Brian Schiffs Blog | Injury Prevention, Sports Rehab Performance Training Expert

Time 2020-09-21 15:04:25

Web Name: Brian Schiffs Blog | Injury Prevention, Sports Rehab Performance Training Expert

WebSite: http://blog.brianschiff.com

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Brian Schiff s Blog Injury Prevention, Sports Rehab Performance Training Expert Weakness in the gluteus maximus and gluteus medius is often cited in contributing to patellofemoral pain, hip pathology and even back pain. Lateral bridges (planks) have been shown to be effective ways to strengthen the gluteus medium and maximus. This particular exercise focuses on an isometric pillar bridge, while introducing a dynamic movement for the top leg. I like this for athletes, runners and patients struggling with poor hip and single limb stability.Click here to read my full column in PFP Magazine. Tags: lateral bridge, lateral chain strengthening, Plank, side bridge, side plank I am currently working to attain my transitional doctorate in physical therapy (tDPT) at Northeastern University. As I continue to work full time as a clinician, it has been really cool to apply the learning with my current caseload. At this time, I am in a motor control class that is both fascinating and challenging. In week three, we examined pain and the impact it has on neuroplasticity (the brain s ability to adapt or change).In the sports medicine realm, I generally think many practitioners solely focus on the musculoskeletal system or physical impairment. As such, interventions are developed around tissue constraints, ROM deficits, weakness, etc. Too often, we look past the power and impact of the brain and how it plays a vital role in healing and return to play. For some patients, there is a maladaptive response to injury/surgery and a hypersensitivity of the central nervous system or central sensitization that occurs. Pelletier (2015) notes that structural and functional changes can occur. (1)Two critical concepts to consider here are:Sensory amplification sensory and motor representations change resulting in perceptual changes in body image, motor control changes, and even a persistence or amplification of painExperience dependent plasticity patient s response to pain is related to prior experience and may experience maladatpive imprinting where the pain outlasts the physical insultKleim (2008) gives a great lesson on experience dependent plasticity and states that learning is essential for the brain to adapt to damage self taught behavioral changes can be maladaptive or positive and specific forms of neural plasticity and associated behavioral changes are dependent on specific kinds of experience (2). While one would assume that chronic pain is rare in athletes, I would counter and say it is probably just overlooked as we tend to expect athletes to push through the pain because of the driven culture we live in. Coaches, parents and even teammates can affect the mindset around injury and recovery. Continue reading Tags: ACL, ACL injury, ACL recovery, anterior knee pain, chronic pain, knee pain, pain, return to play, return to sport High school baseball season is upon us. My son is a high school junior and recently verbally committed to pitch for a Division 1 school. He has worked hard to earn that offer, but the part most people do not see is the arm care and recovery work we do for him behind the scenes. Below is a recent picture of him in action.I see lots of baseball players in my clinic ranging from 10 year olds to my MLB guys. One of the biggest issues I confront in my players (more commonly pitchers and catchers) is a condition known as internal impingement. While not the same thing as subacromial impingement, it still can impact the rotator cuff. Essentially, there is friction that causes irritation and in some cases injury to the rotator cuff and/or labrum. This usually manifests as pain in late cocking and the inability to throw hard without pain. Pitchers report decreased velocity and catchers struggle to thrown down to second with their their normal ease.One of the most common issues leading to this is a loss of total shoulder motion on the throwing arm. Most notably, some players display significantly less internal rotation (IR) range of motion. Some loss of internal rotation is normal and expected over time provided they gain enough external rotation (ER) on the throwing side to counterbalance the asymmetry. Often, too much throwing early in the season or a big jump in pitch count/intensity/volume coupled with the ROM loss causes pain. This can occur suddenly or gradually build up over a few outings or games. Continue reading Tags: GIRD, labral injuries, labral tear, pitching injuries, rotator cuff injuries, SLAP injury, SLAP tear, sleeper stretch

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