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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
Audio Interview with Angela Gordon Angela is the physical therapist for the Washington Nationals, and in this interview talks about her 'go to' treatments and the influence of the SFMA, NAIOMPT, DNS, and other systems on her treatment approach. She also discusses some of the 'links' in the system that have made a big impact on the way she looks at movement dysfunction in baseball athletes, teaming up with the S&C staff for injury prevention, plus some recommendations for those looking to get more involved in collegiate or professional sports. . . . keep reading
Shoulder Pathology: The Influence of the Athlete's Training Program Design Rob Panariello MS, PT, ATC, CSCS Throughout my career in the related professions of Orthopedic and Sports Physical Therapy (PT) and Strength and Conditioning (S&C) of athletes my associates and I have rehabilitated literally thousands of players with various shoulder pathologies. Many of these athletes were of the opinion their shoulder pathology progressively ensued over the course of their athletic performance enhancement (weight room) training. Many (as well as their sport coaches) also expressed a concern of the possible contributing influence of overhead exercise performance to their shoulder condition. In the cases where imaging studies were performed the majority of these tests revealed the presence of overuse type pathologies i.e. impingement, tendonitis, etc. vs. a distinct rotator cuff tear. . . . keep reading
Audio Commentary - Teaching the Single Leg Deadlift Joe Heiler PT In this month's audio commentary I'll discuss the importance of utilizing the single leg deadlift movement with your patients and athletes, as well as FMS/SFMA prerequisites to teaching the movement, exercise progressions, setting up the exercise correctly, and the best cues to use. . . . keep reading
Hip Banded Decompression - Self-Treatment Exercise Andy Barker PT Real simple to do and a great self-treatment exercise to decompress the hip. Wrap the band something solid like a weights stack and then wrap the other end around the ankle. Use a high length sock or towel if needed to prevent skin traction if necessary. Then, keeping the knee straight use the upper body to move yourself away from the stack. . . . keep reading
It's All About Motor Control Gray Cook A key component of motor control is muscle tone, and I want to specifically discuss inappropriate muscle tone. Very often, from the perspectives of physical therapy and rehabilitation, we don't necessarily see just tightness or weakness. Tightness is often a way that the body uses parking brakes in the absence of real, authentic braking systems. The braking system that the body has is called motor control and it is finely tuned to input, processing and appropriate output. When a fault is present somewhere in that system--somewhere in movement, somewhere in that coordination, timing and symmetry--a dysfunction is observable. . . . keep reading
Foot Postural Assessments are Outdated and Inaccurate Andy Barker PT Static foot postural assessments give us information about the static foot, but beyond that I don't believe such assessments give a good indicator as to what happens during gait. Therefore, using both static and dynamic assessments with someone with a suspected ankle and/or foot driven problem is necessary. Relying solely on static information is all well and good but probably won't reflect the changes and movements that occur to both the foot and ankle when moving. . . . keep reading
Webinar with Johnny Owens - Blood Flow Restriction a Paradigm Shift in Rehabilitating Injuries The application of blood flow restriction (BFR) with and without low intensity exercise has received considerable attention in the literature over the past 20 years. Numerous studies have found that this technique is able to increase muscle size and strength similar to that of traditional high load resistance training while using much lighter loads. Because of this the clinical application has numerous possibilities. When done correctly and safely the risk of injury is low, however occluding blood flow requires a tourniquet which is a medically monitored device. This webinar will discuss the science behind BFR how to translate that research to the clinic and the safety measures that should be considered. . . . keep reading
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