Return to sport is a hot topic in the fields of sports medicine and human performance. Implicit in “return to sport” is an injury that prohibited an athlete from participating in competition. Return to sport guidelines typically warrant the most scrutiny following a surgical procedure like an anterior cruciate or ulnar collateral ligament reconstruction. Essentially, the greater the number of games missed to a particular injury, the more medical and performance professionals fixate on what constitutes physical readiness for specific sporting demands.
Resilient‘s Dr. Doug Kechijian was recently interviewed for the PJ Medcast.
PJ Medcast are the podcasts for PJ MED (Pararescue Medicine). Besides PJs, these podcasts may be useful to other Military, Law Enforcement and Civilian Medical Personnel involved in Tactical and Technical Rescue Medicine, and other facets of Operational Medicine.
If you’ve ever been to physical therapy for your shoulder or have been a throwing athlete at some point in your life, you’ve likely been shown exercises like the I’s, Y’s, and T’s (see picture below). They are named this because the shape you create with your arms during the resistance exercises resembles those letters. These exercises are typically prescribed to activate certain muscles for scapular strengthening or stability purposes. Though they have their place in the field of rehabilitation at certain times, I think we can improve upon them. Here are some thoughts and an updated approach to training the shoulder blade.
I’s, Y’s, and T’s
Continue reading Better I’s, Y’s, and T’s
Debriefing missions and training iterations is standard practice among military and law enforcement special mission units. Despite the best efforts of everybody involved, communication is an issue that consistently emerges as a limiting factor in operational performance. During complex missions, leaders must filter a continuous stream of information from multiple sources to optimize decision-making. The information is usually incomplete because the messengers are either too preoccupied with fulfilling their individual responsibilities (e.g. a medic attempting to stabilize a casualty) or too far removed from the reality on the ground. During tactical scenarios, information must be communicated succinctly but sufficiently thorough to be of value. These qualities are often at odds, especially when one considers the propensity for communications technology to fail at the least opportune times.
In Part I here, we provided the physiological rationale for incorporating aerobic development into baseball physical preparatory programs. Here, we’ll discuss how to translate theory into practice. To begin, we must dispel some common myths about aerobic development.
The first is that one can train the aerobic system, or any energy system for that matter, in isolation.