New CPG for ACL prevention, a detailed discussion of obesity’s relationship to chronic pain, and much more coming at you in this edition of Hump Day Hustling! Enjoy, and if you want to dive deeper with ICE Physio we’ve got over 200 courses slated for 2023, check out our Upcoming Dates and Locations to reserve your spot!
Full vs Partial Range
Perhaps another “and” scenario
Interesting systematic review just published in JSCR breaking down the differences in hypertrophy across muscle groups comparing different partial squat ranges. Overall findings suggest knowing your target is key as hypertrophy gains are selective, but ultimately a combination of partial and full may be the best prescription. Important clinical consideration – this is hopeful news for those seeking hypertrophy gains when surgery or other complications are preventing full range!
Obesity Hurts
A clear link and a viable intervention opportunity
“Overweight and obesity are not only associated with pain, but are even identified as risk factors for pain development”
That may not come as news to you, but if you want to understand why and get some actionable strategies to come alongside your clients, this open access article hot off the PTJ press is a must read! In case you don’t have time for the deep dive, some quick notes on how to begin:
- Measure BMI, bio electrical impedance, calipers etc to get a baseline
- Educate patients on the correlation of weight and pain
- Encourage them to use an app/write down intake and have a log of exercise
- make a plan with consideration for preferences, attitudes, and self efficacy of the patient to maintain exercise/nutritional goals
As Always: Do anything besides nothing!
Pregnancy & Postpartum
PA during pregnancy: A scoping review
This new paper from BJSM shows that a TON of variability exists, and unfortunately little to no research is being done in resistance training. Most guidelines recommended (“light to moderate” intensity) without much modifiers. Less than half of guidelines gave the red lights on when to stop exercise which could be a big area for improvement.
From the Results section “For women with uncomplicated pregnancy, guidelines recommend: 150–300 min/week of moderate intensity aerobic activity; pelvic floor and muscle strengthening exercises; modification of some exercises (eg, supine position); and provide lists of warning signs to cease activity (eg, persistent dizziness, vaginal bleeding) and activities that should be avoided (eg, if high risk of falling/collision)
We’re sure you’ll see a PTonICE episode or three based on this paper soon!
Quantifying Upper Body Power
Leveraging the seated med ball toss
If you’re looking to improve the upper body power possessed by your older adult patients you’ll likely find objective measures with functional predictive capacity lacking, but this recent article should help.
“This model provides an easily accessible and reliable tool, using seated medicine ball throw (SMBT) and medicine ball mass (MBMass), for predicting upper body peak power (PPUB) in older women as a marker of quality of life, functional independence, and ability to complete activities of daily living.”
For quick reference: Throw was performed seated in an armless chair, back against chair, feet flat. Ball thrown from midline of chest like a basketball pass, down towards the floor at a 45 degree angle. 3 trials were performed each day, 1 minute apart, for each weight.
New ACL CPG!
Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention
Way more As and Bs showing up in this CPG from JOSPT compared to what we’re used to seeing! Per usual this one is open access so dive in and learn all things about state of the evidence and implementation for exercise based knee injury prevention programs!
PTonICE Rewind
Did you miss any of our ICE Physio podcasts last week? Well here you go!
Monday: “The messy middle of postpartum rehab” (Alexis Morgan)
Tuesday: “Top 10 things to know about myofascial decompression” (Lindsey Hughey)
Wednesday: “Pelvic health and radical prostatectomy” (Christina Prevett)
Thursday: “Boundaries, burnout, and behavior shaping” (Alan Fredendall)
Friday: “Lifting with Ehlers-Danlos” (Megan Daley)
Thank You! – ICE Faculty
Upcoming In-Person Courses
- January 28-29: Extremity Management (St. Augustine, FL)
- January 28-29: Lumbar Spine (Memphis, TN)
- February 4-5: Fitness Athlete LIVE (Doral, FL)
- February 4-5: Lumbar Spine (Boulder, CO)
- February 4-5: Older Adult LIVE (Beaverton, OR)
- February 4-5: Older Adult LIVE (Choctaw, OK)
- February 11-12: Dry Needling: Lower Quadrant (Richmond, VA)
- February 11-12: Cervical Spine (Parker, CO)
Upcoming Online Courses
- February 22nd: Older Adult: Essential Foundations
- February 27th: Fitness Athlete: Advanced Concepts
- March 6th: Fitness Athlete: Essential Foundations
- March 6th: Fitness Athlete: Pregnancy and Postpartum
- March 14th: Rehab of the Injured Runner
- March 27th: Persistent Pain Management
- March 27th: Primary Care PT
- May 4th: Older Adult: Advanced Concepts
📢 On Virtual ICE next week we’ll be chatting “BPPV and the Older Adult” with ICE faculty Alex Germano! Not in our virtual mentorship program? Find out how to enroll and learn more HERE
