I denne samtalen snakker jeg med Tom Henning Øvrebø om mental helse og uhelse i idretten, kognitiv terapi, og mentale utfordringer knyttet til skader og rehabilitering. Tom Henning er psykolog og tar en doktorgrad om mental helse i toppidrett ved Norges Idrettshøgskole. Han har også vært fotballdommer på internasjonalt nivå.

 Kilder:

Leslie Podlog & Robert C. Eklund (2006) A Longitudinal Investigation of
Competitive Athletes' Return to Sport Following Serious Injury, JOURNAL OF APPLIED SPORT PSYCHOLOGY, 18:1, 44-68, DOI: 10.1080/10413200500471319

Ardern, C. L., Hooper, N., O'Halloran, P., Webster, K. E., & Kvist, J. (2022). A Psychological Support Intervention to Help Injured Athletes "Get Back in the Game": Design and Development Study. JMIR formative research, 6(8), e28851. https://doi.org/10.2196/28851

McGinley, J., Stapleton, E., Worrall, H., Ellis, H. B., Wilson, P. L., & Ulman, S. (2022). Sport Participation and Psychosocial Factors Which Influence Athletic Identity in Youth Athletes With Anterior Cruciate Ligament Injury. Frontiers in psychology, 13, 906300. https://doi.org/10.3389/fpsyg.2022.906300

Truong, L. K., Mosewich, A. D., Holt, C. J., Le, C. Y., Miciak, M., & Whittaker, J. L. (2020). Psychological, social and contextual factors across recovery stages following a sport-related knee injury: a scoping review. British journal of sports medicine, 54(19), 1149–1156. https://doi.org/10.1136/bjsports-2019-101206

Truong, L. K., Mosewich, A. D., Holt, C. J., Le, C. Y., Miciak, M., & Whittaker, J. L. (2020). Psychological, social and contextual factors across recovery stages following a sport-related knee injury: a scoping review. British journal of sports medicine, 54(19), 1149–1156. https://doi.org/10.1136/bjsports-2019-101206

I denne episoden snakker jeg med Torstein Dalen-Lorentsen om belastningsstyring. Vi diskuterer hva belastning er, hvordan det kan måles, utfordringer med forskningen på belastningsstyring, og ikke minst hvordan man kan styre belastning hos unge idrettsutøvere. 

Torstein har praktisk bakgrunn som fysisk trener i fotball og håndball på toppnivå. Han er internasjonalt anerkjent for sin forskning på belastningsstyring, fullførte sin doktorgrad ved Norges Idrettshøgskole i 2021 og jobber nå med helseteknologi på SINTEF.  

Tider:

00:00 - Introduksjon
04:40 - Hva er belastning?
10:00 - Måling av belastning og hvordan styre belastning
25:48 - Forskningen på belastningsstyring
36:00 - Belastnignsstyring ved retur til idrett
43:30 - Belastningsstyring hos "den unge utøveren"

Kilder:

Dalen-Lorentsen, T. (2021). PhD Dissertation: Training load and health problems in football -More complex than we first thought? https://doi.org/10.13140/RG.2.2.12233.06243

Dalen-Lorentsen, T., Bjørneboe, J., Clarsen, B., Vagle, M., Fagerland, M. W. & Andersen, T. E. (2021). Does load management using the acute:chronic workload ratio prevent health problems? A cluster randomised trial of 482 elite youth footballers of both sexes. British Journal of Sports Medicine, 55(2), 108-114. https://doi.org/10.1136/bjsports-2020-103003

Dalen-Lorentsen, T., Ranvik, A., Bjørneboe, J., Clarsen, B. & Andersen, T. (2021). Facilitators and barriers for implementation of a load management intervention in football. BMJ Open Sport & Exercise Medicine, 7, e001046. https://doi.org/10.1136/bmjsem-2021-001046

Kalkhoven JT, Watsford ML, Coutts AJ, Edwards WB, Impellizzeri FM. Training Load and Injury: Causal Pathways and Future Directions. Sports Med. 2021 Jun;51(6):1137-1150. doi: 10.1007/s40279-020-01413-6. Epub 2021 Jan 5. PMID: 33400216.

Moller, M., Nielsen, R., Attermann, J., Wedderkopp, N., Lind, M., Sørensen, H. & Myklebust, G. (2017). Handball load and shoulder injury rate: A 31-week cohort study of 679 elite youth handball players. British Journal of Sports Medicine, 51, bjsports-2016. https://doi.org/10.1136/bjsports-2016-096927

Nielsen, R., Bertelsen, M., Moller, M., Hulme, A., Windt, J., Verhagen, E., … Parner, E. (2017). Training load and structure-specific load: Applications for sport injury causality and data analyses. British Journal of Sports Medicine, 52. https://doi.org/10.1136/bjsports-2017-097838

Nielsen, R., Bertelsen, M., Moller, M., Hulme, A., Mansournia, m. a., Casals, M. & Parner, E. (2020). Methods matter: exploring the ‘too much, too soon’ theory, part 1: causal questions in sports injury research. British Journal of Sports Medicine, 54, bjsports-2018. https://doi.org/10.1136/bjsports-2018-100245

Dalen-Lorentsen, T., Andersen, T. E., Bjørneboe, J., Vagle, M., Martin, K. N., Kleppen, M., … Clarsen, B. (2021). A Cherry, Ripe for Picking: The Relationship Between the Acute-Chronic Workload Ratio and Health Problems. Journal of Orthopaedic & Sports Physical Therapy, 51(4), 162-173. https://doi.org/10.2519/jospt.2021.9893

Soligard T, Schwellnus M, Alonso JM, Bahr R, Clarsen B, Dijkstra HP, Gabbett T, Gleeson M, Hägglund M, Hutchinson MR, Janse van Rensburg C, Khan KM, Meeusen R, Orchard JW, Pluim BM, Raftery M, Budgett R, Engebretsen L. How much is too much? (Part 1) International Olympic Committee consensus statement on load in sport and risk of injury. Br J Sports Med. 2016 Sep;50(17):1030-41. doi: 10.1136/bjsports-2016-096581. PMID: 27535989.

I denne episoden  snakker jeg med Eline Thornquist om hva fenomenologi er og ikke er. Vi diskuterer kunnskapsgrunnlaget for fysioterapi og hvordan fenomenologien påvirker klinisk kommunikasjon og praksis. Eline er psykomotorisk fysioterapeut og har vært professor ved Universitetet i Tromsø og Høgskulen på Vestlandet.

Kilder:

Thornquist, E. (2018). Vitenskapsfilosofi og vitenskapsteori: for helsefag. Fagbokforlaget.

Thornquist, E., & Thornquist, E. (2009). Kommunikasjon: Teoretiske perspektiver på praksis i helsetjenesten. Gyldendal akademisk.

https://podcasts.apple.com/no/podcast/a-history-of-philosophy-by-dr-arthur-f-holmes/id903437872?i=1000331578024

https://podcasts.apple.com/no/podcast/philosophize-this/id659155419?i=1000384370798

I denne episoden snakker jeg med Gunnar Breivik om hvordan deltakelse i idrett kan gi mening til livet; vi diskuterer blant annet uttrykk som flow, peak experience og peak performance. Utfordringen med voksenstyr og kontrollert idrett for barn er et tema Gunnar har problematiskert i boken Sug i magen. Vi snakker om hvordan vi kan forstå menneskelig bevegelse, hvor lekens betydning for motorisk læring og kroppslig utfoldelse er sentralt. 

Gunnar Breivik er professor emeritus ved Norges Idrettshøgskole og har jobbet med ulike idrettsfilosofiske spørsmål. 

Kilder:

Breivik, G. (2021). Sport as part of a meaningful life. Journal of the Philosophy of Sport, 1-18. https://doi.org/10.1080/00948705.2021.1972814

Breivik, G. (2010). Being-in-the-Void: A Heideggerian Analysis of Skydiving. Journal of The Philosophy of Sport - J PHIL SPORT, 37, 29-46. https://doi.org/10.1080/00948705.2010.9714764

Breivik, G. (2001). Sug i magen og livskvalitet. Oslo: Tiden.

https://www.researchgate.net/profile/Gunnar-Breivik/publications

In this episode I talk to researcher and professor at the University of Aalborg, Michael Skovdal Rathleff.  We talk about how to communicate the PFP diagnosis to patients, whether exercise therapy is effective for patellofemoral pain, principles of rehabilitation, and prognosis.

Sources:

Johansen SK, Holden S, Pourbordbari N, Jensen MB, Thomsen JL, Rathleff MS. PAINSTORIES - Exploring the Temporal Developments in the Challenges, Barriers, and Self-Management Needs of Adolescents with Longstanding Knee Pain: A Qualitative, Retrospective Interview Study with Young Adults Experiencing Knee Pain Since Adolescence. J Pain. 2021 Oct 28:S1526-5900(21)00355-2. doi: 10.1016/j.jpain.2021.10.006. Epub ahead of print. PMID: 34718151.

https://www.generalpractice.aau.dk/research/Center-for-Musculoskeletal-Health/mangement-patellofemoral-pain

Rathleff MS, Graven-Nielsen T, Hölmich P, Winiarski L, Krommes K, Holden S, Thorborg K. Activity Modification and Load Management of Adolescents With Patellofemoral Pain: A Prospective Intervention Study Including 151 Adolescents. Am J Sports Med. 2019 Jun;47(7):1629-1637. doi: 10.1177/0363546519843915. Epub 2019 May 16. PMID: 31095417.

Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, McConnell J, Vicenzino B, Bazett-Jones DM, Esculier JF, Morrissey D, Callaghan MJ. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016 Jul;50(14):839-43. doi: 10.1136/bjsports-2016-096384. Epub 2016 Jun 24. PMID: 27343241; PMCID: PMC4975817.

Guldhammer C, Holden S, Sørensen ME, Olesen JL, Jensen MB, Rathleff MS. Development and validation of the Sorting non-trauMatIc adoLescent knEe pain (SMILE) tool - a development and initial validation study. Pediatr Rheumatol Online J. 2021 Jul 6;19(1):110. doi: 10.1186/s12969-021-00591-5. PMID: 34229697; PMCID: PMC8259444.

Rathleff MS, Rathleff CR, Olesen JL, Rasmussen S, Roos EM. Is Knee Pain During Adolescence a Self-limiting Condition? Prognosis of Patellofemoral Pain and Other Types of Knee Pain. Am J Sports Med. 2016 May;44(5):1165-71. doi: 10.1177/0363546515622456. Epub 2016 Jan 20. PMID: 26792702.

Smith BE, Moffatt F, Hendrick P, Bateman M, Rathleff MS, Selfe J, Smith TO, Logan P. The experience of living with patellofemoral pain-loss, confusion and fear-avoidance: a UK qualitative study. BMJ Open. 2018 Jan 23;8(1):e018624. doi: 10.1136/bmjopen-2017-018624. PMID: 29362256; PMCID: PMC5786111.

de Oliveira Silva D, Pazzinatto MF, Rathleff MS, Holden S, Bell E, Azevedo F, Barton C. Patient Education for Patellofemoral Pain: A Systematic Review. J Orthop Sports Phys Ther. 2020 Jul;50(7):388-396. doi: 10.2519/jospt.2020.9400. Epub 2020 Apr 29. PMID: 32349640.

Neal BS, Lack SD, Lankhorst NE, Raye A, Morrissey D, van Middelkoop M. Risk factors for patellofemoral pain: a systematic review and meta-analysis. Br J Sports Med. 2019 Mar;53(5):270-281. doi: 10.1136/bjsports-2017-098890. Epub 2018 Sep 21. PMID: 30242107.

I denne episoden snakker jeg med forsker og professor ved Universitetet i Aalborg, Michael Skovdal Rathleff, som er kjent for sin forskning på patellofemorale smerter. Vi snakker om hvordan vi skal kommunisere diagnosen til pasientene, om treningsterapi er effektivt for patellofemorale smerter, prinsipper for rehabilitering, og prognose.

NB: samtalen er på engelsk. 


Kilder:

Johansen SK, Holden S, Pourbordbari N, Jensen MB, Thomsen JL, Rathleff MS. PAINSTORIES - Exploring the Temporal Developments in the Challenges, Barriers, and Self-Management Needs of Adolescents with Longstanding Knee Pain: A Qualitative, Retrospective Interview Study with Young Adults Experiencing Knee Pain Since Adolescence. J Pain. 2021 Oct 28:S1526-5900(21)00355-2. doi: 10.1016/j.jpain.2021.10.006. Epub ahead of print. PMID: 34718151.

https://www.generalpractice.aau.dk/research/Center-for-Musculoskeletal-Health/mangement-patellofemoral-pain

Rathleff MS, Graven-Nielsen T, Hölmich P, Winiarski L, Krommes K, Holden S, Thorborg K. Activity Modification and Load Management of Adolescents With Patellofemoral Pain: A Prospective Intervention Study Including 151 Adolescents. Am J Sports Med. 2019 Jun;47(7):1629-1637. doi: 10.1177/0363546519843915. Epub 2019 May 16. PMID: 31095417.

Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, McConnell J, Vicenzino B, Bazett-Jones DM, Esculier JF, Morrissey D, Callaghan MJ. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016 Jul;50(14):839-43. doi: 10.1136/bjsports-2016-096384. Epub 2016 Jun 24. PMID: 27343241; PMCID: PMC4975817.

Guldhammer C, Holden S, Sørensen ME, Olesen JL, Jensen MB, Rathleff MS. Development and validation of the Sorting non-trauMatIc adoLescent knEe pain (SMILE) tool - a development and initial validation study. Pediatr Rheumatol Online J. 2021 Jul 6;19(1):110. doi: 10.1186/s12969-021-00591-5. PMID: 34229697; PMCID: PMC8259444.

Rathleff MS, Rathleff CR, Olesen JL, Rasmussen S, Roos EM. Is Knee Pain During Adolescence a Self-limiting Condition? Prognosis of Patellofemoral Pain and Other Types of Knee Pain. Am J Sports Med. 2016 May;44(5):1165-71. doi: 10.1177/0363546515622456. Epub 2016 Jan 20. PMID: 26792702.

Smith BE, Moffatt F, Hendrick P, Bateman M, Rathleff MS, Selfe J, Smith TO, Logan P. The experience of living with patellofemoral pain-loss, confusion and fear-avoidance: a UK qualitative study. BMJ Open. 2018 Jan 23;8(1):e018624. doi: 10.1136/bmjopen-2017-018624. PMID: 29362256; PMCID: PMC5786111.

de Oliveira Silva D, Pazzinatto MF, Rathleff MS, Holden S, Bell E, Azevedo F, Barton C. Patient Education for Patellofemoral Pain: A Systematic Review. J Orthop Sports Phys Ther. 2020 Jul;50(7):388-396. doi: 10.2519/jospt.2020.9400. Epub 2020 Apr 29. PMID: 32349640.

Neal BS, Lack SD, Lankhorst NE, Raye A, Morrissey D, van Middelkoop M. Risk factors for patellofemoral pain: a systematic review and meta-analysis. Br J Sports Med. 2019 Mar;53(5):270-281. doi: 10.1136/bjsports-2017-098890. Epub 2018 Sep 21. PMID: 30242107.

Joar Fystro har tidligere skrevet om personlig ansvar i fysioterapi i fagbladet Fysioterapeuten.  I denne samtalen diskuterer vi sammenhengen mellom personlig ansvar, skyld og helse. Hva skal til for at vi skal være ansvarlige for våre helseplager? Bør personlig ansvar vurderes ved livsstilsrelaterte helseproblemer, og eventuelt få konsekvens for helsetilbudet?  Vi snakker om ansvar i pasient-terapeut relasjonen, og hvem som har ansvaret i fysioterapeutisk behandling. 

Kilder:

Traina G, Feiring E. Priority setting and personal health responsibility: an analysis of Norwegian key policy documents. J Med Ethics. 2020 Mar 2:medethics-2019-105612. doi: 10.1136/medethics-2019-105612. Epub ahead of print. PMID: 32122963.

Sharkey K, Gillam L. Should patients with self-inflicted illness receive lower priority in access to healthcare resources? Mapping out the debate. J Med Ethics. 2010 Nov;36(11):661-5. doi: 10.1136/jme.2009.032102. Epub 2010 Sep 3. PMID: 20817816.

Brown RC. Moral responsibility for (un)healthy behaviour. J Med Ethics. 2013 Nov;39(11):695-8. doi: 10.1136/medethics-2012-100774. Epub 2013 Jan 11. PMID: 23315854; PMCID: PMC3812898.

Brown RCH, Savulescu J. Responsibility in healthcare across time and agents. J Med Ethics. 2019 Oct;45(10):636-644. doi: 10.1136/medethics-2019-105382. Epub 2019 Jun 20. PMID: 31221764; PMCID: PMC6855791.

Friesen P. Personal responsibility within health policy: unethical and ineffective. J Med Ethics. 2018 Jan;44(1):53-58. doi: 10.1136/medethics-2016-103478. Epub 2016 Sep 22. PMID: 27660291.

https://www.fysioterapeuten.no/fysioterapeut-fysioterapeuter-fysioterapi/fysioterapeutens-kunnskap-kan-minimere-pasientens-folelse-av-skyld/137375

https://www.fysioterapeuten.no/bioetikk-fagfellevurdert-fysioterapi/mellom-ansvar-og-skyld-personlig-ansvar-i-fysioterapi/137062

https://www.fysioterapeuten.no/fagkronikk-motivasjon/hva-er-en-umotivert-pasient/125714

I denne episoden snakker jeg med Øyvind Skattebo som har doktorgrad fra Norges idrettshøgskole på "Betydningen av oksygenekstraksjon og blodvolum for maksimalt oksygenopptak".  Vi snakker om hva som bestemmer VO2max, betydningen av max O2-opptak på en utholdenhetsprestasjon, om det er kjønnsforskjeller i effekten av utholdenhetstrening, og flere andre temaer knyttet til trening av utholdenhet. 

Kilder:

Skattebo Ø, Bjerring AW, Auensen M, Sarvari SI, Cumming KT, Capelli C, Hallén J. Blood volume expansion does not explain the increase in peak oxygen uptake induced by 10 weeks of endurance training. Eur J Appl Physiol. 2020 May;120(5):985-999. doi: 10.1007/s00421-020-04336-2. Epub 2020 Mar 14. PMID: 32172291; PMCID: PMC7181565.

Skattebo Ø, Capelli C, Rud B, Auensen M, Calbet JAL, Hallén J. Increased oxygen extraction and mitochondrial protein expression after small muscle mass endurance training. Scand J Med Sci Sports. 2020 Sep;30(9):1615-1631. doi: 10.1111/sms.13707. Epub 2020 May 29. PMID: 32403173.

Skattebo Ø, Calbet JAL, Rud B, Capelli C, Hallén J. Contribution of oxygen extraction fraction to maximal oxygen uptake in healthy young men. Acta Physiol (Oxf). 2020 Oct;230(2):e13486. doi: 10.1111/apha.13486. Epub 2020 May 30. PMID: 32365270; PMCID: PMC7540168.

Hva er forskjellen mellom korrelasjon og kausalitet? Når kan vi si at noe har en årsakssammenheng? I denne episoden snakker jeg med Bjørge Herman Hansen om kriterier for kausalitet og han forklarer hva som er viktig å tenke på når vi skal vurdere korrelasjon i studier.

Kilder:
https://tidsskriftet.no/2020/11/medisin-og-tall/korrelasjonen-er-relativ

https://tidsskriftet.no/2004/04/sprakspalten/korrelerte-parametere-og-annen-spraklig-slendrian

https://tidsskriftet.no/2015/09/kronikk/hva-kan-vi-si-om-kausalitet

Thomas, J., Silverman, S., & Nelson, J. (2015). Research methods in physical activity (7th ed.). Champaign, IL: Human Kinetics.

Park, Jong Hee. (2020). The Art of Statistics: How to Learn From Data. The American Statistician, 74(2), 207.

Hvordan skal man behandle skader på bakre korsbånd? Hva er retningslinjene og evidens for bruk av ortose? I denne episoden snakker jeg  med Karin Bredland, som er fysioterapeut ved ortopedisk avdeling OUS, om rehabilitering etter bakre korsbåndskader. Du får oppdatert kunnskap om undersøkelse og behandling, evidensgrunnlaget for bruk av ortose, treningsterapi vs. kirurgi og mye mer. 

Kilder:
https://oslo-universitetssykehus.no/kliniske-studier/rehabilitering-med-eller-uten-kneskinne-ved-bakre-korsbandskade

https://bodyexamination.no/2019/03/21/bakre-skuffetest/

Adachi N, Ochi M, Sumen Y, Deie M, Murakami Y, Uchio Y. Temporal changes in posterior laxity after isolated posterior criciate ligament: 35 patients examined by stress radiography and MRI. Acta Orthop Scand 2003 12;74 (6): 686-688.

Ahn JH, Lee SH, Choi SH, Wang JH, Jang SW. Evaluation of clinical and magnetic resonance imaging results after treatment with casting and bracing for the acutely injured posterior cruciate ligament. Arthroscopy 2011 Dec;27(12):1679-1687.Jung YB, Tae SK, Lee YS, Jung HJ, Nam CH, Park SJ. Active non-operative treatment of acute isolated posterior cruciate ligament injury with cylinder cast immobilization. Knee Surg Sports Traumatol Arthrose, 16(8): 729-33, 2008.

Margheritini F, Rihn J, Musahl V, Mariani PP, Harner C. Posterior cruciate ligament injuries in the athlete: An anatomical, biomechanical and clinical review. Sports Medicine 2002;32(6):393-408.

Patel DV, Allen AA, Warren RF, Wickiewicz TL, Simonian PT. The nonoperative Treatment of Acute, Isolated (Partial or Complete) Posterior Cruciate Ligament- Deficient Knees: An Intermediate-term Follow-up Study. HSS J, 3(2): 137-46, 2007.

Shelbourne KD, Patel DV. The natural history of acute, isolated, nonoperatively treated posterior cruciate ligament injuries. A prospective study. AM J Sports med, 276-283, 1999. Shelbourne KD, Muthukaruppan Y. Subjective results of nonoperatively treated, acute, isolated posterior cruciate ligament injuries. Arthroscopy 2005 Apr;21(4):457-461.

Watsend AM, Osestad TM, Jacobsen RB, Engebretsen L. Clinical studies on posterior cruciate ligament tears have weak design. Knee Surg Sports Traumatol Arthrose, 2008.

Årøen A, Sivertsen EA, Owesen Cm Engebretsen L, Granan LP. An isolated rupture of the posterior cruciate ligament results in reduced preoperative knee function in comparison with an anterior cruciate ligament injury. Knee Surg Sports Traumatol Arthrose, (2013) 21:1017–1022