TREK education

𝐋𝐨𝐚𝐝 𝐦𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭. 𝐖𝐞 𝐭𝐚𝐥𝐤 𝐚𝐛𝐨𝐮𝐭 𝐢𝐭 𝐚𝐥𝐥 𝐭𝐡𝐞 𝐭𝐢𝐦𝐞. 𝐁𝐮𝐭 𝐰𝐡𝐚𝐭 𝐢𝐬 𝐢𝐭?

Load is another word for stress. Load can be internal or external.

• An example of an internal load is how hard an activity ‘feels.’
• An example of an external load might be how many steps a person takes or how many jumps they complete.

Capacity is a fancy way of saying; can you tolerate or withstand what you’re doing! Capacity is determined by the load that you place on your body, your muscle, and your bones.

Health is a game of averages and capacity is the same, it’s the average load that you place on your body that drives your capacity.

🎯 The aim of load management is to keep load and capacity similar. If you want to boost your capacity, you’re going to have to increase your load progressively!

𝐀𝐫𝐞 𝐲𝐨𝐮 𝐝𝐨𝐢𝐧𝐠 𝐫𝐞𝐬𝐞𝐚𝐫𝐜𝐡 𝐨𝐧 𝐩𝐚𝐭𝐞𝐥𝐥𝐨𝐟𝐞𝐦𝐨𝐫𝐚𝐥 𝐩𝐚𝐢𝐧?

𝐃𝐨 𝐲𝐨𝐮 𝐬𝐞𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭𝐬 𝐰𝐢𝐭𝐡 𝐩𝐚𝐭𝐞𝐥𝐥𝐨𝐟𝐞𝐦𝐨𝐫𝐚𝐥 𝐩𝐚𝐢𝐧 𝐢𝐧 𝐜𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐩𝐫𝐚𝐜𝐭𝐢𝐜𝐞?

𝗡𝗼𝘁 𝘀𝘂𝗿𝗲 𝘄𝗵𝗮𝘁 𝗱𝗮𝘁𝗮 𝘁𝗼 𝗰𝗼𝗹𝗹𝗲𝗰𝘁 𝗶𝗻 𝘁𝗵𝗼𝘀𝗲 𝐩𝐞𝐨𝐩𝐥𝐞 𝘄𝗶𝘁𝗵 𝗽𝗮𝘁𝗲𝗹𝗹𝗼𝗳𝗲𝗺𝗼𝗿𝗮𝗹 𝗽𝗮𝗶𝗻?

The International Patellofemoral Research Network developed a checklist for you.
The 𝐑𝐄𝐏𝐎𝐑𝐓-𝐏𝐅𝐏 is:

✅ A consensus document from experts in the field of patellofemoral pain (3-stage Delphi process)

✅ A checklist for researchers AND clinicians

✅ Designed to improve the translation of research into clinical practice

To read the full article and the accompanying guidance notes access the full paper and the iPFRN website

Barton CJ, De Oliveira Silva D, Morton S, et al. REPORT-PFP: a consensus from the International Patellofemoral Research Network to improve REPORTing of quantitative PatelloFemoral Pain studiesBritish Journal of Sports Medicine 2021;55:1135-1143.
DOI: http://dx.doi.org/10.1136/bjsports-2020-103700

𝗔𝘀𝗸 𝘁𝗵𝗲 𝗗𝗼𝗰𝘁𝗼𝗿 𝗶𝘀 𝘁𝗵𝗲 𝘃𝗶𝗱𝗲𝗼 𝘀𝗲𝗿𝗶𝗲𝘀 𝘁𝗵𝗮𝘁 𝗵𝗶𝗴𝗵𝗹𝗶𝗴𝗵𝘁𝘀 𝘁𝗵𝗲 𝘄𝗼𝗿𝗸 𝗼𝗳 𝗻𝗲𝘄𝗹𝘆 𝗴𝗿𝗮𝗱𝘂𝗮𝘁𝗲𝗱 𝗿𝗲𝘀𝗲𝗮𝗿𝗰𝗵𝗲𝗿𝘀 𝗮𝘁 𝘁𝗵𝗲 𝗟𝗮 𝗧𝗿𝗼𝗯𝗲 𝗨𝗻𝗶𝘃𝗲𝗿𝘀𝗶𝘁𝘆 𝗦𝗽𝗼𝗿𝘁 & 𝗘𝘅𝗲𝗿𝗰𝗶𝘀𝗲 𝗠𝗲𝗱𝗶𝗰𝗶𝗻𝗲 𝗥𝗲𝘀𝗲𝗮𝗿𝗰𝗵 𝗖𝗲𝗻𝘁𝗿𝗲

The first two episodes cover

✅ The psychological factors associated with patellofemoral pain

✅ Returning to physical activity following hip arthroscopy

Watch the full episodes by entering “Ask Dr Lasem” into the Youtube search bar 💻

𝐅𝐢𝐟𝐭𝐲-𝐬𝐞𝐯𝐞𝐧 𝐰𝐨𝐦𝐞𝐧 𝐰𝐢𝐭𝐡 𝐤𝐧𝐞𝐞 𝐩𝐚𝐢𝐧 𝐰𝐞𝐫𝐞 𝐚𝐬𝐬𝐞𝐬𝐬𝐞𝐝 𝐟𝐨𝐫

👉 Kinesiophobia

👉 Knee pain & disability

👉 Patellofemoral joint (peak stress & contact force)

, , & found that 𝐤𝐢𝐧𝐞𝐬𝐢𝐨𝐩𝐡𝐨𝐛𝐢𝐚 is associated with 𝐩𝐚𝐢𝐧 and 𝐝𝐢𝐬𝐚𝐛𝐢𝐥𝐢𝐭𝐲 in women with knee pain ✅

Patellofemoral stress & contact force were 𝐍𝐎𝐓 associated with knee pain or disability in the same group ❌

Type “Pain and disability in women with patellofemoral pain relate to kinesiophobia, but not to patellofemoral joint loading variables” into your favourite search engine to find the article 🤓

𝐇𝐚𝐯𝐞 𝐲𝐨𝐮 𝐫𝐞𝐜𝐞𝐧𝐭𝐥𝐲 𝐡𝐚𝐝 𝐚𝐧 𝐚𝐧𝐭𝐞𝐫𝐢𝐨𝐫 𝐜𝐫𝐮𝐜𝐢𝐚𝐭𝐞 𝐥𝐢𝐠𝐚𝐦𝐞𝐧𝐭 (𝐀𝐂𝐋) 𝐫𝐞𝐜𝐨𝐧𝐬𝐭𝐫𝐮𝐜𝐭𝐢𝐨𝐧?

You may be eligible if:

✅ You were 18 – 40 years at the time of your ACL surgery
✅ You are less than 3 years following your ACL surgery

If you think you fit these criteria, contact us!

𝐈𝐧 𝐚𝐝𝐝𝐢𝐭𝐢𝐨𝐧 𝐭𝐨 𝐮𝐧𝐝𝐞𝐫𝐭𝐚𝐤𝐢𝐧𝐠 𝐫𝐞𝐠𝐮𝐥𝐚𝐫 𝐦𝐨𝐝𝐞𝐫𝐚𝐭𝐞-𝐯𝐢𝐠𝐨𝐫𝐨𝐮𝐬 𝐚𝐞𝐫𝐨𝐛𝐢𝐜 𝐚𝐜𝐭𝐢𝐯𝐢𝐭𝐲 𝐞𝐚𝐜𝐡 𝐰𝐞𝐞𝐤, 𝐡𝐞𝐚𝐥𝐭𝐡𝐲 𝐚𝐝𝐮𝐥𝐭𝐬 𝐬𝐡𝐨𝐮𝐥𝐝 𝐥𝐢𝐦𝐢𝐭 𝐬𝐞𝐝𝐞𝐧𝐭𝐚𝐫𝐲 𝐛𝐞𝐡𝐚𝐯𝐢𝐨𝐮𝐫.

Sedentary behaviour describes sitting or lying down when not sleeping.

⚠️ Spending more than 7 -10 hours a day sitting or lying down is not ideal for our health.

Make the switch from sitting to standing and if the weathers nice from inside to outside ✅

𝐀 𝐬𝐲𝐬𝐭𝐞𝐦𝐚𝐭𝐢𝐜 𝐫𝐞𝐯𝐢𝐞𝐰 𝐜𝐨𝐧𝐝𝐮𝐜𝐭𝐞𝐝 𝐛𝐲 𝐉𝐨𝐧𝐞𝐬 𝐞𝐭.𝐚𝐥. 𝐢𝐧 𝟐𝟎𝟐𝟎 𝐟𝐨𝐮𝐧𝐝 𝐭𝐡𝐚𝐭 𝐢𝐧 𝐦𝐨𝐫𝐞 𝟏𝟎𝟎𝟎+ 𝐩𝐞𝐨𝐩𝐥𝐞 𝐰𝐢𝐭𝐡 𝐡𝐢𝐩 𝐫𝐞𝐥𝐚𝐭𝐞𝐝 𝐩𝐚𝐢𝐧 𝐚𝐧𝐝 𝐝𝐲𝐬𝐟𝐮𝐧𝐜𝐭𝐢𝐨𝐧

⚠️ The HOS-SS was frequently used (despite its clinical utility in this population being clear)

AND

✅ Objective data like step count is infrequently collected (despite how easy it can be to collect and be used to monitor progress)

This paper is OPEN access and can be found at Sports Medicine – Open! Just type the title into your favourite search engine!

𝗔 𝘀𝘆𝘀𝘁𝗲𝗺𝗮𝘁𝗶𝗰 𝗿𝗲𝘃𝗶𝗲𝘄 𝗼𝗳 𝗿𝗮𝘁𝗲 𝗼𝗳 𝗶𝗺𝗽𝗿𝗼𝘃𝗲𝗺𝗲𝗻𝘁 𝗼𝗳 𝗽𝗮𝗶𝗻 𝗮𝗻𝗱 𝗳𝘂𝗻𝗰𝘁𝗶𝗼𝗻 𝗶𝗻 𝗺𝗶𝗱-𝗽𝗼𝗿𝘁𝗶𝗼𝗻 𝗮𝗰𝗵𝗶𝗹𝗹𝗲𝘀 𝘁𝗲𝗻𝗱𝗶𝗻𝗼𝗽𝗮𝘁𝗵𝘆 𝘄𝗶𝘁𝗵 𝗹𝗼𝗮𝗱𝗶𝗻𝗴 𝗽𝗿𝗼𝘁𝗼𝗰𝗼𝗹𝘀 𝗳𝗼𝘂𝗻𝗱:

💥 6 different interventions (loading protocols) were used including heavy slow resistance and eccentric overload training

💥 Improvement in pain and function on VISA-A was observed as early as 2-weeks and peaked 12-weeks following the loading protocol

💥 More research is needed to tease out the mechanism(s) involved in this improvement in pain and function

How does this match your and your patients expectations of recovery?

𝐀 𝐬𝐲𝐬𝐭𝐞𝐦𝐚𝐭𝐢𝐜 𝐫𝐞𝐯𝐢𝐞𝐰 𝐨𝐟 𝐫𝐚𝐭𝐞 𝐨𝐟 𝐢𝐦𝐩𝐫𝐨𝐯𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐩𝐚𝐢𝐧 𝐚𝐧𝐝 𝐟𝐮𝐧𝐜𝐭𝐢𝐨𝐧 𝐢𝐧 𝐦𝐢𝐝-𝐩𝐨𝐫𝐭𝐢𝐨𝐧 𝐀𝐜𝐡𝐢𝐥𝐥𝐞𝐬 𝐭𝐞𝐧𝐝𝐢𝐧𝐨𝐩𝐚𝐭𝐡𝐲 𝐰𝐢𝐭𝐡 𝐥𝐨𝐚𝐝𝐢𝐧𝐠 𝐩𝐫𝐨𝐭𝐨𝐜𝐨𝐥𝐬 𝐟𝐨𝐮𝐧𝐝:

💥 6 different interventions (loading protocols) were used including heavy slow resistance and eccentric overload training

💥 Improvement in pain and function on VISA-A was observed as early as 2-weeks and peaked 12-weeks following the loading protocol

💥 More research is needed to tease out the mechanism(s) involved in this improvement in pain and function

How does this match your and your patients expectations of recovery?

We are seeking volunteers for a new study that aims to implement the 𝗺𝗼𝘀𝘁 𝘂𝗽-𝘁𝗼-𝗱𝗮𝘁𝗲 for the management of knee cap pain!

To be 𝗲𝗹𝗶𝗴𝗶𝗯𝗹𝗲 you should ✅

- Have knee cap pain with activity 🏃‍♀️🏃
- Be able to access the internet 💡
- Live in AUSTRALIA 🌏

𝗦𝘁𝗶𝗹𝗹 𝗶𝗻𝘁𝗲𝗿𝗲𝘀𝘁𝗲𝗱?

Contact 👉 [email protected] for more information.