Summary

The podcast discusses a recent pilot study on the effects of passive blood flow restriction (BFR) exercise on muscle atrophy following total knee replacement surgery. The conversation highlights the significant muscle mass loss that occurs post-surgery and the potential of BFR to mitigate this loss. The study design, methodology, and key findings are explored, emphasizing the importance of early intervention and the feasibility of implementing BFR in clinical settings. The hosts discuss the implications of the findings for rehabilitation practices and future research directions.

Chapters

00:00 Introduction and Overview of the Study

03:15 Understanding Muscle Atrophy Post-Surgery

07:12 The Role of Blood Flow Restriction in Rehabilitation

12:53 Study Design and Methodology

15:35 Key Findings and Implications of the Study

20:54 Exploring Remote Ischemic Preconditioning

22:42 Functional Outcomes and Clinical Significance

25:11 Grip Strength Recovery and Clinical Changes

27:01 Safety and Feasibility of BFR

28:42 Implementing BFR in Clinical Practice

30:25 Prehabilitation and Postoperative Care

32:47 Expanding Applications of BFR in Acute Care

Podcast Intro Attribution

Song: Legendary

Music by: CreatorMix.com

Video: https://youtu.be/_oaZzkn0bW4

Podcast Outro Attribution

Song: Smoke Rising

Music by: CreatorMix.com

Video: https://youtu.be/_oaZzkn0bW4

Summary

In this episode, Johnny Owens interviews Jordan Sabarin, a strength and conditioning coach for the Detroit Pistons and expert in blood flow restriction (BFR) training. They discuss Jordan's journey from being a professional basketball player to pursuing a PhD in BFR, the differences in strength and conditioning philosophies between the NBA and Europe, and the practical applications of BFR in athletic training. The conversation delves into Jordan's dissertation study, which assesses the effects of BFR on performance and recovery in elite basketball players, as well as the qualitative feedback from players regarding their experiences with BFR. They also explore future directions for BFR research and its integration into NBA training regimens.

Chapters

00:00 Introduction to Blood Flow Restriction in Athletics

03:13 Jordan Sabarin's Background and Journey

05:09 Differences in Strength and Conditioning Philosophies

06:52 The Rise of Blood Flow Restriction Training

08:50 Pursuing a PhD in Blood Flow Restriction

10:40 Research Questions and Study Design

12:44 Understanding the NBA Training Schedule

15:31 Study Hypothesis and Objectives

18:50 Methodology: Exercises and Protocols

21:18 Using the Omni-Res Scale for Measurement

22:55 Objective Measures and Data Collection

26:13 Qualitative Insights from Players

30:47 Quantitative Findings and Discussion

41:16 Exploring Resistance Training and Recovery

42:23 Qualitative Observations in Training

43:03 Comparing BFR and Traditional Training

45:00 Athlete Preferences and Training Discomfort

46:35 Future Research Directions in BFR

49:56 Application of BFR in the NBA

52:22 Pre-Competition Priming with BFR

54:28 BFR for Tendon Health and Pain Management

56:05 BFR in Rehabilitation and Performance

59:55 Integrating BFR into Traditional Lifts

01:02:06 Traveling with BFR Devices

01:06:39 Future Directions and Research in BFR

Podcast Intro Attribution

Song: Legendary

Music by: CreatorMix.com

Video: https://youtu.be/_oaZzkn0bW4

Podcast Outro Attribution

Song: Smoke Rising

Music by: CreatorMix.com

Video: https://youtu.be/_oaZzkn0bW4

Episode 73 - Intergalactic BFR with Luke Hughes, PhD

Summary

In this episode, Johnny Owens and Dr. Luke Hughes discuss the applications of Blood Flow Restriction (BFR) in space and its potential to mitigate deconditioning in astronauts. They explore the physiological changes that occur in microgravity, the importance of exercise countermeasures, and the innovative research being conducted to understand the mechanisms behind BFR's effectiveness. The conversation also touches on the implications of BFR for bone health, clinical applications, and future research directions.

Takeaways

BFR is a promising tool for mitigating muscle and bone deconditioning in space.

Fluid shifts in microgravity can lead to significant health issues for astronauts.

BFR can enhance the effectiveness of low-intensity aerobic exercise.

Research is ongoing to understand the mechanisms behind BFR's benefits for bone health.

BFR protocols need to be personalized for different patient populations.

The use of BFR in clinical settings shows potential for improving recovery outcomes.

BFR can help prevent amputations in patients with severe vascular issues.

Understanding the impact of pressure on blood flow is crucial for optimizing BFR protocols.

BFR can be integrated into rehabilitation programs for various conditions.

Future research will focus on the long-term effects of BFR in both space and clinical settings.

Chapters

00:00 Introduction and Overview of Blood Flow Restriction (BFR)

05:38 Bed Rest Studies and Their Importance in Space Research

12:45 Physiological Effects of Microgravity on Astronauts

18:41 Current Exercise Countermeasures in Space Missions

24:04 Future Directions and Innovations in Space Exercise

24:33 Innovations in Exercise Devices for Space Missions

26:41 The Role of Blood Flow Restriction (BFR) in Space Exercise

29:20 First Experiments with BFR in Microgravity

30:37 Collaboration with SpaceX for In-Orbit Research

31:59 Developing Space-Compatible Exercise Devices

33:53 BFR Exercise in Space: A Historic Milestone

35:06 Exercise Protocols and Adjustments for Space Conditions

37:45 Initial Findings from BFR Experiments in Space

40:47 Exploring Fluid Shifts and BFR's Impact

43:33 Combining Aerobic Exercise with BFR for Enhanced Benefits

48:51 Future Directions in BFR Research and Applications

53:07 Exploring Bone Adaptation Mechanisms

55:37 Methodological Framework for Bone Research

59:30 Innovations in Bone Blood Flow Measurement

01:02:31 BFR Applications in Rehabilitation and Pain Management

01:05:17 Future Directions in BFR Research and Space Applications

Podcast Intro Attribution

Song: Legendary

Music by: CreatorMix.com

Video: https://youtu.be/_oaZzkn0bW4

Podcast Outro Attribution

Song: Smoke Rising

Music by: CreatorMix.com

Video: https://youtu.be/_oaZzkn0bW4

This conversation explores the advancements in Blood Flow Restriction (BFR) technology, personal anecdotes related to injury recovery, and insights from recent conferences. The speakers discuss the significance of chronic ankle instability in sports, the effectiveness of BFR in enhancing muscle activation during rehabilitation, and the importance of interdisciplinary collaboration in sports medicine. They also reflect on their experiences and the evolving nature of BFR technology, emphasizing the need for continuous research in this field. This conversation delves into the application of blood flow restriction (BFR) training in rehabilitation, particularly focusing on its effects on muscle activation, balance training, and the challenges faced in research. The speakers discuss various studies, their methodologies, and the implications of using BFR in clinical settings, especially for ankle rehabilitation. They explore the differences between internal and external loads, the importance of programming, and the potential benefits of mobilization techniques combined with BFR. The discussion highlights the need for further research and standardization in BFR protocols to optimize rehabilitation outcomes.

Faltus J, Owens J, Hedt C. THEORETICAL APPLICATIONS OF BLOOD FLOW RESTRICTION TRAINING IN MANAGING CHRONIC ANKLE INSTABILITY IN THE BASKETBALL ATHLETE. doi:10.26603/ijspt20180552

Killinger B, Lauver JD, Donovan L, Goetschius J. The Effects of Blood Flow Restriction on Muscle Activation and Hypoxia in Individuals with Chronic Ankle Instability. J Sport Rehabil. Published online May 16, 2019:1-25. doi:10.1123/jsr.2018-0416

Nagdi MG, Elsayed WH, Abouzied M, Ali RR. Effect of Blood Flow Restriction and Proprioception Training in Recurrent Ankle Sprain Patients. doi:10.33472/AFJBS.6.Si3.2024.10-22

Burkhardt M, Burkholder E, Goetschius J. Effects of blood flow restriction on muscle activation during dynamic balance exercises in individuals with chronic ankle instability. J Sport Rehabil. 2021;30(6):870-875. doi:10.1123/jsr.2020-0334

Clark K, Trickett J, Donovan L, Dawson J, Goetschius J. Effects of Blood Flow Restriction on Balance Performance During Dynamic Balance Exercises in Individuals With Chronic Ankle Instability. J Sport Rehabil. Published online February 13, 2024:1-8. doi:10.1123/jsr.2023-0182

Werasirirat P, Yimlamai T. Effect of supervised rehabilitation combined with blood flow restriction training in athletes with chronic ankle instability: a randomized placebo-controlled trial. Eur J Cardiovasc Prev Rehabil. 2022;18(2):123-132. doi:10.12965/jer.2244018.009

Kim H, Jung J, Lee S. Contributory effect of additional blood flow restriction in active joint mobilization for young adults with chronic ankle instability: A pilot randomized controlled trial. Phys Ther Rehabil Sci. 2023;12(4):486-492. doi:10.14474/ptrs.2023.12.4.486

Summary

In this episode of the Owens Recovery Science podcast, hosts Kyle Kimbrell and Zac Dunkle discuss the significance of Memorial Day, and share humorous military anecdotes. They emphasize the importance of supporting veterans and Gold Star families, highlighting various foundations that provide assistance and resources for those in need. The conversation blends humor with serious reflections on sacrifice, mental health, and community support.

Chapters

00:00 Introduction and Podcast Changes

02:18 Memorial Day Reflections

18:01 Understanding Memorial Day's Significance

23:13 Zac's Military Journey

25:27 The Influence of Movies on Career Choices

27:04 Education and Military Experience

29:49 The Rigors of Sniper School

33:05 Mindset and Test Anxiety

34:49 Honoring Fallen Comrades

39:22 Mental Health and Support for Veterans

40:57 Understanding the Multifactorial Nature of Veteran Suicide

44:45 Finding Purpose After Service

50:18 Foundations Supporting Veterans and Their Families

56:54 Unit-Specific Foundations and Their Impact

01:05:06 Connecting with Resources and Support

01:06:38 Taps_Matt_Harding.mp3

Foundations we mentioned:

https://www.warriorsandquietwaters.org/

https://www.reconfoundation.org/

https://www.reconsniperfoundation.org/

https://www.kuiu.com/

https://www.sitkagear.com/

https://www.allsecurefoundation.org/

https://headwatersforheroes.com/

Episode 70 - On this episode of the ORS Podcast we welcome Yujiro Yamada. Yuji is a Ph.D. candidate in the Department of Health, Exercise Science, and Recreation Management at the University of Mississippi. He is a member of the Kevser Ermin Applied Physiology Lab, working under the supervision of Dr. Jeremy P. Loenneke. Yujiro earned his bachelor's degree in exercise science from Ohio Dominican University (Columbus, OH) and his master's in exercise science from the University of Mississippi (Oxford, MS). His research focuses on the physiological responses to resistance exercise, with and without blood flow restriction, and its impact on muscle and cognitive adaptations.

Alex Smith piece on ESPN: https://www.espn.com/video/clip/_/id/42306520

Shaw Strength Podcast: https://www.youtube.com/watch?v=5wrgQA8VU0c

Chief paper discussed:

Yamada, Yujiro; Hammert, William; Kataoka, Ryo; Song, Jun Seob; Kang, Anna; Kassiano, Witalo; Loenneke, Jeremy; The role of the muscle metaboreflex on cardiovascular responses to submaximal resistance exercise with different pressures and modes of blood flow restriction. Applied Physiology, Nutrition, and Metal. 2024.

We answer a listener question about how to manage a limb that is non-weightbearing for a period of time.

Kyle goes on an epic rant about what we can and can't do to care for our patients / clients.

Chief paper discussed:

T Parkington, T Maden-Wilkinson, D Broom, S Nawaz... (2023). Low-Intensity Resistance Exercise with Blood Flow Restriction for Patients with Claudication: A Randomised Controlled Feasibility Trial. Vascular Medicine .

Position statement on managing PAD:

Askew, C. D., Parmenter, B., Leicht, A. S., Walker, P. J., & Golledge, J. (2014). Exercise & Sports Science Australia (ESSA) position statement on exercise prescription for patients with peripheral arterial disease and intermittent claudication. Journal of Science and Medicine in Sport / Sports Medicine Australia, 17(6), 623–629.

Additional papers referenced:

Bentzen, A., Nisgaard, L. B., Mikkelsen, R. B. L., Høgh, A., Mechlenburg, I., & Jørgensen, S. L. (2023). Blood flow restricted walking in patients suffering from intermittent claudication: a case series feasibility and safety study. Annals of Medicine and Surgery (2012), 85(5), 1430–1435.

Saes, G. F., Zerati, A. E., Wolosker, N., Ragazzo, L., Rosoky, R. M. A., Ritti-Dias, R. M., Cucato, G. G., Chehuen, M., Farah, B. Q., & Puech-Leão, P. (2013). Remote ischemic preconditioning in patients with intermittent claudication. Clinics , 68(4), 495–499.

Ahmed, K. M., Hernon, S., Mohamed, S., Tubassum, M., Newell, M., & Walsh, S. R. (2018). Remote ischemic preconditioning in the management of intermittent claudication: a pilot randomized controlled trial. Annals of Vascular Surgery. https://doi.org/10.1016/j.avsg.2018.07.046

Podcast w/ Jamie Burr we referenced:

https://owensrecoveryscience.com/podcasts/owens-recovery-science-podcast-bfr-ipc-for-performance-rehab-and-health-w-jamie-burr-phd

In this episode of the ORS podcast Johnny and Kyle discuss all things PT and career trajectory as well as managing knee cartilage repairs with Snay Patel, PT. Snay is a PT at HSS and has an extensive background in the rehab of people following knee cartilage procedures. Let us know what you think of the pod an who we should have on next!

In this episode of the Owens Recovery Science podcast, Johnny and Kyle interview Annie Bane, PhD regarding her research into people with Parkinson’s Disease and the use of Blood Flow Restriction Resistance Exercise as a maintenance strategy. Dr. Bane is a wealth of knowledge on how treatment strategies and the disease progression of PD affect the cardiovascular system. This was ultimately the target of her dissertation research while at Baylor and her findings are very exciting. We know you will enjoy this chat!

If you know someone in the Abilene area that could benefit from the exercise program for people with Parkinson’s please have them email Jill Jumper, PT, PhD at [email protected]

If you would like to see Dr. Bane's TV show on she and her husband's gym in Abilene, TX the show is called "The Fieldhouse". It aired on the Magnolia Network and can now be found on Amazon Prime too.

Dr. Bane’s paper:

Bane, A., Wilson, L., Jumper, J., Spindler, L., Wyatt, P., & Willoughby, D. (2024). Effects of blood flow restriction resistance training on autonomic and endothelial function in persons with Parkinson’s disease. Journal of Parkinson’s Disease, 1–15.

The Hong paper referenced:

Hong, C. T., Hu, H.-H., Chan, L., & Bai, C.-H. (2018). Prevalent cerebrovascular and cardiovascular disease in people with Parkinson’s disease: a meta-analysis. Clinical Epidemiology, 10, 1147–1154.