Humans Are Lazy (or Efficient!) Hoppers: The Importance Of Instructions In Submaximal Human Hopping Talking Tendons podcast

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Humans are lazy (or efficient!) hoppers: the importance of instructions in submaximal human hopping

3 yıl önce 9:00

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MP3•Bölüm sayfası

İçerik Auscast Network tarafından sağlanmıştır. Bölümler, grafikler ve podcast açıklamaları dahil tüm podcast içeriği doğrudan Auscast Network veya podcast platform ortağı tarafından yüklenir ve sağlanır. Birinin telif hakkıyla korunan çalışmanızı izniniz olmadan kullandığını düşünüyorsanız burada https://tr.player.fm/legal özetlenen süreci takip edebilirsiniz.

This paper is more than 30 years old but it is a beauty. Farley et al talk about human preferred hopping frequency and how it relates to metabolic cost and how fast muscles are contracting, and also how our instructions can influence how well people hop (and the mechanisms that drive this). Important to consider hopping instruction when assessing submaximal hopping in the clinic.

Here's a link to the paper

Farley, C.T., Blickhan, R., Saito, J. and Taylor, C.R., 1991. Hopping frequency in humans: a test of how springs set stride frequency in bouncing gaits. Journal of applied physiology, 71(6), pp.2127-2132.

See omnystudio.com/listener for privacy information.

… continue reading

39 bölüm

#Science #Medicine #Fitness #Audioboom #Auscast Network

Talking Tendons

Talking Tendons podcast artwork

Humans are lazy (or efficient!) hoppers: the importance of instructions in submaximal human hopping

Talking Tendons

38 subscribers

published 3 yıl önce

Paylaş

MP3•Bölüm sayfası

İçerik Auscast Network tarafından sağlanmıştır. Bölümler, grafikler ve podcast açıklamaları dahil tüm podcast içeriği doğrudan Auscast Network veya podcast platform ortağı tarafından yüklenir ve sağlanır. Birinin telif hakkıyla korunan çalışmanızı izniniz olmadan kullandığını düşünüyorsanız burada https://tr.player.fm/legal özetlenen süreci takip edebilirsiniz.

This paper is more than 30 years old but it is a beauty. Farley et al talk about human preferred hopping frequency and how it relates to metabolic cost and how fast muscles are contracting, and also how our instructions can influence how well people hop (and the mechanisms that drive this). Important to consider hopping instruction when assessing submaximal hopping in the clinic.

Here's a link to the paper

Farley, C.T., Blickhan, R., Saito, J. and Taylor, C.R., 1991. Hopping frequency in humans: a test of how springs set stride frequency in bouncing gaits. Journal of applied physiology, 71(6), pp.2127-2132.

See omnystudio.com/listener for privacy information.

… continue reading

39 bölüm

#Science #Medicine #Fitness #Audioboom #Auscast Network

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Talking Tendons

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1
Do psychological, cognitive, and contextual factors influence rehab outcomes in Achilles tendinopathy? 7:27

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This week I talk about a feasibility cohort study which sought to determine whether a larger cohort study addressing this question would be feasible. Listen to hear some interesting preliminary findings. Merza, E.Y., Pearson, S.J., Mallows, A.J. and Malliaras, P., 2023. The relationship between psychological, cognitive, and contextual factors and rehabilitation outcomes in Achilles tendinopathy: A prospective feasibility cohort study. Physical Therapy in Sport . Mallows, A., Jackson, J., Littlewood, C. and Debenham, J., 2020. The association of working alliance, outcome expectation, adherence and self‐efficacy with clinical outcomes for Achilles tendinopathy: A feasibility cohort study (the MAP study). Musculoskeletal Care , 18 (2), pp.169-176. See omnystudio.com/listener for privacy information.…

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Does high load and high strain exercise have any benefit for Achilles tendinopathy? 14:42

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We have known for a while that type of exercise intervention (e.g. intensity, frequency, etc) does not seem to influence self-reported outcomes such as pain. Maybe all the benefits from exercise are explained by non-specific effects, or maybe exercise has benefits that do not depend on the type of exercise. In this episode, I discuss 3 studies that look into (at least partly) other benefits that we may see at the level of the muscle and tendon from higher-load exercise interventions. References: Radovanović, G., Kunz, J., Bohm, S., Arampatzis, A. and Legerlotz, K., 2021. Reliable and effective novel home-based training set-up for application of an evidence-based high-loading stimulus to improve triceps surae function. Journal of Sports Sciences , 39 (24), pp.2786-2795. Radovanović, G., Bohm, S., Peper, K.K., Arampatzis, A. and Legerlotz, K., 2022. Evidence-Based High-Loading Tendon Exercise for 12 Weeks Leads to Increased Tendon Stiffness and Cross-Sectional Area in Achilles Tendinopathy: A Controlled Clinical Trial. Sports Medicine-Open , 8 (1), pp.1-19. Radovanović, G., Bohm, S., Arampatzis, A. and Legerlotz, K., 2023. In Achilles Tendinopathy the Symptomatic Tendon Differs from the Asymptomatic Tendon While Exercise Therapy Has Little Effect on Asymmetries—An Ancillary Analysis of Data from a Controlled Clinical Trial. Journal of Clinical Medicine , 12 (3), See omnystudio.com/listener for privacy information.…

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Proximal Hamstring Tendinopathy - the forgotten tendinopathy 24:56

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This week, I had an engaging conversation with Anthony Nasser , an up-and-coming researcher on tendinopathy who recently completed his PhD on proximal hamstring tendinopathy. Our discussion covered the reasons for the lack of research attention towards this condition, the current state of evidence, and insights from his doctoral studies. You can find the full conversation here. Here are Anthony's related publications: Nasser, A.M., Pizzari, T., Grimaldi, A., Vicenzino, B., Rio, E. and Semciw, A.I., 2021. Proximal hamstring tendinopathy; expert physiotherapists’ perspectives on diagnosis, management and prevention. Physical Therapy in Sport , 48 , pp.67-75. Nasser, A.M., Vicenzino, B., Grimaldi, A., Anderson, J. and Semciw, A.I., 2021. Proximal hamstring tendinopathy: a systematic review of interventions. International journal of sports physical therapy , 16 (2), p.288. Nasser, A., Semciw, A., Grimaldi, A., Rio, E., Pizzari, T. and Vicenzino, B., 2022. Core outcome set development for proximal hamstring tendinopathy (COS-PHT): a study protocol. Physical Therapy Reviews , 27 (4), pp.313-319. See omnystudio.com/listener for privacy information.…

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How useful is palpation for diagnosis and assessment? 14:30

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Palpation can be useful for the diagnosis and assessment of tendinopathy, but there are limits. This is because non-painful tendons can be tender, and tenderness in painful tendons seems to be very slow to get better. Link to Evidence for Improvement in Local but not Diffuse Pressure Pain Thresholds Following Physical Therapist Interventions for Tendinopathy: A Systematic Review Link to Reproducibility and clinical utility of tendon palpation to detect patellar tendinopathy in young basketball players See omnystudio.com/listener for privacy information.…

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Muscle and tendon tuning and implications for tendon rehabilitation 7:18

2 years önce7:18

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Interesting perspective paper from Arampatzis et al talking about how we should consider tuning of muscle tendon unit in terms of muscle strength and tendon stiffness when considering training for specific groups. See omnystudio.com/listener for privacy information.

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Achilles forces during common rehab exercises and habitual activities. 9:12

2 years önce9:12

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This talking tendons episode will discuss a study by Igor Sancho, PhD, assessing Achilles forces during common rehab exercises and habitual activities and how this relates to reported pain among runners. Some interesting implications for practice. Achilles tendon forces and pain during common rehabilitation exercises in male runners with Achilles tendinopathy. A laboratory study See omnystudio.com/listener for privacy information.…

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Graded exposure in tendinopathy rehabilitation. 7:50

2 years önce7:50

Daha Sonra Çal

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7:50

In this episode, I am discussing kinesiophobia in the context of tendon rehab and how rehab can be conceptualised as graded exposure for some people. References 1) Physiotherapy management of Achilles tendinopathy See omnystudio.com/listener for privacy information.

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Load test pain and kinesiophobia and how they interact in tendinopathy assessment 11:45

2 years önce11:45

Daha Sonra Çal

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11:45

In this episode, I talk about load test pain assessment and how this can also be used to assess kinesiophobia and movement apprehension. References 1) Physiotherapy management of Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/36274038/ 2) Kinesiophobia Severity Categories and Clinically Meaningful Symptom Change in Persons With Achilles Tendinopathy in a Cross-Sectional Study: Implications for Assessment and Willingness to Exercise: https://pubmed.ncbi.nlm.nih.gov/35295417/ See omnystudio.com/listener for privacy information.…

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Functional impairments persist in Achilles tendinopathy when people are returning to running 11:16

3 years önce11:16

Daha Sonra Çal

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This is an interesting study from the Delaware tendinopathy group among others investigating a host of structural, tissue property, functional and pain factors that may persist among people with Achilles tendinopathy making a return to running. Provides guidance to clinicians about potential impairments to consider assessing. Here's the link to the study: Corrigan, P., Hornsby, S., Pohlig, R.T., Willy, R.W., Cortes, D.H. and Silbernagel, K.G., 2022. Tendon loading in runners with Achilles tendinopathy: Relations to pain, structure, and function during return‐to‐sport. Scandinavian Journal of Medicine & Science in Sports . Here's the link to my upcoming course series in the UK in Sept: https://www.eventbrite.com/cc/mastering-lower-limb-tendinopathy-uk-sept-2022-670009 See omnystudio.com/listener for privacy information.…

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Understanding the patient perspective in Achilles tendinopathy 9:59

3 years önce9:59

Daha Sonra Çal

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In this episode I talk about three qualitative studies that aim to understand the patient perspective and patient motivations in Achilles tendinopathy. I find this work really helps clinicians to understand what patients are gong through so we are able to be empathic and help them. Hope you enjoy! Here's a link to courses in the UK: https://www.eventbrite.com/cc/mastering-lower-limb-tendinopathy-uk-sept-2022-670009 Here are the studies: Turner, J., Malliaras, P., Goulis, J. and Mc Auliffe, S., 2020. “It's disappointing and it's pretty frustrating, because it feels like it's something that will never go away.” A qualitative study exploring individuals’ beliefs and experiences of Achilles tendinopathy. PloS one , 15 (5), p.e0233459. Mc Auliffe, S., Synott, A., Casey, H., Mc Creesh, K., Purtill, H. and O'Sullivan, K., 2017. Beyond the tendon: experiences and perceptions of people with persistent Achilles tendinopathy. Musculoskeletal Science and Practice , 29 , pp.108-114. Mallows, A., Head, J., Goom, T., Malliaras, P., O'Neill, S. and Smith, B., 2021. Patient perspectives on participation in exercise-based rehabilitation for Achilles tendinopathy: A qualitative study. Musculoskeletal Science and Practice , 56 , p.102450. See omnystudio.com/listener for privacy information.…

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Talking Tendons

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Humans are lazy (or efficient!) hoppers: the importance of instructions in submaximal human hopping 9:00

3 years önce9:00

Daha Sonra Çal

Daha Sonra Çal

9:00

This paper is more than 30 years old but it is a beauty. Farley et al talk about human preferred hopping frequency and how it relates to metabolic cost and how fast muscles are contracting, and also how our instructions can influence how well people hop (and the mechanisms that drive this). Important to consider hopping instruction when assessing submaximal hopping in the clinic. Here's a link to the paper Farley, C.T., Blickhan, R., Saito, J. and Taylor, C.R., 1991. Hopping frequency in humans: a test of how springs set stride frequency in bouncing gaits. Journal of applied physiology , 71 (6), pp.2127-2132. See omnystudio.com/listener for privacy information.…

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Talking Tendons

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Steroid injection for Achilles tendinopathy? 10:50

3 years önce10:50

Daha Sonra Çal

Daha Sonra Çal

10:50

There is so much debate about the use of steroids for tendinopathy. Opinions vary between 'you should never use steroid as will lead to recurrence, worse pain or rupture' to 'it's fine, do as much steroid as you like'. Opinions dominate as we have limited data. Until now. This is the first trial looking at 2 year outcome for exercise +/- steroid for Achilles tendinopathy. Interesting findings! Here's the link to the study: Johannsen, F., Olesen, J.L., Øhlenschläger, T.F., Lundgaard-Nielsen, M., Cullum, C.K., Jakobsen, A.S., Rathleff, M.S., Magnusson, P.S. and Kjær, M., 2022. Effect of Ultrasonography-Guided Corticosteroid Injection vs Placebo Added to Exercise Therapy for Achilles Tendinopathy: A Randomized Clinical Trial. JAMA Network Open , 5 (7), pp.e2219661-e2219661. See omnystudio.com/listener for privacy information.…

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Talking Tendons

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Does pain science education improve outcomes for Achilles tendinopathy? 8:15

3 years önce8:15

Daha Sonra Çal

Daha Sonra Çal

8:15

This is a new and lovely to read randomised trial comparing pain science education (including lots of good biopsychosocial info) versus placebo education for Achilles tendinopathy. Some interesting findings and potential avenues for further study. Definitely worth a listen and read. Here is a link to the actual paper: https://journals.lww.com/pain/Abstract/9900/The_effects_of_pain_science_education_plus.122.aspx See omnystudio.com/listener for privacy information.…

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Talking Tendons

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Strength and other impairments in runners with Achilles tendinopathy 11:42

3 years önce11:42

Daha Sonra Çal

Daha Sonra Çal

11:42

This is a new study from my PhD student, Igor Sancho. He looks at strength, psychological and other factors that may be different between health runners and runners with Achilles tendinopathy. Seated calf raise 6RM seems to be the strongest predictor of having Achilles tendinopathy. Some interesting other findings and clinical implications. Here is a link to this paper, and Igor's other PhD papers: Sancho, I., Morrissey, D., Willy, R.W., Tayfur, A., Lascurain-Aguirrebeña, I., Barton, C. and Malliaras, P., 2022. Recreational runners with Achilles tendinopathy have clinically detectable impairments: A case-control study. Physical Therapy in Sport , 55 , pp.241-247. Sancho, I., Malliaras, P., Barton, C., Willy, R.W. and Morrissey, D., 2019. Biomechanical alterations in individuals with Achilles tendinopathy during running and hopping: A systematic review with meta-analysis. Gait & posture , 73 , pp.189-201. Sancho, I., Morrissey, D., Willy, R.W., Barton, C. and Malliaras, P., 2019. Education and exercise supplemented by a pain-guided hopping intervention for male recreational runners with midportion Achilles tendinopathy: a single cohort feasibility study. Physical Therapy in Sport , 40 , pp.107-116. See omnystudio.com/listener for privacy information.…

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Exciting new insights into tendon adaptation with load 10:14

3 years önce10:14

Daha Sonra Çal

Daha Sonra Çal

10:14

On this episode I focus on a new study from my PhD student Eman Merza. It is a cross-over randomised trial testing the effect of high and low contraction time and high and low intensity isometric contractions on acute changes to tendon volume and stiffness. Some very interesting potential insights for tendon adaptation. Good work, Eman! Hope you enjoy. Peter Here is a link to the study (open access for a few weeks): https://journals.biologists.com/jeb/article/225/10/jeb243741/275395 See omnystudio.com/listener for privacy information.…

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