Auscast Wellbeing: Recent Episodes
Auscast Network
Wellbeing is the experience of health, happiness and prosperity. It includes having good mental health, high life satisfaction, a sense of meaning or purpose, and ability to manage stress.
These episodes take you through different types of wellbeing with real-life stories, support and exercises.
This week I talk about a feasibility cohort study which sought to determine whether a larger cohort study addressing this question would be feasible. Listen to hear some interesting preliminary findings.
Merza, E.Y., Pearson, S.J., Mallows, A.J. and Malliaras, P., 2023. The relationship between psychological, cognitive, and contextual factors and rehabilitation outcomes in Achilles tendinopathy: A prospective feasibility cohort study. Physical Therapy in Sport.
Mallows, A., Jackson, J., Littlewood, C. and Debenham, J., 2020. The association of working alliance, outcome expectation, adherence and self‐efficacy with clinical outcomes for Achilles tendinopathy: A feasibility cohort study (the MAP study). Musculoskeletal Care, 18(2), pp.169-176.
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We have known for a while that type of exercise intervention (e.g. intensity, frequency, etc) does not seem to influence self-reported outcomes such as pain. Maybe all the benefits from exercise are explained by non-specific effects, or maybe exercise has benefits that do not depend on the type of exercise.
In this episode, I discuss 3 studies that look into (at least partly) other benefits that we may see at the level of the muscle and tendon from higher-load exercise interventions.
References:
Radovanović, G., Kunz, J., Bohm, S., Arampatzis, A. and Legerlotz, K., 2021. Reliable and effective novel home-based training set-up for application of an evidence-based high-loading stimulus to improve triceps surae function. Journal of Sports Sciences, 39(24), pp.2786-2795.
Radovanović, G., Bohm, S., Peper, K.K., Arampatzis, A. and Legerlotz, K., 2022. Evidence-Based High-Loading Tendon Exercise for 12 Weeks Leads to Increased Tendon Stiffness and Cross-Sectional Area in Achilles Tendinopathy: A Controlled Clinical Trial. Sports Medicine-Open, 8(1), pp.1-19.
Radovanović, G., Bohm, S., Arampatzis, A. and Legerlotz, K., 2023. In Achilles Tendinopathy the Symptomatic Tendon Differs from the Asymptomatic Tendon While Exercise Therapy Has Little Effect on Asymmetries—An Ancillary Analysis of Data from a Controlled Clinical Trial. Journal of Clinical Medicine, 12(3),
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This week, I had an engaging conversation with Anthony Nasser, an up-and-coming researcher on tendinopathy who recently completed his PhD on proximal hamstring tendinopathy. Our discussion covered the reasons for the lack of research attention towards this condition, the current state of evidence, and insights from his doctoral studies. You can find the full conversation here.
Here are Anthony's related publications:
Nasser, A.M., Pizzari, T., Grimaldi, A., Vicenzino, B., Rio, E. and Semciw, A.I., 2021. Proximal hamstring tendinopathy; expert physiotherapists’ perspectives on diagnosis, management and prevention. Physical Therapy in Sport, 48, pp.67-75.
Nasser, A.M., Vicenzino, B., Grimaldi, A., Anderson, J. and Semciw, A.I., 2021. Proximal hamstring tendinopathy: a systematic review of interventions. International journal of sports physical therapy, 16(2), p.288.
Nasser, A., Semciw, A., Grimaldi, A., Rio, E., Pizzari, T. and Vicenzino, B., 2022. Core outcome set development for proximal hamstring tendinopathy (COS-PHT): a study protocol. Physical Therapy Reviews, 27(4), pp.313-319.
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Palpation can be useful for the diagnosis and assessment of tendinopathy, but there are limits. This is because non-painful tendons can be tender, and tenderness in painful tendons seems to be very slow to get better.
Link to Evidence for Improvement in Local but not Diffuse Pressure Pain Thresholds Following Physical Therapist Interventions for Tendinopathy: A Systematic Review
Link to Reproducibility and clinical utility of tendon palpation to detect patellar tendinopathy in young basketball players
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Interesting perspective paper from Arampatzis et al talking about how we should consider tuning of muscle tendon unit in terms of muscle strength and tendon stiffness when considering training for specific groups.
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This talking tendons episode will discuss a study by Igor Sancho, PhD, assessing Achilles forces during common rehab exercises and habitual activities and how this relates to reported pain among runners. Some interesting implications for practice.
Achilles tendon forces and pain during common rehabilitation exercises in male runners with Achilles tendinopathy. A laboratory study
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Stress can have a negative impact on our mental and physical health, but you can easily relieve stress and find inner peace by listening to calming music. Calming music is specifically designed to reduce your heart rate, blood pressure, and stress hormone levels in your body. It can assist you in relaxing, focusing, and feeling more in command of your thoughts and emotions. Calming music is the ideal solution for unwinding after a long day, improving your sleep, or simply finding a moment of peace. It creates a calm and soothing environment that allows you to forget about your worries and concentrate on the present moment. You can also play it in the background while working, reading, or studying to create a relaxing and productive environment. Calming music is a simple and effective way to reduce stress and improve your overall health.
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Flowing piano Jazz music is an excellent way to unwind while also increasing productivity. Jazz piano's soothing melodies and gentle rhythms create a relaxing and peaceful atmosphere that helps to reduce stress and improve focus. Jazz piano music is an excellent choice for anyone who is working, studying, or simply looking for a way to unwind after a long day. It's ideal for working or studying as background music, contributing to a calm and productive environment. Jazz piano music, with its smooth, mellow sound and improvisational style, is an excellent way to unwind and de-stress while keeping your mind sharp and focused. Its adaptability makes it ideal for any situation, whether you're working, studying, reading, or simply want to listen to beautiful music. Smooth piano jazz music is ideal for increasing productivity, reducing stress, and relaxing.
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After a long day, meditation music is an excellent way to relax and unwind. Meditation music can help you achieve a state of calm and tranquilly, whether you're looking to de-stress, improve your focus, or simply find a moment of peace. Meditation music, with its soothing melodies and gentle rhythms, is intended to help you let go of your worries and focus on the present moment. Whether you're a seasoned meditator or just getting started, meditation music is an excellent way to begin or end your day on a positive note. Meditation music is an excellent choice if you want to relax, meditate, sleep, or simply enjoy beautiful music.
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Hi it's Andy Martin here, I thought I'd jump on and share this TEDX talk from Amanda Goodfellow - Founder of Agile Mind.
She works with some of the biggest companies in Australia and her programs, mentorships and retreats have been developed draw upon her 25 years of experience in corporate roles across sectors including local government, associations and professional services.
So basically she’s super qualified and in this talk she shares her story of recovery from mental illness, including why mindfulness and talk therapy was not enough, and why fear of feelings is making us sick.
Sit back, relax and enjoy..
Thanks to Amanda for allowing us to share this and For more details on Amanda, Agile Mind, and to view the talk in full, head to Agilemind.com.au
Link to the talk in full: https://www.youtube.com/watch?v=eRhg_LZO9ek&t=5s
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In this episode, I am discussing kinesiophobia in the context of tendon rehab and how rehab can be conceptualised as graded exposure for some people.
References
1) Physiotherapy management of Achilles tendinopathy
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In this episode, I talk about load test pain assessment and how this can also be used to assess kinesiophobia and movement apprehension.
References
1) Physiotherapy management of Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/36274038/
2) Kinesiophobia Severity Categories and Clinically Meaningful Symptom Change in Persons With Achilles Tendinopathy in a Cross-Sectional Study: Implications for Assessment and Willingness to Exercise: https://pubmed.ncbi.nlm.nih.gov/35295417/
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Sit beside a gently cracking fire on a cold Winter's night. Hear the logs splitting as they burn. We'll add the wood to keep the fire toasty.
Original recording.
auscastnetwork.com
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We set up a microphone in an old tin shed during a rain storm.
Sit back, relax and enjoy.
auscastnetwork.com.au
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30-minute meditation ambience to help you get to sleep.
sleep #meditation #Zen #relax #calm #yoga #reiki
Royalty free.
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This is an interesting study from the Delaware tendinopathy group among others investigating a host of structural, tissue property, functional and pain factors that may persist among people with Achilles tendinopathy making a return to running. Provides guidance to clinicians about potential impairments to consider assessing.
Here's the link to the study:
Corrigan, P., Hornsby, S., Pohlig, R.T., Willy, R.W., Cortes, D.H. and Silbernagel, K.G., 2022. Tendon loading in runners with Achilles tendinopathy: Relations to pain, structure, and function during return‐to‐sport. Scandinavian Journal of Medicine & Science in Sports.
Here's the link to my upcoming course series in the UK in Sept:
https://www.eventbrite.com/cc/mastering-lower-limb-tendinopathy-uk-sept-2022-670009
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In this episode I talk about three qualitative studies that aim to understand the patient perspective and patient motivations in Achilles tendinopathy. I find this work really helps clinicians to understand what patients are gong through so we are able to be empathic and help them. Hope you enjoy!
Here's a link to courses in the UK:
https://www.eventbrite.com/cc/mastering-lower-limb-tendinopathy-uk-sept-2022-670009
Here are the studies:
Turner, J., Malliaras, P., Goulis, J. and Mc Auliffe, S., 2020. “It's disappointing and it's pretty frustrating, because it feels like it's something that will never go away.” A qualitative study exploring individuals’ beliefs and experiences of Achilles tendinopathy. PloS one, 15(5), p.e0233459.
Mc Auliffe, S., Synott, A., Casey, H., Mc Creesh, K., Purtill, H. and O'Sullivan, K., 2017. Beyond the tendon: experiences and perceptions of people with persistent Achilles tendinopathy. Musculoskeletal Science and Practice, 29, pp.108-114.
Mallows, A., Head, J., Goom, T., Malliaras, P., O'Neill, S. and Smith, B., 2021. Patient perspectives on participation in exercise-based rehabilitation for Achilles tendinopathy: A qualitative study. Musculoskeletal Science and Practice, 56, p.102450.
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This paper is more than 30 years old but it is a beauty. Farley et al talk about human preferred hopping frequency and how it relates to metabolic cost and how fast muscles are contracting, and also how our instructions can influence how well people hop (and the mechanisms that drive this). Important to consider hopping instruction when assessing submaximal hopping in the clinic.
Here's a link to the paper
Farley, C.T., Blickhan, R., Saito, J. and Taylor, C.R., 1991. Hopping frequency in humans: a test of how springs set stride frequency in bouncing gaits. Journal of applied physiology, 71(6), pp.2127-2132.
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There is so much debate about the use of steroids for tendinopathy. Opinions vary between 'you should never use steroid as will lead to recurrence, worse pain or rupture' to 'it's fine, do as much steroid as you like'. Opinions dominate as we have limited data. Until now. This is the first trial looking at 2 year outcome for exercise +/- steroid for Achilles tendinopathy. Interesting findings!
Here's the link to the study:
Johannsen, F., Olesen, J.L., Øhlenschläger, T.F., Lundgaard-Nielsen, M., Cullum, C.K., Jakobsen, A.S., Rathleff, M.S., Magnusson, P.S. and Kjær, M., 2022. Effect of Ultrasonography-Guided Corticosteroid Injection vs Placebo Added to Exercise Therapy for Achilles Tendinopathy: A Randomized Clinical Trial. JAMA Network Open, 5(7), pp.e2219661-e2219661.
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This is a new and lovely to read randomised trial comparing pain science education (including lots of good biopsychosocial info) versus placebo education for Achilles tendinopathy. Some interesting findings and potential avenues for further study. Definitely worth a listen and read.
Here is a link to the actual paper:
https://journals.lww.com/pain/Abstract/9900/The_effects_of_pain_science_education_plus.122.aspx
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This is a new study from my PhD student, Igor Sancho. He looks at strength, psychological and other factors that may be different between health runners and runners with Achilles tendinopathy. Seated calf raise 6RM seems to be the strongest predictor of having Achilles tendinopathy. Some interesting other findings and clinical implications.
Here is a link to this paper, and Igor's other PhD papers: Sancho, I., Morrissey, D., Willy, R.W., Tayfur, A., Lascurain-Aguirrebeña, I., Barton, C. and Malliaras, P., 2022. Recreational runners with Achilles tendinopathy have clinically detectable impairments: A case-control study. Physical Therapy in Sport, 55, pp.241-247. Sancho, I., Malliaras, P., Barton, C., Willy, R.W. and Morrissey, D., 2019. Biomechanical alterations in individuals with Achilles tendinopathy during running and hopping: A systematic review with meta-analysis. Gait & posture, 73, pp.189-201. Sancho, I., Morrissey, D., Willy, R.W., Barton, C. and Malliaras, P., 2019. Education and exercise supplemented by a pain-guided hopping intervention for male recreational runners with midportion Achilles tendinopathy: a single cohort feasibility study. Physical Therapy in Sport, 40, pp.107-116.
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On this episode I focus on a new study from my PhD student Eman Merza. It is a cross-over randomised trial testing the effect of high and low contraction time and high and low intensity isometric contractions on acute changes to tendon volume and stiffness. Some very interesting potential insights for tendon adaptation. Good work, Eman!
Hope you enjoy.
Peter
Here is a link to the study (open access for a few weeks):
https://journals.biologists.com/jeb/article/225/10/jeb243741/275395
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Had a lovely chat with Shawn Hanlon who is a PhD candidate about his relatively new paper exploring patient features and clinical characteristics and how they may define certain subgroups of Achilles tendinopathy . Lots more to learn in this field and this is early work, but we discuss some of the juicy potential clinical implications.
Hope you enjoy!
And here is the link to the paper and also the
1/ Hanlon, S.L., Pohlig, R.T. and Silbernagel, K.G., 2021. Beyond the diagnosis: Using patient characteristics and domains of tendon health to identify latent subgroups of Achilles tendinopathy. journal of orthopaedic & sports physical therapy, 51(9), pp.440-448.
2/ And this is the bumper issue of JOSPT from 2015 that is all about tendinopathy: journal of orthopaedic & sports physical therapy, 45(11)
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There is lots of debate about the pain mechanisms, particularly if there are central changes, in Achilles and other tendinopathies. Most studies in the literature use proxy measures of central sensitisation like pressure pain threshold away from the painful site, Other measures like conditioned pain modulation have been investigated less frequently. In this episode of talking tendons I discuss a huge new study investigating CPM in Achilles tendinopathy with some interesting findings and implications.
Hope you enjoy!
Here is the link to the study:
Mkumbuzi, N.S., Mafu, T.S., September, A.V., Posthumus, M. and Collins, M., 2021. Conditioned pain modulation is not altered in recreational athletes with Achilles tendinopathy. Translational Sports Medicine, 4(1), pp.147-153.
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This is one of my favourite narrative expert reviews that discusses the benefits of human biologic springs like the Achilles tendon. These benefits can be summarised as follows: Metabolic energy conservation Amplification of muscle power output Attenuation of muscle power input
Some really interesting mechanisms and insights for rehabilitation . I hope you enjoy!
Here is the link to the study:
Roberts, T.J. and Azizi, E., 2011. Flexible mechanisms: the diverse roles of biological springs in vertebrate movement. Journal of experimental biology, 214(3), pp.353-361.
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I had a great time talking Gluteal tendinopathy with Chris Clifford. Chris is an experienced clinician from Glasgow who is in the throws of completing his PhD on this condition. We chatted about rehab, the use of isometrics, difficult patient groups and how to navigate them, and much more.
I hope you enjoy!
Here is 2 related publications from Chris' PhD:
1/ Clifford, C., Paul, L., Syme, G. and Millar, N.L., 2019. Isometric versus isotonic exercise for greater trochanteric pain syndrome: a randomised controlled pilot study. BMJ open sport & exercise medicine, 5(1), p.e000558.
2/ Clifford, C., Challoumas, D., Paul, L., Syme, G. and Millar, N.L., 2020. Effectiveness of isometric exercise in the management of tendinopathy: a systematic review and meta-analysis of randomised trials. BMJ open sport & exercise medicine, 6(1), p.e000760.
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Patients often ask about dietary supplements and if they may be helpful in recovering from a tendinopathy problem. There is a new systematic review out which has attempted to answer this question and it is the subject of this episode of talking tendons.
I hope you enjoy.
Here is the reference
Qiu, F., Li, J. and Legerlotz, K., 2022. Does Additional Dietary Supplementation Improve Physiotherapeutic Treatment Outcome in Tendinopathy? A Systematic Review and Meta-Analysis. Journal of clinical medicine, 11(6), p.1666.
And links to upcoming Mastering Lower Limb Tendinopathy course in Australia
https://www.eventbrite.com/cc/mastering-lower-limb-tendinopathy-live-australia-211689
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Will midportion Achilles pain improve if you wait and see? This is often a really important question to discuss with patients. Luckily we have some evidence to answer it which I explore in this short podcast (9 minutes). Hope you enjoy.
Here are the related studies
1/ Horstmann, T., Jud, H.M., Fröhlich, V., Mündermann, A. and Grau, S., 2013. Whole-body vibration versus eccentric training or a wait-and-see approach for chronic Achilles tendinopathy: a randomized clinical trial. journal of orthopaedic & sports physical therapy, 43(11), pp.794-803.
2/ Rompe, J.D., Nafe, B., Furia, J.P. and Maffulli, N., 2007. Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy of the main body of tendo Achillis: a randomized controlled trial. The American journal of sports medicine, 35(3), pp.374-383.
3/ de Vos, R.J., van der Vlist, A.C., Zwerver, J., Meuffels, D.E., Smithuis, F., van Ingen, R., van der Giesen, F., Visser, E., Balemans, A., Pols, M. and Veen, N., 2021. Dutch multidisciplinary guideline on Achilles tendinopathy. British journal of sports medicine, 55(20), pp.1125-1134.
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Here is my recent chat with Dr Ruth Chimenti about Achilles tendinopathy
We touched on some interesting topics, including Kinesiophobia and whether it changes with treatment Pain education for tendinopathy - what should it involve? does it work? Patient centred rehabilitation
Here is a link to some brand new trial data from Ruth's lab - she tested efficacy of pain education which is novel for Achilles tendinopathy.
https://clinicaltrials.gov/ct2/show/study/NCT04059146
And here is a link to the protocol paper:
https://pubmed.ncbi.nlm.nih.gov/33141102/
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Sara Campbell Lambert is passionate about young children coping with trauma. She experienced the bush fires in Bega NSW and witnessed the effect it had on the local kids, To that end, she has organized a concert staring Ginger the Frog, who has her own issues but overcomes them with the help of others. If you would like to attend the concert go to www.gingerthefrog.com/show
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DREW WHENAN HAS TURNED HIS LIFE AROUND AND NOW MAKES A DIFFERENCE BY INTERVIEWING OTHERS WHO ARE ALSO ON THE RECOVERY TRAIL. DREW INTERVIEWED ME IN LATE JUNE 2021 ON THE EVE OF MY TWO YEAR ANNIVERSARY FOR BEING DRUG AND ALCOHOL FREE. YOU CAN SEE MORE OF DREW'S INTERVIEW ON HIS YOUTUBE CHANNEL "THE RECOVERY PROJECT""
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‘Fool Me Twice’ is a podcast about diamonds. Jules and Zara were approached by a woman in Hong Kong who owns a diamond business, and had an incredibly compelling story to tell, full of twists and turns. Hearing her story, Zara became interested in diamonds themselves, and started doing some digging. This podcast follows the story of that scam, and attempts to unravel some of the shadier aspects of the diamond industry as a whole. We interview people related to the scam, a diamond miner, scam experts and individuals with their own personal diamond stories. This 8-episode true crime podcast will have you on the edge of your seat.
COMING SOON: Available on Auscast Network and all podcast platforms in July 2021.
Apple Podcasts: https://apple.co/36kbNmH
Spotify: https://spoti.fi/3gBgOdR
Auscast Network: https://www.auscastnetwork.com/home/fool-me-twice
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In this episode I talk about a new systematic review on plantarflexor muscle impairments in Achilles tendinopathy. It is clear that the relationship is not as clear as what you might think, and there are also some very interesting insights to how plantarflexor dysfunctions may change following rehabilitation.
Link to paper
Are Plantarflexor Muscle Impairments Present Among Individuals with Achilles Tendinopathy and Do They Change with Exercise? A Systematic Review with Meta-analysis
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Natures lullaby to guide you to a deep sleep.
Why does the sound of rain and thunder help sleep?
According to the University of Melbourne, Rain sounds is a rhythmic ticking sound, which sounds like a wonderful lullaby that can help people fall asleep quickly.
Studies have found that when rain sounds enters people’s brain, brain unconsciously relaxes and produces alpha waves, which are very close to the state of brain when human sleeps.
Rain sound is generally between 0 and 20 kHz. It is not upsetting. On the contrary, this sound makes people comfortable. However, if there is a sudden sound of thunder in the middle of rain sounds, it will make people stressful. At the same time, the level of cortisol in people’s body will be high.
Enjoy your new-found better sleep. :)
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Natures lullaby to guide you to a deep sleep.
Why does the sound of rain and thunder help sleep?
According to the University of Melbourne, Rain sounds is a rhythmic ticking sound, which sounds like a wonderful lullaby that can help people fall asleep quickly.
Studies have found that when rain sounds enters people’s brain, brain unconsciously relaxes and produces alpha waves, which are very close to the state of brain when human sleeps.
Rain sound is generally between 0 and 20 kHz. It is not upsetting. On the contrary, this sound makes people comfortable. However, if there is a sudden sound of thunder in the middle of rain sounds, it will make people stressful. At the same time, the level of cortisol in people’s body will be high.
See omnystudio.com/listener for privacy information.
How does white noise benefit sleep? Helps you build a bedtime ritual. Especially if you have trouble falling asleep, but even if you don’t, it’s a good idea to establish a routine before bed (both for children and adults). Make sleep hygiene a habit!
Keeps your bedroom QUIET. For optimal sleep, you need the optimal sleep environment. White noise buffers disturbing sounds and creates a quiet cocoon, regardless of your surroundings or sleep situation.
Shuts down your busy brain. Ever have trouble falling asleep because your To-Do list won’t stop buzzing, or personal worries keep you awake? White noise can help - it’s even shown to help ease symptoms of anxiety. There’s a reason some people use it to meditate!
Once you’re asleep, you’ll stay asleep. By masking sounds that might interrupt your sleep, white noise protects your peaceful slumber. And if you DO wake up, it’s often easier to fall back asleep.
You’ll sleep more soundly. You may not realize how many times you wake up each night. But even if you don’t remember it in the morning, those little interruptions affect the quality of your sleep. So give white noise a try and see if you don’t wake up feeling more refreshed.
You can bring white noise anywhere. While you can’t count on your environment, you CAN manage the noise factor, if you’ve got a sound machine. And many are compact and portable, making them easy to throw into a suitcase, diaper bag, or handbag. (This one’s especially helpful when traveling. Hotel room doors slamming and noisy hallways, anyone?)
(Info via yogasleep.com)
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Feeling down due to an upsetting event in your life? This guided meditation will help you through it.
Voiced by Andy Martin
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Need to build focus? This is the perfect guided meditation for you.
Voiced by Andy Martin
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Set yourself free with this guided meditation. Voiced by Andy Martin
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The perfect way to prepare for bedtime...
Voiced by Andy Martin
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A 5 minute Meditation for Children with Anxiety or anyone that needs some kind words after a difficult time.
Voiced by Andy Martin
(https://www.facebook.com/AndyMartinau)
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A short and simple meditation for Mental Clarity.
Spoken by Andy Martin
(https://www.facebook.com/AndyMartinau)
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1 Hour of Empowering and Inspiring Yoga, Meditation, & Relaxation Music
(Music is Copyright free)
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12 minutes of Deep Sleeping Music.
(Music is copyright free)
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Take a few minutes to chill and relax in preparation for a sound sleep.
Horizon - Nomyn (Copyright free)
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Music to relax your mind for better sleep.
Music is copyright free.
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10 minutes of chilltime before bed to help the ease of sleep.
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A 3 minute sleep song by Scott Buckley (no copyright) to help you relax.
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Spoke to the the delightful and extremely talented Fiona O'loughlin on FiveAA. The internationally acclaimed comedian is known for her brilliant on stage performances but also for her battle with the booze. She speaks to me without reserve. There are many many lessons within this personal and sometimes uncomfortable interview.
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This high quality trial provides further evidence to shift us away from eccentric training for Patelar Tendinoapthy.
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My next guest on The Mental Health Show is Fang. Fang teaches the ancient art of a Tai Chi Here business is called "Meridian Connection", and I had the please of observing one of her classes recently. Fang spoke to me recently about how she came to be a Tai Chi teacher and the benefits the practice provides.
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I recently had the pleasure of speaking with Cate Howell who's a GP, therapist, educator and author. Her latest book A Changing Man is all about men's mental health. Cate wrote the book with her son and various teaching activities, Alex Barnard who's musician with a postgraduate degree in psychology.
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My guest this time around on The Mental Health Show is Stephen Coard. Stephen is a former homeless man. But now, not only does he have a place to live, he also greets Adelaide commuters with a sign which promotes SMILING. PLEASE ENJOY.
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My next guest on the Mental Health show is Jono Knowles who works at the Metropolitan Fire Service and is a member of the AUSTRALIAN Professional Firefighters Foundation. Jono is passionate about mental health and the wellness of his colleagues. And is involved in programs and plans to make sure that happens.
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Are you a little curious about you state of mind? Well Matthew Iasiello has been involved in a brand new online program, that is here top help. Matthew is a researcher at the Wellbeing and Resilience Centre, Lifelong Health, at SAHMRI in South Australia. And he's been behind the research and development of this powerful tool.
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For many suicide is a "no go zone" when it comes to a conversation. But this week on The Mental Heath Show that's all we focus on. My guest is Clint Adams He is founder of Blue Flame Projects and the author of "Lighting the blue flame". Clint opens up on thge stigma surrounding suicide and how we can start a dialogue that will save lives.
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This week on The Mental Health Show I speak with a mindset coach, about all things high achievement. Please enjoy Sasha Fedorovsky Mindset Coach
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I chat with Paula Dunn from No Limits Consulting. Paula helps young people believe in themselves and tells an extraordinary personal story that will leave you speechless.
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Wirreanda Secondary School has a new student. Her name is Iris and she has become an instant hit with the students and the teachers. Paul Sherman is the Senior Leader of the WAVE Program at Wirreanda Secondary School, and I had the pleasure of chatting to him about the schools new best friend.
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Self care during the COVID-19 crisis.
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Mental Health has been on the rise all over the world as a result of COVID-19. As a result, Mental Health Partners based in Adelaide Mark Aiston has been busy. Mark Aiston chats with MHP's CEO David Moran.
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In this episode of The Mental Health Show, Mark Aiston chats with Aaron Cartwright. Aaron teaches his clients how to overcome and control their mental health without medication or therapy. Please enjoy.
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Mental health in the workplace is critical and has become more of an issue during Covid. Graeme Cowen speeks is an author of best selling BACK FROM THE BRINK and owner of Factor C which a business that is committed to helping leaders build more caring, resilient and growth oriented teams. Graeme speaks to mark Aiston on The Mental Health Show.
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Imagine setting an extraordinary goal of climbing Mount Kilimanjaro, only to fall agonizingly short. How does one handle that sort of disappointment? How does one recover from that? Well, that's exactly what Susan Cottrell a Physiotherapist & Pilates Teacher talks about in her chat with The Mental Health host Mark Aiston.
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Like all of us at the moment Heidi Dening has been forced to adjust, change the way she does things. But it appears that it's a little easier for the public speaker and motivator. Heidi is particularly good at practicing resilience, because she teaches it around Australia to business. And she's good at it. But her personal resilience hasn't always been at a premium, as Mark Aiston found out when he spoke to her on The Mental Health Show.
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In this episode I talk about a relatively new trial investigating pressure massage versus eccentric exercise for Achilles tendinopathy in a randomised trial. I hope you enjoy!
Also, if you have some time on your hands during this time of isolation and need to catch up on CPD head on over to www.tendinoapthyrehab.com. I am offering my online Mastering Lower Limb Tendinopathy course for $295.
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Mark Aiston speaks with Deb Gleeson. Deb works as an instructor for Mental Health Partners. An organization that offers online mental health first aid to business all over Australia. If you would like to make an inquiry please check out their website www.mentalhealthpartners.com
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My next guest on the mental health show is James Harding. James is open an honest about his life which spiraled out of control. He tried every drug, he mixed with the worst of society and he finally decided to put an end to it all. But an extraordinary offering from a complete stranger changed his life forever. He is now fit healthy and a husband and father .. and he is the owner of hard cuddles, and organization that does so much for those in trouble and suffering drug addiction. Please be aware this is a raw interview and will shock.
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Do you need help to sleep? Do you need support to help with anxiety? Janine helps you overcome anxiety with ideas, contacts and an 'energy wipe' exercise.
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Hi All,
On this talking tendons episode, I dive into the very murky world of isometric exercise and their effect on tendon pain. A new study by Sinead Holden and team brings some (just a little) light to the evidence. I argue that isometrics are useful for managing tendinopathy, but using them for short term pain reduction is just the tip of the iceberg.
Also if you're wanting to earn some extra CPD before Christmas check out my two upcoming workshops in December in Sydney and Melbourne (bookings).
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Hi All,
In this episode of Talking Tendons I have an enjoyable chat with PhD student and Spanish physio, Igor Sancho. He has recently published a study that assessed the feasibility of using jumping and hopping as rehabilitation for people with Achilles tendinopathy. We discuss the study and how to apply these findings in clinic.
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A relaxation practice and also a healing meditation; smiling at the whole body.
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Music by Fesliyan Studios: • Tranquility (by David Renda) • Deep Meditation • Sad Winds Chapter 1 • Quiet Time • Tranquility (by David Renda) • Peace
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Music: 'Deep Meditation' by David Fesliyan
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http://www.janinebarelds.com/
Music: 'The Quiet Morning' by David Fesliyan
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http://www.janinebarelds.com/
Music: 'An Ambient Day' by David Fesliyan
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Music: 'The Quiet Morning' by David Fesliyan
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The biggest morning tea is an annual fundraiser for cancer research in Australia.
This year again I had the honour of guest speaker in Mount Gambier with some 350 people in the audience. Sorry for the background noise. The topic was SELFCARE & SELFCOMPASSION a much needed notion in our competitive world and after the self-esteem movement!
It was directed towards carers and supporters of people who are effected by cancer. It is considered a helpful ingredient in the field of empathic care for ourselves and others; also in preventing burnout.
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Isometric exercise for tendinopathy has exploded onto the scene over the last few years. Unfortunately, the certainty of evidence surrounding their use is far less certain and compelling than what we are told about them but some people. They may work, but the reality is we don't fully understand how and for whom. This episode delves into this uncertainty and provides lots of top tips for how to use isometrics and when they are useful. Enjoy!
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Despite our best intentions, not everyone with tendinopathy will respond to conservative treatments. Clinicians need alternative options like injection therapy. Injections such as steroid and platelet-rich plasma continue to be popular for tendinopathy, and there are other emerging injections such as the high-volume injection.
Injection TherapyIn Tendinopathy: Art & Science - 4th May 2019 MELBOURNE
booking via link below:
https://www.eventbrite.com.au/e/injection-therapy-in-tendinopathy-art-and-science-tickets-57953819434
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Understanding how tendon recovers from injury and adapts to load is so important and has huge implications on how we manage tendons and the education and advice that we provide patients. This podcast features a relatively new study providing insights into the collagen turnover in healthy tendons and those with tendinopathy, adding critical knowledge to what we know about tendon collagen adaptation over time.
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Janine Barelds reflecting on her experiences as a Psychotherapist in an interview with her daughter Salome Carter who is a Social Worker. Topics include:
Becoming a therapist
Philosophy of Psychosynthesis
Rewards and challenges
Avoiding burnout
Spirituality and it’s meaning
Preparing for a session
Audio editing by Jason Walker for The Auscast Network.
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In this week's podcast, I delve into the minefield that is isometric exercise. Is it the best thing since sliced bread? Does everyone respond? What are the key questions we need to understand?
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In this podcast we consider some new research exploring psychological factors and tendinopathy. There is emerging evidence that, as per other musculoskeletal conditions and as you would expect, they do play a role. I discuss which ones appear to be most strongly linked with tendinopathies.
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Hi all, this episode we focus on two recent randomised controlled trials evaluating education and exercise interventions for gluteal tendinopathy, One of them is the best RCT I have read in ages. Well worth a look at their methods, findings and exercise interventions. Hope you enjoy!
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This episode we focus on technology use in rehab. I'm inspired by the patient will see you now by Dr Eric Topol which I recently read so this weeks podcast covers 2 technology focused systematic reviews. The first is on the efficacy of exergames for treating musculoskeletal pain, and the second is on basically the use of accelerometers and other wearable sensors to monitor rehab exercises. An exciting area that is set to grow hugely and will be part of all of our practices soon.
References to include at the bottom of the podcast and blog:
O’Reilly M, Caulfield B, Ward T, Johnston W, Doherty C. Wearable Inertial Sensor Systems for Lower Limb Exercise Detection and Evaluation: A Systematic Review. Sports Medicine. 2018;1-26.
Collado‐Mateo D, Merellano‐Navarro E, Olivares PR, García‐Rubio J, Gusi N. Effect of exergames on musculoskeletal pain: A systematic review and meta‐analysis. Scandinavian journal of medicine & science in sports. 2018;28:760-771.
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Hi all
This week on Talking Tendons we discuss Non-uniform Achilles tendon strain and displacement and tackle the important questions…what is it? And should we care?
The paper is by Prof Finni from Finland supported by an international team. This is an exciting space that has already and will continue to improve our understanding of tendon function and ultimately our ability to prevent and manage these injuries.
Hope you enjoy.
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Join the tendinopathyrehab website for exclusive resources and blog posts, and access to the Mastering Lower Limb Tendinopathy course.
See you next time
Peter
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This episode I discuss a recent systematic review that concluded that PRP is more efficacious than control injections for tendinopathy, but the plot thickens when we scratch the surface a little.
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This psychosynthesis podcast explores the idea of self identification, resulting in an awareness and experience of the deeper, authentic self. This may evolve in feeling more confident. The acceptance exercise examines this powerful ingredient, in dealing with life. The golden heart meditation can help strengthen self confidence and gratitude.
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1) Understanding some models in Grief and Bereavement 2) In connecting and experiencing the power of the deeper, healing Self. 3) The Rose, a visualisation exercise.
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Removing the negative restricted and conditional ties with the help of a proven meditative process. Designed by the late Phillis Krystal and extensively used worldwide to promote an initiation into more liberated adult potential.
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Working with you, the whole person, in a positive, practical and caring way.
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See omnystudio.com/listener for privacy information.
Working with you, the whole person, in a positive, practical and caring way.
www.janinebarelds.com www.facebook.com/auscastnetwork
See omnystudio.com/listener for privacy information.
Working with you, the whole person, in a positive, practical and caring way.
www.janinebarelds.com www.facebook.com/auscastnetwork
See omnystudio.com/listener for privacy information.
Working with you, the whole person, in a positive, practical and caring way.
www.janinebarelds.com www.facebook.com/auscastnetwork
See omnystudio.com/listener for privacy information.
Working with you, the whole person, in a positive, practical and caring way.
www.janinebarelds.com www.facebook.com/auscastnetwork
See omnystudio.com/listener for privacy information.
Working with you, the whole person, in a positive, practical and caring way.
www.janinebarelds.com www.facebook.com/auscastnetwork
See omnystudio.com/listener for privacy information.