Sports Rehab Podcast

0-20: Chet Paulsen introduction and talking about the birth of Rockcuffs, understanding Blood Flow Restriction, design of BFR cuffs. Design problems are the main cause for safety issues. Truly dissecting research and understanding improper or misrepresented studies. Hormonal response to BFR, endocrine response, cause for DOMS. Using BFR for pain reduction for up to 24 hours afterwards.20-30: BFR reduces pain, improves strength and muscle size, improve adherence to use, uses for recovery. Ability to improve Vo2 Max levels. Importance of using BFR on both limbs.30-40: Targeting both sides with BFR as both limbs become affected after an injury/surgery. Average person does not know their 1 Rep max, can use BFR with minimal exercises with process of tightening and loosening to have benefits. BFR can have benefits during passive range of mobilization and joint mobilizations. BFR is not just mechanical it is endocrine, metabolic hack. Hormonal release is systemic, hypothalamus will put hormones in motion. Cells become more permeable to IGF Insulin growth factor. M Torque 1 is where it makes transition from blood stream to the muscle. BFR can have benefits for slowing diseases like Parkinson's due to angiogenesis process. Importance of using BFR post injury.40-50: Contraindications to using BFR. Safety and injury issues with BFR come from high pressure. Pressure changes when exercising, Arterial Occlusion pressure changes on muscle based on position of muscle and also from rest to exercises as blood flow increases. Venous pressure is 1/10th of arterial, veins are more compliant as they have a smaller muscle around them, hold 70% of blood volume. Venous occlusion happens between 20-70mm of pressure. Rock cuffs are rigid and equal efficiency pressure of 2 inches. Pneumatic cuffs tend to bubble and limited adequate pressure, too much pressure in the middle. Most pneumatic cuffs are shiny object tools. Understanding cuff size and efficient pressure to limb size.50-60: Pressure doubles under cuff during exercise, more pressure is not better. Time it takes for set up and ease of putting on cuffs being a factor. Understanding measuring venous pressure, difference between lean individuals and bigger individuals and use of pressure on cuff. Reinforcing again that the pressure in the cuff when the muscle is relaxed changes when the muscle is contracted. 30-15-15-15 with the rest breaks is the aerobic capacity of the muscle. The middle part of the last set, fatigue should occur. Reps should be consistent without a pause, pause means fatigue is setting in and too much pressure. Don't need fancy equipment to tell you how tight a cuff needs to be.60-70: Understanding proper placement and use of Rockcuffs, adjusting pressure, dosage of exercise. Arterial flow is never full occluded, do not need to fully occlude arterial flow. 18-20 minutes is max time of being occluded. Feedback and observation are best clues to understanding occlusion and fatigue levels. Lactate levels above normal for 10 minutes 3x week, hypothalamus will start it's process. BFR has to be consistent and used as a supplement to exercise not just one set of exercise or one time use during a week.70-80: BFR is a partnering with body system response not a punishment or trick system like most training programs. Calorie consumption is important for during use of BFR. Central aminos, hydration are key for building blocks IGF, and M Torque 1 process. Protein synthesis will be optimized with BFR, hydration and central aminos. Avoid caffeine for 90 minutes beforehand using BFR routine, Have caffeine after because it is a vasoconstrictor. Following BFR want vasodilation response after Un occluding. BFR allows to do exercise with less weight and less injury due to lower resistance and focus on form and technique. Understanding 30-15-15-15 and 30-30-30 regimens. Want to keep pressure low and regimens prescribed the proper way to ensure adherence and reduce DOMS. And more…

0-15: Robert Andrews getting back on and seeing an increase in ACL injuries. Understanding the complexity of the ACL injury and initial exposure to the gravity of the situation. Discussing the loss of identity issues surrounding a major injury. The sensory input from the trauma of the injury, sights, sounds, smells and the holographic imprint from the limbic system in the brain. 15-25: Physical therapy and physical progress can only be maximized when the mental piece is in the right place. Interference mentally can stall physical actions. Understanding appropriate access to sports psychology and a plan of care/prognosis that will work for an athlete. The challenges that can limit the ability to work cooperatively with multiple disciplines.  25-30:Underlying concussion symptoms affecting progress. Athletes recovering from a major injury need direction and progression points. The challenge with understaffed training rooms and resources. Efficient rehab processes and focusing finances on mental and physical health with individualized programs. The challenge w/ organized sports and fear mongering of participation. Parents requiring some mental health care in response to their child's injury. 30-35: Exaggeration of emotions and expectations in response to the injury. Triggering responses to the injury and situation. Concussion correlation to injury. 35-40: Pushing the buy in for making the change in improving human performance and reducing injuries for our youth. Coaches punishing their athletes for missing practice for therapy or sports psychology. Understanding what a true coach is, coaching moment and coaching principles. 40-45: Conquering irrational fears following injury. ACLs are affecting children as young as 8 years old.  45-50: Anxiety, stress and sleep deprivation are major components contributing to injuries. The toxicity of social media and how it affects the mental space of an individual coming back from injury and on a daily basis. Social media creating a complex of perfectionism. The organized sports schedule drastically affecting time for rest and recovery for youth with schoolwork and practices. Using wearables such as Whoop strap to help monitor health of athletes. 50-55: Social media affecting Olympic athletes and the craze of attraction and attention, viewership affecting lifestyle and performance. The book "The Anxious Generation".  55-60: Trauma comes from many items, not just injury but can stem from fears of behavior or activity. How memory is processed with traumatic experiences.   Wrap up and big picture of sports psychology, conquering injuries and efficiency healthcare. Follow COACH HOS:  Facebook Page: Facebook: https://www.facebook.com/coachhos/ Podcast: https://podcasters.spotify.com/pod/show/coachhos   YouTube: ➡️ https://youtube.com/@coachhos21?si=z3ZEmZGfR2ZRDqUW Twitter: ➡️ https://twitter.com/coachjoehos Instagram: ➡️ https://www.instagram.com/coach_hos/ TikTok: ➡️ https://www.tiktok.com/coachjoehos Linkedin: ➡️ https://www.linkedin.com/in/joehos/ Follow Dr.Mike  Facebook: https://www.facebook.com/Honeybadgerjuicy Instagram:https://www.instagram.com/honeybadger_juicy LinkedIn: https://www.linkedin.com/in/mike-st-george-pt-dpt-99a12587/ YouTube:https://www.youtube.com/@DrMikeStGeorgeDPT ACL RETURN 2 PLAY ACADEMY  powered by SPORTS TECH SOLUTIONS

Episode 53 of the “Coach Hos Podcast” we talked with Kate Sneddon, founder of Helios ACL project The Helios ACL Project: Empowering Athletes for Resilience and Recovery remotely! In this episode, we sit down with Late Sneddon a certified PT and CSCS, who embarked on the Helios ACL Project a year ago. Through this initiative, Kate remotely supports ACL athletes in various capacities, ranging from strength coaching alongside their physical therapist to fully virtual rehabilitation. In some cases, Kate takes over the athletes' return-to-sport phase after their insurance coverage ends. Tune in as Dr. Mike and I hear Kate share her insights into the mindset shift needed among athletes and parents, emphasizing the importance of resilience over speed in the recovery process. Discover why the ACL tear epidemic persists and why post-surgical outcomes often fall short of expectations. We delve into the critical role of testing in rehabilitation and why seeking expert care is paramount for ACL athletes. We unpack what high-quality care truly entails and offers valuable advice for those navigating the recovery journey. If you're an ACL athlete or involved in their care, this episode is a must-listen.

Episode 52 of the “Coach Hos Podcast” we talked with Dr. Trent Nessler, DPT owner of The Athlete Lab. 0-15 Update on Trent Nessler with the Athlete Lab. Reviewing Blood Flow Restriction (BFR) use in physical therapy for rehab and performance. Review of the science of BFR combined with the innovation and art behind treating patients for optimizing results. Combining BFR with endurance and high intensity work.  15-30 Achieving the hypoxic state for benefits with BFR. Understanding testosterone release benefits from BFR.  Avoiding delaying use of BFR. Combining hydration with BFR and training. Monitoring appropriate occlusion levels and understanding individual levels of occlusion with BFR, especially using the RockCuffs brand. BFR sounds scary, but the science behind it is very safe. 30-40 BFR accelerating the ability to come back faster and accelerate the healing process, motor unit recruitment, systemic effect of blood flow restriction contributing to these processes. Diving into the quad tendon graft for ACL vs. Patella tendon graft. Reviewing biomechanics of understanding the ability to decelerate through the single leg, frontal plane control, biomechanics outweighs pure strength for return to sport function. Single leg hop test continues to be outdated and poor correlation to function. Considering bias in return to sport testing. 40-50 Fighting the tendency as a PT to score with a bias for return to play for your own patients,  valuing the objective data. Training jumping with poor mechanics is not beneficial if there is no focus on control and mechanics. Curtailing the training program to target the deficits. 50-55 Trent discuses rotational strength and body control, implementing with jujitsu and combat art.

Episode 51 of the “Coach Hos Podcast” we have the honor to speaking with Coach Mike Boyle, MBSC https://youtu.be/P9MP7YGZOhc 0-5 Introduction of Mike Boyle . Should high school athletes turn back to sport between 6-9 months mark post operative ACL repair? The data is clear, earlier return, higher chance of re tearing. Understanding importance of the ability to decelerate. Not ready to return until athlete can decelerate under high force. The problem with "decel drills" being used and not testing an individual under running 100%. Interpreting the FLY 10 TEST. Looking at athlete's best vertical jump. 5-10 The single leg hop and triple leg hop test is antiquated and not practical. How physical therapy is going backwards as a profession with sports performance. Poor criteria for return to play. 10-15 Machine company pushing products and influencing rehab and training environments. Leg extensions are not as important as being implied. Plenty of functional exercises that will isolate the quads. The poor status and presentation of athletes being discharged from physical therapy. Go to exercise is the split squat and assault bike sprints! Athletes should not be in pain during rehab! 15-20 The problem with the Biodex and isolated testing as a hang the hat on metric. Considering multiple factors. Really diving into the "research" and looking at bias and self funded researching, old school "quad and hamstring" talk. 20-25 Understanding why functional movements are important for sports performance and translating into the sport. ACL multi factorial, considering the turf and the shoes. Turf and shoe companies want no responsibility for contributing to tears. Injuries still on grass, still overall issues with poor training even at professional level. Importance of unilateral hopping bounding and progressions. 10 single leg squats with 30% of bodyweight. 25-30 Importance of single leg jumping towards the mid line. Understanding female puberty contributing to injury. Gaining weight in breast size and wider hips but not enough muscle mass. Wrong shoes on wrong surfaces, Body position affecting injury in sports, field hockey vs soccer and lacrosse. Knee bent position. Problem with "all purpose" cleats. Rehab needs to get better. Approaching 4 month mark and starting to progress into strength and conditioning. 30-35 Poor programming in therapy and wasting time. Understanding growth spurts and proper progressions to establish check points and getting strong at weak links, no away around it. Plyometric progressions, able to single leg hop 5 times over a 12-inch hurdle. The ability to demonstrate "athleticism".  35-40 Power and reactivity, strength and deceleration techniques. Understanding good trainers and good physical therapists. What it takes to be in a late stage return to play setting. CSCS vs. CFSC certification. Book application vs. practical. 40-43 Close Out COACH JOE HOS: Coach Hos, owner of SPORTS REHAB PA/FLA. Navy Veteran Corpsman with over 12,000+ hours of training, 22 years of coaching experience, providing results in sports performance, athletic development and post-rehab for sports injuries. Follow COACH HOS: Facebook:https://www.facebook.com/coachhos/ Podcast:https://anchor.fm/coachhos YouTube: ➡️ https://youtube.com/@coachhos21?si=z3ZEmZGfR2ZRDqUW Twitter: ➡️ https://twitter.com/coachjoehos Instagram: ➡️ https://www.instagram.com/coach_hos/ TikTok: ➡️ https://www.tiktok.com/coachjoehos Linkedin: ➡️ https://www.linkedin.com/in/joehos/ Follow Dr.Mike Facebook: https://www.facebook.com/Honeybadgerjuicy Instagram:https://www.instagram.com/honeybadger_juicy LinkedIn: https://www.linkedin.com/in/mike-st-george-pt-dpt-99a12587/ YouTube:https://www.youtube.com/@DrMikeStGeorgeDPT

Episode 49 of the “Coach Hos Podcast” talking about the Reparel Sleeve with Josh Montgomery Show Notes 0-10: Introduction of Josh Montgomery from Reaprel Sleeves and how they work, the science behind the technology. 10-20: Research supporting the use and positive effects of Reparel sleeves as well as the current studies going on right now. The work towards clinically validating the results. What demographic can Reparel be used in? Total of 9 products that are being used amongst professional and collegiate teams, various uses of the sleeves. Reparel sleeves reducing deep level swelling. 20-25: How to know which products are good, Reparel vs. competitors. Durability of the sleeves. 25-30: Dr James Paci Director of Ortho and Sports Medicine with OrlinCohen in Suffolk County in Long Island has been using it in his practice for multiple years for multiple issues. His personal experience and success with using Reparel. 30-40: Reparel sleeves helping to reduce swelling post ACL injury and prepare for surgery. How to purchase Reparel sleeves. The way Reparel fits into use on combination with other modalities such as compression technology, massage guns. 40-50: Used as recovery and treatment option, animal model studies results with use of Reparel for affecting tendinopathy issues. Dr. Paci and the research he is involved in, studies demonstrating effects on pain post operatively. Standford study for recovery of pitchers with use of the sleeves. 50-55: Close Out. Where to find and contact everyone.

Episode 48 of the “Coach Hos Podcast” Dr. Mike and I discuss "Silent Epidemic: Men's Pelvic Floor Health Under Scrutiny" and more with guest Nicole Schneck, DPT and clinic director at IvyRehab Horsham-South 0-10 Introduction to Dr. Nicole Schneck pelvic floor rehabilitation specialist, her background and education. Pelvic floor issues are commonly overlooked due to embarrassment of the condition. 10-20 Pelvic floor issues can affect males just as much as females. Pelvic floor issues can be resolved early with simple techniques and strategies before it progresses. Understanding healthy bowel habits. Pelvic health involves looking at the whole body. Signs and symptoms of pelvic floor issues. 20-30 What imaging would reveal for pelvic floor issues, exam findings. Pelvic floor issues in the younger population. 30-40 Pelvic floor issues in the middle aged population, postpartum mothers. Signs and symptoms that are most prevalent. Anxiety and stress being contributing factors. Every pregnant person is appropriate for pelvic floor consultation. Leaking is not normal, excessive bathroom use is not normal. 40-50 Understanding the importance of pelvic floor health and rehabilitation resources being more available.

Episode 47 of “The Coach Hos” Podcast w/ guest Dr. Pietropaoli Orthopedic Surgeon and owner of Victory Sports Medicine. 0-15 Introduction of Dr. Pietropaoli, background and how is he got into doing BEAR ACLs. 15-30 How many times can someone have an ACL surgery? Healing process of the ACL graft vs. BEAR process. The rehab process for the BEAR ACL initial 8 Weeks. Understanding the process of the graft maturation process, nerve fiber regeneration, proprioception and implications for return to activity. WHY 9 MONTH MARK NEEDS TO GO TO BED! Chances of re tear and arthritis post ACL. Can BEAR reduce arthritis in future years? 30-40 BEAR as first option surgery before graft? Building foundation for young athletes. CRITERIA required for passing return to play not just time! LightSpeed lift use for retraining running. Time frame for having surgery to heal ligament being 50 days post injury. ACL tears most likely aren't all completely torn. 40-50 Post operative nutrition, hydration building movement foundation to progress to strength training. Prioritizing therapy and hitting milestones for expected ability to reach check points for movement. Using sensor technology to objectify movement. Neuromuscular control as a primary focus to help prevent re injury. 50-60 Continuing avenues to help spread knowledge. Understanding MRI findings and imaging results for appropriate clearance. Understanding injury prevention, watching for yellow flags, preparation before games and tournaments. Being mentally ready for return to sport function. 60-70 Training properly for the demands of competition, speaking the language of the sport. ACL “prevention” is just good training. Good training improves performance!

Episode 46 of “The Coach Hos” Podcast w/ Erica Suter, ES Performance Female Athlete Training. Dr. Mike and I discuss new research in female athletes ACL injuries, the importance of a YEAR ROUND strength training program, menstrual cycle myths debunked, and how many girls are downright LIED to about nutrition and their health is getting wrecked as a consequence.

Episode 44

The 15 Minute Juice

The 15 Minute Juice

What is a “BEAR” (Bridge Enhanced ACL Restoration) ACL Implant, how is the procedure done, and the history behind the procedure. Plus, learn more on our Podcast with Dr. Sean Keyes on his background and the importance of POST-PT programming. 0-10 introduction of Dr. Sean Keyes, his background and what the BEAR implant is, how the procedure is done, history behind the BEAR procedure, impact of arthritic changes later in life in those who suffer ACL tears. 10-20 Understanding the challenge of long term efficacy of ACL repairs, future chances of re tearing, high risk factors, trade off of BEAR vs. native ACL grafts, understanding causes of re tears, same location or difference location “new injury”, underlying factor still is neuromuscular control, Post-PT programming 20-30 Dr. Keyes explains how BEAR ACL is still treated the same as native ACL graft procedure, importance of early knee extension, progression of gait training, importance of early range of motion, Dr. Keyes emphasizes the importance of POST-PT PROGRAMMING, it is crucial! Digesting the complexity of the return to sport process. 30-40 Dr. Keyes emphasizes the sports psychology and mental status of injured athletes, athletes should be seeing a sports psychologist, connecting with your patients especially female athletes, understanding load management.

Great conversation the other night with Army Neuroscientist and @crossfitgames competitor Allison Brager @docjockzzz We talked Sleep Recovery, Circadian Rhythm, Load Management, and the Mental Aspects of Athletes, in particular female athletes. The full podcast will be available soon on @itunes @spotify @spotifyforpodcasters 0-10 Introduction and background of Allison Brager as well as overview of ACL epidemic and youth/adolescent sport injury 10-20 Getting the right information infant of parents, athletes and coaches, sleep recovery and importance of rest balanced with workload 15-25 Tips for improved sleep quality, adolescent sleep requirements, barriers to current adolescent rest and recovery, research done by Allison at Brown University and stages of puberty affects on melatonin levels. 25-35 Allison's background of pedigree from family of professional athletes and understanding athleticism and recovery, Foods that are good for sleep and recovery, proper options to eat before bed, disconnect of foundational work vs. skills work emphasis in practices 35-45 Coaches inability to see beyond just hitting the ball, cognitive function correlated with performance, not just about physical demands but cognitive fitness, understanding the trap of basing training off of social media posts vs. sound structured programming, the scars that will unite this younger generation as the generation of ACL tears. 45-60 Education is the key to bending the injury curve, Non Profit Voice and Sport Group, Towson University Lacrosse program success, understanding how coaching towards females is different than males.

Episode 18 of the “15 Minute Juice” Dr. Mike and I talked with Maka Lange, Head of Sales for DorsaVi We discuss the upgrade to the dorsaVI sensor wearable technology to new bluetooth sensors and ipad format. The new format allows for quicker testing and introduces the new "mini tests" allowing for smaller components of the testing to be done in stages, especially good for those not ready for certain movements post operatively. We discuss LSI and LQI and the implications of these metrics towards function and return to sport benchmarks. Sensor testing can be used by multiple professions including strength coaches to track progress. "The 15 Minute Juice". It will be a continuation of the podcast just in shorter clips, answering questions on physical therapy, rehabilitation, Return 2 Play after injury, training, and all things fitness. It's fast, it's concise, it's informative, its's JUICY!!! Nutrabio code “GETJUICY” for 10% off MASSZYMES BiOptimizers code “JUICY” for 10% off

Episode 17 of the “15 Minute Juice” Dr. Mike and I talked with Mike Q and Rob Rabena We talked about their training facility in Newtown Square PA and how they are bridging the gap between physical therapy and sport's performance. * In-season Training * Parent Education * ACL Rehab "The 15 Minute Juice". It will be a continuation of the podcast just in shorter clips, answering questions on physical therapy, rehabilitation, Return 2 Play after injury, training, and all things fitness. It's fast, it's concise, it's informative, its's JUICY!!! Nutrabio code “GETJUICY” for 10% off MASSZYMES BiOptimizers code “JUICY” for 10% off

Episode 16 of the “15 Minute Juice” Dr. Mike and I had the absolute pleasure and honor to catch up w/ Dr. Dodson, orthopedic surgeon for the Philadelphia Eagles. We asked him his opinion on Return to Play for high school athletes, when should they be returning? * Latest research and technology * Why cadaver tendons aren't popular anymore

Episode 15 of the “15 Minute Juice” and today Dr.Mike and I brought back Kevin Martin CEO of the Quick Board We discussed the Quick Board updates and new possibilities. ACL protocols and how to use them with our athletes. What Dr. Mike has learned using the Quick Board and how to create custom programs for our athletes.

Happy New Year 2023 Episode # 13 of the 15 Minute Juice Dr. Mike and I discuss with Dr. Trent Nessler a question asked on our Facebook page ACL RETURN 2 PLAY CLUB about BFR (Blood Flow Restriction). Parents asked so we got the answers! Great podcast over the weekend to get the New Year started! What a s BFR? Is it good prior to surgery? Do you use after surgery and when? Leave comments below ⬇️

Episode 12 of the “15 Minute Juice” we discuss a case study on an 18 y/o female lax player that is 8 months post Left ACLR. Spent 3 months at college rehabbing and doing modified conditioning. Started to experience pain in Left knee after sprinting. Discomfort with knee extension beyond 0 degrees hyperextension.

In this episode we discuss a question that seems to be coming up more with athletes in Canada. Canadian athletes are waiting up to 6+ months before getting in for surgery, what do I do?

In Episode 10 of “The 15 Minute Juice” @honeybadger_juicy and @coach_hos discuss the “Problems with Knee Extension after ACL surgery” Watch on @youtube Coach Hos” Question was asked by a parent “Anyone had difficulties of extending leg? My daughter bends 120 degrees after 3 weeks post op, but has difficulties with extending leg. Any advise/tips/hints would be appreciated. ⬇️ Drop a comment below and if you want your questions answered, email me sportsrehabpa@gmail.com

In Episode 9 Dr. Mike and I the Impact concussions have on potential ACL tears. The recent data that relates concussion to an increased risk of musculoskeletal injury is in line with prior studies that point to neurologic risk factors in anterior cruciate ligament (ACL) injuries. Of particular relevance, noncontact ACL injuries have been associated with lower neurocognitive function in non-concussed athletes, which suggested that neurocognitive differences may be associated with the loss of neuromuscular control and coordination errors leading to increased risk of ACL injury.

Episode 8 of “The 15 Minute Juice” Dr. Mike and I discuss How do I know my athletes progressing in PT and what measurements are we using to determine progress. Another great question and answers, that parents and athletes should be hearing.

Episode #7 The 15 Minute Juice w/ Dr.Mike St. George and I discuss Dr.Mike and I discuss How much does turf contribute to ACL tears?

It's been a while since our last Episode of The 15 Minute Juice. This where I asked Dr. Mike a burning question and he gives his PT insight and I chime in to give my two cents. Question of the night comes from a recent follow up I did on a patient that will be entering the Return 2 Play program over the next several weeks. The question I asked Mike tonight is "What to Expect at 9 Weeks Post-ACLR?" Its Fast, it's Concise, it's Juicy #aclrehab #aclsurgery #aclrecovery #acltear #aclreconstruction #TeamACL #postrehab #kneesurgery #kneerehab #kneeinjury #sportsinjury #sportsrecovery #sportsrehab #sportsrehablab #restoringathletesdaily #returntosport #returntoplay #Return2Play Joe Hos, NSCA-CPT, CFSC Post-Orthopedic Sports Rehab Specialist sportsrehabpa@gmail.com @Coach_hos www.sportsrehabpa.com https://mailchi.mp/55e6f62e4f5d/coach-hos-podcast Michael St. George PT, DPT Clinic Director Ivyrehab-Warminster Physical Therapy and Sports Performance Michael.stgeorge@ivyrehab.com https://www.instagram.com/honeybadger_juicy/ https://www.ivyrehab.com/location/warminsterpa/ https://mailchi.mp/55e6f62e4f5d/coach-hos-podcast

Dr. Mike and I discuss a HOT TOPIC "WHAT DOES RETURN TO PLAY ACTUALLY MEAN"? And the "VALIDITY OF THE TRIPLE HOP DISTANCE TEST AS A RETURN TO SPORT ASSESSMENT" Question asked by a mom in the "Parents of the ACL Recovery" page My daughter is 5.5 months post op, quad graft, and went for her 6 month check up today. They ended up testing her for return to play, and she passed with a score of 98%, meaning her surgery leg is almost equal to her other leg! I thought I would post videos of some of the tests that they did in hopes they will help someone. They also did a basic quad and hamstring strength test, and she was equal on those. Now we are waiting on the dr. to call to let us know what exactly this means. She is a 15 yr old ECNL soccer player and has been cleared by her PT to do everything EXCEPT contact for the past few weeks. Just curious what “return to play” actually means, as I know she will not be playing in games this early!

Episode #40 Dr.Mike and I speak w/ Justin Gombotz, Account Executive at WHOOP. 0-15 Introduction of Justin Gombotz, background and how he got into whoop. 15-30: What the whoop score and metrics mean towards performance and recovery, why respiratory rate is important in recovery, how Whoop users decrease their injury rates demonstrated in the statistics of research, importance of sleep and the major impact is has on physical and mental components. You can't manage what you can't 30-40: Why use Whoop? The unique components of whoop that make it a powerful and reliable tool, the upgrades to Whoop 4.0, how coaches can utilize the Whoop strap, team dashboard and understanding the data for improving team and player performance. 40-50: The power of what Whoop does and how it can be implemented into local teams for educing injury rates, Whoop has an entire team designed to work with coaches and athletes to help them with on boarding during the team program Justin Gombotz, Account Executive WHOOP https://www.whoop.com/whoop-for-athletics/ (m) 860-316-7874 Michael St. George PT, DPT Staff Physical Therapist Ivyrehab Physical Therapy and Sports Performance https://www.ivyrehab.com/location/warminsterpa/ https://www.linkedin.com/in/mike-st-george-pt-dpt-99a12587/ Coach Joe Hos, NSCA-CPT, CFSC Level 1 Post-PT Sports Rehab/Strength Coach sportsrehabpa@gmail.com 215.990.0153 @Coach_hos www.sportsrehabpa.com www.linkedin.com/in/joehos

Episode #39 Dr. Mike and I speak with another one of our athletes ACL recovered Chelsea Meltzer. 0-15: Introduction of Chelsea Meltzer, discussing her mechanism of injury, her reaction and response to the injury and her perception of physical therapy and the rehab process. 15-25: Chelsea discusses her time commitment to physical therapy and sports rehab, her enthusiasm and excitement to work on getting better, how she learned basics of nutrition, discussing her eagerness to run, return to contact drills and game time. 25-35: Understanding energy systems and appropriate training for soccer players, what her first game back was like, understanding the importance of returning to play at the appropriate time and avoiding premature loading to the body. 35-45: Understanding the importance of the foundation for stability in order to improve higher level tasks, proper nutrition for rehab and performance, applauding Chelsea for her dedication and commitment Michael St. George PT, DPT Staff Physical Therapist Ivyrehab Physical Therapy and Sports Performance @honeybadger_juicy www.IvyRehab.com https://www.linkedin.com/in/mike-st-george-pt-dpt-99a12587 Joe Hos, NSCA-CPT, CFSC Level 1 Post-PT Sports Rehab/Strength Coach sportsrehabpa@gmail.com 215.990.0153 @Coach_hos www.sportsrehabpa.com www.linkedin.com/in/joehos

Dr. Mike and I wanted to start off the first Friday of the New Year with our mini-series of podcasts. Our next few episodes will be with some of our past athletes that Mike and I work with together. The athletes will get a chance to talk about their experiences working with both of us. Enjoy this first episode with Emma Joyce who is currently attending Penn State (main campus) and playing club soccer there. Full episode available on Spotify Anchor Google Play 0-10 Introduction of Archbishop Ryan Goal Keeper Emma Joyce and her ACL injury 10-20: Discussing the knee brace with return to play, advancements in movement analysis with the DorsaVi, Quickboard, Emma's reaction to her ACL injury, her experience with her surgeon, her initial thoughts on physical therapy, the mental aspect of returning from a non contact injury, Emma's mechanism of injury. 20-30: Expectations of working with Sportsrehab, her experience at Sportsrehab, education on the return to sport process, discussing the higher level training. 30-40: Understanding that not all physical therapy is the same, learning to decipher between a purposeful therapy program versus programs that are lacking, the foundation is crucial to progress to the next levels properly, nutrition and its importance with rehab and performance.

My 13 year old dd had ACL and Meniscus surgery on rt knee May 4th. She's been doing great but the last couple days she says it's painful on the inside of her knee just above her knee cap. Anyone else's child have pain?

My daughter is 3 months post-op ACL reconstruction (quad tendon) and small meniscus repair. She has been doing great and has full flexion/extension. Lately she notices that when she fully extends her leg, that she feels a shifting sensation in her knee when she bends it again. No pain, just a weird feeling. Anyone experience this?

Episode # 36 of the Coach Hos Podcast, we bring back Coach Carmen, Sports Performance Specialist a.k.a @Nooch_13 on Instagram. Coach Carmen is our first guest to have on twice. He is a good friend and has done so much since our last conversation, we had to have him on again. Enjoy the Show! https://youtu.be/Mp6GnBu6PzM 0-15: Introduction on Carmen DelMastro background behind Nooch_13 and his most recent position working with Woman's Pro Soccer Team Chicago Red Stars 15-25: Understanding change of direction, position and lateral movement concepts. Do agility ladders work? Discussion about the Quickboard. 25-35: Carmen's trip to Ukraine and the seminar he hosted. Training time frame and programming for athletes in and out of the season. 35-45: Discussing foot work, unique drills for neuromuscular control at the foot and ankle, utilizing training tools properly and getting the most out of training equipment for outcomes. 45-60: Carmen's ultimate goal for his athletes, discussing tests and drills used for measuring outcomes, using Carmen as a resource for performance training and his progression from working at FITLIFE to where he is now. Carmen DelMastro- Sports Performance Specilaist https://www.instagram.com/nooch_13/ Mike St. George- PT-DPT https://www.instagram.com/honeybadger_juicy/ Coach Joe Hos, former Navy Corpsman with over 12,000+ hours of training, 21 years of coaching experience, providing results in sports performance, athletic development and post-rehab for sports injuries. I am a Strength Coach/Post-PT Sports Rehab Specialist, who works with athletes rehabbing from sports injuries as well as my main area which is working with soccer players returning from injury, more specifically ACL recovery. Podcast: https://anchor.fm/coachhos Facebook: https://www.facebook.com/coachhos/ Instagram: https://www.instagram.com/coach_hos/ LinkedIn: https://www.linkedin.com/in/joehos/

0-15: Who DorsaVi is, how long they have been around and how Dr. Trent Nessler implemented research backed tests to be used with DorsaVi assessments. Joanna's history and how she became involved with DorsaVI as well as her background as a physical therapist. 15-30: Athletic Movement Index (AMI) Battery of tests takes 15-20 minutes. What patients are appropriate for the AMI testing, what tests are performed and at what stage in rehab they are appropriate. DorsaVI provides video analysis and a report printed out with the objective data. Different athletes and positions require different treatment programs. Current objective measures in the physical therapy profession are lacking efficiency. The profession needs to adapt and move forward with more advanced objective measures. 30-45: The wearable sensors can be used for multiple positions and even outside running. Some agility drills can be completed with the sensors on. The method behind how the sensors are applied and the easy to apply system. DorsaVi can be used in multiple patient populations to analyze movement. 45-60: How the system can be used for analyzing teams and illustrate the importance of athletes requiring a stronger foundation. The difficulty behind playing multiple sports and specialization early on is detrimental towards development of adolescents. DorsaVi can assess baselines throughout growth spurts and changes in body mass and height. DorsaVi is very portable, minimally cumbersome and easy to use anywhere. The report prints in 15 minutes. Physical therapy is slow to change and really needs to be proactive towards forward thinking. 60-70: Final 3 questions for Joanna: Biggest obsession, what keeps her up at night and her success habits.

Episode # 34 of the Coach Hos Podcast, tonight we talk with Kevin Martin, CEO/Founder of Quick Board 0-15: Background on Kevin Martin and the creation of Quick Board 15-30: What the Quickboard is, how it works, types of tests and procedures that can be executed on the Quickboard and what outcome measures are analyzed 30-45: ACL clinical studies involving Quickboard, VIDEO OF THE QUICKBOARD DRILLS (VIEW ON YOUTUBE LINK) 45-60: How the Quickboard can provide an advantage towards high lighting deficits between limb symmetry for multiple movement patterns, Quickboard providing results for improvement on Y balance test and laser timed direction change test. 60-75: Restoring motor control and reducing Kinesiophobia, motivation for engaging in therapy corrective exercises by having Quickboard tests as a goal, understanding quality of movement in alliance w/ objective data. Quickboard can be fun and competitive, has a leaderboard for multiple tests/routines. 75-90: Quickboard can be used for multiple patient types including Parkinson's disease. 90-105: Wrap up 3 questions for Kevin Martin, discussion on sleep and nutrition, Whoop strap, Bioptimizers. Tips for recovery and rest. Kevin Martin www.thequickboard.com Dr. Mike St. George Mike St. George PT, DPT, Co-Host of the “Coach Hos Podcast” https://www.linkedin.com/in/mike-st-george-99a12587/ https://www.instagram.com/honeybadger_juicy/ Coach Hos, owner of Sports Rehab PA * Former Navy Corpsman with over 12,000+ hours of training, 21 years of coaching experience, providing results in sports performance, athletic development and post-rehab for sports injuries. * Sports Rehab PA is the “Bridge between Rehabilitation and Sports Performance”. My Post-PT Rehab training program is designed to continue where your Physical Therapist left off so you can safely continue improving in areas such as strength, flexibility, balance, stability and safely “Return to Play". * Podcast: https://anchor.fm/coachhos Facebook: https://www.facebook.com/coachhos/ Instagram: https://www.instagram.com/coach_hos/ LinkedIn: https://www.linkedin.com/in/joehos/ YouTube: https://youtu.be/WkZr17HycfE #aclsurgery #aclrecovery #postrehab #kneesurgery #kneerehab #kneeinjury #sportsinjury #sportsrecovery #sportsrehab #returntosport #return2play #buckscountypa #warminsterpa #ivylandpa #naplesflorida #naplesfl #naplessoccer #restoringathletesdaily #returntosport #returntoplay #soccerdoctor #podcast @sportsrehabpa

Episode # 33 of the Coach Hos Podcast, tonight we talked w/ Jordan Barron, Co-Founder of ExerFly https://youtu.be/hRf1unZojqQ 1-15 The background of Jordan Barron from his experience with athletics and the creation of Exerfly 15-30: The multiple uses of Exerfly, types of Exerfly equipment and the high level teams that use it from the MLB, Rugby and track and field 30-45: Exerfly offers a few designs that allow for travel use, easy setup and quick workouts. Exerfly can be used for individual and teams. 45-60: How Exerfly can be used for multiple training purposes involving injury reduction, warmup, return to play, and performance. Exerfly also offers an application that provides training programs and tracks results, efforts and progress with movements/training routines. Exerfly is international and available for all populations. Jordan Barron https://www.instagram.com/exerfly/ www.exerflysport.com Mike St. George https://www.instagram.com/honeybadger_juicy/ Coach Hos, former Navy Corpsman with over 12,000+ hours of training, 21 years of coaching experience, providing results in sports performance, athletic development and post-rehab for sports injuries. https://www.instagram.com/coach_hos/

Special Friday Episode #32 of the Coach Hos Podcast. https://youtu.be/6dL3e6bWYio Today we talked with Trent Nessler, Sports PT, Movement Specialist and President of Rebound Vitality. 0-15: Introduction and background on Trent Nessler from his start with working with ACL reconstruction patients and his venture towards creating a system used to help analyze movement criteria with advanced technology. 15-30: The problem with current Return to Sport testing, the hot topic involving the lack of standardization of criteria, the issues regarding reliance on the “good side” for Limb Symmetry Index (LSI). Each athlete and each sport requires movements and stressors that act differently on each person which limits normative value data. Physical Therapists need to get more involved in the research and question current treatment approaches. 30-45: Blood Flow Restriction Training (BFRT) can help with recovery following surgical procedures and Trent explains his first hand experience with using BFR. ACL protocols drastically differ across regions of the country and lack standardization. Kinesiophobia can be reduced by introducing early on single limb training. The severity of deficits amongst the current adolescent sports population. The importance of nutrition and hydration education for performance and rehab. 45-60: The danger of fixating on “return to running”, time based criteria 50-60: How Blood Flow Restriction works and its benefits for healing, performance and improving outcomes. 60-75: Athletes that can move better are at less risk for injury and concussions. Neuroplastic changes occur following major injury such as ACL requiring neuromuscular training and less reliance on visual input to restore the sensory awareness function. How BFR can help for training and maximizing time with exercise choices. Types of BFR cuffs and parameters for compression. 75-90: Trent's biggest obsessions and keys for success. Trent Nessler, MPT, DPT, President - Rebound Vitality at Rebound https://justrebound.com/about-us/ https://www.linkedin.com/in/trentnessler/ https://www.instagram.com/bjjpt_acl_guy/ Mike St. George PT, DPT, Co-Host of the “Coach Hos Podcast” https://www.linkedin.com/in/mike-st-george-99a12587/ https://www.instagram.com/honeybadger_juicy/ Coach Hos, owner of Sports Rehab PA * Former Navy Corpsman with over 12,000+ hours of training, 21 years of coaching experience, providing results in sports performance, athletic development and post-rehab for sports injuries. * Sports Rehab PA is the “Bridge between Rehabilitation and Sports Performance”. My Post-PT Rehab training program is designed to continue where your Physical Therapist left off so you can safely continue improving in areas such as strength, flexibility, balance, stability and safely “Return to Play". * Podcast: https://anchor.fm/coachhos Facebook: https://www.facebook.com/coachhos/ Instagram: https://www.instagram.com/coach_hos/ LinkedIn: https://www.linkedin.com/in/joehos/ YouTube: https://youtu.be/WkZr17HycfE

Tonight on the Coach Hos Podcast, Dr. Mike and I interview Dr. Sewards, from Temple Health Systems. 0-15min: Introduction and background on Dr. Sewards, his experience in the military, athletic background and progression into becoming an orthopedic surgeon for high level athletes 15-30 Implementation of Blood Flow Restriction for recovery and performance, strength measures compared to neuromuscular control and position/shape/movement expression and its relation to the appropriate time for return to sport related function, appropriate time for return to running, maturity of the ACL graft and criteria based metrics vs. time based criteria 30-45: The epidemic of injury and organized sports, early specialization and its relation to injury, multidimensional athletes, is 3 clubs of the same sport worth it? Time to rehab and focus on foundational building. 45-60: Burnout and the push for specialization, outdated performance metrics for soccer and field sports, complexity of the ACL surgery, making rehab fun and allowing for a mental break from the sport and enjoying training/fitness again. 60-75: Recovery metrics, Whoop strap example, nutrition and it's contribution towards healing, ACL graft types and surgical methods, differences between the grafts and what the research/clinical outcomes demonstrate. 75-90: Is wearing a brace post ACL beneficial? Complexity of knee injuries related to non contact vs. contact mechanism of injury. Educating the masses on the importance of understanding proper rehab and injury reduction, building a strong healthcare network and getting people into the right healthcare/rehab systems, continuing education and growing with learning. #aclsurgery #aclrecovery #postrehab #kneesurgery #kneerehab #kneeinjury #sportsinjury #sportsrecovery #sportsrehab #meniscussurgery #buckscountypa #warminsterpa #ivylandpa #naplesflorida #naplesfl #naplessoccer #restoringathletesdaily #returntosport #returntoplay #soccerdoctor #podcast Dr. Sewards https://www.linkedin.com/in/j-milo-sewards-b6b85332/ Dr. Mike St. George https://www.linkedin.com/in/mike-st-george-99a12587/ Coach Hos, owner of Sports Rehab PA * Former Navy Corpsman with over 12,000+ hours of training, 21 years of coaching experience, providing results in sports performance, athletic development and post-rehab for sports injuries. * Sports Rehab PA is the “Bridge between Rehabilitation and Sports Performance”. My Post-PT Rehab training program is designed to continue where your Physical Therapist left off so you can safely continue improving in areas such as strength, flexibility, balance, stability and safely “Return to Play". * Podcast: https://anchor.fm/coachhos Facebook: https://www.facebook.com/coachhos/ Instagram: https://www.instagram.com/coach_hos/ LinkedIn: https://www.linkedin.com/in/joehos/

My 16 y.o. son is 4 months post Surgery from an ACL and meniscus repair. His PT said it was time to ask his ortho for a sports brace fitted for activity. He went to his ortho doc who said he didn’t need a brace. He said they don’t typically fit braces for ACL repairs but only do it if it makes the patient feel better. My son is a soccer goalie, so playing without a brace sounds great. Obviously we’re not there yet. My son has been cleared to run, bike, juggle, and light passing. So, is the work now just strengthening the leg? At what point did you stop PT and then did you enlist a trainer to get your kiddo game fit?

Juicy question of the day comes from a parent, “When did your kid stop limping? My 14 yr old son is still limping and he's 5 months post ACL. Has this become a habit now?”

Tonight’s guest on the podcast, Mike and I talk with Kate Decker. Kate is the Founder & Director of Institute of Athletic Movement Kate's passion is in helping others succeed in sports performance, protection and recovery from injury while keeping a positive focus through coaching, therapy, education and motivation. Listeners go to BiOptimizers and use Code “JUICY” for 10% OFF”. There is also a 50% off coupon code: CoachHos for the educational series as well for your listeners good through May 31,2021. 0 -15 Min: Introduction and background on Kate 15-30: Kate’s beginning in the health and fitness field and start of working with the Philadelphia Eagles 30-45: Understanding the training required for pro and high level athletes 45-60: Injury complexity, multidisciplinary approach, diving into education and awareness. 60-75: How do athletes continue to play their sport with a current injury? Understanding limits, sport demands and limited play. 75-90: Good physical therapy and training vs. mediocre practice. Constructing a powerful healthcare network and resources for people to find the proper care. 90-105: Case study examples: Neuromuscular control vs. pure strength vs. foundational movement patterns. Progressing exercises appropriately. 105- End: Wrap up, how podcasts like this can help spread proper education and knowledge. https://www.instituteofathleticmovement.com/upcoming-courses Instagram links Http://www.instagram.com/instituteofathleticmovement Http://www.instagram.com/KateDecker_instituteathletic LinkedIn: Linked in http://linkedin.com/in/kate-decker-institute-athletic Dr.Mike St. George PT, DPT https://www.instagram.com/honeybadger_juicy/ https://www.linkedin.com/in/mike-st-george-99a12587/ Coach Hos, owner of Sports Rehab PA * Former Navy Corpsman with over 12,000+ hours of training, 21 years of coaching experience, providing results in sports performance, athletic development and post-rehab for sports injuries. * Sports Rehab PA is the “Bridge between Rehabilitation and Sports Performance”. My Post-PT Rehab training program is designed to continue where your Physical Therapist left off so you can safely continue improving in areas such as strength, flexibility, balance, stability and safely “Return to Play". * Podcast: https://anchor.fm/coachhos Facebook: https://www.facebook.com/coachhos/ Instagram: https://www.instagram.com/coach_hos/ LinkedIn: https://www.linkedin.com/in/joehos/ https://youtu.be/QFxF7wzHwas

Tonight we had a great convo with Dr. Anna Roby PhD, RD, LD, CPT We discuss diet and nutrition tips especially for the female athlete. We cover how nutrition changes for females depending on their menstrual cycle. Is pre workout ok and for what age? How to properly hydrate and fuel before during and after competition. We also discuss diet fads, myths about foods, body image and much more! Listeners Go To Bioptimizers and use CODE “JUICY” for 10% off. MASSZYMES CRANK YOUR MUSCLE GAINS TO NEW HEIGHTS BY TRANSFORMING 1 GRAM OF PROTEIN INTO 3 GRAMS WITH THE BEST SUPPLEMENT FOR DIGESTIVE PROBLEMS Increase your absorption of key amino acids & certain vitamins Experience better digestion & gut health Increase your energy levels Enhance your mental clarity and focus Experience faster muscle recovery Contains 100,000 units of protein-digesting enzymes per capsule Vegetarian-friendly, vegan-friendly, dairy-free, and soy-free

Tonight Dr.Mike and I bring on Mike Katz, owner of MadFit in Bucks County PA. Mike is a strength coach specializing in rehabilitation of rotary athletes, active adults and geriatrics. We discuss the the importance of a training program following rehabilitation stages, barriers to compliance with programming and the importance of health and fitness for overall well being.