Welcome to episode number 10 of The Residents of the Roundtable Podcast. Join Joey, Rayce, and Robert, as they discuss the topic of Tendon Neuroplastic Training and the article "Tendon neuroplastic training: Changing the way we think about tendon rehabilitation: A narrative review." Tendon rehabilitation has primarily consisted of exercise based interventions, with a focus on isometrics, eccentrics, or heavy slow resistance training with the goal to strengthen the musculotendinous structure. Little has been done to address the cortical excitation and inhibition changes that occur with tendinopathy. Utilization of externally paced exercises/movements can help address some of the motor control changes. Lastly, we address application of externally paced exercises to other conditions/pathologies to address cortical changes.

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Rio E, Kidgell D, Moseley G, et al. (2016). Tendon neuroplastic training: Changing the way we think about tendon rehabilitation: A narrative review. British Journal of Sports Medicine.

Welcome to episode number 9 of The Residents of the Roundtable Podcast. Join Joey, Rayce, and Robert, as they discuss the topic of UCL rehabilitation and the article "Rehabilitation and Return-to-Play Criteria Following Ulnar Collateral Ligament Reconstruction." There is a lot of variability among various UCL reconstruction rehabilitation protocols. Protocols can range from 12 months up to 18 months. Regardless of the protocol, the foundation and principles of the protocol remain the same. We discuss implementation of the protocol and why delaying plyometrics to continue to focus on strength/hypertrophy a little longer might yield better results. Lastly, we cannot neglect that the individual to focus solely on the sight of repair. We can continue to work on thoracic rotation, hip rotation, contralateral upper limb strength, lower body strength to allow the individual to better maintain pertinent biomotor qualities to sport. 

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For more episodes, subscribe and tune in to our podcast. You can also follow Joey Scambia, Rayce Houser, and Robert Santana on Instagram.

@joeyscambia.dpt

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@santana_dpt

Wilk K, Arrigo C, Dugas J, et al. (2017). Rehabilitation and Return-to-Play Criteria Following Ulnar Collateral Ligament Reconstruction. Operative Techniques in Sports Medicine.

Welcome to episode number 8 of The Residents of the Roundtable Podcast. Join Joey, Rayce, and Robert, as they discuss the topic of posterior shoulder instability and the article "Return to Sport After Shoulder Stabilization Procedures: A Criteria-Based Testing Continuum to Guide Rehabilitation and Inform Return-to-Play Decision Making." Many therapists and healthcare professionals will utilize time and a simple clinical examination to determine whether an individual is ready to return to sport. Athletes who do not undergo a criteria-based return to sport test battery had a 22% greater rate of recurrence compared to those who undergo and pass. Similar to ACL-R, although objective performance tests such as the CKCUEST and UQ-YBT may be within 90% symmetry, strength deficits in the rotator cuff/shoulder girdle may continue to persist; which highlights the value of true objective strength measurements with dynamometry. Moreover, testing criteria should best approximate the demands of the sport/activity the individual desires to get back to. An eclectic approach incorporating both open chain and closed chain tests will likely serve as the most useful versus putting all of our eggs in one basket. Remember, not only does the testing demands need to approximate sport, but also training as well.

Let us know what you think!

For more episodes, subscribe and tune in to our podcast. You can also follow Joey Scambia, Rayce Houser, and Robert Santana on Instagram.

@joeyscambia.dpt

@rayce.houser_dpt

@santana_dpt

Otley T, Balster S, Myers H, et al. (2022). Return to Sport After Shoulder Stabilization Procedures: A Criteria-Based Testing Continuum to Guide Rehabilitation and Inform Return-to-Play Decision Making. Arthroscopy, Sports Medicine, and Rehabilitation.