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Elevate your understanding of the key elements of Rehabilitation and Athletic Development Hierarchy! 🧘♀️ Ready to take the next step? Dive into our comprehensive guide now. 🔍 Learn more here: https://wix.to/gnmSXuJ #TrainingTips #SportsRecovery #ProfessionalDevelopment

Join us for our next Sports Medicine Research Rundown episode live session on November 6th, 2024 at 8pm. Our guest Dr. Keir A Ross, MD will join our hosts Tim Tyler and Rob Shapiro to discuss "The Clavicle: To Fix or Not To Fix". https://lnkd.in/d6EdQ-3Z

Pectoralis major muscle tendon tears transpire almost exclusively in athlete’s ages 20 to 40 performing supine bench press exercise (de Castro Silva 2010). The mechanism of injury that poses the greatest risk is based on the athlete’s arm position of shoulder extension (elbows past midline of the body), abduction, and external rotation at the barbell touchpoint upon the chest (Figure 1). This barbell touchpoint typically transpires during eccentric muscle contraction corresponding to the plastic range on the stress-strain curve of musculotendinous tissue (Figure 2). The pectoralis major is described as three (3) distinct segments, the clavicular segment, the sternocostal superior segment, and the sternocostal inferior segment. Why is this significant? The clavicular and sternocostal superior segments contain unipennate parallel fibers while the sternocostal inferior segment contain shorter multipennate fibers that twist at 180 degrees at insertion resulting in a distinct mechanical disadvantage (Figure 3). The disproportionate lengthening of the shorter sternocostal inferior fibers during the final 30 degrees of humeral extension correlates with the final portion of the eccentric phase to barbell touchpoint resulting in high loading of the maximally stretched fibers subjecting them to possible strain or rupture (Figure 4) (Wolfe 1992). Additional risk factors for supine bench press exercise musculotendinous strain or rupture include, but is not limited to, program design (exercise selection, excessive exercise volumes, high exercise intensities), anabolic steroids, corticosteroids, and prescribed fluoroquinolone (i.e., Cipro, Levaquin) antibiotic medications to name a few. To minimize the risk of pectoralis major musculotendinous strain or rupture, the mechanism of injury should be modified or avoided. One consideration is having the athlete “Board Press” (Figure 5) with barbell loads of greater than 90% - 95+% 1 RM thus preventing an elbow position past the midline of the body at barbell touchpoint. It is important to note that (a) strength gains will exceed the range of motion limitation of the barbell touchpoint upon the boards and (b) rarely in competitive athletics do athletes touch “chest to chest” and when doing so are usually placed at a competitive disadvantage. The athlete controls and takes advantage of their opponent by placing an optimal competitive distance between them (Figure 6). Pectoralis major musculotendon ruptures, although rare, most often transpire during supine bench press exercise performance. Modifying the barbell touchpoint via board pressing during heavy intensity supine bench press execution is a consideration for the sports rehabilitation and athletic performance enhancement professionals in an attempt to reduce the prevalence of pectoralis major muscle injury.

So in my previous post, the patient lacked scapular elevation with upward rotation. This is a result of stiffness in the lats and lack of engagement of the serratus anterior. So how can we facilitate this?  In addition to improving the length and myofascial mobility of the lat (through soft tissue mobilization, dry needling, etc.), I have found this neuromuscular re-education technique in sidelying has been extremely helpful in bridging the gap for patients to be able to successfully perform scapular elevation with upward rotation in an anti-gravity position! #occupationaltherapy #handtherapy #TOS #neckpain #occupationaltherapy #certifiedhandtherapist #occupationaltherapist #cht #certifiedhandtherapist #certifiedhandtherapy #handtherapy #physicaltherapy #physicaltherapist #OT #PT

Join us at 2024 Student Symposium (FALL EDITION) https://wix.to/RpSJIXE #rsvpnow #savethedate https://wix.to/2r3vYMx

Unlock the secrets of effective hip mobilization with expert physical therapist and Hip Specialist Benjamin Gelfand, DPT, SCS. In this essential guide, you'll discover: - Why hip mobilization is crucial for post-operative recovery and arthritis management - Step-by-step techniques for proper hip mobilization - How to perform inferior glides, external rotation, and internal rotation mobilizations - Tips to avoid hip impingement during mobilization - The importance of proper hand placement and patient communication Whether you're recovering from hip arthroscopy, dealing with hip arthritis, or simply looking to improve your hip mobility, this video provides valuable insights and practical techniques. Don't let hip pain hold you back! Learn these professional mobilization methods to enhance your recovery and improve your quality of life. 💬 Share your experience with hip mobilization in the comments below. #HipMobilization #PhysicalTherapy #HipPainRelief #PostOpRecovery #HipArthritis #TechniquePeekSeries, #ProfessionalSeminars, #Knowledgeinaction, #ContinuingEducation, #Education, #physicaltherapy, #DPT, #Rehabilitation, #Physicaltherapy, #PhysicalTherapistAssistant, #PTStudent, #PTAStudent, #PT, #PTA, #Athletictraining, #Mobilizations, #Hips, #post-op #HipMobility, https://lnkd.in/encVy47F

ACL Reconstruction: New Insights from NY Jets Team Physician | The Sports Medicine Research Rundown https://wix.to/32HGafM

In this Technique Peek Series video, physical therapist Robert Shapiro demonstrates a technique for mobilizing the lumbar facets into flexion. This technique can be effective at improving lumbar spine mobility and reducing pain and disability in patients with low back pain. The technique is performed by applying a sustained force to the facet joints while the patient performs a controlled flexion movement. The force is applied in a direction that opposes the patient's flexion movement. This technique is contraindicated in patients with known lumbar facet pathology. #techniquepeekseries #lumbarspine #professionalseminars #spine #physicaltherapy #education #mobilization #mobilitydeficit #facetpain #lumbarfacet #lowbackpain https://lnkd.in/eVrEaHyk

Don’t Miss our 2024 Student Symposium [Fall Edition]!!

The physical quality of strength is the foundation from where all other physical qualities evolve (Vermeil’s Hierarchy). The enhancement of strength is a basic essential in the sports rehabilitation and performance enhancement environments. To enhance viable levels of strength it is necessary, when appropriate, for the application of “unaccustomed stress” (intensity) for adaptation to take place. It is not necessarily the lifting of very heavy loads (which eventually will transpire) but the application of stress levels that are unfamiliar to the athlete. Many sports rehabilitation professional peers have expressed the exercise intensities often applied in the clinical setting are insufficient for an optimal return to play (RTP) performance. Why is high intensity exercise so critical? The application of high intensity for the enhancement of strength qualities gives rise to the following: · Optimizes sports rehabilitation and athletic performance – the advancement of exercises and physical quality development, sprinting, jumping, and change of direction especially at angles greater than 75 degrees, the penultimate step (Watts, 2015, Spiteri 2014, McBride 2009) · Diminishes neural inhibition - Reduce receptor sensitivity, conscious and somatic -sensory, optimizes the stretch shortening cycle for greater contributions of agonist muscle/muscle group force output (Aagaard 2000) · Optimizes Performance – Improved force-time characteristics and overall athletic performance (Suchomel 2016) · Weaker athletes sustain more muscle/mechanical damage (Newton 2008) and the avoidance of ligament dominance (Hewett 2010) · Motor unit (MU) recruitment – High intensity efforts recruit the larger MU’s and type IIx/IIb fast twitch muscle fibers, rate coding, and ideal synchronization of MU’s as too low an intensity results in asynchronously of MU firing (Komi 1976) · At the time of the athlete’s RTP, the necessary demonstrated achievement of the required physical quality of strength standards of the sport of participation. As strength levels may be initially measured in the pre-season along with additional physical qualities (i.e. power, speed testing) these strength levels must be maintained, if not improved during a prolonged sports season. This is especially true of the RTP rehabilitation athlete. Speed reserves are commonly considered and maintained for both athletic performance and the attempted prevention of soft tissue injury i.e., achieving 90% or greater velocity every 10 – 14 days maintaining a "speed reserve". The same may be stated of strength qualities as a “strength reserve” is also critical as a decrease in strength levels over the prolonged sports season will likely correspond to a reduction in power and velocity as well. Successfully demonstrated performance with intensities of 90% or greater in selected strength exercise efforts every 10 – 14 days will assist to maintain the athlete’s strength reserve over the course of a sports season.