Suzanne Leach, DPT, OCS

“Do all the good you can, by all the means you can, in all the ways you can, in all the places you can, at all the times you can, to all the people you can, as long as ever you can.”

@FrankKellerNYC @stevemagness I don’t think Steve is arguing it’s the healthiest thing to do. He’s just saying if your #1 goal is to run as fast as possible, you have to run more.

@stevemagness It’s also not super healthy to run that much, and interferes with all other training.

Most people don't run enough to reach their potential. It's just a fact. The average 3hr+ marathoner does ~40mpw. No one runs their best marathon on 40mpw. I understand why: jobs, life, etc. But the simplest way to improve your PR for novices is to figure out how to run more

@stevemagness That was a really long way to say, some undeveloped prefrontal cortexes did some undeveloped prefrontal cortex things. I miss character limit Twitter.

With 10 seconds left, Duke was up 2 with the ball. All they had to do was hold the ball. They passed. And one was deflected. A clutch three and UCONN wins. But...why throw the pass? Under pressure, our brain betrays us. Part of it goes offline. It's one of the cruel things in all of sport: First, some context on how insane this was. Duke led by 19. Number one seeds were 134-0 all time when leading by 15+ at halftime in the NCAA tournament. 134-0. Braylon Mullins, the freshman who hit the 35-footer with 0.4 seconds left, was 0-for-4 from three before that shot. Nothing about what happened should have happened. We tell athletes to "rise to the occasion." That's a lie. Under extreme pressure, you don't rise to anything. You fall to your defaults. The latest neuroscience explains why: When pressure spikes, your prefrontal cortex, the part of the brain responsible for planning, decision-making, and overriding impulse, starts to go offline. Stress hormones like norepinephrine and dopamine flood the system. At moderate levels, they help you focus and lock-in. But past a threshold, the PFC starts to shut down. Attention flips from thoughtful "top-down" control to "bottom-up" control, where whatever stimulus is in front of you captures your attention. It's less thinking and planning and more impulsive reacting. Hartogsveld and colleagues tested this in 2020. They stressed participants out and measured whether they could override trained habits when the situation changed. Stressed participants committed significantly more "slips of action," performing the trained habit even when it was no longer the correct response. Stress made them default to what they'd practiced most. It's the cruel paradox of choking. Your most practiced behaviors take over precisely when the situation demands something different. Duke needed to do nothing. Literally hold the ball. But everything a basketball player has ever practiced is telling them to make a play. In this situation, get past midcourt to avoid the backcourt violation. When our PFC is off-line, we lose that impulse control to tell us, wait a minute, context demands something different! Research shows that we often try to compensate for the pressure by trying harder. We start forcing things or trying to micromanage the situation to deal with losing a bit of control. Inevitably, this backfires. So you get this terrible contradiction. The PFC goes offline and you lose top-down control. But whatever executive resources remain get directed at the wrong thing, overmonitoring your own movements. You start consciously controlling things that should be running on autopilot, and the whole system jams. Don't believe me, try to do simple math when you are moderately stressed or fatigued, such as mile 15 of a marathon or the 6th 400m repeat of the workout? Any runner will tell you, it's hard to do 26 minus 15... Now, add the pressure of millions watching, and see how your brain works. There's no perfect solution. You've got to feel for the Duke kids. This close and have it ripped away. But that's why when preparing for a high pressure situation there are a few solutions. 1. Inoculate Yourself Train in environments that simulate pressure as best you can. Up the ante, use exercise as a stressor to challenge decision making. Visualize it. Michael Phelps visualized a "problem tape" of what to do if it went wrong. Create simple If...Then scenarios. A mental playbook of sorts, like a QB that knows to dump it to the RB if pressure comes. 2. Copy Pilots. They have checklists and slogans for emergencies (Aviate-Navigate-Communicate). It simplifies the priorities directing them what to focus on and what actions to take when their brain isn't working. Tell your brain where to focus and what action to take. Coaches need to make it simple and explicit. When the pressure is on, treat your athletes like a toddler. Because that's how their brain is kind of working...

Deuce Bailey to Clayton Coppock for the first touchdown of the spring game Bailey impressive first drive #CoastalCarolina #SunBelt

Coastal Carolina's 2026 QB room is brand new... but fans got a look at all 4 of them tonight 🏈Deuce Bailey - Missouri State transfer (...aka he played for Ryan Beard last year) 🏈 Tre Guerra - JUCO transfer from Tyler Junior College 🏈Osiris Lopez - 3-star Freshman 🏈Trever Jackson - Transfer from Arkansas Here's CCU Head Coach @Ry_Beard on each of the quartebacks ⬇️

@coachevans1973 Don’t disagree with you but it’s a bit of a hot take with a pretty small sample size and data that doesn’t fully support your claim.

@realksuz Best Football Conference with last 2 National Champions, what 6 teams in Sweet 16. Its not rocket science they have biggest alumni base n great NIL & fantastic coaches.

It maybe time for us in the South to come to terms that the Big 10 is just a better sports conference when it comes to the big two sports than the #SEC. Now that they pay players too they have completely flown by the SEC. #Big10 #B1G

Can Jelavic get blood on his jersey again?

If Mo Dioubate doesn’t touch the ball on this last possession, Mark Pope should be fired immediately.

Hey Mark Pope. Look. We like you. We want this to work. We’ll look past this year. Get us Terrance Hill Jr. #bbn

@CJDexSports @braden_burcham_ Dude, Kentucky hasn’t had top 5 talent in a minute and they’re still bad…

It’s time to have a conversation about it and I’m being so serious

My guy!!

Can’t believe it was Peter’s FIRST full season on the road… SOOO many memories! One more to go! 🐾🏈

@NickHoopes_ @Bengal_DPT this is an epic comment

@Bengal_DPT Facts. Both can tell you that your 2.5mm leg length discrepancy is the root cause of your acute onset hip pain after sprinting a 40 for the first time in 12 years.

In reality there should be little to no difference between a good PT and a good chiro since they both treat the human body

🚨 TRISTIAN GARDNER COMMITS TO COASTAL CAROLINA🚨 This is a major get for the Chants. The WR was rumored to have been linked to Penn State, Texas Tech and others. Look forward to a lot of this at Brooks Stadium. Deuce Bailey ➡️ Tristian Gardner

Quaintance is still < 12 mo. post-op ACL. Reminder: You can be the best athlete in the world, with the best care in the world, but 9 months is still the MINIMUM needed before returning to play. If your PT or surgeon tells you differently… it should be a red flag. 🚩 #aclrehab

This kid is about to tear it up in 2026! Can’t wait to watch your journey unfold. 👊 @BarberTrevy

Time to hit the beach!! 🏝️✈️

ACL rehab is tough and few athletes return the same. Props to this kid and his team for making the return in a dominating fashion. Love to see this!! #bbn

Varsity starter as a freshman. 65% completion, 20 TDs, 2000 yds.

@kyhighs @C_Chap_SC I think cost should at least be considered. Many regular season games, schools may offer social pricing for students. But a family with 3 kids is paying $30+ a night, minus cost of food. That’s not much money for some families… it’s quite a bit for others.

@C_Chap_SC I’m not sure that explains why students aren’t showing up, but it makes sense for adults.

I’m not picking on St. X because it’s a problem everywhere from what I’ve seen. This was the crowd at kickoff last night for Male-St. X in the third round of the playoffs. Can anyone explain the drop in attendance when the games matter the most? Makes no sense to me.