LOWER EXTREMITY RTS TESTING 🏈⚽️🏀🏐🎾
[DAY 4 of 8]
🆕 Today, we continue our return-to-sport testing series for the #lowerextremity ! Take a look at yesterday’s post if you missed it for more details.
👉 In this series, we will demonstrate the highest-quality RTS tests when it comes to clearing the LE athlete following rehabilitation. While not all-encompassing, these tests give the rehab professional a good quantitative and qualitative view of the athlete’s true readiness to return.👍
4️⃣ Crossover Hop - did you know this test was one of the strongest predictors of self-reported knee function following ACLR? This test incorporates more multiplanar movement than the previous variety. Ensure the lateral hops are no greater than 12” from the midline.
Check back tomorrow ⬆️ for the next test in our LE RTS series!
🔹 Schilaty, et al. Incidence of Second Anterior Cruciate Ligament Tears and Identification of Associated Risk Factors From 2001 to 2010 Using a Geographic Database. OJSM. 2017.
🔹 Logerstedt, et al. Single-legged hop tests as predictors of self-reported knee function after ACLR. AJSM. 2012.
1 15 minutes ago
Dr. Nathan Cafferky is our highly-rated total joints expert. Learn more about Dr. Cafferky on our website! #keepingyouactive
November 11, 2019 — Radiographer Apollo Exconde, a magnetic resonance imaging (MRI) radiographer with a special interest in anxious/claustrophobic and plus-size patients, is on a mission.
His invention, Lego open MRI, is an interactive toy that aims to give hope to help everyone, especially kids, who are curious and anxious, according to his Lego Product Ideas page. It was designed based his patients’ suggestions and with patients in mind, to help demonstrate during the earliest possible stage what will happen during an MRI to help eliminate patient misconceptions or worries. The Lego structures would allow patients to have fun building the miniature system with him, as he explains how the MRI procedure will be carried out.
Last night, Steelers QB Mason Rudolph was struck in the head by his own helmet by Miles Garrett. .
As a clinician, if I were on the sidelines, the first thing to do is NOT to run over but to wait until the Scene is SAFE. You got 100 football players running around and that would pose a threat for me to run out . .
Then once it is safe , Rudolph would be primarily assessed for his airway , breathing , circulation ( pulses), and any severe bleeding . As you can see in the aftermath he passes this. Afterwards we can conduct further testing in a safe area such as the locker room.
I will be most concerned about concussion due to the strike to the head. Concussion testing will be crucial ! Fortunately modern technology in helmets are very good in shock absorption. They are meant to handle collisions and protect the head. In the second picture is an example of the shell of a modern helmet . Padding and airspaces allow absorption and the helmet to be flexible to the forces thus this is probably why Rudolph was able to walk away so easily .
For now , Garrett should continue getting training with Stipe Miocic @stipemiocic to improve his striking 😝
¿Acabas de terminar tu terapia?
¿Vuelves a las canchas después de mucho tiempo?
¿No estás listo para retomar tu actividad?
No te arriesgues, la decisión correcta es trabajar de manera funcional tu cuerpo para llegar al nivel optimo previo a la actividad competitiva.
Enfermos del corazón, personas con hipertensión arterial, sobrepeso y adultos mayores, quienes no se sienten cómodos en los gimnasios convencionales y que buscan un estilo de vida saludable son perfectos candidatos para la rehabilitación integral mediante el gimnasio terapéutico.
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📍Visítanos: Avenida de los Shyris y Rusia "Edificio Pablo Picasso" Quito
Happy #funnyfriday ! We've got super doctors at California Orthopedics & Spine, but it's nice to have a reminder that they're all human too. It seems that Dr. Thomas Kim is more skilled at performing on people than bottles, but we prefer it that way!
I just handed myself my own 🍑!! And Brian Nguyen said my head looked like it was going to EXPLODE 🥵
Here are all my non important excuses:
1️⃣long levers 🤣
2️⃣coefficient of friction sucked big time.
3️⃣i am not Brian...
4️⃣it’s hard AF
5️⃣it’s hard AF(did i say that already?)
6️⃣stability went out the door.
My time was 1:30🤨
I used @catslide and @bosu_fitness and had a ball😍
Can you beat my time? It took me 1:07 to go 5X clockwise then 5X counterclockwise. I used the orange cone to reference a start/end point (lined up to bellybutton). Let’s go! Get your timer out and give it a go! And please let me know how you do 🤙
Episode 330: What is Pelvic Tilting?
Our pelvis connects directly to our spine, which results in it having a direct impact on how it is positioned.
There are two main positions of the pelvis that have a large impact on our spine:
a) Anterior Pelvic Tilt: Top of pelvis comes forward = arching of lower back
b) Posterior Pelvic Tilt: Top of pelvis goes backward = rounding of lower back
Both of these tilts remove our spinal from it’s Neutral Position, which alters our muscles, joints, bone, etc. Unfortunately, the majority of people do not have a pelvic position that results in a neutral position. It’s important to note that each individual has a unique pelvic position that results in a neutral spine. There is no one size fits all solution, however, there is an easy way to find your unique pelvic position.
Stay tuned for our series on pelvic tilting to learn more!
WHEN SHOULD DANCERS HYDRATE WITH MORE THAN WATER?
Written by: Garnet Henderson
This is a must read article on Dance Spirit Magazine. She talks about the importance of hydration and what you should be drinking while dancing, before dancing, and after dancing. Go check it out!
2 261 hour ago
the good ol' core - something that we train daily in jiu jitsu whether you like it or not😂
having a great core & being able to use it properly to resist your opponents' attacks is next level👀
turtling is a common defense against backtakes but what if you could create a strong base to fight them pulling you onto their chest?🤔
this is an exercise i love to use with athletes with back pain as well as to challenge resisting rotation (taking a hand off the ground)🙏🏼
there are many ways to train anti-rotation - this being one i like to start off with - trust me, it's more challenging than ya think😇 try it out!
notice back pain with rolling or any core exercise? send me a DM & we'll break down your movements to take care of your back pain & make you stronger🔥
🥋Helping grapplers recover faster, fight smarter, and live better @toptierrehabperform
📍Located inside @OCperformancecoaches
5 151 hour ago
ACL Sport Specific Rehab
One of the most challenging parts of ACL rehab is mid to end stages of sport specific rehab. The therapist must understand the athletes sport and position as well as addressing fears they may have, particular what caused them to tear in the first place. I’m privileged enough to work in a facility that allows me to finish the full course of treatment. I also always try to incorporate reactive exercises which is how they function in sports. The open space is pivotal for working on late stage sprinting, cutting and agility which are necessary for sports.
Here is a series of videos of how I incorporate their sport into a rehab session. It’s about gradually reintroducing things and helping them regain confidence. You’ll see I’m putting in her positions that is directly applicable to her position and sport.
1️⃣ Basketball curl - she has to pivot off of the inside foot.
2️⃣ Catch, pump fake to dribble - a common task for a guard in basketball
3️⃣ Defensive slides - utilizing a live person is always a positive e as this directly translates to her sport, thanks for the help @kanemcgovern.
4️⃣ Dribbling - I gave her full control of the speed and move she wanted to do. We started slow and gradually built up speed and contact.
🧠𝗟𝗼𝗼𝗸𝗶𝗻𝗴 𝘁𝗼 𝗹𝗲𝗮𝗿𝗻 𝗺𝗼𝗿𝗲 𝗮𝗯𝗼𝘂𝘁 𝘀𝗽𝗼𝗿𝘁𝘀 𝗿𝗲𝗵𝗮𝗯? 𝗜 𝘀𝘁𝗮𝗿𝘁𝗲𝗱 𝗮𝗻 𝗔𝗖𝗟 𝗠𝗮𝘀𝘁𝗲𝗿𝗺𝗶𝗻𝗱 𝗚𝗿𝗼𝘂𝗽 𝘁𝗵𝗮𝘁’𝗹𝗹 𝗳𝗲𝗮𝘁𝘂𝗿𝗲 𝘃𝗶𝗱𝗲𝗼 𝗰𝗼𝗻𝘁𝗲𝗻𝘁 𝗼𝗻 𝗔𝗖𝗟/𝘀𝗽𝗼𝗿𝘁𝘀 𝗿𝗲𝗵𝗮𝗯 𝗮𝗻𝗱 𝘄𝗶𝗹𝗹 𝗵𝗲 𝗮 𝗰𝗼𝗻𝘁𝗶𝗻𝘂𝗼𝘂𝘀𝗹𝘆 𝗴𝗿𝗼𝘄𝗶𝗻𝗴 𝗱𝗮𝘁𝗮𝗯𝗮𝘀𝗲 𝗼𝗳 𝗮𝘀𝘀𝗲𝘀𝘀𝗺𝗲𝗻𝘁𝘀, 𝗺𝗼𝘃𝗲𝗺𝗲𝗻𝘁 𝗯𝗿𝗲𝗮𝗸𝗱𝗼𝘄𝗻, 𝗲𝘅𝗲𝗿𝗰𝗶𝘀𝗲 𝗯𝗿𝗲𝗮𝗸𝗱𝗼𝘄𝗻, 𝗰𝗮𝘀𝗲 𝘀𝘁𝘂𝗱𝗶𝗲𝘀, 𝗮𝗻𝗱 𝗲𝘅𝗲𝗿𝗰𝗶𝘀𝗲𝘀. 𝗹𝗶𝗻𝗸 𝗶𝗻 𝘁𝗵𝗲 𝗯𝗶𝗼!🧠
👉𝗔𝗿𝗲 𝘆𝗼𝘂 𝟱+ 𝗺𝗼𝗻𝘁𝗵𝘀 𝗽𝗼𝘀𝘁 𝗼𝗽 𝗮𝗻𝗱 𝗶𝗻𝘁𝗲𝗿𝗲𝘀𝘁𝗲𝗱 𝗶𝗻 𝗼𝗻𝗹𝗶𝗻𝗲 𝗔𝗖𝗟 𝗿𝗲𝗵𝗮𝗯/𝘁𝗿𝗮𝗶𝗻𝗶𝗻𝗴 𝘄𝗶𝘁𝗵 𝗺𝗲? 𝗜 𝘄𝗶𝗹𝗹 𝗱𝗲𝘃𝗲𝗹𝗼𝗽 𝗮 𝗽𝗲𝗿𝘀𝗼𝗻𝗮𝗹𝗶𝘇𝗲𝗱 𝗽𝗿𝗼𝗴𝗿𝗮𝗺 𝘁𝗼 𝗵𝗲𝗹𝗽 𝗺𝗮𝗸𝗲 𝘆𝗼𝘂 𝘀𝘁𝗿𝗼𝗻𝗴𝗲𝗿 𝗮𝗻𝗱 𝗺𝗼𝗿𝗲 𝗰𝗼𝗻𝗳𝗶𝗱𝗲𝗻𝘁 𝗶𝗻 𝘆𝗼𝘂𝗿 𝗸𝗻𝗲𝗲. 𝗟𝗶𝗺𝗶𝘁𝗲𝗱 𝘀𝗽𝗼𝘁𝘀 𝗮𝘃𝗮𝗶𝗹𝗮𝗯𝗹𝗲! 𝗖𝗹𝗶𝗰𝗸 𝘁𝗵𝗲 𝗹𝗶𝗻𝗸 𝗶𝗻 𝘁𝗵𝗲 𝗯𝗶𝗼!👈
When people feel sick, they know they need to go to the doctor to find out what's wrong and get treated. We should treat movement the same way. If you're having #pain when you move then you need to get a #MovementDiagnosis from a #PhysicalTherapist .
1 31 hour ago
Hudson Pro Orthopaedics & Sports Medicine is a top-rated orthopaedic and sports medicine practice – currently serving patients in the greater New York City area and Hoboken, New Jersey.
"Dr. Cronk will see you now." 🏥🥼
A statement that will never get old to me.
To all the people out there struggling, studying day in and day out, doubting their path, and barely seeing the light at the end of the tunnel...I am here to tell you that you will be okay. Things DO get better. It is such a surreal feeling to finally be at the point in your life that you have been wanting and working towards for so long.
You got this. All of you will be fine. I know it. The world needs you. Your patients need you. Get out there and get after it, as the rewards are SO incredibly worth it. 🙌🏻
1 971 hour ago
[Dynamic shoulder stability]
We use our arms “out and away” from our body in almost every aspect of life. If your shoulder bothers you when it is overhead or out in front of you, it may not necessarily be a MOBILITY issue but a STABILITY issue. See your physical therapist to confirm what may be going on, but here are some great shoulder strengthening drills to assist building up the proper tolerance to overhead shoulder activities!
• Video 1: banded arm lifts. With a resistance band, keep forearms parallel and elbows relatively bent while slowly lifting overhead. Maintain that resistance in the band!
• Video 2: Same lift, but add some thoracic work. We know the mid back and shoulder are closet linked, so try this while keeping your mid-back relatively extended.
• Video 3: Bottoms up kettlebell press. With the weight pointing up, this will also challenge grip strength!
• Video 4: Dynamic kettlebell holds. The required work from the shoulder to maintain positions will be the challenge here.
• Video 5: Shoulder banded push press. Keep the first in line with your ear, do not let the band pull you forward. This is harder to maintain as you press upwards.
When they said, “Treat Yoself!” I don’t think this is what the meant...
However, Electronic Acupuncture is an amazing modality that fits with Chiropractic like peanut butter and jelly or Ying and Yang.
The principal of Acupuncture is that there are energy tracts that run along your body in a pattern called a Meridian. There are 13 of them and each one goes to a different Organ or body system.
By treating these points with either a positive or a negative energy it allows a term called amphoteric to treat based upon if the person needs more or less energy to the area.
That’s super annoying sound is actually the machine telling me where there is an energy imbalance. Treat near the sound! Griffin area has absolutely no energy you can turn the machine on a positive charge and treat that area.
Personally, I’ve dealt with a ton of shoulder and rib injuries over the years so when I have a regular subluxation that occurs in my mid back it’s often due to chronically tight neuromuscular areas in between my ribs called intercostal muscles. So by treating with Acupuncture you can relax the muscles and allow the natural energy path in your body to take it’s course regulating the excess or minimal energy that travels to your body allowing your entire nervous system to function as it was naturally designed.
Orthopaedic Specialists of Connecticut has been providing real solutions to help our patients improve their health since 1978. Our team sets the standard for orthopedic care, joint replacement, sports medicine, and pain management. Delivering the highest quality care to our patients is our top priority.
Call our office today to book an appointment: (203) 775-6205
Happy Physiatry Day! My speciality (physiatry, physical medicine & rehabilitation, PM&R) isn’t very well known, but we can make a world of difference for those with any sort of disability. My particular practice focuses on interventional spine/pain, sports, musculoskeletal, and regenerative medicine. As such, I see a lot of people with neck, back, hip, knee, shoulder, and nerve related pain. My goal for each and every patient is to decrease pain, increase function, and allow them to live as independently as possible! Check out the link in my bio for more information about physiatry. Here’s a #fbf of a few of my PM&R colleagues and me enjoying a little sunshine and downtime in Arizona! #physiatryday#physiatry#interventionalphysiatry#interventionalpainmanagement#golf#sportsmedicine#prp#orthobiologics
@jeffcleasfit_hcfo checking his neutral spine before the next rep .
Being able to find a neutral pelvis is HUGE!! If your hips are tilted forward (think every big booty girl on Instagram) it jams your low back and over activates your erector spinae.
If your hips are tilted back (think grandpa or a frog 🐸, no butt) then your letting gravity beat you down, literally you’re getting shorter
Which 1 do you have?? 🍑 🐸 .
By finding that neutral pelvis you can now activate the TVA (deepest core muscle) and the pelvic floor (kegel muscles) to stabilize your spine. This allows the erector spinae and the 6 pack muscles to eccentrically load during your movement
Stabilization comes from proper movement. Stabilization means nothing if it isn’t dynamic. If that stabilizer can’t eccentrically load, that “stabilizer” is creating a dysfunction and dysfunction creates pain. 🤕 .
If you like our stuff, like ❤️ our post!!
. @xoallisonfxo #core#functionaltraining#movementismedicine#functionalpatterns#hips#trainsmart#physiotherapy#physio#sportsmedicine#athletictraining#atc#athletictrainer#pelvis#kettlebell
3 262 hours ago
“SUPER C POP”
Always happy to assist one of Las Vegas finest. .
As a police officer for the LVMPD, this patient has to wear an incredible amount of gear. As you can imagine, wearing all that extra weight on top of a bullet proof vest is going to increase the tension/strain on the neck, shoulders, upper, and mid back.
After a full session of Ortho-Therapy this thoracic spine manipulation adds that final layer of relief by increasing the range of motion of the intervertebral joints.
November 15th is Happy Physiatry day ! We are specialists in the diagnosis and treatment of a wide range musculoskeletal conditions, including spine, joints, nerves, ligaments, tendons, through a non surgical protocol. Function and activities such as return to sports are what we help patients get back to doing. This injection shows an intercostal nerve block which is useful for alleviating rib pain, costochondritis, or pain from prior rib fractures. There are a significant things to show in this video. First is you can see how close the lung is to the rib. So guidance is used to minimize risk of pneumothorax. The injection is actually done with a tiny needle ( the ultrasound magnifies everything so not to worry if you don’t like needles). Second important thing is the location of the intercostal nerve is just beneath the rib, so the angle of approach of the needle comes from a inferior to superior direction. #physiatryday2019@northeastspine#sportsmedicine#costochondritis#intercostalneuralgia#ribfracture#ultrasoundguidedinjection
🔹Achilles Rehab | Isometric +🔹
Let’s add to our achilles isometric strengthening from yesterday’s post, but with a twist. We are still maintaining the heel raise ISO, but utilizing slow knee flexion/extension to change the load occurring through the achilles (via gastrocnemius and soleus).
Here are some options:
1️⃣ Split Stance Heel Raise ISO + Squat
2️⃣ DL Heel Raise ISO + Squat
3️⃣ Lateral Lunge Heel Raise ISO + Squat
✳️ Loading time is the important aspect of these exercises, not the knee bends. Move slowly and hold at the bottom of the movement.
These exercises prepare the achilles for the next stage of the rehab program.
🏷 Tag a friend who is dealing with Achilles problems.
⚠️ Make sure to consult with a physician if you are experiencing any issues with your Achilles or other conditions. These exercises are educational in nature and provides general guidance.
2 402 hours ago
It’s Friday! You have worked hard & now it’s time to relax! Or come in & get a workout in the warmth of our hydroworx 350!
If you’re looking for a #movement#rehab or #training solution then you need to see a movement provider...
You can’t expect your surgeon to dole out sound training advice...because they know as much about training and rehab as I know about surgery... not a whole heck of a lot.
PS. Not saying your doc/surgeon is always a “he” but the shorter pronouns play better on Twitter 😅...
"So tell me about yourself?!" ⬇️
The dreaded question from residency programs. It's tough as you want to be thorough, but you have to be concise, clear, and directional at the same time. Here are my top 3 tips:
1. Have a one minute AND a two minute version of your speech ready to go. One min for that "elevator talk" moment where you are waiting for the day to start, at lunch break during the interview day, etc. The two minute spiel can be saved for more one-on-one interviewing, where it is more detailed and informative.
2. Start off with where you grew up (personal), why that certain speciality (insight), what strengths along your path could be an addition to the program (critical thinking), why THAT program is a fit for you (reflection), and don't be afraid to be authentic while you are talking (be a real human being!). Add in any fun facts that ends the spiel on a high note and something for the PD (program director) and/or residents to help remember you.
3. Practice, practice, practice! Get in front of a mirror, film yourself, do it in front of someone, etc. And get your timing down pat. This SAVED me during interview season and I got great feedback as my interviews progressed.
I know it's already November, but good luck to everyone who is applying for the #match2020 ! You all will do amazing! Tag someone below that would appreciate these tips! 🙌🏻🏥🥼
26 6496 November, 2019
Predictable results in baseball are rare. I can’t promise you to hit .500 or throw a perfect game, but I can give you the tools to give you the skills needed to reach those goals.
Funny thing about all the info we share is our in-house athletes often ask why we share so much. I remind them that most people don’t like to be uncomfortable, are lazy, and lack consistency. They usually laugh and say “so you are giving your secrets and no one will use them.” 😆
If I have one secret, that’s it ☝️.
For clarification, the 6.5 60-yard dash metric we currently have one athlete that is an outlier to the value as he runs a 6.7 and is a two-way guy. Once someone hits the #90mphformula and a 1.75x be reverse lunge we know they have a large enough engine to overcome their bodyweight to move fast. From here, we add in more hill sprints, running and plyo drills to illuminate that horse power in the sprint.
33 2,13410 November, 2019
Shin splints or medial tibial stress syndrome is a fairly common injury in athletes. It can be due to over stressing the muscle which potentially leads to it pulling on the bone and causing irritation. An example of this would be a sudden increase in running. Shin splints typically will be more of a generalized ache as compared to a stress fracture which would be more of a palpable sharp pain.
While there are different causes of shin splints, overuse is a common mechanism of injury. This means that reducing stresses on the tissues is important so activity modification is key. Additionally, strengthening those muscle so they can handle the stresses of running. The tibialis anterior is the muscle that sits in the front of the lower leg, directly next to the tibia (shin bone). This muscle is commonly under trained and weak in athletes with anterior shin splints.
Here is one of my favorite ways to strengthen the tibialis anterior. This can definitely be used as a prehab exercise and one I recommend to anyone who has had a history of shin splints or is a long distance runner.
1️⃣ Banded ankle dorsiflexion - as I mentioned above, this motion is not often trained and many people are surprised at how hard this exercise is. Anchor the band and wrap it around the top of the foot. Bring the foot towards your head and then slowly let it point straight to perform one rep.
🙌🏼Tag someone who could use these exercises!
👍 Like and save if you found it helpful!
🤷🏼♂️ Post questions or comments below!👇
52 2,6875 November, 2019
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