will alter motor control, local versus global muscle dysfunction, and a couple great case studies to put it all together. . . . keep reading
Exercise of the Week - Upper Limb Neural Slider Circuit Andy Barker PT I have found these styles of exercise great for improving neural mobility within the upper limbs. I generally hit the big 3; median, radial and ulnar nerve, first and then can add additional more specific variations if appropriate. I have had great success at improving pain and/or weakness of neural based symptoms with such exercises. In addition, I have found the exercises to be great pre workout to allow increased neural drive and corresponding strength scores. . . . keep reading
Facilitators....Not Healers Andy Barker PT As much as we might not want to believe it we do not heal people. As therapists we might give people the tools in which to heal, to heal more rapidly and to reduce the risk of re-injury but we don't heal people. I have been giving this concept more thought following a patient I treated earlier this month for chronic lower back pain. . . . keep reading
"SportsRehabExpert continues to exceed my expectations in terms of the quality that Joe continues to put out there. This is the leading website in the world in regards to progressing our understanding of human movement and how we apply it to the rehabilitation and strength and conditioning setting. Keep up the good work Joe!"
- Dave O'Sullivan, Head Physiotherapist Leeds Rhinos
"Continue your great work-love your site! It has sent me in new directions as a PT -love looking at different points of view and see how I can incorporate it into my practice!"
- Erica Meloe Physical Therapist, NY
"Joe Heiler has put together a fantastic resource for any professional involved in the rehabilitation or performance training of athletes. With interviews, webinars, and articles from some of the world's leading experts in physical therapy and sports performance, SportsRehabExpert.com has become my go-to resource for cutting edge information on elite athletic development and injury prevention."
- Kevin Neeld, MS, CSCS; Director of Athletic Development, Endeavor Sports Performance; KevinNeeld.com