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Article: Mark Ripptoe Is Mad

I found myself smiling through this whole thing feeling like someone took my thoughts and wrote them better than I could. Great read.
 
Great article. A machine's individual parts have no functionality unless they are all working together
 
Much like the general population, I feel that you have no understanding of physical therapy. While in the past years PT has relied heavily on modalities and what we call "feel good" techniques, there has been a paradigm shift-at least for most new grad's coming out with a doctorate in PT which takes approximately 7 years start to finish. Heavy emphasis has been placed on strength training, mobilizations/manipulations, and treating the whole kinetic chain. Furthermore, it's great that all of your clients are healthy individuals who are ready to work out, but when working with someone who is sedentary, morbidly obese, and with a 2 week post op TKA with a contralateral ROM less than 120* I do not think I would be asking that person to perform a snatch, clean and jerk, or front squat. It's going to take a least a day to teach the person how to contract their quad under volitional control. As far as your statement relating to the rotator cuff and flexor digitorum, I believe the old gym motto is "Isolate to stimulate" is it not? If the supraspinatus is so atrophied any functional movement causes the deltoid to take over which forces the head of the humerus superior, further disrupting blood flow to the supraspinatus which in turn would perpetuate the problem, why would I continue to perform that movement? I would be at risk of being sued for malpractice. Instead you must take a step back, train in an isolated ROM to activate the fibers that need to be targeted. Lastly, I will concede that just like every profession there are good therapist, great therapists, and ones in it just for the money (which isn't THAT much since most insurance companies only pay 1/2 the cost, and most is put back into the company). But to use a blanket statement that we don't care or maybe even don't know is completely unprofessional and ill-informed.
 
myanon said:
Much like the general population, I feel that you have no understanding of physical therapy. While in the past years PT has relied heavily on modalities and what we call "feel good" techniques, there has been a paradigm shift-at least for most new grad's coming out with a doctorate in PT which takes approximately 7 years start to finish. Heavy emphasis has been placed on strength training, mobilizations/manipulations, and treating the whole kinetic chain. Furthermore, it's great that all of your clients are healthy individuals who are ready to work out, but when working with someone who is sedentary, morbidly obese, and with a 2 week post op TKA with a contralateral ROM less than 120* I do not think I would be asking that person to perform a snatch, clean and jerk, or front squat. It's going to take a least a day to teach the person how to contract their quad under volitional control. As far as your statement relating to the rotator cuff and flexor digitorum, I believe the old gym motto is "Isolate to stimulate" is it not? If the supraspinatus is so atrophied any functional movement causes the deltoid to take over which forces the head of the humerus superior, further disrupting blood flow to the supraspinatus which in turn would perpetuate the problem, why would I continue to perform that movement? I would be at risk of being sued for malpractice. Instead you must take a step back, train in an isolated ROM to activate the fibers that need to be targeted. Lastly, I will concede that just like every profession there are good therapist, great therapists, and ones in it just for the money (which isn't THAT much since most insurance companies only pay 1/2 the cost, and most is put back into the company). But to use a blanket statement that we don't care or maybe even don't know is completely unprofessional and ill-informed.
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Do you actually think he's going to read this comment? Lol
 
I agree , love this article. Heavy compounds cannot be replaced by ****ing bicep curls. Hence why I love my.power days, oh heavy squats, bb rows, and presses COME BACKKKK TO ME!
 
myanon said:
Much like the general population, I feel that you have no understanding of physical therapy. While in the past years PT has relied heavily on modalities and what we call "feel good" techniques, there has been a paradigm shift-at least for most new grad's coming out with a doctorate in PT which takes approximately 7 years start to finish. Heavy emphasis has been placed on strength training, mobilizations/manipulations, and treating the whole kinetic chain. Furthermore, it's great that all of your clients are healthy individuals who are ready to work out, but when working with someone who is sedentary, morbidly obese, and with a 2 week post op TKA with a contralateral ROM less than 120* I do not think I would be asking that person to perform a snatch, clean and jerk, or front squat. It's going to take a least a day to teach the person how to contract their quad under volitional control. As far as your statement relating to the rotator cuff and flexor digitorum, I believe the old gym motto is "Isolate to stimulate" is it not? If the supraspinatus is so atrophied any functional movement causes the deltoid to take over which forces the head of the humerus superior, further disrupting blood flow to the supraspinatus which in turn would perpetuate the problem, why would I continue to perform that movement? I would be at risk of being sued for malpractice. Instead you must take a step back, train in an isolated ROM to activate the fibers that need to be targeted. Lastly, I will concede that just like every profession there are good therapist, great therapists, and ones in it just for the money (which isn't THAT much since most insurance companies only pay 1/2 the cost, and most is put back into the company). But to use a blanket statement that we don't care or maybe even don't know is completely unprofessional and ill-informed.
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Well said, although most won't care.

You have to assess someone's capabilities and whether they are able to perform a movement pattern effectively and safely before prescribing it anyhow, which he doesn't really mention. Also, if we are talking about athletes, we train MOVEMENTS not MUSCLE GROUPS so some of the points seem moot. Some good points, some not so good ones; same old same old from Rip. I think Dan John does barbell complexes best; all from a standing position like a boss.
 
myanon said:
Much like the general population, I feel that you have no understanding of physical therapy. While in the past years PT has relied heavily on modalities and what we call "feel good" techniques, there has been a paradigm shift-at least for most new grad's coming out with a doctorate in PT which takes approximately 7 years start to finish. Heavy emphasis has been placed on strength training, mobilizations/manipulations, and treating the whole kinetic chain. Furthermore, it's great that all of your clients are healthy individuals who are ready to work out, but when working with someone who is sedentary, morbidly obese, and with a 2 week post op TKA with a contralateral ROM less than 120* I do not think I would be asking that person to perform a snatch, clean and jerk, or front squat. It's going to take a least a day to teach the person how to contract their quad under volitional control. As far as your statement relating to the rotator cuff and flexor digitorum, I believe the old gym motto is "Isolate to stimulate" is it not? If the supraspinatus is so atrophied any functional movement causes the deltoid to take over which forces the head of the humerus superior, further disrupting blood flow to the supraspinatus which in turn would perpetuate the problem, why would I continue to perform that movement? I would be at risk of being sued for malpractice. Instead you must take a step back, train in an isolated ROM to activate the fibers that need to be targeted. Lastly, I will concede that just like every profession there are good therapist, great therapists, and ones in it just for the money (which isn't THAT much since most insurance companies only pay 1/2 the cost, and most is put back into the company). But to use a blanket statement that we don't care or maybe even don't know is completely unprofessional and ill-informed.
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Couldnt agree more. I like alot of ripps material but he tends to speak before he thinks with alot of things.

Also we have to consider that not all patients are treated equal. Obviously somebody that is an elite level running back that is coming out 6 weeks post op after an acl revision is gonna be able to take a little more abuse and do heavier and harder movements or in other words a more agressive plan of care than an obese pt that recently had a CVA or a diabetic that just had a BKA...

All things reletive... and true to ripps nature...relevance is abscent or null lol

Good read though he raises some good points!
I think ripp would do well to read a little bit of einstein!

And to those of you who said will he even read this or care...no...no he wont...im sure if he cared he wouldnt be an online columnist
 
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