Md Belal Quraishi

Sports Physiotherapist @MohammedanSC ll
Founder & Director @ MIN^ED ACADEMY ll
Writer ll
Poet

[British Journal of Sports Medicine (BJSM) @BJSM_BMJ]

⚠️ Post-concussion screen time duration and type and its association with symptom resolution in youth aged 11–17 years 🧠 📱

NEW #OriginalResearch 📄

Find out more ➡️ https://t.co/IgpKquXaev

[Md Belal Quraishi @levelup_physio]

@Srdomckp @CKP_Division @RailwaySeva I what if I miss the train? Will train wait for extra 5 min for me and my family?

[Md Belal Quraishi @levelup_physio]

What’s the use for paying premium for Vande Bharat if it is 1 hr late?
We might even miss next train.
Who will be responsible?
@AshwiniVaishnaw @IRCTCofficial

[Md Belal Quraishi @levelup_physio]

@CKP_Division @RailwaySeva @Srdomckp Next train 20872 is in next 10 min we have not yet reached Tatanagar

[Physio Meets Science @PhysioMeScience]

Balance Exercise Parameters for Rehabilitation of Adult Chronic Ankle Instability: A Systematic Review of Randomised Controlled Trials🦶

👇👇👇

https://t.co/XFAPHAPVYA

[Physio Meets Science @PhysioMeScience]

𝗛𝘆𝗽𝗲𝗿𝘁𝗿𝗼𝗽𝗵𝗶𝗰 𝗘𝗳𝗳𝗲𝗰𝘁𝘀 𝗼𝗳 𝗦𝗶𝗻𝗴𝗹𝗲- 𝘃𝗲𝗿𝘀𝘂𝘀 𝗠𝘂𝗹𝘁𝗶-𝗝𝗼𝗶𝗻𝘁 𝗘𝘅𝗲𝗿𝗰𝗶𝘀𝗲: 𝗔 𝗗𝗶𝗿𝗲𝗰𝘁 𝗖𝗼𝗺𝗽𝗮𝗿𝗶𝘀𝗼𝗻 𝗕𝗲𝘁𝘄𝗲𝗲𝗻 𝗞𝗻𝗲𝗲 𝗘𝘅𝘁𝗲𝗻𝘀𝗶𝗼𝗻 𝗮𝗻𝗱 𝗟𝗲𝗴 𝗣𝗿𝗲𝘀𝘀

https://t.co/xXnwxbBL93

[Running-Physio @tomgoom]

How to differentiate between Gastroc and Soleus injuries

[Gerry DeFilippo @Challenger_ST]

7 great variations to improve acceleration…

1. Lateral half-kneeling sprints
2. Loaded/resisted sled sprints
3. Band release walkout sprints
4. Drop back sprints
5. Med ball sprints
6. Med ball drop back sprints
7. Three point stance sprints

[Prof Omid Khaiyat M.D., PhD @Omid_HopeUni]

Shoulder proprioception: How is it measured and is it reliable?

Assessment of shoulder proprioception 👉most reliable when using a passive protocol with an isokinetic dynamometer for internal rotation at 90° of shoulder abduction

#shoulder #upperlimb

https://t.co/EnbK6DW810

[Cyril McGrath performance & rehab @MillaCoach]

🏃‍♂️💨 SPRINT DRILLS CIRCUIT = SPEED UNLOCKED 🔓⚡️

Ready to build explosive speed, improve form, and boost power? This sprint drill circuit is

💥 Perfect for athletes, runners, or anyone trying to move FASTER.
🕒 3 rounds | 20-30 sec per drill | 60 sec rest between rounds

[The Football Physio @TheFootballPhys]

💪🤕Rehabilitation following meniscal repair: a systematic review

https://t.co/dTRLQmVP2w

[Paul Fisher @PaulFisher17]

Long-term athlete development (LTAD) 📈

Years ago, we used this simple reference tool for a GAA club’s pathway.

Movement patterns, age-appropriate intent, and a consistent system.

The delivery methods change, but the principles don't. Simple systems, applied consistently 🏐🙌

[Metabolic Uncle @MetabolicUncle]

TENDON TRAINING ELIMINATES THE WEAKNESS THAT MAKES STRONG MEN FRAGILE

Many guys can move serious weight in the gym but get wrecked picking up a dropped phone. That disconnect reveals something most fitness advice completely misses.

Your muscles get stronger fast. Your tendons adapt three times slower. After 40, this gap becomes dangerous. One awkward movement and you're dealing with a torn Achilles, blown rotator cuff, or knee pain that won't quit for months.

The standard response is backing off from activities. Taking it easy. Accepting that your body just can't handle stress anymore. That's exactly backwards. Weak tendons need controlled stress to adapt, not protection from stress.

Five specific isometric holds create that adaptation. They force your tendons to handle sustained tension at their most vulnerable positions. Ten minutes, three times weekly. The results show up in everyday movement, not just gym performance.

STANDING CALF RAISE HOLD

Your Achilles tendon handles massive loads with every step. When it fails, you lose explosive power and develop that shuffling gait that screams fragility. The injury happens suddenly but the weakness builds over years.

Eccentric loading builds tendon strength better than any other method. Tendons respond to time under tension, not repetition count. The stretched position creates the most adaptation signal.

Stand on the balls of your feet at a step edge. Rise up high, then lower slowly until you feel a deep stretch in your calves. This stretched bottom position is where you hold. Your calves burn. Your Achilles feels the tension. That discomfort signals collagen remodeling in the tendon fibers.

Start with 30 seconds. Add 15 seconds weekly until you reach two minutes. This takes six weeks of consistent work. Most people make three mistakes that kill their progress.

First mistake is holding at the top instead of the stretched bottom. The stretched position creates tendon stress. The top position just works your calves without targeting the Achilles effectively.

Second mistake is bouncing to relieve tension. Stay completely still. The sustained tension forces adaptation. Bouncing turns this into a calf exercise instead of tendon training.

Third mistake is rushing progression. Adding too much time too fast creates inflammation instead of adaptation. Your tendons need gradual stress increases to remodel properly.

This hold prevents the biomechanical breakdown that leads to falls and mobility loss. Your Achilles becomes capable of handling sudden direction changes and explosive movements. Stairs become effortless. You can sprint without fear. Your balance improves because ankle stability increases.

No equipment needed. Just a step and two minutes. The payoff is maintaining athletic movement capacity while your peers nurse chronic tendon problems.

SPANISH SQUAT HOLD

Knee pain is nearly universal after 40. The standard advice is avoiding squats and accepting weak knees as inevitable. That thinking creates the exact problem it claims to prevent.

The issue isn't the knee joint itself. It's weak patellar tendons that can't handle basic loads. Traditional squats train the muscles but miss the tendons. The Spanish squat hold isolates patellar tendon stress while eliminating joint compression.

Place a resistance band around your knees. Stand with your back against a wall. Slide down until your thighs are parallel to the floor. Your knees should be directly over your ankles, not pushed forward.

The band pulls your knees inward. Your patellar tendons resist that force while supporting your body weight. This creates tendon adaptation without grinding your knee joints.

The angle matters enormously. Too shallow and you miss the tendon stress. Too deep and you create joint compression. Parallel thighs hit the zone where your patellar tendons work hardest while your knees stay protected.

Start with 30 seconds using light band tension. Increase hold time first, then band resistance. Work up to 90 seconds over six weeks. The burn in your quads is normal. Sharp knee pain means you're too deep or progressing too aggressively.

This eliminates the knee pain that makes stairs torture and getting up from chairs an ordeal. Your patellar tendons become load-tolerant. They can handle squats, lunges, and sudden direction changes without inflammation.

Most knee problems are actually tendon problems disguised as joint problems. Weak tendons create instability, which creates compensations, which creates pain. Strong tendons create stability, which creates pain-free movement.

You notice the difference in daily activities immediately. Stairs stop being a negotiation with pain. Getting out of bed doesn't require momentum and groaning. Your knees feel stable instead of fragile.

You're not avoiding stress on your knees. You're preparing them to handle any stress life throws at them. Strong tendons mean strong knees. Strong knees mean confident movement. Confident movement means staying active and independent for decades.

DEEP PUSH-UP ISOMETRIC HOLD

Elbow and wrist pain destroy your ability to push, press, and grip. Desk work creates forward head posture that overloads your forearms. Repetitive stress from typing inflames your tendons. The result is tennis elbow, golfer's elbow, and carpal tunnel that makes basic tasks torture.

The deep push-up isometric hold targets the exact problem. You're loading your elbow and wrist tendons at their most vulnerable position while building resilience through controlled stress.

Get into a push-up position and lower yourself to the bottom. Your chest should be one to two inches from the floor. Your elbows stay close to your body, not flared wide. This bottom position creates maximum stretch on your elbow and wrist tendons.

End range loading is the key insight. Tendons are weakest where they stretch the most. By holding at the bottom position, you're forcing adaptation at the exact point where injuries happen. Your forearm tendons learn to handle stress in their most vulnerable position.

If you can't hold a full push position, start from your knees. Same principles apply. You're still loading the tendons at end range, just with less body weight. Progress from knees to full plank over four to six weeks as your tendon strength improves.

Start with 20 seconds. Your arms shake. Your wrists feel the stretch. That's the signal for tendon remodeling. Add 10 seconds weekly until you reach 60 seconds. Don't rush this progression. Tendon adaptation takes time.

Most people make the mistake of holding too high. They stop at mid-range where it feels easier. The bottom position is where the adaptation happens. Your tendons need to adapt to stretched positions under load. That's where real-world injuries occur.

This hold eliminates the nagging elbow pain that makes lifting coffee cups uncomfortable. Your wrist tendons become resilient to repetitive stress. Tennis elbow and golfer's elbow disappear because your tendons can handle the loads that previously caused inflammation.

The transfer to daily activities is immediate. Pushing doors becomes effortless. Lifting objects overhead doesn't create elbow pain. Your grip strength improves because your forearm tendons support better force transmission. You eliminate the weakness that makes simple tasks feel like injury risks.

WALL EXTERNAL ROTATION HOLD

Shoulder impingement and rotator cuff tears are the most common upper body injuries after 40. Forward head posture from desk work destroys shoulder mechanics. Your rotator cuff tendons get pinched between bones with every overhead movement. Eventually they tear.

The wall external rotation hold targets the weakest link in shoulder stability. Your rotator cuff has four muscles but external rotation is always the weakest. When it fails, your shoulder becomes unstable and pain follows every movement.

Stand arm's length from a wall. Place your right elbow against the wall at shoulder height. Your elbow should be bent 90 degrees with your forearm parallel to the floor. Press your hand backward against the wall as if you're trying to rotate your arm away from your body.

This specific angle targets the posterior rotator cuff tendons that stabilize your shoulder blade. These are the muscles that pull your shoulders back and counteract forward head posture. When they're strong, your shoulders sit in proper position. When they're weak, impingement and pain follow.

The wall provides perfect resistance. You control the pressure, which means you control the load on your tendons. Start with light pressure and focus on the feeling of your shoulder blade pulling back toward your spine.

Begin with 30 seconds using moderate pressure. You should feel the work in the back of your shoulder and between your shoulder blades. Increase pressure first, then hold time. Work up to 60 seconds over six weeks.

Most people press too hard too fast. The rotator cuff tendons are small and delicate. They adapt slowly but surely when you respect the progression. Aggressive loading creates inflammation, not strength. Consistent moderate loading creates bulletproof shoulders.

This hold prevents the forward shoulder posture that leads to impingement. Your rotator cuff tendons become strong enough to stabilize your shoulder during overhead activities. Sleep becomes comfortable again because your shoulders can relax in proper position.

The real world benefits are massive. Reaching overhead stops causing sharp pain. Your posture improves because your shoulders can hold themselves back. Neck pain decreases because your head sits over your shoulders instead of jutting forward. You move with confidence instead of protecting painful joints.

You're not waiting for a rotator cuff tear to force you into physical therapy. You're building the tendon strength that prevents tears from happening. Strong rotator cuffs mean stable shoulders. Stable shoulders mean pain-free movement for life.

ACTIVE DEAD HANG

Grip strength predicts cardiovascular health, cognitive function, and lifespan better than any other single measurement. When your grip fails, everything else follows.

The active dead hang isn't just hanging from a bar like dead weight. You're actively engaging your lats and shoulders to decompress your spine while building grip and upper chain tendon strength. This is compound tendon training.

The difference matters. A passive hang lets your shoulders sink into their sockets. An active hang engages your lats to pull your shoulders down and back. You're creating space between your vertebrae while strengthening every tendon from your fingertips to your spine.

Find a pull-up bar or sturdy overhead structure. Grab with both hands shoulder-width apart. Instead of just hanging, think about pulling your shoulders away from your ears. Your lats should engage, creating a slight hollow in your torso. This is active hanging.

Start with assisted hangs if needed. Use a resistance band around your feet or stand on a box to reduce body weight. The goal is building time under tension, not ego lifting. Progress from 15 second assisted hangs to 60 second full body weight hangs over six weeks.

This reverses decades of desk posture damage. Your spine decompresses, relieving pressure on discs and nerves. Your grip tendons adapt to supporting your full body weight. Your shoulder and elbow tendons get strengthened through the entire kinetic chain.

The compound effect is massive. Your grip becomes vice-like. Your shoulders decompress and pain disappears. Your posture improves because your lats learn to hold your shoulders in proper position. You eliminate the forward head posture that creates neck pain and headaches.

THE PROTOCOL

Three times per week. Ten minutes total. Start with the minimum hold times and progress weekly. Your tendons adapt slowly but permanently when you respect the timeline.

Research shows collagen synthesis peaks 72 hours after tendon loading. That's why three times per week works perfectly. You're giving your tendons the stress they need with the recovery time they require.

Most training programs focus on muscle hypertrophy and ignore tendon adaptation. That creates strong muscles attached to weak tendons. The result is predictable. One awkward movement and something tears.

These five holds reverse that imbalance. Your tendons become as strong as your muscles. You can handle sudden stress without injury. Your movement stays athletic and confident instead of cautious and protective.

The adaptation takes weeks, not days. Tendons remodel slowly. Rushing the progression creates inflammation instead of strength. Respecting the timeline creates permanent improvement.

Your body becomes resilient instead of fragile. Strong tendons mean confident movement. Confident movement means staying active for decades. Ten minutes, three times weekly. That's the investment for eliminating the weakness that makes strong men fragile.

[Cyril McGrath performance & rehab @MillaCoach]

Tight hip flexors = stiff hips + cranky lower back.
5 minutes a day of hip flexor mobility can improve posture, squats, and sprinting.
Move more. Sit less. Your hips will thank you. 🦵✨

[E3Rehab @E3Rehab]

Exercises targeting the gluteus medius should likely involve direct hip abduction or include a component of having to control and stabilize the pelvis in weight bearing.

A note about rehab: Although these exercises can be used as part of a rehabilitation plan for low back, hip, knee, or ankle issues, the last mistake I want you to avoid is hyperfocusing on the gluteus medius. It is very rare that the strength or weakness of a single muscle is the answer to, or cause of, all of your problems.

Whether it’s considering sleep, stress, physical activity levels, nutrition, comorbidities, medication, aggravating activities, etc., rehabilitation often requires addressing the entire person. Incorporate these exercises into your routine if they align with your goals, but try to fit them into a comprehensive exercise plan that also takes the rest of your life into consideration.

Shown are a handful of options that can be used for training or rehab purposes.

🧵

[JB Morin @jb_morin]

🦶 strengthening
very nice study: leaning forward and adding mass ⬆️⬆️foot muscles activity and torque output
Add this for richer foot-ankle strength work🔥🏋️‍♀️
Totally in line with our practice and recent training study proposal
📄https://t.co/4WIK8eJohu

[Tom Broback @TomBroback]

Healing Timelines By Tissue Type:

• Bone: 6-12 weeks
• Muscle: 2-16 weeks
• Ligament: 6 weeks - 12 months
• Tendon: 6 weeks - 12+ months
• Cartilage - Limited, poor healing

[Mo Imam @MoAImam]

Deltoid, Acromion and Clavicle

[Physio Meets Science @PhysioMeScience]

Muscles Functioning as Primary Shoulder Movers Aid the Rotator Cuff Muscles in Increasing Active Glenohumeral Stiffness

https://t.co/9QcjbGEHpO

[Tom Broback @TomBroback]

Ankle & Foot Return To Sport Timelines:

• Ankle sprain (Grade 1): 1-2 weeks
• Ankle sprain (Grade 2): 3-6 weeks
• Ankle sprain (Grade 3): 6-12 weeks
• High ankle sprain: 6-12 weeks
• Ankle fracture (surgical): 3-6 months
• Jones fracture: 3-6 months
• Lisfranc injury (surgical): 4-6 months
• Lisfranc injury (non-op): 8-12 weeks
• Plantar fasciitis: 8-16 weeks
• Turf toe: 2-6 weeks