Torque is defined as “a measure of force causing rotation around an axis” and more specifically, “the rate of change of angular momentum that would be imparted to an isolated body”. More than half of clinicians use only time from surgery as their metric for deciding when an athlete can return to sport (Burgi et al., 2019). For the small percentage that actually use objective measures for testing, the vast majority use limb symmetry as their primary metric for measuring strength. Limb symmetry is, briefly, comparing the performance of one limb compared to the other (non-involved) limb with the goal of becoming symmetrical over time. For the minority of clinicians that are actually using objective strength testing to guide clinical practice, it should be stated that limb symmetry is likely not enough and may “overestimate knee function” (Wellsandt et al., 2017).
Read More
The ACL-Return to Sport after Injury Scale or ACL-RSI is a questionnaire developed by Webster et al. in 2008 to assess an athlete’s psychological readiness to return to sport. It consists of 3 metrics: emotion, confidence in exercise, and risk assessment and is typically scored from 0-100. For decades, we have known that fear of re-injury continues to be one of the primary limitations when it comes to getting an athlete back to their pre-injury competitive activities (Alswat et al., 2022).
Read More
If you’ve been on Instagram in the last few months then you’ve probably seen a variety of your favorite strength coaches and physical therapists demonstrating the Nordic Hamstring Curl (NHC) or Nordic Hamstring Exercise (NHE) and preaching its utility in a variety of injury risk reduction programs. I’m often asked “why” we prescribe NHCs or “why XYZ isn’t the same?” So, I figured this would be a good opportunity to breakdown the current literature regarding this vogue training exercise.
Read More
You tore your ACL, now what? There is a common misconception that if you tear your anterior cruciate ligament, you have to get it fixed right?! Maybe, maybe not. Over the last decade we have seen this idea come under more scrutiny and it is becoming harder and harder to justify surgery for everyone that suffers an ACL injury.
Read More
Anterior Cruciate Ligament injuries are one of the most commonly repaired ligaments in the body with an estimated 100-200,000 reconstructions performed each year in the United States. Having surgery does not guarantee a return to prior level of function and those who have suffered an ACL injury, unfortunately also become higher risk for a second injury with 30% of those individuals suffering a contralateral (opposite knee) ACL injury in the first few years post-reconstruction (Grindem et al., 2016, Paterno et al, 2014) or further, elite athletes can have as high as 50% risk of reinjury in the first postoperative year (Kaeding et al, 2017).
Read More
Sam S.
Patient
The best PT clinic out there! After my third ACL replacement I came to Nevada PT to work on my recovery. Dakota was a spectacular therapist and got me into the best shape of my life. The care they offer is far superior to the other physical therapy clinics I used in the past and I couldn't have asked for a better experience!
Read More ReviewsAleem
Patient
I cannot say enough positive things about this place. Came in with an ACL injury. I spent a few weeks working with jonathan. His evidence-based approach and motivational ability was really really inspiring. He helped me get back to normal and then some!
Read More ReviewsJamie F.
Patient
I had ACL and meniscus replacement surgery and was referred to Nevada Physical Therapy by my doctor. The owner, John, was incredibly knowledgeable, and the front staff are helpful and warm. But the real star of the show is Nick D'Agostino. His approach utilizes both physical and mental strength exercises[...]
Read More ReviewsTaylor R.
Patient
While working as a local first responder I tore my ACL several months ago. Various co-workers/friends recommended to see Jon as he has helped rehab them and yielded great results. Shortly after, I had my surgery to repair the knee and began seeing Jon. Immediately, Jon discussed his process and explained the different stages of my rehab[...]
Read More ReviewsEric W.
Patient
I saw NVPT for several months after my knee surgery. I really liked the staff (Ellie, Dakota, Britney, and Tristan). What really impressed me was how their training programs were based on the latest evidence-based research. Dakota developed a plan that allowed me to stay active while recovering so I never felt too sidelined by the injury[...]
Read More ReviewsAlex O.
Patient
Nevada Physical Therapy is by far the best physical therapy office in town. As a soccer player, injuries are a common occurrence, but Brian helped me through a particularly nasty ACL tear and it has easily been one of the best recoveries I've had [...]
Read More Reviews
We do our best to serve our patients by returning them to work, sports, recreational activities or self-sufficiency as quickly and as safely as possible. We enlist active participation in the recovery process and empower patients with knowledge by teaching them self-management and injury prevention. We are dedicated to caring for the patient but also serving the referring physicians, insurers, and employers by providing cost-effective, outcome-oriented care.