The SHIFT Show
Dave Tilley
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The SHIFT Show is an educational podcast hosted by Dr. Dave Tilley, a Sports Physical Therapist, Gymnastics Coach, Strength and Conditioning Coach, International Lecturer, and CEO of SHIFT Movement Science. The show provides tools, ideas, and the latest science to help change athletes' lives.
Epizody
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From Shin Splints To Stress Fractures: Rehab For Athletes 24.02.2026 1h 9minWhat if the way we load bones is backward? We dive into a smarter approach to preventing and rehabbing bone stress injuries that flips old assumptions—showing how muscle forces, not just ground impact, drive the load that shapes bone. With Kevin, a clinician steeped in running and bone health research, we connect the dots for runners, gymnasts, and youth athletes who keep battling “shin splints,” stress reactions, and stress fractures. We start with the real culprits: rapid workload spikes a...
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Changing How Gymnastics Land: Current Updates 17.02.2026 27minWe break down how landing mechanics shape knee health and why squat-based, trunk-controlled landings protect young athletes more than upright, stiff styles. We share quick screens, daily warm-ups, and strength progressions that make safer landings stick without wasting time. • defining knee valgus and why it raises ACL and patellofemoral stress • how trunk lean spikes medial knee load • squat-based landings vs upright landings and risk reduction • short-lived transfer of prevention programs ...
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Gymnastics Culture: Have We Made Progress? 10.02.2026 30minBurnout in youth gymnastics isn’t a kid problem—it’s an adult problem. We unpack new survey data showing that the biggest stressors in gyms are gossip, unclear roles, weak leadership, and pay that doesn’t match the real work. From our own journey transforming a miserable program into a place coaches and families love, we break down the practical steps any gym can take to reduce drama and raise performance. We start with money and scope, because compensation without clarity fails both sides. ...
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Coaches & Parents In Season Meet Advice 30.12.2025 25minPressure has a way of distorting priorities. The moment the lights go up and the scores start flashing, even calm adults can tighten, snap, or say things they wish they could take back. We wanted to talk frankly about how to keep the main thing the main thing: people first, gymnastics second. That shift changes how we coach after mistakes, how we handle parents, and how we protect safety and confidence across a long season. We dig into what real support looks like the second an athlete falls...
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Meet Reason Recovery: Must Use Strategies 23.12.2025 39minFebruary hits hard: cold mornings, late practices, weekend meets, and a school calendar that won’t quit. We dive straight into the reality of athletic overload and replace vague advice with a practical system built on three pillars that actually move the needle: sleep, fueling, and real downtime. Using an easy phone-battery analogy, we show how to close the mental “apps,” dim the brightness, and get full charges so training pays off when it matters. We walk through sleep tactics backed by re...
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Overcoming Shin Splints In Meet Season 16.12.2025 25minThe line between “normal sore” and “season-ender” can be thinner than a springboard. We’ve been seeing a spike in shin pain as athletes ramp into meet season, so we dug into what actually separates routine aches from stress reactions and fractures—and how to act before things break. You’ll hear the red flags we never ignore, why focal anterior tibia pain is different from posteromedial soreness, and the simple rule of threes that helps coaches and athletes make better calls on the floor. We ...
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Improving Flexibility: Exact Step By Step Scientific Methods 25.11.2025 16minGet 25% off all SHIFT's Courses this week only! Use code "BF2025" www.shiftmovementscience.com/bf2025 We break down a clear, research-backed path to better flexibility using simple daily stretching, short soft tissue work, heavy eccentrics, and active drills that help the nervous system keep new range. We finish with a practical circuit, progress timeline, and a resource for coaches who want more depth. • Static stretching dosage that drives change • Warm-up sequencing that protects p...
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Post Achilles Tear Return to Gymnastics Programs 11.11.2025 25minThanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/ We lay out a clear, test-driven plan for returning to gymnastics after an Achilles injury, from strength benchmarks and load progressions to surface mixing and smart skill choices. We also explain why removing a single back pass can cut risk without cutting value. • why we avoid midroll ads and keep focus • clearance, range, and strength symmetry before plyos...
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Preseason Priorities For Gymnastics 04.11.2025 29minThanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/ We start with the thrill and fear of automation, then channel that energy into a clear, practical plan for gymnastics preseason. Power first, targeted anaerobic work, and smart progressions turn combinations into confident full routines without spikes in injury risk. • Four training buckets: skills, strength and power, metabolic conditioning, athlete wellness...
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When Patients Aren't Getting Better, What Do You Do? 28.10.2025 25minThanks for listening to The SHIFT Show! Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/ We share a candid week of ACL and knee scares to examine why progress stalls and how to respond without blame. From honest workload talks to puberty timelines and recovery basics, we lay out a practical checklist clinicians and families can use right away. • listener growth and how to request topics • case stories that trigger self-reflection not self-blame •...
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Early Sport Specialization: Risks, Research, And Smarter Training 21.10.2025 31minWe 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 10...
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Nutrition Tips for OCD, ACL, & Other Rehabs 12.10.2025 28minWe 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 weigh...
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FAI to Dysplasia: Treating Diverse Hip Pain Causes 07.10.2025 29minWant 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 pat...
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Prepping Gymnasts For PreSeason 12.08.2025 27minThe 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 prog...
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Treating Athletic Low Back Pain 05.08.2025 34minGet $100 off my brand new course, Rehabilitation of Athletic Low Back Pain, with Mike Reinold! https://mikereinold.com/athletic-low-back-evaluation-treatment-online-course/ We tackle how to assess and treat different types of back pain, combining evidence-based approaches with movement-based classifications that actually work for athletes and active individuals. • Creating a systematic approach to back pain starts with understanding whether it's chronic sensitization or repeated acute flare-...
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Hip Impingement: Understanding FAI and Labral Tears 29.07.2025 26minIn 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 co...
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Managing Diverse PT Caseloads 08.07.2025 32minWe 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 autom...
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Why Acute Injury/Post Op Surgery PT is Key 01.07.2025 33minEvery 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...
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Helping New PT's Be Happier At Work 24.06.2025 49minPhysical 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 pati...
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Puberty & Rapid Growth Management in Gymnasts 17.06.2025 32minManaging 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, typicall...
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