The Importance of Isometrics

An isometric contraction is a static form of exercise in which a muscle contracts to produce force without an appreciable change in muscle length and without visible joint movement1 We learn these basic concepts in school and are told to provide these types of interventions during the early phases of rehabilitation, but do we truly understand the…

Evidence-Based Strength Training: Gluteus Maximus

To build upon my previous post regarding Evidence-based Strength Training of the Gluteus Medius, I wrote the following article for MedBridge Education... Pain and Gluteal Strength The gluteal musculature has been implicated in many different pathologies due to its potential impact on lower extremity biomechanics. During weight bearing, the femur moves about a fixed patella and therefore excessive…

VMO: An Update

The following is an article written for the online, video-based physical therapy continuing education company MedBridge… Patellofemoral pain syndrome (PFPS) is among the most common sports injuries and yet the current treatment protocols are not optimal. In particular, the latest research questions our ability to selectively recruit vastus medialis obliquus (VMO) and affect its timing and suggests…

Evidence-Based Strength Training: Gluteus Medius, An Update

To build upon my previous post regarding Evidence-based Strength Training of the Gluteus Medius, I wrote the following article for MedBridge Education... Pain and Gluteal Strength The gluteal musculature has been implicated in many different pathologies due to its potential impact on lower extremity biomechanics. During weight bearing, the femur moves about a fixed patella and…

Should we stop blaming the glutes for everything?

Below is an article written for MikeReinold.com...  Anterior cruciate ligament (ACL) rupture1,2 and patellofemoral pain syndrome (PFPS)3,4,5 are two of the most common lower extremity complaints that physicians or physical therapists will encounter. In addition to the high incidence of these pathologies, with regards to ACL injury, very high ipsilateral re-injury and contralateral injury have…

Evidence-Based Strength Training: Scapulothoracic Musculature, Part 2

Scapulothoracic Muscles and Pain As I mentioned in Part 1, weakness or poor neuromuscular control of the periscapular muscles has been implicated in subacromial impingement1,2, lateral epicondylalgia3-5, cervicogenic headache6, and neck pain7,8. Specifically, insidious onset of neck pain and whiplash associated disorder (WAD) have been linked with a significant delay in and shorter duration of…

Evidence-Based Strength Training: Scapulothoracic Musculature, Part 1

In the next installment of the Evidence-Based Strength Training Series for MedBridge Education, we are going to take a look at the often-neglected scapulothoracic musculature... Typically when considering the management of painful upper quarter conditions, local exercise and manual therapy interventions are employed judiciously. However, when utilizing a proper movement assessment or regional interdependence philosophy, impairments…