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stage again here

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uh... is a man that just got his
bachelor's degree last year from seventh

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in solely university and is also working
on is p<u>h</u>d_'s gonna talk about

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high-intensity exercise the lower back
give them a round of applause and james

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feel sick it say

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purple

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uh... nelson

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uh...

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rick

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here

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finance and

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okay guys right uh... i'm hoping that
this focusing aborted its image as a bit

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of apprehensive about talking about this
topic

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she does is big interests of my
obviously and in my p<u>h</u>d_ and i've been

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a lot of

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intensive research on it

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so to me is very interesting and so i
think quite

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quite a lot about how to relate to you
guys ab

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i'm radio

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i kind of full of al have more to talk
about how happen

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apartments

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you how unpretentious the nature of

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clinic by back pain is i mean like that
do his

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had back pain got back i know some of
that time

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that's

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only about eight thirty which or sponsor

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research biggest quite interesting

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but they had just risk i give you an
introduction of how our cargo in

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circuses allotted boss that i would say
you know has again to back pains

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that we've

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like these that i i just finished my

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basses uh... degree in applies for
science and

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before start that i was very interested
in complex eisenhower relates that uh...

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health and fitness despite a shady and

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definitions and

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and the fact that excise can have on on
the body so i i wanted in the floods

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both sides agree with uh... with my main
focus being on excise physiology and

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at that time i was getting introduced a
kind of concepts of high intensity

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training and show you guys are aware of
what today doug mcgrath uh...

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off the jones

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and i i was reading the bear works as
read my menses works at the time

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uh... hands

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kunkel incidently wedding bill two seven
two so it's not my degrade

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uh... one of my lectures that was
involved with them

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some research using that uh... medics
equipment

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we specifically had at medics lumbar
extension machine there

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and that is quite interesting that i was
just reading boulevard today's but some

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time and i kind of a ride to the
university and was like max max that

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would i know that name from

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out aliya opportunism in the back

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and i got involved in the research in a
kind of stem from their redevelopment

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houston high intensity training went
back with all the research um...

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as for the convinced by the evidence
supporting and then move free kind of

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the same way off the progress from high
intensity training grover norquist's and

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i'm leaving for it's a sent testing and
then rehabilitation fill up back in the

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other possibility as well

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looking for the researchers orlow big
holes

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in understanding of um...

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that probably what might be the main
causative factor back pain

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and potentially how we can try and tree
that i'm trying to be either prevent it

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or rehabilitated

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for people who do safra so today's talk
i'm gonna try and zach

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kind of a personal decision of what will
be why karva that will

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what was it you guys and you go part
time

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yet

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exactly

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genesis says said united is really
really annoying let's just have this

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chronic pain

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s around you at the whole time we're
currently in a minute popping up up and

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down

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it's really annoying and you hirings are
things in the conference is well if you

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go about backing that poster don't look
so tracked it doesn't really convey

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kind message you want states to

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maybe women or other other people you
china at the relationships of

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three to talk about

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it was important to care about it

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living in a discuss maybe maybe what you
know why is it separate prevalent unit

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so if you've got a semi people of color

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the figures are really high

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if it's a hard as they'll be something
that's that's causing as something

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that's having a real impact on and
something that's meaning that it's going

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to you know that it's kind of time in
society

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cynicism light my guide is uh... and
based on my reading around the lectures

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of what remains of like

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associations of low about paying off

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and what i think has the most
influencing factor a wide the majority

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of people suffer from it

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but any other kind of cupboard

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ni what you can actually do about it
because it is so well in the pain this

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is causing it

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all of this might be causing is me the
main factor

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now with a day

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it's good to have some information of
the how can you talk about how can you

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do with that how can you do something
about how can you bring the situation

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because this is the main reason while
you guys again

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getting information and learning how to

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apply and improve unite your life
basically

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i'm gonna spend the time just just kind
of going over what what i'm doing in and

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uh... the impact i kind of envisage

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of my research is going to have until
june bit about

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what specific areas on looking at one
looking at them and how that kind of

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like is involved with with and about
henry and then we'll connect they must

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be tough questions

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uh... just in case any of you on the web
alone racial messed it up

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mats the love that

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the bond five rumbled up and that's when
my main area of intro testers

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so anyone's go questions above that well
below that

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i want to step outside my area of
expertise sat ideally i can give you an

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opinion barefoot and i'll tell you i
don't know uh... and style of the above

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the question benefiting

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inbetween those five that a bright

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i've probably got to know is i can give
you did you get on some

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site jain sadie questions to something
relevant

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i guess the why care about love at

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will first thing that there is to get
back on the definition

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yet what is back pain

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if we don't have to ask tackle something
and you know why isn't it important to

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care about it we need to kind of

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defined and i know what it means i
campaigned saying yesterday uh... some

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words in some definitions

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lost many of the answer

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to tackle probably need to be up to
define it and no what the problem that

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she is

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by planes used to describe

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as a kind of tension or so and insults
stiffness their lease kind of words that

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used to describe

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what is a sense it over arching kind of
condition

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in the lower back

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mike say any of these are the things
then she sort of stiffness

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sharp pains anything about it can be
annoying them and they have an impact on

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our lives

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we'll say five

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categorize our back payments a in
surveys difference of what's up

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categories

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acute pain

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what we will be considered social time
paints a lasting erupts ovr twelve weeks

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accutane would usually be involved with
united an injury maybe sports injury may

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be tripped and says well you know
anything

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that this should back out

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so to speak anne's and causing pain
usually in the majority of cases acute

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pain kind of resolves itself almost kind
of naturally

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even the research suggests that it
doesn't really matter what you doing the

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actual pain will tend to go away after
bouts of at most

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near upset so salt lamps are supposed to
meet

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out that's of light line is a two week
period

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the problem is

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is when the paint doesn't go away

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profits periods

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is tenzin said what we've encountered
rises sub-acute pain

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and eventually develops into chronicling

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aykroyd has anything that any pain has
lasted for a for a long period in twelve

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weeks

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and usually in those cases

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it's way develops in thirty years under
some people who are involved in my

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research allied

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i'd been testing and and

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uh... rehab with to uh... some of them
in our time

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for thirty years billy had spent the
whole life in pain basically

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and i think there's no way to lead your
life unit

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happy them suffering

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one of the other kind of problems that
and i was speaking to and

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gentleman editor about it

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is a very differences come on

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uh... is very difficult to m

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give back pain in aloft cases

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a diagnosis i mean that we will go on
for a second but there are a lot of

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different things associated with
backpacking

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that

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maybe or may not be causing pain

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then maybe you'll may not be affecting
the joints by mechanics and then having

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something impact on how the structures
which may

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illicit a pain response

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or unit in may or may not be expecting
um... functions are out how the joined

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by metaxas function

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so it all the time is very difficult to
say right you you have back pain anne's

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this is causing your back pain or all of
this is causing the pain that you're

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experiencing unanimity

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uh... nerve impingement and maybe uh...

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baghdad's degenerate correction this
instance since causation

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and what you know it could be ligaments
execute the must it could be actual

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unanimously saying elan's right

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uh...

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then the majority of cases diagnosis
comes up

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so people labeled is nonspecific can go
part time

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method and ideals

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most cases is very difficult then say oh
if we don't know i fear what's causing

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it happened how harry's personnel to do
about it

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and this is where the majority of my
kind of like researchers involved with

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his dealing with

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is poorly causing that

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non-specific aspirate because it is and
eighty five percent of

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people with chronic low back pain

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how this non-specific kasri given to
them

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israel so by fifteen percent uh...

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you can say you know you know you've got
this problem you've got the specific

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policy

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the specific conditions of our buttons
that nichols in time

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so i'm focusing on conflict how can we
figure out what's causing apple what may

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be the predominant because of that is
non specific cases

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and how can we address

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so when i talk about uh... old
previously lbp and

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in uh... the rest of the u<u>n</u>

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but the slides

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unfocused specifically about nonspecific

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chronic low back pain

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says back pain without specific
diagnosis that's lasting in a long and

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twelve weeks in

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and maybe the car rental unit

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people's pain perceptions change that

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said just a quick diagram for you and
this is just a complex at the same for

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my research unwilling back to the kind
of lay-up

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these guys im leave leaning lian lian
lian

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uh...

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they've actually done a lot of research
a lot of at reviews on the time i think

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really act and dysfunction

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and i put together this kind of uh...
integrated model to say like

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well in in non specific cases uh... with
unusual school function as as a as an

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outcome measure

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which is very difficult to say all i can
try to um...

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for specific something specifically
wrong with this

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structure altadena something is causing
painewebber's nervous eleven

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and sony's function like the function of
the joint joined by mechanics

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as an outcome measure

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blood as a taken this kind of kind of
approach that they've use in the

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categories are used

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and adapted it said

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be applied to lie back

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so we've got got as cargo at that time
as a kind of like entity as a kind

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concept

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and function as the outcome measure all
functions as the perhaps rehabilitation

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go

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so

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one looking at is whether or not we can
improve function

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we can definitely improved

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all these other

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areas uh... associating with

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may not necessarily because it is but
certainly associated with caught up at

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night

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one thing i a m day

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is focusing on the physical
characteristics involvement

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that's love dot

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section then psychological and so i can
say show

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instances

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my resistance and the folks in alexander
come from the excise physiology

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backgrounds and

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sold out

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there is a psychological impact acts
like a social impact to stress impacts

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on pain perception which i'll discussed
briefly

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and mind as well

250
00:12:34,002 --> 00:12:36,002
main focus of my recession might

251
00:12:36,002 --> 00:12:37,076
efforts are looking at

252
00:12:37,076 --> 00:12:40,013
what the actual physical symptoms are

253
00:12:40,013 --> 00:12:42,093
is the school said he said to tell
whether or not

254
00:12:42,093 --> 00:12:46,057
dislike us at the psychological stress
is causing the plane or whether or not

255
00:12:46,057 --> 00:12:48,001
it's

256
00:12:48,001 --> 00:12:49,093
causing psychological distress

257
00:12:49,093 --> 00:12:51,053
united services hall

258
00:12:51,053 --> 00:12:55,093
association doesn't necessarily imply
causation

259
00:12:55,093 --> 00:12:58,077
unthinking his motherland on fixing the
physical characteristics the more

260
00:12:58,077 --> 00:13:03,024
specifically in my research i'm thinking
of fixing on things like range of motion

261
00:13:03,024 --> 00:13:05,044
you know if this generation

262
00:13:05,044 --> 00:13:09,004
the act actual atrophy if they uh...
lumbar extensor musculature

263
00:13:09,004 --> 00:13:11,094
as the looking a bit sort of ad

264
00:13:11,094 --> 00:13:16,031
uh... skilled specific bomb attacks when
we come up on the tax uh... if you guys

265
00:13:16,031 --> 00:13:18,089
are where pala build us a man's world

266
00:13:18,089 --> 00:13:20,022
most of you who are about

267
00:13:20,022 --> 00:13:23,008
seems videos threat

268
00:13:23,008 --> 00:13:27,048
fuzz it up yet ok ever anyone read my
mail access

269
00:13:27,048 --> 00:13:29,529
yeah ok kitty co but left

270
00:13:29,529 --> 00:13:31,069
bill talks a lot of our time

271
00:13:31,069 --> 00:13:35,035
by mechanics that has as a an
overarching sold like uh...

272
00:13:35,035 --> 00:13:36,028
subject

273
00:13:36,028 --> 00:13:39,096
uh... by metaxas display and so there
are certain things that we we

274
00:13:39,096 --> 00:13:43,081
wet when bill talks about bond cactus
talking specifically about uh...

275
00:13:43,081 --> 00:13:46,319
rolled from what governments works is
um...

276
00:13:46,319 --> 00:13:49,007
joint structure anatomy function in a

277
00:13:49,007 --> 00:13:51,009
what i had some people michael
functional kese ology

278
00:13:51,009 --> 00:13:56,003
uh... the bomb attacks also incorporates
skills specific movements as well so

279
00:13:56,003 --> 00:13:59,096
free my plus full size three that we
one-week were looking at buying tax we

280
00:13:59,096 --> 00:14:02,032
look at basically so what the physics of
how

281
00:14:02,032 --> 00:14:06,044
particular movements uh... whether that
elaborate so much support skills work on

282
00:14:06,044 --> 00:14:06,097
up

283
00:14:06,097 --> 00:14:10,007
and one of the senate things is looking
and was cool gate which is basically you

284
00:14:10,007 --> 00:14:11,035
unit

285
00:14:11,035 --> 00:14:14,969
look for mostly commission's web
describing an you like to mention

286
00:14:14,969 --> 00:14:17,909
and report back pains and have
discovered variable datetime which

287
00:14:17,909 --> 00:14:18,047
doesn't

288
00:14:18,047 --> 00:14:22,096
fee the normal time which we see people
hey that got back pain

289
00:14:22,096 --> 00:14:25,024
so that's just tell us that the saying
an

290
00:14:25,024 --> 00:14:25,093
of

291
00:14:25,093 --> 00:14:29,084
what i'm looking at and why i think is
an important to look at

292
00:14:29,084 --> 00:14:33,046
and we're going back to the family aside
more determined to research and doing

293
00:14:33,046 --> 00:14:37,018
and why do you get so much important
things that you know the results on

294
00:14:37,018 --> 00:14:48,076
huntington

295
00:14:48,076 --> 00:14:50,052
okay

296
00:14:50,052 --> 00:14:52,159
what's the as a senator

297
00:14:52,159 --> 00:14:53,028
quite low back pain

298
00:14:53,028 --> 00:14:54,093
really prevalent

299
00:14:54,093 --> 00:14:57,065
really unpretentious than a foot is in
his word

300
00:14:57,065 --> 00:15:00,085
recently i think i might use their

301
00:15:00,085 --> 00:15:04,005
the kind of thing with the about me up
on the time you want to mention dot com

302
00:15:04,005 --> 00:15:08,037
if this is unpretentious condition there
that is everywhere everyone has their

303
00:15:08,037 --> 00:15:10,006
normal talks about it

304
00:15:10,006 --> 00:15:12,073
you know it is not laptop kind of scary
you know

305
00:15:12,073 --> 00:15:17,018
as necessary killeen blaze interestingly
in some cases that i've read uh... case

306
00:15:17,018 --> 00:15:20,056
there is an examples of people who've
been slice of the stress

307
00:15:20,056 --> 00:15:23,039
by that i know that yet i felt suicidal

308
00:15:23,039 --> 00:15:26,075
hands and may be that goes back to the
whole used business-like is a

309
00:15:26,075 --> 00:15:30,004
psychological stress causing pain or is
the pain caused the psychological sts

310
00:15:30,004 --> 00:15:30,097
distress

311
00:15:30,097 --> 00:15:33,052
some interesting points

312
00:15:33,052 --> 00:15:36,027
but yet because this is kind of
unpretentious unknown really kind of

313
00:15:36,027 --> 00:15:37,015
like

314
00:15:37,015 --> 00:15:38,093
thinks as a massive impact

315
00:15:38,093 --> 00:15:40,027
on society

316
00:15:40,027 --> 00:15:41,035
uh...

317
00:15:41,035 --> 00:15:42,299
it doesn't really get

318
00:15:42,299 --> 00:15:46,179
a lots of press shall we say on my
things like cancer heart disease

319
00:15:46,179 --> 00:15:50,075
analysts at the city

320
00:15:50,075 --> 00:15:54,055
is definitely one of the most prevalent
medically soul is in fact the world

321
00:15:54,055 --> 00:15:57,062
health organization did a big survey at

322
00:15:57,062 --> 00:16:00,006
as a love like uh... and in the nineteen
nineties

323
00:16:00,006 --> 00:16:05,051
and zag actually ranked low back pain is
the second most prevalent

324
00:16:05,051 --> 00:16:06,075
disorder

325
00:16:06,075 --> 00:16:10,279
uh... in uh... in that survey be
anything that was interesting and called

326
00:16:10,279 --> 00:16:10,709
me

327
00:16:10,709 --> 00:16:15,589
and i have it was m unforeseen amiably
and low back pain right-wing prevalence

328
00:16:15,589 --> 00:16:18,072
higher than almost everything out to
clean your heart please cancel these are

329
00:16:18,072 --> 00:16:19,056
things

330
00:16:19,056 --> 00:16:23,075
and so i uh... it's a real problem and
dan

331
00:16:23,075 --> 00:16:28,019
here's some of the estimates are that
sixty to eighty percent of of adult

332
00:16:28,019 --> 00:16:31,051
we'll will suffer from back link so you
need a new guys who have miss everybody

333
00:16:31,051 --> 00:16:32,064
paying now

334
00:16:32,064 --> 00:16:35,013
will have an expense in pain in the past

335
00:16:35,013 --> 00:16:38,065
it may come point you lots where it was
very likely that you can suffer from

336
00:16:38,065 --> 00:16:42,048
back pain is gonna really cause you some
problems

337
00:16:42,048 --> 00:16:43,006
anos a

338
00:16:43,006 --> 00:16:47,058
one interesting things is is the cost of
back pain

339
00:16:47,058 --> 00:16:51,036
it may not have a massive impacts in the
interest of like uh...

340
00:16:51,036 --> 00:16:52,489
severe

341
00:16:52,489 --> 00:16:53,075
impact

342
00:16:53,075 --> 00:16:57,025
that on all of our lives of some
illnesses and conditions date

343
00:16:57,025 --> 00:17:00,089
but intends it costs it costs shit load
of money

344
00:17:00,089 --> 00:17:05,069
every year some of the estimates are it
costs about ten thousand a

345
00:17:05,069 --> 00:17:08,043
won the most recent estimates for the
u<u>k</u> musicals they call me and direct

346
00:17:08,043 --> 00:17:11,309
and indirect costs about ten point six

347
00:17:11,309 --> 00:17:12,011
that ten

348
00:17:12,011 --> 00:17:14,169
point six thousand million

349
00:17:14,169 --> 00:17:16,037
sanders a billion

350
00:17:16,037 --> 00:17:18,074
about about ten million pounds a year

351
00:17:18,074 --> 00:17:23,007
lessen the direct and indirect costs
last reunited cost of healthcare

352
00:17:23,007 --> 00:17:26,031
posterity and i i i'm one of these
problems is the treatments that that

353
00:17:26,031 --> 00:17:28,036
utilized by people with back pain

354
00:17:28,036 --> 00:17:32,025
and assistant director of student if
people go back on the part of the work

355
00:17:32,025 --> 00:17:35,009
than that both of those weapons they
missed limits now i'm getting money for

356
00:17:35,009 --> 00:17:35,659
it

357
00:17:35,659 --> 00:17:38,078
working and provide value for that
company in that companies or say missing

358
00:17:38,078 --> 00:17:39,023
out

359
00:17:39,023 --> 00:17:41,056
on the web at providing for them

360
00:17:41,056 --> 00:17:44,095
so there's all these complex lost
involve all venice is big spiral that

361
00:17:44,095 --> 00:17:48,024
just keeps continuing costing more and
more money and the way the kind of

362
00:17:48,024 --> 00:17:50,051
economy is going on the mine with rates
inflation

363
00:17:50,051 --> 00:17:54,063
buzzing scott b skyrocketing even more

364
00:17:54,063 --> 00:18:02,309
big problem

365
00:18:02,309 --> 00:18:06,004
if i'm pain is so prevalent like if that
is going to some reasons why it's

366
00:18:06,004 --> 00:18:11,071
prevalent in what's causing what is
having an impact on it to make its such

367
00:18:11,071 --> 00:18:14,096
prevalent conditional society when we
look

368
00:18:14,096 --> 00:18:18,064
epidemiologically sex which is a study
of sort of like m

369
00:18:18,064 --> 00:18:24,006
epidemics of disease oval the political
political

370
00:18:24,006 --> 00:18:27,047
we look at the school respect as we look
at things are socially within that we

371
00:18:27,047 --> 00:18:31,007
can generate hypotheses about word and
maybe is a is act was in

372
00:18:31,007 --> 00:18:35,037
it wasn't such a very uh... what link
doesn't have to the actual conditions

373
00:18:35,037 --> 00:18:37,059
so we look at things cool risk factors

374
00:18:37,059 --> 00:18:40,004
and in fact i mean they're kind of
mainly cell-free

375
00:18:40,004 --> 00:18:43,088
trains a full and kind of categories
what types of respect this

376
00:18:43,088 --> 00:18:44,079
all

377
00:18:44,079 --> 00:18:46,067
responsible

378
00:18:46,067 --> 00:18:54,088
the conditions that that we say

379
00:18:54,088 --> 00:19:00,049
so one of these ab prospectuses these
environmental and work-related expenses

380
00:19:00,049 --> 00:19:03,016
ansel played out latest pictures i see
that i was just following and i don't

381
00:19:03,016 --> 00:19:05,559
really realize that soft or click on
that site

382
00:19:05,559 --> 00:19:09,529
but but that they're supposed to have
backpacks andrea

383
00:19:09,529 --> 00:19:14,027
you can't find him

384
00:19:14,027 --> 00:19:17,034
something which i remember this morning
which i a m needs to remove told you

385
00:19:17,034 --> 00:19:20,026
about was that rice farmers
interestingly

386
00:19:20,026 --> 00:19:24,035
uh... undergo close the while back has
been a kind of interest of mind looking

387
00:19:24,035 --> 00:19:26,149
answer at back pain in

388
00:19:26,149 --> 00:19:28,046
but traditional indigenous of coaches

389
00:19:28,046 --> 00:19:29,989
also what alienated

390
00:19:29,989 --> 00:19:32,061
bike there and and evolutionary
reasoning new unit

391
00:19:32,061 --> 00:19:34,009
is m

392
00:19:34,009 --> 00:19:38,067
between paul and i think in anytime lab
spective of uh... the human sciences or

393
00:19:38,067 --> 00:19:43,012
any kind of like uh... biological
sciences in exercises

394
00:19:43,012 --> 00:19:48,025
so he did just as a kind of like a
example of people and have decided that

395
00:19:48,025 --> 00:19:51,005
working conditions and therefore carbide
pollsters and that sort of thing that we

396
00:19:51,005 --> 00:19:54,019
experience during a work with libya

397
00:19:54,019 --> 00:19:57,074
extended seating fighting month five
office jobs accenture

398
00:19:57,074 --> 00:20:00,096
will come by lifting that we experienced
and doesn't really like a man who worked

399
00:20:00,096 --> 00:20:02,065
the last five a

400
00:20:02,065 --> 00:20:04,002
bustles sorts of things

401
00:20:04,002 --> 00:20:05,074
maybe lengths to

402
00:20:05,074 --> 00:20:07,083
high prevalence of backpacking

403
00:20:07,083 --> 00:20:09,077
unloaded tonight so with that

404
00:20:09,077 --> 00:20:12,046
you know you can ingi back lifting
something hedley

405
00:20:12,046 --> 00:20:16,002
or lifting anything for that matter of
fact if you lifting and stupid way

406
00:20:16,002 --> 00:20:17,077
if you've seen in a way that

407
00:20:17,077 --> 00:20:21,033
excessively loads perhaps the passage
structures robin the muscles taken the

408
00:20:21,033 --> 00:20:22,045
like

409
00:20:22,045 --> 00:20:24,003
so you know i'm not denying that

410
00:20:24,003 --> 00:20:27,064
you can hurt your back doing stupid
stuff at work or or in whatever

411
00:20:27,064 --> 00:20:28,082
environment you're in

412
00:20:28,082 --> 00:20:30,059
but interestingly

413
00:20:30,059 --> 00:20:34,019
i was looking at it and some research in
thailand slickers and see whether or not

414
00:20:34,019 --> 00:20:38,098
they prevalence of back pain was as high
in thailand as it is in

415
00:20:38,098 --> 00:20:40,022
other cultures in the world

416
00:20:40,022 --> 00:20:43,649
and the kind of that prevalence of
pieces it is it's very difficult

417
00:20:43,649 --> 00:20:47,057
skylight link things the government draw
direct comparisons 'cause methodologies

418
00:20:47,057 --> 00:20:48,069
are always different

419
00:20:48,069 --> 00:20:51,055
indifference studies which is was a
problem when you try and uh... in

420
00:20:51,055 --> 00:20:53,087
separate them

421
00:20:53,087 --> 00:20:57,067
but one interesting thing was an
analytical the acid oakley who teaches

422
00:20:57,067 --> 00:21:01,036
law about pollster and thinks it's very
important

423
00:21:01,036 --> 00:21:05,002
highlighted to me that uh... innovative
i watched uh...

424
00:21:05,002 --> 00:21:06,084
fingerboard chests not uh...

425
00:21:06,084 --> 00:21:09,044
gava resident americans were back in a
fast

426
00:21:09,044 --> 00:21:13,009
uh... their posters on the bending
lifting is these brilliant to keep

427
00:21:13,009 --> 00:21:14,289
neutral spine

428
00:21:14,289 --> 00:21:18,929
intended the hips an extended hours and
hours a day spent and that poster bend

429
00:21:18,929 --> 00:21:19,077
down

430
00:21:19,077 --> 00:21:23,057
picking up or checked checked sounds and
she says his picture and

431
00:21:23,057 --> 00:21:27,067
which outcome regret nothing on it now
but i am of these what these women with

432
00:21:27,067 --> 00:21:29,001
his wonderful pasta

433
00:21:29,001 --> 00:21:31,047
spending hours a day and that posture
and yet

434
00:21:31,047 --> 00:21:33,058
seem to have no at that time

435
00:21:33,058 --> 00:21:36,058
and she kind of used as a burst of like
uh...

436
00:21:36,058 --> 00:21:39,065
eye-catching tool to cut my heart like
uh... i like this

437
00:21:39,065 --> 00:21:43,035
so full of claims they saw that on the
ground is a symptom of a resurgence in

438
00:21:43,035 --> 00:21:46,046
pictures and an offense interesting
picture when i was looking to try and

439
00:21:46,046 --> 00:21:47,029
prevalence

440
00:21:47,029 --> 00:21:51,046
of uh... so much promise and rice
farmers in in thailand in an abrasion

441
00:21:51,046 --> 00:21:54,019
country you can expect too much of the
same job is spent

442
00:21:54,019 --> 00:21:55,046
than the day's bent down

443
00:21:55,046 --> 00:21:59,068
but here i sit in that mocha you know
whatever is the kind of war he feels

444
00:21:59,068 --> 00:22:01,001
that way

445
00:22:01,001 --> 00:22:04,097
ands and interestingly that that you
found showed the unit

446
00:22:04,097 --> 00:22:07,022
well half of the people in the picture
you have this

447
00:22:07,022 --> 00:22:09,037
perfect posture newt respon

448
00:22:09,037 --> 00:22:10,062
bending of the hips

449
00:22:10,062 --> 00:22:14,098
and you know i reloading the spine in
the mouth of the that these conflict and

450
00:22:14,098 --> 00:22:17,023
schools of thought would want you to
bullies

451
00:22:17,023 --> 00:22:21,169
and the idea of a half of them had
relief ship upstate new york hunched

452
00:22:21,169 --> 00:22:21,096
revolt

453
00:22:21,096 --> 00:22:26,659
bending down and using a standing hours
a day in that position

454
00:22:26,659 --> 00:22:29,039
so much so therefore you know that's
quite interesting considering that she's

455
00:22:29,039 --> 00:22:35,075
also saying that the rates of back pain
in thailand quite loves wealth

456
00:22:35,075 --> 00:22:39,058
along the lines my foot much of the full
of why i think is the time

457
00:22:39,058 --> 00:22:42,489
could only the causative factor although
maybe

458
00:22:42,489 --> 00:22:45,037
the majority of almost irresponsible

459
00:22:45,037 --> 00:22:48,073
is that i was on for a second is one of
the physical characteristics of the

460
00:22:48,073 --> 00:22:49,081
lumps popping

461
00:22:49,081 --> 00:22:51,004
and was that

462
00:22:51,004 --> 00:22:54,085
bless those odds you study done with
ross thomas he found that

463
00:22:54,085 --> 00:22:57,009
rice farmers with lower

464
00:22:57,009 --> 00:23:01,026
strength levels in that lumber expenses
actually had a high rate of back pain

465
00:23:01,026 --> 00:23:05,049
and that was the factor that was most
associated with it now doesn't so imply

466
00:23:05,049 --> 00:23:06,629
causation

467
00:23:06,629 --> 00:23:08,062
but it's interesting that

468
00:23:08,062 --> 00:23:12,025
the actual working conditions didn't
really have a big impacts

469
00:23:12,025 --> 00:23:14,001
weber all they have backpacking

470
00:23:14,001 --> 00:23:18,015
so what we can usually says if there is
no association is quite like me that's

471
00:23:18,015 --> 00:23:19,079
probably know causative

472
00:23:19,079 --> 00:23:24,007
so it is very difficult complex a lena
is definitely the majority of people are

473
00:23:24,007 --> 00:23:27,042
getting back pain because that spending
time than i ever lisp and science flash

474
00:23:27,042 --> 00:23:29,559
in the states will sign opposition the
web

475
00:23:29,559 --> 00:23:32,539
because they're new situations just on
consistent

476
00:23:32,539 --> 00:23:35,009
they're all over the place in the may be
affected by methodologies in the

477
00:23:35,009 --> 00:23:36,058
populations in the catholic

478
00:23:36,058 --> 00:23:39,036
and thus the consistent is very
difficult to say yet definitely that

479
00:23:39,036 --> 00:23:44,073
message russell what's happened so we
need to

480
00:23:44,073 --> 00:23:49,041
comeback as of today the psychological
family swings back into the hallway m

481
00:23:49,041 --> 00:23:57,039
work-related stuff and uh...
work-related stress is

482
00:23:57,039 --> 00:24:01,025
other said mahmud focuses isn't probably
on uh... and so i thought processes

483
00:24:01,025 --> 00:24:04,096
associates is melissa nicholson
associated with back pain

484
00:24:04,096 --> 00:24:07,799
and i want to step out of my bounds
uh... that

485
00:24:07,799 --> 00:24:11,002
and cognitive behavior therapy is is a
very sort of like prevalent that

486
00:24:11,002 --> 00:24:14,679
treatment options and i and the you're
the research is trying to be pretty

487
00:24:14,679 --> 00:24:15,078
successful

488
00:24:15,078 --> 00:24:18,093
and in terms of an leading people's pain

489
00:24:18,093 --> 00:24:21,046
section but im

490
00:24:21,046 --> 00:24:22,074
interestingly

491
00:24:22,074 --> 00:24:25,008
and some of the research that i've
looked at looks at has with the fact

492
00:24:25,008 --> 00:24:28,039
that the soldiers in chicago i stress
the soldiers and and psychological

493
00:24:28,039 --> 00:24:29,084
sensitivity

494
00:24:29,084 --> 00:24:31,669
and and found that

495
00:24:31,669 --> 00:24:33,019
injury cases they're not

496
00:24:33,019 --> 00:24:34,087
necessarily associative

497
00:24:34,087 --> 00:24:37,049
with the prevalence of le backpacking

498
00:24:37,049 --> 00:24:41,021
they affect the degree of love acting
cell asserted that the intensity of the

499
00:24:41,021 --> 00:24:42,054
plane experience

500
00:24:42,054 --> 00:24:45,082
so it's not the kind of like four to me
that suggests well

501
00:24:45,082 --> 00:24:46,729
maybe

502
00:24:46,729 --> 00:24:50,083
psychological stress and most of the
things all having you know the director

503
00:24:50,083 --> 00:24:53,000
of direct impact on howell

504
00:24:53,000 --> 00:24:56,085
much background people all how prevalent
back pain is certainly one of the story

505
00:24:56,085 --> 00:24:59,002
be the main causative factor

506
00:24:59,002 --> 00:25:01,095
it's also by holistic approach to the

507
00:25:01,095 --> 00:25:05,059
they can have an impact on the penny to
safety preserves the perception that

508
00:25:05,059 --> 00:25:09,052
uh... it's it's considering that it's
time to see the brain

509
00:25:09,052 --> 00:25:10,509
hands and

510
00:25:10,509 --> 00:25:13,989
any kind of stress is not necessarily
have an impact on what the sections you

511
00:25:13,989 --> 00:25:17,063
have of that and response

512
00:25:17,063 --> 00:25:22,015
was important it's monastery myers
focused and attendance of think it's

513
00:25:22,015 --> 00:25:25,093
unit remains hoping plays an important
thing to consider perhaps

514
00:25:25,093 --> 00:25:27,049
in an

515
00:25:27,049 --> 00:25:31,049
addressing people's pain perceptions

516
00:25:31,049 --> 00:25:35,049
and lastly won the race as a respect as
we look at

517
00:25:35,049 --> 00:25:38,064
uh... these physical acceptance that
when we talk about his work at respect

518
00:25:38,064 --> 00:25:40,259
as we're talking about times and

519
00:25:40,259 --> 00:25:43,086
but demographic characteristics and i
like height weight

520
00:25:43,086 --> 00:25:47,004
below the only things that i'm uh...
people's physical

521
00:25:47,004 --> 00:25:48,419
characteristics

522
00:25:48,419 --> 00:25:51,096
and some of these things are we looking
at like uh... join structures join

523
00:25:51,096 --> 00:25:52,077
function

524
00:25:52,077 --> 00:25:55,069
uh... how how the joint actually
physically functions like i say no

525
00:25:55,069 --> 00:25:59,009
they're going to function of the joint
and so you know that could be in the

526
00:25:59,009 --> 00:26:03,046
love acted to strengthen lumber expenses
that you feel that well but that's the

527
00:26:03,046 --> 00:26:05,072
anil diagram and

528
00:26:05,072 --> 00:26:09,015
petty from one of our jags but uh...
just showing a lumbar extension

529
00:26:09,015 --> 00:26:10,076
and sent uh...

530
00:26:10,076 --> 00:26:14,075
and his lodi vanfleet looking at things
like range of motion as well and that

531
00:26:14,075 --> 00:26:19,093
the check i might grow strong regulation
and on the stage a specific number

532
00:26:19,093 --> 00:26:24,001
dimension which we talk about that
alonso

533
00:26:24,001 --> 00:26:32,035
excuse me

534
00:26:32,035 --> 00:26:37,009
okay so i could send association doesn't
necessarily imply causation

535
00:26:37,009 --> 00:26:41,075
started clover is difficult to say also
if something's associated with it was

536
00:26:41,075 --> 00:26:45,066
really causing it liberalize just may be
simply unite maybe something else is

537
00:26:45,066 --> 00:26:46,085
underlying it

538
00:26:46,085 --> 00:26:49,045
and when this thing has an impact on a
campaign

539
00:26:49,045 --> 00:26:50,033
is prevalent

540
00:26:50,033 --> 00:26:53,043
and something else is provided as well
these kind of a conditions because very

541
00:26:53,043 --> 00:26:57,429
difficult i'd like to say i'm what's
causing wall

542
00:26:57,429 --> 00:26:59,072
in the majority of cases

543
00:26:59,072 --> 00:27:02,098
found at the same opinion is as
researchers likes to have a gala benefit

544
00:27:02,098 --> 00:27:06,073
you've you've had it is his name is
quite big names alone about

545
00:27:06,073 --> 00:27:09,039
uh... by mechanics and rehabilitation

546
00:27:09,039 --> 00:27:10,077
uh...

547
00:27:10,077 --> 00:27:13,429
even if you know i mean in general
agreement with him

548
00:27:13,429 --> 00:27:16,036
that in the jury cases pain has an
organic

549
00:27:16,036 --> 00:27:17,019
souls

550
00:27:17,019 --> 00:27:20,056
okay and injury or some sort this
function of the joint

551
00:27:20,056 --> 00:27:27,005
because it is what initially causes move
sequence of events that leads to

552
00:27:27,005 --> 00:27:31,006
he fixes along harrel and very stiff
physical characteristics of columbus

553
00:27:31,006 --> 00:27:35,045
find have an impact on injury uh...
thresholds and and and the injuries that

554
00:27:35,045 --> 00:27:36,067
you've infects

555
00:27:36,067 --> 00:27:38,041
and dan

556
00:27:38,041 --> 00:27:41,064
usa distinctions between where for all
of the uh...

557
00:27:41,064 --> 00:27:47,799
yet acute injuries all chronic injuries
as well netware broadband

558
00:27:47,799 --> 00:27:51,006
you know yesterday like an acute
chiseled like sprain or

559
00:27:51,006 --> 00:27:53,052
high-impact an injury a liberal that

560
00:27:53,052 --> 00:27:55,038
anne anne

561
00:27:55,038 --> 00:27:56,088
these words right now

562
00:27:56,088 --> 00:28:02,034
uh... a repressive injury at for example
like maximize get the texas rangers

563
00:28:02,034 --> 00:28:06,039
people get reports of injuries which can
develop in c chronic back pain the lungs

564
00:28:06,039 --> 00:28:08,429
spine as well you know it's a really

565
00:28:08,429 --> 00:28:12,022
get tackle from behind the rugby of
whatever so quickly backed out

566
00:28:12,022 --> 00:28:15,048
it may be sustained loading and
sustained injury

567
00:28:15,048 --> 00:28:20,029
very small small small just builds up a
discount like running response

568
00:28:20,029 --> 00:28:23,058
and what does that mean is off to a
injury a series of events happens which

569
00:28:23,058 --> 00:28:25,399
leads to spot of high response

570
00:28:25,399 --> 00:28:29,069
the actual at peripheral nervous systems
or data structures and uh... person in

571
00:28:29,069 --> 00:28:31,419
their structures become sensitizing come
really

572
00:28:31,419 --> 00:28:35,016
sensitive to pangs anymore compass
simulations as joy they structures

573
00:28:35,016 --> 00:28:37,008
willis eaten for the pain response

574
00:28:37,008 --> 00:28:40,055
and some of the things that you know if
you can get directness and pension

575
00:28:40,055 --> 00:28:43,046
because of a with joined by mechanics
because of the function

576
00:28:43,046 --> 00:28:47,074
uh... and discs and other tissues as
well facet joints it's just easier to

577
00:28:47,074 --> 00:28:52,051
handle it and it seems fine that date
that's right and had to have muscular

578
00:28:52,051 --> 00:28:55,019
and ligaments officially they will have
no supplies

579
00:28:55,019 --> 00:28:57,023
so they can all feel kind of any kind
like

580
00:28:57,023 --> 00:29:00,053
alterations that by the tax may be
something that's responsible for

581
00:29:00,053 --> 00:29:01,096
sensitizing those

582
00:29:01,096 --> 00:29:02,749
nerves

583
00:29:02,749 --> 00:29:06,279
and then subsequently sitting up a
series of n since i was the rest of the

584
00:29:06,279 --> 00:29:09,014
uh... same response

585
00:29:09,014 --> 00:29:15,075
says maybe white white paint private
developments mccormick condition as well

586
00:29:15,075 --> 00:29:18,008
you know one thing i just want to point
out is something interesting laid out in

587
00:29:18,008 --> 00:29:27,929
a again how made what you guys followed
local yukon abilities but does

588
00:29:27,929 --> 00:29:31,062
well the big he cannot hide real of
research and i really love lots of out

589
00:29:31,062 --> 00:29:34,038
of the book the great source of
information such as you can find good

590
00:29:34,038 --> 00:29:35,509
blogs from bike

591
00:29:35,509 --> 00:29:37,094
interesting and and

592
00:29:37,094 --> 00:29:42,036
and critical correctly thinking and
russian peoples uh... are full of logs

593
00:29:42,036 --> 00:29:43,031
written by

594
00:29:43,031 --> 00:29:45,799
and very species and doctors center

595
00:29:45,799 --> 00:29:49,799
and but why does a is was a full is a
guy called photography bro's vocal

596
00:29:49,799 --> 00:29:54,014
better movement and he's over so blood
brain senses approach on um...

597
00:29:54,014 --> 00:29:56,074
pain and and and he is uh...

598
00:29:56,074 --> 00:29:59,076
questions for back pain

599
00:29:59,076 --> 00:30:03,041
and interestingly uh... heated up a
couple of studies that show was aware of

600
00:30:03,041 --> 00:30:04,084
announcing of the stories where

601
00:30:04,084 --> 00:30:08,088
some people who have abnormalities in
the lower back

602
00:30:08,088 --> 00:30:12,058
discount haitians of exposing myself
think

603
00:30:12,058 --> 00:30:15,016
shows no pain symptoms

604
00:30:15,016 --> 00:30:19,549
so alarm people cause like jumps on top
and wagon to say

605
00:30:19,549 --> 00:30:23,052
you know if if that's not being as they
go back problem but not all time

606
00:30:23,052 --> 00:30:29,002
then maybe that's not responsible for
paying the first place

607
00:30:29,002 --> 00:30:33,009
but i think i'm set said like injury
cases pain does seem to have an organic

608
00:30:33,009 --> 00:30:36,003
kind of like like souls icon stimulates
appetite

609
00:30:36,003 --> 00:30:39,099
and one of things as an impact on my
sisters their t<u>v</u> injury as well

610
00:30:39,099 --> 00:30:42,088
when you can't look at these have
studies which metabo malfeasance

611
00:30:42,088 --> 00:30:44,013
incidents

612
00:30:44,013 --> 00:30:48,008
tends to find that the actual and degree
of injury

613
00:30:48,008 --> 00:30:51,087
if for example we looking at the disks
of dust can begin to degenerate make and

614
00:30:51,087 --> 00:30:53,058
then softball which

615
00:30:53,058 --> 00:30:56,084
and they couldn't center at that point
stop pressing on earth and causing pain

616
00:30:56,084 --> 00:30:57,058
response

617
00:30:57,058 --> 00:31:00,078
or they they could have a completely
within which case you know they can

618
00:31:00,078 --> 00:31:04,044
cause a real slow like impingement on
that uh... nervous tissue would need to

619
00:31:04,044 --> 00:31:05,082
move down into the

620
00:31:05,082 --> 00:31:07,889
actual blood-brain units stimulators

621
00:31:07,889 --> 00:31:11,087
inflammatory cascade of events that that
can cause a racial painful response

622
00:31:11,087 --> 00:31:14,047
and it seems to me that that the
majority of links

623
00:31:14,047 --> 00:31:19,011
and between abnormalities in pain for a
lot more satiated with at the severity

624
00:31:19,011 --> 00:31:20,001
of them

625
00:31:20,001 --> 00:31:22,019
so the ratio of light

626
00:31:22,019 --> 00:31:24,027
lotus verity and injuries

627
00:31:24,027 --> 00:31:29,059
uh... abnormalities when necessary it's
highly associated with um... back pain

628
00:31:29,059 --> 00:31:32,029
the thing to do is come by at least this
state's response relationship between

629
00:31:32,029 --> 00:31:36,002
how badly injured the spinal how badly
deteriorated wars

630
00:31:36,002 --> 00:31:39,039
and the extent of pain experienced

631
00:31:39,039 --> 00:31:41,051
so maybe they even when we see an
abnormality

632
00:31:41,051 --> 00:31:46,309
it may not necessarily be sufficient
enough to cause the pain response yet

633
00:31:46,309 --> 00:31:50,179
also we've got an examples with some
people have since in some people say

634
00:31:50,179 --> 00:31:52,001
they experienced pain

635
00:31:52,001 --> 00:31:53,669
the scan showed

636
00:31:53,669 --> 00:31:54,084
nighttime soap

637
00:31:54,084 --> 00:31:56,079
also no amounts itself

638
00:31:56,079 --> 00:31:58,094
am

639
00:31:58,094 --> 00:32:01,063
and this is this is interesting as well
because a lot people may become a little

640
00:32:01,063 --> 00:32:02,047
erica

641
00:32:02,047 --> 00:32:04,929
whether it's a caring

642
00:32:04,929 --> 00:32:09,045
evidence uh... sorry and absence of
evidence to main evidence of absence

643
00:32:09,045 --> 00:32:14,003
side is this whole inmates in the senate
as uh... a phrase it that they use and

644
00:32:14,003 --> 00:32:16,034
which is

645
00:32:16,034 --> 00:32:20,085
sorry absence of evidence doesn't
indicate evidence absence faces hold you

646
00:32:20,085 --> 00:32:24,005
com prove the non-existence of something
godlike and that's what we're talking

647
00:32:24,005 --> 00:32:28,639
about his family entertainment

648
00:32:28,639 --> 00:32:30,019
it's

649
00:32:30,019 --> 00:32:33,679
is a logical jumped that i'm a logical
jumps i'd say that just because you can

650
00:32:33,679 --> 00:32:37,016
see something on this particular scan

651
00:32:37,016 --> 00:32:39,025
there's nothing that the festive season

652
00:32:39,025 --> 00:32:42,072
am so that you had the scam i hadn't
made mister ouagadougou lawsuit estate

653
00:32:42,072 --> 00:32:46,007
using and i just like laugh as well now
i'm not docking station said his

654
00:32:46,007 --> 00:32:50,096
admonition lines up that incident of of
reason the research

655
00:32:50,096 --> 00:32:53,049
yet not not not the thing i missed
something

656
00:32:53,049 --> 00:32:55,419
or perhaps the abnormality was there

657
00:32:55,419 --> 00:32:57,749
desensitized and create a kind response

658
00:32:57,749 --> 00:33:01,026
as potentially alleviate itself it's
rotten lousy but

659
00:33:01,026 --> 00:33:03,038
tangling it because of the same size
asian

660
00:33:03,038 --> 00:33:06,073
it's very difficult scott venues ease
diagnostic tests to stay on the air

661
00:33:06,073 --> 00:33:09,023
power how worthwhile actually offered

662
00:33:09,023 --> 00:33:12,083
and zambia's any refers to the use of
these tests in the country who was then

663
00:33:12,083 --> 00:33:17,002
that that clinicians like arafat's visit
is that you can see contact

664
00:33:17,002 --> 00:33:21,036
this small number of people with that
was an accurate diagnosis in most cases

665
00:33:21,036 --> 00:33:25,085
is no usually that useful

666
00:33:25,085 --> 00:33:29,063
this whole idea of how dangerous verity
then conference on the side there's an

667
00:33:29,063 --> 00:33:31,000
injury fractals

668
00:33:31,000 --> 00:33:32,005
and

669
00:33:32,005 --> 00:33:36,045
in most cases when injury fresh fruit is
exceeding along the lines plastered

670
00:33:36,045 --> 00:33:37,389
mcgill thinking

671
00:33:37,389 --> 00:33:41,799
it you'd kill joy structural have a
particular um... level of of loading and

672
00:33:41,799 --> 00:33:44,024
i can't sustain before

673
00:33:44,024 --> 00:33:48,021
it's it breaks basically is like any
kind of like engineering aspect it will

674
00:33:48,021 --> 00:33:49,039
be up to sustain

675
00:33:49,039 --> 00:33:53,429
uh... and start consented to have
loading beforehand as boom

676
00:33:53,429 --> 00:33:56,689
and amber expand that made a spectacular
failure

677
00:33:56,689 --> 00:33:58,049
and they all collapsed

678
00:33:58,049 --> 00:34:01,012
or but like an accused of a severe
injury impact injury

679
00:34:01,012 --> 00:34:04,051
or maybe a sustained pat stipulating
that may cause an injury i a verdict

680
00:34:04,051 --> 00:34:08,024
that period of time but as an injury
fresh felt and they're gonna be things

681
00:34:08,024 --> 00:34:09,159
that impact

682
00:34:09,159 --> 00:34:11,149
how well you can

683
00:34:11,149 --> 00:34:14,002
opened to that'll how well you can
sustain and

684
00:34:14,002 --> 00:34:18,349
leading before you actually and gets
injury

685
00:34:18,349 --> 00:34:30,999
excuse me walter

686
00:34:30,999 --> 00:34:33,025
and his own mind refresh alerting them

687
00:34:33,025 --> 00:34:36,519
one important things in certainly coming
from a uh...

688
00:34:36,519 --> 00:34:39,025
mciver excise phase that background is

689
00:34:39,025 --> 00:34:43,053
and be submitting a joint can't take is
usually to be dependent upon the extent

690
00:34:43,053 --> 00:34:44,589
of

691
00:34:44,589 --> 00:34:48,639
resistance that the musculature holding
the joined together can actually

692
00:34:48,639 --> 00:34:51,219
withstands

693
00:34:51,219 --> 00:34:53,619
if you've got week musculature

694
00:34:53,619 --> 00:34:56,799
that's joins dot is not to be out with
stands much loading

695
00:34:56,799 --> 00:35:00,609
is going to be up to that you may have
led injured mergers lefty

696
00:35:00,609 --> 00:35:02,019
characteristics as well

697
00:35:02,019 --> 00:35:05,869
uh... and strength and endurance you
know the not separate things they go

698
00:35:05,869 --> 00:35:09,489
hand in hand if any of you familiar with
the kind of opportunism analogies on

699
00:35:09,489 --> 00:35:10,339
that

700
00:35:10,339 --> 00:35:13,219
if for example you implement strength
training program

701
00:35:13,219 --> 00:35:17,005
accessory any exciting east offer a
little with a at maximum

702
00:35:17,005 --> 00:35:20,003
former max it as a hundred ql you
improve

703
00:35:20,003 --> 00:35:22,859
increase that to syndicators

704
00:35:22,859 --> 00:35:25,919
and stuff so you can do one red mexicans
killers

705
00:35:25,919 --> 00:35:27,038
and things to do

706
00:35:27,038 --> 00:35:28,075
eight reps with

707
00:35:28,075 --> 00:35:30,009
excuse

708
00:35:30,009 --> 00:35:33,089
can increase that you one red max two
indicators

709
00:35:33,089 --> 00:35:36,489
then people began to get to do about a
breadth of hasn't sixty hitler's

710
00:35:36,489 --> 00:35:38,059
interested person

711
00:35:38,059 --> 00:35:40,149
so your actual endurance

712
00:35:40,149 --> 00:35:43,949
the amount of rhetoric and to we've
aggressive loans going up to some

713
00:35:43,949 --> 00:35:47,399
dangerous enormous you know if you
previous championship reviewed your your

714
00:35:47,399 --> 00:35:48,042
insurance as well

715
00:35:48,042 --> 00:35:50,939
so there's no time like training for one
or the other

716
00:35:50,939 --> 00:35:53,589
anne's doesn't have an impact on how
well you can

717
00:35:53,589 --> 00:35:57,085
yet uh... withstand impact injuries no
se sustained writing as well

718
00:35:57,085 --> 00:35:59,219
and dan

719
00:35:59,219 --> 00:36:02,459
twelve impacts on the visit the injury
severity and then the impact that has on

720
00:36:02,459 --> 00:36:05,269
paying the sponsor

721
00:36:05,269 --> 00:36:08,519
interestingly and one of the most
consistent things you find in in the in

722
00:36:08,519 --> 00:36:10,098
the lecture looking on on summation of
studies

723
00:36:10,098 --> 00:36:13,098
is small populations into large-scale
studies looking at least physical

724
00:36:13,098 --> 00:36:16,189
characteristics

725
00:36:16,189 --> 00:36:18,599
a lot of things associated with um...

726
00:36:18,599 --> 00:36:22,589
the actual number extensive musculature
minimal two-fisted rectus finally muscle

727
00:36:22,589 --> 00:36:23,022
groups

728
00:36:23,022 --> 00:36:24,119
uh...

729
00:36:24,119 --> 00:36:25,071
shave in people with back pain

730
00:36:25,071 --> 00:36:27,489
they usually very weak

731
00:36:27,489 --> 00:36:28,099
and they're very agitated

732
00:36:28,099 --> 00:36:33,039
and they unit uh... compared to an older
population of people without back tag

733
00:36:33,039 --> 00:36:37,044
packing that colin able to withstand is
much stratton

734
00:36:37,044 --> 00:36:42,489
unloading as as the people who are
suffering from that

735
00:36:42,489 --> 00:36:44,839
all of these and these things like that
to fade

736
00:36:44,839 --> 00:36:45,073
the uh...

737
00:36:45,073 --> 00:36:48,099
lumbar extension strength

738
00:36:48,099 --> 00:36:52,179
lumber extensive activation is usually
lauren s toward native people of back

739
00:36:52,179 --> 00:36:52,969
pain

740
00:36:52,969 --> 00:36:54,039
and we actually get

741
00:36:54,039 --> 00:36:56,569
interestingly as well

742
00:36:56,569 --> 00:36:59,889
is that people who have the q injuries

743
00:36:59,889 --> 00:37:03,509
tend to have innocent have associated
lumbar muscle atrophy as well

744
00:37:03,509 --> 00:37:06,989
so certainly in the in the most if
that's the people come into a with an

745
00:37:06,989 --> 00:37:10,859
acute injuries though you know that was
done by uh... heights and click

746
00:37:10,859 --> 00:37:12,939
something

747
00:37:12,939 --> 00:37:15,053
and uh... the people who came in with
acute injuries

748
00:37:15,053 --> 00:37:16,579
founder

749
00:37:16,579 --> 00:37:17,809
they had

750
00:37:17,809 --> 00:37:21,021
lumbar muscle wasting his well they
didn't know follow-up study as well and

751
00:37:21,021 --> 00:37:24,058
also did some studies looking at people
coming out of injuries up

752
00:37:24,058 --> 00:37:25,053
and found that

753
00:37:25,053 --> 00:37:28,033
the degree of the improvement in the
back pain was actually related to the

754
00:37:28,033 --> 00:37:31,076
degree of improvement in the lumber mill
musculature as well as the amount we

755
00:37:31,076 --> 00:37:32,073
actually

756
00:37:32,073 --> 00:37:37,579
uh... itouch stage in the amount of and
improvement act financing

757
00:37:37,579 --> 00:37:38,909
says interesting that

758
00:37:38,909 --> 00:37:42,007
first-time and certainly the impact on
whether it becomes chronic or not

759
00:37:42,007 --> 00:37:44,659
is also related to how

760
00:37:44,659 --> 00:37:52,189
strong and how lab well-developed the
actual on the musculature is

761
00:37:52,189 --> 00:37:57,569
when i was in the stuff

762
00:37:57,569 --> 00:38:01,109
and it's not rush for the next time that
sent on the phone sir

763
00:38:01,109 --> 00:38:04,519
wine okay

764
00:38:04,519 --> 00:38:07,619
but is it briefly just such a down on
the indigenous populations that

765
00:38:07,619 --> 00:38:11,000
i have this kind of idea that well if
it's a physical characteristic that is

766
00:38:11,000 --> 00:38:12,004
not necessary to be

767
00:38:12,004 --> 00:38:15,067
uh... environmental cause it causes all
you know that holds online

768
00:38:15,067 --> 00:38:19,269
westernization you know what else is in
the lift anything to win

769
00:38:19,269 --> 00:38:21,229
having impact supple

770
00:38:21,229 --> 00:38:23,799
i'm going to have a look

771
00:38:23,799 --> 00:38:24,091
western prostitutes

772
00:38:24,091 --> 00:38:28,089
with uh... i am indigenous in
traditional population sea while the

773
00:38:28,089 --> 00:38:31,319
rates of back pain are and then see
where they had a hearing to traditional

774
00:38:31,319 --> 00:38:32,024
pain you know

775
00:38:32,024 --> 00:38:34,025
final lifestyle but one of the our
caller

776
00:38:34,025 --> 00:38:38,004
and actually unite reduce the rate at
that time we see and all the times like

777
00:38:38,004 --> 00:38:41,289
and traditional populations are confined
and

778
00:38:41,289 --> 00:38:43,059
literature on research on

779
00:38:43,059 --> 00:38:46,399
count me in the race with justice high
in some cases higher

780
00:38:46,399 --> 00:38:48,009
than about time we have to get

781
00:38:48,009 --> 00:38:52,039
in um... western populations fish in the
it doesn't really matter whether you

782
00:38:52,039 --> 00:38:55,859
convert hitting tradition diet lifestyle
whatever

783
00:38:55,859 --> 00:38:58,032
you seem to seems to be back pain
everywhere we go

784
00:38:58,032 --> 00:39:01,092
out the question honestly rule tide is
because of that discrepancies in some of

785
00:39:01,092 --> 00:39:03,319
the research but

786
00:39:03,319 --> 00:39:04,021
on the whole

787
00:39:04,021 --> 00:39:09,059
is very very prevalent regardless of
what you get it

788
00:39:09,059 --> 00:39:10,319
avodon

789
00:39:10,319 --> 00:39:13,092
a slight here with some of my recent
forced us to quickly go either

790
00:39:13,092 --> 00:39:15,014
now if that's the case

791
00:39:15,014 --> 00:39:18,199
before the potentially there must be
some sort of evolution reasoning for

792
00:39:18,199 --> 00:39:19,389
walleye

793
00:39:19,389 --> 00:39:24,219
we've got a high prevalence of back pain
and to some sort structural

794
00:39:24,219 --> 00:39:29,959
btwn compromise perhaps uses the word to
use that badly she's had to make uh...

795
00:39:29,959 --> 00:39:30,609
elation

796
00:39:30,609 --> 00:39:35,038
resulted in that means that we fuji dot
we care about muscles than than we

797
00:39:35,038 --> 00:39:37,599
really need

798
00:39:37,599 --> 00:39:40,088
and i'll be right that i did everything
since a m trying to book list i'm

799
00:39:40,088 --> 00:39:43,819
working a series of the moment

800
00:39:43,819 --> 00:39:46,309
which will be fascism

801
00:39:46,309 --> 00:39:50,047
just looking at how probable on the spot
is involved in howell diane us all links

802
00:39:50,047 --> 00:39:54,011
if my research and have strengthened the
lumber accents among muscles

803
00:39:54,011 --> 00:39:57,071
actually links back to that somehow
there is an evolution basis for week

804
00:39:57,071 --> 00:40:00,119
lumber expenses

805
00:40:00,119 --> 00:40:02,889
just as a kind of power backup
background

806
00:40:02,889 --> 00:40:06,369
holidays uses and the cat

807
00:40:06,369 --> 00:40:09,889
uh... what's the global market basically
all twelve monkeys is generally

808
00:40:09,889 --> 00:40:12,088
absolutely representative of early

809
00:40:12,088 --> 00:40:16,939
hate bury my sanity sense of before the
pain in the thick area and in the early

810
00:40:16,939 --> 00:40:18,399
nineteen when we left

811
00:40:18,399 --> 00:40:19,038
all boreal

812
00:40:19,038 --> 00:40:25,239
quarter panel four-legged opm trees will
and locomotive dan

813
00:40:25,239 --> 00:40:29,099
and what we what we have those need to
have a very long so sixty seven number

814
00:40:29,099 --> 00:40:31,999
that's right

815
00:40:31,999 --> 00:40:36,019
what then happened is is we kind of
involved in the short back terrestrial

816
00:40:36,019 --> 00:40:42,419
have on the ground grounds and and
branched and swing uh...

817
00:40:42,419 --> 00:40:45,749
and what's what's coming up more was
never quite shortening of the land of

818
00:40:45,749 --> 00:40:46,409
right

819
00:40:46,409 --> 00:40:47,409
because

820
00:40:47,409 --> 00:40:50,629
using what's called regulation which got
swinging between the trees requires a

821
00:40:50,629 --> 00:40:53,549
stable platform from which to break it
from

822
00:40:53,549 --> 00:40:58,349
this is this is actually uh... andy and
image of chimpanzees and

823
00:40:58,349 --> 00:41:02,549
uh... spinal sent his pelvis
inconceivable in the spines school

824
00:41:02,549 --> 00:41:03,083
dramatically

825
00:41:03,083 --> 00:41:06,018
and what's also happened is the iliac
crest

826
00:41:06,018 --> 00:41:07,209
have come up

827
00:41:07,209 --> 00:41:11,249
elongated and they cause like an
entrapment of the lungs spine so what

828
00:41:11,249 --> 00:41:15,369
happens is is we've gone from big long
spines really short spine with a lot of

829
00:41:15,369 --> 00:41:18,689
passive rigidity and all of passive
uh...

830
00:41:18,689 --> 00:41:20,589
structural integrity of that

831
00:41:20,589 --> 00:41:23,059
so will subsequently happens

832
00:41:23,059 --> 00:41:28,039
is over that period of time we've gone
from having a relatively massive strong

833
00:41:28,039 --> 00:41:32,069
erect respond i was involved in involved
heavily in our locomotion

834
00:41:32,069 --> 00:41:35,359
touting a relatively small

835
00:41:35,359 --> 00:41:38,509
one in eight times a cross-section i ran
across that you have a muscle as an

836
00:41:38,509 --> 00:41:40,989
impact on the actual math forced
generate

837
00:41:40,989 --> 00:41:42,899
site smaller muscles

838
00:41:42,899 --> 00:41:46,709
jim remain weak muscles

839
00:41:46,709 --> 00:41:49,017
icahn says an evolution basis for y

840
00:41:49,017 --> 00:41:50,279
potentially

841
00:41:50,279 --> 00:41:52,369
a lot of people have got week back
muscles

842
00:41:52,369 --> 00:41:54,099
and his wife seriously when i get people
into testing

843
00:41:54,099 --> 00:42:00,109
in the lumber extension shame which of
the freemen as well

844
00:42:00,109 --> 00:42:01,098
in that case what can you do about it

845
00:42:01,098 --> 00:42:06,629
where two different i'd like to methods
of treatment as a passive treatments

846
00:42:06,629 --> 00:42:11,029
rashad payne absence of relief and this
is one of the reasons why

847
00:42:11,029 --> 00:42:14,032
the costs of it's freezing back pain at
the site hard

848
00:42:14,032 --> 00:42:17,016
is because a lot of treatment options
focus on relieving the symptoms

849
00:42:17,016 --> 00:42:20,005
relieving the pain that the focusing on
what the actual

850
00:42:20,005 --> 00:42:22,259
underlying causal factors

851
00:42:22,259 --> 00:42:25,719
so things like bed rest in a a
depression pain killers that something's

852
00:42:25,719 --> 00:42:28,089
sarge they'll focus on pain relief

853
00:42:28,089 --> 00:42:29,349
and actually

854
00:42:29,349 --> 00:42:31,369
removing the perception of pain relief

855
00:42:31,369 --> 00:42:34,519
spirits as the great on the short time

856
00:42:34,519 --> 00:42:35,959
really painful

857
00:42:35,959 --> 00:42:38,949
but then she comes back because they
haven't dealt with the coles and that

858
00:42:38,949 --> 00:42:44,179
would watch at actually the mechanism
which is actually stimulating the times

859
00:42:44,179 --> 00:42:47,002
the value of the cells treatments and
there is somebody

860
00:42:47,002 --> 00:42:50,058
is in terms of uh... the severity to
frighten people really bad pain and you

861
00:42:50,058 --> 00:42:53,038
need to begin active treatment program

862
00:42:53,038 --> 00:42:56,779
sometimes the social treatments can be
very useful indicating that process it

863
00:42:56,779 --> 00:42:58,012
is hard to accompany

864
00:42:58,012 --> 00:43:01,599
and get involved with the program

865
00:43:01,599 --> 00:43:06,849
in that respect we should be immediately
dismissed as being completely deceitful

866
00:43:06,849 --> 00:43:09,109
that is of a role for the ms nine wall

867
00:43:09,109 --> 00:43:11,999
role they should play a treatment
program

868
00:43:11,999 --> 00:43:14,859
and yet for three years and years and
years doctors we recommend that

869
00:43:14,859 --> 00:43:16,999
breastfed back pain but

870
00:43:16,999 --> 00:43:21,299
that's done to realize now that doesn't
really

871
00:43:21,299 --> 00:43:23,679
so stupid

872
00:43:23,679 --> 00:43:25,000
the next time area

873
00:43:25,000 --> 00:43:27,249
is abt active

874
00:43:27,249 --> 00:43:30,469
active on uh... treatment options which
it would she have physical treatment

875
00:43:30,469 --> 00:43:33,002
options aimed at trying to address the
actual course

876
00:43:33,002 --> 00:43:34,039
but at that time

877
00:43:34,039 --> 00:43:37,089
and that the traditional primaries in
looking at physiotherapy sick physical

878
00:43:37,089 --> 00:43:38,669
manipulation of the joints

879
00:43:38,669 --> 00:43:40,169
and um...

880
00:43:40,169 --> 00:43:43,199
you know that there's a really long
history of using uh... manipulation

881
00:43:43,199 --> 00:43:46,069
techniques such as mackenzie stuff and
they've been very useful way in in

882
00:43:46,069 --> 00:43:47,064
research and adding

883
00:43:47,064 --> 00:43:50,005
in clinical practice in introducing pain
outcomes

884
00:43:50,005 --> 00:43:51,719
and improving

885
00:43:51,719 --> 00:43:54,769
functional outcomes improving function
of the of the joys of the uh... and

886
00:43:54,769 --> 00:43:57,759
physiotherapist manipulating

887
00:43:57,759 --> 00:43:59,075
well the problems that we had with it is

888
00:43:59,075 --> 00:44:03,095
and zan it's unfortunately lee just a a
problem with the technique and therefore

889
00:44:03,095 --> 00:44:06,022
the cuff is effective for the writing is
just that

890
00:44:06,022 --> 00:44:08,081
the technique relies on a subjective so
flight

891
00:44:08,081 --> 00:44:12,069
uh... clinically wisdom if you like a
third of the physiotherapists is very

892
00:44:12,069 --> 00:44:13,859
difficult to provide verse of like

893
00:44:13,859 --> 00:44:16,047
yet objectives and and valid measurement

894
00:44:16,047 --> 00:44:19,007
of what the joints actually doing so
they can be useful is very difficult to

895
00:44:19,007 --> 00:44:20,069
that

896
00:44:20,069 --> 00:44:24,049
gets old white baseline measurement that
you know is accurate and provide

897
00:44:24,049 --> 00:44:24,099
progressive

898
00:44:24,099 --> 00:44:29,091
intervention to try and solve tackle and
every measure again get accurate results

899
00:44:29,091 --> 00:44:33,829
and thinking you know i definitely know
that that's great

900
00:44:33,829 --> 00:44:37,139
so one things you can do instead is
actually apply progressive sobai

901
00:44:37,139 --> 00:44:40,429
exercise prior program and not
necessarily focus also but physical

902
00:44:40,429 --> 00:44:41,055
manipulation which

903
00:44:41,055 --> 00:44:43,059
to extend involves a

904
00:44:43,059 --> 00:44:47,339
uh... the combination of subjective sold
like uh... interpretation and also the

905
00:44:47,339 --> 00:44:52,029
com wisdom of the actual physiotherapist

906
00:44:52,029 --> 00:44:55,589
now their free time i a reserve an
excise indicate that we can look at

907
00:44:55,589 --> 00:44:57,419
which the lipstick admits that

908
00:44:57,419 --> 00:45:01,469
well in this kind of general activity
which is basically decide their own

909
00:45:01,469 --> 00:45:04,039
get on with with it if you go back and
get on with it just

910
00:45:04,039 --> 00:45:08,079
the active do what you can can you
confirm run good do whatever take on a

911
00:45:08,079 --> 00:45:09,679
class

912
00:45:09,679 --> 00:45:13,299
and and some areas of research had
focused on this new edition rows of the

913
00:45:13,299 --> 00:45:15,599
good outcomes in terms of payment spawns

914
00:45:15,599 --> 00:45:18,269
the problem is very difficult to say

915
00:45:18,269 --> 00:45:22,259
that they're holy affected because they
don't necessarily houston and the

916
00:45:22,259 --> 00:45:23,119
phillies geez

917
00:45:23,119 --> 00:45:25,559
objective measures of function

918
00:45:25,559 --> 00:45:28,689
site it's very difficult to objectively
say

919
00:45:28,689 --> 00:45:32,209
functional outcomes and improved pain
meds were just for whatever reason maybe

920
00:45:32,209 --> 00:45:34,001
because of a conscious general

921
00:45:34,001 --> 00:45:35,043
outcome of the excise

922
00:45:35,043 --> 00:45:38,779
but it's very difficult to jets every
validate that

923
00:45:38,779 --> 00:45:42,719
the second robot school of foreign zones
of excise whole idea of stability trying

924
00:45:42,719 --> 00:45:46,499
them out of control training and it is
very big in the complex pulls

925
00:45:46,499 --> 00:45:47,093
performance areas

926
00:45:47,093 --> 00:45:51,001
answer is a very big in rehab and areas
as well

927
00:45:51,001 --> 00:45:51,009
and

928
00:45:51,009 --> 00:45:55,047
there are a number of problems that with
this approach i failed uh... in terms of

929
00:45:55,047 --> 00:45:56,409
the actual

930
00:45:56,409 --> 00:45:59,299
controlled trials downstate look is the
fact that this again

931
00:45:59,299 --> 00:46:01,649
it does show improvements

932
00:46:01,649 --> 00:46:05,529
outcome measures such pain and
disability and that sort of thing

933
00:46:05,529 --> 00:46:09,559
the problem is on a theoretical basis is
underlying um...

934
00:46:09,559 --> 00:46:13,679
premises very for very flawed it seems
to be that in general

935
00:46:13,679 --> 00:46:17,979
it's probably just a generalized excise
effect from doing the activities that

936
00:46:17,979 --> 00:46:19,819
having an impact on it

937
00:46:19,819 --> 00:46:23,169
physics behind them

938
00:46:23,169 --> 00:46:25,429
sinking

939
00:46:25,429 --> 00:46:28,289
so it was a little bit of the the whole
motor control fit for a few dozen

940
00:46:28,289 --> 00:46:31,929
familiar with the hine says h<u>i</u>v_
lecture and certainly but we also have

941
00:46:31,929 --> 00:46:34,209
the political science

942
00:46:34,209 --> 00:46:39,359
they discussed in quite detailed yet how
fast iv transpacific scalia's decline

943
00:46:39,359 --> 00:46:41,819
kal bounce around swiss for whatever

944
00:46:41,819 --> 00:46:45,079
these specific skills and and question
the answer transference about scaling

945
00:46:45,079 --> 00:46:46,019
the actual

946
00:46:46,019 --> 00:46:49,469
muscle recruitment plans are you saying
that stuff over activities

947
00:46:49,469 --> 00:46:50,409
site

948
00:46:50,409 --> 00:46:54,549
on that basis during these motor control
instability exercises

949
00:46:54,549 --> 00:46:57,239
it's is very ten years to suggest that

950
00:46:57,239 --> 00:46:58,024
is the actual

951
00:46:58,024 --> 00:47:01,008
motor control has been transferred to
them reduced pain and injury right

952
00:47:01,008 --> 00:47:05,039
reason improve disability it's probably
just a general

953
00:47:05,039 --> 00:47:09,025
adaptation the actual masterchief
rothman proven transference

954
00:47:09,025 --> 00:47:12,009
of the kind of skills involved

955
00:47:12,009 --> 00:47:16,046
another level as well as recent research
at has focused on time

956
00:47:16,046 --> 00:47:19,064
news the white techniques of measuring
at range of motion an actual joint

957
00:47:19,064 --> 00:47:20,439
mission

958
00:47:20,439 --> 00:47:21,909
into segments early

959
00:47:21,909 --> 00:47:25,017
sit on the spinal cancer that is not a
five to four vote right

960
00:47:25,017 --> 00:47:28,048
and what a lot of research recently is
fixed on is how those individuals are

961
00:47:28,048 --> 00:47:32,005
brand new even how the muscles surrounds
those individual that a break

962
00:47:32,005 --> 00:47:33,989
control dot

963
00:47:33,989 --> 00:47:37,799
mind is that for the actual facets of
the the whole matter controller syria

964
00:47:37,799 --> 00:47:41,099
and misinterpretation of that skill
transparency

965
00:47:41,099 --> 00:47:43,339
but one of the problems of aids

966
00:47:43,339 --> 00:47:47,159
the to the studies of lots of people
with back pain suggested ah...

967
00:47:47,159 --> 00:47:51,039
people with partner about backpacking
have a lot of variability in the uh...

968
00:47:51,039 --> 00:47:55,119
sp into segments to movement of and
that's a bright

969
00:47:55,119 --> 00:47:56,589
but the problem is

970
00:47:56,589 --> 00:47:58,299
so does everyone

971
00:47:58,299 --> 00:47:59,021
decision get

972
00:47:59,021 --> 00:48:00,229
above

973
00:48:00,229 --> 00:48:04,049
the solve love that's a bright with a
majority of movement actually 'cause it

974
00:48:04,049 --> 00:48:05,229
seems to be that

975
00:48:05,229 --> 00:48:08,929
the movement is very into individual
you've taken population of of healthy

976
00:48:08,929 --> 00:48:11,057
divisions and fun last variability
between

977
00:48:11,057 --> 00:48:15,095
individuals so it makes it quite hard to
then say well how is definitely

978
00:48:15,095 --> 00:48:17,076
that which is causing an impact

979
00:48:17,076 --> 00:48:21,045
on uh... united that show uh... function
of the lungs spot because the majority

980
00:48:21,045 --> 00:48:22,949
movement because

981
00:48:22,949 --> 00:48:24,809
and the lower levels of uh... bright

982
00:48:24,809 --> 00:48:28,609
and a majority that movement is produced
by the larger uh... musculature

983
00:48:28,609 --> 00:48:29,779
externally

984
00:48:29,779 --> 00:48:34,329
and compress images is provided by
internal musculature again

985
00:48:34,329 --> 00:48:36,289
them out of control theory

986
00:48:36,289 --> 00:48:40,349
it's not necessarily training that
particular skills particular skills and

987
00:48:40,349 --> 00:48:41,289
help

988
00:48:41,289 --> 00:48:44,329
so what we then move on to decide their
progress strengthening and and in

989
00:48:44,329 --> 00:48:47,509
particular high-intensity sector

990
00:48:47,509 --> 00:48:50,013
without going into detail because on the
web time

991
00:48:50,013 --> 00:48:53,037
of yet high intensity training
principles and everybody was times beach

992
00:48:53,037 --> 00:48:56,899
read a little too literature in the area
uh...

993
00:48:56,899 --> 00:48:59,079
and other lucrative mention actually
there

994
00:48:59,079 --> 00:49:02,039
uh... i'm not sure toll-free paperwork
done at the moment so hopefully i'll be

995
00:49:02,039 --> 00:49:02,919
have

996
00:49:02,919 --> 00:49:07,729
publishes some point you guys got to
meet up to the crime scene

997
00:49:07,729 --> 00:49:08,053
buddy right yet

998
00:49:08,053 --> 00:49:10,299
progressive strengthening site

999
00:49:10,299 --> 00:49:14,629
resistance excise this could be

1000
00:49:14,629 --> 00:49:16,539
one question mark side

1001
00:49:16,539 --> 00:49:18,859
and is

1002
00:49:18,859 --> 00:49:21,799
do these exercises trying the lumber
extensive musculature

1003
00:49:21,799 --> 00:49:23,269
through the dead lift

1004
00:49:23,269 --> 00:49:25,549
good morning brian and share right

1005
00:49:25,549 --> 00:49:28,499
generic insists i dot

1006
00:49:28,499 --> 00:49:30,539
back extension excised

1007
00:49:30,539 --> 00:49:33,299
one of the problems with all these
excise is is

1008
00:49:33,299 --> 00:49:34,007
they involve

1009
00:49:34,007 --> 00:49:35,064
hip extension as well

1010
00:49:35,064 --> 00:49:39,048
say there is movement of the hips as
well as movement have the uh...

1011
00:49:39,048 --> 00:49:41,739
outlook on the spot

1012
00:49:41,739 --> 00:49:45,379
and when we're looking at a time kind of
movements and so like rest compound

1013
00:49:45,379 --> 00:49:46,229
movements

1014
00:49:46,229 --> 00:49:48,689
the bollywood seem to find a way of

1015
00:49:48,689 --> 00:49:52,799
making things efficient and making
things things and and incision in terms

1016
00:49:52,799 --> 00:49:54,015
of energy expenditure

1017
00:49:54,015 --> 00:49:57,092
so when we looking excised involve
movement around the hits

1018
00:49:57,092 --> 00:50:02,062
larger and stronger muscles of the group
at the if the and please and hamstrings

1019
00:50:02,062 --> 00:50:05,015
fans do the majority of the like that

1020
00:50:05,015 --> 00:50:06,048
now studies have been done

1021
00:50:06,048 --> 00:50:07,739
to look at it

1022
00:50:07,739 --> 00:50:10,289
activation of the lumbar extensor
musculature

1023
00:50:10,289 --> 00:50:14,659
in these various excise is in fact and
we we uh... one of the students is just

1024
00:50:14,659 --> 00:50:17,369
uh... compares the fact that lessons and

1025
00:50:17,369 --> 00:50:18,529
traditional deadliest

1026
00:50:18,529 --> 00:50:20,409
and you know the lumber stance is
definitely

1027
00:50:20,409 --> 00:50:21,629
active

1028
00:50:21,629 --> 00:50:25,709
insensitive using a election on the fee
which measures the image cracked version

1029
00:50:25,709 --> 00:50:26,759
of the muscles

1030
00:50:26,759 --> 00:50:31,159
and during it sizes bosses excise is
being done

1031
00:50:31,159 --> 00:50:34,399
that doesn't ask anything other than
their activities and tell us the extent

1032
00:50:34,399 --> 00:50:39,579
of activation accounting for their very
schools involved with the technique

1033
00:50:39,579 --> 00:50:44,269
lewis's their active uh... sending him
out my number expenses are active

1034
00:50:44,269 --> 00:50:48,949
but doesn't this lean mean that they're
getting sufficient stimulus

1035
00:50:48,949 --> 00:50:51,259
uh... produce an adaptive response

1036
00:50:51,259 --> 00:50:53,699
they need to be loaded sufficiently

1037
00:50:53,699 --> 00:50:57,024
and city sufficiently trashy produced
and that the response

1038
00:50:57,024 --> 00:50:58,097
boom of all of these excise is is

1039
00:50:58,097 --> 00:51:01,319
they allow hit extension

1040
00:51:01,319 --> 00:51:05,419
and they allow the collision hamstrings
and the majority of the load bearing

1041
00:51:05,419 --> 00:51:07,289
studies looking at comparing

1042
00:51:07,289 --> 00:51:10,509
at traditional back extension chains
with what we want to insect which is the

1043
00:51:10,509 --> 00:51:13,109
lumber extension seem pretty fanatics

1044
00:51:13,109 --> 00:51:16,026
both is that he's looking at and
comparing the um...

1045
00:51:16,026 --> 00:51:17,075
raymond share exercise

1046
00:51:17,075 --> 00:51:20,369
to the lumber extension shea showed up

1047
00:51:20,369 --> 00:51:22,479
as long as he picks engines allowed

1048
00:51:22,479 --> 00:51:25,959
lowell insulated lumbar extension
strength is an increased because of on

1049
00:51:25,959 --> 00:51:30,499
the musculature presumably isn't loaded
sufficiently interested sufficiently

1050
00:51:30,499 --> 00:51:34,479
also am james fish in a guy's gonna be
coming on sunday as well to the exiles

1051
00:51:34,479 --> 00:51:35,799
intrusion kunin

1052
00:51:35,799 --> 00:51:37,003
as just finished and

1053
00:51:37,003 --> 00:51:39,849
a city he's been doing comparing this to
think that left with the lumber

1054
00:51:39,849 --> 00:51:42,018
extension chain and interestingly

1055
00:51:42,018 --> 00:51:43,799
stiff but their lives

1056
00:51:43,799 --> 00:51:46,969
that really improve your lumber
extensive rammstein

1057
00:51:46,969 --> 00:51:49,719
a couple of people grew the lumber
extension straight

1058
00:51:49,719 --> 00:51:55,279
not a significant agreeing on the whole
most people didn't

1059
00:51:55,279 --> 00:51:57,049
so what can we do we do that

1060
00:51:57,049 --> 00:52:01,149
so if you've got guys maybe you know
that all have access to quit my like

1061
00:52:01,149 --> 00:52:04,789
this study in those cases yet

1062
00:52:04,789 --> 00:52:08,009
how many of you from london actually

1063
00:52:08,009 --> 00:52:09,829
ecology

1064
00:52:09,829 --> 00:52:12,789
you guys will have access to the
equipment

1065
00:52:12,789 --> 00:52:16,016
back and then i think it is a facility
cookies a training

1066
00:52:16,016 --> 00:52:19,249
they have a full range of medics
training equipment

1067
00:52:19,249 --> 00:52:22,039
and they have a medical version lumbar
extension chain here

1068
00:52:22,039 --> 00:52:24,679
i think that an excise division as well

1069
00:52:24,679 --> 00:52:28,069
legend is that they equipment we've got
a university which has all the testing

1070
00:52:28,069 --> 00:52:29,469
facilities on as well

1071
00:52:29,469 --> 00:52:31,033
and the main principle behind it

1072
00:52:31,033 --> 00:52:33,589
is the stress-strain systems

1073
00:52:33,589 --> 00:52:37,066
so what is the changes in st is
basically what the pelvis in place

1074
00:52:37,066 --> 00:52:41,629
pipeline forced down on the theme is by
the man

1075
00:52:41,629 --> 00:52:46,759
uh... five-story mistresses kind of life
opens to the point

1076
00:52:46,759 --> 00:52:50,659
the football that applies force out the
lower legs which hit three

1077
00:52:50,659 --> 00:52:51,939
fema restraint

1078
00:52:51,939 --> 00:52:55,709
which then combustible backwards the
famous what doesn't really holds the

1079
00:52:55,709 --> 00:52:59,639
pelvis down back against the spelled
with a straight ahead

1080
00:52:59,639 --> 00:53:01,079
and what happens then it

1081
00:53:01,079 --> 00:53:05,096
is no movement forth and back actually
athletes conf calf in the pelvis

1082
00:53:05,096 --> 00:53:07,022
sony flexion

1083
00:53:07,022 --> 00:53:08,499
extension

1084
00:53:08,499 --> 00:53:10,069
movement that because

1085
00:53:10,069 --> 00:53:12,879
just because of the lumber lunberg
senses

1086
00:53:12,879 --> 00:53:14,017
so we can do it

1087
00:53:14,017 --> 00:53:17,077
as we can more effectively loaded at
going back to the the evolution of the

1088
00:53:17,077 --> 00:53:18,006
uh...

1089
00:53:18,006 --> 00:53:21,259
perspective

1090
00:53:21,259 --> 00:53:25,109
one of the reasons perhaps that we've
got stronger lilac gleason hamstrings

1091
00:53:25,109 --> 00:53:28,059
is because of the way out date patterns
has evolved when we kind of like

1092
00:53:28,059 --> 00:53:29,099
compaq children's

1093
00:53:29,099 --> 00:53:34,024
we went sizzled has been hit sent me and
katelyn if you think it how much of that

1094
00:53:34,024 --> 00:53:35,035
these gorillas live

1095
00:53:35,035 --> 00:53:39,013
and that involved a heavier influence of
heavy involvement of the grease

1096
00:53:39,013 --> 00:53:40,021
enhancing sec

1097
00:53:40,021 --> 00:53:42,859
potentially there's a there's a powerful
e dash away

1098
00:53:42,859 --> 00:53:46,599
because we have changed again massively
powerful must be strong

1099
00:53:46,599 --> 00:53:50,098
and now in this position would go a long
dated lumber uh... lumbar spine again

1100
00:53:50,098 --> 00:53:56,089
to allow bipedal movement to to for
example a two-legged walking

1101
00:53:56,089 --> 00:53:57,004
and we've got his legacy of

1102
00:53:57,004 --> 00:54:01,029
big strong voice and sing but we can
spon muscles which creates its just

1103
00:54:01,029 --> 00:54:01,065
uh...

1104
00:54:01,065 --> 00:54:03,349
recipe for dan

1105
00:54:03,349 --> 00:54:06,069
hi levels of the whole high prevalence
of back pain

1106
00:54:06,069 --> 00:54:07,075
so we can do is we can isolate it

1107
00:54:07,075 --> 00:54:12,063
and effectively test in isolation
attesting isolation is important because

1108
00:54:12,063 --> 00:54:15,909
anne of the previous tests it that re
says he's looking at

1109
00:54:15,909 --> 00:54:16,072
extension

1110
00:54:16,072 --> 00:54:18,909
to exit trump extension

1111
00:54:18,909 --> 00:54:20,052
they've got it uh...

1112
00:54:20,052 --> 00:54:24,829
the dispensing testing fantasy machine
and not skip elvis so it's very

1113
00:54:24,829 --> 00:54:26,429
difficult for them to say

1114
00:54:26,429 --> 00:54:30,979
that with us and love back because the
hips and and uh... hits the extension is

1115
00:54:30,979 --> 00:54:32,095
involved in prison hamstrings involved

1116
00:54:32,095 --> 00:54:35,054
to the actual measurements they take you
to be a combination of all of those

1117
00:54:35,054 --> 00:54:36,329
factors

1118
00:54:36,329 --> 00:54:39,005
yukon in allies like that one factor

1119
00:54:39,005 --> 00:54:43,019
was machine does is isolates that allows
us to get varied objective invalid

1120
00:54:43,019 --> 00:54:45,048
picture of lumbar spine function

1121
00:54:45,048 --> 00:54:48,071
and we can measure for a full range of
motion we can produce and and look at

1122
00:54:48,071 --> 00:54:51,789
what i think uh... books like

1123
00:54:51,789 --> 00:54:53,259
in general

1124
00:54:53,259 --> 00:54:57,066
they would back pain since before we
even below the top one or more range of

1125
00:54:57,066 --> 00:54:58,489
strength

1126
00:54:58,489 --> 00:55:01,249
when we look at things we have this
common bell curve in the middle is the

1127
00:55:01,249 --> 00:55:05,279
average some people release on some
people over a three-week the most people

1128
00:55:05,279 --> 00:55:06,015
back time

1129
00:55:06,015 --> 00:55:07,189
tend to have

1130
00:55:07,189 --> 00:55:08,068
really low levels

1131
00:55:08,068 --> 00:55:10,046
of love of lumber extensions right

1132
00:55:10,046 --> 00:55:11,094
they can't afford to let the norms

1133
00:55:11,094 --> 00:55:16,819
will sally and just make it up to the
ball range

1134
00:55:16,819 --> 00:55:18,809
just to finish up at one of my thing

1135
00:55:18,809 --> 00:55:23,259
so it's been like this um... dot and the
military's top

1136
00:55:23,259 --> 00:55:26,169
flaunt they're doing is looking at some
research

1137
00:55:26,169 --> 00:55:30,039
using the lumber extension james caan
plug some of the gaps

1138
00:55:30,039 --> 00:55:33,099
the number extension shames
rehabilitation uh... and and and

1139
00:55:33,099 --> 00:55:36,079
strengthening using high-intensity
excise

1140
00:55:36,079 --> 00:55:36,879
others

1141
00:55:36,879 --> 00:55:39,789
cool just wrapping up

1142
00:55:39,789 --> 00:55:41,027
what what is allows the war

1143
00:55:41,027 --> 00:55:44,749
the majority of rescission is in a hell
of a lot of research mechanic says that

1144
00:55:44,749 --> 00:55:49,639
one yet improves lumbar extension center
improves isolated lunberg lumber spon

1145
00:55:49,639 --> 00:55:50,043
from chin

1146
00:55:50,043 --> 00:55:52,499
right wheaton objectively measure that

1147
00:55:52,499 --> 00:55:55,869
research shows that we know that works

1148
00:55:55,869 --> 00:55:57,689
increased pain outcomes

1149
00:55:57,689 --> 00:56:02,038
massive studies are studies have been
got done using the uh... medics machine

1150
00:56:02,038 --> 00:56:06,018
all the studies done in people with back
pain should improve pain outcomes

1151
00:56:06,018 --> 00:56:09,017
along with improved function prove
number extension strength

1152
00:56:09,017 --> 00:56:12,209
'cause reprieve strengthening prove
joint function we've got a nice

1153
00:56:12,209 --> 00:56:15,239
objective measure that would find pains
reduced moved to file a disability

1154
00:56:15,239 --> 00:56:18,639
levels nation using technical glitches

1155
00:56:18,639 --> 00:56:19,091
amber improved as well

1156
00:56:19,091 --> 00:56:22,013
two great we know that it works in terms
of

1157
00:56:22,013 --> 00:56:24,059
improving function an improving pang

1158
00:56:24,059 --> 00:56:28,022
and if you've got guys can get access to
the case of facilities you guys and

1159
00:56:28,022 --> 00:56:31,579
access to it as well and if you've got
and you can

1160
00:56:31,579 --> 00:56:33,729
uh... take time incident

1161
00:56:33,729 --> 00:56:37,419
fancy and an teas that strength in your
muscles

1162
00:56:37,419 --> 00:56:38,057
but the thing is

1163
00:56:38,057 --> 00:56:43,029
coming back to these complex sensitive
factors involved with back pain

1164
00:56:43,029 --> 00:56:45,999
my fourth on on these are the
potentially the most symptoms often

1165
00:56:45,999 --> 00:56:47,519
causes

1166
00:56:47,519 --> 00:56:49,959
to be interesting to see whether or not

1167
00:56:49,959 --> 00:56:51,739
before addressing the

1168
00:56:51,739 --> 00:56:56,039
potentially ultimate calls and uses the
word ultima arash review familiar jack

1169
00:56:56,039 --> 00:56:59,169
diamonds but dungeons and still uses
live there

1170
00:56:59,169 --> 00:57:02,409
proximal causes an ultimate courses

1171
00:57:02,409 --> 00:57:07,619
yeltsin of course big what causes these
things these extra proximal causes which

1172
00:57:07,619 --> 00:57:09,529
then have an impact on the

1173
00:57:09,529 --> 00:57:12,289
you know lax images like paying
disability and that's ok

1174
00:57:12,289 --> 00:57:14,249
and if we if we consider

1175
00:57:14,249 --> 00:57:18,469
potentially week lumbar extension
muscles of what's happening impact

1176
00:57:18,469 --> 00:57:20,095
and causing these of uh... ishi's

1177
00:57:20,095 --> 00:57:24,048
but limited range of motion degenerate
fiske's indicate very that series of a

1178
00:57:24,048 --> 00:57:26,429
physical symptoms

1179
00:57:26,429 --> 00:57:28,043
what we might see is if we address that

1180
00:57:28,043 --> 00:57:29,879
ultimate kalos

1181
00:57:29,879 --> 00:57:33,249
we might see an impact on these of a
possible causes well ease tension

1182
00:57:33,249 --> 00:57:34,006
simpson's

1183
00:57:34,006 --> 00:57:36,409
well my research is looking at

1184
00:57:36,409 --> 00:57:40,209
physically improve lumbar extension
strength

1185
00:57:40,209 --> 00:57:44,109
we improve pain withdrew bridges
pampered disability right

1186
00:57:44,109 --> 00:57:45,389
week and we'll say

1187
00:57:45,389 --> 00:57:46,639
with you decided

1188
00:57:46,639 --> 00:57:50,039
of improving range of motion as well to
solicit some of the research looking at

1189
00:57:50,039 --> 00:57:51,829
has improved regulation

1190
00:57:51,829 --> 00:57:53,699
one interesting thing is

1191
00:57:53,699 --> 00:57:57,319
is most people back i have a limited
range of motion to begin with

1192
00:57:57,319 --> 00:58:00,339
so clinicians employees limited range of
motion

1193
00:58:00,339 --> 00:58:01,859
intervention

1194
00:58:01,859 --> 00:58:05,075
now bill phyllis and i and talks a lot
of our islands of regulation excised

1195
00:58:05,075 --> 00:58:09,529
and the theoretical basis of why he
suggests avoiding

1196
00:58:09,529 --> 00:58:12,819
streams of the range of motion sensor
for the lumber extensions can be

1197
00:58:12,819 --> 00:58:15,041
extremes inflection extremes of
extension

1198
00:58:15,041 --> 00:58:18,059
is because in those positions the
muscles on necessarily

1199
00:58:18,059 --> 00:58:19,789
what's being loaded

1200
00:58:19,789 --> 00:58:23,319
it may be the patent issues attendance
ligaments lines they're gonna be what

1201
00:58:23,319 --> 00:58:24,869
load as well

1202
00:58:24,869 --> 00:58:27,066
so what what we're looking at doing is
saying whether or not

1203
00:58:27,066 --> 00:58:28,065
we can actually

1204
00:58:28,065 --> 00:58:32,072
on the medics take the exercise limited
to a very small range of motion avoiding

1205
00:58:32,072 --> 00:58:36,319
those extremes of the world are still
produces full range functional outcomes

1206
00:58:36,319 --> 00:58:38,499
as if that still produces improvements
in

1207
00:58:38,499 --> 00:58:43,249
it's associates in tune with limited
range of motion

1208
00:58:43,249 --> 00:58:44,809
secondly within the kit

1209
00:58:44,809 --> 00:58:46,022
in a very busy as well

1210
00:58:46,022 --> 00:58:49,075
should admit when he came up to the lab
we've got i was gonna buy consistent

1211
00:58:49,075 --> 00:58:51,045
that's actually a freidy

1212
00:58:51,045 --> 00:58:52,049
imaging system

1213
00:58:52,049 --> 00:58:56,749
well and if any does he have high level
of the rings is put together

1214
00:58:56,749 --> 00:58:59,939
when they picked all the mystical these
little night that ping-pong balls will

1215
00:58:59,939 --> 00:59:00,054
ever end

1216
00:59:00,054 --> 00:59:03,009
and he just doesn't list off the cameras
recorded essentially the same system for

1217
00:59:03,009 --> 00:59:04,619
too much

1218
00:59:04,619 --> 00:59:08,869
and symbolic invaded as i can take
distance ed and i can

1219
00:59:08,869 --> 00:59:10,329
marketable up

1220
00:59:10,329 --> 00:59:13,659
film than using these ten freidy cameras
in the reconstruct that have an

1221
00:59:13,659 --> 00:59:18,009
animation see exactly how their lungs
spine is moving relative to that elvis

1222
00:59:18,009 --> 00:59:21,064
well several king so i can see how very
police to begin with

1223
00:59:21,064 --> 00:59:25,026
and then look to see what impact
strengthening those muscles has on

1224
00:59:25,026 --> 00:59:28,078
improving the way they walk as well as
britain is kind of extra simpson

1225
00:59:28,078 --> 00:59:32,509
this is listed below that time

1226
00:59:32,509 --> 00:59:34,129
and lastly as well

1227
00:59:34,129 --> 00:59:36,209
we're going to look at

1228
00:59:36,209 --> 00:59:39,279
effect looting has actually only

1229
00:59:39,279 --> 00:59:41,005
numbers on the discs as well

1230
00:59:41,005 --> 00:59:42,829
we know that you know

1231
00:59:42,829 --> 00:59:47,319
progresses high-intensity strength
training most the muscles improves must

1232
00:59:47,319 --> 00:59:51,053
must papers like the increases have
purchased a increases strength

1233
00:59:51,053 --> 00:59:52,359
we know that

1234
00:59:52,359 --> 00:59:56,289
increases bone mineral density in fact
you know the status of that uh...

1235
00:59:56,289 --> 00:59:59,819
what effect the lumber extension she has
available by mineral density of the the

1236
00:59:59,819 --> 01:00:01,949
strength and taken to the actual that's
right

1237
01:00:01,949 --> 01:00:04,042
and fowler increases by mineral density
as well

1238
01:00:04,042 --> 01:00:07,091
one thing i mean the time you see any
structure the in the love that the that

1239
01:00:07,091 --> 01:00:09,839
you know it has an impact on that

1240
01:00:09,839 --> 01:00:12,002
i'd like to see whether actually has an
effect on

1241
01:00:12,002 --> 01:00:15,069
improving discount

1242
01:00:15,069 --> 01:00:18,749
most people people about that time due
to some extent especially as you get

1243
01:00:18,749 --> 01:00:22,779
older they get unit fifty generation
which concerns herniation bolting accept

1244
01:00:22,779 --> 01:00:23,429
it

1245
01:00:23,429 --> 01:00:26,259
and some people got this idea

1246
01:00:26,259 --> 01:00:27,048
the more you move

1247
01:00:27,048 --> 01:00:31,026
the more he creates variances impression
across that says you ben folds back was

1248
01:00:31,026 --> 01:00:32,579
the discs basically

1249
01:00:32,579 --> 01:00:35,799
and gets washed and extending either
side

1250
01:00:35,799 --> 01:00:39,529
so it's not extension movements
creatives

1251
01:00:39,529 --> 01:00:41,046
squeeze mechanism is listing

1252
01:00:41,046 --> 01:00:42,029
sundance

1253
01:00:42,029 --> 01:00:47,449
and to increase hydration subdesc why
one of the time the cap was well

1254
01:00:47,449 --> 01:00:50,969
may be that that works in terms of
physiotherapy what i'll be effective at

1255
01:00:50,969 --> 01:00:53,053
the same time i does load have an effect
on it

1256
01:00:53,053 --> 01:00:57,159
and may well day because the study that
that uh...

1257
01:00:57,159 --> 01:00:59,459
uh... but you know that's the family

1258
01:00:59,459 --> 01:01:01,229
the changes in

1259
01:01:01,229 --> 01:01:04,779
but it was named traveled on the soft so
but by no means area which is very

1260
01:01:04,779 --> 01:01:08,024
closely associated with the disc alphas
well as discs degenerate

1261
01:01:08,024 --> 01:01:10,599
that since the generators muslim aviall
inc

1262
01:01:10,599 --> 01:01:12,719
that i could potentially have in effect

1263
01:01:12,719 --> 01:01:16,299
ambitions well recent study was
published uh... big city in germany

1264
01:01:16,299 --> 01:01:17,119
found that

1265
01:01:17,119 --> 01:01:18,014
uh...

1266
01:01:18,014 --> 01:01:21,002
the heavy overloading of exercise
because the people give weight lifting

1267
01:01:21,002 --> 01:01:25,069
and that's all things and have better
itself that people we do things like

1268
01:01:25,069 --> 01:01:26,589
long distance running as well

1269
01:01:26,589 --> 01:01:30,016
uh... leading of parcel of that the fat

1270
01:01:30,016 --> 01:01:32,019
repetitive um...

1271
01:01:32,019 --> 01:01:34,319
sports center in america running

1272
01:01:34,319 --> 01:01:38,539
that triathlons bingo about aren't very
good feedback health

1273
01:01:38,539 --> 01:01:42,039
so there there's a potential link that
whereby wife we ask that question we

1274
01:01:42,039 --> 01:01:45,072
employ uh... employs invention the mud
yeltsin effect

1275
01:01:45,072 --> 01:01:47,053
on all these different outcomes

1276
01:01:47,053 --> 01:01:50,809
and see whether or not in terms of the
holistic approach

1277
01:01:50,809 --> 01:01:56,079
this intervention can have in effect on
all with the contacts that's about time

1278
01:01:56,079 --> 01:01:59,092
so that that's the whole idea and
hopefully i can

1279
01:01:59,092 --> 01:02:03,009
i what provide some benefit you get
uh... if anyone who gets back thank for

1280
01:02:03,009 --> 01:02:06,043
the main time you know the research said
he does suggest

1281
01:02:06,043 --> 01:02:10,989
that anyone gets back pain should really
be employing discarding intervention is

1282
01:02:10,989 --> 01:02:12,048
very strongly supported

1283
01:02:12,048 --> 01:02:17,033
and it's far more objective uh... method
of uh... treatment than any other kinds

1284
01:02:17,033 --> 01:02:21,359
of currently existing treatment

1285
01:02:21,359 --> 01:02:25,019
thirteen blue

1286
01:02:25,019 --> 01:02:28,069
just a summary of kind of what we call
free that today

1287
01:02:28,069 --> 01:02:29,909
consciously aware of the time

1288
01:02:29,909 --> 01:02:35,709
so uh... if any questions

1289
01:02:35,709 --> 01:02:38,989
to liberty at all

1290
01:02:38,989 --> 01:02:42,549
yet

1291
01:02:42,549 --> 01:02:48,079
um... so you mentioned in some cases the
actual uh...

1292
01:02:48,079 --> 01:02:53,279
if pain may not necessarily be the in
which is simpson is

1293
01:02:53,279 --> 01:02:55,629
little-noticed

1294
01:02:55,629 --> 01:02:58,389
has your system of receiving it

1295
01:02:58,389 --> 01:03:00,949
suggests is a correlation between

1296
01:03:00,949 --> 01:03:04,479
loans at issue c of battlefield

1297
01:03:04,479 --> 01:03:08,999
uh... on the list is not something that
by specifically focused on this and i

1298
01:03:08,999 --> 01:03:15,969
like him and uh... point of the at the
beginning

1299
01:03:15,969 --> 01:03:21,009
is not all wooden ones there come a step
outside my area of expertise and says he

1300
01:03:21,009 --> 01:03:24,299
is not something that i'm uil aware of
whether or not there is a correlation

1301
01:03:24,299 --> 01:03:27,739
and by the not looked extensively
incidence of the research said that

1302
01:03:27,739 --> 01:03:29,569
there may be that may not be at

1303
01:03:29,569 --> 01:03:34,619
allied i'm not gonna show

1304
01:03:34,619 --> 01:03:35,669
calm

1305
01:03:35,669 --> 01:03:40,199
seems to me like uh... you weeks oldies
usta medics machine

1306
01:03:40,199 --> 01:03:41,139
uh...

1307
01:03:41,139 --> 01:03:44,639
he said he had a way to smoke i don't
think everyone else most people will

1308
01:03:44,639 --> 01:03:48,299
have access to and uh... you know that
you're absolutely right and and at

1309
01:03:48,299 --> 01:03:51,389
assess as an idol in his it sounds

1310
01:03:51,389 --> 01:03:55,989
of thinking sands of the way off by
structures is an

1311
01:03:55,989 --> 01:03:58,329
certainly the best waste it

1312
01:03:58,329 --> 01:04:02,319
but it may not necessarily be the anyway

1313
01:04:02,319 --> 01:04:05,042
some you could be any extras i went for
it to begin with

1314
01:04:05,042 --> 01:04:09,089
they do activate and loads of love back

1315
01:04:09,089 --> 01:04:13,109
and in some cases though provide a
stimulus fa

1316
01:04:13,109 --> 01:04:15,019
producing adaptation in them

1317
01:04:15,019 --> 01:04:19,319
and doug would have had to run for a few
excise on on a few videos of potential

1318
01:04:19,319 --> 01:04:21,091
access which you could use to local
outback

1319
01:04:21,091 --> 01:04:26,004
and that any reductions i have with
excise lie that is already activated

1320
01:04:26,004 --> 01:04:29,001
is very difficult because the research
hasn't looked at it

1321
01:04:29,001 --> 01:04:34,299
zero var less efficiently and loaded to
produce an adaptation

1322
01:04:34,299 --> 01:04:37,489
it looked like a scene with albrecht
sizing a gem writes of jesus home but

1323
01:04:37,489 --> 01:04:42,609
uh... control course ability and train
assaulting improves out outcome measures

1324
01:04:42,609 --> 01:04:44,109
such as pain

1325
01:04:44,109 --> 01:04:48,109
is likely that there is something
general adaptation so although the

1326
01:04:48,109 --> 01:04:51,679
loading may not be sufficient to produce
the degree of results that you season

1327
01:04:51,679 --> 01:04:54,659
something is as uh... advanced medics
mission

1328
01:04:54,659 --> 01:04:58,219
um... is probably worth doing as long as
you can do them appropriately in safe in

1329
01:04:58,219 --> 01:05:03,039
united news i'm using falling satellite
hines instant principles and venue

1330
01:05:03,039 --> 01:05:04,042
you'll likely see and

1331
01:05:04,042 --> 01:05:05,779
effect from them

1332
01:05:05,779 --> 01:05:09,289
but if you want that's results diesel to
best accomplish use the the best

1333
01:05:09,289 --> 01:05:10,809
equipment available

1334
01:05:10,809 --> 01:05:13,709
but yet it if you've not got access to
them

1335
01:05:13,709 --> 01:05:18,979
anza this is one of the reasons why i'm
doing the research is well because a m

1336
01:05:18,979 --> 01:05:23,739
just draw contrasts would fully and then
x avonex website has a uh... as a

1337
01:05:23,739 --> 01:05:26,094
facility like i said say is anyone
buzznet equipment

1338
01:05:26,094 --> 01:05:28,739
sensei then

1339
01:05:28,739 --> 01:05:31,759
loaded uh... you have reached that would
be a website annual concerts where

1340
01:05:31,759 --> 01:05:32,769
facilities

1341
01:05:32,769 --> 01:05:34,109
uh... in the u<u>k</u>

1342
01:05:34,109 --> 01:05:35,769
there are five facilities

1343
01:05:35,769 --> 01:05:39,529
and i think that's likely to no one's
there six cities in the u<u>k</u>

1344
01:05:39,529 --> 01:05:43,089
uh... which i have a medic slumber
extension should content to just the

1345
01:05:43,089 --> 01:05:44,048
florida area undecided

1346
01:05:44,048 --> 01:05:45,075
which has about fifty ps

1347
01:05:45,075 --> 01:05:47,719
seven facilities in dc

1348
01:05:47,719 --> 01:05:51,459
say yahoo there loads

1349
01:05:51,459 --> 01:05:56,329
have a lot of american life that is very
complex hands at that time surrealism

1350
01:05:56,329 --> 01:06:00,005
and edge investors but it but as the
along war access available

1351
01:06:00,005 --> 01:06:04,005
as a long time typing as it is so in
this country people are aware of that

1352
01:06:04,005 --> 01:06:05,859
dividend any options available

1353
01:06:05,859 --> 01:06:08,689
although it's very sparse i think
impolite

1354
01:06:08,689 --> 01:06:11,869
doing the research at presenting a
academic conferences and making

1355
01:06:11,869 --> 01:06:14,039
precipitous inclinations more aware of
it

1356
01:06:14,039 --> 01:06:17,002
and showing how effective it potentially
could be

1357
01:06:17,002 --> 01:06:20,068
will hopefully make people's ours i
think that warmed up pocket we need to

1358
01:06:20,068 --> 01:06:23,047
get the sacrament we need to make it
more variables that we can

1359
01:06:23,047 --> 01:06:27,239
you know we can get that treatment
option gehring hands at

1360
01:06:27,239 --> 01:06:30,139
get sorted patients come in and use that

1361
01:06:30,139 --> 01:06:33,919
but yeah i think i think i'm you can get
benefit from of rec sizes but

1362
01:06:33,919 --> 01:06:35,029
sorry

1363
01:06:35,029 --> 01:06:38,299
so maybe has been the season

1364
01:06:38,299 --> 01:06:39,008
that okay

1365
01:06:39,008 --> 01:06:43,779
and has a guys if any of you go
expressions tom bradley outfits

1366
01:06:43,779 --> 99:59:59,999
isozyme