Movement Logic: Strong Opinions, Loosely Held

Welcome to Season 5 and Episode 77 of the Movement Logic podcast! In this episode, Laurel and Sarah dive into the history of how DEXA scans came to be so ubiquitous, what are the risks around osteoporosis medication, and whether osteoporosis and osteopenia were intended to be diagnoses in the first place. You will learn: How was the DEXA score for osteoporosis first decided on Was osteopenia supposed to be a diagnosis for treatment What role did Merck play in getting more women to take their new drug Fosamax What are the risk factors for the side effects of bisphosphonate drugs What is the difference between a population risk vs an individual risk Why it’s not recommended to get a DEXA scan before you are 65 years old The role of iatrogenesis in the medication choices and use for women with osteoporosisSign up here for our FREE Live Strength Class (and sample our Bone Density Course) on September 19th at 8:30am PT/11:30am ET with free replay!Reference links:Estrogen MattersNorth American Menopause SocietyJen Gunter InstagramHow A Bone Disease Grew To Fit The PrescriptionManaging Osteoporosis Patients after Long-Term Bisphosphonate TreatmentLong-Term Drug Therapy and Drug Discontinuations and Holidays for Osteoporosis Fracture Prevention: A Systematic ReviewOsteoporosis: Innovations in screening and diagnosticsOsteoporosis Treatment

Welcome to Season 5 and Episode 76 of the Movement Logic podcast! In this second episode in our Posture Panic series, Laurel and Sarah take a deep dive into the currently available research around posture to debunk some of the long held beliefs around posture, pain prevention, muscle activation, and more.You will learn: Does good posture keep you pain free? Is Text Neck or Tech Neck really a thing we need to worry about? Do we need to spend so much time finding a “neutral spine”? Do you need to keep your shoulders “back and down” at all times? Does a flexed spine automatically lead to a disc herniation? What the actual predictors of pain and injury are (spoiler: it’s not your posture) Why we hate @postureguymike’s fearmongering pseudoscience approach to “strength” for seniorsAnd more!References:Slouch: Posture Panic in Modern AmericaModifying patterns of movement in people with low back pain -does it help?No consensus on causality of spine postures or physical exposure and low back painAssociation Between Text Neck and Neck Pain in AdultsPosture and time spent using a smartphone are not correlated with neck pain and disability in young adultsIs Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults?Can we reduce the effort of maintaining a neutral sitting posture?Exploring lumbar and lower limb kinematics and kinetics for evidence that lifting technique is associated with LBPEvidence for an inherited predisposition to lumbar disc diseaseThe Twin Spine Study: contributions to a changing view of disc degenerationWhy Sitting Posture is Mostly Irrelevant to Future PainEffects of sex differences on scapular motion during arm elevationIn vivo 3-dimensional analysis of scapular kinematics: comparison of dominant and nondominant shouldersScapular Dyskinesis Is Not an Isolated Risk Factor for Shoulder Injury in AthletesSign up here to take our free Strength Class on September 19th 8:30am PT/11:30am ET

Welcome to Season 5 and Episode 75 of the Movement Logic podcast! In this episode, Laurel and Sarah are joined by Nikki Naab-Levy, strength coach and hypermobility specialist.You will learn: What is hypermobility and how does it differ from flexibility What are the Ehlers-Danlos Syndromes and how do they differ from Hypermobility Spectrum Disorder Who can and can’t diagnose hypermobility Whether hypermobile people should never lock out their joints What are the most important considerations when working with hypermobile clients The negative consequences of catastrophizing positions as safe or unsafe Why social media focuses on the wrong issues for hypermobile people Strategies for hypermobile people to sense what level of activity they should undertake on any given daySign up here to get on the waitlist for our next Bone Density Course in October 2024!Reference links:Nikki Naab-Levy on InstagramNikki Naab-Levy’s website

Welcome to Season 5 and Episode 74 of the Movement Logic podcast! In this unplanned episode, Laurel and Sarah discuss Stu McGill’s recent appearance on the Huberman podcast. In Episode 62, we identified McGill’s big themes around movement. In this episode, we go through his appearance on Huberman to see if he’s still promoting the same ideas or if he has updated his approach.You will learn: Why we are once more deconstructing Stu McGill’s standpoint and outdated views on movement safety Why a hyperfocus on potential future pain is not only unhelpful but can put people off from exercising at all Why we need to be encouraging more people to lift weights vs scaremongering them away from it How McGill seems to continue to characterize himself as a ‘healer’ when in fact he is often well out of his scope of practice McGill’s continued overuse of anecdote and analogy in lieu of evidence and research Whether we will cover it if and when McGill goes on Rogan next (spoiler: we won’t)Sign up here to get on the wait list for our next Bone Density Course in October 2024!Reference links:Episode 62: Make McGill Make SenseStu McGill on Huberman: Build a Strong, Pain-Proof Back

Welcome to Season 5 and Episode 73 of the Movement Logic podcast! In this first part of our much-requested three-part series "Posture Panic," Laurel and Sarah dive into the history of posture. They discuss Beth Linker's book, Slouch: Posture Panic in Modern America, providing insights and context to how posture has been perceived and addressed through history starting around the turn of the century up until now.You will learn: The origins of "Posture Panic" around the turn of the century. How Darwin's theories influenced the medicalization of posture. The fear that human spines weren’t "ready" for bipedal stance, contributing to back pain and other issues. Why we believe it’s important to move like animals and babies, and where these beliefs came from. The intersectional impact of posture panic, affecting different races, classes, ages, and genders. The critique of evolutionary anthropology and its perpetuation of race science. The parallels between historical posture scrutiny and current fitness and diet trends like paleo, primal, and Crossfit. How "primitive" and "natural" marketing terms are often used inappropriately and simplistically. The evolution of posture surveillance from top-down to peer-based monitoring, emphasizing self-surveillance. The controversial practice turned scandal of nude posture photography in colleges. The historical use of posture as a symbol of civility and its implications for modern fitness standards.Sign up here to get on the Wait List for our next Bone Density Course!Reference links:Slouch: Posture Panic in Modern America, by Beth LinkerEpisode 62: Make McGill Make SenseLaurel and Sarah’s interview on the Conspirituality Podcast - Episode 205: Dismantling Movement DogmaEpisode 60: Dismantling Long & Lean Pt. 1Episode 63: Dismantling Long & Lean Pt. 2Episode 66: Dismantling Long & Lean Pt. 3

Welcome to Episode 72 of the Movement Logic Podcast! In this inbetweenisode, Laurel poses a thought-provoking question: “Are you trying to spend the least on exercise?”We delve into how we prioritize spending on exercise compared to other essential health needs like diet and sleep and ask, “if investing more in exercise could give us access to better communities, education, equipment, time-saving convenience, and even luxury, would we be more inclined to engage in and enjoy it?” We ask, “considering the significant role exercise plays in our health and longevity, is it rational to hesitate in spending more to build and strengthen an exercise habit, especially when we have the means to do so?”Sign up here to get on the Wait List for our next Bone Density Course in October 2024! It’s the only place you’ll get a discount on the course plus fun free bonus content along the way.Ramit Sethi’s stuff —I Will Teach You To Be Rich (the book)I Will Teach You To Be Rich (the podcast)

Welcome to Episode 71 of the Movement Logic podcast! In this inbetweenisode, Sarah analyzes a recent NY Times article about exercise and bone density. How much do they get right, and how much do they get wrong? You’ll have to listen to find out!Sign up here to get on the Wait List for our next Bone Density Course in October 2024! It’s the only place you’ll get a discount on the course plus fun free bonus content along the way.NYT Article: How to Strengthen Your Bones with Exercise

Welcome to Episode 70 of the Movement Logic podcast! In this inbetweenisode, Laurel answers the question, “Do you need a deload week?” In strength training, a deload week is a planned, periodic reduction in training intensity and/or volume.  Spoiler: you probably don't need to plan deload weeks into your training, but listen more to find out!Sign up here to get on the Wait List for our next Bone Density Course in October 2024! It’s the only place you’ll get a discount on the course plus fun free bonus content along the way.Episode 32: Load & Volume: When is Enough Enough? When is it Too Much?Episode 39: RPE, 1 RM, 3 sets of 10, oh my?

Welcome to Episode 69 of the Movement Logic podcast! In this episode, Laurel and Sarah are joined by Adam Meakins, also known as The Sports Physio, to discuss his recent co-authored paper, “A modern way to teach and practice manual therapy.” Adam highlights the major issues in current manual therapy practice and education, as detailed in this extensively cited paper, which draws on decades of research. He also outlines what a modern, evidence-based approach to manual therapy could look like.In this episode you will learn: The distinction between clinician-centered and patient-centered care. How traditional manual therapy relies on pathoanatomical reasoning and what research reveals about its reliability and validity. The potential harms of traditional manual therapy, including the propagation of harmful, fragilizing, and disempowering narratives about the body. Why manual therapy treatments cannot precisely target individual joints and tissues, nor produce specific outcomes for those areas. How human biases, such as appeal to authority, sunk cost fallacies, cognitive dissonance, and big egos, hinder the evolution of beliefs and practices in manual therapy. Predictions for the future of manual therapy.And more!Sign up here to get on the Wait List for our next Bone Density Course in October 2024! It’s the only place you’ll get a discount on the course plus fun free bonus content along the way.References:Laurel and Sarah’s interview on the Conspirituality Podcast - Episode 205: Dismantling Movement DogmaEpisode 62: Make McGill Make SenseEpisode 3: Massage MistruthsAdam Meakins’ publication - A modern way to teach and practice manual therapyAdam Meakins’ website

Welcome to Episode 68 of the Movement Logic podcast! In this episode, Sarah is joined by soon to be Doctor of Physical Therapy Adam McAtee, founder of Evidence-Based Pilates, a continuing education platform for Pilates instructors. Sarah and Adam discuss long and lean, whether Pilates can contribute to bone density improvement, and why the hundred is Sarah’s least favorite one.In this episode you will learn: Common myths often heard from clients and instructors alike about Pilates, including using lighter springs to strengthen smaller muscles Why Pilates instructors confuse aesthetics and functionality and how freeing it can be to let them go How the variety of Pilates styles now available is a positive, not a negative The relationship of Contrology to modern day Pilates Why it’s not that useful to your students and clients to name where all of your exercises come from The difference between instructor-centered care and client-centered care The importance of meeting clients where they are, even if you’re uncomfortable What heavy load could look like on a reformer instead of the typical endurance based exercises If anyone can make accurate claims about what the Hundred is for How any Pilates exercise might be useful for one particular populationAnd more!Sign up here to get on the Wait List for our next Bone Density Course in October 2024! It’s the only place you’ll get a discount on the course plus fun free bonus content along the way.References:Evidence-Based PilatesEffectiveness of yoga and Pilates to improve bone density in adult women: a systematic review and meta-analysis