Holle Per4mance

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Holle Per4mance Dr. of Physical Therapy, Strength & Conditioning Specialist, USA Weightlifting Sports Performance Certified, former college football player.

ALL things sports medicine and human performance. At HP4, we're all about finding YOUR NEXT LEVEL!

Last few months have flown by! Relocated to AZ to start a new journey here at EXOS. It's been a blessing to join such a ...
16/04/2021

Last few months have flown by! Relocated to AZ to start a new journey here at EXOS. It's been a blessing to join such a talented team who really pushes the needle on performance therapy.

If you need some physical therapy love, come see us in North Phoenix!

Look how much thicker the bone is in the throwing arm (left) of MLB pitchers versus their non-throwing arm (right). WHY?...
19/12/2020

Look how much thicker the bone is in the throwing arm (left) of MLB pitchers versus their non-throwing arm (right). WHY?
Because our tissues adapt to the stresses we place on them. 💪 These throwing arms withstand ridiculous amounts of torsional forces. Forces that they’ve adapted to tolerate over time.
This principle finds its way into my patient education very often. When we share that injured tissues have potential to heal, & then adapt to the forces needed for performance, we help to foster hope & optimism. 2 key elements needed for successful rehab.
❗️Ultimately, we know that all tissues have a ceiling, but I’d argue NONE of my patients or athletes are anywhere near their biological potential. So, we cultivate hope & we work hard to create the adaptations that we’re capable of. ❗️

Thanks to for the graphic

🚴 ACTIVE RECOVERY 🏊⠀-⠀👉 This involves non-weight bearing, low-intensity, aerobic activity, performed the day after high-...
13/12/2020

🚴 ACTIVE RECOVERY 🏊⠀
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👉 This involves non-weight bearing, low-intensity, aerobic activity, performed the day after high-intensity, often eccentric exercise⠀
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💪 This may act to loosen 'stiff' muscles and re-gain mobility, in addition to promoting the delivery of nutrients for recovery and removal of metabolite build-up⠀
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❗️ Active recovery does not provide an additional benefit to that of massage on DOMS, however, may enhance relaxation associated with outdoor & fresh air activity 🚵
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Good reminder for your Sunday Funday with a from

When 1 in 4 athletes re-tear their ACL’s despite going through rehab, we have a big problem. Here are some of my favorit...
03/09/2020

When 1 in 4 athletes re-tear their ACL’s despite going through rehab, we have a big problem. Here are some of my favorite quotes from this viewpoint article📖.
👀
“Despite overwhelming evidence to the contrary, fear of loosening the healing graft has become so ingrained that contemporary clinicians often accept this disproven fear as fact, passing both the fear and associated quadriceps weakness on to their patients.”
⚠️
“If rehabilitation clinicians do not emphasize regaining quadriceps strength, do not measure it, and steer patients away from doing open-chain exercises, they are failing their patients.”
with
・・・
Have you read the recent Viewpoint piece in JOSPT by Brian Noehren, PT, PhD, FACSM and Lynn Snyder-Mackler, PT, ATC, ScD, SCS, FAPTA?

04/06/2020

As a testament to the amazing things consistent training can do for your body, I have a goal to dunk every year until I’m 50. Here’s to 28 ⛹🏼 Thanks to my fellow KU DPT grad for the idea

Had an amazing time in AZ this past week. Big thanks to  &  for helping us stay healthy with some family workouts! If yo...
28/05/2020

Had an amazing time in AZ this past week. Big thanks to & for helping us stay healthy with some family workouts! If you’re in the Chandler area, check out this location for an awesome environment & some killer training! @ F45 Training Chandler North

Had a great time this week covering All Elite Wrestling! These athletes put some pretty crazy demands on their body’s so...
01/03/2020

Had a great time this week covering All Elite Wrestling! These athletes put some pretty crazy demands on their body’s so we were happy to provide some care to help keep them performing at their best! 🤼‍♂️ Thank you for having us!
@ Silverstein Eye Centers Arena

Fun weekend learning trigger point dry needling!Questions about dry needling? Ask away!          @ Kansas City, Kansas
26/01/2020

Fun weekend learning trigger point dry needling!
Questions about dry needling? Ask away!
@ Kansas City, Kansas

Evaluated a client this week with an Achilles Tendon rupture. These are rough injuries that occur more frequently in spo...
20/12/2019

Evaluated a client this week with an Achilles Tendon rupture. These are rough injuries that occur more frequently in sports that require high amounts of jumping & change of direction like basketball 🏀
Following surgery, rehab can be a long process. Here are a few NBA athletes and their rehab timelines.
Despite being the strongest and thickest tendon in the body, it is also one of the most frequently torn or ruptured tendons.
The most common causes of rupture are:
♦️Sudden plantar flexion
(foot pointing downward) such as taking off to jump.
♦️Unplanned or forced dorsiflexion (foot moving upward) such as landing a jump or planting hard to change direction
@ Kansas City, Kansas

Being in pain is not fun and rehab is not easy.  Love this graphic from .surdykapt and .physio that reminds us to refram...
04/12/2019

Being in pain is not fun and rehab is not easy. Love this graphic from .surdykapt and .physio that reminds us to reframe our markers of progress.
When you’ve had symptoms for months sometimes years, your pain may be the LAST things we change. BUT if you can change your perspective and appreciate the improvements you’ve made in function... that’s where the results are. Over time, your symptoms will change.

Late post, had a lot of fun learning more about blood flow restriction training!What is Blood Flow Restriction Training?...
27/11/2019

Late post, had a lot of fun learning more about blood flow restriction training!
What is Blood Flow Restriction Training?
Blood Flow Restricted (BFR) rehabilitation uses a tourniquet device to restrict arterial (arteries) blood flow & occlude venous (veins) return while exercising. With this technique, we can exercise at a significantly lighter intensity while still creating adaptations needed to expedite your rehab experience.
Excited to have the opportunity to offer this service! @ Kansas City, Kansas

A fun piece of patient education last week for someone with knee osteoarthritis 👨🏼‍⚕️What is load management?Load manage...
20/10/2019

A fun piece of patient education last week for someone with knee osteoarthritis 👨🏼‍⚕️
What is load management?
Load management is the idea that through controlling the stressors (load) that a person, or in this case a joint undergoes, we can develop tolerance to that stress over time.📶
With a condition like knee osteoarthritis we use load management & graded exposure to build up the knee and help client to reach their treatment goals. 👏🏼
It’s no easy process. It takes patience and some trial & error but it’s worth it to stick to the process.🔥

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