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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
Band Resisted Single Leg Stand Up Tim DiFrancesco DPT, ATC, CSCS Physical training is more than breaking a sweat or burning calories - it's about skill acquisition. The Band Resisted Single Leg Stand-Up is an example of how learning a fundamental physical skill translates into training results. Standing up from a half-kneeling position appears to be an unsophisticated movement from a fitness or performance perspective but a closer look shows a different story. . . . keep reading
Audio Commentary - The Importance of Terminal Knee Extension Joe Heiler PT In this months audio commentary I'll discuss the importance of restoring terminal knee extension (TKE) during stance and gait, manual therapy considerations when mobility is limited, and corrective exercise and strength training progressions to address motor control dysfunction. . . . keep reading
The Single Leg Solution Video Presentation Mike Robertson Mike has written about this topic before on this site and now is offering a free look at this presentation he did last year. Some great information on the pros and cons of single leg training plus ideas on how to integrate single leg training into training and rehab. . . . keep reading
Treatment Exercise of the Week: 90-90 Hip Flexor Release Andy Barker PT Whilst there are several positions to use to conduct soft tissue work on the hip flexor group, I have found this position recently to be of great value. The positioning of the contralateral hip and knee in a 90-90 position puts the lumbar spine and pelvis in relative posterior tilt. . . . keep reading
Webinar - Quadriceps Tendon Rupture: Surgical Repair to Return to Play Andy Barker PT This webinar will detail the journey from injury to return to play following surgical repair of a quad tendon rupture. The details will largely involve a current case study of a professional elite rugby player. Using the latest evidence and experiences I will explain the reasoning of both treatment and rehabilitation techniques at each stage of recovery. . . . keep reading
Exercise of the Week - Training around Knee Injury Andy Barker PT I have had a couple of emails discussions regarding how I load the lower limbs when a joint is immobilised. I have attached a couple of videos showing an athlete completing a stiff leg cable pull through and a single leg hamstring bridge whilst his left leg is locked in 0 degrees knee extension post quad tendon rupture surgical repair. . . . keep reading
Exercise of the Week - Bunke Plank Modifications Joe Heiler PT I've been playing around with the Bunke planks for awhile now as part of the discharge criteria for my runners and other select athletes. It's just nice to have one more way of gauging symmetry and in this case its looking at stability through the fascial lines of the body. My only problem has been that the tests can be too difficult for larger athletes, older patients, and those with shoulder dysfunction so I needed to regress these planks a bit to allow all my athletes and patients a safer place to start and to give them a shot at being successful. The following videos will show a few of the regressions I use plus I've attached my original interview with Jason Brumitt who has been doing some research using the Bunke Test with runners. . . . keep reading
The Value of Isometric Training Andy Barker PT The aim of this article is to highlight some of the issues and misuses of isometric training both within rehabilitation and strength and conditioning. Isometric training is a frequent used and evidenced as a valued form of resistance training. Yet in some cases isometric exercise is used without great thought of what the goals of the exercise are and how it integrates with movement. . . . keep reading
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