Back to Barbell Sports Rehabilitation and Performance

Back to Barbell Sports Rehabilitation and Performance Performance rehabilitation for athletes

Don't do too little.Do less (not nothing).Then slowly do more.It's easier to maintain than it is to rebuild. Mueller MJ,...
05/06/2026

Don't do too little.

Do less (not nothing).

Then slowly do more.

It's easier to maintain than it is to rebuild.

Mueller MJ, Maluf KS. Tissue adaptation to physical stress: a proposed "Physical Stress Theory" to guide physical therapist practice, education, and research. Phys Ther. 2002 Apr;82(4):383-403. PMID: 11922854.

Do less, then do more. Restore envelope of function.Improve the ability to handle lower magnitudes of stress applied rep...
04/22/2026

Do less, then do more.

Restore envelope of function.

Improve the ability to handle lower magnitudes of stress applied repetitively.

Improve the ability to handle high(er) magnitudes of strrss applied with lower frequency.

03/27/2026

Rationale for using muscle variations of the Olympic lifts:

1. Teaching - ez to teach and progress. Good carryover to other variations.

2. Load management - significantly elimate most of the stress from the catch phase. Can still use in complexes and plenty of options in terms of variety.

3. Potential option for general explosive training as an occasional substitute for conventional Olympic lifts and loaded jumps. Decent option for novelty and training variablility in that domain.

Not an exhaustive list but covers some decent ground.

03/20/2026

Friday thoughts...

Be grateful.

Let go of needless, self-imposed pressure for just one moment. Be grateful for what you have and what you can do right now.

Approach the bar with gratitude and stop treating every lift (and every day) like the next one is guaranteed. Because one day it'll all be over one way or another.

Pushing yourself to improve and being content with what you can do are not mutually exclusive.

Be grateful.

Also, touch grass.

03/07/2026

The strap is what's really stopping the machine from moving any higher. But the added weight gives a way different "feel".

You get the sense that you're pushing against something of substance and that you have to keep pushing or the weight is coming down. I think adding even more weight would amplify this feeling.

You don't really feel this same sensation as clearly if there was no additional weight on the machine and you were just pushing against the strap.

03/06/2026

PSA to injured athletes: You can't control that you were injured. Get hyped about every single win. Most importantly, let yourself have fun. You don't get extra points for brooding.

PSA to sports PTs: it's ok to be a human and have fun too. Clinical practice for us doesn't have to be sterile.

Oh no, a flare-up!That's wack!Have no fear!Run it back!
02/18/2026

Oh no, a flare-up!
That's wack!
Have no fear!
Run it back!

Use NMES to overcome inhibition, recruit high threshold motor units, and mitigate atrophy. Complicated mechanisms cause ...
12/30/2025

Use NMES to overcome inhibition, recruit high threshold motor units, and mitigate atrophy.

Complicated mechanisms cause inhibition but the application of NMES is relatively simple.

Rice DA, McNair PJ. Quadriceps arthrogenic muscle inhibition: neural mechanisms and treatment perspectives. Semin Arthritis Rheum. 2010 Dec;40(3):250-66. doi: 10.1016/j.semarthrit.2009.10.001. Epub 2009 Dec 2. PMID: 19954822.

Just wrapping up a day in the clinic and feeling incredibly fortunate to get to help people the way I do. Its a bit trit...
12/30/2025

Just wrapping up a day in the clinic and feeling incredibly fortunate to get to help people the way I do.

Its a bit trite to say, but injuries really are opportunities.

And one of the most important things we can do as a rehab professionals is to clearly communicate the opportunities there for the taking.

Combine that with hard, meaningful work built on sound understanding of training principles and the success will inevitably come.

The foremost reward is simply being a witness to and partner in the journey.

Occasionally though, we're rewarded with cool gifts.

Pictured: a must have for any self-respecting sports PT.

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