Dylan Sykes

Whether or not ultrasound is scientifically supported, I think the potential placebo along with relaxation that comes along with the treatment can go a long ways with the patient. In this case I would definitely advocate for ultrasound to be performed in the clinic. #PT582 #CC

This article shows that NMES can be effectively used in stroke patients to treat shoulder subluxation. #PT582 #AJ pubmed.ncbi.nlm.nih.gov/28343442/

@Riley_shae98 As far as ethical issues regarding Russian e-stim, there don’t seem to be any as this is largely a therapeutic modality. Inhibiting the use of this could be detrimental to those athletes attempting to recover from injury. #PT582 #RI

Tibia honest, its going to be a great conversation tonight on Twitter!

Here’s a study that showed improvements in achilles tendinitis after injection of platelet-rich-plasma. What’s interesting is it had a moderate improvement in chronic issues up to 4 years later. #PT582 #AS ncbi.nlm.nih.gov/pmc/articles/P…

Here’s an article that shows heavy dosing of creatine supplementation can be harmful if the individual has current or a history of renal issues. #PT582 #KD pubmed.ncbi.nlm.nih.gov/19124889/

As a physical therapist we must first be a model of good health. Patients will look to therapists for guidance and in this case it is important for therapists themselves to exercise regularly. Resistance + aerobic exercise can also be incorporating in the HEP #PT582 #RT

This article shows that acute aerobic exercise has a noticeable affect on BDNF, a key component in neuroplasticity and depression. However, the systematic review was not able to show a significant change with resistance training. #PT582 #KJ link.springer.com/article/10.216…

@MorganDrew16 Any intervention that works to encourage functional movement would be recommended. These could be immobilizing with splinting or casting, or work on movement specific aspects with general movement training or strengthening exercises. #PT582 #MD

@ds_DPT @ds_DPT I agree that botox is definitely a stepping stone for other types of interventions. What interventions do you think would be most beneficial?

#PT582 #MD Some modalities, although temporary, can briefly alleviate pathologies long enough for longer lasting interventions to be used. In this case an item such as botox is immensely useful in providing that initial stepping stone to build off of.

Thank you to everyone that joined to discuss generalization vs specialization in adolescent athletes! We had a productive session, and here is the summary of the discussion. #PT582 #DS

@EmilioA43040616 The article shows a greater increase in running performance with increased specificity over the cross training. With this, is there a line to walk where both running is increased while adding components such as weight lifting to counter the increased injury risk? #PT582 #DS

#PT582 #DS As DPTs, I think we possess the clinical knowledge to purposely shift rehab away from their specialization if the intent is to prevent future injury. We could even argue this is cross-training. This article dives deeper into cross-training link.springer.com/article/10.100…

@TateTsingine I love your point about finding the correct timing of specialization that leads to success without burnout. There’s no concrete time where we can definitely say okay drop everything and do this one activity. It’s totally different with each individual. #PT582 #DS

#PT582 #DS the body needs for growth. The difficult part is finding the correct timing and balance of specialization that leads to success without burnout. pediatrics.aappublications.org/content/138/3/…

#PT582 #DS Research shows that many collegiate & pro athletes participated in multiple sports before specialization, with many of the skills crossing over to their specific sport later in life. Incorporating generalized activity into rehab provides that “variability” (1/2)

@JacquelineTorpy Should all planes of ROM still be strengthened even if that leads to decreased performance in the specific sport? #PT582 #DS

@ds_DPT (2/2) shouldn't be corrected for their specialty. (Dancers have such a good turnout because their knees have been turned out since the bone started growing.) But, the full ROM in all planes should still be trained and strengthened to support that sport specific ROM. #PT582 #DS

Today we will be discussing adolescent specialization in sport and the subsequent role of PT in their rehab. Can’t wait to see what everyone thinks! #PT582 #DS

@SterrettCarolyn I completely agree with you. With the PT only being called in to work on an injury, is there a proper way to introduced generalized strengthening while also addressing the current overuse injury? #PT582 #DS

@ds_DPT #PT582 #DS I would have really appreciated a PT helping me be more well rounded when I was young. I specialized early and it lead to a significant number of injuries and imbalanced strength. I think as PT's we should identify weak areas and help our pt strengthen those.

@Riley_shae98 Those are great examples Riley. Are there any sports where it may actually be detrimental to performance to incorporate all directions of movement? #PT582 #DS

@ds_DPT #PT582 #DS As PTs, we should incorporate all directions of movement in rehab. For example, a runner always moves in the forward direction, so giving the adolescent backwards lunges, sideways on the stair stepper, etc. can help avoid OT injuries.

@MichChristian5 Is it then possible to walk the tightrope between developing an overuse injury incorporating proper muscle balance? Or should muscle balance be the prime target of the PT while they work with the individual? #PT582 #DS

#PT582 #DS This systematic review shows that general strengthening decreases the risk of both acute and overuse injuries in adolescents. Adolescents may think that specificity is crucial for performance, but muscle balance is crucial for injury prevention. bit.ly/3k223Cd

@manderslat Is there an age range where sport specific specialization would be more appropriate? Or should the individual try to maintain over activities even into adulthood? #PT582 #DS

@AnnaReiserSPT Do you think that cross training would be more sport specific? For example common cross training for runners are cycling and swimming. They work different muscles group but share the commonality of endurance and maintaining Vo2 Max. #PT582 #DS

#DS #PT582 because it strengthened muscle groups I didn’t typically use, addressing muscular imbalance. It also improved endurance!

#DS #PT582 I think rehab for young athletes needs to combine training similar to their sport balanced with training completely different. When I was dancing, the best injury prevention and cross training I ever did was swimming (1/2)

@ColleenDrisSPT Do you think education and injury prevention injuries would be enough? Or should there be a total movement away from early specialization in general? #PT582 #DS

#PT582 #DS (2/2) It’s interesting to see that the articles I was able to find on this topic agreed that there is a problem, but none suggested how to combat it.

@rainataylorrr I completely agree! Sometimes it can be perfectly okay to specialize early, it is just imperative in those situations to work on all the compounding motions that make up the overall activity. #PT582 #DS

While I think its important to be well rounded as an athlete, overuse injuries often result from poor performance or technique, malalignment, or muscle imbalances. So sometimes sport specific rehab may be the best option for prevention! pubmed.ncbi.nlm.nih.gov/3901173/ #PT582 #DS