Movement Optimism

Guillaume Deville, a physiotherapist specializing in shoulder pathologies and co-founder of l'Agence EBP, dives into the transformative power of Motivational Interviewing (MI) in rehabilitation. He highlights how MI fosters patient engagement and behavioral change, discussing effective communication techniques that build strong therapeutic relationships. Guillaume also examines the challenges of using MI in pain management and the integration of cognitive therapy approaches. Lastly, he shares insights on training bilingual physiotherapists and the launch of an accessible online course.

Dr Stu Phillips, Tier 1 Canada Research Chair in Skeletal Muscle Health, shares his expertise on the importance of strength, power and muscle hypertrophy for healthy aging. As is often the case Stu discusses how simple exercise programming can achieve the physical attributes that help us all age well.   The fast recap is: - something is better than nothing strength train 2x/week, 2-4 sets, 5-20 repetitions with an effort of 8/10.   progress this over time train power but moving a much lighter faster! eat a little bit of protein within 24 hours of your workout. easy peasy

Clifton is a Canadian Power Lifter and Chiropractor.  I worked with a Clifton a few years ago to help him with his concussion symptoms, low back and hip pain.  Working with health care professionals is often interesting.  You will feel the pressure to "fix them" but when you get to listening to them you often realize that they have the answers and the knowledge.  They just need help and sometimes coaching.  I think (IIRC) I was once told that I can't comment on low back pain and lifting until I "fix" elite level powerlifters.  Besides this being an absolutely silly and anti-science statement I guess by this standard I can never talk about low back pain again.  Because it's true.  I don't "fix" anyone.  No one does. We work with people where they are and problem solve solutions together.  Working with people is often about coaching, reassurance and being there for that person.   Clifton shares his experience with pain, his recovery, how he helps his own patients and his fundamentals of rehab.

Rachel Hannah talks about her own experience as a runner dealing with Relative Energy Deficiency (REDs) and her recovery from bone stress injuries (BSIs).  And Greg (Rachel's former Physiotherapist)  talks about his professional failings as a therapist helping Rachel with her first Bone Stress Injury.   If you want help with all things diet, healthy weight and REDs then you can work with Rachel here: https://rachel-hannah-registered-dietitian.ca1.cliniko.com/bookings   Or See Rachel on IG here: https://www.instagram.com/rachelhannahrd/

Dr Anneleen Malfliet discusses pain neuroscience, graded exposure, and managing adiposity for pain relief. Topics include time contingent exercise, reframing motor control exercises, and the challenges of weight loss in pain management. The podcast dives into the integration of cognitive training for chronic spinal pain, gradual introduction of feared movements, and lifestyle modifications for better patient outcomes.

We have Erik Meira (The Science PT) talking ACL injury, the importance or not of strength, whether valgus is a true risk factor for injury or a sign of something else and who technique matters for primary or secondary injury prevention. Please go to Erik's website not just for his links to what he offers but excellent blogs and resources that really explain complicated topics in clinically applicable ways. Erik's website is here

Greg and Alex delved into a wide-ranging discussion about the science of endurance and fitness, with a focus on injury prevention and treatment. They explored the effectiveness of strength training in injury prevention, the inconsistencies in the research, and the debatably importance of stretching in the prevention of injury.    Alex shared his personal experiences with a hamstring injury and his approach to running injury prevention and some of the limitations of our current research base. As usual, we also talked about the role of technique in injury risk reduction.  Greg did get confused and brought up technique and performance so that was nice accidental discussion point.   Alex's Outside Magazine Profile  Alex's website

Dr Neil Meigh is a physiotherapist and associate professor at Bond University (Gold Coast Australia).   Neil conducted a pragmatic exercise intervention in insufficiently active older adults.  The intervention was a hard style kettlebell program in those aged 60-80.  These people were not life long athletes but many of them thrived in his program.  They got the type of results and improvements in fitness where an independent observer could be skeptical.     We talk details of the program and the resiliency seen in this population while performing high intensity exercise.   Neil's paper is here

Jo Nijs, PT, MT, PhD,[1] is a Belgian professor of physiotherapy at the Vrije Universiteit Brussel and physiotherapist/manual therapist at the University Hospital Brussels.  He has published more than 200 peer reviewed journals and has been strong proponent of some of our favourite topics on this podcast. We talk about: - classifying pain based on mechanisms (nociceptive, neuropathic, nociplastic) - what nociplastic pain is - the utility of understanding nociplastic pain  - how lifestyle interventions (sleep, stress, diet) can influence pain - how we can tailor those interventions to individuals in pain - how traditional "motor control" exercises can be reframed and help with pain Dr Nijs can be found at Pain In Motion Relevant Papers LIfestyle and Pain Another paper on a lifestyle management approach to pain Cognition Targeted Motor Control Exercises RCT  Sleep and Pain Nociplastic Pain Another paper on Nociplastic Pain and CS