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

New CPG on osteoporosis screening, exploring the relationship between running economy & strength training, and much more in this week’s hump day hustling! If you want to dive deeper with ICE content check out our Upcoming Courses and Specialty Certifications!

Menopausal Hormone Therapy

An examination of women’s health outcomes

Are too many patients being taken off hormone therapy in the absence of clear evidence?

This new longitudinal study following Medicare recipients who had menopausal hormone therapy after 65 shows that not only is it NOT a risk but it has a PLETHORA of positive benefits to reduce risk of chronic disease. This adds to an increasing body of evidence highlighting lots of pros and not a lot of cons to continuing hormone therapy if symptoms don’t dictate otherwise. Certainly an evolving area of science, and we’ll continue to report the news so women can make informed decisions alongside their providers!

Strength Training & Running

What is the effect on economy?

This recently published systematic review by Llanos-Lagos et al. found some strength programming but not all to positively affect running economy (RE) in distance runners.

The review considered strength programs from 31 studies that were in addition to running training, while programs that used loads <40% 1RM or >20 reps were considered controls. 652 participants ranging from ages 17-45 were included, and strength programs were between 6-24 weeks with 1-4 sessions per week.

High loads (>80% 1RM) were associated with improvements in RE, with greater benefits for RE for higher running speeds. Plyometric programs may have a positive effect on RE for running <7.5 mph, and plyometrics in combination with other strength training had a positive effect on RE at higher speeds. No effect on RE was found for sub maximal load programs (40-79% 1 RM) or isometric programs.

TL/DR: Heavy loads and plyometrics for the win

Osteoporosis Screening

New clinical practice guideline!

This is a great open access summary of the current evidence for osteoporosis screening, diagnosis, and treatment. The paper is oriented towards front-line healthcare providers, and therefore has a medical lean to it, BUT we as rehab professionals often find ourselves on that front-line so we should be aware of these recommendations.

​​The big takeaways:

  • Postmenopausal Females and males over 50 across the board should be doing 1. balance and progressive resistance training exercises at least 2x/week. 2. Eating foods rich in calcium and protein. 3. Should be supplementing Vit D at 400 IU daily.
  • WE have a big role here for screening for undiagnosed osteoporosis or vertebral compression fractures. This paper provides a great checklist for screening risk factors and what to look for in an undiagnosed vertebral compression fracture that includes triggers for further assessment.

Weight Stigma

Relationship with disordered eating

“Given the widespread nature and impact of weight stigma on disordered eating, it is imperative that we intervene to address weight stigma at all levels, from the structural to the intrapersonal”

That quote from this open access systematic review analyzing data from 242 papers. The strength of the relationship here suggests it is important that ALL providers in the the health care system appreciate how weight bias can significantly impact disordered eating habits and even increase the likelihood of immediate binge events. This is a societal issue, yes, but as trusted members of that society we can each individually have an impact!

Sponsor Corner

Thinking of switching EMRs? Here are 3 things to consider

We know that switching to a new EMR can sometimes feel like an overwhelming process. And while sticking with your current software might feel less daunting, moving to the right software can have a ton of benefits.

Here are 3 things to consider before making the switch:

  • Engage your team: Initiating early discussion with your team is important for addressing questions and concerns, and ensuring that everyone is aligned with the goals of the move.
  • Assess the resources: Explore software that offers onboarding resources for a variety of learning styles to help your team feel comfortable with the new workflows at their own pace.
  • Evaluate the technical support: Consider the level of support that the software offers. Is it unlimited? Can you get help on weekends? Are there any added costs after onboarding?

Visit to read more practical tips for switching software or to book a 1-on-1 demo.

PTonICE Rewind

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

Monday: “Male fertility” (Christina Prevett)
Tuesday: “Optimizing lat mobility” (Lindsey Hughey)
Wednesday: “Fitness forward geriatric clinicians do pelvic health well!” (Christina Prevett)
Thursday: “Eating disorders and obesity” (Ellen Csepe)
Friday: “Hills for gait drills” (Megan Peach)

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 Special Guest Sam Gach presenting “Conjugate/Westside method for powerlifting”. 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!​