Athletes First Performance Podcast

In this episode we introduce the new clinical practice guidelines for managing lateral ankle sprains. We break down the CPG and discuss how we will be using the evidence to help improve our treatment for athletes/patients following a lateral ankle sprain. The flow of the podcast starts with defining a lateral ankle sprain and then identifying risk factors for  primary and secondary injury. We then dive into our assessment of specific impairments for acute sprains then analyze a new framework for return to sport criteria. There is also discussion on prophylactic ankle bracing vs taping, stable and unstable surface balance training, and updated views on ankle special testing.

Thanks for listening and as always, please let us know if you have any questions, recommendations, or topics you would like us to cover!

Articles 

Caffrey E, Docherty CL, Schrader J, Klossnner J. The Ability of 4 Single-Limb Hopping Tests to Detect Functional Performance Deficits in Individuals With Functional Ankle Instability. J Orthop Sports Phys Ther. 2009;39(11):799-806. doi:10.2519/jospt.2009.3042

Martin RL, Davenport TE, Fraser JJ, et al. Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2021;51(4):CPG1-CPG80. doi:10.2519/jospt.2021.0302

Smith MD, Vicenzino B, Bahr R, et al. Return to sport decisions after an acute lateral ankle sprain injury: introducing the PAASS framework—an international multidisciplinary consensus. Br J Sports Med. Published online June 22, 2021:bjsports-2021-104087. doi:10.1136/bjsports-2021-104087

Run Time: 1:08:12

Released on July 13th, 2021

In this week's episode, we discuss our principles of rehab. We start with the history and the importance of defining the situation and activity to give us a good foundation of where we need to take our objective exam. Next, we talk about our 6 principles of rehab to help develop systems based thinking for our evaluation and treatment. At last, we go over the Vermeil's Hierarchy, different phases of rehab, and criterion based vs timeline based thinking to help guid our treatment progressions. 

Thanks for listening and as always, please let us know if you have any questions, recommendations, or topics you would like us to cover!

During this episode we provide an overview of hip femoroacetebular impingement syndrome evaluation and treatment.

Articles

Reiman MP, Thorborg K, Sportsphysio M. CLINICAL EXAMINATION AND PHYSICAL ASSESSMENT OF HIP JOINT-RELATED PAIN IN ATHLETES. 

Reiman MP, Agricola R, Kemp JL, et al. Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018. Br J Sports Med. 2020;54(11):631-641. doi:10.1136/bjsports-2019-101453

Thanks for listening and as always please let us know if you have any questions, recommendations, or topics you would like us to cover!

In this episode we cover the control-chaos continuum and how it relates to late stage ACLR rehabilitation with Dr. Madi Franek. 

twitter: madisonfranek

instagram: dr.madison.franek

Topics Covered Include: 

° Describing the Control to Chaos Model  and how we can utilize this approach in our program design during on field rehab

° Objectively breaking down the athletes capacity to perform a task such as double or single leg squatting 

° Discussing his rehab and reconditioning process for athletes returning to sport following ACL injury 

°Energy system development and discussing the differences between intensive and extensive training 

° Specific criteria that he looks at in order to progress throughout the rehab process for running, plyometrics, return to on field training, and return to play 

Article Links: 

Taberner M, Dyk NV, Allen T, et al. Physical preparation and return to performance of an elite female football player following ACL reconstruction : a journey to the FIFA Women ’ s World Cup. Published online 2020. doi:10.1136/bmjsem-2020-000843

For our fifth episode, we are joined by Dr. Wesley Talley to talk about the examination and treatment of the shoulder in baseball players. Wesley has a background in working with overhead athletes both during his time in the ATI Sports Residency and in his current position with ATI in Spartanburg, SC.

We cover the subjective and objective portions of the examination as it relates to baseball players and then go into specific education and treatment strategies that Wesley uses to maximize the athlete's ability to recover and then return to sport. There are a lot of specifics that go into working with this population and we greatly appreciate Wesley's expertise on the subject.

Thanks for listening and as always please let us know if you have any questions, recommendations, or topics you would like us to cover!

Article Links:

Wilk KE, Bagwell MS, Davies GJ, Arrigo CA. RETURN TO SPORT PARTICIPATION CRITERIA FOLLOWING SHOULDER INJURY: A CLINICAL COMMENTARY. Intl J Sports Phys Ther. 2020;15(4):624-642. doi:10.26603/ijspt20200624 

Matsel KA, Butler RJ, Malone TR, Hoch MC, Westgate PM, Uhl TL. Current Concepts in Arm Care Exercise Programs and Injury Risk Reduction in Adolescent Baseball Players: A Clinical Review. Sports Health. 2021;13(3):245-250. doi:10.1177/1941738120976384 

Reinold MM, Macrina LC, Fleisig GS, Aune K, Andrews JR. Effect of a 6-Week Weighted Baseball Throwing Program on Pitch Velocity, Pitching Arm Biomechanics, Passive Range of Motion, and Injury Rates. Sports Health. 2018;10(4):327-333. doi:10.1177/1941738118779909  

Run Time: 58:24 

Released on May 19th, 2021

During this episode we provide a general overview of how we examine and treat the shoulder. We are planning to have more in depth discussions on the shoulder coming up, so this just lays the foundation for those conversations.

During this episode we discuss our orthopedic (University of Wisconsin) and sports residency (University of North Dakota) experiences and how it has impacted our careers.  If you’re interested in learning more about the residency process or taking the OCS/SCS board exams, this is the podcast for you!

Topics covered include:

Why we decided to do a residency

What we looked for when applying 

Interview process

What a typical day looked like

Mentoring and clinical reasoning

Career opportunities that residency provided 

OCS and SCS board exam prep

Continuing education and staying up to date on the research 

Thanks for listening and as always please let us know if you have any questions, recommendations, or topics you would like us to cover!

Our second episode covers pre-operative and early stage rehabilitation after and ACL tear/reconstruction. We start by going into the preoperative phase speaking to evaluation, treatment, and education with a patient immediately after injury and in preparation for surgery. We then move into the management of the patient in the immediate post-operative phase (phase 1) and the early rehabilitation phase (phase 2). 

Some other special topics we cover include copers vs. non-copers, the state of the evidence in regards to open-chain exercises early after ACLR, and our ideal equipment if we had our choice when rehabbing a patient after ACLR

Look for 1-2 follow-up episodes on the mid to later stages of ACLR rehab in the future. 

Thanks for listening and as always please let us know if you have any questions, recommendations, or topics you would like us to cover!