The trial found no significant effect of the BANG intervention on the primary outcome.
RTS Rates: 36% at 12 months.
Psychological & Functional Parity: No difference
Clinical Outcomes: Knee function & hopping performance similar
Injury Incidence: 15% both groups within 24 months
Interesting shifts over 14 years related to ACL surgery and rehab (Canadian surgeons)
👉starting use of QT graft
👍longer rehab
👉less post op bracing
👉81% use functional testing
👇response rate in 2022 than 2008
Ranking muscle performance by peak force, NOT EMG
measurement used by Collings et al. is intriguing.
EMG is a poor predictor of gluteal muscle force across different exercise types.
simply rank ordering an exercise is not likely to fit clients the same, nor guarantee outcomes
“This research is a ‘wake-up call’ for rehab specialists. High EMG amplitude does not necessarily equal high mechanical tension. The split squat and single-leg RDL may be more effective for gluteal strengthening than high-EMG "isolation" exercises”
Task-based, progressively loaded WV training is an effective adjunct for improving neuromuscular power & maintaining bone health in older adults. But, the "wear-only" model remains clinically unproven for these outcomes at low loads. a robust implementation framework is needed .
Effect of Exercise on Depression & Anxiety. Munro NR, et al. 2025
Exercise has a significant, small-to-moderate effect on reducing anxiety symptoms. While exercise is effective across various forms & population groups, specific parameters appear to optimize outcomes for anxiety
High confidence predicts 10-fold increase in the risk of second ACL injury among those who pass all physical tests:
•Confident athletes are more likely to return to high-demand pivoting & cutting sports with aggressive movement styles.
•lack “fear" or "risk appraisal"
Artina et al. successfully highlight the "Wild West" of calf capacity testing, where a lack of standardization makes cross-study comparison nearly impossible.
“TB is superior for maximizing absolute load & targeting the hip extensors. SSBr creates similar demand on the knee joint while utilizing a lower absolute load & more upright posture. SSB-excellent tool for rehabilitation contexts where hip-sparing or lower fatigue is required”
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Psoas as an anterior hip stabilizer
Initially, I start in a static position, such as tall kneeling, focusing on the hip in extension
Progression contralateral hip or UE movements to drive the hip into varying degrees of hip extension, depending on tolerance & goal
Supine position eccentric hip flexor: greater external stabilization with trunk external resistance can significantly challenge not only the eccentric strength of the psoas, but its tensile dynamic
Credit
@vernongriffith4
@missiledreaming
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“The psoas major (PM) stabilizes the femoral head primarily by pushing it into the acetabulum during the initial stages of hip movement. This stabilizing function is most effective when the hip is in 0° to 15° of flexion.
This stabilizing action is a "static" function”.
⭐️Psoas major
Searching texts & Dr Google for its clinical relevance you get;
•Commonly associated with lower back pain and hip pain. Tightness in the psoas can contribute to:
◦Lumbar lordosis (excessive curvature of the lower back).
◦Hip flexor strain.
❓Thoughts
While soccer players have a high probability of returning to play after ACLR, they face a significant "gap" in reaching their pre-injury performance levels.
⭐️RTP decisions must shift from fixed timelines toward individualized, criteria-based assessments
Key Points
•Vigorous physical activity shows the strongest & most consistent positive association with quality of life in adults with hip/knee OA.
•Smoking & being underweight are modest but significant predictors of poorer quality of life.