Hump Day Hustling – Weekly Research Summary – February 14, 2024

Tendinopathy management tip, PTs rise to primary care role, and more in this episode of Hump Day Hustling! Enjoy, and if you want to dive deeper with ICE content make sure to check out our Upcoming Course Dates and Locations.

Pregnant

Modify as needed and lift on!

Just a quick inspo vid of Annie Thorisdottir picking up heavy things at 27 weeks pregnant to kick this episode off! Using blocks to decrease range when getting heavy is a great modification to decrease belly to thigh contact, for pain, leakage, and so much more!

Change to the body during pregnancy is inevitable, but training can adapt! Modifications in all shapes and sizes. Pregnant, not weak!

Endurance Athlete

Running gait gets techy!

This 2024 open access RCT with 160 recreational runners looked at the injury rate in runners who received real-time feedback for running mechanics vs a control group who did not received feedback. The intervention group used pressure-sensitive insoles and wearables that tracked parameters like cadence, footstrike, and speed that were then used as inputs to an algorithm that determined which body segment had the highest potential load. Runners were given audible feedback such as “increase your step frequency” via an app based on target zones for speed, cadence, and foot strike that would theoretically decrease load on specific body segments.

Authors found a significantly lower acute injury rate (<7 days) and severity of running related injury in the group that received feedback compared to the control group. No significant difference was found between groups for injuries lasting >7 days.

PTs as Primary Care Providers

Unites States military leading the way!

PTs have always enjoyed a higher level of autonomy in military vs civilian outfits. This recently announced decision to have physical therapists serve as primary care providers shows that they are seeing the value of this pattern and doubling down! A shift to a true primary care role in the military is exciting for all physical therapists as policies often trickle down to the general population where many states continue to struggle with direct access and autonomy.

Tendinopathy

Heel lifts shows surprising promise

Silbernagel just published this study finding improvements in pain, self report function and gait mechanics for people with achilles tendinopathy after using a pair of 20 mm heel lifts for 2 weeks.

Design: N=20 single arm cohort (no randomization or comparison/control group). Measurements taken at baseline, immediate effects and then 2 week follow up. Patients are middle aged with an avg symptom duration of 42 months and current pain on avg 4/10.

Most people got better, 2 point pain reduction, 7 point visa improvement, gait parameters improved. Not the strongest evidence for efficacy but does establish effectiveness and might be worth trying for someone not responding to treatment. Surprisingly most of the patient’s presented with chronic symptom histories (avg duration of symptoms over 3 years). We would expect to see this type of intervention used earlier on when the condition is more acute and irritable, but excited about the results none the less!

CSM

Join ICE Physio faculty at CrossFit Southie!

ICE Physio will not be at CSM, but we will be at the gym! Join us for a workout at CrossFit Southie on Saturday, February 17th, 2024 at 5 AM. ICE and iDryNeedle are teaming up to bring you this workout for FREE.

All you need to do is sign up and show up. Anyone and everyone is welcome, regardless of fitness level or experience with exercise. We’ll have experienced coaches on hand to ensure you have an awesome workout.

We would love to give those of you who prioritize movement a chance to get after it while also letting the world know if 20 thousand PTs are going to get together some will be leading from the front!

PTonICE Rewind

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

Monday: “Non exercise topics for early post op care” (Alexis Morgan)
Tuesday: “How to market dry needling” (Mark Gallant)
Wednesday: “Taking the first step to change your geri practice” (Christina Prevett)
Thursday: “Cash, insurance, or hybrid: Where’s the magic?” (Alan Fredendall)
Friday: “Long run Dos and Don’ts” (Rachel Selina)​

Upcoming ICE Physio 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!

📢 Next week on Virtual ICE we’ve got ICE faculty Joe Hanisko presenting “Communicating with fitness professionals.” Not in our virtual mentorship group yet?? Head over to this link and change that! $29.99 a month for 24 annual CEUs, live meetings every week with ICE faculty and special guests!​