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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
SportsRehabExpert.com Presents - Audio Interview with Sue Falsone In this interview, Sue talks about her new projects including her consulting business, Structure and Function, as well as the Systemic Dry Needling courses that she developed along with Dr. Ma. Sue discusses the benefits of dry needling and how she integrates manual therapy and therapeutic exercise, presents a couple case studies to give you real life examples of how she practices, and gives specific examples of how she treats anterior ankle impingement with dry needling. . . . keep reading
5 Ways to Get Your Athletes to Buy In Andy Barker PT Whatever domain you work in gaining trust and having people believe in what you are telling them is imperative. Trust and 'buy in' is necessary to build relationships between you as a practitioner and an athlete. Without this progression, rehab and treatment can prove difficult and as a result potentially unsuccessful. I have highlighted five ways in which I have found to have improved this process and help to ensure we are getting as much out of an athlete's rehab and training program as possible. . . . keep reading
Don't Give Up and Don't Get Hurt - Physical Education, Pt. 3 Gray Cook I want to continue on the thread of Physical Education. My most recent articles have focused on the many shortcomings that have emerged in the educational environment. Please understand that my critique is based on the inability to create change and not the intent. I want to force us all to rediscover that intent and work together to accept this development in a systematic way--because life depends on it. What I hope to offer are the beginnings of a humble solution, while striving for clear communication and objective accountability. . . . keep reading
Plyometrics for the Joint Compromised Athlete Andy Barker I wrote a post recently up on the SportsRehabExpert forum regarding what people's views were on plyometrics for joint compromised athletes. Had some great replies and in turn thought I would write an article on the subject. Plyometric exercise is a great training tool to develop explosive strength and power and in turn is used extensively within sports in which explosive strength and power are necessary. However, using such training methods does bring its potential problems. In particular, plyometrics are very difficult to program for those athletes considered 'joint compromised.' . . . keep reading
We Can't Do It Better Than Nature -- Physical Education, Pt. 2 Gray Cook I believe any opportunity to educate another human being should be a sacred moment. In my sports medicine degree work, I was exposed to quite a few physical education classes because Athletic Training Pre-Physical Therapy or Sports Medicine are often taught within the Physical Education Department. When I witnessed the opportunity that physical educators have to develop people, I realized the sorry state of physical education. . . . keep reading
Manual Therapy Technique of the Week - Adductor Canal Release Andy Barker PT I think we are pretty good at treating both medial hamstring and adductor related symptoms and using the appropriate manual therapy techniques as appropriate. More recently I have been having some success with both medial hamstring and adductor related symptoms by working between the interface of the medial hamstrings (semitendinosus and semimembranosus) and the long adductors (mainly adductor magnus and longus). . . . keep reading
Physical Education: Why Do We Make Kids Move? Great article from Gray Cook on the state of physical education in this country. Definitely one of my pet peeves. In addition there are some great take home messages we could all apply to our professions plus he's got some interesting videos from Dr. Ed Thomas and the work he is doing in Jefferson Co. Iowa. Enjoy the article and part II will be coming next week. . . . keep reading
Exercise of the Week - Band Assisted Hamstring Extension Andy Barker PT I can't take credit for this one as borrowed it from Chris Black, strength and conditioning coach at the Leeds Rhinos. Had a play with it and think it's a great exercise to promote hamstring eccentric strengthening through range. With this exercise you have to eccentrically control both knee extension and hip extension thus the hamstrings are working hard over two joints. Compare this with a traditional Nordic style exercise whereby the hip stays static whilst the hamstrings control increasing knee extension as the body falls forwards. . . . keep reading
Elite PT blog - Taping for Plantarfascitis/Heel Pain Joe Heiler PT In this blog post I wanted to discuss the benefits of taping, specifically a technique known as 'low dye' taping, for relieving foot and heel pain while allowing the soft tissues of the foot time to heal. This is a technique we commonly use here at Elite Physical Therapy. Plantarfascitis is the common term for the pain in the arch of the foot or even in the heel. It's usually worse during walking or running -- activities that really stretch that tissue on the bottom of the foot. Our treatment model for plantarfascitis includes: . . . keep reading
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- Dave O'Sullivan, Head Physiotherapist Leeds Rhinos
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