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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.

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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. . . .
keep reading

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 (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. . . .
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FEATURED ARTICLES
Exercise of the Week - Banded Hip ThrustExercise of the Week - Banded Hip Thrust
Andy Barker PT
A simple twist on a common hip dominant exercise used within a gym setting. The obvious difference is that the exercise uses a band and not a dumbbell or barbell. The major advantage of this is that once in position the hands are free to move. I find this really useful for athletes that struggle to keep the ribcage down during such movements i.e. lordotic types. . . .
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Manual Therapy Technique of the Week - Wrist Extension Mobilization and Taping
Joe Heiler PT
This mobilization and taping technique comes in handy with lifters having hard time catching the bar with the wrist extended, as well as those having pain during weight bearing activities with the wrist extended. . . .
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Rehabilitation vs. Athletic Performance Enhancement Training: Are we Asking Questions that are Already Answered?Rehabilitation vs. Athletic Performance Enhancement Training: Are we Asking Questions that are Already Answered?
Robert A. Panariello MS, PT, ATC, CSCS
Throughout my career as a Physical Therapist (PT), Certified Athletic Trainer (ATC), and Strength and Conditioning (S&C) Coach I have been witness to many trends that have transpired upon these related professions. The evolution of the internet has been a significant venue for the conveyance of these trends with much of this information comprising assorted material of pertinent substance, some without; nonetheless the internet has offered many professionals their own claim of "notoriety" and in some instances financial gain. . . .
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Exercise of the Week - Terminal Knee ExtensionsExercise of the Week - Terminal Knee Extensions
Andy Barker PT
Terminal knee extensions are a staple of a lot of knee rehab programs. Such exercise is usually taught in either a double leg stance or split stance. More recently, I have modified the position in which I use split stance terminal knee extensions. The reasoning behind this lies in the fact that in a split stance position (back leg being the working leg) we achieve full knee extension at the point of toe off i.e. max supination. . . .
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Audio Commentary - Teaching the Deadlift Quickly and Effectively
Joe Heiler PT
In this month's audio commentary I'm going to cover some of the 'tricks' I've learned over the years to teach the deadlift quickly and effectively. I'll include mobility and stability prerequisites, setting up the lift for success, best cues, plus exercise progressions. . . .
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Dynamic Warm-Up Drills for RunnersDynamic Warm-Up Drills for Runners
In this series of videos, my PT student Scott McKeel takes you through his favorite warm-up drills for runners which include upper and lower quarter drills plus addressing running mechanics. Scott has gotten some great results with his runners just by adding simple movement and stability skills into their warm-up routines. These are things that many runners never do so there can be quite a bit of benefit to adding some of these drills to their routine. . . . keep reading

PRI Pathocompensatory RelationshipsPRI Pathocompensatory Relationships
Joe Heiler PT
I'm posting a few items that were discussed in the recent interview with James Anderson, and will hopefully help to better understand the PRI MyoKinematic train of thought when it comes to pathocompensatory patterns and what hip ER/IR asymmetries can mean. They can certainly be a challenge to wrap your head around but I find myself needing to do much less manual therapy when I really need to change the orientation of the pelvic (Myokin/Pelvis courses) or the glenoid/ribcage (postural respiration course). . . .
keep reading

Treatment technique of the week - Calcaneus wedgingTreatment technique of the week - Calcaneus wedging
Andy Barker PT
I have previously posted a couple of items relating to Gary Ward's Anatomy in Motion (AiM). Within his model of work he uses wedges for the following reasons: fill space, promote proprioceptive awareness, promote a movement that is missing, inhibit a movement that is excessive... . . .
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Audio Interview with James AndersonAudio Interview with James Anderson
In this interview James answers some frequently asked PRI myokinematic course questions plus talks about the new PRI Integration for Baseball course including some of the patterns specific to rotational athletes, pre- and post-game considerations to maintain reciprocal movement, should we be correcting asymmetries, and more... . . . keep reading

Exercise of the Week - Ankle Mobility Drills for RunnersExercise of the Week - Ankle Mobility Drills for Runners
Scott McKeel SPT and Joe Heiler PT
I've made it a practice to have my PT students contribute to this site plus the Elite PT blog so without further delay this is my most recent student, and ridiculously good runner, Scott McKeel demonstrating some of our favorite ankle mobility drills and self-mobilization. . . .
keep reading

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