Flex Physiotherapy in Murdoch, Western Australia | Medical and health

Flex Physiotherapy

Locality: Murdoch, Western Australia

Phone: +61 8 9332 6422

Address: 100 Murdoch Drive 6150 Murdoch, WA, Australia

Website: http://www.flex.physio

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25.01.2022 Yesterday, I discussed how important it is for runners to incorporate resistance training into their programs. This post fro...m @zerenpt is a great follow-up for those of you looking for more home exercise ideas! I’m often asked what are the best resistance training exercises for runners. While there are several considerations, I thought I’d stick w/ the use of a cinder block for external load since we are unlikely to be back in gyms anytime soon, at least in the US. Nonetheless, here are some sensible options... 1March with block overhead & positioned vertically. Aim to complete 4-5, 30-45s passes. This is great to challenge the runner to assume an upright position while having to control breathing while owning single leg coordination. 2Rearfoot elevated split squat w/ block - perform 3-4sets alternating b/w sides working up to an 8/10 on the RPE scale. Despite the fact that folks continue to ignore the paramount importance of the quad, training it is critical esp when it comes to downhill running. Let’s not forget that the quad has to contend with 4-6x bodyweight load. 3Single leg RDL w/ block - perform 3-4sets alternating b/w sides working up to an 8/10 on the RPE scale. The hamstrings become increasingly more important as running speed or velocity increases. It’s not by accident that sprinters deal with hamstring tears as the faster you run the more the forces shift upstream. 4Calf raise on block w/ block - aim to complete 3 sets of 10-15 @ 30bpms. Despite the notion that single leg isolated tasks aren’t functional, training the calf mm complex in this manner is important esp in those who have a Hx remarkable for Achilles tendinopathy and/or happen to be a Masters level runner. The goal is to optimize the mechanical properties (stiffness & Young’s modulus) of the tendon while preventing a loss of power, which commonly afflicts older runners. Of course a whole slew of options exist, but considering the paramount role of the calves, quads and lateral hip when it comes to the running gait, runners, coaches, & clinicians should focus on the big fish.

24.01.2022 Part 3 of Empowered Beyond Pain's excellent series on Arthritis. https://bodylogic.physio//episode-9-a-z-of-osteoarthritis/ #Arthritis #EmpoweredBeyondPain #BodyLogic #FlexPhysio #PerthPhysio #APA

24.01.2022 EXERCISE . I think we, and I include myself here, often get to focused on just one aspect of exercise Be that the muscles with resistance training, or our car...dio-respiratory fitness with aerobic training When in fact ALL exercise affects ALL of us! Without doubt there is NOTHING else that can have such positive effects on your body, health, function, pain and well being as exercise So don’t be to focused on one thing, exercise for all the things Exercise... go get some! #Physio #physiotherapist #physiotherapy #physicaltherapy #sportsphysio #sportsphysiotherapy #trainer #personaltrainer #coach #strengthcoach #osteopath #osteopathy #chiropractic #chiropractor #sportstherapy #sportstherapist #rehab #therapy #myotherapy #kinesiotherapy #exercisephysiology #exercisephysiologist #dptstudent #shouldercomplex #cantgowronggettingstrong #respectthesteps

23.01.2022 The thermoplastic splint we made for yesterday's patient. - This kind of undisplaced scaphoid fracture usually heals very well with a few weeks of immobilisation. - We expect her to be able to start weaning from this in about 5 weeks. ... - #flexphysio #flexphysiotherapy #splints #upperlimbtherapy #scaphoid #fracture #physio See more

23.01.2022 Great advice from Complete Physio about optimising your return to the gym See link below for more info.. https://complete-physio.co.uk/7-tips-for-a-successful-retu/

23.01.2022 HORMESIS . Is a remarkable process in which physiological stresses signal cellular and molecular process and pathways to clean, repair and restore our cells a...nd tissues All our biological cellular functions produce harmful waste products and side effects via oxidation, glycation, and inflammation that clog up, damage, and harm them leading to degeneration, disease, and pathology However, all our cellular restorative repair and cleaning process are activated by physiological stresses such as physical activity and exercise Although exercise causes us ‘damage’ the repair process triggered have a net positive and beneficial effect This is why regular consistent and sufficient physiological stresses are essential and beneficial for us. Regular consistent lifelong exercise can and does reduce the harmful side effects of biological cellular processes and delay the damage and degeneration they can cause You don’t stop moving because you get old, you get old because you stop moving! Movement is life! #Physio #physiotherapist #physiotherapy #physicaltherapy #sportsphysio #sportsphysiotherapy #trainer #personaltrainer #coach #strengthcoach #osteopath #osteopathy #chiropractic #chiropractor #sportstherapy #sportstherapist #rehab #therapy #myotherapy #kinesiotherapy #exercisephysiology #exercisephysiologist #dptstudent #shouldercomplex #cantgowronggettingstrong #respectthesteps #hormesis

23.01.2022 [PARATENONITIS] _ I’ve treated plenty of cases before but it is ‘helpful’ (from a practitioner sense) to have a dose of Achilles paratenonitis (inflammatio...n of paratenon/tendon sheath) from a spike in load _ It’s important to differentiate paratenonitis from Achilles’ tendon pain (failure to do so will mean treatment strategies for each will be ineffective & worse provocative) _ Here’s what to look for (what I’ve been experiencing last 3-4days): pain worse at end of activity & worse the further I go (eg cycling & running/different to how tendon ‘behaves’ whereby it gets better after initial start up stiffness/soreness w a session), feels ‘thickened’/full with movements- almost ‘creaky’ with calf raises & plantar flexion of ankle, no load dependant pain (ie hopping actually better than calf raise pain-tendons don’t behave this way) _ Treatment tends to be much ‘simpler’/faster than rehabbing a tendinopathy () _ Here’s what to do: reduce or eliminate provocative loads, & apply the ‘AIS physio department’s cream treatment’: 7 nights of a Dan of voltaren gel+ hiriduoid cream* + clingwrap (stops cream rubbing off on sheets) _ * Hiriduoid cream: active ingredient heparinoid-local anti-coagulant agent which when applied to the skin relieves pain and inflammation _ Any Q’S shout out See more

22.01.2022 STOP BLAMING TECHNIQUE . All too often bad technique or poor form gets blamed for injuries or pain in the gym Many will say its your butt wink, hip shift, or ...knee valgus that causes your back, hip, or knee problems When in fact there are many other factors that are far more likely, but far less sexy, to be the cause of pain or injury experienced when training Unfortunately many of these other non sexy factors are ignored or not recognised by many clinicians, coaches or trainers and so bad technique or poor form gets the blame This is not to say that technique and form can’t contribute to injury or pain But if you’re ONLY or ALWAYS blaming a butt wink, a hip shift, or some knee valgus for an injury or pain when exercising you are missing the bigger picture Or called GOATA, Seedman, Vinnie, Bent Bogbrush, or Skwat University or something similar . And thanks to @kristian.ekstrom for letting me use his awesome graphic for this post... pls go follow him #Physio #physiotherapist #physiotherapy #physicaltherapy #sportsphysio #sportsphysiotherapy #trainer #personaltrainer #coach #strengthcoach #osteopath #osteopathy #chiropractic #chiropractor #sportstherapy #sportstherapist #rehab #therapy #myotherapy #kinesiotherapy #exercisephysiology #exercisephysiologist #dptstudent #shouldercomplex #cantgowronggettingstrong

20.01.2022 Here is a nice video from @repthereds that demonstrates a drill that is commonly used to improve ankle control/stability following ankle spr...ains or other injuries that affect the ankle or foot. When starting out, this type of drill should be performed on a stable surface so as to reduce the likelihood of causing another injury. As control improves, the subject can then begin hopping onto unstable surfaces, such as this Airex pad, to further challenge ankle stability. Unstable surface training may not apply to everyone. This would mainly be used with athletes that frequently encounter single-leg landings and uneven terrain.

19.01.2022 Curtin University is hosting a FREE Emerging Research Conference from 16-19 November. Register now to lock in your spot! Just click the links below. Day 1: Spo...rts & Exercise Science - tiny.cc/day1sports Day 2: Continence & Pelvic Health - tiny.cc/day2continence Day 3: Rehabilitation - tiny.cc/day3rehab Day 4: Musculoskeletal - tiny.cc/day4musc See more

18.01.2022 FOOT POSTURE . Just like spinal posture there are many myths and misconceptions about foot posture A common belief is that foot pronation, which is the rollin...g in of the foot and ankle is bad, risky and dangerous However, there is no evidence to support this In fact foot pronation is the most common foot posture and doesnt mean you get injured more than those weirdos with perfectly neutral feet In fact pronation may actually be protective against running related injuries However, those with the rare extreme differences in foot shape may have greater risk But for most of us foot posture is not something to worry about! Instead runners should focus on more important modifiable factors such as their running distance, intensity, and speeds, as well as their recovery strategies such as sleep, hydration, and nutrition! #Physio #physiotherapist #physiotherapy #physicaltherapy #sportsphysio #sportsphysiotherapy #trainer #personaltrainer #coach #strengthcoach #osteopath #osteopathy #chiropractic #chiropractor #sportstherapy #sportstherapist #rehab #therapy #myotherapy #kinesiotherapy #exercisephysiology #exercisephysiologist #dptstudent #shouldercomplex #cantgowronggettingstrong

18.01.2022 Back's don't wear out with everyday loading and bending (even if it may be painful). In fact, it's the OPPOSITE! Ep 18 see's Joao Paulo Caneiro chat to Kevin W...ernli Physio about this myth. Spines are more like muscles than machines, they get STRONGER with use. www.bodylogic.physio/podcast/trailer Body Logic Physiotherapy Peter O'Sullivan

18.01.2022 Mental Health & Ageing https://www.wrinklewell.com/mental-health

18.01.2022 Ageing & Women https://www.wrinklewell.com/female-age-related-changes

18.01.2022 [ENDURANCE TRAINING PRINCIPLES] _ Thoroughly enjoyed recording with @louis.delahaije2018 for this week’s Coach’s Corner Episode of @physicalperformanceshow ... _ These were just a few of the many LEARNINGS. Could of easily done a ‘Top 10’ including how to cross train through injury, the role of S&C, training ‘black & white’ & much more _ Runners, triathletes, cyclists + multisporters hope you enjoy it! _ Available wherever you get your podcasts @itunes @spotify @soundcloud @youtube _ PS don’t forget to secure your place for the upcoming ‘Recovery Essentials for Optimal Performance’ with Dr Shona Halson Livestream fast approaching Oct 24th (post event recording available for all registrants) Link below https://www.pogophysio.com.au/blog/louis-delahaije/

17.01.2022 Diabetes & Ageing https://www.wrinklewell.com/diabetes

16.01.2022 This paper on sub-acromial pain syndrome packs a hell of a lot of punches: PT-led exercise vs leaflets-based exercise US-guided vs non-guided steroid inje...ction #OpenAccess #HotOffThePress http://ow.ly/oqYY50B5tVu

16.01.2022 [RISK FACTORS FOR SHIN PAIN ] _ MTTS is the most frequent injury diagnosed in runners. It’s certainly something I see a lot of I’m runners & triathletes @po...gophysio _ Thanks @chrisbramah for heads up re this paper-the first systematic review to focus on this topic _ The above factors were found to be positively correlated with the onset of shin pain in recreational and novice runners. While these intrinsic factors were +vely correlated- external factors such as training load changes are typically largely causative while biological factors such as bone health, sex hormone levels, fuelling, and Vit D status must also be considered _ For more on the affect of running biomechanics on the onset of running injuries I recommend tuning into @chribramah’s Expert Edition of @physicalperformanceshow (223) _ Ref: Menéndez, C.; Batalla, L.; Prieto, A.; Rodríguez, M.Á.; Crespo, I.; Olmedillas, H. Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review.Int. J. Environ. Res. Public Health2020,17, See more

16.01.2022 Injury of the central nervous (CNS) including the brain and spinal cord can lead to certain characteristic findings, noted as ‘upper motor neuron...’ (UMN) signs. In this video, I am performing the clonus test, which involves rapidly moving the patient’s ankle into dorsiflexion. The test is positive for UMN involvement when involuntary beating (>5 beats) into ankle plantarflexion is observed. This particular patient had recently suffered a cerebral vascular accident (CVA) or stroke, which injures the brain (upper motor neurons) and explains why the test was positive.

15.01.2022 **INFOGRAPHIC** Does movement change when #lowbackpain changes? A systematic review https://www.jospt.org/doi/10.2519/jospt.2020.9635... Huge thanks to co-authors Jay-Shian Tan, Anne Smith, Amity Campbell, Peter O'Sullivan, Peter Kent. And to JOSPT and Clare Ardern Empowered Beyond Pain Podcast Curtin School of Physiotherapy and Exercise Science Curtin University Body Logic Physiotherapy Physio Network Trust me, I'm a Physiotherapist British Journal of Sports Medicine (BJSM)

14.01.2022 EXERCISE & RIVERS . After a lot of reading around exercise hormesis these last few weeks I’ve had a thought that exercise is a bit like a river That is ...exercise effects our bodies a bit like a river affects it’s surroundings! If a river flows too slow, or not at all, its surroundings become stagnant and putrid! Just like not doing enough exercise or activity, our bodies also become stagnant and putrid However when a river flows too wild and rapid for too long it causes damage and destruction to its surroundings! Just like doing too much intense exercise for too long can also cause damage to our bodies However when a river flows steadily and consistently, without too many rapids or stagnant areas then its surroundings tend to be perfect Just like our bodies when we give them steady consistent exercise and activity they flourish and thrive Don’t get me wrong I think a few rapids and some slower areas now and then make for an interesting and diverse river... I just wouldn’t want it like that all the time... just like my activity Just a thought #Physio #physiotherapist #physiotherapy #physicaltherapy #sportsphysio #sportsphysiotherapy #trainer #personaltrainer #coach #strengthcoach #osteopath #osteopathy #chiropractic #chiropractor #sportstherapy #sportstherapist #rehab #therapy #myotherapy #kinesiotherapy #exercisephysiology #exercisephysiologist #dptstudent #shouldercomplex #cantgowronggettingstrong #respectthesteps

13.01.2022 Ever wondered how we make thermoplastic splints? In this time-lapse video, the Flex Physiotherapy team give you a look into the process of making a thumb splint from scratch! Find us on social media:... Instagram - https://www.instagram.com/flexphysiot... Website - https://www.flex.physio/ #FlexPhysio #FlexPhysiotherapy #Splints #UpperLimbTherapy https://www.youtube.com/watch?v=754x9A8_aU4&feature=youtu.be

13.01.2022 . Well if Twain said it..

13.01.2022 A unique problem and a unique splint! #FlexPhysio #FlexPhysiotherapy #Splints #NerveRehab https://www.flex.physio/view/articles/ulnar-nerve-palsy

13.01.2022 POWER OF EXERCISE . I’ve been banging on about the power of life long exercise for as long as I can remember And with all that’s going on in the world... it can be hard to find the motivation, discipline, and opportunity to exercise So in an effort to help have a look at a few of my favourite studies that show the power of exercise on our health and our body and it’s structure The processes of time and age affects us all! But we have a choice to fight this for as long as we can, and there is NO better weapon than exercise! If you want to live long, stay strong! #Physio #physiotherapist #physiotherapy #physicaltherapy #sportsphysio #sportsphysiotherapy #trainer #personaltrainer #coach #strengthcoach #osteopath #osteopathy #chiropractic #chiropractor #sportstherapy #sportstherapist #rehab #therapy #myotherapy #kinesiotherapy #exercisephysiology #exercisephysiologist #dptstudent #shouldercomplex #cantgowronggettingstrong #respectthesteps

12.01.2022 Manual therapy During thoracic spinal manipulation, one cannot direct a force vector to a thoracic vertebra at a given angle by simply directing their thru...st in that direction. https://pubmed.ncbi.nlm.nih.gov/12034123/ https://pubmed.ncbi.nlm.nih.gov/19144558/

12.01.2022 Great video from Frank Huskisson demonstrating what a lateral patellar dislocation looks like. Watch his left knee closely as the kneec...ap dislocates in the beginning of the video and relocates at the end. Patellofemoral joint or kneecap dislocations are fairly uncommon and only occur in 2-3% of the population. When a dislocation does occur, it is more often seen in adolescent female athletes and is typically associated with trauma or a situation where the foot is planted and a sudden change of direction is occurring. In the majority of cases, the medial patellofemoral ligament is disrupted, which allows the patella to shift laterally from its normal resting position between the femoral condyles. Research suggests that first time dislocations should be managed conservatively. However, redislocation rates following conservative care range from 15-44%. in cases where the cartilage or underlying bone is injured or recurrent dislocations are noted, surgical intervention is often warranted. In terms of conservative management, the knee is initially immobilized for six weeks with a cast or range of motion brace. Following this period of immobilization, exercises designed to restore range of motion, improve motor control and increase quad, hamstring and hip strength are initiated. Reference: Smith TO, et al. Operative Versus Non-Operative Management of Patellar Dislocation. A Meta-Analysis. Knee Surg Sports Traumatol Arthrosc. 2011.

12.01.2022 It’s been a bizarre year and posting this reminder in September feels very weird But whatever has happened, many of you are still a month out from the virtual London marathon. The same rules apply.

11.01.2022 Im a huge fan of rest when it comes to training, but much less so when it comes to rehab. Why?..... Because it’s the easiest and most common mistake I see injur...ed athletes make. I’ve got pain, I’ll rest for a few weeks, my pain will settle and I’ll just start training again...... But what usually happens is the issue returns. Rest can be a useful part of rehab but it needs to be just that, a part of it.

11.01.2022 Being busy INCREASES your resting heart rate, whereas exercises REDUCES it!

10.01.2022 https://blogs.bmj.com//should-people-wear-a-face-mask-dur/

10.01.2022 Are you spreading FEAR OR HOPE? Great post by @mindbodyhorizons: "Clinicians out there, are you spreading fear or hope? Share this with a f...ellow clinician who needs to see this. As a new Physiotherapist, I commonly provided many diagnoses to my patients including "degeneration, wear & tear, and core weakness" Little did I know, that such words (although unintentionally), can have very harmful effects... As new pain research suggests it is evident that... OUR WORDS MATTER! Patients are often worried about WHY they are in pain, and their prognosis for the long term But if trusted health professionals paint a negative picture, and spread the belief that their back/body is weak, damaged or broken... It only spreads fear, anxiety and avoidance of activity/exercise! This is why building resilience is so important! Because... We KNOW that exercise is a HUGE part of recovery, along with gradually returning to work/activity/sport The paper mentioned above has more examples of how to spread positive messaging! SO IN SUMMARY: Let's STOP spreading negative messaging that may unintentionally harm And Let's START building resilience with our words so our patients can keep active and moving! Clinicians out there agree? Disagree? Comment below ----------------------------- Like this content? Follow @mindbodyhorizons @mindbodyhorizons @mindbodyhorizons ----------------------------- Reference: O'Sullivan, Peter & Lin, Ivan. (2014). Acute low back pain: Beyond drug therapies. Pain Management Today. 1. 8." . You can learn more about how words matter in the lectures by Mike Stewart and Oliver Thomson @droliver_t at Trust Me-Ed. Also, check out Shrey Vazir's lecture on mindfulness @trustme_ed, link in the bio. See more

10.01.2022 In a previous post we introduced a patient who was a typical example of someone with upper limb pain from sensitisation of her peripheral nerves, a.k.a: "cranky nerve syndrome". Here's the next chapter in their story! #FlexPhysio #FlexPhysiotherapy #PerthPhysio #Splints #UpperLimbTherapy #NervePain... https://www.flex.physio//arti/cranky-nerve-syndrome-part-2

09.01.2022 Wrist Pain in New Mothers | Dequervains Tenosynovitis #FlexPhysio #FlexPhysiotherapy #Splints https://www.youtube.com/watch?v=Gj6VVceSCpI

09.01.2022 "We do chronically underload MSK conditions.." What are your thoughts on this tweet from Jill Cook? Agree or disagree? Explain below ... If you would like to learn more about strength and conditioning in rehabilitation, check out Sam Blanchard’s Masterclass on "Clinical Reasoning in Rehab" below https://www.physio-network.com//clinical-reasoning-in-reh/ Perhaps our most popular class to date!

08.01.2022 Every month you delay return to sport after ACL reconstruction, the risk of re-injury is reduced by 51% (until 9 months postoperative). RTS at 5 months or less resulted in 100% reinjury rate.

07.01.2022 FIFTIETH EPISODE SPECIAL!! Antony and I were thrilled to talk to Clare Minahan, PhD Scientist and champion for women in sport. Clare Minahan is an Associate Pr...ofessor at Griffith University, Queensland Australia, and has led the Griffith Sports Science group since 2002. Clare’s interests are in the advancement of human performance with a key focus on the determinants of performance in female athletes. She has documented unique responses to exercise in female athletes including muscle damage, thermoregulation and immune function. Clare is a founding member of the Australian Institute of Sport’s Female Performance and Health Initiative. Some of the topics we cover in this episode include: - some of the differences between male and female athletes in terms of how they respond to training and recovery - how the oral contraceptive pill (OCP) influences things like thermoregulation, immune function and recovery from acute bouts of intense exercise - how the hormones fluctuate over the menstrual cycle and how this may influence training choices - why training needs to be individualised and based on tracking of the athlete's cycle - that around 50% of athletes are on the OCP, so we need to understand better the effects. Clare also discusses the different generations of OCP and acknowledges that these will have different effects on the athlete (there are at least 35 different types of OCP just in Australia!) - how female athletes are at a 3x increased risk of ACL injuries. Studies showing that landing strategies seem to changes during teenage years for girls. This could also be related to hormonal changes - there are some studies showing increased risk during late follicular phase- but there is still much more to learn on this. Could also be related to changes in body composition through the teenage years - females with higher circulating levels of testosterone. Do they have a competitive advantage? - the advantage of having a regular menstrual cycle in terms of giving us a picture of our health. Withdrawal bleed while on OCP is not the same thing. - if not able to properly track menstrual cycle due to OCP use, Clare talks about other ways that we can monitor for RED-S (hint: performance, fatigue, mood, immune function) - why it's important to get the basics right (sleep, nutrition, stress etc) before manipulating your training around the menstrual cycle If you would like to get in touch with Clare, you can best contact her on twitter @clareMINAHAN or via the Griffin University website. [email protected]

07.01.2022 A deep dive into Vegetarian & Vegan diets. Stronger By Science giving out great advice, as usual, about what to keep in mind when training. https://www.strongerbyscience.com/vegetarian-and-vegan-ath/

07.01.2022 Do posture and pain simply relate? Learn more in this great blog https://www.physio-network.com//using-science-to-understa/ Great infographic by Kevin Wernli

07.01.2022 Acute low back pain Great infographic from Dr. Jarod Hall, PT, DPT, OCS

07.01.2022 [NOBODY HAS IT ALL FIGURED OUT] Easy to feel lost and #dumbo on the interwebs. But don’t worry! NOBODY has the compass to rehabilitation glory! Nobody I say!... Don’t believe the hype. Steal all the goods you see but then make rehabilitation your own! Do you think Jimi Hendrix learned from his teachers and then replicated exactly what they did? Efffffff that noise. Start playing this shit your own way! Don’t sit still. Make moves! Nick Hannah, PT Registered Physiotherapist #hannahmoves #hmrehabmoves

07.01.2022 Dizziness is a common issue in the general population. It is estimated that at least five per cent of the Australian population, equating to over one million p...eople, will experience dizziness issues at some point in their lifetime. Physio can help. For more information, go to https://choose.physio/your-body/head/dizziness-and-vertigo

06.01.2022 Managing Chronic Pain https://www.wrinklewell.com/pain-management-options

06.01.2022 [DISORDERED EATING IN SPORTS FACTS] _ Hot of the press: ‘The Australian Institute of Sport (AIS) and National Eating Disorders Collaboration (NEDC) position... statement on disordered eating in high performance sport’ has just been published and it serves as a call to action to all involved in sport to be aware of poor self-image and poor body image among athletes & resultant eating behaviours _ This paper reviews the current literature and provides a set of positions and key concepts on the approach to early identification, assessment and prevention of DE in high performance sport. The findings & recommendations certainly scale down to the recreational or committed athlete also _ Here’s 5 key takeaways from the Position Statement _ For more information be sure to tune into @physicalperformanceshow Expert Editions 229 @dramistrypsych & 232 Dr Margo Mountjoy _ TAKE HOME: it’s imperative that your energy output as a runner/ endurance athlete is met with sufficient energy intake. It’s simplistic but given we tend to underestimate the energy required for life’s basic processes (ie our basal metabolic rate) I suggest eat more than you think you need & if in doubt engage the wisdom of a registered dietitian to take inventory of your intake vs expenditure _ Ref: WellsKR,JeacockeNA,AppanealR, et alThe Australian Institute of Sport (AIS) and National Eating Disorders Collaboration (NEDC) position statement on disordered eating in high performance sportBritish Journal of Sports MedicinePublished Online First:13 July 2020.doi:10.1136/bjsports-2019-101813 See more

05.01.2022 It's not shiny, it's not complicated, but it's often overlooked While we may not know what the "perfect" dosage of exercise is for everyone, this is one ...of the most powerful modifiable factors at our disposal that we can manipulate when someone is dealing with pain during training. See more

05.01.2022 This one is hot off the press! Besides using a very interesting study design in network meta-analysis (NMA), this article reviewed and analyzed the available... exercise literature to try and answer the question: Which exercise types are best for treating chronic non-specific neck pain?" Comparative effectiveness of physical exercise interventions for chronic non-specific neck pain: a systematic review with network meta-analysis of 40 randomised controlled trials (Zoete et al., 2020, BJSM): https://bjsm.bmj.com///11/02/bjsports-2020-102664.abstract

05.01.2022 - Meet Lamar Grant, a world record holder powerlifter. He was the first person to deadlift 5(!) x bodyweight; 300kg at 60kg bw....! Notice anything special abo...ut his body proportions? The reason his arms seem so long is because he has severe ideopathic scoliosis, which means looking from behind his spine looks more like an "s"-shape than a "normal" straight line, making his torso a lot shorter. We often see clients who have minor scoliosis who are full or fear that their spines have less structural tolerance and that they are predisposed to musculoskeletal pain due to their abnormality. Most of the time this fear is driven by doctors and healthcare professionals who totally over-exaggerate the consequences of this abnormality. Filling our clients with fear and taking away the confidence of physical activities, or loaded movement is the worst thing we can do as healthcare professionals. Our bodies are not created equal and our ability to adapt to physiological and anatomical changes needs to keep us humble and open minded. Moral of the story: Just because you are not perfectly "aligned" as per the text book, does not make you fragile and nobody should lead you to believe that! Wise words from Ian Houghton Thanks for bringing this post to our attention Sigurd Mikkelsen.

05.01.2022 You might think that the more you run the more the tissue will adapt to running. Sadly with bone adaptation this doesn’t seem to be the case. . Bone adapts bett...er to short periods of impact separated by rest so a long run may not lead to more adaptation than a shorter one. . This may be why bone stress injuries are common in runners - the bone can’t adapt enough for the training load it’s exposed to. . #BoneStressInjury #Stressfracture #RunningRepairs #RunningRepairsOnline See more

04.01.2022 WHAT SHOULD YOUR SQUAT STANCE LOOK LIKE? Should your toes be pointed forward? Out a certain number of degrees? How wide should your stance be? Shoulder width? W...ider? Narrower? The truth is, every athlete has different anatomy. Whether that is different orientations of your hip sockets, more/less mobility in certain areas, and different bone lengths. Don't look at the positioning of others and think that is how you should be. Play around with different stance widths and toe angles to find what feels best for you and allows you to get into the best positions for the style of training you do (CrossFit, powerlifting, weightlifting, etc).

03.01.2022 [THIS. IS. EVERYTHING] . . . This captures so much of my feelings toward healthcare in general. I hope that I never lose sight of this as I continue to develop ...as a clinician. . And as I keep making moves of course. . Don’t sit still. . Nick Hannah, PT Registered Physiotherapist #hannahmoves #hmrehabmove See more

03.01.2022 Very true! Great post by @drjarodhalldpt: "Great simple and relevant post by @thesurfing.osteopath"

03.01.2022 [SPECTRA OF THE FEMALE ATHLETE TRIAD] _ In the early 90’s the interrelationship between energy availability, menstrual function, and bone mineral density wa...s described by the phrase ‘Female Athlete Triad’ _ The above figure (Spectra of the Female Athlete Triad) as published by De Souza et al (2014) is a nice depiction of the 3 components of the Female Athlete Triad*: menstruation status, energy availability, and bone health _ Optimal health exists at one end of the spectrum: eumenorrhea (normal regular menstruation cycle), energy availability, and optimal bone health _ At the other end of the spectrum: amenorrhea (absence of 3 or more menstruation cycles), energy deficiency, and pathological bone health i.e. osteoporosis _ While female athletes may have one or more of the three components at suboptimal levels, low energy availability appears to be the key factor _ TAKE HOME: When it comes to preventing bone stress injuries in female athletes the greater the number of Triad risk factors the more heightened the risk of bone stress injury (Tenforde, et al, 2013). Hence it is paramount above all that a female athlete ensures that they are as @nickykeay states always ‘fuelling for the work required’ in order to avoid a state of low energy availability _ NOTE: In 2014 the International Olympic Committee (IOC) recognised that the Female Athlete Triad’s limitations were that male athletes are also affected by low energy availability. They introduced the term Relative Energy Deficiency in Sport (RED-S). Excited to share a conversation I had recently with Dr Mountjoy, MD on an upcoming Expert Edition of @physicalperformanceshow (Dr Mountjoy was the lead author on the IOC’s Consensus paper for RED-S) See more

02.01.2022 Exercise truly is remarkable!

02.01.2022 I wish more therapists would leave the ego at the door and embrace the ability to ask for help. Sometimes we aren’t the best placed person to help the person in...front of us. That doesn’t make us a bad therapist, it just means we can help more by either seeking help from a better placed therapist or passing the patient on to someone better placed to help. We should always have networks to discuss and share info and help with, but social media has allowed us unprecedented access to an unlimited network of diverse professional colleagues far and wide. So reach out and and ask for help if you need it. It’s a sign of strength and not weakness. It’s doing the best for you AND your patient at the end of the day.

01.01.2022 In December I’ll be switching up my strength work with this landmine circuit only. Choosing a piece of apparatus and using variations with it can give you a phy...sical and mental boost. This keeps my trg consistent, & mixes up the winter months. Give it a go with any kit you have, dumbbells, kettlebells, rucksack, band anything! And design a virtual unit of exercises.