On Q Performance Therapy Podcast

In this episode of On Q, Dr. Stephen S. Soondar, a podiatrist at Healthmark Foot and Ankle, discusses the complexities of ankle injuries and Achilles tendon ruptures with hosts Mike Quintans and Rob Rabena. Dr. Soondar highlights the importance of setting realistic recovery expectations for patients, and dives into the best bracing protocols. This episode is a must-listen for anyone seeking insights into preventing injuries and promoting long-term foot and ankle health. In this episode you'll hear: Dr. Soondar explain the role of ankle support in sports to maximize performance and prevent injuries. The essential steps in Achilles tendon injury recovery for areturn to sports. Preventive measures to safeguard your ankles from potential injuries and stay in the game. "I think a lot of it is shoe gear. Making sure you're wearing the appropriate stuff for what you're playing. You're not going for a run in Chuck Taylor's, right? You're not playing basketball with a pair of crocs," - Dr. Stephen Soondar Dr. Stephen S. Soondar, D.P.M is a member of the American Podiatric Medical Association and a Fellow of the American College of Foot and Ankle Surgeons. He is Board Certified in Foot Surgery, Reconstructive Rearfoot and Ankle Surgery. He graduated from Temple University's School of Podiatric Medicine and has been published in the Journal of Foot and Ankle Surgery. Dr. Soondar specializes in Lower Extremity Trauma, Charcot Foot Reconstruction, Limb Salvage, and Ankle Arthroscopy as well as the comprehensive scope of Forefoot and Rearfoot medicine. He is a member of the Visitor's and Founder's boards at Temple University's School of Podiatric Medicine. Learn more about Dr.Soondar here. The key moments in this episode are: 00:00:04 - Introduction to the Podcast 00:00:28 - Introduction of Dr. Stephen Sundar 00:04:20 - Mechanism of High Ankle Sprains 00:09:30 - Treatment and Recovery 00:10:18 - Ankle Braces and Orthosis 00:11:44 - The Ineffectiveness of Ankle Braces and Wraps 00:12:30 - The Benefits of Taping and Bracing 00:15:21 - Common Sports Prone to Ankle Injuries 00:16:10 - Post-injury Brace Recommendation 00:20:59 - Preventative Measures for Ankle Injuries 00:23:03 - Preventing Re-injury and Using Braces 00:25:04 - Mechanism of Achilles Tendon Rupture 00:27:37 - Surgery and Non-weight Bearing Period 00:29:23 - Managing Injuries in Higher-Level Athletes 00:32:58 - Conservative Management and Healing Process 00:34:36 - Surgical Intervention for Achilles Injuries 00:35:00 - Aaron Rogers' Recovery 00:36:01 - Different Repair Techniques 00:37:21 - Recovery Timeline and Long-Term Effects 00:43:01 - Preventative Measures and Strength Training 00:45:50 - Understanding the Causes of Injuries 00:46:50 - Mitigating the Risk of Injuries 00:47:52 - Importance of Stretching 00:48:12 - How to Connect

SEASON 4, EPISODE 14 WITH DOUG DAVIDSON OF THE VEGAS GOLDEN KNIGHTS In this episode, we sit down with Doug Davidson, Associate Director of Sports Performance and Strength & Conditioning for Stanley Cup Champions, the Vegas Golden Knights. we discuss common sports injuries amongst hockey players and Davidson's training philosophies for elite-level hockey players during both in-season and off-season programming. In this episode, we cover: Off-Ice conditioning protocols for elite hockey players during the season The types of conditioning Davidson likes to incorporate. Why running isn't his go-to conditioning exercise. How important maximum strength is to hockey performance What the key physical qualities Davidson focuses on during the off-season are. How the amount of travel required during the season impacts an NHL team's training focus and schedule How Davidson schedules lifts for the players around games. How Davidson considers a player's autonomic nervous system and metabolic load when building out strength programs. How Davidson consolidates the stress put on the players' bodies. How training varies for players depending on playing position. Doug Davidson on LinkedIn Doug Davidson is the Associate Director of Sports Performance and Strength & Conditioning for the Vegas Golden Knights, where he is responsible for maximizing the athletic potential of players through the development, instruction, progression, oversight and documentation of individual and group performance enhancements and recovery training activities. Prior to joining the Golden Knights, he spent two seasons as the Strength and Conditioning Coach for the Wilkes-Barre/Scranton Penguins, the American Hockey League affiliate of the Pittsburgh Penguins where he oversaw all aspects of off-ice training, assisted in rehab and oversaw team meals, supplement use, and nutrition. Before joining the Wilkes-Barre/Scranton Penguins Hockey Club, Davidson served as the Strength and Conditioning Coach at the Gary Roberts High-Performance Centre from 2013-15, where he worked with a variety of male and female athletes, including elite hockey players ranging from NHL players to aspiring youths to improve their performance while also correcting posture, muscle imbalances, and movement patterns. Davidson was a Strength and Conditioning Intern at Queen's University from 2010-13. In 2013 he received the Varsity Service Award for his contributions to Queen's University Varsity Athletics as a strength and conditioning intern. He also completed a strength and conditioning internship at Cressey Performance in 2012. Doug Davidson attended Queen's University, where he graduated with honors in 2013 with a Bachelor's degree in Physical and Health Education. He has a dual Masters's Degree in Sports Conditioning and Exercise & Sport Psychology from A.T. Still University and is a certified strength and conditioning coach through NSCA.

PART 2 WITH GEORGE ZIRKEL | SEASON 4, EPISODE 13 Part 2 with George Zirkel discusses how his throwing program has been impacted by new philosophies and technology, along with major takeaways and lessons he has learned during his time as a pitching and throwing coach. In this episode, we cover: What J-Bands are and their benefits in training The history of weighted baseball training and if weighted balls are necessary to throw faster The disadvantages of mass adoption of popular programs and philosophies What new approaches have come about in recent years to throwing harder What tactics are used to address throwing form issues What the effective ways to talk to athletes are What George specifically modifies in a player's throwing How George incorporate's a surgeon's advice when working with throwers recovering from an injury How George modifies his program "on the move" What the #1 deficit in mechanics that leads to elbow injuries The most common thing coaches do wrong that lead to a pitcher's injury George's #1 tip to throw harder George is the Director of Pitching and Associate Director of Operations at On Deck George and was the Director of Pitching at Ascent Athlete for nearly 4 years where he coached hundreds of pitchers including MLB, MiLB, college, high school, and youth pitchers. He also created an internship program in which aspiring coaches received educational training and gained hands-on experience working with athletes. George has spent years coordinating throwing plans with strength and conditioning coaches and physical therapists to ensure his pitchers are getting the best care possible.

PART 1 WITH GEORGE ZIRKEL | SEASON 4, EPISODE 12 Part 1 with George Zirkel discusses the topic of rehabilitating pitchers, including the importance of proper throwing programs, measuring intensity and feedback mechanisms, and conducting assessments to understand the individual's background and goals. In this episode, we cover: What rehab means for pitchers What client population George works with What should be revised from the return to throw protocol What the goal arm speed and RPM values should be for pitchers What type of bands George uses for pitchers that he works with How George's pitching program utilizes the "three pillars" What George's first assessment looks like How George uses video in his assessments What the overall thrower evaluation looks like after getting the baseline data Thoughts on athletes playing fall baseball George is the Director of Pitching and Associate Director of Operations at On Deck George and was the Director of Pitching at Ascent Athlete for nearly 4 years, where he coached hundreds of pitchers, including MLB, MiLB, college, high school, and youth pitchers. He also created an internship program in which aspiring coaches received educational training and gained hands-on experience working with athletes. George has spent years coordinating throwing plans with strength and conditioning coaches and physical therapists to ensure his pitchers are getting the best care possible. In 2022, George completed his Master of Arts in Motor Learning and Control from Columbia University. In 2017 he completed his Bachelor of Arts in Economics from Susquehanna University. George played collegiately at Susquehanna University.

PART 2 WITH DR. AMBER MACFARLANE, DO | SEASON 4, EPISODE 11 Part 2 with Dr. Amber MacFarlane, DO discusses Tenex and TenJet procedures for the treatment of tendinopathies and scar tissue removal. In this episode, we cover: What Osteopathic manual therapy is and why Dr.MacFarlane chooses to use it in her practice. What Tenex and TenJet are and how they work. What the differences between Tenex and TenJet are. How ultrasound is used for imagining with Tenex and Tenjet. What the recovery and rehab process looks like after a Tenex or TenJet procedure. The success outcomes of Tenex and TenJet procedures are. What managing tendinopathies and tendonitis looks like in the weight room with Rob Rabena. Who the best candidates for these procedures are. What kind of person is most at risk for tendonitis and tendinopathy. The fast five: What's Dr.MacFarlane's favorite thing about being on the sideline? What the greatest height Dr.MacFarlane ever pole vaulted? What testing is Dr.MacFarlane uses on the sideline when she suspects a concussion? Who should not get their neck manipulated? What's one way we can get better at diagnosing concussions? Amber MacFarlane, DO, a native of Southampton, Pennsylvania is a Board-Certified Sports Medicine Physician and completed her residency and fellowship at Crozer Health. She earned her medical degree from the Philadelphia College of Osteopathic Medicine after obtaining a degree in Biology from Widener University. She has been the team physician for the Philadelphia Union, Philadelphia Union 2, University of Delaware, Garnet Valley High School, Strath Haven High School, and Upper Darby High School. Dr. MacFarlane is a former Division III NCAA pole vaulter. She continues to be very active in weight lifting, running, and hiking. She lives in Bucks County, PA, with her husband.

PART 1 WITH DR.AMBER MACFARLANE, DO | SEASON 4 EPISODE 10 Part 1 with Dr. Amber MacFarlane DO is focused on low back pain evaluation, treatment, and prevention in young athlete populations. We cover: The most common sport-related injuries that cause low back pain are Spodololisis prevalence, treatment, and management. How Dr.MacFarlane's osteopathic background informs her evaluation and care processes In general, when is it appropriate to get imaging, like an MRI, for back pain When and why would bracing be recommended for back pain treatment How to prevent back pain when participating in strength training What the core is What athletes are getting wrong when training core Philosophies around Injections and medications for the treatment of lower back pain in young athletes What return-to-sport looks like with back pain in young athletes Amber MacFarlane, DO, a native of Southampton, Pennsylvania is a Board-Certified Sports Medicine Physician and completed her residency and fellowship at Crozer Health. She earned her medical degree from the Philadelphia College of Osteopathic Medicine after obtaining a degree in Biology from Widener University. She has been the team physician for the Philadelphia Union, Philadelphia Union 2, University of Delaware, Garnet Valley High School, Strath Haven High School, and Upper Darby High School. Dr. MacFarlane is a former Division III NCAA pole vaulter. She continues to be very active in weight lifting, running, and hiking. She lives in Bucks County, PA, with her husband.

PART 3 WITH MIKE WILSON | SEASON 4 EPISODE 9 Part 3 with Mike Wilson, DPT focuses on his clinical approach to treating, managing, and progressing hamstring tendinopathy in runners. In this episode, we cover: What's the difference between a hamstring strain and a tendinopathy?   What strategies Mike uses to help runners with hamstring tendinopathy return to form. How to avoid recurring hamstring injuries through PT and loading. What part of the foot should be hitting the ground first when you're running. Why skipping can help you learn the correct running mechanics How Mike uses manual therapy in his treatment of hamstring tendinopathy. What the best exercises for recovering from and preventing hamstring injuries are. What the most common causes of hamstring issues are for runners. The degree of hamstring flexibility that is acceptable and desirable. Contact: mwilson@premiereortho.com Mike earned his Master of Science degree from Ithaca College in 2003 where he played inter-collegiate basketball. He earned his Doctorate in Physical Therapy at Temple University in 2008. Mike has been full-body certified in Active Release Technique (ART) since 2005 and obtained his Orthopedic Clinical Specialist certification in 2009. Additional certifications include Functional Movement Screening (FMS), Selective Functional Movement Analysis (SFMA), Postural Restoration Institute (PRI), and Functional Range Conditioning (FRC).  In addition to patient care, Mike is a Regional Clinical Director at Premier Orthopaedics and participates as adjunct faculty at Widener University's DPT program.  

PART 2 WITH MIKE WILSON | SEASON 4 EPISODE 8 Part 2 with Mike Wilson, DPT focuses on how he uses pain science and Postural Restoration (PRI) in the treatment of his patients on a regular basis. In this episode, we cover: What pain science is. What factors besides injury or damage contribute to the experience of pain. How regulating your nervous system can improve the experience of pain in your body. Why some people have a herniated disc and are never symptomatic and others find it excruciating. How to use the "Peak-end" theory with patients. What PRI is and how Mike Wilson uses it in his practice. Mike Wilson's advice to recent PT grads who want to get their feet wet with pain science. Mike earned his Master of Science degree from Ithaca College in 2003 where he played inter-collegiate basketball. He earned his Doctorate in Physical Therapy at Temple University in 2008. Mike has been full-body certified in Active Release Technique (ART) since 2005 and obtained his Orthopedic Clinical Specialist certification in 2009. Additional certifications include Functional Movement Screening (FMS), Selective Functional Movement Analysis (SFMA), Postural Restoration Institute (PRI), and Functional Range Conditioning (FRC).  In addition to patient care, Mike is a Regional Clinical Director at Premier Orthopaedics and participates as adjunct faculty at Widener University's DPT program.  

PART 1 WITH MIKE WILSON, DPT ! SEASON 4 SEASON 7 Part 1 with Mike Wilson, DPT focuses on low back pain management, incorporating strength and conditioning into pain reduction programming, and how his approaches have evolved over the years for the better. We cover: Philosophies in treating low back pain How he manages the mental aspects to pain science, specifically with lower back pain How Mike Wilson uses his different certificates and backgrounds to create a holistic program to safely recover from low back pain How manual therapy plays a role in Mike's patient population and the techniques he uses. How Mike's approaches have changed over time. Why the words doctors and PTs use need to be chosen carefully How Mike incorporates strength and conditioning into his pain management and reduction programs What is "good enough" to stop attending physical therapy Managing low back pain in younger athletes Mike earned his Masters of Science degree from Ithaca College in 2003 where he played inter-collegiate basketball. He earned his Doctorate in Physical Therapy at Temple University in 2008. Mike has been full-body certified in Active Release Technique (ART) since 2005 and obtained his Orthopedic Clinical Specialist certification in 2009. Additional certifications include Functional Movement Screening (FMS), Selective Functional Movement Analysis (SFMA), Postural Restoration Institute (PRI), and Functional Range Conditioning (FRC).  In addition to patient-care, Mike is a Regional Clinical Director at Premier Orthopaedics and participates as adjunct faculty at Widener University's DPT program.    

PART 3 WITH SAM WHITNEY | Season 4, Episode 6 Part 3 with Sam Whitney we talk olympic lifts, power lifting, and the conjugate method for athletes. Plus, we get into some quick hitters like back squat vs front squat and Sam's thoughts on benching for collegiate athletes. We tackle: What are olympic lifts and how he incorporated them in collegiate athletics. How he would approach programming and teaching athletes with different ranges of skill set in olympic lifts, from first year students who have never lifted to seniors at the top of their game. Why he never believed in rushing to learning olympic lifts and instead focused on functional movements first. How ego can sabotage your programming as a strength and conditioning coach How strong is "strong enough" and how do you gauge when an athlete is there Sam's experience training and developing himself as a power lifter What the conjugate method is for power lifting and olympic lifting. How Sam learned and used the conjugate method as part of his power lifting training and eventually in his collegiate program. How using a box squat helps with form and range of motion for your non-box squat and full squat. How speed focused training helps with absolute strength What lessons Sam took from his power lifting training to his collegiate strength training and programming. Quick hitters: Should overhead athletes bench Back squat vs front squat Thoughts on benching for collegiate athletes Should everyone bench/squat/deadlift etc? Hex bar vs straight bar deadlift Sumo vs. conventional deadlift Contact info: samual.whitney@gmail.com alignthegrind@gmail.com alignthegrind.com Sam Whitney is a concierge strength and conditioning coach in the greater Philadelphia area, and founder of Align The Grind, an online health and human performance platform for former collegiate athletes. Align The Grind helps former athletes redefine themselves through mind, body, and spirit. Coach Whitney graduated from Temple University with a BS in Kinesiology and a MS in Sports Business. He is CSCS, SCCC, USAW, RPR, and TPI certified. Coach Whitney began his collegiate strength and conditioning career at Villanova University, then moving on to New York University, before returning to Temple University as the Associate Head S&C Coach for 10 years.

PART 2 WITH SAM WHITNEY | Season 4, Episode 5 Part 2 with Coach Sam Whitney focuses on how he took his years of experience as a collegiate strength and conditioning coach to create an online community for former collegiate athletes that allows them to continue training their mind, body, and spirit long after they finish playing their sport. We cover: What services and support Align the Grind provides to college athletes after they finish their athletic careers. How he approached training collegiate athletes to get them ready for the "real world." How Align The Grind, his online health and performance platform for former collegiate athletes, came to be. How he approaches training the mind, body, and spirit through Align the Grind for the best results inside and outside the gym. What the Align The Grind community looks like on a day-to-day basis for members. The biggest struggle Sam sees college athletes have after they lose their sport. Sam Whitney is a concierge strength and conditioning coach in the greater Philadelphia area, and founder of Align The Grind, an online health and human performance platform for former collegiate athletes. Align The Grind helps former athletes redefine themselves through mind, body, and spirit. Coach Whitney graduated from Temple University with a BS in Kinesiology and a MS in Sports Business. He is CSCS, SCCC, USAW, RPR, and TPI certified. Coach Whitney began his collegiate strength and conditioning career at Villanova University, then moving on to New York University, before returning to Temple University as the Associate Head S&C Coach for 10 years.

PART 1 WITH SAM WHITNEY | Season 4, Episode 4 Part 1 with Sam Whitney focuses on his experience in collegiate strength and conditioning, his advice for graduate assitants new to the field, and philosophies on programming. In part 1 with Sam Whitney we dive into: Sam Whitney's time as a Strength and Conditioning coach with Villanova University, New York University and Temple University What Sam's day-to-day schedule looked like as a strength and conditioning coach at the collegiate level. How Sam's strategies in strength and conditioning programming have evolved over time. Sam's advice for young graduate assistants jumping into strength and conditioning coaching. What collaboration with other coaches looked like at the collegiate level. His advice on strength training during the off-season How often athletes should be training power in-season vs. off-season. How Sam incorporated the conjugate method and olympic lifts in his programming for college athletes. Sam's role and finding in researching for "Relationship Between Strength and Conditioning Assessments and Rowing Performance in Female Collegiate Athletes," Journal of Strength and Conditioning Research: June 24, 2020. Stayed tuned for two more episodes with Coach Sam Whitney as we discuss his professional development and how he has transformed his practice from the collegiate environment to the private sector. Sam Whitney is a concierge strength and conditioning coach in the greater Philadelphia area, and founder of Align The Grind, an online health and human performance platform for former collegiate athletes. Align The Grind helps former athletes redefine themselves through mind, body, and spirit. Coach Whitney graduated from Temple University with a BS in Kinesiology and a MS in Sports Business. He is CSCS, SCCC, USAW, RPR, and TPI certified. Coach Whitney began his collegiate strength and conditioning career at Villanova University, then moving on to New York University, before returning to Temple University as the Associate Head S&C Coach for 10 years.

PART 3 WITH MARIO MASCIOLI | Season 4, Episode 3 This episode focuses on the most common injuries in basketball and how Mascioli approaches prevention and treatment. In this episode we cover: Why does knee pain arise so commonly in basketball players and how do you manage it once it happens. How muscle weakness above and below a joint can lead to pain or injury. The importance of taking regular strategics breaks to prevent injury. How strength, symmetry, and mobility come together in injury prevention and treatment. What types of strengthening exercises would Mascioli prescribe in knee pain treatment. How much time a serious basketball player should take off per year for best performance. Thoughts on "Knee over toes" as a rule for injury prevention, for the general population and for jumping athletes specifically. What functional asymmetries are most common in professional basketball players. The best way to increase your vertical jump. The best way to improve on-court speed. Contact: www.mariomass.com info@mariomass.com Instagram: @massmovement21 Mario Mascioli is a professional athletic trainer and performance coach. He is dual credentialed as a certified athletic trainer and certified strength and conditioning specialist. He earned a bachelor's degree in athletic training at West Chester University of Pennsylvania. With a background in sports medicine, he specializes in helping anyone work around injuries or recover from them. In addition, he has skills in soft tissue therapy to help clients recover from fatigue such as massage, myofascial release, and cupping to name a few. His career started off as an assistant athletic trainer at St. Joseph's University, in Philadelphia, before working with the 76ers and their G-League affiliate the Delaware Blue Coats for over 5 years. After that, he focused more of his work on strength and conditioning, creating his own business called Mass Movement. He has worked with a wide population of people, from young middle school athletes, to professional athletes, to middle aged weekend warriors and the elderly. He has a passion not only for helping young athletes perform but in teaching wholistic health.   

PART 2 WITH MARIO MASCIOLI | Season 4, Episode 2 Part 2 is focused on breaking down how Mascioli helps clients through holistic health coaching, injury recovery plans, and strength and conditioning. We cover: The key components Mascioli considers when beginning to coach someone around their health. How your mindset impacts your long term results in health and otherwise How nutrition, stress management, and sleep play a role in achieving your health goals, whether you're an athlete or not. How Mascioli balanced objective and subjective metrics to help his coaching clients reach their goals. What collaboration with parents and coaches looks like when working with younger athletes. What Mascioli's assesses in all of his first session with strength and conditioning and health coaching clients. How Mascioli's background in athletic training has helped him become a more effective strength and conditioning coach. What Mascioli wishes he had known when he first started as an athletic trainer. Make sure to tune back in next week for part 3 where we discuss: Contact: www.mariomass.com info@mariomass.com Instagram: @massmovement21 Mario Mascioli is a professional athletic trainer and performance coach. He is dual credentialed as a certified athletic trainer and certified strength and conditioning specialist. He earned a bachelor's degree in athletic training at West Chester University of Pennsylvania. With a background in sports medicine, he specializes in helping anyone work around injuries or recover from them. In addition, he has skills in soft tissue therapy to help clients recover from fatigue such as massage, myofascial release, and cupping to name a few. His career started off as an assistant athletic trainer at St. Joseph's University, in Philadelphia, before working with the 76ers and their G-League affiliate the Delaware Blue Coats for over 5 years. After that, he focused more of his work on strength and conditioning, creating his own business called Mass Movement. He has worked with a wide population of people, from young middle school athletes, to professional athletes, to middle aged weekend warriors and the elderly. He has a passion not only for helping young athletes perform but in teaching wholistic health.   

PART 1 WITH MARIO MASCIOLI | Season 4, Episode 1 Part 1 with Mario Mascioli is focused on his time with the 76ers organization. We dive into his treatment philosophies, injury prevention protocols and more in this episode. Mario Mascioli is a professional athletic trainer and performance coach. He is dual credentialed as a certified athletic trainer and certified strength and conditioning specialist. He earned a bachelor's degree in athletic training at West Chester University of Pennsylvania. With a background in sports medicine, he specializes in helping anyone work around injuries or recover from them. In addition, he has skills in soft tissue therapy to help clients recover from fatigue such as massage, myofascial release, and cupping to name a few. His career started off as an assistant athletic trainer at St. Joseph's University, in Philadelphia, before working with the 76ers and their G-League affiliate the Delaware Blue Coats for over 5 years. After that, he focused more of his work on strength and conditioning, creating his own business called Mass Movement. He has worked with a wide population of people, from young middle school athletes, to professional athletes, to middle aged weekend warriors and the elderly. He has a passion not only for helping young athletes perform but in teaching wholistic health.   We dive into: Athletic training for 76ers G-league affiliate What he learned from 2013-2018 with the 76ers G-league affiliate How he worked up from being a "hydration therapist" to working with injury rehabilitation to eventually becoming the head athletic trainer. How the 76ers and G-league affiliate did hydration tracking during Mascioli's time with the organization. What type of tracking tools and softwares the organization would use to plan or adjust training and injury recovery protocols. (Tool mentioned in the episode: IMeasureU) What is load management and why it is or isn't important in basketball. trying to put a number to the internal stress put on a specific area, often one with an injury What Mario's go-to treatment philosophies are for injury recovery. What Mario's exercise and training philosophies are for injury prevention or mitigation, especially lower body. When and why to use open vs. closed chain training exercises. What are the most common injuries in the NBA and basketball as a whole? What were the biggest changes Mascioli witnessed over the five years he was with the 76ers organization. Make sure to tune back in next week for part 2 where we discuss Mascioli's approach to health coaching and strength training for all populations. Contact: www.mariomass.com info@mariomass.com Instagram: @massmovement21

Today we are joined by 2 Physical Therapists that are Pelvic Floor Specialists. Dr. Lara Hamad Quisumbing and Dr. Emily Titus. Today we will learn who is at risk for pelvic floor conditions and how it is diagnosed and treated. Lara Hamad Quisumbing is a doctor of physical therapy and is currently the Clinic Director of Excel PT in Villanova. She graduated from Drexel University PT class of 2012. Been with Excel since graduating. Became ACD in 2018 then Clinic Director last year in 2021. In 2016 went through Evidence in Motion's certification program for Pelvic Health and treating that population ever since. Emily Titus is a doctor of physical therapy and practices orthopedic and pelvic floor therapy with Ivy Rehab at the Physical Therapy and Wellness Institute in Lansdale, PA. She has been practicing physical therapy for 4 years in orthopedics but in the past year found her passion for pelvic health. Emily received her Bachelor's of Science in Kinesiology from James Madison University and then obtained her Doctorate in Physical Therapy from Neumann University. She is currently in an Orthopedic Clinical Specialist residency program with Ivy Rehab and the Hospital for Special Surgery and sits for her OCS exam next March. 4:20 What is the pelvic floor? 5:00 What the certification process for treating pelvic floor dysfunction looks like. 6:45 Common ways someone develops a condition of the pelvic floor. 7:30 Why and how pregnancy puts strain on the pelvic floor 8:20 Who usually diagnoses pelvic floor dysfunction? 10:25 How concluding a potential pathology of pelvic floor dysfunction looks like for direct access patients. 11:30 Who is at risk for a pelvic floor condition. 13:00 Have you noticed an increased demand for treatment of pelvic floor pathology? Why? 16:00 How do you diagnose Pelvic Floor Pathologies and is there imaging involved? 16:30 What symptoms are common in pelvic floor pathologies 19:25 The connection between the pelvic floor and other core injuries. 20:10 Techniques commonly used to treat pelvic floor conditions. 24:00 What a kegel is. 24:25 When we usually use our pelvic floor muscles 28:00 How breathing impacts the pelvic floor and recovery. 30:00 How common pelvic floor conditions are in athletes and which sports are most impacted. 31:00 How treatment changes for athletes compared to the average patient with pelvic floor pathology. 33:00 What are special considerations for athletes postpartum and what a typical progression may look like. 38:23 What sports organizations can do to reduce the prevalence of pelvic floor conditions in their athletes. 42:00 How can we mitigate the risk of obtaining pelvic floor conditions? 44:30 If someone is concerned that they may have a pelvic floor condition, what should they do? 50:00 What communication and evaluation are like for patients who may have pelvic floor dysfunction due to sexual trauma. 5 Quick Q's 51:15 The most challenging aspect of treating pelvic floor conditions. 51:50 1 way to increase awareness of pelvic floor conditions. 53:00 1 exercise everyone can do right now that will improve the strength of their pelvic floor. 53:36 What they enjoy the most about treating pelvic floor pathologies. 55:15 One fact about the pelvic floor that will shock the average person. Contact emily.titus@ivyrehab.com @OrthoPFPTPA lara.Quisumbing@ivyrehab.com

Season 3, Episode 18 | Podcast #54 Dr. Brett Shannon is an Orthopedic Surgeon at Nemours DuPont Pediatrics and Nemours Alfred I. DuPont Hospital for Children. Dr. Shannon attended Johns Hopkins University School of Medicine for his Medical Degree as well as for his residency. His fellowship in Pediatric Orthopedics was completed at Boston's Children's Hospital which is considered one of the top children's hospitals in the world. Dr. Brett Shannon specializes in general orthopedics, trauma, sports medicine injuries, pathologies of the spine, as well as infant, child, and adolescent hip disorders. Dr. Shannon has published research articles in The Journal of Bone and Joint Surgery as well as the Journal of Surgical Oncology. In this episode, we cover: 4:45 What about Dr. Brett Shannon's background, led him to the field of sports medicine and orthopedic surgery? 6:30 What exactly does an orthopedic surgeon do? 7:30 Example of the monitoring needed in pediatrics. 9:00 How Dr.Shannon's mentors and education molded the way he practices. 11:00 How a patient's intended path in life or in athletics may guide or alter intervention plans. 13:00 The most common injury Dr.Shannon sees in the clinic amongst the pediatric or adolescent populations. 15:45 How often Dr.Shannon sees ACL injuries and what we can do to mitigate risk. 20:00 What exactly is a growth plate and how does it apply to Dr.Shannon's work in orthopedics. 24:45 How we can mitigate the risks that are often found with overuse or hyper-specialization. 27:00 What is the most common pathology that Dr. Shannon performs surgery on. 31:34 The types of hip conditions Dr.Shannon treats in the pediatric population? 33:00 What hip dysplasia is, when surgery is indicated and how Dr.Shannon manages these conditions if surgery is not indicated. 37:45 Why it's really important to follow up with orthopedics if your pediatrician suggests it, even if your child isn't in pain at that time. 40:30 The types of procedures Dr.Shannon performs on the spine. The prevalence and treatment of scoliosis. 41:30 Most common spine injury or pain in young athletes. 46:30 Dr. Shannon's message to parents who are hesitant to schedule an appointment with an orthopedic surgeon. 5 Quick Q's - 47:45 What sport do you see the most injuries from? 48:00 What procedure, that you perform, do you see the best results from? 48:30 What new surgical technique or nuance are you most excited about? 49:20 What is one rule you would like to see changed in youth athletics? 51:00 The most common age to get a little league elbow injury. 53:50 What is one mistake you see done during the rehabilitation process? 54:45 Bonus: Would you let your son or daughter play football? Contact Info: Dr. Brett Shannon https://www.nemours.org/

Season 3, Episode 17 | Podcast #53 Dr. Costa is a board-certified non-operative sports medicine physician who specializes in concussion management, osteopathic manipulations, and platelet-rich plasma injections. Dr. Costa earned his medical degree from Philadelphia College of Osteopathic Medicine and his M.B.A. at Saint Joseph's University Haub School of Business. He completed a residency and fellowship at Crozer Health in Springfield, Pa. He currently serves as the team Osteopath for the Philadelphia Union II and during his training served as assistant team physician for the Philadelphia Union soccer teams. He has also taught Osteopathic Manipulative Medicine in Germany. In this episode, we cover: 4:00 What led Dr. Matt Costa, DO to osteopathic manipulations and sports medicine. 8:00 Dr. Costa's approach to assessing patients in the clinical setting. 9:00 Why does Dr.Costa prioritize gauging how in tune patients are with their bodies. 11:00 The importance of touch in an osteopathic evaluation 14:10 How he assesses strength and range of motion when needed 15:00 How often Dr.Costa performs an osteopathic manipulation on a patient. 16:00 The types of injections Dr. Costa does, especially on scars. 17:30 When is the treatment of a scar considered necessary or appropriate. 18:16 The definition of osteopathic manipulation treatment (OMT) and its purpose 19:30 OMT on the athletic population 19:43 “You're always going to find somatic dysfunction 20:40 What is the difference between an osteopath and a chiropractor 23:30 The types of treatments Dr.Costa is practicing with athletes 24:36 What is cranial osteopathy 27:30 How one develops the skills needed to use your hands in treatment, especially in osteopathy 29:00 The difference between an MD, a DO, and an osteopath. 32:00 Indirect and direct intervention 35:00 The importance of interpersonal skills and communication in these treatment settings. 39:00 Why manual therapy seems to be getting phased out of Physical therapy 41:00 Concussion treatment and what kind of concussions Dr. Costa sees in the office. 43:00 Why adult concussions are so much trickier to treat and manage. 45:00 The importance of having a referral network that complements your treatment style. 47:00 Dr. Costa's role with the Philadelphia Union 50:00 What are some common mobility issues Dr.Costa finds that are not a manipulation 51:30 Dr. Costa's thoughts on manipulation of the lumbar spine. 55:00 Manipulations on hypermobile patients. 56:00 Needling on extremities 57:00 Other types of interventions Dr. Costa uses, tenotomies, Prolo, PRP 1:02:00 Mike's experience with prolotherapy for ACL 1:05:00 Difference between PRP and Prolotherapy 1:06:30 What is PRP? QUICK Qs 1:07:50 One OMT technique Dr.Costa feels like he has yet to master 1:08:40 Does Dr.Costa do soft tissue techniques in the clinic? 1:11:23 Why Dr.Costa got his MBA and his biggest takeaways from it. 1:16:00 Dr.Costa is often the first person to tell a patient they are hypermobile. 1:18:00 The spectrum of hypermobility 1:19:35 The Beighton Scale 1:20:30 One thing we need to be doing better in Sports Medicine. 1:22:45 What a patient can do to prevent a chronic injury from coming back. Contact Info: Dr. Matt Costa, D.O., M.B.A, Premier Ortho 6107897767

What's happening Performance Therapy Nation. Today we are joined by Jeff Vaisberg, partner and clinic director at Progress Physical Therapy, an Ivy rehab physical therapy company. Jeff oversees multiple clinics and specializes in treating low back pain, as well as many other sports injuries. Today we will be discussing Jeff's assessment and treatment approach to both chronic and acute low back pain in the active population as well as Jeff's experience with rehabilitation after surgery. Jeff describes himself as an unconventional and passionate therapist who believes the physical therapy profession is underappreciated and underutilized. Jeff is a board-certified McKenzie physical therapist who practices in Claymont, Delaware, and Feasterville, Pennsylvania at IV rehab and progress physical therapy, graduated from Temple University with a Doctorate of physical therapy and a Bachelor's in kinesiology. He spent most of his career in Philadelphia treating a wide range of patients from high-level athletes to patients suffering from chronic pain. Other certifications include dry needling, sFMA, and CWC, which stands for clinical weightlifting coach. Jeff participates in hit in Muay Thai training as well and enjoys treating other MMA athletes with spine pathologies and weekend warriors of all skill sets. 3:45 What is the McKenzie Technique 4:20 What is a directional preference in the McKenzie Technique 7:40 The courses needed to be McKenzie Certified 9:20 Why do you feel like Physical Therapy is an underappreciated and underutilized profession? 10:40 “We should have a diagnosis that specifically leads to an intervention” 11:00 How Vaisberg would treat a bulging disk repair with delayed intervention. 12:58 “If you listen to your patient long enough they will tell you everything you need to know” 14:45 Why has attracted Jeff Vaisberg to working with patients who suffer from low back pain? 17:00 How wanting to be a better therapist-led Vaisberg to focus on particular courses, like McKenzie and sFMA? 19:50 How Vaisberg adds sFMA into his assessment of low back pain and what his overall assessment looks like. 22:30 Disfunction versus derangement 30:22 What Vaisberg's progressions look like for a derangement treatment. - Maintain, attain, sustain 40:00 The role of manual therapy in this treatment progression. 44:00 Most common surgeries you see in the athletic population for post-op rehab? 45:30 The limited efficacy of MRIs for functional injuries 51:25 What low back pain is most common in athletic populations? 53:50 Why athletes' adaptability makes them more difficult to diagnose and treat. 56:40 How to address leg length discrepancy. 5 Quick Q's 60:00 One course a new grad should take for the spine? 1:00:40 Should Physical Therapists be permitted to dry needle in the state of PA? 1:02:20 What is the average age you see for low back pain? 1:03:30 What sports most commonly causes or correlates to most low back pain? 1:06:35 What is the most common type of injury you see in youth athletics? 1:08:00 Why Vaisberg loves when a special test is no longer relevant to the patient's diagnosis.

Season 3, Episode 15 | Podcast #51 Jesse K. Wright authors a powerful, fictional story that presents a compelling message to high performers and lifelong learners, not only in sports but in all walks of life. Technical knowledge and domain expertise, or “hard skills,” are not the only components in which professionals should focus their education and development efforts. The personal qualities conventionally known as “soft skills,” those of empathy, leadership, self-awareness, collaboration, communication, versatility, and many similar, are those that truly empower individuals to triumph in challenging environments and experience lasting success in their careers and lives. If you haven't listened to Part 1 yet, you can find it here! In this episode, we cover: 1:00 How the book The Intent Is To Grow came out of a presentation and when Jesse knew he wanted to write one. 3:40 Jesse's presentations for head strength and conditioning coaches highlighted soft skills, communication, and relationship building. 5:30 The evolution of soft skills and the resources being poured into soft skill development in the workplace. 8:20 The messages and takeaways Jesse placed in the book and how readers can identify with the characters. 10:00 Where Jesse's interest in soft skills came from. 11:30 Why the difference makers in an organization and those who succeed the most tend to have great soft skills alongside developed hard skills. 13:45 Relationships and human connection are what you take away long term from any position or experience 14:20 The trait or soft skill Jesse has struggled with the most. 15:00 Servant leadership and the best approach to providing support and guidance. 18:00 Why delegating and trusting is so difficult when transitioning into leadership roles 19:00 The character in The Intent Is To Grow Jesse identifies with most. 20:00 The most important message Jesse wants people to take away from the book. 21:00 How The Intent Is To Grow can be used as a training or orientation program for new employees. 25:40 What Balance The Bar is and how it got started. 29:30 How older practitioners can help younger people with soft skills. 32:30 Belief effect, placebo, and bedside manner 34:45 The research and literature that informed and supplements The Intent Is To Grow. Fast 5: 36:00 What do you miss most about working with the 76ers? 37:00 What do you miss least about working with the 76ers? 37:40 How often would athletes undergo cardiac assessments? 37:55 Of the soft skills you mention which one have you had the most trouble being consistent in? 39:00 Are you letting your son play football? 40:15 Who do you know that best embodies all of these "soft skills" extremely well? Contact Info: Jesse K Wright Balance the Bar Instagram: @JesseKWright

Season 3, Episode 14 | Podcast #50 Today we are joined by Jesse K. Wright, a High-Performance Consultant, Amazon Best-Selling Author, Former NBA, NFL, NCAA, and private sector Sports Performance Professional. Jesse spent 14 years with the Philadelphia 76ers as the Head Strength and Conditioning Coach, then Director of Performance Science. Today we're getting into Jesse's path to Strength and Conditioning, Changes in Strength and Conditioning over the years, load/volume management in pros and youth athletics, and probably what I am most looking forward to discussing, Jesse's Book, Titled The Intent Is to Grow. Our guest Jesse Wright has Held Strength & Conditioning Coach positions with Temple University, the Philadelphia Eagles, the Barcelona Dragons (NFL-Europe), Hofstra University Football, and Saint Joseph's University. He also served as Director of Summit Sports Training Center, a group of sports performance facilities located outside of Philadelphia, PA. Jesse Wright received his Exercise Science degree from Temple University, his Master's of High-Performance Sport degree from Australian Catholic University. He is also a Certified Strength & Conditioning Specialist (CSCS) and Registered Strength & Conditioning Coach Emeritus (RSCC*E) Jesse was named the NBA's Strength & Conditioning Coach of the Year in 2013 and served as President of the National Basketball Strength & Conditioning Association from 2013-2015. For 6 years, Jesse served as chair of the committee that oversees and coordinates the anthropometric and performance testing for the NBA Pre-Draft Combine. He is also an Amazon best-selling author of two books including one we will be discussing today - The Intent is To Grow and is the Founder of Balance the Bar Initiative. In this episode, we cover: 1:20 Jesse Wright's background and accolades. 3:51 How Jesse Wright got into Strength and Conditioning. 9:00 Jesse's first experiences in the strength and conditioning world in entry-level roles and how they led to future opportunities. 12:00 Jesse's internship experience with the Philadelphia Eagles and their unique training philosophy. 20:00 Jesse's first time being a head strength coach with the NFL Europe right out of college 22:20 What Jesse learned from transitioning into a head strength coach role. 29:00 Jesse's transition from a team coach to the private sector with Summit 34:25 Jesse's position with the 76ers and how he came upon the opportunity. 36:00 How Jesse's training philosophy and approach changed throughout these years. 41:00 Throughout Jesse's 14 years with the 76ers there were 5 head coaches, 8 general managers, and 2 ownership groups. 41:00 How Jesse was able to stay steady throughout so much turnover 42:00 The importance of maintaining good documentation 45:00 The difference between training at PCOM versus the new 76ers stadium in Camden. 47:00 How often Jesse would test the 76ers players' strength and conditioning throughout the year. 49:00 How strength and conditioning training as a whole has evolved over the past 20 or so years. 51:00 How rotation and role influence the individualization of training programs. 52:00 Book Recommendation: The Quadrant System by Daniel Bove. 53:00 Jesse's approach to communicating with and involving the medical team for the 76ers. 54:00 Communication systems and tailoring approaches to the group and the individual.

Season 3, Episode 12 | Podcast #49 Dr. Bradley "BJ" Smith is a Sports Medicine Physician at the Rothman Institute and currently sees patients at the Limerick, Bryan Mawr, and Wynnewood locations. He graduated from Penn State University and completed medical school at Jefferson Medical College. After completing his residency in Family Medicine at Thomas Jefferson University Hospital in Philadelphia, he completed a Sports Medicine fellowship at Healthplex Sports Medicine of Crozer-Keystone Health System. Dr. Smith brings a total body approach to the treatment of athletes and non-athletes alike. Ross Nachbi, Physical Therapist at Ivy Rehab in Ardmore, Pennsylvania. Ross graduated from the University of Rochester with a degree in Brain and Cognitive Science and went on to Northwestern University where he graduated with his doctorate in Physical Therapy. Ross is McKenzie Method Trained and is trained in FMS or functional movement screening as well as SFMA, or selective functional movement assessment. He is also a certified strength and conditioning specialist (CSCS). He is experienced in treating all orthopedic and sports medicine conditions, both operative and non-operative. 2:00 What is Platelet Rich Plasma (PRP), how it is used in the clinic, and where it's best used. 13:00 Why there isn't a huge investment into PRP research 14:00 Insurance considerations and how lack of coverage impacts accessibility 15:00 Stem Cell Therapy and the differences in approach 18:00 Who is a good candidate for PRP and what imaging is required for approval? 21:00 What age groups are most likely to opt-in for and benefit from PRP? 23:00 How frequently are patients able to get PRP injections? 27:30 What Physical therapists should consider with patients post-PRP. 30:00 PRP for chronic ankle sprain treatment. 34:30 #1 thing athletes are doing wrong with their training? 35:30 #1 thing we should be doing to mitigate the risk of injury? 40:00 Should Insurance cover the use of PRP? 42:00 The most common injury seen amongst rotational athletes 44:00 The most common injury seen amongst field sports athletes? 46:00 The most common injury seen since COVID CONTACT: @BJSMITHMD bjsmithmd@gmail.com Ross Nachbi - @RNachbi ross.nachbi@ivyrehab.com

Season 3, Episode 12 | Podcast #48 Today we are joined by 2 special guests Sports Medicine Physician, Dr. BJ Smith, and Physical Therapist, Ross Nachbi. Today we will be getting into field sports injuries the importance of the gluteus medius in sports medicine injuries. Dr. Bradley "BJ" Smith is a Sports Medicine Physician at the Rothman Institute and currently sees patients at the Limerick, Bryan Mawr, and Wynnewood locations. He graduated from Penn State University and completed medical school at Jefferson Medical College. After completing his residency in Family Medicine at Thomas Jefferson University Hospital in Philadelphia, he completed a Sports Medicine fellowship at Healthplex Sports Medicine of Crozer-Keystone Health System. Dr. Smith brings a total body approach to the treatment of athletes and non-athletes alike. He treats all types of musculoskeletal and orthopedic injuries, from sprains and strains to fractures, pediatric issues to arthritis. Dr. Smith also treats Sports-Related Concussions using the latest techniques, including integrative and complementary methods. I am also joined by Ross Nachbi, Physical Therapist at Ivy Rehab in Ardmore, Pennsylvania. Ross graduated from the University of Rochester with a degree in Brain and Cognitive Science and went on to Northwestern University where he graduated with his doctorate in Physical Therapy. Ross is McKenzie Method Trained and is trained in FMS or functional movement screening as well as SFMA, or selective functional movement assessment. He is also a certified strength and conditioning specialist (CSCS). He is experienced in treating all orthopedic and sports medicine conditions, both operative and non-operative. 4:26 Why Dr. Smith went into the field of sports medicine, what his journey through medical school was like and how being the child of a trauma surgeon impacted his decision. 11:50 How Dr. Smith's training guided him to become the physician he is today and how the whole body approach of sports medicine allows for variety. 12: 00 “If you're thinking about going in a certain area, some niches or specialties may have some things that are really cool but don't think about the coolest thing that you do once in a random while. You have to think what is the 70% of normal mundane stuff like because that's most of what you're going to have. and if you're only getting the really cool stuff every once in a while and the rest of the time you want to stab your eyes out, it's going to be rough.” 15:00 Why sending a patient to a physical therapist that has a background in a similar sport is important and contributes to better outcomes. 19:00 How their treatment approaches have changed since first starting to treat several years ago. 21:00 Why it's so important for sports medicine physicians to have a great relationship with the physical therapist they refer to. 23:00 Direct Access to physical therapy without seeing a doctor and how physical therapists approach that treatment and relationship. 30:00 How good communication and good notes from the physical therapist help avoid a third referral and delay in care. 42:00 “I'm a strong believer that a large portion - probably even the majority - of lower extremity injuries, issues, and complaints are due at least in some part to not enough activation in the gluteus medius” 43:00 Why the gluteus medius not activating enough causes so many issues in the lower body and how lack of lateral movement contributes to this issue. 1:05:00 Why we need to bring back the popularity of the jumping jack. 1:06:00 The best exercises to activate the glute medius 1:13:00 How Dr.Smith implements side-lying hip abductions to treat almost every lower extremity issue. For full show notes and contact information please visit https://www.onqperformancetherapy.com/episodes

Season 3, Episode 11 | Podcast #47 This is Part 2 of the Return to Sports podcast with Jersey Duo. In part 1, we discussed approaches for assessment, treatment, and what happens after treatment to reduce the risk of injury. In this episode, we will be getting answers to some quick-hitter sports medicine questions that we get in the clinic all the time. Whether it be from our patients or PT students or new PT grads. In this episode, we cover: 2:22 BFR or blood flow restriction training? Does it work? For what patient population? 4:20 #1 cause of biomechanical failure of ACLs 4:45 #1 reason why ACL reconstruction fails 5:10 Most preventable sports-related overuse injury 6:20 Top 3 courses every PT interested in sports medicine should take 6:45 The Kaehler core 9:15 One piece of equipment every sports-based PT clinic should have 10:50 Yes or no to Force Plates? 11:15 Ice or Heat? 12:00 Opinions on Cryotherapy 12:23 Opinion on Isokinetic Testing and what it is. 14:30 must-follow accounts on Instagram Barbell Rehab Eric Cressey Lenny Macrina MSPT, CSCS ThePrehabguys Kevin E Wilk 18:00 One Book you would recommend Jacko Willink Extreme Ownership The Mulligan Concept of Manual Therapy: Textbook of Techniques 20:11 Accept and understand that you need to take in information and evolve your practice. You can't keep doing the same thing. 22:20 Develop an understanding of your child and know what they really need physically and mentally. 23:00 Advice to new grads and new physical therapists. “Your rehabilitation profession should be able to answer why they are doing certain things” 24:30 Advice to parents of athletes “It's okay to say no” “It's okay to ask questions” Contact LinkedIn Mike St George HoneyBadger_Juicy Coach Hous Podcast Ryan Stahl LinkedIn

Season 3, Episode 10 | Podcast #46 Today we are getting after it with a couple of jersey guys. Physical Therapists by trade and sports therapists by passion, Mike St. George and Ryan Stahl. We will be diving headfirst into sports medicine rehabilitation, return to play protocols, and bridging the gap a little more efficiently with The DorsaVi, movement analysis software that is now being utilized at Ivy Rehab. Mike St. George has his Doctorate of Physical Therapy from the University of the Sciences located in the heart of West Philly. Mike is the Clinic Director at Ivy Rehab in Warminster, Pennsylvania. Mike has 10+ years of experience with areas of expertise in sports performance, return to sport, runners, endurance athletes, and hand injuries. He is trained in the Functional Movement Systems Philosophy including the FMS or Functional Movement Screening, SFMA or Selective Functional Movement Assessment, and FCS or Functional Capacity Screening. He has authored several articles Endurlite.com is the Co-Host of “The Coach Hos Podcast” and is a competitive Spartan Race athlete himself. Ryan Stahl earned his Doctorate of Physical Therapy from Arcadia University just outside of Philly in Glenside PA. He underwent residency training and achieved his Board Specialization in Orthopedics in 2020. He has been published in the International Journal of Sports Physical Therapy for Return to Sport Protocol following Nonoperative Ulnar Collateral ligament Tear in Fighting Athletes, and in The Journal of Scientific Research for Nutrition Considerations in Enhancing Patient Outcomes. He currently serves as Sports Performance Director for the Ivy Rehab Network, and currently treats in Cherry Hill New Jersey. In this episode, we cover: 4:00 How Mike St George and Ryan Stahl got into Physical Therapy and Sports Medicine 6:00 The coursework Mike St George and Ryan Stahl took that best directed their skillset towards sports medicine. 8:00 Why continuing education is so important for all psychical therapists. 11:00 How their access to online courses and an abundance of resources has changed Mike and Ryan's approach to treating and assessing athletes. 12:45 The benefits of doing an orthopedics residency according to Ryan Stahl. “You take a little bit of everything from everyone you see” - Ryan Stahl 16:40 During assessments and treatments, you need to be looking at the whole body. Always look above and below the joint. 21:00 The misconception that PT is just being assigned some exercises. The exercises are a prescription to fix a specific problem. 21:15 When you're assessing you have to determine what's going on with the person and what their movement patterns and functionality is. 40:30 What is the DorsaVi? The DorsaVI is a wearable sensor technology that allows PTs to quantify data that was previously only qualitative and that allows PTs to know if their program is working. 42:30 How testing with the DorsaVi is different or better than traditional testing. It gets rid of eye testing and lets PTs know what is really working. Full Show Notes Available on https://www.onqperformancetherapy.com/episodes Contact LinkedIn Mike St George HoneyBadger_Juicy Ryan Stahl LinkedIn

Season 3, Episode 9 | Podcast #45 Lindsey Keenan is an Athletic Trainer and Associate Professor in the Department of Sports Medicine at West Chester University and is Co-Founder and CEO of PROmotion Health, a mental health screening solution for sports medicine and schools. She received her bachelor's degree in athletic training from Lock Haven University, two master's degrees from East Stroudsburg University in Athletic Training and Sport Management, and her doctorate in Kinesiology with a concentration in Sport & Exercise Psychology from Temple University. Lindsey works clinically with the WCU NCAA Women's Rugby team and teaches courses in the undergraduate and graduate athletic training programs, including sports psychology, cadaver dissection, and clinical courses. Her research focuses on mental health and concussion injury in student-athletes. She is considered a national expert on student-athlete mental health and has presented nationally and internationally on student-athlete depression, concussion, and mental health screening. Her entrepreneur journey led to the development of PROmotion, which she is utilizing clinically and in research to assess the mental health of student-athletes and referral outcomes. Resources: If you, or someone you know, is struggling with a mental health concern or crisis, contact a mental health provider as soon as possible. In an emergency, contact the National Suicide Prevention Lifeline at 1-800-273-TALK(8255) or call 911. You can also text the Crisis text line 741-741. 4:40 How Dr.Keenan's personal bouts of depression in college and postpartum anxiety have made her more able to recognize mental health concerns and learn how to advocate for her and others. 10:05 The importance of not waiting until you're in crisis to seek counseling, but to instead be proactive about your mental health. 11:25 Suicide is the second leading cause of death for college-level student-athletes. 12:45 The research on athlete mental health has only just begun, though there's been a recent boom. 14:30 What the current mental health screening process looks like for athletes. 14:48 Dr. Keenan recommends reading the NCAA best practices document for creating a mental health management plan. 16:00 There's currently a huge need for mental health providers in the United States because there are not enough to help everyone who needs it. 55% of counties in the United States do not have access to psychiatrists, according to the Substance Abuse and Mental Health Services Administration (SAMHSA) 18:00 Who is considered a licensed mental health provider. 23:40 What is the objective of having a sports psychologist on staff? For Full Shownotes visit onqperformancetherapy.com/episodes Contact Info PROmotion Health website: www.goPROmotionHealth.com Lkeenan@goPROmotionhealth.com @PromotionHlth on Twitter and Instagram

1:18 What are the parameters for a student-athlete to return to play? 2:00 Return to play protocol is a graded 6-phase progression for return to exercise necessary before returning to competition 2:38 “Asymptomatic at school, they have to clear that before we can even talk anything field related.” 3:00 Athletes typically don't usually start going to physical therapy with Mike Keenan until phases 2 and 3 of the Return to Play protocol. The phases of the Return-to-Play protocol for concussions. Asymptomatic at school Asymptomatic with light aerobic activity Asymptomatic with moderate aerobic activity Asymptomatic with non-contact heavy field activity Asymptomatic with practice & full contact Asymptomatic at competition 3:46 There is always a conversation between the physical therapist and the sports medicine physician so that a student can be cleared to continue in the return to play progression. 5:00 How Dr.Eck approaches the Return-to-play protocol with the physical therapist, the athletic trainer, and the parents. “What I want parents or athletes to do is, if they're doing better before our second evaluation, call me. There's no reason to delay it, just because of the schedule. 5:50 “I can't emphasize enough how important it is for physical therapists to communicate with and offer our observations to the physician or sports medicine doctor, knowing we don't call the shots”- Mike Quintans 7:45 The importance of the athletic trainer in later phases. 8:05 The role the athletic trainer plays as the student returns. 9:15 What a follow-up evaluation looks like with Dr. Eck. 9:50 Does the sport a student plays change Dr.Eck's evaluation? 13:00 Dr. Eck sites a study from March 2021, “Musculoskeletal Injuries And The Association With Previous Concussion History: A Prospective Study of High School Volleyball and Soccer Players” that found that if a student had a concussion in the last twelve months, they are 87% more likely to have an acute noncontact lower extremity injury. 16:00 Q urges better holistic testing to mitigate the overall risk of injury “This comes down to a holistic approach to return to play. Are we clearing a concussion to return to play, or are we clearing a student-athlete to return to play?” - Q Lighting Round 21:20 What are we doing right in regards to concussions? 23:00 What could we be doing better in sports medicine regarding concussions? 24:00 What is your biggest takeaway from recent research in concussion management? 25:00 How do we mitigate the risks and severity of concussions? 29:45 What needs to happen for us to reduce the risk of concussions overall? 32:35 Their take on the 70-30 breakdown. 34:50 “It's very rare that I see an individual and they're not going to get some sort of referral.” 34:50 “It's very rare that I see an individual and they're not going to get some sort of referral.” 36:50 Often times concussions will lead physicians to uncover underlying conditions that have gone unrecognized, especially in teenagers. 37:40 How many visits does a PT usually see the average concussion for? 38:40 “The faster you get in [to PT], the faster you get better.” CONTACT Dr. Brandon Eck Orthopedic Associates of Lancaster. Michael Keenan PTW Ardmore

Today, we will be discussing everything concussions with two of the best in the business: Vestibular certified Physical Therapist and Athletic Trainer - Mike Keenan as well as Dr. Brandon Eck. Mike was on the podcast before to discuss concussions as was Dr. Eck in which we discussed his experience and roles in sports medicine specifically endurance athletes and the services he provides. Dr. Brandon Eck Dr. Brandon Eck is a sports medicine physician that earned his undergraduate degree at Villanova University where he ran track and field for the Wildcats. He then earned his medical degree at the Philadelphia College of Osteopathic Medicine. He completed his residency in family medicine. He also completed a sports medicine fellowship in Blacksburg, VA in which he served as a team physician to Virginia Tech and Radford University. Dr. Eck has extensive experience in treating athletes of many disciplines and is dedicated to the treatment of both athletes and non-athletes with orthopedic injuries, including sports injuries, overuse injuries, fracture care and concussions. He is the Team Physician for U.S. Ski and Snowboard Michael Keenan Michael Keenan is a dual credentialed Physical Therapist and Athletic Trainer, Mike has been working in Sports Medicine and Rehabilitation since 2008. During this time, Mike has worked with patients of all ages and physical abilities from pediatrics to professional sports while with the Pittsburgh Pirates Baseball Organization. He specializes in vestibular and concussion-based treatment. I have had the pleasure of working with Mike Keenan over the past several years. I can say with the utmost confidence that he is the best I've seen at treating concussions – whether the patient was in an automobile accident, work-related accident, or as a result of an athletic trauma or injury. 3:30: What is a concussion? 4:40 What is the difference between a traumatic brain injury (TBI) and a concussion? 5:15 what the most important thing Dr. Eck and Keenan have learned about concussions since their fellowships and training. 6:00 Keenan is in the unique position of seeing concussions at the beginning and the end. 7:35 How are concussions diagnosed and how have these practices evolved? 9:30 What does the Sideline concussion assessment tool - SCAT 5 test consist of? 16:00 What does concussion diagnosis look like in the clinical setting after the initial evaluation on the field? 19:45 How does a physician dictate what the appropriate next steps are? 23:00 If something like the Impact test is available from the school or sports team is available it will be taken into consideration. 24:30 Getting a psychological evaluation and treatment is especially important for student-athletes to determine care protocol and school accommodations. 26:00 The importance of having a good rapport between the physician, the physical therapist, and the patient. 28:35 How often are clinicians seeing a patient within a week of the initial injury? 30:30 Dr.Eck shares a study from the Journal of Neurosurgery in Pediatrics about the association of time to clinic visit with prolonged recovery in Pediatric patients with concussions. 33:30 Average Symptom Severity and Related Predictors of Prolonged Recovery in Pediatric Patients with a concussion (2020) found that symptom severity along with delayed evaluation related to prediction of prolonged recovery. 39:30 What is symptom grading and how does Keenan use as a flag system with patients? 40:20 Dispelling the old myth that someone with a concussion should be told to rest completely. Stay tuned for Part 2 next Tuesday

Season 3, Episode 6 | Podcast #42 Today we are joined by Dr. Ken Kearns, a Board Certified, fellowship-trained shoulder and elbow orthopedic surgeon who specializes in arthroscopic surgical procedures, joint replacements, minimally invasive procedures, as well as upper extremity fracture care from the clavicle to the elbow. Dr. Kearns completed his undergraduate studies at Colby College in Maine then onto medical school at The University of Toledo School of Medicine. Next stop, Orthopaedic Residency Program at Thomas Jefferson University Hospital. While a resident, Dr. Kearns was recognized by several orthopedic organizations for his research and leadership. Last stop, Dr. Kearns didn't go far for his fellowship. He was accepted to the internationally renowned Thomas Jefferson University Hospital/Rothman Institute Shoulder & Elbow Orthopaedic Fellowship Program. Dr. Kearns has been published in numerous specialty medical journals on topics specifically related to rotator cuff tears, shoulder instability, and shoulder replacement. He's been with Philadelphia Hand to Shoulder since 2016. In this episode we cover: 1:10: New research available about shoulder instability stating that shoulder injuries should be repaired after the first injury rather than the third, which was the previous recommendation. 3:15 The two things that keep your shoulder stable - static and dynamic stabilizers 5:00 Make a judgment call on if therapy is the way to go after 4-6 weeks, not 4-6 months 6:00 How a labrum is repaired and normal-tension is recreated 7:50 What does typical recovery look like using Baker Mayfield from Cleveland as an example. 9:50 You have to take into consideration longer-term aspirations to plan ff and when to do a surgery. 10:55 The problem with Sully braces 11:55 The 6 grades of ligament separations 13:30 Grade 3 is the one that people go back and forth on whether surgery is necessary. 14:00 The surgical procedure for shoulder separation repair - arthroscopically assisted repair 20:30 Typically rotator cuff tears are the gray hairs and wrinkles of the shoulder or traumatic cuff tears. 21:50 Story from Dr.Kearns' fellowship with a current hall of fame Hockey player 23:03 Very few professional athletes, besides Kobe Bryant, have come back to play after a cuff repair. 23:57 A case Dr.Kearns saw with a competitive weight lifter in her 40s. Her cuff tear was hanging on by a thread, Dr.Kearns repaired it and won her next international competition, was doing awesome and she is back after 4 years with a similar injury. 28:00 There are so many better exercises you could be doing for your upper body than the bench press. 28:21 There are two terrible things for your shoulders, shoulder press, and bench press 29:10 People get intimidated about seeing a doctor - “My job is to get the person back” 29:40 There are very few things that I will ultimately say “you need to have them fixed” and its usually not a sports injury. 37:45 Dr.Kearns asks “What is the point of the Arm bike” 38:00 Q is anti-machine as a physical therapist. 38:30 Arm bikes don't really make sense and cause more irritation than they help. ------ Dr. Ken Kearns Philadelphia Hand To Shoulder Center

Season 3, Episode 5 | Podcast #41 Today we are joined by Dr. Ken Kearns, a Board Certified, fellowship-trained shoulder and elbow orthopedic surgeon who specializes in arthroscopic surgical procedures, joint replacements, minimally invasive procedures, as well as upper extremity fracture care from the clavicle to the elbow. Originally from Ohio, Dr. Kearns completed his undergraduate studies at Colby College in Maine then onto medical school at The University of Toledo School of Medicine. Next stop, Orthopaedic Residency Program at Thomas Jefferson University Hospital. While a resident, Dr. Kearns was recognized by several orthopedic organizations for his research and leadership. Last stop, Dr. Kearns didn't go far for his fellowship. He was accepted to the internationally renowned Thomas Jefferson University Hospital/Rothman Institute Shoulder & Elbow Orthopaedic Fellowship Program. Dr. Kearns has been published in numerous specialty medical journals on topics specifically related to rotator cuff tears, shoulder instability, and shoulder replacement. He's been with Philadelphia Hand to Shoulder since 2016. In this episode we cover: 2:55 What led Dr.Kearns to his career path and to stay in Philadelphia. 4:00 How orthopedic surgeons are looked down upon in the medical world 5:00 How Grey's Anatomy has represented orthopedics poorly. (Yes, Dr.Kearns still watches) 6:26 Dr.Kearn's experience at Jefferson University How specialization plays a role in medicine especially in Philadelphia and New York. 8:45 The variety of injuries and surgeries an elbow and shoulder orthopedic surgeon sees in a day. 10:25 The difference between a fellowship and a residency for doctors. 13:20 How Dr.Kearns ended up at the Philadelphia Hand and Shoulder Center. The competitiveness of the Philadelphia medical scene, especially in Orthopedics. 15:00 The dilemma with marketing yourself as a doctor. 17:50 Building connection and relationship with patients and colleagues. The importance of respect and rapport when treating a patient. 21:00 The importance of talking directly to kids when they are the patients. 25:00 The most common shoulder and elbow sports injuries Dr.Kearn sees on a regular basis with athletes and weekend warriors. 26:00 Why Dr.Kearns and Q are seeing more Tommy John Elbow injuries - tearing the ligament on the inside of the elbow due to overuse in baseball. - Your arm is not designed to throw a baseball. 32:16 Labral tear symptoms and presentation. 34:40 The importance of treating the whole person and treating each case individually. 35:00 “My role is to help you make an informed decision about what's best for you” 36:00 The role of imaging in diagnosing and treatment 38:40 “Full disclosure, I still do these things but the worst thing you can do for your shoulder is bench press and shoulder press” 39:30: “90% of your diagnosis comes from what your patient tells you” 40:00 The range of recoveries and outcomes that aren't easily predictable. Contact Dr. Ken Kearns Philadelphia Hand To Shoulder Center

Today we are joined by Dr. Dawn Gulick professor, entrepreneur, and research leader in the field of physical therapy as it applies to sports medicine. Today we will be discussing the landscape of getting into PT school, what PT school consists of, Dr. Dawn Gulick's experiences in the field of sports medicine, and her mobile app called iOrtho+. Dr. Dawn Gulick earned her bachelor of science in athletic training from Lock Haven University, her master of physical therapy from Emory University, and a doctorate of philosophy in exercise physiology from Temple University. Dr. Dawn Gulick is also a certified athletic trainer and a certified strength and conditioning specialist. Dr. Dawn Gulick is a professor of physical therapy at Widener University in Chester, Pennsylvania with over 25 years of teaching experience. As a clinician, Dr. Dawn Gulick has owned 2 private orthopedic/sports medicine practices. She also provides athletic training services from the middle school to the elite Olympic/Paralympic level. As a member of the USA Sports Team, Dr. Dawn Gulick has provided medical coverage at numerous national and international events and has been the medical provider for USA National Teams since 1993. Dr. Dawn Gulick is the author of 4 books. Dr.Gulick is the developer of the mobile app called iOrtho+. The app has been positively reviewed by numerous organizations and has been adopted by dozens of universities to supplement their orthopedic curriculum. The app, iOrtho+ has been sold in over 14 countries. Dr.Gulick is also the inventor of an orthopedic device called the Mobil-Aider. It has been cleared by the FDA & was launched in 2021.

Caitlin Kowalke (Comfort) won the Illinois state title in cross-country her junior year of high school. She went on to run cross country at the University of Wisconsin-Madison, Where she became a two-time second-team All-American and a two-time Big Ten Champion in the 5,000 and 10,000-meter events. Upon graduating Caitlin began a professional running career and took on a volunteer coaching position for the UW women's cross country and track team. Caitlin then went on to a professional runner, then transitioned to the half and full marathon distances. She attributes many of her successes as an athlete to the support of my family, my collegiate coach Jim Stintzi, and former coach but forever friend, Stephanie Rothstein Bruce (a sub 2:30 marathoner). Today, Caitlin continues to run. Caitlin lives just outside of Madison, Wisconsin with her husband Tom, and her two daughters, Rose and Joanna, and her step-daughter, Stella. At the 2018 Madison Marathon, she qualified for her second Olympic Trials Marathon. On February 29th, 2020 in Atlanta, Georgia she toed the line with two of her Wisconsin-based athletes who she also coached to Olympic Trials qualifying performances. In this episode we cover: Where did your passion for running come from and how did you start? 6:00 At what point did Caitlin realize you were good at running? 10:00 What's it like being a mother and training for the Olympic trials? What it was like to train for Olympic trials just six months after giving birth? 14:30 How Caitlin started coaching runners after being a runner in college. What services Caitlin offers to runners with to runners of different experiences. 21:20 How Caitlin helps runners who want to run as a lifestyle change rather than for a race? 24:00 Caitlin's training philosophies and personalized approaches. 27:00 Caitlin's Rules of thumb for early marathon runners I believe in creating programs that challenge the athlete while building confidence and keeping the risk of injury low. 30:00 What Caitlin's Marathon training cycles typically look like for 16 to 20 weeks. 34:00 How to change your running plan to increase speed and lower marathon time 38:00 How the app VDOT 02 helps Caitlin's coaching 41:00 Running Rewired 46:00 What kind of cross-training should long-distance runners be participating in? 53:00 How Caitlin manages injuries during a client's training. 54:00 Don't push through the pain 57:00 Quick 5 What is your 5k pr? Marathon PR? In programming, what is one thing you do differently now vs 5 years ago? Name one attribute every successful runner has? The most significant lesson learned from coaching? One book you recommend on running? Running Rewired and Science of Running caitlin@fearlessfeetrunning.com

Season 3, Episode 2 | Podcast #38 Dr. Milt Zgonis, M.D. is an Orthopedic Surgeon with Penn Medicine and the Co-Director of their Human Tissue Laboratory. He received his medical degree from Albany Medical College and completed his 6 year residency and lab research with Penn Medicine. He then went on to complete a fellowship in orthopedics and sports medicine at Duke. Lisa Victorius, PA-C is an alumna of South Carolina University and completed her Physicians Assitant Education at Rosalind Franklin University of Medicine and Science in Chicago. They have worked together for over seven years. In this episode, we cover: 1:30:00 Milt Zgonis' and Lisa Victorius's backgrounds in athletics and medicine. 2:45 How a background in sports and athletics has helped Victorius and Zgonis while practicing medicine. 3:20 The identity crisis athletes have when they sustain an injury. 4:00 How Zgonis' love for martial arts growing up and his sister had an ACL tear that resulted in major complications pushed him into the field of sports medicine. 5:00 How Dr.Zgonis' experience at Duke University's Athletic program prepared him to work with professional athletes in the Philadelphia area like the Sixers. “Treat every person like they are a high-level athlete and get them back to whatever it is they want to do.” 9:00 What is a typical patient that Dr. Zgonis and Victorius see? Why there is no average patient, and how each one is so different 10:00 Zgonis's focus and passion for meniscus research and innovation 12:00 How Zgonis approaches meniscus tears and what innovation is happening in the field regarding meniscus reconstruction 12:45 if a joint is going to be repairable it's going to be before its all macerated and wreck any repairable tissue “In orthopedic sports medicine, probably our generations greatest challenge is repairing and restoring meniscal function.” 14:20 What about the meniscus makes it so easily compromised and why is it so difficult to repair? 14:40 What is the meniscus? 16:00 Why the meniscus has almost no healing capacity? 17:00 The mechanical effects on the rest of the body after a meniscus injury 18:20 Why we don't have a good way of predicting what people will be like long term? 19:00 When and why are Arthroscopies needed to treat meniscus issues? 20:00 How has the dynamic between Dr. Zgonis and Victorius as a PA worked so well in their office for the past seven years? How Victorius approaches educating the patient to supplement Dr.Zgonis' work. 23:00 What complex procedures are they seeing in their office? 28:00 Patients want a doctor's honest opinion and candor 32:00 The trust that physicians and physical therapists need to have with each other Contact Dr. Milt Zgonis and Lisa Victorius, PA-C

Dr. Scott Davidoff is a physiatrist at Main Line Spine in King of Prussia, PA, located about 20 mins from Philadelphia. Dr. Davidoff earned his undergraduate degree from Emory University in Atlanta and his medical school degree from Temple University School of Medicine. He then completed an internal medicine internship at Hahnemann University Hospital and subsequently returned to Temple University for his residency training in Physical Medicine and Rehabilitation. After his residency, Dr. Davidoff completed a fellowship in interventional pain management/sports medicine at Orthopedic and Spine Specialists in York, PA. Dr. Davidoff is board certified in Physical Medicine and Rehabilitation, Pain Medicine, and Sports Medicine. He is currently serving as President of the American Board of Pain Medicine. Dr. Davidoff has undergone extensive training in various fluoroscopically guided (X-ray guided) procedures used to treat neck and back pain. He additionally specializes in regenerative orthobiologic medicine, including PRP therapies, to help treat an array of painful conditions. Contact Main Line Spine Mainlinespine.com 610.337.3111 In this episode, we cover: 3:40 What does a physiatrist do? 5:10 What is the training required for becoming a physiatrist? 6:30 What other specialties might be getting this sort of fellowship in sports medicine or pain management? 8:00 Dr.Davidoff's focus on treating the whole person 8:50 Providing patients with the attention they deserve and a host of options that will best serve them. 10:15 What are the benefits of telemedicine in physiatry and how will it change in the future? 14:00 What types of patients is Dr.DAvidoff as a psychiatrist typically seeing in his office? 14:45 What is the difference between patients with acute and chronic spinal injuries or pain? 16:20 How Dr.Google has taken over and has both given patients education and misinformation. 17:00 Patient education and communication across providers. 20:10 What different treatment options Dr.Davidoff provides in his office at Main Line Spine? 23:30 How does Dr.Davidoff go about deciding the best treatment option for a patient? 27:00 There is no one size fits all with treatment, it's really individualized. 28:00 What is Dr.Davidoff excited about in the field of physiatry and pain management? 28:15 What is regenerative medicine? What are the benefits of stem platelet-rich plasma (PRP) injections? How does regenerative medicine help with stability and structure? 36:07 Who is a good candidate for PRP 41:00 What is the typical presentation of patients with back pain? 42:10 Different categories of back pain. Axial pain ( neck or back pain) vs Nerve related pain that radiates to other extremities. 45:30 Spondy Spondylolysis in athletes, especially young ones, and Carson Wentz example. 51:30 A structured and gradual Return to Play program for athletes. 53:20 The Opioid crisis and pain management and the future of opiate therapy.

What's happening Performance Therapy Nation? We are getting ready to kick off Season 3 of the podcast and we are so grateful to have you all here. This season is full of specialists bringing their absolute best so make sure you are subscribed and following us on Instagram @onqperformancetherapy

Mike Q looks back at the amazing guests who joined us in Season 2 and gives a sneak peek into season 3's line up. He also shares an exciting work-life update. Let us know what you thought about season 2 with a 5-Star review!

On this special episode of the podcast, Mike sits down with his younger brother Chris Quintas who is an incredible athlete, coach, and teacher to talk about all things coaching and the best practices for working with Gen Z athletes. Coach Chris Quintas is the head baseball of the Sun Valley Vangaurds and defensive assistant football coach at Sun Valley high school, as well as a high school math teacher. “Students don't care what you know until they know that you care” Coach Chris focuses first and foremost on creating a community environment based on showing his players that he cares about them, not just on the field, but in life. Leadership and Personality Coach Chris has all his players and students take Myers-Briggs personality tests so they can better understand themselves and their teammates. There are benefits to being able to put students in groups with others with different personality types. He also puts a strong emphasis on building leadership skills in every aspect of life through leadership meetings with his athletes. Goes through each of the chapters in The Team Captain's Leadership Manual: The Complete Guide by Jeff Jansen. There are about 50 evaluation points that cover both vocal and exemplary leadership. “You are a leader somewhere in your life” You may not be the leader on the field, but you can learn to be a better leader in the classroom, in your home, or in your community. The skills are about so much more than the four years of playing high school sports, they will carry on into all aspects of your life. Both Mike and Chris put a strong emphasis on leading by example and believe in “never tell someone to do something I wouldn't or am not doing” Millennials Coaching Gen Z Seeking instant gratification is often seen as a flaw of Gen Z, but if coaches and teachers can better understand how to work with Gen Z students in a way that feels right to them, you'll team will be better for it. The number one mistake coaches make with Gen Z is publically embarrassing the athletes and failing to make amends. Publically humiliating a student or yelling at the athlete in front of the whole team is not going to be an effective way to coach, it will only lead to the athlete disconnecting and losing respect for the coach. The best approach is focusing on what the team is doing well and highlighting athletes that are setting an example for the rest of the team. Be their biggest fans and biggest source of encouragement. “Teachers are coaches, coaches are teachers” Gen Z athletes have a deep fear of failure, so normalizing failure and encouraging them through the tough moments is absolutely necessary. Millennial coaches need to remember that the end goal is developing the athletes as people and creating a stronger community. It's not all about wins and loses. Building a Great Coaching Staff Find people with skills different from your own and find people who are really going to care. The most important traits to look for are that they are hardworking, forward-thinking and community-oriented. In order to find the best additions, networking with other coaches will be essential. Best Books For Coaches mentioned in this Episode: The Team Captain's Leadership Manual: The Complete Guide by Jeff Jansen Sport Psychology for Coaches Contact Instagram @CoachQuintans Twitter @CoachQuintans CoachQuintans@gmail.com

Season 2, Episode 15 | Podcast #34 We know that as the weather warms up more of you are starting to lace up your running sneakers, so we are bringing you this replay from Season 1 all about running mechanics with the incredible Tracy Peal. Dr. Mike Quintans chats with elite performance coach, movement specialist, and running guru, Dr. Tracy Peal. Peal implements the pose method of running, created by Dr. Nicholas Romanov, and combines it with in-the-moment observation to give his athletes the best results in a way that is unique to them. Peal's Background Tracy Peal is a Philadelphia native and played football, baseball, and basketball as a kid, although he gravitated more toward basketball. He got recruited by Penn State from Salesianum High School where he got All-State. Then he went to the University of Delaware to finish his sport and education. After graduation, he started running half-marathons, training for powerlifting, and eventually diathalons. Eventually became a triathlon coach which is when he came across Dr. Nicholas Romanov's Pose Method of Running. The Pose Method The Pose Method is a general movement theory based on the idea that we are in a gravitational field. Movement is all two things. Gravity is body weight, body weight is potential energy. Free-falling is the kinetic energy. There's an up and down from potential energy to kinetic energy and back. Your job is to un-weigh yourself from the ground. If you weigh yourself quickly, then you can get yourself into the next post for the body to fall again. The quicker the body catches up to your foot, the less chance of injury. Usain Bolt is a great example of perfect form under the pose methodology. Working with Athletes Peal prefers to meet athletes and work with them “where they do what they do” by training on the field or on the track. He says, if a soccer player is feeling pain or struggling with their kick form, he wants to see them in action, kicking on the field. It is so important to meet the athlete where they are that day. Understanding their mood, energy, tensions, and pain points before training will allow coaches and trainers to truly help their athletes. Peal focuses on seeing the athlete in all different postures and different movements. With his training and focus, he can accurately predict a runner's issues by how they stand, then how they walk. A lot of the process of helping an athlete run and move better is explaining the mechanics, trying the adjustments, then reassessing. CONTACT Instagram - @tracypeal Facebook - @tracypealspeed Twitter - @tracypealspeed www.pealsportsperformance.com

Wayne Helms is the owner of Elite Krav Maga Training & Fitness and Mike's former high school wrestling coach. He is a life-long athlete and has been coaching for over 20 years. In this episode, Q and Wayne discuss wrestling in the Philadelphia region, whether high schoolers should be cutting weight and Krav Maga. “Wrestling doesn't build character, it reveals it” Wayne's background Wayne is the oldest of three boys, raised by a single mother. He grew up in and around the Delaware County culture of loyalty. He credits his Delco friends and family for always sticking by him. Referenced the movie Last Call. Wayne got into Judo in 5th grade with his brothers then in 1997 started practicing Sambo. Coached Wrestling at Upper Darby High School. Wrestling in the Philadelphia Area With wrestling you can't look toward anyone but yourself whether you win or lose. That kind of mental toughness is the most important intangible in the sport. The risk in wrestling is more mental burnout and overuse rather than physical per se. Pennsylvania is one of the most elite states for wrestling. The Delaware County area specifically has potential though not enough students are starting and then sticking with it because of the pull from other sports. Wayne speaks on being very against cutting weight because of the mental weight and unnecessary pressure it places on an athlete. On the importance of creating an intentional plan for children in the sport. Making sure that there is positive reinforcement especially with younger children. Krav Maga Krav Maga is an Israeli military self-defense and fighting system developed by Emrich "Imre" Lichtenfeld. Wayne gravitated toward Krav Maga as he searched for something he could have just for himself and to give him back his edge in business and in life. Once he obtained his Krav Maga Global Instructor, the coaching instinct was already there. Self Defense Wayne goes into the different elements of self-defense. Physical fitness, combative training, medical training, legal knowledge, and firearms. Business and Development Wayne is always looking to improve and push himself through the discomfort. He is always asking “What can I do to move forward? He adopts an “Adapt or die” mentality while implementing what he likes to call the “coralreef method.” - Coral reefs grow on the side where the waves crash con CONTACT @elite_krav_maga_training Instagram @elitekravmagatrainingandfitness Facebook www.elitekravmagatraining.com

Enjoy this replay of one of our favorite episodes from Season 1. Mike sits down with Dr. Ken Clark, Associate Professor of kinesiology at West Chester University with a focus on biomechanics, motor learning and doing research on running mechanics. He has been a consultant for USA Track and Field, Altus, and Parisi Speed School. Dr. Ken Clark's Background 2:30-5:10 4:00 - In 2008, Ken went back for his Masters after he got an undergraduate degree in psychology. He got his masters in Kinesiology at West Chester University. Went down to Dallas to get his PhD in Sprint Biomechanics with Dr. Peter Weyand and Dr. Larry Ryan at the Locomotive Lab at Southern Methodist University (SMU). 4:41 - Ken came back to the Philadelphia area to become an associate professor at West Chester University and got involved in multiple teams for their strength and conditioning and sprinting. Passion for Biomechanics 5:10 - 7:00 5:10 - The most enjoyable part of Ken's job is teaching motor learning and biomechanics in the classroom then transferring that science to the track. 6:30 - It's important for an athlete to understand the mechanics of what you're doing, how you're doing it, and why you're doing it. Ken's Tips for Coaches 7:00 - 10:30 7:00 - Coaches have to engage their athletes and understand how they learn best. Sometimes they love the technical cues, and sometimes they just want to be told what to do. You have to give them enough information to make the correction. 9:00 - Coaching about the context of drills - why we're doing them - instead of going in depth with the technical side. So when you're cueing them in the act, athletes understand your reference. 9:30 - why a background in psychology is very important for coaching. USA Track and Field Experience 10:30 - 15:30 10:30 - Dr. Peter Weyand had a connection with USA Track and Field and they were looking for a new biomechanist and apprentice for Dr. Ralph Mann. Since 2016, Ken was able to travel with the Elite Performance Program (Olympic level sprinters and hurdlers) to do on-track analysis. 11:30 - Ken travels to the most elite sprint and hurdle groups around the country, utilizes video cameras and computer systems to develop an athlete's biomechanical model to help them translate coaching cues. Variation in Athletes' Cue Correction 15:30 - For some, even elite, athletes, making a small change is very challenging. But for others, they can make huge strides in a short amount of time just from technical or physical cues. A Case Study: Doctor Collaboration 16:30 - 27:30 20:40 - The number 1 complaint for PTs coming out of school is that they weren't taught enough programming and therapeutic exercise. PTs need strength and conditioning coaches for programming and equipment. That's why Mike hired a strength and conditioning coach for his PT clinic - PTW Newtown Square. Barriers into the Field of Physical Therapy and Coaching 27:30 - 32:00 Case Study Continued 32:40- 40:00 36:20 - Ignoring logistics and in an ideal world, every athlete should get a movement screen. Cory Walts, Director of Strength and Conditioning at University of Pennsylvania, would screen every sports athlete at the beginning of the year when he worked at Haverford College. He'd work with the Strength and Conditioning staff. You want your sports medicine and strength and conditioning teams doing the screenings at the same times. What We Can Be Doing Better in the Fitness and Medical Field CONTACT @kenclarkspeed on Twitter and Instagram www.kenclarkspeed.com

Season 2, Episode 12 | Podcast #31 In this solocast, Q dives into the COVID vaccine, including his experience with it, and the outlook on spring/summer sports. Getting the Vaccine 2:44 - Q outlines the steps he went through to get the vaccine. 5:50 - He describes some of the minor symptoms he had after getting his second dose. 8:23 - Q talks about how he felt to get the vaccine. Implications of the Vaccine Going Forward 11:23 - He discusses why receiving the vaccine hasn't changed how he treats patients. 12:52 - Q touches on the outlook for sports. 15:50 - He talks about what it will take to get to herd immunity which needs to be 75-80%. Our Producer Asks Q a Few Questions... 17:22 - How will the vaccine affect athletes the day after? Should they be practicing? 18:37 - Is there anyone who shouldn't get the vaccine, or should wait to get it? 20:00 - Does the greater availability of the vaccine make you hopeful for the future of athletics and becoming more active in our daily lives? CONTACT Phone - 610-723-7771 Instagram - @m_quintansdpt Linkedin - Michael Quintans Leave a 5-Star Review! Please leave us a 5-star review on Apple Podcasts! See below to learn how. HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP Launch the Apple Podcast app on your iPhone or iPad. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art. On the podcast page, scroll down to Ratings & Reviews. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in. Give us a 5-star rating and a brief review! We'd be very appreciative!

Season 2, Episode 11 | Podcast #30 This week, Q does a solocast to discuss how the lifestyle of the pandemic has affected his patients as they start returning to sports. Recently, he has been seeing many more acute chronic and traumatic injuries. He dives into how COVID affected our bodies physically when gyms were closed and sports were canceled, and how the quick return to sports is taking its toll. Worried about yourself? Don't worry, Q's got you covered with treatments for these issues. Acknowledging the Cause 3:00 - Some of the things Q is seeing more now than previously: acute chronic and traumatic injuries. Q explains what is causing these injuries. 6:15 - Q gives examples of dynamic warm-ups and static cooldowns. Treatment 10:28 - Q dives into the differences between eccentric and concentric. 12:00 - Why you should do isometrics first through different ranges of motion. 14:16 - How to incorporate eccentric and concentric movements. 17:42 - Progressions are the key to treatment and Q emphasizes how important it is to understand this. 19:25 - We need to address the joints above and below the injury site. How to Mitigate Risk 20:40 - Movement screenings are one way to mitigate risk. Q explains a few he's used. For coaches of young athletes, he recommends finding a specialist and asking what movement screens they can conduct on your team. 23:50 - Why COVID is affecting everyone: ergonomics at home are different than at work. 24:00 - To everyone out there, athlete or not, Q says to “be your own advocate” with your health. Resources https://science.sciencemag.org/content/371/6532/874 https://www.statnews.com/2021/02/02/comparing-the-covid-19-vaccines-developed-by-pfizer-moderna-and-johnson-johnson/ CONTACT Phone - 610-723-7771 Instagram - @m_quintansdpt Linkedin - Michael Quintans Leave a 5-Star Review! Please leave us a 5-star review on Apple Podcasts! See below to learn how. HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP Launch the Apple Podcast app on your iPhone or iPad. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art. On the podcast page, scroll down to Ratings & Reviews. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in. Give us a 5-star rating and a brief review! We'd be very appreciative!

Season 2, Episode 10 | Podcast #29 Q is joined by Sue Moffitt, Head Athletic Trainer at Williamson College of the Trades. Sue sees athletes that are also studying a physical trade. Today, they talk about everything from becoming an athletic trainer to making split-second judgments about emergency treatment on the field. They dive into the similarities and differences between athletic trainers and PTs, and the benefits of athletics to a child's development. It's an action-packed episode that you don't want to miss! Williamson College of the Trades 3:32 - Sue describes what Williamson is, how it operates, and what its mission is. 7:40 - Sue explains what her job is as the Head Athletic Trainer and Assistant Athletic Director. 9:20 - What is a day in the life of Sue Moffitt? Becoming an Athletic Trainer 13:05 - What are the requirements to be an athletic trainer? 20:10 - What is the most common path for athletic trainers after they've become certified? 22:48 - Sue says there is a lot of recognition and refers as an AT. 27:17 - You're the liability manager for the whole team. Collaborating and Communicating 28:35 - How does the dynamic work between you and the “next step” (meaning where you're referring a kid out)? 34:35 - How do you handle communicating with parents? 37:29 - What would be the perfect relationship between you and a coach? 39:42 - As an athletic trainer you need to know your sports and what each sport/position requires of an athlete. Sports Specialization and Injuries 40:17 - What is your take on sports specialization from your perspective as a mother and athletic trainer? 44:55 - What repetitive injuries are you seeing from sports specialization and from trade school-related accidents? Similarities and Differences between Athletic Training and PT 51:31 - What do you think are the differences between PT and athletic training? 59:30 - What are your thoughts on return to play and how are you communicating with physicians? 1:04:48 - The education that athletics provides is something you can't get in the classroom. CONTACT Email: smoffitt@williamson.edu Leave a 5-Star Review! Please leave us a 5-star review on Apple Podcasts! See below to learn how. HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP Launch the Apple Podcast app on your iPhone or iPad. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art. On the podcast page, scroll down to Ratings & Reviews. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in. Give us a 5-star rating and a brief review! We'd be very appreciative!

Season 2, Episode 9 | Podcast #28 Q is joined by Dr. Marc Legere, a chiropractor who created the PATCH technique. Mike has experienced firsthand the effectiveness of this technique, so today they'll be diving into PATCH and also addressing the talk around chiropractors and physical therapists. They mainly discuss how the two professions can work together to benefit the patient. Dr. Legere's Story 4:35 - What is your story… why did you become a chiropractor? 9:45 - He explains the two schools of thought in the chiropractic field and what he learned at Nashua University of Health Sciences in Chicago. Symbiotic Relationship of Chiropractors and PTs 15:44 - Marc starts to explain the benefits of a relationship between Chiros and PTs. 16:45 - He believes that the key is clinical confidence in co-treatment. PATCH Technique 19:30 - Marc explains how he created the PATCH technique -- a passive form of myofascial release. Good at pain and range. Business and Chiropractic Practice 30:40 - How much is business taught during chiropractic school? 33:00 - Marc describes his background in business from ages 22-30, before he decided to go to chiropractic school. 36:08 - Marc gives advice to young students. The Field of Chiropractic Medicine 45:30 - If you could change one thing about chiropractic medicine, what would it be? 47:09 - How have you seen the messaging behind chiropractors change over the years? Who Does What? 50:30 - Who is allowed to do what within the medical field? 58:10 - Mike describes some differences in coursework for each field. 59:24 - What is “the pop” that people recognize chiropractors for? CONTACT Dr. Marc Legere - www.patchtechnique.com Leave a 5-Star Review! Please leave us a 5-star review on Apple Podcasts! See below to learn how. HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP Launch the Apple Podcast app on your iPhone or iPad. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art. On the podcast page, scroll down to Ratings & Reviews. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in. Give us a 5-star rating and a brief review! We'd be very appreciative!

Season 2, Episode 8 | Podcast #27 Q is joined by Paul Kenny, Strength & Conditioning Coach and Co-Owner/Director at Marino's Athletic Performance (MAP) in Downingtown, PA (45 minutes outside of Philly). In this episode, Q and Paul discuss how strength conditioning has changed over the years, overcoming challenges in the field, and how to balance it with physical therapy. In addition, they talk about the relationship between a college athlete's coaches at school and at home. SHOW NOTES 3:10 - Paul explains his mission at MAP. 4:00 - How he adapted to virtual training. 6:00 - What have you taken from speed coach, Ken Clark? 8:13 - How has your role developed over the years? 12:40 - What could you do without on a day-to-day basis? In other words, what is your biggest challenge in the job? 14:48 - What made you choose the field of strength and conditioning? 17:55 - How has the field changed? What are misconceptions about strength training? 22:49 - What is the most common injury your athletes experience? 26:20 - How has your approach changed in the last five years? What about your assessment? 29:52 - How do you manage volume (time under tension) for athletes? How does this change in-season versus off-season? 32:48 - Tell me about your programming. 39:45 - What are your conversations like with college coaches about an athlete going back and forth between you and college? 44:38 - How do you see the two worlds of PT and strength conditioning co-existing? What is the ideal situation? QUICK HITTERS 48:00 - Rapid fire questions begin. CONTACT Instagram - @paulkenny_performance https://www.instagram.com/paulkenny_performance/ Email - paulkenny.stc@gmail.com Paul's Bio - https://www.marinosathleticperformance.com/paul-kenny

Season 2, Episode 7 | Podcast #26 Today, Mike sits down with another physical therapist at PTW Newtown Square, Alanna DiBiasi, to discuss static versus dynamic stretching… what is the difference, when to use each, clinic application, and more! DYNAMIC STRETCHING 1:20 - When is it necessary to use dynamic stretching? STATIC STRETCHING 2:50 - When is it necessary to use static stretching? 3:45 - Mike says the jury is still out, but he believes there are better ways to improve flexibility than static stretching. CLINIC APPLICATION 5:05 - Alanna describes how she applies each kind of stretch within the clinic setting. CONTACT Alanna DiBiasi - alanna.dibiasi@ivyrehab.com Leave a 5-Star Review! Please leave us a 5-star review on Apple Podcasts! See below to learn how. HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP Launch the Apple Podcast app on your iPhone or iPad. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art. On the podcast page, scroll down to Ratings & Reviews. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in. Give us a 5-star rating and a brief review! We'd be very appreciative!

Season 2, Episode 6 | Podcast #25 This week, Q chats with Rob Rabena, Director of Sports Performance at Maplezone Sports Institute (MSI) in Boothwyn, PA. He is also an adjunct professor at Widener University and he specializes in baseball, shoulder assessments, coaching, fitness training, and athletics programming design. In today's episode, they talk about strength training assessments, sports programming, and hot topics in the field. ROB'S BACKGROUND 2:35 - Rob began specializing in baseball ever since grad school. 6:16 - Rob describes how some of the best lessons he learned in grad school were one's he didn't expect, such as culture development and brand development. 7:30 - A guiding saying in his life has been, “Athletes don't care how much you know until they know how much you care.” ASSESSMENTS 8:40 - Rob explains how he approaches assessments from a data-driven perspective. 11:00 - There are three specific areas Rob focuses on in his assessments. 17:30 - Rob explains how his methods help prevent injury. 21:50 - He has learned the best way to talk with athletes about their results is to frame things positively. PROGRAMMING 23:30 - Q asks how Rob customizes a program after collecting data through his various assessments. 29:45 - Rob gives his take on the shoulder as a baseball specialist. He addresses the importance of developing a proper program depending on the athlete's sport-specific goals. 38:00 - Q asks what patterns he sees the most, and Rob points out three areas in the shoulder that have the most issues with a range of motion. 39:45 - Rob stresses the importance of variability within strength training programs. 42:50 - Communicating with all members of the team is key, including the athlete, parents, physical therapist, doctor, etc. “QUICK HITTERS” Q asks Rob a series of quick questions on hot-topic issues to finish out the episode. 44:45 - How can we be doing better for athletes and injury prevention? 50:25 - Age appropriateness of weighted ball throws? 50:43 - Elbow injuries... why? 40:45 - Pitch counts in high school? 51:55 - What could baseball coaches be doing better? 53:16 - Sleeper stretch? 55:38 - Bench press for baseball players? 1:01:15 - Any other information you want to spread to our listeners? CONTACT Rob Rabena Instagram - @robrabena3 Twitter - @robrabena Email - sportsperformance@maplezone.com Podcast - Training Room Talk

Season 2, Episode 5 | Podcast #24 In this episode, Q is joined by Dr. John D. Kelly IV, an orthopedic surgeon at the University of Pennsylvania where he is the director of shoulder sports medicine. He is also an adjunct professor at the Wharton School of Business in the McNulty Leadership program. Dr. Kelly talks all about leadership: why it means to be a leader, how to be an effective leader, and the most important qualities of a leader. Please leave us a 5-star review on Apple Podcasts! See below to learn how. HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP Launch the Apple Podcast app on your iPhone or iPad. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art. On the podcast page, scroll down to Ratings & Reviews. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in. Give us a 5-star rating and a brief review! We'd be very appreciative! 2:45 - Above all else, Dr. Kelly says that the greatest legacy you can give your children is loving your wife. 3:45 - Dr. Kelly explains why he studies leadership. Why be a leader? 4:35 - Dr. Kelly discusses his why and the importance behind leadership for life. 7:30 - In Dr. Kelly's opinion, the greatest leaders don't make it about them; they are mentors. 11:10 - Leadership is who you are. Everything you do conveys leadership. Managing the lost sheep. Influential Leaders in Dr. Kelly's Life 14:14 - His father, who taught him grit and that quitting was never an option. 16:04 - Another influence is his old football coach, Bo Campel. 17:20 - Two more figures are Theodore Hesburgh and Coach Moglia. 23:15 - Treated Joe Fraser and learned from him, there's no wrong way to do right and no right way to do wrong Qualities of Leaders 25:30 - 1) Integrity, 2) Team building, 3) Emotional Intelligence, 4) Servitude 29:10 - Dr. Kelly stresses the importance of physician wellness, something he has dedicated the latter part of his surgeon life to. 30:25 - When you were 38, what was driving you at the time? 31:35 - Dr. Kelly says that living in the moment is when you experience your best self. He has learned how to control his mind and practice mindfulness. 35:40 - Dr. Kelly describes his journey to becoming a leader. 39:40 - Dr. Kelly describes the three most important takeaways from Stephen Covey's book, The 7 Habits of Highly Effective Leaders. 47:20 - When your passion and your skills meet the world's needs, that's your vocation. Dr. Kelly says, don't overthink it. Books Mentioned Man's Search for Meaning by Victor Franco The Purpose of a Driven Life by Rick Warren Good to Great by James C. Collins Grit by Andrew Dugworth God, Country, Notre Dame by Theodore Hesburgh *Extreme Ownership by Jocko Willink and Leif Babin *The Happiness Advantage by Shawn Anchor *2 Chairs by Bob Beaudine *The 7 Habits of Highly Effective Leaders by Stephen Covey (*The four leadership books that Dr. Kelly recommends.) CONTACT John D. Kelly IV, M.D.

Season 2, Episode 4 Podcast #23 What's up Performance Therapy Nation!? This week, we're back for a quick chat with Dr. Kelly Scollon-Grieve, a physiatrist (physical medicine and rehabilitation physician) who is Regenexx(R)-certified. She does everything from stem cell injections to TRP injections. In this episode, she explains and answers common questions surrounding PRP and stem cell injections. Please leave us a 5-star review on Apple Podcasts! See below to learn how. HOW TO WRITE A PODCAST REVIEW USING APPLE'S PODCAST APP Launch the Apple Podcast app on your iPhone or iPad. Tap the Search icon (on the bottom right) and search for “On Q Performance Therapy.” Tap the album art. On the podcast page, scroll down to Ratings & Reviews. Tap Write a Review at the bottom of this page. If necessary, enter your iTunes password to log in. Give us a 5-star rating and a brief review! We'd be very appreciative! 1:31 - Dr. Scollon-Grieve talks about the new office she opened in Wayne. She and her colleges opened this office with the goal of serving patients interested in their health and wellness, including regenerative medicine. Her office takes care of patients who want to avoid surgery by finding alternative methods. What is Regenexx all about? 3:04 - Regenexx is an international company that develops palette rich plasma (PRP) and stem cell treatment/protocols that diverge from the traditional way of doing things. What is the difference between the old technique and the new technique? 5:04 - The new technique only requires one injection to see results, whereas the old technique required multiple injections to be effective. Who are you treating and how long does it take? 8:20 - All ages. Dr. Scollon-Grieve describes how she helps patients who want to avoid surgery. In many cases, the recovery time is much shorter than it would be if the patient had gotten surgery. When do you use PRP versus Stem Cells? 9:52 - It depends on the injury. For more severe cases, both are used. For more mild cases, just PRP is used. What kind of patient would be a good candidate for PRP/Stem Cells? 13:06 - PRP is a good choice for patients with chronic tendon or ligament issues and those that have problems with their spines that could not be remedied elsewhere. Stem cells (or, bone marrow) is a good choice for patients with arthritis or more server rotator cuff tears. CONTACT Visit Dr. Scollon-Grieve's page here.

Season 2, Episode 3 Podcast #22 Hello, Performance Therapy Nation! Today, Mike finishes up his conversation with Simoni Marco Lawrence (Hamilton Tiger-Cats) and Chase Jif Bethel, a strength coach - both Upper Darby natives. This is a special episode for Mike because he competed with and against both of these men growing up. In this episode, they talk about advice for younger athletes, Simoni's experience in the Canadian Football League, and training for the mental game. Please leave us a 5-star review!! We'd bee ADVICE FOR YOUNG ATHLETES 1:15 - Simoni, if you knew what you knew now when you had a shot at the league, what kind of athlete would you have been in terms of training? 7:35 - Simoni says if kids don't hear anything else, get some rest. Take naps, go to bed early and on time. 8:00 - Mike shares research that found teenage athletes who get less than 8 hours of sleep a night are 1.7x more likely to get an injury that will prevent them from playing sports than teens who get at least 8 hours/night. SIMONI & THE CANADIAN FOOTBALL LEAGUE 9:00 - Simoni explains in detail the kind of training he does with the Hamilton Tiger-Cats on a weekly basis during the season. 12:35 - What kind of technology do you use at practice? Simoni talks about the tech he has used before and Mike explains how these sensors can provide data including things like average speed, top speed, and more. Coaches can use this data to see how an athlete is performing and more importantly, to track an athlete's recovery process. 15:45 - Simoni talks about the difficulty of getting injured and not wanting to miss practice. 17:57 - Chase shares his thoughts on an athlete's recovery process. TRAINING FOR THE MENTAL GAME 22:53 - Simoni asks how CHase and Mike prepare their athletes for the mental aspect of football/sports. 28:26 - The men debate what happens to athletes who are below par. Simoni says that in high school football too many times kids get “quit on”. 33:20 - Mike talks about the differences between the old school football he grew up with and modern football. 34:36 - Simoni asks what you do when two separate coaches tell you different things. Mike says the key to fixing this problem is for an athlete's team of doctors to establish trust with one another and work together. CONTACT Jiff Bethel - @jiff_24fit Simoni Marco Lawrence - @simmyhov21

Season 2, Episode 2 Podcast #21 Hello, Performance Therapy Nation! Today, Mike is joined by Simoni Marco Lawrence, safety / outside linebacker for the Hamilton Tiger-Cats, and Chase “Jiff” Bethel, a strength training coach. This is a special episode for Mike because both men are Upper Darby natives who Mike completed with and against in football growing up. In this episode, they talk all about strength training in football, how to train like an elite athlete, the evolution of sports training, and what it is like to train for the NFL combine. PROGRESSION OF STRENGTH TRAINING IN FOOTBALL 3:39 - Tell me how strength training has changed in how it pertains to football. 7:21 - Simoni talks about his strength training at Valley Forge Military Academy versus his strength training when he started playing college ball at Minnesota. 9:58 - Q discusses how Chase's strength in speed training is his ability to create field-like environments. 16:50 - Chase, as a coach, what is it like working with an athlete like Simoni who picks up drills quickly? How do you keep them interested and entertained? ENERGY, VIBES, & COMPETITION WHEN IT COMES TO TRAINING 22:15 - Chase, tell me about the clients you train. 25:38 - Everything should be competitive according to Simoni. He recalls an old coach - Coach Brewster - who would say, “I want some competitive freakers!” 28:14 - They discuss the differences between football in Philly at private versus public schools. 31:15 - For Chase, as a trainer, it comes down to understanding your client and having the right vibe. DIFFERENCES IN TRAINING THEN AND NOW 34:05 - How do both of you see training then versus now? 36:00 - The biggest change is people using PTs more and more now. 36:23 - Simoni explains why he always goes to a PT after he is done training. 37:01 - PT has changed from being solely for rehab to expanding into prevention measures, pre-op, and most importantly in athletics - optimizing muscle function. 41:52 - Mike thinks the biggåest change in strength training is that there is speed incorporated in the lifting. 44:35 - Chase talks about he sets up his training schedule to balance different aspects such as lifting, speed, and plyometrics. Simoni adds how his training looks on the Hamilton Tiger-Cats. 48:15 - Simoni talks about his experience with the NFL combine which sparks further debate amongst the men. CONTACT Chase “Jiff” Bethel - @jiff_24fit Simoni Marco Lawrence - @simmyhov21