Goal Physiotherapy and Sports Performance, Westport, CT Videos
Videos by Goal Physiotherapy and Sports Performance in Westport. true to the athlete & the athlete inside of us, providing high performance methods, specialists and facilities for integrated training and physical therapy
April 18, 2016 it all started. 6 years later and we wouldn’t change a minute. Grateful for every person who has been part of this community.
WE MOVED! 1200 Post Rd E, Westport CT
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April 18, 2016 it all started. 6 years later and we wouldn’t change a minute. Grateful for every person who has been part of this community. WE MOVED! 1200 Post Rd E, Westport CT
Appreciate you @carterkelsey_ and thanks for trusting us the past 6 years! Your drive, consistency and professionalism has made you quite the role model in our community! : : : #goalfamily
The early rehab days are nothing short of needing ruthless consistency of gradual progressions and even more patience…and @pedromatos_._ is bringing it! As we move to 8wks + in this process, this is where we continue to progress load, progress range of load, some variation and start to add some skill work in. We know what you’re thinking…what the $&@! is skill work at this point. We are always focused on now and making sure we are setting the foundation for the next step. Running usually happens somewhere around 3.5-4.5 months…when you pass appropriate testing and are ready BUT this means we need to start working on prep that. We focus on increased hypertrophy and force capacity, motor control, intro to plyo (jump, skip, hop) and linking that into organized movement efficiency and effectiveness. Only once those are dialed, then can we entertain the idea of running. The outcome of playing your sport again safely and successfully always needs to be on our mind so being organized with these progressions are essential. ##goalfamily
Snap downs are a great place to teach someone to both re-learn to jump post injury and build capacity for decelerating and absorbing force. No matter the type of jump you’re doing, owning the landing in the base athletic position is essential. To be able to do so safely, with minimal landing asymmetry and appropriate movement strategies gives a solid platform to progress to double and single leg jumping as well as run progressions. Points of performance 1️⃣Stand tall, reaching for the sky 2️⃣Pull down fast! Decelerate through your hips, knees and ankles 3️⃣Absorb force We like coaching to pause for 1-2 seconds at the bottom to develop greater motor control and own the finish position.
Lunges are a staple in GOAL training and rehab sessions. It is a movement that demands high levels of motor control, strength and mobility. @caroliinemonahan is demonstrating a front foot elevated reverse lunge. Many sport specific skills— running, change of direction, jumping, ect.— are single leg in nature and why there should be high demand placed on single leg strength exercises. They are also exercises you can load heavy or move fast when you have the appropriate capacity as well as are great for those with past history of back pain since the compressive loads are commonly much lighter compared to bilateral exercises (squats, deadlifts etc). The front foot elevated reverse lunge is similar to the more commonly used reverse lunge however starting the front foot at a greater height increases the joint range of motion requirements as well as motor control in deeper ranges. If you are looking for a way to progress a reverse lunge or improve joint mobility at your hips, this may be beneficial to use.
Do you use NMES and BFR as part of your ACL rehab? Open chain knee extension exercise should be a staple in post-operative knee surgery like an ACL reconstruction. They allow for direct loading of your quad muscles which can sometimes be difficult to isolate and load otherwise. Although a comprehensive rehab program including exercise like lunges, squats, etc are critical, greater early quad strength plays a contributing factor to the movement and performance based progressions to come. Early use neuromuscular electric stem (NMES) is valuable as it reduces muscle fiber atrophy and preserves the ability to contract the muscle. Ideally, we are usually putting a pad on the medial quad and one more proximal and laterally however in this individual case, there were some limitations for pad placement. Blood flow restriction (BFR) limits blood flow into the targeted limb through a pressurized cuff and promotes greater muscle growth at significantly lighter loads than would otherwise be needed as well as greater specific hormone release to aide in this process. This is a huge benefit in post-op cases.
Lunge variations are a staple in most rehab and training strategies we use at GOAL. Sam is demonstrating a rear foot elevated split squat (RFESS.) The value is in the execution of the exercise. It requires high levels of mobility and motor control in the split stance position and trunk. It can also be loaded as heavy as needed for higher levels of force development. It is also a very safe exercise given the relative single leg nature of the exercise reduces load on the spine. Points of performance 🎯 1. Quality hip extension, getting knee behind the butt 2. Organized spinal posture 3. Strong grip on the DBs 4. Depth of movement close to the floor requiring high levels of knee flexion, hip flexion and hip extension. If you struggle with loading this movement, it can easily be regressed to a split squat or reducing the weight and adding isometric holds to own the position first. #aclrecovery #physiotherapy #strengthtraining #goalfamily
First week in the books for our new Staples interns @ryan_thompson22 and @ty_pauley (the man behind the camera)! Check out their first video as each week they learn more about strength and conditioning and sport rehab! #goalfamily
Restoring full knee extension following ACL reconstruction is one of the biggest priorities in the first 10-14 days of physiotherapy. Full knee extension allows for the ability to achieve target mechanics of walking and running as well as many other daily and sporting tasks. When someone is finding difficulty with active extension, we often use an assisted exercise (video 1) to help them actively achieve the desired position. If successful at this, we follow that up with some low load resistance ( video 2) to reinforce the pattern. The success rate is high but the athlete MUST have passive extension first. If you find yourself in this scenario, give it a try with your PT or let us know how we can help!
The skills of change of direction can be taught in different ways but the principles stay the same. The athlete is required to be moving in one direction, decelerate and transition themselves to drive in another direction. The goal is to achieve the postures and positions desired to be quick and efficient. This shuffle-return to MB toss reinforces absorbing momentum on the back leg, staying low, positioning with a wider base of support, driving from the inside angle of the foot and accelerating in the opposite direction. It is a quality drill for both rehab and training alike.
During ACL rehab, learning the change direction, accelerate and decelerate are essential skills to return to sport. Learning appropriate postures and positions we want to achieve are key for improving these skills. The low box lateral shuffle is a great tool that reinforces a strong low posture, driving through the inside of the loaded foot and learning to accelerate/push as well as decelerate or redirect force we generate. Master the basics.
Corinne is about half way through her ACL rehab and doing incredible well! Here is a glimpse into a session with her at GOAL. The goal in this mid-phase rehab point with Corinne has been to continue the work she has done while at school. Here we are primarily focuses on loading her in quality movement patters and progressing load, in addition to fine tuning some landing mechanics and joint proprioceptive work. It is no secret that ACL rehab is a process and return to sport needs to be progressed intelligently and when ready. This is why we make sure to always include greater density in our rehab programing, making sure there is ample attention spent on other aspects of preparation (trunk stability, conditioning etc). This allows for greater readiness for more dynamic options down the road. Training doesn’t start when rehab ends. It’s integrated into the entire process. #goalfamily #aclrecovery
Here is a day in the life of training with Caroline Monahan, William and Mary soccer player. A: Trap bar deadlift, hurdle hip to box jump, Glute bridge 2DB press B: lateral slider lunge, shuffle MB Slam C: lateral sled drag We also start our sessions with a warm up and multidirectional speed work. Interested in training to prepare for for your goals? Let us know how we can help! ⚽️ @caroliinemonahan
Mental health is always a priority for us at GOAL and we know each individual challenges are unique to them. We are incredibly excited for our good friend Lucas and looking forward to supporting him in his new venture bringing education, support, and physical health to those who have these challenges. Please take a moment to follow and support this great program any way you can! #goalfamily • @omniumoutdoors We’re very proud to announce that Omnium Outdoors is now a charity organization providing personalized training services to members living with a mental health issue. With your contribution, we can grow our community to reach more people who could use our help. Please #donate! Every $200 we raise is an entire month of coaching. You can find the link to our website and more in our bio!