Shoulder instability, intermittent fasting, and much more in this episode of Hump Day Hustling! Enjoy, and if you want to dive deeper with ICE Physio content make sure to check out our Upcoming Course Dates and Locations!
Atraumatic Shoulder Instability
Capsular shift fails to outperform placebo surgery
It’s another dire report for the surgical option in this bit from BMJ over the summer. “Mean reductions in pain and functional impairment for both groups were similar” where “both groups” means arthroscopic capsular shift vs diagnostic arthroscopy alone (e.g. placebo surgery).
Now before physical therapists get up on their high horse it should be noted that both groups got PT and yet had quite modest improvement. Importantly the “PT” was a supervised HEP using an algorithm approach.
Experience of endurance athletes
Interesting qualitative study on Endurance Athlete Experience with A-Fib.
The authors identified 3 main themes:
- Tensions with Training (fear of needing to train but worried about worsening AF)
- Tensions with Treatment Plans (b/t AF and an active lifestyle, medication use being highly disliked since they feel like it impacts ex. performance)
- Tensions with Clinicians (lack of guidance, clinicians not recognizing importance of their athletic needs)
Almost all participants settled on a clinician who better understood their lifestyle!!!
ICE Hot Take: We could be the providers to bridge these gaps! Having an understanding of Afib, knowing what to look for in identifying it, understanding the treatment options + how to modify training seems to be very important to this population.
Creatine to the rescue??
Talk about the supplement that just keeps delivering pleasant surprises! Before we get ahead of ourselves let’s make it clear that the link being discussed between Alzheimer’s and creatine in this open access paper is based on animal models, but the possible neuroprotective potential is incredibly encouraging none the less!
Diabetes & Mortality
A linear dose-response relationship is emerging between diagnosable type 2 diabetes (T2DM) and life expectancy.
Lancet – OCT2023
N = 515,718 subjects
The sooner your onset of type 2 diabetes, the sooner you are likely to die, with those individuals diagnosed at age 40 or younger dying 14 years earlier than peers without T2DM, those diagnosed between 40-49 dying 10 years earlier, and those diagnosed at age 50+ dying 6 years earlier.
This dose-response relationship appears very similar to lung cancer trends in smokers. Earlier detection & cessation allows individuals diagnosed at a young age the time for their body to heal to limit the long-term effects, while those going undiagnosed and/or who do not change their lifestyle experiencing the worst of outcomes.
Benefits of 36 hour “water only”
While the evidence on intermittent fasting is not particularly strong especially in cases where daily calorie consumption is relatively equal between fasters & non-fasters, evidence is continuing to emerge on the benefits of infrequent, but longer fasts.
This study of 20 individuals had subjects perform a 36-hour fast (only drinking water) with outcome measures focused on tracking effects on the plasma lipidome. Findings revealed that an infrequent, but longer fast significantly remodeled the plasma lipidome of the body, vastly altering the way that the body utilized fat stores following the fast. Fat mass was more readily available for metabolism & used preferentially for energy following the fast.
Limitations: small study size with healthy active folks who often aren’t the most important target of such lifestyle modification interventions.
Did you miss any of our ICE Physio podcasts last week? Well here you go!
Monday: “Breath manipulation and the pelvic floor” (Jess Gingerich)
Tuesday: “Frozen shoulder: Helping patients navigate no (hu)mans land” (Lindsey Hughey)
Wednesday: “Dynamic gait training: Obstacle course 2.0” (Julie Brauer)
Thursday: “The needle is in, now what?” (Paul Killoren)
Upcoming ICE Physio Courses
- October 14-15: Dry Needling: Lower Body (Fenton, MI)
- October 14-15: Cervical Spine (Waterford, CT)
- October 14-15: Older Adult LIVE (Fountain Valley, CA)
- October 14-15: Pelvic LIVE (Brookfield, WI)
- October 21-22: Lumbar Spine (Frederick, MD)
- October 21-22: Rehab of the Injured Runner (Bellingham, WA)
- October 21-22: Older Adult LIVE (Matawan, NJ)
- October 21-22: Dry Needling: Lower Body (Anchorage, AK)
- October 21-22: Pregnancy and Postpartum LIVE (Corvalis, OR)
- October 11th: Older Adult: Essential Foundations
- October 12th: Older Adult: Advanced Concepts
- October 23rd: Persistent Pain Management
- November 6th: Fitness Athlete: Essential Foundations
- January 2nd: Rehab of the Injured Runner
- January 9th: Fitness Athlete: Pregnancy and Postpartum
- January 9th: Brick by Brick
- January 22nd: Primary Care PT
- February 4th: Fitness Athlete: Advanced Concepts
📢 On Virtual ICE next week we’ll be chatting “Non-operative ACL management” with special guest Dr. Amy Pakula! Not in our virtual mentorship program? Find out how to enroll and learn more HERE