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Deceleration for Change of Direction Post ACL Reconstruction With the 🏀 NBA Playoffs heating up 🔥 let's talk about developing what it takes for a killer crossover in the rehabbing athlete. In order to perform a movement explosively and at a fast rate, you have to be able to slow that same movement down and control it, otherwise you will subject yourself to further injury. In the patient rehabbing post-op from an ACL reconstruction, this begins with completing deceleration drills in the various planes of motion that are required to perform the given movement pattern that will be required of an athlete. In this example there is a deceleration in the frontal plane and then a subsequent cut to the right side, simulating what a crossover will look and feel like for the athlete. #RehabinMotion

🏃‍♂️RUNNERS! Ever had pain on the outside of your hip that extends down into the knee? It could be that you are experiencing symptoms of illiotibial band syndrome. This variation of the Courtesy Lunge works on strengthening the movements of hip abduction and external rotation of the hip which are very advantageous to strengthen, especially for runners who are repetitively demanding performance from the muscles of the hip, knee and ankle. #RehabinMotion

Passive Stretching vs. Loaded Stretching for improving ankle ROM. Ever heard that stretching lengthens your muscles or connective tissue? The most likely adaptation with stretching that is occurring is an adaptive neurological change or tolerance of the nervous system that is allowing your ROM to further progress according to the literature. Instead of using open chain passive stretches, Load your tissue to build into the adaptation to make your body more comfortable in the position that you are training for. Here's a couple studies below: "The increased range of motion could not be explained by the structural changes in the muscle-tendon unit, and was likely due to increased stretch tolerance possibly due to adaptations of nociceptive nerve endings." (Konrad 2014) Stretching isn't enough so try combining it with other techniques: We conclude that gastrocnemius stretching combined with joint mobilization might decrease gastrocnemius tightness and increase posterior talar gliding movement, which effectively increases WB ankle DF PROM with the knee extended. (Kang et. all 2015) #RehabinMotion

Overhead Strengthening in the Throwing Athlete BASEBALL ⚾⚾⚾ IS BACK! With the majority of throwing athletes of all levels kicking off their seasons this spring, here is an exercises that can be used to improve control and strength of the rotator cuff in maximal flexion of the shoulder joint. When there is a lack in total arch of motion in throwing athletes with rotator cuff pathology, often times the end range of motion is where impairments are found and can be progressed. Use this 2 step progression to work multidirectionally to force the rotator cuff to control the motion of the humerus while also stabilizing against the axial load from the physio ball. #RehabinMotion

Shoulder Manual Therapy in your Home Exercise Prescription When dealing with injuries of the shoulder joint, many patients benefit from manual therapy when a joint is restricted from performing a certain movement. While manual therapy such as mobilization, manipulation, and soft tissue work can serve as a great treatment tool it is difficult to incorporate these methods into a patients home program when they are away from your clinic. Here is one option for performing an anterior glide for it's corresponding restriction at the GH joint in a way that can be performed at home. #RehabinMotion

Generating Power for Fall Prevention in the Older Adult Building power means being able to complete a movement and transfer load in a decreased amount of time. So why do we need power in the aging adult? Often times when a fall is sustained it is because there is a lack of ability to quickly react or catch one's self when they are outside of their base of support due to lack of recognition of propriception (or sensory information) from the lower body to alert the brain to change their position in space. Use this exercise to increase the quickness of contracting the core, hips, and lower body musculature while alternating weight shifting onto both lower extremities. Fall Prevention is a huge topic in the world of physical therapy and if you have a relative who is older this is a topic that is very relevant and should be taken seriously! Unfortunately, as we continue to learn more about how devastating falls can be for the geriatric population, we as a nation have not been able to decrease the rate at which our citizens are falling. When older adults fall they often times end up fracturing femurs, hips, ribs, ect which requires time in the hospital which can increase susceptibility to contracting diseases such as pneumonia from being bed ridden. The only way to stop the progression is to try to prevent it!

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