Hump Day Hustling – Weekly Research Summary – June 19, 2024

Sprinting mechanics, a review paper on palm cooling, 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!

Running

Sprinting mechanics

When the topic of gait mechanics and running arises, distance running and all its’ talk of increased cadence and forward trunk lean are usually at the forefront. What is less often discussed is the mechanics of sprinting which is a different conversation entirely.

​This 2024 AJSM open access article describes the Sprint Mechanics Assessment Score – Tool (S-MAS) which demonstrates good intra- and interrater reliability for both male and female soccer athletes. The primary goal of the tool is to determine potential risk for hamstring injury, and the authors also offer normative values for S-MAS interpretation. If you’re not into clinical tools, the article also offers a detailed description of sprinting mechanics that could be otherwise used in a sprinting gait analysis.

Strength in Collaboration

PTs + strength coaches

“This blog series explores the components to achieve a coherent, athlete-centred, performance-focussed rehabilitation approach and the role collaboration plays between physiotherapy and S&C practitioners during their support of the injured athlete”

Collaboration is king. These BJSM write ups are a nice exploration of thoughts on how to leverage being “better together”

​Part 1
​Part 2

Palm Cooling

A review paper to help settle the score

The benefits, or lack thereof, with palm cooling for performance enhancement have been debated with surprising vigor. Glad to see this review paper add some clarity and robustness to the conversation.

We’ll just quote author Brad Schoenfeld’s recent tweet as a summary “Our review indicates weak evidence that palm/sole cooling positively influences human performance. Still more research needed to draw stronger conclusions.”

From the sounds of things, and like so many other topics, extreme viewpoints in either direction are likely out of context with current best evidence.

 

De Quervain Tenosynovitis

A patient first perspective

We thought this was a unique paper and worth a share. Using a crowdsourcing platform, Amazon Mechanical Turk, 199 surveyed respondents who have not experienced this pain but were given a hypothetical scenario of imagining dorsoradial pain that limits grasping, were educated on the following options for treatment:

  1. A supervised program of hand therapy, which can include the following: Therapeutic ultrasound, Soft tissue massage,Therapeutic exercise
  2. Use of a splint. This would involve wearing a splint that immobilizes the wrist and thumb, worn for 3 to 6 weeks, to be removed for hygiene.
  3. Corticosteroid injection into the site of pain at the wrist. A single corticosteroid injection into the area of pain in the wrist provides relief of symptoms in 2/3 (66%) of patients. Risks of corticosteroid injection are low, but depigmentation (lightening of the skin) at the site of injection occurs approximately 1% of the time (1 in 100).
  4. Surgery. Surgery involves opening the construction of tendons and can be done in the operating room under local anesthesia with or without sedation. Surgery is successful more than 90% of the time. Surgery is the treatment option that is most likely to result in permanent relief of symptoms.

For first choice of treatment 77 participants (39%) chose a supervised program of therapy, 54 participants (27%) chose splinting, 36 participants (18%) chose a corticosteroid injection, and 32 participants (16%) opted for surgical treatment.

TLDR: (Even with the biased nature of the survey) Patients with hypothetical DeQuervain’s tenosynovitis would prefer conservative management over surgery. Cost of surgery is a deciding factor as well as risks of surgery, expected recovery time, and expected pain level. Clarity is king here.

 

Sponsor Corner

3 ways to reclaim you “me time”

Hump Day Hustling - Weekly Research Summary - June 19, 2024

As practitioners, finding time for yourself amidst responsibilities can be challenging — but it’s essential for your well-being and the quality of care you provide.

Here are 3 practical strategies to weave self-care into your life:

  1. Set clear boundaries with your patients or clients by establishing fixed working hours and keeping yourself accountable to them.
  2. Evaluate your workload and see if any tasks can be streamlined, delegated, or eliminated. Remember, tools and support systems are available to help you manage.
  3. Build a support system through online peer community groups and resources, and don’t hesitate to lean on your community for advice.

Remember, penciling in “me time” in your schedule benefits both you and your patients.

If you’re looking for a support system, the Jane App Community Group is a great resource for health and wellness practitioners and business owners to learn from and support each other.

PTonICE Rewind

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

Monday: “Pelvic workshop excellence” (Shaelyn Sharbutt)
Tuesday: “Expectation and tissue healing” (Justin Dunaway)
Wednesday: “All the grief you cannot see” (Christina Prevett)
Thursday: “Tech tip Thursday” (Alan Fredendall)
Friday: “Femoral neck BSI” (Megan Peach)

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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 Dr. Paul Killoren presenting “Marketing dry needling: Mastering the 15 minute trial”. 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!​