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Physical Therapy Equipment and Performance Training Technology: Rehab o
Kevin Wilk recommends neurocognitive training for every ACL patient in his 2024 IJSPT Clinical Commentary.
This is what that looks like in a real session.
30-second foot fire drill. Right knee ACL patient, six months post-op. Real-time ground contact times on the iPad. Attention on the screen, not the affected leg.
The asymmetry showed up in the data before the hop tests caught it. That is what Chmielewski et al. found in IJSPT 2024: physical clearance does not equal neurocognitive readiness.
Wilk also flagged upper extremity as underutilized. Shoulder, labral, and rotator cuff patients can run the same cognitive-motor protocols. Most clinics have not gone there yet.
What are you using to test cognitive-motor readiness before clearing an ACL patient?
Real falls happen during distraction. During reaction. During multitasking.
Standing on one leg in a quiet room does not predict what happens in a busy grocery store.
QuickBoard has a Balance Protocol designed for at-risk and neuro populations. It starts with limited active sensors (2 front sensors only) and slower stimulus timing, then progresses to all sensors active as the patient improves. The PT controls the difficulty. The patient trains cognitive-motor integration, not just static balance.
The progression matters: 2 sensors to 4 sensors to all sensors. Slower timing to faster timing. Single task to dual task. That is how you build real-world fall resistance.
Davis Physical Therapy said it well: The Quickboard is a great tool that integrates neurocognitive training into rehab advancing at each stage.
The Memphis Hick Law study (Downing) validated this principle on QuickBoard: more response options means slower processing. Starting a fall-risk patient with 2 sensors instead of 8 is not a limitation. It is clinically intentional. You match the cognitive demand to where the patient is, then progress.
Are you training your fall-risk patients to react under cognitive load, or just to stand still?
React + Speed Tracked
Most training or rehab tech only tracks one aspect of an exercise. At Quick Board, we understand that exercises need to be more complex to train the body as it truly functions AND track all aspects of those exercises.
Our reaction exercises include every possible datapoint for tracking athlete performance. In the exercise below, we collect the following:
✅ Reaction time
✅ Response time
✅ Foot Fire touches
✅ Ground contact time
✅ Symmetry summary based on the data above
In this drill, the athlete performs continuous foot-fire on sensors 6 and 7 while simultaneously reacting to random visual targets on sensors 1-5.
Same board. Same stance. Two independent motor tasks competing for the same attentional resources.
Why it matters:
Sport doesn’t wait for you to finish one movement before demanding the next. A defender shuffles (rhythm) while reading the ball carrier’s hips (reaction). A goalkeeper holds ready position (postural control) while tracking a deflection (visual processing).
Training each skill in isolation misses the interference.
External focus research (Wulf 2013, Chmielewski et al. IJSPT 2024) shows that dual-task environments with competing external targets better replicate the attentional demands of competition.
QuickBoard’s sensor array allows clinicians and coaches to layer rhythmic and reactive tasks without adding equipment, screens, or cognitive complexity for the athlete.
The system handles the split. The athlete just moves.
What dual-task combinations are you currently using in late-stage rehab or performance prep?
Great video
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