223. Brilliant At The Basics w/ Tim Shay

Chris and Sam sat down with Laura Opstedal to discuss force plate testing and training in the context of ACL rehab. Laura is a Physical Therapist and owner of Build Physio and Performance in Bozeman, Montana. We dive into: utilization of force plates in early, mid, and late stage rehabilitation, tests that Laura no longer uses, recommendations for clinicians who do not have access to force plates and for those who are brand new to them, testing versus performance, and much more. More about Laura and Build Physio: Build Physio Instagram Laura's Instagram Laura's Twitter Build Physio Website --- Watch the full episode: https://youtu.be/7D9x424X4g0 --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Articles: https://e3rehab.com/articles/ Apparel: https://store.e3rehab.com/collections/frontpage --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/ --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

2 Maj 202340min

Chris and Sam sat down with Karin Silbernagel to discuss achilles tendinopathy and achilles tendon ruptures. In the first half of our conversation with Karin, we discuss tendinopathy versus tendinitis and tendinosis, diagnostic criteria, biggest findings over the past 1-2 decades regarding tendon related research, insertional versus mid portion achilles tendon pain, average recovery timelines, pain during rehab and training, and much more. In the latter half of our conversation, we chat about achilles tendon ruptures including risk factors, surgical versus non-surgical considerations and recommendations, and objective testing. Karin is a researcher, professor, clinician, and the Associate Chair of the Physical Therapy Department at the University of Delaware. More about Karin: Karin's Twitter Karin's ResearchGate --- Watch the full episode: https://youtu.be/ZHnZkGJvyJQ --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Articles: https://e3rehab.com/articles/ Apparel: https://store.e3rehab.com/collections/frontpage --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/ --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

25 Apr 202359min

Chris and Sam sat down with Roula Kotsifaki to discuss the brand new Aspetar Clinical Practice Guideline on rehabilitation after anterior cruciate ligament reconstruction. Roula is a physiotherapist and researcher at Aspetar in Doha, Qatar and the lead author on this clinical practice guideline. We discuss: the timing and structure of rehabilitation, exercise initiation, closed versus open kinetic chain exercises, return to running, return to sport, and much more. Primary Paper Discussed: Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction New Aspetar Infographic Infographic. Aspetar clinical practice guideline on rehabilitation after ACL reconstruction: an interactive figure More About Roula and Aspetar: Roula's Research Gate Aspetar Website Aspetar Instagram Aspetar YouTube Aspetar Twitter --- Watch the full episode: https://youtu.be/nqST1zaayMA --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Articles: https://e3rehab.com/articles/ Apparel: https://store.e3rehab.com/collections/frontpage --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/ --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

18 Apr 20231h 8min

Chris and Sam sat down with Clare Ardern to discuss all things return to sport. Clare is the Editor-in-Chief of JOSPT, the Journal of Orthopedic and Sports Physical Therapy, Physiotherapist, and researcher currently based out of Vancouver, British Columbia. We focus the conversation around the paper titled, "2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern" in which Clare was the lead author. We discuss: The spectrum of return to participation all the way up to return to performance, defining success across multiple stakeholders, shared decision making, the StaRRT Framework, assessing readiness, ACL specific RTS considerations and timelines, and future priorities and directions. Primary Paper Discussed: 2016 Consensus statement on return to sport An additional read that Clare recommends: 2022 Bern Consensus Statement on Shoulder Injury Prevention More About Clare and JOSPT: Clare's Twitter JOSPT Twitter JOSPT Insights Podcast JOSPT.org JOSPT Instagram --- Watch the full episode: https://youtu.be/3Al0hxLQgvE --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Articles: https://e3rehab.com/articles/ Apparel: https://store.e3rehab.com/collections/frontpage --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/ --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

11 Apr 20231h 9min

Chris sat down with Sam Spinelli and Marc Surdyka to discuss The Goldilocks Principle of Rehab. Marc discusses the story of Goldilocks and The Three Bears and the inspiration for the new E3 Goldilocks Just Right teeshirts. Sam then dives into the concept of load and outlines both the Envelope of Function, by Scott Dye, and the Physical Stress Theory, by Michael Mueller and Katrina Maluf. Marc then talks about utilization and implementation of these principles in both a rehab and training context. Marc discusses some of the limitations and methodological flaws with attempting to identify an ideal training load in the context of injury prevention. Lastly, Marc and Sam both touch on the downsides of gathering too much data and information surrounding sleep, readiness, and performance. Papers Discussed: Envelope of Function Physical Stress Theory Training Load and Its Role in Injury Prevention, Part 1: Back to the Future Training Load and Its Role in Injury Prevention, Part 2: Conceptual and Methodologic Pitfalls More on the Goldilocks Principle: E3 Blog E3 YouTube Video --- Watch the full episode: https://youtu.be/0Lw_x1fCgiU --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Articles: https://e3rehab.com/articles/ Apparel: https://store.e3rehab.com/collections/frontpage --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/ --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

4 Apr 202358min

Chris and Sam sat down with Taylor Goldberg to discuss hypermobility spectrum disorders, hyper-mobile Ehlers-Danlos Syndrome (also known as hEDS), and upper cervical instability. We initially dive into an article published earlier this year by Leslie Russek and colleagues titled, "Presentation and physical therapy management of upper cervical instability in patients with symptomatic generalized joint hyper mobility: International Expert Consensus Recommendations." Within the paper, we talk about diagnostic criteria, screening for red flags, the clinical examination, and recommended treatment interventions. Taylor discusses the outdated terms and beliefs that still occur in research and clinical practice surrounding things such as chiropractic subluxations vs true subluxations, posture, and alignment. We then discuss medical gaslighting for hEDS along with examples of both under and over-medicalization of this condition. We then discuss strength training for this population, and Taylor finishes the discussion by dispelling a few more myths surrounding those diagnosed with hEDS. Russek et al, 2023 Paper More about Taylor: Taylor's Website Taylor's IG Taylor's TikTok --- Watch the full episode: https://youtu.be/N1tWV3VklHA --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Articles: https://e3rehab.com/articles/ Apparel: https://store.e3rehab.com/collections/frontpage --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/ --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

28 Mars 20231h 6min

Chris sat down with Q Willey to discuss all things physical preparation and belief change. Q is a Physical Therapist and Coach, currently working remotely for the Barbell Medicine Pain and Rehab Team. We talk about Q's athletic journey, from playing all the sports growing up, playing lacrosse at BYU, transitioning to UNC during his masters program and winning a National Championship with their men's lacrosse team, to competing on the USA Olympic Bobsled Team. We discuss the physiological demands across sports and we compare field sport athletes versus highly niche sports like bobsled. We then talk about some of the flawed views, and implementation of, "sports-specific" training with professional athletes. We then switch gears and talk about Q's experiences with belief change, coming to grips with uncertainty, and remaining open minded as both a clinician, coach, and human. More about Q: Q' Instagram Q's Website --- Watch the full episode: https://youtu.be/85_GWI8bLXk --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Articles: https://e3rehab.com/articles/ Apparel: https://store.e3rehab.com/collections/frontpage --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/ --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

21 Mars 20231h 8min

Chris and Sam sat down with Paul Salamh to discuss his 2020 JOSPT Viewpoint titled, "It Is Time to Put Special Tests for Rotator Cuff-Related Shoulder Pain out to Pasture." Paul is a researcher, professor, and clinician at the University of Indianapolis who specializes in shoulder / upper extremity related conditions. We dive into Paul and Jeremy Lewis' decision to write this piece, identifying the most common shoulder special tests, convergent validity and reference / gold standards, imaging findings and their correlation (or lack thereof) with pain / function, and pre and post test probabilities. We then talk about the recommended examination elements for rotator cuff-related shoulder pain. Lastly, we discuss Paul's current research project with Jeremy Lewis involving frozen shoulder. More about Paul: 2020 JOSPT Viewpoint on Shoulder Special Tests Paul's Twitter Paul's ResearchGate --- Watch the full episode: https://youtu.be/fqLSj3Deg9Y --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Articles: https://e3rehab.com/articles/ Apparel: https://store.e3rehab.com/collections/frontpage --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/ --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

14 Mars 20231h 6min