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Progressive Loading of the Patellar Tendon Recent evidence has demonstrated the benefit of isometric holds to create an analgesic effect in the patellar tendon. Combining this concept with the 90/90 squat position will load this particular tendon to help build resilience in the tendon. After these are tolerated, incorporate an eccentric component into the exercise to progress the load tolerance of this tendon.

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Reaction Jump Training For ACL Rehab When an anthlete has progressed to the point of being able to demonstrate correct landing technique in their rehab they can benefit from training into uncertain landing environments to imitate sport-specific situations. Use a mobility band to pull the athlete in a variety of directions to allow for confidence and strength in multiple planes.

Assessing and Treating Latissiums Dorsi ROM in the Overhead Thrower With overhead throwers, scapular dynamic ROM is a very important variable that can dictate how mobile the shoulder joint is during the throwing motion. After a combination of a thorough clinical assessment and throwing analysis, latissimus dorsi can be a valuable variable to investigate to ensure that there is not a lack of protraction ROM in the overhead thrower. A simple way to assess and then treat this potential limitation is to flex at the hips to lengthen the Latissimus Dorsi while concurrently protracting the shoulder. If there is any limitation, you will notice increased difficulty and a decrease in ROM during the movement. If there is a ROM limitation, it can prevent the shoulder from full protracting during the throwing motion which will transfer more load to the external rotators, deltoid and bicep to decelerate the arm prior to reaching full endrange. Thanks to @OverheadAthletics for the inspiration for the post!

Non-Verbal Cues to Improve Hip Hinge What are your favorite cues to use with patients or for yourself? When the goal is to achieve a hip hinge during a physical therapy plan of care, it can be difficult to find the best cue that a patient can identify with and that makes sense to them to allow them to hinge at their hips. When I find that my traditional cues don't seem to translate into intrinsic performance, it helps to utilize non-verbal cues to help improve independence and allow the chance for patients to take ownership of a movement pattern. Facing a wall and using a landmine squat are two ways to essentially force a hip hinge that are great ways to accelerate this process when other cues fail.

Running Sandals for Safer Benefits of Barefoot Running Thanks for sending out a pair of running sandals! @earthrunners Ever since the barefoot running craze started there have been questions surrounding the benefits of barefoot running. While there are some benefits, it still stands that running barefoot can cause some potential harm due to the variety of surfaces that our feet come into contact with. When indicated (mostly due to present symptoms during running) it can be of rehabilitative value to transition a strike pattern to monitor corresponding changes in symptoms and potential biomechanical changes. The main benefit here is building resilience of the foot. Safe progression should always be used and if you are unsure where to start, contact your local physical therapist that has experience treating runners if you have pain and are thinking about transitioning footwear.

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