Hump Day Hustling – Weekly Research Summary – May 8, 2024

Does cycling correlate with knee OA? How does utilizing AMRAP, EMOM, or RFT effect muscle performance? Answers to these questions and 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!

Free Resource Drop

Your guide to entering Geri Fitness

Big thanks to Jeff Musgrave of the Older Adult division for putting together both a lecture AND a break even calculator that should serve as a strong planning foundation for those of you starting up Geri Fitness programs in your clinics or gyms. We know the work isn’t done when the symptoms are gone, and getting our older adults plugged into a properly designed fitness program can help them reach even bigger goals while offering an additional revenue stream in your business!

Bicycling & OA

What does a lifetime of pedaling do?

Apparently only good things!

This retrospective, cross-sectional study is a part of the Osteoarthritis Initiative. 2607 participants and their cycling volume across four different time periods of life were analyzed for a relationship between volume and knee pain plus OA. This quote sums things up nicely:

“People who participated in bicycling had a lower prevalence of frequent knee pain, radiographic OA, and symptomatic OA. The benefit appeared cumulative. This study indicates that bicycling may be favorable to knee health and should be encouraged.”

Pelvic Floor

Why “just do Kegels” is rarely sound advice

In this cross sectional study, a group of young women answered a survey on awareness of their ability to contract their pelvic floor, and a physical exam was done to assess if what the participants THOUGHT they were doing was actually what they were doing.

Key finding: Poor agreement between how the participants thought their pelvic floor functioned and what actually happened.

This is a fantastic argument for why “just do kegels” is a disservice to our patients-and they are being told this ALL THE TIME by other providers. We have to create awareness and coordination before we can build our strength- and this can be done by all therapists, not just internally trained pelvic floor physical therapists!


How does muscular performance change?

Study Link

12 subjects habituated to “Cross”(fit) style training performed a crossover design with 3 conditions, each separated by 1 week:

1) AMRAP 12: 10 air squats/10 pull-ups/10 strict press
2) EMOM 12: Min 1 – 10 air squats/Min 2 – 10 pull-ups/Min 3 – 10 strict press
3) Rounds for time: completed 50% volume performed in AMRAP 12 as rounds for time

Findings? Volume performed was identical among all 3 conditions, but those in the AMRAP and rounds-for-time workouts had the greatest velocity loss combined with highest heat rates compared to the EMOM workout. Average heart rate approached 180 bpm in the AMRAP condition, 170 bpm in the rounds-for-time condition, but stayed below 150 bpm in the EMOM condition. Due to the rest-pause nature of EMOM training, individuals were able to perform the same amount of work in the same amount of time with greater velocity & lower heart rates. 

Limitations? It’s always difficult to make strong conclusions about papers like this because researchers almost exclusively use bodyweight movements which is some part of CrossFit-style training, but not all of it. Not all movements cycle or move equally. For example, in these movements, the pull-up & strict press in the same workout are likely to slow most individuals down as compared to an air squat.

Sponsor Corner

A practitioner’s top tips for switching EMRs

Making a move that impacts your business, team, and your patients or clients — like switching to a new EMR — can feel daunting.

This is especially true for Allie Joy, a licensed professional counselor, who, after much consideration, decided to switch clinic software.

Allie shares her experience with switching, and a few tips she picked up along the way — starting with her top 3 things to look for in a software:

  • Unlimited customer support – Having access to support both during and after onboarding will be an invaluable asset to you and your team.
  • Onboarding resources – Look for a software that offers a variety of resources to match your team’s learning styles
  • A user-friendly interface – Reduce the learning curve by selecting a software that has intuitive, easy-to-learn workflows.

You can read more about Allie’s switching journey at Or, visit 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: “Fitness Freedom” (Alexis Morgan)
Tuesday: “When things don’t go according to plan” (Cody Gingerich)
Wednesday: “50K: Lessons learned” (Julie Brauer)
Thursday: “Dry needling for recovery” (Ellison Melrose)
Friday: “Advancing grip strength” (Joe Hanisko)

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 Dr. Britt Lademann presenting “Spinal Manipulation: Debunking myths”. 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!​