RT @tomgoom: A quick overview of muscle activity during running 🏃🏻

RT @jem_arnold: Polarised🆚Pyramidal🆚Threshold Which training model is best?🏆 It might matter how trained you are🤔 Our new meta-analysis t…

@AdamMeakins In sweden the term isnt used, instead we use ”long-term” pain (for the same duration). While it might make more sense, it also isnt equally distressing for the patient ocompared to ”chronic”.

@lizbayleyphysio @sportskongres @AdamMeakins @LewinPhysio @Seth0Neill @MervTravers @tomgoom @DrJN_SportsMed Proper bottle of whisky indeed! 🥃

@DerekGriffin86 Agree. E.g, we know people in severe pain are more likely to be prescribed opioids than people with no pain, we also know there's a strong inverse correlation between opioids and PA. So maybe opioids are the causative factor here? (nb: just speculation, haven't read the study.)

@DerekGriffin86 If we know 2 factors are closes linked, we can assume that if we change 1, we should expect a change in the other, even if there's not a direct casual link. So if people with low Physical Activity is 4x more likely to be in pain, it's probably worth trying to increase their PA.

@DerekGriffin86 Would have been a different study with different aim and outcome, and when controlling for other factors it's not sure the data would have supported that, but probably yeah, if you switched the dependent and independent variable results might be similar.

RT @NTFabiano: Researchers paid $8.968 billion for their findings to be freely accessible. 🧵1/10

@AsfyXi @MariaJonsson1

@MariaJonsson1 @AsfyXi Snabb koll verkar ge associationer till företag som bla säljer Ivermectin och antibiotika (receptfritt?!) till privatpersoner för 300 dollar per "kit". (. Hans publikationer verkar även fått en del kritik (e.g. I.e. total grifter!

RT @BradStanfieldMD:

@BillingMartin @physiorichmond @GregLehman I've seen scores of OA patients all presenting with the same MO: "I've had physical job/did lots of sports, so I've worn out my joints", but their joint issues only manifested decades later, after years of sedentary lifestyle (and declining metabolic health).

@BillingMartin @physiorichmond @GregLehman We're biological organisms, we don't wear out with use (like machines), we instead adapt to stimuli (at least up to a certain point).

@BillingMartin @GregLehman Muscle-,tendon-,ligament-,bone-,nerve-tissue all improve with stimuli, but cartilage are supposed to instead wear out? Sounds unplausible, and research points the opposite direction. (e.g. "Influence of cyclic loading on the nutrition of articular cartilage" 10.1136/ard.49.7.536)

@GregLehman And yes, the phrases "OA is not 'wear and tear'" and "increased joint load from a higher BMI causes knee OA" are mutually exclusive.

@GregLehman The negative effects of obesity aren't due to mass (kg), it's due to metabolic disorders. Mass/BMI is just an easy way to measure obesity, not a physiological explanation of it. Thus, high BMI is likely assosiacted with OA because of metabolic disorders, not because of mass.

RT @Paddy_Barrett: Mushrooms were the original Christmas 'Health Food'. You just had to mix them with Reindeer urine to get the full 'Hea…

@camtudor Clearly OA are multifactorial, but metabolic factors shouldn't be underestimated, and I believe we first need to control for overweight, and previous CS-injections/trauma, in 70 year old former fotball players, before we can say it's "wear and tear".

@camtudor Quoting authors: "Given that former NFL players have some of the highest BMIs among athletes, experience weight gain throughout their careers (...) Treatment should address modifiable risk factors in this cohort and include lifestyle factors of diet and exercise to lower BMI."