Sara Bonizzato

#muscleinjuries Lower-limb aponeuroses: Professional Handball-player with Carles Pedret MD, PhD-grade 3 aponeurotic injury of the medial calf. Note the almost intact medial gastrocnemius muscle and the asynchronous movement of the gastroc over the soleus. An important ultrasound finding in the injury-assessment. The broad, fibrous sheets of connective tissue within and around muscles are an essential yet often overlooked part of the muscle–tendon unit. Hulm and colleagues https://lnkd.in/e5zhwWAu clarify how these structures differ from free tendons, outlining their unique morphology, mechanical behaviour and capacity to adapt. The authors highlight that injuries to the myo-aponeurotic complex (hamstrings, calf muscles or rectus femoris) frequently accompany or mimic “muscle-tendon junction” injuries. Such aponeurotic disruptions are associated with longer return-to-sport times and higher re-injury rates than isolated muscle strains. Unlike tendons, aponeuroses experience biaxial strain (longitudinal and transverse) during contraction, reflecting their direct insertion of muscle fascicles. This paper underscores the need to view aponeuroses not as passive by-standers but as active, adaptable interfaces critical to force transmission and injury outcomes. Pedret-classification: https://lnkd.in/eNycrtMC #mskrad #sportsmedicine #mskultrasound Paracelsus Kliniken

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Invisible Monitoring for Athlete Health and Performance: A Call for a Better Conceptualization and Practical Recommendations. Nice article in IJSPP by Cedric Leduc and Dan Weaving on the concept of invisible monitoring. Invisible monitoring is an approach that minimises athlete and staff burden by integrating data collection into regular training and competition environments without requiring additional interventions. The authors highlight the trade off between monitoring burden vs. measurement capacity. For example: High-frequency, low-burden tools (e.g. wearable sleep trackers) provide continuous data but require significant data management and analysis expertise. Whereas lower-frequency, higher-burden tools (e.g., maximal effort tests) disrupt training but provide direct, reliable performance data. There are also questions around athlete consent and awareness - with some athletes feeling they are being "experimented on" without full transparency. Rather than become obsessive with becoming 'invisible' to athletes, practitioners are encouraged to use both passive and active monitoring to ensure accurate performance insights. ♻️ Repost to your network. And follow James Malone for more daily football performance content.

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Hall of Fame S&C Coach Al Vermeil’s hierarchy of athletic development is a platform for the enhancement of the physical qualities that are necessary for the sports rehabilitation athlete’s ideal return to play as well as for their optimal athletic performance. The physical quality categories of strength, explosive strength, elastic/reactive strength, and speed are not exhibited in “silos” but “overlap” working together to result in the best possible executed athletic performance. Some corresponding relationships of each specific physical quality category that is not often recognized include: · The Back Squat (Strength) – The back squat is a bilateral exercise, performed at high intensities and comparatively lower velocities vs. other physical quality category training. This exercise also results in enhancing the athlete’s abilities in high velocity activities such as 5m,10m, 20m, and 40m sprint times, vertical jump height, and change of direction (COD) (McBride 2009, Chelly 2009, 2010). These activities are also utilized during various performance testing. · The Olympic Lifts and their derivatives (Explosive Strength) – Optimal and effective exercise performance requires “intent”. These exercises not only require intent but also incentivize the athlete’s efforts. Exercise execution requires the barbell to achieve a required vertical height to ensure the “catch” and a successful exercise performance. When the exercise is initiated from the floor, a “preparatory” movement (1st pull) transitioning to a high acceleration velocity (2nd pull) transpires. Many sport activities include a preparatory movement prior to a high velocity transition, i.e. a soccer player jogging into a sprint, the pitcher’s wind-up prior to the pitch, etc. · Bounding (elastic/reactive strength) – Bounding (alternate leg, combination, single leg, etc.) is an advanced plyometric activity that enhances both reactivity and anticipation to the ground surface area. These abilities contribute to improved athletic performance. The “ground anticipation" skillset of repetitive proper foot placement also transfers to other sport skills for improved technical performance as well as to likely assist in the prevention of injury by avoiding erroneous foot placement. · Sprinting (Speed) – Years ago, in discussions with renown sprint coach Charlie Francis and as well as with my good friend Derek Hansen, I came to find that improving an athlete’s linear velocity will also assist to enhance their COD abilities. For example, improving a baseball/softball athlete’s sprint time to 1st base, the athlete will also likely improve their sprint time to 2nd base by executing the turn at 1st base at higher running velocities as well. Some professionals also consider the 5-0-5 agility test an acceleration/speed vs. COD test. During 5-0-5 testing, if two athletes have the same or very similar 180° turn times, the athlete with the superior linear velocity will score the better test time. 

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Two Types of Physios: Technician vs Clinician 👇🏻 Across our profession, there’s a clear divide. Not in skills, Not in knowledge, But in mindset. 👉 A Technician Physio focuses on the short term: chasing pain, repeating protocols, and relying on modalities. 👉 A Clinician Physio builds for the long term: restoring function, solving root causes, adapting care with reasoning and empowering patients to own their recovery. 1. Passive vs Active : Passive care gives temporary relief. Active care builds strength and resilience. One reduces pain. The other prevents it from coming back. 2. Short term vs Long term : Stopping when pain is gone is short sighted. True recovery means restoring full function. Pain-free is not the same as problem-free. 3. Transaction vs Transformation : Patients don’t just want a session. They want progress that changes their daily life. Modalities are a transaction. Outcomes are a transformation. 4. Note taking vs Understanding : Writing pain scores is data. Listening to the patient’s story is insight. Numbers matter, but context matters more. 5. Compliance vs Empowerment : Telling patients what to do rarely works. Coaching them to take ownership creates lasting results. Compliance fades. Empowerment lasts. 6. Quick Fix vs Root Cause : Treating symptoms is a quick fix. Solving movement dysfunction is root cause care. Surface relief is temporary. Root cause solutions are permanent. 7. Routine vs Reasoning : Protocols are easy to copy. Reasoning is harder, but more effective. Every patient is unique. The plan should be too. #Physiotherapy #ClinicalReasoning #Rehab #PatientOutcomes #Physiotherapists #Clinicaldecision #Physiotherapist #OrthoPhysio #SportsPhysio

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A century of exercise physiology: effects of muscle contraction & exercise on skeletal muscle Overview of the sequence of events in excitation-contraction coupling leading to muscle contraction, Na+ & K+ movements & their regulation👇🏼 #muscle #exercise https://lnkd.in/eipNG5Dr

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