Related Posts

Total Knee Case Study: Why You Need A Structured Rehab Process

A structured rehab process that ultimately targets a full return to activity is missing in healthcare. Patients struggling with pain are treated as if they are all the same. We believe there are common, big problems to address, but there is a high degree of uncertainty with every patient presentation. Even when a patient has the same diagnosis they can have different triggers, different contributing factors, different behaviors, and drastically different needs in the rehab process. This is true when patients have the same surgery by the same surgeon.   Let me use an example with a straightforward rehab plan; post-total knee replacement.   The Painful Total Knee Replacement Peter Pain had a total knee replacement.  He has always been active and handles pain well but this replacement has been horrible. First, he fell behind on medication post-surgery because he hated the way the drugs made his stomach feel. The second day

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Knee injury

Factors to Consider After Knee Injury

Returning to Activity, Physical Therapy, and Neuromuscular Fatigue   Neuromuscular fatigue has been implicated as a significant problem for individuals returning to sport following an anterior cruciate ligament (ACL) injury and reconstruction.  Due to the high rate of re-injury in those that have had an ACL reconstruction, one hypothesis is that neuromuscular fatigue will negatively impact strength performance, postural stability (single leg balance), and biomechanics during jumping and landing.  It blows my mind that a female athlete with an ACL tear is 16 times more likely than a healthy female athlete to tear an ACL again. The interplay between a previous injury, the resulting changes to the input to the brain, modified motor planning, and re-injury is an interesting development in research.  Today I wanted to dive a little more into fatigue, its impact on biomechanics, and how physical therapy and strength training can start to augment the problem. There

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Physical Therapy Exercises

At Smith Performance Center, physical therapy exercises are used to maximize healing, build resiliency, reduce pain, and correct abnormal motor patterns. We do not use an endless array of exercises that would take an hour or two every day.  We understand more than one to two exercises mean compliance, and performance plummets. Our team wanted to put up common exercises we use to help you remember the form.  We have it broken up by body part and there is some cross-over, so you may see the same exercise in a few different categories. Let us know if you have any questions. Spine Chin Tuck Exercise   Isometric Activation Exercise   Self Massage for the Upper Trap   Self Massage for Posterior Shoulder   Suitcase Carry   Upper Extremity T Exercise   Y Prone Exercise   Serratus Plank   Lower Extremity Clamshell Exercise   Posterior Tibialis Exercise    

Read More »

Total Knee Case Study: Why You Need A Structured Rehab Process

A structured rehab process that ultimately targets a full return to activity is missing in healthcare. Patients struggling with pain are treated as if they are all the same. We believe there are common, big problems to address, but there is a high degree of uncertainty with every patient presentation. Even when a patient has the same diagnosis they can have different triggers, different contributing factors, different behaviors, and drastically different needs in the rehab process. This is true when patients have the same surgery by the same surgeon.   Let me use an example with a straightforward rehab plan; post-total knee replacement.   The Painful Total Knee Replacement Peter Pain had a total knee replacement.  He has always been active and handles pain well but this replacement has been horrible. First, he fell behind on medication post-surgery because he hated the way the drugs made his stomach feel. The second day

Read More »
Knee injury

Factors to Consider After Knee Injury

Returning to Activity, Physical Therapy, and Neuromuscular Fatigue   Neuromuscular fatigue has been implicated as a significant problem for individuals returning to sport following an anterior cruciate ligament (ACL) injury and reconstruction.  Due to the high rate of re-injury in those that have had an ACL reconstruction, one hypothesis is that neuromuscular fatigue will negatively impact strength performance, postural stability (single leg balance), and biomechanics during jumping and landing.  It blows my mind that a female athlete with an ACL tear is 16 times more likely than a healthy female athlete to tear an ACL again. The interplay between a previous injury, the resulting changes to the input to the brain, modified motor planning, and re-injury is an interesting development in research.  Today I wanted to dive a little more into fatigue, its impact on biomechanics, and how physical therapy and strength training can start to augment the problem. There

Read More »

Physical Therapy Exercises

At Smith Performance Center, physical therapy exercises are used to maximize healing, build resiliency, reduce pain, and correct abnormal motor patterns. We do not use an endless array of exercises that would take an hour or two every day.  We understand more than one to two exercises mean compliance, and performance plummets. Our team wanted to put up common exercises we use to help you remember the form.  We have it broken up by body part and there is some cross-over, so you may see the same exercise in a few different categories. Let us know if you have any questions. Spine Chin Tuck Exercise   Isometric Activation Exercise   Self Massage for the Upper Trap   Self Massage for Posterior Shoulder   Suitcase Carry   Upper Extremity T Exercise   Y Prone Exercise   Serratus Plank   Lower Extremity Clamshell Exercise   Posterior Tibialis Exercise    

Read More »