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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 Cal Dietz Cal is the Head Strength and Conditioning Coach of multiple sports at the University of Minnesota, and also the author of Triphasic Training. In this interview Cal gives an overview of his Triphasic system, new strategies he's implemented over the past two years, manipulating cortisone levels during the different phases, applying the principles with younger athletes and even into rehab programs, and more... . . . keep reading
FMS Unplugged: Cook-ing the Brettzel This past week I spent some time going over the Brettzel stretches with my students, and figured it would be a great topic to revisit on the site as well. This is the original FMS Unplugged video so its been around awhile but a fantastic explanation of how to do the stretches as well as why you would want to do the stretches. . . . keep reading
Webinar - Neurophysiological Mechanisms of Manual Therapy with Dr. Ken Cieslak Ken Cieslak D.C., ATC, CSCS Manual therapies, including manipulation and soft tissue release, are recognized as being effective modalities to improve tissue function and control pain, but there continues to be confusion as to the exact mechanisms by which they work to elicit their positive treatment effects. Myths persist that cloud the clinician's ability to appropriately identify which manual approach would best apply in a given treatment program. This presentation will address the latest research and theories as to both the mechanical and neuro-physiological mechanisms by which the most popular manual therapies work, and empower the clinician to choose the best therapeutic intervention by applying an evidence-based approach. . . . keep reading
SportsRehabExpert.com Presents - CrossFit Coach Todd Nief In this interview Todd will talk about CrossFit as a sport vs as a general training program, is quantity more important than quality, the need for movement screening as well as some things he personally looks for to clear overhead lifts, CrossFit as a means of training for other sports, and recommendations for those interested in learning more... . . . keep reading
Exercise of the Week - Feet Raised Bench Press Andy Barker PT I think we do a great job at cueing and coaching good pelvic position when using standing based gym exercises. Equally, cueing the same position in supine in an unloaded state we also get it right. However, when adding load to supine based exercises good pelvic form is often lost. A great example of this is the bench press. Often when the load goes up so does load through the back as compensatory lumbar extension assists the lift. This is especially so when the feet are placed on the floor either side of the bench. . . . keep reading
SportsRehabExpert.com Presents - Interview with Tim DiFrancesco Tim is a physical therapist and also the Head Strength and Conditioning Coach of the LA Lakers. In this interview, Tim will discuss his presentation at the 2014 NBSCA conference, What the 'Fuel' is going on here?, and will also share some of the highlights of the other presentations at the event. Tim presents some really interesting information on sports nutrition and energy needs for athletes, and also how we can use this information with our own patients and athletes... . . . keep reading
Exercise of the Week - Teaching the Kettlebell Arm Bar Joe Heiler PT, CSCS This is one of my favorite exercises to address motor control of the scapula and shoulder while incorporating thoracic rotation and breathing. However, this can be a challenging exercise to teach so I wanted to show some of the steps I take to guarantee the arm bar is successful (and safe) when we get there. . . . keep reading
Why Making Exercises Harder Can Make the Exercise Itself Worse Andy Barker PT Quite a long winded title but the aim of this article is to try shed some light on how exercise progressions can be of detriment and in turn nullify the purpose of the exercise itself. To do this I am going to use the abdominal rollout as an example. The rollout itself is an anterior core exercise and can be completed in many ways; ab wheel, gym-ball and barbell being the main ones. The rollout is a great exercise to engage the anterior core but only if completed correctly. In my experience unless coached well this exercise gets completely butchered. One of the most common faults or 'cheats' is when athletes excessively extend their lumbar spines as their body rolls forwards. . . . keep reading
Assessing Movement: A Contrast in Approaches and Future Directions Joe Heiler PT, CSCS I just finished reviewing the Assessing Movement DVD featuring Dr. Stuart McGill and Gray Cook at Stanford University, and want to highlight some of the big take home messages from the 'debate'. I'm going to give my condensed take on the debate which will hopefully give a decent overview, and following that are the notes I took while watching the DVD. Lots of quotes and take home messages from both speakers plus a few slides and videos thrown in to help with understanding. . . . keep reading
Tibial Rotation Mobilization + Corrective Exercises Joe Heiler PT, CSCS Tibial internal rotation is often overlooked as a potential cause of knee pain, and also dysfunction with the foot/ankle, hip, and on up the chain. I even overlooked this article which has been in the cue for about a year now! Better late than never as tibial IR is crucial for the lower extremity flexion and rotation patterns. In this article I'll show some ways to assess and treat, plus a great video from Erson Religioso giving his take on tibial IR. . . . keep reading
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- Dave O'Sullivan, Head Physiotherapist Leeds Rhinos
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- Erica Meloe Physical Therapist, NY
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- Kevin Neeld, MS, CSCS; Director of Athletic Development, Endeavor Sports Performance; KevinNeeld.com