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Gallery2017-10-20T09:48:28+00:00

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We use our Instagram account to post instructional videos and tutorials on physical therapy and sports performance techniques. Follow us for tips and tricks and learn how you can jump start your recovery.

Prepping for PhysioFit Monday. Modified group training starts following our COVID-19 protocol. The safety of our clients and patients will ALWAYS COME FIRST!! Let’s do this. @n2_health_fitness @nicknate1763 #physioprofamily #circuittraining #beatcoronavirus👊👊👊 ...

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This is a great example of patience, persistence and compliance in one of our triathletes.  This patient presented with bilateral lateral patella hypercompression syndrome and severe pain in the patellofemoral joint with cycling and running.  They had been to several other PT facilities and had not improved.  After evaluation, we found minimal strength and motor control deficits needing work.  They had great core/pelvic control as well as hip strength.  They did present with a hypertonic TFL and severe limitation in rectus femoris mobility and an extremely tight lateral retinaculum.  We focused on TFL tone reduction with manual therapy and rectus femoris stretching as well as aggressive patellofemoral glides for medial glide and tilt.  In addition we serially taped their patella in a medial tilt over the course of an 8 week period.  Not only did their symptoms improve and resumed pain-free training, their repeat sunrise x-ray showed a substantial change in space of the lateral patella facet with its articulation on the throchlea.  Pretty cool considering that they were considering a lateral release if this failed.
#kneerehabilitation #kneerehab #patellofemoralsyndrome #physiotherapy #physicaltherapy#athletictraining #physioprofamily #physiotherapy  #sportsmedicine #athletictrainer #strengthtraining #strengthandconditioning #strength #conditioning #rehab #athletes #sportsmedicine
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Awesome video depicting how the patella bone itself increases the extensor mechanisms strength. This is pure physics in motion!!! This joint is made to compress and articulate by nature. It’s not a fluke that it has some of the thickest articular cartilage in the body. The patellofemoral joint can be tricky though. It needs a balance of tracking, mobility and strength to keep this joint in optimal condition. We can help you figure this out!! #Repost @rehabscience with @make_repost
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💥𝐊𝐧𝐞𝐞𝐜𝐚𝐩 𝐅𝐮𝐧𝐜𝐭𝐢𝐨𝐧💥
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📚The patella (kneecap) serves a very important function - It makes your quadriceps muscles more effective due to its important function as a sesamoid bone. In fact, the patella makes the quads approximately 30% more powerful!
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🔎The tendon of the quadriceps muscles crosses over the knee joint, attaching on the leg just under the front of the knee. When the muscle contracts, it rotates the knee into extension by pulling up on the lower leg.
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🧠Because the patella lies between the tendon and knee, it positions the tendon farther away from the point of rotation. This distance imparts a major mechanical advantage (the farther away from the center of rotation, the less force/effort needed to lift).
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✅Pain associated with the joint behind the patella (patellofemoral joint) is quite common and can often be successfully treated with hip and knee training and a bit of behavior modification. If you pain in this region, make sure to checkout my ‘kneecap pain’ posts at the hashtag below.
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#rehabscienceknee
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#Repost @natelilleypt with @make_repost
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REHABBING THE THROWING ATHLETE:  This is another post focusing on conditioning for the rotator cuff and periscapular musculature for endurance in the overhead athlete. Building resiliency, synergy and endurance of these muscles are imperative for injury prevention.

The ROW->ER->OVERHEAD PRESS is a Physio Pro favorite in late rehab.  The combination of early scapular recruitment/posterior cuff engagement with the overhead press is a complex and dynamic movement that packs a big punch.  The 90/90 ER (Fast) and 90/90 IR (Fast) are great additions to build cuff endurance.  Light resistance is all that is necessary and we usually start with 20-30 second bouts. A shoulder horn is a great tool to begin 90/90 rotator cuff strengthening as it eliminates an over dominant deltoid that is often present.  We highly recommend them. ****This video was shot pre COVID-19 hence no masks in clinic!!!**** #physioprofamily #physicaltherapy #physiotherapy  #sportsmedicine #athletictrainer #strengthtraining #strengthandconditioning #strength #conditioning #rehab #athletes #sportsmedicine #shoulderrehab #armcareprogram #baseballrehab #rotatorcuff #rotatorcuffstrengthening #shoulderhorn
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TREATMENT OF THE STIFF SHOULDER: The following diagram depicts the capsuloligamentous restraints of the glenohumeral joint. Adhesions will form in response to trauma, surgery, or inflammation. Depending on where the adhesions form, you will see a relative loss of motion in the corresponding plane. This knowledge is very important when treating patients. This can help you formulate a maximally beneficial stretching program and direct your joint mobilization direction with these patients. Knowing where to stretch to the most effective means of regaining normal range of motion and capsular mobility. The diagram is color coded. Here are the specific zones surrounding the joint and what motions will be limited if adhesions are present within each zone.

GREEN: Limited early range Flexion, Abduction, Extension and ER @ 0 degrees of Abduction
BLUE: Limited External Rotation @ 45 degrees of Abduction
PINK: Limited External Rotation @ 90 degrees of Abduction
RED: Limited End Range Elevation and Flexion
YELLOW: Limited Internal Rotation @ 90 degree of Abduction
ORANGE: Limited Internal Rotation @ 0 and 45 degrees of Abduction

#shoulderrehab #jointmobilization #jointmobility #shoulderrangeofmotion #physiotherapy #physicaltherapy #glenoh #glenohumeral #glenohumeraljoint #denverphysicaltherapist #physioprophysicaltherapy #sportsmedicine #athletictraining #frozenshoulder #physiotherapy #physioprofamily #assessdontguess
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REHABBING THE THROWING ATHLETE:  This is another post focusing on eccentric control/conditioning for the posterior rotator cuff. ⁣⁣
⁣The arm deceleration phase begins at ball release and ends at maximum shoulder internal rotation. This phase puts the highest stain on the shoulder.  This phase requires decelerating the forward progression of the arm through eccentric control of the posterior rotator cuff.  Due to the high forces generated in this phase, the posterior muscles are highly susceptible to tensile overload, articular sided cuff tears, Long head of the bicep/labrum pathologies as well as  internal impingement.  Building resiliency to these loads are imperative for injury prevention.
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⁣The PRONE ER CATCH and ECCENTRIC SCAPTION exercises eare great additions to a throwers arm care program. ⁣⁣
⁣****This video was shot pre COVID-19 hence no masks in clinic!!! We miss those days. ⁣
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⁣ #physiotherapy <https://www.instagram.com/explore/tags/physiotherapy/> #shoulderrehab <https://www.instagram.com/explore/tags/shoulderrehab/> #baseballarmcare <https://www.instagram.com/explore/tags/baseballarmcare/> #overheadathlete <https://www.instagram.com/explore/tags/overheadathlete/> #physioprofamily <https://www.instagram.com/explore/tags/physioprofamily/> #rotatorcuffrehab <https://www.instagram.com/explore/tags/rotatorcuffrehab/> #rotatorcuffexercise <https://www.instagram.com/explore/tags/rotatorcuffexercise/> #exercises <https://www.instagram.com/explore/tags/exercises/> #shoulderpain <https://www.instagram.com/explore/tags/shoulderpain/> #performancehealth <https://www.instagram.com/explore/tags/performancehealth/> #rehabilitation <https://www.instagram.com/explore/tags/rehabilitation/> #litecure <https://www.instagram.com/explore/tags/litecure/>
#normatec <https://www.instagram.com/explore/tags/normatec/> #nterecovery <https://www.instagram.com/explore/tags/nterecovery/> #physicaltherapy <https://www.instagram.com/explore/tags/physicaltherapy/> #sportsmedicine <https://www.instagram.com/explore/tags/sportsmedicine/> #athletictrainer <https://www.instagram.com/explore/tags/athletictrainer/> #strengthtraining <https://
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This is an awesome video depicting the huge footprint the subscapularis has on the humerus. It’s ability to internally rotate and depress the humeral head is amazing. No wonder it’s tough to balance with the Infraspinatus and Teres minor. That coupled with the Pec Minor and Latissimus Dori adding IR strength and humeral head depression makes us think to check their mobility and balance with the posterior cuff first before conditioning this hyper dominant complex. #Repost @ericcressey with @make_repost
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Here's a cool visual of the subscapularis, the largest of the rotator cuff muscles. In this video, you'll see its ability to internally rotate the humerus. More importantly, though, you have to appreciate what isn't seen here: the pectoralis major and latissimus dorsi muscles. You see, these powerful internal rotators (and others) attach further down on the humerus, which means that they don't have any direct control over the head of the humerus as they create that internal rotation, whether it's in a throwing motion, dumbbell bench press, or some other IR movement. The subscapularis absolutely has to be the largest of the rotator cuff muscles because it has to "keep up with" the largest muscles of the upper body to maintain keep the humeral head (ball) centered on the glenoid fossa (socket) during internal rotation. If it doesn't do its job, the humeral head glides can glide forward and irritate the structures at the anterior aspect of the joint: long head of the biceps tendon, glenohumeral ligaments, nerve/vascular structures, etc.
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This is a perfect illustration of arthrokinematics (subtle motions at joint surfaces: rolling, rocking, gliding) vs. osteokinematics (larger movements between bones: flexion/extension, abduction/adduction, ER/IR). Every gross movement of the body relies heavily on a finely tuned interaction between these two kinds of movement - and you'd be hard pressed to find a better example than subscapularis.
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REHABBING THE THROWING ATHLETE:  This is another post focusing on eccentric control/conditioning for the posterior rotator cuff. ⁣⁣
⁣The arm deceleration phase begins at ball release and ends at maximum shoulder internal rotation. This phase puts the highest strain on the shoulder.  This phase requires decelerating the forward progression of the arm through eccentric control of the posterior rotator cuff.  Due to the high forces generated in this phase, the posterior muscles are highly susceptible to tensile overload, articular sided cuff tears, Long head of the bicep/labrum pathologies as well as  internal impingement.  Building resiliency to these loads are imperative for injury prevention.
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⁣The SUPINE ECCENTRIC ER and SUPINE PNF D2 PATTERN are great additions to a throwers arm care program. ⁣⁣
⁣****This video was shot pre COVID-19 hence no masks in clinic!!! We miss those days. ⁣
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⁣ #physiotherapy #shoulderrehab #baseballarmcare #overheadathlete #physioprofamily  #rotatorcuffrehab #rotatorcuffexercise #exercises #shoulderpain #performancehealth #rehabilitation #litecure
#normatec #nterecovery #physicaltherapy #sportsmedicine #athletictrainer #strengthtraining #strengthandconditioning #strength
#performancetraining #conditioning #rehab #athletes
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Great post regarding imaging and pain. Imaging has its place but let’s not devalue a comprehensive orthopedic clinical exam. This is often the only way to uncover the true pain generator. The world is full of symptom free individuals with “dysfunctional” findings on their MRI. We as clinicians need to focus on the abnormal clinical exam findings we uncover through examination and not formulate our plan of care simply based off the pictures provided by imaging. #Repost @physiocity with @make_repost
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💥𝐈𝐦𝐚𝐠𝐢𝐧𝐠 & 𝐏𝐚𝐢𝐧💥
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🔎This new study (citation at bottom of post) examined bilateral shoulder MRI findings in people with unilateral (one-sided) shoulder pain. This study matches up with others on the topic, which show that ‘dysfunctional’ findings are often seen in body regions where no pain is present. The MRI results in this study showed that issues like tendinopathy (see image) and partial rotator cuff tears occurred in almost equal numbers when comparing the painful side to the non-painful one.
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📊Studies like this remind us that clinical decision making must not revolve around imaging alone. If more sinister conditions are not a concern and the clinical exam does not warrant further testing, then it may be best to wait on pursuing imaging studies and proceed with rehabilitation.
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✅Thanks for reading and please let me know if you have any questions.
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📚Barreto RPG, et al. Bilateral magnetic resonance imaging findings in individuals with unilateral shoulder pain. J Shoulder Elbow Surg. 2019.
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Credit:- @rehabscience

#physiocity #anatomy #pt #neet #physiotherapy #medical #medico #medicine #sportsphysio #pt #sportsphysio #physio #Biomechanics
#supraspinatus #muscle #RehabScience #rehab #physiotherapystudent
#physiotherapyindia #delhi #banglore #Sportsmedicine #nurse #medicalschool #medicalwomen
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#Repost @natelilleypt with @make_repost
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REHABBING THE THROWING ATHLETE:  This will be a multi-post topic for the next few weeks focusing on the  rehabilitation of the throwing athlete. Once full passive joint mobility of the glenohumeral joint and a balance of periscapular and rotator cuff strength are established we shift our focus to conditioning the shoulder for the specific phases of throwing. ⁣
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⁣The arm deceleration phase begins at ball release and ends at maximum shoulder internal rotation. This phase puts the highest strain on the shoulder.  This phase requires decelerating the forward progression of the arm through eccentric control of the posterior rotator cuff.  Due to the high forces generated in this phase, the posterior muscles are highly susceptible to tensile overload, articular sided cuff tears, Long head of the bicep/labrum pathologies as well as  internal impingement. Integrating deceleration training is imperative at this this point of rehab. ⁣
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⁣The HALF KNEELING EXTERNAL ROTATION DECELERATION and HALF KNEELING PNF DECELERATION are great additions to a throwers arm care program.  Light med balls (1-2 pounds) are ideal and  the focus should be on control throughout  the whole range.  More to come. ⁣
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⁣****This video was shot pre COVID-19 hence no masks in clinic!!! We miss those days. ⁣
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⁣ #physiotherapy #shoulderrehab #baseballarmcare #overheadathlete #physioprofamily  #rotatorcuffrehab #rotatorcuffexercise
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#Repost @rehabscience with @make_repost
・・・
💥𝐊𝐧𝐞𝐞𝐜𝐚𝐩 𝐃𝐢𝐬𝐥𝐨𝐜𝐚𝐭𝐢𝐨𝐧💥
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👉Great video demonstrating what increased patellofemoral joint (PFJ) mobility and a subsequent lateral dislocation looks like.
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🔎Kneecap dislocation: Occurs when the triangle-shaped bone (patella) covering the knee joint moves or slides out of place. The dislocation usually occurs towards the outside (lateral side) of the leg, most commonly after a sudden change in direction when your foot is planted on the ground. Dislocation may also occur as result of direct trauma.
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🧠Treatment includes immediately stabilizing the knee with a splint and seeking medical attention. Your primary health care provider will examine your knee and attempt to straighten it out through distraction if warranted. This may confirm that the kneecap is dislocated. A knee x-ray and, sometimes, MRIs will be done to make sure that the dislocation did not cause a broken bone or cartilage damage. If tests show that you have no damage, your knee will be placed into an immobilizer or cast to prevent you from moving it.
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🏋🏼‍♂️After this time, physical therapy can help build back your muscle strength, motor control and improve the knee's range of motion. If there is damage to the bone and cartilage, or if the kneecap continues to be unstable, you may need surgery to stabilize the kneecap.
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#RehabScience
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