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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. . . .
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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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Audio Commentary - Should We Teach Scapular Retraction?
Joe Heiler PT
Description Early in my career scapular retraction was the way to go with all the articles on SICK scapular syndrome and a majority of the conferences I attended dealing with the shoulder. After some reflection on failed cases plus learning more about the SFMA, PRI, and DNS I've decided that maybe this isn't the best idea. In this audio commentary, I'll discuss why scapular retraction isn't the best option, and then how I assess and address scapular stability using these other systems as my guide. . . .
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Gray Cook
Looking back over the Essentials of Coaching and Training Functional Continuums DVD I did with Dan John and Lee Burton, I realized how often we mentioned strength. This could potentially be the most polarizing topic that I've ever approached, only because I feel that many will think I'm saying strength isn't important. I'm not. I'm saying that the word strength does not have the level of communication and accountability that it should. . . .
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Manual Technique of the Week - Patellar Distraction Taping
Jessica Bott ATC, LMT
The patellar distraction taping is used to decrease patello-femoral pain and allow for more activity, especially quad strengthening. This taping can be used with any number of knee pain conditions including TKA to reduce compression. To know the taping technique is successful, you should see an immediate decrease (or elimination) of pain during the performance of a previously painful movement. . . .
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2015 Sports Rehab to Sports Performance Teleseminar2015 Sports Rehab to Sports Performance Teleseminar
Welcome to year 7 of the Sports Rehab to Sports Performance Teleseminar! This year will be bigger and better than ever so sit back, relax, and get ready to learn from some of the best Clinicians and Sports Performance Coaches in the world! One interview per week, for ten weeks, starting Tuesday, January 27th. . . . keep reading

Exercise of the Week - Forearm Walkout
Joe Heiler PT
This is a great exercise emphasizing early weight bearing for stability plus brings in sagittal plane trunk control. The shoulder position mimics the early developmental position of crawling so reflex stability can be achieved and often times pain is decreased versus weight bearing through the hand. . . .
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Circardian RhythmicityCircardian Rhythmicity
Andy Barker PT
Having read a few articles on the subject I have gained a particular interest in circardian rhythmicity. I first heard of the subject in the wake of the Beijing Olympic Games whereby it was suggested that certain time periods of the day are more likely to produce higher feats of physical performance than others. It was suggested that circardian rhythm was one of the major factors behind the higher numbers of record breaking performances in the early evening as opposed to other times in the day. . . .
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Considerations in Athletic Performance Enhancement Training: Athlete Weight Room PreparationConsiderations in Athletic Performance Enhancement Training: Athlete Weight Room Preparation
Robert A. Panariello MS, PT, ATC, CSCS
During my 30+ career as a Physical Therapist (PT), Certified Athletic Trainer (ATC) and Strength and Conditioning (S&C) Coach, I have been involved in both the Sports Rehabilitation and Performance Enhancement Training of athletes and have had many valued experiences throughout my years of practice in these two related professions. When confronted with an athlete who presents with a pathology that occurred during the course of S&C or personal training participation, my observations of the athlete, the review of the athlete's injury and medical history, and my experiences in the sports rehabilitation of athletes, often reveals that the injury is not directly due to a specific exercise performance, but to one of two other training considerations. . . .
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Hip Rock Back Mobilization with MovementHip Rock Back Mobilization with Movement
Andy Barker PT
MWM's are used extensively at the hip to improve ROM. I have had relative success with such techniques at the hip, particularly aiming at improving internal rotation. In a few cases the more static based techniques can't clear all anterior hip pain/impingement. Using the technique below however, has often been very successful at improving ROM in more difficult presentations. This is particulary so for those encountering symptoms with combined internal rotation/flexion. . . .
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Higher Level Closed Kinetic Chain Tests -- Part 2Higher Level Closed Kinetic Chain Tests -- Part 2
Phil Plisky PT, DSc, OCS, ATC, CSCS
In previous posts, I discussed why we would consider testing an athlete in an open-kinetic chain sport with a closed-kinetic chain test. Then, I discussed the hierarchy of testing and began with the Functional Movement Screen Trunk Stability Push Up and the Upper Quarter Y Balance test as basic tests of movement competency, motor control competency, and motor control capacity. Now we will examine another test that looks at capacity -- the Closed Kinetic Chain Upper Extremity Stability Test. . . .
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Adductor Plank SeriesAdductor Plank Series
Andy Barker PT
The adductor plank is a great exercise to develop adductor strength in addition to lateral trunk strength. The video shows four different variations of the exercise: . . .
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"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!"
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