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 Christian Barton. Christian is a Physiotherapist who completed his PhD in patellofemoral pain and is now a post-doctoral researcher at LaTrobe University, Associate Editor at the BJSM, leads the TREK and GLA:D initiatives and also works in private practice where he specialises in knee pain in runners. He talked through how to differentiate between the most common knee complaints we see, the importance of not ignoring the psychosocial factors during the history taking, the evidence behind foot orthoses for PFP, hip level rehabilitation/exercises and what good and bad management of knee pain may look like in general. He also touched on load management, training habits and gait retraining. Some serious ground covered in this hour!
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 we were delighted to welcome Dr Tim Gabbett who consults across numerous elite sporting domains worldwide and talk about load management. He talks about what load actually is, how people respond to it and how it can be progressed safely. A great analogy of ‘beer tolerance’ is discussed, along with what the acute to chronic workload ratio is and how it can be calculated. The biggest application of this for clinicians is clearly how it should influence their history taking of injured atheltes/patients (asking about previous weeks load along with psyhosocial factors that may influence load capacity), and how they can advise their patients monitor their own load in a free and easy way (by multiplying their weekly intensity by volume and frequency). We also touched on the limitations of the “10% rule”
About Tim Gabbett:
Dr Tim Gabbett, PhD has over 20 years experience working as an applied sport scientist with athletes and coaches from a wide range of different sports. Tim holds a PhD in Human Physiology from 2000 and has completed a second PhD in the Applied Science of Professional Football in 2011, with a special reference to physical demands, injury prevention, and skill acquisition. Tim has published over 200 peer-reviewed articles and has presented at over 200 national and international conferences. He is committed to performing world-leading research that can be applied in the ‘real world’ to benefit high performance coaches and athletes. He has worked with elite international athletes over several Commonwealth Games (2002 and 2006) and Olympic Games (2000, 2004, and 2008) cycles. He continues to work as a sport science and coaching consultant for several high performance teams around the world.
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 with chatted with the physiotherapists, Simon Lack and Brad Neal and the Podiatrist, Alice Corbett about patellofemoral pain, proximal and distal influences and how to choose an intervention. They were all together at a conference.
In this episode we talked with Stacey Meardon, PT, PhD about some of her research which has looked at biomechanical risk factors for injury, step width modification for MTSS and ITB issues, and also some clinical pearls to think about when someone presents in your clinic with a suspected bone stress injury. For the really nerdy, we even briefly talked about the ‘free moment’ and its potential relevance to injury.
About Stacey Meardon:
Stacey is a Physical Therapist and Assistant Professor at East Carolina University Her research involved neuromuscular and biomechanical factors that contribute to injury during running. The overarching goal of her research is to prevent injury in active populations in order to optimize long term bone and joint health and remove barriers to physical activity. Her research is directed toward identifying biomechanical factors that result in injury and elevated tissue stress during physical activity in order to identify interventions that improve biomechanical factors associated with injury, reduce pain, and improve function. Stacey is also interested in how postural control, movement variability and coordination contribute to injury.
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