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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
Facilitators....Not Healers Andy Barker PT As much as we might not want to believe it we do not heal people. As therapists we might give people the tools in which to heal, to heal more rapidly and to reduce the risk of re-injury but we don't heal people. I have been giving this concept more thought following a patient I treated earlier this month for chronic lower back pain. . . . keep reading
2013 Teleseminar Interview #2 - Diane Lee I've been hoping to have Linda Joy Lee on the teleseminar the past couple years now to talk about her treatment model and thoracic rings approach. Unfortunately things have not worked out due to unforeseen events and through no fault of her own. I do really like what she and her colleague Diane Lee have to offer so I'm re-posting my interview with Diane from 2013 just to stay in the same ballpark with this week's topic. Diane is just a fantastic therapist and really an expert when it comes to the lumbo-pelvic-hip complex. Enjoy the interview and hopefully next week I'll be back on schedule with Gary Gray! . . . keep reading
NSCA Weight Lifting Norms - Download In his teleseminar interview this year, Rob Panariello referred to weight lifting norms from the National Strength and Conditioning Association for high school and collegiate football players. When it comes to return to sport testing post-ACL reconstruction, instead of just comparing surgical limb to non-surgical limb, we should also consider the strength and power of the competition. In this download, I've posted a few of the norms for high school and college football, men's basketball and baseball, as well as women's college basketball. I've had good success going to orthopedic surgeons in my area with this data which has allowed me to progress my athletes along more quickly in their strength and power training. . . . keep reading
Case Report: Meralgia Paresthetica -- A Manual Physical Therapy Approach Tamer Issa, PT, DPT, OCS, COMT Entrapment syndrome of the lateral femoral cutaneous nerve (LFCN), known as Meralgia Paresthetica (MP), is a possible cause of pain and paresthesia in the lateral thigh. It has been proposed that MP is not rare, but is often unrecognized or misdiagnosed for other conditions, such as lumbar radiculopathy. Medical treatment for chronic MP often includes prescription medications and injections. If medical management fails, surgical decompression of the LFCN is considered. . . . keep reading
High Bar Isometric Single Leg Hamstring Andy Barker PT If you've read some of my previous posts you will know I am a big fan of hamstring strengthening exercises. The video below shows a high bar isometric single leg hamstring exercise. I like to work isometrically prior to concentric and eccentric movements, before progressing to movements that involve all 3 types of muscular contraction. . . . keep reading
Four Reasons Why Athletes Must Sprint Robert A. Panariello MS, PT, ATC, CSCS The athlete's ability to sprint at high velocities is an integral component in the related fields of Sports Rehabilitation and the Performance Enhancement Training of athletes. A principal objective of the rehabilitation process is to restore the athlete to their previous level of athletic performance including the athlete's pre-injury running velocity. . . . keep reading
2015 Teleseminar Bonus Interview - Lee Taft Lee is one of the premiere speed coaches in the world, and recently teamed up with Patrick Beith to release the Complete Speed Training program. In this interview Lee will share some of the secrets behind his speed training program including training acceleration and deceleration, multi-directional agility and retreating skills, the benefits of the plyo step, proper cuing, exercise progressions and regressions, and more... . . . keep reading
Manual Technique of the Week - Soleus ART Andy Barker PT I find the soleus and its intersection with the gastrocnemius a common problem area to treat. This is mainly given its position underneath the gastrocnemius. Therefore, I often find this position useful when using both active release techniques and Graston Technique and has favourable results when compared to prone positioning. . . . keep reading
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