Owens Recovery Science Johnny Owens

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:

Laura@buildphysio.com
@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

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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