Hot Topics & Research
COVID-19 Recovery - Individual & Community
Reassuring news: In a cross sectional study (MLS, MLB, NBA, NFL, and W/NBA) of 789 professional athletes with symptomatic/known COVID-19 infection, imaging evidence (EKG, resting echocardiography) of inflammatory heart disease affected just 5 athletes (0.06%) in total. With unknown adverse cardiac sequelae following COVID-19 infection professional US sporting organizations have implemented conservative return to play (RTP) guidelines which may guide recreational and youth athletics. While long term follow up is ongoing, safe return to play has thus far been achieved in the above organizations.
"Prevalence of Inflammatory Heart Disease Among Professional Athletes With Prior COVID-19 Infection Who Received Systematic Return-to-Play Cardiac Screening" (JAMA 3.4.21 Martinez et al)
Want to travel and hug friends and family again soon? Yeah, us too.
As of Mar 23, 2021:
- 31.4% of Dane County residents have received at least one dose of vaccine.
- 19.1% of Dane County residents have completed COVID-19 vaccination series
HERE is a list of current vaccination sites in Dane County, WI (updated every 2wks)
TIPS for obtaining vaccination status:
1. Make sure you are eligible for the current vaccination "tier". Tiers are determined state by state. At present WI continues to be in Tier 1A:
- Healthcare Workers (includes students & volunteers)
- Fire & Police Personnel
- EMS Staff
- Adults age 65yrs +
- Teachers, Educational Staff & Child Care Providers
- Medicaid enrollees
- Some public facing food supply workers
- People with certain medical conditions
2. Be patient, but persistent. Madison area vaccination sites are working hard - treating patients while concurrently managing colossal vaccination logistics. Some weeks doses sent to the state are the limiting factor for availability. Sometimes extra doses are offered last minute on a first come first serve basis to any available arm/s in order to not waste precious doses.
3. Best route in is most often through completion of an automated survey. This holds for both Public Health Madison Dane County (PHMDC) and area health systems/clinics as well as the third option: private vaccination sites (pharmacies, eye care clinics, etc). See SSM, Meriter, UW and other area health system/clinic websites in link above and LOOK FOR COVID VACCINE SURVEY links. Answer the Qs honestly and completely.
4. Vaccination Sites: In addition to PHMDC and health systems/clinics there are a few Wisconsin Immunization Registry (WIR) approved private business vaccinator sites around Dane County. The process for becoming a vaccinator site is extensive (CoreActive started the process but storage barriers precluded completion). See link above for list of current vaccination sites.
Compelling article from top to bottom. Is April too lofty a goal for local/national "immunity" and a resultant turning point in COVID-19 recovery? Only time will tell.
At CoreActive we look to the brightest, most thoughtful leaders in healthcare, business, and education sectors for advice and sound leadership. Thank You Dr Makary @ John's Hopkins School of Medicine & Bloomberg School of Public Health for your brave and positive COVID-19 recovery message:
Key quote: "When the chain of virus transmission has been broken in multiple places, it's harder for it to spread - and that includes the new strains."
CoreActive recommends wearing a mask and increasing engagement with friends & family. Take advantage of opportunities for vaccination, physical activity, and continue (or start!) supporting small businesses in our local community.
Exciting third party Essentrics ™ research continues to grow. HERE is a study on the impact on flexibility, upper and lower body strength gains in young adults ALL WITH JUST BODY WEIGHT RESISTANCE over a 10 week training period.
We've got new tech - BEMER - and we're excited to share it with our patients...
Pulsed ElectroMagnetic Field (PEMF) Therapy is not new. (In fact, professional golfers, cyclists, American football players, triathletes and those who follow horse racing have known about it for years.) But research into the exact specifications/waveforms/ultra-low intensity most beneficial has grown recently. PEMF specifically and assertively enhances blood flow in the microvessels – which comprise 75% of the body’s vascular/lymphatic system. Microvessels are challenging to target after injury/surgery/prolonged persistent pain conditions. PEMF is known amongst high performance professional athletes and orthopedic surgeons as a key tool in recovery, healing and pain reduction. The company BEMER is the PEMF industry gold standard – it’s German engineered, Swiss made, and recently partnered with NASA to counter the effects of muscle and bone loss in astronauts.
Benefits of BEMER:
- nutrient & oxygen delivery
- local blood flow
- waste removal
- muscle conditioning
- endurance & energy
- vitality & well being
- stress reduction & relaxation
- sleep management
Pulsed Electro Magnetic Field (PEMF) studies on PubMed:
https://pubmed.ncbi.nlm.nih.gov/23973142/ knee OA syst lit review/meta analysis
Complex Regional Pain Syndrome:
Low Back Pain:
https://pubmed.ncbi.nlm.nih.gov/27287343/ 5th metatarsal
https://pubmed.ncbi.nlm.nih.gov/24895156/ PEMF vs LIPUS
What we read, watched, and listened to in 2019...
The Game Changers narrated by retired English MMA athlete James Wilks; vegan athletes achieving greatness in endurance and power endeavors; produced by Jackie Chan and Arnold Swarzenegger. Featured team pursuit cylcing athlete (now retired) Dotsie Bausch's website includes excellent plant based recipes.
On Athletic Motivation:
Can't Hurt Me "The 40% rule" touted by Army Ranger and Navy Seal veteran and ultra-endurance athlete David Goggins.
Brave Like Gabe This organization champions the life & fierce determination of now deceased American distance runner Gabriele "Gabe" Grunewald.
Calm app - 10min "Daily Calm" aligns with current "dosing" recommendations for a variety of beginner meditation goals. The focus on breathing enhances PMF (present moment focus) and most "Daily's" include a little something for everyone: quiet time, intention, soothing sounds, pardigms to ponder, and inspirational quotes. Give it a chance, dedicate, and be amazed at the inner power growth.
Power of Sportsmanship
The April 2018 Boston Marathon brought about some of the best stories in recent American running history. Ferocious wind and temps in the low 30s (F) created a shuffle amongst the leaders. Tenacious champ Des Linden prevailed as the first US woman to win since 1985. Linden's efforts/choices favoring teamwork and the incredible stories of fellow top female finishers provide a decade's worth of lessons all in one day, one race.
Favorite Recipe & Cookbook
Chewy Banana Chips - great long workout alternative to chews/gels
- Preheat oven to 200deg F
- Slice 3 ripe bananas to 1/8 to 1/4 inch slices
- Spread on greased/parchment lined sheet
- Brush slices with melted mixture of 1t-1T coconut oil, 1t cinnamon, 1t lemon juice, and pinch to 1/2t sea salt
- Bake for 2HRS turning once half way through
- Check after 90-100min to prevent burning. Crispy, slightly chewy, and dark brown is the goal!
- Cool completely. Store up to 3wks in airtight container. Yum!
(adapted from Run Fast Eat Slow by Shalane Flanagan & Elyse Kopecky)
A hot topic in Pain Research includes non-pharmacologic options for those affected by migraines, neck and back pain, and persistent pain conditions. Well designed randomized controlled trials (RCT) and systematic literature reviews are indicating up to 40% reduced pain with a consistent daily breathing meditation practice. 20min per day is the key "therapeutic dose" cited most often.
Running Research is now focusing less on footstrike and more on what's happening "up the chain" at the gluteal muscles and the interplay between pelvis control and hip flexibility. Research indicates a skilled and experienced Physical Therapist is a crucial running analysis resource. CoreActive Therapy is providing runners of all skill and experience levels with comprehensive neuromusculoskeletal examination and assessment for optimal performance, as well as prevention and treatment of common and complex conditions.
CoreActive's owner, J Klestinski, PT, MPT, OCS, WCS, CSCS, BCB-PMD, presented a literature review and case studies on Incontinence in Athletes at the Combined Sections Meeting of the American Physical Therapy Association on February 6, 2014 in Las Vegas, NV. Geared towards practicing as well as student PTs interested in pelvic rehabilitation in the athlete, this evidenced based presentation was hosted by the Section on Women's Health and focused on pelvic floor issues affecting impact and endurance athletes.
Fall 2013 - CrossFit has exploded in popularity...but being an informed consumer is paramount to the health and success of the sport. Benefits of movement variety through cross training, weight lifting, and mental toughness apply to athletic pursuits and life. Yet, complications from CrossFit range from extreme pelvic floor pressures (read: bladder/bowel leakage) to non-reversible muscle damage and kidney failure. Bottomline: Listen to your body! Few research studies on CrossFit exist yet, however, case reports on serious risk factors are growing in number.
Contrary to this video, it is NOT normal to leak "even a little" with jumping rope (aka "double unders") or with running, lifting, or playing sports in general. Understand and educate others: pelvic physical therapy is highly effective and the first line of treatment for leakage. Prevention through education and practice on properly engaging deep core muscle layers (see Ms Fit Therapy class) is key to ward off a major risk of CrossFit participation.
National - Autism and running can be a great fit! Giving hope to many parents, this New York prep athlete is aiming for a top Division I program to "run against the best in the
International - All at once inspiring and heartwrenching, world-class runner Julius Achon's personal journey and his Children's Fund in northern Uganda are ones to watch.
Spring 2013 - American Physical Therapy Association's public education arm, Move Forward PT, broadcasted an excellent resource by a fellow women's health PT on the role of PT during and after pregnancy.
Solid study looking at tumeric intake and effects on rheumatoid arthritis and joint inflammation markers.
CoreActive owner J. Klestinski was published in the May/August 2012 issue of the Journal of Women's Health Physical Therapy as co-author in a systematic literature review looking at the effects of specific exercise on pelvic girdle and low back pain during pregnancy.
Brimming with research and written by content experts, CoreActive's owner was integral in bringing together this collaborative eBook follow up to the May 2012 Women's Health PT Blog Talk Radio Show.
Adobe Acrobat document [515.2 KB]
Listen to all or part of the 2012 PT Blog Talk Radio Show covering a myriad of women's health topics.
© CoreActive Therapy 2018