On Q Performance Therapy Podcast

Season 2, Episode 6 | Podcast #25

This week, Q chats with Rob Rabena, Director of Sports Performance at Maplezone Sports Institute (MSI) in Boothwyn, PA. He is also an adjunct professor at Widener University and he specializes in baseball, shoulder assessments, coaching, fitness training, and athletics programming design. In today’s episode, they talk about strength training assessments, sports programming, and hot topics in the field.

ROB’S BACKGROUND

2:35 - Rob began specializing in baseball ever since grad school.

6:16 - Rob describes how some of the best lessons he learned in grad school were one’s he didn’t expect, such as culture development and brand development.

7:30 - A guiding saying in his life has been, “Athletes don’t care how much you know until they know how much you care.”

ASSESSMENTS

8:40 - Rob explains how he approaches assessments from a data-driven perspective.

11:00 - There are three specific areas Rob focuses on in his assessments.

17:30 - Rob explains how his methods help prevent injury.

21:50 - He has learned the best way to talk with athletes about their results is to frame things positively.

PROGRAMMING

23:30 - Q asks how Rob customizes a program after collecting data through his various assessments.

29:45 - Rob gives his take on the shoulder as a baseball specialist. He addresses the importance of developing a proper program depending on the athlete’s sport-specific goals.

38:00 - Q asks what patterns he sees the most, and Rob points out three areas in the shoulder that have the most issues with a range of motion.

39:45 - Rob stresses the importance of variability within strength training programs.

42:50 - Communicating with all members of the team is key, including the athlete, parents, physical therapist, doctor, etc.

“QUICK HITTERS”

Q asks Rob a series of quick questions on hot-topic issues to finish out the episode.

44:45 - How can we be doing better for athletes and injury prevention?

50:25 - Age appropriateness of weighted ball throws?

50:43 - Elbow injuries... why?

40:45 - Pitch counts in high school?

51:55 - What could baseball coaches be doing better?

53:16 - Sleeper stretch?

55:38 - Bench press for baseball players?

1:01:15 - Any other information you want to spread to our listeners?

CONTACT

Season 2, Episode 5 | Podcast #24

In this episode, Q is joined by Dr. John D. Kelly IV, an orthopedic surgeon at the University of Pennsylvania where he is the director of shoulder sports medicine. He is also an adjunct professor at the Wharton School of Business in the McNulty Leadership program. Dr. Kelly talks all about leadership: why it means to be a leader, how to be an effective leader, and the most important qualities of a leader. 

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2:45 - Above all else, Dr. Kelly says that the greatest legacy you can give your children is loving your wife.

3:45 - Dr. Kelly explains why he studies leadership.

4:35 - Dr. Kelly discusses his why and the importance behind leadership for life.

7:30 - In Dr. Kelly’s opinion, the greatest leaders don’t make it about them; they are mentors.

11:10 - Leadership is who you are. Everything you do conveys leadership. Managing the lost sheep.

14:14 - His father, who taught him grit and that quitting was never an option.

16:04 - Another influence is his old football coach, Bo Campel.

17:20 - Two more figures are Theodore Hesburgh and Coach Moglia.

23:15 - Treated Joe Fraser and learned from him, there's no wrong way to do right and no right way to do wrong

25:30 -  1) Integrity, 2) Team building, 3) Emotional Intelligence, 4) Servitude

29:10 - Dr. Kelly stresses the importance of physician wellness, something he has dedicated the latter part of his surgeon life to.

30:25 - When you were 38, what was driving you at the time?

31:35 - Dr. Kelly says that living in the moment is when you experience your best self. He has learned how to control his mind and practice mindfulness.

35:40 - Dr. Kelly describes his journey to becoming a leader.

39:40 - Dr. Kelly describes the three most important takeaways from Stephen Covey’s book, The 7 Habits of Highly Effective Leaders.

47:20 - When your passion and your skills meet the world’s needs, that’s your vocation. Dr. Kelly says, don’t overthink it.

Man’s Search for Meaning by Victor Franco

The Purpose of a Driven Life by Rick Warren

Good to Great by James C. Collins

Grit by Andrew Dugworth

God, Country, Notre Dame by Theodore Hesburgh

*Extreme Ownership by Jocko Willink and Leif Babin

*The Happiness Advantage by Shawn Anchor

*2 Chairs by Bob Beaudine

*The 7 Habits of Highly Effective Leaders by Stephen Covey

(*The four leadership books that Dr. Kelly recommends.)

John D. Kelly IV, M.D.

Season 2, Episode 4

What’s up Performance Therapy Nation!? This week, we’re back for a quick chat with Dr. Kelly Scollon-Grieve, a physiatrist (physical medicine and rehabilitation physician) who is Regenexx(R)-certified. She does everything from stem cell injections to TRP injections. In this episode, she explains and answers common questions surrounding PRP and stem cell injections.

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1:31 - Dr. Scollon-Grieve talks about the new office she opened in Wayne. She and her colleges opened this office with the goal of serving patients interested in their health and wellness, including regenerative medicine. Her office takes care of patients who want to avoid surgery by finding alternative methods.

3:04 - Regenexx is an international company that develops palette rich plasma (PRP) and stem cell treatment/protocols that diverge from the traditional way of doing things.

5:04 - The new technique only requires one injection to see results, whereas the old technique required multiple injections to be effective.

8:20 - All ages. Dr. Scollon-Grieve describes how she helps patients who want to avoid surgery. In many cases, the recovery time is much shorter than it would be if the patient had gotten surgery.

9:52 - It depends on the injury. For more severe cases, both are used. For more mild cases, just PRP is used.

13:06 - PRP is a good choice for patients with chronic tendon or ligament issues and those that have problems with their spines that could not be remedied elsewhere. Stem cells (or, bone marrow) is a good choice for patients with arthritis or more server rotator cuff tears.

Visit Dr. Scollon-Grieve’s page here.

Season 2, Episode 3

Podcast #22

Hello, Performance Therapy Nation! Today, Mike finishes up his conversation with Simoni Marco Lawrence (Hamilton Tiger-Cats) and Chase Jif Bethel, a strength coach - both Upper Darby natives. This is a special episode for Mike because he competed with and against both of these men growing up. In this episode, they talk about advice for younger athletes, Simoni’s experience in the Canadian Football League, and training for the mental game.

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1:15 - Simoni, if you knew what you knew now when you had a shot at the league, what kind of athlete would you have been in terms of training?

7:35 - Simoni says if kids don’t hear anything else, get some rest. Take naps, go to bed early and on time.

8:00 - Mike shares research that found teenage athletes who get less than 8 hours of sleep a night are 1.7x more likely to get an injury that will prevent them from playing sports than teens who get at least 8 hours/night.

9:00 - Simoni explains in detail the kind of training he does with the Hamilton Tiger-Cats on a weekly basis during the season.

12:35 - What kind of technology do you use at practice? Simoni talks about the tech he has used before and Mike explains how these sensors can provide data including things like average speed, top speed, and more. Coaches can use this data to see how an athlete is performing and more importantly, to track an athlete’s recovery process.

15:45 - Simoni talks about the difficulty of getting injured and not wanting to miss practice.

17:57 - Chase shares his thoughts on an athlete’s recovery process.

22:53 - Simoni asks how CHase and Mike prepare their athletes for the mental aspect of football/sports.

28:26 - The men debate what happens to athletes who are below par. Simoni says that in high school football too many times kids get “quit on”.

33:20 - Mike talks about the differences between the old school football he grew up with and modern football.

34:36 - Simoni asks what you do when two separate coaches tell you different things. Mike says the key to fixing this problem is for an athlete’s team of doctors to establish trust with one another and work together.

Jiff Bethel - @jiff_24fit

Simoni Marco Lawrence - @simmyhov21

Season 2, Episode 2

Podcast #21

Hello, Performance Therapy Nation! Today, Mike is joined by Simoni Marco Lawrence, safety / outside linebacker for the Hamilton Tiger-Cats, and Chase “Jiff” Bethel, a strength training coach. This is a special episode for Mike because both men are Upper Darby natives who Mike completed with and against in football growing up. In this episode, they talk all about strength training in football, how to train like an elite athlete, the evolution of sports training, and what it is like to train for the NFL combine.

PROGRESSION OF STRENGTH TRAINING IN FOOTBALL

3:39 - Tell me how strength training has changed in how it pertains to football.

7:21 - Simoni talks about his strength training at Valley Forge Military Academy versus his strength training when he started playing college ball at Minnesota.

9:58 - Q discusses how Chase’s strength in speed training is his ability to create field-like environments.

16:50 - Chase, as a coach, what is it like working with an athlete like Simoni who picks up drills quickly? How do you keep them interested and entertained?

ENERGY, VIBES, & COMPETITION WHEN IT COMES TO TRAINING

22:15 - Chase, tell me about the clients you train.

25:38 - Everything should be competitive according to Simoni. He recalls an old coach - Coach Brewster - who would say, “I want some competitive freakers!”

28:14 - They discuss the differences between football in Philly at private versus public schools.

31:15 - For Chase, as a trainer, it comes down to understanding your client and having the right vibe.

DIFFERENCES IN TRAINING THEN AND NOW

34:05 - How do both of you see training then versus now?

36:00 - The biggest change is people using PTs more and more now.

36:23 - Simoni explains why he always goes to a PT after he is done training.

37:01 - PT has changed from being solely for rehab to expanding into prevention measures, pre-op, and most importantly in athletics - optimizing muscle function.

41:52 - Mike thinks the biggåest change in strength training is that there is speed incorporated in the lifting.

44:35 - Chase talks about he sets up his training schedule to balance different aspects such as lifting, speed, and plyometrics. Simoni adds how his training looks on the Hamilton Tiger-Cats.

48:15 - Simoni talks about his experience with the NFL combine which sparks further debate amongst the men.

CONTACT

Chase “Jiff” Bethel - @jiff_24fit

Simoni Marco Lawrence - @simmyhov21

Season 2, Episode 1

Welcome back! This week, Q kicks off season two with PTW Newtown Square athlete, Chris Newell. Chris grew up in Newtown Square and is currently a sophomore center fielder on the University of Virginia baseball team. In high school, he played baseball at Malvern Prep where he won three state championships. In 2019, he was named Pennsylvania’s Gatorade player of the year and an Under Armor all-American. During his first year at UVA, Chris was named as a second team all-American and one of the ACC’s best freshman.

In this episode, Mike and Chris talk about Chris’s background in baseball, his elbow injury and Tommy John surgery, and the mindset he developed throughout his rehabilitation. They also touch on the psychology behind an injured athlete, Chris’s strength and conditioning training as a D1 college athlete, and coaching/mentorship.

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4:00 - Chris talks about his background and how he got into baseball.

7:45 - When he was 13, he won the Babe Ruth World Series.

10:58 - Chris discusses what led to him getting Tommy John surgery on his elbow when he was a sophomore in high school.

15:37 - He committed to UVA at 15 years old and tore his UCL at 16 years old. At the time, Chris felt like baseball was all he had. Q says that is a psychological component that medical professionals and parents need to understand; for a young athlete, their sport is everything.

17:56 - Q asks how Chris’s injury affected him mentally, socially, and academically. Chris explains why tearing his UCL was actually the best thing to happen to him.

20:45 - “You hear it so much: it’s how you handle adversity. I saw it first hand with myself and I knew I had to come out of the situation better than I came into it, and that’s the mindset I had.”

21:21 - One of the main takeaways from his injury was to appreciate the little things in life.

22:30 - Q asks how his training program has developed over the years. Chris talks about working with Jordan Quinones (Trainer at PTW Newtown Square) since he was 12 and how it prepared him for college ball.

30:40 - Chris answers how his time in baseball has helped him physically and where he sees himself going in the future.

33:42 - Q asks about coaching techniques, motivation, and where Chris gets it from.

34:50 - “You’re going to hear so many different things from so many other people so, what I said about being a sponge, obviously respect them and hear what they have to say, but one thing I always tell myself is try and take at least one thing that [a coach] tells me and put it into myself”

36:43 - Chris discusses how he depends on his coaches, past and present. The number one thing he looks for in a coach - whether that be a baseball coach or strength performance coach - is a meaningful relationship. This is something Chris keeps in mind when he coaches little kids.

CONTACT

Instagram - @chris_newell

Twitter - @c_newell20

This week, the podcast is all about running. What causes pain in runners, how to evaluate and treat runners, and some of the common misconceptions about running. Mike (Q) sits down with Alanna DiBiasi, PT and Melinda Brooke, Patient Coordinator/running enthusiast. Both women work at PTW Newtown Square.

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3:03 - Mike gives an introduction to Alanna, one of the physical therapists that work at PTW Newtown Square. She studied at Weidner University and went to train with the Army burn center in San Antonio, Texas after graduation.

4:50 - Melinda talks about using the Ultra G at Q’s clinic which is an anti-gravity treadmill.

5:30 - What is the biggest thing runners do wrong that causes pain?

9:50 - How do you find these problems in runners that come into the clinic?

14:20 - Alanna explains how she does an initial evaluation on runners. She says that past history is huge.

16:59 - Running doesn’t make you stronger. Strength training will make you stronger.

19:53 - Running outside versus on a treadmill

22:30 - What role do your arms play in running?

24:36 - Q asks Alanna what the goal of her screenings are and what kinds of tests she does.

29:03 - Alanna uses the overhead squat in her screenings, so Q asks her to explain the purpose of it.

31:43 - Test, treat, re-test. Q says any good clinician will follow this principle. Identify the issue, treat it, and then re-test to see if the problem was fixed.

35:45 - Feet, knees, hips. These are the major areas Alanna focuses on when assessing runners on the treadmill. Q adds that they also look for asymmetries in the body.

41:20 - Does fatigue affect running form? Alanna and Q say yes. People overstride when they are fatigued and it causes pain or injury. To avoid this, Q says you need to train the right way and make sure the distance is appropriate.

44:11 - After an evaluation, Alanna and Q will end by going over a game plan/treatment, and giving clients some exercises to do at home.

47:09 - Q talks about having a multidisciplinary approach and looking at all relevant areas of the body when evaluating one specific injured area.

CONTACT

Alanna DiBiasi - [email protected]

Melinda Brooke - @melindabrooke

This week looks a little bit different. Mike takes the guest seat on the Coach Hos Podcast with Joe Hos NSCA-CPT, CFSC, FMS and Mike St. George PT, DPT. The three of them discuss all things physical therapy - how they practice, what models they use, and different challenges within the field.

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2:49 - How did Mike St. George (MSG) and Mike Quintans (Q) meet?

6:45 - They talk about physical therapy models. Q’s consists of seeing fewer clients a day for longer periods of time.

13:10 - MSG explains why it is important for people to follow PT instructions; he says society has adapted to unnatural postures and young kids are working their bodies like professional athletes.

19:22 - They talk about some of the battles physical therapists face, including insurance, education, and ethics.

25:41 - MSG quotes Spartan Dude’s Podcast saying, “Pay now or pay later; pay the time now to fix your deficits or you put it off and pay later.”

28:15 - They discuss injury screening measures and assessing performance ability, including what Q uses at his own clinic.

39:12 - They talk movement patterns and what Q’s head of sports performance at PTW, Jordan Quinones, does to teach better movement.

44:13 - Why does the ACL get more wear and tear than the PCL? They talk about ACL tears and how they each treat them.

59:31 - MSG asks Q his take on open kinetic chain versus closed kinetic chain.

1:02:03 - When do patients transition from Q (the physical therapist) to Jordan (the strength performance coach)?

1:07:24 - MSG gives his take on how injury prevention measures can save people lots of time and money, and the men address people who say “I want to be faster.” They explain getting better at your craft is a developmental process and it takes time.

1:16:11 - Q gives a call to action saying PTs can work together to develop global solutions to injury prevention issues.

1:20:42 - Q uses video in his clinic to identify what athletes are doing wrong in their form and technique. He uses the app Huddle Technique.

The three questions that Coach Hos asks all guests on his podcast:

1:24:38 - What are the things that are keeping you up at night? Q says future development.

1:26:10 - What are some of your success habits? Q says determination, focus, and willingness to help.

1:27:15 - What is your biggest obsession right now? Q says his wife and coordinating his paternity leave.

1:30:44 - MSG sums up the conversation by reflecting on the importance of networking with like-minded people who are also willing to go 110%.

CONTACT

Michael St. George (MSG) - @honeybadger_juicy 

Coach Hos - @coach_hos

Click to listen to the Coach Hos Podcast

For today’s episode, Mike Quintans sits down with his producer, Shelly, to debate whether or not physical therapists should be addressed as doctors (e.g. Mike or Dr. Mike).

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0:56 - Mike starts the conversation with a story from his first job as a PT where another PT, fresh out of school, refers to himself as Dr. Tommy to his patient.

2:00 - Mike discusses how there is a difference between being a PT and a physician; physicians can order medication and imaging, but PTs cannot. Mike has heard some people say that is confusing to the patient when PTs refer to themselves as doctors.

3:22 - PTs are experts in movement, so does that mean they should be called doctors? Some say yes, some say no.

4:44 - White coat ceremonies - should PTs have these also?

5:12 - Fun fact: PTs in the military can order imaging.

5:50 - Shelly discusses how the role of trust with the patient factors into the equation.

6:55 - Mike talks about how the physician will react to PTs calling themselves doctor. He is worried about his relationship with physicians and being respectful to them.

8:14 - Mike says forget the titles; in the end, it is about working with physicians to come up with the best treatment for their patients. In order to facilitate that relationship, he believes it is important to respect the physician's title.

10:08 - It is a term of respect. Shelly brings up how patients can get confused and referred to anyone in the medical profession as doctor to show respect.

10:51 - Physical therapists have earned the right to call themselves doctors. With that being said, physical therapists need to be aware of how their relationships are built.

11:44 - Mike considers the other side - he can be his own advocate and can see a patient off the street; he doesn’t need a physician recommendation to do so.

12:07 - Mike finishes by saying that at the end of the day, PTs just need to be clear about what they can do and what their limitations are.

CONTACT

Phone - 610-723-7771

This week, Mike sits down with Dr. Jim Fagnani, a physical therapist and administrative leader for Physical Therapy and Wellness Institute (PTW) which is an Ivy Rehab company. In this episode, they discuss Jim’s lessons and adventures as an outpatient PT and how he worked his way up to the administrative side of PTW - the company that he has been with his entire career.

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1:50 - Jim attended Weidner University for both undergrad and graduate degrees. He also played football at Weidner. Mike explains how they met through Weidner.

6:35 - Jim talks about his upbringing and how he learned to lead by example by working for his family’s business and playing football.

13:21 - How Jim got his start at PTW; he began as a student intern. He got into the industrial athlete approach/worker man’s comp. When he opened a clinic in West Norton, he got more into the business and became a partner.

21:05 - Jim explains why PTW and Ivy Rehab decided to partner.

27:10 - Mike ask Jim how he flourished in the industry.

32:47 - Jim talks about driving change and developing future leaders. He says working with clients to map out their goals is no different than mapping out goals with his employees.

38:15 - Mike asks Jim, “where do you see your leadership going in the future?”

49:38 - Jim explains why he thinks PT students should become a Certified Strength and Conditioning Specialist (CSCS).

55:10 - Jim talks about the differences he sees in physical therapy grads today.

1:00:15 - Jim recommends some of his favorite books.

1:04:59 - One takeaway Jim has from his readings is “until you really know yourself, you’re looking at a mirror with dust on it.”

1:05:12 - Mike mentions the book “The Greatest Salesman in the World” by Og Mandino.

CONTACT

Email - [email protected]