Hump Day Hustling – Weekly Research Summary – April 17, 2024

Does recovery time matter? How important are contextual factors in rehab outcomes? Answers to these questions and more in this week’s episode! If you want to dive deeper with ICE content check out our Upcoming Courses and Specialty Certifications!

Recovery Periods

How do different times effect performance?

How do different recovery periods effect strength and performance when doing high intensity interval training? JSCR Open Access April 2024

15 female elite ice hockey players (17-25 years old) conducted baseline measurements including a VO2max cycle test, then performed 3 sets of Tabata (8 rounds of 20 sec work/10 sec rest) with 4 min rest between Tabatas at 115% VO2max. Subjects rested 10 minutes, 6 hours, or 24 hours before performing 6 sets of 2 reps of maximal isometric leg press plus 6 sets of 3 reps of countermovement jumps. Subjects performed this total protocol 3 times.

Findings? Strength & power measurements all declined in the 10 minute group. No differences were found for the 6 hour or 24 hour recovery group with no differences between groups. A 6-hour window would mean that individuals performing high-intensity cardiovascular exercise in the morning should not expect performance to decrease by performing strength & power training later in the afternoon or evening. Vice versa, those performing high-intensity cardio in the evening would theoretically be recovered for a morning strength & power session.

Limitations? The time difference between 10 minutes and 6 hours is huge. Studying 30 minutes, 60 minutes, 2 hours, etc. would all give a better idea of the most optimal recovery window to use when spacing out intense cardiovascular exercise from strength & power training.

Hope Molecules

A fascinating argument for more movement

“It’s like a pharmacy in your muscles.” That epic quote from this quick reel featuring Dr. Kelly McGonigal that we thought you would all enjoy. If you want to move on from the 50 second version to the longer discussion around the topic check out this excerpt from her discussion with Rich Roll a couple years ago. For those looking to dive even further and actually look at the science behind all of this, here is the 2016 article she is referencing which cites papers upon which this idea is constructed.

Pelvic Screen

Which patients need one?

We’re rolling out the ICE Pelvic Screen for you all to use in clinic! Adapted from the PFD-SENTINEL, the ICE Physio pelvic crew has created a quick and easy screen for patients to determine if they could benefit from pelvic floor physical therapy. Slide it into your intake paperwork if you are not in the pelvic space, or if you are seeing pelvic patients already, slap it on the back of some flyers with your clinic info and use it as marketing material to help get the word out on who can benefit from pelvic floor PT!

Contextual Effects

How much of a role do they play?

The conclusion of this new meta-analysis hits: “The outcomes of physical therapy interventions for musculoskeletal pain were significantly influenced by contextual effects. Boosting contextual effects consciously to enhance therapeutic outcomes represents an ethical opportunity that could benefit patients.”

Let’s dive in:

There were two aims of this study:

  1. Quantify a proportion attributable to contextual changes by subtracting change differences between the intervention and placebo groups using the pooled standard deviation (SD) of change in both groups. The proportion attributed to contextual effects was calculated using the mean change score of the placebo arm divided by the mean change score of the intervention arm.
  2. To look at the variability of the proportion attributable to contextual effects by type of intervention (manipulation, mobilization, taping, exercise therapy, dry needling) and type of placebo <e.g., manual versus non-manual>

Results: “The proportion attributable to contextual effects of mobilization accounted for 88% of the immediate overall treatment effect for pain intensity. In exercise therapy, contextual effects accounted for 46% of the overall treatment effect for pain intensity. Contextual effects in manipulation excelled in short-term pain relief and in mobilization in long-term effects. In taping, contextual effects accounted for 64% of disability improvement”

Sponsor Corner

The Jane team your transition to Jane

Hey ICE Physio community! Lauren from the Jane team here.

Whether you’re coming from pen and paper, another EMR, or you’re exploring the world of clinic management software for the first time, we know that change can feel daunting. That’s why our goal is to provide you with a collection of helpful resources to ensure that you feel confident and equipped in your transition to Jane.

An onboarding process tailored to your practice

Here are a few ways our team makes the transition to Jane easy:

  • Free data import – Our Import Specialists ensure that the data from your current software (or filing cabinet) is smoothly transferred over to Jane.
  • Self-serve resources – Beat the learning curve by checking out our collection of online resources intentionally designed for your learning style and busy schedule.
  • Unlimited support – Our team of friendly humans are dedicated to sticking with you throughout your journey with Jane, whether by phone, email, or live chat.
  • Personalized Account Setup Consultation – A member of our knowledgeable support team will review the setup of your new account with you and provide tips based on the unique needs of your practice.

You can book a personalized demo at jane.app/switch to learn more. Or, if you’re ready to get started, you can use ICEPT1MO for a 1-month grace period on your new account.

Chat soon!
Lauren, on behalf of the Jane team.

P.S. Are you thinking about switching to a new clinic management software and EMR, but still uncertain about taking the leap? In our recent blog post, we break down a few common concerns and how you can work to overcome them. You can check it out here.

PTonICE Rewind

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

Monday: “Screening for pelvic floor problems” (Rachel Moore)
Tuesday: “Isometrics: Beyond the pain” (Mark Gallant)
Wednesday: “Make it meaningful, load it, dose it: A case study” (Julie Brauer)
Thursday: “Their life is in your hands” (Jeff Moore)
Friday: “Addressing knee pain in the fitness athlete” (Alan Fredendall)

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 Matt Koester presenting “Common causes of foot pain with cycling”. 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!​