Josh Bixler (@BixlerDPT) header
Josh Bixler (@BixlerDPT) profile picture

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
Photo by Josh Bixler (@BixlerDPT)Photo by Josh Bixler (@BixlerDPT)Photo by Josh Bixler (@BixlerDPT)Photo by Josh Bixler (@BixlerDPT)Photo by Josh Bixler (@BixlerDPT)Photo by Josh Bixler (@BixlerDPT)Photo by Josh Bixler (@BixlerDPT)Photo by Josh Bixler (@BixlerDPT)Photo by Josh Bixler (@BixlerDPT)Photo by Josh Bixler (@BixlerDPT)
Josh Bixler retweeted
I’ll never understand being paid $8m/yr and not even pretending to care about that school’s traditions
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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
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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.
I've seen a lot of people still struggling with understanding what happened at the end of the UM WMU game. With the release of what I consider to be the best angle (shows both the play and the in-stadium clock in HD), I did my best to provide context surrounding the play.
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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.
Caresource (Marketplace Plan): Premiums go up 17% from 2025-2026 Also Caresource: We are also gonna implement our version of MPPR. So after the first unit ($16), we’re gonna just cut 20% of all other units. So now, $67 for 1hr rehab session become $59. Starting August 1st🙃
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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
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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…
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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.
Pro VB player... "Im so glad I didnt do a quad tendon graft. I have two teammates who are struggling so bad. One is 16 months out and just cant get over the hump."
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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.
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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.
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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.
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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
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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
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Feel like this happens way too often. Sent for testing - not even close to where they need to be…
Did some tough "parenting" today. Didn't clear 4 kids hoping to get the OK. Haven't done a minute of anyone's rehab. Lots of tears, couple eye rolls... Best in the long run. Brutal conversations though! Ultimately their decision but begrudgingly bought what I was selling.
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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!
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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!
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🚨 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…
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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.
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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:
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