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.

In this episode Johnny and Kyle talk with Adam Weaver, PT and Dylan Roman, PT of Connecticut Children’s. They were part of a team that recently published a paper in The Orthopedic Journal of Sports Medicine detailing the results of a trial they conducted using BFR following ACLR in adolescents (12-18 y/o’s).

The title of their paper is: Early- and Late-Stage Benefits of Blood Flow Restriction Training on Knee Strength in Adolescents After Anterior Cruciate Ligament Reconstruction

Here’s a link to the paper: https://journals.sagepub.com/doi/10.1177/23259671231213034

Intro backing track from: Trick or Treat (instrumental) by RYYZN https://soundcloud.com/ryyzn

Creative Commons — Attribution 3.0 Unported — CC BY 3.0

Free Download / Stream: https://bit.ly/l_trick-or-treat

Music promoted by Audio Library https://youtu.be/uNPXJ9CDzbc

We're very excited to announce that we are partnering with The POCUS PT to offer an introductory course to point of care ultrasound! This course will cover necessary basic science information regarding ultrasound and imaging of a wide range of structures from the cardiovascular system to the musculoskeletal system.

Well Kyle got his knickers in a bunch over an article’s title so we decided to talk about it for an hour or so. Within, Johnny, Ben, Zac, and Kyle talk about how they go about screening BFR papers to decide if they deserve a closer read.

The paper that got this conversation going:

* Grossl, F. S., Da-Sila-Grigoletto, M. E., Ferretti, F., Copatti, S. L., Corralo, V. da S., & De-Sá, C. A. (2023). The use of a single resistance exercise with or without blood flow restriction in the treatment of pain in knee osteoarthritis: a randomized clinical trial. BrJP, ahead. https://doi.org/10.5935/2595-0118.20230023-en

The first BFR paper…20 years ago…calling for individualization of pressure:

* Fahs, C. A., Loenneke, J. P., & Rossow, L. M. (2012). Methodological considerations for blood flow restricted resistance exercise. Journal of. https://www.jstage.jst.go.jp/article/trainology/1/1/1_14/_article/-char/ja/

Reference for weekly volume:

* Schoenfeld, B. J., Ogborn, D., & Krieger, J. W. (2017). Dose-response relationship between weekly resistance training volume and increases in muscle mass: A systematic review and meta-analysis. Journal of Sports Sciences, 35(11), 1073–1082.

References for Research Procedures:

* Büttner F, Toomey E, McClean S, et al Are questionable research practices facilitating new discoveries in sport and exercise medicine? The proportion of supported hypotheses is implausibly high British Journal of Sports Medicine 2020;54:1365-1371.

* McCambridge, A. B., Nasser, A. M., Mehta, P., Stubbs, P. W., & Verhagen, A. P. (2021). The Journal of Orthopaedic and Sports Physical Therapy, 51(10), 503–509.

* TIDieR: Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R., Moher, D., Altman, D. G., Barbour, V., Macdonald, H., Johnston, M., Lamb, S. E., Dixon-Woods, M., McCulloch, P., Wyatt, J. C., Chan, A.-W., & Michie, S. (2014). Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ , 348, g1687.

* CERT: Slade, S. C., Dionne, C. E., Underwood, M., & Buchbinder, R. (2016). Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement. British Journal of Sports Medicine, 50(23), 1428–1437.

In this episode Johnny and Kyle talk with two authors, Dr. Ellen Hillegass and Dr. Kathleen Lukaszewicz, of the recent Clinical Practice Guideline covering PT management of Venous Thromboembolism. This was such an enjoyable and educational chat! We know you will enjoy it...

Link to the paper: https://pubmed.ncbi.nlm.nih.gov/35567347/

Link to the pocket guide: https://www.guidelinecentral.com/shop/venous-thromboembolism/

Link to the app: https://apps.apple.com/us/app/guideline-central/id567695579