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E46 | The Mechanical Continuum In Sport

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– ”All models are wrong but some are useful”, George Box
– ”All models are wrong but some are deadly”, Nassim Taleb

Caveat: I use “mechanics” and “movement” here interchangeably. While I appreciate that “movement” is more encompassing than “mechanics” because the former accounts for perceptual and neurophysiological inputs and outputs, “mechanics”, really positions, are less esoteric from a coaching standpoint. These positions reflect perceptual influences without having to employ something like an fMRI or PET scan. We coach with our eyes and positions or mechanics are easier to observe.

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The Mechanical Continuum In Sport

Download Episode File 

– ”All models are wrong but some are useful”, George Box
– ”All models are wrong but some are deadly”, Nassim Taleb

Caveat: I use “mechanics” and “movement” here interchangeably. While I appreciate that “movement” is more encompassing than “mechanics” because the former accounts for perceptual and neurophysiological inputs and outputs, “mechanics”, really positions, are less esoteric from a coaching standpoint. These positions reflect perceptual influences without having to employ something like an fMRI or PET scan. We coach with our eyes and positions or mechanics are easier to observe.

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What Jury Duty Taught Me About Evidenced Based Practice

Like many well intentioned movements, “evidenced based practice” has been hijacked, politicized, and corrupted. While in many instances the spirit behind the movement inspires providers to think more critically and question personal biases, in others it creates division and suppresses dialogue. “Science” and “evidence” are often reduced to rhetorical forms of grandstanding, especially on social media platforms that reward adversarial behavior and binary thinking. To be sure, I am not suggesting that medical providers “do things the way they’ve always done them” or that research and objective data should not inform clinical practice. Research, whose quality varies immensely, is not synonymous with evidence, however. Moreover, it remains unclear what individual or collective bodies should preside over “evidence”. Writing “evidenced based” in one’s twitter bio doesn’t make one an arbiter of evidence, blue check mark or not.

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Home-Based Sports PT “Fellowship”

The following is a list of resources for sports/performance-minded physical therapists seeking to enhance athlete preparation beyond the requisite foundation they obtain in entry level programs. It assumes the adequate base in anatomy, biomechanics, physiology, and rehabilitation protocols entry level programs provide. To avoid redundancy, therefore, none of the resources below explicitly addresses these topics. The purpose of medical school is not to produce orthopedic surgeons per se. Similarly, DPT programs seek to produce generalists, not sports specialists, and to satisfy regulatory requirements from governing bodies. That additional training is required to produce competent sports specialists is not an indictment on programs whose objective is to produce generalists fit for licensure.

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Case Study: Crossfitter Hip Labrum Tear

There are too many abstract discussions in the performance space these days about how to train and rehabilitate athletes.  These circular arguments usually yield nothing substantive or actionable because providers spend too much time defending their ideology and trying to articulate why they are in the right instead of just being transparent and “showing their portfolio”.  As an example, investors should demand that financial advisers share their own portfolios instead of pontificating about macroeconomic theory. Words matter but what people do when they have skin in the game reveals more about them than their explanatory justifications for said actions. 

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