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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
Clinical Pearl: Maximize Every Move You and Your Patients Make JJ Thomas MPT, CMTPT In today's world, everyone is pressed for time. Patients are appreciative when we maximize their treatments through more efficient ways of accomplishing goals in PT. I am sure you have all seen this already, with the use of dry needling allowing faster response time in terms of ROM recovery, reducing motor inhibition, and returning function. How can we maximize our patient's (and our) time even further through the exercises we are giving to reinforce the gains made with manual techniques? . . . keep reading
SportsRehabExpert.com Presents - Interview with Mike Cantrell Mike is one of PRI's top instructors and in this interview he goes in depth on the MyoKinematics course plus answers some frequently asked questions about the PRI model, hip asymmetries that don't seem to fit a pattern, scoliosis, using a balloon to improve breathing, what type of 90/90 hip lift to use, and a whole lot more... . . . keep reading
Lumbar Stabilization Programs: Ground Based Anti- Rotation Joe Heiler PT Lumbar stabilization programs have been around for a long time now, but are they really doing what they say they are? Stabilization, to me, means 'no movement' or 'resisting movement'. So maintaining control of the trunk with movements through the shoulders and hips would fit that basic definition. In this series, I'll present some basic lumbar stabilization exercises that combine the principles of Shirley Sahrmann and Mark Comerford, plus a bit of PRI postural correction and breathing work thrown in for good measure. . . . keep reading
Lumbar Stabilization Programs: Ground Based Anti-Extension Joe Heiler PT Lumbar stabilization programs have been around for a long time now, but are they really doing what they say they are? Stabilization, to me, means 'no movement' or 'resisting movement'. So maintaining control of the trunk with movements through the shoulders and hips would fit that basic definition. In this series, I'll present some basic lumbar stabilization exercises that combine the principles of Shirley Sahrmann and Mark Comerford, plus a bit of PRI postural correction and breathing work thrown in for good measure. . . . keep reading
Manual Technique of the Week - Medial to Lateral Calcaneal Mobilization Andy Barker PT I've had a couple of real stubborn posterior ankle impingement injuries recently and had struggled to relieve posterior joint line pain. I'd usually use a combination of MWM with movement and ankle mobility rehab for such pathology. However, these two cases I couldn't shift. I'm not a big user of Maitland mobilisations and use them very irregular, but this particular treatment technique was of great use. It instantly cleared patient symptoms in both cases to which I was then able to reinforce using rehab. . . . keep reading
Latissimus: The Secret Player Mike Cantrell from the Postural Restoration Institute will be on for an interview in the next couple weeks covering the Myokinematics course and answering some frequently asked questions. I'm really looking forward to that so in the meantime I wanted to post an article that Mike wrote on the influence of the latissimus dorsi in all three planes of movement plus some PRI based techniques to inhibit that lat during corrective exercises. Enjoy! . . . keep reading
PRI Kettlebell Squat Andy Barker PT I've found this exercise to be great recently, particularly so for those athletes that live in lumbar extension. I have used the exercise both as a rehab type activity for extension based athletes. In addition, I have used the same exercise as a warm up to then follow into BB front squats with a higher weight lifted. By using the breathing cycles I feel it enables athletes to unlock extension (i.e. lumbar extensors) and brace appropriately. I also feel it can help grove good movement patterns in addition to aiding squat mobility. . . . keep reading
The Overhead Lunge Walk: My Favorite "Catch-All" Assessment Eric Cressey We spend a good chunk of our lives standing on one-leg. Obviously, that means we need to train on one leg, but it's also important that fitness professionals and rehabilitation specialists assess folks when they're in single-leg stance, too. Enter the overhead lunge walk, which is likely my favorite assessment because of just how comprehensive it is. . . . 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
"SportsRehabExpert continues to exceed my expectations in terms of the quality that Joe continues to put out there. This is the leading website in the world in regards to progressing our understanding of human movement and how we apply it to the rehabilitation and strength and conditioning setting. Keep up the good work Joe!"
- Dave O'Sullivan, Head Physiotherapist Leeds Rhinos
"Continue your great work-love your site! It has sent me in new directions as a PT -love looking at different points of view and see how I can incorporate it into my practice!"
- Erica Meloe Physical Therapist, NY
"Joe Heiler has put together a fantastic resource for any professional involved in the rehabilitation or performance training of athletes. With interviews, webinars, and articles from some of the world's leading experts in physical therapy and sports performance, SportsRehabExpert.com has become my go-to resource for cutting edge information on elite athletic development and injury prevention."
- Kevin Neeld, MS, CSCS; Director of Athletic Development, Endeavor Sports Performance; KevinNeeld.com