Sports Medicine Project Blake Withers and Kelly Kortick

Explore the intricate relationship between hormones and performance in this podcast episode. Delve into common myths and truths about hormones, particularly regarding their impact on soft tissue and bone changes as we age. Learn about the nuances of the ovarian hormone profile and its influence on training and performance, including strategies to alleviate menstrual cycle symptoms. Discover the debate surrounding phase-based training and the considerations for women using hormonal contraceptives. Gain insights into the effects of synthetic hormones on skeletal development and the importance of early training for female athletes. Explore the implications of gender differences on athletic performance and the role of training pre-puberty in skeletal development and dropout rates among female athletes. Finally, uncover the significance of high-intensity interval and resistance training for women in perimenopause/menopause and the resistance to transitioning training methods in endurance sports.

Dr. Nicky Keay
BA, MA, MB, BChir (Cantab), MRCP
Honorary Clinical Lecturer, Division of Medicine, University College London
Member British Association Sport and Exercise Medicine
Member British Menopause Society
National Institute of Dance Medicine and Science

https://nickykeayfitness.com


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Dr. Barton is a Melbourne-based practitioner and researcher specializing in sports and musculoskeletal therapy. With additional training in implementation science and communications, he contributes to physiotherapy education at Bundoora campus and conducts research on implementation science. He serves as an Associate Editor and Deputy Social Media Editor at the British Journal of Sports Medicine and is involved with the Victorian branch of the Musculoskeletal Physiotherapy Association. Dr. Barton's research focuses on knee injuries, running injuries, and implementation science, utilizing innovative digital technologies. He leads projects such as GLA:D Australia and TREK, and is a sought-after speaker and instructor on knee pain and running injury management internationally.

In this podcast episode, we delve into the nuanced world of injury risk management and rehabilitation strategies with a focus on running-related injuries. Join us as we explore key questions such as:
How can clinicians potentially mitigate injury risk, and what does the current research suggest?What are the consistent risk factors for running-related injuries, and do we have effective frameworks for advising patients and clinicians?When is movement retraining indicated in the management of patellofemoral pain (PFP) and other running injuries, and are these changes long or short-term?How do tissues adapt to load, and does it make sense for uninjured runners to refrain from making changes to their running mechanics?What are effective frameworks and cues for providing re-training advice to patients, and how can clinicians tailor these strategies to individual needs?What is the current understanding of PFP, and what factors contribute to the development of this painful condition?How do rehabilitation approaches differ when comparing local versus distal to proximal strategies for PFP, and how should clinicians tailor their interventions based on patient deficits?Does the management of PFP vary between adolescents and adults, and are there specific considerations for each age group?Is there evidence to suggest that persistent PFP increases the risk of patellofemoral joint osteoarthritis?Clinical content to help you day to day:
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Throughout the episode, Ben provides invaluable insights and practical tips for clinicians seeking to enhance their understanding of pain, movement, and patient-centered care.

In this episode of the Sports Medicine Project, we are joined by Ben Cormack, the owner and founder of Cor-Kinetic. Ben brings over 15 years of experience in musculoskeletal therapy, rehabilitation, and exercise, with a particular focus on pain and its relationship to movement. As a highly sought-after international presenter, Ben's approach is characterized by a movement and exercise-based methodology, emphasizing patient education and a patient-centered approach.
During our conversation, we delve into the complex topic of patient beliefs and their impact on clinical outcomes. Ben shares insights into the art of addressing patient beliefs, discussing when it's important to do so, observing signs of openness, and avoiding potential barriers that may arise.
 We explore the role of pain education in managing low back pain, discussing the balance between neuroscience and practical application. Ben sheds light on the concept of central sensitization and its implications for pain management, highlighting key educational points and effective analogies for patients with chronic low back pain.
Lastly, we discuss the effectiveness of different exercise modalities for low back pain, touching on the recent systematic review that favored Pilates interventions. Ben shares his perspective on the importance of patient enjoyment and adherence to exercise programs, emphasizing the need for individualized approaches based on patient preferences and fears.

Don't miss out on this engaging discussion with Ben Cormack, where we navigate the complex landscape of movement, pain, and patient beliefs. Tune in now!
Where to find Ben:
https://linktr.ee/CorKinetic
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Chatting about:
How does structure affect the risk of injury and pathology? MRI detailing Type 1 and Type 2 muscle fibers and what this means for injury and performanceACL risk in femalesWhy do females get injured more?When to stop running with pain?Should you run with pain?When should a navicular stress fracture go into a boot and for how long? (Corrected "aboot" to "boot")Approaching women's sports discussions (Changed "sprites" to "sports")Surfing for females in the OlympicsGender vs. sexOvarian Hormone ProfilesThank you for all your support 💪
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Papers referenced: Female Strength Training: https://pubmed.ncbi.nlm.nih.gov/37948036/#:~:text=These%20studies%20indicated%20that%20concurrent,were%20reported%20in%20individual%20studies.

Achilles RCT: https://pubmed.ncbi.nlm.nih.gov/36095045/

NOI group - https://www.noigroup.com/

We feature two prominent speakers: Luke Bongiorno, Director of Noigroup, and Brendan Mouatt, Accredited Exercise Physiologist. 
The speakers delve into profound questions about pain, the purpose of the NOI group, and the challenges clinicians face. They explore the evolving landscape of pain neuroscience, factors influencing treatment outcomes, and the difficulty in conveying the complex nature of persistent pain to patients. The conversation extends to the empowering aspects of understanding pain's multifactorial nature and the role of the neuroimmune system. The episode promises insights into addressing pain comprehensively, bridging research and practice, and enhancing patient understanding. Tune in to unravel the mysteries of pain science and its practical applications in healthcare. 

Luke acquired the directorship of Noigroup in March 2021 from the founders David Butler and Juliet Gore. His degree from The University of Melbourne, Australia, followed by a move into clinical practice in New York. In NYC, Luke co-founded New York Sports Medicine.
Luke’s extensive experience in the management of acute and chronic pain and sports injuries demands that he travel extensively to manage professional and Olympic athletes, as well as touring performing arts/dance company members. He currently serves as a consultant with the NBA League as well as European soccer professional teams. Luke is also affiliated with the clinical education programs of Columbia University and Touro College.
He has taught advanced skills courses in Manual Therapy internationally since 2004 and has been on the NOI faculty since 2015. 
He is currently involved in clinical research focused on injury management and is developing guidelines for injury prevention in sports medicine and in the workplace.


Brendan Mouatt
Brendan is a practising Accredited Exercise Physiologist in Adelaide, Australia. For over ten years, Brendan has been a director of multiple private practices in Melbourne and has delivered continuing education internationally since 2016. More recently, in 2023, Brendan joined the team at Noigroup.
Brendan’s master’s research (exploring how visual sensory information influences the perception of effort during exercise) and his clinical experience working as an Exercise Physiologist in the musculoskeletal injury and pain field inspired him to pursue a PhD. His doctoral research focuses on how beliefs, behaviours, and perceptions (especially during clinical interactions) impact patients’ recovery from pain
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Steven Collins, a Physiotherapist and ASCA Level 2 Strength and Conditioning coach, delved into the intricacies of exercise prescription and programming for rehab and performance on the podcast. He addressed the challenge of appropriate dosing for patients, emphasizing the common issue of underloading. Understanding the 'why' behind exercises emerged as crucial, with insights on overcoming compliance barriers. Collins highlighted the significance of integrating strength and conditioning principles into rehab for improved patient outcomes. The conversation explored the balance between specificity and general benefit, especially in conditions like knee OA. Effective coaching, particularly for athletes, and progressing training in well-conditioned individuals were key topics. The discussion extended to cluster sets, their definition, and their role in rehab, and later shifted to running/plyo-based rehab. Considerations for power, plyometrics, agility, and COD training were explored, emphasizing the importance of retraining COD after an ACL injury and when to integrate high-speed running. The podcast provided valuable insights into advancing rehab and optimizing performance.

Steves Podcast: https://linktr.ee/rpepodcast

Socials: https://www.instagram.com/steve_liftedacademy/

Courses: https://www.thejointnundah.com/classes-programs/rehabilitation-coach-level-1-course/



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