The Physical Performance Show copertina

The Physical Performance Show

The Physical Performance Show

Di: Brad Beer (POGO Physio)
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The Physical Performance Show exists to inspire people to achieve their physical best performance through candid interviews with the world's best and most inspiring physical performers. The show's host Physiotherapist, Best selling Author, and accomplished athlete Brad Beer delves into how top physical performers achieve success and the highs and lows of the journey in getting there.Copyright POGO Physio Pty Ltd & Evolution Strength & Rehabilitation Pty Ltd Igiene e vita sana
Episodi
  • Ep 383: Prof Franco Impellizzeri on Load Management, Data & the Truth About ACWR

    Ep 383: Prof Franco Impellizzeri on Load Management, Data & the Truth About ACWR
    Jul 30 2026
    Physical Performance Show – Episode 383 Show Notes In episode 383 of The Physical Performance Show, host Brad Beer sits down with Professor Franco Impellizzeri, one of the most influential and outspoken voices in athlete load management research, for a wide-ranging conversation on why "load management" is an old concept dressed up in new data, why the acute to chronic workload ratio (ACWR) never held up to scrutiny, and why context — not more metrics — is what separates good decision-making from noise. Show Sponsor: Pillar Performance continues to lead the way in sports nutrition through micro-nutrition innovation, now expanding into the Performance Health range. One of their newest releases, Collagen Repair, was developed with Gelita Laboratories (Germany) using a clinically trialled collagen peptide (Tendofort) to support tendon and ligament health in conditions like hamstring tendinopathy, Achilles tendonitis, shin splints, and patellofemoral pain. Head to pillarperformance.shop (or thefeed.com for North American listeners) and use code PHYSICALPERFORMANCE for 15% off your first purchase. Pogo Physio also offers online Telehealth Consultations for endurance athletes managing bone, tendon, or joint issues — book online at pogophysio.com.au. Professor Franco Impellizzeri's work can be explored here: https://profiles.uts.edu.au/Franco.Impellizzeri And... https://scholar.google.com/citations?user=z35F1WAAAAAJ&hl=en Listen in as we delve into the following: What "load management" actually means, and why it's a relabelling of concepts coaches have wrestled with since the 1930s–40s The double-edged sword of the data revolution: from heart rate monitors to today's GPS, wearables, and AI-driven analytics Commercial and career incentives behind pushing metrics — both from tech companies and researchers Confirmation bias and why interpreting data without a theoretical framework is "like reading tarot" The case against the acute to chronic workload ratio (ACWR): its lack of scientific support despite IOC endorsement A landmark runners' study showing the opposite relationship between ACWR and injury risk — and what that reveals about the field Why meta-analyses and systematic reviews in load research can be manipulated to "find whatever you like" The difference between using a metric personally versus promoting it as scientifically validated Why the most skilled clinicians tend to hold their conclusions with the least certainty A real-world case study: a soccer training drill "failure" that was actually a video-monitoring blind spot, not a bad drill The expanding role of data scientists in sport, and why interpretation — not collection — is the real skill gap Whether AI and machine learning can (or should) replace the sports scientist's judgement Individualised and personalised training approaches — and why even these are still built on group-level generalisations Distinguishing signal from noise, and why one "failed" intervention doesn't mean an athlete won't respond next time Practical advice for coaches and practitioners: accept uncertainty, treat training like a "trial of therapy," and reassess If he could track only one metric: heart rate (or perceived effort) over power The push for more honest scientific debate — including a proposed on-air "intellectual sparring" series with dissenting researchers Quotes: "Understanding the quantity of training for athletes has been a hot topic since training methodology started... managing load is not new." — Professor Franco Impellizzeri "When you don't have a theoretical framework and an a priori idea strong and supported, it's like reading tarot, to be honest." — Professor Franco Impellizzeri "There's zero evidence that this metric can either help or can actually reflect some sort of mechanism." — Professor Franco Impellizzeri, on the acute to chronic workload ratio "Don't take yourself too seriously." — Professor Franco Impellizzeri Timeline: 00:00 – Introduction: host's specialist physio training and the load management "viva" question 01:04 – What is load management? An old concept, relabelled 02:31 – From heart rate monitors to GPS: the rise of training data 06:14 – Commercial interests and the risk of becoming "slaves of data" 08:05 – Why load management matters: the drug-dosing analogy 09:24 – Load management as a decades-old coaching concern 10:23 – Confirmation bias and interpreting data "like reading tarot" 13:17 – Championing methodological rigor in sports science 16:33 – Meta-research, honesty, and acknowledging uncertainty 18:22 – Why the most skilled clinicians express the least certainty 19:18 – Origins of the critique of the acute to chronic workload ratio (ACWR) 20:09 – Takeaways for contemporary practitioners on load management models 21:34 – Why the ACWR lacked scientific and conceptual support 23:02 – Training load, time-at-risk, and reframing injury risk 24:24 – The ...
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    51 min
  • Ep 382: Tibial Bone Stress Masterclass Part 2 (Fixing Shin Pain & Tibia Injuries)

    Ep 382: Tibial Bone Stress Masterclass Part 2 (Fixing Shin Pain & Tibia Injuries)
    Jul 24 2026
    Physical Performance Show – Episode 382 Show Notes In this episode of The Physical Performance Show, host Brad Beer sits down with Pogo Physio's Tim Studley for Part 2 of their two-part mini-series on shin pain and tibial bone stress injuries. Having covered diagnosis and differentiation between MTSS and tibial bone stress injuries in Part 1, this episode shifts focus to management — mechanics, return-to-run programming, strength and conditioning, footwear, and terrain considerations for runners recovering from (or trying to prevent) tibial bone stress injury. Show Sponsor: Pillar Performance continues to lead the way in sports nutrition through micro-nutrition innovation, now expanding into the Performance Health range. One of their newest releases, Collagen Repair, was developed with Gelita Laboratories (Germany) using a clinically trialled collagen peptide (Tendofort) to support tendon and ligament health in conditions like hamstring tendinopathy, Achilles tendonitis, shin splints, and patellofemoral pain. Head to pillarperformance.shop (or thefeed.com for North American listeners) and use code PHYSICALPERFORMANCE for 15% off your first purchase. Pogo Physio also offers online Telehealth Consultations for endurance athletes managing bone, tendon, or joint issues — book online at pogophysio.com.au. Listen in as we delve into the following: Biomechanical vs. biological risk factors, and why running intensity matters more than mileage for bone Cadence, overstriding, and how a heel-strike pattern increases tibial loadingFoot pressure distribution, lateralised loading, and how footwear/orthotics can helpA case study: how cadence cueing, orthotics, heel raises, and calf strengthening resolved recurrent tibial bone stress injury Managing anterior tibial cortex injuries: why they're high-risk, slow to heal, and often need surgery Moving from time-based to symptom-led (optimal load) management for posterior-medial tibial bone stress injuriesThe five evidence-based criteria for returning to running after a tibial bone stress injuryWhy a 10% increase in pace can cut a bone's fatigue threshold by 50% Structuring intensity and volume in a return-to-run program to avoid a "double whammy" of risk Strength and conditioning phases: contralateral leg work, weight-bearing progressions, and pre-running plyometrics Clinical strength benchmarks for calf raises, leg press, hamstring curls, and hip abduction Footwear considerations: heel wedges, rocker-bottom shoes, and the debate around carbon plates Surface and terrain: why stiffer surfaces and flat terrain are preferred during return-to-run Treadmill running and its effect on distal loading What's next: an upcoming Q&A episode, and future instalments covering the femur, sacrum, tarsal bones, and calcaneus Quotes "Muscle loads bone." — Brad Beer "That runner doesn't need to be strong. They need to be uber strong." — Brad Beer, quoting tendon researcher Ebonie Rio "A 10% increase in pace reduces the fatigue threshold of a bone by 50%." — Brad Beer Timeline 00:00 – Introduction & sponsor: Pillar Performance 02:26 – Running mechanics and tibial bone stress injury risk 03:18 – Cadence, overstriding, and heel-strike patterns 05:43 – Foot pressure distribution and medial tibial bending 07:39 – Case study: footwear, orthotics, and cadence cueing 08:37 – Overview of bone stress injury management complexity 09:35 – Anterior tibial cortex injuries: high risk, slow healing, surgery 11:30 – Shift from time-based to symptom-led management 14:49 – Balancing speed of return with recurrence risk 15:48 – Five evidence-based return-to-run criteria (Sheeran & Reid, 2024) 18:11 – Why intensity is a greater risk factor than volume 20:35 – Strength and conditioning: matching capacity to running demands 22:29 – Three-phase strength progression: pre-, during-, and post-weight bearing 24:52 – Clinical strength benchmarks for return to running 26:16 – Return-to-run walking milestones and symptom monitoring 27:16 – Pain tolerance guidelines: the "any pain, stop" rule for bone 27:45 – Footwear considerations: heel wedges, rocker-bottom shoes, carbon plates 28:42 – Surface and terrain considerations 29:40 – Treadmill running and distal loading effects 30:39 – What's next: Q&A episode and future bone stress injury series 33:01 – Episode close & sponsor mentions THE TEAM: Join The Physical Performance Show LEARNINGS membership through weekly podcasts here: https://www.patreon.com/TPPShow Our goal is to get you back to your Physical Best. Find out more about Telehealth Consultations and book online at pogophysio.com.au. Your Hosts: 🏃 Brad Beer - Instagram & X @Bradbeer and YouTube @PogophysioAu 🏃‍♂️‍➡️ Timothy Studley - Instagram @timothy_physio The Physical Performance Show can be found at: Facebook: facebook.com/thephysicalperformanceshowpodcast X: @tppshow1 Instagram: @physicalperformanceshow
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    33 min
  • Ep 381: Tibial Bone Stress Masterclass Part 1 (Shin Pain, Shin Splints or Stress Fracture?)

    Ep 381: Tibial Bone Stress Masterclass Part 1 (Shin Pain, Shin Splints or Stress Fracture?)
    Jul 17 2026
    In episode 381 of The Physical Performance Show, host Brad Beer — sports and exercise physiotherapist — sits down with Pogo physiotherapist Tim Studley for the first instalment of a two-part mini-series on shin pain and tibial bone stress injuries, following on from their earlier three-part bone stress injury series. This episode is essential listening for runners, coaches, and clinicians alike, unpacking how to tell the difference between medial tibial stress syndrome (MTSS/shin splints) and a true tibial bone stress injury — two conditions that can feel identical but require completely different management. Brad and Tim walk through the physiology of bone loading, the palpation tests that separate a "safe to keep running" diagnosis from one requiring an MRI, and the loading tests used to stress-test the tibia safely in clinic. Show Sponsor: Pillar Performance continues to lead the way in sports nutrition through micro-nutrition innovation, now expanding into the Performance Health range. One of their newest releases, Collagen Repair, was developed with Gelita Laboratories (Germany) using a clinically trialled collagen peptide (Tendofort) to support tendon and ligament health in conditions like hamstring tendinopathy, Achilles tendonitis, shin splints, and patellofemoral pain. Head to pillarperformance.shop (or thefeed.com for North American listeners) and use code PHYSICALPERFORMANCE for 15% off your first purchase. Pogo Physio also offers online Telehealth Consultations for endurance athletes managing bone, tendon, or joint issues — book online at https://pogophysio.com.au. Listen in as we delve into the following: The prevalence of tibial bone stress injuries and why the shin is the most common bone stress site in runnersWhy bone stress injuries occur: workload errors, loading frequency vs. magnitude, and individualised risk factorsThe continuum from "happy bone" to stress reaction to frank stress fractureWhy pain magnitude doesn't reliably predict injury severityThe heterogeneity of bone innervation and why the periosteum is key to understanding pain Differentiating MTSS from tibial bone stress injury — and why the management is entirely differentThe 10cm palpation rule: a clinical prediction rule for when to suspect bone vs. soft tissueWhy the anterior (front) shin is a higher-risk, non-union-prone injury siteThe loading-test ladder: double leg calf raise → single leg calf raise → single leg hop → side-to-side hop → forward hopThe role of muscle-bone synergy: how calf strength and girth influence tibial bone stress risk Recovery timelines by injury grade, and why MRI matters for prognosis and athlete buy-inA real case study: a triathlete's navicular injury, deconditioning, and return to tibial bone stress injuries Quotes "You can go from hero to zero really quickly with bone." "Higher levels of pain don't necessarily mean a worse injury." "Muscle loads bone." Timeline 00:00 – Introduction & sponsor: Pillar Performance 02:15 – Introduction to Tim and Brad's conversation 02:27 – Prevalence of tibial bone stress injuries 03:56 – Why bone stress injuries occur: workload and biomechanics 05:22 – Symptom patterns: bone stress injury vs. other shin pain 07:42 – Heterogeneity of bone innervation and pain variability 10:10 – Why pain severity doesn't predict injury severity 11:07 – MTSS vs. bone stress injury: two schools of thought 12:06 – Brad's clinical experience and personal injury history 13:59 – Cardinal signs and symptom progression in MTSS 15:23 – The three-legged stool: history, physical exam, imaging 16:19 – The 10cm palpation rule explained 19:43 – Applying the rule in practice 20:42 – Anterior shin pain: a higher-risk presentation 21:39 – Loading tests: from calf raises to forward hopping 24:07 – Individualising the loading-test progression 26:03 – Does the 10cm rule apply anteriorly? 26:55 – History as the biggest predictor of reinjury 27:53 – MRI, prognosis, and grading via the Fredericksons scale 29:15 – Reading hesitancy and movement quality in loading tests 31:10 – Why bone stress injuries aren't purely about vertical impact 33:03 – Calf girth and bone stress risk correlation 34:56 – Case study: a triathlete's navicular injury and recovery 35:58 – Episode close & sponsor mentions THE TEAM: Join The Physical Performance Show LEARNINGS membership through weekly podcasts here: https://www.patreon.com/TPPShow Our goal is to get you back to your Physical Best. Find out more about Telehealth Consultations and book online at pogophysio.com.au. Your Hosts: 🏃 Brad Beer - Instagram & X @Bradbeer and YouTube @PogophysioAu 🏃‍♂️‍➡️ Timothy Studley - Instagram @timothy_physio The Physical Performance Show can be found at: Facebook: facebook.com/thephysicalperformanceshowpodcast X: @tppshow1 Instagram: @physicalperformanceshow
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    36 min
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