Gage and Caitlin from Milton Physio explore the assessment and treatment pathways for people with GTPS. They dive into best behaviour modifications and the efficacy of using bands and isometrics. 

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-

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Can exercise influence female fertility? 

In this episode, Bodytrack’s Senior Exercise Physiologists, Nicole and Caitlin, explore how physical activity may play a more significant role in fertility and conception outcomes than many realise. They break down the key considerations and current literature that is available for Exercise Physiologists to best support reproductive health across various populations — including apparently healthy females, those with PCOS, and individuals undergoing assisted reproductive technologies.

If you’re working with women at any stage of their fertility journey, this conversation is full of practical insights you won’t want to miss.

For further learning - access our ESSA Accredited webinar today: 

ESSA Accredited 'Exercise and Fertility' Webinar available now 

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Gage and Caitlin explore the assessment and treatment pathways for people with RCRP. They dive into the need for special test and best treatment principles. 

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Chloe, who has completed a Certificate in Pain Sciences through UniSA, discusses a specific model, The Twin Peaks model, used to explain pain to clients. Listen in for some great takeaways that you can apply in practice today. 

https://study.unisa.edu.au/short-courses/professional-certificate-in-pain-sciences/ - Certificate in Chronic Pain Sciences course. 

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Dan chats with Erin about an interesting case study for a client with chronic lower back pain. We discuss pain education, current beliefs, exercise prescription and the impact of joyful, social situations and how that can influence pain tolerance. 

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ABOUT: 

• Clinical presentation, screening tools and assessment
• Important education points
• Best treatment and management to keep moving
• Load management strategies and exercise prescription 

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A great discussion about the latest evidence on Tendinopathies in Runners with Physiotherapist Caitlin Scott - Enjoy! 

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• What is gut health, and why is this important? 
• How would you define the gut brain axis and what does this mean for the impact on the body? 
• What role can exercise have in improving gut health, and what does this mean for metabolic and mental health conditions? 
• How to apply the principles of gut health, mental health and exercise within an Exercise Physiology appointment and how to determine what clients this may be  appropriate for. 

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In this episode, Josh discusses his treatment plan for a 40 year old female with a left shoulder injury sustained from work. He unpacks the decision making and thought process behind when to use your clinical judgement for the presenting condition and how that can be overlapped with pursuing the client's interests and ambitions which could be harmful to the clinical condition. A great listen with some key takeaways to include in your clinical practice!  

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____________

• What is hip OA and who does it affect
• How to identify and diagnose
• What are some key assessments we can use and important prescription principles
• What are some common mthys around hip OA and what are we missing as physios and EPs
• Common treatment pathways - including surgies
• What is a physio and an EP's role of the treatment of hip OA

______________ 

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__________

• What is hip impingement and who does it affect
• How to identify and diagnose
• What are some key assessments we can use and important prescription principles
• What is a physio and an EP's role of the treatment of hip impingement

________________

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___________

Host Dan reaches out to an old friend to come onto the podcast. Introducing Rob - an Exercise Physiologist and a Physiotherapist who now resides over in the UK working for the NHS. 

Rob discusses his physiotherapy approach for patient's presenting with idiopathic shoulder pain. We delve into anatomy, pathophysiology and clinical reasoning behind subjective and objective assessments from a physiotherapists perspective. A truly enlightening podcast to ehance the knowledge and skillset of managing a client with shoulder pain! 

________

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_____________________________

Mackenzie, one of our Clinical Exercise Physiologists, sits down to discuss the effectiveness of HIIT training in T2D populations, including pathophysiological processes, considerations for practice, and research into optimal protocols.

_____________________________

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__________________________________

In this podcast, Oncology Clinical Team Lead Caitlin discusses the many different side effects associated with head and neck cancers and which allied health you should be referring to/working with for holistic patient care. Some of the side effects pertinent to an EP that we discussed are: 

• Osteoradionecrosis of the jaw
• Oral mucositis
• Xerostomia
• Dysgeusia
• Dysphagia
• Odynophagia
• Radiation fibrosis
• Cachexia

__________________________

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___________________________________________________________________________________ 

• What is the menstrual cycle, and what do we consider to be "normal?"
• How to educate your clients on irregularities to look out for, and what to flag for potential referrals 
• Energy availability, relative energy deficiency syndrome in sport (RED-S) and what this means for working with young female athletes
• Periodisation around the menstrual cycle: Should we be doing it, and what does the research say?
• Key takeaways and future research directions

Enjoy the pod ! 

___________________________________________________________________________________ 

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_________________________________

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In this podcast, Gage sits down with Caitlin Scott (APA Sports and Exercise Physiotherapist/ Musculoskeletal Physiotherapist.), a Physiotherapist at Milton Physio and a close allied health colleague of ours.

Caitlin has had extesnsive experience in the physiotherapy world and discusses all things knee OA, specifically on physiotherapy principles and how and EP can integrate effectively into the care of the patient. A great multidisciplinary discussion! 

Show notes: 

- What is Knee OA?

o Knee OA is a progressive multifactorial degenerative joint disease involving the articular surface of the joint

§ progressive loss of articular cartilage

o There are 4 stages

§ early, mild, moderate, severe

o 3 key areas in the knee

§ tibiofemoral medial compartment

§ lateral compartment

§ patellofemoral compartment

- Prevalence:

o 653.1 million >40 y.o with knee OA worldwide (2020).

o 73% of those with OA >55 y.o, 60% female

o Knee most frequently affected, followed by hands and hip

o 16% >15 year old

o 22.9 %> 40 y.o

- Risk factors:

o Previous trauma/Surgery

o Obesity

o Female gender

o Laxity

- Diagnosis:

o Individualised subjective and objective assessment

§ Consideration of history, symptoms, other health conditions, physical assessment, functional levels

o Symptoms

§ Persistent knee pain, limited morning stiffness and reduced function

o Signs

§ Crepitus, restricted movement and bone enlargement

o When all 6 signs/symptoms present – 99% accuracy in diagnosis

o No imaging required – diagnosis can occur on assessment alone

o Imaging considered for other alternate diagnosis as clinically indicated

§ Considering insufficiency fracture, avascular necrosis, inflammatory

o Impact on function

§ WOMAC, KOOS o Osteoarthritis Knee clinical care standard

- Treatment pathways for knee OA – Surakanti et al 2023

o Conservative

§ Education

· Including pain management (Lesmond et al 2023)

§ Weight loss and exercise

§ Medication

· Research supports Exercise> NSAIDS

o However need to consider if patient having an acute painful flair – is medication required to maintain exercise levels Thorlund et al 2022

§ Individualised program

· Considering other comorbidities. Activity levels, goals

§ Physiotherapy/EP

· Promoting restoration/maintaining movement

· Identification of contributing factors

o Adding hip strengthening to quads exercises improves patient reported pain and function: Ref: Hislop et al 2020

o Unilateral OA: hip add is lower affected side, hip strength is lower bilaterally, dynamic balance lower bilaterally, patient reported pain associated with knee ext strength but not hip strength/dynamic balance: Ref: Hislop et al 2022 § GLAD program - Good Life with OsteoArthritis: Denmark Ewa Roos

· 2-3 patient education sessions and 12 supervised exercise sessions over 8 weeks

o Improved pain and objective outcome measures

§ Roos et al 2021

· Need to consider this is a group exercise program – it is better than nothing but we need to have individualised programs ideally

o Injections

§ Cortisone, hyaluronic acid, platelet-rich plasma

· Need to consider limitations – chondrotoxicity resulting in increased cartilage damage, increased risk of infection if injection 3/12 prior to surgery (Wernecke et al 2015)

o Surgical

§ Total knee arthroplasty

§ Uni-compartmental: unicompartment knee arthroplasty, High tibial osteotomy · McCormack et al 2021

§ Less likely to see arthroscopy’s

- Criteria for Surgery – Hawker et al 2023

o Considers the need, readiness/willingness, expectations and health status.

§ Do not want to wait until extended period of being inactive with reduced quads and gluteal function.

o Need

§ Evidence of knee OA on clinical and radiographic examination

§ Reports knee OA symptoms impacting on quality of life

· WOMAC, KOOS, 4 item arthritis coping efficacy Scale

§ Adequate trial of non-surgical OA treatment

· Exercise, physiotherapy, weight loss, medications, injections

o Readiness/willingness

o Patient expectations – Quote Quentin.

o Health status

- Realistic improvements – Quote Dr Quentin Scott – Specialist MSK Physiotherapist

o 3 months before you are starting to do well

o 6 months before you are pleased you did it

o 9-12 months before you have forgotten about it

o Key is individual – everyone will respond differently depending on reason for surgery, prehab

o Post operative response can be affected by prehab: ROM, quads fn, understanding of initial rehab process

- How long should we approach conservative treatment

o No hard and fast rule

§ Individualised

§ Targeting limitations

§ Understanding comorbidities

o Surgical techniques and replacement technology has improved § 82% TKR last >25 years (Evans et al 2019) § 3.9% require revision within 10 years, 10.3 within 20 years (Bayliss et al 2017)

§ Age matter: >70 y.o 5% likely to require second replacement, 50 y.o men – 35% require second replacement (Bayliss et al 2017)

- What assessments should we do, measures, goals

o Baseline strengthening and loading

§ VALD

o Balance

o Range of Movement o Consider regarding exercise – Lawford et al 2022

§ Easily accessible

§ High quality

§ Develop by and for consumers

§ Different ways to deliver information

§ Different types of resources for self management

§ Resources on exercises and how to perform them/progress

§ Support motivation and track progress

§ Include options

§ Facilitate access to support

- What's a physio's and EPs role in rehab

o Physiotherapist:

§ Diagnosis, movement impairment identification, specific exercise prescription, manual therapy, education

o EP

§ Exercise prescription and modification, education, o Therapeutic exercise recommendations (Holden et al 2022)

§ Use evidence based approach

§ Consider exercise in context of living with OA and pain

§ Comprehensive baseline assessment with follow up

· Reported difficulties, physical limitations, functional restrictions, impact on participation, psychosocial factors

· Red flags, contraindication to exercise

· Overall health (comorbidities) and exercise precautions

· Baseline measurements and targets

§ Set goals

§ Consider type of exercise, dose, modification and progression

§ Individualise exercise

§ Optimise delivery of exercise and adherence

§ Education OA and role of exercise

Myth:

- Osteoarthritis is painful

o Not all osteoarthritis is painful – many show changes on imaging without pain or significant movement limitations

- Weights and running will make it worse

o Evidence indicates otherwise – positive outcome

§ Consideration regarding training into pain – exercises should not be painful and increase symptoms associated with OA

- I need an X-ray to confirm osteoarthritis

o Consider signs and symptoms as a diagnosis

References:

Australian Commission on Safety and Quality in health Care 2017 – Osteoarthritis of the knee clinical care standard.

Cieza et al 2021, Global estimates of the need for rehabilitation based on the global burden of Disease study in 2019: a systematic analysis for the global burden of disease study 2019

Cui et al 2020, Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population based studies

Dong et al 2023 Evidence on risk factor for knee osteoarthritis in middle-older aged: a systematic review and meta-analysis

Evans et al 2019 How long does a knee replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years follow up

GLA:D Australia https://gladaustralia.com.au/

Hawker et al 2023 Patient appropriateness of total knee arthroplasty and predicted probability of a good outcome

Hislop et al 2020 Does adding hip exercises to quadriceps exercises result in superior outcomes in pain, function and quality of life for people with knee osteoarthritis: A Systematic review and meta-analysis

Hislop et al 2022 Hip strength, quadriceps strength, dynamic balance are lower in people with unilateral knee osteoarthritis compared to their non-affected limb and asymptomatic controls

Holden et al 2022 Recommendations for the delivery of therapeutic exercise for people with hip and/or knee OA. An international consensus stydy from OARSI Rehabilitation discussion group

Lanois et al 2024 Associations between anterior knee pain and 2-year patellofemoral cartilage worsening: the MOST study

Lawford et al 2022 What should a toolkit to aid the delivery of therapeutic exercise for hip and knee osteoarthritis look like? Qualitative analysis of an international survey of 318 researchers, clinicians and consumers by the OARSI Rehabilitation Discussion

Lesmond et al 2023 Neurophysiological pain education for patients with symptomatic knee osteoarthritis: a Systematic review and Meta-analysis

Roos et al 2021 Immediate outcomes following the GLA:D program in Denmark, Canada and Australia. A longitudinal analysis including 28370 patients with symptomatic knee or hip osteoarthritis

Surakanti et al 2023 Surgical vs Non-surgical treatments for the knee: Which is more effective?

Thorlund et al 2022 Similar effects of Exercise therapy, nonsteroidal Anti-inflammatory drugs and opiods of the management of osteoarthritis pain: A Systematic Review with Network Meta-analysis

Wernecke et al 2015 The effect of intra-articular corticosteroids on articular cartilage: A Systematic review

Zhang et al 2010 EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis

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_________

In this podcast, the seats have changed! Josh interviews Dan H about a client he has been seeing who is experiencing chronic lower back and neck pain. Dan explores how he introduced the Biopsychosocial model to explain the pain his client was experiencing and how all of these factors can influence the severity of pain. Listen in for a real life case study bringing research to practice! 

_________

This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

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_____________

In recent years, Blood Flow Restriction (BFR) Training has been a popular research topic, especially in hypertrophy. This is due to the theory that mechanically occluding blood flow can induce similar physiological outcomes to traditional strength training whilst only requiring low weights.  

In this podcast Dan and Cam talk about the theory and mechanisms of BFR training and how we can adapt the use to different populations. In particular, the populations who are restricted in their capacity to load due to specific joints due to pain.  

Cam talks through how he used blood flood flow restriction with a client that was unable to complete heavier style strength training due to osteoarthritic changes in his knee. We delve into the rationale, application, considerations and outcomes that Cam and his client faced through their rehabilitation journey. 

_____________

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______________________________________________________

• What is endometriosis, and what are the most common symptoms 
• The stigma associated with endometriosis and how we as health practitioners can ensure our clients feel heard
• Ideas around subjective and objective assessment markers and how to apply this to a treatment plan
• Discussion around the importance of meeting your client where they are at, as well as examples of what this may look like in practice  
• How exercise can be utilised to manage the symptoms associated with endometriosis and some ideas for exercise selection

_____________________________________________________________

This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

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• Diagnostic Criteria 
• Understanding Symptoms 
• Knowing where to start with exercise prescription 
• Non-exercise recommendations 
• Co-morbidities
• Navigating through the fluctuations of symptoms 
• Education strategies 

This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

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__________________________________________________________________

Access to the webinars mentioned in the podcast:

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___________________________________________________________ 

This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

https://hggperformance.com/?gclid=EAIaIQobChMIsKL4xNmAggMVdKtmAh1ZoQOREAAYASAAEgLVW_D_BwE 

Have you checked out the range of educational webinars we have available to access 24/7? Head over to access our educational Webinars HERE:  

https://www.eventbrite.com/cc/bodytrack-academy-educational-webinars-2146819 

Use code FIRST10 to receive $10 off your order  

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This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

https://hggperformance.com/?gclid=EAIaIQobChMIsKL4xNmAggMVdKtmAh1ZoQOREAAYASAAEgLVW_D_BwE 

Kick off 2024 with a PD bang! Check out the range of educational webinars we have available to access 24/7 HERE:  

https://www.eventbrite.com/cc/bodytrack-academy-educational-webinars-2146819 

Use code FIRST10 to receive $10 off your order  

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In this podcast, the very experienced AEP Campbell chats with Dan about a long term client of his who has Osteoporosis. Cam delves into: 

• how he initially assessed this client,  
• the importance of education and listening to the client's beliefs, attitudes and goals 
• the keys to safe progression for Osteoporosis management 
• top tips as a practitioner to best manage clients with Osteoporosis 

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This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

https://hggperformance.com/?gclid=EAIaIQobChMIsKL4xNmAggMVdKtmAh1ZoQOREAAYASAAEgLVW_D_BwE 

Have you checked out the range of educational webinars we have available to access 24/7? Head over to access our educational Webinars HERE:  

https://www.eventbrite.com/cc/bodytrack-academy-educational-webinars-2146819 

Use code FIRST10 to receive $10 off your order  

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Dan is joined by Caitlin, Exercise Oncology Specialist, to discuss all things happening in 2024 with the podcast, educational webinars and a selection of some of our favourite podcasts and webinars from 2023! 

If you want to make a good start to your education in 2024, this podcast will set you up for what we have available and what is to come for the Bodytrack Academy. As always, we value your input! Please reach out to us with any topics you would like us to discuss/create a webinar on at caitlin@bodytrack.com.au 

Enjoy! 

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This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

https://hggperformance.com/?gclid=EAIaIQobChMIsKL4xNmAggMVdKtmAh1ZoQOREAAYASAAEgLVW_D_BwE 

Have you checked out the range of educational webinars we have available to access 24/7? Head over to access our educational Webinars HERE:  

https://www.eventbrite.com/cc/bodytrack-academy-educational-webinars-2146819 

Use code FIRST10 to receive $10 off your order  

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• What is Ehlers Danlos Syndrome, and a brief overview of it's subtypes
• The importance of letting your clients tell their story, especially in the context of more complex conditions
• Considerations for subjective and objective assessment of clients living with EDS and how this may impact exercise prescription
• Tips and tricks around conditions such as POTS, that are associated with EDS and how to adjust exercise for this
• Key takeaway messages around managing clients with complex histories and the importance of our job as an EP in validating their experiences

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This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

https://hggperformance.com/?gclid=EAIaIQobChMIsKL4xNmAggMVdKtmAh1ZoQOREAAYASAAEgLVW_D_BwE 

Have you checked out the range of educational webinars we have available to access 24/7? Head over to access our educational Webinars HERE:  

https://www.eventbrite.com/cc/bodytrack-academy-educational-webinars-2146819 

Use code FIRST10 to receive $10 off your order  

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Following on our recent Podcasts from Jacqui & Mackenzie regarding introduction to Neuroplasticity, Dan and one of our Neurological specialists Josh discuss the relevance and utilisation of recent Neuroplasticity research for clients. They tackle the most common questions of what, why and most importantly how do we apply such volume-based principles to out treatment.  

References: 

Neural plasticity and neurorehabilitation: teaching the new brain old tricks. J Commun Disord. 2011

Sep-Oct;44(5):521-8

Promoting neuroplasticity for motor rehabilitation after stroke: considering the effects of aerobic exercise and genetic variation on brain-derived

neurotrophic factor. Physical Therapy, https://doi.org/10.2522/ptj.20130053

Recovery after brain injury: mechanisms and principles. Frontiers in human

neuroscience, https://doi.org/10.3389/fnhum.2013.00887 

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This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

https://hggperformance.com/?gclid=EAIaIQobChMIsKL4xNmAggMVdKtmAh1ZoQOREAAYASAAEgLVW_D_BwE 

Make sure to check out the range of educational webinars we have available to access 24/7! Head over to access our educational Webinars HERE:  

https://www.eventbrite.com/cc/bodytrack-academy-educational-webinars-2146819 

Use code FIRST10 to receive $10 off your order  

This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

https://hggperformance.com/?gclid=EAIaIQobChMIsKL4xNmAggMVdKtmAh1ZoQOREAAYASAAEgLVW_D_BwE 

Have you checked out the range of educational webinars we have available to access 24/7? Head over to access our educational Webinars HERE:  

https://www.eventbrite.com/cc/bodytrack-academy-educational-webinars-2146819 

Use code FIRST10 to receive $10 off your order  

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If you haven't heard already, Australian Physiotherapy Association have released a statement differentiating what a Physiotherapy does and what an Exercise Physiologist does. This statement was produced without collaboration from our governing body, ESSA which has lead to misleading information about the scope of practice for an AEPs. 

Dan and Ash discuss the key points from the statement and highlight how this can impact the public's understanding of each profession's scope of practice; the growth of the EP profession itself; and the physio and AEP allied health collaboration that already strongly exists. 

Keep up to date with this topic via the following links:

https://www.essa.org.au/Public/News_Room/Media_Releases1/2023/Misleading_information_scope_of_practice_AEPs.aspx

https://www.facebook.com/groups/essaqldchapter/

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This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

https://hggperformance.com/?gclid=EAIaIQobChMIsKL4xNmAggMVdKtmAh1ZoQOREAAYASAAEgLVW_D_BwE 

Have you checked out our range of educational webinars we have available to access 24/7?? Head over to Access the Educational Webinars HERE:  

https://www.eventbrite.com/cc/bodytrack-academy-educational-webinars-2146819 

Use code FIRST10 to receive $10 off your order  

Will and Dan chat about the importance of progressive overload for any client - not just those who want to increase strength or muscle mass. Distinct catagories of how to apply progressive overload are discussed, as well as useful case stuides and the importance of educating your client on progressive overload to induce physiological adaptations. A great listen packed full of practical applications to utilise immediately! 

This podcast is proudly sponsored by HGG Performance. As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! Access HERE:  

https://hggperformance.com/?gclid=EAIaIQobChMIsKL4xNmAggMVdKtmAh1ZoQOREAAYASAAEgLVW_D_BwE 

Have you checked out our sponsor, HGG Performance yet?  

https://hggperformance.com/?gclid=EAIaIQobChMIsKL4xNmAggMVdKtmAh1ZoQOREAAYASAAEgLVW_D_BwE

As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! 

_________________________________________________________________________________

Listen in as Georgia discusses a client who initially presented with a main concern of lower back pain amongst other conditions and experienced poor healthcare previously to manage her conditions. 

Georgia delves into how she conducted her subjective and objective initial assessment and highlights the importance of llistening and validating the client's experience, level of discomfort and mindset to ensure the appropriate movements are prescribed.  

A great listen highlighting how valuable we can be as EPs! 

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If you enjoy this podcast, don't forget to check out our range of educational webinars we have available to access 24/7! Head over to: 

https://www.eventbrite.com/cc/bodytrack-academy-educational-webinars-2146819

Use code FIRST10 to receive $10 off. Enjoy :) 

INTRODUCING OUR NEW SPONSOR HGG PERFORMANCE! 

https://hggperformance.com/?gclid=EAIaIQobChMIsKL4xNmAggMVdKtmAh1ZoQOREAAYASAAEgLVW_D_BwE

As a valued Bodytrack Academy Associate, you are entitled to a discount on their great products! Use the code BODYTRACK10 at the checkout to receive 10% off! 

_________________________________________________________________________________

Listen in as Nicole discusses a client who initially presented with early onset Parkinson's Disease and wanting to know the best advice and treatment with exercise. 

Nicole delves into how she conducted her subjective and objective initial assessment and soon found out there was more to the story that would prevent traditional Parkinson's exercise guidelines being implemented initially. She also highlights the importance on focussing on treating the individual, not the condition and setting milestones to progress towards achieving their meaningful goals and activities. 

A great listen highlighting tips on how to provide optimal holistic healthcare! 

Did you know that we now have a sponsor! 

Head over to HGG Performance to browse innovative exercise gear to enhance your clinical practice. We use the ISOTIB-LT for all lower limb rehab and attaining great results with our clients! Use the code BODYTRACK10 to receive 10% off your order on any of the great products sold. https://hggperformance.com/collections/all-equipment

Episode notes: 

Our EP’s specialising in Neurological conditions, Jacqui and Mackenzie, sit down to discuss the physiology behind exercise and neuroplasticity, and how we can manipulate training protocols to enhance rehabilitation outcomes and motor performance for clients living with neurological conditions.

They review recent evidence for optimising exercise volume and intensity to maximise changes in circulating neurochemicals contributing to neural health and function. In particular, they discuss brain-derived neurotrophic factor (BDNF), a key protein contributing to neural development and improved motor performance in individuals with neurological conditions.

Access to articles mentioned in the Podcast:

• ‘Neuroplasticity’: https://www.ncbi.nlm.nih.gov/books/NBK557811/
• ‘The Effect of Aerobic Exercise on Brain-Derived Neurotrophic Factor in People with Neurological Disorders: A Systematic Review and Meta-Analysis’: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5625797/#:~:text=Aerobic%20exercise%20is%20proposed%20to,enhance%20synaptic%20plasticity%20%5B9%5D 
• ‘Promoting neuroplasticity for motor rehabilitation after stroke: considering the effects of aerobic exercise and genetic variation on brain-derived neurotrophic factor’: https://pubmed.ncbi.nlm.nih.gov/23907078/

To acknowledge diabetes week, our EP Ash scheduled a chat with a dietician referral partner, Jess, from Growlife Medical Centre. The below points were covered:  

• Introduction of Jess and day in the life of a Dietitian
• What to expect at your first visit with a Dietitian
• Dealing with individuals who may have had a past negative experience
• I've been told I shouldn't eat carbs because I have diabetes - what does the research say?  
• Diet Myth busting - FAD diets
  • Fasting
  • Shakes/liquid diet
  • Keto
• Common topics asked by patients living with Type 2 Diabetes
  • I have heard of high GI vs low GI, but what does it mean?
  • Considerations when on Insulin medication
  • Reading labels to understand how you are fuelling the body
  • Vegan/Vegetarian diets
  • Why does diet matter?
• Best advice for T2DM management
  • Calorie Deficit is standard model of care for weight loss and BGL reduction
  • Exercise is very improtant component
  • Quality, quantity, distribution of food (particular carbohydrates) throughout the day 
  • Guided and managed by Health professional for greater long term health outcomes and behaviour change

In this episode, Dan and Josh discuss models and theories around chronic pain management and how to successfully implement in your clinical practice. Both Dan and Josh have had extensive experience in managing clients experiencing chronic pain. Key areas covered include: 

• The importance of rapport, trust and open communication with your clients 
• Predictive Processing Model
• Collaboarte not dictate
• Differentiating management for long term clients V initial assessments 

We hope you get a lot out of this pod - more to come in future episodes! 

Reference to previous chronic pain podcasts: 

• Episode 9 "Chronic Pain | communicating pain 
• Episode 2 "Chronic Pain | Intro to Pain Science 

Shout out to The Knowledge Exchange (TKE) who provide extremely useful resources and professional development opportunities within this space. 

https://www.tkex.org/

In this episode, Will and Ash discuss the challenges of managing chronic pain in light of other comorbidities. We discuss:

• Client presentation during the initial assessment
• The role of an EP providing education on improving pain and function, particularly when a client reports a previously negative allied health experience
• The importance of adapting prescription based on comorbidities and other complications that might arise
• How exercise can massively improve quality of life, not just from a physical standpoint, but also through a psychological and social lens

We hope you learn some invaluable practical tips! 

For more information contact nicole@bodytrack.com.au or caitlin@bodytrack.com.au 

Nicole explains her approach to managing exercise prescription and assessment with a client experiencing the effects of long covid and triggering of an underlying auto-immune condition. She discusses the importance of assessment preparation, allied health collaboration, what tools and resources to use in the assessment when physical testing is off the table and the progress this client has made thus far. 

Listen on for some great tips on how to manage a client with challenging conditions!  

• Understanding her complex medical history and where to start
• How we manage biopsychosocial factors and how this influences our exercise prescription 
• How we manage a client across a 5 day working week
• How to educate clients appropriately around weight management and losing weight
• If and when to refer to other allied health to ensure safety and successful outcomes

In this episode, Jacqui shares her experience and strategies working with an 8-year old client with ASD (Level 3) and ADHD. She discusses ways to navigate an initial assessment with children with high needs, such as difficulty with communication and the behind-the-scenes preparation for his first session and how to be adaptable despite the best plans in place. Great tips and tricks you can utlilise in everyday practice. 

Our Oncology EP's Nicole and Caitlin sit down for another Oncology episode to discuss exercise management and considerations for patients with skeletal metastases. 

They review the recently updated evidence and what this now means for our practice.  Advanced cancer has unique and important considerations especially with the presence of skeletal metastases. Learn how to support these patients holistically and to apply the recommendations from the Expert Consensus. You will also hear about considerations for practical application and some of their patient experiences.

Access to papers mentioned in podcast: 

https://ascopubs.org/doi/pdf/10.1200/OP.21.00454?role=tab

https://pubmed.ncbi.nlm.nih.gov/35710641/

Georgia sits down with Dan Harth to discuss how she managed the recovery journey from an acute onset of lower back pain in a relatively healthy male. We discuss: 

• Initial injury and collaboration with Allied Health 
• Dealing with the physical injury and the psychological effect 
• How to re-address goals and re-assure progress is being made 
• What to do in the first step of rehab and when to progress safely 
• Balancing physical, psyschological and emotional elements on the journey toward rehab and goal achievement 

We hope you enjoy!

• Jean Hailes https://www.jeanhailes.org.au/health-a-z/menopause/about-menopause
• GMHBA's Healthier Together Podcast: Dr Rosie Worsley on perimenopause and menopause
• We talk about sleep so here are some useful resouces *smiling mind app: free mindfulness app to practice daily meditation developed by psychologists and educators to help bring balance to life. https://www.smilingmind.com.au/

Ash and Josh invite you in to the culture and wellbeing aspects of Bodytrack. 

What do we look for in an employee at Bodytrack? What values bind us for high team performance? What does wellbeing mean to us and why is it important? All these questions will be answered and more. 

We chat to Jacqui and Georgia about how they felt preparing for their first allied health meeting. This can be a daunting task for anyone so we want to share our experience and convey a message of embracing the challenge, building confidence and courage and showing you that fear can present in interesting ways, but needs to be overcome to grow.  

Dan H chats with ESSA's Lauren Sexton on how to build team culture. What does team culture look like? How do you measure it? How do you balance business deliverables whilst ensuring culture is maintained? 

Some helpful resources on team culture: 

• Simon Sinek - Start with Why
• Simon Sinek - Leaders eat last 
• LIz Wiseman - Rookie Smarts 
• Whitney Johnston - Build an A team

To celebrate Exercise Right Week 2022, we take a different approach on this episode as we ask all of the Bodytrack EP's what Exercise for the Right Reasons means to them and how they achieve it.

Listen out for a vareity of reasons and aks yourself, how do you exercise right?  

Women's Health specialists Caitlin and Shoshana discuss different formal and informal pathways to assist you in building your knowledge and skills to manage women's health conditions. We talk about the options for postgraduate courses, CPD courses, webinars, and free patient and practitioner resources.

A list of preferred resources: 

• Exercise Right Women's Health Ebook: https://exerciseright.com.au/wp-content/uploads/2019/01/ESSA-Exercise-Womens-Health-eBook.pdf
• Women's Health Collective: https://www.thewomenshealthcollective.com/courses
• Jean Hailes: https://www.jeanhailes.org.au/
• AIS Educational Modules: https://www.ais.gov.au/fphi/education
• QENDO: https://www.qendo.org.au/
• RED-S CAT Screening tool: https://bjsm.bmj.com/content/bjsports/49/7/421.full.pdf
• Pelvic Floor First: https://www.pelvicfloorfirst.org.au/
• Pelvic Health Podcast: https://www.loriforner.com/podcast
• Return to running postpartum guidelines: https://mailchi.mp/38feb9423b2d/returning-to-running-postnatal-guideline
• Screening Tool for Physical Activity/Exercise During Pregnancy: https://www.essa.org.au/Public/ABOUT_ESSA/Pre-Exercise_Screening_Systems.aspx
• Physical activity and exercise during pregnancy – guidelines – brochure https://www.health.gov.au/resources/publications/physical-activity-and-exercise-during-pregnancy-guidelines-brochure
•  National Diabetes Services Scheme (NDSS) Pre-pregnancy planning and care module https://www.ndss.com.au/health-professionals/support-services/online-learning/
• Plant proof podcast - Managing Menopause with Dr Gemma Newman https://plantproof.com/managing-menopause-with-dr-gemma-newman/

Holly and Dan reminisce about their own experiences on prac, what they look out for in students (it's not all knowledge and tech skills), what to consider when choosing the right placement site and how to overcome your fear of failure to embrace challenges. They share their top tips on how to nail placement, how to get a job, what you can learn from placement and why it's so much more than ticking off the hours to get accredited.  

With emerging and improving cancer treatments, we are seeing people living longer than ever as survivors. Cardio-oncology is an emerging field responding to a worrying concern for cancer survivors: cardiovascular-related morbidity and mortality. In this episode, Caitlin dives into the field of cardio-oncology, the models that explain why patients may be at risk, and our role as Exercise Physiologists. 

The multiple hit hypothesis 

Gilchrist, Susan & Barac, Ana & Ades, Philip & Alfano, Catherine & Franklin, Barry & Jones, Lee & La Gerche, Andre & Ligibel, Jennifer & Lopez, Gabriel & Madan, Kushal & Oeffinger, Kevin & Salamone, Jeannine & Scott, Jessica & Squires, Ray & Thomas, Randal & Treat-Jacobson, Diane & Wright, Janet. (2019). Cardio-Oncology Rehabilitation to Manage Cardiovascular Outcomes in Cancer Patients and Survivors: A Scientific Statement From the American Heart Association. Circulation. 139. e997-e1012. 10.1161/CIR.0000000000000679. 

Compounding risk and protection model 

Kirkham, A. A., Beaudry, R. I., Paterson, D. I., Mackey, J. R., & Haykowsky, M. J. (2019). Curing breast cancer and killing the heart: A novel model to explain elevated cardiovascular disease and mortality risk among women with early stage breast cancer. Progress in cardiovascular diseases, 62(2), 116–126. https://doi.org/10.1016/j.pcad.2019.02.002

Join Dan & Nicole as they discuss strength training for women. They explore how many women are actually meeting the physical activity guidelines pertaining to resistance training, the social barriers that prevent women from engaging in strength training and the benefits of targeted strength training for women of all ages. 

Links:

Exercise and Women's Health - ESSA ebook

• this article found that BMR prediction was only accurate ∼40% of the time, regardless of gender and weight classification. 

• This found that overweight individuals with metabolic syndrome or type 2 diabetes had lower capacity for fat metabolism
• Overweight individuals without metabolic conditions tended to utilize fat quite well 
• Therefore utilisng generic exercise and diet guidelines may not be optimal for all overweight individuals 

Ever had a client complain about ongoing pain in their calves or achilles particularly upon first waking up? This could be a warning sign for an achilles tendinopathy! 

Gage and Dan discuss what a tendinopathy is, signs and symptoms of an achilles tendinopathy, and different clinical exercise prescription approaches to reach a same outcome for rehab, including isometric, heavy isokinetic, and power exercises.

Are you seeing more children for Exercise Physiology? Hear how Holly has adapted her practice to ensure children are achieving their physical activity goals, increasing their engagement while achieving the recommendations for physical activity for children. 

The podcast series on the Cancer Care continuum concludes with Dan and Nicole discussing how an AEP can supports those in the Survivorship phase. Listen to learn how an AEP manages clients entering into the survivorship phase, how the exercise prescription can switch focus and what key psychological and physiological changes occur - key to planning your exercise progressions! 

You asked, we answered! Neuro EP Holly is in the hot seat sharing her experience and expertise.

- Neuro conditions and muscle wasting 

- Neuroplasticity - the positives and negatives 

- Concussion and RTS protcols 

- Neuro programming - how and what needs to be different? 

As promised - guide to concussion protocols: 

- https://www.braininjuryaustralia.org.au/wp-content/uploads/Barry-Willer_2.pdf

- http://www.tbi-impact.org/cde/mod_templates/12_F_06_Rivermead.pdf

Holly, our Neuro EP, discusses how an EP can assist those living with Parkinson's Disease. In this podcast you will learn: 

- Signs and symptoms of Parkinsons

- Scope of EP and other Allied Health Professionals in the treatment of PD

- Screening tools, including subjective and objective measures

- From screening to prescription

- The Biopsychosocial model for PD

- Upskilling and CPD for Parkinson's

With over 12 years' experience between them, Dan and Gage chat about their different approaches for assessing and treating shoulder pathologies.

Nicole and Rachael from MacIntyre Health join us for an Allied Health collaboration chat about Diabetes management. Nicole Walker is an Accredited Dietitian and Rachael Baker is a Nurse Practitioner Candidate and Credentialled Diabetes Educator.

In this podcast we cover:

• Which should come first - Dietitian or Diabetes Educator?
• How and when to refer to a Diabetes Educator
• Treatment options and treatment pathway when a client is referred to a diabetes educator
• A day in the life of Nicole and Rachael
• EP scope discussing nutrition and exercise for people with Diabetes

Find out more about the guests on today's episode: https://macintyrehealth.org/the-team/about-rachael/ https://macintyrehealth.org/the-team/about-nicole/

Welcome to Women's Health Week! A very special podcast where Nicole chats with Naomi from Oncore Nutrition, a company based in Melbourne who work within the Women's Health and Oncology fields. Nicole and Naomi discuss some great tips for practitioners on how to appropriately fuel for exercise sessions, how to manage clients who want to lose weight quickly, and the questions you should be asking your female clients to ensure optimal health!

Oncore are founders of the Allied Health Oncology Group (AHOG). 

OnCore Nutrition 

https://www.oncorenutrition.com/about/

Allied Health Oncology Group (AHOG) 

https://www.oncorenutrition.com/allied-health-oncology-group/

Prac Supervisors Dan and Holly share their advice to help student nailing their Practicum Placements.

- Choosing and preparing for placement 

- Professionalism 

- Employment opportunities and reputation 

- Embracing the challenge

Caitlin shares her experience on pursuing a speciality in EP after completing post-grad study in Exercise Medicine (Oncology). 

- Options to specialise

- Recommended PD

- Exercise Oncology practicum placements 

Nicole explains the role of Exercise Physiology during cancer care treatment. 

- What treatments are common

- Contraindications and red flags 

- Multi-disciplinary care

- Treatment fatigue management

- Prescribing exercise intensity/type 

Articles and notes: 

Cancer Council 

https://www.cancer.org.au/assets/pdf/arm-and-shoulder-exercises-after-surgery

AJGP 

https://www1.racgp.org.au/ajgp/2020/april/exercise-medicine-in-cancer-care

Questionnaires 

https://www.facit.org/measures/FACIT-F

Objective Measure

https://www.nccn.org/docs/default-source/patient-resources/nccn_distress_thermometer.pdf?sfvrsn=ef1df1a2_4

We welcome Nicole to the podcast to give us an overview of the cancer care continuum and how an EP can assist in the pre-treatment phase. We get into the specifics of subjective and objective assessments, models of care and the emotional aspect of working in the Exercise Oncology field. 

Brought to you by The Bodytrack Academy

... 

ExMed - Prue Cormie PD 

https://exmedcancerpd.learnbook.com.au/

MacIntyre Health resources

https://www.petermac.org/services/treatment/prehabilitation

https://www.macmillan.org.uk/healthcare-professionals/cancer-pathways/prehabilitation

For this Men's Health Week special, Dan is joined by Exercise Oncology specialist, Caitlin, to chat about the most common Men's Cancers, the vital role of exercise as medicine in cancer care for men, and other risk factors Exercise Physiologists should screen male clients for.

We're back with Holly to discuss Multiple Sclerosis:

- The types of MS

- How an EP manages a client with MS beyond exercise prescription.

- Scope of an EP in multidisciplinary care of MS

- Yellow and Red flags for clients with MS

Listen in as our Strength and Conditioning guru and EP, Cam, takes us through some concepts and emerging evidence on hypertrophy training. 

Our Prac Coordinator, Holly, is joined by one of our students to chat about what to expect on prac and how to make the most of your clinical placements before graduating. 

Dan takes us through 5 communication principles that can help when treating clients with chronic pain. These principles can easily be applied in your clinical practice and ensure a holistic approach to the biopsychosocial model of care. Shout out to Jeffrey Rufila - The Running EP for sharing this wisdom!  

Focusing your energy on getting better at the things you struggle with seems like a common-sense approach. It seems logical that improving your problem areas will result in success and performance excellence. But that's not the case. 

*DISCLAIMER: Any snoring heard in the background of this recording is from my dog, Lenny, and should not be taken as an indicator of how interesting this content is.

From nailing prac, to landing your dream job, we chat to Josh about joining the workforce as a newly graduated Accredited Exercise Physiologist.

Holly joins us to chat about her interest in Exercise Physiology for Neurological conditions.

Gage jumps in to offer us a great concept he uses to help clients understand the multiple factors that effect Chronic Pain. 

Helping clients manage Chronic Pain requires adaptability; having multiple tools in your EP toolkit and knowing which one to select for the person, situation or phase of treatment. This explanation still draws on the theoretical background of the bio-psycho-social factors that can cause and exacerbate Chronic Pain, but offers an alternative for clients to conceptualise it. 

Cam chats to us about Youth Athlete Development, sharing his perspective as an Exercise Physiologist and Strength & Conditioning Coach. We discuss the recommendations, the myths, the barriers and how Australia stacks up.

From reassuring parents that he won't stunt their child's growth, to being a central manager for athletes with multiple coaches, Cam paints a picture of the future he'd love to see and how EP's and SnC coaches can best serve youth athletes for longevity and high performance. 

Listen in as we chat with Josh about making the most of prac, entering the workforce and goals for his first year as an EP.

This is the first episode in a series that will follow Josh and other 2020 Graduates throughout their first year practising as Exercise Physiologists. There'll be lots of mistakes, learning and laughs in casual, relatable conversations about life as new grad.

Don't forget, you can also join the Bodytrack Academy community on Facebook.

Dan talks us through his interest in Chronic Pain and how he integrates some of the theoretical concepts of pain science into his prescription and practice as an Exercise Physiologist.

Chronic Pain can be complicated, but it's the perfect condition to demonstrate the importance of movement as medicine and the role of an Exercise Physiologist. There are many approaches to treating pain and although Chronic Pain has received a lot of attention in recent years, it’s still not easy to navigate. Dan breaks down some of the theory and education he uses to help clients as starting point for EP’s that are new to Pain Science or searching for better ways to help their clients manage Chronic Pain.

*SHOUT OUTS*

Explain Pain book by David Butler & Lorimer Moseley

Pain management in Practice workshop by Empower Rehab.

This Intro Episode is a quick look into why we started the Bodytrack Academy, our vision for the Exercise Physiology industry and a sneak peak at some of the upcoming topics we'll cover. We'll be bringing you 15-20 minute episodes about the clinical, business and personal aspects of Exercise Physiology, sharing the experience and expertise of the Bodytrack Exercise Physiology team as well as a whole heap of guests from the health and fitness industry.

Welcome to the Bodytrack Academy podcast! You can also join the Bodytrack Academy community on Facebook.