The Bodcast with Chloe Madeley

James Lee, The Physio Ep


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In this podcast episode, Chloe introduces James Lee, a musculoskeletal physiotherapist, as her guest. They discuss the role of a physiotherapist, different specialties within physiotherapy, and the importance of addressing psychological aspects in client care. They also touch on fear and pain management in the rehabilitation process. James explains the process of returning to training after injury or surgery, the importance of proper form and technique in weightlifting, and individualized movement and foot positioning in exercises like squats. They also discuss optimal training splits, progressive overload, and heart rate zones for athletes. James emphasizes the importance of individualized care and understanding each client's unique circumstances.


*The role of a physiotherapist (03:13)*

Explains the different roles of a physiotherapist, including assessment, diagnosis, referral, and guiding the rehabilitation process.


*Psychological support in physiotherapy (06:31)*

Discusses the importance of addressing psychological aspects in client care, including providing reassurance, answering questions, and informing clients of their options.


*Fear and pain management in rehabilitation (10:10)*

Highlights the role of fear and pain in limiting movement and the importance of addressing and tackling these issues to promote safe and effective rehabilitation.


*The role of a physiotherapist in client care (12:08)*

Discussion on how physiotherapists assess clients' goals and create a plan for their return to training after injury or surgery.


*Form issues and injury risks in weightlifting (14:57)*

Exploration of common form issues in weightlifters and the potential injuries associated with improper technique.


*Importance of foot positioning in lifts (18:14)*

Explanation of the significance of foot positioning in lifts and the benefits of achieving symmetry and stability in lifting.


*The importance of foot positioning (20:21)*

Discussion on the impact of foot positioning on movement, stability, and control during exercises like squats.


*The significance of a neutral spine (21:42)*

Exploration of the importance of maintaining a neutral spine during lifts and exercises, and tips on how to achieve and recognize this position.


*Training errors and the need for proper progression and recovery (27:45)*

Addressing common training errors such as rushing back into training after injury, suboptimal recovery, and lack of proper progression and rest in training programs.


*Optimal Split and Progressive Overload (31:52)*

Discussion on the individualized approach to progressive overload and the importance of considering past experiences and shared decision-making.


*Considerations for Training Duration (32:49)*

Exploration of the recommended minimum training duration for building muscle size or strength, and the importance of flexibility in training programs.


*Targeting Gluteal Engagement (35:24)*

Explanation of the common perception of quad dominance and strategies to target gluteal engagement over quad engagement in training programs.


*Zone Training and Heart Rate Zones (42:33)*

Explanation of different heart rate zones for training and their importance in preventing injury and overtraining.


*Monitoring Lactate Buildup (46:01)*

Discussion on lactate as a biomarker of fatigue and how athletes monitor and manage lactate buildup during training.


*VO2 Max (48:49)*

Explanation of VO2 max as the maximum rate of oxygen utilization during exercise and its relationship to fitness level.


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