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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
Load Management in the Acute Setting Andy Barker PT In any setting managing load is probably as a therapist our biggest tool in the acute setting. A tissue of any kind will break down when it can't tolerate the load placed upon it. Therefore, managing the load, the cause of the injury, should help symptoms and prevent further deterioration of the injury. . . . keep reading
Webinar: Neuro - Functional Electro - Acupuncture Mahmoud Zaerian DC, CSCS Over the last decade, acupuncture has become the most popular of the complementary medicine modalities and therapeutic approaches in the treatment of injuries and improvement of performance. One approach to acupuncture that has separated itself from the others in its effectiveness and efficiency is the Neuro - Functional Electro-acupuncuture approach to care. This approach consists of a multi-dimensional functional assessment and the use of electro-acupuncture in treating the multiple dimensions that are involved in the manifestation in loss of performance and injury. . . . keep reading
Warm-Up and Motor Concepts Charlie Weingroff DPT, ATC, CSCS Something I find interesting is the rationalization of using "correctives" in a program is by placing them in the Warmup. My train of thought at this time suggests this positioning as a mistake and both detracts from the Warmup and the goal or intent of these drills to begin with. By default, choosing drills that are best positioned as motor skill acquisition for fundamental skills, such as mobility and stability, are really just being mailed in not delivering on the adjustments or adaptations that they are ideally used for in the first place. . . . keep reading
Manual Therapy Technique of the Week - Treating the Infraspinatous and Teres Minor Joe Heiler PT I've become much more familiar with trigger point referral patterns and treating these out the past couple years since taking the Kinetacore Functional Dry Needling course. One of the most common trigger points I end up dry needling and/or using Graston Technique to treat in the shoulder is the infraspinatous and teres minor. Active trigger points in these muscles can refer pain to the anterior and middle shoulder, and on occasion will also refer pain down the arm... . . . keep reading
Exercise of the Week - Tall Kneeling Overhead Pulley Press Joe Heiler PT This is another variation of tall kneeling pressing but using the pulley system from behind to give more of a pull back on the athlete forcing the anterior core to stabilize. This can be done in a 'shoulder press' fashion or even more like an overhead tricep press... . . . keep reading
FMS Unplugged - Why Split Squat It's been awhile since I've featured one of Gray's 'unplugged' videos but this fits in nicely with last week's featured exercise - the overhead deep squat. The split squat can also be performed with a loaded overhead component as Gray will discuss in this video... . . . keep reading
Audio Commentary - Rolling Patterns Joe Heiler PT Rolling patterns can be a challenge to teach and even to know when you should be incorporating them so this month I'm going to discuss the value of rolling, when to use them in the SFMA breakouts, mobility requirements, plus a couple tips to quickly teach the athlete the patterns. . . . keep reading
Exercise of the Week - Deep Overhead Squat with Upper Extremity RNT Joe Heiler PT In this week's edition of the 'exercise of the week' I'm featuring one of my favorite moves for creating stability through the trunk and upper extremities while requiring max mobility through the lower extremities - the deep overhead squat with upper extremity RNT. If I can restore shoulder and hip mobility then this is one of my go-to moves to work on re-training motor control in these areas plus it's a great corrective for the squat pattern itself. . . . keep reading
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