Hump Day Hustling – Weekly Research Summary – January 24, 2024

Best gait retraining option for patellofemoral syndrome? Are providers following guidelines for urinary incontinence management? Answers to these questions and more in this week’s Hump Day Hustling. Enjoy, and if you want to dive deeper with ICE content make sure to check out Upcoming Course Dates and Locations.

Urinary Incontinence

Are providers following guidelines?

No, not even kind of.

Deets: If you’ve been to an ICE Pelvic course OR if you are an avid listener of our podcast & reader of this newsletter… You probably already know that behavioral interventions and education is KEY in improving any pelvic floor symptom. How can we expect improvement if the person doesn’t understand their body?

We have several professional organizations which promote the first line therapies (education, awareness & coordination [aka pelvic floor muscle training], bladder re-training with bladder diaries, etc.)… but how often is that actually used?​This new open access article documented guideline adherence was LOW; only 6.8% and 7.7% of stress UI and mixed UI, respectively, received any of these first line treatments. Instead, these patients received medication and surgeries first.n = 103, 813 (!!)

Action item? Educate your communities: potential clients, providers (like urologists, urogynecologists, and OBGYNS) & let them know you can help them help their clients!!

Target: Obesity

Required tools: Cardio equipment

Admittedly this open access RCT in January’s European Heart Journal is a bit of a #biascheck for us resistance training lovers over here at ICE.

Study overview: 406 adults aged 35–70 years overweight or obese & elevated BP were randomized into resistance only, aerobic only, combo resistance and aerobic, & control group for 3x/wk for 1 year (supervised exercise of 1 hour of time ; the combo group was split as=30 min aerobic/30 min resistance blood pressure)

Outcome Measures: A composite Z-score of CVD risk factors: systolic blood pressure, low-density lipoprotein (LDL) cholesterol, fasting glucose, and per cent body fat.

Bottom line: Resistance training alone doesn’t get the job done. To quote directly from the conclusion “In adults with overweight or obesity, aerobic exercise alone or combined resistance plus aerobic exercise, but not resistance exercise alone, improved composite CVD risk profile compared with the control.”

Patellofemoral Pain Syndrome

Comparing two gait retraining programs

Brand new open access running study from de Souza & Esculier et al.

The protocol for this study was published a few years ago and we’re excited to see the results completed! This was a RCT that looked at running gait retraining in runners with patellofemoral pain. Runners were assigned to one of two gait retraining groups (decreased impact or increased cadence) that did 8 sessions over 2 weeks of titrated gait retraining, or a control group. The runners were assessed at baseline, immediately after intervention, and 6 months post intervention.

Outcome Summary: Both gait retraining groups were found to have more improvements in knee pain compared to the control group at six months, and the impact gait retraining group had immediately improved knee function as compared to the other two groups.

Take away message: Short term gait retraining can have long term positive effects for runners with patellofemoral pain!

 

ICE Faculty in New York Times!

Congrats Dustin Jones & Stronger Life!

All of our preaching is meaningless if the words don’t get to the masses! That’s why we’re SO excited to see this feature in the New York Times written by Dustin Jones and featuring testimonial from Stronger Life member Beverly! The end of 1 Rep Max Living begins with the awareness of those suffering from it or being at risk of doing so soon. Nothing like trumpeting out the message from a platform as large as the NYT to move the needle forward!

Sponsor Corner

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One of the quickest and easiest ways to help build your patient’s confidence in the squat is with the use of VersaLifts heel lift inserts. This simple and inexpensive addition to an athlete’s training shoes provides 1/2″ of additional heel to toe drop, compensating for many ankle mobility restrictions, and dramatically improving squat form and range of motion. And now, through the month of December, VersaLifts is offering their dynamic stackable slant board, the V-Stack ($109.99), absolutely free for new distributors! Sign up here for more details.

Remember to use the code ICEPT to receive 10% off any purchase at vlifts.com.

PTonICE Rewind

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

Monday: “When ‘hands-on’ is off the table in a Pelvic PT Eval” (April Dominick)
Tuesday: “Lateral vs crossover steps” (Alex Germano)
Wednesday: “GLP-1 medicine and you” (Ellen Csepe)
Thursday: “Tax time Thursday” (Alan Fredendall)
Friday: “Lighting up the lats” (Guillermo Contreras)​

Upcoming ICE Physio Courses

In-Person Courses

Online Courses

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📢 Did you know we have two other free email subscriptions just like Hump Day Hustling but geared towards Pelvic and Older Adult demographics? Simply click those links, drop your email, and sit back to receive the bi-weekly goods!

📢 On Virtual ICE next week we’ll be chatting “Lab values: What you need to know” with ICE faculty Morgan Denny! Not in our virtual mentorship program? Find out how to enroll and learn more HERE