Physical therapy can span a wide spectrum, ranging from injury rehabilitation, to injury prevention, and even performance enhancement. To truly help people get the most out of their bodies, we need to focus on all three of those. But many of us don’t, and if you’re one of them, I think you may be really missing the boat. It’s not enough to simply try to restore someone to their previous baseline. That’s “traditional” physical therapy if you ask me. Performance physical therapy not only restores function, but also works on optimizing and enhancing performance. That’s the key difference to me.
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Shoulder impingement is a really broad term that is used too often. It has become such a commonly used junk term, such as “patellofemoral pain.”
Unfortunately, the use of such a broad term as a diagnosis is not helpful to determine the treatment process. There is no magical “shoulder impingement protocol” that you can pull out of your notebook and apply to a specific person.
I wish it were that simple.
To make the treatment process for shoulder impingement a little more simple, there are 3 things that I typically consider to classify and differentiate shoulder impingement.
While recent research is showing similar results between physical therapy and surgery for a meniscus tear, there are still certain patients that would benefit from surgery. Not every patient, or meniscus tear, is the same. Here’s what we know about who will respond best from surgery, or physical therapy after a meniscus tear.
The latest Inner Circle webinar recording on 5 Keys to Returning to Sport After a Knee Surgery is now available.
Subacromial decompression surgery is a very common procedure performed for people with shoulder pain. The procedure is often recommended for people with “impingement syndrome” and was originally theorized to open up the subacromial space and help reduce biomechanical impingement. But recent research has challenged the effectiveness of the procedure, and even the diagnosis of “subacromial impingement” itself.
I’m really excited to be launching my brand new course for rehabilitation and fitness professionals looking to help people restore, optimize, and enhance performance. It’s my Introduction to Performance Therapy Training course. And you know what the best part is??? It’s absolutely FREE! I want to help. When we started our facility at Champion PT and Performance, one of our biggest goals was to develop a simple system for our physical therapists and strength coaches to help people move and perform better. My Introduction to Performance Therapy and Training program will teach you our 4-step system at Champion to assure you have everything you need to start helping people move and perform better.
The use of biofeedback in rehabilitation has fallen out of favor recently. Insurance companies don’t reimburse, so people shifted to favor neuromuscular electrical stimulation (NMES).
That doesn’t mean biofeedback isn’t effective.
Biofeedback is amazing at helping restore volitional control, decrease muscle activity of overused muscles, and focus on appropriate muscular involvement in movement patterns.
In this article and video, Russ Paine, PT, and I discuss how and why we use biofeedback with our patients.
We’ve come along way over the last decade when it comes to training the core. Not too long ago, training the core consisted of mainly exercises like sit ups, with no specific attention to how the core functions.
One of the key areas of core training that I focus on to enhance movement quality and performance is stabilizing the core while the arms and legs move. Essentially proximal stability, with underlying distal mobility of the extremities.
However, don’t forget that the body is amazing at compensating to get the job done.
Any lack of mobility or motor control will often result in compensatory movements. Many people want to fly through their core program, but often times don’t focus on the quality of the movement.
Here are 5 common core exercise mistakes that I see, along with some suggestions on how to fix them. I posted these as a series on Instagram, if you want to see more posts like this, be sure to follow me there.
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Mike is the co-owner of Champion Physical Therapy and Performance, located just outside Boston, MA. We help people feel, move, and perform better.