Josh Bixler

PT, DPT, OCS,SCS; ortho residency grad; Bellarmine DPT adjunct; interests in orthopedics & sports medicine, injury reduction, post-op rehab.#GoBlue

[Josh Bixler @BixlerDPT]

@DrChrisBishop @NSCA @anthonyturneruk @shy_2tweet @MDX_LSI Chris, could I also get a copy? Thank you.

jbixler.dpt@gmail com

[Greg Lehman @GregLehman]

Keep beating this drum

[Stuart Phillips (he/him) @mackinprof]

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. 🧵https://t.co/Vk3yQj3Rmp

[Lenny Macrina, Sports Physical Therapist @LenMacPT]

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.

[Dan Lorenz @kcrehabguy]

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.

[Dan Lorenz @kcrehabguy]

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 @BixlerDPT]

@joshgessner Pelvis

[Josh Bixler @BixlerDPT]

👀

[Peter Anthony Cowan @living_energy]

Low-frequency electromagnetic fields can degrade collagen, weaken tendons, and cause soft-tissue damage at levels regulators call "safe."

We have a real world case study proving this:

An NFL team whose practice facility sits next to a massive electrical substation.

THREAD 🧵

https://t.co/4AFRlmqgZv

[Adam Grant @AdamMGrant]

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.

[Wesley Troyer, DO, RMSK @WesTroyerDO]

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.

https://t.co/A5nh4ku4Xf

#sportsmedicine #RTP

[gmannVOLS @gmannVOLS]

Curt Cignetti has a fascinating philosophy...don't waste anyone's time, coaches not expected to work nights just get work done, limited practice to keep players healthy

[Josh Bixler @BixlerDPT]

Feel like this happens way too often. Sent for testing - not even close to where they need to be…

[Dan Lorenz @kcrehabguy]

Did some tough "parenting" today. Didn't clear 4 kids hoping to get the OK. Haven't done a minute of anyone's rehab. Lots of tears, couple eye rolls...

Best in the long run. Brutal conversations though! Ultimately their decision but begrudgingly bought what I was selling.

[Dan Lorenz @kcrehabguy]

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!

[Holly Silvers-Granelli, PhD, PT @hollysilverspt]

@LenMacPT 🙏🏻 @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!

[Florian FORELLI @ForelliFlorian]

🚨 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🔓 https://t.co/EVOUK9FAgN

[Josh Bixler @BixlerDPT]

This!!!

[Greg Lehman @GregLehman]

Recover from perturbations (e.g balance) requires strength and rate of force development. You don't get that with low load labile surface training.

You do get that with a comprehensive resistance training program.

[Stephen Thomas @shoulder_nerd]

Check out our most recent published research on labral injuries in baseball players!

[Dan Lorenz @kcrehabguy]

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. 😀

[Dan Lorenz @kcrehabguy]

🚨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: https://t.co/PIBl2FwC1y

[Dan Lorenz @kcrehabguy]

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.