Holle Per4mance

Look how much thicker the bone is in the throwing arm (left) of MLB pitchers versus their non-throwing arm (right). WHY?
Because our tissues adapt to the stresses we place on them. 💪 These throwing arms withstand ridiculous amounts of torsional forces. Forces that they’ve adapted to tolerate over time.
This principle finds its way into my patient education very often. When we share that injured tissues have potential to heal, & then adapt to the forces needed for performance, we help to foster hope & optimism. 2 key elements needed for successful rehab.
❗️Ultimately, we know that all tissues have a ceiling, but I’d argue NONE of my patients or athletes are anywhere near their biological potential. So, we cultivate hope & we work hard to create the adaptations that we’re capable of. ❗️

Thanks to for the graphic

🚴 ACTIVE RECOVERY 🏊⠀
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👉 This involves non-weight bearing, low-intensity, aerobic activity, performed the day after high-intensity, often eccentric exercise⠀
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💪 This may act to loosen 'stiff' muscles and re-gain mobility, in addition to promoting the delivery of nutrients for recovery and removal of metabolite build-up⠀
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❗️ Active recovery does not provide an additional benefit to that of massage on DOMS, however, may enhance relaxation associated with outdoor & fresh air activity 🚵
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Good reminder for your Sunday Funday with a from

When 1 in 4 athletes re-tear their ACL’s despite going through rehab, we have a big problem. Here are some of my favorite quotes from this viewpoint article📖.
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“Despite overwhelming evidence to the contrary, fear of loosening the healing graft has become so ingrained that contemporary clinicians often accept this disproven fear as fact, passing both the fear and associated quadriceps weakness on to their patients.”
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“If rehabilitation clinicians do not emphasize regaining quadriceps strength, do not measure it, and steer patients away from doing open-chain exercises, they are failing their patients.”
with
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Have you read the recent Viewpoint piece in JOSPT by Brian Noehren, PT, PhD, FACSM and Lynn Snyder-Mackler, PT, ATC, ScD, SCS, FAPTA?

A fun piece of patient education last week for someone with knee osteoarthritis 👨🏼‍⚕️
What is load management?
Load management is the idea that through controlling the stressors (load) that a person, or in this case a joint undergoes, we can develop tolerance to that stress over time.📶
With a condition like knee osteoarthritis we use load management & graded exposure to build up the knee and help client to reach their treatment goals. 👏🏼
It’s no easy process. It takes patience and some trial & error but it’s worth it to stick to the process.🔥