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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
Maximizing High Quality Reps with High Velocity Potentiation Clusters Cal Dietz and Dennis Adsit Off-season, pre-season, or in-season Strength Coaches are always looking to maximize the number of high quality reps they can get in the weight room from their athletes. A high quality rep is one done at maximum speed and maximum power. The problem is that speed and power drop off quickly after two to three reps and then recovery is needed. If you read Triphasic Training: A Systematic Approach to Elite Speed and Explosive Strength Performance book, you know I am a big fan of Contrast training in general and the French Contrast method in particular. The French Contrast is a fancy name for a combination of complex and contrast methods. . . . keep reading
Exercise of the Week - Serratus Wall Slides Eric Cressey Eric and Mike Reinold are back with their newest installment of the Functional Stability Training DVD's - this time for the upper body. In this video Eric talks about the importance of Serratus Anterior function, it's effect on the thoracic spine and shoulder, and also shows a couple different ways to really maximize it's function using the traditional wall slide exercises. . . . keep reading
SportsRehabExpert.com Presents: Audio Interview with Jackie Shakar from Graston Technique Jackie is the Director of Clinical Education for Graston Technique and is our resident expert on Instrument Assisted Soft Tissue Mobilization. In this interview Jackie gives a bit of background on the Graston Technique and IASTM, and then answers a number of questions sent in by SRE members. Topics include research on IASTM, what's really happening during soft tissue mobilization, how much pressure is needed, other manual therapies that she uses, when to use IASTM in the clinic, and more... . . . keep reading
Hip Extension Motor Control Corrections Joe Heiler PT, CSCS I've been having my students work through the 4x4 matrix for a number of impairments and figured I may as well begin recording what we come up with. This week I'll discuss supine and prone corrections and moving on to quadruped, kneeling, and standing corrections in the weeks to come. Any ideas or recommendations are welcome! . . . keep reading
Clinical Pearl: Understanding the Power of Pain Referral Doug Houle, PT, MSThe knowledge of Functional Dry Needling is a dynamic and powerful adjunct to any physiotherapy treatment toolbox. That being said, the structures to which FDN can be applied to elicit the most beneficial outcome demand that each clinician perform an assessment that will provide the information necessary to make the decision where to apply FDN with the most impact. During the training for FDN1, FDN2 and FT, the importance of having a solid understanding of functional anatomy is emphasized heavily. This is done not only as a reminder of one of our cornerstone requirements as a competent clinician, but to also provide insight into the associated corrective exercises that we can apply as a complement to our needle application. . . . keep reading
Are we getting what we want from the Nordic hamstring exercise? Andy Barker PT The Nordic or Norwegian hamstring curl has been a staple of hamstring strength training for decades. It provides eccentric load to the hamstring group which we know is great for strength development and has been proven to induce increase strength and power gains. However, the ability of athletes and those using the exercise to complete the exercise well is often not too proven. . . . keep reading
A Functional Approach to Improving Ankle Dorsiflexion Keith Thornhill PT In my experience the foot and ankle are almost as forgotten as the wrist and hand when it comes to physiotherapy assessment and treatment. However, in my opinion unlike in the wrist, any deficit in function of the foot/ankle can have a greater impact on any individual. For instance, limited ankle dorsiflexion will have a much larger and more detrimental impact on the individual than the same issues would typically have when occurring on the wrist/hand. . . . 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
"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