Owens Recovery Science

In this installment of the Owens Recovery Science podcast Johnny and Kyle sit down to talk shop with Senior Director of Sports Medicine and Performance Reggie Scott, ATC, and Physical Therapist / Assistant Athletic Trainer Jon Hernandez, PT, ATC of the Los Angeles Rams. They cover a lot of ground in this one. You'll learn all about how they're handling the COVID-19 pandemic and of course how they've implemented BFR into an NFL training room in the management of injuries as well as to enhance performance. We hope you enjoy!!

Project 11!! In this episode Johnny and Kyle talk with ESPN Senior Writer and Injury Analyst Stephania Bell, PT, OCS about her documentary on Alex Smith’s recovery from a compound fracture of his right lower leg. Both Stephania and Johnny played key roles in Alex’s recovery as well as the piece. Johnny’s expertise in limb salvage, as well as his DOD connections helped get Alex access to facilities, strategies and clinicians experienced in managing the type of injury he was ultimately recovering from. Stephania has been documenting the progress through the generosity of unfettered access Alex and his wife Liz provided she and ESPN. You’re sure to enjoy this podcast as well as the documentary!! Watch the E:60 documentary Friday night at 7PM Eastern on ESPN!

In this episode Johnny and Kyle interview Heather Milligan. Heather is founder and owner of Elite OrthoSport Physical Therapy located in Los Angeles, CA. She is a graduate of Texas Woman's University's PT program in Dallas TX and has also received her Masters in Business Administration from University of Nevada Las Vegas. She is a board certified specialist in Orthopedics and a board certified specialist in sports. She also maintains a certification in orthopedic manual therapy. Heather and her team have been using BFR for several years now in their practice. The crew discusses what lead her to be curious about the technique, how she got buy-in from referral sources, and some of the early and frequent successes that drove their continued use. Clinic Website: https://www.eliteorthosport.com/ Instagram: @eliteorthosport Twitter: @EliteOrthoSport FaceBook: https://www.facebook.com/Elite-OrthoSport-Physical-Therapy-114194545842781/

In this episode Johnny and Kyle talk with the founder of the Chanda Plan Foundation and the Chanda Center for Health Chanda Hinton and her physical therapist Sara Schaffer. During the guys learn all about how they work to improve the quality of healthcare for persons with spinal cord injury as well as how they're using blood flow restriction exercise in this population. This is one heck of a convo with two inspiring and inspired people!! You don't want to miss a second. Check out the Chanda Plan Foundation and Center for Health here! https://iamtheplan.org/

In this episode Johnny and the guys tackle the complicated decision making process involved in choosing whether or not to use BFR when considering the risk of VTE. Below we’ve included the notes with bibliography that we worked from so that you can follow along if you like. We hope you enjoy it!! #EARNYOURDEFLATE Caprini risk assessment - https://venousdisease.com/caprini-dvt-risk-assessment-app/ Bond, C. W., Hackney, K. J., Brown, S. L., & Noonan, B. C. (2019). Blood Flow Restriction Resistance Exercise as a Rehabilitation Modality Following Orthopaedic Surgery: A Review of Venous Thromboembolism Risk. The Journal of Orthopaedic and Sports Physical Therapy, 49(1), 17–27.

In this episode Johnny and the guys discuss the recent paper published by Center showing similar adaptations in tendon with heavy load training and low-load BFR training on Achilles tendon size and stiffness. They also tease a number of things in the works, like a soon to be published monograph they wrote along with Luke Hughes, PhD and Stephen Patterson, PhD for the APTA (that thing is 70 pages long!!), Johnny’s upcoming talk at CSM on BFR and Heart Failure with Larry Cahalin, PhD, PT, the incorporation of BFR into PT school curricula, and a PT textbook they’ll be contributing to amongst many other course and conferences coming up in the first quarter. But the big one, the super cool thing… Project 11! https://www.youtube.com/watch?v=SoJ8HQqwd4k The two primary papers discussed in this episode… Centner tendon paper: https://www.ncbi.nlm.nih.gov/pubmed/31725362 Kubo tendon paper: https://www.ncbi.nlm.nih.gov/pubmed/16871002

In this episode of the Owens Recovery Science Podcast Johnny chats with Jeremiah Randall, PT, ATC of the Houston Astros, and Seth Blee, PT, DPT of the World Champion Washington Nationals about taking care of elite baseball players, and how they're using blood flow restricted exercise as part of their athlete management.

In this podcast the guys take on the topic of Ischemic Pre-Conditioning. They discuss why it works and how clinicians might use it to aid their clients with their performance and rehabilitation needs. This one gets a little dense folks, but hang with us, we try to tie it up nice and neat in the end. Here are a few of the papers that we discuss... One of the earliest papers published: https://www.ncbi.nlm.nih.gov/pubmed/3769170 Mechanisms of action: https://academic.oup.com/cardiovascres/article/79/3/377/610360 Windows of opportunity with IPC: https://journals.sagepub.com/doi/10.1038/jcbfm.2014.42 Systematic Review of methods: https://journals.humankinetics.com/view/journals/ijspp/11/1/article-p4.xml Use for recovery from intense bouts of activity / exercise: https://www.jsams.org/article/S1440-2440(17)30249-9/fulltext Review paper on use in performance enhancement: https://www.sciencedirect.com/science/article/pii/S2095254619300080?via%3Dihub Jamie Burr's Nocebo paper: https://journals.humankinetics.com/view/journals/ijspp/aop/article-10.1123-ijspp.2019-0290.xml

In this episode the guys breakdown some recent papers covering the acute physiologic responses to BFR exercise as they relate to pressure, and two papers on BFR in the rehabilitation of ACL reconstruction. Here are links to the papers covered... Warmington's pressure paper: https://www.frontiersin.org/articles/10.3389/fphys.2019.01018/full Hughes' Comfort and Pain paper: https://www.sciencedirect.com/science/article/abs/pii/S1466853X19302214?via%3Dihub Hughes' Effectiveness paper: https://link.springer.com/article/10.1007%2Fs40279-019-01137-2

In today's episode, we break down what Orthobiologics such as PRP and "Stem Cell" injections actually are, how they are used, how they are abused and the role BFR may play. We have three experts joining us who are doing a lot of interesting work in the Orthobiologics space. They are Alberto Panero, DO, Umar Khan, MD and Tyler Opitz, DPT, SCS, CSCS. Enjoy! Alberto J. Panero, D.O. SacSportsMed.com Team Physician Sacramento State University Team Physician Sacramento River Cats AJSM Publication: https://www.ncbi.nlm.nih.gov/pubmed/30844295 Dr. Umar Khan MD CAQSM RMSK Retired team physician Western Kentucky University and Lindsey Wilson College Medical Director Orthobiologic Specialist Owens Recovery Science Director Orthobiologic Medicine at Stratton Sport and Spine http://www.strattonspine.com/ Tyler Opitz, DPT, SCS, CSCS Andrews Orthopaedic & Sports Medicine Center, Gulf Breeze, FL Tyler Opitz is a board certified sports specialist, certified strength and conditioning specialist, and trained Physical Therapist at the Andrew’s Institute-Rehabilitation in Gulf Breeze, FL specializing in Sports Medicine, Orthopedic rehabilitation and Outpatient Care. He specializes in rehabilitation of the upper and lower extremities while using combined methods of corrective exercises, SFMA/FMS principles, criteria based rehabilitation, with manual therapy incorporating Maitland and Graston Techniques to achieve optimal patient outcomes. He has reformed, integrated, and co-authored return to play criteria for athletes, protocols, criteria based rehab principles and is currently working on research project involving the use of stem cells for chondrogenesis of chondral defects in the knee. Tyler Opitz is a physical therapist specializing in sports rehab of the profession, collegiate, olympic, world cup, and recreational athlete at the Andrews Institute in Gulf Breeze, Florida working with world renowned physician James Andrews. He is currently doing multiple research projects with BFR and its influence on serum stem cell counts as well as other biologic markers as well as research on rehabilitation following stem cell intervention for treatment of knee osteoarthritis post operative as well as separate analysis of the use BFR with stem cell intervention in patients post knee surgery with osteoarthritis. Tyler Opitz has been published in the Journal of Clinical Orthopedics and Trauma.

In today's Podcast, Johnny, Kyle, Zac and Ben discuss how you would progress your BFR programming after injury or surgery. Check out our website at: https://www.owensrecoveryscience.com/ BFR Position Stand Paper: https://www.frontiersin.org/articles/10.3389/fphys.2019.00533/full

In today's episode, we discuss the recent presentation by Dr Bradley Lambert and Methodist Healthcare System Houston on the effects of PBFR on Bone after ACL Reconstruction. We also discuss a recent publication on the pressure needed to create peripheral vascular adaptations. Lastly, we answer listener questions about BFR and non-weight bearing situations and use in pediatrics. Links: https://www.ncbi.nlm.nih.gov/pubmed/30840934 https://www.sportsmed.org/aossmimis/Members/About/Press_Releases/2019-Specialty-Day/Blood-Flow-Restriction-Therapy-Slows-Bone-Loss.aspx https://www.owensrecoveryscience.com/certification/ http://www.biomechanicalenvironments.com/orthopedic-biomechanics-research-lab/blood-flow-restriction-therapy/ If you have questions or a topic that you want to hear about, you can submit the topic or question through our website. If your question/topic gets selected, you can receive a free ORS shirt. To submit a question to be read on our podcast go to our website: OwensRecoveryScience.com -Contact -In the body of email put #Podcast Qualifications for a chance to win a free ORS T-shirt: Your question is read on our podcast and You are a subscriber on YouTube/Podcast

In today's podcast, we discuss the application of Personalized BFR in soccer. My guests are Kurt Andrews Director of Sports Medicine at Sporting Kansas City, Reade Whitney Head Athletic Trainer for the Chicago Fire and Paul Lombardo Lead Assistant Athletic Trainer for the Seattle Sounders.

One of the most common questions we get is the effect of BFR on the trunk muscles such as the shoulder and hip. In today's podcast, we discuss the theories, some of the early papers that looked at the proximal or cross-over effects and some more recent papers. Links: https://www.ncbi.nlm.nih.gov/pubmed/30638439 https://www.somos.org/assets/EWI/2019/2019EWIMAGweb.pdf https://www.owensrecoveryscience.com/

In today's podcast, Johnny discusses the use of BFR in populations with heart and peripheral vascular disease with Dr. Lawrence Cahalin, Ph.D., PT, Board Certified Cardiopulmonary Clinical Specialist from the University of Miami Miller School of Medicine. Links: Dr. Cahalin Bio http://pt.med.miami.edu/academics/faculty-and-staff/full-time-faculty/lawrence-p-cahalin BFR and Hypertension Review Paper https://miami.pure.elsevier.com/en/publications/safety-of-blood-flow-restricted-exercise-in-hypertension-a-meta-a Dr. Cahalin Combined Sections Meeting 2019 https://apta.expoplanner.com/index.cfm?do=expomap.sess&event_id=29&session_id=15143