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The Rehab Room!
Welcome to our Sports Injury and Rehab Room! This section features both injury prevention and rehab. Everything from icing and injury to post-rehab protocols...
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"The Core Pendulum Theory"
Charlie Weingroff
(from the archives of SCWebinars.com) The Core Pendulum Theory is a coined principle that describes how mobility before stability in necessary even in stable segments of the joint by joint theory such as the lumbar spine, neck, and scapula. . . .
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Trigger Point Dry Needling: An Overview
Adam Weaver - November 26, 2012
There has been a great deal of discussion in the rehabilitation and fitness community about the effectiveness and the use of the foam roller, ‘The Stick' and other self-myofascial release tools. . . .
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The Trouble With MRIs
Todd Hargrove - October 08, 2012
A few weeks ago I went back East to visit family. While I was there, my brother told me that his shoulder had been hurting for a few weeks and that he was considering going to the doctor to get an MRI . . .
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Foam Rolling? Of Course it Works!
Domenic Micheli
I was a bit surprised seeing all the hoopla about foam rolling recently on the forums and what not. Even the reasons TO foam roll seemed not exactly performance-based. . . .
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Evidence-Based Medicine: The Downfall of Physical Therapy?
Doug Kechijian
While the push towards evidenced-based practice was never intended to undermine clinical decision-making, listening to many PTs discuss research often sounds eerily similar to a cult member reciting a mantra. In both cases, unwavering faith in a belief system eradicates independent though. While objective standards of care must be established in any profession, "evidenced-based" practice tends to perpetuate a reactionary, symptoms-based medical model that leads to overly simplistic interventions like sucking in one's belly button for core stability or taking a pill in an attempt to curtail a complex disease process. . . .
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Sleeping Back Pain Away
Brooks Tiller
We often hammer home the importance of proper posture when exercising, sitting, and even harp on not slouching over a computer at work all day long. But one posture that we often forget to address that can play a bigger role is our sleeping posture. Technology has given us space age materials that make for softer and more comfortable places to lay our head, but that may not be more of a detriment than a good thing. As we climb into our big comfy beds, it is much more like a hammock with its lack of support. . . .
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Is It Just a Sore Back?
Mark Toomey
Too many trainers and internet experts out there are too willing to guess at what a person's "pain" is but treating pain is outside of a personal trainers scope of practice. Read below for quite a few instances where it could have gone horribly wrong: . . .
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Preventing Lower Back Pain: Assuming is OK
Eric Cressey
It's widely known that approximately 80% of the population will suffer from lower back pain at some point during their lives. What isn't widely known, however, is that even those who are asymptomatic are usually walking around with a host of nasty stuff going on with their spines. Don't believe me? A 1994 study in the New England Journal of Medicine found that in a study of MRIs of 98 asymptomatic individuals, 82% of those MRIs came back as positive for a disc bulge, protrusion, or extrusion at one level. And, 38% actually had these issues at more than one level. . . .
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What I Learned From Training Someone With A Disability
Joseph Lightfoot
Recently I had the opportunity to coach Mike whilst coaching at Strength & Performance, a gym based in Manchester, England. Mike is a Paralympian, who ran at the Beijing Olympics in the 100m. He is aiming to compete at the London 2012 Paralympics. Mike has cerebral palsy, which affects his right hand side. It affects his upper body more than his lower body. Despite his disability Mike trains incredibly hard. . . .
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The Case for Direct Cuff Training in Contact Sports
Anthony Donskov
Building a strong "posterior dominant" shoulder has been shown to be of great value for the overhead athlete. Based on the demands of the sport (the fact that many great overhead athletes have acquired laxity) and the construct of the joint (the shoulder joint in and of itself sacrifices large amounts of stability for mobility) this anatomical landmark plays an important role in the athletes' protocol. However many times direct cuff strengthening is overlooked in the practical programming for the contact athlete. Is this valid or do we need to look deeper into preparing our athletes for the demands of their sport? . . .
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Video of the Week: Dowel Rod Leg Circuit
US Olympian Karen Thatcher demonstrates a leg circuit that can be used for a client recovering from back injury. The dowel is positioned in the lumbar spine to keep the athlete in extension and to encourage movement at the hip rather than from the lumbar spine. . . .
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Infraspinatus Trigger Point Syndrome
Perry Nickelston
Why care about this syndrome? Simple really. Clients will be moving and loading the shoulder in every conceivable force vector during a well designed training program. You had better make sure the shoulder can tolerate those force vectors or clients will get injured. Count on it! Numerous musculoskeletal pain syndromes and movement dysfunctions can be related to trigger points in infraspinatus muscle. Due to the inhibitory nature of chronic trigger points, there is eventual decreased muscle activation and tone causing poor stability in functional movement patterns. The infraspinatus is a nasty culprit in almost everything! You can count on this muscle being a factor in every shoulder dysfunction, pain, or injury. But there are even more body regions that are affected by his trigger point when the body compensates for the lack of motor control and stability. . . .
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