SPORTS MEDICINE
Our methods of rehabilitation are specifically geared to each individual athlete to meet their sport needs. Our team is trained to understand and recognize the complexities of the athlete.
Speed, Agility, and Plyometric training are utilized to develop the reaction time and dynamic motion required for higher level activities. Additionally, with our Aquatic therapy, Biodex training system, and hands-on approach, we have the ability to safely address all your needs throughout the various stages of the rehabilitation process.
We have been working with athletes of all ages and abilities on the Main Line for over 30 years. We pride ourselves on helping to return them to their highest and previous level of performance. From the High School, Recreational, College, and Professional caliber, patients have successfully regained their skill, power, and speed in order to perform at their optimum level.
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ACL Injury?
What To Expect…
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It all begins with an assessment with one of our Physical Therapists. We will go over in detail what your mechanism of injury was, the specifics of your surgery and discuss how to progress through the rehab and build a successful plan.
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Here we begin to restore a full pain free ROM and initiate a base line of quad strength through specific movements and exercises. We look to remove the reliance of the brace and crutches that may have been provided immediately post-op.
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This phase is dedicated to get you moving, walking, performing stairs and regular tasks to that normal feeling back. We look to restore strength and prepare the body for stability, endurance and the initiation of running.
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In this phase, the fun really begins. We have the opportunity to introduce progressions of plyometrics, acceleration/deceleration, change of direction and sport specific tasks. We can really focus on that return to sport/activity prep work.
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During this phase strength and endurance training becomes very challenging. We are stressing the body and preparing for a full return to sport/activity.
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Full Clearance is typically achieved by 9-12 months post-op.
In order to be fully cleared to return to sport and play, we have high expectations and tests that must be completed and passed with a 5-10% deficit compared to the un-involved leg.
Biodex Isokinetic Strength Test
Single Leg Jump Tests
Single Leg Hop Test.
Triple Hop Test
Triple Crossover Test
Timed Single Leg Hop Test
Single Leg Medial Hop Test
Single Leg Lateral Hop Test
Y-Balance Test
Pro-Agility Test
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When can I return to sports and activities?
Recovery time varies by patient, but it can take 9-12 months before you can safely return to sports and activities.
What does rehab look like?
At first, rehab focuses on reducing swelling, getting the knee moving, and activating the muscles around the knee. As swelling and pain improve, your therapist will set goals and give you exercises to improve strength, balance, and movement.
When can I start driving?
If it is your right leg, you should be able to lift your leg without your brace and keep your leg straight, stand on one leg for one minute, and achieve adequate range of motion to safely sit in the seat. If you had an ACL reconstruction on your left knee, you may be able to drive an automatic after a potential 2-3 weeks.
When can I return to work/school?
This will depend on your duty for work, and how much time is mean to be standing on your feet. Typically this can vary between 2-4 wks. More specific conversation can be discussed with your PT.
When can I start running?
Commonly we try to initiate running protocol around the 3 month mark. This is also dependent upon your ability to pass a isometric/isokinetic strength test to produce a force of at least 70-75% of your non-surgical leg.
When can I start pivoting sports?
We try to introduce these tasks between the 5-7 month time frame as long as the quad is demonstrating good strength and stability, monitored by continuous isokinetic testing throughout the rehab process.
Shoulder Injury?
What To Expect…
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Our Physical Therapists will have a detailed conversation to rind the root cause of your shoulder pains if it was a non-surgical incident. If surgery was performed, the Therapist will go over in detail the procedure that was performed and discuss the plan for recovery.
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If surgery was performed: 0-6wks post-op; we will begin to restore a full pain free ROM and through specific movements and light exercises as allowed so not to disrupt the repair. We look to remove the reliance of the sling and progress with strength.
If no surgery was performed, we begin to isolate the root cause and improve posture, position and mechanics to help alleviate the pains.
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Phase 2 shoulder surgery rehabilitation focuses on restoring range of motion and increasing strength. Typically beginning 4-6 weeks post-surgery, this phase includes progressions of gentle stretching exercises to improve flexibility, followed by progression of resistance training as tolerated. It's essential to focus on proper form to prevent re-injury. Patients are encouraged to engage in daily activities while gradually increasing intensity. Close communication with a physical therapist is vital to tailor the program to individual recovery needs and ensure optimal progress. Prioritize any pain signals and follow prescribed guidelines for a safe and effective rehabilitation process.
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Phase 3 shoulder rehab focuses on restoring strength and functional mobility after injury or surgery. This phase typically includes resistance training exercises to target the rotator cuff and surrounding muscles. Key activities may involve shoulder presses, weight bearing activities, emphasizing proper form and controlled movements. Progression should be gradual, allowing for adequate recovery while challenging the shoulder's strength and stability. It's essential to monitor pain levels and adjust intensity accordingly to prevent setbacks. Always consult with a physical therapist to ensure exercises align with individual recovery goals.
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Phase 4 of shoulder rehab focuses on advancing strength and function. Begin incorporating resistance exercises to target shoulder stability and mobility. Emphasize functional movements that mimic daily activities, while maintaining proper form. Aim for controlled movements with gradual increases in resistance and intensity. Include proprioceptive training to enhance balance and coordination. Continue to monitor pain and avoid activities that exacerbate discomfort.
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Here we are looking for the shoulder to have full pain free range of motion, good strength as measured on biodex isokinetic testing and able to pass weight bearing strength tests and dynamic movements.
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When can I return to sports and activities?
Recovery time varies by patient, but it can take 4-9 months before you can safely return to sports and activities depending on your sport (contact vs. non-contact), which shoulder is involved (dominant vs. non-dominant).
What does rehab look like?
At first, rehab focuses on reducing swelling, getting the shoulder moving, and activating the muscles around the joint. As swelling and pain improve, your therapist will set goals and give you exercises to improve strength, mobility and stability.
When can I start driving?
Typically between 3-6 weeks as cleared by your physician.
When can I return to work/school?
This will depend on your duty for work, and if modifications can be made and your dominant arm involved. It can vary but typically between 2-6 wks. More specific conversation can be discussed with your PT.
When can I start running?
Commonly we try to initiate running protocol around the 10-12 wk time frame after surgery.