Hump Day Hustling – Weekly Research Summary – May 3, 2023

Does palm cooling work? Do you have to stay fit to age successfully? Answers to those questions and more in this week’s Hump Day Hustling! Enjoy, and if you want to dive deeper with ICE Physio check out our Upcoming Course Dates and Locations


ICE faculty Christina Prevett is at it again!

This is a clinical narrative review hot off the Geriatric Rehabilitation press looking at the classification and management of persons with pre-frailty. The paper highlights known cut off scores for pre-frailty in the literature and does an overview of interventions to improve frailty status.

Congratulations on another publication Christina!!

Palm Cooling

Evidence support is getting chilly

Despite some shockingly positive results in the past with interset palm cooling (Grahn et al. in 2012), the past 5-10 years of literature continues to fail to replicate any positive benefit to this modality. Under the microscope today we’ve got Burden et al from March’s JSCR:

  • N = 11
  • Counterbalanced, cross-over design across 4 sessions
  • Subjects tested 1RM bench, then performed 4 sets to failure at 80% 1RM with 3 minutes of rest between each set.
  • During the interset rest, subjects applied 50° F, 60° F, or 82° F (thermoneutral) to their palms beginning 30 sec into the 3 minute rest until 90 sec into the 3 minute rest.

Repetition performance, power output, and muscle EMG amplitude were all unaffected & statistically insignificant across all groups.

Breast Implant Illness

On your radar during patient care?

Breast implant illness (BII) : A cluster of symptoms generally arising immediately or years after reconstruction or cosmetic augmentation with breast implants.

While current research on BII is limited, this retrospective study aimed to understand symptom changes following removal of the implants in individuals where the implants were suspected to be causative. The authors measured numbness and tingling in the extremities, joint/muscle pain, memory loss/cognitive problems, vision and skin changes, chronic fatigue, breast pain, flu-like symptoms and difficulty breathing. A significant change and improvement was measured in all 11 symptom domains preoperatively to postoperatively.

Our two cents: As musculoskeletal experts, breast implant illness is a unique condition to be aware of with respect to differential diagnosis, particularly for the cervical/thoracic spine and shoulder regions!

#Bias Check

Is there more than 1 right way to age?

Around these parts we are loud and proud when it comes to the belief that older adults CAN and SHOULD defy aging “norms” by retaining physical robustness/resilience…….but do we need to examine that “SHOULD” a bit further?

This ‘new to us’ thought provoking blog from Ashton Applewhite discusses this collection of essays, and together they make a strong case that perhaps “successful aging” isn’t for everyone, and maybe it doesn’t NEED to be?? Perhaps too many in our profession (read: us) , while well meaning and passionate about fitness forward philosophy, are trying to force an active lifestyle on our patients and clients. The result? An endless saga of “failing to get buy in” and the frustrations that follow.

We’ll likely die on the fitness forward sword here at ICE, but it’s important to pause and realize that maybe not everyone else has to in order to “age successfully.”

FYR & ICE is Live!!!

Announcing our 2023 ICE Foundation campaign!

Two years ago it was Project Onyx, last year it was Warrior WOD, and this year we’re thrilled to announce we’ve locked shields with Forging Youth Resilence (FYR)! FYR is a 501(c)3 non-profit that empowers young people (kids & teens) from under resourced backgrounds to build physical & mental strength for life by providing them access to training at a FYR club established at a CrossFit gym near their home, resources to get to the gym, diet & nutrition education, and mentorship. TALK ABOUT A MISSION WE CAN GET BEHIND!

Check out this video for a sneak peak at the program, then take a deeper dive on their website, and finally hit up the ICE Team page if you are interested in kicking in a few bucks. We’ll match 100% of donations made in May dollar for dollar up to 10K. Our goal is to send 10 kids to camp where they get to spend a weekend with amazing leaders, connect with other kids across the country who are seeking a healthy path in life, and enjoy the beautiful mountains of northern Colorado!

PTonICE Rewind

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

Monday: “The relationship between DRA and pain” (Jessica Gingerich)
Tuesday: “The step-up in the functional exam” (Cody Gingerich)
Wednesday: “Psychological overdose: A case study” (Jeff Musgraves)
Thursday: “New leader series Part 6: Communication 101” (Alan Fredendall)
Friday: “The sumo deadlift for physios” (Zach Long)

Thank You! – ICE Faculty

Upcoming In-Person Courses

Upcoming Online Courses

View All Upcoming Courses

📢 On Virtual ICE next week we’ll be chatting “Returning to running postpartum” with ICE faculty Megan Peach! Not in our virtual mentorship program? Find out how to enroll and learn more HERE