Chris A Morales

@BrianConroy11 @Alan_Couzens That’s what we did at UC davis sports med

@Alan_Couzens Had a test recently where it was taken from earlobe…data was a lot better than any finger prick test id done previously

Possible, but unlikely for it to drop that quickly. Key tips from my end: - Thoroughly wash hands prior with hot water ( this also helps with blood flow) - Alcohol swab on site prior to sample - Spike with a good size lancet (the ones that come with the Edge are too small IMO) - Wipe away first drop of blood (and any residual alcohol) with gauze. - If particularly sweaty, wipe away second. - Sample by letting blood drop run into tester (try not to touch tester strip on skin/smear blood drop)

@Alan_Couzens You aren’t kidding about the ones coming with the Edge being too small. @kthomas210 and I wasted a lot of time trying to get blood samples. If we could get the other to start bleeding it would just clot up so fast and we could reliably get timely samples during a test

@EscapeCycling Beyond any doping, how are you eligible after competing at that level previously

Your gran fondo 50-54 world champion everybody

@neurorehabguy “Challenge feedback” is how SFMA refers to this

I have a patient right now who had a stroke. He cannot transfer wheelchair to chair indep We’ve spent entire sessions doing max reps of this. Tons of variations of feedback Yesterday, still couldn’t do it completely indep. So I threw a 10lb weighted vest on him..

@RetiredEnginerd @Alan_Couzens That’s what I was thinking. My life in two paragraphs

@Alan_Couzens I am in this post and I don’t like it.

When boredom sets in, smart people start doing dumb stuff. With their smarts, they can rationalize said dumb stuff pretty well, but, in the end, it's still dumb stuff.

@CoffeeBlackMD @kscot75 @Alan_Couzens When I was first introduced to the MAF heart rate. I was confused because I had the opposite experience, or at least out of the norm. I’m pushing quite strongly at the indicated heart rate. Can I take anything away from this?

Alan is quite specific about where zone 2 is based on objective physiological lactate parameters. You need to test yourself to know very specifically but Phil Maffetone came up with 180 - age years ago as top end HR for zone 2 and it’s still shockingly accurate for most starting to even moderately trained athletes. It will probably feel slow. Because it is.

It amazes me when coaches/athletes have such strong opinions on the benefits of particular training zones on performance without ever running any sort of mathematical regression analysis that assesses the actual benefits of particular training zones on performance 🤔 Do it. You might be surprised.

@GervaiseMiller @Alan_Couzens @steelo1977 I think the warm up is integral to the activity

The warm-up is the most important part of any training session. It sets the scene for what fuel the body will burn for the rest of the workout. ⛽️ Fat-burner or sugar-burner, it's your choice. 🔥

@Ross_MacP @Pflax1 Lessons from the track: they simply give the command “stay.” While it might make someone feel like your pet. It does seem more effective to prevent people from swerving in the direction you call out.

@Pflax1 I find yelling/calling confuses people & hard to understand with riders being out of breath & the wind from them travelling at speed. Better to ring a bell...but then not everybody hears that or understands what it means & some think rider's being aggressive ("get outta my way")

I had a semi-confrontational conversation with four cycling enthusiasts this morning on the bike path that I wanted to quickly unpack after thinking about it all day.

@Alan_Couzens Is there such a thing as a stubborn bleeder? Any tips for that?

(Now that I'm no longer making a living from testing 😊) I can confidently say... Lactate testing is not that hard. Yes, there's a learning curve to getting accurate sampling down, but it's a pretty short one. Commit to getting yourself a tester & practicing during your training. The benefits are significant!

@That1MedStudent One of my professors in undergrad ex phys was an MD with no residency training

Tonight, spouse and I officially decided we won’t be applying to residency but will try to finish our degrees.

@GregLehman Does one from 20 years ago count? Did like 15 minutes before I sank to the ground out of my control

How long can people do a wall squat for? Thighs parallel to the ground. Turns out I suck at it. Please give it a try now

@ammattipyoraily So it this illegal on the track now too? That’s where I’ve seen this hands wrapped position since are no hoods

Oh boy! 😲 Ganna is in TT mode at almost 2.5k altitude, it's uphill and he's chasing Superman Lopez. #VueltaSJ2023

@runningthemind @MollyHuddle npe-inc.com/runn-smart-tre… direct measurement of belt speed independent of treadmill, then transmits as footpod

@MollyHuddle I splurged on a Woodway a couple of years ago. Hands down the best running surface. As for accuracy, worst I’ve ever run on. Fully calibrated on a level surface and my pace is at least 1.5 minutes off per mile.

Hi RunTwitter! Thinking of buying a refurbished Woodway treadmill to get through winter (usually I stay in AZ longer)- is this a good idea? Options are 7-10 years old from a gym that was upgrading. Should I just splurge on a new one? Try a different brand? Needs to go 12.5 mph

@thecyclephysio Thanks for doing the work and considering all those options.

After much deliberation RE cycling medicine, I've created a LinkedIn group. linkedin.com/groups/1276707… It would be great to see you all join. There are pros and cons of many platforms, but crucially it's important to think how this space might grow professionally. cntd... (1/3)

@thecyclephysio @HP3_Tim @thebikethebody @velo_therapy @velophysio @PelotonPhysio @UKBikeFit @WendzH @cyclingphysios Great! I’d love to learn more from others.

@HP3_Tim @TriAnalytics @thebikethebody @velo_therapy @velophysio @PelotonPhysio @UKBikeFit @WendzH @cyclingphysios Yep Chris there are other people from further afield e.g. @PelotonPhysio I think it’s also the algorithms keeping this local - the most people I interact with are Europe based!

@longtimelurkrr @scottcarlinpt Something along these lines reflects my opinion. The foot contact may change as a result of other factors/coaching cues, but is difficult to modify with a positive outcome if focused on in isolation

@scottcarlinpt I was a heel striker and tried to change, got injured.It took years to realize my pelvic tilt made it impossible to not heel strike. Once I pulled my hips back behind the rib cage all of a sudden I could strike on the ball of my feet. Reduced all my running pain

Runners— There is currently no evidence to support transitioning from heel striking to non-heel striking to reduce injury risk or improve running economy. Changing heel striking to non-heel striking may actually reduce running economy.

@be_bold_run @scottcarlinpt @shitehawke2 Heard what you are describing as a “proprioceptive heel contact”

@scottcarlinpt @shitehawke2 Her heel strike happens close to beneath her flexed knee. The landing position is relative to her center of mass so she runs without overstriding much and lands very LIGHT compared to a heavy jogger. A PT should not promote this. As a coach, we teach proper form to prevent injury

@Alan_Couzens Could this also be partially counteracted with strength training?

We do this by including a nice maintenance dose of speed, strength, power work through the year (that maintains our ability to generate some good lactate at high efforts) & by not prematurely overdosing on Zone 3 work. For the developing athlete, the "sweetspot" isn't so sweet!

Why is this a problem? Let's talk muscle fibers... A brief thread 👇

@karagoucher Maybe for the caffeine? I prefer coffee

Coach: You drink too much water. All day I see you drink water, you need to drink something else as well, not just water. Me: Ok, what should I drink? Coach: Diet Coke Me: 😐 #terribleadvicetuesday