JT Christian

PT, DPT
Board-Certified Clinical Specialist in Orthopaedic Physical Therapy
Certified Strength and Conditioning Specialist

[JT Christian @JTthePT]

@elNicodenuevo @kcrehabguy @braidy_solie Look at the supplementary material in the article. There are several videos on how to do it with different exercises.

[JT Christian @JTthePT]

@tomgoom Is there any info on the posterior knee tendon injuries? Or is this chart just based upon anatomy and the plausibility of tendon pain?

[Robert Manske @Robptatcscs]

100% agree! Especially smaller tears in younger patients.

[JT Christian @JTthePT]

@LenMacPT There’s an entire continuing education certification called MAT (muscle activation technique), it’s all about activating more muscles to improve performance…. Proprietary stuff that can’t be shared with folks who haven’t done the course 🤦‍♂️

[JT Christian @JTthePT]

@LanserBailey @kcrehabguy @KeithKnurr @AASPTCollPro How do you join the journal club?

[JT Christian @JTthePT]

Hot take, the Quad Tendon ACL autograft needs to go away...

I have not seen ANY evidence indicating benefit greater than HS or BPTB autografts...
On the contrary, QT graft knee extension strength tends to lag behind its autograft counterparts.
THIS IS NOT GOOD!!!

[JT Christian @JTthePT]

@LenMacPT Haven't done a deep dive on it, but this AJSM publication showed 100% OA rate in for patellar tendon grafts, compared to 71% for hammies...

https://t.co/Az6TVrzRsK

[JT Christian @JTthePT]

Second patient of the day: "Let's drop down to once next week, seems kinda crazy to pay someone to make you exercise."

Me: 🙂

Literally 1 week ago, he couldn't walk for more than 10 minutes. He just walked for 20 minutes yesterday. Seems kinda crazy...

k, done venting

[JT Christian @JTthePT]

@kcrehabguy Do you use the old school original Levy exercise? https://t.co/ilLs0PXLH6
Or, the nuanced EMG approach? https://t.co/mDNjXslxKx

Or both?

[JT Christian @JTthePT]

@kcrehabguy @DrPeteMalliaras @kgSilbernagel @ProfJillCook Sounds like a great time to get some hip thrusts going! High EMG in a shortened range, i.e. load with minimal compression

[ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 @Retlouping]

“there is inadequate evidence to make clinical recommendations on the effectiveness of physiotherapy interventions for people with clinically diagnosed sciatica.”https://t.co/EkpHoSIXgN

How effective are physiotherapy interventions in treating people with sciatica? A SR & MA

[JT Christian @JTthePT]

@kcrehabguy Self pay, adolescent volleyball player. Described knee valgus MOI. Drawer, Lachman and lever sign negative.

She has a little patellofemoral pain to address. Trying to prioritize rehab for prevention. I’ll be lucky to get 2 follow up visits.

[JT Christian @JTthePT]

@kcrehabguy How important is teaching a hip hinge for ACL injury prevention/risk reduction?

[JT Christian @JTthePT]

@dennistreubig @doclsmack @LenMacPT @mickwhughes @RoulaKotsifaki @erikMeira Interesting idea. The landing would require substantially less load absorbed at the knee than jumping forward.
https://t.co/jn1qzibVUg
However, the initial takeoff may do a decent job of assessing force production through the knee extensor mechanism.

[JT Christian @JTthePT]

@dracheypt @kcrehabguy Patient had been seen by multiple physicians locally before arriving in my office. And then she eventually spent a week at the Mayo Clinic...

But, if you have enough lumbar MRIs they'll eventually find something

And, she doesn't even have pain lifting overhead! 🤷‍♂️

[JT Christian @JTthePT]

Hey @kcrehabguy, ever heard that overhead scaption raises are contraindicated after a lumbar disc injury?

Weird case, but I have a doc telling a patient that’s the reason why she isn’t getting better

[JT Christian @JTthePT]

@kcrehabguy Thanks for all of the twitter support:)

There is a lot more to the story--the patient has seen at least a dozen Physicians, insidious pain at multiple locations.

And now she has a phobia of overhead lifting...🤦‍♂️

[PTJ: Journal of APTA @PTJournal]

New in PTJ!

The Critical Role of Nutrition Care to Improve #Pain Management: A Global Call to Action for Physical Therapist Practice

[JT Christian @JTthePT]

@kcrehabguy The Aflredson protocol is shit ton of volume: 3 sets of 15 heel drops, 2x daily. You're supposed to add a backpack full of books to progressively overload it.

How bout an undulating program? Heavy one day, and higher rep or isometric the next day. - That's what I do.