ClinicalAthlete Newport

Here are reasons why we program partial front squats for some of our athletes! 1. Develop positional strength for the jerk dip: No, this doesn’t take the place of the jerk itself, but allows for overloading and accumulation of volume in the position. Gives the athlete a chance to really feel the tension in the legs that’s needed for a powerful drive; as well as maintaining torso position under high tension. ... 2. Develop positional strength for the front squat: For lifters who immediately start turtle-backing their front squat, setting the pins at various heights allows them to really focus on maintaining a supportive front front and upper back position. You’ve got range of motion and tempo as variables to manipulate. 3. Patellar tendon rehab: This can be a form of heavy slow resistance specific to the weightlifter. Manipulate intensity, tempo, and range of motion to continuously test and push the athlete’s tolerance. 4. Hip or other forms of squat rehab: The pins allow the athlete to train within the tolerable range of motion, with the goal of pushing the tolerance threshold over time. We're likely doing some other forms of graded exposure for the involved area, but this allows us to use a heavier load. Ever use these? Hate em? Love em? Love/hate? ClinicalAthlete ClinicalAthlete Weightlifting Certification #ClinicalAthleteProvider #WMAO #KneeBola See more

Strength training can reduce injuries, and we do plenty of that at #ClinicalAthleteNewport!

Check out how our Physical Therapist Quinn Henoch, DPT explains knee rehab and strengthening with one of our athletes! ___________________ Meet my man ’T’.... He’s been dealing with bilateral quad tendoninopathy that affects him when squatting. Here we are going to failure in the clinic with flywheel squats on the Exxentric #kBox4. He damn near broke his face after getting off the box, because his quads were so tired, BUT - wouldn’t you know it, his knees felt great! Exercise Induced Analgesia is a phenomenon in which the pain experience is altered after a bout of exercise. Many of you may have also experienced this. Why does this happen? We don’t really know. The most simple hypothesis is probably that the novel sensory stimulus of the exercise overrides the other sensory experience of pain. Athlete beliefs and expectations probably play a role as well. How does this phenomenon help us clinically? 1. It allows us to get meaningful work in 2. Decreases fear avoidance to movement and load 3. Shifts locus of control back to athlete - they are now in control of their experience Do we need to go to failure to induce EIA? Absolutely not. However, going to failure DOES guarantee that we are providing a sufficient stimulus to induce an actual physiological adaptation to the stressor. Short-term pain relief is great, but we’re ultimately looking to anti-fragilize those tendons. I felt comfortable with this because I’ve been monitoring T’s training for a while, so I know what he could handle; and the accommodating resistance of the #kBox is based on your effort - so you can really get a concentrated amount of work in a short time. I also love how the athlete gets real-time performance feedback on their force and power production with each rep from the #kMeter - but of course, you can use whatever equipment you have at your disposal. A couple references for EIA: 1. Naugle et al. A meta-analytic review of the hypoalgesic effects of exercise. 2012 2. van Ark et al. Do isometric and isotonic exercise programs reduce pain in athletes with patellar tendinopathy in-season? 2015. Other Resources to learn and discuss these ideas with me and smarter people: ClinicalAthlete Forum #ClinicalAthleteProvider #TheWarOnKneebola

CASE: Plantar Foot Pain While Running Here, Quinn Henoch, DPT discusses the rehab plan for an athlete who is experiencing foot pain while running, but is training for Police Academy testing. Our priorities when building an athlete's rehab plan:... Tier 1: Training Load Management Tier 2: Positional/Movement Modifications Tier 3: Nonspecific Accessory What is #ClinicalAthleteRehab? It’s providing the athlete with the tools and guidance to progress safely back to sport, while reducing risk of re-injury. All based on our interpretation of the best current evidence. For further discussion and resources for best practice in athlete rehab, sports med, and performance, check out the ClinicalAthlete Forum or come check us out in Newport Beach!

Check out our Physical Therapist Quinn Henoch, DPT talking about his own shoulder rehab! We understand athletes' needs at #ClinicalAthleteNewport ____ A couple of months ago I was experiencing an annoying strain in the tissues on the medial side of my right shoulder blade. They would manifest themselves during snatch or clean pull variations. I typically program rehab through "Tiers" (priorities). Basically, what provides the biggest bang for the buck and keeps things as spec...ific to the goal activity as possible. Tier 1 is modifying training load (intensity, volume, frequency, et). So, I made sure to find the intensity and volume threshold that exacerbated my symptoms during pulls, and tried to stay just under that threshold. Tier 2 is modifying position or movement in order to optimize leverages and distribute forces in an effort to modify symptoms and improve performance. So, I made sure to really lock in my upper back position from the floor to the knee, and that seemed to help as well. Tier 3 is any non-specific accessory movement used to impart direct load to the affected area, in an effort to increase load tolerance and/or create an analgesic effect. In many cases, the issue is taken care of with Tier 1 & 2. In my case, I figured since my symptoms were unilateral, I'd implement a unilateral loading strategy to directly stress the tissues and hopefully de-sensitize them. In my clinic at ClinicalAthlete Newport, I'm lucky enough to have a #kBox4 flywheel from Exxentric. I picked this exercise over a DB row because I like the fact that the eccentric load is dictated by how hard I pull concentrically. This allowed me to keep a high internal load rating (RPE) for a greater number of reps, before fatiguing out. It also allowed me to be in the half kneeling position, which I like, because of the leverage I was able to create by anchoring my opposite hand to a rack. I could feel the affected area getting direct work, and symptoms actually decreased as sets went on, which is always nice. Barely Shown: Mark Yeterian holding down the bench that the kBox was on. Exxentric just came out with a wall pulley that would be the purrfect solution for this. That may be my next toy #ClinicalAthleteProvider #exxentric #kBox #mypullsfeelgoodnow #shoulderbola #scapbola #rhombola #neckvein