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

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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. . . .
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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 (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
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

SportsRehabExpert.com Presents - Audio Interview with Andy Barker
In this interview, Andy talks about some of the articles he's written for the site lately, how PRI has influenced his approach to rehab and training, common exercise corrections he's using to reduce injury in professional rugby, using caution not to over treat elite athletes, addressing asymmetry in sport, and more... . . . keep reading

Hamstring Endurance CircuitHamstring Endurance Circuit
Andy Barker PT
Hamstring injuries are common in sport and account for large time losses of both training and matches. There is also a high reoccurrence rate with such injuries. One of the reasons that players may reoccur is that they lack strength endurance post injury. Such players may have likely passed all their return to play markers, hit adequate strength testing and thus are back available to train and play. However, some of these players still reoccur. One potential reason for this might be that they cannot produce and maintain adequate strength under fatigue, i.e. adequate strength endurance. A player might be able to produce a one off strength effort on testing showing sufficient return of hamstring strength but could they reproduce force once fatigued? . . .
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Manual Therapy Technique of the Week - First Rib Muscle Energy TechniquesManual Therapy Technique of the Week - First Rib Muscle Energy Techniques
Jessica Paparella, DPT
Big thanks to Jessica for writing this article and also to Rob Panariello from Professional PT for helping to set this up. The first rib can be a big player in neck and shoulder pain as well as when someone is presenting with thoracic outlet symptoms. Definitely one to assess so check out the article from Jessica plus I added a video showing the techniques that she discusses. . . .
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Exercise of the Week - The Overhead ShrugExercise of the Week - The Overhead Shrug
Andy Barker PT
The overhead shrug is a great exercise to develop upper trap function with scapula upward rotation. Such an exercise is predominately a scapula stability exercise although can be loaded for strength development providing athletes can demonstrate adequate form. Such an exercise is great for those guys that sit in scapula depression and adduction. You will not get the same gains with a standard shoulder shrug as that just develops shoulder elevation with no rotation of the scapula occurring. . . .
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Maximizing High Quality Reps with High Velocity Potentiation ClustersMaximizing High Quality Reps with High Velocity Potentiation Clusters
Cal Dietz and Dennis Adsit
Off-season, pre-season, or in-season Strength Coaches are always looking to maximize the number of high quality reps they can get in the weight room from their athletes. A high quality rep is one done at maximum speed and maximum power. The problem is that speed and power drop off quickly after two to three reps and then recovery is needed. If you read Triphasic Training: A Systematic Approach to Elite Speed and Explosive Strength Performance book, you know I am a big fan of Contrast training in general and the French Contrast method in particular. The French Contrast is a fancy name for a combination of complex and contrast methods. . . .
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Hip Extension Motor Control Corrections Part II - Quadruped
Joe Heiler PT, CSCS
This is part II in our discussion of hip extension motor control corrective exercises. In part I we discussed supine and prone corrections while this week we are moving on to quadruped corrections. . . .
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Exercise of the Week - Serratus Wall SlidesExercise of the Week - Serratus Wall Slides
Eric Cressey
Eric and Mike Reinold are back with their newest installment of the Functional Stability Training DVD's - this time for the upper body. In this video Eric talks about the importance of Serratus Anterior function, it's effect on the thoracic spine and shoulder, and also shows a couple different ways to really maximize it's function using the traditional wall slide exercises. . . .
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SportsRehabExpert.com Presents:  Audio Interview with Jackie Shakar from Graston TechniqueSportsRehabExpert.com Presents: Audio Interview with Jackie Shakar from Graston Technique
Jackie is the Director of Clinical Education for Graston Technique and is our resident expert on Instrument Assisted Soft Tissue Mobilization. In this interview Jackie gives a bit of background on the Graston Technique and IASTM, and then answers a number of questions sent in by SRE members. Topics include research on IASTM, what's really happening during soft tissue mobilization, how much pressure is needed, other manual therapies that she uses, when to use IASTM in the clinic, and more... . . . keep reading

Hip Extension Motor Control Corrections
Joe Heiler PT, CSCS
I've been having my students work through the 4x4 matrix for a number of impairments and figured I may as well begin recording what we come up with. This week I'll discuss supine and prone corrections and moving on to quadruped, kneeling, and standing corrections in the weeks to come. Any ideas or recommendations are welcome! . . .
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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!"
- Dave O'Sullivan, Head Physiotherapist Leeds Rhinos

"Continue your great work-love your site! It has sent me in new directions as a PT -love looking at different points of view and see how I can incorporate it into my practice!"
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"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."
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