Outdoor Women Strong

Liz Koch

Welcome to Outdoor Women Strong Podcast, a podcast dedicated to fitness and health for women who want to be strong for their outdoor sports such as mtn biking, whitewater paddling, hiking, snow sports, running, and many more! Let's focus in on training habits, mental issues, and how to gain strength and mobility to keep you healthy so you can enjoy and excel at your sport! Come learn with me, doctor of physical therapy Liz!

  1. 5d ago

    105. Why Do Your Knees Get Cranky Going Downhill?

    Your knees feel fine hiking uphill for an hour. Then you turn around, and twenty minutes into the descent they get achy and cranky. Why? Downhill hiking and downhill trail running aren't the easy version of uphill. They're a different demand, and where you feel a cranky knee isn't enough information to tell you why it's happening. In this episode, Dr. Liz Koch, DPT, a physical therapist turned strength coach for outdoor women, explains what descending asks of your body and how strength training can build the capacity to handle it, without a magic list of "exercises to fix your knees." Start here Strength Foundation, a four-week, three-workouts-a-week program that teaches you how to strength train while you build the foundation (not a rehab program): https://www.outdoorwomenstrong.com/strengthfoundation/ Free guide, Feel Stronger on the Climb. Feel Better the Next Day: https://www.outdoorwomenstrong.com/3-small-changes-wa/ In this episode Why downhill hiking and trail running ask something different of your quads and knees than climbing does Why a cranky knee on the descent is a symptom, not an explanation, and the questions worth getting curious about How capacity and fatigue change the demand: the same descent twenty minutes in versus four hours in Why your muscles can adapt to lowering work Why Liz likes a high step-up with a controlled lowering, a TKE (terminal knee extension) with a band, and a wall sit with a march Red flags that mean it's time to have someone actually look at your knee Research mentioned in this episode Kuster M, Sakurai S, Wood GA. Kinematic and kinetic comparison of downhill and level walking. Clin Biomech. 1995;10(2):79-84. doi:10.1016/0268-0033(95)92043-L Hu X, Pickle NT, Grabowski AM, Silverman AK, Blemker SS. Muscle eccentric contractions increase in downhill and high-grade uphill walking. Front Bioeng Biotechnol. 2020;8:573666. doi:10.3389/fbioe.2020.573666 Bontemps B, Louis J, Owens DJ, Miríc S, Vercruyssen F, Gruet M, Erskine RM. Muscle soreness but not neuromuscular fatigue responses following downhill running differ according to the number of exercise bouts. Eur J Sport Sci. 2025;25(3):e12240. doi:10.1002/ejsc.12240 Palmieri-Smith RM, Villwock M, Downie B, Hecht G, Zernicke R. Pain and effusion and quadriceps activation and strength. J Athl Train. 2013;48(2):186-191. doi:10.4085/1062-6050-48.2.10 This episode is educational and isn't a diagnosis or medical advice. If your knee is significantly swollen, locking or giving way, getting progressively worse, or really limiting what you can do, have someone assess it. Adventure Strong. #downhillhiking #kneepain #trailrunning #hikingtips #strengthtraining #outdoorwomenstrong

  2. Oct 15

    104. Your Strength Exercises Don't Need to Look Like Your Sport

    Your strength exercises don't need to look like your sport. In this episode, Dr. Liz Koch, DPT, talks to the woman who wants to start strength training and thinks the flashy exercises she sees on Instagram are where she needs to begin, because they'll keep her motivated. Liz explains why an exercise doesn't have to look like hiking, trail running, mountain biking, or paddling to make you stronger for those sports, why functional does not mean complicated, and what to start with instead. What the research found: a 2014 review of runners and cyclists found that adding heavy strength training to their endurance training improved running economy and cycling economy, with the strongest case for heavy strength training in cycling. That research covers endurance runners and cyclists, not hikers or paddlers. A 2020 randomized trial in Norway trained active young women for eight weeks with either a leg press or two single-joint exercises (a leg extension and a glute kickback). Both groups got stronger, but each group improved most in the exercise it practiced, and the leg press group improved less on the kickback, likely because the leg press does not take the hips to full extension. It was one study of young women using machines. Also in this episode: exercises that look nothing like your sport but still help it (deadlifts, rows, split squats, core work lying on your back, and pull-ups or pulldowns), why compound exercises and targeted accessory exercises both belong in a program, why making an exercise wobblier is not the same as making it better, why you can't build strength on an exercise you can't progress, why the simple version is not the beginner version, and how to tell whether an exercise deserves a spot in your week. Strength Foundation: four weeks, three workouts a week, and Liz teaches you how to strength train while you get stronger. https://www.outdoorwomenstrong.com/strengthfoundation/ Free guide, Feel Stronger on the Climb: three small adjustments to movements you already know. https://www.outdoorwomenstrong.com/3-small-changes-wa/ Adventure Strong. Rønnestad BR, Mujika I. Optimizing strength training for running and cycling endurance performance: A review. Scand J Med Sci Sports. 2014;24(4):603-612. doi:10.1111/sms.12104.Stien N, Pedersen H, Ravnøy AH, Andersen V, Saeterbakken AH. Training specificity performing single-joint vs. multi-joint resistance exercises among physically active females: a randomized controlled trial. PLoS ONE. 2020;15(5):e0233540. doi:10.1371/journal.pone.0233540.Show notes references

  3. Oct 1

    102. Building Stronger Bones Strength, Impact Training & Your Outdoor Sport

    Being active outside doesn't automatically mean strong bones. In this episode, physical therapist and strength coach Dr. Liz Koch breaks down what actually builds bone density — and why some of the most popular outdoor sports don't provide it on their own. Liz explains the mechanism behind bone adaptation (mechanotransduction and Wolff's Law), why walking alone typically doesn't provide enough mechanical load to build bone density, and walks through the landmark LIFTMOR trial: an 8-month study showing that heavy resistance training and impact training significantly improved bone mineral density in postmenopausal women with osteopenia and osteoporosis — safely, reversing decades of guidance that told women with low bone density to avoid heavy lifting. She details the exact exercises used (deadlift, back squat, overhead press, and jumping chin-ups with drop landings), the gradual loading progression, and an accessible alternative (foot stomping) for anyone without access to a pull-up bar.The episode also covers site-specific bone loading — why cyclists and paddlers may be missing a stimulus their sport doesn't provide, and why hikers and trail runners on technical terrain get more benefit than those on flat trail. Liz shares her own approach to bone health as a mother of two who breastfed both kids, including her plan to get a DEXA scan for a real baseline.This episode is for any woman who hikes, trail runs, mountain bikes, or paddles and wants to understand what her training is — and isn't — doing for her long-term bone health. ⛰️ Join the OWS Membership → ⁠⁠outdoorwomenstrong.com/ows-membership⁠⁠ 🆓 Free guide — 1 Think to Change to Feel Stronger on the Climb, Feel Better the Next Day → ⁠⁠outdoorwomenstrong.com/3-small-changes⁠⁠ Follow me on IG - ⁠⁠@drlizkoch⁠

  4. Sep 24

    101. What Does "Lifting Heavy" Actually Mean for Outdoor Women?

    What does it actually mean to lift heavy? In this episode of Outdoor Women Strong, physical therapist and strength coach Dr. Liz Koch breaks down what "lifting heavy" really means for women who hike, trail run, mountain bike, and paddle — and why it has nothing to do with a specific number on the bar.Liz explains rate of perceived exertion (RPE) and why effort, not rep count, determines whether a set is actually heavy. She covers why training in a 9–15 rep range can build strength and muscle nearly as effectively as low-rep, heavy-load training — backed by current exercise science research — and why she personally programs effort no higher than a 7–8 out of 10 rather than training to complete muscular failure, based on research showing higher injury and discomfort risk with failure-based training. This episode also covers why rep ranges and load should flex day to day based on readiness and fatigue, why accessory and mobility-focused exercises don't need to be maximally loaded, why the first set of a workout should function as a warm-up set, and why beginners should build toward heavier lifting gradually rather than starting there.Whether you're new to strength training or have lifted for years, this episode will change how you think about progressive overload, training intensity, and injury prevention in your strength program.Outdoor Women Strong is a strength training and physical therapy podcast for women who hike, trail run, mountain bike, and paddle — helping you build strength that keeps you doing what you love, on the trail and for life as you age.

4.8
out of 5
33 Ratings

About

Welcome to Outdoor Women Strong Podcast, a podcast dedicated to fitness and health for women who want to be strong for their outdoor sports such as mtn biking, whitewater paddling, hiking, snow sports, running, and many more! Let's focus in on training habits, mental issues, and how to gain strength and mobility to keep you healthy so you can enjoy and excel at your sport! Come learn with me, doctor of physical therapy Liz!

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