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THE site for the most up to date information on sports and orthopedic rehab and injury prevention.

Join our community of top-notch physical therapists, athletic trainers, chiropractors, and strength coaches who are dedicated to being the best in their field, and to making a difference in the lives of their athletes and patients.


Featured Resources
Altered Motor Control - Review of ResearchAltered 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?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. . . .
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Audio Interview - Gray Cook updates the Joint by Joint ApproachAudio 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 StiffnessSuper 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. . . .
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A Joint-By-Joint Approach to TrainingA 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 (, 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. . . .
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Exercise of the Week - Band Assisted Hamstring ExtensionExercise of the Week - Band Assisted Hamstring Extension
Andy Barker PT
I can't take credit for this one as borrowed it from Chris Black, strength and conditioning coach at the Leeds Rhinos. Had a play with it and think it's a great exercise to promote hamstring eccentric strengthening through range. With this exercise you have to eccentrically control both knee extension and hip extension thus the hamstrings are working hard over two joints. Compare this with a traditional Nordic style exercise whereby the hip stays static whilst the hamstrings control increasing knee extension as the body falls forwards. . . .
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Elite PT blog - Taping for Plantarfascitis/Heel Pain Elite PT blog - Taping for Plantarfascitis/Heel Pain
Joe Heiler PT
In this blog post I wanted to discuss the benefits of taping, specifically a technique known as 'low dye' taping, for relieving foot and heel pain while allowing the soft tissues of the foot time to heal. This is a technique we commonly use here at Elite Physical Therapy. Plantarfascitis is the common term for the pain in the arch of the foot or even in the heel. It's usually worse during walking or running -- activities that really stretch that tissue on the bottom of the foot. Our treatment model for plantarfascitis includes: . . .
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Using Low Threshold Strategy to Improve Multisegmental ExtensionUsing Low Threshold Strategy to Improve Multisegmental Extension
Dr. Erson Religioso III, DPT, MS, MTC, CertMDT, CFC, CSCS, FAAOMPT
How do you know someone should have a rapid response in any movement? A good indication is when actively, the movement is limited and/or painful, but passively it is significantly better and/or pain free. This would indicate a motor control/stability issue, not issues in the tissues. Stop stretching and prescribe some stability! . . .
keep reading

Updated Multi-Segmental Rotation CorrectivesUpdated Multi-Segmental Rotation Correctives
Joe Heiler PT, CSCS
This is my current thought process/flow sheet when it comes to treatment options for the MS Rotation pattern of the SFMA. You'll notice the mobility corrections are fairly vague as I think you can use any number of different techniques to address the areas listed. I've also updated the corrective exercises I would consider based on where they would fall in the neurodevelopemental sequence and 4x4 matrix rather than what I'm trying to 'fix'. . . .
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Hip Extension Motor Control Corrections - Standing
Joe Heiler PT, CSCS
This is part IV in our discussion of hip extension motor control corrective exercises. We've progressed through the 4x4 matrix from supine/prone, to quadruped, to tall and half kneeling, and finally to standing corrections. Standing hip extension corrections can be performed in a bilateral (or squat) stance, split stance, or in single leg stance. . . .
keep reading Presents - Audio Interview with David Presents - Audio Interview with David Joyce
David Joyce is co-editor of the book High Performance Training for Sports. In this interview David discusses the book and in particular highlights the first two chapters that he wrote: Enhancing Movement Efficiency and Retraining the Injured Athlete. Specific topics include plugging energy leaks and efficient force application, eccentric and isometric muscle contractions with sprinting and what's really happening, isometric training of the hamstrings and calves, pelvic lock position and trunk co-contraction with running, looking at injury as an opportunity, fit to play versus fit to perform, and a whole lot more... . . . keep reading

Important Considerations for the Rehabilitation of the Post-operative Knee: Restoring the Athlete's Active Knee Range of MotionImportant Considerations for the Rehabilitation of the Post-operative Knee: Restoring the Athlete's Active Knee Range of Motion
Robert A. Panariello MS, PT, ATC, CSCS
During the course of rehabilitation of the post-operative knee pathology athlete, common interventions utilized in the field of Sports Physical Therapy and Rehabilitation include the use of modalities for pain, edema, and neuromuscular control, restoration of the knee joint range of motion, lower extremity strength, proprioception, and normal gait, as well as structured treatment progressions to the achievement of the eventual milestones of running, jumping, cutting, and additional athletic activities, and "functional tasks". All of these milestones are achieved through a number of various treatment methods, manual techniques, exercises, and practices. . . .
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The Ankle Syndosmosis TestThe Ankle Syndosmosis Test
Andy Barker PT
Below is a test I recently came across to test for ankle syndosmosis injury. Previously I had mainly used the following three tests: Squeeze test, Dorsiflexion/lateral rotation test (supine), and Lateral rotation test (seated). The aim of the test, as with the above tests, is to test the integrity of the syndosmosis. Although pain is the indicator in the test, the test itself is looking for instability, largely resulting from injury to the anterior inferior tibio-fibular ligament (AITFL) and/or posterior inferior tibio-fibular ligament (PITFL). . . .
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Hip Extension Motor Control Corrections Part III - Half and Tall Kneeling
Joe Heiler PT, CSCS
This is part III in our discussion of hip extension motor control corrective exercises. In part I we discussed supine and prone corrections, part II quadruped corrections, and this week moving on to half and tall kneeling. . . .
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Research Review - Scapular Kinematics Pre- and Post- Thoracic Thrust Manipulation in Individuals With and Without Shoulder Impingement Symptoms: A Randomized Controlled Study.
This month's research review comes from the July 2014 edition of the Journal of Orthopaedic and Sports Physical Therapy. Shoulder pain is second only to low back pain in overall incidence now. Two of the main theories behind shoulder impingement syndrome (SIS) according to previous research studies cited by the authors: . . . keep reading

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