Thursday, May 28, 2020

Seeking Input for Future Blog Posts

Below are some articles and topics whose messages I believe have a relatively large impacts on best practice for various areas of performance and health devlopement. Please post in the comments if you would like to see one written about or a topic that I have not listed here. Thanks for the feedback🙏! 

Research Articles:

Which Specific Modes of Exercise Training Are Most Effective For Treating Low Back Pain: A Network Meta-Analysis - Owen 2019
TLDR - they all work to a similar extent, reducing pain  approximately 3/10 on average and improving function on average 15% (as measured by the Oswestry Disability Index ). Just get your (or your patient's) butt moving in whatever way they can adhere best to. However there are some interesting nuances here that would be worth diving into.

Ground Reaction Force Metrics Are Not Strongly Correlated With Tibial Bone Load When Running Across Speeds and Slopes: Implications for Science, Sport and Wearable Tech - Matijeviche 2019
Axioms regarding the connection between certain ground reaction force measures (GRFs) and bone loading (and thus parameters that affect bone stress injury risk) have been systematically misrepresented both in the literature and in commercial wearable technology. Specifically, when measuring tibial bone load at different speeds and slopes, typical GRF metrics such as the average vertical loading rate, impact peak, and total vertical impulse were not well (and often negatively 😲!) correlated with with tibial bone stress, although peak GRF of the entire stance phase was somewhat good at predicting bone load (r=.7). As an intuitive example of how this works, tibial strain goes up significantly when running uphill because of the increased demand on the calf and associated muscular contribution to tibial strain, although GRF metrics are generally low (i.e. footsteps tend to be quieter running up hills). This means that the conclusions of a large portion of salient literature must be re-interpreted and that the recommendations given by many wearable products may provide dangerous recommendations to those at risk for bone stress injuries.

The Relationship Between Training Load and Injury in Athletes: A Systematic Review - Eckard 2018
A systematic review that anchors the importance of both internal and external training load in the prevention of injury.

The effectiveness of exercise interventions to prevent sports injuries: a systematic review and meta-analysis of randomised controlled trials - Lauersen 2016
A systematic review that anchors the MASSIVE importance in resistance training to prevent acute and overuse injury, and the relative lack of importance of stretching and "neuromuscular exercises". 

Topics:

Placebo and Nocebo in Physical Therapy and Health Care, Ethical Considerations

Running Shoe Selection Guide

Core Principles to Safe Effective Strength Training ala Powerlifting

Interval Training Guide 

Chris Johnson and Steve Sattigast Running Coaching Cohort - A Review


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