BRINGING SCIENCE TO TREATMENT

04/22/2021 | Improve

Breaking protocol: using the four pillars of exercise prescription...

Clinical pathways and protocols often dictate exercise prescription based on the diagnosis. However, as Tracy Ward explains, understanding muscle structure, function, metabolism, and movement allow for innovative program design tailored to each athlete.  Diagnosis-based protocols focus on the specific injury. For example, hamstring injuries are treated with Nordic exercises, adductor strains with the Copenhagen protocol, Achilles... MORE

04/21/2021 | Email Newsletters

Kinesiology of the hip: a review

It’s always a good idea to revisit the basics from time to time and rethink the “why” behind the “how” of clinical treatment. An excellent primer on hip function by Donald Neumann, PT, PhD, FAPTA from Marquette University(1)reminds clinicians of the complexity of the hip joint and associated musculature. The clinical pearls from studying the... MORE

Joint injuries


02/3/2021 | Knee injuries

Periodization in the rehabilitation of anterior cruciate ligament injuries

Knowingly or not, sports physiotherapists use periodization principles when they implement post-operative protocols. Jessica Montgomery explains how capitalizing on periodized training can improve ACL injury outcomes. To successfully return to play, athletes recovering from anterior cruciate ligament (ACL) injuries must regain their preinjury level of strength, neuromuscular control, and power. These elements are necessary for... MORE

01/28/2020 | Email Newsletters

47% of ACLR patients who can SLS still have...

The high rate of reinjury after anterior cruciate ligament repair (ACLR) makes it essential that clinicians accurately assess an athlete’s readiness to return to sport (RTS). Many factors play a role in RTS decision making, not the least of which is knee extensor strength. Regaining quadriceps strength is one of the most challenging aspects of... MORE

12/13/2019 | Uncommon injuries

Uncommon injuries: Pes anserinus part II – the road...

In the first part of this series, Andrew Hamilton outlined the structure of the pes anserinus complex, the risk factors for injury, and the diagnostic criteria. In the second and final part, he explores the most effective treatment options and rehab protocols for athletes suffering from a pes injury. As explained in part one of this... MORE

Diagnose & Treat


05/13/2021 | Female Athletes

Getting over the hurdle: restoring power and function to...

Tighter is not better, and strengthening is not always the answer when muscles are stiff or sore. Sandra Hilton expounds on why this is as true for the pelvic floor as stiff backs, shoulders, or ankles. Treating pelvic pain is a unique challenge because its the association with bowel, bladder, and sexual function. A common misconception... MORE

03/3/2021 | Elbow and arm injuries

Little leaguer’s elbow: a growing concern

While practice might make perfect, too much preparation can damage growing bones. Chris Mallac explains how pitching mechanics and skeletal immaturity contribute to little leaguer’s elbow. 2019 South Williamsport, PA, pitcher Egan Prather (24) throws a pitch in the third inning against the Caribbean Region during the Little League World Series. Credit: Evan Habeeb-USA TODAY... MORE

03/3/2021 | Musculoskeletal injuries

The young and reckless: the influence of age on...

Age and maturity may put younger athletes at risk for certain types of injuries. Jason Tee explains how development impacts injury risk and examines how to support young athletes for life-long activity. While increasing age increases overall injury risk in athletes, clinicians may misinterpret that fact and ignore the injury risk in the young(1). Indeed,... MORE


05/11/2021 | Email Newsletters

Taking the next step: progressing training loads

The perfect training load to elicit a desired functional adaptation is the elusive goal of every training session for every clinician and athlete. Doing so ensures that training is efficient and purposeful. However, there’s little guidance for measuring training loads in healthy athletes, much less those in rehab. Recently, Tim Gabbett, the father of training... MORE

04/28/2021 | Email Newsletters

Breaking free: the role of gender in sports injury

Women and men suffer the same types of sports injuries. However, they experience them differently. For instance, women have higher rates of anterior cruciate ligament (ACL) injuries(1). They also have a significantly greater chance of reinjury after an ACL repair (ACLR)(1). While great strides have been made in decreasing the rates of ACL injury in... MORE


04/14/2021

The Achilles tendon and the plantar fascia – strangers...

Though plantar fasciitis makes up only 1% of the visits to orthopedic doctors, it is one of the hardest-to-treat ailments(1). Because 80% of those diagnosed with plantar fasciitis present with a tight Achille’s tendon (AT), researchers in New Zealand sought to understand better the relationship between the two structures(1). The known biomechanical relationship between the... MORE

03/31/2021

Concerns and consensus on youth runners

Running for sport is just as popular among young people as it is with adults. Up to 40% of children participate in running as a sport in some parts of the world(1). For youth in the US, running is the second most popular activity(1). As the popularity of running grows, so do the numbers of... MORE

03/16/2021

You’re in luck with youth ACL injuries

In 2021 the world will celebrate St. Patrick’s day a little differently. Because of the ongoing pandemic, parades and parties are cancelled. However, you’re still in luck! We’re sharing with you a research review usually only reserved for subscribers. This research review included in the March issue followed elite youth soccer players after an ACL... MORE

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