Bart Dingenen

BIG NEWS!! Really proud and excited with the release of my online ACL rehab course! ✅ >40 hours of interactive online content ✅ Lifelong access ✅ Continuously updated ✅ International accreditation is coming soon! 👉 study.physiotutors.com/course/acl-inj…

🚨NEW📄🚨 Foot strengthening protocol 🦶🏋️‍♀️ ⚡️= ⬆️foot MTP flexion strength, muscle volume and some sprint/jump/COD perf and mechanics ✅ in high-level athletes 🧐🧩 All exercises, RCT program and details, Open Access @PLOSONE 🎁 👏@r_tourillon &al: journals.plos.org/plosone/articl…

New study showing... Indirect/Non-Contact ACL Injuries in Male Pro Soccer (11 seasons) 🏴󠁧󠁢󠁥󠁮󠁧󠁿 ✔️English Premier League ✔️English Championship 50% in Defensive Pressing "Our data AGAIN indicates ACL injuries occur more commonly during high-velocity horizontal DECELERATION tasks"!

🆕‼️ Sprint Running Mechanics & Hamstring Injury Risk ‼️🆕 Our latest research in @BJSM_BMJ explores whether sprint mechanics are linked to past and future hamstring injuries in professional footballers. What did we find? And why does this matter? 🧵👇 bjsm.bmj.com/content/early/…

Oh, My Quad: A Clinical Commentary And Evidence-Based Framework for the Rehabilitation of Quadriceps Size and Stren… pubmed.ncbi.nlm.nih.gov/39628771/

NEW PAPER: From Tissue to System: What Constitutes an Appropriate Response to Loading? Out now in Sports Medicine: link.springer.com/article/10.100… So pleased to be able to work with Eric Oetter from the Memphis Grizzlies on this one!

Control your trunk - your groin, hamstrings and knees will thank you later! Running, cutting and stopping technique are all inefficient without trunk control. It's 50% of your body mass. Learn how to control it within the chaos of accel and deceleration. We are not talking about movement "technique" yet. Just principles that transcend techniques and maximise force output and load sharing! @coachrgrubbs @vuemotion

Why is your speed training not transferring to your sport? Like many, your lost learning "speed technique" before embedding "speed principles". Four key principles govern efficient and effective performance across multi directional speed. I have given you one, what are the other three? Credit to @chrisbramah and his great lab for hosting us over the summer and providing such excellent video and data.

New review where we discuss whether resistance training (RT) helps or hinders performance in speed and endurance sports? We discuss how certain RT adaptations might boost but also impair performance! Free full-text: link.springer.com/article/10.100… Short thread with figures below

Great to share our (@IsokineticMed/@FDellaVilla) latest video analysis study on ACL injuries - this time in Spanish football in @BMJOpenSEM ➡️Injury Mechanisms ➡️Situational patterns ➡️Neurocognitive errors ➡️Biomechanics (kinematics) Open access 👉 bit.ly/3BnpkeN

And eccentric training!

Physios in an ACL course when I'm mentioning that they are allowed to do isolated quad training... #longwaytogo #acl #teaching

@GregLehman @PeteOSullivanPT @MarkHancockPT @ANZBack @CGMMaher @kieranosull @JanHartvigsen @jpcaneiro @RobSchutze @kjartanfersum @MaryOKeeffe007 @apaphysio Isn’t this true for any treatment? The worse you are, the more you can improve?

@PeteOSullivanPT @MarkHancockPT @ANZBack @CGMMaher @kieranosull @JanHartvigsen @jpcaneiro @RobSchutze @kjartanfersum @MaryOKeeffe007 @apaphysio This makes sense

HOT OFF THE PRESS: OPEN ACCESS Patients with worse disability respond best to cognitive functional therapy for chronic low back pain: a pre-planned secondary analysis of a randomised trial @MarkHancockPT and team 👋👋👋 sciencedirect.com/science/articl…

🔥 The braking performance framework, out now! 🔥 👏 Congratulations @DHMov and team putting this together. Must read! 🔗 journal.iusca.org/index.php/Jour…

⚽️ One week ago already! 🔥 @footballmed @IsokineticMed @Atleti 🙏 @FDellaVilla @Jackie_10_ @Dusty_Grooms @AlliGokeler @HannahMarchant9

😏Secrets of deceleration assessment… it’s not about the turn.🙋🏽‍♂️ For 15 years I have studied great coaches. A common thread has been that they all use intense actions as movement screens. Thus they have a great coaching eye. ❓Why intense actions? 🙋🏽‍♂️Analysis of sprinting, stoping , turning , hopping, jumping, cutting, backwards running opens a diagnostic window to assess how athletes create pretension and share load across their system. @PfaffSC has made this clear 🏥Be it for rehab (physios are coaches in my world) or for explosive sports. It’s the same screen, but through different lenses 🧐🤓 👀What are they looking at? 💡The same thing as you. 👀What do they SEE? 🤔Well that’s a different story. @DHMov has set the scene for what metrics matter and @TomDosSantos91 has re-clarified the shapes that are safe vs effective for deceleration and COD. ↩️When you watch a 180 degree turn, all the focus is on the turn. Turning and being perturbed at speed is the ultimate speed ability for team sports and also a moment of tragedy for knees and hamstrings. To assess turning efficiency we use @vuemotion to measure the shapes , velocities , decelerations and movement efficiency of team sports players. We create PSR reports to simplify the metrics and make it actionable for our clients across professional leagues. ⚽️🏀🏈🥎🎾🏉 📝The plant step is important but is highly impacted by the previous 1-5 steps. 🦘Just like in the Olympics. A good take off in the long jump is the result of the preceding 4-5 “steering steps”. This applies to any jumping when we are converting horizontal to vertical momentum… ❓Does it continue to happen in Braking, COD and agility… 💡These penultimate steps are critical for steering , and are how we constantly adjust our locomaotion. 📝@FransBoschBook has made it clear, efficient execution of intense actions are characterised by optimal limb SWITCH and the associated reflexive postures of hip lock. 🤔What movement preference can be observed in the penultimate, antipenultimate, preantipenultimate , propreantipenultimate steps during an intense deceleration? 🤔What clues can you get about a players triple flexion ability? Do they share the load? 🤔How do they coordinate co contractions around hip and knee? Can they sit to create leverage? 🤔 What do asymmetries say about physical qualities and player confidence? 🧪When assessing deceleration for team sports we recognise the 15-0-5 for its maximal intensities but we utilise the 10-0-5 more often because we can get more reps and teaching moments out of it. Needless to say we love @mart1buch new paper on the topic. martin-buchheit.net/2024/05/21/ass… Key Highlights: 🔹 Effective Pressing: Crucial for disrupting opponents and regaining possession, enhancing offensive opportunities. 🔹 Injury Risks: Pressing increases injury risks, particularly ACL injuries. 🔹 Realistic Training: We compared the 15-0-5 change of direction test with actual match-pressing actions to enhance testing and training realism. 🔹 Peak Speeds: Similar peak speeds in 15-0-5 and match-pressing actions validate the 15-0-5 as a practical tool for assessing and training pressing demands. 🔹 Future Directions (1): Incorporate variability in speed, angle of change in direction and deceleration demands, along with perception-action challenges for better simulation of game conditions. 🔹 Future Directions (2): Motorized sprint resistance devices can enhance assessment and training, providing valuable data for player development and injury prevention. #Football #SportsScience #Research #Training #InjuryPrevention #PerformanceOptimization #EliteAthletes

What does the data say about @thomascurry_7 improvements in yesterdays and COD? What do you see and does it align with the data… need to know more? 👀 🤨Odds are your sport doesn’t involve the same cutting strategy or that preplanned COD doesn’t represent the same perceptual challenges as agility in sport. 😵‍💫I want to challenge you and instead ask you , what are the common denominators of effective and efficient agility. Can we reverse them and measure the key underpinning qualities? 🚀Everything points to better “distribution” of braking. Just like @dh_mov has been telling us for a while. 🤚🏽Let’s focus on the deceleration phase of the test. ↩️If you can brake harder in the early phase, your final plant can be focused on re orientation towards the new direction. 💾Soft floppy COD , with trunk over spilling is just a symptom of poor early braking, a lack of pretension and poor coordination in triple flexion. Just like @fransboschsystems has been saying. 🥵This leaves the plant leg with the job of heavy braking as well as redirecting. 💡For just a moment , ignore the style of the final COD. Instead look towards the impact of the first two steps of deceleration. 🏀Good early braking postures sets up effective cutting at speed. Even if it’s just one step decel to a cut penultimate. This applies to reactive agility as well as preplanned COD. A better penultimate step supports the trunk and plant leg to create pretension , rotation and extended force closure again @FransBoschBook and @speedpowerplay_ If you have more speed coming in, you will need more “penultimate” steps. These steps impact your position and preparation to get in and out of the hole regardless of your style of stepping . What do you see? @vuemotion @Tony_Villani_ @leetaft @DanielBove @ben_rosenblatt @hailutheodros @Harryjell @RuthWaghorn @SportsmithHQ @MattSiniscalchi

📢 FINALLY PUBLISHED📢 Last publication in @PTiSJournal on the eve of #ISOK24. We explored current practices of 🇦🇷 PTs regarding ACL🦵rehab, RTR & RTS. Results suggest us that we should further bridge the gap between “new” science and practice. Let’s go! sciencedirect.com/science/articl…

📝 New publication! 📝 👉 Very happy to get this paper published in @PTiSJournal. 👉 Once again, our data show that clinical practice can/should improve when treating patients with ACL reconstruction. 👉 sciencedirect.com/science/articl… 🙏 Thanks @EduTondelli for involving me 🇦🇷🤝🇧🇪

Good News!!! New paper ACCEPTED!!! We explored the current practices of Physical Therapists regarding Rehab & RTS after ACLR. Surprising results!!! We will share them soon! Great team collaboration🇦🇷🇧🇪 @BartDingenen

👀 Looking forward hosting @carlespedret again this month! 🫵 Interesting joining us? Don’t miss this opportunity! 👉 spomex.be @BartDingenen @DocStijn #leoniegeukens #webinar #onlinelearning #sportsmedicine