Milo Strength Rehab

Milo Strength Rehab Dr. Jon Kilian, PT, DPT, CSCS
🟢 Doctor of Physical Therapy
🟢 Strength Coach

05/25/2026

The rotator cuff:

👉 made up of four muscles (Supraspinatus, infraspinatus, subscapularis, teres minor)
👉 combined nerve supply: suprascapular nerve, (C4-6), subscapular nerve (C5-6), axillary nerve (C5-6).
👉 tendons converge into a tissue sheath around the GH joint, and contribute to dynamic active stability of the shoulder
👉 Supraspinatus and subscapularis also converge on the long head of the biceps tendon in the bicipital groove which is one reason the biceps is heavily involved in rotator cuff injuries
👉 when muscles are injured, force couples of the shoulder are altered and may also lead to pathology of other structures such as the labrum

🔑 avoiding loaded excessive overhead motions and training the muscles associated with the cuff can help prevent degenerative changes and encourage collagen deposition for adapting to associated increased demands of higher levels of activity🔑

Further reading 📖: Huegel, J., Williams, A. A., & Soslowsky, L. J. (2015). Rotator cuff biology and biomechanics: a review of normal and pathological conditions. Current rheumatology reports, 17(1), 476. https://doi.org/10.1007/s11926-014-0476-x

With long term rehab the stakes are raised to further understand rehab but ALSO strength and conditioning concepts. Poor...
05/14/2026

With long term rehab the stakes are raised to further understand rehab but ALSO strength and conditioning concepts.

Poor loading for months may not “hurt” the athlete in the moment but it does hurt them when you clear them to play their sport off of a timeline based rehab.

This isn’t “typical” rehab that you’re automatically cut out to give as a healthcare provider.

Programming changes when you have to consider a 9-12+ month process.

Better tests have to be used when you’re dealing with a more complex injury returning to high stakes movement in order to grade your program.

Interprofessional collaboration is a MUST. Get some good S&C coaches in your corner that you trust for some of the performance side of things after the rehabilitative aspects start to take a back seat!

Long term return to sport rehab is not typical PT… don’t treat it as such!

05/09/2026

This joke is called… notes don’t go home with me

🤷‍♂️

📈 FORCE PLATE TESTING IN ACLR 📈Return to sport or performance testing is lacking. Some of it is the access to technology...
05/07/2026

📈 FORCE PLATE TESTING IN ACLR 📈

Return to sport or performance testing is lacking. Some of it is the access to technology, some of it is lack of awareness and knowledge, and some of it is simply the industry not setting our providers up for success.

At a typical clinic you’ll get hop testing, LSI and hopefully a gradual return to sport demands.

Force plates can quantify things that we can’t visually appreciate.

Let me elaborate:

👉 peak force (3931 N)- we can watch this increase and compare to what we see in other similar athletes
👉 L/R peak force (1702N/2229N) - we can see individual leg peak force and notice a deficit that didn’t show up in normal LSI testing (-13.41%)
👉 peak force according to TIME. This allows us to look at the shift away from the injured leg over the course of MILLISECONDS.
📍The table demonstrates a significant drop off around that 200ms mark - most sport maneuvers occur within 300ms time frame.
📍that 258N difference at 250ms corresponds to about 58 pounds! You’re not going to be able to “observe” this under normal circumstances and this is where much of his cutting, dodging, and reactivity to contact will occur!

Now all of this doesn’t mean ANYTHING if we don’t USE it to improve our programming.

👉 emphasis on single leg PEAK and SUSTAINED force production.

This also gives us that much more confidence to turn him loose when the time comes 😤

for the plates 🤓
for the assist 🙏

for being a beast 💪 these numbers are 🔥 for his timeline

For those of you who know me, I have done a “Bow Tie Friday” largely since graduating PT school due to one of my favorit...
05/01/2026

For those of you who know me, I have done a “Bow Tie Friday” largely since graduating PT school due to one of my favorite professors who definitely sparked the belief that I may want to be on the academic side of things (shout out

As the semester winds down of my first year as a full time professor at LU, one of my classes made a point to all wear a Bow Tie of some sort on the last Friday class!

While we spend a lot of time talking about how professors impact students, this was an important reminder of the impact students can have on educators.

Extremely grateful for a great class of students that made me look forward to showing up early on Monday AM!

Always appreciate another jersey for the wall of fame! honig has absolutely CRUSHED his rehab process. Does this mean th...
04/30/2026

Always appreciate another jersey for the wall of fame!
honig has absolutely CRUSHED his rehab process.

Does this mean there haven’t been set backs? No, absolutely not. BUT he has bounced back EVERY TIME and kept grinding where it counts.

After ACLR its impressive to get back to activities - it’s admirable to get back to NCAA level play. We can give the tools but it is up to the athlete to use them, and he has put in the work to get back to this level.

Pumped to see what happens 💪💪

04/21/2026

Sometimes we gotta have a bit more patience 🤷‍♂️

One reason could be 👇Trigger point referral patterns refer to hyper-irritable spots of muscle tissue that may manifest a...
04/14/2026

One reason could be 👇

Trigger point referral patterns refer to hyper-irritable spots of muscle tissue that may manifest as pain elsewhere (referred).

The scalenes have an interesting referral pattern potentially to the interscapular (mid back) region.

Palpation of regional structures could answer the confusing question of why your patient isn’t getting better 🤷‍♂️

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