Owens Recovery Science

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.

If you jump in your wayback machine you can find our first episode with our distinguished guest on this installment of the Owens Recovery Science Podcast! And just like the first time she did not disappoint! Sherry Johnson, DVM, PhD, DACVSMR is a sports medicine physician for equine athletes. That's right y'all! Literal horses. She co-owns a private practice specializing in the care of very elite athletic horses that run the gamut event types with locations in Texas and Arizona. In her spare time!! She does BFR research. Well I'm tired just from typing that! Hope y'all enjoy our chat. Below are two of her BFR papers on horses.

Johnson SA, Chicco AJ, Selberg KT, King MR, Dunkle ZP, Owens JG, Frisbie DD. Short-term effects of blood flow restriction training on equine skeletal muscle oxidative capacity. In: Orthop Res Soc Annual Meeting, Poster Presentation, 12–16. February 2021.

Johnson, S. A., Frisbie, D. D., Griffenhagen, G. M., & King, M. R. (2022). Equine blood flow restriction training: Safety validation. Equine Veterinary Journal. https://doi.org/10.1111/evj.13904

In episode 65 Johnny makes his triumphant return after defeating Montezuma’s revenge to help the guys breakdown a couple recent publications on BFR and rehab after ACLr. Zac takes the lead on the first of the papers that had a bit of a clickbait title per the fellas assessment. The paper titled, “‘Real world’ clinical implementation of blood flow restriction therapy does not increase quadriceps strength after quadriceps tendon autograft ACL reconstruction” has a number of demographic problems the fellas discuss, and ultimately evaluated one of the least relevant outcome measures by their estimation. Kyle finishes up the breakdown with some alternate and far more accurate title suggestions for the paper.

The second paper they discuss was a recent review paper on ACL and BFR. Ben takes the lead breaking down this paper where the fellas have a tough time sorting why some studies were excluded and why at least one was included. Long story short the evidence on BFR use in ACLr rehab is still very limited and a review focusing on most all aspects of that process should be read with a healthy level of skepticism.

Find us at:

June 26-27: https://convention.nata.org/

June 29-30: https://hockey.eliterehabconferences.com/

July 13-14: https://basketball.eliterehabconferences.com/

Medbridge ACL Series: https://www.medbridge.com/

In this installment of our 2024 Memorial Day podcasts we have Zac Dunkle interviewing current PT student and Ret. Marine Corporal Cameron Dunbar. Cameron was a machine gunner in the 3rd Battalion 5th Marines that were deployed to Sangin Afghanistan from 2010 to 2011. His group of Marines sustained the largest casualty count of any group. Cameron memorializes his friend Colton Rusk who died during this deployment. At the completion of the the interview we will read off the names of all who died during this deployment. This will be followed by the playing of Taps.

In our first of two Memorial Day Podcasts in 2024 our own Johnny Owens interviews another Johnnie...Johnnie Yellock II. If you begin this pod at 2:55pm and 33 seconds you can also observe the National Moment of Silence at the designated time of 3PM local.

Within the pod Johnnie tells his story of injury and survival as an Air Force Combat Commander. He memorializes fallen service members Danny Sanchez, Mark Forester, Forrest Sibley, and Mark Weber.

Johnnie's website: https://johnnieyellock.com/

Opportunities to give mentioned by Johnnie:

https://specialops.org/

https://foldsofhonor.org/

https://www.combatcontrolfoundation.org/

When Johnny's indisposed the podcast gets hijacked by Kyle, Zac and Ben. Johnny's loss is your win essentially. In this episode we discuss two recent papers that further help to elucidate the efficacy and effectiveness of BFR in combination with aerobic exercise. Here are the two papers we reviewed:

Smith, N. D. W., Girard, O., Scott, B. R., & Peiffer, J. J. (2024). A comparison of physiological and perceptual responses to fixed‐power and perceptually regulated cycling with and without blood flow restriction in trained cyclists. European Journal of Sport Science: EJSS: Official Journal of the European College of Sport Science. https://doi.org/10.1002/ejsc.12068

Thompson, K. M. A., Gamble, A. S. D., Kontro, H., Lee, J. B., & Burr, J. F. (2023). Low- and high-volume blood-flow restriction treadmill walking both improve maximal aerobic capacity independently of blood volume. Scandinavian Journal of Medicine & Science in Sports. https://doi.org/10.1111/sms.14534

In this episode of the Owens Recovery Science podcast we chat with Laura Opstedal, PT of Build Physio in Bozeman, MT. Laura has extensive experience rehabbing Achilles repairs over the course of her career which provides her a first-hand perspective on the evolution of surgical techniques as well as integrating forms of measurement like force plates and novel treatment strategies like early weight bearing and BFR. Within we talk all things Achilles which apparently we’re now calling the Taylor Swift of tendons.

You can find Laura at:

@build.physio on IG

@thekhakifreept on IG

@lauraopstedal on Twitter

Some references from our ramblings:

Baxter, J. R., Corrigan, P., Hullfish, T. J., O’Rourke, P., & Silbernagel, K. G. (2021). Exercise Progression to Incrementally Load the Achilles Tendon. Medicine and Science in Sports and Exercise, 53(1), 124–130.

Demangeot, Y., Whiteley, R., Gremeaux, V., & Degache, F. (2023). The load borne by the Achilles tendon during exercise: A systematic review of normative values. Scandinavian Journal of Medicine & Science in Sports, 33(2), 110–126.

Yang, J., Hodax, J. D., Machan, J. T., Krill, M. K., Lemme, N. J., Durand, W. M., Hoffman, J. T., Hewett, T. E., & Owens, B. D. (2019). Factors Affecting Return to Play After Primary Achilles Tendon Tear: A Cohort of NFL Players. Orthopaedic Journal of Sports Medicine, 7(3), 2325967119830139.

Owens, J. G., Rauzi, M. R., Kittelson, A., Graber, J., Bade, M. J., Johnson, J., & Nabhan, D. (2020). How New Technology Is Improving Physical Therapy. Current Reviews in Musculoskeletal Medicine. https://doi.org/10.1007/s12178-020-09610-6

Centner, C., Jerger, S., Lauber, B., Seynnes, O., Friedrich, T., Lolli, D., Gollhofer, A., & König, D. (2023). Similar patterns of tendon regional hypertrophy after low-load blood flow restriction and high-load resistance training. Scandinavian Journal of Medicine & Science in Sports. https://doi.org/10.1111/sms.14321

Centner, C., Lauber, B., Seynnes, O. R., Jerger, S., Sohnius, T., Gollhofer, A., & König, D. (2019). Low-load blood flow restriction training induces similar morphological and mechanical Achilles tendon adaptations compared to high-load resistance training. Journal of Applied Physiology. https://doi.org/10.1152/japplphysiol.00602.2019

Castle, J. P., Tramer, J. S., Turner, E. H. G., Cotter, D., McGee, A., Abbas, M., Gasparro, M. A., Lynch, T. S., & Moutzouros, V. (2023). Survey of blood flow restriction therapy for rehabilitation in Sports Medicine patients. Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology. https://doi.org/10.1016/j.jor.2023.03.007

Yow, B. G., Tennent, D. J., Dowd, T. C., Loenneke, J. P., & Owens, J. G. (2018). Blood Flow Restriction Training After Achilles Tendon Rupture. The Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons. https://doi.org/10.1053/j.jfas.2017.11.008

Hansen, O. B., Papson, A., Eble, S. K., & Drakos, M. C. (2022). Effect of Blood Flow Restriction Therapy Following Achilles Rupture and Repair: A Randomized Controlled Trial. Foot & Ankle Orthopaedics, 7(1), 2473011421S00032.

Bentzen, A., Jørgensen, S. L., Birch, S., Mortensen, L., Toft, M., Lindvig, M. G., Gundtoft, P. H., & Mechlenburg, I. (2024). Feasibility of Blood Flow Restriction Exercise in Adults with a Non-surgically Treated Achilles Tendon Rupture; a Case Series. International Journal of Exercise Science, 17(3), 140–153.