Clinical Practice Guidelines, Periodizing Sessions, and Muscle Imbalances – Movement Debrief Episode 33

Movement Debrief Episode 33 is in the books. Here is a copy of the video and audio for your listening pleasure.

Here is the set list:

  • Do I use clinical practice guidelines and treatment-based classification system for managing patients?
  • How much time do I devote to developing specific qualities in a typical physical therapy session?
  • Where are muscle imbalances prioritized on my program design?
  • Is there validity in testing specific muscles based on work/sport specific demands?

If you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 7:30pm CST.

Enjoy!

Zac Cupples iTunes                

Here were the links I mentioned:

Clinical Practice Guidelines

Neck Pain Treatment-Based Classification System

Treatment-Based Classification System for Low Back Pain: Revision and Update

Practical Pain Education

How to Design a Comprehensive Rehabilitation Program

Thoughts on Manual Muscle Testing

Rocketbook

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Practical Basketball Conditioning

Hey party people.

Just when you thought I was done guest posting, I got another spot on my guy Mike Robertson’s website.

This post was a follow-up to the basketball conditioning mistakes post I did last week.

If conditioning mistakes are the disease, this post is the cure.

In this post, I discussed the following topics:

  • What the energy system demands are in basketball
  • The three conditioning qualities a basketball player must possess to be successful
  • The high/low method
  • and more

You can check out the blog here, or at the big ol’ link below.

If you want some of MR’s best energy systems posts, I’d check these bad boys out:

You NEED Long Duration, Low Intensity Cardio

6 Tips for Writing Better Conditioning Programs

5 More Thoughts on Energy Systems Development

Real Talk About Aerobic Training for Athletes

Enjoy.

Practical Basketball Conditioning

How to Design a Comprehensive Rehab Program

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.

I’m amazed at how much working in the NBA has changed the way I approach the clinic.

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.

If fast food PT fits your macros tho right?!?!

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.

Continue reading “How to Design a Comprehensive Rehab Program”

Course Notes: The Val Nasedkin Seminar

A Long Lost Love

 Strength and conditioning is a guilty pleasure of mine. One I love to indulge in from time to time.

There is something about the training process that excites me. So when I heard Val Nasedkin was speaking in the US, I jumped on the opportunity.

Kemosabi-style of course
Kemosabi-style of course

Val is the brilliant mind behind the Omegawave, a device which I have been experimenting with in my own training and hoped to learn more about.

I left with a greater appreciation not only for what Val’s system intends to do, but the way he coaches and programs.

If you get a chance to hear Val or Roman Fomin speak, take up the opportunity. These guys are both revolutionaries in their respective fields.

Here were a few of the big takeaways.

 

Ze Goal

Val created the Omegawave to provide a framework and determine appropriate timing for our current performance methodologies.

Most training and rehabilitation processes are chosen based on results. focusing here, however, neglects individual responses to inputs.

Great results can come at a great cost to an individual.

If biological cost of training can be measured, there is potential to maximize an individual’s health, long term potential, and work capacity, while still achieving desired results. Continue reading “Course Notes: The Val Nasedkin Seminar”