Latest / The Layback Podcast / Dylan Newcomer, Athletic Potential PT / Driveline Baseball
Transcript
- 0:00What's up everyone, Welcome back to the lay Back podcast Joining
- 0:03us today is recurring guest Dylan newcomer.
- 0:07As you guys probably know at this point, we work very closely
- 0:10with Dylan and what he does with his athletes at Driveline in the
- 0:14physical therapy program there, as well as his personal group
- 0:18with athletic potential PT Dylan has also become quite the force
- 0:22on social media lately. I, I'm remembering what seems
- 0:26like maybe your first viral video when you asked the world
- 0:30what the whole purpose of impulses were.
- 0:33And now we've come, I was about to say full circle, but full
- 0:37circle's the wrong phrase there because that would mean we're
- 0:39right back to the beginning. I feel like we've made a 180
- 0:42where we now we're widely accepting impulses as a part of
- 0:45rehab programs and even programming them for guys pretty
- 0:49regularly. But that's not why we're on
- 0:52today. Dylan, the part of the reason I
- 0:53brought you back is way back on episode 2 or 3, whatever it was
- 0:57when you so graciously joined us and we went over the bio of how
- 1:02you got to this point in life. There is so much more that we
- 1:04could have discussed beyond just who is Dylan newcomer and why is
- 1:08he doing what he's doing. Now we have an opportunity to,
- 1:11as I said via text, address the State of the Union.
- 1:15And that's what I want to do today, talk about our current
- 1:19state in the baseball, rehab and performance world.
- 1:22And I don't think there's anyone better poised to do that than
- 1:25you. So thanks again for coming on.
- 1:27Looking forward to the chat. Yeah.
- 1:29Thanks for having. Me, of course.
- 1:30So I guess we can get right into it.
- 1:33I, I don't know how this is going to play out timing wise,
- 1:35but it means that we skipped the bio.
- 1:38There goes like the 1st 10 minutes of content.
- 1:40So is there anything new that's happened over the last two years
- 1:44that we need to add to the bio or the resume at this point?
- 1:48No, you know, I mean, we've been consistently hammering away at
- 1:51improving the rehab process of Driveline.
- 1:53You recently had my my new partner, Jason Motafari, who now
- 1:58runs the Driveline Florida location.
- 2:00You know, beyond that, we're we're continuing to cruise and
- 2:02and in the future we're looking to expand into Driveline Arizona
- 2:05as well and get the rehab set up there.
- 2:08So if there's any listeners that is in the Arizona area and wants
- 2:11to chat that that may be a useful Ave. for some networking
- 2:14for me. I'll take it.
- 2:15That's pretty solid. I, I'm glad you disclosed
- 2:19upfront that we have as long as we are able to speak today,
- 2:24we'll, we'll still try to keep this pretty concise to our
- 2:27normal hour ish podcast time. Hey, you said it, you have
- 2:32nothing else on the docket. So if if we're 2 1/2 hours into
- 2:35this and we're still humming, I guess that's just what our
- 2:39listeners are going to have to stick with.
- 2:40But Dylan, right before we pressed record, you and I were
- 2:44kind of debriefing on a call that I had with an athlete, a
- 2:46call what you had with the university going over their
- 2:50rehab programs or the way they structure rehab.
- 2:53So I'm happy to push this over to you for maybe your kind of
- 2:58monologue to kick things off. And I'm I'm happy to offer my
- 3:02take as well. Hopefully you don't steal my
- 3:04Thunder and what I just shared to you before we press record
- 3:07because I do feel pretty, pretty confident in that phrase.
- 3:10But it go ahead, kick us off with your State of the Union
- 3:13monologue, if you don't mind. Yeah.
- 3:15I mean, I think we were talking about before is, is that the
- 3:19state of baseball rehab and just baseball in general has just
- 3:23evolved so significantly to the point where everyone is now
- 3:27trying to play catch up. It's like, and then, you know,
- 3:29you gave me a stat and I'll let you save the stat because I
- 3:31don't remember, but you know, high schoolers are throwing 95
- 3:35now everyone is trying to chase 90 plus miles an hour if you're
- 3:38trying to play at any kind of a higher level.
- 3:41And that capacity is being achieved earlier and earlier for
- 3:45for guys, which has created this incredibly disastrous problem
- 3:50for baseball rehab where we are seeing so many injuries
- 3:54skyrocket, but our rehab programs take forever to update.
- 3:58So now everyone's kind of in this scramble of like how do we
- 4:01get athletes A to try not to get injured?
- 4:05So we need to update our protocols for arm care and what
- 4:09we do to try to keep guys healthy and not getting injured.
- 4:11But if they do get injured, if they do have surgery, now it's
- 4:15about what do we actually need to do to update these rehab
- 4:18protocols to fully prepare these guys for the demands that the
- 4:22sport is forcing upon them. It's not like we're dealing with
- 4:24these one off athletes who are just like crazy.
- 4:27It's, it's every athlete that plays at any kind of a higher
- 4:30level that we have to start prepping for incredible demands
- 4:34that 10 years ago just really wasn't as common.
- 4:37And so now it's time for the rehab protocols to continue to
- 4:41get updated and push forward and more and more people are coming
- 4:44to that light. A few years ago, like talk about
- 4:46in social media, it was just people kind of spamming these
- 4:50exercises that everyone was saying this is going to cause
- 4:53Tommy John itself just doing the exercise.
- 4:55And now everyone's starting to kind of slowly piece through the
- 4:59the puzzle of, you know, OK, there is application for these
- 5:02higher intensity stimuli that we can start to borrow and build
- 5:06progressions and regressions on. So that way we do actually
- 5:09prepare athletes for these high force demands.
- 5:12Yeah, as the younger population would say, now guys are injury
- 5:17maxing in their training programs.
- 5:19I'm trying to stay up with the trends.
- 5:21I I saw a couple of those posts recently.
- 5:23But I I do remember that on some of your posts of doing heavy
- 5:27loaded IR and ER work and guys are saying like Driveline is
- 5:31back trying to speed run UCL tears so they can get more
- 5:34business. Like you kidding me?
- 5:35No, like if the elbow experiences over 100 Newton
- 5:40meters of torque while you're throwing a pitch, that's insane.
- 5:43You have to try to build up a stimulus to that somehow.
- 5:46Of course. Like that's why we do Flex Pro
- 5:48Grip work, but Flex Pro Grip is a very contained movement.
- 5:53It's not, it's not going to be a fast rapid movement, rapid
- 5:56loading. At some point we do need to
- 5:58bridge the gap to the field and that's where those exercises
- 6:01come into play. But I'm glad you left my Thunder
- 6:05out there so I can actually kind of share it.
- 6:07As I shared with you first, when we were about to record, I
- 6:12talked about how over the past two years, it seems like there's
- 6:17been some sort of illumination in the baseball world that
- 6:21things need to change. It's not necessarily that, as
- 6:25you said, not that we're necessarily doing things wrong,
- 6:28but we're leaving things on the table and what we're doing is
- 6:32outdated and it needs a shift given the fact that high school
- 6:36kids are throwing 95 miles an hour at least.
- 6:38The top tier guys are then the stat that I shared with you,
- 6:42which I've seen go crazy on Twitter and Instagram recently,
- 6:46is now that the stock fastball in right-handed Major League
- 6:52pitchers or right-handed Major League starters.
- 6:55So as stock as stock can be is a 95.2 mile an hour heater.
- 7:01That's bonkers. Go back and tell, tell your
- 7:05whatever 16 year old self that hey, the only chance that you're
- 7:09going to have to play Major League Baseball as a starting
- 7:13pitcher as the average picture this is around 95.2 miles an
- 7:18hour. That's bonkers.
- 7:20That means the demands of the sport, as you were saying, or
- 7:23the demands of rehab now are higher than they've ever been.
- 7:28We, we need to look at what we are doing, look at the systems
- 7:33that we are creating and actually figure out how we can
- 7:36make a change. So now, Dylan, this is where the
- 7:38question comes in. I'd love if you could address
- 7:41where are you seeing systems begin to change?
- 7:45Yeah. I mean, first it starts off, I
- 7:47think it kind of always works private sector to more of like
- 7:50the institutionalized sector. You know, you'll have coaches
- 7:55that are independent that are trying new things, posting new
- 7:57things and it starts to catch wind.
- 7:59And that's kind of what we've been talking about the last
- 8:00couple years. It's this illumination of like a
- 8:03strength and conditioning really blending into rehab and that
- 8:06high performance kind of bridge. And now I'm starting to see more
- 8:09colleges, more groups, if you will, like rehab and, and, and
- 8:14orthopedic groups are starting to look at how they can update
- 8:17their protocols and what they can learn from the, from the
- 8:20strength and conditioning side. And it's, it's really that the
- 8:23standard approach of care was the the rehab side up to a
- 8:28certain point. And then there was the high
- 8:30performance side and there was this giant Gray area in the
- 8:33middle that really I think is kind of the rehab providers new
- 8:36responsibility that's evolved, but not all the protocols are
- 8:40there yet. So that's really kind of what
- 8:42we're seeing is institutions and people who put out these kind of
- 8:46protocols are starting to update and try to fill that Gray area
- 8:49that's developed as a result of like there's such a high demand.
- 8:53But the rehab protocols only got you to a certain point.
- 8:56And there's a space in the middle that we've had to figure
- 8:58out how to blend over the last couple years.
- 9:01So where do you think the farther reach is?
- 9:04Do you think PT is becoming more aggressive or more broad
- 9:10spectrum or is it strength coaches and high performance
- 9:14coaches are having a greater, I guess greater appreciation for
- 9:19the skill acquisition piece? Or is it not even just in either
- 9:23or it's just everyone is realizing how intertwined this
- 9:26whole system is? Yeah, I think, I think there's a
- 9:30couple good answers to that question.
- 9:33And I think some of it is like location and just background
- 9:36dependent, right. Like if you're APT, that is more
- 9:40in the traditional clinical sense where you're relying on
- 9:43insurance based sessions, you're going to have to lean on like
- 9:46your high performance coaches more because your athlete is
- 9:49going to get cleared and discharged from PT early on.
- 9:52The rising popularity of kind of the cash based or just like
- 9:57private sector model of PT where they can operate both as
- 10:02strength coach or as pitching coach and as rehab provider and
- 10:06kind of do the full spectrum. I think you're seeing just this
- 10:10nice blend of PTS that have that background are blending in the
- 10:14direction of the strength coach. And some of the strength
- 10:17coaches, Anthony Castrio is a good example of this, are
- 10:20starting to blend downwards a little bit towards the rehab
- 10:23side. But you know, they're they're
- 10:24doing a good job of setting their kind of line of
- 10:26demarcation where they're not going to crossover.
- 10:28And then you know, you've got the full spectrum people as
- 10:31well. And you know, I would categorize
- 10:32myself as someone that's more on the full spectrum just because I
- 10:35have the luxury of being inside driveline and working with
- 10:38someone from day one all the way until they go back to spring
- 10:40training. As you said, the strength
- 10:42coaches or their performance coaches that are putting the
- 10:45line in the sand and to be fair probably is a line in the sand.
- 10:49Granted some might be doing it in permanent ink, but I know
- 10:52Cassiola's cut off is he is he markets himself as a return to
- 10:57throw coach, which is great. So you know exactly what you're
- 11:01getting. Now, the reason I say line in
- 11:03the sand is maybe that's something that even I fall into
- 11:08like with with Flexpro grip, like yes, we're providing
- 11:10Flexpro grip, but I'm also CSESII was a pitching coach
- 11:15collegiately. I also coached infielders
- 11:18collegiately. So I've I have coached, I've
- 11:21trained athletes. I work specifically now with the
- 11:25forearm, but I can go well beyond writing a Flexpro grip
- 11:29program for a guy if someone really wants it.
- 11:32So to me, for me, it's a line in the sand.
- 11:34For someone else, that might be something written, Nick.
- 11:37But what that requires is I think not just the clinicians on
- 11:45your side or the coaches or support staff.
- 11:48I like what I fit into to not only not only have a better idea
- 11:54of what they do know or like a greater, I guess a greater
- 11:58requirement for baseline knowledge.
- 12:01There's also much more of a necessity for people, especially
- 12:06in my shoes or Cass's shoes or anyone else on our side or I
- 12:10guess even yours, to admit what they don't know.
- 12:13And I think that's probably been a breakthrough kind of calling
- 12:18back to how this conversation started, a breakthrough that
- 12:21we've seen in the industry of late where people are more
- 12:24commonly saying, are we really so sure about this?
- 12:28Or like, I don't know, we should probably look elsewhere.
- 12:32Yeah, yeah. We're really having to lean into
- 12:35a more multidisciplinary approach with all of this just
- 12:39because we do see that athletes that go through the standard
- 12:43rehab process, I mean, you've encountered this I'm sure tons
- 12:47of times. I know Cass has and many people
- 12:49that kind of are in this space have, they'll go and take the
- 12:52standard rehab protocol to a regular generic PT.
- 12:55And when I say generic PT, it's not like a negative term.
- 12:58It's just somebody who hasn't specialized in baseball and
- 13:01unfortunately for the standard population, baseball is becoming
- 13:05so niche of a rehab specialty with these injury types that
- 13:09going to your generic PT will potentially put you at like risk
- 13:15of having a really poor outcome when you start your return to
- 13:17throw. Just this week I had another,
- 13:19you know, athlete come through where they they did the full
- 13:22protocol technically, but they're just nowhere near ready
- 13:25to start throwing. We did our objective testing,
- 13:27which wasn't done elsewhere because it's not part of the
- 13:30protocol. That's another thing that I
- 13:31think the industry is starting to wrap their head around is
- 13:33objective testing and what that means to clear somebody to
- 13:37throw. But you know, they they were
- 13:38nowhere near ready that the rehab side wasn't even close to
- 13:42the non rehab side at that point.
- 13:43But they had the range, they had their basics done, they did
- 13:46their band work and they kind of stopped at the throwers 10 and
- 13:49there wasn't much going on beyond that.
- 13:52You know, that's kind of the the ground is that it's becoming so
- 13:56niche that we we need to be relying on like a
- 13:59multidisciplinary approach of if you are going to a generic PT,
- 14:02you need somebody on the baseball side that's a good
- 14:04performance coach that can help you blend that.
- 14:06Or if you're going to a rehab provider that specializes in
- 14:09baseball, they may not still have the throwing skill on the
- 14:12back end. So you should probably have
- 14:14somebody ready to pick up in the return to throw and make sure
- 14:16that mechanically you're sound as well.
- 14:19I even want to take this a step further though beyond the
- 14:22generic PT as you phrased it to the more sports specific.
- 14:26The baseball specific. For instance, there is a pro
- 14:31pitcher that we did our onboarding with in the past
- 14:34week, lifetime peak Velos in the upper 90s.
- 14:38I know this will mean something to you because you're very
- 14:41familiar with Flexpro grip. For the listeners out there
- 14:43familiar with Flexpro grip, this will make a ton of sense.
- 14:46For those who aren't, I encourage you to reach out and
- 14:48I'm happy to explain it more, but this is an athlete with a
- 14:51lifetime peak in the upper 90s. He's late stage rehab, he's
- 14:56about to enter a mound phase. He's been cleared to get up to
- 15:01about 83 to 86 mph in his return to throw, and he is about nine
- 15:08months removed from his surgery date.
- 15:11But like everything, according to a timeline, very late stage
- 15:16rehab, when we test him on Flex Pro Grip, we're looking at
- 15:19fingertip flexions around 140, midfinger flexion between 100
- 15:24and 110. And then we look at his two
- 15:27finger numbers. So we start to look at his RFD
- 15:29and he's producing force slowly. And Dylan, I know you, you can
- 15:34already picture the chart in your head.
- 15:35That means he's scoring on our system as a scored velocity
- 15:40ceiling in the low 70s. Does that mean the next throw
- 15:44that he makes above 73 mph and his return to throw is going to
- 15:48be the throw that ends at all and he has to restart from the
- 15:50beginning? No, not necessarily.
- 15:52But this is a guy that is working and doing his rehab in a
- 15:57professional organization. He's probably been tested on
- 16:01force plates every single week of his return to throw or every
- 16:05single week of his rehab as whole, even prior to the return
- 16:09to throw. He's probably doing Nord board
- 16:11stuff for his hamstrings, and he's probably doing traditional
- 16:14hand grip dynamometry and shoulder dynamometry.
- 16:17But there are still missing links.
- 16:19So it's not like I'm trying to use this Dylan, for you to now
- 16:23call out like why Flexpro grip is the number one thing.
- 16:26But where do you think even the specific rehab professionals are
- 16:32missing a link or missing something?
- 16:34Like where? Where are we still seeing
- 16:36athletes slip through the cracks even for for the baseball
- 16:40specific rehab professionals? I mean, this could be a soapbox,
- 16:43but I'll try to keep it PG. You can soapbox.
- 16:47Yeah, I, you know, I don't want to be disrespectful in any way
- 16:50to people. People are always doing their
- 16:53best that they currently feel is for the athlete in front.
- 16:58And so when it comes to saying I'm a baseball specific rehab
- 17:01provider that can also still just have a lot of wide
- 17:04variability kind of almost based off of what camp you fall into
- 17:08of like the old school, very conservative lightweights, lots
- 17:11of reps camp or kind of the newer school like, Hey,
- 17:14baseball's really hard on the arm.
- 17:16Rehab also needs to be really hard to get you ready for that
- 17:20kind of camp. And that's kind of the, the, you
- 17:22know, the newer age approach that I fall into that many of
- 17:26the others are starting to kind of lean into.
- 17:29But at the same time, especially at the org level, you're also
- 17:32potentially working along with surgeons who are putting, you
- 17:36know, downward restrictions on the PTS and AT CS.
- 17:39I know, I know many of the people that work in some of
- 17:42these orbs that do have those restrictions placed on them.
- 17:45And even if they want to, and this, this isn't MLB specific.
- 17:49This is even, you know, institutional places as well and
- 17:52ortho really where the PT wants to make these adjustments, but
- 17:56it's kind of a downward pressure from the surgical side.
- 17:58This is a conversation of how much control is is it for the
- 18:04surgeon to have over the rehab protocol.
- 18:06I know this is kind of a controversial opinion for the
- 18:09rehab setting in general. And this is almost like a
- 18:11pitting of surgeons versus PTS. Even though there are many great
- 18:15surgeons that we work with and that we really enjoy and who
- 18:18trust us as rehab providers, there are definitely still some
- 18:21oppressive is the word I'm going to use.
- 18:23But you know, take that with a grain of salt.
- 18:25But if they're set in their ways, they believe the things
- 18:27that they believe for the last 30 years and they don't really
- 18:30like to adapt forward. And so I think you're
- 18:33potentially seeing some rehab providers that maybe baseball
- 18:36specific potentially be withheld from progressing the demands
- 18:41simply just because that's the way things were always done.
- 18:44And I know you and I know certain names that we can say,
- 18:46but we're just not going to. But there there are many people
- 18:49who on the rehab side sometimes feel oppressed or restricted by
- 18:55surgical protocols. And this is something that is
- 18:57difficult to take on just simply because the surgeons are the
- 19:00ones who do the surgeries, they are the ones that write the
- 19:02protocols. This is more like a legislative
- 19:04level thing of how much, how much do we let P TS take over
- 19:08after a certain point and all of this fun stuff.
- 19:10And it's something that is slowly evolving in the industry.
- 19:14You are seeing more P TS start to kind of break away from, it's
- 19:18not like they're disregarding the surgical protocols, but
- 19:21they're going beyond what the surgical protocol minimums are.
- 19:23But at the same time, sometimes those minimums are the hard
- 19:26ceiling. And so it's it's kind of this
- 19:28give and take, especially when you do have those interactions.
- 19:32Obviously a natural step is to as APT break off and do the
- 19:38private pay cash base because you're basically operating your
- 19:43own silo at that point. You have greater control,
- 19:45greater reach, but then you still need to be significantly
- 19:49confident in your own approach that that is the right thing.
- 19:53But for those who might be subject to the control of a
- 19:58surgeon or a greater group, which is very much the case at
- 20:03both the professional. And collegiate levels, we we see
- 20:07that time and time again. I know athletes that have been
- 20:10put on major restrictions just because they showed up on campus
- 20:14and it completely shifted their paths in their rehab journeys.
- 20:18What do you think would be the straw that breaks the camel's
- 20:22back that would shift the power imbalance?
- 20:26And I'm not saying then it enables people in your shoes to
- 20:30tell surgeons what to do, but it just gives the power to the
- 20:34people in the sense where each rehab professional can make
- 20:38their own decision to do what they think is best.
- 20:43Yeah. I don't know if globally this
- 20:44will ever be a thing that gets adopted.
- 20:47And then, you know, I'm speaking this from baseball side, but I'm
- 20:50sure this is an issue with, you know, there's injuries in
- 20:53basketball injuries and hockey, whatever where these things kind
- 20:56of happened as well where there's kind of this downward
- 20:59restriction. But I don't know if it's so
- 21:01widespread like PT to surgeon that it would ever cause like a
- 21:04global level change of like every PT at your local ATI or
- 21:10sport and spine is going to be rallying to the legislation to
- 21:13be like we need control, you know, etcetera.
- 21:16I don't I don't think you'll ever get enough headway.
- 21:18I think this comes down to the individual be went being willing
- 21:23to have conversations with the surgeons.
- 21:25I think as surgeons cycle out over time, we have great
- 21:29surgeons like Matt Fury who are very much so in the newer kind
- 21:34of thinking, but still has a lot of great perspective from the
- 21:37people that he learned from that has that older approach.
- 21:40But I think overtime as potentially surgeons cycle in
- 21:43and cycle out, I've noticed that younger surgeons typically are
- 21:46more are, you know, willing to allow the rehab providers to to
- 21:50do a little bit more. So I think it's just kind of
- 21:52individual, go have a conversation with the person
- 21:54that you know is potentially holding you back.
- 21:56Try to provide resources and educational material if they're
- 21:59willing to it. But that also goes down to a
- 22:01personality level issue at a certain point where it's like
- 22:05you could give all the information you want and they
- 22:06may just still say this is how we do things.
- 22:09You stole the name out of my mouth.
- 22:11When you we're going to finish your response, even if you
- 22:14didn't say his name. I was going to say I wish he
- 22:17wasn't in the operating room this morning because I was about
- 22:19to say let's take a quick pause and I'll live.
- 22:22Call Matt Fury and see if we can get him to join the pod.
- 22:25Just for his perspective on this specific question, because I
- 22:29would be very curious From a guy who played collegiately himself.
- 22:33There can't be too many orthopedic surgeons who have a
- 22:37Tommy John scar themselves. Obviously Doctor Fury is in the
- 22:40select few. I think he should probably put
- 22:43that on his billboard somewhere. You might as well get operated
- 22:46on the guy that has the scar himself who played at a super
- 22:49high level. I mean, he played at LSU.
- 22:51So the dude gets it. He he gets the demands of the
- 22:55sport, not just to, he's not going to be the guy that's going
- 22:58to say like, oh, we have the advent of these new sweeper
- 23:01pitches or the power change up. And I mean, I, I heard her to
- 23:06take the other day that it made my skin crawl.
- 23:09There's no question about that. The individual being interviewed
- 23:13said that because the tack was taken off of the ball in MLB
- 23:20back in was that 2022-2023, because of the decreased tack of
- 23:25the ball, it enabled pitchers to finally start throwing this new
- 23:30sweeper because it didn't stick to their hand the same way.
- 23:34So like, whoa, OK. Like this is like a major jump
- 23:38in connection. It's maybe those two things kind
- 23:41of happened at the same time where the sweeper took took hold
- 23:45of baseball, grabbed it by the throat, and every single pitcher
- 23:47started throwing a sweeper. But that had nothing to do with
- 23:50the tack of the baseball. That was just holy shit.
- 23:53We can make a baseball go from right to left or left to right
- 23:56because of the way it interacts with the air.
- 23:58So that that was a crazy one to me that we have surgeons talking
- 24:03about pitch design and that should not be the case like
- 24:06that. That's one of those things where
- 24:08it goes back to like us, quote, UN quote, little people having
- 24:13to admit what we do know and don't know.
- 24:16Yeah, that that goes across the board.
- 24:18That's got to be across the board.
- 24:20Just because you've been to school for however many years
- 24:23and you've practiced as a clinician or as a surgeon for
- 24:26over many years doesn't give you the right to tell people what
- 24:31they should be doing to get hitters out.
- 24:33Taking that a step further, if the throwing programs and the
- 24:36training programs that these surgeons wrote were so freaking
- 24:39good, then why aren't the healthy guys doing them?
- 24:43Yeah, exactly. It comes down to the people who
- 24:47will probably write the better things are the ones that are
- 24:49actually seeing it play out in real time.
- 24:51And that's probably one of my biggest issues with kind of the
- 24:55downward restrictions that do get levied on people is it's
- 24:58like, have you ever been in the rehab room week after week
- 25:01watching a guy progress past those 50 LB dumbbells that
- 25:04you're scared of? Have you, have you ever been on
- 25:07the field with them while they progress from 50 miles an hour
- 25:10to 95 miles an hour over 24 weeks?
- 25:13Have you watched them deal with compensations and know when to
- 25:16pivot from the program and when to deload?
- 25:19Or when they start having pain and you're getting these
- 25:21objective markers, that's when I deload, etcetera.
- 25:24If you haven't been the one that's like actually
- 25:26implementing the protocols, but then you're levying harsh
- 25:29restrictions. I think that's probably the
- 25:31biggest error that occurs is like you need to be able to
- 25:35listen to the people that have to deal with the implementation
- 25:38and see it real time and be willing to adapt and learn and
- 25:41update the protocols. I would assume a lot of the fear
- 25:45in that comes from something I'm going to call from another sport
- 25:48that I saw two or three weeks ago on Twitter.
- 25:52I don't know how old this video is, so I might have just fallen
- 25:55victim to something that popped up in my Twitter feed.
- 25:58But I saw a video of the Texas Tech football weight room
- 26:02talking about how they don't have any dumbbell because you
- 26:07got to be strong to play. Like I'm going to be, I guess
- 26:13maybe stretching, stretching things a little bit to fit my
- 26:17narrative here. But if a surgeon or someone with
- 26:21a significant background in the rehab space is hearing strength
- 26:25coaches advocating that there is no purpose for any dumbbell or
- 26:29any weight below 40 lbs, it's like, OK, well This is why we
- 26:33can't just set people free and let them make their own
- 26:36decisions. Yeah, it's definitely a what the
- 26:40statement I made, you know, just a few moments ago is definitely
- 26:43with like a heavy grain of context.
- 26:46For sure. That the person that you're
- 26:49getting this recommendation from is somebody that understands
- 26:54what's going on and like is watching it play out in real
- 26:57time and has had enough volume to see trends like develop over
- 27:02time. So it's definitely like don't
- 27:04just take the random take off the Internet and be like, ah, my
- 27:08protocol is getting updated. But I think the other thing that
- 27:10holds this back and this is a real thing that all the medical
- 27:14community has to deal with is you have insurance and, and, and
- 27:17liability insurance is only going to potentially reimburse
- 27:22based off of certain factors. Liability may not cover you like
- 27:26your malpractice insurance and etcetera.
- 27:28If you are escaping the bounds of the very baseline, like this
- 27:32is our 80 year old research kind of stuff.
- 27:35When you start dipping in your toes into the new space and
- 27:38there's not a bunch of data to support it, you kind of get into
- 27:41risky territory in the medical profession and it's this
- 27:45difficult Gray space that baseball lives within because
- 27:48these are such high force demand athletes and rehab is not really
- 27:52been that thing in the past. Rehab is not had a ton of time.
- 27:58I would say in the grand scheme of like being, you know, with
- 28:00APT profession to really develop enough research or have enough
- 28:05good questions asked in the research of like what do these
- 28:08different inputs and stimuli do for a rehabbing body, etcetera.
- 28:12These long term outcomes that we see.
- 28:14I, I would say ACL research is probably the only Ave. that
- 28:18currently exists where there's a strong driving force for change
- 28:22and, and, and updating it and making it like really good and
- 28:26really top notch. It's like the one injury that
- 28:29affects so many sports that like as a group, researchers and PT
- 28:34providers are always like, we got to get better at this, But
- 28:37baseball is still too niche. Tommy John is still too niche, I
- 28:40think to really have that as like a driving research force.
- 28:44But I think in the future, hopefully that will start to
- 28:45change and and then the protocols will slowly get
- 28:48updated over time. My my old professor at Mizzou
- 28:51used to say that it takes like 20 to 25 years for research to
- 28:56reflect today's current practice.
- 28:58I don't think you're wrong or I don't think your professor is
- 29:01wrong by any means. I, I was even going to say
- 29:03something that a former pitching coach that used to be in an org
- 29:08that we were in told Darrell and I when we were rolling out flex
- 29:12pro grip, he said, I think your technology is great.
- 29:16I think this'll, this has the potential to be really big in
- 29:20baseball. I'd give it like 5 years.
- 29:23From the moment we heard that, we're like, you have no freaking
- 29:27clue what you're talking about, bud.
- 29:28Like, this is this is it, man. Like we have all the research to
- 29:32back it up. Like, this is going to be great.
- 29:34Like, and if we don't have the research, it means everybody
- 29:36else is wrong. So like, so be it.
- 29:38And that just means like, everything's been disproven.
- 29:41And that's not the worst thing in the world either, because
- 29:43then we just as an industry have to start from scratch.
- 29:46But as much as I hate to admit it, the dude's been like 100%
- 29:51correct. Like an adaptation by the
- 29:54industry as a whole. It takes five years and then
- 29:59that's five years for the people that don't need to see the
- 30:02research. Those are five years for the
- 30:04people that are willing to take the subjective feedback from
- 30:08others of saying like, oh, this thing is awesome, you should do
- 30:10it. Or the small little not so
- 30:14clinical case study of objectively our players got
- 30:17better or objectively our players got healthier.
- 30:20So it'll probably work for you guys too.
- 30:22But then as you said, while this is going on, it takes all those
- 30:25years for the longitudinal studies to be conducted for
- 30:29someone. Then however many years from now
- 30:31to say, Oh yeah, that thing that we were doing 20 years ago, it
- 30:34actually did work. So good for you guys.
- 30:37And now it's like the standard part of the protocol, right?
- 30:39And and and by. That then everything needs to
- 30:42change once again. Exactly.
- 30:44Exactly. You know, we Speaking of that,
- 30:46we had our friend, you know, I would say friend.
- 30:50There's that. I've had a few conversations
- 30:51with them. But Nick Katz, yeah, who's over
- 30:54in I think California at Berkeley, maybe.
- 30:56He is from, we'll try to nail the background.
- 31:00He goes to school in Wisconsin. He's from Berkeley means he
- 31:04trains in Silicon Valley so that the whole study that he's been
- 31:08conducting, he did it in the summer out has out at his
- 31:12Silicon Valley facility. But yeah, he's, he's currently,
- 31:15uh, balling through his senior season right now.
- 31:19Yeah, I. Want to make sure I get the
- 31:21specific shout out. So I'm going to in the
- 31:22background here. I'm going to make sure I get the
- 31:24the school and everything correct.
- 31:26But yes, our friend Nick Katz, I was actually texting with him
- 31:28this morning. Yeah.
- 31:30And he's a he's a good example of kind of like somebody that's
- 31:33paying attention is in a position to test out new things
- 31:38with his school and try to start, you know, initiating
- 31:42studies in these new methodologies.
- 31:44But again, he's, you know, he, he mentioned the limitations of
- 31:48the time constraints that he had and just a small population he
- 31:51had. It's like, yeah, 1 researcher,
- 31:53one kid that's interested in it. We're starting to get a little
- 31:55bit of favorable for a favorable data from it, but it's going to
- 31:58take a much larger adoption for it for it to be kind of
- 32:02something that the industry goes, Oh yeah, we can use this
- 32:05across the board, you know, and here's the here's the pros, the
- 32:07cons, the risks, the etcetera. Yeah, and that's the the perfect
- 32:13little teaser. So Nick Katz will be a future
- 32:16guest in the podcast. We've been planning it.
- 32:18Nick just has to present this specific study in this
- 32:21undertaking that he had at his school.
- 32:24He actually wants to present his thesis.
- 32:26And then once we get that taken care of and hopefully gets his
- 32:28passing grade and they let him graduate.
- 32:30So the school is Lawrence University in Appleton, WI.
- 32:33And as I said, he is having a very good year.
- 32:36So I'm stoked for him that he's going to be able to finish on a
- 32:38high note. And then eventually the point
- 32:40that I was making there with or I guess piggybacking off of you
- 32:45saying that he did this 11 man study of high school and college
- 32:49pitchers and like things were kind of raw.
- 32:53Every time I've spoken on the phone to him and talking about
- 32:56statistical significance or how many, how many test subjects he
- 33:00actually had in the trial, I said, dude, none of this, none
- 33:04of this matters from my perspective.
- 33:06What matters is that somebody is going to look at the trial that
- 33:10you performed and say this is not information that we have
- 33:15anywhere else and they are going to want to repeat it in a more
- 33:20controlled environment. Then that never would have
- 33:23happened if you didn't take the first step.
- 33:26Yeah. And so, you know, we got people
- 33:28taking first steps and hopefully that piggybacks into further
- 33:32studies and development. But I also want to slightly push
- 33:35back about this whole premise that we need to study right.
- 33:38We know that we have all of this and we, we, this is a common
- 33:43thing in, in application of strength and conditioning and
- 33:46physical therapy. We look at studies and animal
- 33:49models, we look at studies in distant joints and injuries and
- 33:53we extrapolate like this is a, this is a very common thing.
- 33:57So we know what things generally like on a principal level work
- 34:01for things like ACL injuries or ankle instability or whatever it
- 34:05may be. We have old shoulder studies and
- 34:07we can extrapolate, we can borrow from our strength and
- 34:10conditioning principles and build upwards towards, you know,
- 34:13these newer methods and stuff. And it doesn't have to be a
- 34:16comprehensive study, it just has to be well founded and principle
- 34:19based. No, I, I think that's a
- 34:22fantastic point because if you look at the muscular tenderness
- 34:26world, the majority of studies, I would actually love to see the
- 34:30breakdown in order of how often each muscle and tendon is
- 34:33studied. But even if we just, even if we
- 34:37just go like super broad and we don't say like the specific
- 34:42tendon or the specific muscle of the quad, generally the quad and
- 34:46the hamstring are probably the two most studied muscles of the
- 34:49body. At least it seems like after
- 34:51that, then we're probably going to fall down to either the
- 34:55gastrocnemius or biceps. I don't know.
- 34:58And then maybe after that it's the triceps.
- 35:00Maybe I I would be very curious though.
- 35:03I would have to believe that the quad and the hamstring probably
- 35:07account for 2/3 of total muscle tendon research that's ever been
- 35:12done. I mean you'd probably know
- 35:14better than me, but muscle tendon units still respond to
- 35:18load the same no matter where they are.
- 35:20So like why wouldn't we extrapolate that information?
- 35:23It only makes sense to like, what is the point of trying to
- 35:27bite off more than we can chew if we already have the
- 35:29information and it applies with why?
- 35:33Why wait? Like why wait for something
- 35:35different? Yeah.
- 35:37And you know, and this goes to that that tissue level stimulus
- 35:40adaptation like understanding like that foundational principle
- 35:44of like if we apply a stimulus to a muscular tendonus unit, A
- 35:48muscle belly, the the ligament itself etcetera.
- 35:51We already have like the the histological like research, like
- 35:54OK, what is what is mechanical strain do a ligament, what is
- 35:57mechanical strain do to a tendon or muscle, etcetera.
- 36:00And what is like the adaptation look like?
- 36:02We can take all of that and then we can also look at what do we
- 36:05do for our lower body when it comes to strength and
- 36:07conditioning, Like how do we get these big global muscle groups
- 36:10more powerful and more resilient?
- 36:12We have all of these methods from triphasic to variations of
- 36:16like eccentric or isodynamic or whatever at whatever fancy term
- 36:20you want to throw out there of like a different kind of
- 36:22application. We can blend all this together
- 36:25to say that OK, our J Band routine, our throwers 10 is not
- 36:29enough. What are these principles that
- 36:32we would use for something else and how do we extrapolate that
- 36:36and apply that to the throwing arm?
- 36:38And that also means that you need to understand them at the
- 36:41the forces that are occurring in the throat.
- 36:43You need to understand that when you go in the lay back like your
- 36:45internal rotators are under high eccentric demand.
- 36:47It's like a plyometric for the throw, right?
- 36:50So like what, what do we do to build up plyometrics for the
- 36:52lower body? OK, well, we can do that for the
- 36:54arm. Deceleration is a big component.
- 36:56Well, what do we do for the lower body?
- 36:57What can we do for the arm? You know, how do we go beyond
- 37:00just like the slow eccentric? What about RFD work, what about
- 37:03eccentric RFD work, etcetera, etcetera, etcetera.
- 37:06You could go on and on and on of like we already do things
- 37:09somewhere. We already do things for the
- 37:11Achilles, for the Co-op, whatever.
- 37:12We can extrapolate that and make the rehab protocols better and
- 37:15build a systematic process for that.
- 37:17And we don't need the studies to do that really.
- 37:19But I think for adoption and learning, you will have to have
- 37:23the studies like universities are not going to teach methods
- 37:25that are not study based. It's not going to show up on the
- 37:28the physical therapy board exam. I, I think that is the perfect
- 37:34encapsulation of how this change is going to happen.
- 37:38You generally think, and I say you as a very general term, you
- 37:43as the masses out there, maybe I'm projecting, but change
- 37:47generally comes from the lower levels.
- 37:50And then the upper levels are like, oh, we should look at that
- 37:54and determine if the lower levels are correct or not.
- 37:57And that's likely what's going to happen if information spreads
- 38:01the way that we think it can. You don't need a study to tell a
- 38:05kid whatever. If you stand on your head for 10
- 38:10minutes a day, you'll throw 96 mph.
- 38:13If we found out that Paul Skeens stands on his head for 10
- 38:17minutes a day, I guarantee 95%, if not more of pitchers in
- 38:22America are going to start trying to do a headstand for 10
- 38:26minutes a day, every single day. We don't need a study to tell us
- 38:31that that works or doesn't work for that matter.
- 38:34Because if, if Paul Scheme says he does, it was like, well, why
- 38:38not? Might as well try it at least
- 38:39that like that is how these things are.
- 38:42I think going to change if there are enough power players,
- 38:46whether it's individuals with say in the industry or just the
- 38:50masses. Mass hysteria can be good or
- 38:53bad. If it changes the way that we
- 38:56approach the industry and approach rehab.
- 39:01Eventually the date is going to come around.
- 39:04Yeah. And it's it's almost a little
- 39:06bit of a, it's chaotic at first. It's like, it's like reverse
- 39:10entropy, almost like things, you know, people start doing things,
- 39:14the approaches start getting really varied and then
- 39:17everyone's like this probably isn't the thing.
- 39:20Let's narrow this down, the scope down to what we are
- 39:23finding consistently across the board works.
- 39:25That's an analogy for like my practice as well is like I've
- 39:29dabbled in a few different approaches and you have to
- 39:33dabble appropriately, meaning like you can't just apply it to
- 39:37a, a kid that it has no means trying something out, right.
- 39:42But if you built it up, if you, if you're ready to experiment
- 39:44with it, you try it, you even try it on yourself first, right?
- 39:47That's, that's kind of the old adage of like, if you're, if you
- 39:49aren't confident doing it, you shouldn't be giving it to an
- 39:51athlete kind of deal. But you start to experiment with
- 39:54different approaches. OK, because a long time ago
- 39:57impulses would have been like, what are we even doing?
- 39:59Why are we doing this if this is dangerous, etcetera.
- 40:02But now it's like, oh, OK, we can really fine tune this to
- 40:05what is useful rapid eccentrics or kind of the drop catches that
- 40:09some coaches are doing now. OK, well, that makes sense.
- 40:12We, we do altitude landings, we do plyometrics.
- 40:14We can do this for the upper body, but how do we do this
- 40:16safely? These are smaller tissues
- 40:18though. It really just comes down to
- 40:19like. Try it out, trial it in a safe,
- 40:22controlled environment, figure out what does and doesn't
- 40:24probably work, and then distill that down to to advance your
- 40:27practice. I even think we can step this
- 40:30back a little bit. One of the places that we've
- 40:32seen this across the board is in the way we program S&C.
- 40:37And I, I feel like this is, this is a topic that gets talked
- 40:41about anytime I have anyone with an S&C background on the
- 40:44podcast. So I apologize if this sounds
- 40:47like rinse and repeat to everyone else that's out there.
- 40:50But again, the example is we tried to get so specific for so
- 40:55long where at the end of the day the equation is if we have
- 40:59athletes who are really strong and can produce force quickly,
- 41:03they're going to be the best athletes.
- 41:05Possible, yeah. Like we don't need to have every
- 41:08one of our baseball players do split stance internal rotation
- 41:14movements while holding a glove in their left hand or holding a
- 41:181 1/2 LB weight in their left hand to simulate having a glove
- 41:22and like 2 finger grip on a cable because that's how they're
- 41:26going to be holding a ball. That's so unnecessary.
- 41:28It's not going to create, although it might look more like
- 41:32the sport because you are in a split stance, you're at ball
- 41:35release, you're doing these things.
- 41:37It's significantly less sport specific because it comes
- 41:40nowhere close to producing the loads that you will actually
- 41:44experience in the sport. So what would be significantly
- 41:47more sports specific is yanking the hell out of something that
- 41:51is going to simulate what we talked about earlier.
- 41:55Those 100 plus Newton meters of stress on the medial elbow, or
- 41:59the crazy fast degrees of motion that we're covering with the
- 42:04shoulder, or the shearing forces that we're going to experience,
- 42:09or the ground reaction force that you're going to experience
- 42:12landing from a depth drop. Yeah.
- 42:15And I think that's a good clarification to add.
- 42:17Like when we when we've been talking about, you know,
- 42:20advancing rehab, it's still this principal level, fundamental
- 42:24level, tissue level stuff. It's just that we're realizing
- 42:27that from an arm perspective, from an upper body perspective,
- 42:30we haven't gone to the necessary lengths.
- 42:33It's not like, yeah, we aren't, we aren't just creating random
- 42:35exercises, random applications that look fancy.
- 42:38You're trying to take the principles that are fundamental
- 42:42to tissue adaptation and preparation for stress and apply
- 42:45that and, and there are exercises that we are
- 42:50applications of the intensity, the volume, etcetera that
- 42:54stimulate those that we have to achieve.
- 42:56And that's what's been lacking. We haven't gone far enough.
- 42:58We haven't gone to great enough length and rehab.
- 43:00We stopped too early. It's not that we're coming up
- 43:03with crazy exercises that are harmful or threatening to the
- 43:07protocols or the OR the the the surgical procedures themselves,
- 43:11but it's that we're continuing to progress beyond just like the
- 43:13basic stuff. So I'm going to ask you to
- 43:16speculate now. I'm sure you went through this
- 43:19at a certain point. We certainly did in our own
- 43:22progression in building flex, pro grip.
- 43:24Why do you think so many rehab professionals out there, or even
- 43:31baseball specific skill coaches for that matter, or high
- 43:33performance coaches fall short when it comes from applying the
- 43:39tried and true methods for the lower body or for PEC
- 43:42development and doing bench press, Doing these things that
- 43:45have been done forever. And then when we go to apply it
- 43:48to the forearm or the shoulder, it's like we've never trained a
- 43:52human being before or we've never exposed somebody to forces
- 43:56before. Why do you think that breakdown
- 43:59exists and what do you think needs to be done for people to
- 44:03take that next step? I think it's just the old
- 44:06narrative of like small muscle groups, we always just say
- 44:09they're endurance muscles, so train them for endurance.
- 44:12It's like, yes, they're endurance, but endurance in
- 44:14training often means low load, high volume, like the capacity
- 44:18to go for a long period of time, not withstand immense force for
- 44:2375 plus pitches in and outing over and over again.
- 44:27And I think it was just this poor understanding at the time
- 44:31or poor description at the time of like, what does it mean for
- 44:35it to be an endurance tissue, right?
- 44:37Well, in the context of this sport, it's a very different
- 44:40thing than like a runner. But that narrative has lived on,
- 44:43and that's kind of what has been taught.
- 44:45And so it comes from from the ground level, like we've been
- 44:48talking about this entire time, slowly starting to cross the
- 44:51board. Coaches are saying, yeah,
- 44:53baseball's really hard. We have to adapt.
- 44:56We have to go further with the loading protocols.
- 44:59So yeah, it started with the narrative.
- 45:01I think in the past I've just like these are endurance
- 45:03muscles. Do your three sets of 25 one
- 45:06pound weights and we're realizing that's just not good
- 45:08enough. Here's another hyper specific
- 45:10example of something that will encapsulate this discussion of
- 45:15what it means to actually have endurance the way that we need
- 45:20it in the sport of baseball. And I'm going to be taking a
- 45:23couple liberties. I don't know if this is the
- 45:25specific player, but because I'm not working with him on this,
- 45:29I'm going to guess on who it was based on when the discussion
- 45:32occurred and the way these things played out and me just
- 45:35connecting dots in the background.
- 45:37Andy Galpin appeared on the Huberman Podcast a couple years
- 45:43ago. He's a recurring guest there.
- 45:45But this specific event that I'm talking about was a couple years
- 45:48ago, he talked about working with a professional baseball
- 45:51pitcher who I am 99% sure is Trevor Bauer, based on Bauer
- 45:58referencing Andy Galpin on a couple things that he has
- 46:02discussed. And they were looking at tissue
- 46:05endurance in the way that he needs his body to function to be
- 46:10a high level starting pitcher. So one of the tests that they
- 46:13were looking at was repeat Max effort counter movement jumps.
- 46:19So truly a single effort bout. How high can I jump on a counter
- 46:24movement? And basically how long can I
- 46:27sustain that Max height? I'm again, I'm calling from
- 46:32something two or three years ago, I don't know.
- 46:34And it was probably even longer now.
- 46:36I don't know if Max height was what they looked at.
- 46:38It could have been impulse, could have been breaking forces,
- 46:41but whatever, Doctor Galpin told Trevor.
- 46:44Like, OK, when you fall outside of 4% of your peak, let me know
- 46:54and that will determine if we need to adjust anything in your
- 46:56training. The story goes that like 106
- 47:01counter movement jumps later, Trevor calls Galpin say, like,
- 47:05I'm only 2% off. Like what do I do?
- 47:09And Galpin's like, no, you're good.
- 47:10Like I, you probably should have stopped like 40 reps ago.
- 47:13This is not this is not a stimulus that we need to expose
- 47:16you to anymore. But that's the reason I even
- 47:20bring up that story is that's endurance in baseball.
- 47:23How often can you repeat Max effort?
- 47:26It doesn't mean you don't need endurance, but it also doesn't
- 47:29mean you need the endurance of a triathlete.
- 47:32What you need to be able to do is repeat in handle Max loads
- 47:38over and over and over and over and over again.
- 47:40And that goes back to what you were saying way back at the
- 47:42beginning of where people are finally realizing we need to do
- 47:46something different in rehab. When high school pitchers are
- 47:49going out and throwing 95 miles an hour.
- 47:51And because they're a high school pitcher, that also means
- 47:54they're playing either shortstop, first base, catcher,
- 47:56center field, and then they're having to do that 95 mile per
- 48:00hour throw for the game that they're starting on the mound on
- 48:04Tuesday. And then they're gonna have to
- 48:06close the close the game out on Saturday.
- 48:09And in between, they also played shortstop, center field, first
- 48:12base for catcher on Thursday. Yeah, exactly.
- 48:16Yeah. And I think one of your
- 48:17protocols that you know, highlights as well like this is
- 48:19a trainable thing, right? It's very trainable endurance
- 48:24protocol. Is this in practice for the
- 48:26forearm flexors? And this is kind of the end
- 48:29stage stuff like we don't we don't throw guys into endurance
- 48:32training, right? You know, three weeks out of
- 48:34Tommy John. This is not stuff that we're
- 48:35trying to prepare them that early for, but best believe it
- 48:39that before I'm letting them get to a certain level in their
- 48:42below, they have done their RFD and their endurance and they
- 48:44have done other things for their shoulder and their upper body
- 48:47that has pushed them to like exert over and over again.
- 48:52And you know, I think it's also important to to to note you
- 48:55don't have to do it 100 times when you're training the
- 48:58endurance protocol. There is this, you know,
- 49:00diminishing returns whenever it comes to any kind of training
- 49:03application in the weight room. It's not like we're saying you
- 49:06throw 75 pitches, you have to do these 75 reps to be prepared for
- 49:09it. It's just that we are training
- 49:11the tissue to have this endurance, high output stimulus
- 49:15that we're putting into it. So that way when you take the
- 49:19skill itself and you progress towards that goal, you have the
- 49:23physical foundation to actually make progress and recover from
- 49:27the skill stimulus that you're putting on it.
- 49:30And I think it's another important note is like the skill
- 49:33is the stimulus as well. It's not just that the rehab or
- 49:38the training will solve all of this.
- 49:40It is the combination of building a physical foundation
- 49:44that prepares you for the gradual progression you will
- 49:48take in the skill re acquisition.
- 49:51Whenever you start your return to throw and you start getting
- 49:53back on the mound and you start doing these things, if you don't
- 49:56lay that foundation on the physical side and get the
- 49:58tissues exposed to those stimuli, the skill becomes the
- 50:02only stimulus. And that that can be very
- 50:04detrimental, especially at high levels whenever the skill is
- 50:08just way outpacing the physical capacities you've been exposed
- 50:11to. So it's, it's definitely this
- 50:13give and take. There is a relationship between
- 50:16the two. It's not just like, hey, I can
- 50:18get you right in the in the rehab gym and tomorrow you'll be
- 50:21able to go out and throw 100 pitches because you did these,
- 50:25these exercises. You've got to still build the
- 50:27skill up. For sure, it is weird to make a
- 50:31shift like an actually call for a shift in discussion, but based
- 50:35on you saying the demands of the sport outpacing where we're at
- 50:40in rehab or the preparedness of the athlete, I want to latch on
- 50:44to that for a moment. That kind of goes back to the
- 50:46rapid flexion testing example I gave for that professional
- 50:49pitcher way back. I don't even know how many
- 50:51minutes ago that was in the podcast.
- 50:53I wish I had a running counter with our with our chapters so I
- 50:57could go see that. It was probably like 40 minutes
- 51:00ago for all I know. But speaking on athlete
- 51:03preparedness, I want to talk about what we're seeing in the
- 51:07initiation of return to throw and return to performance
- 51:10programs. You and I have worked very
- 51:13closely on this. We obviously think very
- 51:16similarly. So I don't want this to just be
- 51:19like a pat on the back to one another discussion for like how
- 51:22good of programs that we feel we created or like how amazing
- 51:26these programs are. Like, yeah, of course we think
- 51:28they're really good programs, otherwise we wouldn't have put
- 51:30them out there and we wouldn't have put our names on them.
- 51:33But that doesn't mean every athlete is going to feel the
- 51:36exact same way that we do about the programs that we created.
- 51:40There are other programs out there that other athletes are
- 51:42going to do. For example, one of the athletes
- 51:45that I spoke to recently was encouraged before he even
- 51:49considered the return to throw, before he even consider getting
- 51:53in the weight room was to take six weeks off to literally just
- 51:57chill post surgery and let everything calm down.
- 52:00Why is that potentially good if you are going to look at it with
- 52:05rose colored glasses, like what would be the potential benefits
- 52:09just so we can try to get some good credit there and then from
- 52:13the biases that you and I possess, why is that the wrong
- 52:17thing to do? Well I think the the context is,
- 52:21is this a healthy athlete or a post op athlete?
- 52:23This is a post op athlete. Well, there's always an ongoing
- 52:27debate in a lot of different surgical procedures of like
- 52:31active versus passive rest. Rotator cuff repairs is like a
- 52:35good example of this where there is still like a very heavy camp
- 52:39of like delayed range of motion versus like early range of
- 52:42motion and how aggressive you want to be in those first six
- 52:46weeks. And like some surgeons are like,
- 52:48yeah, get them moving really quickly after surgery.
- 52:51And other surgeons are very much so like don't move at all.
- 52:55And I think from from 1 standpoint, the, the don't move
- 53:00at all crowd, like the chill crowd is, is essentially saying,
- 53:04let the body heal, let the body take care of it on its own and
- 53:07then we'll worry about doing this later.
- 53:09And I think that on on paper that sounds OK until we start to
- 53:13think about, OK, well, what drives healing?
- 53:15Well, like these are all tissues that respond to mechano
- 53:18transduction. Like the electrical signal of
- 53:21movement is how all of these cells work.
- 53:24The stimulus of load are how all of these cells repair
- 53:27themselves. And while there is this getting
- 53:31out of the way and letting the body do its thing, we can also
- 53:35provide the necessary like inputs to make sure that that
- 53:40process is well organized for the body.
- 53:42A good example of this is like if we know if we tear a ligament
- 53:45or a tendon, like collagen lays down super disorganized and it
- 53:49gets organized through mechanical loading.
- 53:51So I think our bias is what we want to be doing as much as we
- 53:55can as early as we can and not have an athlete sit around for
- 53:59six weeks. And I would argue that's the
- 54:02better response just simply based off of like the research
- 54:04that we have. And it comes with a
- 54:06responsibility when you're in that camp of understand the
- 54:10procedure that was done and like what you should not be doing and
- 54:15how safely you can progress things.
- 54:17Because if you are in the camp of move early, you can do too
- 54:20much and you can disrupt what the surgeon did.
- 54:24So this kind of goes back to that 45 minute ago take of like
- 54:27surgery and surgeon versus rehab.
- 54:30And the surgical protocols were there to prevent their surgery
- 54:35from being disrupted, right? So like, be conservative, don't
- 54:38let the surgery get disrupted. But at the same time, we've
- 54:41learned in a lot of different injuries that like there are
- 54:44necessary steps during that time period.
- 54:46And as long as you put the necessary constraints on, we
- 54:49should be moving probably more than not.
- 54:51I'm going to add a non data-driven take here and
- 54:56actually on both sides so I will provide both the counter
- 55:00argument and supporting argument.
- 55:01I think a pretty quality counter argument to our bias is by
- 55:08taking time off you potentially are giving the athlete
- 55:11separation from the event. You're letting everything calm
- 55:14down, nervous system calm down. Maybe they can become
- 55:18emotionally well just because of the trauma associated with the
- 55:23surgery, both physical and emotional trauma.
- 55:26I'm not trying to say that surgery isn't hard and athletes
- 55:28should all just get right back to the training and go grind
- 55:32because that's what we do. So yeah, there there's a piece
- 55:35of that. And there probably is a case for
- 55:37some athletes that just need the separation.
- 55:39They went through a lot. They want some time away from
- 55:42the sport. However, we can literally flip
- 55:45that exact counter argument on its head to the supporting
- 55:49argument for a much softer point, which is athletes are
- 55:53generally creatures of habit and they feel much better when they
- 55:56have their routine and they have everything in place.
- 55:59When you're talking to a collegiate pitcher, a
- 56:01professional pitcher, a high level high school pitcher, they
- 56:04understand what they need to do to be as good as possible.
- 56:09And generally being in the weight room or being in the
- 56:12training room and stressing themselves physically are things
- 56:16that they enjoy doing beyond just something that is going to
- 56:20help them recover. Due to all the fancy terms that
- 56:24you threw at us, I do think there is a significant positive
- 56:31emotional and mental response that comes from maintaining the
- 56:35routine of getting back to doing work.
- 56:38Even if you're not addressing the surgically repaired UCL of
- 56:43your right arm, if you go back in, you're doing leg extensions
- 56:47and leg curls and hip abduction work two weeks after surgery.
- 56:53I don't know. I I tend to feel that you're
- 56:55going to feel much better just as a human being, because that's
- 57:01what you've always done. We just generally know exercise
- 57:04makes people have better moods, better emotional stability,
- 57:07etcetera. Like that's that's the the
- 57:09Huberman podcast one O 1 right, right.
- 57:11Yeah, get out and move. Get out and move.
- 57:13Find something that works for you.
- 57:14This is all the crazy stuff that I do.
- 57:17But if you just like get out in the sun for an hour a day, and
- 57:20if you find a 30 minute workout routine that you can do five
- 57:24days a week, you're going to feel a heck of a lot better.
- 57:27Now here's all the data that I do on my own body like this.
- 57:30That's the podcast. You're right.
- 57:32Yeah. And you know, I can't tell you
- 57:35how many athletes that I've done post op where we start lifting
- 57:39when the surgical site is healed and we can start sweating and,
- 57:43and the risk of infection is gone basically or are very much
- 57:47diminished. You know, and that's kind of the
- 57:48early like first ten days where we don't really want the athlete
- 57:52getting too sweaty or, you know, too disgusting because of
- 57:54infection risk. Once that's done, we start going
- 57:57to we start lifting three to four days a week.
- 57:59We have conditioning two to three days a week and it's built
- 58:01around whatever injury has occurred, whether it's the
- 58:03shoulder, elbow or anything else.
- 58:05I can't tell you how many times I've had an athlete say, oh, it
- 58:09feels so good to move again and to train again and I can't think
- 58:14of one athlete where they said I wish I would have sat down for
- 58:17the next 4 weeks and not done anything.
- 58:19The, the other caveat, you know, bias or piece to add to our
- 58:24argument is I've seen the outcomes of the individuals that
- 58:28did the six weeks of chill or just like very low level.
- 58:31I'm only going to do range of motion on my elbow for six
- 58:34weeks, but only range of motion up to a certain point as well.
- 58:37And they didn't go to PT because the surgeon said don't go to PT
- 58:40for six weeks. And those guys have a lot more
- 58:43issues. There's if they're really
- 58:45uncomfortable, they're painful to regain the range of motion
- 58:48because six weeks is a long time to not be moving a joint post
- 58:52op. You're going to atrophy like
- 58:53crazy. The capsule is going to start to
- 58:55stiffen all this other stuff. So I think I think 66 weeks is a
- 58:58stream, two to three weeks, I think it's much more reasonable
- 59:02and I think in general, we know that movement is better than
- 59:05not. Now back to like the emotional
- 59:06stability standpoint. I think that applies at any
- 59:09point in any athletes career where sometimes it's step away
- 59:13for a week, step away for two weeks where it's like you either
- 59:16need to get a new perspective on how you want to approach these
- 59:20coming months and years or you just like need help.
- 59:24You know, stop stressing about the injury, stop stressing about
- 59:26what your arm feels like on a day-to-day, go on vacation.
- 59:29I've had multiple athletes that go on vacation and suddenly all
- 59:32the little aches and pains that they were feeling or just like
- 59:35washed away when they get back to like I feel so amazing now.
- 59:39The little ache I've had in my bicep, this whole rehab is gone,
- 59:42etcetera. You know, they don't think about
- 59:44it anymore. So there is definitely this
- 59:47emotional stability component of get away from the process for
- 59:51small periods of time and don't just be so ingrained in it.
- 59:54Don't make your entire identity about how my arm feels today in
- 59:58this process. And don't stress yourself out to
- 1:00:00the point where like you're losing perspective on your also
- 1:00:04your larger life as well. Most athletes aren't going pro.
- 1:00:07That's something that, you know, I've talked with a few athletes
- 1:00:10before in the past is like. Hey, put this into perspective
- 1:00:13like we're rehabbing this because you love baseball, but
- 1:00:15baseball is like 3 years of your life.
- 1:00:18What's after that? Let's also consider like what
- 1:00:21comes after baseball and like what you're interested in and
- 1:00:24I'm like what makes you happy outside of that?
- 1:00:26Because I think sometimes in the rehab setting in this like go
- 1:00:29hard, grind, get back, be be dominant on the field mindset
- 1:00:33that you can have with baseball. You also get lost in it and
- 1:00:36forget that like this is a game that's only going to be very
- 1:00:38short term in your life. Like go on, go consider what
- 1:00:42happens after college because right now you have like you're
- 1:00:46just taking your one random class 1/4 to play baseball.
- 1:00:49So like what? What's going on afterwards, bud?
- 1:00:52I apologize if this is something that I just missed because I got
- 1:00:56so caught up in like, where are we going next?
- 1:00:58Where are we going next? But the reason we even went this
- 1:01:02route is if you take the time off, there's a really good
- 1:01:06chance you're just stuck playing catch up at the end.
- 1:01:09And if you're stuck playing catch up, you're not going to be
- 1:01:13in a healthy place long term. You're you're just taking on so
- 1:01:17much more risk. Now, of course, if it means you
- 1:01:20have to take breaks, if we want to address all those things, I
- 1:01:23totally agree with you. I say time and time again, it's
- 1:01:26amazing what a clear mind can do for the body.
- 1:01:28When you're good up in the mentals, the body generally
- 1:01:32feels a lot better for granted. If you're stressing yourself
- 1:01:35physically, I like to think that impacts the mentals positively
- 1:01:39and then the body as a whole is going to feel better.
- 1:01:41But just clearing the head, clearing the mechanism, Bull
- 1:01:44Durham, that stuff generally works.
- 1:01:46If it means go, get away, by all means, go, get away.
- 1:01:48There's no question. It's easy to get caught up in
- 1:01:50the rehab process and really find yourself down a pretty bad
- 1:01:56spiral of how am I ever going to respond from this?
- 1:01:58Just kind of like the cassiola approach of labrum isn't real.
- 1:02:02Like if you just acknowledge that it never happened, you're
- 1:02:05probably going to be good. If you can legitimately erase it
- 1:02:08from your mind that you ever got hurt, you should be OK.
- 1:02:12Yeah, yeah. There's a good mental component
- 1:02:15to this that you know, and this is that every athlete is an
- 1:02:18individual case standpoint. And while the rehab protocols
- 1:02:22overtime will update and get better and we'll continue to
- 1:02:25push that forward, you still have to look at the person just
- 1:02:27like right in front of you. What do they need?
- 1:02:30What are they ready for? What can I do with them to help
- 1:02:33them get there? What's that old cartoon show?
- 1:02:37I don't know, I may be showing my age but Spice Girls or
- 1:02:40something Whereas. They powder puff girls.
- 1:02:43Powder puff girls. Yeah, like a little bit of this,
- 1:02:45a little bit of that. Everyone gets a unique mixture.
- 1:02:49There you go. Come on.
- 1:02:50Yeah, Spice Girls, I don't know, man.
- 1:02:52No powder puff girls. Yeah, yeah, Spice, everything
- 1:02:56nice. And then like all the superpower
- 1:02:58stuff that got tossed in there too.
- 1:02:59I can I can see the intro happening in my mind, so don't
- 1:03:03worry. I'm with you.
- 1:03:04We're the we're the same age demo.
- 1:03:06So it plays out for both of us now, Dylan, as we've recorded
- 1:03:10for a little over an hour at this point, or maybe right at an
- 1:03:12hour, I don't know. Like I said, I don't know where
- 1:03:15time is anymore. It's it's made-up.
- 1:03:17It's all construct anyways, and we're just living it day-to-day.
- 1:03:20But now that we've addressed where the industry is, where are
- 1:03:25you at? What do you have coming down the
- 1:03:26line? What do you been working on?
- 1:03:28Is there anything that you're able to share that you think
- 1:03:30will either push your athletes forward or hopefully push the
- 1:03:34industry forward? Now, of course, if there are
- 1:03:36things that you got to keep under wraps, go ahead and keep
- 1:03:38them under wraps because I know we're working on some projects
- 1:03:41together that I think will be really cool once they do come
- 1:03:44out. But I don't know if we're at a
- 1:03:46point of sharing all that. Yeah, you know, I'm happy to
- 1:03:49share it. You know, I'm working on an
- 1:03:51application that is built around like how we, how we program
- 1:03:55return to frozen general. And it's just like putting the
- 1:03:57power of everything that I've tried to learn and try to
- 1:03:59implement into coach's hands. I'm not sure when that will will
- 1:04:03come out or when I'll start marketing it more, but it's
- 1:04:05definitely like something I'm excited about.
- 1:04:07And as far as driveline goes, far as like my in person
- 1:04:11practice goes, for me, it's just like, how do I get better at
- 1:04:14working with the individual? And I think that's something
- 1:04:17that has been a very unique experience that I've had it at a
- 1:04:22driveline is I get to go out and play catch with somebody every
- 1:04:25day and like coach them every day.
- 1:04:27And what I realized is that no one person responds to what I
- 1:04:31did with the last person the same.
- 1:04:32And, and to me, trying to push that kind of knowledge into the
- 1:04:37field is really where my focus is, is just like, Hey, visit,
- 1:04:40these are things that I'm learning at the same time, just,
- 1:04:43you know, I, I do get the unique, the opportunity to to
- 1:04:46play catch with people as APT to like work with them on the
- 1:04:49throne side as APT. And I know that's something that
- 1:04:51people are hungry for. Continuing to to help people in
- 1:04:54that direction is kind of like my long term outlook as well.
- 1:04:57And maybe that's ACU course, maybe it's sometime or maybe
- 1:05:00that's, you know, building out a community at some point of a
- 1:05:03place to learn. But right now it's just head
- 1:05:06down work with the athletes I have and work on the little
- 1:05:09application I'm doing in the background.
- 1:05:12Awesome. Well then before I do let you
- 1:05:15go, because we're we're probably good at this point, do you feel
- 1:05:17there's anything that we missed? And for all I know, anything
- 1:05:21that we missed is going to lead to another 20 minutes.
- 1:05:24But feel free if that's the case.
- 1:05:26That's the case. No, I, I think we, we've
- 1:05:29probably rambled on a good amount at this point.
- 1:05:34I could, I could bring things up that lead us to another
- 1:05:36discussion of 1520 minutes, but I think that that just escapes
- 1:05:40the scope of what where we're at right now.
- 1:05:43For sure. Well, I think we will have you
- 1:05:46back on prior to another two years of requiring a new State
- 1:05:51of the Union. But it it really didn't seem
- 1:05:54like it was that long because you were on for the Baseball
- 1:05:56Rehab Network discussions. And of course, I released those
- 1:05:59podcasts and then because I'm zooming with you once every two
- 1:06:03weeks anyways, it feels like it feels like way more podcast
- 1:06:07episodes to me than being on episode 2 or 3.
- 1:06:11And now episode I think this will be 110.
- 1:06:14No one 10110. We're two years into it. 200
- 1:06:18would be crazy that. Would be crazy.
- 1:06:20But hey, we're we're one episode a week, every single week since
- 1:06:25we started this back in March of would that be 2024?
- 1:06:29Yeah, haven't missed. Rate.
- 1:06:32That's a good hit rate. It is, yes, of course, some
- 1:06:35higher than others. You were #1 listen to episode
- 1:06:39all time for a long time, and unfortunately, you've lost that
- 1:06:42crown. You guys have grown a bit.
- 1:06:45Yeah, but you, you should have a volume stats from being so
- 1:06:48early. So maybe we can bring this back
- 1:06:51and this one will do well for you.
- 1:06:53I'll be sure to keep you posted. All righty.
- 1:06:55Sounds good. Yeah you can, you can talk some
- 1:06:57smack to your boy Bryce Kreider cuz he he is either up there as
- 1:07:01#1 or #2 all time now. His went crazy.
- 1:07:05So go find him at the facility or no?
- 1:07:07He's down in Tampa now. He's in Florida.
- 1:07:10Yeah, yeah, he, he left dreary Kent for sunny Tampa.
- 1:07:14But next time, next time you guys are on like a team call,
- 1:07:18talk some smack and tell him you're coming for him.
- 1:07:20But I guess maybe, maybe I shouldn't have mentioned him
- 1:07:23here cuz this is gonna stay in the opposite and this is gonna
- 1:07:25be like, I didn't listen to that one.
- 1:07:27Let me go back and listen now. Who knows?
- 1:07:29Yeah, the plug. Yeah, yeah.
- 1:07:31So, Dylan, Drop once again how people can get in touch with
- 1:07:34you. Yeah, you can go to my
- 1:07:37Instagram, the baseball physio, you can reach out to me there,
- 1:07:41or you can go to my website, athleticpotentialpt.com.
- 1:07:45Or if you want, you can reach out to Driveline themselves.
- 1:07:48If you want to get in touch with either myself or my partner
- 1:07:52Jason Motafari down in the Tampa location.
- 1:07:54If for any reason you want to chat, whether it's a
- 1:07:56professional and athlete that wants to rehab, whatever it may
- 1:07:59be, I'm always happy to take calls with anybody in the
- 1:08:02industry as well. They just want to talk shop so.
- 1:08:06And I guess before I I do let you go, is it an official
- 1:08:10requirement to be below 510 if you're going to serve as a
- 1:08:14feasible therapist for athletic potential while looking
- 1:08:18potentially higher in Arizona? No, hopefully our Arizona guy is
- 1:08:22at least like 6-8 to make up for it.
- 1:08:25Yeah, so then you guys are coming out with an average
- 1:08:27height of 6/1 Exactly. Every, everyone who doesn't get
- 1:08:31the inside joke there, Jason Mofari, that Dylan's partner, as
- 1:08:35he's mentioned a couple times, is a little muscle hamster as
- 1:08:40he's called himself. I think he's he's about 5-5, but
- 1:08:44he is probably stronger than your entire team put together if
- 1:08:48it comes to total weight lifted. But everyone go check out
- 1:08:51Jason's episode of the Laid Back podcast as well, and he'll tell
- 1:08:53you a little bit of his bodybuilding background and just
- 1:08:57how strong he really is. He's ejected.
- 1:09:00Yes, he is there, There's no question about that.
- 1:09:02And I, I love what it's enabled him to do and how he's kind of
- 1:09:05connected the dots into the baseball world for these very
- 1:09:08interesting opposing demands. But Dylan, this, this was
- 1:09:13fantastic. I appreciate the time today and
- 1:09:17your willingness to, I don't know, maybe turn a few heads,
- 1:09:20maybe offer a couple hot takes. We'll we'll see where this goes,
- 1:09:23but hopefully, hopefully it leads to what you and I love,
- 1:09:26which is follow up conversations.
- 1:09:29Yeah, absolutely. All right.
- 1:09:30Thanks for having me, Adam. Of course, and to all the
- 1:09:33listeners out there, thanks for laying back with us.