Performance

Strength and Conditioning in the Rehabilitation Setting

When you think Physical Therapy, what do you think?  If you imagine it is a place where you get a massage, do the same exercises as everyone else (on a table) for an hour, or simply a place where you are told what you cannot do/should stop doing, you are thinking of an older model of care.  

It seems more and more that the gap between the rehabilitative field and the strength and conditioning field is becoming narrower by the day, and for good reason.  Rehab IS strength and conditioning, just on the opposite side of the continuum.  

 This graph does an excellent job demonstrating the idea of a TEAM approach to a patient's care.  Worth noting is just how long we as healthcare professionals and strength and conditioning specialists can have in the rehabilitation of the strength and conditioning athlete. 

This graph does an excellent job demonstrating the idea of a TEAM approach to a patient's care.  Worth noting is just how long we as healthcare professionals and strength and conditioning specialists can have in the rehabilitation of the strength and conditioning athlete. 

When tissue gets injured it is our job to influence the healing process while maintaining progressive overload to create resiliency.  Better known as the act of accepting the demands of weight training, running and sports without being re-injured or suffering set backs.  In order to do this we must use the appropriate load, intensity and volume that challenges the injured tissue without irritating their symptoms.  

  • LOAD >> CAPACITY = INJURY
  • LOAD = CAPACITY = REHAB
  • LOAD << CAPACITY = PREVENTION

This sounds a lot like what I used to do as a strength and conditioning coach.  Create an exercise program that uses the appropriate loads, intensities and volumes that will help create positive adaptations without hurting my clients.  

The goal of rehab after all is to get the person in front of us back to their prior level of function. This can be anything from being a desk jockey to the All-American Jockey. 

When healthcare professionals do not understand strength and conditioning protocols, it will be hard to help that patient to continue to train around injury.

This is an e-mail that I received this morning from a trainer that I work closely with:

"Hey Joe. I have a question.  I have a client that is seeing a PT for some shoulder issues.  The client introduced us through email so we could work together to figure out an alternate plan of training that would allow her to get the treatment she needs for her shoulder while continuing her training. The PT responded that he wants the client to abstain from any and all exercise, like do nothing at all."

No one should ever have to hear that have to abstain from all exercise unless it is 100% warranted.  If I person can go into the gym and perform pain free movements, they should, not just to keep their body some-what conditioned, but to help keep them sane.  There are plenty of activities one can perform while still "protecting" healing tissues.  

This is where a healthcare professional who also has experience as a strength coach can really help.  It becomes very easy to understand regressions and lateralizations of exercises that will allow them to still have some training effect while recovering from their injury.

For these reasons, it becomes highly important for rehabilitation providers to understand performance, and on the flip side strength coaches and trainers to understand more of the rehabilitation world.  This will allow for better communication, and make for a much better transition from being hurt to getting back to your previous self. 

It is okay to not know everything, actually it is perfectly normal.  However, identifying areas of opportunity in our practice and linking them with patient's needs should force us to build a reliable network of providers in order to ensure that each and every patient receives optimal care and has the greatest chance for success.  

 

 

 

Eat Well, Move Better

Eat Well, Move Better

Having completed the Precision Nutrition Coaching certification we hope you enjoy the first of many blogs emphasizing how what we eat is just as important to how we move.  

Pillow Talk

Pillow Talk

Were you like us and always wondered where pillows got their start and if they were really ever proven to "alleviate pain" and "restore posture"?  Come join us as we dive into the history of pillows and some recent research to see if they hold up to the claims we commonly see advertised.

Are You Actually Stretching Your Hamstrings?

Are You Actually Stretching Your Hamstrings?

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The Best Exercise You Are (Probably) Not Doing

The Best Exercise You Are (Probably) Not Doing

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Dry Needling versus Manual Therapy

Dry Needling versus Manual Therapy

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Sticking it to Pain: How to Use Kinesiology Taping

Sticking it to Pain: How to Use Kinesiology Taping

In this blog, Joe LaVacca discusses his views on Kinesiology Taping through his experiences as a teacher and in the clinic over the past few years.  He discusses why he uses tape, what he believes the tape actually does, and how it can be useful in the rehabilitation of patients, as long as we have realistic expectations on its benefits.  

Connecting the Dots: Understanding Tensegrity & Mechanotransduction

Connecting the Dots: Understanding Tensegrity & Mechanotransduction

How does tissue heal?  How does everything connect to everything?  Does it matter for healthcare professionals and patients alike to have a better understanding of these principles?  In our next blog with pose these questions and more as we discuss tensegrity and how it relates to human biology.

The Derek Rose Dilemma: Is He Injury Prone, or is His Rehab Lacking?

The Derek Rose Dilemma:  Is He Injury Prone, or is His Rehab Lacking?

Joe LaVacca and Joshua Jordon collaborate on our next blog and offer their thoughts and expert opinion on the latest Derek Rose injury, his rehab progression and what causes athletes to be re-injured.  

Functional Range Release: Course Review

Functional Range Release:  Course Review

The Functional Anatomy Seminars consist of 3 systems covering all aspects of musculoskeletal care and optimization.In addition to being both the creator and head instructor of Functional Anatomic Palpation Systems (F.A.P.™), Functional Range Release (F.R.®) Techniques, and Functional Range Conditioning (FRC)™, Dr. Andreo Spina has also authored chapters in various sports medicine textbooks, is a published researcher, and internationally renowned speaker on the topics of manual therapy, soft tissue assessment and treatment, mobility/flexibility training, and physical conditioning.  We had the opportunity to take FRR of the Upper Limb this Winter and enjoyed it thoroughly.    

Returning Patients to Overhead Lifting

Returning Patients to Overhead Lifting

Here we discuss and demonstrate an example of exercises designed to return patients to overhead lifting while ensuring proper thoracic and scapular kinematics and recruitment patterns.

Do my Shoes Matter? Footwear vs. Injury Prevention for Runners

Do my Shoes Matter? Footwear vs. Injury Prevention for Runners

Runner's always ask about what shoes they should wear and how it relates to their deficits and injury risk.  Here we take a look at some of the most recent evidence and suggestions regarding shoe wear and type.  

Fitness vs Rehab: Prescribing a Patient's Home Exercise Program

Fitness vs Rehab: Prescribing a Patient's Home Exercise Program

Joseph LaVacca provides a commentary on exercise prescription/progression including the potential pitfalls and shortcomings we as healthcare practitioners can fall into based on his past experiences.