Episode 70 - On this episode of the ORS Podcast we welcome Yujiro Yamada. Yuji is a Ph.D. candidate in the Department of Health, Exercise Science, and Recreation Management at the University of Mississippi. He is a member of the Kevser Ermin Applied Physiology Lab, working under the supervision of Dr. Jeremy P. Loenneke. Yujiro earned his bachelor's degree in exercise science from Ohio Dominican University (Columbus, OH) and his master's in exercise science from the University of Mississippi (Oxford, MS). His research focuses on the physiological responses to resistance exercise, with and without blood flow restriction, and its impact on muscle and cognitive adaptations. Alex Smith piece on ESPN: https://www.espn.com/video/clip/_/id/42306520 Shaw Strength Podcast: https://www.youtube.com/watch?v=5wrgQA8VU0c Chief paper discussed: Yamada, Yujiro; Hammert, William; Kataoka, Ryo; Song, Jun Seob; Kang, Anna; Kassiano, Witalo; Loenneke, Jeremy; The role of the muscle metaboreflex on cardiovascular responses to submaximal resistance exercise with different pressures and modes of blood flow restriction. Applied Physiology, Nutrition, and Metal. 2024.

We answer a listener question about how to manage a limb that is non-weightbearing for a period of time. Kyle goes on an epic rant about what we can and can't do to care for our patients / clients.

Chief paper discussed: T Parkington, T Maden-Wilkinson, D Broom, S Nawaz... (2023). Low-Intensity Resistance Exercise with Blood Flow Restriction for Patients with Claudication: A Randomised Controlled Feasibility Trial. Vascular Medicine . Position statement on managing PAD: Askew, C. D., Parmenter, B., Leicht, A. S., Walker, P. J., & Golledge, J. (2014). Exercise & Sports Science Australia (ESSA) position statement on exercise prescription for patients with peripheral arterial disease and intermittent claudication. Journal of Science and Medicine in Sport / Sports Medicine Australia, 17(6), 623–629. Additional papers referenced: Bentzen, A., Nisgaard, L. B., Mikkelsen, R. B. L., Høgh, A., Mechlenburg, I., & Jørgensen, S. L. (2023). Blood flow restricted walking in patients suffering from intermittent claudication: a case series feasibility and safety study. Annals of Medicine and Surgery (2012), 85(5), 1430–1435. Saes, G. F., Zerati, A. E., Wolosker, N., Ragazzo, L., Rosoky, R. M. A., Ritti-Dias, R. M., Cucato, G. G., Chehuen, M., Farah, B. Q., & Puech-Leão, P. (2013). Remote ischemic preconditioning in patients with intermittent claudication. Clinics , 68(4), 495–499. Ahmed, K. M., Hernon, S., Mohamed, S., Tubassum, M., Newell, M., & Walsh, S. R. (2018). Remote ischemic preconditioning in the management of intermittent claudication: a pilot randomized controlled trial. Annals of Vascular Surgery. https://doi.org/10.1016/j.avsg.2018.07.046 Podcast w/ Jamie Burr we referenced: https://owensrecoveryscience.com/podcasts/owens-recovery-science-podcast-bfr-ipc-for-performance-rehab-and-health-w-jamie-burr-phd

In this episode of the Owens Recovery Science podcast, Johnny and Kyle interview Annie Bane, PhD regarding her research into people with Parkinson’s Disease and the use of Blood Flow Restriction Resistance Exercise as a maintenance strategy. Dr. Bane is a wealth of knowledge on how treatment strategies and the disease progression of PD affect the cardiovascular system. This was ultimately the target of her dissertation research while at Baylor and her findings are very exciting. We know you will enjoy this chat! If you know someone in the Abilene area that could benefit from the exercise program for people with Parkinson’s please have them email Jill Jumper, PT, PhD at Jill.jumper@hsutx.edu If you would like to see Dr. Bane's TV show on she and her husband's gym in Abilene, TX the show is called "The Fieldhouse". It aired on the Magnolia Network and can now be found on Amazon Prime too. Dr. Bane’s paper: Bane, A., Wilson, L., Jumper, J., Spindler, L., Wyatt, P., & Willoughby, D. (2024). Effects of blood flow restriction resistance training on autonomic and endothelial function in persons with Parkinson’s disease. Journal of Parkinson’s Disease, 1–15. The Hong paper referenced: Hong, C. T., Hu, H.-H., Chan, L., & Bai, C.-H. (2018). Prevalent cerebrovascular and cardiovascular disease in people with Parkinson’s disease: a meta-analysis. Clinical Epidemiology, 10, 1147–1154.

In this episode of the ORS podcast Johnny and Kyle discuss all things PT and career trajectory as well as managing knee cartilage repairs with Snay Patel, PT. Snay is a PT at HSS and has an extensive background in the rehab of people following knee cartilage procedures. Let us know what you think of the pod an who we should have on next!

If you jump in your wayback machine you can find our first episode with our distinguished guest on this installment of the Owens Recovery Science Podcast! And just like the first time she did not disappoint! Sherry Johnson, DVM, PhD, DACVSMR is a sports medicine physician for equine athletes. That's right y'all! Literal horses. She co-owns a private practice specializing in the care of very elite athletic horses that run the gamut event types with locations in Texas and Arizona. In her spare time!! She does BFR research. Well I'm tired just from typing that! Hope y'all enjoy our chat. Below are two of her BFR papers on horses. Johnson SA, Chicco AJ, Selberg KT, King MR, Dunkle ZP, Owens JG, Frisbie DD. Short-term effects of blood flow restriction training on equine skeletal muscle oxidative capacity. In: Orthop Res Soc Annual Meeting, Poster Presentation, 12–16. February 2021. Johnson, S. A., Frisbie, D. D., Griffenhagen, G. M., & King, M. R. (2022). Equine blood flow restriction training: Safety validation. Equine Veterinary Journal. https://doi.org/10.1111/evj.13904

In episode 65 Johnny makes his triumphant return after defeating Montezuma’s revenge to help the guys breakdown a couple recent publications on BFR and rehab after ACLr. Zac takes the lead on the first of the papers that had a bit of a clickbait title per the fellas assessment. The paper titled, “‘Real world’ clinical implementation of blood flow restriction therapy does not increase quadriceps strength after quadriceps tendon autograft ACL reconstruction” has a number of demographic problems the fellas discuss, and ultimately evaluated one of the least relevant outcome measures by their estimation. Kyle finishes up the breakdown with some alternate and far more accurate title suggestions for the paper. The second paper they discuss was a recent review paper on ACL and BFR. Ben takes the lead breaking down this paper where the fellas have a tough time sorting why some studies were excluded and why at least one was included. Long story short the evidence on BFR use in ACLr rehab is still very limited and a review focusing on most all aspects of that process should be read with a healthy level of skepticism. Find us at: June 26-27: https://convention.nata.org/ June 29-30: https://hockey.eliterehabconferences.com/ July 13-14: https://basketball.eliterehabconferences.com/ Medbridge ACL Series: https://www.medbridge.com/

In this installment of our 2024 Memorial Day podcasts we have Zac Dunkle interviewing current PT student and Ret. Marine Corporal Cameron Dunbar. Cameron was a machine gunner in the 3rd Battalion 5th Marines that were deployed to Sangin Afghanistan from 2010 to 2011. His group of Marines sustained the largest casualty count of any group. Cameron memorializes his friend Colton Rusk who died during this deployment. At the completion of the the interview we will read off the names of all who died during this deployment. This will be followed by the playing of Taps.

In our first of two Memorial Day Podcasts in 2024 our own Johnny Owens interviews another Johnnie...Johnnie Yellock II. If you begin this pod at 2:55pm and 33 seconds you can also observe the National Moment of Silence at the designated time of 3PM local. Within the pod Johnnie tells his story of injury and survival as an Air Force Combat Commander. He memorializes fallen service members Danny Sanchez, Mark Forester, Forrest Sibley, and Mark Weber. Johnnie's website: https://johnnieyellock.com/ Opportunities to give mentioned by Johnnie: https://specialops.org/ https://foldsofhonor.org/ https://www.combatcontrolfoundation.org/

When Johnny's indisposed the podcast gets hijacked by Kyle, Zac and Ben. Johnny's loss is your win essentially. In this episode we discuss two recent papers that further help to elucidate the efficacy and effectiveness of BFR in combination with aerobic exercise. Here are the two papers we reviewed: Smith, N. D. W., Girard, O., Scott, B. R., & Peiffer, J. J. (2024). A comparison of physiological and perceptual responses to fixed‐power and perceptually regulated cycling with and without blood flow restriction in trained cyclists. European Journal of Sport Science: EJSS: Official Journal of the European College of Sport Science. https://doi.org/10.1002/ejsc.12068 Thompson, K. M. A., Gamble, A. S. D., Kontro, H., Lee, J. B., & Burr, J. F. (2023). Low- and high-volume blood-flow restriction treadmill walking both improve maximal aerobic capacity independently of blood volume. Scandinavian Journal of Medicine & Science in Sports. https://doi.org/10.1111/sms.14534

In this episode of the Owens Recovery Science podcast we chat with Laura Opstedal, PT of Build Physio in Bozeman, MT. Laura has extensive experience rehabbing Achilles repairs over the course of her career which provides her a first-hand perspective on the evolution of surgical techniques as well as integrating forms of measurement like force plates and novel treatment strategies like early weight bearing and BFR. Within we talk all things Achilles which apparently we’re now calling the Taylor Swift of tendons. You can find Laura at: Laura@buildphysio.com @build.physio on IG @thekhakifreept on IG @lauraopstedal on Twitter Some references from our ramblings: Baxter, J. R., Corrigan, P., Hullfish, T. J., O’Rourke, P., & Silbernagel, K. G. (2021). Exercise Progression to Incrementally Load the Achilles Tendon. Medicine and Science in Sports and Exercise, 53(1), 124–130. Demangeot, Y., Whiteley, R., Gremeaux, V., & Degache, F. (2023). The load borne by the Achilles tendon during exercise: A systematic review of normative values. Scandinavian Journal of Medicine & Science in Sports, 33(2), 110–126. Yang, J., Hodax, J. D., Machan, J. T., Krill, M. K., Lemme, N. J., Durand, W. M., Hoffman, J. T., Hewett, T. E., & Owens, B. D. (2019). Factors Affecting Return to Play After Primary Achilles Tendon Tear: A Cohort of NFL Players. Orthopaedic Journal of Sports Medicine, 7(3), 2325967119830139. Owens, J. G., Rauzi, M. R., Kittelson, A., Graber, J., Bade, M. J., Johnson, J., & Nabhan, D. (2020). How New Technology Is Improving Physical Therapy. Current Reviews in Musculoskeletal Medicine. https://doi.org/10.1007/s12178-020-09610-6 Centner, C., Jerger, S., Lauber, B., Seynnes, O., Friedrich, T., Lolli, D., Gollhofer, A., & König, D. (2023). Similar patterns of tendon regional hypertrophy after low-load blood flow restriction and high-load resistance training. Scandinavian Journal of Medicine & Science in Sports. https://doi.org/10.1111/sms.14321 Centner, C., Lauber, B., Seynnes, O. R., Jerger, S., Sohnius, T., Gollhofer, A., & König, D. (2019). Low-load blood flow restriction training induces similar morphological and mechanical Achilles tendon adaptations compared to high-load resistance training. Journal of Applied Physiology. https://doi.org/10.1152/japplphysiol.00602.2019 Castle, J. P., Tramer, J. S., Turner, E. H. G., Cotter, D., McGee, A., Abbas, M., Gasparro, M. A., Lynch, T. S., & Moutzouros, V. (2023). Survey of blood flow restriction therapy for rehabilitation in Sports Medicine patients. Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology. https://doi.org/10.1016/j.jor.2023.03.007 Yow, B. G., Tennent, D. J., Dowd, T. C., Loenneke, J. P., & Owens, J. G. (2018). Blood Flow Restriction Training After Achilles Tendon Rupture. The Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons. https://doi.org/10.1053/j.jfas.2017.11.008 Hansen, O. B., Papson, A., Eble, S. K., & Drakos, M. C. (2022). Effect of Blood Flow Restriction Therapy Following Achilles Rupture and Repair: A Randomized Controlled Trial. Foot & Ankle Orthopaedics, 7(1), 2473011421S00032. Bentzen, A., Jørgensen, S. L., Birch, S., Mortensen, L., Toft, M., Lindvig, M. G., Gundtoft, P. H., & Mechlenburg, I. (2024). Feasibility of Blood Flow Restriction Exercise in Adults with a Non-surgically Treated Achilles Tendon Rupture; a Case Series. International Journal of Exercise Science, 17(3), 140–153.

In this episode Johnny and Kyle talk with Adam Weaver, PT and Dylan Roman, PT of Connecticut Children’s. They were part of a team that recently published a paper in The Orthopedic Journal of Sports Medicine detailing the results of a trial they conducted using BFR following ACLR in adolescents (12-18 y/o’s). The title of their paper is: Early- and Late-Stage Benefits of Blood Flow Restriction Training on Knee Strength in Adolescents After Anterior Cruciate Ligament Reconstruction Here’s a link to the paper: https://journals.sagepub.com/doi/10.1177/23259671231213034 Intro backing track from: Trick or Treat (instrumental) by RYYZN https://soundcloud.com/ryyzn Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/l_trick-or-treat Music promoted by Audio Library https://youtu.be/uNPXJ9CDzbc

We're very excited to announce that we are partnering with The POCUS PT to offer an introductory course to point of care ultrasound! This course will cover necessary basic science information regarding ultrasound and imaging of a wide range of structures from the cardiovascular system to the musculoskeletal system.

Well Kyle got his knickers in a bunch over an article’s title so we decided to talk about it for an hour or so. Within, Johnny, Ben, Zac, and Kyle talk about how they go about screening BFR papers to decide if they deserve a closer read. The paper that got this conversation going: * Grossl, F. S., Da-Sila-Grigoletto, M. E., Ferretti, F., Copatti, S. L., Corralo, V. da S., & De-Sá, C. A. (2023). The use of a single resistance exercise with or without blood flow restriction in the treatment of pain in knee osteoarthritis: a randomized clinical trial. BrJP, ahead. https://doi.org/10.5935/2595-0118.20230023-en The first BFR paper…20 years ago…calling for individualization of pressure: * Fahs, C. A., Loenneke, J. P., & Rossow, L. M. (2012). Methodological considerations for blood flow restricted resistance exercise. Journal of. https://www.jstage.jst.go.jp/article/trainology/1/1/1_14/_article/-char/ja/ Reference for weekly volume: * Schoenfeld, B. J., Ogborn, D., & Krieger, J. W. (2017). Dose-response relationship between weekly resistance training volume and increases in muscle mass: A systematic review and meta-analysis. Journal of Sports Sciences, 35(11), 1073–1082. References for Research Procedures: * Büttner F, Toomey E, McClean S, et al Are questionable research practices facilitating new discoveries in sport and exercise medicine? The proportion of supported hypotheses is implausibly high British Journal of Sports Medicine 2020;54:1365-1371. * McCambridge, A. B., Nasser, A. M., Mehta, P., Stubbs, P. W., & Verhagen, A. P. (2021). The Journal of Orthopaedic and Sports Physical Therapy, 51(10), 503–509. * TIDieR: Hoffmann, T. C., Glasziou, P. P., Boutron, I., Milne, R., Perera, R., Moher, D., Altman, D. G., Barbour, V., Macdonald, H., Johnston, M., Lamb, S. E., Dixon-Woods, M., McCulloch, P., Wyatt, J. C., Chan, A.-W., & Michie, S. (2014). Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ , 348, g1687. * CERT: Slade, S. C., Dionne, C. E., Underwood, M., & Buchbinder, R. (2016). Consensus on Exercise Reporting Template (CERT): Explanation and Elaboration Statement. British Journal of Sports Medicine, 50(23), 1428–1437.

In this episode Johnny and Kyle talk with two authors, Dr. Ellen Hillegass and Dr. Kathleen Lukaszewicz, of the recent Clinical Practice Guideline covering PT management of Venous Thromboembolism. This was such an enjoyable and educational chat! We know you will enjoy it... Link to the paper: https://pubmed.ncbi.nlm.nih.gov/35567347/ Link to the pocket guide: https://www.guidelinecentral.com/shop/venous-thromboembolism/ Link to the app: https://apps.apple.com/us/app/guideline-central/id567695579

This year our Guest is Ryan Keogh: Ryan Keogh, originally from Caldwell, Idaho, was commissioned as a 2nd Lieutenant in the United States Army upon his graduation from the United States Military Academy at West Point. Ryan served as a conventional Army infantry officer, leading a platoon of soldiers during a yearlong deployment to Northeast Afghanistan, before being selected to serve in the US Army’s elite 75th Ranger Regiment in Fort Benning, GA. While assigned to 3rd Ranger Battalion, 75th Ranger Regiment Ryan completed multiple deployments in support of the Global War on Terrorism as a Ranger Rifle Platoon Leader and Ranger Operations Officer. After more than 8 years on active duty, including 3 years deployed to combat, Ryan retired from the Army after losing his right leg below the knee. He has numerous awards and decorations including the Bronze Star, Purple Heart, Combat Infantryman’s Badge, and the Ranger Tab. Ryan entered the corporate workforce in 2013 as the National Operations Manager from Mission Produce, the largest Avocado and Mango grower & distributor in the world. While working at Mission, he completed his MBA from Emory University. Since 2017, Ryan has worked in the Private Equity portfolio and holding company industry partnering with Oaktree Capital and the Stephens Group. He currently is the Chief Commercial Officer for the Pearlman Group, the holding company that operates several multi-channel distributors of supplies, tools and equipment used by specialty contractors in various end markets. He currently resides in a suburb of Atlanta (Berkeley Lake, Georgia) with his wife (Laura) and 3 daughters – Taylor (9), Sloan (8), and Chandler (6). Video about Joe Kapacziewski: https://www.google.com/search?q=joe+kap+ranger&oq=joe+kap+ranger+&aqs=chrome..69i57j0i22i30l2.3723j0j7&sourceid=chrome&ie=UTF-8#fpstate=ive&vld=cid:3f995416,vid:jPSVUDOqpjg May is Mental Awareness Month Been observed since 1949 Some Generic mental health resources: National Alliance on Mental Illness nami.org American Hospital Association https://www.aha.org/mental-health-awareness-month Mental Health America https://www.mhanational.org/mental-health-month National Council for Mental Wellbeing https://www.thenationalcouncil.org/mental-health-awareness-month/ Resources for enlisted people: USO - https://www.uso.org/stories/2664-military-suicide-rates-are-at-an-all-time-high-heres-how-were-trying-to-help Department of Defense: News release on the Annual Report on Suicide in the Military https://www.defense.gov/News/Releases/Release/Article/3193806/department-of-defense-releases-the-annual-report-on-suicide-in-the-military-cal/ Link to the full report: https://www.dspo.mil/Portals/113/Documents/2022%20ASR/Annual%20Report%20on%20Suicide%20in%20the%20Military%20CY%202021%20with%20CY21%20DoDSER%20(1).pdf?ver=tat8FRrUhH2IlndFrCGbsA%3d%3d Veteran Resources: The Veterans Crisis Line (confidential support) * 1-800-273-8255 * Or text 838255 * VeteransCrisisLine.net/Chat Stop Soldier Suicide * https://stopsoldiersuicide.org/ * 844.235.2764 A lot veterans struggle w/ transition out of service Resource for Transition: * https://military-transition.org/

In this installment of the Owens Recovery Science podcast Johnny and Kyle interview Nicole Walter, PT. Nicole is a Board Certified Clinical Specialist in Neurologic Physical Therapy with 20 years experience at Parkview Hospital in Fort Wayne, Indiana. She is the neurologic residency coordinator for Parkview and is adjunct faculty at Trine University. She has used BFR in a variety of neurological conditions and most recently presented some of their cases and research findings at APTA's Combined Sections Meeting in San Diego.

In this episode the guys chat about the use of creatine in conjunction with BFR resistance training. As usual they breakdown our current knowledge with an emphasis on safety and then get into the meat and potatoes of what has been shown in the BFR literature. Here are the papers mentioned: Rawson, E. S., Clarkson, P. M., & Tarnopolsky, M. A. (2017). Perspectives on Exertional Rhabdomyolysis. Sports Medicine , 47(Suppl 1), 33–49. Harmon, K. K., Stout, J. R., Fukuda, D. H., Pabian, P. S., Rawson, E. S., & Stock, M. S. (2021). The Application of Creatine Supplementation in Medical Rehabilitation. Nutrients, 13(6). https://doi.org/10.3390/nu13061825 Olsen, S., Aagaard, P., Kadi, F., Verney, G. T., Olesen, J. L., Suetta, C., & and Kjær, M. (2006). Creatine supplementation augments the increase in satellite cell and myonuclei number in human skeletal muscle induced by strength training. The Journal of Physiology, 573, 525–534. Hespel, P., Op’t Eijnde, B., Van Leemputte, M., Ursø, B., Greenhaff, P. L., Labarque, V., Dymarkowski, S., Van Hecke, P., & Richter, E. A. (2001). Oral creatine supplementation facilitates the rehabilitation of disuse atrophy and alters the expression of muscle myogenic factors in humans. The Journal of Physiology, 536(Pt 2), 625–633. Hultman, E., Söderlund, K., Timmons, J. A., Cederblad, G., & Greenhaff, P. L. (1996). Muscle creatine loading in men. Journal of Applied Physiology, 81(1), 232–237. Suga, T., Okita, K., Takada, S., Omokawa, M., Kadoguchi, T., Yokota, T., Hirabayashi, K., Takahashi, M., Morita, N., Horiuchi, M., Kinugawa, S., & Tsutsui, H. (2012). Effect of multiple set on intramuscular metabolic stress during low-intensity resistance exercise with blood flow restriction. European Journal of Applied Physiology, 112(11), 3915–3920. Ingemann-Hansen, T., Halkja~r-Kristensen, J., & Halskov, O. (1981). Skeletal Muscle Phosphagen and Lactate Concentrations in lschaemic Dynamic Exercise. European Journal of Applied Physiology, 46, 261–270. Sousa-Silva, R. C., Holewa, J. M., de Araújo Pessôa, K., Zhi Xia, Z., Lauver, J. D., Rossi, F. E., & Zanchi, N. E. (2/2023). Creatine supplementation combined with blood flow restriction training enhances muscle thickness and performance- a randomized, placebo-controlled, and double-blind study.pdf. Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquee, Nutrition et Metabolisme. https://doi.org/10.1139/apnm-2022-0209 Intro sound clip: Trick or Treat (instrumental) by RYYZN https://soundcloud.com/ryyzn Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/l_trick-or-treat Music promoted by Audio Library https://youtu.be/uNPXJ9CDzbc

In this episode, the fellas recap all the goings on at the biggest PT conference of the year and how much BFR was featured! We hope you enjoy!

In this episode Johnny and Kyle chat with Dr. Shane Scholten of Augustana University. Dr. Scholten has been investigating the effects of IPC on performance and has noted some particularly interesting things in terms of mechanisms, pressure needed, and overall effects. Learn more about Dr. Scholten here: https://www.augie.edu/directory/shane-scholten-phd Dr. Scholten's work that we discussed: Lindner, T.D, Scholten, S.D., Halverson, J.M., Baumgarten, K.M., Birger, C.B., Nowotny, B.G. The acute effects of ischemic preconditioning on sprint and power performance. SD Med. 2021; 74(5):210-219. Scholten, S.D., I.N. Sergeev, Q. Song, C.B Birger. Effects of vitamin D and quercetin, alone and in combination, on cardiorespiratory fitness and muscle function in physically active male adults. Open Access J Sports Med. 2015; 24:6,229-39. Scholten, S.D. and Sergeev, I.N. Vitamin D and physical performance in athletes. Immun Endoc & Metab Agents in Med Chem. 2014; 14:152-161. Podcast intro music by: Trick or Treat (instrumental) by RYYZN https://soundcloud.com/ryyzn Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: https://bit.ly/l_trick-or-treat Music promoted by Audio Library https://youtu.be/uNPXJ9CDzbc