The 5 stages of on-field rehab after long term injuries with Filippo Picinini

This episode of the Pacey Performance Podcast sees Rob speaking to Head of late stage rehab & sports science at Isokinetic Medical Group, London, Filippo Picinini.

The discussion delves into the stages of on-field rehabilitation. Stage one focuses on linear movements, helping players restore confidence and familiarize themselves with the environment. The emphasis is on separating conditioning drills from basic technical drills. The transition from stage one to two is based on criteria like restored strength, normalized running mechanics on a treadmill, and movement quality. Filippo emphasizes the importance of movement quality, noting that players often struggle with basic movements, especially after long-term injuries.

Later in the episode, Filippo details how he progresses athletes into stage two and then through to three, four and five. Throughout the rehabilitation process, Filippo highlights the importance of monitoring players using GPS technology to track metrics like total distance, moderate and high-speed running, and accelerations. This data, combined with the players' physical responses, informs the progression through the rehabilitation stages.

Filippo Piccinini provides valuable insights into late-stage rehabilitation for athletes, emphasizing the importance of movement quality, gradual progression, and the use of technology to monitor and guide the rehabilitation process. If you are managing any athlete through the rehabilitation of a long term injury, this episode is for you.

Main talking points:

Emphasis on restoring player confidence

Transition criteria: strength and running mechanics

Challenges in basic movements post-injury

Volume prioritization over intensity

Micro dosing high-speed running

Rehabilitation's gradual and monitored approach

GPS technology for monitoring