♪- Bob and Brad ♪
♪the two most famous ♪
♪ physical therapists ♪
♪ on the Internet. ♪
- Hi folks. I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- Together we are the most famous
physical therapists on the Internet.
- In our opinion, of course, Bob.
- Yahoo.
Okay, Brad, you wanted to talk today about how,
when is somebody ready to go back
to a sport after an injury?
- Right? We've been getting a lot
of comments from viewers
and they ask me that question
and this is gonna be a really nice way.
Say you injured your ankle, your knee, or your hip,
if that leg is ready to go back.
So you just don't go out there arbitrarily
and end up hurting yourself again,
going back to square one.
- You're gonna want to have a therapist or somebody,
you know, do this testing on you.
But this is what we often do
to determine whether or not
you're ready to go back.
- Yeah. This is a
pretty scientific way to do it,
- Yeah.
- as far as without getting some
computer isokinetic equipment.
- Analysis. Right.
- Right.
And you can come with some nice numbers.
And when I do this,
I come up with percentages,
right compared to left.
And I send that information
to the doctor often times,
and doctors really like to have
some good solid information like this.
- Generally, Brad,
like let's say, it's a knee issue.
We're not gonna want you to go back
to the sport until you know,
the strength of that knee
is about 90% of what the other knee is.
- Exactly.
- And that the pain is gone,
swelling is gone.
I mean, just general things like that.
- Right. Yeah.
You're not gonna injure your ankle,
a week later cuz now you can walk on it,
and do this test.
- Right? Exactly.
- It doesn't work that way.
There's some progression.
For example, an ACL surgery
it's usually four months afterwards,
give or take a few weeks.
- Before you could even be,
look at doing something like this.
- Exactly. Probably a month after an ankle injury.
- And by the way, Brad, if you haven't already
I know many of you are new to our channel.
Please take just a second, please, please.
And hit the subscribe button.
It's right on the screen here.
Cuz we provide you lots
of videos on how to stay healthy, fit, pain free.
And we upload every day.
Seven days a week, Brad.
- Exactly.
- All right.
- Say no more Bob.
- All right.
- So let's say we got an ankle injury here.
- Okay.
- Like I said, it could be ankle, knee, hip,
whatever one leg has got a problem.
But at this point
it's feeling pretty good.
The swelling, like you said,
is gone to none.
You can walk without any problems
and even tried to jog a little bit
and it's feeling pretty good.
- Okay.
- But you want to get out and play soccer safe.
- Yeah. The stresses are a lot higher
than just walking and running.
- Exactly. Ten times the amount of impact
when you're running versus walking
is some of the information I've heard.
- Sure.
- It's tremendous.
Particularly when you're wearing cleats
and you're gonna put extra stress on that ankle.
- Right.
- All right.
So what do we do
after all those criteria are met?
This is the first thing.
First of all,
don't wear this kind of clothing.
Get rid the tie,
come in with some shorts on,
a T-shirt on, because you're...
- Your shoes really match the outfit, by the way.
- Yeah, they do actually, don't they, Bob.
But you need to be ready
cuz you're probably gonna
perspire a little bit.
I always get a kick out of some people
have to come and then they go to school
right afterwards.
- Oh sure.
- They don't like it.
Cuz they're a little, you know,
they hope they got their deodorant.
The first thing we're gonna do is go a 15 second.
- All right.
I got it on the clock here.
- Yeah. Yeah.
These smartphones can really be smart.
- Yeah.
- We're gonna have Lonnie zoom in on this later
but this is where we're gonna collect their information.
We'll go through that in a little bit.
- Sounds good.
- First let's go through mechanics.
15 second timer.
- All right.
Okay. Tell me when we're start.
- Just wait Bob.
Don't rush.
I'm gonna go both feet.
- Okay.
- Equal weight on both feet
and we're just gonna hop.
And when Bob says go,
I'm gonna count
how many times I hop.
Are you ready, Bob?
- Yep. Go.
10, 9, 8, 7
- I can't count when you're doing that, Bob.
It's a long 15 seconds.
(timer beeping)
Isn't that a cute timer.
- Yep.
- Okay. You gotta hit that top one.
- Oh, dismiss. Okay.
- There you go.
Okay. So you count how many times you do it.
Now, typically someone in high school
will usually be around 35 jumps
on this particular test, I found.
This kind of an average could be
a little more, a little less.
Zero pain with that.
Everything felt good.
This is the next step.
I like to have a line on the floor, like this.
- Do you jump with both legs, Brad,
or one single leg.
- We're doing both legs,
this is just the precursor to the single leg.
- Okay.
- So that's when we get the meat of the progress
but we gotta make sure we're prepared for this.
You don't have the time again, Bob.
- Okay.
- But the therapist or someone would say go
and I'm gonna do the same thing,
both feet for 15 seconds.
- Going over the line.
- Over the line forward and backwards.
It stresses the ligaments, the muscles, the legs
everything in a little different manner.
- Okay.
- If that's pain free,
you're not done yet.
You still have to go
right to left.
This is a lot more stressful.
- Okay.
- Here's the line.
I like to call it the slalom,
but call it whatever you want.
- Right and left basically.
- Yep. If you got a ankle strain
this is gonna stress out
a little bit more.
- So are you counting
on these number of times?
- You don't have to.
- Because you're just you're trying
to determine if you're ready
for the next one.
- Exactly. Good point, Bob.
- So even on the first one
you didn't really
need to count, did you?
- No, I kind of like to,
just because it gives me an idea.
I know that usually people
around 30 to 35,
you know, it just kind of
gives me an rough idea.
- Sure.
- But I'm more interested to say,
is there any pain with that activity.
That should be zero pain with all those.
Then you can progress to the real test.
- Right? Because this is stressful,
but the next stress,
the next one is so much more stressful.
- Right.
- You gotta be able to tolerate this.
- Exactly. We don't jump right into it.
No pun on words.
All right.
So,
are you ready?
- Yeah.
- Okay.
Now my right leg is the injured.
- The problem child.
- Exactly.
So we're actually gonna mark that
with a little red tape.
Okay.
That's the one
you always test second.
That's the second one you test.
So it's just simply,
we're gonna do up and down.
- I'm not gonna go full 15 seconds.
- Yeah. We'll just,
- I'll start it, but...
- Yep. So I'll start bouncing
and you just do a regular hop,
good mechanics.
As a therapist,
I'm looking to see if,
how the person,
if they have any compensations and
and kind of doing this kind of thing.
Make sure they have good balance.
We assess time, we count.
Say we get, well,
let's say we did it right here.
Okay.
Let's that was my left leg, uninvolved.
I did 35.
That's normal.
Okay. Now I'm gonna go to my right one.
This is the injured one.
Hmm. And then all of a sudden you see,
- You're just hopping up and down.
- Yeah. And sometimes this'll happen.
Cuz you might be experiencing a little pain.
15 seconds.
17 of 'em.
Oh, the pain went up a little bit.
- Okay.
- Not a lot, one over 10.
At one over 10,
I'll continue to progress.
- So the first number
is how many times you did it.
- Right.
- And the second number is how,
what your pain is at.
- Right. They're right next to each other.
So I did 17 times pain,
one over 10 on the right leg.
That's the one that has the involved one.
- Left one, you did 35 times, zero pain.
- Zero. Exactly.
Okay. Now we have to repeat the whole thing again
for forward and backwards.
- Okay.
So forward and backwards,
the leg that has no problems,
we're gonna count that.
We're gonna count it right and left,
and up and down.
I did that backwards.
You always start with up and down first.
Then I like to go forward and backwards second,
right to left.
- These are all done separately though,
right, Brad?
- Right, exactly.
- So.
- You do 15 seconds up and down,
- Up and down 15.
- Count it, write it down.
Okay.
Then you do 15 seconds forward and backwards.
Count it in 15 seconds.
Write it down.
- Right.
- And then right to left.
Count it, write it down.
- Write it down.
And the pain levels on each one.
- Right?
- So why don't you go through this Brad?
- Yep. Can you zoom in on this, Lonnie?
Should we come closer to you?
- [Lonnie] Hold on.
Come in just a little bit closer.
- Okay, we can do this.
- Yep.
- Good. All right.
So here's my chart.
This is the right leg.
This is the left leg.
This is up and down,
forward and backwards with to and fro,
and then right to left.
On the right leg.
Oh, I did the left one first
cuz that's the uninvolved,
the pain free one.
I did 35 up and down.
Zero pain.
Forward and backwards,
34,
zero pain.
Right to left 32, zero pain.
- Exactly what you expect.
Then you go to the involved one,
or the painful one I got involved here.
Okay. And you can tell it's involved,
only 17 up and down jumps,
pain wasn't too bad.
One over 10.
You know, I may continue then,
to forward and backwards
pain was a little more,
only went down to 16.
And you can see the big difference,
over half,
less than half of the involved.
- On the other side.
- And then right to left.
This is the one that is
almost always the most challenging.
The pain went up to four over 10
only did eight hops and very clear.
So how do we get this information?
Find out if we're at that 90%, Bob?
- Right.
- This is a little,
I don't know if it's complicated,
but you gotta think about it a little bit.
You're gonna add these numbers
or divide this number by this number.
So 17 divided by 35 is gonna give you
0.49 something, something.
- Right? Multiply it by a hundred.
- You multiply by 149%, up and down.
Do the division again here to here,
you come up with 47%
and the right to left is 25%.
- Yeah, those aren't good numbers.
- No, this person is not ready to go back.
If you wanna get a little more thorough with it
you can add these three up
divide them by three.
And the overall percentage is 40%.
- Sure.
- This person needs a lot more strengthening,
a lot more work
before they go back,
back to their sport.
- All right.
You wanna show the jump test then, Brad??
- Actually Bob,
I'm kind of tired.
Let's wait, let's save that one for another video,
cuz I think there's only so much
a person can digest.
- Sure. That sounds good.
- Yeah. This is an important test
and you might have to watch this a couple times
and get this down if you really want to,
but really, a therapist.
- That was the hop test.
In the future,
we'll do the jump test.
- Right.
- Okay.
- Which is another high stress
and it depends on your activity.
If you're a long jumper
you definitely wanna do the jump test.
- Right. Or even a basketball player.
- A basketball player,
we could go on.
We could think of football would be another one.
- Sure.
- Whether it's football or soccer
because there's a lot, you know
we always wonder what is football
cuz football's soccer
and soccer is football
- And of course bowling.
All right.
Thanks for watching folks.