Henk Piek

Owner 'Fysiotherapie Henk Piek' | Nederlands Kampioen Atletiek 1500m Indoor Masters 2019 | Het geheel is meer dan de som der delen

[Jac Orie @JacOrie]

In het kader van bewegingsarmoede en welvaartziekten: wat mogen we nog verwachten van kinderen die bijna 14% langer zitten dan 65 plussers? https://t.co/kxn7c7cEa0.

[Thijs Zonneveld @thijszonneveld]

Nee toch?

[Fascinating @fasc1nate]

Michael Jordan shooting a free throw with his eyes closed, 1991

[Physio Meets Science @PhysioMeScience]

Just published 🔥

Impact of Running Exercise on Intervertebral Disc: A Systematic Review🏃🏃‍♂️

👇👇👇

https://t.co/N1xnqpP1WV

[Jac Orie @JacOrie]

Creatinesuppletie kan het creatinegehalte in de hersenen verhogen. Dit kan in de loop van de tijd enkele van de veelbelovende effecten op metingen van de gezondheid en functie van de hersenen helpen verklaren.
https://t.co/Apwe4GDXNu

[Lea Alhilali, MD @teachplaygrub]

1/Do you feel there’s a back-log of findings in a spine MRI report?

Everyone talks about discs & facets, but not everyone talks about the endplates.

Do you?

Do you need to talk about degenerative changes of the endplates (Modic changes)?

Here’s thread w/all you need to know!

[Formula 1 @F1]

Insane how close this was 😵

#F1 @alo_oficial @SChecoPerez (🎥 Daniel Tyman/@elmejordelresto)

[Massimo @Rainmaker1973]

This is why metal is not allowed during an MRI
https://t.co/GuRHVIC0dH

[Prehab®️ @ThePrehabGuys]

3 ROTATOR CUFF EXERCISES - Grab a mini-band and perform these simple, yet excellent shoulder and rotator cuff exercises!

Clinciians! Don't miss 30 DAYS FREE of the [P]rehab Exercise Library. Deal ends Tuesday - learn more: https://t.co/Woh7U5vjj7

[Journal of Brown Hospital Medicine @BrownJHM]

Subdural Hematoma evacuation

From @rbarbosa91

#MedX

[Dr. OMID BANDARCHI @OBandarchi]

Wonderful infographic addressing many aspects of the CARPAL TUNNEL SYNDROME (CTS) including causes, prevention, diagnosis, beneficial exercises,..etc. Furthermore beautifully demonstrated the bad positions which can cause this syndrome! In my opinion it's a unique infographic 👌

[Strength For Life @Strength4_Life]

🏋️💪🏼 Effects of (in)activity and resistance training on physical and cognitive function across the lifespan

#StrengthSavesLives

https://t.co/4B272kRRmK

[Vala Afshar @ValaAfshar]

In 1995, two years after worldwide web was born, @BillGates tried to explain the Internet

[Dr. OMID BANDARCHI @OBandarchi]

The illustration & photograph wonderfully showing ROTATOR INTERVAL (RI).👍RI is a triangular space in ant part of Rotator Cuff (RC).Many authors claim RI prevent excessive inf/post humeral head translation. Others say RI as area of tissue deficiency&if injured lead to instability

[Massimo @Rainmaker1973]

Topology
https://t.co/IL5iM8XyDP

[Tansu Yegen @TansuYegen]

Another Chinese boy with advanced math skills👏

https://t.co/UeEHOKF5y4

[OrthoEvidence @OrthoEvidence]

💉PRP vs. Corticosteroid for Shoulder Pain: A Meta-Analysis
An OE Original

Shoulder pain affects more than 1 in 4 people and can significantly impact one's quality of life.

Treatment options include injection therapy. Corticosteroids have been used for decades, however, platelet-rich plasma (PRP) has risen in popularity in recent years.

Which option is better?

We performed a systematic review and meta-analysis of the existing literature on the topic using the OE MIND database!

🏗️METHODS
Our database contained over 764 shoulder-related studies with 122,000 patients!

We found 6 RCTs comparing PRP to corticosteroid injection for pain from rotator cuff disease, tendinopathy, tears, and tendonitis.

All 6 studies used a single injection of PRP or corticosteroid. We performed meta-analyses for composite clinical outcomes (like the ASES and SPADI scores), pain, conversion to surgery, and the incidence of adverse events!

🔎RESULTS
Composite Clinical Outcomes
We pooled the outcomes overall & by time-point. We used an MCID of 6.4 to determine whether the difference was clinically meaningful.

Corticosteroid was better in the first 6 weeks, while PRP was better at 3-6 months!

Overall, the differences between groups were not clinically meaningful, with the exception of early (3-week) scores which were in favour of the corticosteroid group!

Pain
For pain scores, we used an MCID of 14 points on a 100-point scale!

Again, we found corticosteroids to be better in the first 6 weeks, whereas PRP was superior from 6 weeks to 24 months!

None of these differences were clinically meaningful, though!

Conversion to Surgery
No difference in the risk of conversion to surgery was observed!

Adverse Events
No differences in the risk of adverse events were observed between groups!

✅INTERPRETATION
The results of this OE Meta-Analysis found that corticosteroid injection tended to outperform PRP in the short term, but beyond 6 weeks, PRP provided better outcomes!

[Running-Physio @tomgoom]

Running is not bad for your back and may even help strengthen the discs (Belavy et al. 2017). So we can reassure runners with back pain that returning to their sport isn't harmful, but we do want to find a manageable level for them to gradually progress from.

We can find this by starting at a duration and intensity where any pain is mild and settles quickly after a run (i.e. the same day). It also shouldn't lead to increases in neural symptoms such as leg pain, pins and needles or numbness.

In severe or irritable cases it's best to settle symptoms first, especially if they're aggravated by standing, walking or impact. As a therapist we need to use our judgement and work with the patient to determine when they may be ready to run.

Stay positive for runners in your care, we've seen people recover from severe pain back to successfully return to marathons and ultra-marathons! 🏃‍♀️

Key reference:
Horga, L.M., Henckel, J., Fotiadou, A. et al. What happens to the lower lumbar spine after marathon running: a 3.0 T MRI study of 21 first-time marathoners. Skeletal Radio 51, 971-980 (2022).
#Running #RunningInjury #BackPain #LowerBackPain #runningrepairs

[Stocktwits @Stocktwits]

These $META Smart Glasses look insane! They can essentially let you Google anything you are looking at.

[INSCYD @INSCYD]

Pushing your limits? Understand the role of VO2max in your performance journey. #PerformanceMatters https://t.co/NR4YcB3Ruu