PT, DPT, OCS,SCS; ortho residency grad; Bellarmine DPT adjunct; interests in orthopedics & sports medicine, injury reduction, post-op rehab.#GoBlue
Louisville
Joined June 2014
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Josh Bixler retweeted
I get that games have protocols, but there was 1 second left on the stadium clock when the first Michigan Hail Mary ended.
NBC’s feed was slightly delayed (but its clock was accurate) causing the confusion. There is an entire rabbit hole you can go down to understand why this is somewhat common.
The coaches, players and fans see the stadium clock, not the TV broadcast.
In real life, inside the actual stadium, the B10 was right and NBC was wrong but due to protocols it’s the opposite.
Josh Bixler retweeted
It doesn’t matter who the insurance provider is.
Medicare, Medicaid, or a commerical plan.
Every single one works on the same playbook.
Patients pay more.
Providers receive less.
And the growing difference is put into people who pretend like they’re optimizing care.
Josh Bixler retweeted
Keep beating this drum
This RCT challenges one of the most common assumptions in shoulder rehabilitation. Despite the widespread use of strengthening, motor control, and scapular-focused programmes, the evidence does not clearly support one specific exercise approach as superior for RCRSP.
Maybe the question is not what exercise. but how we deliver it.
For clinicians, the message is both challenging and liberating.
There may not be a perfect exercise. but there may be a better clinical approach.
#Rotator cuff disorders #Shoulderrehabilitation #Exercise therapy #Physical activity interventions
Link to the article: buff.ly/6Strzh8
Josh Bixler retweeted
1/
Big update in exercise science: ACSM has revised its resistance training Position Stand for the first time since 2009. That is a 17-year gap, and a lot has changed. 🧵pmc.ncbi.nlm.nih.gov/article…
Josh Bixler retweeted
I’m telling you… QT grafts are going to go away and be replaced with PTG again. They are so difficult and unpredictable to rehab! I get daily DM‘s from people all over the US saying the same thing.
Josh Bixler retweeted
Best text ever from colleague in pro sports going back and forth about a trendy new idea:
"Its really dumb but guys are gonna do it. So we're asking how do we help or contain?"
That right there friends is the complexity and nuance of treating elite athletes.
Josh Bixler retweeted
Open access RCT in @BJSM_BMJ shows what we all probably know intuitively. Better outcomes starting early PT rather than waiting on adolescents w/ spondylolysis. Never understood the "shut it down and wait" approach.
Josh Bixler retweeted
Early specialization is overrated. Generalists excel over time.
Data on >34k stars in sports, music, science, and chess: Focusing on a single field predicts a faster rise, but cross-training foreshadows a higher peak.
The most successful adults start off as well-rounded kids.
Josh Bixler retweeted
New paper out on hamstring injuries in athletes.
We review modern classification systems, imaging for prognosis, rehab strategies, and return-to-play decision making, with a focus on reducing reinjury rather than rushing clearance.
link.springer.com/article/10…
#sportsmedicine #RTP
Feel like this happens way too often. Sent for testing - not even close to where they need to be…
Josh Bixler retweeted
Whoa. This can't be. We've been told by pundits that BFR is not useful. New paper in @BJSM_BMJ where they followed people for 1 yr after a 12-week program w/ BFR. Results were impressive all around at a year. Pretty solid effect sizes. BFR group also more active. Promising!
Josh Bixler retweeted
🙏🏻 @LenMacPT and @kcrehabguy!! I have spent 25 yrs of my career devoted to ACL mitigation. The AMI after QT ACLR is VERY challenging to overcome & can create quantifiable compensatory patterning seen in biomechanical & EMG analysis - not my emotion/opinion - objective data!
Josh Bixler retweeted
🚨 Our new paper in Sports Med Open
When to start OKC after #ACLR?
Our scoping review shows 🦵:
✅ ROM ≥ 100°
✅ Full extension
✅ Quad activation (no SLR lag)
✅ Pain < 3/10
✅ Minimal knee joint effusion
✅ Walking without crutches
Free Access🔓 pubmed.ncbi.nlm.nih.gov/4022…
Josh Bixler retweeted
Check out our most recent published research on labral injuries in baseball players!
How do baseball players do after labral repair? We recently published 3 studies in @JSESMedia on outcomes after Bankart, SLAP, and posterior labral repair in pro baseball players. Here are the intro return to sport outcomes, and further analysis can be found at the links below:
Josh Bixler retweeted
I am stunned how many people tell me that their higher ups won't invest in a HHD.
I'm certain if Florence Kendall were still with us she would smack you with her purse, tell you to get a dang HHD, then head to church. 😀
Josh Bixler retweeted
🚨Newly published study of ours in @IJSPT 🚨
Looked at ACL-RSI pre and post testing...is there a difference?
Kudos to my colleague @danieldlarson57 for his work on this!
Check it out: ijspt.scholasticahq.com/arti…
Josh Bixler retweeted
The stack of studies showing asymmetry after ACLR is huge. I have advocated for some time now to have "single leg emphasized" programming for several months post to address this. Typically one BIL ex per session, good limb posted. Single-leg supplemental ex's to follow.
Josh Bixler retweeted
Return to sport earlier than 9 months after anterior cruciate ligament reconstruction (ACLR) does not increase the risk of a new injury…
🔹🔹 𝗞𝗲𝘆 𝗧𝗮𝗸𝗲𝗮𝘄𝗮𝘆𝘀🔹🔹
▶️ Rehab matters! Athletes who finished the rehabilitation program had much better RTS rates.
▶️ The further you go, the better you do:
➔ Stop after strength training → 𝟱𝟬% RTS
➔ Stop after explosive/reactive training → 𝟳𝟬% RTS
➔ Complete the full program → 𝟵𝟬% RTS
▶️ if athletes met all discharge criteria, returning before 9 months did 𝗡𝗢𝗧 increase the risk of a new ACL or knee injury.
👇👇👇Read More 👇👇👇
▶️ Findings from a study conducted at the Aspetar Riadh Assessment and Movement Analysis Lab indicate that returning to sport earlier than 9 months after anterior cruciate ligament reconstruction (ACLR) does not increase the risk of a new injury. The study highlights that how an athlete returns is more critical than when.
▶️ ACL re-injury rates dropped by 50%, primarily due to the implementation of mandatory regular testing and structured progress monitoring throughout rehabilitation.
▶️ In a cohort of male athletes, rigorous adherence to the rehabilitation protocol significantly improved return-to-sport (RTS) rates, showing a clear dose-response relationship: greater progression in rehabilitation after ACLR led to a significantly higher likelihood of returning to pivoting sports. Athletes who met all discharge criteria were six times more likely to return to pivoting sports compared to those who did not complete the program.
▶️ Successful completion of rehabilitation and achievement of objective criteria significantly increased the odds of male athletes returning to pivoting sports. Consistent adherence to a structured rehabilitation protocol, progression based on objective criteria, and meeting discharge criteria were associated with low reinjury rates and a high probability of returning to pivoting sports, irrespective of surgery type or comorbidities. Notably, time to RTS did not appear to impact new knee injury rates, provided athletes met all RTS criteria. These findings emphasize the crucial role of personalized rehabilitation programs in optimizing outcomes for athletes post-ACLR.
🔗 Link 👉 bjsm.bmj.com/content/early/2…
✍️Written by: @RoulaKotsifaki , @enda_king , @RoaldBahr and @RodWhiteley
