Skip to main content
On Q Performance Therapy Podcast

On Q Performance Therapy Podcast

By Mike Quintans, PT, DPT, OCS, TPI

Welcome to the On Q Performance Therapy podcast where it’s all about reaching your peak performance goals. We’re changing the game of sports performance therapy by bringing together the best minds of athletes, coaches, and sports doctors to question how things are currently done.
Available on
Apple Podcasts Logo
Overcast Logo
Pocket Casts Logo
RadioPublic Logo
Spotify Logo
Currently playing episode

33. Mental Toughness in Wrestling, Krav Maga and Business with Wayne Helms

On Q Performance Therapy PodcastApr 13, 2021

00:00
57:10
74. FAQS: Arm Care, Programming, ACL Recovery, and Advice to New Physical Therapists

74. FAQS: Arm Care, Programming, ACL Recovery, and Advice to New Physical Therapists

In this episode of the On Q podcast, host Mike Quintans, DPT engages in an exciting discussion with Rob Rabena, director of strength and conditioning at Ivy Rehab in Newtown Square. The conversation covers a wide range of topics related to physical therapy, strength coaching, and program design. Together, Mike and Rob shed light on the role of physical therapists and strength coaches in providing comprehensive care for athletes and patients, emphasizing the need for ongoing support and guidance beyond the clinic.

The key moments in this episode are:
00:01:42 - Arm Care - Importance and Best Practices
00:07:42 - Arm Care - Common Mistakes and Overloading Issues
00:10:25 - ACL Injuries and Return to Performance
00:12:32 - Importance of Home Exercise Program after PT
00:13:32 - Importance of Strength Training Post-Rehab
00:15:02 - Programming Design and Exercise Variation
00:23:31 - Changing Perspectives in Professional Career
00:24:18 - Changing Perspectives on Exercise
00:25:14 - Reevaluating Manual Therapy
00:26:28 - Career Advice for Aspiring Physical Therapists
00:28:01 - Importance of Coaching Skills for PTs

Apr 16, 202430:09
73. UCL Injury Prevention and Repair For Baseball Players with Phillies' Head Team Physician Dr. Steven B. Cohen, MD

73. UCL Injury Prevention and Repair For Baseball Players with Phillies' Head Team Physician Dr. Steven B. Cohen, MD

In this episode of On Q, hosts Mike Quintans and Rob Rabena chat with Dr. Steven Cohen, a leading sports medicine specialist and head physician for the Philadelphia Phillies, about UCL injuries in baseball players. Dr. Cohen dives into the details of UCL tears, discussing the causes, diagnosis, and treatment options, including primary repair and reconstruction. He emphasizes the importance of understanding the entire kinetic chain and tailoring treatment to individual circumstances, shedding light on the changing demographics of UCL tears and the impact of intense year-round throwing.

The conversation also delves into the rehabilitation process post-Tommy John surgery, debunking misconceptions and highlighting the critical role of education in injury prevention.

Dr. Cohen's expertise and insights offer valuable guidance for athletes, parents, and coaches in safeguarding arm health and optimizing performance. If you're a concerned parent or a dedicated coach aiming to protect your young athlete's arm health while enhancing their pitching performance, this episode is a must listen.

Contact Dr. Cohen via Rothman Orthopaedics


The key moments in this episode are:
00:00:04 - Introduction to the Podcast
00:01:22 - Dr. Steven Cohen's Background
00:03:08 - Mechanism of UCL Tear
00:05:26 - Diagnosis of UCL Tear
00:10:26 - Surgical Treatment of UCL Tear
00:11:21 - UCL Injury Management and Recovery
00:12:52 - UCL Tears in Young Athletes
00:16:26 - Recovery Differences by Position
00:17:33 - Timing and Season Considerations
00:22:01 - Early Rehab and Strength Training
00:23:20 - Importance of Rehab and Training after Elbow Surgery
00:25:48 - Revisions in UCL Reconstruction
00:28:29 - Success Rates and Risk Factors of UCL Injuries
00:30:29 - Mitigating UCL Injury Risks
00:34:54 - Navigating the Goals of Young Athletes and Their Parents
00:38:14 - Developing Pitchers with a Well-Structured Throwing Program
00:39:30 - Age-Appropriate Strength and Conditioning Training
00:40:03 - Assessing Risk Factors in Young Athletes
00:43:12 - Key Component of Throwing Programs
00:46:05 - Importance of Educating Athletes
00:47:27 - Rest and Recovery Timeline
00:48:37 - Relevance of Sports Medicine
00:49:40 - Importance of Rehabilitation

Mar 26, 202450:25
72. Force Plates, Pitch Counts, and Sprinting: Strength Training For Baseball Players with Mark Jesse

72. Force Plates, Pitch Counts, and Sprinting: Strength Training For Baseball Players with Mark Jesse

In this episode of On Q, you'll dive into a captivating conversation between hosts Mike Quintans and Rob Rabena and guest Mark Jesse, a seasoned strength and conditioning coach who was formerly with the Philadelphia Phillies' single A affiliate Blue Claws. Mark shares his journey from starting as an intern to becoming an integral part of the coaching team, offering valuable insights into individualized programming, managing training on the road, and integrating technology for performance tracking.

His expertise in adapting training strategies for players based on their position and recent game performance, as well as his emphasis on utilizing technology to enhance player performance, makes this episode a must-listen for strength coaches and trainers in baseball.

Mark's experiences and wisdom provide a wealth of knowledge that can significantly impact player performance and injury prevention.


Learn more about Mark and Landshark Performance: https://landsharkperformance.co/about/mark-jesse


The key moments in this episode are:

00:00:04 - Introduction to the Podcast


00:02:29 - Training Differences for Pitchers vs. Position Players


00:07:18 - Implementation of Technology in the Weight Room


00:09:41 - Individualized Programming and Data Analysis


00:11:07 - Advantages of Using Data-Driven Training


00:11:19 - Importance of Pitch Velocity and VBT in Training


00:12:17 - Offseason Training and Building Aerobic Base


00:13:47 - Incorporating Speed Training in Season


00:16:29 - Emphasis on Player Health and Injury Prevention


00:17:27 - Joint Range of Motion and Flexibility


00:22:55 - Importance of Range of Motion in Shoulder Health


00:23:59 - Use of Technology in Offseason Training


00:27:13 - Collaborative Player Development Strategies


00:29:54 - Addressing the Rise of Tommy John Surgeries


00:33:36 - Challenges in Pro Ball vs. Private Sector


00:35:04 - Building a Competitive Environment


00:37:41 - Importance of Customer Service


00:39:51 - Cultural Adaptation in Pro Baseball


00:42:15 - Building a Successful Training Facility


00:45:02 - Exercise Selection for Baseball Players


Mar 19, 202447:01
71. Fueling Student Athletes: Nutrition, Supplements, and Hydration with Registered Dietitian Cat Hammer, MS, RDN, LDN, CSSD

71. Fueling Student Athletes: Nutrition, Supplements, and Hydration with Registered Dietitian Cat Hammer, MS, RDN, LDN, CSSD

In the podcast episode of On Q, you'll dive into sports nutrition and performance with guest Cat Hammer, the Head Sports Dietitian at the University of Pennsylvania. Cat shares valuable insights on structuring meals, the importance of hydration, and the impact of supplements on athletic performance.


Cat's practical tips and balanced approach to nutrition underscore how eating for athletes can be both simple and very complex, making this episode a must-listen for college athletes prioritizing performance and health. From discussing the use of supplements to providing guidance on meal timing and composition, Cat shares her expertise on the essential role of nutrition and hydration in optimizing athletic performance.


In this episode, you'll learn:

  • How to optimize your athletic performance with personalized meal structures and sports nutrition insights.

  • The difference between a registered dietician and internet health coaches.

  • The importance of meal timing and composition in the morning, before exercise, and after

  • The crucial role of hydration in enhancing your athletic performance and overall well-being.

    What you should consider when buying supplements and protein powders.


    Since starting at Penn in 2020, Hammer has overseen the nutritional strategies and approaches for Penn’s intercollegiate teams, meeting individually with student-athletes as well as providing team and small group presentations. She also serves on multiple interdisciplinary committees with other members of Penn’s Sports Performance unit to better serve the Division’s nearly 1,000 student-athletes.
      
    The Philadelphia native is also the owner of Hammer Fuel Sports Nutrition, a virtual sports nutrition counseling and consulting business for middle school, high school, collegiate and professional athletes. She is also a consultant with Ascent Athlete, formerly Maplezone Sports Institute, and began her career as the sports nutrition assistant with the Bradenton Marauders, the High-A affiliate of the Pittsburgh Pirates.
     
    Hammer earned her bachelor’s degree in nutrition and dietetics from West Chester University in 2018, where she was a three-time all-region and two-time all-conference softball player for the Golden Rams. She received a master’s degree in exercise and nutrition science from the University of Tampa in 2019. 


  • Contact Cat:

    Penn Website

    Hammer Fuel Website

    Hammer Fuel Sports Nutrition Instagram


    The key moments in this episode are:
    00:00:04 - Introduction to Performance Therapy Podcast
    00:02:08 - Building Relationships and Growth
    00:05:05 - Planning Nutrition and Workouts
    00:07:46 - A Day in the Life of a Registered Dietician in College Athletics
    00:10:16 - Confidentiality and Collaboration
    00:11:36 - Balancing Clinical and Sports Performance Nutrition
    00:12:44 - Putting Together a Dietary Plan
    00:14:03 - Caloric Intake for Athletes
    00:15:47 - Registered Dietitian vs. Nutritionist
    00:20:56 - Modifying Nutrient Intake Based on Activity
    00:22:37 - Carb Cycling for Athletes
    00:23:40 - Tracking Calories and Macros
    00:25:18 - Meal Timing and Nutrient Intake
    00:27:44 - Pitfalls of Excessive Protein Intake
    00:31:52 - Thoughts on Intermittent Fasting
    00:33:22 - Importance of Eating for Muscle Building
    00:34:49 - Hydration for Athletes
    00:37:28 - Impact of Dehydration on Performance
    00:41:28 - Protein, Supplements, and Third-Party Testing
    00:44:27 - Importance of Researching Supplements
    00:46:09 - Creatine and Nutrition
    00:48:31 - Casein Protein and Energy Drinks
    00:53:51 - Simplifying Nutrition

  • Mar 12, 202455:05
    70. Preventing Ankle and Achilles Injuries: Tips from Podiatrist Dr. Stephen Soondar, DPM

    70. Preventing Ankle and Achilles Injuries: Tips from Podiatrist Dr. Stephen Soondar, DPM

    In this episode of On Q, Dr. Stephen S. Soondar, a podiatrist at Healthmark Foot and Ankle, discusses the complexities of ankle injuries and Achilles tendon ruptures with hosts Mike Quintans and Rob Rabena. Dr. Soondar highlights the importance of setting realistic recovery expectations for patients, and dives into the best bracing protocols. This episode is a must-listen for anyone seeking insights into preventing injuries and promoting long-term foot and ankle health.


    In this episode you'll hear:

    • Dr. Soondar explain the role of ankle support in sports to maximize performance and prevent injuries.
    • The essential steps in Achilles tendon injury recovery for areturn to sports.
    • Preventive measures to safeguard your ankles from potential injuries and stay in the game.

    "I think a lot of it is shoe gear. Making sure you're wearing the appropriate stuff for what you're playing. You're not going for a run in Chuck Taylor's, right? You're not playing basketball with a pair of crocs," - Dr. Stephen Soondar


    Dr. Stephen S. Soondar, D.P.M is a member of the American Podiatric Medical Association and a Fellow of the American College of Foot and Ankle Surgeons. He is Board Certified in Foot Surgery, Reconstructive Rearfoot and Ankle Surgery. He graduated from Temple University's School of Podiatric Medicine and has been published in the Journal of Foot and Ankle Surgery. Dr. Soondar specializes in Lower Extremity Trauma, Charcot Foot Reconstruction, Limb Salvage, and Ankle Arthroscopy as well as the comprehensive scope of Forefoot and Rearfoot medicine. He is a member of the Visitor’s and Founder’s boards at Temple University’s School of Podiatric Medicine. Learn more about Dr.Soondar here.


    The key moments in this episode are:

    00:00:04 - Introduction to the Podcast


    00:00:28 - Introduction of Dr. Stephen Sundar


    00:04:20 - Mechanism of High Ankle Sprains


    00:09:30 - Treatment and Recovery


    00:10:18 - Ankle Braces and Orthosis


    00:11:44 - The Ineffectiveness of Ankle Braces and Wraps


    00:12:30 - The Benefits of Taping and Bracing


    00:15:21 - Common Sports Prone to Ankle Injuries


    00:16:10 - Post-injury Brace Recommendation


    00:20:59 - Preventative Measures for Ankle Injuries


    00:23:03 - Preventing Re-injury and Using Braces


    00:25:04 - Mechanism of Achilles Tendon Rupture


    00:27:37 - Surgery and Non-weight Bearing Period


    00:29:23 - Managing Injuries in Higher-Level Athletes


    00:32:58 - Conservative Management and Healing Process


    00:34:36 - Surgical Intervention for Achilles Injuries


    00:35:00 - Aaron Rogers' Recovery


    00:36:01 - Different Repair Techniques


    00:37:21 - Recovery Timeline and Long-Term Effects


    00:43:01 - Preventative Measures and Strength Training


    00:45:50 - Understanding the Causes of Injuries


    00:46:50 - Mitigating the Risk of Injuries


    00:47:52 - Importance of Stretching


    00:48:12 - How to Connect

    Mar 05, 202449:06
    69. Elite-Level Hockey Training with Vegas Golden Knights' Associate Director of Sports Performance and Strength & Conditioning

    69. Elite-Level Hockey Training with Vegas Golden Knights' Associate Director of Sports Performance and Strength & Conditioning

    SEASON 4, EPISODE 14 WITH DOUG DAVIDSON OF THE VEGAS GOLDEN KNIGHTS


    In this episode, we sit down with Doug Davidson, Associate Director of Sports Performance and Strength & Conditioning for Stanley Cup Champions, the Vegas Golden Knights. we discuss common sports injuries amongst hockey players and Davidson's training philosophies for elite-level hockey players during both in-season and off-season programming.


    In this episode, we cover:

    • Off-Ice conditioning protocols for elite hockey players during the season
    • The types of conditioning Davidson likes to incorporate.
    • Why running isn't his go-to conditioning exercise.
    • How important maximum strength is to hockey performance
    • What the key physical qualities Davidson focuses on during the off-season are.
    • How the amount of travel required during the season impacts an NHL team's training focus and schedule
    • How Davidson schedules lifts for the players around games.
    • How Davidson considers a player's autonomic nervous system and metabolic load when building out strength programs.
    • How Davidson consolidates the stress put on the players' bodies.
    • How training varies for players depending on playing position.


    Doug Davidson on LinkedIn


    Doug Davidson is the Associate Director of Sports Performance and Strength & Conditioning for the Vegas Golden Knights, where he is responsible for maximizing the athletic potential of players through the development, instruction, progression, oversight and documentation of individual and group performance enhancements and recovery training activities.

    Prior to joining the Golden Knights, he spent two seasons as the Strength and Conditioning Coach for the Wilkes-Barre/Scranton Penguins, the American Hockey League affiliate of the Pittsburgh Penguins where he oversaw all aspects of off-ice training, assisted in rehab and oversaw team meals, supplement use, and nutrition. Before joining the Wilkes-Barre/Scranton Penguins Hockey Club, Davidson served as the Strength and Conditioning Coach at the Gary Roberts High-Performance Centre from 2013-15, where he worked with a variety of male and female athletes, including elite hockey players ranging from NHL players to aspiring youths to improve their performance while also correcting posture, muscle imbalances, and movement patterns. Davidson was a Strength and Conditioning Intern at Queen's University from 2010-13. In 2013 he received the Varsity Service Award for his contributions to Queen's University Varsity Athletics as a strength and conditioning intern. He also completed a strength and conditioning internship at Cressey Performance in 2012. Doug Davidson attended Queen's University, where he graduated with honors in 2013 with a Bachelor's degree in Physical and Health Education. He has a dual Masters's Degree in Sports Conditioning and Exercise & Sport Psychology from A.T. Still University and is a certified strength and conditioning coach through NSCA.

    Jul 18, 202325:05
    68. Are J-Bands and Weighted Baseballs Actually Going To Help Your Pitching? With George Zirkel (PART 2)

    68. Are J-Bands and Weighted Baseballs Actually Going To Help Your Pitching? With George Zirkel (PART 2)

    PART 2 WITH GEORGE ZIRKEL | SEASON 4, EPISODE 13


    Part 2 with George Zirkel discusses how his throwing program has been impacted by new philosophies and technology, along with major takeaways and lessons he has learned during his time as a pitching and throwing coach.


    In this episode, we cover:

    • What J-Bands are and their benefits in training
    • The history of weighted baseball training and if weighted balls are necessary to throw faster
    • The disadvantages of mass adoption of popular programs and philosophies
    • What new approaches have come about in recent years to throwing harder
    • What tactics are used to address throwing form issues
    • What the effective ways to talk to athletes are
    • What George specifically modifies in a player's throwing
    • How George incorporate's a surgeon's advice when working with throwers recovering from an injury
    • How George modifies his program "on the move"
    • What the #1 deficit in mechanics that leads to elbow injuries
    • The most common thing coaches do wrong that lead to a pitcher's injury
    • George's #1 tip to throw harder


    George is the Director of Pitching and Associate Director of Operations at On Deck George and was the Director of Pitching at Ascent Athlete for nearly 4 years where he coached hundreds of pitchers including MLB, MiLB, college, high school, and youth pitchers. He also created an internship program in which aspiring coaches received educational training and gained hands-on experience working with athletes. George has spent years coordinating throwing plans with strength and conditioning coaches and physical therapists to ensure his pitchers are getting the best care possible.

    Jul 04, 202333:07
    67. What We're Getting Wrong About Return to Throw Protocols for Young Pitchers With George Zirkel (PART 1)

    67. What We're Getting Wrong About Return to Throw Protocols for Young Pitchers With George Zirkel (PART 1)

    PART 1 WITH GEORGE ZIRKEL | SEASON 4, EPISODE 12


    Part 1 with George Zirkel discusses the topic of rehabilitating pitchers, including the importance of proper throwing programs, measuring intensity and feedback mechanisms, and conducting assessments to understand the individual's background and goals.


    In this episode, we cover:

    • What rehab means for pitchers
    • What client population George works with
    • What should be revised from the return to throw protocol
    • What the goal arm speed and RPM values should be for pitchers
    • What type of bands George uses for pitchers that he works with
    • How George's pitching program utilizes the "three pillars"
    • What George's first assessment looks like
    • How George uses video in his assessments
    • What the overall thrower evaluation looks like after getting the baseline data
    • Thoughts on athletes playing fall baseball


    George is the Director of Pitching and Associate Director of Operations at On Deck George and was the Director of Pitching at Ascent Athlete for nearly 4 years, where he coached hundreds of pitchers, including MLB, MiLB, college, high school, and youth pitchers. He also created an internship program in which aspiring coaches received educational training and gained hands-on experience working with athletes. George has spent years coordinating throwing plans with strength and conditioning coaches and physical therapists to ensure his pitchers are getting the best care possible.

    In 2022, George completed his Master of Arts in Motor Learning and Control from Columbia University. In 2017 he completed his Bachelor of Arts in Economics from Susquehanna University. George played collegiately at Susquehanna University.

    Jun 27, 202329:04
    66. Let’s Talk Tenex and TenJet for Tendinopathies with Dr.Amber MacFarlane, DO (PART 2)

    66. Let’s Talk Tenex and TenJet for Tendinopathies with Dr.Amber MacFarlane, DO (PART 2)

    PART 2 WITH DR. AMBER MACFARLANE, DO | SEASON 4, EPISODE 11

    Part 2 with Dr. Amber MacFarlane, DO discusses Tenex and TenJet procedures for the treatment of tendinopathies and scar tissue removal.

    In this episode, we cover:

    • What Osteopathic manual therapy is and why Dr.MacFarlane chooses to use it in her practice.

    • What Tenex and TenJet are and how they work.

    • What the differences between Tenex and TenJet are.

    • How ultrasound is used for imagining with Tenex and Tenjet.

    • What the recovery and rehab process looks like after a Tenex or TenJet procedure.

    • The success outcomes of Tenex and TenJet procedures are.

    • What managing tendinopathies and tendonitis looks like in the weight room with Rob Rabena.

    • Who the best candidates for these procedures are.

    • What kind of person is most at risk for tendonitis and tendinopathy.

    • The fast five:

    • What's Dr.MacFarlane's favorite thing about being on the sideline?

    • What the greatest height Dr.MacFarlane ever pole vaulted?

    • What testing is Dr.MacFarlane uses on the sideline when she suspects a concussion?

    • Who should not get their neck manipulated?

    • What's one way we can get better at diagnosing concussions?


    Amber MacFarlane, DO, a native of Southampton, Pennsylvania is a Board-Certified Sports Medicine Physician and completed her residency and fellowship at Crozer Health. She earned her medical degree from the Philadelphia College of Osteopathic Medicine after obtaining a degree in Biology from Widener University. She has been the team physician for the Philadelphia Union, Philadelphia Union 2, University of Delaware, Garnet Valley High School, Strath Haven High School, and Upper Darby High School. Dr. MacFarlane is a former Division III NCAA pole vaulter. She continues to be very active in weight lifting, running, and hiking. She lives in Bucks County, PA, with her husband.

    Jun 20, 202327:18
    65. Low Back Pain Treatment & Prevention in Young Athletes With Dr. Amber MacFarlane, DO (PART 1)

    65. Low Back Pain Treatment & Prevention in Young Athletes With Dr. Amber MacFarlane, DO (PART 1)

    PART 1 WITH DR.AMBER MACFARLANE, DO | SEASON 4 EPISODE 10


    Part 1 with Dr. Amber MacFarlane DO is focused on low back pain evaluation, treatment, and prevention in young athlete populations.


    We cover:

    • The most common sport-related injuries that cause low back pain are
    • Spodololisis prevalence, treatment, and management.
    • How Dr.MacFarlane's osteopathic background informs her evaluation and care processes
    • In general, when is it appropriate to get imaging, like an MRI, for back pain
    • When and why would bracing be recommended for back pain treatment
    • How to prevent back pain when participating in strength training
    • What the core is
    • What athletes are getting wrong when training core
    • Philosophies around Injections and medications for the treatment of lower back pain in young athletes
    • What return-to-sport looks like with back pain in young athletes


    Amber MacFarlane, DO, a native of Southampton, Pennsylvania is a Board-Certified Sports Medicine Physician and completed her residency and fellowship at Crozer Health.

    She earned her medical degree from the Philadelphia College of Osteopathic Medicine after obtaining a degree in Biology from Widener University. She has been the team physician for the Philadelphia Union, Philadelphia Union 2, University of Delaware, Garnet Valley High School, Strath Haven High School, and Upper Darby High School. Dr. MacFarlane is a former Division III NCAA pole vaulter. She continues to be very active in weight lifting, running, and hiking. She lives in Bucks County, PA, with her husband.

    Jun 13, 202325:37
    64. Why the Bulgarian Split Squat is Mike's GO TO exercise for treating and preventing hamstring issues with Mike Wilson, DPT (Part 3)

    64. Why the Bulgarian Split Squat is Mike's GO TO exercise for treating and preventing hamstring issues with Mike Wilson, DPT (Part 3)

    PART 3 WITH MIKE WILSON | SEASON 4 EPISODE 9

    Part 3 with Mike Wilson, DPT focuses on his clinical approach to treating, managing, and progressing hamstring tendinopathy in runners.

    In this episode, we cover:

    • What’s the difference between a hamstring strain and a tendinopathy?  

    • What strategies Mike uses to help runners with hamstring tendinopathy return to form.

    • How to avoid recurring hamstring injuries through PT and loading.

    • What part of the foot should be hitting the ground first when you're running.

    • Why skipping can help you learn the correct running mechanics

    • How Mike uses manual therapy in his treatment of hamstring tendinopathy.

    • What the best exercises for recovering from and preventing hamstring injuries are.

    • What the most common causes of hamstring issues are for runners.

    • The degree of hamstring flexibility that is acceptable and desirable.

    Contact: mwilson@premiereortho.com

    Mike earned his Master of Science degree from Ithaca College in 2003 where he played inter-collegiate basketball. He earned his Doctorate in Physical Therapy at Temple University in 2008. Mike has been full-body certified in Active Release Technique (ART) since 2005 and obtained his Orthopedic Clinical Specialist certification in 2009. Additional certifications include Functional Movement Screening (FMS), Selective Functional Movement Analysis (SFMA), Postural Restoration Institute (PRI), and Functional Range Conditioning (FRC). 

    In addition to patient care, Mike is a Regional Clinical Director at Premier Orthopaedics and participates as adjunct faculty at Widener University’s DPT program.  

    Jun 06, 202313:23
    63. How Pain Science and Postural Restoration (PRI) Can Transform the Treatment and Management of Pain with Mike Wilson, DPT (PART 2)

    63. How Pain Science and Postural Restoration (PRI) Can Transform the Treatment and Management of Pain with Mike Wilson, DPT (PART 2)

    PART 2 WITH MIKE WILSON | SEASON 4 EPISODE 8


    Part 2 with Mike Wilson, DPT focuses on how he uses pain science and Postural Restoration (PRI) in the treatment of his patients on a regular basis.


    In this episode, we cover:

    1. What pain science is.
    2. What factors besides injury or damage contribute to the experience of pain.
    3. How regulating your nervous system can improve the experience of pain in your body.
    4. Why some people have a herniated disc and are never symptomatic and others find it excruciating.
    5. How to use the "Peak-end" theory with patients.
    6. What PRI is and how Mike Wilson uses it in his practice.
    7. Mike Wilson's advice to recent PT grads who want to get their feet wet with pain science.


    Mike earned his Master of Science degree from Ithaca College in 2003 where he played inter-collegiate basketball. He earned his Doctorate in Physical Therapy at Temple University in 2008. Mike has been full-body certified in Active Release Technique (ART) since 2005 and obtained his Orthopedic Clinical Specialist certification in 2009. Additional certifications include Functional Movement Screening (FMS), Selective Functional Movement Analysis (SFMA), Postural Restoration Institute (PRI), and Functional Range Conditioning (FRC). 


    In addition to patient care, Mike is a Regional Clinical Director at Premier Orthopaedics and participates as adjunct faculty at Widener University’s DPT program.  

    May 30, 202321:04
    62. Low back pain and why we're chronically overloading patients in PT with Mike Wilson, DPT (PART 1)

    62. Low back pain and why we're chronically overloading patients in PT with Mike Wilson, DPT (PART 1)

    PART 1 WITH MIKE WILSON, DPT ! SEASON 4 SEASON 7


    Part 1 with Mike Wilson, DPT focuses on low back pain management, incorporating strength and conditioning into pain reduction programming, and how his approaches have evolved over the years for the better.


    We cover:

    • Philosophies in treating low back pain
    • How he manages the mental aspects to pain science, specifically with lower back pain
    • How Mike Wilson uses his different certificates and backgrounds to create a holistic program to safely recover from low back pain
    • How manual therapy plays a role in Mike's patient population and the techniques he uses.
    • How Mike's approaches have changed over time.
    • Why the words doctors and PTs use need to be chosen carefully
    • How Mike incorporates strength and conditioning into his pain management and reduction programs
    • What is "good enough" to stop attending physical therapy
    • Managing low back pain in younger athletes


    Mike earned his Masters of Science degree from Ithaca College in 2003 where he played inter-collegiate basketball. He earned his Doctorate in Physical Therapy at Temple University in 2008. Mike has been full-body certified in Active Release Technique (ART) since 2005 and obtained his Orthopedic Clinical Specialist certification in 2009. Additional certifications include Functional Movement Screening (FMS), Selective Functional Movement Analysis (SFMA), Postural Restoration Institute (PRI), and Functional Range Conditioning (FRC). 

    In addition to patient-care, Mike is a Regional Clinical Director at Premier Orthopaedics and participates as adjunct faculty at Widener University’s DPT program.  

     

    May 23, 202319:29
    61. Olympic Lifts, Power Lifting, and the Conjugate Method for Athletes With Strength and Conditioning Coach Sam Whitney (PART 3)

    61. Olympic Lifts, Power Lifting, and the Conjugate Method for Athletes With Strength and Conditioning Coach Sam Whitney (PART 3)

    PART 3 WITH SAM WHITNEY | Season 4, Episode 6


    Part 3 with Sam Whitney we talk olympic lifts, power lifting, and the conjugate method for athletes. Plus, we get into some quick hitters like back squat vs front squat and Sam's thoughts on benching for collegiate athletes.


    We tackle:

    • What are olympic lifts and how he incorporated them in collegiate athletics.
    • How he would approach programming and teaching athletes with different ranges of skill set in olympic lifts, from first year students who have never lifted to seniors at the top of their game.
    • Why he never believed in rushing to learning olympic lifts and instead focused on functional movements first.
    • How ego can sabotage your programming as a strength and conditioning coach
    • How strong is "strong enough" and how do you gauge when an athlete is there
    • Sam's experience training and developing himself as a power lifter
    • What the conjugate method is for power lifting and olympic lifting.
    • How Sam learned and used the conjugate method as part of his power lifting training and eventually in his collegiate program.
    • How using a box squat helps with form and range of motion for your non-box squat and full squat.
    • How speed focused training helps with absolute strength
    • What lessons Sam took from his power lifting training to his collegiate strength training and programming.
    • Quick hitters:
    • Should overhead athletes bench
    • Back squat vs front squat
    • Thoughts on benching for collegiate athletes
    • Should everyone bench/squat/deadlift etc?
    • Hex bar vs straight bar deadlift
    • Sumo vs. conventional deadlift


    Contact info:

    samual.whitney@gmail.com

    alignthegrind@gmail.com

    alignthegrind.com


    Sam Whitney is a concierge strength and conditioning coach in the greater Philadelphia area, and founder of Align The Grind, an online health and human performance platform for former collegiate athletes. Align The Grind helps former athletes redefine themselves through mind, body, and spirit. Coach Whitney graduated from Temple University with a BS in Kinesiology and a MS in Sports Business. He is CSCS, SCCC, USAW, RPR, and TPI certified. Coach Whitney began his collegiate strength and conditioning career at Villanova University, then moving on to New York University, before returning to Temple University as the Associate Head S&C Coach for 10 years.

    May 16, 202321:26
    60. How Former Collegiate Athletes Can Continue Training Their Mind, Body, and Spirit Even Years After Finishing Their Sport with Sam Whitney (PART 2)

    60. How Former Collegiate Athletes Can Continue Training Their Mind, Body, and Spirit Even Years After Finishing Their Sport with Sam Whitney (PART 2)

    PART 2 WITH SAM WHITNEY | Season 4, Episode 5


    Part 2 with Coach Sam Whitney focuses on how he took his years of experience as a collegiate strength and conditioning coach to create an online community for former collegiate athletes that allows them to continue training their mind, body, and spirit long after they finish playing their sport.


    We cover:

    • What services and support Align the Grind provides to college athletes after they finish their athletic careers.
    • How he approached training collegiate athletes to get them ready for the "real world."
    • How Align The Grind, his online health and performance platform for former collegiate athletes, came to be.
    • How he approaches training the mind, body, and spirit through Align the Grind for the best results inside and outside the gym.
    • What the Align The Grind community looks like on a day-to-day basis for members.
    • The biggest struggle Sam sees college athletes have after they lose their sport.


    Sam Whitney is a concierge strength and conditioning coach in the greater Philadelphia area, and founder of Align The Grind, an online health and human performance platform for former collegiate athletes. Align The Grind helps former athletes redefine themselves through mind, body, and spirit. Coach Whitney graduated from Temple University with a BS in Kinesiology and a MS in Sports Business. He is CSCS, SCCC,

    USAW, RPR, and TPI certified. Coach Whitney began his collegiate strength and conditioning career at Villanova University, then moving on to New York University, before returning to Temple University as the Associate Head S&C Coach for 10 years.

    May 09, 202314:39
    59. Collegiate Strength and Conditioning, Advice for New GAs, and Philosophies on programming with Coach Sam Whitney

    59. Collegiate Strength and Conditioning, Advice for New GAs, and Philosophies on programming with Coach Sam Whitney

    PART 1 WITH SAM WHITNEY | Season 4, Episode 4


    Part 1 with Sam Whitney focuses on his experience in collegiate strength and conditioning, his advice for graduate assitants new to the field, and philosophies on programming.


    In part 1 with Sam Whitney we dive into:


    Stayed tuned for two more episodes with Coach Sam Whitney as we discuss his professional development and how he has transformed his practice from the collegiate environment to the private sector.


    Sam Whitney is a concierge strength and conditioning coach in the greater Philadelphia area, and founder of Align The Grind, an online health and human performance platform for former collegiate athletes. Align The Grind helps former athletes redefine themselves through mind, body, and spirit. Coach Whitney graduated from Temple University with a BS in Kinesiology and a MS in Sports Business. He is CSCS, SCCC,

    USAW, RPR, and TPI certified. Coach Whitney began his collegiate strength and conditioning career at Villanova University, then moving on to New York University, before returning to Temple University as the Associate Head S&C Coach for 10 years.

    May 02, 202320:36
    58. Managing knee pain in basketball players and improving your speed and jump with Mario Mascioli (PT 3)

    58. Managing knee pain in basketball players and improving your speed and jump with Mario Mascioli (PT 3)

    PART 3 WITH MARIO MASCIOLI | Season 4, Episode 3


    This episode focuses on the most common injuries in basketball and how Mascioli approaches prevention and treatment.


    In this episode we cover:

    • Why does knee pain arise so commonly in basketball players and how do you manage it once it happens.
    • How muscle weakness above and below a joint can lead to pain or injury.
    • The importance of taking regular strategics breaks to prevent injury.
    • How strength, symmetry, and mobility come together in injury prevention and treatment.
    • What types of strengthening exercises would Mascioli prescribe in knee pain treatment.
    • How much time a serious basketball player should take off per year for best performance.
    • Thoughts on "Knee over toes" as a rule for injury prevention, for the general population and for jumping athletes specifically.
    • What functional asymmetries are most common in professional basketball players.
    • The best way to increase your vertical jump.
    • The best way to improve on-court speed.


    Contact: www.mariomass.com

    info@mariomass.com

    Instagram: @massmovement21


    Mario Mascioli is a professional athletic trainer and performance coach. He is dual credentialed as a certified athletic trainer and certified strength and conditioning specialist. He earned a bachelor’s degree in athletic training at West Chester University of Pennsylvania. With a background in sports medicine, he specializes in helping anyone work around injuries or recover from them. In addition, he has skills in soft tissue therapy to help clients recover from fatigue such as massage, myofascial release, and cupping to name a few. His career started off as an assistant athletic trainer at St. Joseph’s University, in Philadelphia, before working with the 76ers and their G-League affiliate the Delaware Blue Coats for over 5 years. After that, he focused more of his work on strength and conditioning, creating his own business called Mass Movement. He has worked with a wide population of people, from young middle school athletes, to professional athletes, to middle aged weekend warriors and the elderly. He has a passion not only for helping young athletes perform but in teaching wholistic health.   

    Apr 25, 202318:52
    57. Health coaching, strength training, and injury recovery with Mario Mascioli (PT 2)

    57. Health coaching, strength training, and injury recovery with Mario Mascioli (PT 2)

    PART 2 WITH MARIO MASCIOLI | Season 4, Episode 2


    Part 2 is focused on breaking down how Mascioli helps clients through holistic health coaching, injury recovery plans, and strength and conditioning.


    We cover:

    • The key components Mascioli considers when beginning to coach someone around their health.
    • How your mindset impacts your long term results in health and otherwise
    • How nutrition, stress management, and sleep play a role in achieving your health goals, whether you're an athlete or not.
    • How Mascioli balanced objective and subjective metrics to help his coaching clients reach their goals.
    • What collaboration with parents and coaches looks like when working with younger athletes.
    • What Mascioli's assesses in all of his first session with strength and conditioning and health coaching clients.
    • How Mascioli's background in athletic training has helped him become a more effective strength and conditioning coach.
    • What Mascioli wishes he had known when he first started as an athletic trainer.


    Make sure to tune back in next week for part 3 where we discuss:


    Contact: www.mariomass.com

    info@mariomass.com

    Instagram: @massmovement21


    Mario Mascioli is a professional athletic trainer and performance coach. He is dual credentialed as a certified athletic trainer and certified strength and conditioning specialist. He earned a bachelor’s degree in athletic training at West Chester University of Pennsylvania. With a background in sports medicine, he specializes in helping anyone work around injuries or recover from them. In addition, he has skills in soft tissue therapy to help clients recover from fatigue such as massage, myofascial release, and cupping to name a few. His career started off as an assistant athletic trainer at St. Joseph’s University, in Philadelphia, before working with the 76ers and their G-League affiliate the Delaware Blue Coats for over 5 years. After that, he focused more of his work on strength and conditioning, creating his own business called Mass Movement. He has worked with a wide population of people, from young middle school athletes, to professional athletes, to middle aged weekend warriors and the elderly. He has a passion not only for helping young athletes perform but in teaching wholistic health.   

    Apr 18, 202314:12
    56. Mario Mascioli on his time with the 76ers organization and philosophies on injury rehabilitation (PT 1)

    56. Mario Mascioli on his time with the 76ers organization and philosophies on injury rehabilitation (PT 1)

    PART 1 WITH MARIO MASCIOLI | Season 4, Episode 1


    Part 1 with Mario Mascioli is focused on his time with the 76ers organization. We dive into his treatment philosophies, injury prevention protocols and more in this episode.


    Mario Mascioli is a professional athletic trainer and performance coach. He is dual credentialed as a certified athletic trainer and certified strength and conditioning specialist. He earned a bachelor’s degree in athletic training at West Chester University of Pennsylvania. With a background in sports medicine, he specializes in helping anyone work around injuries or recover from them. In addition, he has skills in soft tissue therapy to help clients recover from fatigue such as massage, myofascial release, and cupping to name a few. His career started off as an assistant athletic trainer at St. Joseph’s University, in Philadelphia, before working with the 76ers and their G-League affiliate the Delaware Blue Coats for over 5 years. After that, he focused more of his work on strength and conditioning, creating his own business called Mass Movement. He has worked with a wide population of people, from young middle school athletes, to professional athletes, to middle aged weekend warriors and the elderly. He has a passion not only for helping young athletes perform but in teaching wholistic health.  


    We dive into:

    • What is load management and why it is or isn't important in basketball.
    • trying to put a number to the internal stress put on a specific area, often one with an injury
    • What Mario's go-to treatment philosophies are for injury recovery.
    • What Mario's exercise and training philosophies are for injury prevention or mitigation, especially lower body.
    • When and why to use open vs. closed chain training exercises.
    • What are the most common injuries in the NBA and basketball as a whole?
    • What were the biggest changes Mascioli witnessed over the five years he was with the 76ers organization.


    Make sure to tune back in next week for part 2 where we discuss Mascioli's approach to health coaching and strength training for all populations.


    Contact: www.mariomass.com

    info@mariomass.com

    Instagram: @massmovement21



    Apr 11, 202325:34
    55. How Pelvic Floor Dysfunction Goes Undiagnosed and Leaking Gets Mislabeled As Normal with Specialists Lara Quisumbing and Emily Titus

    55. How Pelvic Floor Dysfunction Goes Undiagnosed and Leaking Gets Mislabeled As Normal with Specialists Lara Quisumbing and Emily Titus

    Today we are joined by 2 Physical Therapists that are Pelvic Floor Specialists. Dr. Lara Hamad Quisumbing and Dr. Emily Titus. Today we will learn who is at risk for pelvic floor conditions and how it is diagnosed and treated.

    Lara Hamad Quisumbing is a doctor of physical therapy and is currently the Clinic Director of Excel PT in Villanova. She graduated from Drexel University PT class of 2012. Been with Excel since graduating. Became ACD in 2018 then Clinic Director last year in 2021.  In 2016 went through Evidence in Motion's certification program for Pelvic Health and treating that population ever since.

    Emily Titus is a doctor of physical therapy and practices orthopedic and pelvic floor therapy with Ivy Rehab at the Physical Therapy and Wellness Institute in Lansdale, PA. She has been practicing physical therapy for 4 years in orthopedics but in the past year found her passion for pelvic health. Emily received her Bachelor’s of Science in Kinesiology from James Madison University and then obtained her Doctorate in Physical Therapy from Neumann University. She is currently in an Orthopedic Clinical Specialist residency program with Ivy Rehab and the Hospital for Special Surgery and sits for her OCS exam next March.

    4:20 What is the pelvic floor?

    5:00 What the certification process for treating pelvic floor dysfunction looks like.

    6:45 Common ways someone develops a condition of the pelvic floor.

    7:30 Why and how pregnancy puts strain on the pelvic floor

    8:20 Who usually diagnoses pelvic floor dysfunction?

    10:25 How concluding a potential pathology of pelvic floor dysfunction looks like for direct access patients.

    11:30 Who is at risk for a pelvic floor condition.

    13:00 Have you noticed an increased demand for treatment of pelvic floor pathology? Why?

    16:00 How do you diagnose Pelvic Floor Pathologies and is there imaging involved?

    16:30 What symptoms are common in pelvic floor pathologies 

    19:25 The connection between the pelvic floor and other core injuries.

    20:10 Techniques commonly used to treat pelvic floor conditions.

    24:00 What a kegel is.

    24:25 When we usually use our pelvic floor muscles

    28:00 How breathing impacts the pelvic floor and recovery.

    30:00 How common pelvic floor conditions are in athletes and which sports are most impacted.

    31:00 How treatment changes for athletes compared to the average patient with pelvic floor pathology.

    33:00 What are special considerations for athletes postpartum and what a typical progression may look like.

    38:23 What sports organizations can do to reduce the prevalence of pelvic floor conditions in their athletes.

    42:00 How can we mitigate the risk of obtaining pelvic floor conditions?

    44:30 If someone is concerned that they may have a pelvic floor condition, what should they do?

    50:00 What communication and evaluation are like for patients who may have pelvic floor dysfunction due to sexual trauma.

    5 Quick Q’s

    51:15 The most challenging aspect of treating pelvic floor conditions.

    51:50 1 way to increase awareness of pelvic floor conditions.

    53:00 1 exercise everyone can do right now that will improve the strength of their pelvic floor.

    53:36 What they enjoy the most about treating pelvic floor pathologies.

    55:15 One fact about the pelvic floor that will shock the average person.


    Contact 

    emily.titus@ivyrehab.com

    @OrthoPFPTPA

    lara.Quisumbing@ivyrehab.com

    Apr 12, 202258:40
    54. Pediatric Orthopedic Surgeries and Treating Conditions from Scoliosis to Tommy John with Dr. Brett Shannon, MD

    54. Pediatric Orthopedic Surgeries and Treating Conditions from Scoliosis to Tommy John with Dr. Brett Shannon, MD

    Season 3, Episode 18 | Podcast #54

    Dr. Brett Shannon is an Orthopedic Surgeon at Nemours DuPont Pediatrics and Nemours Alfred I. DuPont Hospital for Children. Dr. Shannon attended Johns Hopkins University School of Medicine for his Medical Degree as well as for his residency. His fellowship in Pediatric Orthopedics was completed at Boston’s Children’s Hospital which is considered one of the top children’s hospitals in the world.

    Dr. Brett Shannon specializes in general orthopedics, trauma, sports medicine injuries, pathologies of the spine, as well as infant, child, and adolescent hip disorders. Dr. Shannon has published research articles in The Journal of Bone and Joint Surgery as well as the Journal of Surgical Oncology.

    In this episode, we cover:

    4:45 What about Dr. Brett Shannon’s background, led him to the field of sports medicine and orthopedic surgery?

    6:30 What exactly does an orthopedic surgeon do?

    7:30 Example of the monitoring needed in pediatrics.

    9:00 How Dr.Shannon’s mentors and education molded the way he practices.

    11:00 How a patient’s intended path in life or in athletics may guide or alter intervention plans.

    13:00 The most common injury Dr.Shannon sees in the clinic amongst the pediatric or adolescent populations.

    15:45 How often Dr.Shannon sees ACL injuries and what we can do to mitigate risk.

    20:00 What exactly is a growth plate and how does it apply to Dr.Shannon’s work in orthopedics.

    24:45 How we can mitigate the risks that are often found with overuse or hyper-specialization.

    27:00 What is the most common pathology that Dr. Shannon performs surgery on.

    31:34 The types of hip conditions Dr.Shannon treats in the pediatric population?

    33:00 What hip dysplasia is, when surgery is indicated and how Dr.Shannon manages these conditions if surgery is not indicated.

    37:45 Why it’s really important to follow up with orthopedics if your pediatrician suggests it, even if your child isn’t in pain at that time.

    40:30 The types of procedures Dr.Shannon performs on the spine. The prevalence and treatment of scoliosis.

    41:30 Most common spine injury or pain in young athletes.

    46:30 Dr. Shannon’s message to parents who are hesitant to schedule an appointment with an orthopedic surgeon.

    5 Quick Q’s - 47:45

    What sport do you see the most injuries from?
    48:00 What procedure, that you perform, do you see the best results from?
    48:30 What new surgical technique or nuance are you most excited about?
    49:20 What is one rule you would like to see changed in youth athletics?
    51:00 The most common age to get a little league elbow injury.
    53:50 What is one mistake you see done during the rehabilitation process?
    54:45 Bonus: Would you let your son or daughter play football?

    Contact Info:

    Dr. Brett Shannon

    https://www.nemours.org/

    Apr 05, 202201:00:20
    53. The Benefits of Osteopathic Medicine Mixed with Sports Medicine with Dr. Matt Costa, D.O.

    53. The Benefits of Osteopathic Medicine Mixed with Sports Medicine with Dr. Matt Costa, D.O.

    Season 3, Episode 17 | Podcast #53

    Dr. Costa is a board-certified non-operative sports medicine physician who specializes in concussion management, osteopathic manipulations, and platelet-rich plasma injections.

    Dr. Costa earned his medical degree from Philadelphia College of Osteopathic Medicine and his M.B.A. at Saint Joseph’s University Haub School of Business. He completed a residency and fellowship at Crozer Health in Springfield, Pa.

    He currently serves as the team Osteopath for the Philadelphia Union II and during his training served as assistant team physician for the Philadelphia Union soccer teams. He has also taught Osteopathic Manipulative Medicine in Germany.

     In this episode, we cover:

    4:00 What led Dr. Matt Costa, DO to osteopathic manipulations and sports medicine.

    8:00 Dr. Costa’s approach to assessing patients in the clinical setting.

    9:00 Why does Dr.Costa prioritize gauging how in tune patients are with their bodies.

    11:00 The importance of touch in an osteopathic evaluation

    14:10 How he assesses strength and range of motion when needed

    15:00 How often Dr.Costa performs an osteopathic manipulation on a patient.

    16:00 The types of injections Dr. Costa does, especially on scars.

    17:30 When is the treatment of a scar considered necessary or appropriate.

    18:16 The definition of osteopathic manipulation treatment (OMT) and its purpose

    19:30 OMT on the athletic population

    19:43 “You’re always going to find somatic dysfunction

    20:40 What is the difference between an osteopath and a chiropractor

    23:30 The types of treatments Dr.Costa is practicing with athletes

    24:36 What is cranial osteopathy

    27:30 How one develops the skills needed to use your hands in treatment, especially in osteopathy

    29:00 The difference between an MD, a DO, and an osteopath.

    32:00 Indirect and direct intervention

    35:00 The importance of interpersonal skills and communication in these treatment settings.

    39:00 Why manual therapy seems to be getting phased out of Physical therapy

    41:00 Concussion treatment and what kind of concussions Dr. Costa sees in the office.

    43:00 Why adult concussions are so much trickier to treat and manage.

    45:00 The importance of having a referral network that complements your treatment style.

    47:00 Dr. Costa’s role with the Philadelphia Union

    50:00 What are some common mobility issues Dr.Costa finds that are not a manipulation

    51:30 Dr. Costa's thoughts on manipulation of the lumbar spine.

    55:00  Manipulations on hypermobile patients.

    56:00 Needling on extremities

    57:00 Other types of interventions Dr. Costa uses, tenotomies, Prolo, PRP

    1:02:00 Mike’s experience with prolotherapy for ACL

    1:05:00 Difference between PRP and Prolotherapy

    1:06:30 What is PRP?

    QUICK Qs

    1:07:50 One OMT technique Dr.Costa feels like he has yet to master

    1:08:40 Does Dr.Costa do soft tissue techniques in the clinic?

    1:11:23 Why Dr.Costa got his MBA and his biggest takeaways from it.

    1:16:00 Dr.Costa is often the first person to tell a patient they are hypermobile.

    1:18:00 The spectrum of hypermobility

    1:19:35 The Beighton Scale

    1:20:30 One thing we need to be doing better in Sports Medicine.

    1:22:45 What a patient can do to prevent a chronic injury from coming back.

    Contact Info:

    Dr. Matt Costa, D.O., M.B.A, Premier Ortho 

    6107897767

    Mar 29, 202201:24:59
    52. Low Back Pain Treatment Using the McKenzie Method with PT Jeff Vaisberg

    52. Low Back Pain Treatment Using the McKenzie Method with PT Jeff Vaisberg

    What's happening Performance Therapy Nation. Today we are joined by Jeff Vaisberg, partner and clinic director at Progress Physical Therapy, an Ivy rehab physical therapy company. Jeff oversees multiple clinics and specializes in treating low back pain, as well as many other sports injuries. Today we will be discussing Jeff's assessment and treatment approach to both chronic and acute low back pain in the active population as well as Jeff's experience with rehabilitation after surgery.

    Jeff describes himself as an unconventional and passionate therapist who believes the physical therapy profession is underappreciated and underutilized. Jeff is a board-certified McKenzie physical therapist who practices in Claymont, Delaware, and Feasterville, Pennsylvania at IV rehab and progress physical therapy, graduated from Temple University with a Doctorate of physical therapy and a Bachelor's in kinesiology. He spent most of his career in Philadelphia treating a wide range of patients from high-level athletes to patients suffering from chronic pain. Other certifications include dry needling, sFMA, and CWC, which stands for clinical weightlifting coach. Jeff participates in hit in Muay Thai training as well and enjoys treating other MMA athletes with spine pathologies and weekend warriors of all skill sets. 

    3:45 What is the McKenzie Technique
    4:20 What is a directional preference in the McKenzie Technique
    7:40 The courses needed to be McKenzie Certified
    9:20 Why do you feel like Physical Therapy is an underappreciated and underutilized profession?
    10:40 “We should have a diagnosis that specifically leads to an intervention”
    11:00 How Vaisberg would treat a bulging disk repair with delayed intervention.
    12:58 “If you listen to your patient long enough they will tell you everything you need to know”
    14:45 Why has attracted Jeff Vaisberg to working with patients who suffer from low back pain?
    17:00 How wanting to be a better therapist-led Vaisberg to focus on particular courses, like McKenzie and sFMA?
    19:50 How Vaisberg adds sFMA into his assessment of low back pain and what his overall assessment looks like.
    22:30 Disfunction versus derangement
    30:22 What Vaisberg’s progressions look like for a derangement treatment. - Maintain, attain, sustain
    40:00 The role of manual therapy in this treatment progression.
    44:00 Most common surgeries you see in the athletic population for post-op rehab?
    45:30 The limited efficacy of MRIs for functional injuries
    51:25 What low back pain is most common in athletic populations?
    53:50 Why athletes’ adaptability makes them more difficult to diagnose and treat.
    56:40 How to address leg length discrepancy.

    5 Quick Q’s

    60:00 One course a new grad should take for the spine?
    1:00:40 Should Physical Therapists be permitted to dry needle in the state of PA?
    1:02:20 What is the average age you see for low back pain?
    1:03:30 What sports most commonly causes or correlates to most low back pain?
    1:06:35 What is the most common type of injury you see in youth athletics?

    1:08:00 Why Vaisberg loves when a special test is no longer relevant to the patient’s diagnosis.

    Mar 22, 202201:17:38
    51. Soft Skills, Leadership and The Intent is To Grow with Jesse Wright (Part 2)

    51. Soft Skills, Leadership and The Intent is To Grow with Jesse Wright (Part 2)

    Season 3, Episode 15 | Podcast #51

    Jesse K. Wright authors a powerful, fictional story that presents a compelling message to high performers and lifelong learners, not only in sports but in all walks of life. Technical knowledge and domain expertise, or “hard skills,” are not the only components in which professionals should focus their education and development efforts. The personal qualities conventionally known as “soft skills,” those of empathy, leadership, self-awareness, collaboration, communication, versatility, and many similar, are those that truly empower individuals to triumph in challenging environments and experience lasting success in their careers and lives.

    If you haven’t listened to Part 1 yet, you can find it here!

    In this episode, we cover:

    1:00 How the book The Intent Is To Grow came out of a presentation and when Jesse knew he wanted to write one.

    3:40 Jesse’s presentations for head strength and conditioning coaches highlighted soft skills, communication, and relationship building.

    5:30 The evolution of soft skills and the resources being poured into soft skill development in the workplace.

    8:20 The messages and takeaways Jesse placed in the book and how readers can identify with the characters.

    10:00 Where Jesse’s interest in soft skills came from.

    11:30 Why the difference makers in an organization and those who succeed the most tend to have great soft skills alongside developed hard skills.

    13:45 Relationships and human connection are what you take away long term from any position or experience

    14:20 The trait or soft skill Jesse has struggled with the most.

    15:00 Servant leadership and the best approach to providing support and guidance.

    18:00 Why delegating and trusting is so difficult when transitioning into leadership roles

    19:00 The character in The Intent Is To Grow Jesse identifies with most.

    20:00 The most important message Jesse wants people to take away from the book.

    21:00 How The Intent Is To Grow can be used as a training or orientation program for new employees.

    25:40 What Balance The Bar is and how it got started.

    29:30 How older practitioners can help younger people with soft skills.

    32:30 Belief effect, placebo, and bedside manner

    34:45 The research and literature that informed and supplements The Intent Is To Grow.

    Fast 5:

    36:00 What do you miss most about working with the 76ers?

    37:00 What do you miss least about working with the 76ers?

    37:40 How often would athletes undergo cardiac assessments?

    37:55 Of the soft skills you mention which one have you had the most trouble being consistent in?

    39:00 Are you letting your son play football?

    40:15 Who do you know that best embodies all of these "soft skills" extremely well?

    Contact Info:

    Jesse K Wright

    Balance the Bar

    Instagram: @JesseKWright

    Mar 15, 202245:03
    50. From Doing Team’s Laundry to Director of Performance for the Philadelphia 76ers with Jesse Wright

    50. From Doing Team’s Laundry to Director of Performance for the Philadelphia 76ers with Jesse Wright

    Season 3, Episode 14 | Podcast #50

    Today we are joined by Jesse K. Wright, a High-Performance Consultant, Amazon Best-Selling Author, Former NBA, NFL, NCAA, and private sector Sports Performance Professional. Jesse spent 14 years with the Philadelphia 76ers as the Head Strength and Conditioning Coach, then Director of Performance Science. Today we’re getting into Jesse’s path to Strength and Conditioning, Changes in Strength and Conditioning over the years, load/volume management in pros and youth athletics, and probably what I am most looking forward to discussing, Jesse’s Book, Titled The Intent Is to Grow.
    Our guest Jesse Wright has Held Strength & Conditioning Coach positions with Temple University, the Philadelphia Eagles, the Barcelona Dragons (NFL-Europe), Hofstra University Football, and Saint Joseph’s University. He also served as Director of Summit Sports Training Center, a group of sports performance facilities located outside of Philadelphia, PA.

    Jesse Wright received his Exercise Science degree from Temple University, his Master’s of High-Performance Sport degree from Australian Catholic University.  He is also a Certified Strength & Conditioning Specialist (CSCS) and Registered Strength & Conditioning Coach Emeritus (RSCC*E)

    Jesse was named the NBA’s Strength & Conditioning Coach of the Year in 2013 and served as President of the National Basketball Strength & Conditioning Association from 2013-2015. For 6 years, Jesse served as chair of the committee that oversees and coordinates the anthropometric and performance testing for the NBA Pre-Draft Combine. He is also an Amazon best-selling author of two books including one we will be discussing today - The Intent is To Grow and is the Founder of Balance the Bar Initiative.

    In this episode, we cover:

    1:20 Jesse Wright’s background and accolades.
    3:51 How Jesse Wright got into Strength and Conditioning.
    9:00 Jesse’s first experiences in the strength and conditioning world in entry-level roles and how they led to future opportunities.
    12:00 Jesse’s internship experience with the Philadelphia Eagles and their unique training philosophy.
    20:00 Jesse’s first time being a head strength coach with the NFL Europe right out of college  
    22:20 What Jesse learned from transitioning into a head strength coach role.
    29:00 Jesse’s transition from a team coach to the private sector with Summit
    34:25 Jesse’s position with the 76ers and how he came upon the opportunity.
    36:00 How Jesse’s training philosophy and approach changed throughout these years.
    41:00 Throughout Jesse’s 14 years with the 76ers there were 5 head coaches, 8 general managers, and 2 ownership groups.
    41:00 How Jesse was able to stay steady throughout so much turnover
    42:00 The importance of maintaining good documentation
    45:00 The difference between training at
    PCOM versus the new 76ers stadium in Camden.
    47:00 How often Jesse would test the 76ers players’ strength and conditioning throughout the year.
    49:00 How strength and conditioning training as a whole has evolved over the past 20 or so years.
    51:00 How rotation and role influence the individualization of training programs.
    52:00 Book Recommendation: The Quadrant System by Daniel Bove.
    53:00 Jesse’s approach to communicating with and involving the medical team for the 76ers.
    54:00 Communication systems and tailoring approaches to the group and the individual.

    Mar 08, 202201:00:23
    49. PRP (Platelet Rich Plasma) Therapy - What It Is, How It Works, and What the Research Indicates with Dr. BJ Smith, MD and Ross Nachbi, PT

    49. PRP (Platelet Rich Plasma) Therapy - What It Is, How It Works, and What the Research Indicates with Dr. BJ Smith, MD and Ross Nachbi, PT

    Season 3, Episode 12 | Podcast #49

    Dr. Bradley "BJ" Smith is a Sports Medicine Physician at the Rothman Institute and currently sees patients at the Limerick, Bryan Mawr, and Wynnewood locations. He graduated from Penn State University and completed medical school at Jefferson Medical College. After completing his residency in Family Medicine at Thomas Jefferson University Hospital in Philadelphia, he completed a Sports Medicine fellowship at Healthplex Sports Medicine of Crozer-Keystone Health System. Dr. Smith brings a total body approach to the treatment of athletes and non-athletes alike.

    Ross Nachbi, Physical Therapist at Ivy Rehab in Ardmore, Pennsylvania. Ross graduated from the University of Rochester with a degree in Brain and Cognitive Science and went on to Northwestern University where he graduated with his doctorate in Physical Therapy. Ross is McKenzie Method Trained and is trained in FMS or functional movement screening as well as SFMA, or selective functional movement assessment. He is also a certified strength and conditioning specialist (CSCS). He is experienced in treating all orthopedic and sports medicine conditions, both operative and non-operative.

    2:00  What is Platelet Rich Plasma (PRP), how it is used in the clinic, and where it’s best used.

    13:00 Why there isn’t a huge investment into PRP research

    14:00 Insurance considerations and how lack of coverage impacts accessibility

    15:00 Stem Cell Therapy and the differences in approach

    18:00 Who is a good candidate for PRP and what imaging is required for approval?

    21:00 What age groups are most likely to opt-in for and benefit from PRP?

    23:00 How frequently are patients able to get PRP injections?

    27:30 What Physical therapists should consider with patients post-PRP.

    30:00 PRP for chronic ankle sprain treatment.

    34:30  #1 thing athletes are doing wrong with their training?

    35:30 #1 thing we should be doing to mitigate the risk of injury?

    40:00 Should Insurance cover the use of PRP?

    42:00 The most common injury seen amongst rotational athletes

    44:00 The most common injury seen amongst field sports athletes?

    46:00 The most common injury seen since COVID


    CONTACT:

    @BJSMITHMD

    bjsmithmd@gmail.com

    Ross Nachbi - @RNachbi

    ross.nachbi@ivyrehab.com

    Mar 01, 202253:50
    48. How the Gluteus Medius Plays a Pivotal Role in the Prevention and Recovery from Most Lower-body Injuries with Dr. BJ Smith and Ross Nachbi, PT

    48. How the Gluteus Medius Plays a Pivotal Role in the Prevention and Recovery from Most Lower-body Injuries with Dr. BJ Smith and Ross Nachbi, PT

    Season 3, Episode 12 | Podcast #48

    Today we are joined by 2 special guests Sports Medicine Physician, Dr. BJ Smith, and Physical Therapist, Ross Nachbi. Today we will be getting into field sports injuries the importance of the gluteus medius in sports medicine injuries.

    Dr. Bradley "BJ" Smith is a Sports Medicine Physician at the Rothman Institute and currently sees patients at the Limerick, Bryan Mawr, and Wynnewood locations. He graduated from Penn State University and completed medical school at Jefferson Medical College. After completing his residency in Family Medicine at Thomas Jefferson University Hospital in Philadelphia, he completed a Sports Medicine fellowship at Healthplex Sports Medicine of Crozer-Keystone Health System. Dr. Smith brings a total body approach to the treatment of athletes and non-athletes alike. He treats all types of musculoskeletal and orthopedic injuries, from sprains and strains to fractures, pediatric issues to arthritis. Dr. Smith also treats Sports-Related Concussions using the latest techniques, including integrative and complementary methods.

    I am also joined by Ross Nachbi, Physical Therapist at Ivy Rehab in Ardmore, Pennsylvania. Ross graduated from the University of Rochester with a degree in Brain and Cognitive Science and went on to Northwestern University where he graduated with his doctorate in Physical Therapy. Ross is McKenzie Method Trained and is trained in FMS or functional movement screening as well as SFMA, or selective functional movement assessment. He is also a certified strength and conditioning specialist (CSCS). He is experienced in treating all orthopedic and sports medicine conditions, both operative and non-operative.

    4:26 Why Dr. Smith went into the field of sports medicine, what his journey through medical school was like and how being the child of a trauma surgeon impacted his decision.

    11:50 How Dr. Smith's training guided him to become the physician he is today and how the whole body approach of sports medicine allows for variety.

    12: 00 “If you’re thinking about going in a certain area, some niches or specialties may have some things that are really cool but don’t think about the coolest thing that you do once in a random while. You have to think what is the 70% of normal mundane stuff like because that’s most of what you’re going to have. and if you’re only getting the really cool stuff every once in a while and the rest of the time you want to stab your eyes out, it’s going to be rough.”

    15:00 Why sending a patient to a physical therapist that has a background in a similar sport is important and contributes to better outcomes.

    19:00 How their treatment approaches have changed since first starting to treat several years ago.

    21:00 Why it’s so important for sports medicine physicians to have a great relationship with the physical therapist they refer to.

    23:00 Direct Access to physical therapy without seeing a doctor and how physical therapists approach that treatment and relationship.

    30:00 How good communication and good notes from the physical therapist help avoid a third referral and delay in care.

    42:00 “I’m a strong believer that a large portion - probably even the majority -  of lower extremity injuries, issues, and complaints are due at least in some part to not enough activation in the gluteus medius”

    43:00 Why the gluteus medius not activating enough causes so many issues in the lower body and how lack of lateral movement contributes to this issue.

    1:05:00 Why we need to bring back the popularity of the jumping jack.

    1:06:00 The best exercises to activate the glute medius

    1:13:00 How Dr.Smith implements side-lying hip abductions to treat almost every lower extremity issue.

    For full show notes and contact information please visit https://www.onqperformancetherapy.com/episodes

    Feb 22, 202201:20:54
    47. Answering Your Frequently-Asked Sports Performance Questions with Mike St. George PT, DPT and Ryan Stahl PT, DPT

    47. Answering Your Frequently-Asked Sports Performance Questions with Mike St. George PT, DPT and Ryan Stahl PT, DPT

    Season 3, Episode 11 | Podcast #47

    This is Part 2 of the Return to Sports podcast with Jersey Duo. In part 1, we discussed approaches for assessment, treatment, and what happens after treatment to reduce the risk of injury. In this episode, we will be getting answers to some quick-hitter sports medicine questions that we get in the clinic all the time. Whether it be from our patients or PT students or new PT grads.

    In this episode, we cover:

    2:22 BFR or blood flow restriction training? Does it work? For what patient population?

    4:20 #1 cause of biomechanical failure of ACLs

    4:45 #1 reason why ACL reconstruction fails

    5:10 Most preventable sports-related overuse injury

    6:20 Top 3 courses every PT interested in sports medicine should take

    6:45 The Kaehler core 

    9:15 One piece of equipment every sports-based PT clinic should have

    10:50 Yes or no to Force Plates?

    11:15 Ice or Heat?

    12:00 Opinions on Cryotherapy

    12:23 Opinion on Isokinetic Testing and what it is.

    14:30 must-follow accounts on Instagram

    Barbell Rehab

    Eric Cressey 

    Lenny Macrina MSPT, CSCS

    ThePrehabguys  

    Kevin E Wilk 

    18:00 One Book you would recommend

    Jacko Willink Extreme Ownership

    The Mulligan Concept of Manual Therapy: Textbook of Techniques

    20:11 Accept and understand that you need to take in information and evolve your practice. You can’t keep doing the same thing.

    22:20 Develop an understanding of your child and know what they really need physically and mentally.

    23:00 Advice to new grads and new physical therapists.

    “Your rehabilitation profession should be able to answer why they are doing certain things”

    24:30 Advice to parents of athletes

    “It’s okay to say no” “It’s okay to ask questions”

    Contact

    LinkedIn Mike St George 

    HoneyBadger_Juicy 

    Coach Hous Podcast 

    Ryan Stahl LinkedIn 

    Feb 15, 202225:39
    46. Continuing Education, Return to Sport, and the DorsaVi with Mike St. George Pt, DPT and Ryan Stahl PT, DPT

    46. Continuing Education, Return to Sport, and the DorsaVi with Mike St. George Pt, DPT and Ryan Stahl PT, DPT

    Season 3, Episode 10 | Podcast #46

    Today we are getting after it with a couple of jersey guys. Physical Therapists by trade and sports therapists by passion, Mike St. George and Ryan Stahl. We will be diving headfirst into sports medicine rehabilitation, return to play protocols, and bridging the gap a little more efficiently with The DorsaVi, movement analysis software that is now being utilized at Ivy Rehab.

    Mike St. George has his Doctorate of Physical Therapy from the University of the Sciences located in the heart of West Philly. Mike is the Clinic Director at Ivy Rehab in Warminster, Pennsylvania. Mike has 10+ years of experience with areas of expertise in sports performance, return to sport, runners, endurance athletes, and hand injuries. He is trained in the Functional Movement Systems Philosophy including the FMS or Functional Movement Screening, SFMA or Selective Functional Movement Assessment, and FCS or Functional Capacity Screening. He has authored several articles Endurlite.com is the Co-Host of “The Coach Hos Podcast” and is a competitive Spartan Race athlete himself.

    Ryan Stahl earned his Doctorate of Physical Therapy from Arcadia University just outside of Philly in Glenside PA. He underwent residency training and achieved his Board Specialization in Orthopedics in 2020. He has been published in the International Journal of Sports Physical Therapy for Return to Sport Protocol following Nonoperative Ulnar Collateral ligament Tear in Fighting Athletes, and in The Journal of Scientific Research for Nutrition Considerations in Enhancing Patient Outcomes. He currently serves as Sports Performance Director for the Ivy Rehab Network, and currently treats in Cherry Hill New Jersey.

    In this episode, we cover:

    4:00 How Mike St George and Ryan Stahl got into Physical Therapy and Sports Medicine

    6:00 The coursework Mike St George and Ryan Stahl took that best directed their skillset towards sports medicine.

    8:00 Why continuing education is so important for all psychical therapists.

    11:00 How their access to online courses and an abundance of resources has changed Mike and Ryan’s approach to treating and assessing athletes.

    12:45 The benefits of doing an orthopedics residency according to Ryan Stahl.

    “You take a little bit of everything from everyone you see” - Ryan Stahl

    16:40 During assessments and treatments, you need to be looking at the whole body. Always look above and below the joint.

    21:00 The misconception that PT is just being assigned some exercises. The exercises are a prescription to fix a specific problem.

    21:15 When you’re assessing you have to determine what’s going on with the person and what their movement patterns and functionality is.

    40:30 What is the DorsaVi? The DorsaVI is a wearable sensor technology that allows PTs to quantify data that was previously only qualitative and that allows PTs to know if their program is working.

    42:30 How testing with the DorsaVi is different or better than traditional testing. It gets rid of eye testing and lets PTs know what is really working.

    Full Show Notes Available on https://www.onqperformancetherapy.com/episodes

    Contact

    LinkedIn Mike St George 

    HoneyBadger_Juicy 

    Ryan Stahl LinkedIn 

    Feb 08, 202201:10:23
    45. The Importance of Mental Health Screenings for Student-Athletes with Dr. Lindsey Keenan Ph.D., LAT, ATC

    45. The Importance of Mental Health Screenings for Student-Athletes with Dr. Lindsey Keenan Ph.D., LAT, ATC

    Season 3, Episode 9 | Podcast #45

    Lindsey Keenan is an Athletic Trainer and Associate Professor in the Department of Sports Medicine at West Chester University and is Co-Founder and CEO of PROmotion Health, a mental health screening solution for sports medicine and schools. She received her bachelor’s degree in athletic training from Lock Haven University, two master’s degrees from East Stroudsburg University in Athletic Training and Sport Management, and her doctorate in Kinesiology with a concentration in Sport & Exercise Psychology from Temple University. Lindsey works clinically with the WCU NCAA Women’s Rugby team and teaches courses in the undergraduate and graduate athletic training programs, including sports psychology, cadaver dissection, and clinical courses. Her research focuses on mental health and concussion injury in student-athletes. She is considered a national expert on student-athlete mental health and has presented nationally and internationally on student-athlete depression, concussion, and mental health screening. Her entrepreneur journey led to the development of PROmotion, which she is utilizing clinically and in research to assess the mental health of student-athletes and referral outcomes.

    Resources:

    If you, or someone you know, is struggling with a mental health concern or crisis, contact a mental health provider as soon as possible. In an emergency, contact the National Suicide Prevention Lifeline at 1-800-273-TALK(8255) or call 911. You can also text the Crisis text line 741-741.

    4:40 How Dr.Keenan’s personal bouts of depression in college and postpartum anxiety have made her more able to recognize mental health concerns and learn how to advocate for her and others. 

    10:05 The importance of not waiting until you’re in crisis to seek counseling, but to instead be proactive about your mental health.

    11:25 Suicide is the second leading cause of death for college-level student-athletes. 

    12:45 The research on athlete mental health has only just begun, though there’s been a recent boom.  

    14:30 What the current mental health screening process looks like for athletes. 

    14:48 Dr. Keenan recommends reading the NCAA best practices document for creating a mental health management plan. 

    16:00 There’s currently a huge need for mental health providers in the United States because there are not enough to help everyone who needs it. 55% of counties in the United States do not have access to psychiatrists, according to the Substance Abuse and Mental Health Services Administration (SAMHSA)

    18:00 Who is considered a licensed mental health provider.

    23:40 What is the objective of having a sports psychologist on staff?

    For Full Shownotes visit onqperformancetherapy.com/episodes 

    Contact Info 

    PROmotion Health website:  www.goPROmotionHealth.com

    Lkeenan@goPROmotionhealth.com

    @PromotionHlth on Twitter and Instagram

    Feb 01, 202201:32:25
    44. Return To Play Protocol After A Concussion with Dr. Brandon Eck, D.O. and PT, AT Michael Keenan [PART 2]

    44. Return To Play Protocol After A Concussion with Dr. Brandon Eck, D.O. and PT, AT Michael Keenan [PART 2]

    1:18 What are the parameters for a student-athlete to return to play?

    2:00 Return to play protocol is a graded 6-phase progression for return to exercise necessary before returning to competition

    2:38 “Asymptomatic at school, they have to clear that before we can even talk anything field related.”

    3:00 Athletes typically don’t usually start going to physical therapy with Mike Keenan until phases 2 and 3 of the Return to Play protocol.

    The phases of the Return-to-Play protocol for concussions.

    1. Asymptomatic at school
    2. Asymptomatic with light aerobic activity
    3. Asymptomatic with moderate aerobic activity
    4. Asymptomatic with non-contact heavy field activity
    5. Asymptomatic with practice & full contact
    6. Asymptomatic at competition

    3:46 There is always a conversation between the physical therapist and the sports medicine physician so that a student can be cleared to continue in the return to play progression.

    5:00 How Dr.Eck approaches the Return-to-play protocol with the physical therapist, the athletic trainer, and the parents.

    “What I want parents or athletes to do is, if they’re doing better before our second evaluation, call me. There’s no reason to delay it, just because of the schedule.

    5:50 “I can’t emphasize enough how important it is for physical therapists to communicate with and offer our observations to the physician or sports medicine doctor, knowing we don’t call the shots”- Mike Quintans

    7:45 The importance of the athletic trainer in later phases.

    8:05 The role the athletic trainer plays as the student returns.

    9:15 What a follow-up evaluation looks like with Dr. Eck.

    9:50 Does the sport a student plays change Dr.Eck’s evaluation?

    13:00 Dr. Eck sites a study from March 2021, “Musculoskeletal Injuries And The Association With Previous Concussion History: A Prospective Study of High School Volleyball and Soccer Players” that found that if a student had a concussion in the last twelve months, they are 87% more likely to have an acute noncontact lower extremity injury.

    16:00 Q urges better holistic testing to mitigate the overall risk of injury

    “This comes down to a holistic approach to return to play. Are we clearing a concussion to return to play, or are we clearing a student-athlete to return to play?” - Q

    Lighting Round

    21:20 What are we doing right in regards to concussions?

    23:00 What could we be doing better in sports medicine regarding concussions?

    24:00 What is your biggest takeaway from recent research in concussion management?

    25:00 How do we mitigate the risks and severity of concussions?

    29:45 What needs to happen for us to reduce the risk of concussions overall?

    32:35 Their take on the 70-30 breakdown.

    34:50 “It’s very rare that I see an individual and they’re not going to get some sort of referral.”

    34:50 “It’s very rare that I see an individual and they’re not going to get some sort of referral.”

    36:50 Often times concussions will lead physicians to uncover underlying conditions that have gone unrecognized, especially in teenagers.

    37:40 How many visits does a PT usually see the average concussion for?

    38:40 “The faster you get in [to PT], the faster you get better.”


    CONTACT

    Dr. Brandon Eck

    Orthopedic Associates of Lancaster.

    Michael Keenan

    PTW Ardmore 

    Jan 25, 202243:59
    43. The Importance of Early Concussion Evaluation For Athlete Recovery with Dr. Brandon Eck, D.O. and PT, AT Michael Keenan [PART 1]

    43. The Importance of Early Concussion Evaluation For Athlete Recovery with Dr. Brandon Eck, D.O. and PT, AT Michael Keenan [PART 1]

    Today, we will be discussing everything concussions with two of the best in the business: Vestibular certified Physical Therapist and Athletic Trainer - Mike Keenan as well as Dr. Brandon Eck. Mike was on the podcast before to discuss concussions as was Dr. Eck in which we discussed his experience and roles in sports medicine specifically endurance athletes and the services he provides.

    Dr. Brandon Eck

    Dr. Brandon Eck is a sports medicine physician that earned his undergraduate degree at Villanova University where he ran track and field for the Wildcats. He then earned his medical degree at the Philadelphia College of Osteopathic Medicine. He completed his residency in family medicine. He also completed a sports medicine fellowship in Blacksburg, VA in which he served as a team physician to Virginia Tech and Radford University. Dr. Eck has extensive experience in treating athletes of many disciplines and is dedicated to the treatment of both athletes and non-athletes with orthopedic injuries, including sports injuries, overuse injuries, fracture care and concussions. He is the Team Physician for U.S. Ski and Snowboard

    Michael Keenan

    Michael Keenan is a dual credentialed Physical Therapist and Athletic Trainer, Mike has been working in Sports Medicine and Rehabilitation since 2008. During this time, Mike has worked with patients of all ages and physical abilities from pediatrics to professional sports while with the Pittsburgh Pirates Baseball Organization. He specializes in vestibular and concussion-based treatment. I have had the pleasure of working with Mike Keenan over the past several years. I can say with the utmost confidence that he is the best I’ve seen at treating concussions – whether the patient was in an automobile accident, work-related accident, or as a result of an athletic trauma or injury.


    3:30: What is a concussion? 

    4:40 What is the difference between a traumatic brain injury (TBI) and a concussion?

    5:15 what the most important thing Dr. Eck and Keenan have learned about concussions since their fellowships and training.

    6:00 Keenan is in the unique position of seeing concussions at the beginning and the end. 

    7:35 How are concussions diagnosed and how have these practices evolved?

    9:30 What does the Sideline concussion assessment tool - SCAT 5 test consist of?

    16:00 What does concussion diagnosis look like in the clinical setting after the initial evaluation on the field?

    19:45 How does a physician dictate what the appropriate next steps are?

    23:00 If something like the Impact test is available from the school or sports team is available it will be taken into consideration.

    24:30 Getting a psychological evaluation and treatment is especially important for student-athletes to determine care protocol and school accommodations.

    26:00 The importance of having a good rapport between the physician, the physical therapist, and the patient.

    28:35 How often are clinicians seeing a patient within a week of the initial injury?

    30:30 Dr.Eck shares a study from the Journal of Neurosurgery in Pediatrics about the association of time to clinic visit with  prolonged recovery in Pediatric patients with concussions.

    33:30 Average Symptom Severity and Related Predictors of Prolonged Recovery in Pediatric Patients with a concussion (2020) found that symptom severity along with delayed evaluation related to prediction of prolonged recovery.

    39:30 What is symptom grading and how does Keenan use as a flag system with patients?

    40:20 Dispelling the old myth that someone with a concussion should be told to rest completely.

    Stay tuned for Part 2 next Tuesday

    Jan 18, 202201:05:34
    42. Rotator Cuff Repairs, Why Bench Pressing is Awful for Your Shoulder, and Questioning the Arm Bike with Dr. Ken Kearns, M.D. [Part 2]

    42. Rotator Cuff Repairs, Why Bench Pressing is Awful for Your Shoulder, and Questioning the Arm Bike with Dr. Ken Kearns, M.D. [Part 2]

    Season 3, Episode 6 | Podcast #42

    Today we are joined by Dr. Ken Kearns, a Board Certified, fellowship-trained shoulder and elbow orthopedic surgeon who specializes in arthroscopic surgical procedures, joint replacements, minimally invasive procedures, as well as upper extremity fracture care from the clavicle to the elbow.

    Dr. Kearns completed his undergraduate studies at Colby College in Maine then onto medical school at The University of Toledo School of Medicine. Next stop, Orthopaedic Residency Program at Thomas Jefferson University Hospital. While a resident, Dr. Kearns was recognized by several orthopedic organizations for his research and leadership. Last stop, Dr. Kearns didn’t go far for his fellowship. He was accepted to the internationally renowned Thomas Jefferson University Hospital/Rothman Institute Shoulder & Elbow Orthopaedic Fellowship Program.

    Dr. Kearns has been published in numerous specialty medical journals on topics specifically related to rotator cuff tears, shoulder instability, and shoulder replacement. He’s been with Philadelphia Hand to Shoulder since 2016.

    In this episode we cover:

    1:10: New research available about shoulder instability stating that shoulder injuries should be repaired after the first injury rather than the third, which was the previous recommendation.

    3:15 The two things that keep your shoulder stable - static and dynamic stabilizers

    5:00 Make a judgment call on if therapy is the way to go after 4-6 weeks, not 4-6 months

    6:00 How a labrum is repaired and normal-tension is recreated

    7:50 What does typical recovery look like using Baker Mayfield from Cleveland as an example.
    9:50 You have to take into consideration longer-term aspirations to plan ff and when to do a surgery.

    10:55 The problem with Sully braces

    11:55 The 6 grades of ligament separations

    13:30 Grade 3 is the one that people go back and forth on whether surgery is necessary.

    14:00 The surgical procedure for shoulder separation repair - arthroscopically assisted repair

    20:30 Typically rotator cuff tears are the gray hairs and wrinkles of the shoulder or traumatic cuff tears.

    21:50 Story from Dr.Kearns’ fellowship with a current hall of fame Hockey player

    23:03 Very few professional athletes, besides Kobe Bryant, have come back to play after a cuff repair.

    23:57 A case Dr.Kearns saw with a competitive weight lifter in her 40s. Her cuff tear was hanging on by a thread, Dr.Kearns repaired it and won her next international competition, was doing awesome and she is back after 4 years with a similar injury.

    28:00 There are so many better exercises you could be doing for your upper body than the bench press.

    28:21 There are two terrible things for your shoulders, shoulder press, and bench press

    29:10 People get intimidated about seeing a doctor - “My job is to get the person back”

    29:40 There are very few things that I will ultimately say “you need to have them fixed” and its usually not a sports injury.

    37:45 Dr.Kearns asks “What is the point of the Arm bike”

    38:00 Q is anti-machine as a physical therapist.

    38:30 Arm bikes don’t really make sense and cause more irritation than they help.

    ------

    Dr. Ken Kearns Philadelphia Hand To Shoulder Center

    Jan 11, 202244:01
    41. Shoulder Injuries and Why Your Arm Was Not Designed to Throw a Baseball With Dr. Ken Kearns, M.D. [Part 1]

    41. Shoulder Injuries and Why Your Arm Was Not Designed to Throw a Baseball With Dr. Ken Kearns, M.D. [Part 1]

    Season 3, Episode 5 | Podcast #41

    Today we are joined by Dr. Ken Kearns, a Board Certified, fellowship-trained shoulder and elbow orthopedic surgeon who specializes in arthroscopic surgical procedures, joint replacements, minimally invasive procedures, as well as upper extremity fracture care from the clavicle to the elbow.

    Originally from Ohio, Dr. Kearns completed his undergraduate studies at Colby College in Maine then onto medical school at The University of Toledo School of Medicine. Next stop, Orthopaedic Residency Program at Thomas Jefferson University Hospital. While a resident, Dr. Kearns was recognized by several orthopedic organizations for his research and leadership. Last stop, Dr. Kearns didn’t go far for his fellowship. He was accepted to the internationally renowned Thomas Jefferson University Hospital/Rothman Institute Shoulder & Elbow Orthopaedic Fellowship Program.

    Dr. Kearns has been published in numerous specialty medical journals on topics specifically related to rotator cuff tears, shoulder instability, and shoulder replacement. He’s been with Philadelphia Hand to Shoulder since 2016.

    In this episode we cover:

    2:55 What led Dr.Kearns to his career path and to stay in Philadelphia.

    4:00 How orthopedic surgeons are looked down upon in the medical world

    5:00 How Grey’s Anatomy has represented orthopedics poorly. (Yes, Dr.Kearns still watches)

    6:26 Dr.Kearn’s experience at Jefferson University

    How specialization plays a role in medicine especially in Philadelphia and New York.

    8:45 The variety of injuries and surgeries an elbow and shoulder orthopedic surgeon sees in a day.

    10:25 The difference between a fellowship and a residency for doctors.

    13:20 How Dr.Kearns ended up at the Philadelphia Hand and Shoulder Center. The competitiveness of the Philadelphia medical scene, especially in Orthopedics.

    15:00 The dilemma with marketing yourself as a doctor.

    17:50 Building connection and relationship with patients and colleagues. The importance of respect and rapport when treating a patient.

    21:00 The importance of talking directly to kids when they are the patients.

    25:00 The most common shoulder and elbow sports injuries Dr.Kearn sees on a regular basis with athletes and weekend warriors.

    26:00 Why Dr.Kearns and Q are seeing more Tommy John Elbow injuries - tearing the ligament on the inside of the elbow due to overuse in baseball. - Your arm is not designed to throw a baseball.

    32:16 Labral tear symptoms and presentation.

    34:40 The importance of treating the whole person and treating each case individually.

    35:00 “My role is to help you make an informed decision about what’s best for you”

    36:00 The role of imaging in diagnosing and treatment

    38:40 “Full disclosure, I still do these things but the worst thing you can do for your shoulder is bench press and shoulder press”

    39:30: “90% of your diagnosis comes from what your patient tells you”

    40:00 The range of recoveries and outcomes that aren’t easily predictable.

    Contact

    Dr. Ken Kearns Philadelphia Hand To Shoulder Center

    Jan 04, 202242:48
    40. Academia and Entrepreneurship with Dr. Dawn Gulick, PhD, PT, ATC, CSCS

    40. Academia and Entrepreneurship with Dr. Dawn Gulick, PhD, PT, ATC, CSCS

    Today we are joined by Dr. Dawn Gulick professor, entrepreneur, and research leader in the field of physical therapy as it applies to sports medicine. Today we will be discussing the landscape of getting into PT school, what PT school consists of, Dr. Dawn Gulick’s experiences in the field of sports medicine, and her mobile app called iOrtho+.

    Dr. Dawn Gulick earned her bachelor of science in athletic training from Lock Haven University, her master of physical therapy from Emory University, and a doctorate of philosophy in exercise physiology from Temple University. Dr. Dawn Gulick is also a certified athletic trainer and a certified strength and conditioning specialist.

    Dr. Dawn Gulick is a professor of physical therapy at Widener University in Chester, Pennsylvania with over 25 years of teaching experience. As a clinician, Dr. Dawn Gulick has owned 2 private orthopedic/sports medicine practices. She also provides athletic training services from the middle school to the elite Olympic/Paralympic level. As a member of the USA Sports Team, Dr. Dawn Gulick has provided medical coverage at numerous national and international events and has been the medical provider for USA National Teams since 1993. Dr. Dawn Gulick is the author of 4 books.

    Dr.Gulick is the developer of the mobile app called iOrtho+. The app has been positively reviewed by numerous organizations and has been adopted by dozens of universities to supplement their orthopedic curriculum. The app, iOrtho+ has been sold in over 14 countries.  Dr.Gulick is also the inventor of an orthopedic device called the Mobil-Aider. It has been cleared by the FDA & was launched in 2021.

    Dec 28, 202101:05:39
    39. How to Start Marathon Training with Running Coach Caitlin Kowalke (Comfort)

    39. How to Start Marathon Training with Running Coach Caitlin Kowalke (Comfort)

    Caitlin Kowalke (Comfort) won the Illinois state title in cross-country her junior year of high school. She went on to run cross country at the University of Wisconsin-Madison, Where she became a two-time second-team All-American and a two-time Big Ten Champion in the 5,000 and 10,000-meter events. Upon graduating Caitlin began a professional running career and took on a volunteer coaching position for the UW women's cross country and track team. Caitlin then went on to a professional runner, then transitioned to the half and full marathon distances. She attributes many of her successes as an athlete to the support of my family, my collegiate coach Jim Stintzi, and former coach but forever friend, Stephanie Rothstein Bruce (a sub 2:30 marathoner).

    Today, Caitlin continues to run. Caitlin lives just outside of Madison, Wisconsin with her husband Tom, and her two daughters, Rose and Joanna, and her step-daughter, Stella. At the 2018 Madison Marathon, she qualified for her second Olympic Trials Marathon. On February 29th, 2020 in Atlanta, Georgia she toed the line with two of her Wisconsin-based athletes who she also coached to Olympic Trials qualifying performances.

    In this episode we cover:

    Where did your passion for running come from and how did you start?

    6:00 At what point did Caitlin realize you were good at running?

    10:00 What’s it like being a mother and training for the Olympic trials? What it was like to train for Olympic trials just six months after giving birth?

    14:30 How Caitlin started coaching runners after being a runner in college.

    What services Caitlin offers to runners with to runners of different experiences.

    21:20 How Caitlin helps runners who want to run as a lifestyle change rather than for a race?

    24:00 Caitlin’s training philosophies and personalized approaches.

    27:00 Caitlin’s Rules of thumb for early marathon runners

    I believe in creating programs that challenge the athlete while building confidence and keeping the risk of injury low.

    30:00 What Caitlin’s Marathon training cycles typically look like for 16 to 20 weeks.

    34:00 How to change your running plan to increase speed and lower marathon time

    38:00 How the app VDOT 02 helps Caitlin’s coaching

    41:00 Running Rewired

    46:00 What kind of cross-training should long-distance runners be participating in?

    53:00 How Caitlin manages injuries during a client’s training.

    54:00 Don’t push through the pain

    57:00 Quick 5

    1. What is your 5k pr? Marathon PR?
    2. In programming, what is one thing you do differently now vs 5 years ago?
    3. Name one attribute every successful runner has?
    4. The most significant lesson learned from coaching?
    5. One book you recommend on running?

    Running Rewired and Science of Running

    caitlin@fearlessfeetrunning.com

    Dec 21, 202101:01:19
    38. Meniscus Repairs and the Value of a Strong Doctor-Physicians Assistant Partnership with Dr. Milt Zgonis and PA Lisa Victorius

    38. Meniscus Repairs and the Value of a Strong Doctor-Physicians Assistant Partnership with Dr. Milt Zgonis and PA Lisa Victorius

    Season 3, Episode 2 | Podcast #38

    Dr. Milt Zgonis, M.D. is an Orthopedic Surgeon with Penn Medicine and the Co-Director of their Human Tissue Laboratory. He received his medical degree from Albany Medical College and completed his 6 year residency and lab research with Penn Medicine. He then went on to complete a fellowship in orthopedics and sports medicine at Duke.

    Lisa Victorius, PA-C is an alumna of South Carolina University and completed her Physicians Assitant Education at Rosalind Franklin University of Medicine and Science in Chicago. They have worked together for over seven years.

    In this episode, we cover:

    1:30:00 Milt Zgonis’ and Lisa Victorius’s backgrounds in athletics and medicine.

    2:45 How a background in sports and athletics has helped Victorius and Zgonis while practicing medicine.

    3:20 The identity crisis athletes have when they sustain an injury.

    4:00 How Zgonis’ love for martial arts growing up and his sister had an ACL tear that resulted in major complications pushed him into the field of sports medicine.

    5:00 How Dr.Zgonis’ experience at Duke University’s Athletic program prepared him to work with professional athletes in the Philadelphia area like the Sixers.

    “Treat every person like they are a high-level athlete and get them back to whatever it is they want to do.

    9:00 What is a typical patient that Dr. Zgonis and Victorius see? Why there is no average patient, and how each one is so different

    10:00 Zgonis’s focus and passion for meniscus research and innovation

    12:00 How Zgonis approaches meniscus tears and what innovation is happening in the field regarding meniscus reconstruction

    12:45 if a joint is going to be repairable it’s going to be before its all macerated and wreck any repairable tissue

    “In orthopedic sports medicine, probably our generations greatest challenge is repairing and restoring meniscal function.”

    14:20 What about the meniscus makes it so easily compromised and why is it so difficult to repair?

    14:40 What is the meniscus?

    16:00 Why the meniscus has almost no healing capacity?

    17:00 The mechanical effects on the rest of the body after a meniscus injury

    18:20 Why we don’t have a good way of predicting what people will be like long term?

    19:00 When and why are Arthroscopies needed to treat meniscus issues?

    20:00 How has the dynamic between Dr. Zgonis and Victorius as a PA worked so well in their office for the past seven years? How Victorius approaches educating the patient to supplement Dr.Zgonis’ work.

    23:00 What complex procedures are they seeing in their office?

    28:00 Patients want a doctor’s honest opinion and candor

    32:00 The trust that physicians and physical therapists need to have with each other 

    Contact

    Dr. Milt Zgonis and Lisa Victorius, PA-C

    Dec 14, 202134:50
    37. Physiatry, Back Pain, and Regenerative Medicine with Dr. Scott Davidoff, MD

    37. Physiatry, Back Pain, and Regenerative Medicine with Dr. Scott Davidoff, MD

    Dr. Scott Davidoff is a physiatrist at Main Line Spine in King of Prussia, PA, located about 20 mins from Philadelphia. Dr. Davidoff earned his undergraduate degree from Emory University in Atlanta and his medical school degree from Temple University School of Medicine. He then completed an internal medicine internship at Hahnemann University Hospital and subsequently returned to Temple University for his residency training in Physical Medicine and Rehabilitation.

    After his residency, Dr. Davidoff completed a fellowship in interventional pain management/sports medicine at Orthopedic and Spine Specialists in York, PA.

    Dr. Davidoff is board certified in Physical Medicine and Rehabilitation, Pain Medicine, and Sports Medicine. He is currently serving as President of the American Board of Pain Medicine.

    Dr. Davidoff has undergone extensive training in various fluoroscopically guided (X-ray guided) procedures used to treat neck and back pain. He additionally specializes in regenerative orthobiologic medicine, including PRP therapies, to help treat an array of painful conditions.

    Contact

    Main Line Spine

    Mainlinespine.com

    610.337.3111

    In this episode, we cover:

    3:40 What does a physiatrist do?

    5:10 What is the training required for becoming a physiatrist?

    6:30 What other specialties might be getting this sort of fellowship in sports medicine or pain management?

    8:00 Dr.Davidoff’s focus on treating the whole person

    8:50 Providing patients with the attention they deserve and a host of options that will best serve them.

    10:15 What are the benefits of telemedicine in physiatry and how will it change in the future?

    14:00 What types of patients is Dr.DAvidoff as a psychiatrist typically seeing in his office?

    14:45 What is the difference between patients with acute and chronic spinal injuries or pain?

    16:20 How Dr.Google has taken over and has both given patients education and misinformation.

    17:00 Patient education and communication across providers.

    20:10 What different treatment options Dr.Davidoff provides in his office at Main Line Spine?

    23:30 How does Dr.Davidoff go about deciding the best treatment option for a patient? 

    27:00 There is no one size fits all with treatment, it’s really individualized.

    28:00 What is Dr.Davidoff excited about in the field of physiatry and pain management?

    28:15 What is regenerative medicine? What are the benefits of stem platelet-rich plasma (PRP) injections? How does regenerative medicine help with stability and structure?

    36:07 Who is a good candidate for PRP

    41:00 What is the typical presentation of patients with back pain?

    42:10 Different categories of back pain. Axial pain ( neck or back pain) vs Nerve related pain that radiates to other extremities.

    45:30 Spondy Spondylolysis in athletes, especially young ones, and Carson Wentz example.

    51:30 A structured and gradual Return to Play program for athletes.

    53:20 The Opioid crisis and pain management and the future of opiate therapy.


    Dec 07, 202101:03:14
    Season 3 of On Q Performance is on its way!
    Dec 04, 202100:45
    36. A Look Back at Season 2

    36. A Look Back at Season 2

    Mike Q looks back at the amazing guests who joined us in Season 2 and gives a sneak peek into season 3's line up. He also shares an exciting work-life update. 

     

    Let us know what you thought about season 2 with a 5-Star review!

    May 11, 202105:51
    35. Coaching Gen Z with Coach Chris Quintans

    35. Coaching Gen Z with Coach Chris Quintans

    On this special episode of the podcast, Mike sits down with his younger brother Chris Quintas who is an incredible athlete, coach, and teacher to talk about all things coaching and the best practices for working with Gen Z athletes. Coach Chris Quintas is the head baseball of the Sun Valley Vangaurds and defensive assistant football coach at Sun Valley high school, as well as a high school math teacher.

    “Students don’t care what you know until they know that you care”

    Coach Chris focuses first and foremost on creating a community environment based on showing his players that he cares about them, not just on the field, but in life.

    Leadership and Personality

    Coach Chris has all his players and students take Myers-Briggs personality tests so they can better understand themselves and their teammates. There are benefits to being able to put students in groups with others with different personality types.

    He also puts a strong emphasis on building leadership skills in every aspect of life through leadership meetings with his athletes. Goes through each of the chapters in The Team Captain's Leadership Manual: The Complete Guide by Jeff Jansen. There are about 50 evaluation points that cover both vocal and exemplary leadership.

    “You are a leader somewhere in your life”

    You may not be the leader on the field, but you can learn to be a better leader in the classroom, in your home, or in your community. The skills are about so much more than the four years of playing high school sports, they will carry on into all aspects of your life.

    Both Mike and Chris put a strong emphasis on leading by example and believe in “never tell someone to do something I wouldn’t or am not doing”

    Millennials Coaching Gen Z

    Seeking instant gratification is often seen as a flaw of Gen Z, but if coaches and teachers can better understand how to work with Gen Z students in a way that feels right to them, you’ll team will be better for it.

    The number one mistake coaches make with Gen Z is publically embarrassing the athletes and failing to make amends. Publically humiliating a student or yelling at the athlete in front of the whole team is not going to be an effective way to coach, it will only lead to the athlete disconnecting and losing respect for the coach.

    The best approach is focusing on what the team is doing well and highlighting athletes that are setting an example for the rest of the team. Be their biggest fans and biggest source of encouragement.

    “Teachers are coaches, coaches are teachers”

    Gen Z athletes have a deep fear of failure, so normalizing failure and encouraging them through the tough moments is absolutely necessary.

    Millennial coaches need to remember that the end goal is developing the athletes as people and creating a stronger community. It’s not all about wins and loses.

    Building a Great Coaching Staff

    Find people with skills different from your own and find people who are really going to care. The most important traits to look for are that they are hardworking, forward-thinking and community-oriented.

    In order to find the best additions, networking with other coaches will be essential.

    Best Books For Coaches mentioned in this Episode:

    The Team Captain's Leadership Manual: The Complete Guide by Jeff Jansen

    Sport Psychology for Coaches

    Contact

    Instagram @CoachQuintans

    Twitter @CoachQuintans

    CoachQuintans@gmail.com

    Apr 27, 202150:41
    34. The Pose Method of Running and Movement Mechanics with Tracy Peal

    34. The Pose Method of Running and Movement Mechanics with Tracy Peal

    Season 2, Episode 15 | Podcast #34

    We know that as the weather warms up more of you are starting to lace up your running sneakers, so we are bringing you this replay from Season 1 all about running mechanics with the incredible Tracy Peal. Dr. Mike Quintans chats with elite performance coach, movement specialist, and running guru, Dr. Tracy Peal. Peal implements the pose method of running, created by Dr. Nicholas Romanov, and combines it with in-the-moment observation to give his athletes the best results in a way that is unique to them.

    Peal’s Background

    Tracy Peal is a Philadelphia native and played football, baseball, and basketball as a kid, although he gravitated more toward basketball. He got recruited by Penn State from Salesianum High School where he got All-State. Then he went to the University of Delaware to finish his sport and education. After graduation, he started running half-marathons, training for powerlifting, and eventually diathalons.

    Eventually became a triathlon coach which is when he came across Dr. Nicholas Romanov's Pose Method of Running.

    The Pose Method

    The Pose Method is a general movement theory based on the idea that we are in a gravitational field. Movement is all two things. Gravity is body weight, body weight is potential energy. Free-falling is the kinetic energy. There’s an up and down from potential energy to kinetic energy and back. Your job is to un-weigh yourself from the ground. If you weigh yourself quickly, then you can get yourself into the next post for the body to fall again.

    The quicker the body catches up to your foot, the less chance of injury.

    Usain Bolt is a great example of perfect form under the pose methodology.

    Working with Athletes

    Peal prefers to meet athletes and work with them “where they do what they do” by training on the field or on the track. He says, if a soccer player is feeling pain or struggling with their kick form, he wants to see them in action, kicking on the field.

    It is so important to meet the athlete where they are that day. Understanding their mood, energy, tensions, and pain points before training will allow coaches and trainers to truly help their athletes.

    Peal focuses on seeing the athlete in all different postures and different movements. With his training and focus, he can accurately predict a runner’s issues by how they stand, then how they walk.

    A lot of the process of helping an athlete run and move better is explaining the mechanics, trying the adjustments, then reassessing.

    CONTACT

    Instagram - @tracypeal

    Facebook - @tracypealspeed

    Twitter - @tracypealspeed

    www.pealsportsperformance.com

    Apr 20, 202143:44
    33. Mental Toughness in Wrestling, Krav Maga and Business with Wayne Helms

    33. Mental Toughness in Wrestling, Krav Maga and Business with Wayne Helms

    Wayne Helms is the owner of Elite Krav Maga Training & Fitness and Mike’s former high school wrestling coach. He is a life-long athlete and has been coaching for over 20 years. In this episode, Q and Wayne discuss wrestling in the Philadelphia region, whether high schoolers should be cutting weight and Krav Maga.

    “Wrestling doesn’t build character, it reveals it” Wayne’s background

    Wayne is the oldest of three boys, raised by a single mother. He grew up in and around the Delaware County culture of loyalty. He credits his Delco friends and family for always sticking by him. Referenced the movie Last Call.

    Wayne got into Judo in 5th grade with his brothers then in 1997 started practicing Sambo.

    Coached Wrestling at Upper Darby High School.

    Wrestling in the Philadelphia Area

    With wrestling you can’t look toward anyone but yourself whether you win or lose. That kind of mental toughness is the most important intangible in the sport.

    The risk in wrestling is more mental burnout and overuse rather than physical per se.

    Pennsylvania is one of the most elite states for wrestling. The Delaware County area specifically has potential though not enough students are starting and then sticking with it because of the pull from other sports.

    Wayne speaks on being very against cutting weight because of the mental weight and unnecessary pressure it places on an athlete.

    On the importance of creating an intentional plan for children in the sport. Making sure that there is positive reinforcement especially with younger children.

    Krav Maga

    Krav Maga is an Israeli military self-defense and fighting system developed by Emrich "Imre" Lichtenfeld.

    Wayne gravitated toward Krav Maga as he searched for something he could have just for himself and to give him back his edge in business and in life. Once he obtained his Krav Maga Global Instructor, the coaching instinct was already there.

    Self Defense

    Wayne goes into the different elements of self-defense. Physical fitness, combative training, medical training, legal knowledge, and firearms.

    Business and Development

    Wayne is always looking to improve and push himself through the discomfort. He is always asking “What can I do to move forward?

    He adopts an “Adapt or die” mentality while implementing what he likes to call the “coralreef method.” - Coral reefs grow on the side where the waves crash con

    CONTACT

    @elite_krav_maga_training Instagram

    @elitekravmagatrainingandfitness Facebook

    www.elitekravmagatraining.com


    Apr 13, 202157:10
    32. Top Tips for Coaches with Dr. Ken Clark

    32. Top Tips for Coaches with Dr. Ken Clark

    Enjoy this replay of one of our favorite episodes from Season 1. Mike sits down with Dr. Ken Clark, Associate Professor of kinesiology at West Chester University with a focus on biomechanics, motor learning and doing research on running mechanics. He has been a consultant for USA Track and Field, Altus, and Parisi Speed School.

    Dr. Ken Clark’s Background 2:30-5:10

    4:00 - In 2008, Ken went back for his Masters after he got an undergraduate degree in psychology. He got his masters in Kinesiology at West Chester University. Went down to Dallas to get his PhD in Sprint Biomechanics with Dr. Peter Weyand and Dr. Larry Ryan at the Locomotive Lab at Southern Methodist University (SMU).

    4:41 - Ken came back to the Philadelphia area to become an associate professor at West Chester University and got involved in multiple teams for their strength and conditioning and sprinting.

    Passion for Biomechanics 5:10 - 7:00

    5:10 - The most enjoyable part of Ken’s job is teaching motor learning and biomechanics in the classroom then transferring that science to the track.

    6:30 - It’s important for an athlete to understand the mechanics of what you’re doing, how you’re doing it, and why you’re doing it.

    Ken’s Tips for Coaches 7:00 - 10:30 

    7:00 - Coaches have to engage their athletes and understand how they learn best. Sometimes they love the technical cues, and sometimes they just want to be told what to do. You have to give them enough information to make the correction.

    9:00 - Coaching about the context of drills - why we’re doing them - instead of going in depth with the technical side. So when you’re cueing them in the act, athletes understand your reference.

    9:30 - why a background in psychology is very important for coaching.

    USA Track and Field Experience 10:30 - 15:30

    10:30 - Dr. Peter Weyand had a connection with USA Track and Field and they were looking for a new biomechanist and apprentice for Dr. Ralph Mann. Since 2016, Ken was able to travel with the Elite Performance Program (Olympic level sprinters and hurdlers) to do on-track analysis.

    11:30 - Ken travels to the most elite sprint and hurdle groups around the country, utilizes video cameras and computer systems to develop an athlete’s biomechanical model to help them translate coaching cues. 

    Variation in Athletes’ Cue Correction

    15:30 - For some, even elite, athletes, making a small change is very challenging. But for others, they can make huge strides in a short amount of time just from technical or physical cues. 

    A Case Study: Doctor Collaboration 16:30 - 27:30

    20:40 - The number 1 complaint for PTs coming out of school is that they weren’t taught enough programming and therapeutic exercise. PTs need strength and conditioning coaches for programming and equipment. That’s why Mike hired a strength and conditioning coach for his PT clinic - PTW Newtown Square.

    Barriers into the Field of Physical Therapy and Coaching 27:30 - 32:00

    Case Study Continued 32:40- 40:00 

    36:20 - Ignoring logistics and in an ideal world, every athlete should get a movement screen. Cory Walts, Director of Strength and Conditioning at University of Pennsylvania, would screen every sports athlete at the beginning of the year when he worked at Haverford College. He’d work with the Strength and Conditioning staff. You want your sports medicine and strength and conditioning teams doing the screenings at the same times.

    What We Can Be Doing Better in the Fitness and Medical Field


    CONTACT

    @kenclarkspeed on Twitter and Instagram

    www.kenclarkspeed.com

    Apr 06, 202149:31
    31. The COVID Vaccine Explained (On Q Solocast)

    31. The COVID Vaccine Explained (On Q Solocast)

    Season 2, Episode 12 | Podcast #31

    In this solocast, Q dives into the COVID vaccine, including his experience with it, and the outlook on spring/summer sports.

    Getting the Vaccine

    2:44 - Q outlines the steps he went through to get the vaccine.

    5:50 - He describes some of the minor symptoms he had after getting his second dose.

    8:23 - Q talks about how he felt to get the vaccine.

    Implications of the Vaccine Going Forward

    11:23 - He discusses why receiving the vaccine hasn’t changed how he treats patients.

    12:52 - Q touches on the outlook for sports.

    15:50 - He talks about what it will take to get to herd immunity which needs to be 75-80%.

    Our Producer Asks Q a Few Questions...

    17:22 - How will the vaccine affect athletes the day after? Should they be practicing?

    18:37 - Is there anyone who shouldn’t get the vaccine, or should wait to get it?

    20:00 - Does the greater availability of the vaccine make you hopeful for the future of athletics and becoming more active in our daily lives?

    CONTACT

    Phone - 610-723-7771
    Instagram -
    @m_quintansdpt
    Linkedin - Michael Quintans

    Leave a 5-Star Review!

    Please leave us a 5-star review on Apple Podcasts! See below to learn how.

    HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP

    1. Launch the Apple Podcast app on your iPhone or iPad.
    2. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art.
    3. On the podcast page, scroll down to Ratings & Reviews.
    4. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in.
    5. Give us a 5-star rating and a brief review! We'd be very appreciative!
    Mar 30, 202122:55
    30. Common Injuries in the Wake of COVID and How to Resolve Them (On Q Solocast)

    30. Common Injuries in the Wake of COVID and How to Resolve Them (On Q Solocast)

    Season 2, Episode 11 | Podcast #30

    This week, Q does a solocast to discuss how the lifestyle of the pandemic has affected his patients as they start returning to sports. Recently, he has been seeing many more acute chronic and traumatic injuries. He dives into how COVID affected our bodies physically when gyms were closed and sports were canceled, and how the quick return to sports is taking its toll. Worried about yourself? Don’t worry, Q’s got you covered with treatments for these issues.

    Acknowledging the Cause

    3:00 - Some of the things Q is seeing more now than previously: acute chronic and traumatic injuries. Q explains what is causing these injuries.

    6:15 - Q gives examples of dynamic warm-ups and static cooldowns.

    Treatment

    10:28 - Q dives into the differences between eccentric and concentric.

    12:00 - Why you should do isometrics first through different ranges of motion.

    14:16 - How to incorporate eccentric and concentric movements.

    17:42 - Progressions are the key to treatment and Q emphasizes how important it is to understand this.

    19:25 - We need to address the joints above and below the injury site.

    How to Mitigate Risk

    20:40 - Movement screenings are one way to mitigate risk. Q explains a few he’s used. For coaches of young athletes, he recommends finding a specialist and asking what movement screens they can conduct on your team.

    23:50 - Why COVID is affecting everyone: ergonomics at home are different than at work.

    24:00 - To everyone out there, athlete or not, Q says to “be your own advocate” with your health.

    Resources

    https://science.sciencemag.org/content/371/6532/874

    https://www.statnews.com/2021/02/02/comparing-the-covid-19-vaccines-developed-by-pfizer-moderna-and-johnson-johnson/

    CONTACT

    Phone - 610-723-7771
    Instagram - @m_quintansdpt
    Linkedin - Michael Quintans

    Leave a 5-Star Review!

    Please leave us a 5-star review on Apple Podcasts! See below to learn how.

    HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP

    1. Launch the Apple Podcast app on your iPhone or iPad.
    2. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art.
    3. On the podcast page, scroll down to Ratings & Reviews.
    4. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in.
    5. Give us a 5-star rating and a brief review! We'd be very appreciative!
    Mar 23, 202126:02
    29. The Multifaceted Nature of Athletic Trainers w/ Sue Moffitt, ATC

    29. The Multifaceted Nature of Athletic Trainers w/ Sue Moffitt, ATC

    Season 2, Episode 10 | Podcast #29

    Q is joined by Sue Moffitt, Head Athletic Trainer at Williamson College of the Trades. Sue sees athletes that are also studying a physical trade. Today, they talk about everything from becoming an athletic trainer to making split-second judgments about emergency treatment on the field. They dive into the similarities and differences between athletic trainers and PTs, and the benefits of athletics to a child’s development. It’s an action-packed episode that you don’t want to miss!

    Williamson College of the Trades

    3:32 - Sue describes what Williamson is, how it operates, and what its mission is.

    7:40 - Sue explains what her job is as the Head Athletic Trainer and Assistant Athletic Director.

    9:20 - What is a day in the life of Sue Moffitt?

    Becoming an Athletic Trainer

    13:05 - What are the requirements to be an athletic trainer?

    20:10 - What is the most common path for athletic trainers after they’ve become certified?

    22:48 - Sue says there is a lot of recognition and refers as an AT.

    27:17 - You’re the liability manager for the whole team.

    Collaborating and Communicating

    28:35 - How does the dynamic work between you and the “next step” (meaning where you’re referring a kid out)?

    34:35 - How do you handle communicating with parents?

    37:29 - What would be the perfect relationship between you and a coach?

    39:42 - As an athletic trainer you need to know your sports and what each sport/position requires of an athlete.

    Sports Specialization and Injuries

    40:17 - What is your take on sports specialization from your perspective as a mother and athletic trainer?

    44:55 - What repetitive injuries are you seeing from sports specialization and from trade school-related accidents?

    Similarities and Differences between Athletic Training and PT

    51:31 - What do you think are the differences between PT and athletic training?

    59:30 - What are your thoughts on return to play and how are you communicating with physicians?

    1:04:48 - The education that athletics provides is something you can’t get in the classroom.

    CONTACT

    Email: smoffitt@williamson.edu

    Leave a 5-Star Review!

    Please leave us a 5-star review on Apple Podcasts! See below to learn how.

    HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP

    1. Launch the Apple Podcast app on your iPhone or iPad.
    2. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art.
    3. On the podcast page, scroll down to Ratings & Reviews.
    4. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in.
    5. Give us a 5-star rating and a brief review! We'd be very appreciative!
    Mar 16, 202101:08:59
    28. How Chiropractors and Physical Therapists Can Co-Treat Patients w/ Dr. Marc Legere

    28. How Chiropractors and Physical Therapists Can Co-Treat Patients w/ Dr. Marc Legere

    Season 2, Episode 9 | Podcast #28

    Q is joined by Dr. Marc Legere, a chiropractor who created the PATCH technique. Mike has experienced firsthand the effectiveness of this technique, so today they’ll be diving into PATCH and also addressing the talk around chiropractors and physical therapists. They mainly discuss how the two professions can work together to benefit the patient.

    Dr. Legere’s Story

    4:35 - What is your story… why did you become a chiropractor?

    9:45 - He explains the two schools of thought in the chiropractic field and what he learned at Nashua University of Health Sciences in Chicago.

    Symbiotic Relationship of Chiropractors and PTs

    15:44 - Marc starts to explain the benefits of a relationship between Chiros and PTs.

    16:45 - He believes that the key is clinical confidence in co-treatment.

    PATCH Technique

    19:30 - Marc explains how he created the PATCH technique -- a passive form of myofascial release. Good at pain and range.

    Business and Chiropractic Practice

    30:40 - How much is business taught during chiropractic school?

    33:00 - Marc describes his background in business from ages 22-30, before he decided to go to chiropractic school.

    36:08 - Marc gives advice to young students.

    The Field of Chiropractic Medicine

    45:30 - If you could change one thing about chiropractic medicine, what would it be?

    47:09 - How have you seen the messaging behind chiropractors change over the years?

    Who Does What?

    50:30 - Who is allowed to do what within the medical field?

    58:10 - Mike describes some differences in coursework for each field.

    59:24 - What is “the pop” that people recognize chiropractors for?

    CONTACT

    Dr. Marc Legere - www.patchtechnique.com

    Leave a 5-Star Review!

    Please leave us a 5-star review on Apple Podcasts! See below to learn how.

    HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP

    1. Launch the Apple Podcast app on your iPhone or iPad.
    2. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art.
    3. On the podcast page, scroll down to Ratings & Reviews.
    4. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in.
    5. Give us a 5-star rating and a brief review! We'd be very appreciative!
    Mar 10, 202101:12:48
    27. Athletic Performance Training and Challenges with Sports Specialization in High School Athletes w/ Paul Kenny, CSCS

    27. Athletic Performance Training and Challenges with Sports Specialization in High School Athletes w/ Paul Kenny, CSCS

    Season 2, Episode 8 | Podcast #27

    Q is joined by Paul Kenny, Strength & Conditioning Coach and Co-Owner/Director at Marino’s Athletic Performance (MAP) in Downingtown, PA (45 minutes outside of Philly). In this episode, Q and Paul discuss how strength conditioning has changed over the years, overcoming challenges in the field, and how to balance it with physical therapy. In addition, they talk about the relationship between a college athlete’s coaches at school and at home.

    SHOW NOTES

    3:10 - Paul explains his mission at MAP.

    4:00 - How he adapted to virtual training.

    6:00 - What have you taken from speed coach, Ken Clark?

    8:13 - How has your role developed over the years?

    12:40 - What could you do without on a day-to-day basis? In other words, what is your biggest challenge in the job?

    14:48 - What made you choose the field of strength and conditioning?

    17:55 - How has the field changed? What are misconceptions about strength training?

    22:49 - What is the most common injury your athletes experience?

    26:20 - How has your approach changed in the last five years? What about your assessment?

    29:52 - How do you manage volume (time under tension) for athletes? How does this change in-season versus off-season?

    32:48 - Tell me about your programming.

    39:45 - What are your conversations like with college coaches about an athlete going back and forth between you and college?

    44:38 - How do you see the two worlds of PT and strength conditioning co-existing? What is the ideal situation?

    QUICK HITTERS

    48:00 - Rapid fire questions begin.

    CONTACT

    Instagram - @paulkenny_performance

    https://www.instagram.com/paulkenny_performance/

    Email - paulkenny.stc@gmail.com

    Paul’s Bio - https://www.marinosathleticperformance.com/paul-kenny

    Mar 02, 202154:56
    26. Dynamic vs. Static Stretching w/ Alanna DiBiasi, PT

    26. Dynamic vs. Static Stretching w/ Alanna DiBiasi, PT

    Season 2, Episode 7 | Podcast #26

    Today, Mike sits down with another physical therapist at PTW Newtown Square, Alanna DiBiasi, to discuss static versus dynamic stretching… what is the difference, when to use each, clinic application, and more!

    DYNAMIC STRETCHING

    1:20 - When is it necessary to use dynamic stretching?

    STATIC STRETCHING

    2:50 - When is it necessary to use static stretching?

    3:45 - Mike says the jury is still out, but he believes there are better ways to improve flexibility than static stretching.

    CLINIC APPLICATION

    5:05 - Alanna describes how she applies each kind of stretch within the clinic setting.

    CONTACT

    Alanna DiBiasi - alanna.dibiasi@ivyrehab.com

    Leave a 5-Star Review!

    Please leave us a 5-star review on Apple Podcasts! See below to learn how.

    HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP

    1. Launch the Apple Podcast app on your iPhone or iPad.
    2. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art.
    3. On the podcast page, scroll down to Ratings & Reviews.
    4. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in.
    5. Give us a 5-star rating and a brief review! We'd be very appreciative!
    Feb 23, 202106:45