Psychological Measures for Return to Play Following ACLR, Part 1

According to a 2012 study in the American Journal of Sports Medicine, 20% of athletes who return to play following ACLR re-injure within the first 2 years. Further, Wiggins et al Am J Sport Med 2016 showed that one in four youths who tear their ACL will suffer another ACL injury at some point throughout their athletic career. With odds like this, …

Dr Trent Nessler PT

Dr. Trent Nessler

MPT, DPT, Founder/Developer the Athletic Movement Index™ and Developer TheraBand CLX ACL Kit

Shoulder Rehab Phase 4: Return to Activity or Sport

Phase 4: Return to Throwing Phase 4 of the rehabilitation program encompasses the progression and continuation of the ITP and is designed to systemically allow the athlete to progress to unrestricted throwing activities. It is important for the clinician to continuously monitor and assess the athlete’s mechanics and intensity of effort throughout the throwing program. Position players progress throughout the throwing …

Dr Kevin Wilk PT

Dr. Kevin Wilk

PT, DPT, FAPTA

Circadian Rhythms and Your Immune System- Part 1

Circadian Rhythms and Your Immune System Why is there an increased risk of colon cancer the farther we live from the equator? (Bostick 2015, Dimitrov and White 2016) What is the connection between chronic insomnia and joint disease? Without ignoring environment (stress, diet, air quality) to account for chronic degenerative diseases, we often overlook the body’s daily rhythm of “break-clean-repair,” …

Phase 3- Rehab Exercises for Overhead Athletes

Shoulder Rehab Phase 3: Advanced Strengthening Phase The advanced strengthening phase is designed to initiate aggressive strengthening exercises, augment power and endurance, advance functional drills, and gradually initiate throwing activities. Full shoulder ROM and flexibility should be maintained throughout this phase; failure to maintain motion and flexibility at this point is a potential pitfall that can result in recurrent symptoms. Muscle fatigue has been shown to decrease neuromuscular …

Dr Kevin Wilk PT

Dr. Kevin Wilk

PT, DPT, FAPTA

Phase 2- Rehab Exercises for Overhead Athletes

Phase 2: Intermediate Phase Along with progression of the strengthening program, the goals of the second phase in dealing with patients with shoulder pain, is to increase the flexibility, mobility, and ROM of the shoulder joint complex and enhance the patients’ overall neuromuscular control. An EMG data driven exercise program designed by Wilk et al, the Thrower’s Ten, is implemented during this stage to permit a …

Dr Kevin Wilk PT

Dr. Kevin Wilk

PT, DPT, FAPTA

Randomized Clinical Trial: Treatment of Patellofemoral Pain Syndrome- Flat Inserts vs Foot Orthoses

Foot Orthoses and Physiotherapy in the Treatment of Patellofemoral Pain Syndrome: Randomized Clinical Trial Natalie Collins, PhD candidate, 1; Kay Crossley, principal research fellow, 2; Elaine Beller, director, biostatistics, 3; Ross Darnell, statistician, 1; Thomas McPoil, regents professor, 4; Bill Vicenzino, head of division, physiotherapy, 1 ABSTRACT Objective To compare the clinical efficacy of foot orthoses in the management of …

Dr. McPoil

Dr. Tom McPoil

PhD, Physical Therapist Specializing in Foot & Ankle Disorders

4 Phases of Rehab Exercise for Overhead Athletes

The rehabilitation of the shoulder has evolved over the past 20 years. In the past, the rehab program focused on strengthening the rotator cuff muscles. Then Dr. Kibler and others taught us to also treat the scapular muscles and scapula posture. Since then numerous articles have been published suggesting GIRD (glenohumeral joint internal rotation deficit) was the cause of shoulder …

Dr Kevin Wilk PT

Dr. Kevin Wilk

PT, DPT, FAPTA

Topical Menthol Gel versus a Placebo Gel on Post-manipulation Pain and Range of Motion in Patients with Mechanical Neck Pain

Topical Menthol Gel versus a Placebo Gel on Post-manipulation Pain and Range of Motion in Patients with Mechanical Neck Pain Robert Topp, Kara Solem, Jena Etnoyer-Slaski, and Barton Bishop Journal of Performance Health Research Volume 1, Issue 2. Pages 40–47DOI: 10.25036/jphr.2017.1.2.topp.2 © 2017 Performance Health www.performancehealthresearch.com OBSERVATIONAL COHORT Purpose: The purpose of this study is to determine whether patients with …

A short review to help clinicians determine the best way to address pain

Types of Pain When patients complain about pain, they usually do not make much distinction between types of pain. In fact, patients often struggle to describe their pain in clinically meaningful ways. Clinicians can help patients with prompting and specific questions to help determine the type of pain the patient is experiencing and how best to treat it. Acute versus …

Rising Infertility Rates – What We Know and What To Do, Part 2

This post is the continuation of an article on infertility. Part 1 was posted August 9 at http://news.meyerdc.com/chiropractors/nutritionists/rising-infertility-rates-know-part-1/ In this post we’ll take a closer look at biochemical individuality and what that means for fertility… Systemic, Individualized Deficiencies: The assumption made by Pottenger’s Cats was that the food was cooked in the unhealthy group, and that the cooking/processing removed nutrients …