Just in case you missed last night’s Movement Debrief Episode 18, here is a copy of the video and audio for your listening pleasure.
in this debrief, I was stumped!
Andrew from Facebook asked a phenomenal question on the biomechanics of the squat, which led to great discussion on what it means and takes to squat. Great contributions from Dani and Jonathan to the discussion.
Here were all the topics:
How I use research
Influences on full knee extension and flexion post-operatively
Changing perception of rehab post-total knee arthroplasty
The problems with chasing pain
Pain vs. suffering
What is squatting, what it means, and the biomechanicsIf you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 8:30pm CST.
Every week, my newsletter subscribers get links to some of the goodies that I’ve come across on the internets.
Here were the goodies that my peeps got their learn on from this past August.
If you want to get a copy of my weekend learning goodies every Friday, fill out the form below. That way you can brag to all your friends about the cool things you’ve learned over the weekend.
Biggest Lesson of the Month
You must first take care of yourself in all aspects of life before you can adequately take care of others. That includes personally, professionally, health, finances, everything. While I have done well in certain areas, I have lagged in others. This imbalance is one reason why I opted to take a job in a rural location. It has helped me strike a balance in many areas, and has eliminated potential distractions that could deter me from achieving that balance.
Cryptic? Somewhat. But I think about those times that I’ve been sleep deprived and lost patience with my clients. My lack of taking care of myself in that instance limited my capability to take care of others.
Are you taking care of yourself?
Quote of the Month
The only thing that separates successful people from the ones who aren’t is willingness to work very, very hard. ~Unknown
I saw the above quote when I was staying at a hotel before hiking Capitol Reef. The funny thing was separates was spelled wrong…Make sure you also work smart 🙂
Hike of the Month
This was a tough one, as I did both the North Rim of the Grand Canyon and Capitol Reef. While the North Rim was spectacular, an incredibly challenging hike, and was spent with a dear friend of mine, I have to give Capitol Reef the slight edge.
Capitol Reef reminded me a lot of Zion, in the sense that it had varied terrain, very cool rock formations, and free apples!!! All of the big cliffs were on this crazy slant, and it was just cool to see. Plus I didn’t die like I did in the Grand Canyon. Uphill finish = hate life
There is just so much right with this post. Douglas going after a huge problem within the movement realm. Instead of uplifting one another, many of us tear each other down. Doug Kechijian explains why this is problematic.
Many times, neck pain involves neck muscles increasing their accessory breathing function. A quick trick to reduce this function is by altering arm position. Check out if one of these positions alters your symptoms the next time you have neck pain.
David Butler has been one of my biggest influences, and this post is no different. Here David discusses the Concept of Clinical Mileage, the importance of reflection, reshaping our treatments. I admire, despite all the years he has practice, he continues to evolve his thought process; something we should all aspire to do.
Your patients with bone-on-bone can officially no longer use the “old age” excuse anymore. Knee osteoarthritis is commonly blamed for our longer lifespan and BMI, but this cadaveric study seems to think otherwise. When comparing the knees of modern people to those of the 18th-19th century (and even some prehistoric knees!), they found that even when lifespan and BMI were controlled for, modern subjects had a 2.1 greater incidence of knee OA. What do they think is the cause? Read it to find out.
Want to recover more effectively between intense bouts of exercise? You should probably watch this video. I’ve found with many of my clients that dropping further into a squat enhances heart rate recovery incredibly fast. I used it on my most recent hike, and made many of the hard parts more bearable.
Mike Irr is just a phenomenal human being. And to hear him speak with such poise, such humility, despite being an NBA champion, is refreshing. You’ll also learn a great deal about the successes, failure, and challenges of working in the big leagues. Give the guy a listen.
Allen Tucker is a dear friend of mine, and he wrote a phenomenal post on all things sleep; drawing from his own experiences with sleep deprivation and sleep apnea. Though he is no medical professional, Allen is a guy with an incredibly broad knowledge base, and my internet endeavors would be nonexistent if it weren’t for him.
No one can make you want to be more disciplined than Jocko Willink. He has probably been one of the most influential people that I’ve come across this year. His material is a life changer. His advice is simple, direct, and effective. If you are following his stuff. Quit making excuses and do it!
Ramit Sethi is a finance guy whose material I have really been digging. He gives a lot of practical financial advice tips that really resonate with me.
In this post, he discusses how to effectively connect with experts, and definitely have used some of these methods at continuing education courses. I think he outlines effective strategies quite well, and especially love the email template he provides.
As you know, I am a huge hip hop head, but need something to chill out at night and be focused to. This playlist = absolutely incredible for that. Minimal words, very low key beats, and productivity has been spectacular while listening.
I’ve been trying a bunch of different things before bed to enhance my sleep capabilities, as for awhile I was struggling, fam. At night, listening to this bad boy before bed did wonders for calming me down. Also think it’s a solid playlist for productivity. Check it out for sure.
Raekwon the Chef coming on strong with a new album. The beats = fire. The wordplay = fire. The storytelling = fire. You can tell the Chef has grown up quite a bit since his Wutang days, but still represents and reminds us of his sordid past. The joint he did with Lil Wayne; daummmmmn.
I have a soft spot for fast rappers aka choppers, and Twista is the gold standard. For a hot minute he was trying to do the mumble rap, and it wasn’t good. Here Twista gets back to his roots, yet varies his flow enough to show exactly how versatile (and underrated he is). The sound is similar to a lot of new stuff you’ll hear on the radio, but with actually good rappin’. Listen to “Hollywood,” it’ll change your life.
Which goodies did you find useful? Comment below and let me know what you think.
Jason is an Athletic Trainer at Brandeis University and with the Boston Cannons. He is an avid learner, tinkerer, and phenomenal human being. I truly admire his ability to connect with others, his humility, and comfort with learning from failures. Check him out on Twitter or email him at email@example.com
We went off the top of the dome on this one, as there was no agenda. I was just hoping to help better all of our learning processes.
We got that…and then some!
Here were some of the topics we covered:
Designing a learning process
Being comfortable being uncomfortable
Connecting with others
How to learn
If video isn’t your thing, I have a transcript of our conversation below.
You can also download the audio version of this talk if you’d like by subscribing to my newsletter.
Just when I thought I was out, the clinic pulls me back in.
Though I’m glad to be back. There’s just a different vibe, different pace, and ever-constant variety of challenges that being in the clinic simply provides. This has been especially true working in a rural area. You see a much wider variety, which challenges you to broaden your skillset.
Previously, I was all about getting people in and out of the door as quickly as possible; and with very few visits. I would cut them down to once a week or every other week damn-near immediately, and try to hit that three to five visit sweet spot.
This strategy no doubt worked, and people got better, but I had noticed I’d get repeat customers. Maybe it wasn’t the area that was initially hurting them, but they still were having trouble creep up. Or maybe it was the same pain, just taking much more activity to elicit the sensation.
It became clear that I was skipping steps to try and get my visit number low, when in reality I was doing a disservice to my patients. This was the equivalent of fast food PT—give them the protein, carbohydrates, and fats, forget about the vitamins and minerals.
Was getting someone out the door in 3 visits for me or for them? The younger, big ass ego me, wanted to known as the guy who got people better faster than everyone else. Yet the pursuit became detrimental to the patient’s best interest. There were so many other ways I could impact a patient’s overall health that I simply sacrificed in place of speed.
I only got them to survive without pushing them to thrive.
I see a lot of individuals proudly proclaim how many visits it takes for them to get someone out of pain, but pain relief is only part of the equation. There are so many more qualities we can address before we consider a rehab program a success.
This stark realization has reconceptualized how I structure a weekly rehab program. I now emphasize all qualities necessary to return to whatever task the patient desires, and attempt to inspire them beyond those initial goals.
You want to know what my visit average is right now?
I stopped counting, and started treating.
Let’s look designing the rehab week to take your clients to the next level.
To me, the most important aspect of patient care is knowing who you can and cannot treat. Stratifying your patients based on who needs to be referred out, and who you can help is essential to providing the best care.
Quite simply, there are few better resources out there that outline how to do this than Scott’s ebook.
In it, he delves into what relevant questions to ask, tests to perform, and establishing a relevant diagnosis. Often underlooked, yet exceptionally important components of the clinical examination.
Again, I cannot recommend Scott’s ebook and site enough. It’s a great resource for many things PT, including many of his eclectic and unique manual therapy techniques. Definitely check this guy out.
Rehabbing a 5th Metatarsal Fracture to High Level Basketball
In this podcast, I outline a case I worked on back when I was in the NBA D League.
This kid suffered a distal 5th metatarsal fracture with only a couple minutes to spare in a game. It was a brutal injury after one of the worst games in my life that I experienced, namely because we had three guys go down in one game.
Talk about awful.
I outline my entire process and every detail of what I did to get this kid back to high level basketball. A process that started with a fracture and ended with him establishing a franchise rebounding record the last game of the season. Pretty spectacular to say the least.
I feel very fortunate to have worked with such a driven and hardworking guy, and ultimately that was what his success hinged upon. Though minor, it was an honor to be this guy’s guide back to high level performance.
In this podcast, we dive into the following topics: