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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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Shoulder Pathology: The Influence of the Athlete's Training Program DesignShoulder Pathology: The Influence of the Athlete's Training Program Design
Rob Panariello MS, PT, ATC, CSCS
Throughout my career in the related professions of Orthopedic and Sports Physical Therapy (PT) and Strength and Conditioning (S&C) of athletes my associates and I have rehabilitated literally thousands of players with various shoulder pathologies. Many of these athletes were of the opinion their shoulder pathology progressively ensued over the course of their athletic performance enhancement (weight room) training. Many (as well as their sport coaches) also expressed a concern of the possible contributing influence of overhead exercise performance to their shoulder condition. In the cases where imaging studies were performed the majority of these tests revealed the presence of overuse type pathologies i.e. impingement, tendonitis, etc. vs. a distinct rotator cuff tear. . . .
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Audio Commentary - Teaching the Single Leg Deadlift
Joe Heiler PT
In this month's audio commentary I'll discuss the importance of utilizing the single leg deadlift movement with your patients and athletes, as well as FMS/SFMA prerequisites to teaching the movement, exercise progressions, setting up the exercise correctly, and the best cues to use. . . .
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Manual Therapy Technique of the Week - Advanced Treatment of the Plantarfascia with Graston Technique.Manual Therapy Technique of the Week - Advanced Treatment of the Plantarfascia with Graston Technique.
Joe Heiler PT
This is video #3 in a series of advanced soft tissue mobilization techniques for the calf and foot using Graston Technique. In this video I'll demonstrate one of my favorite ways to treat the plantarfascia combining weight bearing with ankle dorsiflexion. . . .
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Hip Banded Decompression - Self-Treatment ExerciseHip Banded Decompression - Self-Treatment Exercise
Andy Barker PT
Real simple to do and a great self-treatment exercise to decompress the hip. Wrap the band something solid like a weights stack and then wrap the other end around the ankle. Use a high length sock or towel if needed to prevent skin traction if necessary. Then, keeping the knee straight use the upper body to move yourself away from the stack. . . .
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It's All About Motor ControlIt's All About Motor Control
Gray Cook
A key component of motor control is muscle tone, and I want to specifically discuss inappropriate muscle tone. Very often, from the perspectives of physical therapy and rehabilitation, we don't necessarily see just tightness or weakness. Tightness is often a way that the body uses parking brakes in the absence of real, authentic braking systems. The braking system that the body has is called motor control and it is finely tuned to input, processing and appropriate output. When a fault is present somewhere in that system--somewhere in movement, somewhere in that coordination, timing and symmetry--a dysfunction is observable. . . .
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Manual Therapy Technique of the Week - Advanced Treatment of the Plantarfascia with Graston TechniqueManual Therapy Technique of the Week - Advanced Treatment of the Plantarfascia with Graston Technique
Joe Heiler PT
This is part 2 of 3 in a series of videos demonstrating advanced soft tissue mobilization techniques for the calf and foot using Graston Technique. In this video I'll be treating the plantar foot in the push-off phase of gait from static to dynamic. . . .
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Foot Postural Assessments are Outdated and InaccurateFoot Postural Assessments are Outdated and Inaccurate
Andy Barker PT
Static foot postural assessments give us information about the static foot, but beyond that I don't believe such assessments give a good indicator as to what happens during gait. Therefore, using both static and dynamic assessments with someone with a suspected ankle and/or foot driven problem is necessary. Relying solely on static information is all well and good but probably won't reflect the changes and movements that occur to both the foot and ankle when moving. . . .
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Webinar with Johnny Owens - Blood Flow Restriction a Paradigm Shift in Rehabilitating InjuriesWebinar with Johnny Owens - Blood Flow Restriction a Paradigm Shift in Rehabilitating Injuries
The application of blood flow restriction (BFR) with and without low intensity exercise has received considerable attention in the literature over the past 20 years. Numerous studies have found that this technique is able to increase muscle size and strength similar to that of traditional high load resistance training while using much lighter loads. Because of this the clinical application has numerous possibilities. When done correctly and safely the risk of injury is low, however occluding blood flow requires a tourniquet which is a medically monitored device. This webinar will discuss the science behind BFR how to translate that research to the clinic and the safety measures that should be considered. . . . keep reading

Manual Therapy Technique of the Week - Graston Technique Loaded Gastroc/Soleus/Achilles ComplexManual Therapy Technique of the Week - Graston Technique Loaded Gastroc/Soleus/Achilles Complex
Joe Heiler PT
This is part 1 of 3 in a series of videos demonstrating some advanced soft tissue mobilization technique using Graston Technique. In this first video I'll be treating the calf and Achilles in standing with stretching and AROM, and in subsequent videos I'll demonstrate techniques for treatment of the plantar fascia. . . .
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Audio Interview with Edo Zylstra - Functional Dry NeedlingAudio Interview with Edo Zylstra - Functional Dry Needling
In this interview Edo talks about the state of Functional Dry Needling, advances made in his courses, as well as progress being made at the national and state levels within the PT scope of practice. Edo will also discuss some little known trigger point referral patterns that really benefit from treatment, the benefits of electrical stimulation as well as the best times to use it, the benefits of the local twitch response, using the SFMA in conjunction with FDN, and more... . . . keep reading

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