The SHIFT Show

Dave Tilley
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Oct 21, 2025 • 31min

Early Sport Specialization: Risks, Research, And Smarter Training

We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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Oct 12, 2025 • 28min

Nutrition Tips for OCD, ACL, & Other Rehabs

We push back on the “eat less when you’re hurt” myth and show how fueling drives better rehab, stronger muscles, and faster tissue healing. From creatine and omega‑3s to collagen timing and vitamin D, we map practical steps that help ACL and OCD athletes progress.• the case for calorie sufficiency and daily protein• why creatine and omega‑3s support strength and tolerance• vitamin D, vitamin C, and collagen timing for tissue support• reframing nutrition as fuel for performance, not weight loss• how REDs and underfueling stall progress and raise risk• workload vs recovery for OCD bone healing• simple routines teens will actually follow: snacks, sleep, hydration• when to refer to a sports dietitian and what to screenWe appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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Oct 7, 2025 • 30min

FAI to Dysplasia: Treating Diverse Hip Pain Causes

Want to learn more from SHIFT? Check out our courses here!https://courses.shiftmovementscience.com/Six weeks off resets our pace and sharpens our focus as we map the two big hip profiles: lax undercoverage vs. stiff overcoverage. We compare symptoms, tests, workloads, and when to choose conservative care, injections, or surgery.• undercoverage laxity causing end-range subluxation and labral overload• overcoverage FAI producing flexion–IR compression and anterior pinching• subjective patterns that separate kicks and splits from deep squat pain• movement tests for each profile aligned to the mechanism• imaging cues: alpha angle, lateral center-edge angle, dysplasia markers• diagnostic injection as a decision hinge before surgery• active flexibility over passive oversplits and ankle weights• workload changes that actually calm irritable hips• posterior-chain and rotator strength to build control through range• growth and early specialisation shaping expectations and skill choices• matching athlete profiles to skills and roles to reduce relapse riskWe appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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Aug 12, 2025 • 28min

Prepping Gymnasts For PreSeason

The transition from summer to fall brings new challenges for gymnasts as they balance back-to-school demands with increased training loads, requiring careful planning to prevent injuries and build a foundation for competition season. We discuss how to create a training plan that accommodates the physiological, mental, and lifestyle changes that occur during this critical period.• Four key "buckets" for successful preseason training: strength/conditioning, metabolic capacity, gymnastics progressions, and physical preparation/education• Why traditional cardio methods like long runs and endless panel mat jumps qualify as "junk mileage" that doesn't effectively prepare athletes for the demands of competition• Difference between aerobic conditioning (not sport-specific) and the 60-90 second anaerobic bursts needed for gymnastics routines• Sport-specific cardio progressions that build capacity while minimizing injury risk• Why recovery between sessions is where actual improvement happens, not during the training itself• Importance of proactively educating athletes and parents about sleep, nutrition, hydration and stress management• Creating gym cultures that normalize recovery practices rather than only addressing them when problems arise• Simple, practical ways coaches can incorporate education about recovery into daily practiceTry collecting high-quality, evidence-based resources on sleep, nutrition, hydration, and stress management to create simple one-page PDFs for parents and athletes as part of your welcome packet or regular communications.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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Aug 5, 2025 • 35min

Treating Athletic Low Back Pain

Explore the complexities of athletic low back pain, distinguishing between chronic sensitization and acute flare-ups. The conversation reveals how daily habits and movement patterns play a crucial role in recovery. Simplifying rehabilitation, they stress the importance of gradual progression to sport-specific activities. Insightful tips on modifying daily activities help recalibrate pain sensitivity. Plus, discover the limitations of clinical guidelines and the value of patient education in achieving lasting results.
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Jul 29, 2025 • 26min

Hip Impingement: Understanding FAI and Labral Tears

In response to a request, we share valuable resources for learning about femoral acetabular impingement (FAI) and labral tears, addressing the knowledge gap many clinicians face with these conditions.• Four essential resource categories: research literature, clinical specialists, surgical resources, and academic educators• Key research documents include the Warwick Agreement and Doha Agreement on diagnostic criteria for FAI• Following clinicians like Dan, Mike Ryman, and Mike Voigt who combine research with extensive clinical experience• Surgical textbooks like "Hip Preservation Surgery" provide valuable insights despite their cost • Observing actual hip surgeries offers unparalleled perspective on the procedure and recovery process• Understanding imaging measurements (alpha angle, lateral center edge angle) improves communication with surgeons• Interdisciplinary conferences and continuing education courses provide opportunities for professional networking• Watching a family member recover from surgery builds empathy for what patients experience beyond clinical visitsYour best approach to mastering hip FAI and labral tear management is to combine evidence, clinical expertise, surgical knowledge, and academic insights while applying this systematized approach to any joint or condition.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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Jul 8, 2025 • 33min

Managing Diverse PT Caseloads

We share strategies for managing a busy clinical caseload when juggling multiple patients with different injuries, surgeries, and protocols across various settings.• Organizing patient information systematically through spreadsheets listing surgical details, protocols, and progression points• Creating tables to track swelling measurements, range of motion, and strength over time• Establishing consistent assessment routines when patients arrive for appointments• Using technology and automated calculators to track progress and compare to past measurements• Translating complex clinical measurements into understandable metrics for patient education• Leveraging colleagues' expertise when facing cases outside your comfort zone• Dividing responsibilities between clinicians to optimize patient care• Creating documentation systems that allow quick retrieval of important patient information• Establishing data-driven rationales for return-to-sport decisions with athletes• Setting realistic expectations about progress timeframes based on researchIf you're feeling overwhelmed by your caseload or want to improve your organizational systems, reach out to us on Instagram or email with questions or suggestions for future episodes.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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Jul 1, 2025 • 34min

Why Acute Injury/Post Op Surgery PT is Key

Every day we pay our dues by doing the harder thing when it's the right thing to do, especially when managing the complicated early weeks of post-operative rehabilitation. • Understanding surgical procedures through observation, surgical textbooks, and building relationships with surgeons• Establishing direct communication with surgeons to obtain critical information rather than navigating complex administrative channels• Managing pain through appropriate medication, consistent icing, and education about maintaining comfort• Controlling swelling with compression, elevation, and controlled movement to prevent quadriceps inhibition• Prioritizing full hyperextension for knee surgeries to prevent complications like cyclops lesions• Using "consistency over intensity" approach with gentle, frequent interventions rather than aggressive stretching• Activating key muscles through neuromuscular electrical stimulation (NMES) in conjunction with volitional efforts• Progressing from assistive devices based on functional criteria rather than arbitrary timeframes• Applying similar systematic principles across different joints with appropriate modifications for specific procedures• Focusing on early hip labral repair rehabilitation with controlled motion and gradual progressionWe appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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Jun 24, 2025 • 49min

Helping New PT's Be Happier At Work

Physical therapy school prepares you with fundamental skills, but the gap between education and real clinical practice can be overwhelming for new graduates. This first-hand discussion reveals strategies to navigate the challenging transition as a new PT.• PT school primarily teaches you to "not hurt people" rather than specific treatment protocols• Feeling unprepared is normal when facing unfamiliar cases, especially post-surgical rehabilitation• Chart review the night before seeing patients helps you prepare for unfamiliar conditions• Basic, simple exercises are often more effective than complicated "creative" approaches• Finding mentors is crucial for developing confidence and clinical reasoning• Programming exercise should focus on addressing deficits rather than impressing patients• Patients care more about getting better than receiving a precise diagnosis• Continuing education should be targeted: 1/3 for immediate cases, 1/3 for common conditions, 1/3 for personal interests Check out our upcoming third cohort of the mentorship program with Mike Reinald at fitnesspainfree.com to learn more about our treatment approaches and protocols.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/
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Jun 17, 2025 • 33min

Puberty & Rapid Growth Management in Gymnasts

Managing the growth spurt phase in young athletes requires patience, education, and strategic training modifications to prevent injuries and maximize long-term development. Athletes experience significant physical changes between ages 10-14 that directly impact performance and create temporary challenges that should be viewed as developmental opportunities.• Growth plates are vulnerable to injury during rapid growth phases• Peak Height Velocity (PHV) is when children grow fastest, typically around age 13• Physical changes include dramatic bone growth that outpaces muscle adaptation• Athletes naturally lose flexibility, power, and coordination during growth spurts• Training should shift to 70% basics/flexibility/soft surfaces and 30% skills during growth phases• Strength training is safe and beneficial for young athletes when properly implemented• Cross-training helps develop athleticism while reducing sport-specific impact• Coaches should consider reducing competition schedules during peak growth• Modern elite gymnasts peak in their 20s, not at 16, showing the benefits of patient development• Post-puberty athletes gain significant power and strength advantages for higher-level skillsTraining hard through puberty isn't about pushing skills; it's about building foundations. Every day you pay your dues by doing the harder thing when it's the right thing to do.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/

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