Milo Strength Rehab

Milo Strength Rehab Dr. Jon Kilian, PT, DPT, CSCS, XPS
🟢 Doctor of Physical Therapy
🟢 Strength Coach

📚: Palmieri-Smith, R. M., Thomas, A. C., & Wojtys, E. M. (2008). Maximizing quadriceps strength after ACL reconstruction...
09/05/2026

📚: Palmieri-Smith, R. M., Thomas, A. C., & Wojtys, E. M. (2008). Maximizing quadriceps strength after ACL reconstruction. Clinics in sports medicine, 27(3), 405–ix. https://doi.org/10.1016/j.csm.2008.02.001

📚Palmieri-Smith, R. M., Thomas, A. C., & Wojtys, E. M. (2008). Maximizing quadriceps strength after ACL reconstruction. ...
09/05/2026

📚Palmieri-Smith, R. M., Thomas, A. C., & Wojtys, E. M. (2008). Maximizing quadriceps strength after ACL reconstruction. Clinics in sports medicine, 27(3), 405–ix. https://doi.org/10.1016/j.csm.2008.02.001

Why are force plates valuable and how do I use them?One of the main tests I utilize is the isometric mid thigh pull (IMT...
08/30/2026

Why are force plates valuable and how do I use them?

One of the main tests I utilize is the isometric mid thigh pull (IMTP) - I do use hex grip which is not the norm for research.

The IMTP:
👉🏻is easy to administer
👉🏻is safe
👉🏻is easy to learn
👉🏻is a strong predictor of 1RM
👉🏻CANNOT alone be used as predictor of RFD

This test can show a few useful metrics such as peak force, asymmetry and rate of force development (RFD).

Net peak force: 2537 N or 570 pound-force
👉🏻 we want this to be at least 2x BW (that’s where we see crossover performance drop off - at least for 20/40m sprint performance).

Peak force asymmetry: R1904/L1691 (asymmetry between the L/R vertical ground reaction forces applied at peak force)
👉🏻 obviously we’d like this to be as even as possible, but

It may actually be more advantageous to allow deviation from the norm to build resiliency in more realistic positions of...
08/29/2026

It may actually be more advantageous to allow deviation from the norm to build resiliency in more realistic positions of life 🔑

This isn’t to say that form doesn’t matter.

But it does mean that we can AND SHOULD deviate from accepted norms for particular reasons.

Thoughts? 💭

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Farmville, VA

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