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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
Updated Multi-Segmental Rotation Correctives Joe Heiler PT, CSCS This is my current thought process/flow sheet when it comes to treatment options for the MS Rotation pattern of the SFMA. You'll notice the mobility corrections are fairly vague as I think you can use any number of different techniques to address the areas listed. I've also updated the corrective exercises I would consider based on where they would fall in the neurodevelopemental sequence and 4x4 matrix rather than what I'm trying to 'fix'. . . . keep reading
Hip Extension Motor Control Corrections - Standing Joe Heiler PT, CSCS This is part IV in our discussion of hip extension motor control corrective exercises. We've progressed through the 4x4 matrix from supine/prone, to quadruped, to tall and half kneeling, and finally to standing corrections. Standing hip extension corrections can be performed in a bilateral (or squat) stance, split stance, or in single leg stance. . . . keep reading
SportsRehabExpert.com Presents - Audio Interview with David Joyce David Joyce is co-editor of the book High Performance Training for Sports. In this interview David discusses the book and in particular highlights the first two chapters that he wrote: Enhancing Movement Efficiency and Retraining the Injured Athlete. Specific topics include plugging energy leaks and efficient force application, eccentric and isometric muscle contractions with sprinting and what's really happening, isometric training of the hamstrings and calves, pelvic lock position and trunk co-contraction with running, looking at injury as an opportunity, fit to play versus fit to perform, and a whole lot more... . . . keep reading
Important Considerations for the Rehabilitation of the Post-operative Knee: Restoring the Athlete's Active Knee Range of Motion Robert A. Panariello MS, PT, ATC, CSCS During the course of rehabilitation of the post-operative knee pathology athlete, common interventions utilized in the field of Sports Physical Therapy and Rehabilitation include the use of modalities for pain, edema, and neuromuscular control, restoration of the knee joint range of motion, lower extremity strength, proprioception, and normal gait, as well as structured treatment progressions to the achievement of the eventual milestones of running, jumping, cutting, and additional athletic activities, and "functional tasks". All of these milestones are achieved through a number of various treatment methods, manual techniques, exercises, and practices. . . . keep reading
The Ankle Syndosmosis Test Andy Barker PT Below is a test I recently came across to test for ankle syndosmosis injury. Previously I had mainly used the following three tests: Squeeze test, Dorsiflexion/lateral rotation test (supine), and Lateral rotation test (seated). The aim of the test, as with the above tests, is to test the integrity of the syndosmosis. Although pain is the indicator in the test, the test itself is looking for instability, largely resulting from injury to the anterior inferior tibio-fibular ligament (AITFL) and/or posterior inferior tibio-fibular ligament (PITFL). . . . keep reading
SportsRehabExpert.com Presents - Audio Interview with Andy Barker In this interview, Andy talks about some of the articles he's written for the site lately, how PRI has influenced his approach to rehab and training, common exercise corrections he's using to reduce injury in professional rugby, using caution not to over treat elite athletes, addressing asymmetry in sport, and more... . . . keep reading
Hamstring Endurance Circuit Andy Barker PT Hamstring injuries are common in sport and account for large time losses of both training and matches. There is also a high reoccurrence rate with such injuries. One of the reasons that players may reoccur is that they lack strength endurance post injury. Such players may have likely passed all their return to play markers, hit adequate strength testing and thus are back available to train and play. However, some of these players still reoccur. One potential reason for this might be that they cannot produce and maintain adequate strength under fatigue, i.e. adequate strength endurance. A player might be able to produce a one off strength effort on testing showing sufficient return of hamstring strength but could they reproduce force once fatigued? . . . keep reading
Manual Therapy Technique of the Week - First Rib Muscle Energy Techniques Jessica Paparella, DPT Big thanks to Jessica for writing this article and also to Rob Panariello from Professional PT for helping to set this up. The first rib can be a big player in neck and shoulder pain as well as when someone is presenting with thoracic outlet symptoms. Definitely one to assess so check out the article from Jessica plus I added a video showing the techniques that she discusses. . . . 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