Owens Recovery Science

This conversation explores the advancements in Blood Flow Restriction (BFR) technology, personal anecdotes related to injury recovery, and insights from recent conferences. The speakers discuss the significance of chronic ankle instability in sports, the effectiveness of BFR in enhancing muscle activation during rehabilitation, and the importance of interdisciplinary collaboration in sports medicine. They also reflect on their experiences and the evolving nature of BFR technology, emphasizing the need for continuous research in this field. This conversation delves into the application of blood flow restriction (BFR) training in rehabilitation, particularly focusing on its effects on muscle activation, balance training, and the challenges faced in research. The speakers discuss various studies, their methodologies, and the implications of using BFR in clinical settings, especially for ankle rehabilitation. They explore the differences between internal and external loads, the importance of programming, and the potential benefits of mobilization techniques combined with BFR. The discussion highlights the need for further research and standardization in BFR protocols to optimize rehabilitation outcomes. Faltus J, Owens J, Hedt C. THEORETICAL APPLICATIONS OF BLOOD FLOW RESTRICTION TRAINING IN MANAGING CHRONIC ANKLE INSTABILITY IN THE BASKETBALL ATHLETE. doi:10.26603/ijspt20180552 Killinger B, Lauver JD, Donovan L, Goetschius J. The Effects of Blood Flow Restriction on Muscle Activation and Hypoxia in Individuals with Chronic Ankle Instability. J Sport Rehabil. Published online May 16, 2019:1-25. doi:10.1123/jsr.2018-0416 Nagdi MG, Elsayed WH, Abouzied M, Ali RR. Effect of Blood Flow Restriction and Proprioception Training in Recurrent Ankle Sprain Patients. doi:10.33472/AFJBS.6.Si3.2024.10-22 Burkhardt M, Burkholder E, Goetschius J. Effects of blood flow restriction on muscle activation during dynamic balance exercises in individuals with chronic ankle instability. J Sport Rehabil. 2021;30(6):870-875. doi:10.1123/jsr.2020-0334 Clark K, Trickett J, Donovan L, Dawson J, Goetschius J. Effects of Blood Flow Restriction on Balance Performance During Dynamic Balance Exercises in Individuals With Chronic Ankle Instability. J Sport Rehabil. Published online February 13, 2024:1-8. doi:10.1123/jsr.2023-0182 Werasirirat P, Yimlamai T. Effect of supervised rehabilitation combined with blood flow restriction training in athletes with chronic ankle instability: a randomized placebo-controlled trial. Eur J Cardiovasc Prev Rehabil. 2022;18(2):123-132. doi:10.12965/jer.2244018.009 Kim H, Jung J, Lee S. Contributory effect of additional blood flow restriction in active joint mobilization for young adults with chronic ankle instability: A pilot randomized controlled trial. Phys Ther Rehabil Sci. 2023;12(4):486-492. doi:10.14474/ptrs.2023.12.4.486

Summary In this episode of the Owens Recovery Science podcast, hosts Kyle Kimbrell and Zac Dunkle discuss the significance of Memorial Day, and share humorous military anecdotes. They emphasize the importance of supporting veterans and Gold Star families, highlighting various foundations that provide assistance and resources for those in need. The conversation blends humor with serious reflections on sacrifice, mental health, and community support. Chapters 00:00 Introduction and Podcast Changes 02:18 Memorial Day Reflections 18:01 Understanding Memorial Day's Significance 23:13 Zac's Military Journey 25:27 The Influence of Movies on Career Choices 27:04 Education and Military Experience 29:49 The Rigors of Sniper School 33:05 Mindset and Test Anxiety 34:49 Honoring Fallen Comrades 39:22 Mental Health and Support for Veterans 40:57 Understanding the Multifactorial Nature of Veteran Suicide 44:45 Finding Purpose After Service 50:18 Foundations Supporting Veterans and Their Families 56:54 Unit-Specific Foundations and Their Impact 01:05:06 Connecting with Resources and Support 01:06:38 Taps_Matt_Harding.mp3 Foundations we mentioned: https://www.warriorsandquietwaters.org/ https://www.reconfoundation.org/ https://www.reconsniperfoundation.org/ https://www.kuiu.com/ https://www.sitkagear.com/ https://www.allsecurefoundation.org/ https://headwatersforheroes.com/

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 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!

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.

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

It's our final podcast for the year, so we thought we'd do a bit of Q&A as well as just cover a number of recent happenings in the BFR and rehab spaces that we've participated in or supported. Thanks so much for listening and don't hesitate to send us questions or topics you'd like to hear us cover. Some of the papers referenced in our answers: Christiansen, D., & Bishop, D. J. (2022). Aerobic-interval exercise with blood flow restriction potentiates early markers of metabolic health in man. Acta Physiologica , e13769. Christiansen, D., Eibye, K. H., Hostrup, M., & Bangsbo, J. (2019). Blood flow-restricted training enhances thigh glucose uptake during exercise and muscle antioxidant function in humans. Metabolism: Clinical and Experimental, 98, 1–15. Salvador, A. F., De Aguiar, R. A., Lisbôa, F. D., Pereira, K. L., Cruz, R. S., & Caputo, F. (2016). Ischemic Preconditioning and Exercise Performance: A Systematic Review and Meta-Analysis. International Journal of Sports Physiology and Performance, 11(1), 4–14. Zaravar, L., Nemati, J., Rezaei, R., Jahromi, M. K., & Daryanoosh, F. (n.d.). Effect of Eight weeks Water Exercise with Blood Flow Restriction on Growth Hormone, Insulin-like Growth Factor-1 and Bone Metabolism in Elderly Women. https://spj.ssrc.ac.ir/article_2570_007f12d97cf861f568d84ad5e0783471.pdf Faltus, J., Owens, J., & Hedt, C. (n.d.). THEORETICAL APPLICATIONS OF BLOOD FLOW RESTRICTION TRAINING IN MANAGING CHRONIC ANKLE INSTABILITY IN THE BASKETBALL ATHLETE. https://doi.org/10.26603/ijspt20180552

This is one of our longer podcasts, but we cover a ton of ground here when it comes to space travel and the muscle, bone, and nervous system responses. Ultimately we're curious how BFR might provide some solutions both for terrestrial life as well as for space travel and Dr. Luke Hughes helps us understand how BFR might fit into the picture. We hope you enjoy!! Opening backing track used under the Creative Commons license linked below. Sound bite for the backing track produced by Lauren Ponder on Freesound: https://freesound.org/people/LaurenPonder/ Creative Commons license: https://creativecommons.org/licenses/by-nc/4.0/legalcode

In this newest episode Johnny and Kyle talk with Dr. Alex Franz from the Department of Orthopedics and Trauma Surgery at the University Hospital of Bonn. We discuss Dr. Franz's extensive research in blood flow restriction exercise and how he's using that path to solve big problems in medicine! This conversation is pretty epic! You're sure to enjoy. Below you'll find the papers of his we discussed. Franz, A., Queitsch, F. P., Behringer, M., Mayer, C., Krauspe, R., & Zilkens, C. (2018). Blood flow restriction training as a prehabilitation concept in total knee arthroplasty: A narrative review about current preoperative interventions and the potential impact of BFR. Medical Hypotheses, 110, 53–59. Franz, A., Behringer, M., Nosaka, K., Buhren, B. A., Schrumpf, H., Mayer, C., Zilkens, C., & Schumann, M. (2017). Mechanisms underpinning protection against eccentric exercise-induced muscle damage by ischemic preconditioning. Medical Hypotheses, 98, 21–27. Franz, A., Behringer, M., Harmsen, J.-F., Mayer, C., Krauspe, R., Zilkens, C., & Schumann, M. (2018). Ischemic Preconditioning Blunts Muscle Damage Responses Induced by Eccentric Exercise. Medicine and Science in Sports and Exercise, 50(1), 109–115. Franz, A., Berndt, F., Raabe, J., Harmsen, J.-F., & Behringer, M. (2020). Invasive Assessment of Hemodynamic, Metabolic and Ionic Consequences During Blood Flow Restriction Training. Frontiers in Physiology. https://doi.org/10.3389/fphys.2020.617668 Alexander Franz, Sanghyeon Ji, Bernd Bittersohl, Christoph Zilkens, MichaelBehringer. (n.d.). Impact of a Six-Week Prehabilitation with Blood-Flow Restriction Training on Pre- and Postoperative Skeletal Muscle Mass and Strength in Patients Receiving Primary Total Knee Arthroplasty.

In this episode Johnny and the fellas discuss 4 papers where BFR did not work! What?!? How can that be??? Well...gotta listen to find out! We begin by discussing briefly how hard research in medicine is... Here's a reference: Howick, J., Koletsi, D., Ioannidis, J. P. A., Madigan, C., Pandis, N., Loef, M., Walach, H., Sauer, S., Kleijnen, J., Seehra, J., Johnson, T., & Schmidt, S. (2022). Most healthcare interventions tested in Cochrane Reviews are not effective according to high quality evidence: a systematic review and meta-analysis. Journal of Clinical Epidemiology, 148, 160–169. And here's a podcast discussing the paper: https://ptinquest.com/episode-250-most-healthcare-interventions-lack-high-quality-evidence/ Here's the paper Zac describes: Tramer, J. S., Khalil, L. S., Jildeh, T. R., Abbas, M. J., McGee, A., Lau, M. J., Moutzouros, V., & Okoroha, K. R. (2022). Blood Flow Restriction Therapy For Two Weeks Prior to Anterior Cruciate Ligament Reconstruction Did Not Impact Quadriceps Strength Compared to Standard Therapy. Arthroscopy: The Journal of Arthroscopic & Related Surgery: Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association. https://doi.org/10.1016/j.arthro.2022.06.027 Here's the paper Kyle describes: Iversen, E., Røstad, V., & Larmo, A. (2016). Intermittent blood flow restriction does not reduce atrophy following anterior cruciate ligament reconstruction. Journal of Sport and Health Science, 5(1), 115–118. Here's the paper Johnny describes: Curran, M. T., Bedi, A., Mendias, C. L., Wojtys, E. M., Kujawa, M. V., & Palmieri-Smith, R. M. (2020). Blood Flow Restriction Training Applied With High-Intensity Exercise Does Not Improve Quadriceps Muscle Function After Anterior Cruciate Ligament Reconstruction: A Randomized Controlled Trial. The American Journal of Sports Medicine, 48(4), 825–837. And here's the paper Ben describes: Brumitt, J., Hutchison, M. K., Kang, D., Klemmer, Z., Stroud, M., Cheng, E., Cayanan, N. P., & Shishido, S. (2020). Blood Flow Restriction Training for the Rotator Cuff: A Randomized Controlled Trial. International Journal of Sports Physiology and Performance, 1–6. Intro soundbite: 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

This episode of the ORS podcast is worth a listen just for Johnny's imitation of the Australian accent. Spoiler...it's terrible!! But if that doesn't tickle your fancy then stick around because Johnny and Kyle talk with Adrian Sexton about his work as an exercise physiologist in concussion rehab. They cover some basics as it relates to concussion and its management and then they dive into how Adrian has been integrating BFR rather successfully into the continuum of care. Also, if you're located in Australia, Adrian has a course offering at Murdoch University this fall on October 15th. Here's a link with details: https://owensrecoveryscience.com/courses-view/?permalink=perth-australia-october-2022

In our second installment of our special Memorial Day releases we have our instructor Zac Dunkle talking with fellow Marine, Gunnery Sergeant Tom Schmidt. They discuss: Tom's time in the service Its impact on his life The Rush of War - why some guys keep going back Task Force 8211 Fox Company In Memoriam: Team Chief Master Sergeant Eden Pearl  Nick Roush US ARMY Phyops (physiological operations) American citizen and interpreter Ya Hamid Ali Jimshi

The first of two Memorial Day podcasts this year. Begin this podcast at 1:33PM local to observe The National Moment of Remembrance at 3PM local. In this podcast Major General Daniel Walrath (ret) discusses his service, his injury, and his recovery with Johnny. He concludes by memorializing the 4 people killed in the attack on his group in Afghanistan. In Memoriam: Command Sergeant Major Kevin Griffin Major Tommy Kennedy Major Walter ‘David' Gray US Citizen Mr. Ragaei Abdelfattah of the US Agency for International Development

In this episode the guys discuss two recent papers that build off of previous podcasts. The first article discussed is the use of BFR in Adolescents after ACLR. We previously chatted with the authors of this paper on our episode from June 23, 2020 titled "BFR in Kids!?!" The second paper discussed is a recent survey that was published looking into the use of BFR in persons with neurological conditions. We previously chatted with the primary author of this paper Mark Mañago, PT, DPT, PhD, NCS on November 18, 2020 Intro sound bite 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

It's 2022 y'all and we're excited for a new year of podcasts and knowledge! In this episode we talk with Dr. Edward Chang of INOVA Medical Group about his study utilizing BFR early in the rehab continuum following ACL reconstruction surgery. You can read more about Dr. Chang and his study at the links below: https://www.inova.org/doctors/edward-s-chang-md https://www.healio.com/news/orthopedics/20211130/early-blood-flow-restriction-therapy-may-improve-pain-strength-after-acl-reconstruction#:~:text=Chang%2C%20MD%2C%20and%20colleagues Additionally Johnny begins this podcast with a tribute to his friend Kevin Tipton, PhD who passed recently and unexpectedly. Dr. Tipton was our very first podcast guest and we're deeply saddened by his passing. A number of his colleagues have written tributes upon his passing. Below are a couple if you would like to read them. RIP Dr. Tipton https://www.mysportscience.com/post/kevin-tipton-will-never-be-forgotten https://www.twitlonger.com/show/n_1srugnh Intro music clip credit: 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 of the Owens Recovery Science Podcast, Johnny and Kyle chat with the folks at Springbok Analytics about their new and truly amazing technology! * What does Johnny always say? * What does Johnny's Dad always say? * What does Kyle's Dad always say? * Intro Joe Hart, Phd, AT and Scott Magargee, CEO of Springbok Analytics * What is Springbok? * Background on how it came to be * NFL Hamstring Injury Study * ACL Study in the DoD * Springbok and BFR * Springbok and their continued technological development * Populations outside of the musculoskeletal realm * Where did they get that weird name? * A really cool patient education / buy-in tool To learn more visit: https://www.springbokanalytics.com/ Intro soundbite: 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 Luke Hughes, PhD aka the Drake of BFR returns to discuss his recent paper titled "Aerobic exercise with blood flow restriction causes local and systemic hypoalgesia and increases circulating opioid and endocannabinoid levels". This study followed similar methods to his previous work in terms of outcome measures and its general design. Give it a listen and let us know what you think. Papers referenced during the podcast below: Hughes, L., Grant, I., & Patterson, S. D. (n.d.). Aerobic exercise with blood flow restriction causes local and systemic hypoalgesia 2 and increases circulating opioid and endocannabinoid levels. Hughes, L., & Patterson, S. D. (2020). The effect of blood flow restriction exercise on exercise-induced hypoalgesia and endogenous opioid and endocannabinoid mechanisms of pain modulation. Journal of Applied Physiology. https://doi.org/10.1152/japplphysiol.00768.2019 Song, J. S., Spitz, R. W., Yamada, Y., Bell, Z. W., Wong, V., Abe, T., & Loenneke, J. P. (2021). Exercise-induced hypoalgesia and pain reduction following blood flow restriction: a brief review. Physical Therapy in Sport: Official Journal of the Association of Chartered Physiotherapists in Sports Medicine. https://doi.org/10.1016/j.ptsp.2021.04.005 Slysz, J. T., & Burr, J. F. (2021). Ischemic Preconditioning: Modulating Pain Sensitivity and Exercise Performance. Frontiers in Physiology, 12, 944. Fraessdorf, J., Hollmann, M. W., Hanschmann, I., Heinen, A., Weber, N. C., Preckel, B., & Huhn, R. (2015). Role of Endogenous Opioid System in Ischemic-Induced Late Preconditioning. PloS One, 10(7), e0134283. Intro music: 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 Johnny and Kyle chat with Dr. Lee Winchester about his BFR research. We discuss his recent paper in the Journal of Strength and Conditioning Research and we talk somewhat in-depth about muscle damage. Lee Winchester, PhD is an assistant professor of exercise science at the University of Alabama. His research interests include 1) the potential synergy between BFR and high-intensity resistance exercise, 2) the influence of exercise training in the cold on performance and mechanisms of adaptation, and 3) how school/classroom policy impacts classroom teacher cardiovascular and renal health. Papers discussed: Winchester, L. J., Morris, C. E., Badinger, J., Wiczynski, T. L., & VanWye, W. R. (2020). Blood Flow Restriction at High Resistance Loads Increases the Rate of Muscular Fatigue, but Does Not Increase Plasma Markers of Myotrauma or Inflammation. Journal of Strength and Conditioning Research / National Strength & Conditioning Association. https://doi.org/10.1519/JSC.0000000000003742 Sudo, M., Ando, S., Poole, D. C., & Kano, Y. (2015). Blood flow restriction prevents muscle damage but not protein synthesis signaling following eccentric contractions. Physiological Reports, 3(7). https://doi.org/10.14814/phy2.12449

In this episode, Johnny and Kyle chat with Dr. Jeremy Loenneke of the University of Mississippi about his BFR research. We cover a number of topics here. You're sure to enjoy this one!! Topics covered: * Dr. Loenneke's beginnings in BFR research * The move of BFR into the clinical world and the many things that must be considered when doing so. And the chief need for large scale studies. * What do we actually “know” about BFR? * Hypertrophy * Strength * BP responses to high pressure * Perceptual responses to high pressure * Systemic effects of exercise? * Proximal effects of BFR exercise? * Cognitive effects of BFR exercise? * Passive BFR? * Aerobic BFR? * Blood pressure responses to BFR? * Muscle damage and BFR? * Practical approaches to BFR? * Dr. Loenneke's new coffee maker! :)

Tell their story - In episode 3 of our Memorial Day triple cast Johnny interviews Ryan Hendrickson author of "Tip of the Spear" (buy it here https://www.amazon.com/dp/B07W1KC344), and Dr. Joe Hsu of Atrium Health. They talk about their experiences managing and recovering from limb salvage procedures. More about Ryan: https://ryanmhendrickson.com/ More about Dr. Hsu: https://atriumhealth.org/for-providers/joseph-hsu

Tell their story episode 2 - In this installment Kyle reads a message from his friend and Marine Will Cuellar about Memorial Day and 3 men he would like to honor. Then Johnny and Kyle talk w/ Retired Lt. Col. Dr. Kevin Kirk of The San Antonio Orthopedic Group. For more about Dr. Kirk: https://www.tsaog.com/our-physicians/physician/kevin-kirk/

Tell their story - This is our inaugural Memorial Day podcast where we will attempt to honor the fallen. In this first episode, Kyle offers a brief history of Memorial Day and some of the traditions associated with it. At minute 16 we observe a one-minute moment of silence in honor of the National Moment of Remembrance. Then Zac and Kyle talk about Zac's time in the Marine Corps, some of the brothers he has lost and what serving our country means to Zac. We conclude with the playing of Taps.

In this episode Johnny and Kyle chat with Dr. Jamie Burr, Director of the Human Performance & Health Research Laboratory at the University of Guelph. During this podcast we discuss Dr. Burr and his lab's work centering on ischemic preconditioning, and blood flow restriction exercise and how it can be used to address the exercise needs of the elite level athlete to person's managing chronic disease like diabetes. We're certain you'll enjoy this chat! Here's some of the information we discussed during the podcast: Pignanelli, C., Christiansen, D., & Burr, J. F. (2021). Blood flow restriction training and the high-performance athlete: science to application. Journal of Applied Physiology. https://doi.org/10.1152/japplphysiol.00982.2020 Bjørnsen, T., Wernbom, M., Kirketeig, A., Paulsen, G., Samnøy, L., Bækken, L., Cameron-Smith, D., Berntsen, S., & Raastad, T. (2018). Type 1 Muscle Fiber Hypertrophy after Blood Flow-restricted Training in Powerlifters. Medicine and Science in Sports and Exercise. https://doi.org/10.1249/MSS.0000000000001775 Ferguson, R. A., Mitchell, E. A., Taylor, C. W., Bishop, D. J., & Christiansen, D. (2021). Blood-flow-restricted exercise: Strategies for enhancing muscle adaptation and performance in the endurance-trained athlete. Experimental Physiology. https://doi.org/10.1113/EP089280 Morley, W. N., Coates, A. M., & Burr, J. F. (2020). Cardiac autonomic recovery following traditional and augmented remote ischemic preconditioning. European Journal of Applied Physiology. https://doi.org/10.1007/s00421-020-04526-y Petrick, H. L., Pignanelli, C., Barbeau, P.-A., Churchward-Venne, T. A., Dennis, K. M. J. H., van Loon, L. J. C., Burr, J. F., Goossens, G. H., & Holloway, G. P. (2019). Blood flow restricted resistance exercise and reductions in oxygen tension attenuate mitochondrial H2 O2 emission rates in human skeletal muscle. The Journal of Physiology. https://doi.org/10.1113/JP277765 Dr. Burr discussing the work his lab does: https://www.youtube.com/watch?v=oz0A4M8ajc4&t=98s Cheung, C. P., Slysz, J. T., & Burr, J. F. (2019). Ischemic Preconditioning: Improved Cycling Performance Despite Nocebo Expectation. International Journal of Sports Physiology and Performance, 1–22. Jean-St-Michel, E., Manlhiot, C., Li, J., Tropak, M., Michelsen, M. M., Schmidt, M. R., McCrindle, B. W., Wells, G. D., & Redington, A. N. (2011). Remote preconditioning improves maximal performance in highly trained athletes. Medicine and Science in Sports and Exercise, 43(7), 1280–1286. Crisafulli, A., de Farias, R. R., Farinatti, P., Lopes, K. G., Milia, R., Sainas, G., Pinna, V., Palazzolo, G., Doneddu, A., Magnani, S., Mulliri, G., Roberto, S., & Oliveira, R. B. (2018). Blood Flow Restriction Training Reduces Blood Pressure During Exercise Without Affecting Metaboreflex Activity. Frontiers in Physiology, 9, 1736.

In this episode Johnny and Kyle chat with Todd Schroeder, PhD, MS, CSCS, FACSM of the University of Southern California. The fellas discuss how Todd go interested in BFR and how he has and continues to explore its effects on muscle! Dr. Schroeder holds a full-time faculty position in the USC Division of Biokinesiology and Physical Therapy. He is the Director of the USC Clinical Exercise Research Center and has over 70 peer-reviewed publications on the effects of exercise and hormones in health and disease. Dr. Schroeder is trained as an exercise physiologist, certified strength and conditioning specialist (CSCS), and is recognized as a Fellow of the American College of Sports Medicine (FACSM). Dr. Schroeder has helped develop the USC sports science program in the Division of Biokinesiology and Physical Therapy which lead to the partnership with Jordan Brand to create the Jordan Flight Lab at Jumpman LA in Los Angeles. The Flight Lab is dedicated to using innovation and technology to teach students, train athletes, and expose inner-city kids to the world of sports science. Dr. Schroeder also consults for technology companies and validates new products in the health and fitness space.

In this episode we chat with Associate Professor in the Division of Physical Therapy and the Department of Orthopedic Surgery at University of Kentucky Brian Noehren, PT, PhD, FACSM and Associate Professor Chris Fry, PhD of University of Kentucky in the Department of Athletic Training and Clinical Nutrition. Brian and Chris have a registered (ref. no. NCT03364647), ongoing ACLR trial utilizing BFR where they will be taking serial biopsies to exam what effect the intervention is having upon the quality of the muscle; something they've identified to be problematic in previous studies. Here's a link to their study protocol: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6665950/ The articles we discussed in this episode: Noehren, B., Andersen, A., Hardy, P., Johnson, D. L., Ireland, M. L., Thompson, K. L., & Damon, B. (2016). Cellular and Morphological Alterations in the Vastus Lateralis Muscle as the Result of ACL Injury and Reconstruction. The Journal of Bone and Joint Surgery. American Volume, 98(18), 1541–1547. Peck, B. D., Brightwell, C. R., Johnson, D. L., Ireland, M. L., Noehren, B., & Fry, C. S. (2019). Anterior Cruciate Ligament Tear Promotes Skeletal Muscle Myostatin Expression, Fibrogenic Cell Expansion, and a Decline in Muscle Quality. The American Journal of Sports Medicine, 363546519832864. Noehren, B., & Snyder-Mackler, L. (2020). Who's Afraid of the Big Bad Wolf? Open-Chain Exercises After Anterior Cruciate Ligament Reconstruction. The Journal of Orthopaedic and Sports Physical Therapy, 50(9), 473–475. Moro, T., Brightwell, C. R., Phalen, D. E., McKenna, C. F., Lane, S. J., Porter, C., Volpi, E., Rasmussen, B. B., & Fry, C. S. (2019). Low skeletal muscle capillarization limits muscle adaptation to resistance exercise training in older adults. Experimental Gerontology, 127, 110723. Nielsen, J. L., Aagaard, P., Bech, R. D., Nygaard, T., Hvid, L. G., Wernbom, M., Suetta, C., & Frandsen, U. (2012). Proliferation of myogenic stem cells in human skeletal muscle in response to low-load resistance training with blood flow restriction. The Journal of Physiology, 590(17), 4351–4361. If you'd be interested in pursuing a PhD with these gentlemen feel free to reach out at: b.noehren@uky.edu christopher.fry@uky.edu Or, find Brian and Chris on Twitter: @bnoehren @ChrisFryPhD

In this episode the fellas discuss a recent paper in the Scandinavian Journal of Medicine & Science in Sports. The paper did a really nice job of refining the work of other authors to remove some bias and give a nice picture of what has been shown thus far as it pertains to the comparison of BFR w/ light weigh to traditional strength training via heavy load. Grønfeldt, B. M., Lindberg Nielsen, J., Mieritz, R. M., Lund, H., & Aagaard, P. (2020). Effect of blood-flow restricted vs. heavy-load strength training on muscle strength: Systematic review and meta-analysis. Scandinavian Journal of Medicine & Science in Sports. https://doi.org/10.1111/sms.13632

In this episode of the Owens Recovery Science podcast Johnny and Kyle chat with Mark Mañago, PT, DPT, PhD, NCS. Mark is an Assistant Professor in the Physical Therapy program at the University of Colorado Anschutz Medical Campus. Dr. Mañago is a dedicated researcher, focused on advancing clinical research in the field of rehabilitation in people with multiple sclerosis and other neurological conditions by investigating clinically feasible targeted exercise interventions to improve participation. This year, he was awarded a K-12 award through the Comprehensive Opportunities in Rehabilitation Research Training (CORRT) program and recently received a pilot award from the Consortium of MS Centers to study the feasibility of BFR in people with MS. Papers referenced on this podcast: Camara-Lemarroy, C., Metz, L., Smith, E., Dunn, J., & Yong, V. W. (2018). Expanding the Potential Therapeutic Options for Remote Ischemic Preconditioning: Use in Multiple Sclerosis. Frontiers in Neurology, 9, 475. Chotiyarnwong, C., Nair, K., Angelini, L., Buckley, E., Mazza, C., Heyes, D., Ramiz, R., Baster, K., Ismail, A., Das, J., Ali, A., Lindert, R., Sharrack, B., Price, S., & Paling, D. (2020). Effect of remote ischaemic preconditioning on walking in people with multiple sclerosis: double-blind randomised controlled trial. BMJ Neurology Open, 2(1), e000022. Darvishi, M., Rafiei, M., Kelardeh, B. M., & Keshavarz, S. (n.d.). Effect of Aerobic Training with Blood Flow Restricting on Static Balance, Lower Extremity Strength, and Thigh Hypertrophy in Females with Multiple Sclerosis. Lamberti, N., Straudi, S., Donadi, M., Tanaka, H., Basaglia, N., & Manfredini, F. (2020). Effectiveness of blood flow-restricted slow walking on mobility in severe multiple sclerosis: a pilot randomized trial. Scandinavian Journal of Medicine & Science in Sports. https://doi.org/10.1111/sms.13764

In this episode we talk with Brad Lambert, PhD of Houston Methodist about their ACLR and throwing shoulder BFR studies, along with his general curiosities and future clinical BFR work. We hope you enjoy the listen! #EARNYOURDEFLATE

In this episode the guys discuss a recent paper evaluating the biomechanical changes that occur when combining BFR with a step up task in healthy subjects and subjects who have had ACLR. Primary paper: Telfer, S., Calhoun, J., Bigham, J., Mand, S., Gellert, J., Hagen, M., Kweon, C., & Gee, A. (2020). Biomechanical Effects of Blood Flow Restriction Training after ACL Reconstruction. Medicine and Science in Sports and Exercise. https://doi.org/10.1249/MSS.0000000000002437 Sigward and Chan papers: Chan, M.-S., & Sigward, S. M. (2019). Loading Behaviors Do Not Match Loading Abilities Postanterior Cruciate Ligament Reconstruction. Medicine and Science in Sports and Exercise, 51(8), 1626–1634. Chan, M.-S., & Sigward, S. M. (2020). Center of pressure predicts Intra-limb compensatory patterns that shift demands away from knee extensors during squatting. Journal of Biomechanics, 110008. CRMM paper: 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 PT Inquest episode with Susan Sigward: https://ptpodcast.com/pt-inquest-episode-140-compensatory-strategies-after-aclr/

On this episode of the Owens Recovery Science Podcast Johnny and Kyle chat with Angie West, ATC, John Faltus, PT, ATC and Chad Frazier, ATC. These 3 have worked in some of the coolest areas of musculoskeletal rehabilitation!! They work with circus performers!! Want to learn even more about performance medicine? Check out their podcast!! PMED Podcast: https://podcasts.apple.com/ca/podcast/pmed-podcast/id1516890302 Sound effects and music obtained from https://www.zapsplat.com

In this episode of the ORS podcast Johnny and the fellas discuss a recent paper that has given additional support to the ability of repeated inflations of a cuff limiting muscle atrophy from disuse. Here's the paper: Kakehi, S., Tamura, Y., Kubota, A., Takeno, K., Kawaguchi, M., Sakuraba, K., Kawamori, R., & Watada, H. (2020). Effects of blood flow restriction on muscle size and gene expression in muscle during immobilization: A pilot study. Physiological Reports, 8(14), e14516. Other papers referenced: Du Bois, P., Pablo Tortola, C., Lodka, D., Kny, M., Schmidt, F., Song, K., Schmidt, S., Bassel-Duby, R., Olson, E. N., & Fielitz, J. (2015). Angiotensin II Induces Skeletal Muscle Atrophy by Activating TFEB-Mediated MuRF1 Expression. Circulation Research, 117(5), 424–436. Joshi, S., Wollenzien, H., Leclerc, E., & Jarajapu, Y. P. (2019). Hypoxic regulation of angiotensin-converting enzyme 2 and Mas receptor in human CD34+ cells. Journal of Cellular Physiology, 234(11), 20420–20431. Tipton, K. D., Hamilton, D. L., & Gallagher, I. J. (2018). Assessing the Role of Muscle Protein Breakdown in Response to Nutrition and Exercise in Humans. Sports Medicine , 48(Suppl 1), 53–64. Kubota, A., Sakuraba, K., Koh, S., Ogura, Y., & Tamura, Y. (2011). Blood flow restriction by low compressive force prevents disuse muscular weakness. Journal of Science and Medicine in Sport / Sports Medicine Australia, 14(2), 95–99. Kubota, A., Sakuraba, K., Sawaki, K., Sumide, T., & Tamura, Y. (2008). Prevention of disuse muscular weakness by restriction of blood flow. Medicine and Science in Sports and Exercise, 40(3), 529–534. What everyone wanted though…the squirrel story!! https://www.sciencemag.org/news/2019/10/here-s-how-hibernating-squirrels-live-months-without-water Credit to FoolBoyMedia on free sound.org for the sound byte: https://freesound.org/s/504687/

In this episode of the Owens Recovery Science podcast we chat with Luke Hughes, PhD about his work thus far in the field on the topics of ACLR rehab with BFR and how BFR influences exercise induced hypoalgesia. You can find Luke on Twitter at @Luke_H04 Shout out to Brian Goonan, PT aka the Hops and Squats PT for the intro to our podcast today. You can find him on Twitter under the handle @TuneInToGoonan or on Facebook as BK Goon. Credit to bigmanjoe for his sound clip “Dr. Dre style hip hop loop” serving as the backing track to our podcast intro. You can find bigmanjoe on freesound.org

In this podcast Johnny and the guys chat using BFR on horses with Sherry Johnson, DVM. Dr. Johnson is a specialist in Equine Sports Medicine & Rehabilitation (DACVSMR) and a PhD candidate at Colorado State University where her research is focused on novel rehabilitation modalities related to tendon healing. She is a partner and managing veterinarian of Equine Sports Medicine & Rehabilitation (ESMR). She is also a senior partner and co-founder of Equine CORE, Inc., the nation's first specialist-owned and operated tele-rehabilitation service.

That's right people!! Next to, “How the heck does this work above the cuff?” this is easily the most frequently asked question at our courses, “Is it safe in children?” In this episode we've got Adam Weaver, PT and Nick Giampetruzzi, PT from Connecticut Children's, and Jeannie Graf, PT with Children's Healthcare of Atlanta on to discuss the research studies that they're beginning very soon on BFR use following ACLR in adolescents. This is a fun one!! We hope you enjoy! Connecticut Children's trial registration: https://clinicaltrials.gov/ct2/show/NCT04285879?cond=blood+flow+restriction&draw=2&rank=2 Children's Healthcare of Atlanta trial registration:https://clinicaltrials.gov/ct2/show/NCT04390035?cond=blood+flow+restriction&map_cntry=US&map_state=US%3AGA&draw=2&rank=1 Children's Healthcare of Atlanta Social Media: FB - @ChildrensHealthcareofAtlanta IG - @childrensatl Twitter - @childrensatl Therapy Dog IG - @TherapyDogsofCHOA Connecticut Children's Social Media: Twitter - @ctchildrens Nick Giampetruzzi, PT: Twitter - @ngiamPeTruzzi15 Adam Weaver, PT: Twitter - @adampweaver IG - @weavera25

In this installment of the ORS podcast Kyle Kimbrell, PT interviews Johnny Owens, PT and Larry Cahalin, PT, PhD about their contributions to the PACER Project. Below you can find links to each of their talks as well as the project on the whole. We hope you enjoy this episode and we hope to see you at one of our courses very soon! Johnny Owens, PT - Blood Flow Restriction https://www.youtube.com/watch?v=mL7595lRqE0&list=PLne40IpTInF62gkGJYkRvty0Mzfxect2g&index=31 Larry Cahalin, PT, PhD - Respiratory Muscle Training: https://www.youtube.com/watch?v=k8LMW3hrvZc&list=PLne40IpTInF62gkGJYkRvty0Mzfxect2g&index=14 APTA Learning Center PACER Project: https://learningcenter.apta.org/student/Catalogue/CatalogueCategory.aspx?id=dcbae4dc-1a13-42ff-b9da-7ba7a62162e9 Cardiopulmonary Section YouTube Channel: https://www.youtube.com/watch?v=W7bAfww8lWo&list=PLne40IpTInF62gkGJYkRvty0Mzfxect2g