Melbourne Athletic Development Podcast: Recent Episodes
Melbourne Athletic Development
Summary
In this episode of the Melbourne Athletic Development Podcast, Sam Toll shares his experiences preparing for and running his first marathon at the Gold Coast Marathon. He discusses the challenges faced during training, including illness and travel fatigue, and the importance of altitude training. Sam emphasizes the significance of mental preparation, nutrition, hydration, and pacing strategies on race day. He reflects on the lessons learned from his marathon experience and expresses his determination to improve in future races.
Chapters
00:00 Preparing for the Marathon Journey
02:52 Experiencing the Gold Coast Marathon
05:59 Altitude Training Insights
09:02 Navigating Illness and Travel Fatigue
11:46 Race Day Decisions and Mental Preparation
15:07 Nutrition and Hydration Strategies
18:00 The Importance of Warm-Up
20:54 Pacing Strategies and Race Dynamics
23:59 Lessons Learned from the Marathon Experience
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode of the Melbourne Athletic Development Podcast, Avish Sharma discusses his journey as a physiologist in athletics, sharing insights from his experiences at the Olympic Games and World Championships. He delves into the complexities of heat management strategies for athletes, the importance of psychological factors in performance, and the dynamics of team support. Avish emphasizes the significance of training tolerance and how top athletes excel due to their ability to handle higher training loads. The conversation highlights the balance between scientific knowledge and interpersonal skills in enhancing athlete performance. This conversation delves into the complexities of athletic development, focusing on the interplay between genetic potential, training methodologies, and psychological resilience. The discussion highlights the importance of creative coaching, the role of belief systems in performance, and the recent successes of Australian distance runners, particularly among women. The speakers explore how resilience and adaptability in athletes can lead to greater success, while also addressing the dynamics of gender in athletics and the evolving landscape of training practices.
Chapters
00:00 Introduction and Background of Avish Sharma
02:50 Transition to Athletics and Team Dynamics
06:09 Heat Management Strategies in Athletics
08:54 Understanding Athlete Performance and Psychology
12:10 The Role of Team Structure and Support
14:50 Training Tolerance and Performance Factors
18:11 Observations from the Olympics and Future Directions
52:28 Understanding Athletic Potential and Limitations
55:31 The Role of Novel Training Stimuli
58:43 Creative Coaching and Athlete Development
01:01:33 Resilience in Athletes: Learning from Setbacks
01:04:59 The Influence of Belief Systems on Performance
01:12:11 The Renaissance of Distance Running in Australia
01:20:48 Gender Dynamics in Australian Athletics
01:25:42 Exploring the Future of Australian Athletics
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Jack and John discuss a recent paper on hamstring injury rates in professional European football over the past 20 seasons. They explore the factors contributing to the increasing injury rates and question the effectiveness of current injury prevention strategies. They highlight the multifactorial nature of hamstring injuries, including strength, flexibility, running biomechanics, and fatigue. The hosts also discuss the limitations of focusing solely on strength training, such as the Nordic hamstring curl, and emphasize the importance of considering other factors like flexibility and tissue strain. They also touch on the controversial topic of changes in muscle architecture with eccentric loading. The conversation explores the factors contributing to the increasing rates of hamstring injuries in European football. It emphasizes the importance of training stimulus that provides the necessary capacities for sporting tasks and gradual exposure to high-intensity sprinting. The conversation also highlights the impact of fatigue and the demanding schedule of football leagues on muscle tissue and injury risk. It discusses the role of biomechanics, metabolic conditioning, and the need for a comprehensive approach to injury prevention. The conversation concludes by addressing the limitations of current injury prevention strategies and the importance of collaboration between coaches, sports medicine staff, and players.
Chapters
00:00 Introduction and Apologies
04:03 Factors Contributing to Increasing Injury Rates
18:46 Limitations of Current Injury Prevention Strategies
25:02 The Multifactorial Nature of Hamstring Injuries
27:18 Importance of Athletes' Beliefs and Feelings
29:21 The Limitations of Maximal Eccentric Loading
32:51 Considering Factors Beyond Strength Training
36:22 Importance of training stimulus and gradual exposure to high-intensity sprinting
43:22 Role of biomechanics in hamstring injuries
50:41 Limitations of current injury prevention strategies
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dale Stevenson, former athlete and current Olympic Throws coach, discusses his transition from Olympic Shot Putter to rugby union and then to elite coaching. He emphasizes the importance of understanding the capacity and efficiency problems in sports, particularly in throws events. Dale also shares his perspective on success in coaching and the need for honesty, self-awareness, and a focus on the individual athlete. He discusses the balance between belief structures and the importance of protecting the team environment. Dale highlights the value of open and honest communication and the need to align with professionals who share the same values and beliefs. In this conversation, the hosts discuss the importance of effective communication and psychological development in coaching. They explore the challenges of finding the right psychologist to work with and the value of open and honest relationships with athletes. They also touch on the role of the coach as an agitator and the need for constant adaptation and experimentation in coaching. The conversation concludes with a discussion on the importance of curiosity, vulnerability, and intellectual growth in coaching.
Chapters
00:00 Introduction and Background
02:59 Transition from Athletics to Rugby Union
05:51 Understanding Capacity and Efficiency in Sports
15:04 Defining Success in Coaching
18:45 Protecting the Team Environment
32:04 The Importance of Open and Honest Communication
42:52 Managing Belief Structures and External Influences
49:13 Effective Communication and Psychological Development
51:03 Finding the Right Psychologist
53:05 The Role of the Coach as an Agitator
55:15 Adaptation and Experimentation in Coaching
01:30:14 The Value of Curiosity, Vulnerability, and Intellectual Growth
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr. Melinda Smith, a physiotherapist and lecturer at the University of Queensland, discusses her research on lower limb musculoskeletal function and health, with a particular focus on the foot and ankle. She explains that her interest in the foot and ankle developed during her honours degree and has continued since then. Dr. Smith highlights the importance of the intrinsic foot muscles and their relationship with the plantar fascia in foot function. She discusses the challenges of studying these muscles and the need for further research to understand their role in conditions like plantar heel pain. Dr. Smith also emphasizes the potential of technology and wearable devices in advancing research and data collection. In this conversation, Melinda Smith and Melbourne Athletic Development discuss the importance of foot muscles in foot function and injury prevention. They explore the role of intrinsic foot muscles in force production and proprioception. They also discuss the impact of footwear and orthoses on foot mechanics and muscle function. The conversation highlights the need for further research in this area and emphasizes the importance of training foot muscles to prepare for higher-level activities. The speakers also touch on the topics of time management, vulnerability, and personal development outside of professional work.
Chapters
00:00 Introduction and Background
05:23 Interest in Lower Limb Musculoskeletal Function
10:47 Advancements in Technology and Research Process
19:32 The Role of Intrinsic Foot Muscles in Foot Function
25:58 Observations and Assessments of Foot Strength
32:26 The Potential of Intrinsic Foot Muscles in Athletic Performance
35:31 The Importance of Intrinsic Foot Muscles
36:29 The Impact of Footwear and Orthoses
39:32 The Need for Further Research
41:51 Training Foot Muscles for Higher-Level Activities
47:45 Balancing Time Management and Personal Development
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Associate Professor Michelle Smith discusses her background and journey from Canada to Australia. She specializes in sports physiotherapy and focuses on lower limb musculoskeletal injuries. The conversation explores the differences between physiotherapy practices in Canada and Australia, as well as the biases and limitations in each country. The main focus of Michelle's research is chronic ankle instability and its continuum, including acute ankle injuries and ankle osteoarthritis. The discussion also touches on the definition and causes of chronic ankle instability, biomechanical deficits, and the role of proximal muscle strength. The conversation explores the topics of kinematics, assessment, and treatment of chronic ankle instability. It discusses the importance of balance, proprioception, and hip and knee strength in managing chronic ankle instability. The conversation also delves into the role of skill and specific sport-related activities in predicting match performance in soccer players. It emphasizes the need to progress beyond physiological measures and focus on skill-specific training to enhance performance. Additionally, the conversation touches on the relationship between ankle osteoarthritis and systemic factors, as well as the limitations in research comparing surgical and non-surgical treatments for chronic ankle instability.
Chapters
00:00 Introduction and Background
06:36 Interest in Lower Limb Injuries
07:39 Research Focus on Chronic Ankle Instability
13:15 Causes of Chronic Ankle Instability
19:13 Structural Damage and Chronic Ankle Instability
25:07 Biomechanical Deficits and Proximal Muscle Strength
28:20 Kinematic Changes in Chronic Ankle Instability
28:28 Understanding Kinematics and Mechanics
29:19 Assessment and Treatment of Chronic Ankle Instability
31:29 The Complexity of Balance and Dynamic Tasks
35:36 Exploring the Role of Foot and Ankle Muscles
46:15 Skill-Specific Training and Match Performance
53:19 Progressing Beyond Physiological Measures
56:46 Outdoor Activities and Nature Exploration
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr. Kathryn Mills, a physiotherapist and senior lecturer, discusses her research on joint pain and osteoarthritis. She emphasizes the importance of understanding the heterogeneity of these conditions and the need for individualized treatment approaches. Dr. Mills explores the role of gait deviations and neuromuscular patterns in osteoarthritis, highlighting the influence of pain on movement patterns. She also discusses the challenges of managing pain in osteoarthritis and the potential benefits of strength training and plyometrics. Overall, Dr. Mills emphasizes the importance of a multidisciplinary approach to managing osteoarthritis and improving pain outcomes. In this conversation, Kathryn Mills discusses various topics related to pain management, exercise behavior, and running. She emphasizes the importance of considering the patient's goals and preferences when developing a management plan. She also highlights the need to balance building strength and altering biomechanics in order to improve function. The conversation touches on the impact of knee crepitus on exercise behavior and the benefits of exercise frequency and intensity. The discussion also explores the role of barefoot running and the importance of transitioning gradually. Outside of her professional work, Kathryn enjoys running and playing the piano.
Chapters
00:00 Introduction and Background
03:18 Diverse Research Background
07:11 Interest in Osteoarthritis Research
10:20 Working Overseas and Research Differences
14:17 Gait Deviations in Osteoarthritis
19:07 Neuromuscular Patterns in Osteoarthritis
23:08 Implications for Strength Training and Plyometrics
25:19 EMG Analysis and Muscle Activation
26:09 Understanding the Impact of Pain on Muscle Activity
27:17 Balancing Strength and Biomechanics in Rehabilitation
30:41 Considering Patient Goals in Pain Management
34:17 Optimal Exercise Frequency and Intensity
41:23 Exploring the Role of Barefoot Running
44:12 Transitioning to Barefoot Running
52:14 Developing Sensory Skills for Manual Therapy
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr. Caterina Fede discusses the importance of fascia and its increasing recognition in the field of research. Fascia, once considered a white envelope for muscles, is now being studied for its microscopic aspects and its role in physiological and pathological situations. The number of publications on fascia has significantly increased in the last decade, indicating a growing interest in the topic. Aging has been found to affect the fascial tissue, leading to changes in collagen fibers, elastic fibers, and hyaluronan. The stiffness and thickness of the fascia increase with age, which may contribute to a loss of motor control and coordination in older individuals. The conversation explores the role of fascia in the musculoskeletal system and its connection to the internal organs. The guest, Caterina Fede, discusses her research on the fascial tissue and its implications for health and well-being. They delve into topics such as the communication between fascia and the musculoskeletal system, the importance of organ motility, the effects of stress on fascia, and the role of fascia in pain and inflammation. They also touch on the superficial fascia and its physiological role, as well as the relationship between diet, autonomic nervous system, and superficial fascia dysfunction.
Chapters
00:00 Introduction and Background
03:03 The Growing Interest in Fascia Research
06:48 The Impact of Aging on Fascial Tissue
10:00 Understanding the Microscopic Aspects of Fascia
18:01 The Role of Fascia in Motor Control and Coordination
25:07 The Characteristics of Visceral Fascia
34:56 The Relationship Between Visceral and Muscular Fascia
36:11 The Fascinating Connection Between Fascia and the Musculoskeletal System
37:34 Unraveling the Role of Fascia in Organ Motility and Function
40:59 The Impact of Stress on Fascia and its Implications for Health
50:57 Exploring the Physiology and Functions of the Superficial Fascia
56:35 The Influence of Diet and the Autonomic Nervous System on Superficial Fascia Dysfunction
01:05:32 The Importance of Integration and Personalized Care in Fascial Research
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode of the Melbourne Athletic Development Podcast John is joined by Brett Robinson, the director of Viking Athletics. They discuss athletic development, long-term planning, and the challenges of working with team sport athletes. Brett shares his approach to assessing and improving acceleration in field sport athletes, including the use of sleds and wickets. He also discusses the importance of microdosing training and the conservative approach taken by team sport performance staff. The conversation touches on the technical aspects of running and the differences between track athletes and field sport athletes. In this conversation, Brett Bartholomew discusses his coaching approach for sprinters, specifically focusing on AFL players and 400-meter runners. He emphasizes the importance of teaching proper running mechanics, including dorsiflexion control, and the need for athletes to develop a strong aerobic base. Brett also shares his coaching model, which is influenced by various coaches and emphasizes front mechanics and a neutral pelvis position. He discusses the challenges of coaching 400-meter runners and the importance of developing the ability to deal with discomfort and lactic acid. Brett also touches on the process of closing the gap between national and international representation and the need for athletes to maintain focus and avoid complacency.
Chapters
00:00 Introduction and Background
01:30 Understanding Athletic Development
03:06 Long-Term Planning and Project Management
08:23 Challenges of Working with Team Sport Athletes
14:12 Improving Acceleration in Field Sport Athletes
18:08 The Benefits of Microdosing Training
20:41 Technical Aspects of Running in Field Sports
27:10 Proper Running Mechanics for Sprinters
29:30 AFL Players vs. Track Athletes
39:41 Coaching Approach for 400-Meter Runners
45:39 Training Model for Ellie Beer
53:16 Closing the Gap: From National to International Representation
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr. Judd Kalkhoven discusses his research on understanding soft tissue injuries and developing a conceptual model for injury prevention. He emphasizes the importance of starting with a comprehensive theoretical framework to explain the phenomenon of injury and then testing the assumptions within that framework. He also highlights the limitations of using proxies, such as GPS data, to predict injuries and the need for more accurate measures of mechanical load and tissue strength. Dr. Kalkhoven explains the difference between prediction and intervention and the challenges of accurately predicting individual injury risk. He raises concerns about the cost of injury prevention strategies and the need for accurate data to justify restricting athletes' training. In this conversation, Judd Kalkhoven discusses the challenges of using prediction models in sports injury prevention and the limitations of current research in this field. He emphasizes the importance of understanding the performance of the models being used and the need for a philosophy of training load in the absence of accurate predictions. Kalkhoven also explores the conceptual exploration of hamstring muscle tendon function during sprinting and highlights the complexity of hamstring function and the limitations of exercises that claim to mimic it. He discusses the cultural problem of hyper-conservatism in injury prevention and the importance of individualized approaches.
Chapters
00:00 Introduction and Background
02:12 The Conceptual Model for Understanding Soft Tissue Injuries
08:05 Taking a Step Back: Philosophy and Approach to Injury
11:19 The Importance of Causal Models in Injury Research
17:26 Predictability of Injuries: Challenges and Possibilities
23:06 Causality vs. Prediction: Different Approaches for Different Problems
29:42 The Limitations of Prediction and the Cost of Injury Prevention
35:12 Evaluating the Performance of Prediction Models
36:19 The Philosophy of Training Load
46:33 The Complexity of Hamstring Function
52:48 The Limitations of Exercises
53:46 Balancing Hyper-Conservatism and Individualized Approaches
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Associate Professor Natalie Collins discusses her research on preventing and managing knee pain, specifically patellofemoral pain. She explores the persistence and progression of knee pain across the lifespan and the potential link between patellofemoral pain and patellofemoral osteoarthritis. She also discusses the challenges of subgrouping patellofemoral pain and the importance of considering the physical, psychological, and social factors that contribute to the condition. Additionally, she shares her research on the effects of foot orthoses on gluteal muscle activity and the role of footwear in optimizing movement patterns. The conversation explores the relationship between biomechanics, joint health, and osteoarthritis. It emphasizes the importance of mechanical load for joint health and the need to adequately load tissues, including cartilage, through exercise. The GLAD program, which originated in Denmark, is discussed as a structured exercise and education program for people with hip and knee osteoarthritis. The conversation also touches on the potential role of nutrition, such as collagen supplementation, in supporting exercise and joint remodeling. The importance of creativity and outdoor activities for overall well-being is highlighted.
Chapters
00:00 Introduction and Background
03:03 Persistence and Progression of Patellofemoral Pain
07:53 Subgrouping Challenges and Factors Influencing Patellofemoral Pain
13:27 Effects of Foot Orthoses on Gluteal Muscle Activity
33:21 The Relationship Between Biomechanics and Joint Health
35:08 The GLAD Program: A Structured Approach to Osteoarthritis Management
42:47 Exploring the Potential Role of Nutrition in Joint Remodeling
50:17 The Importance of Adequate Mechanical Load for Joint Health
56:22 The Value of Creativity and Outdoor Activities for Well-being
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode of the Melbourne Athletic Development Podcast, Professor Bill Vicenzino discusses the changes in physiotherapy and the emphasis on manual therapy. He also explores the concept of evidence-based practice and the challenges of applying research to clinical practice. The conversation then shifts to the topic of lateral elbow pain, its sub-classifications, and the variation in prognosis. The discussion touches on the importance of maintaining mechanical load, the role of central sensitization, and the differences between upper limb and lower limb tendinopathies. In this conversation, Bill Vicenzno discusses the nuances of treating tennis elbow and the role of manual therapy. He explains that manual therapy, specifically mobilization with movement (MWM), can be effective in relieving pain and improving function in tennis elbow patients. He also highlights the importance of understanding the duration of the condition and the patient's self-evaluation in determining the prognosis and treatment approach. Additionally, he discusses the potential role of manual therapy in other musculoskeletal conditions and the influence of connective tissue on muscle function. Bill also shares his future research plans, including studying the use of quantum physics in measuring muscles and exploring single-case study designs.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode of the Melbourne Athletic Development Podcast, Associate Professor Matt Bourne discusses his background in sport and exercise science and his research on hamstring strain injuries. He explains that while there has been an increase in the demands of running-based sports, injury rates have not necessarily decreased. One possible reason for this is the poor uptake and compliance with evidence-based injury prevention programs, such as eccentric conditioning. The conversation also explores the variations in hamstring injury management across the globe and the importance of being evidence-based in clinical practice. Matt highlights the benefits of eccentric training in mitigating hamstring injuries, including the structural changes it induces in the muscle and the aponeurosis. The discussion concludes with the potential role of the aponeurosis in injury risk and the need for further research in this area. The conversation explores the relationship between muscle architecture, biomechanics, and injury risk, specifically focusing on hamstring injuries. The guests discuss the effectiveness of different interventions, such as eccentric training and Nordic hamstring exercises, in reducing injury risk. They also delve into the debate around changing tissue capacity versus changing biomechanics to prevent injuries. The conversation highlights the importance of individualized approaches to injury prevention and the need for more research in dynamic muscle architecture and its impact on injury risk. The guests also emphasize the limitations of predicting injuries and the importance of tailoring interventions based on individual factors.
Chapters
00:00 Introduction and Background
02:47 Challenges in Reducing Hamstring Injury Rates
05:31 Variations in Hamstring Injury Management
09:59 The Importance of Evidence-Based Practice
12:27 The Benefits of Eccentric Training
33:09 The Effectiveness of Interventions for Hamstring Injury Prevention
35:08 The Debate: Changing Tissue Capacity vs. Changing Biomechanics
40:36 The Importance of Individualized Approaches to Injury Prevention
53:21 The Need for Research in Dynamic Muscle Architecture and Injury Risk
01:00:22 Challenges in Predicting Injuries and Tailoring Interventions
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
The conversation revolves around the topic of peaking in sports performance. The hosts discuss their experiences with athletes and competitions, emphasizing the role of external environmental factors in achieving peak performance. They question the traditional models of periodization and explore the concept of complex training systems. They highlight the importance of optimizing key performance indicators and adapting training based on individual needs. The conversation also touches on the psychology of performance and the challenges of predicting future outcomes. The conversation explores the importance of consistently performing at a high level in sports and the need to develop key modulators that influence performance. It emphasizes the need to measure and prioritize the important factors that contribute to performance, rather than focusing on irrelevant metrics. The discussion also touches on the role of psychological mindset. The conversation concludes with a discussion on training strategies, including gradually growing the capabilities of key features and the importance of context in designing training programs.
Chapters
00:00 Introduction and Discussion of Peaking in Sports Performance
03:01 Rethinking Peaking and the Role of External Factors
07:11 The Influence of External Factors on Performance
13:44 Junior Athletes and the Myth of Meticulous Peaking Strategies
25:48 The Challenges of Predicting and Planning for Performance
31:37 Consistency and Performance in Sports
36:58 Measuring and Prioritizing Key Modulators
41:34 The Role of Psychological Mindset
43:21 Training Strategies for Optimal Performance
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
n this episode Jack and Jack discusses the latest coursework Jack is undertaking at the Fascial Manipulation Institute in Italy. The latest area of study focuses on the integration of visceral fascia and the relationship between internal fascia, musculoskeletal system, and myofascial referral pain, highlighting the importance of understanding non-specific presentations of pain. The conversation delves into the anatomical and physiological connections between visceral and musculoskeletal systems, emphasizing the need for a comprehensive approach to identifying and addressing internal dysfunctions. The conversation delves into the significance of fascia in anatomical understanding, myofascial pain, and the role of manual therapy and exercise in addressing musculoskeletal issues. It also explores the evolutionary perspective on the development of densifications and the importance of developing tactile skills in clinical practice.
Chapters
00:00 Introduction to Fascia Visceral Integration and Coursework in Italy
01:54 Impact of Fascia Integration on Movement and Force Transmission
04:55 Understanding Myofascial Referral Pain
09:02 Anatomical and Physiological Connections Between Visceral and Musculoskeletal Systems
13:10 Comprehensive Approach to Identifying and Addressing Internal Dysfunctions
28:33 Addressing Myofascial Pain: A Paradigm Shift
32:24 Manual Therapy and Exercise in Musculoskeletal Care
43:42 The Evolution of Densifications: An Evolutionary Perspective
48:08 Tactile Skills in Clinical Practice: The Art of Touch
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode, Jack and John reflect on their podcast journey and discuss the key elements that make a conversation valuable. They emphasize the importance of curiosity, collaboration, and a willingness to be wrong. They also highlight the need for a generalist approach and the exploration of different perspectives. The hosts discuss the value of understanding the underlying mechanisms and the role of stress in adaptation. They also touch on the importance of focusing on outcomes rather than being attached to a specific process. In this conversation, the hosts reflect on the key takeaways and themes that have emerged from their discussions with various guests. They emphasize the importance of being open-minded and willing to learn from different perspectives. They discuss the value of understanding the underlying principles and mechanisms behind successful outcomes in coaching and healthcare. They also highlight the significance of individualized approaches and the need to consider factors beyond the average in research and practice. The hosts express their gratitude for the opportunity to learn from their guests and their commitment to continuous growth and evolution.
Chapters
00:00 Introduction and Reflection on Podcast Journey
02:54 The Value of Curiosity and Collaboration in Conversations
06:12 Exploring Mechanisms and Variables for Effective Interventions
09:07 The Role of Stress in Adaptation and Growth
11:57 Embracing Failure as an Opportunity for Growth
14:59 Focusing on Outcomes Rather Than Process
30:07 Understanding the Principles and Mechanisms of Success
31:35 Individualized Approaches and Beyond the Average
38:40 Embracing Curiosity and Continuous Growth
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr. John Srbely discusses myofascial pain and its relationship to nonspecific pain presentations. He explains that myofascial pain involves discomfort in the myofascial tissues and distinguishes it from musculoskeletal pain, which is more acute and involves a breach to the myotendinous unit. Dr. Srbely introduces the concept of neurogenic inflammation and the neurogenic hypothesis of myofascial pain, which suggests that persistent nociceptive bombardment of the dorsal horn leads to sensitization and the release of substance P and CGRP into peripheral tissues. He also discusses the relationship between spinal pathology, such as disc bulges, and neurogenic inflammation. Additionally, Dr. Srbely shares his research on the relationship between osteoarthritis and myofascial pain in the aging population. In this conversation, John Srbely discusses the neurogenic hypothesis of myofascial pain and the role of trigger points. He explains the difference between central and peripheral pain and how pain arising from axial tissues is different from pain arising from peripheral tissues. Srbely also discusses the assessment of peripheral changes and the importance of evaluating the quality of pain. He explores the relationship between densification and trigger points and the potential mechanisms behind trigger point treatment. Additionally, he highlights the comorbidities associated with myofascial pain and the need for standardized terminology and a mechanism-based paradigm.
Chapters
00:00 Introduction and Background
01:44 Understanding Myofascial Pain and Musculoskeletal Pain
04:22 The Role of Neurogenic Inflammation in Myofascial Pain
08:13 The Neurogenic Hypothesis of Myofascial Pain
12:17 The Relationship Between Spinal Pathology and Myofascial Pain
16:19 Identifying the Primary Pathology in Myofascial Pain
34:17 Understanding the Difference Between Central and Peripheral Pain
37:06 Assessing Peripheral Changes and the Importance of Pain Quality
45:26 The Relationship Between Densification and Trigger Points
51:01 Mechanisms Behind Trigger Point Treatment
55:15 Comorbidities Associated with Myofascial Pain
01:03:38 The Need for Standardized Terminology and a Mechanism-Based Paradigm
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode of the Melbourne Athletic Development Podcast, Tom Templeton discusses the changing landscape of strength and conditioning in sports. He emphasizes the importance of sticking to basic principles and not getting caught up in the hype of new trends. The conversation explores the integration of transfer exercises, the relationship between mechanics and tissue capacity, and the balance between developing physical capabilities and sport-specific skills. The guests also discuss the role of coordination in performance and the challenges of maintaining strength while incorporating other training modalities. In this conversation, the hosts discuss the importance of physical and neurological training in athletic development. They explore the concept of applying mechanical stress and utilizing the neurological system to overcome heavy activities. They also touch on the importance of timing and being physically prepared for competition. The conversation delves into the individualization of training and managing athletes' expectations. They discuss the balance between focusing on long-term goals, such as making the Olympics, and setting achievable short-term goals. The hosts also emphasize the importance of focus and the ability to adapt training based on individual needs and responses.
Chapters
00:00 Introduction and Background
02:03 The Changing Landscape of Strength and Conditioning
05:46 Using Objective Numbers to Achieve Goals
08:25 The Importance of Balancing Pillars of Performance
14:08 The Shift Towards Transfer Exercises
32:27 The Trade-Off Between Sport-Specific Training and Physical Attributes
35:00 Applying Mechanical Stress and Utilizing the Neurological System
37:29 The Importance of Timing and Physical Preparation
39:30 Dynamic Isometric Strength and Utilizing Kaiser
42:52 Individualization: Tailoring Training to Athletes' Needs
48:45 Managing Expectations: Balancing Long-Term and Short-Term Goals
52:58 The Role of Focus and Adaptability
56:50 Micro Speed, Macro Patience: Long-Term Process
01:02:44 Planned Overreaching for Improved Performance
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode, the hosts continue their discussion on creativity and artistic pursuit in relation to athletic development and rehabilitation. They explore the importance of psychology in performance and the role of clinicians in problem-solving. They also discuss the need for clear communication and managing expectations with patients. The hosts highlight the complexity of individuals and the importance of empathy and understanding in working with them. They touch on the challenges of uncertainty and the different ways people deal with confrontation. The episode concludes with a discussion on the impact of reading fiction on building empathy. The conversation explores the importance of understanding psychology and different perspectives in order to provide effective treatment and management plans. It emphasizes the value of creativity and the ability to adapt in the moment. The legal and insurance schemes in the healthcare industry are discussed as factors that limit creativity. The need for clinicians to develop softer skills and engage in conversations with people who have different viewpoints is highlighted. The conversation also touches on the benefits of engaging in the arts and pursuing skills outside of one's profession. The importance of thinking of alternative approaches and differential management plans is emphasized. The conversation concludes with a reminder to explore outside of one's own biases and engage with people who think differently.Chapters00:00 Exploring the Relationship Between Creativity and Athletic Development02:44 The Importance of Psychology and Communication in Performance04:32 Navigating Complexity and Managing Expectations10:07 Challenges of Uncertainty and Confrontation25:30 Understanding Psychology and Different Perspectives in Treatment33:00 The Impact of Legal and Insurance Schemes on Creativity38:21 The Benefits of Engaging in the Arts and Pursuing Skills Outside of One's Profession46:43 Thinking of Alternative Approaches and Differential Management Plans48:55 Exploring Outside of One's Own Biases and Engaging with Different PerspectivesMelbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr. David Woods is an actor, director and producer, but also a track coach and soon to be psychologist. In this episode he discusses the intersection of art, creativity, and psychology in this conversation. He shares his research on humor theory and the different aspects of comedy. The discussion also touches on the value of art in enhancing human experience, the challenges of coaching and pushing athletes psychologically, and the importance of long-term development. The conversation explores the importance of creating a training environment that focuses on general conditioning and developing athletes' personalities to make them robust and resilient. The host and guest discuss the benefits of this approach, including building a strong community and developing social capital. They also touch on the idea of pursuing personal development through physical pursuits and the role of creativity in coaching. The conversation delves into the concept of pushing individuals to their limits and the potential benefits and drawbacks of different coaching methodologies. They also discuss the importance of psychological development and resilience in high-performance sports.
Chapters
00:00 Introduction to Dr. David Woods
02:23 Exploring the Intersection of Art, Creativity, and Psychology
08:41 The Value of Art in Enhancing Human Experience
23:53 Accepting Setbacks and Failures for Growth
40:10 Long-Term Development and the Bigger Picture in Coaching
43:26 Building Community and Social Capital
46:09 The Role of Personal Development in Physical Pursuits
48:00 The Importance of Expressive Art and Coaching
53:44 Exploring Different Coaching Methodologies
01:03:40 The Significance of Psychological Development in High-Performance Sports
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode, Jack and John discuss the concept of neuropathic pain, specifically pain associated with nerve root compression. They explore the different types of neuropathic pain and the confusion surrounding its classification. They also discuss the role of peripheral tissue in generating and influencing pain, as well as the potential for central sensitization. The hosts propose the idea of classifying neuropathic pain based on the affected tissue and suggest that addressing peripheral tissue may have an impact on centrally driven pain. They emphasize the need for further research and understanding in this area.00:00
Introduction and Exploration of Neuropathic Pain
09:05
The Limitations of Pain Classification
23:39
The Need for Further Research in Neuropathic Pain
In this episode of the Melbourne Athletic Development Podcast, we are joined by Professor Louise Burke, a leading sports dietitian and the chair of sports nutrition at the Mary McKillop Institute for Health Research. Louise discusses her work with athletes to academia and the importance of research embedded training camps. We discuss her findings from numerous studies on the ketogenic diet and its impact on performance. Despite the popularity of the keto diet, Professor Burke's research shows that it impairs performance due to the reduced ability to use carbohydrates as a fuel source at high intensities. The conversation explores the balance between health and performance in athletes, particularly in relation to diet and weight management. Louise Burke discusses the challenges of finding the right balance and the potential long-term health implications of high carbohydrate diets in endurance athletes. She emphasizes the importance of the quality of the diet and the need to choose nutrient-rich, whole foods while allowing for some ultra-processed foods in moderation. The conversation also touches on the complexities of weight cuts in combat sports and the impact on athletes' lives and careers.
Chapters
00:00 Introduction and Background
11:20 The Impact of the Ketogenic Diet on Performance
32:52 Individual Responses to the Ketogenic Diet
44:20 The Impact of Keto Diet on Performance
53:37 The Importance of Diet Quality
01:04:25 Prioritizing Health in Athletes
01:15:07 The Association Between Nutrition and Injury Development
01:24:53 Comparing the Outcomes of Energy Restriction
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
In this episode, the hosts explore the concept of applying progressive stress to improve performance. They discuss the idea that without continually challenging the body and mind, performance will stagnate or decline. They draw parallels between this concept and the aging process, suggesting that aging may be a result of not providing enough progressive stress to maintain cellular function. They also question whether there is a known ceiling to performance or if it is simply a matter of not searching for it. The hosts emphasize the importance of understanding complex systems and the need for continuous improvement. The conversation explores the concept of reaching physical limits and the importance of pushing beyond comfort zones to achieve growth and improvement. The conversation also delves into the psychological mindset required for reaching one's potential and the balance between pushing for progress and avoiding excessive fatigue. The importance of monitoring and adapting training based on performance and feedback is emphasized. The conversation concludes with a discussion on the difficulty of achieving high-level performance and the need to accept the risks and discomfort associated with pursuing improbable goals.
Chapters
00:00 Introduction and Context
02:44 The Importance of Applying Progressive Stress
06:08 Exploring the Connection Between Progressive Stress and Aging
13:46 Is There a Known Ceiling to Performance?
21:24 The Role of Energy in Maintaining Order
25:01 Unlimited Capacity for Improvement in Biological Systems
26:13 Reaching Physical Limits
29:39 Challenging Perceived Limitations
31:05 The Psychological Mindset for Growth
36:26 Monitoring Performance and Seeking Acute Failure
44:59 Understanding the Limitations of Programming
47:05 Accepting Risks and Discomfort
49:26 Physically Seeing What is Possible
51:05 Progressive Stress Application and Exposure
52:35 Exploring Unformed Ideas
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr. Suzanna Russell discusses mental fatigue and its impact on human performance. Mental fatigue is defined as a psychobiological state induced by prolonged demanding cognitive activity. It can be measured subjectively, behaviorally, and neurophysiologically. The research shows that mental fatigue can negatively impact endurance-based performance and technical and tactical aspects of performance. Individual differences in susceptibility to mental fatigue exist, and factors such as occupational demand and fitness level can influence how individuals experience and tolerate mental fatigue. Exposing athletes to stressful stimuli and helping them develop comfort with uncertainty can enhance their ability to cope with mental fatigue. The conversation explores the relationship between mental fatigue and performance, as well as strategies to mitigate mental fatigue and promote recovery. The guests discuss the impact of informing athletes about mentally fatiguing tasks and the role of perception in fatigue. They also touch on the concept of flow state and its relationship to mental fatigue. The conversation highlights the importance of considering both subjective and objective measures of fatigue and the need for a holistic approach to understanding and managing fatigue. The guests also discuss the role of sleep and other recovery strategies in mitigating mental fatigue.
Chapters
00:00 Introduction and Background
02:21 Defining Mental Fatigue
04:13 Indicators and Measurement of Mental Fatigue
06:21 Impact of Mental Fatigue on Performance
11:18 Relationship Between Mental Fatigue and Central Nervous System Fatigue
13:35 Factors Influencing Susceptibility to Mental Fatigue
26:49 Informing Athletes about Mentally Fatiguing Tasks
29:45 Exploring the Relationship Between Mental Fatigue and Flow State
34:49 The Importance of Subjective and Objective Measures of Fatigue
36:37 Taking a Holistic Approach to Understanding and Managing Fatigue
45:13 The Role of Sleep and Recovery Strategies in Mitigating Mental Fatigue
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr. Manuela Abusomi discusses the use of electromyography (EMG) in measuring muscle activity and its limitations. She explains that EMG measures the electrical activity of muscles and can provide information about muscle firing, patterns of activity, and synergies. However, it cannot directly measure force or physical properties of tissues. Dr. Besomi also emphasizes the importance of proper experimental design and interpretation of EMG data to avoid misleading results and flawed clinical recommendations. She discusses the complexity of the neuromuscular system, including factors such as muscle morphology, fascia, and 3D movement, and highlights the need for a holistic approach to rehabilitation and performance training. Additionally, she explores the concept of muscle activation and its limitations, as well as the influence of knee and ankle joint positioning on the stiffness of the Achilles tendon and soleus muscle. The conversation covers topics such as the importance of considering the demands of the task in rehabilitation, the role of variability in training, the relationship between sleep and recovery, and the psychological factors that contribute to injury and performance. The study discussed focuses on the impact of poor sleep on the transition from acute to chronic pain and the potential of exercise to mitigate this effect. The conversation also touches on the need for a holistic approach to back pain and the importance of studying individuals who are injury-resistant.
Chapters
00:00 Introduction and Background
02:48 Understanding Electromyography (EMG)
07:49 Importance of Experimental Design and Interpretation in EMG Studies
09:22 Complexity of the Neuromuscular System and Holistic Approach
26:19 Influence of Joint Positioning on Tissue Stiffness
29:07 Considering the Demands of the Task in Rehabilitation
35:49 The Role of Variability in Training
43:18 The Relationship Between Sleep and Recovery
48:20 The Impact of Psychological Factors on Injury and Performance
53:19 A Holistic Approach to Back Pain
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
Dr. Sarah O'Reilly Harbage, an orthopedic surgeon specializing in complex arthroplasty and limb salvage, discusses the challenges and rewards of her unique field. She explains the historical background of surgeon titles and the transition from Mr./Ms. to Doctor. Dr. Harbage emphasizes the importance of principles in surgical approaches and the need for different skillsets in healthcare. She shares her personal evolution as a doctor and the balance between personal and professional life. Dr. Harbage also highlights the value of embracing uncertainty and problem-solving in healthcare. In this conversation, Dr. Sarah Hare discusses various aspects of orthopedic surgery, including the journey to success, rehabilitation and surgical techniques, gender differences in surgeons, the physical demands of orthopedics, technical aspects of complex surgeries, quantifying stress and cognitive load, and advancements in regenerative medicine. Dr. Hare emphasizes the importance of understanding the patient's goals and providing the best possible outcome. She also highlights the need for research and evidence-based practices in the field of orthopedics.
Chapters
00:00 Introduction and Background
01:11 Historical Background of Surgeon Titles
03:43 Specialization in Complex Arthroplasty and Limb Salvage
05:25 Choosing a Career in Complex Surgeries
06:21 Enjoying Challenges and Deep Dives into Complex Cases
07:32 Balancing Routine Surgeries and Complex Cases
08:23 The Importance of Principles in Surgical Approaches
09:08 Different Approaches in Orthopedic Surgeries
10:40 Appreciating Different Skillsets in Healthcare
11:39 Embracing Uncertainty and Problem-Solving
13:55 Learning and Evolving in Complex Surgeries
15:30 Creating a Supportive Team Environment
19:14 The Value of Uncertainty in Healthcare
20:04 Balancing Personal and Professional Life
23:10 Navigating Psychosocial Aspects of Surgery
24:34 Personal Evolution and Finding Balance
28:48 Embracing Uncertainty in Healthcare
30:38 Navigating Legalities and Uncertainties in Surgery
32:19 Preparing for Uncertain Situations
33:20 The Journey to Success
34:23 Rehabilitation and Surgical Techniques
36:31 Gender Differences in Surgeons
38:15 Physical Demands of Orthopedics
44:48 Technical Aspects of Complex Surgeries
48:44 Quantifying Stress and Cognitive Load
54:18 Advancements in Regenerative Medicine
59:44 Exploring Physiology and Stress Response
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
In this episode, Dr. Philip Bellinger discusses his research on muscle fiber typology and its implications for performance and training. He explains the limitations to performance and the physiological factors that influence it. Dr. Bellinger also explores the role of periodization and training approaches in optimizing performance. He introduces a non-invasive method for quantifying muscle fiber typology and discusses its practical applications. Additionally, he examines the correlation between muscle fiber typology and performance, as well as the effects of beta-alanine and dietary factors. Dr. Bellinger concludes by discussing the role of genetics in sports selection. The conversation explores the relationship between muscle typology and sports performance, gender differences in muscle typology, neural typing, the influence of muscle typology on injury risk, structural differences in muscle fibers, training approaches based on muscle typology, making muscle typology assessment accessible, coaches' observations and training adaptations, profiling young athletes, individualizing resistance training based on muscle typology, and the guest's personal interest in music production.
Chapters
00:00 Introduction and Background
01:07 Research Questions and Practical Applications
03:30 Physiological Limitations
05:06 Periodization and Training Approaches
07:08 Non-Invasive Muscle Fiber Typology
10:15 Quantification Method and Z-Score Deviation
12:12 Factors Affecting Muscle Fiber Typology
13:32 Correlation with Performance and Training Response
23:42 Longitudinal Changes in Carnosine Content
26:19 Muscle Fiber Spectrum and Training Specialization
28:02 Genetics and Sports Selection
28:20 Muscle Typology and Sports Performance
30:06 Muscle Typology and Gender Differences
31:28 Neural Typing and Performance
33:35 Muscle Typology and Injury Risk
36:07 Structural Differences in Muscle Fibers
38:17 Training Approaches Based on Muscle Typology
40:31 Making Muscle Typology Assessment Accessible
47:49 Coaches' Observations and Training Adaptations
51:09 Profiling Young Athletes
53:45 Individualizing Resistance Training Based on Muscle Typology
56:15 Personal Interest in Music Production
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
In this episode of the Melbourne Athletic Development Podcast, Dr. Tim Gabbett discusses his background as a sports scientist and his work with elite and professional athletes. He explains the development of the acute to chronic workload ratio research and its practical application in training and injury prevention. Dr. Gabbett emphasizes the importance of a research-practice cycle and the limitations of relying solely on research in evidence-based practice. He also discusses the role of planning and programming in injury prevention, individual profiling, and the differentiation of load changes based on intensity. Additionally, he explains the value of incorporating recovery periods in training programs. In this conversation, Tim Gabbett discusses the importance of training and recovery in athletic performance. He explains that training should be slightly harder than competition to ensure athletes are adequately prepared. Gabbett emphasizes the role of recovery in adaptation and highlights the need for a balance between training and recovery. He also explores the concept of capacity and adaptation, noting that an athlete's ability to handle high-intensity training can be developed over time. Gabbett discusses the challenges of improving capacity during the season and the importance of maintaining performance through maintenance doses of training. He also shares insights into the role of coaching and creating a positive environment for athletes.
Takeaways
The acute to chronic workload ratio research provides practical insights into training and injury prevention.
Research should be driven by the questions and needs of practitioners, and the best practice involves a combination of research, clinical experience, and athlete values.
Planning and programming are crucial in managing load and preventing injuries.
Individual profiling and considering moderators of load-injury relationships are important in managing athletes on an individual basis.
Differentiating load changes based on intensity and incorporating recovery periods are essential for optimizing performance and reducing injury risk. Training should be slightly harder than competition to ensure athletes are adequately prepared.
Recovery is essential for adaptation and should be given equal importance as training.
Capacity and adaptation differ by tissue and system, and training plans should consider these differences.
Improving an athlete's capacity to handle high-intensity training is possible but depends on various factors.
Creating a positive and supportive environment is crucial for athlete performance and well-being.
Chapters
00:00 Introduction and Background
01:20 Development of Acute to Chronic Workload Ratios
09:22 Criticism of the Acute to Chronic Workload Ratio Research
15:16 The Limitations of Research in Evidence-Based Practice
23:35 Individual Profiling and Load Management
28:49 Differentiating Load Changes Based on Intensity
31:11 The Importance of Recovery Periods
36:01 Capacity and Adaptation
42:07 Expanding the Ceiling
46:40 Competition Specific Volume
50:54 Improving Capacity During the Season
51:28 Coaching and Performance
54:33 Creating a Positive Environment
57:17 Influencing Performance Environment
01:00:53 Load Response and Tissue/System Optimization
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
In this episode, Sam Toll discusses the causes of running injuries, the importance of managing training volume, and the individualization of training for different types of distance runners. He emphasizes the consideration of muscle fiber typology and the need to adapt training to an athlete's specific profile. Sam also highlights the variation in training volume for similar performances and the importance of determining the appropriate training stress before an event. He discusses the negative impact of social media on training and the obsession with round numbers in distance running. Finally, Sam addresses the pitfalls of incorrectly executing threshold sessions and the influence of training partners on training intensity. The conversation explores the relationship between training volume, tissue integrity, and injury risk in distance running. It discusses the degradation and turnover of tissues, such as bone and tendons, and the importance of balancing stress and recovery to optimize tissue adaptation. The role of factors like biomechanics, nutrition, and recovery mechanisms in supporting tissue health is also examined. The conversation emphasizes the need for a nuanced approach to running recommendations, considering individual differences in tissue capacity and biomechanics. It highlights the importance of optimizing tissue strength and integrity to prevent overuse injuries.
Chapters
00:00 Introduction and Background
00:59 Causes of Running Injuries
03:01 Individualization of Training
04:04 Different Types of Distance Runners
06:10 Consideration of Muscle Fiber Typology
07:10 Training Approach for Different Types of Distance Runners
08:53 Variation in Training Volume for Similar Performances
09:38 Determining Training Volume for Specific Goals
10:57 Importance of Individualized Training
11:55 The Role of Long Runs in Training
13:36 Determining Training Stress Before an Event
14:29 The Risks of Prolonged Long Runs
15:17 Different Approaches to Training Stress in Sprinting and Distance Running
16:11 The Importance of Overall Training Volume
19:31 The Obsession with Round Numbers in Distance Running
20:00 Training Load Errors in Recreational Runners
21:21 The Pitfalls of Incorrectly Executing Threshold Sessions
22:31 The Influence of Training Partners on Training Intensity
24:01 Understanding Threshold Sessions and Injury Risk
25:24 The Risk of Overuse Injuries in Distance Running
26:27 Tissue Degradation and Turnover
27:35 Metabolic Stress and Tissue Adaptation
29:30 Training Volume and Tissue Integrity
30:00 Maximizing Tissue Strength and Integrity
31:48 Factors Influencing Injury
33:08 Catabolic Stress in Distance Running
35:14 Preventing Overuse Injuries
36:24 Recovery and Other Factors
37:40 Psychological and Emotional Stresses
38:32 Biomechanics and Injury Development
40:48 Repetitive Load in Distance Running
43:17 Optimal Foot Strike and Surface Area
45:56 Nuanced Approach to Cadence
49:31 Lack of Nuance in Running Recommendations
50:52 Balance Between Biomechanics and Tissue Capacity
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
Dr. Chris Gaviglio discusses his background in strength and conditioning and his introduction to blood flow restriction (BFR) training. He explains the physiological mechanisms of BFR, including metabolic stress, anabolic hormones, intramuscular signaling, and muscle fiber recruitment. Dr. Gaviglio also explores the hormonal effects of BFR and its application in high-performance training. He emphasizes the importance of individualization and gradual progression when implementing BFR and highlights the potential benefits for warm-ups and injury rehabilitation. In this conversation, Chris Gaviglio discusses the benefits and applications of blood flow restriction (BFR) training. He explains how BFR can improve warm-up efficiency, enhance hormonal responses, and allow for high-load training with reduced joint stress. Chris also shares his protocols for using BFR in injury rehabilitation, including low-intensity upper body exercises and passive work. Additionally, he explores the potential of BFR for tendon and joint adaptations. Finally, Chris discusses his interest in exploring the alkalinity of the body and its impact on performance.
Takeaways
Blood flow restriction (BFR) training involves partially restricting blood flow to the muscles during exercise, leading to metabolic stress and activation of various physiological mechanisms.
BFR can increase muscle hypertrophy and strength by increasing metabolic stress, activating anabolic hormones, and stimulating intramuscular and intracellular signaling pathways.
BFR can be utilized in high-performance training to enhance warm-ups, improve joint and tendon pain, and facilitate recovery from injuries.
Individualization and gradual progression are crucial when implementing BFR, and considerations such as cuff width, pressure, and exercise selection should be taken into account.
BFR can be a valuable tool in the toolbox for athletes and coaches, but it should not replace traditional resistance training methods. Blood flow restriction (BFR) training can improve warm-up efficiency and enhance hormonal responses, leading to more efficient and effective movements.
BFR can be used in injury rehabilitation to maximize pathway activations and promote faster recovery.
BFR may have potential benefits for tendon and joint adaptations, reducing pain and increasing tolerance to high-intensity workloads.
Exploring the alkalinity of the body through alkaline-rich foods and alkaline water may have implications for performance and recovery.
Chapters
00:00 Introduction and Background
06:28 Introduction to Blood Flow Restriction (BFR)
13:32 Physiological Mechanisms of BFR
20:41 Hypertrophy and Fast Twitch Fiber Recruitment
23:25 Hormonal Effects of BFR
27:45 Utilizing BFR in High Performance
37:25 Considerations for Implementing BFR
47:17 Benefits of Blood Flow Restriction Training
49:32 Passive Use of Blood Flow Restriction
52:05 Using Blood Flow Restriction in Injury Rehabilitation
57:55 Blood Flow Restriction for Tendon and Joint Adaptations
59:44 Exploring Alkalinity of the Body for Performance
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
Professor Kevin Miller discusses the pathophysiology and treatment of muscle cramping. He debunks the commonly held belief that dehydration and electrolyte imbalance are the primary causes of cramping. Instead, he proposes a multifactorial theory that takes into account factors such as fatigue, pain, genetics, and psychological stress. Stretching is an effective treatment for cramps, but it does not prevent them. Identifying an individual's cramp recipe and targeting specific factors can help prevent cramping. Acute management of cramping involves stretching and addressing potential nutrient deficiencies. In this conversation, Kevin Miller discusses strategies to manage cramps during a game, the effectiveness of quinine and other remedies, and the pickle juice phenomenon. He explains how pickle juice can interrupt the pain-cramp cycle and shorten cramp duration. However, he cautions against drinking excessive amounts of pickle juice due to potential digestive problems. Miller also shares his personal experience with pickle juice as a preventative measure for cramps.
Takeaways
Dehydration and electrolyte imbalance are not the primary causes of muscle cramping.
Muscle cramping is a complex condition with multiple contributing factors.
Stretching is an effective treatment for muscle cramps, but it does not prevent them.
Identifying an individual's cramp recipe can help prevent cramping.
Acute management of cramping involves stretching and addressing potential nutrient deficiencies. Strategies such as providing sugar rapidly absorbed into the bloodstream and allowing the central nervous system to rest and recover can help manage cramps during a game.
Quinine sulfate, the active ingredient in tonic water, is effective in relieving cramps but has serious side effects on the heart.
Pickle juice can interrupt the pain-cramp cycle and shorten cramp duration, possibly through an oropharyngeal reflex in the mouth.
Combining stretching with pickle juice or other remedies may have additive effects in relieving cramps.
Drinking excessive amounts of pickle juice can lead to digestive problems and dehydration.
The mechanism of pickle juice's effectiveness is still not fully understood, but vinegar, the active ingredient in pickle juice, may play a role.
Personal experiences with pickle juice vary, and it may not work for everyone as a preventative measure for cramps.
Chapters
00:00 Introduction and Background
01:11 Personal Experience with Muscle Cramping
03:22 Debunking the Dehydration and Electrolyte Imbalance Theory
08:06 Sweat Characteristics and Muscle Cramping
10:27 The Multifactorial Theory of Muscle Cramping
18:24 Pathophysiology of Muscle Cramping
21:46 Defining Muscle Cramping
22:13 Central and Peripheral Factors in Muscle Cramping
25:08 Stretching as a Treatment for Muscle Cramps
28:44 Factors Contributing to Muscle Cramping
31:12 Identifying Personal Cramp Recipe
35:24 Physical Parameters and Cramping
37:38 Psychological Factors and Cramping
42:24 Cramping and Musculoskeletal Injuries
45:28 Acute Management of Cramping
49:14 Strategies to Manage Cramps During a Game
50:25 Effectiveness of Quinine and Other Remedies
52:09 The Pickle Juice Phenomenon
55:25 Combining Stretching and Pickle Juice
57:47 The Dangers of Drinking Excessive Pickle Juice
58:46 The Mechanism of Pickle Juice
01:00:45 Personal Experience with Pickle Juice
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
This episode explores the evolution of professional practice and how clinicians' perspectives change over time. The conversation delves into the importance of identifying the signal from the noise and applying Occam's razor to simplify decision-making. The speakers discuss the need to transition from focusing on the what to understanding the why behind a patient's condition. They also emphasize the value of critiquing and evolving approaches, embracing diversity of thought, and moving from protocols to individualized approaches. The episode concludes with a discussion on considering psychological profiles and belief systems when communicating with patients. In this conversation, the hosts discuss various aspects of patient management and professional conduct in the field of athletic development. They explore topics such as managing expectations and uncertainty, using exercise as a form of mental health management, finding alternative exercise options, developing a professional approach, separating personal and professional conduct, referring patients to other practitioners, and the impact of different personalities on patient outcomes.
Takeaways
Professional practice evolves over time, with clinicians gaining a deeper understanding of the complexity of musculoskeletal problems.
It is important to identify the signal from the noise and apply Occam's razor to simplify decision-making.
Transitioning from focusing on the what to understanding the why behind a patient's condition is crucial for effective treatment.
Clinicians should continuously critique and evolve their approaches to ensure optimal outcomes for patients.
Embracing diversity of thought and considering psychological profiles and belief systems can enhance communication and treatment effectiveness. Communicate with patients about the probability of outcomes and manage their expectations accordingly.
Recognize that exercise can play a crucial role in mental health management for some individuals.
Explore alternative exercise options to accommodate patients' needs and preferences.
Adopt a professional approach in providing recommendations and advice to patients.
Learn to separate personal and professional conduct to maintain objectivity and professionalism.
Consider referring patients to other practitioners who may be better suited to their personality or treatment needs.
Chapters
00:00 Evolution of Professional Practice
03:09 Identifying the Signal from the Noise
05:24 Applying Occam's Razor
10:21 Understanding the Severity of the Pathology
13:31 Using Heuristics in Decision-Making
19:17 Transitioning from What to Why
21:56 Critiquing and Evolving Approaches
25:08 Embracing Diversity of Thought
28:31 Questioning the Effectiveness of Interventions
32:29 Moving from Protocols to Individualized Approaches
40:58 Considering Psychological Profiles and Belief Systems
44:37 Addressing Pushback and Direct Communication
45:44 Managing Expectations and Uncertainty
47:00 Exercise as Mental Health Management
47:55 Finding Alternative Exercise Options
48:25 Developing a Professional Approach
49:30 Separating Personal and Professional Conduct
50:49 Referring Patients to Other Practitioners
51:21 Different Personalities and Patient Outcomes
52:22 Closing Remarks
Summary
In this episode, Sam, a new graduated physiotherapist and distance runner, joins the Melbourne Athletic Development Podcast. He discusses his background and unique skills, including his experience with distance running and footwear. The conversation covers topics such as transitioning to marathon distance, training schedules for marathon runners, understanding training zones, challenges in marathon running, nutrition for marathon runners, and the importance of strength and conditioning. The episode also explores the lack of emphasis on strength training in distance running, the importance of long-term athlete development, and advancements in shoe technology. The conversation explores the evolution of running footwear, from traditional shoes to maximal and super shoes. It discusses the changes in shoe technology and the impact on running mechanics and performance. The conversation emphasizes the importance of using the right shoes for specific purposes and the potential risks of using super shoes for everyday running. It also highlights the multi-factorial nature of running injuries and the need to consider individual factors when selecting footwear.
Takeaways
Transitioning to marathon distance requires a shift in training focus and mental preparation.
Training for a marathon involves high mileage, with a majority of the training done at an easy pace.
Understanding training zones and maintaining the appropriate intensity is crucial for optimal performance.
Strength and conditioning play a significant role in supporting running performance and preventing injuries.
The development of athletes in Australia can be improved through the establishment of a clear pathway and supportive environments.
Chapters
00:00 Introduction
00:39 Background and Unique Skills
01:39 Running History and Focus
02:21 Transition to Marathon
03:00 Training for a Marathon
06:52 Understanding Training Zones
07:17 Training Schedule for 160KM per Week
08:59 Transitioning to Marathon Distance
09:25 Challenges of Marathon Running
10:16 Nutrition for Marathon Runners
11:06 Carbohydrate vs. Fat Intake
14:32 Intuition in Training Intensity
16:22 Understanding Training Zones
18:59 Different Challenges in Training
20:36 Threshold Training and Intervals
22:25 Training Volume and Elastic Properties
23:53 Developing Aerobic Capacity and Elastic Properties
26:25 Importance of Strength and Conditioning
28:29 Lack of Emphasis on Strength Training
30:12 Transitioning to Professional Training
32:18 Importance of Long-Term Athlete Development
34:16 Lack of Development Pathway in Australia
36:12 Importance of Supportive Environments
40:00 Importance of College Programs in the US
42:18 Challenges in Developing Athletes in Australia
44:33 Advancements in Shoe Technology
45:21 Traditional Running Footwear
46:08 Maximal Footwear
47:38 Effects of Softer Shoes
48:07 Implications for Running Mechanics
49:23 Super Shoes
52:11 Incorrect Use of Super Shoes
53:24 Recommendations for Shoe Usage
54:42 Minimalist Shoes
55:54 Multi-factorial Nature of Injuries
Summary
In this episode, Professor John Hawley discusses the influence of different universities on knowledge, the importance of broadening horizons, and the challenges of communicating ideas and knowledge. He also shares insights on resolving scientific disagreements and the polarizing views on the ketogenic diet. Additionally, he explores the benefits of time-restricted eating and discusses nutritional considerations for sprint athletes. The episode concludes with a discussion on the potential effects of time-restricted eating on recovery. In this conversation, John Hawley discusses the potential benefits of a low carbohydrate diet for training adaptation, particularly in rehabilitation. He also talks about how exercise nutrition recommendations have evolved over time, often validating what athletes have been doing in the field. The importance of collaboration between researchers and coaches is emphasized, as coaches' input is vital in designing effective training and nutrition interventions. Additionally, the significance of individualized nutrition and personalization in athletics and medicine is highlighted.
Takeaways
A low carbohydrate diet may have a place in rehabilitation and can amplify training adaptation in endurance-based activities.
Exercise nutrition recommendations often validate what athletes have been doing in the field.
Collaboration between researchers and coaches is crucial for designing effective training and nutrition interventions.
Individualized nutrition and personalization are important in optimizing athletic performance and can lead to advancements in personalized medicine.
Chapters
00:00 Introduction and Background
01:25 The Influence of Different Universities on Knowledge
03:42 The Importance of Broadening Horizons
05:11 Challenges of Communicating Ideas and Knowledge
07:24 Collaboration and Networking in Research
10:11 Resolving Scientific Disagreements
13:11 The Polarizing Views on the Ketogenic Diet
18:19 The Benefits of Time-Restricted Eating
25:00 Nutritional Considerations for Sprint Athletes
30:06 The Role of Nutrition in Speed-Power Events
35:00 The Use of Time-Restricted Eating in Athletes
37:24 The Potential Effects of Time-Restricted Eating on Recovery
38:37 Low carbohydrate diet for training adaptation
41:28 Evolution of exercise nutrition recommendations
43:48 Collaboration between researchers and coaches
46:36 Importance of individualized nutrition
48:44 Personalization in athletics and medicine
Summary
The conversation explores the concept of transfer of training and the evidence behind it. The hosts discuss the importance of specificity and caution against overgeneralizing the transfer of training. They highlight the need to consider individual athlete profiles and the minimum standards of performance in developing physical characteristics. The conversation also emphasizes the importance of general physical development in youth and the potential negative impact of over-specialization. The hosts discuss the sequence of implementing resistance training and the importance of long-term planning in athlete development. They also touch on the role of freeform play and the impact of screen time on physical development. The conversation concludes with a discussion on the transferability of training in complex sports environments and the importance of understanding the purpose of interventions. The conversation explores the relationship between stretching and performance improvement in sports. It is noted that while stretching may not directly correlate with improved performance, it provides a foundation for improving range of movement through resistance training. The next step in achieving transfer to the sport is creating constraints in the environment or task. The importance of analyzing the minimum standard and stage of development of the individual is emphasized. The conversation concludes by highlighting the need to fill in the physical characteristics and maintain general foundational features to enhance participation in the sport.
Takeaways
Consider individual athlete profiles and minimum standards of performance in developing physical characteristics.
Emphasize general physical development in youth and avoid over-specialization.
Sequence the implementation of resistance training and consider long-term planning in athlete development.
Promote freeform play and limit screen time to support overall physical development.
Understand the purpose of interventions and create constraints to enhance transferability in complex sports environments.
Chapters
00:00 Introduction and Questioning the Transfer of Training
03:10 Bondarchuk's Research on Transfer of Training
04:33 Minimum Standards of Performance
06:02 Starting Point for Athlete Development
07:28 Different Approaches to Athlete Development
09:14 Importance of General Development in Youth
10:37 Planning the Development Phases
13:22 The Importance of General Physical Development
14:44 Sequence of Implementing Resistance Training
16:40 Window of Adaptation and Diminishing Returns
18:22 Planning for Long-Term Development
19:20 Correlations and Individual Athlete Profiles
21:01 Specificity and Tissue Capacity
23:41 Developing Physical Characteristics
25:08 The Importance of Freeform Play
27:34 Transferability in Complex Sports Environments
32:01 Developing Underlying Physical Characteristics
37:04 Specificity and Transferability
40:48 Understanding the Purpose of Interventions
45:43 Transferability in Wicked Environments
47:20 Developing Underlying Physical Characteristics
48:39 Creating Constraints for Transferability
49:07 The Role of Stretching in Performance Improvement
50:01 Filling in the Gaps for Transfer of Skills
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
In this episode, Professor Gregory Haff discusses the concept of periodization and its effectiveness in training. He emphasizes the importance of practical coaching and real-world application in research. The conversation also delves into the debates surrounding periodization and the need to consider historical literature. The topic of rate of force development is explored, including different methods of measurement and their implications. The episode concludes with a discussion on the relationship between physical capacities and biomechanical outputs. In this conversation, Greg Haff discusses the relationship between physiology and biomechanics, emphasizing that physiology underpins biomechanics. He explains that strength is necessary for technical proficiency and that physical capacities must be developed to support technique. The conversation also explores the importance of fundamentals, humility, and the pursuit of mastery. Greg shares his interest in reading about successful individuals and leadership, as well as his passion for making pizza. He concludes by mentioning his upcoming book on periodization and the potential role of big data, data science, and AI in the field.
Takeaways
Periodization is a way of planning training that integrates and sequences training factors to guide athletes towards a target.
The debates on periodization often stem from a misunderstanding of the historical literature and a lack of real-world application.
Rate of force development is an important factor in athletic performance and can be measured using various methods.
Reliability and validity of measurement devices are crucial in accurately assessing physical capacities and biomechanical outputs.
The relationship between physical capacities and biomechanical outputs is complex and requires further research. Physiology underpins biomechanics, as the force generated by muscles is driven by physiological processes.
Strength is necessary for technical proficiency, and physical capacities must be developed to support technique.
Fundamentals and humility are important in coaching and training, as they provide a strong foundation for success.
The pursuit of mastery involves hard work, a growth mindset, and a focus on continuous improvement.
Leadership principles from the military can be applied to high-performance organizations and sports performance.
Greg Haff has a passion for reading about successful individuals, leadership, and making pizza.
Chapters
00:00 Introduction and Background
04:09 Understanding Periodization
08:22 Debates and Philosophies on Periodization
12:21 Rate of Force Development and its Importance
19:17 The Importance of Historical Literature
26:33 Different Methods of Measuring Rate of Force Development
35:44 Reliability and Validity of Measurement Devices
43:46 The Relationship Between Physical Capacities and Biomechanical Outputs
44:47 Physiology and Biomechanics
53:04 Technique and Physical Capacities
58:44 Exploring Mastery and Leadership
01:04:25 Importance of Fundamentals and Humility
01:05:44 Upcoming Book on Periodization
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
This conversation explores the different approaches to programming for speed training, particularly in sprinters. The hosts discuss the importance of categorizing sprinters based on their individual profiles, including muscle typology and training history. They emphasize the need to consider an athlete's strengths and weaknesses when designing a speed program. The conversation also delves into the relationship between training volume, intensity, and injury risk. The hosts highlight the importance of a principles-based approach to training and stress the need for individualization based on an athlete's profile. They also discuss the nuances of training in team sports and the importance of stress testing training for competition. The conversation explores the importance of individualized training programs and taking a first principles approach to athlete development.
Takeaways
- Categorizing sprinters based on their individual profiles is crucial for designing an effective speed training program.
- Consider an athlete's strengths and weaknesses when determining the appropriate training volume and intensity.
- Training volume and intensity should be individualized based on an athlete's profile to optimize performance and reduce injury risk.
- A principles-based approach to training, rather than a one-size-fits-all methodology, allows for greater customization and adaptation.
- Stress testing training through competition can help determine if an athlete is adequately prepared for the demands of their event. Coaches should tailor training programs to the specific needs and abilities of each athlete.
- A first principles approach involves understanding an athlete's profile and current training stress capability.
- Training programs should be designed to meet the athlete's competition requirements.
- Removing unnecessary elements from a training program can be beneficial.
Chapters
- 00:00 Introduction
- 00:38 Different Approaches to Sprint Performance
- 03:02 Categorizing Sprinters
- 05:25 Mechanical Load and Injury Risk
- 07:19 Considerations for Individual Profiles
- 08:18 Working on Strengths vs Weaknesses
- 10:11 Profiling Athletes
- 11:29 Different Profiles in Sprinters
- 12:57 Training Approaches for Different Profiles
- 16:33 Principles-Based Approach to Training
- 17:31 Long to Short vs Short to Long Training
- 18:49 Injury Risk and Training Methodology
- 19:16 Matching Training to Profile
- 20:40 Nuances in Sprinter Profiles
- 23:03 Profile Considerations in Team Sports
- 26:17 Profile and Injury Risk
- 27:48 Training Prescription and Profile
- 28:43 Developing Hardware in Low Training History Athletes
- 30:36 Optimizing Training Volume and Intensity
- 32:59 Stress Testing Training for Competition
- 35:44 Training Approaches in the Off-Season
- 41:06 Different Approaches for Flyer and Diesel Profiles
- 46:12 Importance of Specificity and Individualization
- 49:01 Individualized Training Programs
- 49:59 First Principles Approach
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
This conversation explores the topic of fiber type composition and its impact on sports performance and injury risk. The guest, Freek Van De Casteele, discusses his research on non-invasive methods to estimate fiber type composition and the limitations of invasive muscle biopsies. The conversation covers the accuracy and variability of fiber type composition, as well as the practical applications of this knowledge in talent identification and individualizing training programs. The cultural differences in training approaches and the effects of training volume on different fiber types are also discussed. The conversation concludes with a discussion on dietary patterns and their potential influence on fiber type composition. The conversation covers various topics related to exercise physiology and performance. The first chapter explores the effect of diet on adaptation and performance, particularly in relation to vegetarian and plant-based diets. The second chapter highlights an exciting research study that aims to investigate non-invasive techniques and muscle biopsies to understand muscle fiber composition. The third chapter delves into the analysis of muscle fiber typology and the assumption of using certain muscles as indicators of overall fiber profile. The fourth chapter discusses the guest's interests outside of work, including learning Spanish and participating in trail running. The fifth chapter touches on language skills and cultural differences, emphasizing the advantage of Europeans being multilingual. The final chapter expresses appreciation for the guest's insights and concludes the conversation.
Takeaways
- Diet plays a significant role in adaptation and performance, and individuals may respond differently to various dietary approaches.
- Non-invasive techniques and multiple muscle biopsies can provide a comprehensive understanding of muscle fiber composition.
- Certain muscles, such as the soleus and gastrocnemius, can be used as indicators of overall muscle fiber profile.
Chapters
00:00 Introduction and Research Background
01:33 Invasive vs Non-invasive Methods for Fiber Type Composition
04:22 Accuracy of Muscle Biopsy
05:47 Variation in Fiber Type Composition
06:44 Muscle Adaptability and Variability
08:06 Fiber Type Composition and Sports Performance
09:04 Limitations of Non-invasive Methods
11:04 Practical Applications of Fiber Type Composition
12:02 Talent Identification and Training Individualization
13:30 Factors Influencing Performance and Injury Risk
15:21 Individualizing Training and Injury Prevention
17:17 Effects of Training Volume on Different Fiber Types
19:34 Cultural Differences in Training Approaches
22:06 Rehabilitation Approaches and Cultural Influences
27:41 Correlation Between Fiber Type Composition and Injury Risk
31:26 Positional Differences in Fiber Type Composition
35:11 Fatigue and Fiber Type Composition
40:47 Future Research Directions
48:51 Dietary Patterns and Fiber Type Composition
51:41 Effects of Beta-Alanine and Creatine on Fiber Type Composition
52:10 Effect of Diet on Adaptation and Performance
54:09 Exciting Research Study
55:37 Muscle Fiber Typology and Analysis
56:37 Interests Outside of Work
57:35 Language Skills and Cultural Differences
58:04 Appreciation and Conclusion
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
In this episode, physiotherapist Chris Han discusses his research on the diagnosis and treatment of low back pain. He explains the challenges in diagnosing low back pain and the limitations of current clinical tests and imaging techniques. Chris also discusses the importance of language and communication in managing low back pain and shares his insights on applying research findings in clinical practice. He highlights the need for a more nuanced approach to diagnosing and treating low back pain, considering both intraarticular and extraarticular causes. Overall, the conversation emphasizes the complexity of low back pain and the importance of individualized care. The conversation explores the need for more research on specific interventions for low back pain. Currently, there is a lack of diagnostic research, which hinders the development of targeted treatments. The guest mentions a controversial trial on using antibiotics for low back pain in a subgroup of people with modic changes. While the trial had limitations, it sparked the idea of exploring more specific interventions. However, there is still limited research on basing treatments off specific pathologies. The conversation concludes with a discussion on the guest's personal interests in leadership skills and running.
Takeaways
- Diagnosing low back pain is challenging due to the lack of reliable clinical tests and imaging techniques.
- Language and communication play a crucial role in managing low back pain, and clinicians should acknowledge imaging findings while also considering the patient's clinical profile.
- Research findings should be applied in a nuanced manner, taking into account the specific characteristics of each patient and their condition.
- The term 'non-specific low back pain' is a triaging term rather than a diagnostic label, and further subcategorization is necessary to guide treatment.
- There is a need to explore extraarticular causes of low back pain and develop effective diagnostic and treatment approaches for these conditions. There is a need for more diagnostic research in order to develop specific interventions for low back pain.
- A controversial trial on using antibiotics for low back pain in a subgroup of people with modic changes raised the possibility of more specific interventions.
- Limited research exists on basing treatments off specific pathologies.
- The guest is interested in leadership skills and running outside of his professional work.
Chapters
- 00:00 Introduction and Background
- 01:22 PhD Research on Low Back Pain Diagnosis
- 05:13 Impact of Research Findings on Clinical Practice
- 07:13 Language and Communication with Patients
- 08:39 Prevalence of Spinal Pathology in Asymptomatic Individuals
- 12:05 The Complexity of Diagnosing Low Back Pain
- 19:00 Clinical Assessment for Diagnosing Low Back Pain
- 24:04 Applying Research in Clinical Settings
- 27:22 The Shift towards Evidence-Based Practice
- 31:30 The Usefulness of the Term 'Non-Specific Low Back Pain'
- 38:49 Diagnosing Extraarticular Causes of Low Back Pain
- 45:33 Research on Specific Interventions for Low Back Pain
- 48:38 Personal Interests and Curiosity
- 50:04 Conclusion and Appreciation
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Summary
Professor Robert Newton discusses the application of exercise as medicine in the management of cancer. He shares his motivation for focusing on exercise oncology after witnessing the decline in physical condition and functional capacity of his father during cancer treatment. Professor Newton emphasizes the importance of tailored exercise programs for cancer patients, taking into account their specific health issues and focusing on what is most likely to cause morbidity or mortality. He also highlights the need for greater integration of exercise medicine into the healthcare system and the potential benefits of exercise on mental health. Additionally, he discusses the paradox of mTOR and muscle mass and the role of dietary interventions in cancer management. In this conversation, Rob Newton discusses various dietary interventions for cancer patients, including the use of fasting mimicking diets and plant-based diets. He also highlights the importance of reducing inflammation in the body to suppress cancer growth. Additionally, Rob shares his personal interests and reading habits.
Chapters
00:00 Introduction and Background
01:24 Motivation for Exercise as Medicine
05:35 Applying Exercise to Oncological Populations
06:34 Changes in Response to Resistance Training with Age
09:54 Exercise's Influence on the Immune System
10:54 Exercise as Medicine
14:55 Translation of Exercise Medicine into Clinical Practice
19:09 Tailored Exercise Programs for Cancer Patients
23:13 Importance of Muscle Mass in Cancer Patients
25:05 Assessing Muscle Mass in Cancer Patients
27:34 Translation of Exercise Medicine into Healthcare System
32:56 Challenges in Addressing Chronic Disease in Healthcare System
38:28 Impact of Exercise on Mental Health
44:29 Paradox of mTOR and Muscle Mass
49:42 Dietary Interventions in Cancer Management
53:08 Dietary Interventions for Mesothelioma Patients
54:02 Fasting Mimicking Diet and Chemotherapy
54:53 Plant-Based Diets and Cancer
56:19 Combination Therapy for Prostate Cancer
57:13 Inflammation and Cancer
58:02 Personal Interests and Reading Habits
59:57 Connect with Rob Newton
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode Jack and John discuss training and exercise for healthy aging as well as performance training as you get older. This episode looks to explore the types and mechanism of exercise and the benefits received as we get older as well as addressing some considerations for those trying to stay competitive.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode we speak with Melbourne based Foot and Ankle surgeon Janan Chandrananth about injuries, surgical techniques and his experiences working across Japan, Australia, United Kingdom and the United States. This episode delves into the unique anatomy of the foot and ankle and some considerations for the types of injuries we see in this region. More info about Janan can be found at https://www.cogsurgery.com.au/
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode we speak with Physiotherapist Georgie Macdonald about her experiences working in women's sport (AFLW, Track) including discussions of how our understanding of health, injuries and sport interacts for females participating in physical activity and competitive sport.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode Jack and John discuss when imaging for injuries is indicated and when in fact it may be a hindrance. There is a significant amount of evidence demonstrating that imaging is not always correlated with pain, so we thought we would discuss when may be the appropriate time to seek out imaging following the development of pain.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Lateral Think - In this episode Jack and John discuss resistance training for youth athletes and young people in general. We often get asked whether resistance training is safe and we look to explore some of the evidence behind resistance training for youth and dispel some of the myths.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Lateral Think - In this episode we speak with Dr Aaron Balloch, the current head of Movement Science at the Victorian Institute of Sport. Aaron has worked as a biomechanics lead with both WAIS and the Fremantle Dockers. We discuss biomechanics, skill acquisition and the role that support staff play in the development of improved performance in elite settings.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Lateral Think - Professor David Behm is a researcher and lecturer in the School of Human Kinetics and Recreation at Memorial University in Canada. His extensive research history includes areas relating to human performance such as stretching, resistance training and the application of different modalities of training to induce performance improvements.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode Jack and John discuss the issues that surround maximising the development of youth athletes, their performance and reducing injuries.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr Shayne Vial is a biomechanist, researcher and lecturing currently based at Edith Cowan University in Perth, Australia. His research has explored sprint mechanics and the biomechanics of badminton. Shayne shares his extensive experience working as an applied biomechanist in his time at the Queensland Academy of sport
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Jake Cowin is a researcher and sports performance professional working in the field of movement variability and skill development. His current role at the Tasmanian Institute of Sport has him working with athletes across sports assisting coaches and athletes optimize their movement and performance.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Professor Carla Stecco is a trained Orthopaedic Surgeon and a lead researcher of Human Anatomy and Movement Sciences at the University of Padova. The family legacy of the Stecco family is rich in anatomical and fascial research for pain science, manual therapy and the understanding of functional anatomy.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode Jack and John discuss the concept of intellectual ego and how it can impair our ability to explore new information, develop as professionals and maintain our curiosity when we are exposed to unfamiliar information.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode we speak with Orthopaedic Surgeon Sina Babazadeh. With experience working across knee, hip and wrist surgery, Sina gives us insight into the knowledge acquisition of orthopaedic surgeons, his interest in consuming historical medical texts and where he sees musculoskeletal medical management progressing in the future.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Anthony Blazevich is a Professor of Biomechanics in the School of Medical and Health Sciences at Edith Cowan University in Perth, Australia. He is a world leading expert in biomechanics, muscle physiology and its integration into sports performance.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode Jack and John discuss evidence based practice and how clinicians understanding of its key pillars may influence the approach to healthcare.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr Alessandro Garofolini is a post doctorate researcher based at Victoria University with a focus on research in myofascial systems and their behaviour in relation to coordination of movement.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Assistant Professor Jacques Courseault is a sport medicine physician based at Tulane University School of Medicine. With clinical practice in sports medicine, Jack explores a recent publication from Assistant Professor Courseault exploring treatment for hypermobility syndromes and their relation to dietary micronutrient intake.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode we discuss the management of athletic populations during competitive seasons. We aim to explore how this varies from individual to team sports and look to identify which approaches may be helpful at different stages of athletic careers.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Following our discussion with Professor Sophia Nimphius we decided that it would be a good opportunity to discuss movement variability and how the definitions used in the paper she discussed by Cowin. This discussion dives into how you can use these definitions of movement variability in your prescription of rehabilitation and training.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Professor Sophia Nimphius is a pioneer in sports performance. Not only is she a world leading expert in multiple areas of research, she has has been determined to keep her hand in face to face coaching across her whole career. In this discussion we explore topics from program design to movement variability and communication in coaching. A truly great discussion for anyone in the sports performance, coaching and injury professions.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Massimo Acquaro is a fashion designer and business owner of Observe Gallery, Master of Architecture Student and a track athlete. And with all of this he is only 22 years of age. As our youngest guest we discuss creativity and the creative process, the youth perspective to learning and exploration and how to integrate creativity into healthcare.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode Jack and John discuss recent travel, the exposure to new environments and the value in traveling outside of your day to day environment and culture to get a greater understanding and appreciation for knowledge and learning in healthcare and performance.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Hunter Rubino is the High Performance Manager at Calder Cannons football club, physical preparation assistant at Carlton AFL Club and running shoe expert at UpThere Athletics. In this discussion we explore preparation of AFL footballers both in the development age groups and in adult populations as well as the advancement of technology of shoes.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr Julia Kirby is an orthopaedic surgeon who specialises in paediatric and knee surgery. In this discussion we explore the management of paediatric conditions and how this differs from a surgical perspective to that of adults and her approach to surgeries such as ACL.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this discussion Jack and John explore a complex presentation of hamstring tendinopathy that did not follow the conventional management despite following a process that would on the surface appear evidence led. We aim to dissect how to approach such cases when they do not respond how you may expect.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Assistant Professor Antonio Stecco is a world leading expert in myofascial research. Antonio and his family have been pioneers in understanding the role of fascia in the complex anatomy of the body and its contribution to pain and performance.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this discussion, Jack and John discuss experiences with managing healthcare cases that don't always go to plan. We explore how we have and continue to evolve our process to get the best outcomes we can for patients.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
What is the benefit of a student clinic in healthcare education?Dr Richard Newsham-West joins us from Latrobe School of Physiotherapy to discuss his latest undertaking, starting a student clinic.Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
How do we decide when shoulder surgery is appropriate? Dr Richard Pennington is a British and Australian trained Orthopaedic surgeon specialising in upper limb surgery. He shares his insights into shoulder surgery, surgical training and innovation in the profession.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Can visual training make you better at sport?Dr Luke Wilkins is a Sport and Exercise Science Researcher at La Trobe University. With researching spanning skill acquisition, visual training and mindsets in sport, this discussion covered his research and real world experience including his work at the New York Yankees.Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
How do you build metabolic capacity? Jeremy Weeks is an Exercise Physiologist working in community care for a regional hospital in Victoria, Australia. In this episode we discuss exercise considerations for training metabolic capacity for community level and and the elite. With extensive understanding of distance running Jeremy shares his training considerations for endurance athletes.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Can our psychology influence our physiology? In this discussion we discuss the mechanisms behind how this may be occurring.
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Dr Matt King is an injury research at La Trobe University. With extensive research in hip injuries Matt discusses where we currently stand and where we are going in the future of hip injury management.Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode we discuss how to assess, coach and teach alterations to running mechanics and some tips on how to implement these with the people you work with.Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Adjunct Professor Mark Mattson is a Neuroscientist based out of John's Hopkins University in Baltimore. His research spans from understanding Intermittent Fasting to Hormesis, Aging and much much more. See more of his work here https://g.co/kgs/WcWCPF
Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
In this episode we discuss the psychological skills that may be valuable for healthcare and sports performance professionals to assess and develop when working with patients and athletes alike.
This episode of Lateral Think is brought to you by Melbourne Athletic Development. Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Is surgery still the best option for Knee Anterior Cruciate Ligament Rupture? We discuss this along with other research from Dr Stephanie Filbay.
This episode of Lateral Think is brought to you by Melbourne Athletic Development. Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Lateral Think - In this episode we discuss the injury management of Upper vs Lower Limb Tendon Pain.
This episode of Lateral Think is brought to you by Melbourne Athletic Development. Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
As a leading researcher with Latrobe University School of Sport and Exercise Science, Dr Clarke discusses her extensive research across injury development, performance demands and the development of women's professional sport.
This episode of Lateral Think is brought to you by Melbourne Athletic Development. Melbourne Athletic Development is a sports and injury management clinic based in Melbourne, Australia. To maximise your performance or optimise your injury management contact the team at www.melbourneathleticdevelopment.com.au
Lateral Think - Dean Benton - What does elite sports performance training look like after decades of coaching experience in the realm of elite sport?
Learn more about Dean and his work at https://www.atletico.com.au/about-atletico-dean-benton/
Lateral Think - Coach vs Practitioner - Jack and John discuss what practitioners and coaches can learn from each other.
Lateral Think - Hugh Van Cuylenburg. How coming back to track and field at 38 can change your perspective on sport, competitiveness and ignite your passion to learn through difficult pursuits.
Check out the brilliant work that Hugh does through the Resilence Project - https://theresilienceproject.com.au/
What can the fascial network can tell us about pain presentations, biomechanics and tissue properties? MAD physiotherapist Jack Williams shares his experiences following a recent course conducted in Padova, Italy.
Lateral Think - Mark Stewart - What a career in economics education and research can tell us about coaching international pole vaulters.
Lateral Think - Case Study (Hamstring Injury Rehabilitation). In this episode we discuss a complex hamstring injury presentation that required input over an extended period and challenged our team to get a good result for this patient. We share what worked and what didn't in the aim of providing insight to the challenges that we often face when managing complexity.
Lateral Think - Running (Sprinting). In this episode we discuss running and specifically sprinting. We aim to take a deeper look at understanding acceleration and maximal velocity sprinting both for track and field and field sport athletes.
Lateral Think - Thomas Williams is a classically trained pianist who has taken his knowledge into music education. In this discussion we explore skill acquisition, defining practice and the difference between playing classic and jazz music. This discussion provides deeper insight into truly understanding a topic and how practitioners may look to expand their skills.
Lateral Think - In this episode we discuss the factors that go into and influence Exercise Selection for rehabilitation and performance. We explore transfer of training, understanding peripheral and central physiological drivers of exercise adaptations as well as understanding the biomechanical factors that affect exercise selection.
Lateral Think - Emeritus Professor Uwe Proske is researcher with an immense history in physiology, the study of human proprioception, injury development and areas of rehabilitation post injury. Based at Monash University, Uwe's passion, experience and curiosity is evident in this discussion covering many areas of human physiology.
Lateral Think - Associate Professor Adam Bryant is a leading researcher based at the Centre for Health and Exercise Sports Medicine at the University of Melbourne. With over 150 research papers across areas of biomechanics, injury and sports medicine Adam is a leader in diverse and creative research in the area of musculoskeletal health. In this discussion we explore areas related to ACL injury, the influence of hormone fluctuations and injury presentation and the use of broad thinking in developing a holistic approach to research and management of injury.
Lateral Think - Avish Sharma (PhD) is the current Victorian Institute of Sport Track and Field Performance Scientist (Physiology). His background includes posts at the AIS and with Triathlon Australian, where his research has centred on altitude training and performance optimisation. In this discussion we explore the attainment of performance, understanding the input of physiology and the complex nature of overall sports performance. This is a great discussion with anyone looking to understand how we can enhance the capability of the people we work with.
Lateral Think - Load Monitoring has become a huge area of sports performance and injury management. In this episode we explore what is useful and what may assist clinicians and coaches in making group or individual decisions with the aim of improving performance and reducing injuries.
Lateral Think - Justin Rinaldi is a world renowned middle distance track coach. Justin has guided 4 Australian males to run under 1 min 45 sec over 800m and has the three most recent 800m Australian record holders as his current or former athletes. Despite such an impressive coaching career, Justin has worked throughout his coaching life in a full time role working in management for a major Australian bank. We explore his philosophies on training, athlete management and coaching.
Lateral Think - In this episode Jack and John discuss Manual Therapy. The topic has become somewhat a talking point in the world of physical therapy, however upon diving deeper into the understanding of its effects, its application and the appropriateness of use to an individual case, we see that there are opportunities to explore its implementation to create the best outcomes for patients.
Lateral Think - Marco Keogh is a psychologist who specialises in addiction. Drawing on his experience working through group therapy, counseling and psychotherapy approaches Marco shares how understanding how psychological skills and relationships affect interactions with patients and the careful use of communication for the benefit of both patient and clinician.
Lateral Think - Jack and John discuss the use of experimentation in clinical practice. We explore the use of educated experimentation, known as 'safe to fail' experiments and highlight how this ties together concepts of complex systems theory and healthcare practice. This is deeper exploration on how to use a targeted and individual approach to injury management using information to constantly update your approach for best outcomes.
Lateral Think - Associate Professor Tania Pizzari is a clinical physiotherapist, researcher and successful physiotherapy clinic owner. Tania's research across a multitude of injuries makes her a world leading expert in more than one area of research. In this discussion we explore clinical practice, teaching and learning and the translation of research to practice. Tania is a true leader and clear thinker across many areas of practice, making this an episode not to be missed.
Jack and John discuss diagnosis in healthcare. Diagnosis is the cornerstone of many healthcare frameworks, however it is important to consider its effect on the patient, the prognosis and the outcomes that are achieved. In this discussion we explore what a diagnosis means and how you may use first principles to guide your management even in situations where a clear diagnosis is difficult to ascertain.
Lateral Think - Katrina Borg is the lead Nutritionist at Married to My Macros. Katrina uses her Masters of Science in Nutrition & Human Performance and a background as a competitive weightlifter to develop and optimise nutrition plans for athletes and the general populace. Her background as an athlete shines through in this discussion across topics from weight cutting for combat sports and weightlifting to optimising micronutrient intake for performance and injury management.
Lateral Think - David De La Harpe is an orthopedic surgeon specializing in spinal surgery. Prior to his specialising in spinal surgery David completed his training as a Chiropractor. In this discussion we explore his unique perspectives on spinal surgery, and how is background has altered his clinical care, in particular when to use spinal surgery and when it may not be the best option.
Lateral Think - Jack and John discuss the emerging evidence that is highlighting the use of nutrition for the optimisation of injury healing, health and performance. This discussion opens up the concept that the healing of connective tissue requires both mechanical loading and the nutrient environment to create effective adaptation.
Lateral Think - Prof. John O'Donnell is a Melbourne-based Orthopaedic Surgeon, and was one of Australia’s first surgeons to perform arthroscopic hip surgery and anterior approach hip replacement. He has been active in the teaching and implementation of hip surgery over a long period of time. In this discussion we discuss hip surgical outcomes, the conservative/surgical spectrum and innovating and teaching of surgical skills.
In this episode Jack and John discuss complex thinking and adaptive systems including how to define human systems and ultimately what this means for healthcare.
Lateral Think - Paul Coburn is a senior clinical physiotherapist who has worked in elite sport, is the director of a successful private clinic, has taught at La Trobe University and has been involved for many years as the clinical lead for compensable agencies such as TAC and Worksafe. Paul's knowledge of healthcare practice, the implementation of effective health interventions and understanding of meaningful clinical frameworks is immense. In this discussion we explore healthcare frameworks, the evolution of physiotherapy practice and the use and exploration of technology in healthcare settings.
Lateral Think - Dr Richard Fernandez is the Head of the Cadaveric Dissection Program at Latrobe University. His research is multidisciplinary and includes areas such as injury prevention, anatomical and anthropometric measurements, impact biomechanics, orthopaedic surgical procedures. In this discussion we explore how anatomy, its evolution and understanding influences how the human body functions and what this means for health practitioners.
Lateral Think - Dr Pamela Boekel is trained as an Orthopaedic Surgeon, specialising in elbow and shoulder surgery. In this discussion we discuss surgical training, understanding the mindset of surgeons and how research is used in the surgical world. Dr Boekel shares her knowledge and pragmatic approach to healthcare problems. A great discussion for health professionals and patients alike.
Jack and John discuss the expression power, how it is defined, and some of the nuances related to rate of force development across the force-velocity spectrum. This discussion dives into developing power across this spectrum and some of the underlying muscle-tendon physiology and what is required when prescribing power training across different age populations.
Dr Lachlan James is a lecturer and researcher that has been involved in the development and delivery of the Masters of Strength and Conditioning at Latrobe University. Lachlan brings practical experience as a sports performance professional to his industry based research working in Mixed Martial Arts and Rugby to deliver and answer questions for coaches and sports performance professionals. In this discussion we dive into the development of physical characteristics, profiling sports performance and the link between research and practice in sport.
Jack and John discuss skill acquisition and the role that sensori-motor control has on influencing the development of skills and bio-mechanical outputs. As a follow up to our discussions on running this episode looks to explore what affects the bio-mechanical outputs that we observe, how we can identify, teach and change bio-motor outputs to create skill changes.
Helen Symon and Colin Mandy are barristers working in advocacy from corporate taxation to criminal defense and prosecution. In this discussion we explore decision making, the ability to gather and synthesize information and how these processes can be used to improve clinical practice. We lean into the ethical and philosophical underpinnings of knowledge and the law and how these considerations may be useful for practitioners in healthcare and performance.
Jack and John discuss aspects of running performance from biomechanics to injury. The discussion touches on aspects of acceleration, maximal velocity sprinting as well as distance running. For anyone interested in running performance and injury this discussion opens up some of the key aspects that we think are important and interesting to explore.
David McCloskey is a data consultant with a background in psychology, data management and modelling. His ability to tell stories and capture the essence of a problem has allowed him to inform and be part of a number of state and national policy development projects. In this discussion we explore the ability for health data to inform public health policy, the interaction this has with decision making, contributors to healthcare problems and the interplay with health research.
Jack and John discuss the concepts related to periodisation. In this episode we explore the factors that influence periodisation including organisation of loading, periodisation structure and the transfer or exercises to rehabilitation or performance and how they relate to planning for rehabilitation and performance.
Dr Andrew Dawson is a Senior Lecturer in Sports Coaching at Victoria University. Andrew’s research informs both sport policy and professional practice and has examined the way coaches work, develop their expertise, and influence the lives of their athletes, other coaches and their organisations. He has been fortunate enough to work with very successful coaches from elite settings such as Australian Swimming and shares his insights with us both as a researcher and a fellow coach of track and field athletes.
Jack and John discuss the application of stress, how it affects adaptation and the application of exercise prescription. This is an introductory dive into understanding how human systems are affected by both positive and negative stress application and how we can manipulate these stressors to our advantage for each individual.
In this episode we speak with Dr Richard Newsham-West. Richard is an Associate Professor of Physiotherapy at LaTrobe University and a titled Musculoskeletal Physiotherapist. He brings research and clinical experience to his teaching and clinical practice having worked in elite sport and universities in both his native New Zealand and Australia.
With his wealth of experience he shares his views on the current state of healthcare practice and research, integrating and understanding of first principles and some rich knowledge in sports injury management.
Meagan Kiely joins Jack and John to discuss the unique perspective that she has being a physiotherapist and elite athlete as an AFLW player for the Richmond Football Club. We discuss the influence having a background knowledge has on performance and injury management and identify some of the areas for development in women's sport and injury management for females.
In this episode, Jack and John discuss flexibility training and the effects that this has on both peripheral tissue and the central mechanisms that drive range of motion change with both short and long term application of stretching and flexibility training. This episode looks to benefit clinicians, sports performance professionals, coaches and athletes in their understanding of the training that they undertake.
In this episode we speak to Dr Brady Green (PhD). As a sports physiotherapy clinician, researcher and sports performance practitioner, we discuss areas relating to research, injury management and optimizing injury risk in sport. With so much to discuss we have two extremely interesting episodes to explore healthcare and injury management. This is part 2.
In this episode we speak to Dr Brady Green (PhD). As a sports physiotherapy clinician, researcher and sports performance practitioner, we discuss areas relating to research, injury management and optimizing injury risk in sport. With so much to discuss we have two extremely interesting episodes to explore healthcare and injury management. This is part 1.
Jack and John discuss what inspired starting the podcast, what we are looking to offer the clinical and sports performance world and share some of our ideas in this introductory episode.