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Fit As A Physio
Fergus Tilt, Sports Physiotherapist
28 episodes
3 hours ago
PHYSIO MOSMAN: https://www.fitasaphysio.com/ A 2024 critical review titled "Cryotherapy for treating soft tissue injuries in sport medicine" challenges the common practice of using ice for injury treatment. The authors conducted a systematic literature search, finding a significant lack of human studies that demonstrate a positive effect of cryotherapy on tissue regeneration, contrasting with its established use for short-term pain relief. While acknowledging that cryotherapy is a basic prin...
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Health & Fitness
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PHYSIO MOSMAN: https://www.fitasaphysio.com/ A 2024 critical review titled "Cryotherapy for treating soft tissue injuries in sport medicine" challenges the common practice of using ice for injury treatment. The authors conducted a systematic literature search, finding a significant lack of human studies that demonstrate a positive effect of cryotherapy on tissue regeneration, contrasting with its established use for short-term pain relief. While acknowledging that cryotherapy is a basic prin...
Show more...
Health & Fitness
Episodes (20/28)
Fit As A Physio
Ice for Sports Injuries?
PHYSIO MOSMAN: https://www.fitasaphysio.com/ A 2024 critical review titled "Cryotherapy for treating soft tissue injuries in sport medicine" challenges the common practice of using ice for injury treatment. The authors conducted a systematic literature search, finding a significant lack of human studies that demonstrate a positive effect of cryotherapy on tissue regeneration, contrasting with its established use for short-term pain relief. While acknowledging that cryotherapy is a basic prin...
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1 week ago
10 minutes

Fit As A Physio
Achilles Tendinopathy: A Physiotherapy Framework for Recovery
PHYSIO MOSMAN: https://www.fitasaphysio.com/ We discuss a comprehensive research review article from the Journal of Physiotherapy focused on the physiotherapy management of Achilles tendinopathy, covering both mid-portion and insertional types. The article provides an in-depth exploration of the condition's epidemiology, burden, and clinical course, advocating for a shift from a biomedical to a biopsychosocial view in diagnosis and care. The article details assessment methods, including load...
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2 weeks ago
46 minutes

Fit As A Physio
Rotator Cuff Tendinopathy
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Rotator Cuff Tendinopathy: Diagnosis, Care, and Rehabilitation Guidelines A recent article provides an evidence-based Clinical Practice Guideline (CPG) developed by an international expert panel focusing on the non-surgical diagnosis and treatment of rotator cuff (RC) tendinopathy. The guidelines emphasize that initial assessment must rely on a comprehensive clinical evaluation and detailed patient history, rather than the costly and often unnece...
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3 weeks ago
40 minutes

Fit As A Physio
Frozen Shoulder: A Systemic Immunometabolic Disorder
PHYSIO MOSMAN: https://www.fitasaphysio.com/ This academic review re-examines Frozen Shoulder (FS), traditionally seen as a localized orthopedic problem, by proposing an integrative systemic model linking the disorder to immunometabolic and endocrine dysfunctions. The central focus is on estrogen deficiency and resistance, noting the disproportionate effect of FS on perimenopausal and postmenopausal women. The article explores how factors such as thyroid dysfunction, endothelial damage, meta...
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1 month ago
39 minutes

Fit As A Physio
New Perspectives on Exercise for Knee Osteoarthritis
PHYSIO MOSMAN:https://www.fitasaphysio.com/ New Perspectives on Exercise for Knee Osteoarthritis A narrative review published in the Journal of Physiotherapy summarises recent research concerning the exercise management of knee osteoarthritis (OA) between 2020 and early 2025. The authors identify and discuss six key themes addressing the effectiveness and uncertainties of exercise therapy for knee OA, including questions about optimal dosage, adherence, delivery methods like telehealth, and...
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1 month ago
56 minutes

Fit As A Physio
Single-Session Distance Spikes Predict Running Injury Risk
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Single-Session Distance Spikes Predict Running Injury Risk An academic article, published in the British Journal of Sports Medicine, presents the findings of a large cohort study titled, "How much running is too much? Identifying high-risk running sessions in a 5200-person cohort study." This study explored the relationship between sudden increases in running distance and the risk of overuse injuries among adult runners, utilizing data col...
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1 month ago
28 minutes

Fit As A Physio
Ruptured Achilles Tendon: A Guide to Your Treatment Options
PHYSIO MOSMAN: https://www.fitasaphysio.com/ These sources consist of a multicenter, randomized, controlled trial and two systematic reviews/meta-analyses, all focusing on the optimal treatment for acute Achilles’ tendon rupture (ATR). The randomized trial found that surgery (open repair or minimally invasive surgery) did not yield better patient-reported outcomes than nonoperative treatment at 12 months, although surgery significantly reduced the risk of rerupture. Both systematic reviews ...
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2 months ago
12 minutes

Fit As A Physio
Best Glute Exercise
PHYSIO MOSMAN: https://www.fitasaphysio.com Gluteus Maximus Activation During Strength Exercises: A Review These sources primarily examine the effects of hip-extension exercises, such as the hip thrust (HT) and glute bridge (GB), on both muscle growth (hypertrophy) and athletic performance, specifically sprint capability. One study from the European Journal of Sport Science investigates the acute effects of HT and GB, with varying loads, on sprint performance and horizontal force–velocity p...
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2 months ago
13 minutes

Fit As A Physio
Exercise Reduces Inflammation
PHYSIO MOSMAN: https://www.fitasaphysio.com/ These sources collectively examine the anti-inflammatory effects of exercise and the underlying mechanisms involved. Multiple studies investigate how both acute and chronic exercise modulates the immune system, showing that physical activity generally reduces markers of systemic and localized inflammation, such as Tumor Necrosis Factor-alpha (TNF) and C-reactive protein (CRP), which are implicated in chronic diseases like cardiovascular disease an...
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2 months ago
15 minutes

Fit As A Physio
Exercise Therapy Does Not Harm Osteoarthritic Knees
PHYSIO MOSMAN: https://www.fitasaphysio.com/ The sources comprise a clinical commentary from the Journal of Orthopaedic & Sports Physical Therapyaddressing the widespread belief that exercise therapy harms or "wears down" the knee joint in patients with osteoarthritis (OA). The authors, Alessio Bricca, Carsten Bogh Juhl, and Ewa M. Roos, assert that this misconception stems from misinterpretations of early laboratory findings and the "wear and tear" analogy often used to describe OA. Sys...
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2 months ago
14 minutes

Fit As A Physio
ACL Treatment Decisions Patient Experiences and Clinician Advice
PHYSIO MOSMAN: https://www.fitasaphysio.com/ ACL Treatment Decisions: Patient Experiences and Clinician Advice This text is an excerpt from an original research article published in the Journal of Science and Medicine in Sport, focusing on Anterior Cruciate Ligament (ACL) injury treatment decisions from the perspective of 734 Australian patients. The study employed a mixed-methods design, using both a survey and semi-structured interviews to explore patient beliefs and decision-making exper...
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2 months ago
14 minutes

Fit As A Physio
The Myth of Stretching
PHYSIO MOSMAN: https://www.fitasaphysio.com/ The Myth of Stretching: What Science Says These sources challenge conventional wisdom regarding stretching and flexibility, primarily advocating for the reassessment of flexibility as a major component of physical fitness. We highlight limited evidence supporting static stretching's effectiveness in preventing injury, reducing muscle soreness, or significantly improving athletic performance for most individuals. Instead, the authors argue that ot...
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2 months ago
20 minutes

Fit As A Physio
Understanding and Managing Low Back Pain
PHYSIO MOSMAN: https://www.fitasaphysio.com/ We provide a comprehensive overview of low back pain (LBP), distinguishing between the common, non-specific type and rare, serious pathologies. They explain that LBP is highly prevalent, often self-limiting, and rarely indicates structural damage, with pain intensity frequently reflecting the body's protective sensitivity rather than injury severity. We emphasize the importance of early assessment, identifying psychosocial factors, and judiciously...
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2 months ago
23 minutes

Fit As A Physio
Achilles Tendinopathy
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Achilles Tendinopathy: A Clinical Practice Guideline Update We discuss the 2024 Clinical Practice Guidelines for midportion Achilles tendinopathy, developed by the Academy of Orthopaedic Physical Therapy. It offers an updated, evidence-based framework for physical therapy management, covering diagnosis, prognosis, and intervention strategies. The guidelines specifically address various treatment modalities, including different forms of exercise, ...
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2 months ago
23 minutes

Fit As A Physio
Running, Knees, and Age: Dispelling Myths
PHYSIO MOSMAN: http://www.fitasaphysio.com/ A recent article from "The Conversation", discuss the common misconception that running damages knees. It explains that while running involves significant impact, the body is designed to adapt, and this load can actually strengthen bones and cartilage. The article suggests that runners tend to have healthier knees and better bone density than non-runners, and that cartilage temporarily thinning during a run may even facilitate nutrient flow. Furthe...
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2 months ago
9 minutes

Fit As A Physio
Predicting Resistance Repetitions at Various Loads
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Predicting Resistance Repetitions at Various Loads: A Meta-Analysis This review article focuses on the maximal number of repetitions (REPS) achievable at various percentages of one repetition maximum (%1RM), a critical relationship for resistance exercise programming. The authors conducted a meta-regression and moderator analysis using data from nearly 7,000 individuals to update existing guidelines, which were based on limited studies and lacked ...
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2 months ago
11 minutes

Fit As A Physio
Football Recovery Strategies
PHYSIO MOSMAN: https://www.fitasaphysio.com/ FOOTBALL RECOVERY STRATEGIES We discuss an article and a YouTube video from the "Aspetar Sports Medicine Journal" on football recovery strategies. Both detail the demands placed on elite soccer players due to congested match schedules, emphasizing the increased risk of chronic fatigue and injury. They identify key mechanisms contributing to post-match fatigue, such as glycogen depletion, muscle damage, and mental exhaustion. The sources also evalu...
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2 months ago
31 minutes

Fit As A Physio
Osgood Schlatter's Disease Causes and Management
PHYSIO MOSMAN: https://www.fitasaphysio.com/ Osgood-Schlatter's Disease is an overuse injury affecting the front of the knee, particularly common in growing children aged 9-12 who participate in activities involving a lot of running and jumping. This condition results from the body's inability to recover sufficiently during periods of rapid growth and intense physical training. It is a self-limiting condition with no long-term complications, resolving once growth stops. Management primarily ...
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2 months ago
18 minutes

Fit As A Physio
ACL Rupture Diagnosis and Treatment Options
PHYSIO MOSMAN: https://www.fitasaphysio.com/ A comprehensive overview of anterior cruciate ligament (ACL) ruptures, explaining what the ligament is and how it functions as a stabilizer in the knee. They detail common causes of injury, often sports-related, and list symptoms that may indicate an ACL tear. TheY present various treatment options, including surgical reconstruction, non-surgical rehabilitation, and the ACL Cross Bracing Protocol, outlining the advantages and disadvantages of each...
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2 months ago
26 minutes

Fit As A Physio
Training Load and Injury Prevention
PHYSIO MOSMAN: https://www.fitasaphysio.com/ This podcast from Fit As A Physio discusses load management for injury prevention in athletes. It highlights the importance of balancing acute workload (recent training) with chronic workload (longer-term training history) to reduce injury risk. The post explains how to measure training load using session RPE multiplied by duration and introduces the concept of training-stress balance. A negative balance, where recent workload significantly exceed...
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2 months ago
12 minutes

Fit As A Physio
PHYSIO MOSMAN: https://www.fitasaphysio.com/ A 2024 critical review titled "Cryotherapy for treating soft tissue injuries in sport medicine" challenges the common practice of using ice for injury treatment. The authors conducted a systematic literature search, finding a significant lack of human studies that demonstrate a positive effect of cryotherapy on tissue regeneration, contrasting with its established use for short-term pain relief. While acknowledging that cryotherapy is a basic prin...