JT Christian

@elNicodenuevo @kcrehabguy @braidy_solie Look at the supplementary material in the article. There are several videos on how to do it with different exercises.

@JTthePT @kcrehabguy @braidy_solie @JTthePT could you post an example on how you do it? It's for a friend 😊

If you need a stocking stuffer for the rehab nerd in your life, here ya go. Solid commentary here in IJSPT from @braidy_solie and colleagues. ijspt.org/oh-my-quad-a-c…

@tomgoom Is there any info on the posterior knee tendon injuries? Or is this chart just based upon anatomy and the plausibility of tendon pain?

Posterior knee pain differential diagnosis. I’ve focused on the more common injuries but it’s worth noting that bone stress injuries (such as tibial stress fractures) and bone tumours can also cause posterior knee pain, although they are more rare.

100% agree! Especially smaller tears in younger patients.

@LenMacPT There’s an entire continuing education certification called MAT (muscle activation technique), it’s all about activating more muscles to improve performance…. Proprietary stuff that can’t be shared with folks who haven’t done the course 🤦‍♂️

I can't remember the last time I told a patient that they cannot activate a muscle. Is this actually a thing? Am I misunderstanding a concept?

@LanserBailey @kcrehabguy @KeithKnurr @AASPTCollPro How do you join the journal club?

Drum rolllllll 🥁 🥁 MARK YOUR CALENDARS! Journal club is back from holiday break and we got a good one for you!🤓 Topic: Updates on ACLR 🦵🏼 Date: Wed, 1/31 730CST 🖥️ Experts: @kcrehabguy and @KeithKnurr 🙌🏼 Articles sneak peek 👇🏼👀

Hot take, the Quad Tendon ACL autograft needs to go away... I have not seen ANY evidence indicating benefit greater than HS or BPTB autografts... On the contrary, QT graft knee extension strength tends to lag behind its autograft counterparts. THIS IS NOT GOOD!!!

@LenMacPT Haven't done a deep dive on it, but this AJSM publication showed 100% OA rate in for patellar tendon grafts, compared to 71% for hammies... pubmed.ncbi.nlm.nih.gov/29741911/

Random shower thought this morning! I know many docs are shifting to QT and one reason cited has been knee OA in patients getting a PTG graft. If that’s true, are contralateral graft site knees becoming more arthritic than a normal knee? Curious what Dr Shelbourne’s group has seen. He’s done contralateral PTGs for many many years and would be seeing that, no?

Second patient of the day: "Let's drop down to once next week, seems kinda crazy to pay someone to make you exercise." Me: 🙂 Literally 1 week ago, he couldn't walk for more than 10 minutes. He just walked for 20 minutes yesterday. Seems kinda crazy... k, done venting

@kcrehabguy Do you use the old school original Levy exercise? pubmed.ncbi.nlm.nih.gov/18718765/ Or, the nuanced EMG approach? pubmed.ncbi.nlm.nih.gov/32951644/ Or both?

The Reading and/or Levy shoulder programs are just money for massive RCTs. Got a guy who couldn't elevate to 100 degs w significant UT compensation and can now get to 165 w both abd and flex. Definitely my go-tos for this population. Hopefully will avoid or prolong surgery.

@kcrehabguy @DrPeteMalliaras @kgSilbernagel @ProfJillCook Sounds like a great time to get some hip thrusts going! High EMG in a shortened range, i.e. load with minimal compression

Don't think I've ever seen this before, but I'm fairly certain I have a guy w/insertional glute max tendinopathy. Competitive weightlifter & powerlifter. Symptom pattern & pain location makes sense given high squat demands. Seen this @DrPeteMalliaras @kgSilbernagel @ProfJillCook?

“there is inadequate evidence to make clinical recommendations on the effectiveness of physiotherapy interventions for people with clinically diagnosed sciatica.”link.springer.com/content/pdf/10… How effective are physiotherapy interventions in treating people with sciatica? A SR & MA

@kcrehabguy Self pay, adolescent volleyball player. Described knee valgus MOI. Drawer, Lachman and lever sign negative. She has a little patellofemoral pain to address. Trying to prioritize rehab for prevention. I’ll be lucky to get 2 follow up visits.

@JTthePT I think it's a fundamental movement that people should do for movement literacy in general. I don't think it's specific to the ACL. Haha, where are you going with this?

@kcrehabguy How important is teaching a hip hinge for ACL injury prevention/risk reduction?

@dennistreubig @doclsmack @LenMacPT @mickwhughes @RoulaKotsifaki @erikMeira Interesting idea. The landing would require substantially less load absorbed at the knee than jumping forward. pubmed.ncbi.nlm.nih.gov/25087112/ However, the initial takeoff may do a decent job of assessing force production through the knee extensor mechanism.

I’ve been playing around with using a BACKWARD Single-Leg Hop & it seems decent in theory (less hip) & has correlated with single-leg vert & quad index for a few pts. Thoughts? Concerns? New research idea for someone? @doclsmack @LenMacPT @mickwhughes @RoulaKotsifaki @erikMeira

@dracheypt @kcrehabguy Patient had been seen by multiple physicians locally before arriving in my office. And then she eventually spent a week at the Mayo Clinic... But, if you have enough lumbar MRIs they'll eventually find something And, she doesn't even have pain lifting overhead! 🤷‍♂️

@JTthePT @kcrehabguy The pt prob said it hurts my back when I lift OH and the MD said well that’s why it’s not getting better stop doing that lol…Insidious pain at multiple locations tho? Any systemic conditions? When too much random is going on I steer towards referring. Functional med consult esp

Hey @kcrehabguy, ever heard that overhead scaption raises are contraindicated after a lumbar disc injury? Weird case, but I have a doc telling a patient that’s the reason why she isn’t getting better

@kcrehabguy Thanks for all of the twitter support:) There is a lot more to the story--the patient has seen at least a dozen Physicians, insidious pain at multiple locations. And now she has a phobia of overhead lifting...🤦‍♂️

@JTthePT Oh my. There's got to be more to the story than this.

New in PTJ! The Critical Role of Nutrition Care to Improve #Pain Management: A Global Call to Action for Physical Therapist Practice

@kcrehabguy The Aflredson protocol is shit ton of volume: 3 sets of 15 heel drops, 2x daily. You're supposed to add a backpack full of books to progressively overload it. How bout an undulating program? Heavy one day, and higher rep or isometric the next day. - That's what I do.

Reviewing these babies in journal club next week. Should be interesting! ACLD diff than ACLR but Chius previous paper advocated for posting uninv. Always curious if Alfredson protocol done w higher loads. Too light to me. 🤔