Rehab4Performance Profile picture
Jan 20 12 tweets 5 min read
Our patient @_ryleefoster was involved in big car accident in 2021. She broke her neck and suffered multiple other injuries.

She is a professional goalkeeper at @LiverpoolFCW and the target is to get back playing.

This is her last year just out of the Halo neck device

🧵 1/11 Image
And this is her now…check out the neck bulk 🤩!!

We have focussed on building neck strength after she suffered a life threatening injury and lost so much muscle after being immobilised in the Halo brace…

How did we do it?

Why is it needed? Image
The main reason it is needed beyond general life is that Rylee wants to get back to the demands of her job…she is a goalkeeper and will need to dive again with safety and confidence …

Yesterday was her first “dive” since before the accident…a huge moment in her rehab!!
Along the way we have worked on fine motor control and proprioception
But to take somebody from this back to impact landings…we needed strength Image
This is a few months ago introducing low level isometrics using the Don Gatherer system to control forces…
And the same targeting side flexion..
This is through range strength work using traditional neck weights system
Along the way C-spine strength hitting some impressive benchmarks for elite female athletes.

Holding flexion isometrics at 80% of break test score!
Pushing isometrics

100% intensity focussing on maximal RFD.
Whilst @_ryleefoster still has a long way to go we are so proud of how far she has come.

We have provided the specialised Physiotherapy input for such a complex injury and worked closely with the medical team @LiverpoolFCW

Follow us for more inspirational rehab journeys.

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More from @R4P_UK

Jan 22
Mid-foot bone stress injuries can be tricky to manage.

People often make the mistake of treating them as an ankle injury.

To achieve successful outcomes it is vital to challenge the foot and be progressive through an isolate then integrate approach.

🧵on our rationale 1/11
Footballer - Midfoot bone stress injury.

Video 1: Peroneus brevis.

In plantarflexed positions peroneus brevis produces ankle eversion prior to heel strike.
Video 2: Peroneus longus.

Stabilises the 1st ray and transverse arch during full weight bearing.
Read 12 tweets

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