Endurance Innovation 63 – Sport Chiropractor Peter Kissel

Endurance Innovation 63 – Sport Chiropractor Peter Kissel

Michael’s good friend and long-time athletic therapist Peter Kissel is on the show to deliver his Maslow-inspired hierarchy of injury prevention needs, along with his thoughts on strength training, gait interventions, shoe choices, and social media in sport.

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  • 1:45 the evolution of chiropractic treatment and education
  • 9:15 sadly the injury prevalence for most endurance athletes is high: typically 50-80% of at least a minor issue
  • 9:45 the Kissel Hierarchy of Injury Prevention
    • Strength training: high load, low reps, compound movement-focused, more frequently in the off-season
    • Appropriate and systematic increase in volume – aka load management
    • Gait retraining ONLY to address recurring injuries
    • Listen to your body and don’t ignore symptoms
    • Education and understanding of injury root causes and fixes
  • 14:30 the difficulty of quantifying training load and global stress with devices
  • 19:15 a trip down a data overload tangent
  • 23:15 if it ain’t broke…
  • 24:00 more on strength training
    • From BSJM: 3-6 sets, 5-15 reps, 60-80% of 1RM, compound lifts, 2-3x weekly in the off season and less frequently during large-volume endurance training phases
    • The purpose of strength training is global tissue resilience and strength rather than a corrective for a specific issue
  • 26:30 the evolving nature of evidence in sport science
  • 29:00 gait retraining to address recurring injuries
    • Care must be taken to use gait training to improve economy
  • 33:45 updated guidelines for training with an injury: cessation of activity may not be the right answer in all cases.
  • 35:45 the significant role of how quickly treatment for a soft tissue injury is started after the injury in recovery time
  • 39:30 the role of education in positive outcomes
  • 41:15 humans are resilient!
  • 44:45 the evolution in treatment of tendon injuries
    • Used to be treated through stretching and rest
    • Imaging like ultrasound is no longer recommended in diagnosing or assessing tendon injury
    • Contemporary prescription is heavy, slow loading of the tendon to a low pain threshold
  • 52:00 traditional shoe prescription is nonsense

To get in touch with Peter and to book an appointment, contact Totum Life Science in Toronto or the Proactive Athlete in Burlington.

BJSM Static Stretches

BJSM Strength Training

BJSM Ideal Stride

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