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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

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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Honeymoon photo dump incoming!! 🏝️☀️🌊👙⛱️🍾💍❤️ Honeymoon photo dump incoming!! 🏝️☀️🌊👙⛱️🍾💍❤️
I stood in front of my fridge for an hour. Couldn’ I stood in front of my fridge for an hour. Couldn’t decide, not even sure I was hungry. Just stuck. And one decision felt like the hardest thing I’d been asked to do all day, even though I’d made decisions all day long without a second thought.

I kept wondering what was wrong with me. Turns out, nothing was.

Fight, flight, and freeze are all protective responses your nervous system reaches for under threat. Fight and flight speed you up. They give you the energy to push back or get away. Freeze does the opposite. It shuts things down because there’s nothing left to fight with or run from.

That fridge moment wasn’t a discipline problem. It was my nervous system running out before dinner could be decided and made.

Freeze doesn’t get talked about as much as fight or flight, but it’s just as real and it shows up in the most ordinary places…a kitchen, a closed laptop, a decision that shouldn’t be hard and somehow is.

If you’ve had a night like this, you already know exactly what I’m talking about.

If this sounds familiar, tell me in the comments, or text someone who’d know exactly what I mean.
I reached for the weights I used to lift before my I reached for the weights I used to lift before my brain caught up.

It took half a second in my garage. The half second was the moment I realized I couldn’t even lift the dumbbell. I registered the gap between the body I used to train and the body I have now.

I dialed back down. Instead of the 30s, I picked up the 10s, and I did the work that fits what my system can absorb right now.

Nobody warns you that the rebuilding work has these moments built into it. The half-seconds when your old identity reaches for a load your current capacity can’t carry, and you mistake the disappointment for evidence that you are failing.

Your current body is not a smaller version of the one you used to have. It is a different body, doing real work, on a different scale.

You can train this one.

Tag the woman who’s still reaching for the weight she used to lift. Remind her she’s not alone.
I currently do not squat, lunge, or deadlift. I g I currently do not squat, lunge, or deadlift.

I get why everyone defaults to these movements. They’re efficient, they build strength, and if your body can tolerate them, there’s nothing wrong with having them in a program.

For a long time, I assumed that if I pushed through it, my body would eventually catch up. That’s not how it works when you’re dealing with chronic pain. Pushing through leads to a setback fast.

Your back is tied directly into what your hips and legs are doing. Careful form can only take it so far out of the equation, especially when weakness is involved.

A few months ago, I was doing bodyweight versions of these same exercises at home. Every time, it aggravated my back. So I stepped back to isolated machines instead.

Here’s what made it click. I couldn’t even tolerate a leg extension machine at 30lbs. I weigh about 120. There was no version of me safely squatting my own bodyweight and that’s still true right now.

Isolated machines do exactly what they’re built for. They isolate one muscle group and take my back out of the equation so I can still train and progressively add weight at a pace that’s safe for my body.

If a compound lift keeps interfering with your back, this is where I’d start looking instead.

If this is the kind of order-of-operations thinking that’s useful to you, hit follow. That’s exactly what I break down here.
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