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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
Barefoot or not Barefoot.... That is the Question Andy Barker PT Barefoot training has taken off in recent years. Whether in the gym or out on a track or field, the number of people training barefoot has increased. But why? This post will look at the benefits of barefoot training and in addition the importance of foot position when training. . . . keep reading
2015 Teleseminar Interview #1 - Charlie Weingroff Charlie Weingroff leads off this year and will be discussing motor skill acquisition and long term athletic development, movement competency, knowing your sport and it's movement requirements, high performance programs, plus some great examples of how he implements these principles into golf, tennis, and basketball. . . . keep reading
Audio Commentary - Should We Teach Scapular Retraction? Joe Heiler PT Description Early in my career scapular retraction was the way to go with all the articles on SICK scapular syndrome and a majority of the conferences I attended dealing with the shoulder. After some reflection on failed cases plus learning more about the SFMA, PRI, and DNS I've decided that maybe this isn't the best idea. In this audio commentary, I'll discuss why scapular retraction isn't the best option, and then how I assess and address scapular stability using these other systems as my guide. . . . keep reading
Strength? Gray Cook Looking back over the Essentials of Coaching and Training Functional Continuums DVD I did with Dan John and Lee Burton, I realized how often we mentioned strength. This could potentially be the most polarizing topic that I've ever approached, only because I feel that many will think I'm saying strength isn't important. I'm not. I'm saying that the word strength does not have the level of communication and accountability that it should. . . . keep reading
Manual Technique of the Week - Patellar Distraction Taping Jessica Bott ATC, LMT The patellar distraction taping is used to decrease patello-femoral pain and allow for more activity, especially quad strengthening. This taping can be used with any number of knee pain conditions including TKA to reduce compression. To know the taping technique is successful, you should see an immediate decrease (or elimination) of pain during the performance of a previously painful movement. . . . keep reading
2015 Sports Rehab to Sports Performance Teleseminar Welcome to year 7 of the Sports Rehab to Sports Performance Teleseminar! This year will be bigger and better than ever so sit back, relax, and get ready to learn from some of the best Clinicians and Sports Performance Coaches in the world! One interview per week, for ten weeks, starting Tuesday, January 27th. . . . keep reading
Exercise of the Week - Forearm Walkout Joe Heiler PT This is a great exercise emphasizing early weight bearing for stability plus brings in sagittal plane trunk control. The shoulder position mimics the early developmental position of crawling so reflex stability can be achieved and often times pain is decreased versus weight bearing through the hand. . . . keep reading
Circardian Rhythmicity Andy Barker PT Having read a few articles on the subject I have gained a particular interest in circardian rhythmicity. I first heard of the subject in the wake of the Beijing Olympic Games whereby it was suggested that certain time periods of the day are more likely to produce higher feats of physical performance than others. It was suggested that circardian rhythm was one of the major factors behind the higher numbers of record breaking performances in the early evening as opposed to other times in the day. . . . keep reading
Considerations in Athletic Performance Enhancement Training: Athlete Weight Room Preparation Robert A. Panariello MS, PT, ATC, CSCS During my 30+ career as a Physical Therapist (PT), Certified Athletic Trainer (ATC) and Strength and Conditioning (S&C) Coach, I have been involved in both the Sports Rehabilitation and Performance Enhancement Training of athletes and have had many valued experiences throughout my years of practice in these two related professions. When confronted with an athlete who presents with a pathology that occurred during the course of S&C or personal training participation, my observations of the athlete, the review of the athlete's injury and medical history, and my experiences in the sports rehabilitation of athletes, often reveals that the injury is not directly due to a specific exercise performance, but to one of two other training considerations. . . . 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