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Anna Boniface Profile picture
Anna Boniface
@AnnaBoniface
trainee advanced critical care practitioner | icu physio | track + distance runner, often cycling | hufflepuff | cats
Oct 3, 2020 • 31 tweets • 6 min read
COVID Reflections/moving forwards @TheACPRC course
My learning points 🤓
THREAD (long)⤵️
Huge thank you to all the speakers and for putting on a great webinar 🙏🏼
Looking forward to putting into practice with @RBH_ICU_Physio & @GoPerformUK Intubation & Ventilation 🖥
- Different phenotypes = different results
- Tracheostomy in 14 days decreased ICU stay
- Physio important in ICU Mx - sputum/trache’s 💦
- 2nd wave showing reduced I&V patients 🌊
Jun 29, 2020 • 8 tweets • 5 min read
Following #therapylive with my webinar on RED-S & based on some follow up questions, I would like to sign post these resources for those who would like to learn more 🤓(THREAD) ⤵️ @nickyKfitness blog
⭐️What’s so good about menstrual cycles, inc info on contraceptive pill nickykeayfitness.com/2019/02/03/wha…
⭐️Masters Athletes x 3 blogs nickykeayfitness.com/category/athle…
⭐️ The Young Athlete & RED-S nickykeayfitness.com/2017/01/13/opt…
⭐️ General RED-S posts nickykeayfitness.com/category/sport…
May 7, 2020 • 10 tweets • 2 min read
#COVID reflections from ICU (THREAD) my experience & own views
💙 I have been blown away by the incredible human beings I’m working alongside - their compassion, ability to stay upbeat & calm doing tasks outside their comfort zone ⚙️MDT teamwork - everyone is an important cog working together. This is crucial & it’s been exceptional
🚩 Obesity, HTN & T2DM seems to be the a common trend of co-morbidities (I’m calling it the triple threat)
🌬Patients have ⬆️FiO2 requirements which fluctuate regularly
Apr 13, 2020 • 8 tweets • 3 min read
This week, I’ll be going back to ICU
The info on treating #COVID19 involves regularly & the amount of info out there can be overwhelming. I’ve found the following most helpful
🦠@BTSrespiratory guidelines on ARDS
🦠@atscommunity breathe easy podcast covering physio guidelines Image 😷Respiratory Physiotherapy in pt's with COVID-19 in the Acute Setting: Position Paper from the Association of Italian Physiotherapists
😷Critical Care Global Grand Rounds podcast on ARDS
😷 Respiratory Physiotherapy in pt's with COVID- 19: Clinical Practice Guidelines
Dec 11, 2019 • 5 tweets • 1 min read
THREAD: Demonising food & promoting exercise as punishment, the message here is all wrong.
This will not help the obesity crisis
This promotes unhealthy relationships with food & exercise, triggering those vulnerable or going through eating disorders
bbc.com/news/health-50… The model is oversimplified
Everyone’s age, gender, body composition, physical activity levels, health status will impact their energy expenditure
200 calories of one food will have very difference nutritional density to another “worth” 200 calories
Nov 2, 2019 • 7 tweets • 2 min read
Strength work for endurance athletes
🏃🏽‍♂️Improved running economy
📈Improved lactate threshold
😴Delay/reduced fatigue
🏋🏽‍♂️Increase peak power output ⚡️Increased anaerobic capacity
💨Improved maximal speed
🔥Improved peak force (Ronnestad & Mujika, 2014)
*Learning cleans 😳 I always find compound lifts are best when it comes down to “bang for your buck” by hitting multiple muscles at once (movement > muscles)
Add some resistance doing 3-5RM for 3-5 sets, you can get some decent strength training done in a relatively short session
Oct 9, 2019 • 8 tweets • 5 min read
Brilliant listen on #asthma, #breathingpatterndisorders & #EILO in running from @DrJohnDickinson & @tinamuir
Key messages (see thread)
🏃🏽‍♂️Athletes have ⬆️ airway irritation due to mechanical shift to mouth breathing during exercise ⬇️ air humidification & filtration.... (cont) 🦠 Plus, they’re often exposed to environments which are more irritable to the airway, e.g running in cold weather, dry air, pollution, pollen etc
🔄 Airways can react by constricting, making it difficult to breath out, resulting in symptoms such as breathless, wheeze or cough
Jul 8, 2018 • 4 tweets • 2 min read
Following my previous Tweet & the interesting debates.
Do you use @Strava?
Comments welcome on reasons for and against. Personally, I don't use it because it taps into my addictive/obsessive training behaviors. @UKRunChat #ukRunChat
Feb 21, 2018 • 8 tweets • 24 min read
PHYSIOS 👋🏼
19 year old female triathlete comes to your clinic with R foot pain-MRI confirms navicular stress #.
Training volume 20hr/week, reduced BMI, history of OTS, iron def & recurrent hamstring tendinopathy
Would you routinely ask about her menstrual cycle in your Ax? Interested to get response on this. Please RT?
@fastrunning_ @CSPSouthEast @thecsp @bmj_latest @BJSM_BMJ @pogophysio @physioedge @FSEM_UK @PhysioBrunel @AdamMeakins @danbourke84 @KineticRev @Brad_Beer @fitrwoman @TPMPodcast @uclphysio