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News

We were featured in an article in PT Magazine, October 2000 issue. You may read the article "Bringing 'Practice' to the Pros". The following is a list of some of the publications we have been involved with:

  • KIN-COM Basic Training Course Workbook, Chattanooga Publishing, Hixson Tennessee
  • Evaluation and Treatment of Shoulder Dysfunction and Anterior Knee Pain - Laboratory Workbook, (Sportsworks)
  • Eccentric Training: Myth vs. Reality in Functional Loading for Shoulder Impingement and Anterior Knee Pain - Lecture and Lab Workbook, (Sportsworks)
Bringing "Practice" to the Pros

John Hisamoto, PT, ATC, is owner of Pro-Active Physical Therapy in Tampa, Florida. Hisamoto brings experience to his private practice from his work with professional sports, including a term with the Union Memorial Sports Medicine clinic in Baltimore where he assisted in treating members of the Baltimore Blast soccer team, the Baltimore Colts professional football team, and the Baltimore Orioles professional baseball team.

" Initially, I went to school for pediatrics. But I played sports in high school and college, and, as I was leaving school, sports medicine was booming. Isokinetics was coming into greater renown and the fitness craze just beginning. I found myself switching specialties and was fortunate enough to find the right career for me at the perfect time. That's when I got involved with Union Memorial, which was one of the first major clinics on the East Coast."

In 1987, Hisamoto took a position at the University of South Florida as Director of Rehabilitation at the Department of Orthopedics and Rehabilitation. Simultaneously, he continued to treat patients and deal with such high-profile teams as the College All-American and the USA National Rugby teams, Tampa Bay Lightening professional hockey team, and Tampa Bay Mutiny professional soccer team. "A lot of what I did involved pure rehabilitation after injury. Athletes not only require aggressive treatment, but they are dependent upon good results. They have to go back to the game stronger and in better shape than they were before their injury, to avoid risk of re-injury."

Hisamoto's approach is to find out what the muscle is missing and restore it."Rehabilitation requires understanding of where the injury took place to design effective treatment," says Hisamoto. "The area needs to be stressed in the same manner in which the injury occurred to regain strength." Based on this ideology, Hisamoto practices and lectures on what he refers to as the SAID method: Specific Adaptation to Imposed Demands.

To illustrate this principle, Hisamoto recounts the treatment of Mutiny midfielder Eric Quill, who strained a hamstring playing soccer. "Holly Karol, ATC, is the Mutiny's head trainer, and she did a fabulous job in the early phase of rehabilitating Eric after his immediate injury. We worked on a program that ensured that he not only got well, he got better. Since this injury occurred at high-speed, there was no easy way to reproduce the conditions under which it first occurred. So to start off, we concentrated on stabilizing his hamstring."

" Once he was stronger, we had him stress the area eccentrically with running and jogging exercises designed to replicate the conditions of a game. Finally, we trained his hamstrings specifically with eccentric loading exercises, increasing the speed of the contraction, resulting in increasing tension. We combined that training with functional running activities, so that once he did return to the field, his hamstring was not only strengthened by his therapy, it was re-conditioned to the sport." Incidentally, Quill has gone on in the new season to a more impressive record than ever.

Hisamoto stresses that athletes can be unique patients. "They are going back to an environment unlike anyone else's, one prone to unnatural stress and in which the body gradually breaks down as injury takes a toll. They are under tremendous pressure if they're not physically well put together."

More than that, professional athletics is a business. "An athletic performance is a commodity," says Hisamoto. "Players cannot afford to have a poor showing, or their 'stock' goes down. They are looking to come back stronger, faster, and better than before, and with such an aggressive multi-million dollar business, they can't risk not doing it right."

Hisamoto finds that many athletes are approaching him pre-season in order to shape up and do a bit of preventive maintenance. "I especially see a lot of pitchers coming in to work on their pitching arm prior to spring training. Most of them have had previous problems with things like shoulder decelerators and rotator cuffs. They understand the risk of injury and appreciate what physical therapy can help them to avoid."

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