Tag Archives: podchatlive

Understanding training loads in athletes and their management

Coping with how hard athletes’ train is turning into a critical aspect in every sports activity. Athletes need to train hard to improve their conditioning and efficiency, but at the same time they need to not be exercising so much that they overtrain and get an injury. We have a close balance which coaches have to take with athletes to have it ideal. The full perception of load management for the athlete was the main topic of an edition of the widely used chat show for podiatry practitioners known as PodChatLive. In this edition the hosts talked to Tim Gabbett whom consults widely over several elite sporting clubs around the world related to load management of athletes. In the episode he outlined exactly what load actually is, how different people respond to load and how it really is advanced properly to get the best from the athlete without them having an injury. The most significant clinical application of this for doctors is certainly how it ought to influence their background taking of injured sports athletes by asking regarding the prior days training load along with psychosocial issues that can have an effect on load capacity. The significance of how you can advise their clients to monitor their load in a uncomplicated and easy approach. In addition, they discussed the constraints of the “10% rule”.

Dr Tim Gabbett, PhD has in excess of twenty years expertise working as a practical applied sport scientist with sports athletes and trainers from a very wide range of various sports activities. Tim holds a PhD in Human Physiology from 2000 and has finished a second PhD in the Applied Science of Professional Football in 2011. Tim has published over 200 peer-reviewed scientific papers along with has presented at more than 200 national and international conventions. He has worked with elite international athletes over quite a few Commonwealth Games along with Olympic Games periods. He carries on work as a sport science along with as a training expert for a number of elite teams around the globe.

 

How did PodChatLive get started?

PodChatLive is a monthly video livestream show for podiatrists and other health professionals interested in the topic that is streamed live on Facebook and is available later as a replay on YouTube, the website as well as the usual podcast platforms such as iTunes and Spotify for the audio edition. In each show both hosts have on a number of guests and go over a wide range of topics of significance to podiatrists and the lower limb. During the broadcast, queries might be asked by those watching during real time and the hosts and guests respond. The livestream has gathered an extensive following and is very well-known among podiatrists.

The hosts of PodChatLive are Ian Griffiths and Craig Payne, both podiatrists. The show commenced one evening when Craig was visiting Ian and they went live from Ian’s kitchen to have a chat live on Facebook about whatever came up. It was later on named PodChatLive when they noticed that it proved helpful and they were developing a following. Craig is located in Melbourne and he runs the discussion board, Podiatry Arena and runs the online courses for the Clinical Biomechanics Bootcamp. Ian is a sports podiatrist London, UK. The livestream did start off as a weekly livestream, but as it's not monetized, it was way too much work for the hosts to put on, so following the first year it was transformed to a monthly livestream.

Occasionally the discussion is about clinical topics such as types of foot problems, other times it focusses on business topics like social internet marketing. In other episodes the guest is someone well known within the podiatry profession and they talk about a wide range of topics with that guest. Some topics are much more popular than others and at times the hosts get surprised exactly how popular some episodes are as they weren't actually anticipating that episode to be as popular as what it was.

What is the story behind the Nike Vaporfly?

There is a serious debate brewing at this time in the running community connected with a probable not fair gain from performance enhancing running shoes. These are running shoes that include returning of your energy right after the foot has contacted the road. These kinds of athletic shoes are probably unlawful and performance maximizing, nevertheless they haven't been forbidden yet. Almost all high level athletes are actually running in them in marathons and quite a few nonelite athletes are likewise using them to get an alleged performance boost. They have become so widespread, it may not be simple for the regulators to control there use, even if the wished to. A current show of the podiatry livestream was dedicated to this issue, mainly the disputes round the Nike Vaporfly and Next% athletic shoes.

In this edition of PodChatLive, Craig and Ian talked with Alex Hutchinson discussing these athletic shoes that may have shifted the needle more than any other shoe in history of running, the Nike Vaporfly along with Next%. They talked about should they come good on their advertising guarantee of improving upon runners by 4% and just what really does that basically indicate? They spoke of where does the line between creativity and ‘shoe doping’ get drawn and when these footwear could they be only for high level athletes. Alex Hutchinson is a writer and a journalist based in Toronto, Canada. His major focus these days is the science of running and conditioning, that he reports for Outside magazine, The Globe and Mail, and the Canadian Running magazine. Alex additionally handles technology for Popular Mechanics (where he won a National Magazine Award for his energy reporting) and adventure tourism for the New York Times, and had been a Runner’s World reporter from 2012 to 2017. Alex's most recent book is an exploration of the science of endurance. It’s called ENDURE: Mind, Body, and the Curiously Elastic Limits of Human Performance.

What is the role of running shoes in running injury?

The connection relating to the choice of the best suited running footwear and having a running overuse injury is a controversial theme. One can find firmly held views for both sides of this controversy and there's not a lot of research that will help solve the controversy. The idea is that a runner wants the proper running footwear for their biomechanics in order to prevent an excessive use injury from happening, so if the incorrect shoe may be used there's an higher risk for an overuse injury. Nevertheless, the actual research that supports that widely held content is just not at this time there producing all the opinions and controversy concerning this topic. The running footwear marketplace is valued at many billion dollars and up to 50 % or maybe more runners gets an overuse injury each year, and so a lot is at stake in this dispute.

On an edition of the podiatry live show, PodChatLive the show's hosts spoke with the athlete and podiatrist Michael Nitschke in regards to this issue and just what purpose, typically will the athletic shoes play in running injury. In addition they mainly talked over a fresh running shoe made by Nike which they say will decrease the overuse injury rate. There exists some Nike backed research which backs up this claim, however that research has not yet been released leading to plenty of conjecture and further adding to the controversy for this matter. The edition was invaluable as it considered all of the challenges without taking one side or some other. The two hosts and Michael Nitschke are runners themselves and still have to produce decisions not simply for which running shoes they are going to run in but additionally make suggestions for their clients that they see with clinical problems. This needs to be completed in the circumstance with the uncertainness with all the research which underpins the choice and use of athletic shoes. Certainly, they feel that comfort is among the most important factor to consider when making conclusions regarding athletic shoes.

Does manual therapy for teh foot work?

Manual therapy has become somewhat controversial in recent times. Manual therapy general covers the physical therapy techniques of manipulation and mobilization. This controversy is based around the lack of good research that actually shows it works. That does not mean that it does not work, it just means that the quality of the research that supports its use is not very good. The other issue that is making it controversial is if it does work, then how does it work. In the past it was the dramatic cracking sound as a joint is put back into place. All the evidence now shows that that is not how it works and it probably works via some sort of pain interference system giving the impression that the pain is better. None of this is totally clear and more research is ongoing to try and resolve this problem. This poses a dilemma for clinicians who use these manual therapy techniques and need to make decisions about how to help their patients clinical and still be evidence based in what they do.

A recent episode of the podiatry livestream, PodChatLive attempted to address these sorts of issues when it comes to manual therapy for foot problems. In that episode the hosts interviewed Dave Cashley who gave his personal experience both from his many years of clinical practice and his own research on manual therapy. His research has been on its use for intermetatarsal neuroma and it is appearing to be promising. He also voices his opinion on some of the criticisms that have been directed at manual therapy.  David Cashley is podiatrist and a respected international speaker and educator. David is a fellow of the Royal College of Physicians and Surgeons and has published a number of papers on podiatric manual therapy in the literature in recent years. During his career, he has worked with professional sportsmen, elite athletes, world champions, international dance companies and the British military.