213. When and How to Use Plyometrics in ACL Rehab w/ Derek Garza

In this episode, we sat down with Dr. Dustin Grooms to discuss how the brain changes after an ACL injury and what can be done clinically to address these adaptations. - What are the neurophysiologic adaptations that occur after primary ACL rupture, reconstruction, and during rehabilitation? - What motor learning strategies should clinicians be using to target these changes? - What assessments should clinicians add to their return-to-sport testing criteria? - What else should we be doing to reduce the risk of primary injury? - We also discuss the use of virtual reality, strobe glasses, unstable surfaces, metronomes, dual tasking, and much more! More about Dr. Dustin Grooms: Twitter: https://twitter.com/dusty_grooms Website: https://www.ohio.edu/chsp/groomsd Research Gate: https://www.researchgate.net/profile/Dustin-Grooms Relevant research (not all inclusive): https://pubmed.ncbi.nlm.nih.gov/31408765/ https://pubmed.ncbi.nlm.nih.gov/31901699/ https://pubmed.ncbi.nlm.nih.gov/33873089/ https://www.researchgate.net/publication/344980912_Clinical_Applications_of_Motor_Learning_Strategies https://pubmed.ncbi.nlm.nih.gov/33842051/ https://pubmed.ncbi.nlm.nih.gov/30719683/ https://www.researchgate.net/publication/328946995_The_Development_and_Reliability_of_Four_Clinical_Neurocognitive_Single-leg_Hop_Tests_Implications_for_Return_to_Activity_Decision_Making More about us: Website: https://e3rehab.com/ Instagram: https://www.instagram.com/e3rehab/ YouTube: https://www.youtube.com/c/E3Rehab This episode was produced by Matt Hunter.

3 Elo 20211h 19min

In this episode, we sat down with Dr. Nicole Surdyka to discuss ACL injuries & rehab in professional women's sports. Topics included: - Gendered environmental approach to ACL injury risk - Positively changing the landscape for these athletes and advice for coaches/clinicians - Viewing rehab after an ACL injury as an opportunity for introduction/exposure to S&C - Differences in rehab at the professional level - Advice for students and clinicians who want to work in professional sport - And much more! More about Nicole: Instagram: https://www.instagram.com/dr.nicolept Twitter: https://twitter.com/NSurdykaPhysio Website: https://www.nicolesurdykaphysio.com/ More about us: Website: https://e3rehab.com/ Instagram: https://www.instagram.com/e3rehab/ YouTube: https://www.youtube.com/c/E3Rehab This episode was produced by Matt Hunter.

6 Heinä 202149min

In this episode, we sat down with Tom Jesson to discuss sciatica. Topics included: - What do patients mean when they say sciatica? - What do clinicians mean when they say sciatica? - How do we navigate that difference in understanding? - What should we focus on during the subjective history? - What should an objective exam entail? - What is known about management including medications, injections, surgery, and physical therapy? - What is known about risk factors and prognosis? - And much more! More about Tom: Twitter: https://twitter.com/thomas_jesson Website: https://tomjesson.com/ More about us: Website: https://e3rehab.com/ Instagram: https://www.instagram.com/e3rehab/ YouTube: https://www.youtube.com/c/E3Rehab

22 Kesä 202157min

In this episode, we sat down with Dr. Jack Hickey to discuss hamstring strain rehabilitation. Topics included: - What should be included in the assessment? - What's the role of MRI? - How soon should rehabilitation begin? - What exercises and progressions are recommended? - When should an athlete return to running and how is that process structured? - What criteria determine when it's safe to return to sport? - Does hamstring strain rehabilitation need to be pain-free? - And much more! More about Dr. Jack Hickey: Twitter: https://twitter.com/jackhickey89 SPRINT Research Centre: https://twitter.com/SPRINT_ACU Research Gate: https://www.researchgate.net/profile/Jack-Hickey-5 Paper discussed: https://pubmed.ncbi.nlm.nih.gov/31253060/ More about us: Website: https://e3rehab.com/ Instagram: https://www.instagram.com/e3rehab/ YouTube Video: https://youtu.be/QvV3GZ2uuNk

25 Touko 20211h 1min

In this episode, we sat down with Dr. Megan Ross to discuss her PhD thesis and research related to tibialis posterior tendinopathy. Topics included: - Anatomy and function of the tibialis posterior - Appropriate diagnostic terminology - Risk factors - Signs and symptoms - Clinical tests - Common impairments and activity limitations - Exercise and other management strategies such as shoewear and foot orthoses - And much more! More about Dr. Megan Ross: Twitter: https://twitter.com/meganhross PhD Thesis/Research Gate: https://www.researchgate.net/publication/339997747_Exploring_the_clinical_presentation_of_tibialis_posterior_tendinopathy UQ Profile: https://shrs.uq.edu.au/profile/1104/megan-ross More about us: Website: https://e3rehab.com/ Instagram: https://www.instagram.com/e3rehab/ Blog: https://e3rehab.com/blog/tibialisposterior/ YouTube Video: https://youtu.be/NKeQHV85QLc

11 Touko 202158min

In this episode, we sat down with Dr. Francesco Della Villa to discuss a paper that he co-authored titled: A Ten Task-Based Progression in Rehabilitation After ACL Reconstruction: From Post-Surgery to Return to Play - A Clinical Commentary. Topics included: - Load Management (Peak Loading, Volume Load, and Rate of Loading) - Athlete Monitoring (Response to Exercise, Movement Quality, Strength, and Muscle Soreness) - Return to Running Criteria - Return to Sport-Specific Movements - And much more! More about Dr. Francesco Della Villa: Twitter: https://twitter.com/fdellavilla Instagram: https://www.instagram.com/drdellavilla Paper (open access): https://pubmed.ncbi.nlm.nih.gov/33354394/ Conference: https://www.footballmedicinestrategies.com/ Virtual Summit: https://www.footballmedicinestrategies.com/the-ongoing-acl-dilemmas/ Virtual Summit Trailer: https://youtu.be/urfSSDsa-t4 More about us: Website: https://e3rehab.com/ Instagram: https://www.instagram.com/e3rehab/ YouTube Video: https://youtu.be/ZZ0AENyvytk

27 Huhti 202159min

In this episode, we sat down with Professor Steve Kamper to discuss his Evidence in Practice series in JOSPT. - Why should physical therapists engage with research? - If clinicians are going to engage with research so they can apply that research to their patients, what's the first step? - Why are the different types of research questions so important (descriptive, predictive, causal)? - And much more! Twitter: https://twitter.com/stevekamper1 More about us: Website: https://e3rehab.com/ Instagram: https://www.instagram.com/e3rehab/ YouTube: https://www.youtube.com/c/E3Rehab

30 Maalis 202148min

In this episode, we sat down with Erik Meira to discuss rehab following an ACL Reconstruction (ACLR). - Why are the quads (knee extensor mechanism) important? - Why are seated leg extensions beneficial? Are they risky? How should they be implemented? - How important is movement re-education? - How useful are the hop tests? - What return to play tests should we be using? Erik is running for president of the American Academy of Sports Physical Therapy (AASPT). If you'd like to win a free E3 Rehab shirt, screenshot this podcast episode, tag Erik and us in your story, and write "Erik for president." Voting begins April 1! More about Erik Meira: Twitter: https://twitter.com/erikMeira Instagram: https://www.instagram.com/erikmeirapt/ Website: https://thesciencept.com/ More about us: Website: https://e3rehab.com/ Instagram: https://www.instagram.com/e3rehab/ YouTube: https://www.youtube.com/c/E3Rehab

2 Maalis 20211h 9min