Hump Day Hustling – Weekly Research Summary – March 8, 2023

Is there an optimal body weight for certain CrossFit workouts? Can tendon rehab and pain science work together? Answers to those questions and much more in this episode of Hump Day Hustling! Enjoy, and if you want to dive deeper with ICE Physio check out our Upcoming Dates and Locations!

CrossFit Open

Is there an optimal body weight for a given workout?

For those that geek out on all things CrossFit and specifically the open competition this recent Instagram post from WOD science is fascinating. They evaluated the question of whether there was an optimal body weight to be competitive in the open, specifically using the data from 23.2a and 23.2b. Check out that post and while you are there definitely scroll their feed, some really fascinating science application to sport content!

Knee OA

Delayed PT = Increased opioid risk

Whether opioid naive or not, the findings trend the same in this large (N=67,245) open access paper examining timing of PT initiation following OA diagnosis. “Compared with PT initiation within 1 month, delayed PT initiation was associated with higher risk of opioid use in people with incident knee OA. The longer the delay in PT initiation, the greater was the risk.” Solution is simple, get to PT and get there quickly. Great share for physician groups in your area!

Rotator Cuff Tear

Fascinating look at the contralateral limb

The article title published in this month’s Journal of Arthroscopic and Related Surgery definitely got our attention “Age, Tear Size, Extent of Retraction, and Fatty Infiltration Associated With a High Chance of a Similar Rotator Cuff Tear in the Contralateral Shoulder Regardless of Symptoms in Patients Undergoing Cuff Repair in the Index Shoulder“. Rundown:

  • N = 428
  • Patients undergoing RTC repair had an MRI performed of both shoulders prior to surgery
  • ~64% of subjects with a posterosuperior tear and ~68% of subjects with a subscapularis tear also had a contralateral tear that was asymptomatic

The craziest part not mentioned in this article is that 145 of the 428 people (~34%) were asymptomatic in the surgical shoulder.

Weight Loss

Is just trying to lose weight beneficial?

Debates around weight loss are as plentiful as they are emotionally charged. One of the common arguments against targeting weight loss as a goal in patients with obesity is that it doesn’t often stick, meaning the patients gain back the weight in most cases. This begs the question, is there any benefit to the attempt of weight loss even if the weight comes back? This 2020 paper from the NIH would suggest yes offering the following conclusion: “Increased frequency of intentionally losing at least five pounds in mid-life was associated with a lower risk of future death. Repeated attempts with moderate amounts of weight loss may provide benefit in terms of longevity.” Could be great info to share with your patients who are feeling discouraged!

Less Pain Better Outcomes

A rockstar podcast collab

What happens when tendon guru Dr. Ebonie Rio collides with pain science legend Dr. Lorimer Moseley? An absolutely wonderful, clinically relevelant, patient centered episode from BJSM happens. Definitely find the 36 minutes to hear these two merge their collective expertise to help guide your management of some of our most challenging cases!

PTonICE Rewind

Did you miss any of our ICE Physio podcasts last week? Well here you go!

Monday: “Normal menstrual cycle” (Jess Gingerich)
Tuesday: “To cope or not to cope, that is the question” (Lindsey Hughey)
Wednesday: “Time to redeem the NuStep” (Dustin Jones)
Thursday: “DEI and ICE” (Jeff Moore)
Friday: “Strength equipment for the modern physical therapist” (Zach Long)

Thank You! – ICE Faculty

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📢 On Virtual ICE next week we’ll be chatting “Patellar Tendinopathy” with ICE faculty Kristen Wellenkotter! Not in our virtual mentorship program? Find out how to enroll and learn more HERE