Mike Reiman

Our July @JOSPT includes two #ClinicalCommentaries The first focuses on understanding adult #HipDysplasia To get the expert opinion on how to understand the presentation, assess & apply exercise-based management for hip dysplasia, click ➡️ ow.ly/n6ZC50ZmB0E #yourJOSPT

MISHA knee system. Thoughts? @LenMacPT @kcrehabguy @mickwhughes anyone?

Another great program by @kcrehabguy et al

The trial found no significant effect of the BANG intervention on the primary outcome. RTS Rates: 36% at 12 months. Psychological & Functional Parity: No difference Clinical Outcomes: Knee function & hopping performance similar Injury Incidence: 15% both groups within 24 months

Interesting shifts over 14 years related to ACL surgery and rehab (Canadian surgeons) 👉starting use of QT graft 👍longer rehab 👉less post op bracing 👉81% use functional testing 👇response rate in 2022 than 2008

Ranking muscle performance by peak force, NOT EMG measurement used by Collings et al. is intriguing. EMG is a poor predictor of gluteal muscle force across different exercise types. simply rank ordering an exercise is not likely to fit clients the same, nor guarantee outcomes

“This research is a ‘wake-up call’ for rehab specialists. High EMG amplitude does not necessarily equal high mechanical tension. The split squat and single-leg RDL may be more effective for gluteal strengthening than high-EMG "isolation" exercises”

Task-based, progressively loaded WV training is an effective adjunct for improving neuromuscular power & maintaining bone health in older adults. But, the "wear-only" model remains clinically unproven for these outcomes at low loads. a robust implementation framework is needed .

Effect of Exercise on Depression & Anxiety. Munro NR, et al. 2025 Exercise has a significant, small-to-moderate effect on reducing anxiety symptoms. While exercise is effective across various forms & population groups, specific parameters appear to optimize outcomes for anxiety

High confidence predicts 10-fold increase in the risk of second ACL injury among those who pass all physical tests: •Confident athletes are more likely to return to high-demand pivoting & cutting sports with aggressive movement styles. •lack “fear" or "risk appraisal"

Artina et al. successfully highlight the "Wild West" of calf capacity testing, where a lack of standardization makes cross-study comparison nearly impossible.

“TB is superior for maximizing absolute load & targeting the hip extensors. SSBr creates similar demand on the knee joint while utilizing a lower absolute load & more upright posture. SSB-excellent tool for rehabilitation contexts where hip-sparing or lower fatigue is required”

@VernonGriffith4 As with all exercises, monitor for symptoms and tolerance. Credit @vernongriffith4 @missiledreaming For additional awesome videos

Supine position eccentric hip flexor: greater external stabilization with trunk external resistance can significantly challenge not only the eccentric strength of the psoas, but its tensile dynamic Credit @vernongriffith4 @missiledreaming For additional awesome videos

1/4 Psoas as an anterior hip stabilizer Initially, I start in a static position, such as tall kneeling, focusing on the hip in extension Progression contralateral hip or UE movements to drive the hip into varying degrees of hip extension, depending on tolerance & goal

@sciqst Perhaps read the entire infographic?

Interesting perspective, Mike! The psoas major’s role in hip stability is indeed crucial, especially during the initial phases of movement. However, labeling its action as solely "static" might not capture the full picture. Could the description benefit from exploring its dynamic role during various activities like walking or running? The movement beyond 15° flexion might also show how interconnected our muscular and skeletal systems are. #Medicine #Anatomy Also, for a deep dive into such topics, consider checking out Sci-Quest (sciqst.com). It's a fantastic resource for exploring comprehensive biomedical reviews.

“The psoas major (PM) stabilizes the femoral head primarily by pushing it into the acetabulum during the initial stages of hip movement. This stabilizing function is most effective when the hip is in 0° to 15° of flexion. This stabilizing action is a "static" function”.

@BillingMartin @movementcoachkm Yes, good point. Guess I wasn’t very clear. That is what you get when you search it. I am questioning that myself. Trying to point out the “default” is not always what we should rely on. My bad for not being more clear.

@movementcoachkm @MikeReiman Lumbar lordosis is a description of normal anatomical curve I’m not really sure what you mean by contributor

⭐️Psoas major Searching texts & Dr Google for its clinical relevance you get; •Commonly associated with lower back pain and hip pain. Tightness in the psoas can contribute to: ◦Lumbar lordosis (excessive curvature of the lower back). ◦Hip flexor strain. ❓Thoughts