Movement Optimism

Greg Lehman
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  • MEDICINE
  • MONTHLY
Movement Optimism

A deep dive into the world of exercise, pain and injury with a Movement Optimism spin as opposed to the kinesiopathological model. The traditional view of the human body has considered to be much more akin to car when we should have been viewing like a robust ecosystem. This is a masterclass on critical thinking and hopes to get you challenging your biases as well as ours.

  1. Dr Peter Malliaras and Greg talk tendons, tendinopathy and rehab

    12 DEC

    Dr Peter Malliaras and Greg talk tendons, tendinopathy and rehab

    We had Dr Peter Malliaris on this week talking tendons.  Its great to hear different researcher clinicians provide their different takes on the same topic.  Dr Malliaris is a full time professor at Monash University with a keen interest in Tendinopathy.  He teaches the popular online course Tendinopathy rehab.   We talk about:   The role of injections in tendinopathy (hint: not much) The limitations of the literature and research surrounding exercise and tendinopathy The role of load management in tendinopathy and why we don’t have a lot of research on it despite it probably being the most important thing we can manage The role of heavy loading, strength changes and tendinopathy recovery Strength testing and tendinopathy rehab

    44 min
  2. Dr Kate Jochimsen - how we think and feel influences our pain.

    25 NOV

    Dr Kate Jochimsen - how we think and feel influences our pain.

    Kate Jochimsen, PhD, ATC is a Researcher at the Center for Health Outcomes and Interdisciplinary Research (CHOIR) at Massachusetts General Hospital and a Member of the Faculty in the Department of Psychiatry at Harvard Medical School. Her work “bridges the gap” between sports medicine and psychology by developing interventions to improve patient's pain-related cognitions (‘how they think’) and emotions (‘how they feel’) to improve their health behaviors and increase physical activity. She is passionate about advancing psychologically informed practice and teaching clinicians how to communicate about mental health and intervene when appropriate. Her work has been funded by agencies such as the National Institutes of Health and the American College of Sports Medicine.   The big questions we try to answer: 1. When you have hip pain why does it hurt? 2.  What is the mechanism behind psychological factors influencing pain? 3.  How do we address these psychological factors? 4.  What is cognitive restructuring and how can you do it to help pain?

    43 min
  3. Dr Steph Mundt - managing bone stress injuries and relative energy deficiency in our athletes

    11 NOV

    Dr Steph Mundt - managing bone stress injuries and relative energy deficiency in our athletes

    Dr Stephanie Mundt (PT, PhD Candidate) is on talking about bone stress injuries and optimizing the health of athletes to keep them performing and living well.   We talk about: - can you run with pain when you have a bone stress injury - why bone stress injuries occur - high risk versus low risk stress fractures - how to build bone and manage injury risk

    39 min
  4. Greg talks with Jeff Beran and Frank Tardi about exercise and private practice

    23 OCT

    Greg talks with Jeff Beran and Frank Tardi about exercise and private practice

    Greg speaks with Jeff Beran of Evolution PT and Jeff's partner Frank Tardi.  They run a successful private practice with exercise, health and optimal training as the foundation of their intervention.  They teach a popular course on energy systems training to improve outcomes entitled "Practical Programming: A Clinician's Guide to Maximizing Physical Potential   They share their thoughts on both exercise prescription and manual therapy AND offer mentorships to those looking to learn more about their model. Their Bios are here

    48 min
  5. Dr Johan Lahti discusses hamstring injury prevention and training

    1 OCT

    Dr Johan Lahti discusses hamstring injury prevention and training

    Dr Johan Lahti PhD is a strength and conditioning coach and an expert in the prevention and training on hamstrings.   Johan is a great thinker related to all aspects of strength and conditioning but has a special interest in mitigating the risk of hamstring strains. In this episode we talk about: potential risk factors for hamstring strains how to best train the hamstrings for performance and injury risk using EMG to assess hamstring exercises and the role of technique in injuries   Some relevant references Johan's injury prevention study Training hamstrings Sprinting and hamstrings

    50 min
  6. Dr Gerard McMahon talks strength training for tendons!

    24 SEPT

    Dr Gerard McMahon talks strength training for tendons!

    Dr Gerard McMahon is a sports scientist out of Ulster University with a special interest in how we can train tendons for both performance and rehab. We talk: Partial range vs full range squats for vertical jump   Partial range vs long range training to build tendon mechanical properties (e.g stiffness)   Is there a sweetspot for tendon loading (e.g 4.5-6% strain) and why it may be greater than this range.   Why knowing the actual tendon strain may not be required to prescribe exercises to increase tendon stiffness and strength   Dr McMahon's Ulster University Profile

    37 min
  7. Dr Falk Mersmann discussed the hows and whys of building tendon strength

    17 SEPT

    Dr Falk Mersmann discussed the hows and whys of building tendon strength

    Another very practical and pragmatic podcast.  Dr Falk Mersmann is a leader in how tendons adapt to load and I would say an accidental leader in the minumum effective dose to get tendons to adapt.   Some topics we covered: Why having a good balance between tendon stiffness and muscle strength is important for tendinopathy prevention and treatment How personalized tendon loading can address this potential risk factor Specifics of tendon loading to achieve tendon positive tendon adaptations (e.g increasing stiffness). Why plyometrics don’t seem to influence tendon strength Why only doing the goal activity (e.g running) may not be enough for a healthy tendon Why stretching can’t decrease tendon stiffness Limitations of shear wave elastography versus measuring mechanical stiffness     Some relevant papers (all open access) 1.  Addressing tendon - muscle imbalances  2. Comparing different loading volumes and frequencies to achieve tendon adaptations 3. A functional high load program to prevent/treat tendon related pain in athletes

    34 min
  8. Dr Colin Griffin discusses optimal achilles tendinopathy rehab

    10 SEPT

    Dr Colin Griffin discusses optimal achilles tendinopathy rehab

    We had Colin on today to primarily talk about the pragmatic aspects of rehabbing an Achilles tendon in the sporting population. Part of Colin's PhD thesis was looking at this specific topic.  In my opinion, a lot of the researched tendon loading programs aren't pragmatic, are boring, are hard to stick to and just don't seem like they would contribute to performance.  Colin's program is NOT like that. His simple, progressive, performance based and pragmatic tendon and lower extremity program should be used as your "recipe" for care. Have a look at his paper here that outlines the full rehab program. More about Dr Colin Griffin Colin is a strength and conditioning coach at the UPMC Sports Surgery Clinic with a role that includes the rehabilitation of lower-limb injuries and the delivery running performance services.   He completed a degree in Strength and Conditioning with Setanta College in 2015 and completed Masters Degree in Coaching and Exercise Science in University College Dublin in 2016. He is an IAAF Level 4 certified endurance coach, coach eduaction tutor with Athletics Ireland and an accredited professional member of the Sport Ireland Institute in High Performance Sport Strength and Conditioning.   He has over 15 years experience in high performance sport having represented Ireland at the 2008 and 2012 Olympic Games in the 50km walk as well as a number of top 12 perofrmances at world and european level. He has also coached other Irish athletes to Olympic level.   In 2011 he founded The Altitude Centre Ireland and pioneered the development of Irelands first residential altitude training centre at the University of Limerick.   His main areas of interest include the rehabilitation of tendinopathies and muscle overload injuries, biomechanics, physiology and athletic development.   Colin is undertaking a PhD on the biomechanics of muscle-tendon interaction at the achilles during exercise, working under JB Morin at the University of Côte d’Azur and in collaboration with SSC Sports Medicine.

    44 min
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A deep dive into the world of exercise, pain and injury with a Movement Optimism spin as opposed to the kinesiopathological model. The traditional view of the human body has considered to be much more akin to car when we should have been viewing like a robust ecosystem. This is a masterclass on critical thinking and hopes to get you challenging your biases as well as ours.

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  • Creator
    Greg Lehman
  • Years Active
    2K
  • Episodes
    28
  • Rating
    Clean
  • Copyright
    © 2024
  • Show Website
    Movement Optimism

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