The Initial Investigation of the Church Pew Exercise (CPE) To Facilitate Quadriceps Function Following Total Knee Arthroplasty

By John O’Halloran, DPT, PT, OCS, Cert MDT, ATC, CSCS 


500,000 total knee replacements are performed in the USA annually.1 Knee replacements are expected to rise to 3 million by 2030.2 When surveyed total knee replacement patients rate their satisfaction as very high when the studied question is inquiring about pain differences pre and post surgery. In contrast to the self reported outcomes, functional performance measures, such as the timed stair-climbing or walking test, depict only modest improvements following TKA. 3Total knee arthroplasty reduces pain and improves health-related quality of life in 90% of patients. Continue reading “The Initial Investigation of the Church Pew Exercise (CPE) To Facilitate Quadriceps Function Following Total Knee Arthroplasty”

The Downward Dog: An Age Old Yoga Exercise With Modern Day Shoulder Rehabilitation Application

John O’Halloran DPT,PT,OCS,Cert MDT,ATC,CSCS

Today’s rehabilitation environment involves providing services that ensure quality care that is designed to meet the needs of the patient, payer and provider. Practicing in this environment is quite a change from the days of yesteryear when you could treat a rotator cuff repair for 30 visits and no one would blink an eye. You were paid by performing a whole lot of intervention and reimbursement was determined by the adding up the units of CPT codes and procedures. Continue reading “The Downward Dog: An Age Old Yoga Exercise With Modern Day Shoulder Rehabilitation Application”

Stretching: Myths Vs. Realities

Stretching: Myths Vs. Realities

By John O’Halloran, DPT, OCS, LAT, ATC, CSCS, Cert MDT

runnerA very common and acceptable pre exercise or athletic event activity is stretching. Stretching has long been widely recognized as a necessity for fitness, flexibility and above all injury prevention. However over the last couple of years this popular activity has been questioned on whether it really does indeed prevent injury. In 2004 The Centers of Disease Control (CDC) reported that static stretching does not prevent injury. Now as a licensed Physical Therapist and Certified Athletic Trainer I have been telling my patients for years that stretching “prevents” injury. And then the CDC came out with that one and I thought about all the inaccurate advice I had been promoting over the years. Well like anything else you have to not believe everything you read until you critically evaluated the information. After I read the CDC’s review of the literature it was concluded that STATIC STRETCHING did not prevent injury in most populations. It did show that it did prevent injury in older folks and young athletes who require extreme ranges of motion such as ballet or dance. But for the average Joe or Jane who goes out and runs 10-15 miles per week and does a little static calf or quadriceps stretching you cannot state that those stretches will PREVENT injury. Bottom line with all of this is that static (no bouncing) stretching held for 15-20 seconds for 3 repetitions is not going to hurt you but it is not going to prevent injury or improve athletic performance. Continue reading “Stretching: Myths Vs. Realities”

How Many Pitches Should My Son Throw

“How Many Pitches Should My Son Throw?” An Educated Personal Story.

By: John O’Halloran MSPT,LAT,ATC,CSCS,Cert MDT
Director of Physical Therapy Southeastern Orthopaedics
Greensboro, North Carolina

Copyright Andy Cripe 1999Last spring I got caught up in the hoopla of today’s society and had my 11 year-old son play in 40 baseball games. Despite knowing the evidence that there is no way to predict athletic achievement in high school, college or professional by a child’s pre-adolescent athletic success, I felt extreme pressure from coaches and friends that if he did not play on these teams he would be left behind and lost in the shuffle. Continue reading “How Many Pitches Should My Son Throw”