Sabitlenmiş Tweet
.@mikereinold & I have released a new online knee seminar. See how we eval & treat the knee! onlinekneeseminar.com
English
Lenny Macrina, Sports Physical Therapist
20.8K posts
Lenny Macrina, Sports Physical Therapist
@LenMacPT
Sports PT, Co-founder & Director @championptp 💪🏼, @mytpi certified ⛳️ Clinical Researcher/Lecturer 🤓 IG: https://t.co/t9MwQZDEoR
Waltham, MA Katılım Şubat 2011
737 Takip Edilen9.4K Takipçiler
Lenny Macrina, Sports Physical Therapist retweetledi
The collaboration between orthopedic surgeon and physical therapist is key for a successful outcomes after surgery.
English
We could be friends
PGA TOUR@PGATOUR
Rory McIlroy has announced his menu for the 2026 Masters Champions Dinner.
English
Lenny Macrina, Sports Physical Therapist retweetledi
Join me and @PhilPlisky and @medbridge for a LIVE podcast on March 17th at 7pm to talk a modern approach to loading progressions in rehab. Register: medbridge.com/educate/webina…
English
Can’t wait for robo umpire to reverse a call like that in a big game!
English
English
@LenMacPT @doclsmack @agordon55 Do you force ext as much when they are having potential fat pad irritation? Are you more cautious with ext over pressure?
English
Former College soccer player 2+ years out of ACL-QT graft and trying to play pro soccer BUT she can’t get the strength back in her quads.
English
I know the feeling Scottie!
Skratch@Skratch
The Scottie Shuffle vortex has become far too powerful.
English
English
@LenMacPT @doclsmack @agordon55 We have also started seeing QT grafts more frequently the past year & they have struggled more than BPTB grafts with multiple things: ext ROM, quad stength & at times ant knee discomfort. One thought that was floated: fat pad being more irritated due to surg technique. Thoughts?
English
Not being defensive. Myself and many many others are completely baffled by the delay in strength gains specifically with QT grafts. Numerous clinicians/patients have reached out to me. I’m genuinely curious what the mechanism is. Even docs are reversing course and going back to PTG grafts because of the delay in strength gains. I have done hip extended knee extensions and it didn’t help at all. There seems to be something with the amount of QT tissue used and how proximal and medial the surgeon goes. We don’t have those details in PT often times so our best guess is to load the quads in various positions but with a very delayed response… like 3+ months delay for many.
English
@LenMacPT @agordon55 Re Achilles, the evidence is absolutely not the opposite. No blue check so my answers on X are short. Don’t know why you are so defensive. You clearly have a problem with your QT grafts. Why not try it?
English
Wish I had better results but also seems counterintuitive to put a muscle/tendon on stretch and isolate it with resisted extensions to prevent it from stretching out. We do the opposite for an Achilles and it’s still sometimes stretches out. What do you think is the mechanism and why do we have to be so specific? Does it apply to all quad tendon grafts or just full thickness dissection? What about partial thickness dissection? What about ones that use a bone dash tendon?
English
@agordon55 @LenMacPT Abby, I don’t know why it hasn’t. we have been banging this drum for quite a few years now. We have published papers on it and incorporated it into our open source ACL practice guidelines for some years now
English
My exact path to a par a few years ago here at Sawgrass.
PGA TOUR@PGATOUR
Early candidate for "par of the week" from @SRTheegala 😯 📺 PGA TOUR LIVE on ESPN+
English
I'm doing an ACL lecture on Tues August 11 is anyone is interested. Link bleow to sign up:
@45e6c421-b88b-4b5c-81de-e78111a01187" target="_blank" rel="nofollow noopener">events.teams.microsoft.com/event/e66ca44f…
English
@doclsmack great thoughts...but wish it was that easy.
English
@LenMacPT I have responded to you before on this. QT graft comes exclusively from the rectus femoris, a biarticular muscle. Early rehab needs to emphasize open chain quad exercises with the hip near 0°. If that doesn’t happen, the quad tendon can stretch like after Achilles tendon repair
English
@DanielLiechtiMD @kcrehabguy seems like it...so why do many still struggle with strength? Partial graft better than full thickness graft
English
@kcrehabguy @LenMacPT Graft harvest technique is very important.
English
But unless there’s a nerve issue, which is rare, then we don’t see these issues with our PTG grafts. I will continue to share posts and DMs that I receive all of the time with stories from patients and clinicians. We can do better and I hope the surgeons continue to listen to us PTs and ATCs. The tide is shifting (I think)
English
I’m telling you, this is not normal and we still try to sell it on no AKP, big robust graft and easier surgery.
English