GAINcast Episode 197: Repetition without repetition (with Grace Golden)

Traditionally the rehabilitation process chases pristine movements. Grace Golden has a different approach: explore permutations of each movement and force the athlete to respond to their environment. After presenting at last month’s GAIN Master Class, Grace Golden joins this week’s GAINcast to discuss her principles of rehabilitation, as well as how to create a team approach to returning athletes to play.

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Notes and quotes

Grace Golden is an Oregon native. She finished her bachelor’s and master’s degree at the University of Oregon, and then later a doctorate in Sports Medicine at Oregon State University. She has worked as an athletic trainer in a variety of roles from high school level to the associate head athletic trainer at UCLA. Since 2009 she has been back at the University of Oregon, where she works as Program Director and Clinic Research Coordinator for the Graduate Athletic Training Program. She is also a GAIN faculty member.

  • 4:30 – What is repetition without repetition (RWOR): “With the fundamental exercises we might employ, I’m not likely to repeat the same exercise in its purest sense from set to set. Ask how you can explore some permutations of that task, work in a different plane, or respond to something in the environment.”
  • 6:00 – Examples of RWOR: “From a rehabilitation standpoint we want to create more movement literacy and dexterity in the rehabilitation process. Movement dexterity takes them towards being more coordinated. If I had to say my overall goal of long-term rehabilitation, it is to create a more coordinated athlete.”
  • 8:45 – Leaning when to break the rules, the development of her approach. “Physiotherapy is often about creating pristine movements. Conventional wisdom is a good place to start, but after you understand the rules at some point you can move beyond that and break some rules.”
  • 14:00 – Coming back stronger.
  • 16:30 – The difference between good training and good rehabilitation.
  • 19:00 – Collaboration in the rehabilitation process.
  • 24:00 – Developing the team approach and building trust.
  • 29:00 – The effect of monitoring on physiotherapy and injury risk men’s vs. women team games.
  • 33:30 – Technology in performance environment: “If you want to chase data, you need one person dedicated to that on the staff. At a professional club the costs and time expense of that makes sense. But for others it doesn’t.”
  • 36:30 – Injury prediction vs. prevention: “It’s not to say we shouldn’t use screening tools–I do believe in screening–but the efficacy to predict injury is poor. I can appreciate creating a simple model, but injuries are rarely simple. Injuries are multifactoral and the solution has to be multifactorial.”
  • 41:30 – High tech vs. high touch training.

To hear more about these topics you can listen to the full episode above. If you like what you hear on the GAINcast, don’t forget to give us a review and subscribe on iTunes.

Further reading

The following links were referenced in the podcast or provide some additional reading material on the topic: