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Feature Articles
Find the latest feature articles here! We generally post new articles every week, and most of them can be found right here. Click on any headline below to find the full article. And be sure to click the 'view more articles' link at the bottom of the page to read articles you may have missed.
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Sahrmann Course - October 2008 (Charlie's notes Part II)
Charlie Weingroff Shirley Sahrmann's intro course was held a few weeks ago in NJ, and Charlie Weingroff was nice enough to transcribe some of his notes plus add a little commentary of his own. Unfortunately, I was shut out! Should have registered sooner, but here is the next best thing. If you have not yet read Sahrmann's book, "Diagnosis and Treatment of Movement Impairment Syndromes", you should. . . . keep reading
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FREE CHARITY THANKSGIVING BOOTCAMP - Lamour Training Systems
For any of you in the Greensboro NC area, just a heads up. Jimmy Lamour and his wife are putting on a charity bootcamp Thursday, Nov 22. Jimmy is a great guy, and freak of nature athlete (that's a compliment). You may learn a few things and have a great time while supporting a worthy cause. . . . keep reading
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Sahrmann Course - October 2008 (Charlie's Notes)
Charlie Weingroff Shirley Sahrmann's intro course was held a few weeks ago in NJ, and Charlie Weingroff was nice enough to transcribe some of his notes plus add a little commentary of his own. Unfortunately, I was shut out! Should have registered sooner, but here is the next best thing. If you have not yet read Sahrmann's book, "Diagnosis and Treatment of Movement Impairment Syndromes", you should. . . . keep reading
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Shoulder Impingement - Part 2
Eric Cressey MA, CSCS In last week's article, I went into some detail on why I really didn't like the catch-all term "impingement." This week, I'm going to talk about the different kinds of impingement: external and internal. External impingement, also known as outlet impingement, is the one we hear about the most. Here, we're dealing with compression of the rotator cuff -- usually the supraspinatus, and over time, the infraspinatus (and biceps tendon) -- by the undersurface of the acromion. This happens a lot more with ordinary weekend warriors and very common in lifters -- and is definitely more prevalent in older populations. . . . keep reading
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Shoulder Impingement - Part 1
Eric Cressey MA, CSCS Impingement….Yes, We Get It. Roughly 10-15 times per week, I get emails from folks who claim that they have shoulder "impingement." Honestly, I roll my eyes the second I read these emails. Don't get me wrong: I'm not making light of their pain. It's just that it drives me crazy when doctors throw this blanket statement out there. I will be completely and 100% clear with the following statement: Impingement is a physiological norm. Everyone -- regardless of age, activity level, sport of choice, acromion type, gender, you name it -- has it. . . . keep reading
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Understanding Sports Hernia Part 2
Michael Boyle MA, ATC A big key in prevention of any injury is to use appropriate screening techniques. For screening athletes I am a proponent of Gray Cook's Functional Movement Screen ( www.functionalmovement.com) The FMS is a seven part screen designed to predict risk of injury and should be done in it's entirety on every athlete at least once. Of particular interest in the sports hernia area is the FMS- Hurdle Step (a test of the hip flexion pattern). An impaired hip flexion pattern usually demonstrates a lateral shift of the pelvis when attempting to flex the hip. This would indicate an impaired hip flexion pattern. In the impaired hip flexion pattern it is theorized that the deep flexors (psoas and iliacus) are weak or inhibited. This forces the athlete to use quadratus lumborum to hip hike to create the illusion of hip flexion. In essence, lateral flexion of the pelvis on the spine raises the hip. Cook advocates not focusing on individual muscles but rather on fixing the pattern. To fix the pattern we have adopted a "top down" approach to attempt to recruit the deep hip flexors. . . . keep reading
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Understanding Sports Hernia May Mean Understanding Adduction
Michael Boyle MA, ATC Last year I wrote a piece called Understanding and Training Hip Flexion (StrengthCoach.com). The idea was to take a look at muscles of the hip and how these muscles function from a slightly different perspective. This process led me to continue to study the hip and how we look at this critical area. One of the things I pride myself on is continuing to try to learn. Fortunately or unfortunately I feel like the more I learn the more I realize I don't know. An area that has become of increasing interest to me, and to many others in the fields of performance enhancement and physical therapy, is the area of sports hernia. It seems like every week another athlete is having surgery for a 'sports hernia". . . . keep reading
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The Chop and Lift Part IV - Chop for Power
Gray Cook PT, OCS, CSCS Power is the seamless combination of speed and strength (work divided by time). Strength is the combination of stability and force production. Hopefully you can see how working on the chop and lift have provided a base of stability and force production. Consistent training with the chop and lift exercises will create three dimensional functional strength gains. These gains can be converted to power by learning to move in a fast and fluid manner across your body. Let me review for a minute the evolution of the chop and lift program for you. First I introduced the chop and lift with the cable bar which provided a solid base of core stability and symmetry (article 1). The leverage provided by the cable bar helped identify problems between the left and right movement patterns in tall kneeling and half kneeling positions. . . . keep reading
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Dave Carrier Interview Part 2
Dave Carrier has been the Head Athletic Trainer for the Michigan State University Hockey team for the past 25 years. Dave has extensive training in the osteopathic approach to manual therapy and treatment of hockey injuries. In part 2 of the interview, Dave discusses common hockey injuries, his approach to rehabilitation, and prevention. . . . keep reading
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Chop and Lift Part III
Gray Cook PT, OCS, CSCS In the last article I discussed the split arm chop and lift. Hopefully you have practiced this move and have observed the benefits of three dimensional strength training. Knowing this exercise has given you more than a killer upper body workout and posture reinforcer, it has given you body knowledge on these cross body moves. It has given you great hip and core stability and improved your balance. It has reduced asymmetry and reinforced posture. . . . keep reading
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Dave Carrier Interview - Part 1
Dave has been the Head Athletic Trainer for the Michigan State University Hockey Team for the past 25 years. In the first part of this interview, Dave talks about how he got started in athletic training, about the osteopathic approach to athletic injuries, and how he applies it to the game of hockey. . . . keep reading
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Chop and Lift Part II
Gray Cook PT, OCS, CSCS To continue with the chop and lift and advance the application you need to lose the cable bar. However I hope you plan to use the bar at least 1-3 months, minimum before advancing to the new application I'm going to introduce. Remember the bar helps build a strong core and stable spine. It creates leverage against the torso and gives the arms a mechanical advantage. This produces usable core stability and functional upper body strength (read my first article to review). If you or someone you are working with is strong through the upper body, this is great because the bar forces them to produce the core stability to counteract their arm leverage advantage. Just watch form and technique and make sure they show good hip extension (not hyper-extension) and spine stability for each repetition. . . . keep reading
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Leg Lowering Progressions
Joe Heiler PT, CSCS A question was posted on the discussion forum concerning the optimal length of the hamstrings (you can read it here:http://www.sportsrehabexpert.com/members/forum/openthread.cfm?forum=1&ThreadID=39), and what is the best way to test? The Active Straight Leg Raises from the Functional Movement Screen is a great way to look at functional hamstring length in relation to hip extension on the opposite leg as well as trunk stability. . . . keep reading
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Dissecting the Sports Hernia
Kevin Neeld CSCS In collegiate and professional athletics, the term "sports hernia" seems to be frequenting conversations more and more. While the diagnosis of a sports hernia seems to be increasing both in prevalence and media attention, the injury remains poorly understood and defined. An in-depth look into the associated research helps explain why there is so much confusion surrounding this injury. . . . keep reading
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Introduction to the Chop and Lift
Gray Cook PT, OCS, CSCS Chopping and lifting is based on PNF (proprioceptive neuromuscular facilitation) patterns that are spiral and diagonal. When two hands are involved together on a stick, bar, or rope, in the same direction, crossing the mid-line of the body, in a downward or upward movement, it is called a chop or lift. The independent hand exercise is simply called D1 or D2 patterning, the direction of movement is named by flexion (upward) or extension (downward). These are advanced movements based on patterns used in the physical therapy profession. . . . keep reading
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ACL Prevention - Jumping
Joe Heiler PT, CSCS ACL injuries are becoming ridiculously common amongst athletes from the junior high/high school level on through the professional levels of all sports. My personal thoughts on this issue have a lot to do with the poor training programs most of these kids go through. I won't go there so much in this article, but want I want to look at is how best to prevent knee injuries from jumping. . . . keep reading
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Isolation Stretching
Kevin Neeld CSCS To stretch or not to stretch...Why is this still a question? There is more than enough research showing that stretching before activity decreases performance measures (strength, power, speed, balance, etc.). Compared to a static stretching warm-up, a dynamic warm-up lead to significantly greater increases in these same measures. The misinterpretation of this research has lead to the idea that static stretching is completely unnecessary. . . . keep reading
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Return To Golf Following Left
Total Hip Arthroplasty In A Golfer
Who Is Right Handed
John D'Amico, MSPT ATCa, Michael Betlach, MPT, MSa, Ryan Senkarik, MSPTa, Robyn Smith, MSPT, SCSb, Michael Voight, DHSc, PT, SCS, OCS, ATCc Research indicates return to golf is a safe activity following total hip arthroplasty(THA). Frequently, individuals have shown both physical faults and swing faults after THA, which can persist even following rehabilitation. Physical limitations and pain often lead to faults in the golfers swing, most notably "hanging back." These problems may not be improved after surgery unless the proper re-training takes place. North American Journal of Sports Physical Therapy . . . keep reading
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