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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
MS Extension Pattern Corrections (Updated 2014) - PDF Download Joe Heiler PT, CSCS The 2014 updated version of the Multi-Segmental Extension pattern corrections is now available to download. There are all of the stability/motor control corrections that I have used within this movement pattern. The corrections are in order only by neurodevelopmental progression. Feel free to download the PDF and use with your patients. . . . keep reading
FMS Case Study - HS Softball Player Post-Shoulder Pain Joe Heiler PT, CSCS I want to start presenting some FMS case studies to go along with all the SFMA cases on the site. I think it's a good habit to get into to perform a FMS prior to discharge from physical therapy, as the FMS is a little tighter than the SFMA in a number of places. As you'll see in this case study, there were a few areas I had cleared adequately for the SFMA but they showed up again within the FMS. . . . keep reading
Clinical Pearl - Instant Functional Change Edo Zylstra, PT, DPT, MS, OCS, IMSp KinetaCore has had a great relationship with Physio's working in professional sports. I recently trained two PT/ATC's from the NFL in a condensed shortened advanced Functional Therapeutics course. Our goal was to evaluate and treat our functional movement in an assessment paradigm associated with one metric for return to sport -- the Functional Movement Screen. (Remember this is just one piece of the return to full athletic activity.) . . . keep reading
Updated Multi-Segmental Extension Correctives Joe Heiler PT, CSCS This is my current thought process/flow sheet when it comes to treatment options for the MS Extension 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'. . . . keep reading
Exercise of the Week - Wall Posture Shoulder Mobility Joe Heiler PT, CSCS This is a great correction for the shoulder mobility movement patterns and also for the shoulder flexion component of the MS Extension pattern. The lumbar spine frequently contributes excessive extension to the shoulder patterns when the shoulder itself is limited. Mobility work is required to free up the shoulder, but this pattern will continue if motor control is not imparted to lock in the new range of motion. Wall posture with shoulder mobility is a great advanced corrective . . . keep reading
Webinar - Rehabilitation Following Pectoralis Major Repair Tim Stump MSPT, CSCS, USA-W Gain a greater understanding of the etiology and mechanism of pectoralis major tears. Discuss specific anatomic features related to this injury and associated extrinsic risk factors. Learn how to make the necessary training modifications and understand the guiding principles in the rehabilitation status post surgical repair. . . . keep reading
MDT Based Resets for Loss of Cervical Flexion? Dr. Erson Religioso III, DPT, MS, MTC, CertMDT, CFC, CSCS, FAAOMPT One of my first buyers for The EDGE Tool way back when it was called Fascialator recently asked a great question. "What are some MDT based resets for loss of cervical flexion"? I had to email him back asking, "How much loss?" The reply, as I expected was, "Minimal." So this was a perfect common example! Common things happen commonly, most of the time, when you test cervical flexion either actively or as part of a system like the SFMA, you get nearly full motion. . . . keep reading
The 3 R's This is a recent article written by Gray Cook, and I thought it would be great timing as I'm going back through the different patterns of the SFMA and updating the corrective exercises. I think we often get hung up on the correctives (the reload) as that is often the fun part of rehab, but we can't forget the importance of 'reset' and 'reinforce'... . . . keep reading
How Much Strength is Enough? Craig Liebenson DC The Problem: How much should an athlete dedicate to general strength? At what point is it more efficient to focus on skill, competition, power, etc.. Naturally, the right answer is that IT DEPENDS. For instance on - Age, Sex, Sport, Injury History, etc. However, since every trainer & athlete has only so much time to invest in training it is crucial that the goals are established & prioritized so that a PLAN can be made & executed to best achieve those goals. Most important is that barriers & facilitators the plan are identified and a "problem-solving" approach brainstormed to find the best path for each individual. . . . keep reading
Glute-Ham Raise with Lumbar Correction Joe Heiler PT, CSCS The glute-ham raise has always been one of my favorite exercises, but what I've realized is that most people are going to rely too much on their spinal erectors to complete the movement at the expense of the glutes and hamstrings. Over the past couple summers I've worked with numerous athletes with sore backs from performing this movement, or they just felt this movement was supposed to work their backs because this is where they feel it the most.... . . . keep reading
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- Dave O'Sullivan, Head Physiotherapist Leeds Rhinos
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- 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