In this episode Johnny and the guys discuss the recent paper published by Center showing similar adaptations in tendon with heavy load training and low-load BFR training on Achilles tendon size and stiffness.

They also tease a number of things in the works, like a soon to be published monograph they wrote along with Luke Hughes, PhD and Stephen Patterson, PhD for the APTA (that thing is 70 pages long!!), Johnny’s upcoming talk at CSM on BFR and Heart Failure with Larry Cahalin, PhD, PT, the incorporation of BFR into PT school curricula, and a PT textbook they’ll be contributing to amongst many other course and conferences coming up in the first quarter.

But the big one, the super cool thing…

Project 11! https://www.youtube.com/watch?v=SoJ8HQqwd4k

The two primary papers discussed in this episode…

Centner tendon paper: https://www.ncbi.nlm.nih.gov/pubmed/31725362

Kubo tendon paper: https://www.ncbi.nlm.nih.gov/pubmed/16871002

In this episode of the Owens Recovery Science Podcast Johnny chats with Jeremiah Randall, PT, ATC of the Houston Astros, and Seth Blee, PT, DPT of the World Champion Washington Nationals about taking care of elite baseball players, and how they're using blood flow restricted exercise as part of their athlete management.

In this podcast the guys take on the topic of Ischemic Pre-Conditioning. They discuss why it works and how clinicians might use it to aid their clients with their performance and rehabilitation needs. This one gets a little dense folks, but hang with us, we try to tie it up nice and neat in the end.

Here are a few of the papers that we discuss...

One of the earliest papers published:

https://www.ncbi.nlm.nih.gov/pubmed/3769170

Mechanisms of action:

https://academic.oup.com/cardiovascres/article/79/3/377/610360

Windows of opportunity with IPC:

https://journals.sagepub.com/doi/10.1038/jcbfm.2014.42

Systematic Review of methods:

https://journals.humankinetics.com/view/journals/ijspp/11/1/article-p4.xml

Use for recovery from intense bouts of activity / exercise:

https://www.jsams.org/article/S1440-2440(17)30249-9/fulltext

Review paper on use in performance enhancement:

https://www.sciencedirect.com/science/article/pii/S2095254619300080?via%3Dihub

Jamie Burr's Nocebo paper:

https://journals.humankinetics.com/view/journals/ijspp/aop/article-10.1123-ijspp.2019-0290.xml

In this episode the guys breakdown some recent papers covering the acute physiologic responses to BFR exercise as they relate to pressure, and two papers on BFR in the rehabilitation of ACL reconstruction.

Here are links to the papers covered...

Warmington's pressure paper: https://www.frontiersin.org/articles/10.3389/fphys.2019.01018/full

Hughes' Comfort and Pain paper: https://www.sciencedirect.com/science/article/abs/pii/S1466853X19302214?via%3Dihub

Hughes' Effectiveness paper: https://link.springer.com/article/10.1007%2Fs40279-019-01137-2

In today's episode, we break down what Orthobiologics such as PRP and "Stem Cell" injections actually are, how they are used, how they are abused and the role BFR may play. We have three experts joining us who are doing a lot of interesting work in the Orthobiologics space. They are Alberto Panero, DO, Umar Khan, MD and Tyler Opitz, DPT, SCS, CSCS. Enjoy!

Alberto J. Panero, D.O.

SacSportsMed.com

Team Physician Sacramento State University

Team Physician Sacramento River Cats

AJSM Publication: https://www.ncbi.nlm.nih.gov/pubmed/30844295

Dr. Umar Khan MD CAQSM RMSK

Retired team physician Western Kentucky University and Lindsey Wilson College

Medical Director Orthobiologic Specialist Owens Recovery Science

Director Orthobiologic Medicine at Stratton Sport and Spine

http://www.strattonspine.com/

Tyler Opitz, DPT, SCS, CSCS

Andrews Orthopaedic & Sports Medicine Center, Gulf Breeze, FL

Tyler Opitz is a board certified sports specialist, certified strength and conditioning specialist, and trained Physical Therapist at the Andrew’s Institute-Rehabilitation in Gulf Breeze, FL specializing in Sports Medicine, Orthopedic rehabilitation and Outpatient Care.

He specializes in rehabilitation of the upper and lower extremities while using combined methods of corrective exercises, SFMA/FMS principles, criteria based rehabilitation, with manual therapy incorporating Maitland and Graston Techniques to achieve optimal patient outcomes. He has reformed, integrated, and co-authored return to play criteria for athletes, protocols, criteria based rehab principles and is currently working on research project involving the use of stem cells for chondrogenesis of chondral defects in the knee.

Tyler Opitz is a physical therapist specializing in sports rehab of the profession, collegiate, olympic, world cup, and recreational athlete at the Andrews Institute in Gulf Breeze, Florida working with world renowned physician James Andrews. He is currently doing multiple research projects with BFR and its influence on serum stem cell counts as well as other biologic markers as well as research on rehabilitation following stem cell intervention for treatment of knee osteoarthritis post operative as well as separate analysis of the use BFR with stem cell intervention in patients post knee surgery with osteoarthritis. Tyler Opitz has been published in the Journal of Clinical Orthopedics and Trauma.

In today's Podcast, Johnny, Kyle, Zac and Ben discuss how you would progress your BFR programming after injury or surgery.

Check out our website at:

https://www.owensrecoveryscience.com/

BFR Position Stand Paper:

https://www.frontiersin.org/articles/10.3389/fphys.2019.00533/full

In today's episode, we discuss the recent presentation by Dr Bradley Lambert and Methodist Healthcare System Houston on the effects of PBFR on Bone after ACL Reconstruction. We also discuss a recent publication on the pressure needed to create peripheral vascular adaptations. Lastly, we answer listener questions about BFR and non-weight bearing situations and use in pediatrics.

Links:

https://www.ncbi.nlm.nih.gov/pubmed/30840934

https://www.sportsmed.org/aossmimis/Members/About/Press_Releases/2019-Specialty-Day/Blood-Flow-Restriction-Therapy-Slows-Bone-Loss.aspx

https://www.owensrecoveryscience.com/certification/

http://www.biomechanicalenvironments.com/orthopedic-biomechanics-research-lab/blood-flow-restriction-therapy/

If you have questions or a topic that you want to hear about, you can submit the topic or question through our website. If your question/topic gets selected, you can receive a free ORS shirt.

To submit a question to be read on our podcast go to our website:

OwensRecoveryScience.com -Contact -In the body of email put #Podcast

Qualifications for a chance to win a free ORS T-shirt:

Your question is read on our podcast and

You are a subscriber on YouTube/Podcast

In today's podcast, we discuss the application of Personalized BFR in soccer. My guests are Kurt Andrews Director of Sports Medicine at Sporting Kansas City, Reade Whitney Head Athletic Trainer for the Chicago Fire and Paul Lombardo Lead Assistant Athletic Trainer for the Seattle Sounders.

One of the most common questions we get is the effect of BFR on the trunk muscles such as the shoulder and hip. In today's podcast, we discuss the theories, some of the early papers that looked at the proximal or cross-over effects and some more recent papers.

Links:

https://www.ncbi.nlm.nih.gov/pubmed/30638439

https://www.somos.org/assets/EWI/2019/2019EWIMAGweb.pdf

https://www.owensrecoveryscience.com/

In today's podcast, Johnny discusses the use of BFR in populations with heart and peripheral vascular disease with Dr. Lawrence Cahalin, Ph.D., PT, Board Certified Cardiopulmonary Clinical Specialist from the University of Miami Miller School of Medicine.

Links:

Dr. Cahalin Bio

http://pt.med.miami.edu/academics/faculty-and-staff/full-time-faculty/lawrence-p-cahalin

BFR and Hypertension Review Paper

https://miami.pure.elsevier.com/en/publications/safety-of-blood-flow-restricted-exercise-in-hypertension-a-meta-a

Dr. Cahalin Combined Sections Meeting 2019

https://apta.expoplanner.com/index.cfm?do=expomap.sess&event_id=29&session_id=15143