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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
SFMA Forum Question - Which Breakout Should Take Precedence? Joe Heiler PT Great post in our discussion forum concerning a patient who presents with one dysfunctional painful pattern (DP) but the rest are all significantly dysfunctional and non-painful(DN). So where to start? In this case I want to demonstrate how using Charlie Weingroff's 'one shot - one kill' model can get us to the answer quite quickly. . . . keep reading
Using Habit Loops to Improve Rehabilitation Andy Barker PT I have recently finished reading the book 'The Power of Habit' by Charles Duhigg. Within the book Duhigg discuss habits, in particular habit loops and how such systems influence what we do. He uses examples from different settings, from the business world to the sporting world and everything in between. He goes in depth in relation to the habit patterns or loops we have and how we can influence these to induce change in our own or other people's habits. . . . keep reading
Hip Extension and LBP Mahmoud Zaerian DC, CSCS Restoring passive and active hip extension is critical in gait and execution of optimal movement patterns, not to mention reducing LBP. Utilizing electro-acupuncture to restore optimal neuromotor behaviour can speed the restoration of the functional loss. . . . keep reading
Book Review: Unlearn your pain by Howard Schubiner, M.D. Greg Schaible Dr. Schubiner M.D. discusses what he terms to be Mind Body Syndrome (MBS). The intent is to expose how pain is multifactorial and influenced by the mind, body, and the environment. The book goes into detail with various research that has become available, which has started to challenge the typical biomechanical model of pain. He goes into great detail on how psychosocial factors can play a large role in pain, and more specifically, chronic pain. The book "unlearn your pain" describes some of his methods to detect and address these potential psychosocial issues. . . . keep reading
The Problem with Biomechanics in Less than 1000 Words Stephen Braybrook I have decided to write these short 1000 bite size essays to explore topics of interest and enquire into the theory behind our currently accepted 'norms' of how we think about, talk about and define human movement. Before we start,please note that for simplicity and sense of continuity that I will use the term 'biomechanics' and by this I am referring specifically to human, movement, biomechanics rather than any other branches of the wider term. . . . keep reading
Cupping with Movement Greg Schaible DPT I have been using cupping as a soft tissue mobilization tool more and more as patients generally find the intervention more comfortable than your IASTM variations. In this particular case presentation, the patient was experiencing radiating pain which wrapped around her R posterior/lateral shoulder. . . . keep reading
Audio Interview with David O'Sullivan In this interview David discusses his treatment philosophy including how he has integrated a number of different systems over the years with elite athletes and with his orthopedic practice. David will also cover the highlights of his online Therapy Mentorship program and The Essentials of Injury Prevention program. . . . keep reading
Keeping Athletes Below the Injury Threshold Andy Barker PT In any athletic population keeping players fit and healthy and in turn on the training and playing field is obviously highly desirable. Having the best players in the competition probably doesn't account for too much if half the team are on the side-lines nursing injuries. . . . keep reading
Manual Therapy Technique of the Week - Treating the Supraspinatous Joe Heiler PT I've become much more familiar with trigger point referral patterns and treating these out the past couple years since taking the Kinetacore Functional Dry Needling course. Last month I talked about trigger points in the posterior rotator cuff (Infraspinatous and Teres Minor) along with their common referral patterns. Another common shoulder muscle to find active trigger points is the supraspinatous. Active trigger points in this muscles can refer pain to the deltoid and down the lateral aspect of the arm. . . . 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