61 Achilles Repair Rehab with Laura Opstedal, PT

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Owens Recovery Science

Johnny Owens

76 episodes

2 months ago

Summary The podcast discusses a recent pilot study on the effects of passive blood flow restriction (BFR) exercise on muscle atrophy following total knee replacement surgery. The conversation highlights the significant muscle mass loss that occurs post-surgery and the potential of BFR to mitigate this loss. The study design, methodology, and key findings are explored, emphasizing the importance of early intervention and the feasibility of implementing BFR in clinical settings. The hosts discuss the implications of the findings for rehabilitation practices and future research directions. Chapters 00:00 Introduction and Overview of the Study 03:15 Understanding Muscle Atrophy Post-Surgery 07:12 The Role of Blood Flow Restriction in Rehabilitation 12:53 Study Design and Methodology 15:35 Key Findings and Implications of the Study 20:54 Exploring Remote Ischemic Preconditioning 22:42 Functional Outcomes and Clinical Significance 25:11 Grip Strength Recovery and Clinical Changes 27:01 Safety and Feasibility of BFR 28:42 Implementing BFR in Clinical Practice 30:25 Prehabilitation and Postoperative Care 32:47 Expanding Applications of BFR in Acute Care Podcast Intro Attribution Song: Legendary Music by: CreatorMix.com Video: https://youtu.be/_oaZzkn0bW4 Podcast Outro Attribution Song: Smoke Rising Music by: CreatorMix.com Video: https://youtu.be/_oaZzkn0bW4

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61 Achilles Repair Rehab with Laura Opstedal, PT

Owens Recovery Science

1 hour 13 minutes 49 seconds

1 year ago

61 Achilles Repair Rehab with Laura Opstedal, PT

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.