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Sports Physical Therapy: A Rehab Approach for High Performance

April 11, 2023 · In: Pain Science and Healing, Science-Backed Education

Sports physical therapy is a specialty in the world of physical therapy. It covers everything from rehabilitation after surgery, recovery from an injury, injury prevention, rest and recovery, and fine tuning peak athletic performance. So what separates the sports population from the general population when it comes to physical therapy? This post will share about what sports physical therapy is all about.

**This is not medical advice. Please consult your medical provider for more information.

sports physical therapy

Treatment in Sports Physical Therapy

Physical therapists have lots of experience treating many different types of injuries and surgical interventions. Some of these include:

Conservative treatment

  • ankle sprains
  • torn rotator cuff
  • meniscus tear
  • muscle strains and ligament sprains
  • tennis elbow
  • golfer’s elbow
  • overuse injuries
  • other injuries of the shoulder, elbow, knee, ankle, etc.

postsurgical rehabilitation

  • achilles tendon repair
  • SLAP tear
  • rotator cuff repair
  • ACL, MCL, LCL, and PCL repairs
  • meniscus repair
  • UCL reconstruction (aka “Tommy John” surgery)

So if physical therapists treat the same thing with both the general population and with athletes, then why is the treatment different?

Function Vs. Performance

When recovering from injury or surgery, the general population needs to get back to functioning at their prior level. This can be anything from walking to the mailbox, walking without an assistive device, cycling, or being able to go up and down the stairs in their home.

For an athlete to return to sport after an injury or surgery, their prior level of function requires high loads of stress and peak fitness and performance levels. Based on the sport they are returning to, an athlete needs to be able to jump and land, react at a moments notice, change direction quickly, sprint, throw, etc. The body and injured area needs to be able to withstand these intense loads, absorb impact, and function at much higher levels. Strength is very important in this stage, but form is also key. Form can also be addressed in performance training (see below).

Performance Training for the Athlete

This would be the final stage of treatment for the athlete after an injury or post surgery. However, athletes may still come to a physical therapist for performance training looking to take their performance to the next level. Physical therapists are movement experts and can break down the finer details in movement that may be hindering an athlete. This is when movement analysis can be performed.

Performance specific training can take any sport specific task and break down its components to find where an issue might lie. A detailed movement analysis can look at the golf swing of a golfer, a pitcher throwing a pitch, a volleyball player jumping for a spike, or a soccer player cutting around another player.

Performance specific training may also be viewed as preventative training. Physical therapy doesn’t just treat those who are injured, but can also fine tune movements based on observation of form and transfer of power. For example, overhead athletes require an immense amount of core strength to properly transfer power from their lower body to their upper body. Physical therapists can help facilitate sport-specific training based on what the athlete is looking for and what the therapist observes in their movement and form. At top levels of performance, the finer details make a big impact.

Interested in more about sports and sports physical therapy? Leave a comment down below about what you are interested in reading about!

More Sports Related Articles

  • ACL Stability: How to Improve Strength for Return to Sport
  • 5 Reasons Why Balance Exercises are Important for Runners
  • Weak Ankles Running? Stabilization and Strengthening for Pain Free Running

TL;DR

This post addresses the differences between training an athlete to return to sport from the general population. Form, physical performance, and sport-specific training are extremely important to an athlete returning to sport.

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Tera Sandona

Tera Sandona is a licensed Doctor of Physical Therapy (DPT) and the founder of PT Complete. She helps high-achieving women break out of cycles of chronic pain, stress, and burnout through her Regulate and Rebuild Method, a sequenced approach that addresses the nervous system first and builds strength second. Her work focuses on helping women finally understand their bodies, rebuild strength, and create lasting resilience that fits real life.

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By: Tera Sandona · In: Pain Science and Healing, Science-Backed Education · Tagged: confidence with movement, functional movement, injury recovery, strength training, sustainable healing

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I'm a practicing physical therapist based out of sunny SoCal who loves to educate others and share information and knowledge. You can typically find me hard at work trying to manage normal life or cuddled up under a blanket enjoying coffee or desserts I can never seem to get away from!

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The label got attached to slow yoga, easy walks, a The label got attached to slow yoga, easy walks, and gentle bike rides. Active recovery became a category of workouts.

But the label is doing the wrong job. What makes movement “recovery” isn’t the modality. It’s whether your body finishes with more capacity than it started with.

A 20 minute walk can be active recovery on a Monday and a workout your body can’t handle on a Wednesday. It’s the same walk on a different day with a different answer.

The thing most of us are missing isn’t a better workout schedule. It’s a daily look at what your body can actually hold. Some days, that assessment points to movement. Some days, it points to rest. Either one, when it’s used at the right time, it supports the body. When used at the wrong time, it makes things worse.

If you want help learning to read your body signals, comment SIGNALS for the free nervous system workbook.

#activerecovery #pushcrashcycle #listentoyourbody #nervoussystemregulation #chronicpainmanagement
This pattern was mine for years. And if your weeke This pattern was mine for years. And if your weekend looks anything like the one I am about to describe, you already know how Sunday night feels.

Rough week, exhausted by Friday, on the couch all weekend hoping to reset. Sunday night, I would be more depleted than when I started with nothing prepped for the week ahead. And the conclusions running through my head about what kind of person I must be to keep ending up here did not help.

The fix I always reached for was discipline…more structure, more consistency, and more grit. The crash kept coming anyway.

What moved the needle was learning to read what my body could hold, day by day. Some days a workout, some days a walk, some days a couch Sunday was the choice. The decision was made each morning, based on what was actually there.

If you want help learning to read the signs and what to do for them, comment SIGNALS and I will send you the free nervous system workbook.

#chronicpain #chronicfatigue #nervoussystemhealth #painscience #listentoyourbody
If by Wednesday you are already running on fumes, If by Wednesday you are already running on fumes, this one is for you. I called myself undisciplined for years.

Every Sunday night I would land on the same conclusion: more structure, more consistency, and more grit. That was the fix. And every Friday I would crash anyway.

Here is what I did not know about the cycle.

Both doors lead to the same room.

Door one is push. The body sends signals about what it can hold that day. Discipline overrides the signal. Push past the signal once, you crash once. Push past it for a year, you live in the crash.

Door two is rest. The week was rough so the weekend is for resetting. You sit Saturday hoping it works. Sunday comes and you feel worse, so you rest again. By Sunday night nothing is prepped and you are still depleted. The week starts in deficit, so you push harder to catch up, and the crash arrives by Friday.

Different doors. Same room. The room is the cycle.

The missing piece was never more discipline. It was a daily read on what my body could hold and the willingness to let the read be the decision instead of overriding it.

Some days the body can hold a workout. Some days a walk. Some days a couch Sunday is the work. The decision gets made each morning, based on what the body is signaling that day.

If you want help learning to read your own signals, comment SIGNALS for the free nervous system workbook.

#nervoussystemregulation #nervoussystemwork #burnoutisreal #lıstentoyourbody #reclaimyourenergy
is treating movement like it only has two settings is treating movement like it only has two settings.

Keep training like nothing happened or do absolutely nothing.

This is where we need a little more nuance, because if you’re doing your normal gym routine, hikes, runs, or workouts and your pain keeps increasing, something is swelling, you’re limping through it, or you keep changing how you move just to get through it, that is your cue to scale back.

Not because you’re weak or because you ruined everything, but because your body is trying to do its job and constantly irritating the area can drag the whole process out longer than it needs to.

The body is made to heal, but it needs the right environment to do that.

On the other hand, being injured does not automatically mean you need to sit around for two to three weeks doing absolutely nothing until it magically disappears.

If you hurt your shoulder, maybe bench pressing and shoulder presses are not the move right now. But can you train legs? Can you walk? Can you modify the range of motion, load, tempo, or exercise choice? Most of the time, yes.

That middle ground is where a lot of people get stuck.

They either push through because they don’t want to lose progress or they stop everything because they don’t know what else to do.

But injury rehab usually lives somewhere in the middle. It is figuring out what still feels safe, what does not increase symptoms, and what allows you to stay active without poking the bear every single day.

Pain is information, but it is not always a stop sign.

You are not broken, but we do need to be smarter about how you’re moving while your body heals.

Save this for the next time your brain tries to convince you that your only options are “push through it” or “do nothing.”

#movementismedicine #injuryrehab #injurymanagement #stayactive #worksmarter
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