
PT, DPT, OCS,SCS; ortho residency grad; Bellarmine DPT adjunct; interests in orthopedics & sports medicine, injury reduction, post-op rehab.#GoBlue
Louisville
Joined June 2014
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Josh Bixler retweeted
I’ll never understand being paid $8m/yr and not even pretending to care about that school’s traditions
Josh Bixler retweeted
Coach, the last game of the year might still mean something … this is painful to watch.
Kyle Whittingham on keeping Michigan motivated for its last 3 games:
"It's my job as a coach to rally them back up and get them ready to compete for these last three games. ... I don't know, are there any more trophies in these last three games? I don't think there's any more trophies. Anyway..."
🎥 : Michigan Athletics
Josh Bixler retweeted
I get that games have protocols, but there was 1 second left on the stadium clock when the first Michigan Hail Mary ended.
NBC’s feed was slightly delayed (but its clock was accurate) causing the confusion. There is an entire rabbit hole you can go down to understand why this is somewhat common.
The coaches, players and fans see the stadium clock, not the TV broadcast.
In real life, inside the actual stadium, the B10 was right and NBC was wrong but due to protocols it’s the opposite.
Josh Bixler retweeted
It doesn’t matter who the insurance provider is.
Medicare, Medicaid, or a commerical plan.
Every single one works on the same playbook.
Patients pay more.
Providers receive less.
And the growing difference is put into people who pretend like they’re optimizing care.
Josh Bixler retweeted
Keep beating this drum
This RCT challenges one of the most common assumptions in shoulder rehabilitation. Despite the widespread use of strengthening, motor control, and scapular-focused programmes, the evidence does not clearly support one specific exercise approach as superior for RCRSP.
Maybe the question is not what exercise. but how we deliver it.
For clinicians, the message is both challenging and liberating.
There may not be a perfect exercise. but there may be a better clinical approach.
#Rotator cuff disorders #Shoulderrehabilitation #Exercise therapy #Physical activity interventions
Link to the article: buff.ly/6Strzh8
Josh Bixler retweeted
1/
Big update in exercise science: ACSM has revised its resistance training Position Stand for the first time since 2009. That is a 17-year gap, and a lot has changed. 🧵pmc.ncbi.nlm.nih.gov/article…
Josh Bixler retweeted
I’m telling you… QT grafts are going to go away and be replaced with PTG again. They are so difficult and unpredictable to rehab! I get daily DM‘s from people all over the US saying the same thing.
Josh Bixler retweeted
Best text ever from colleague in pro sports going back and forth about a trendy new idea:
"Its really dumb but guys are gonna do it. So we're asking how do we help or contain?"
That right there friends is the complexity and nuance of treating elite athletes.
Josh Bixler retweeted
Open access RCT in @BJSM_BMJ shows what we all probably know intuitively. Better outcomes starting early PT rather than waiting on adolescents w/ spondylolysis. Never understood the "shut it down and wait" approach.
Josh Bixler retweeted
Early specialization is overrated. Generalists excel over time.
Data on >34k stars in sports, music, science, and chess: Focusing on a single field predicts a faster rise, but cross-training foreshadows a higher peak.
The most successful adults start off as well-rounded kids.
Josh Bixler retweeted
New paper out on hamstring injuries in athletes.
We review modern classification systems, imaging for prognosis, rehab strategies, and return-to-play decision making, with a focus on reducing reinjury rather than rushing clearance.
link.springer.com/article/10…
#sportsmedicine #RTP
Josh Bixler retweeted
Curt Cignetti has a fascinating philosophy...don't waste anyone's time, coaches not expected to work nights just get work done, limited practice to keep players healthy
Feel like this happens way too often. Sent for testing - not even close to where they need to be…
Josh Bixler retweeted
Whoa. This can't be. We've been told by pundits that BFR is not useful. New paper in @BJSM_BMJ where they followed people for 1 yr after a 12-week program w/ BFR. Results were impressive all around at a year. Pretty solid effect sizes. BFR group also more active. Promising!
Josh Bixler retweeted
Replying to @LenMacPT
🙏🏻 @LenMacPT and @kcrehabguy!! I have spent 25 yrs of my career devoted to ACL mitigation. The AMI after QT ACLR is VERY challenging to overcome & can create quantifiable compensatory patterning seen in biomechanical & EMG analysis - not my emotion/opinion - objective data!
Josh Bixler retweeted
🚨 Our new paper in Sports Med Open
When to start OKC after #ACLR?
Our scoping review shows 🦵:
✅ ROM ≥ 100°
✅ Full extension
✅ Quad activation (no SLR lag)
✅ Pain < 3/10
✅ Minimal knee joint effusion
✅ Walking without crutches
Free Access🔓 pubmed.ncbi.nlm.nih.gov/4022…
This!!!
Replying to @GregLehman
Recover from perturbations (e.g balance) requires strength and rate of force development. You don't get that with low load labile surface training.
You do get that with a comprehensive resistance training program.
Josh Bixler retweeted
Check out our most recent published research on labral injuries in baseball players!
How do baseball players do after labral repair? We recently published 3 studies in @JSESMedia on outcomes after Bankart, SLAP, and posterior labral repair in pro baseball players. Here are the intro return to sport outcomes, and further analysis can be found at the links below:




























