Back In Business Physio

https://www.medscape.com/viewarticle/walking-helps-guard-against-recurrent-low-back-pain-2024a1000bhl

Walking Helps Guard Against Recurrent Low Back Pain Regular walking can help adults with a history of low back pain avoid recurrent bouts of low back pain, a randomized controlled trial has found.

Climate change and increasing morbidity. This pertains to Latin America, but similar issues here in Australia, when it comes to fine particulate morbidity from increasingly intense and prolonged bush fires. People over 65 and under 1, particularly at risk to heat stress as well. The former have less heat shock proteins as they age, as the length of their proteins is reducing with each telomere splicing.

How Is Mexico Facing the Health Effects of Climate Change? Until 2022, there was no evidence that Mexico was conducting a vulnerability and adaptation assessment or drafting a plan to adapt to the health effects of climate change.

I recently followed up on a client who I'd been seeing for performance issues whilst road cycling. After a ride on a hot day, he fainted in the shower - presumably dehydration. He hit his head and subsequently developed POTS like symptoms. Paroxysmal Orthostatic Tachycardia Syndrome is often a debilitating misdiagnosed or undiagnosed condition. Frequently seen in on-going concussion syndrome, but also in people with autonomic dysfunction associated with Ehler Danlos Syndrome or Hypermobility Syndrome.

www.back-in-business-physiotherapy.com

Very disturbing investigation on Headaches and Su***de. "The risk for su***de attempt was four times higher in people with trigeminal and autonomic cephalalgias (TAC), and the risk for completed su***de was double among those with posttraumatic headache compared with individuals with no headache." Very important for physiotherapists to realise this in post traumatic headache.

Tension, Other Headache Types Robustly Linked to Su***de Headache, including tension-type, migraine, and posttraumatic, are robustly associated with both attempted and completed su***de, a large study shows.

This was a client of mine. Still driving and living at home until recently. One of the most remarkable people I’ve ever met!!…. And he did all his exercises to the letter!!!! RIP

Patients with acute lumbar sciatica secondary to disc herniation who received 2 weeks of lumbar traction, either at 10% BW or 50% BW, reported reduced radicular pain and functional impairment and improved well-being regardless of the traction force group to which they were assigned. The effects of the traction treatment were independent of the initial level of medication and appeared to be maintained at the 2-week follow-up. (Marie-Eve Isner-Horobeti et al 2016 J Manipulative Physiol Ther 39, 45-654)

Dosage of 30-50% body weight does not take into account the patients morphology (floppy vs st**fy), nor the state of their pathology. It has been hypothesised that, the high dose biomechanical construct (30-50% body weight), based on cadavers and anecdotal history (James Cyriax 1950's) of inter-vertebral separation, is much too high, if a neurophysiological approach is to be considered. By incrementally adding load, from 10->25kg, it can be noted, when a normalisation of signs and symptoms occurs. Moreover, at a certain point of loading, the signs and symptoms begin to deteriorate once again. It is considered, that this latter methodology, more appropriately takes into account, neurophysiological phenomenon such a neurogenic inflammation, deterministic chaos immunological responses, descending sympathetic as well as peripheral sympathetic nervous system responses as well as the need to clinically respect muscle spasm. Clinically, this has been a tried and tested method, where presumably a certain dose of traction takes pressure off the blood vessels and nerves inside the IVF and potentially stretches the capsule of the Z-joint, whereas a dose which is too large, stretches pain sensitive structures which re-invokes muscle spasms and re-introduces compression. Reflexogenic muscle spasms must be respected.

Importantly, lumbar traction is also thoracic traction, as tension as far as the upper thoracic rings can dissipate with the application of low dose 'lumbar traction'

Dose Force = the normalisation of S+S : Position = antalgic position, supine with legs in 90º flexion, supine with legs in slight flexion : Frequency = 1-2 times per week. Intermittent vs Constant = whatever feels best for the patient, however the clinician should be aware that I/T loading causes pre-conditioning and potentially greater creep and hysteresis.

Read more : https://back-in-business-physiotherapy.com/physiotherapy-teaching/neurophysiology-of-treatment-with-traction.html

Patients with acute lumbar sciatica secondary to disc herniation who received 2 weeks of lumbar traction, either at 10% BW or 50% BW, reported reduced radicular pain and functional impairment and improved well-being regardless of the traction force group to which they were assigned. The effects of the traction treatment were independent of the initial level of medication and appeared to be maintained at the 2-week follow-up. (Marie-Eve Isner-Horobeti et al 2016 J Manipulative Physiol Ther 39, 45-654)

Dosage of 30-50% body weight does not take into account the patients morphology (floppy vs st**fy), nor the state of their pathology. It has been hypothesised that, the high dose biomechanical construct (30-50% body weight), based on cadavers and anecdotal history (James Cyriax 1950's) of inter-vertebral separation, is much too high, if a neurophysiological approach is to be considered. By incrementally adding load, from 10->25kg, it can be noted, when a normalisation of signs and symptoms occurs. Moreover, at a certain point of loading, the signs and symptoms begin to deteriorate once again. It is considered, that this latter methodology, more appropriately takes into account, neurophysiological phenomenon such a neurogenic inflammation, deterministic chaos immunological responses, descending sympathetic as well as peripheral sympathetic nervous system responses as well as the need to clinically respect muscle spasm. Clinically, this has been a tried and tested method, where presumably a certain dose of traction takes pressure off the blood vessels and nerves inside the IVF and potentially stretches the capsule of the Z-joint, whereas a dose which is too large, stretches pain sensitive structures which re-invokes muscle spasms and re-introduces compression. Reflexogenic muscle spasms must be respected,

Force = the normalisation of S+S : Position = antalgic position, supine with legs in 90º flexion, supine with legs in slight flexion : Frequency = 1-2 times per week. Intermittent vs Constant = whatever feels best for the patient, however the clinician should be aware that I/T loading causes pre-conditioning and potentially greater creep and hysteresis.

https://back-in-business-physiotherapy.com/physiotherapy-teaching/neurophysiology-of-treatment-with-traction.html

More importantly - lumbar traction is actually also thoracic traction.
http://cdnback-in-business-physiotherapy.r.worldssl.net/images/stories/mechanicaltraction/mechan9.gif

back-in-business-physiotherapy.com

Attack dog

Love this photo my dad took whilst we were ember proofing the Blue Mountains house.

https://www.medscape.com/viewarticle/five-resilience-rx-physician-burnout-2023a1000tr1

Rx for Resilience: Five Prescriptions for Physician Burnout From unconventional self-care practices to reimagining your workspace, rejuvenate your spirit and lift burnout symptoms with these five prescriptions.

The study builds on a large and growing body of evidence that movement behaviors impact cardiometabolic health. Increasing physical activity to 150 minutes a week has been shown to reduce the risk for cardiovascular disease by 17% and type 2 diabetes by 26%. Other studies suggest that even modest increases in physical activity can be beneficial. A prospective study published last month found that even short activity bouts of a few minutes a day may lower risks for heart attack, stroke, and early death.

Sleeping Beats Sitting? What a New Study Means for Your Patients Mounting evidence suggests that even small movement changes can benefit cardiometabolic health.

What doctors should and shouldn’t say when encouraging ‘physical activity’

How to Prescribe Exercise in 5 Steps Even if you struggle to give exercise advice to your patients, this simple starter guide can help (including things NOT to say).

https://www.facebook.com/share/p/NMRScu6apprh29Qe/?mibextid=8pNxAM

https://www.medscape.com/viewarticle/997576

When Digestive Symptoms Signal Parkinson's Disease Data suggest that early detection of certain gastrointestinal disorders could aid in identifying patients at risk of Parkinson's disease.

https://www.medscape.com/viewarticle/995753

Poor Sleep and Chronic Pain Prove Pesky Bedfellows The problems can create a vicious cycle that researchers are trying to understand ― and break.

https://www.medscape.com/s/viewarticle/997091

We Know Exercise Prevents Cancer. A New Study Tells Us Why A small study in Lynch syndrome patients may be the first to reveal immunological reactions to physical activity.

Amazing affects of almonds

Almonds and Almond Oil Emollient and sclerosant characteristics have been linked to almond oil, which has been found to ameliorate complexion and skin tone.

https://www.medscape.com/viewarticle/993969

Lean Muscle Mass Protective Against Alzheimer's? Previous research shows muscle fat may raise the risk for cognitive decline. This study suggests higher levels of lean muscle mass can be protective against cognitive decline and Alzheimer's.

I was listening to an actor explaining how he remembers his lines and he said he used ‘muscle memory’. Even though I knew that there is evidence for a clear relationship existed between muscle motor cortex mass and hippocampus mass in dementia and appropriate strategies such as taking up competitive orienteering, I’d never thought about it in this context before. So I looked up the internet : “Muscle memory is an incredibly powerful tool that can help you retain words as well. Highlighting your lines and objectives for each scene is a great start, but in order to get them in your body, you must practice actually saying the words aloud while moving about your space”

https://www.medscape.com/viewarticle/979992?ecd=wnl_tp10_daily_230822_MSCPEDIT_etid5776484&uac=196921ER&impID=5776484

The Protein Question in Plant-based Diets Lifestyle medicine physician Cate Collings addresses common myths about plant and animal protein sources.

https://www.medscape.com/viewarticle/995290?ecd=wnl_recnlnew1_ous_230814_MSCPEDIT_etid5747861&uac=196921ER&impID=5747861

Are Fish Oils on the Hook for AF Risk? Some studies of fish oil supplements have shown a higher risk for atrial fibrillation with marine omega-3 fatty acids. Is it real? What are the implications for patients taking these capsules?

🚨 What is important during the early recovery phase from sport-related concussion?

🧠 Light PA in first 48 hours
🧠 Mild symptom increase (2/10) during physical or cognitive activity does not impair recovery
🧠 Sleep and ⬇️ screen time

➡️ https://bit.ly/3O3bstS

BJSM Blog: Combined hormonal contraceptives and musculoskeletal injury ⚡️🏋️‍♀️

⭐️ We break-down the latest review into KEY points

⭐️ Data from over 5 million females from around the globe

IS there any evidence for CHCs?

The findings are IN ➡️ https://bit.ly/3KjPwbU

https://www.medscape.com/s/viewarticle/994943?ecd=mkm_ret_230813_mscpmrk_onc_lc_etid5740490&uac=196921ER&impID=5740490

Short Bursts of Activity May Cut Your Cancer Risk Researchers at the University of Sydney in Australia studied data from wearable fitness devices worn by more than 22,000 'non-exercisers,' then examined their health records for 6 or 7 years.

Risks of atrial fibrillation increase or decrease depending upon the length of daytime napping

Napping and AFib Risk: The Long and the Short of It Both long and short daily naps were linked to atrial fibrillation risk, but in different ways.

https://www.medscape.com/viewarticle/991300?ecd=wnl_tp10_daily_230427_MSCPEDIT_etid5377979&uac=196921ER&impID=5377979

Drive, Chip, and Putt Your Way to Osteoarthritis Relief If only there were a low-impact exercise that was incredibly popular among the generally older population who are likely to have arthritis.

https://www.medscape.com/viewarticle/990343?ecd=WNL_mdpls_230407_mscpedit_wir&uac=196921ER&spon=17&impID=5312939

Magnesium-Rich Diet Linked to Lower Dementia Risk A magnesium-rich diet has been linked to better brain health, an outcome that may help lower dementia risk, new research suggests.

https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.122.061173

Exercise Volume Versus Intensity and the Progression of Coronary Atherosclerosis in Middle-Aged and Older Athletes: Findings From the MARC-2 Study BACKGROUND: Physical activity and exercise training are associated with a lower risk for coronary events. However, cross-sectional studies in middle-aged and older male athletes revealed increased co