COACH HOS PODCAST Coach Joe Hos

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 Single leg hop test continues to be outdated and poor correlation to function.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.

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🎧 Episode 50 of the “Coach Hos Podcast” DR. Mike and I talk with Gary Bellinger from Phoenix Thera-Lase.

“𝐆𝐚𝐦𝐞 𝐂𝐡𝐚𝐧𝐠𝐞𝐫 𝐢𝐧 𝐫𝐞𝐡𝐚𝐛𝐢𝐥𝐢𝐭𝐚𝐭𝐢𝐨𝐧, 𝐫𝐞𝐜𝐨𝐯𝐞𝐫𝐲, 𝐰𝐨𝐮𝐧𝐝 𝐜𝐚𝐫𝐞 𝐚𝐧𝐝 𝐩𝐞𝐫𝐟𝐨𝐫𝐦𝐚𝐧𝐜𝐞”

https://phoenixthera-lase.com/ 0-10 Introduction to Gary Bellinger and Phoenix Theralase. Understanding the science behind how the lase works and its effects on tissue. High profile teams using it to their benefit such as Kansas City Chiefs. Use of laser for animals and veterinary practices. Use for chronic conditions. Understanding the results of the laser being generated by the power of the laser and absorption.

10-20 Not all cold lasers are the same, difference wave lengths. Using laser in combination with other therapies, increasing metabolic rate with use of laser. Phoenix theralase wave length can penetrate more efficiently than other lasers. Percentage of patients that see results in one session and the dosage weekly using laser.

20-30 How to implement laser in your practice as a healthcare professional and the ROI from its use. NFL team and their use of the laser for recovery. Average time of treatment with the laser. Getting athletes back on the field faster and effectively. Why are lasers not in more practices, current cold lasers in the market that are not effective.

30-38 Laser benefitting individuals dealing with long standing chronic issues and degenerative conditions. Close out.

If you would like to know more about the Phoenix Thera-Lase System visit the website at: www.phoenixthera-lase.com

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!