The E3 Rehab Podcast

Chris and Sam sat down with Laura Opstedal to discuss force plate testing and training in the context of ACL rehab. Laura is a Physical Therapist and owner of Build Physio and Performance in Bozeman, Montana. We dive into: utilization of force plates in early, mid, and late stage rehabilitation, tests that Laura no longer uses, recommendations for clinicians who do not have access to force plates and for those who are brand new to them, testing versus performance, and much more. More about Laura and Build Physio:  Build Physio Instagram Laura’s Instagram Laura’s Twitter Build Physio Website --- Watch the full episode: https://youtu.be/7D9x424X4g0  --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/  --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

Chris and Sam sat down with Karin Silbernagel to discuss achilles tendinopathy and achilles tendon ruptures. In the first half of our conversation with Karin, we discuss tendinopathy versus tendinitis and tendinosis, diagnostic criteria, biggest findings over the past 1-2 decades regarding tendon related research, insertional versus mid portion achilles tendon pain, average recovery timelines, pain during rehab and training, and much more. In the latter half of our conversation, we chat about achilles tendon ruptures including risk factors, surgical versus non-surgical considerations and recommendations, and objective testing. Karin is a researcher, professor, clinician, and the Associate Chair of the Physical Therapy Department at the University of Delaware. More about Karin:  Karin’s Twitter Karin’s ResearchGate --- Watch the full episode: https://youtu.be/ZHnZkGJvyJQ  --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/  --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.      

Chris and Sam sat down with Roula Kotsifaki to discuss the brand new Aspetar Clinical Practice Guideline on rehabilitation after anterior cruciate ligament reconstruction. Roula is a physiotherapist and researcher at Aspetar in Doha, Qatar and the lead author on this clinical practice guideline. We discuss: the timing and structure of rehabilitation, exercise initiation, closed versus open kinetic chain exercises, return to running, return to sport, and much more. Primary Paper Discussed:  Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction  New Aspetar Infographic  Infographic. Aspetar clinical practice guideline on rehabilitation after ACL reconstruction: an interactive figure More About Roula and Aspetar:  Roula’s Research Gate Aspetar Website Aspetar Instagram Aspetar YouTube Aspetar Twitter --- Watch the full episode: https://youtu.be/nqST1zaayMA  --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/  --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.  

Chris and Sam sat down with Clare Ardern to discuss all things return to sport. Clare is the Editor-in-Chief of JOSPT, the Journal of Orthopedic and Sports Physical Therapy, Physiotherapist, and researcher currently based out of Vancouver, British Columbia. We focus the conversation around the paper titled, “2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern” in which Clare was the lead author. We discuss: The spectrum of return to participation all the way up to return to performance, defining success across multiple stakeholders, shared decision making, the StaRRT Framework, assessing readiness, ACL specific RTS considerations and timelines, and future priorities and directions. Primary Paper Discussed:  2016 Consensus statement on return to sport  An additional read that Clare recommends:  2022 Bern Consensus Statement on Shoulder Injury Prevention  More About Clare and JOSPT:  Clare’s Twitter JOSPT Twitter JOSPT Insights Podcast JOSPT.org JOSPT Instagram --- Watch the full episode: https://youtu.be/3Al0hxLQgvE  --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/  --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.  

Chris sat down with Sam Spinelli and Marc Surdyka to discuss The Goldilocks Principle of Rehab. Marc discusses the story of Goldilocks and The Three Bears and the inspiration for the new E3 Goldilocks Just Right teeshirts. Sam then dives into the concept of load and outlines both the Envelope of Function, by Scott Dye, and the Physical Stress Theory, by Michael Mueller and Katrina Maluf. Marc then talks about utilization and implementation of these principles in both a rehab and training context. Marc discusses some of the limitations and methodological flaws with attempting to identify an ideal training load in the context of injury prevention. Lastly, Marc and Sam both touch on the downsides of gathering too much data and information surrounding sleep, readiness, and performance.  Papers Discussed:  Envelope of Function Physical Stress Theory Training Load and Its Role in Injury Prevention, Part 1: Back to the Future Training Load and Its Role in Injury Prevention, Part 2: Conceptual and Methodologic Pitfalls More on the Goldilocks Principle:  E3 Blog E3 YouTube Video --- Watch the full episode: https://youtu.be/0Lw_x1fCgiU  --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/  --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

Taylor Goldberg, a virtual hypermobility coach, shares her journey with hypermobile Ehlers-Danlos Syndrome and upper cervical instability. They discuss the latest research on diagnosis and treatment, highlighting the importance of strength training and personalized care. Goldberg challenges misconceptions about hypermobility, like outdated terminology and medical gaslighting. They also emphasize innovative proprioception training and the need for tailored exercise interventions. Insights into genetic associations shed light on patient experiences, advocating for better communication in healthcare.

Chris sat down with Q Willey to discuss all things physical preparation and belief change. Q is a Physical Therapist and Coach, currently working remotely for the Barbell Medicine Pain and Rehab Team. We talk about Q’s athletic journey, from playing all the sports growing up, playing lacrosse at BYU, transitioning to UNC during his masters program and winning a National Championship with their men’s lacrosse team, to competing on the USA Olympic Bobsled Team. We discuss the physiological demands across sports and we compare field sport athletes versus highly niche sports like bobsled. We then talk about some of the flawed views, and implementation of, “sports-specific” training  with professional athletes. We then switch gears and talk about Q’s experiences with belief change, coming to grips with uncertainty, and remaining open minded as both a clinician, coach, and human. More about Q:  Q’ Instagram Q’s Website  --- Watch the full episode: https://youtu.be/85_GWI8bLXk  --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/  --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

Paul Salamh, shoulder/upper extremity specialist, joins the podcast to discuss putting special tests for rotator cuff-related shoulder pain out to pasture. The topics covered include common shoulder special tests, imaging findings, pre and post test probabilities, limitations of gold standards, the importance of a comprehensive interview, and Paul's current research on frozen shoulder and pitcher fatigue.

Chris and Sam sat down with Marc Surdyka, one of E3 Rehab’s co-founders and co-owners, and physical therapist based out of Los Angeles, California. We dive into Marc’s story surrounding his hip replacement at the age of 19. We discuss Marc’s initial diagnosis of Acute Lymphoblastic Leukemia, the onset of avascular necrosis and eventual decision for the total hip replacement, his experience the months following the surgery, his reflections on the past 14 years since the surgery and managing training and life, and finally, recommendations for individuals considering a hip replacement or for those already going through the rehab process.  More about Marc’s Hip Total Hip Replacement:  E3 Video: How I Train With a Total Hip Replacement as a 31 Year Old  E3 Video: You Can Be Fit, Active, and Healthy with a Total Hip Replacement / Arthroplasty  E3 Video: Total Hip Replacement Q&A | Doctor of Physical Therapy & Proud Owner of a Hip Prosthesis E3 Video: Doctor of Physical Therapy Answers Your 10 Most Common Questions About Total Hip Replacements E3 Blog: Total Hip Replacement E3 Blog: Total Hip Replacement Question and Answer --- Watch the full episode: https://youtu.be/Iq3CZUSSrwE  --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/  --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.

Chris and Sam sat down with Chris Juneau to discuss a variety of topics including: his time spent at The Ohio State University and University of Louisville, his experience in New Zealand for his masters, his transition into working the military / special forces population, military medicine, assessments in the military, recommendations for other rehab providers working in the military setting, and much more! Chris Juneau is a Sports Residency and Performance Trained Doctor of Physical Therapy with a Specialization in Athletic Performance, a Masters of Philosophy in Biomechanics (specifically rate of force development), and a Certification in Strength & Conditioning. Chris is currently working with the US Army Special Operations Command at Fort Bragg in North Carolina. He currently also serves in leadership with the American Academy of Sports Physical Therapy and also in various mentorship and educational roles. More about Chris:  Chris’ Website Chris’ Twitter PT Inquest Podcast --- Watch the full episode: https://youtu.be/a2ZEulmbMH0  --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/  Newsletter: https://e3rehab.ck.page/19eae53ac1  Coaching & Consultations: https://e3rehab.com/coaching/  Articles: https://e3rehab.com/articles/  Apparel: https://store.e3rehab.com/collections/frontpage  --- Podcast Sponsors: Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab VALD: https://vald.com/  --- @dr.surdykapt @tony.comella @chrishughen --- This episode was produced by Matt Hunter.