We share strategies for managing a busy clinical caseload when juggling multiple patients with different injuries, surgeries, and protocols across various settings.• Organizing patient information systematically through spreadsheets listing surgical details, protocols, and progression points• Creating tables to track swelling measurements, range of motion, and strength over time• Establishing consistent assessment routines when patients arrive for appointments• Using technology and automated calculators to track progress and compare to past measurements• Translating complex clinical measurements into understandable metrics for patient education• Leveraging colleagues' expertise when facing cases outside your comfort zone• Dividing responsibilities between clinicians to optimize patient care• Creating documentation systems that allow quick retrieval of important patient information• Establishing data-driven rationales for return-to-sport decisions with athletes• Setting realistic expectations about progress timeframes based on researchIf you're feeling overwhelmed by your caseload or want to improve your organizational systems, reach out to us on Instagram or email with questions or suggestions for future episodes.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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32:55
Why Acute Injury/Post Op Surgery PT is Key
Every day we pay our dues by doing the harder thing when it's the right thing to do, especially when managing the complicated early weeks of post-operative rehabilitation. • Understanding surgical procedures through observation, surgical textbooks, and building relationships with surgeons• Establishing direct communication with surgeons to obtain critical information rather than navigating complex administrative channels• Managing pain through appropriate medication, consistent icing, and education about maintaining comfort• Controlling swelling with compression, elevation, and controlled movement to prevent quadriceps inhibition• Prioritizing full hyperextension for knee surgeries to prevent complications like cyclops lesions• Using "consistency over intensity" approach with gentle, frequent interventions rather than aggressive stretching• Activating key muscles through neuromuscular electrical stimulation (NMES) in conjunction with volitional efforts• Progressing from assistive devices based on functional criteria rather than arbitrary timeframes• Applying similar systematic principles across different joints with appropriate modifications for specific procedures• Focusing on early hip labral repair rehabilitation with controlled motion and gradual progressionWe appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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33:31
Helping New PT's Be Happier At Work
Physical therapy school prepares you with fundamental skills, but the gap between education and real clinical practice can be overwhelming for new graduates. This first-hand discussion reveals strategies to navigate the challenging transition as a new PT.• PT school primarily teaches you to "not hurt people" rather than specific treatment protocols• Feeling unprepared is normal when facing unfamiliar cases, especially post-surgical rehabilitation• Chart review the night before seeing patients helps you prepare for unfamiliar conditions• Basic, simple exercises are often more effective than complicated "creative" approaches• Finding mentors is crucial for developing confidence and clinical reasoning• Programming exercise should focus on addressing deficits rather than impressing patients• Patients care more about getting better than receiving a precise diagnosis• Continuing education should be targeted: 1/3 for immediate cases, 1/3 for common conditions, 1/3 for personal interests Check out our upcoming third cohort of the mentorship program with Mike Reinald at fitnesspainfree.com to learn more about our treatment approaches and protocols.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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Puberty & Rapid Growth Management in Gymnasts
Managing the growth spurt phase in young athletes requires patience, education, and strategic training modifications to prevent injuries and maximize long-term development. Athletes experience significant physical changes between ages 10-14 that directly impact performance and create temporary challenges that should be viewed as developmental opportunities.• Growth plates are vulnerable to injury during rapid growth phases• Peak Height Velocity (PHV) is when children grow fastest, typically around age 13• Physical changes include dramatic bone growth that outpaces muscle adaptation• Athletes naturally lose flexibility, power, and coordination during growth spurts• Training should shift to 70% basics/flexibility/soft surfaces and 30% skills during growth phases• Strength training is safe and beneficial for young athletes when properly implemented• Cross-training helps develop athleticism while reducing sport-specific impact• Coaches should consider reducing competition schedules during peak growth• Modern elite gymnasts peak in their 20s, not at 16, showing the benefits of patient development• Post-puberty athletes gain significant power and strength advantages for higher-level skillsTraining hard through puberty isn't about pushing skills; it's about building foundations. Every day you pay your dues by doing the harder thing when it's the right thing to do.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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Helping Gymnasts Advocate For Themselves In The Gym
Every day, we pay our dues by doing the harder thing when it's the right thing to do, especially when it comes to speaking up about our health and boundaries in athletic settings.• Most coaches (98-99%) want what's best for athletes and aren't maliciously pushing too hard• For the 2% who prioritize results over athlete health, changing gyms may be necessary • Approaching coaches with education and empathy helps bridge the knowledge gap about injury recovery• Focus conversations on performance enhancement rather than just injury prevention• Building relationships with coaches through free seminars and gym visits creates better communication• Google Docs shared between athletes, parents, coaches and PTs improve coordination during recovery• Milestone-based recovery is more effective than arbitrary time-based protocols• Teaching young athletes why progression matters using their gymnastics heroes as examples• Using motivational interviewing by asking "what matters to you" creates more receptive conversations• Natural consequences of choices work better than punishment in coaching relationshipsIf an athlete is struggling with speaking up about their limitations, coach them on how to communicate effectively with their coach about boundaries and help them understand why following medical guidance matters for their long-term goals.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
The SHIFT Show is an educational podcast to help people get the tools, ideas, and latest science they need to help change athletes lives. It is hosted by Dr. Dave Tilley a Sports Physical Therapist, Gymnastics Coach, Strength and Conditioning Coach, International Lecturer, and the CEO of SHIFT movement Science.
New Zealand