Tue, 9 December 2014
ACL injuries can be career ending, or they can be an opportunity to sort out movement efficiency, motor control and and technical skills, coming back from the rehabilitation process with more power, speed and efficiency than your patients had before they injured their ACL. In this podcast, Enda King from the Sports Surgery Clinic in Dublin currently completing his PhD in 3D biomechanical analysis after ACL reconstruction, with the aim to assist in RTP decision making and identifying fully rehabilitated athletes, and David Pope discuss ACL injuries, and the most important factors in pre-operative management and post-operative exercise programming to get your patients back to sport with improved sporting performance. Going deep on the details involved in ACL Rehabilitation, including: 01:20 Enda King and SSC, and working with ACL athletes PhD in 3D biomechanical analysis after ACL reconstruction, aim to assist in RTP decision making and what a fully rehabilitated athlete looks like
Podcast timeline 3:35 What does a fully rehabilitated athlete look like? 5:40 Incorporating performance goals into the rehab process 6:50 Can athletes achieve better performance post ACL rehab than they were pre-injury 8:20 Types of ACL grafts 11:10 Preoperative ACL Physiotherapy, helping your patient to prepare for the surgery - an opportunity to prepare your patients knee, ROM, strength and educate them on the rehabilitation process 14:20 Preoperative education 14:40 Restoring knee extension, balancing pain and improved range of movement, empowering your patient with 15:40 Guidelines for pain, swelling when restoring range of movement 16:15 Restoring quadriceps activation, normalising gait patterns 17:10 Clinical Edge 18:45 Clinical Edge’s free webinar program 19:30 Preoperative length of time 20:35 Post-op - initial management 23:20 To use or not use co-contraction exercises of quads and hamstrings 24:50 Should you use squatting style exercises Week 1 post op 25:25 Activating quadriceps - internal quadriceps cues or external exercise focus 26:30 How much pain should a patient experience during or after an exercise 27:30 Week 2 post-op 28:30 When can heavy gym training commence 29:30 Changing movement patterns throughout the kinetic chain 31:00 Advice for patients in the early stages of rehab 32:10 Frequency of exercise 32:55 Week 2 onwards - exercises incorporating balance and proprioception 34:10 Open vs closed chain exercises 35:40 Advice for patients in weeks 2–6 37:15 Nutrition and dietary advice for patients 37:45 Gym based rehabilitation 38:50 Choosing and modifying exercises for middle stages of the rehabilitation process 41:00 Various types of squatting movement, and progressing the types of squats 41:45 Goblet squats 42:30 Retraining ideal squat patterns 43:25 Progressing squats, deadlifts and lunges 44:00 Front squats 46:00 Front squats and trap bar deadlifts vs back squats during rehabilitation 47:25 When can an athlete start cycling 48:00 Disadvantages of using cycling as the main part of a rehabilitation program 48:30 Hamstring rehabilitation after semitendinosis/gracilis graft 49:45 Strength and power development 51:00 Strength testing - mid thigh pull, leg press 53:15 Should we use open chain strength tests 54:20 When to perform strength tests 55:00 Strength vs power and rate of force development 55:50 Running - incorporating into the program. When can your patient start running? 57:30 Preparation for running 58:35 Running drills 1:00:30 Ideal movement patterns in running Links: Clinical Edge Webinar program - register your interest
Tags: ACL, knee, injury, anterior cruciate ligament, surgery, rehabilitation, soccer, football, strengthening, movement, non-contact, physiotherapy, physio edge, podcast, enda king, SSC, sports surgery clinic, david pope, clinical edge, webinar
Direct download: PE_032_How_to_rehabilite_ACL_injuries_with_Enda_King.mp3
Category:general -- posted at: 4:40pm AEDT |
Tue, 21 October 2014
CrossFit is a very popular form of improving strength and fitness, and CrossFit athletes have a variety of common injuries. Training errors and the athlete’s biomechanics often contribute to these injuries, and identifying incorrect biomechanics and other contributing elements in their training is often the key to helping your patients recover from injury, train pain free and importantly for your patients, ultimately get stronger and fitter. In episode 30 of the Physio Edge podcast, David Pope discusses CrossFit injuries, training, biomechanics and injury recovery with Antony Lo. Antony is a Musculoskeletal Physiotherapist with a number of clinics within CrossFit gyms across Sydney, and a large proportion of his patient population are CrossFit athletes. In this podcast Antony and David explore:
Links of Interest
Direct download: PE030_Cross_Fit_Injuries_with_Antony_Lo.mp3
Category:general -- posted at: 9:48am AEDT |
Fri, 10 October 2014
Shoulder pain patients often have poor scapula control. Is their shoulder pain caused by poor scapula control, or is their scapula dysfunction caused by shoulder pain? When your patients present with shoulder pain, should your focus be on scapula control, glenohumeral control, or treatment of the neck and thorax? In this podcast, David Pope talks to Ann Cools, a Physiotherapist and Head of Education for Rehabilitation Sciences and Physiotherapy at Ghent University in Belgium, and is also the founding member and president (2010–2012) of EUSSER - European Society of Shoulder and Elbow Rehabilitation. We discuss in detail assessment of the scapula, the role of the scapula in shoulder pain and how to retrain unruly scapulae. Other topics covered in this podcast include:
Timeline: 0:30 Research by Ann Cools 4:20 What we currently know from the research about the scapula 6:30 Scapula dyskinesis - what is it 8:30 Static vs dynamic assessment of the scapula 11:45 Altering muscle balance and timing with specific exercises 13:15 How altering scapula mechanics effects muscle balance around the shoulder 14:10 Important parts of the subjective history 16:20 Scapula vs glenohumeral joint 18:20 How subjective will guide your objective assessment and treatment 18:55 Red flags around the shoulder, nerve pathology and frozen shoulder 21:15 Frozen shoulder imaging 21:45 Nerve injuries - symptoms, objective examination and treatment 30:30 Assessment of the scapula, Type 1 scapula dyskinesis 35:00 Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula) 36:10 Testing GHJ IR 42:00 Clinical Edge 44:00 Stretching and shoulder joint mobilisation 51:45 Palpation, stretching and manual therapy for pec minor 55:40 Type 2 scapula dysfunction 59:20 Handheld dynamometry - serratus 1:00:51 Handheld dynamometry - middle and lower traps 1:03:54 Pain when strength testing 1:04:50 Type 3 scapula dysfunction 1:10:03 Dynamic assessment of the scapula 1:15:00 To retract and depress the scapula or not? 1:16:23 Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis 1:17:50 Special tests around the shoulder 1:20:35 Laxity tests for the GH joint 1:23:00 Posterior GHJ laxity 1:24:30 Anterior GHJ laxity 1:26:20 Explanations of scapula dysfunction to your patients 1:31:00 Information on Ann Cools 1:32:20 EUSSER 1:33:00 Wrap up Links of Interest
Direct download: PE_031_Scapula_Assessment_in_Shoulder_Pain_with_Ann_Cools.mp3
Category:general -- posted at: 12:12pm AEDT |
Wed, 9 July 2014
On episode 29 of the Physio Edge podcast, David Pope is joined by the Australian Socceroos Physio Kurt Lisle, a Specialist Sports Physiotherapist to discuss assessment and management of Acute knee injuries. On this podcast, David and Kurt discuss:
Links of Interest
Direct download: PE_029_Acute_Knee_Injuries_with_Kurt_Lisle.mp3
Category:general -- posted at: 3:32pm AEDT |
Thu, 19 June 2014
David Pope and Dr Kristian Thorborg (Physiotherapist, PhD) discuss screening and rehabilitation of groin injuries. Find out in this podcast:
This episode follows on from Episode 25 of the Physio Edge podcast on Groin Assessment with Dr Kristian Thororg. I hope you enjoy Kristian sharing his experience, research and knowledge of the evidence with us on the treatment of groin pain. Links of Interest
Direct download: PE_028_Groin_Injury_Rehabilitation_with_Dr_Kristian_Thorborg.mp3
Category:general -- posted at: 4:23pm AEDT |
Tue, 27 May 2014
In one of the most controversial Physio Edge podcasts to date, Dr Nathan Gibbs and I discuss managing sports injuries in a team setting. Dr Nathan Gibbs has worked with many professional sports teams, including the Sydney Swans for 15 years, 10 years with South Sydney Rugby League Football club and is one of the owners of South Sydney Sports Medicine, and in episode 27 of the Physio Edge podcast, we discuss:
Links of Interest
Direct download: PE_027_Sports_Injury_Management_with_Dr_Nathan_Gibbs.mp3
Category:general -- posted at: 2:16pm AEDT |
Fri, 9 May 2014
Gymnastics places some fairly unique demands on fairly young bodies. In episode 26 of the Physio Edge podcast, I discuss these demands with Kingsley Gibson, a Sports Titled Physiotherapist that has worked with Australian Diving, Synchronised Swimming, Shooting and Hockey teams at a number of Commonwealth and Olympic games, and works with elite gymnasts on a daily basis. For his services to gymnastics, in 2000 the Commonwealth awarded Kingsley with a Sports Services Medal. So Kingsley has a lot of experience to draw on, and we got into detail on a number of topics. In this podcast we discuss:
Links of Interest
Direct download: PE026_Gymnastics_Injuries_with_Kingsley_Gibson.mp3
Category:general -- posted at: 1:34pm AEDT |
Tue, 4 March 2014
How can you identify the reason your patient has groin pain and the structures that may be causing it? Groin pain is one of the most common issues in a lot of sports, particularly the football codes, and in episode 25 of the Physio Edge podcast, David Pope talks to Dr Kristian Thorborg about assessment of the groin. Some of the topics we discuss on this podcast include: Types of groin injuries Identifying and diagnosing groin pain and injury Groin vs hip pain Tests you can perform to identify the irritated or painful structures The relevance of diagnostic imaging, and when to refer for this Hip and Groin Outcome Score (HAGOS) Using the HAGOS in your clinic Adductor related groin pain Hip flexor related groin pain Abdominal related groin pain The hip joint Pubic symphysis Sports Hernias Testing hip strength Assessment of function And much more! I had Kristian on the Physio Edge podcast for episode 21 discussing hamstring injury prevention, and wanted to get him back to discuss his other area of special interest - the groin. I am sure you will get as much out of this episode with Kristian as I did, and you will be all over diagnosis of groin pain by the end of the episode. Enjoy! Links of interest
Direct download: PE_025_Groin_Assessment_with_Dr_Kristian_Thorborg.mp3
Category:general -- posted at: 9:25pm AEDT |