Ep. 260 - Does Powerlifting with a Rounded Back Cause Pain?

In classic Iron Culture throwback style, it's just Omar and Dr. Helms on this one, while the leader of Trex-topia is away at a conference. Omar and Eric give you the classic banter you love, go over reviews, and even engage in an off-the-cuff discussion of the health at every size movement. Then, they get to the meat of the conversation, a recent paper published on whether or not a lumbopelvic movement screen can predict back pain in powerlifters. What can this study teach us about the links between pain, injury, and movement in powerlifting? Tune in to find out!

00:00 Intro to Omar's bulk and Eric's end-stage recovery

02:30 The power hour duo episode and reviewing reviews

12:00 The obesity epidemic

Iron Culture Ep. 146- What The Fitness Industry Gets Wrong About The Obesity Epidemic https://www.youtube.com/watch?v=xfAbKeiAuII 

Iron Culture Ep. 147- What The Fitness Industry Gets Wrong About The Obesity Epidemic Pt 2 (ft. Spencer Nadolsky) https://www.youtube.com/watch?v=tJ1uXpyuu94 

30:20 On to the topic: paradigm shifts in pain science

Iron Culture Ep. 33- Pain Science, Injury & Rehab (Barbell Medicine/Clinical Athlete/3DMJ) https://www.youtube.com/watch?v=B-S8nThxpqY 

Pomarensky 2022 Management of Chronic Musculoskeletal Pain Through a Biopsychosocial Lens https://pubmed.ncbi.nlm.nih.gov/35439311/ 

Kamper 2014 Multidisciplinary biopsychosocial rehabilitation for chronic low back pain https://pubmed.ncbi.nlm.nih.gov/25180773/ 

42:00 Breaking down the study: the chicken or the egg?

Larsson 2024 Lumbopelvic movement control in powerlifters with and without low back pain https://pubmed.ncbi.nlm.nih.gov/38070289/  

Luomajoki 2008 Movement control tests of the low back; evaluation of the difference between patients with low back pain and healthy controls https://pubmed.ncbi.nlm.nih.gov/19108735/

Weyrauch 2015 Association between rotation-related impairments and activity type in people with and without low back pain https://pubmed.ncbi.nlm.nih.gov/25933914/ 

Spence 2023 Range of Motion Predicts Performance in National-Level New Zealand Male Powerlifters https://pubmed.ncbi.nlm.nih.gov/36515597/ 

58:34 The end of the first power hour and Eric's final thoughts