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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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Four Reasons to Push PressFour Reasons to Push Press
Robert A. Panariello MS, PT, ATC, CSCS
For decades one of the popular upper body exercises to perform in the weight room has been the bench press exercise. One common question many high school athletes or any athlete may ask their peer is "How much can you bench"? With regard to upper body strength and power when was the last time any Strength and Conditioning (S&C) Professional has witnessed one athlete ask another "How much can you push press"? This inquiry does not usually occur because the push press exercise is not likely performed. . . .
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Load Bone to Make it GrowLoad Bone to Make it Grow
Andy Barker PT
Bone injuries are common in sports, particularly those involving contact and high velocity collisions. Dependent upon the injury sometimes such injuries can be quite difficult to manage. Dependent upon severity and location a period of immobilisation is usually observed to allow the bone injury to resolve. This may be in a cast, splint, walking boot and the length of time will depend on the type of injury obtained. . . .
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Optimizing the Evaluation SequenceOptimizing the Evaluation Sequence
Joe Heiler PT
Streamlining the evaluation process is critical and something I work on personally and with my PT students on a consistent basis. We only have so much time day 1 to find the patient's key impairments, and with total treatments becoming more and more limited it's crucial we get there faster than ever. . . .
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Elite PT Blog - Landmine Front Squat to PressElite PT Blog - Landmine Front Squat to Press
Joe Heiler PT and Nick Lucius SPT
The landmine squat to press is one of those exercises that can be used to really stress the entire system without having to utilize a lot of loading so it fits in nicely in higher level rehab and during the training process. . . .
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Audio Interview - Sue Falsone - The Shoulder DVDAudio Interview - Sue Falsone - The Shoulder DVD
In this interview Sue talks about her first DVD The Shoulder including discussing topics related to her evaluation of the shoulder girdle and thoracic spine, postural screening, corrective exercise selections, manual therapy considerations including dry needling, and more... . . . keep reading

6pt belly lift with R hand lift: Left abdominals6pt belly lift with R hand lift: Left abdominals
Andy Barker PT
Having made great use of this exercise in the last few weeks thought I would include it as an exercise of the week. I feel it is a great progression from supine and 90-90 PRI abdominal exercises. Lifting the right hand engages the left internal oblique's and trans-abs and therefore would be suited for a PRI left AIC patient (anterior interior chain). . . .
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Audio Commentary - Multi-Segmental Flexion Assessment and BreakoutsAudio Commentary - Multi-Segmental Flexion Assessment and Breakouts
Joe Heiler PT
In this month's commentary I discuss common errors in assessing the MS Flexion pattern of the SFMA, tips to tighten up the breakouts, the importance of the sacral angle measurement in the seated toe touch, finding the key impairment(s) of the SFMA, and more... . . .
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Elite PT Blog - Go to the Ground to Improve Your Strength and MobilityElite PT Blog - Go to the Ground to Improve Your Strength and Mobility
Nick Lucius SPT, CSCS
If you were to ask anyone what constitutes someone as "strong," most would think of the man squatting 800 pounds or the 225 bench press test. While these are great measures of raw strength, they do not paint the full picture of that individual's ability to move in a dynamic and fluid fashion. Far too often we get stuck on the "big lifts," including the bench press, squat, deadlift, and countless shoulder/arm workouts. . . .
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Progressing PRI from bed to the gymProgressing PRI from bed to the gym
Andy Barker PT
Mostly speaking patients or players don't really mind what techniques of treatment or rehabilitation we use providing they get better. I use PRI (Postural Respiration Institute) techniques, both manual and non-manual, as part of both my treatment and rehab with the appropriate person/pathology. Working in both private practice and elite sport, the merits of using PRI in both are evident, with great personal successes achieved with a variety of pathologies. . . .
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Exercise of the Week - Foam Rolling Lumbar Paraspinals and Quadratus Lumborum
Joe Heiler PT
In the past I never really had much use for foam rolling the lumbar paraspinals. It just didn't 'hurt' like other areas so I wondered if it was really doing much. As I've learned more about how little it can take to reduce tone, and how breathing can make such a difference, I've realized how much I've been missing out. Not that it's going to fix everyone's back pain, but how many folks come into the clinic or gym in way too much lumbar lordosis and high tone in those paraspinals, QL, and lats? (that would be just about everyone...) . . .
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Exercise of the Week - Single Arm Pressing: What to do with the Free Arm?
Exercise of the Week - 
Single Arm Pressing: What to do with the Free Arm? Andy Barker PT
Quite often when athletes conduct a single arm pressing movement their free arm, the arm not involved in the press, is left flailing in the air with athletes not sure what to do with it. Previously, I have instructed athletes to hold the arm across the chest, by their side or behind their head, depending upon the activity or position we are hoping to maintain. For example, those athletes that try to move into excessive lumbar extension during overhead lifting, making them hold their ribcage can help them engage their anterior core and thus limit excessive ribcage and lumbar motion. . . .
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Squatting and Pulling with the "Taller" Lifter
Squatting and Pulling with the "Taller" Lifter Charlie Weingroff DPT, ATC, CSCS
Great article from Charlie looking at the squat and deadlift in taller athletes, plus some anthropometric considerations that we should all keep in mind when making rehab and training decisions. . . .
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