30 Jul 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