ClinicalAthlete Podcast

By ClinicalAthlete

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Description

The ClinicalAthlete Podcast brings an evidence-based perspective to the realms of sports medicine, rehabilitation, and performance - with no idea or current trend beyond reproach. We enjoy the journey of truth seeking as it relates to the science of training, movement, injury, medicine, and the like. We will discuss, share, agree, disagree - all in an effort to better our practices and provide the best care for our athletes.

Episode Date
Episode 9: Practical Periodization with Scot Morrison
00:52:48

How do we define and track "load" with progressive rehab? How do we organize the rehab plan while managing other athlete stressors?

In this episode of the ClinicalAthlete Podcast, we welcome Scot Morrison onto the show to discuss these topics, as well as:

-When is it better to strive for “good enough” rather than “optimal”
-Examples of feedback loops and metrics to track in order to keep the rehab plan on track
-Frequency of loading
-Loading tests for patients to gauge daily progress with tendinopathy
-Issues with exercise dosage in current rehab practices
-Issues with "predictive" models

If you'd like to learn more about this topic, check out Scot's ClinicalAthlete Webinar at:
www.clinicalathlete.com

Scot's Instagram: @physio_praxis
Scot's Website: www.physiopraxis.co

May 25, 2018
Episode 8: If You Listen To This Show, Let's Set Some Expectations First


In this episode of the ClinicalAthlete Podcast, we discuss how patient beliefs and expectations of care can have a significant effect on patient outcomes. We also discuss how we can manage, potentially reframe, and measure patient expectations clinically. We finish the show discussing a case study of an injured athlete, and how to incorporate patient education as it relates to appropriately framing patient expectations of care.

Peer-Reviewed References:

Bialosky JE et al. Individual Expectation: An Overlooked, but Pertinent Factor in the Treatment of Individuals Experiencing Musculoskeletal Pain. 2010

Geurts JW et al. Patient expectations for management of chronic non-cancer pain: A systematic review. 201

Mar 19, 2018
Episode 7: To Foam Roll or Not To Foam Roll

That is the question we attempt to answer in this episode. What does "self-myofascial release" do and how does it do it? Is it worth spending time on? Does it effect recovery, performance, or injury? What does the research say? Here's our take..

Peer-Reviewed References:

Beardsley. Effects of self-myofascial release: A systematic review. 2015
Cheatham. The effects of self-myofascial release using a foam roll or roller massager on joint range of motion, muscle recovery, and performance. 2015
Schroeder. Is self myofascial release an effective pre-exercise and recovery strategy? A literature review. 2015

Jan 12, 2018
Episode 6: Debate Series 1: Bio vs. Psychosocial

Support the Podcast

In the first edition of the ClinicalAthlete debate series, we are joined by Dr. William Brady, DC of: integrativediagnosis.com.

During this professional debate, we discuss the biopsychosocial model of pain and injury. What effect does a clinician have on the "bio"? When and how should the "psychosocial" element be addressed? Should we take a "structuralist" or "pain science" approach when diagnosing and managing injury? Is it a dichotomy?

We also discuss, at length, the existence and management of fascial adhesions. What are adhesions? Can we identify them with palpation? Can we make structural changes with manual interventions?

We would like to thank Dr. Brady for coming on this show. Professional discussion and debate is what helps to push our fields forward. To suggest future debate topics or possible guests, please use the contact email below.

References mentioned by Dr. Brady:

Flexor tendon adhesion in rats: https://goo.gl/qQf1p2
Tensile properties of collagen matrices: https://goo.gl/F42YB9
Endoscopic treatment of sciatic nerve entrapment: https://goo.gl/DdQ8SG

Referenced mentioned by Derek Miles:

Assembly and mechanical properties of extracellular matrix: https://goo.gl/Ysz5zu
Looking back on back pain: https://goo.gl/JCe931

Referenced by Michael Ray:

STarT Back and low back pain: https://goo.gl/5kir6j
Effect of denervation on pain intensity: https://goo.gl/69ix8C
Relieving pain with expectation interventions: https://goo.gl/1iLfgM
The logic of Rehab blog on pain science: https://goo.gl/VEZeGj

For resources and education in sports medicine, athletic rehabilitation, & performance: www.clinicalathlete.com

For questions and comments: info@clinicalathlete.com

Dec 01, 2017
Episode 5: LTAD: Developing a Specialized Athlete Resilient to Acronyms
<p>Are children specializing too soon? How early is too early to pick one sport? What can we do to foster long-term development? In this episode, we discuss youth athletic development and whether early sport specialization is a risk factor for our young athletes.<br /><br />Peer-Reviewed References:<br />Feeley BT. et al. When is it too early for single sport specialization? AJSM. 2015<br />Myer GD. et al. Sport specialization, Part I: Does early sports specialization increase negative outcomes and reduce the opportunity for success in young athletes? Sports-Health. 2015<br />Myer GD et al. Sports specialization, Part II: Alternative solutions to early sport specialization in youth athletes. Sports-Health. 2015<br /><br />For resources and education in the fields of sports medicine, athletic rehabilitation, and performance:<br />www.clinicalathlete.com<br /> </p><img src="http://feeds.feedburner.com/~r/ClinicalathletePodcast/~4/aX7s7emvD04" height="1" width="1" alt=""/>
Oct 27, 2017
Episode 4: Pain Science: This Sh*t is Complicated
<p>What is "pain"? Does pain mean tissue damage? Can we, or should we, treat pain directly? Does the approach change in acute versus chronic cases? In this episode, we attempt to talk through the complex topic of pain science, as it relates to clinical application.<br /><br />Logic of Rehab pain science blog:<br /><a target="_blank" href="https://goo.gl/f9PZG6">https://goo.gl/f9PZG6</a><br /><br />Peer-Reviewed References:<br />Williams AC. Craig KD. Updating the definition of pain. Pain. 2016.<br />Hauck M et al. Top-down and bottom-up modulation of pain-induced oscillations. Frontiers in Human Neuroscience. 2015<br />Smith BE. et al. Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis. BJSM. 2017<br />Sullivan MJL. et al. The influence of communication goals and physical demands on different dimensions of pain behavior. Pain. 2006<br /><br />For resources and education in the fields of sports medicine, athletic rehabilitation, and performance:<br /><a target="_blank" href="http://www.clinicalathlete.com">www.clinicalathlete.com</a></p><img src="http://feeds.feedburner.com/~r/ClinicalathletePodcast/~4/2YBhHM4UFq8" height="1" width="1" alt=""/>
Sep 23, 2017
Episode 3: Came for the Tendinopathy but stayed for the donuts.
<p><strong>In this episode of the ClinicalAthlete podcast, we are joined by Jason Eure, DPT, to discuss the physiology and current best practice for the management of Tendinopathy.<br /><br />Follow Jason on Twitter <a target="_blank" href="https://twitter.com/jmeure?lang=en">@jmeure</a><br /><br />Read Jason's awesome blogs on Tendinopathy:<br /><a target="_blank" href="https://www.strongerbyscience.com/squatting-with-patellar-tendinopathy/">Squatting with Patellar Tendinopathy</a><br /><a target="_blank" href="http://Training with Biceps Tendinopathy">Training with Biceps Tendinopathy</a><br /><br />Find your nearest ClinicalAthlete Provider or ClinicalAthlete Event at <a target="_blank" href="http://www.clinicalathlete.com">www.clinicalathlete.com</a><br /><br />Peer-Reviewed references used in the show:<br />1. Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research? Cook JL. 2016<br />2. Human tendon adaptation in response to mechanical loading: a systematic review and meta-analysis of exercise intervention studies on healthy adults. Bohm S. 2015<br />3. Heavy-Load eccentric calf muscle training for the treatment of chronic achilles tendinosis. Alfredson H. 1998<br />4. Heavy slow resistance versus eccentric training as treatment for achilles tendinopathy: A randomized controlled trial. Beyer R. 2015</strong></p><img src="http://feeds.feedburner.com/~r/ClinicalathletePodcast/~4/3JJPvRq1p0M" height="1" width="1" alt=""/>
Aug 30, 2017
Episode 2: Voodoo Mind Tricks - Will this dorsiflexion help my shrunken head?
1:38:07
<p><strong>In this episode of the ClinicalAthlete Podcast, Quinn Henoch, DPT, Michael Ray, DC, and Derek Miles, DPT discuss the current evidence for a popular modality - the infamous "voodoo" bands.&nbsp;</strong></p><p><strong>Reference:</strong></p><p><strong><a href="https://www.ncbi.nlm.nih.gov/pubmed/28254581">The effects of tissue flossing on ankle range of motion and jump performance. Driller MW. Overmayer RG., 2017</a></strong></p><img src="http://feeds.feedburner.com/~r/ClinicalathletePodcast/~4/nnHrqYAE5V8" height="1" width="1" alt=""/>
Jul 04, 2017
Episode 1: Do You Even Epistemology Bro?
1:20:21
<a href="http://feeds.feedburner.com/clinicalathletepodcast" title="Clinical Athlete Podcast RSS" class="social-rss">Clinical Athlete Podcast RSS</a> <p><strong>Epistemology - the theory of knowledge. How do we know what we know?</strong></p><p><strong>In the very first episode of the ClinicalAthlete Podcast, Quinn Henoch, DPT, Michael Ray, DC, and Derek Miles, DPT discuss the past, present, and future of evidence-based practice.&nbsp;&nbsp;</strong></p><p><strong>References:</strong></p><ol><li><a target="_blank" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2349778/"><strong>Evidence Based Medicine: What It Is And What It Isn't: It's About Integrating IndividualClinical Expertise And The Best External Evidence.&nbsp;Sackett, 1996</strong></a></li><li><a target="_blank" href="https://www.researchgate.net/publication/296620530_Evidence-Based_Medicine_Has_Been_Hijacked_A_Report_to_David_Sackett"><strong>Evidence-based medicine has been hijacked: a report to David Sackett.&nbsp;Ioannidis, 2016</strong></a></li><li><a target="_blank" href="https://www.researchgate.net/publication/313810736_Progress_in_evidence-based_medicine_a_quarter_century_on"><strong>Progress in evidence-based medicine: a quarter century on.&nbsp;Djulbegovic, 2017</strong></a></li></ol><h2><strong>Find this podcast on the following platforms:</strong></h2><ul><li><strong>iTunes: <a href="https://goo.gl/EaBDvu">https://goo.gl/EaBDvu</a></strong></li><li><strong>Soundcloud:&nbsp;<a href="https://goo.gl/H6zynL">https://goo.gl/H6zynL</a></strong></li><li><strong>YouTube: <a href="https://goo.gl/36n3Ut">https://goo.gl/36n3Ut</a></strong></li><li><strong>RSS Feed: <a href="https://goo.gl/ESs4cH">https://goo.gl/ESs4cH</a></strong></li><li><strong>Internet archive:&nbsp;<a href="https://goo.gl/kHJynU">https://goo.gl/kHJynU</a></strong></li><li><strong>Voice republic:&nbsp;<a href="https://goo.gl/VZ5Aar">https://goo.gl/VZ5Aar</a></strong></li><li><strong>Clyp:&nbsp;<a href="https://goo.gl/TghZBz">https://goo.gl/TghZBz</a></strong></li><li><strong>4Shared:&nbsp;<a href="https://goo.gl/6vr4HT">https://goo.gl/6vr4HT</a></strong></li><li><strong>Podomatic:&nbsp;<a href="https://goo.gl/nXDUJJ">https://goo.gl/nXDUJJ</a></strong></li><li><strong>Pocketcasts:&nbsp;<a href="https://goo.gl/JFDu16">https://goo.gl/JFDu16</a></strong></li><li><strong>Kiwi6:&nbsp;<a href="https://goo.gl/5xdj7Q">https://goo.gl/5xdj7Q</a></strong></li><li><strong>Vocaroo:&nbsp;<a href="https://goo.gl/gjoWGo">https://goo.gl/gjoWGo</a></strong></li><li><strong>Chirbit:&nbsp;<a href="https://goo.gl/yDDi1b">https://goo.gl/yDDi1b</a></strong></li><li><strong>Djpod:&nbsp;<a href="https://goo.gl/uQhTpi">https://goo.gl/uQhTpi</a></strong></li></ul><img src="http://feeds.feedburner.com/~r/ClinicalathletePodcast/~4/LNX2g-uwhOM" height="1" width="1" alt=""/>
May 24, 2017