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

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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

This year our Guest is Ryan Keogh:

Ryan Keogh, originally from Caldwell, Idaho, was commissioned as a 2nd Lieutenant in the United States Army upon his graduation from the United States Military Academy at West Point.

Ryan served as a conventional Army infantry officer, leading a platoon of soldiers during a yearlong deployment to Northeast Afghanistan, before being selected to serve in the US Army’s elite 75th Ranger Regiment in Fort Benning, GA. While assigned to 3rd Ranger Battalion, 75th Ranger Regiment Ryan completed multiple deployments in support of the Global War on Terrorism as a Ranger Rifle Platoon Leader and Ranger Operations Officer.

After more than 8 years on active duty, including 3 years deployed to combat, Ryan retired from the Army after losing his right leg below the knee. He has numerous awards and decorations including the Bronze Star, Purple Heart, Combat Infantryman’s Badge, and the Ranger Tab.

Ryan entered the corporate workforce in 2013 as the National Operations Manager from Mission Produce, the largest Avocado and Mango grower & distributor in the world. While working at Mission, he completed his MBA from Emory University.

Since 2017, Ryan has worked in the Private Equity portfolio and holding company industry partnering with Oaktree Capital and the Stephens Group. He currently is the Chief Commercial Officer for the Pearlman Group, the holding company that operates several multi-channel distributors of supplies, tools and equipment used by specialty contractors in various end markets.

He currently resides in a suburb of Atlanta (Berkeley Lake, Georgia) with his wife (Laura) and 3 daughters – Taylor (9), Sloan (8), and Chandler (6).

Video about Joe Kapacziewski: https://www.google.com/search?q=joe+kap+ranger&oq=joe+kap+ranger+&aqs=chrome..69i57j0i22i30l2.3723j0j7&sourceid=chrome&ie=UTF-8#fpstate=ive&vld=cid:3f995416,vid:jPSVUDOqpjg

May is Mental Awareness Month

Been observed since 1949

Some Generic mental health resources:

National Alliance on Mental Illness

nami.org

American Hospital Association

https://www.aha.org/mental-health-awareness-month

Mental Health America

https://www.mhanational.org/mental-health-month

National Council for Mental Wellbeing

https://www.thenationalcouncil.org/mental-health-awareness-month/

Resources for enlisted people:

USO - https://www.uso.org/stories/2664-military-suicide-rates-are-at-an-all-time-high-heres-how-were-trying-to-help

Department of Defense: News release on the Annual Report on Suicide in the Military

https://www.defense.gov/News/Releases/Release/Article/3193806/department-of-defense-releases-the-annual-report-on-suicide-in-the-military-cal/

Link to the full report: https://www.dspo.mil/Portals/113/Documents/2022%20ASR/Annual%20Report%20on%20Suicide%20in%20the%20Military%20CY%202021%20with%20CY21%20DoDSER%20(1).pdf?ver=tat8FRrUhH2IlndFrCGbsA%3d%3d

Veteran Resources:

The Veterans Crisis Line (confidential support)

* 1-800-273-8255

* Or text 838255

* VeteransCrisisLine.net/Chat

Stop Soldier Suicide

* https://stopsoldiersuicide.org/

* 844.235.2764

A lot veterans struggle w/ transition out of service

Resource for Transition:

* https://military-transition.org/

In this installment of the Owens Recovery Science podcast Johnny and Kyle interview Nicole Walter, PT. Nicole is a Board Certified Clinical Specialist in Neurologic Physical Therapy with 20 years experience at Parkview Hospital in Fort Wayne, Indiana. She is the neurologic residency coordinator for Parkview and is adjunct faculty at Trine University. She has used BFR in a variety of neurological conditions and most recently presented some of their cases and research findings at APTA's Combined Sections Meeting in San Diego.

In this episode the guys chat about the use of creatine in conjunction with BFR resistance training. As usual they breakdown our current knowledge with an emphasis on safety and then get into the meat and potatoes of what has been shown in the BFR literature.

Here are the papers mentioned:

Rawson, E. S., Clarkson, P. M., & Tarnopolsky, M. A. (2017). Perspectives on Exertional Rhabdomyolysis. Sports Medicine , 47(Suppl 1), 33–49.

Harmon, K. K., Stout, J. R., Fukuda, D. H., Pabian, P. S., Rawson, E. S., & Stock, M. S. (2021). The Application of Creatine Supplementation in Medical Rehabilitation. Nutrients, 13(6). https://doi.org/10.3390/nu13061825

Olsen, S., Aagaard, P., Kadi, F., Verney, G. T., Olesen, J. L., Suetta, C., & and Kjær, M. (2006). Creatine supplementation augments the increase in satellite cell and myonuclei number in human skeletal muscle induced by strength training. The Journal of Physiology, 573, 525–534.

Hespel, P., Op’t Eijnde, B., Van Leemputte, M., Ursø, B., Greenhaff, P. L., Labarque, V., Dymarkowski, S., Van Hecke, P., & Richter, E. A. (2001). Oral creatine supplementation facilitates the rehabilitation of disuse atrophy and alters the expression of muscle myogenic factors in humans. The Journal of Physiology, 536(Pt 2), 625–633.

Hultman, E., Söderlund, K., Timmons, J. A., Cederblad, G., & Greenhaff, P. L. (1996). Muscle creatine loading in men. Journal of Applied Physiology, 81(1), 232–237.

Suga, T., Okita, K., Takada, S., Omokawa, M., Kadoguchi, T., Yokota, T., Hirabayashi, K., Takahashi, M., Morita, N., Horiuchi, M., Kinugawa, S., & Tsutsui, H. (2012). Effect of multiple set on intramuscular metabolic stress during low-intensity resistance exercise with blood flow restriction. European Journal of Applied Physiology, 112(11), 3915–3920.

Ingemann-Hansen, T., Halkja~r-Kristensen, J., & Halskov, O. (1981). Skeletal Muscle Phosphagen and Lactate Concentrations in lschaemic Dynamic Exercise. European Journal of Applied Physiology, 46, 261–270.

Sousa-Silva, R. C., Holewa, J. M., de Araújo Pessôa, K., Zhi Xia, Z., Lauver, J. D., Rossi, F. E., & Zanchi, N. E. (2/2023). Creatine supplementation combined with blood flow restriction training enhances muscle thickness and performance- a randomized, placebo-controlled, and double-blind study.pdf. Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquee, Nutrition et Metabolisme. https://doi.org/10.1139/apnm-2022-0209

Intro sound clip:

Trick or Treat (instrumental) by RYYZN https://soundcloud.com/ryyzn

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In this episode, the fellas recap all the goings on at the biggest PT conference of the year and how much BFR was featured! We hope you enjoy!

In this episode Johnny and Kyle chat with Dr. Shane Scholten of Augustana University. Dr. Scholten has been investigating the effects of IPC on performance and has noted some particularly interesting things in terms of mechanisms, pressure needed, and overall effects.

Learn more about Dr. Scholten here: https://www.augie.edu/directory/shane-scholten-phd

Dr. Scholten's work that we discussed:

Lindner, T.D, Scholten, S.D., Halverson, J.M., Baumgarten, K.M., Birger, C.B., Nowotny, B.G. The acute effects of ischemic preconditioning on sprint and power performance. SD Med. 2021; 74(5):210-219.

Scholten, S.D., I.N. Sergeev, Q. Song, C.B Birger. Effects of vitamin D and quercetin, alone and in combination, on cardiorespiratory fitness and muscle function in physically active male adults. Open Access J Sports Med. 2015; 24:6,229-39.

Scholten, S.D. and Sergeev, I.N. Vitamin D and physical performance in athletes. Immun Endoc & Metab Agents in Med Chem. 2014; 14:152-161.

Podcast intro music by: Trick or Treat (instrumental) by RYYZN https://soundcloud.com/ryyzn

Creative Commons — Attribution 3.0 Unported — CC BY 3.0

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