Ina Diener

dailymaverick.co.za/article/2026-0… Sent with my Daily Maverick App (app.dailymaverick.co.za)

Repetitive negative thinking is associated with the accumulation of Alzheimer's dementia protein in the brain. Stay positive.

Repetitive negative thinking (RNT) may harm the aging brain. A study of 424 adults aged 60+ found that higher levels of persistent negative thoughts were significantly associated with lower cognitive function scores. Mental patterns matter for brain health. DOI: 10.1186/s12888-025-06815-2

BREAKING: Music legend Bruce Springsteen drops a bomb on MAGA world by announcing a surprise nationwide tour to defend America against "our wannabe king" and his "rogue government." Best of all? The first stop is in Minneapolis. "Fans, friends, and good folk from coast to coast. We are living through dark, disturbing, and dangerous times, but do not despair. The cavalry is coming," The Boss said in an announcement video. "Bruce Springsteen and the E Street Band will be taking the stage this spring from Minneapolis to California to Texas to Washington, D.C. for the Land of Hope and Dreams American Tour," he continued. "We will be rocking your town in celebration and in defense of America, American democracy, American freedom, our American Constitution, and our sacred American dream, all of which are under attack by our wannabe king and his rogue government in Washington, D.C." "Everyone, regardless of where you stand or what you believe in, is welcome," Springsteen added. "So come on out and join the united free republic of E Street Nation for an American spring of rock and rebellion. I'll see you there." By starting the tour in Minneapolis, Springsteen is intentionally drawing attention to the brutal violence and killings that Trump has inflicted on the city with his masked federal agents. The singer composed the hit song "Streets of Minneapolis" in response to the ICE crackdowns. It went on to chart #1 in 21 countries. The tour starts March 31st and will entail 20-date arena showings. The timing is an absolute disaster for Trump, because it means the bard of blue collar America will be hammering his administration at one sold-out show after another. Given his rock bottom approval rating and worsening Epstein scandal, Trump can scarcely afford more bad press ahead of the midterm elections. Springsteen has proven to be one of Trump's most formidable and outspoken foes. He recognizes that this president has betrayed the working class that populate so many of his hit songs and he despises the relentless attacks on our democracy. Please ❤️ and share to thank Bruce Springsteen!

For anyone who would like to hear Mark Carney’s outstanding Davos speech in full here it is. This is what true global leadership looks like. Canada should be immensely proud today, because they are leading the fight back when others dare not. 🎥 TikTok - vm.tiktok.com/ZNRBDT4mB/

Communication skills arent 'soft skills' - they are critical skills for clinicians and patients... Thats one of the reasons we set up @EvoolvePainCare to support clinicians to develop these skills.

Effectiveness of Pain Neuroscience Education in Reducing Pain, Disability, Kinesiophobia, and Catastrophizing in Patients with Chronic Low Back Pain: A Systematic Review and Meta-Analysis mdpi.com/2076-3271/13/4…

@FFizzeo @Mattjones0203 I can honestly say that our PTs were first to change to contemporary pain neuroscience ( before the medical profession) It is now incorporated in all MSK courses and undergrad at most universities here

@Mattjones0203 @InaDiener So why is the understanding of pain so absent in PT? Biological reductionism is the wrong paradigm, yet PT tradition is steeped in it. Tell me again how PT understands health at all? No psychosocial hlth education, awareness + biomechanical explanations = low value interventions.

How does pain work? A qualitative analysis of how young adults with chronic pain conceptualise the biology of pain. pubmed.ncbi.nlm.nih.gov/36527324/

Migraine is not “just a headache”. And neck pain in migraine is not always a neck problem. This clinical masterclass outlines an individualized physiotherapy assessment framework for migraine, centered on identifying cervical sensitization, determining the presence and relevance of cervical musculoskeletal disorders, and tailoring management accordingly. The paper challenges routine neck-focused interventions and emphasises when cervical findings are meaningful, when they are not, and how they should guide, not dictate, treatment decisions. By integrating patient interview, selective physical examination, and mechanism-based reasoning, this approach supports more precise, patient-centered care and avoids over-treatment in a highly heterogeneous condition. For the full link access here: buff.ly/CvmJaNX #Migraine #PainScience #Cervical sensitization #patient interviews

A clinical discussion I have every day. The benefits of physical activity happen well before 10k steps/day. Meet people where they are. More is better but a little goes a long way. sciencedirect.com/science/articl…

@elonmuskmel7 4

Heat Improves Muscle Regeneration, Cold Immersoom Shows No Benefit physoc.onlinelibrary.wiley.com/doi/10.1113/JP… @Retlouping @TDekkersPhysio @PhysioMeScience @tomgoom @DerekGriffin86 @BillingMartin

@ElonMuskNews47 4

Our beliefs & assumptions about change are often the biggest barrier to leading & enabling effective change. @DigitalTonto describes “change management beliefs that consistently sabotage genuine transformation”. The first such belief is that large scale change is persuasion at scale; the idea that we can change opinion across an organisation by communicating a compelling case. However, change is much more about collective dynamics than about persuasion. People are more likely to be influenced by what their peers think than by top-down messaging. If we want change to spread, we need to help activate peer networks. The second belief is that a large scale change initiative should have a “big bang” launch. The aim is to create widespread awareness that the change is happening & drive the message home. The problem is that undifferentiated messages create early resistance that can kill off promising initiatives. Much better to protect, test & nurture new ideas with committed stakeholders to pave the way for wider adoption over time, rather than trying to convince everyone at once. The third belief is that once people understand the change, they will embrace it. The issue is that people are typically navigating many competing influences—prior beliefs, habits, social pressures & noise from many directions. That’s why ideas spread most effectively through peer networks, not top-down campaigns. People adopt the ideas they see working around them. What might work better? 1. Deliberately starting where there’s already energy & enthusiasm & building out from a local majority (eg., three allies in a room of five) instead of trying to convert everyone first 2. Intentionally working through & connecting peer networks so people are influencing “others like us”, rather than relying on one-to-many broadcasts 3. Creating early proof through local majorities that “people like us are already doing this,” tapping into social proof rather than abstract persuasion techniques. 4. Expecting that some people will resist change & take steps to work with it, rather than assuming that better messaging will win “resistors” over 5. Focusing less on increasing information and more on enabling people to see others like them succeeding with the new behaviours, so they can appropriate and adapt the change as their own. Leading large scale change is less about convincing people to think differently; it’s more about creating the conditions that enable people to act differently. #more-35378" target="_blank" rel="nofollow noopener">digitaltonto.com/2025/3-stubbor…

@elonmuskmel7 HOPE

It’s not so much about how long you move; it’s how often. A growing body of research shows that you don’t need long gym sessions to improve health. The 2025 expert consensus statement (citation below) highlights how brief, frequent bursts of movement throughout the day, called short bouts of accumulated exercise (SBAE), can deliver many of the same benefits as structured workouts. 1️⃣ What Is SBAE? Short bouts of accumulated exercise are small sessions of movement, often 2–10 minutes, performed several times per day. They “add up” to meaningful totals of physical activity over time. 🟢 Example: Walking up the stairs, doing air squats after a meeting, or brisk walking after meals. 2️⃣ Why It Works Each short bout boosts blood flow, glucose control, and mitochondrial activity, while breaking up long periods of sitting — a key driver of metabolic and cardiovascular risk. 🟢 Example: Even a 2–5 minute walk every 30 minutes can help regulate blood sugar and reduce insulin spikes. 3️⃣ How to Apply It (Prescription Recommendations) The consensus provides a practical “exercise prescription” for SBAE: Frequency: Move every 30–60 minutes, several times daily. Intensity: Start light to moderate; progress to brief vigorous bouts if tolerated. Duration: Aim for ≥150 minutes per week of total activity, accumulated in short bouts. Timing: Post-meal movement is especially beneficial for glucose control. Type: Prioritize bodyweight or resistance-based movements that activate large muscle groups. 🟢 Example: Three 10-minute brisk walks daily = similar cardiovascular benefit as a single 30-minute session. 4️⃣ Key Benefits of SBAE Improves insulin sensitivity and glycemic control Enhances vascular function and blood flow Reduces inflammation and oxidative stress Supports cardiometabolic health and mental well-being 🟢 Example: Studies show SBAE improves blood pressure and mood, even in people who don’t meet standard exercise guidelines. 5️⃣ Who It’s For SBAE is feasible for nearly everyone, including older adults, people with limited mobility, and those managing chronic conditions like type 2 diabetes or cardiovascular disease. 🟢 Example: Breaking up sitting with 2–5 minutes of movement is a practical, accessible strategy for desk workers and older adults alike. 6️⃣ Future Directions The consensus calls for research into: Optimizing intensity and timing for different populations. Using wearable tech and AI to track and personalize SBAE. Integrating SBAE into clinical guidelines for chronic disease prevention. You don’t need a gym or an hour - just consistency. Short bouts of accumulated exercise break the “sit–disease” cycle, enhance metabolic health, and make movement accessible for all. Yin M, Chen P, Mao L. Expert Author Group. Short bouts of accumulated exercise: Review and consensus statement on definition, efficacy, feasibility, practical applications, and future directions. J Sport Health Sci. 2025 Sep 18:101088.

The Effect of Diagnostic Labels on Treatment Preferences and Beliefs in People With Musculoskeletal Pain. A Systematic Review of Randomised Trials jospt.org/doi/10.2519/jo…

Just published 🔥 𝗡𝗲𝘂𝗿𝗼𝗹𝗼𝗴𝗶𝗰𝗮𝗹 𝗘𝘅𝗮𝗺𝗶𝗻𝗮𝘁𝗶𝗼𝗻 𝗳𝗼𝗿 𝗖𝗲𝗿𝘃𝗶𝗰𝗮𝗹 𝗥𝗮𝗱𝗶𝗰𝘂𝗹𝗼𝗽𝗮𝘁𝗵𝘆: 𝗔 𝗦𝗰𝗼𝗽𝗶𝗻𝗴 pubmed.ncbi.nlm.nih.gov/40188056/ ☑️𝗯𝗲𝘀𝘁 𝘂𝘀𝗲𝗱 𝘁𝗼 𝗿𝘂𝗹𝗲 𝗶𝗻 𝗿𝗮𝘁𝗵𝗲𝗿 𝘁𝗵𝗮𝗻 𝘁𝗼 𝗿𝘂𝗹𝗲 𝗼𝘂𝘁! 📷shop.elsevier.com/books/millers-…

@EdwardthembaSa 👏🏼👏🏼

A fellow guide spotted people flying a drone recently in the Park where rules specifically state that DRONES ARE NOT ALLOWED..He reported them to the Protection Services and luckily they were found and Fined.👌🏾

@elonmuskmel7 44