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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
Postural Restoration - A New Tool for the Coaching Tool Box Julie Blandin just sent over this power point from the NSCA Coaches Conference featuring Ron Hruska and Mike Arthur. Some of it may be a little tough to decipher in the beginning but some interesting ideas on the squat, warm-ups/cool downs, and 10 'considerations' for the coaching toolbox. Big thanks to Julie for sending that over, and now I may have to hit her up to answer the questions that are sure to come . . . keep reading
2014 Teleseminar Interview #6 - The Strength and Conditioning Round Table I wanted to try something a little different for this interview and get 3 of the best strength and conditioning coaches on the phone at the same time to ask them what they see as the biggest advances in athletic development over the past 5 years, some changes they would like to see, what is the future direction of the industry, as well as some great advice for others in the field. We came close with Charlie Weingroff and Nick Winkelman in part I of the interview, and I was able to catch up with Patrick Ward for part II. Some great ideas and advice from 3 awesome coaches. . . . keep reading
Stanford - "It Depends" Gray Cook My recent experience at Stanford was one of the most rewarding and exhausting endeavors I've ever confronted. I've practiced swings in front of Pavel Tsatsouline, done dry needling under Edo Zylstra and passed an oral anatomy exam at the University of Miami. Each was a trying endeavor that offered great rewards. Sharing the stage at Stanford with Stu McGill may have topped them all because of the public venue. Stu and I both survived, and I hope we reinforced a friendship in the process. Toward the end of what seemed to be a 40-hour day, we entertained some questions, and it quickly became apparent Stu has a standard answer: "It depends." . . . keep reading
Teleseminar Interview #5 - Kyle Kiesel In this interview Kyle talks about the history of the Selective Functional Movement Assesssment (SFMA), the importance of having a systematic approach and movement standards, choosing which patterns to break out, pattern recognition and taking short cuts, common mistakes that are made by SFMA trained clinicians, as well as an update on the motor control research as it relates to corrective exercise selection. Awesome stuff from Kyle to don't miss it! . . . keep reading
SportsRehabExpert.com Presents - Jason DeMayo J is the Head Strength and Conditioning Coach for the mens' and women's basketball teams at Richmond University. In this interview, J talks about the pillars of his program, finding what works best when time is limited, communicating and motivating his athletes, and what he does to prevent injuries. J also talks about his work with Val Nasedkin, Omega Wave, training with injuries, as well as the upcoming Central Virginia Sports Performance Seminar. . . . keep reading
MS Flexion Pattern Corrections (Updated 2014) - PDF Download The 2014 updated version of the Multi-Segmental Flexion 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
2014 Teleseminar Interview #4 - Phil Plisky In this interview Phil will discuss the changes in injury prediction and injury prevention over the past 5 years, the development of the Y Balance Test, the importance of having a continuum to screen - test - assess, what types of corrections should be applied to the Y Balance test, new research on the various balance tests, and also the importance of ankle dorsiflexion in human movement and why it's often missed. . . . keep reading
Updated MS Flexion Pattern Corrections Joe Heiler PT, CSCS This is my current thought process/flow sheet when it comes to treatment options for the MS Flexion 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'. I will say I've somewhat abandoned many of my old stand-by's as I've found better options for the reasons listed in last week's article: Lessons Learned - Part II . . . keep reading
2014 Teleseminar Interview #3 - Dr. Andreo Spina n this interview Dr. Spina talks about his emphasis on looking at what is happening at the cellular level when it comes to soft tissue mobilization and training, how these new concepts help to determine what types of loading and stress are appropriate during rehab and for injury prevention, and also discusses his concept of BioFlow Anatomy expanding on the fascial trains idea. Dr. Spina also talks about how his courses are incorporating the newest research in these areas, training the nervous system to control joint mobility through a full range of motion, as well as a few specific cases detailing how he puts it all together. . . . keep reading
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