Variable Demands of Sport and their Impact on Tendinopathy Progression: Powerlifter vs. Wide Receiver
Paul Yerhot, PT, DPT, SCS; Scot Morrison, PT, DPT, OCS, CSCS
Two tendinopathy cases will be juxtaposed to highlight how the type and volume of load prescribed needs to match the patient’s current tissue tolerance and progressed to eventually match the demands of their desired sport. The goal will be to demonstrate how chronicity, comorbidities and symptom irritability influence tissue tolerance which determines the starting point on the tendinopathy continuum1. Specific exercises will be shared with an emphasis on what factors increase/decrease the stress placed on the tendon (i.e. increase moment arm, compression, stretch/shortening cycle) and feedback loops to determine readiness to progress.
1. Identify factors that will contribute to a patient’s current tendon tissue tolerance and understand the needed capacity for their desired activity
2. Discuss load management principles for tendinopathy
3. Recognize different features of exercises that increase/decrease the stress placed on the tendon in order to best match the patient’s capacity
Paul Yerhot is a residency trained and Board Certified Sports Clinic Specialist at Mayo Clinic Sports Medicine in Rochester, MN. He received his Doctorate of Physical Therapy in 2015 from the University of Wisconsin – La Crosse. He was a member of the inaugural year of The Mayo Clinic’s Sports Medicine Physical Therapy Residency; having graduated in the summer of 2017. He has presented regionally at the MNPTA Annual Conference in 2017 and 2018, Mayo Clinic’s ACL Workshop and Mayo Clinic’s Sports Symposium. Additionally, Paul serves as a faculty member of the Sports Medicine and Orthopedic PT Residency's at the Mayo Clinic with specific interests in application of basic science concepts to practice. Practical application of current research serves as the foundation of his clinical practice and presentation style.
Scot Morrison is a well-respected physical therapist and strength coach who focuses on the intersection of sports medicine and training for high performance. He is the former director of medical services for the Professional Referee Organization and regularly consults at the collegiate and professional levels. His special interests include: the management of tendinopathies and other athletic overuse injuries, data-driven return-to-play processes, and the integration of sound exercise prescription into rehabilitation and return to performance.
Scot has published in a number of peer-reviewed journals, and he regularly conducts private educational seminars for sports medicine professionals. He is currently located in Portland, OR.