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Objective Markers of Rehab Progress Paul Thawley.

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Presentation on theme: "Objective Markers of Rehab Progress Paul Thawley."— Presentation transcript:

1 Objective Markers of Rehab Progress Paul Thawley

2 Olympic Medical Institute MEDICAL S&C PHYSIOTHERAPY PHYSIOLOGY NUTRITION PSYCHOLOGY SOFT TISSUE SPECIALSIST

3 SITUATION World Class rehabilitation centre Subjective markers of progress

4 Why Objective? Athlete Coach Support Staff Validate what we do Accountable for what we do

5 IMPORTANT Indicators of progress Not prescriptive or diagnostic

6 Sports Science vs Sports Medicine Test Plan Implement Evaluate Diagnose Plan Implement Review

7 Sports Science AND Sports Medicine Diagnose Test Plan Implement Evaluate (Objective) Review

8 Where does it fit in to OMI? MEDICAL S&C PHYSIOTHERAPY PHYSIOLOGY NUTRITION PSYCHOLOGY SOFT TISSUE SPECIALSIST

9 The Tests Lower Extremity Function/Performance Balance & Proprioception Upper Extremity Function/Performance Lumbar – Pelvic Function/Performance

10 Balance Single Leg Balance Eyes open/closed Postural Sway (Good v bad? Variability paper…) 45 s Kidgell et al., 2007

11 Lower Extremity Performance 30 cm single leg drop jump Force Attenuation & Production EMG Pre-activity? (glute med, TA) 10-20% Sensitivity

12 Vertical Jumps Single Leg/Double Leg Non-injured/Injured SJ/CMJ (Normative) (quad:ham activation) 10-20% Sensitivity

13 Overhead Squat Fundamental Movement Competencies Hip/shoulder & ankle ROM L-P/scapula & knee control

14 Overhead Lunge Fundamental Movement Competencies Hip/Shoulder & ankle ROM L-P/Scapula & knee control Posterior Sling?

15 New Areas of Interest

16 Shoulder External rotation EMG Pre-activity (bicep, LFT, infraspinatus)? Wall Slide? EMG & Weight Distribution

17 Ankle Trap Door EMG pre-activity TA-GA activity & timing


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