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Transcend PhysioFit

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Transcend PhysioFit

"Empowering people in unlocking and utilizing their body's potential to move, function, and perform at an optimal level."

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03/26/2021

Let's bust this myth! 💥 Exercise-associated muscle cramps (EAMC) is NOT due to dehydration, electrolyte depletion, or inadequate carbohydrate intake 😲 unless taken to the extreme.

Check out these recent studies by McCubbin et al and Martinez-Navarro et al (summary slide reposted from ). Endurance & marathon runners who experienced EAMC did not have greater levels of dehydration or electrolyte depletion compared to the non-crampers, but displayed significantly higher concentrations of muscle damage biomarkers. In addition, the runners who performed regular strength training (type not specified) had a lower incidence of EAMC.

So now what? It would be great to see studies that explore this further, directly looking at odds ratios and EAMC prevalence in athletes who do or do not include specific strength training.

For instance, if someone is prone to frequent calf cramps during high volume sprint interval training (👋 right here!), we might consider including a progressive strengthening program for calves using increasing loads and/or volume with varying time under tension, and utilizing eccentric and ballistic contractions specific to our goal activity. 📋 This may not only reduce injury risk and increase strength of the calf and Achilles 🦶 (already supported by evidence), but also potentially improve resistance to neuromuscular fatigue and cramps!

Meanwhile, it's certainly still recommended to continue maintaining proper hydration💧and nutrition for all other non-cramp-related benefits and health reasons. 👊

Transcend PhysioFit: "Empowering people in unlocking and utilizing their body's potential to move, function, and perform at an optimal level."

03/02/2021

Such a treat to welcome back alumnus, FMT-certified, and multi-talented friend to teach the class on Dance, Disability, and Physical Therapy as part of our PT in Adaptive Sports series for the UCSF/SFSU program! Along with her was discussing the important topic of inclusivity and language around disability, from sharing the beautiful world and art of , and and also sharing their experience as performers/athletes for our students to work with.

They provided a thoughtful discussion, and I know everyone learned a lot. We certainly hope to have you all back next year! Thank you!
💃🧑‍🦽

02/27/2021

Another outstanding PT in Adaptive Sports session in the books for the students; this time, on my personal favorite, / track & field!

I had the privilege of having , 2-time paralympian T52 wheelchair racer in the 400, 1500m, and marathon, and , paralympic above-knee amputee athlete in the 100, 200, and long jump join me in teaching this class.

Steven covered the breadth of the different para athletics athlete classifications and competition categories, wheelchair racing equipment, and push stroke mechanics.

I discussed the general biomechanics of the major track & field events, how they may vary between adaptive & able-bodied athletes, and common injuries you may see in the different event groups.

then topped us off by sharing his personal paralympic journey and gave us an insider look at what training at the elite level was like.

Then, as always for each of our classes, we broke out into small groups where the students perform a virtual examination/assessment and prescribe an exercise program for the athletes. Everybody comes away learning something new!

Looking forward to this weekend's session, led by
on adaptive dance and inclusivity!

02/19/2021

Major shout out to a few weeks ago on our PT in Adaptive Sports course on adaptive cycling when we had 2 amazing guest lecturers.

2016 Rio Paralympics bronze medalist in the PT2 paratriathlon presented an overview of classifications and events, while also sharing the unique biomechanical and bike set-up as an athlete with proximal femoral focal deficiency ( ). Fun facts: it takes a whole lot more hip flexor & hamstring recruitment to perform unilateral cycling, and getting through the top part of the revolution is extra difficult without your other leg helping you through!

Second, we had badass , paralympic sailor who shared the fearless world of 🚵.

I then tied it back in for rehab considerations for the adaptive cyclist. Example slide here discussed shoulder load during hand cycling vs wheelchair propulsion ♿. In handcycling, the muscles produce force over the whole propulsion cycle and are recruited in a more balanced manner. In wc propulsion, some of the shoulder muscles are used much more. In the push phase and towards the end of the recovery phase, the supraspinatus & infraspinatus are most active. At the beginning of the recovery phase, the most active muscles were the scapular part of the deltoid and the serratus anterior.

Highest difference in muscle force between HC & WC was found in the supraspinatus, infraspinatus and biceps 💪. The peak values of the biceps and supraspinatus muscle, respectively, were 2.3x & 3.3x higher during wc propulsion.

02/14/2021

Challenge accepted: Wall sprints ➡️ plank wall sprints.

you're up!

02/07/2021

For the first time, we created a Physical Therapy in Adaptive Sports elective course series for the UCSF/SFSU DPT students. Each class focuses on a different adaptive sport, introducing students to the unique aspects and demands, and the role PTs have in connecting or treating individuals with disabilities to the sport(s). Adaptive athletes from each sport volunteer their time for the students to work directly (virtually) with to provide movement analyses and exercise prescription individualized for their disabilities and sport.

Session # 3 was on 🧗‍♀️, featuring guest lectures from and , physical therapists and avid climbers themselves. We learned a lot, had fun, and tons of creative ideas were shared! Thank you!

02/07/2021

For the first time, we are offering an elective course series on Physical Therapy in Adaptive Sports to the
UCSF/SFSU DPT program Session # 3 focused on Adaptive Climbing 🧗‍♀️, featuring guest lectures by and .

02/05/2021

Pulled king oyster mushroom burgers with avocado, tomato, spring greens, & fresh-picked nasturtium (+side of Japanese yam air fries).

Yup.

01/08/2021

I had the honor of giving a guest lecture to 3rd year UCSF/SFSU Doctor of Physical Therapy students yesterday! I've always enjoyed education and teaching, and was so excited to have this opportunity.

I presented on Applying Sports/Strength & Conditioning Principles in Neuro Rehab. I highlighted the overlap, as well as important unique considerations, between the athletic and neurological population, and how we might leverage these variables to optimize functional outcomes or movement performance. In PT education, and unfortunately too often in clinical practice, these worlds are often too compartmentalized (it shouldn't!). I also discussed how "intensity" in neuro rehab research is inaccurately used, when in fact most "high-intensity" research protocols were actually using increased frequency and duration of rehab interventions without measurements of physical or physiological effort. It's different!

01/04/2021

2021, let's GO!

Whatever your goals may be, set yourself up for success by thinking S.M.A.R.T. 🤓

Specific
Measurable
Attainable
Relevant
Time-bound

12/24/2020

A lovely Christmas present: got round 1 of the COVID-19 Vaccination!

Follow the science, (when able)

Happy and safe holidays, everyone!

10/10/2020

I'm a physical therapist.

No, I'm not a personal trainer (although I pursued additional specialty strength & conditioning training), but I teach exercise with intention to improve functional strength and/or mobility based on evidence and continued education surrounding our physiological, musculoskeletal, and neurological systems.

No, I'm not a massage therapist, but I do occasionally utilize manual techniques to reduce pain, increase activity tolerance, or retrain movement patterns. And maybe sometimes just to make people feel good. 👋

I'm super proud of our profession and our place in virtually any healthcare setting. I'm grateful to work at a hospital as part of multidisciplinary team, serving a community of real people that need our help.

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03/26/2021

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