In this episode we were joined by the “Doctors of Running” (Matt Klein, Nathan Brown & David Salas) to have one final nerd out for the year about some of the shoes 2020 brought us, with special shouts to Atreyu for a new subscription model (and a really fun shoe), Saucony for crushing it with their Endorphin range, Nike’s Infinity React (which defintely decreases your injury by 52%), and of course the two muscle cars that have been battling it out for WR’s in the Nike Aphafly and Adidas Adizero Adios Pro. We also ask the Doctors what their favourite shoes are and why, and what we should all be excited about looking forward into 2021.
In this episode we were joined by Matthew Klein who is a Physical Therapist based in California and is currently studying for his PhD. He runs 70-100 miles per week and has a 5k PB of 14:45 and a marathon PB of 2:32:44. He co-owns the brilliant Doctors of Running website and we spent the hour as three shoe nerds would – just talking shoes! How should we appraise shoes? What features matter (or don’t)? How can we take our improved understanding of shoe design features and apply that pragmatically to the patients/athletes we see in clinic? And what do Craig and legendary basketball coach Phil Jackson have in common? All this and more. Audio Podcast of Episode 79:
In this episode we were joined by Sports Podiatrist (and 2:14 marathoner) Thomas Do Canto to talk through his approach to taking a thorough history from an injured runner. Given the current global climate it is reasonable to assume there may be an increase in running injury rates: The Running “Coverload” Injury Phenomena – Griffiths (2020). Combine this with more remote/online consultations (where we may have to prioritise the subjective over the objective) and it should become clear why taking a good history from a runner is so important. Thomas talked us through his 4 page form which he sends to all runners for them to fill out before the consultation; and the rationale behind many of the questions on there and how they may really help him formulate a provisional diagnosis and management plan before he has even met the patient.
In this episode we talk with Michael Nitschke (“Nitta”) about the holy grail – running shoes that *might* reduce injury rates. In the week that Nike release the Infinity React we discuss the marketing behind the shoe, the study behind the marketing and take a deeper dive into the world of running shoes and their relationship/influence on injuries. How should (can?) we prescribe shoes to reduce injury? Is it all just about comfort? Will we ever actually know what we are doing…?
About Michael Nitschke:
Michael is a certified Sports Podiatrist (APodA) and a Partner at the sports and arthritis clinic in Adelaide. He spends his spare time as an athletics coach and distance runner, while a part time researcher looking into the training characteristics of runners at the University of Adelaide.
In this episode we had great fun with Alex Hutchinson talking about the running shoe/s which appears to have moved the needle more than any other shoe in history; the Nike Vaporfly/Next%/Alphafly. Do they come good on their marketing promise of improving runners by 4% (and what does that actually mean)? Where does the line between innovation and ‘shoe doping’ get drawn? Are they only for elite runners? All this and more.
About Alex Hutchinson:
Alex is an author and journalist in based Toronto. His primary focus these days is the science of endurance and fitness, which he covers for Outside (where he is a contributing editor and write the Sweat Science column), The Globe and Mail (where he writes the Jockology column), and Canadian Running magazine. Alex also covers technology for Popular Mechanics (where he earned a National Magazine Award for my energy reporting) and adventure travel for the New York Times, and was a Runner’s World columnist from 2012 to 2017.
His latest book, published in February 2018, is an exploration of the science (and mysteries) of endurance. It’s called ENDURE: Mind, Body, and the Curiously Elastic Limits of Human Performance.
In this episode Dr Chris Napier, Physiotherapist and Associate Professor at the University of British Columbia (and 2:33 marathoner) summarises his recent BJSM editorial on the logical fallacies in the running shoe debate, and we talk about how runners (both uninjured and injured) should choose shoes, what the evidence tells us (and doesn’t yet tell us), how much focus and attention running shoes seem to get (and whether this is warranted), and is it just all about comfort?
About Chris Napier:
Chris is a Clinical Assistant Professor in the Department of Physical Therapy at the University of British Columbia and an associate member of the Centre for Hip Health and Mobility. He obtained his Master of Physiotherapy degree in Perth, Australia, in 2003, and his PhD (“Running biomechanics and injury prevention”) at UBC in 2018. Since becoming a physiotherapist, Chris has specialized his training with postgraduate studies in manual therapy and sport physiotherapy, achieving his Diploma in Sport Physiotherapy in 2007.
In this episode, we talked with Dr Steven Subotnick DPM, DC, aka the original ‘Running Foot Doctor’, about his views on podiatric sports medicine. We touched on the backstory to where we are today with a number of useful clinical pearls.
In this episode, we talk with the physical therapist, Richard Willy. Rich explains what tissue capacity is, what he looks for during a gait analysis, the benefits and pitfalls of ‘wearables’, and how footwear may fit into the whole picture. He also summarised the key differences between treadmill and overground running, with good take homes for clinicians who analyse their athletes on the treadmill and then extrapolate that to the outside world.
About Rich Willy:
Dr. Richard Willy, PT, PhD is an Assistant Professor in the School of Physical Therapy at University of Montana. Rich received his PhD in Biomechanics and Movement Science from the University of Delaware and his master of physical therapy from Ohio University. In addition to his research interests, he been a clinician for 18 years specializing in the treatment of the injured runner. His research aims to develop clinically effective treatments for patellofemoral pain syndrome, Achilles tendon injuries and tibial stress fractures. As well as publishing in peer-reviewed journals, Dr. Willy is a national and international presenter on his research and clinical expertise on how to evaluate and treat the runner with injuries. Dr. Willy and his research have been featured in Runner’s World multiple times.
In this episode, we welcomed Dr Izzy Moore from Cardiff Metropolitan University and discussed how the body self-optimises running, whether we should change the way we run for performance gains, and what effects on performance may be if we are changing running technique in the context of injury. We also talked about running footwear in the context of economy/performance, and even *cough* barefoot running *cough*.
About Dr Izzy Moore, PhD:
Izzy Moore is a Lecturer in Sport and Exercise Medicine, specialising in lower limb biomechanics at Cardiff Metropolitan University. Dr Moore is interested in how and why we move the way we do. This means understanding how movement relates to injury risk and performance, the two main drivers behind movement patterns. Her research currently focuses on running gait retraining and she also works on several injury epidemiology projects, advising National Governing Bodies on injury prevention and management strategies.
In this episode, we talk about gait retraining in runners with James Dunne. James is a very well respected running coach and the owner of the Kinetic Revolution website and joined us to talk about why and when we might change someone’s running technique, and how we may go about doing it. It shouldn’t surprise anyone that an individual approach is key, and there are no blanket approaches. He also talks about the bidirectional relationship between running coach and Podiatrists.
About James Dunne:
James is a runner, sports rehabilitation therapist and coach from Norwich in the UK. He has a degree in sports rehabilitation. His aim is to help as many runners as possible run stronger, run injury free, and discover what they are truly capable of. James Dunne started Kinetic Revolution back in 2010 as a means of sharing what he learnt on his journey as an ex-pro rugby player working in the sports injury world, and becoming a marathon runner.
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