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Objective Markers of Rehab Progress Paul Thawley
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Olympic Medical Institute MEDICAL S&C PHYSIOTHERAPY PHYSIOLOGY NUTRITION PSYCHOLOGY SOFT TISSUE SPECIALSIST
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SITUATION World Class rehabilitation centre Subjective markers of progress
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Why Objective? Athlete Coach Support Staff Validate what we do Accountable for what we do
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IMPORTANT Indicators of progress Not prescriptive or diagnostic
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Sports Science vs Sports Medicine Test Plan Implement Evaluate Diagnose Plan Implement Review
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Sports Science AND Sports Medicine Diagnose Test Plan Implement Evaluate (Objective) Review
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Where does it fit in to OMI? MEDICAL S&C PHYSIOTHERAPY PHYSIOLOGY NUTRITION PSYCHOLOGY SOFT TISSUE SPECIALSIST
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The Tests Lower Extremity Function/Performance Balance & Proprioception Upper Extremity Function/Performance Lumbar – Pelvic Function/Performance
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Balance Single Leg Balance Eyes open/closed Postural Sway (Good v bad? Variability paper…) 45 s Kidgell et al., 2007
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Lower Extremity Performance 30 cm single leg drop jump Force Attenuation & Production EMG Pre-activity? (glute med, TA) 10-20% Sensitivity
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Vertical Jumps Single Leg/Double Leg Non-injured/Injured SJ/CMJ (Normative) (quad:ham activation) 10-20% Sensitivity
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Overhead Squat Fundamental Movement Competencies Hip/shoulder & ankle ROM L-P/scapula & knee control
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Overhead Lunge Fundamental Movement Competencies Hip/Shoulder & ankle ROM L-P/Scapula & knee control Posterior Sling?
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New Areas of Interest
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Shoulder External rotation EMG Pre-activity (bicep, LFT, infraspinatus)? Wall Slide? EMG & Weight Distribution
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Ankle Trap Door EMG pre-activity TA-GA activity & timing
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