The systematic review is an exemplar of what musculoskeletal rehabilitation clinicians can learn from accepting what we don’t know!

Chelsea and Marquis wrap up the chat by thinking about how physical therapists can take the systematic review findings into account when educating and referring patients with shoulder pain.

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RESOURCES

Rotator cuff imaging abnormalities in asymptomatic shoulders systematic review: https://www.jospt.org/doi/10.2519/jospt.2025.13611

More on the SCRUTINY (Systematic Review of Shoulder Imaging Abnormalities in Asymptomatic Adults) project: https://www.ficebo.com/project/scrutiny

Jack Mest is a PhD candidate, studying psychological factors associated with persistent tendinopathy and psychologically informed approaches in Achilles tendinopathy rehabilitation.

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RESOURCES

Psychological factors in people with and without persistent tendinopathy: https://www.jospt.org/doi/10.2519/jospt.2025.13307

Scoping review of psychological factors in tendinopathy: https://www.jospt.org/doi/10.2519/jospt.2022.11005

JOSPT Insights ep 255: what if clinicians trusted people in pain? With Joletta Belton & Ben Darlow: https://pod.link/1522929437/episode/ZjcwNTljYzMtMjI5Ny00NWI2LWJjNzMtYzlkZTA3ZjVhODcz

Telerehabilitation was around before Covid, of course, but the past few years has seen it in a far more prominent place in health care systems. There's also increasing research evaluating different telerehabilitation interventions.

Dr Bruno Saragiotto (University of Technology Sydney) studies telehealth for chronic pain conditions, artificial intelligence and implementing digital solutions in health care. Today he joins JOSPT Insights to discuss the present and future of technology for improving outcomes in musculoskeletal rehabilitation.

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RESOURCES

Internet-based self-management for chronic pain (ReabilitaDOR Trial): https://www.jospt.org/doi/10.2519/jospt.2025.13418

Effectiveness of activity trackers and smartphone apps for increasing physical activity: https://www.jospt.org/doi/10.2519/jospt.2026.13825

Physiotherapy Evidence Database (PEDro): https://pedro.org.au/

In today's episode, Dr Caneiro (Curtin University; Evoolve Pain Care Academy) joins the JOSPT Insights community again to explain what is involved in learning the patient-centred CFT approach.

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RESOURCES

Evoolve Pain Care Academy: https://evoolvepaincare.academy/

Videos, infographics and written resources for clinicians: https://evoolvepaincare.academy/clinician-resources

Today, Dr Trevor Lentz (Duke University) explains the concept of clinical phenotyping, which is another way of identifying patterns in your clinical practice, and guiding your clinical decisions.

Clinical phenotyping has been suggested as a way of tailoring musculoskeletal care in practice, although its implementation in practice has been patchy - Dr Lentz explains some of the reasons why.

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RESOURCES

Psychological phenotyping in osteoarthritis: https://www.jospt.org/doi/10.2519/josptopen.2025.0177

OSPRO yellow flags tool: https://www.jospt.org/doi/10.2519/jospt.2016.6487

Clinical framework for screening yellow flags: https://www.jospt.org/doi/10.2519/jospt.2021.10570

STarT MSK research programme review: https://pubmed.ncbi.nlm.nih.gov/37490570/

Dr Chang is a postdoctoral research fellow at Curtin University in Perth, Australia, and a specialist musculoskeletal physiotherapist. Dr Caneiro is a specialist physiotherapist, Adjunct Senior Clinical Researcher at Curtin University, and Director and Educator at Evoolve Pain Care Academy.

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RESOURCES

RESTORE trial: https://pubmed.ncbi.nlm.nih.gov/37146623/

Patterns of change in forward bending, and pain self-efficacy during CFT: https://www.jospt.org/doi/10.2519/jospt.2025.13114

Relationship between forward bending and improvement in pain and disability during CFT: https://www.jospt.org/doi/10.2519/jospt.2024.12727

Network meta-analysis of tailored exercise therapies with or without psychological interventions: https://www.jospt.org/doi/10.2519/jospt.2025.13281

Today, Dr Ruth Chang (Curtin University, Australia) and Dr JP Caneiro (Curtin University; Evoolve Pain Care Academy) explain how cognitive functional therapy works and how to incorporate it into your practice.

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RESOURCES

RESTORE trial: https://pubmed.ncbi.nlm.nih.gov/37146623/

Patterns of change in forward bending, and pain self-efficacy during CFT: https://www.jospt.org/doi/10.2519/jospt.2025.13114

Relationship between forward bending and improvement in pain and disability during CFT: https://www.jospt.org/doi/10.2519/jospt.2024.12727

Network meta-analysis of tailored exercise therapies with or without psychological interventions: https://www.jospt.org/doi/10.2519/jospt.2025.13281

Dr Jodi Young explains the mechanisms of manual therapy, the typical effects and why you might think about adding manual therapy as another tool in your physical therapy toolkit. Dr Young is the Director of Research for the Doctor of Science in Physical Therapy program at Bellin College in Green Bay, Wisconsin, where she mentors doctoral clinicians and helps turn clinical and educational research questions into meaningful, publishable research. She is also a fellow of the American Academy of Orthopaedic Manual Physical Therapists.

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RESOURCES

Modern definition and description of manual therapy: https://pubmed.ncbi.nlm.nih.gov/38457654/

Modern way to teach and practice manual therapy: https://pubmed.ncbi.nlm.nih.gov/38773515/

Living review of manual therapy mechanisms: https://pubmed.ncbi.nlm.nih.gov/40100908/

Unravelling the mechanisms of manual therapy: https://www.jospt.org/doi/10.2519/jospt.2018.7476

Developing manual therapy frameworks: https://www.jospt.org/doi/10.2519/josptopen.2023.0002

Integrating person-centred concepts and modern manual therapy: https://www.jospt.org/doi/full/10.2519/josptopen.2023.0812

How do patients believe manual therapy works? https://www.jospt.org/doi/10.2519/josptopen.2025.0149

Does it matter how you apply spinal manipulation? JOSPT Insights ep 221: https://pod.link/1522929437/episode/NmM0MTg4OGMtODMwMi00ZTA3LTg1NzUtYjY2ZjBiMThiZGUy

Today, we continue the conversation on the latest consensus for managing acute and degenerative meniscus tears. We jump into non-surgical treatment, and all the return to sport considerations for athletes and active people with meniscus injury. Dr Arielle Giordano (University of Delaware) shares the results of the EU-US Meniscus Rehabilitation Consensus.

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RESOURCES

EU-US Meniscus Rehabilitation Consensus on prevention, non-operative treatment and return to sport: https://www.jospt.org/doi/10.2519/josptopen.2025.13539

DREAM trial primary report: https://pubmed.ncbi.nlm.nih.gov/38319181/

Should symptoms guide treatment choice in young patients? https://www.jospt.org/do/10.2519/jospt.blog.20240415/full/

Early surgery vs exercise therapy + education for traumatic and non-traumatic meniscus tears: https://www.jospt.org/doi/10.2519/jospt.2024.12245

Ep 224: Saving the meniscus: https://pod.link/1522929437/episode/NTg3YTgzZWUtYTZjZC00ZDYwLWI2OTAtYTczMzAzNTEyNzgz

Ep 192: DREAMing of better care for meniscus tears: https://pod.link/1522929437/episode/Yzk2YzkyOWItMDk1MS00YWZkLWI2MjQtNmRlYjIwZGJmOTg0

If you do a deep dive into the literature on trust, you'll find that it almost always talks about whether patients trust clinicians, not if clinicians trust patients. There's also an inherent bias built into the biomedical environment where so called 'objective' tests - the imaging, the bloodwork, the physical performance tests that clinicians administer - are prioritised over patients' lived experience and expertise, which is derided as 'subjective' and somehow less trustworthy.

Today's guests today invite you to join a revolution of starting from a place of trusting people with pain, and acknowledging the patient's expertise.

Joletta Belton is an author, advocate and patient engagement in research specialist, who makes sense of pain through science and stories. Dr Ben Darlow is a physiotherapy specialist and Professor of Primary Health Care at The University of Otago in Aotearoa/New Zealand.

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RESOURCES

Do we trust patients in pain viewpoint: https://www.jospt.org/doi/10.2519/jospt.2025.13725

Jo's substack (MyCuppaJo): https://mycuppajo.substack.com/

Framework for establishing connections in physiotherapy practice: https://pubmed.ncbi.nlm.nih.gov/29432058/

Lisbeth Lund Pedersen (University of Southern Denmark & Danish Society for Sports Physiotherapy) shares the results of the HAAPY study, which involved more than 900 young Danish handball players prospectively recording handball exposure and injuries.

We discuss why female athletes might have a greater concussion risk, and what clinicians can do to promote you athletes' brain health.

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RESOURCES

Female, woman and/or girl Athlete Injury pRevention (FAIR) practical recommendations: https://pubmed.ncbi.nlm.nih.gov/41330629/

Consensus statement on concussion in sport: https://pubmed.ncbi.nlm.nih.gov/37316210/

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RESOURCES

Read the CPG yourself here: https://www.jospt.org/doi/10.2519/jospt.2025.0301

Today, Dr Mark Shepherd (Bellin College) shares practical tips to help you assess sleep, identify common sleep disorders, and incorporate behavioural strategies into your musculoskeletal rehabilitation practice.

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RESOURCES

Clinician's guide to assessing and addressing sleep dysfunction in people with musculoskeletal pain: https://www.jospt.org/doi/10.2519/josptopen.2025.0198

Spine pain and sleep study: https://pubmed.ncbi.nlm.nih.gov/35642567/

UK Biobank study on predictors of persistent pain: https://pubmed.ncbi.nlm.nih.gov/37414898/

Systematic review on lack of sleep measures: https://pubmed.ncbi.nlm.nih.gov/37259893/

APTA position paper on the PT’s role in sleep health: https://www.apta.org/apta-and-you/leadership-and-governance/policies/role-pt-apta-sleep-health

DPT students and sleep behaviours: https://pubmed.ncbi.nlm.nih.gov/39425093/

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Patellofemoral pain can affect anyone at any age, which mean you're likely to come across it in your clinical career. What is best practice in managing patellofemoral pain?

Today, Dr Brad Neal (Queen Mary University of London) walks us through how to apply the best research to your practice.

Dr Neal has worked for over a decade in elite sport, private and public health care settings as a specialist musculoskeletal physiotherapist. His PhD work in biomechanics has helped guide understanding of how to manage patellofemoral pain.

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RESOURCES

Best practice guide for patellofemoral pain: https://pubmed.ncbi.nlm.nih.gov/39401870/

Effects of treatment for patellofemoral pain - systematic review with meta-analysis: https://www.jospt.org/doi/full/10.2519/jospt.2022.11359

Patellofemoral pain 2019 clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2019.0302

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Tune in today for the latest consensus on rehabilitation approaches for people who have had meniscus surgery.

Orthopaedic surgeons and physical therapists from Europe and the US debated the best research evidence, and brought extensive clinical experience to the table, ultimately producing a 2-part series of summary papers.

Dr Arielle Giordano (University of Delaware) was one of the physical therapy leads on the project, and today she shares the most important messages from the consensus.

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RESOURCES

EU‐US Meniscus Rehabilitation 2024 Consensus - Rehabilitation after meniscus surgery: https://www.jospt.org/doi/10.2519/josptopen.2025.0162

EU-US Meniscus Rehabilitation 2024 Consensus - Prevention, non‐operative treatment and return to sport: https://www.jospt.org/doi/10.2519/josptopen.2025.13539

Dr Brady Green (University of Notre Dame, Perth, Australia) shares his research and clinical expertise on muscle strains in elite and subelite athletes, including from his previous work in elite Australian football at the Essendon Football Club.

Today's episode launches from Dr Green's latest study of the epidemiology of calf strains, and discusses how musculoskeletal rehabilitation specialists, including sports physical therapists, can use this information to guide their practice.

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RESOURCES

Gastrocnemius muscle strain injury epidemiology: https://www.jospt.org/doi/10.2519/jospt.2025.13526

In this episode, Dr Amy McDevitt (Physical Medicine and Rehabilitation Department, University of Colorado) joins Dan Chapman and Marquis Sanabrais to unpack why shifting from structural labels like impingement or tendinopathy toward RCRSP can improve both communication and care.

They discuss how imaging often fails to match symptoms, why language matters for patient engagement, and how clinicians can explain shoulder pain without over-pathologizing.

Take home messages:

1. RCRSP reflects the multifactorial nature of shoulder pain, biological, mechanical, and psychosocial.

2. Clear and non-anatomic terminology helps patients understand and buy into treatment.

3. Future research should clarify mechanisms behind exercise and refine subgroups within RCRSP.

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RESOURCES

The case for using "rotator cuff-related shoulder pain" in practice: https://www.jospt.org/doi/10.2519/jospt.2025.13405

These so-called "local opinion leaders" often shape practice more effectively than top-down mandates or distant guidelines. And they're more than simply influencers or savvy social media marketers.

In today's episode, Dr Seth Peterson explores how local opinion leaders—those trusted voices within clinical settings—can play a pivotal role in translating research into practice. Dr Peterson shares practical strategies for fostering cultures of learning and supporting clinicians to lead.

Dr Peterson is a clinician-researcher based in Tucson, Arizona. He leads care at his clinic, The Motive, and teaches nationally with The Movement Brainery.

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RESOURCES

Empowering local opinion leaders in physical therapy systems: https://www.jospt.org/doi/10.2519/jospt.2025.13508

Why higher standards are needed in physical therapist professional development: https://www.jospt.org/doi/10.2519/jospt.2022.11377

2025 hip osteoarthritis clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2025.0301

In today's episode, Laura explores ways to improve how you diagnose and manage shin pain in athletes, including how you talk with athletes about their condition. She discusses loading, red flags and the role of running retraining.

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RESOURCES

Diagnosing medial tibial stress syndrome (including flow diagram): https://pubmed.ncbi.nlm.nih.gov/28179260/

Re-naming MTSS as Load Induced Medial Leg Pain (LIMP): https://www.jospt.org/doi/10.2519/jospt.2025.13411

Effectiveness of running gait retraining - systematic review: https://www.jospt.org/doi/10.2519/jospt.2022.10585

Today, Jessica Frydenberg explains who performing artists are, why they are particularly susceptible to pelvic floor symptoms, and what this means for your clinical practice.

Jess is an experienced pelvic health physiotherapist and PhD candidate at La Trobe University in Melbourne, Australia. She has extensive experience working with performing artists, and recently led a systematic review investigating the epidemiology of pelvic floor symptoms in performing artists.

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RESOURCES

Prevalence and impact of pelvic floor symptoms systematic review: https://www.jospt.org/doi/10.2519/jospt.2025.13452

How health care is funded has implications for the way you work, and for the care that you can provide for patients. Societies all around the world are grappling with complex decisions about health care and how it is funded. Even more so as changing populations place different demands on health care systems, and as the health work force changes.

Today, Dr Chris Bise (Assistant Professor, University of Pittsburgh) explains the changing face of health care funding, and what it means for the physical therapist. Chris has 25 years of experience as a physical therapist and health system analyst who studies value-based health care and physical therapy practice - trying to find better ways of funding health care to deliver outcomes that satisfy patients, clinicians and payers.

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RESOURCES

Building the foundation for value-based physical therapy: https://www.jospt.org/doi/10.2519/jospt.2025.13586

Perspectives for Payers - Heel pain/plantarfasciopathy: https://www.jospt.org/doi/10.2519/jospt.2025.0502

Perspectives for Payers - Achilles tendinopathy: https://www.jospt.org/doi/10.2519/jospt.2025.0503

In part 1, Dr Codie Primeau explained the things you're looking for when reading a health economics analysis, to decide whether it's a good quality analysis. That's important because a good quality analysis can help you make decisions about whether the intervention being studied is worth considering.

Today in part 2, we take things a step further to explore how you decide what "worthwhile" really means. Worth it for whom? The patient, your clinic, the health system, or even society?

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RESOURCES

From whose perspective is cost-effectiveness judged?: https://pmc.ncbi.nlm.nih.gov/articles/PMC6351264/

Review of health economics evaluations in hip and knee orthopaedics: https://pubmed.ncbi.nlm.nih.gov/34262974/

Today is part 1 of a 2-part chat with Dr Codie Primeau about health economics in musculoskeletal rehabilitation, which has something for everyone working in health care. We're covering how to read a health economics analysis to decide whether the analysis can help you navigate the complex decisions you're grappling with.

Dr Primeau is a physiotherapist and Assistant Professor in the School of Physical Therapy at Western University in London, Canada, and an Affiliate Scientist with Arthritis Research Canada. His research focuses on arthritis, chronic pain, and pelvic health, using a blend of qualitative and quantitative methods to improve patient care and outcomes, including health economics evaluation.

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RESOURCES

From whose perspective is cost-effectiveness judged?: https://pmc.ncbi.nlm.nih.gov/articles/PMC6351264/

Review of health economics evaluations in hip and knee orthopaedics: https://pubmed.ncbi.nlm.nih.gov/34262974/

Drs Mark Vorensky and Daniel Peredo (Rutgers University; NYU Langone Health) discuss the field of 'prompt engineering' - the approach to structuring and crafting the instructions (a.k.a. prompt) given to a generative AI model, to describe the task that the AI should perform.

The quality of the output from generative AI is highly dependent on how the model is prompted. So, if you're looking to get the best out of generative AI, tune in!

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RESOURCES

Improving ChatGPT's performance using the CRISPE framework: https://www.jospt.org/doi/10.2519/josptmethods.2025.0151

Neck pain clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2017.0302

Andrew Mitchell is someone who has thought about it a lot, and refined his approach over years of practice in top football/soccer. In today's episode, Andrew outlines the 5 elements of his criteria-based approach.

Andrew is a sports physiotherapist and strength & conditioning practitioner with experience working in the hospital, private practice and professional sport arenas, including in the English Premier League, the German Bundesliga and the European Champions League.

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RESOURCES

Evidence-informed return-to-running framework: https://www.jospt.org/doi/10.2519/josptopen.2025.0115

Criteria-based return-to-performance pathway: https://www.jospt.org/doi/10.2519/josptopen.2024.1240

On the path to perfoming after injury (ep 193): https://pod.link/1522929437/episode/NmEzODliMjAtYmIyZi00YzkwLWIwMzctNjU3NzI4NTY3ZWUz

Drs Erin Macri (Erasmus MC University Medical Centre, The Netherlands) and Harvi Hart (Michigan State University) join JOSPT Insights ahead of the International Patellofemoral Research Network meeting to share the latest in patellofemoral research, and what it means for clinical practice.

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RESOURCES

JOSPT Insights Ep 229: Best practice in managing patellofemoral pain, with Dr Brad Neal: https://pod.link/1522929437/episode/ZDBkY2Q0ZDYtMzNhZS00OWVjLWJlYTQtNTYwMzBkZTVhM2Iw

Patellofemoral pain CPG: https://www.jospt.org/doi/10.2519/jospt.2019.0302

Clinical priorities for psychological factors in patellofemoral pain: https://www.jospt.org/doi/10.2519/jospt.2022.10647

Prognosis for patellofemoral pain: https://www.jospt.org/doi/10.2519/jospt.2025.13491

Find out more about the International Patellofemoral Research Network's work: https://ipfrn.org/

Dr Tash Pocovi (Macquarie University, Sydney, Australia) explains the research she's been leading to test a walking + education program for preventing recurrent back pain.

Dr Pocovi's research focuses on improving how low back pain is managed, and especially how it is prevented.

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RESOURCES

Walking, cycling and swimming for nonspecific low back pain systematic review: https://www.jospt.org/doi/10.2519/jospt.2022.10612

WalkBack trial: https://pubmed.ncbi.nlm.nih.gov/38908392/

Effect of WalkBack on duration and severity of recurrences of back pain: https://www.jospt.org/doi/10.2519/jospt.2025.13361

Dr Ruth Chimenti is a co-author of the updated clinical practice guideline, “Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024”, and joins JOSPT Insights to share the key updates relevant for your practice.

Dr Chimenti highlights the most important changes from the last CPG update in 2018, including specifics on the best way to exercise, how to approach patient education, and which modalities to consider.

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RESOURCES

Updated Achilles CPG: https://www.jospt.org/doi/10.2519/jospt.2024.0302 (no paywall)

ICON 2019: International Scientific Tendinopathy Symposium consensus on terminology: https://pubmed.ncbi.nlm.nih.gov/31399426/

ICON 2020: International Scientific Tendinopathy Symposium consensus on psychological outcome measures: https://www.jospt.org/doi/10.2519/jospt.2022.11005

Dutch multidisciplinary guideline on Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/34187784/

TENDINopathy Severity Assessment - Achilles (TENDINS-A) outcome measure: https://www.jospt.org/doi/10.2519/jospt.2023.11964

Today, Liz Bayley shares her approach to diagnosing, managing and ideally, preventing ankle pain in active people. Liz covers diagnosing the problem, where imaging fits, and how to support return to function, including high-level sport.

Liz is a former professional dancer, who now works as a dance-specialist physiotherapist. Her clinic is in London's West End, in close proximity to the freelance professional and student dancers she works with, at Trinity Laban Conservatoire of Music and Dance, and on 'Matilda The Musical' in Covent Garden.

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RESOURCES

Lateral ankle ligament sprains clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2021.0302

Updated model of chronic ankle instability: https://pubmed.ncbi.nlm.nih.gov/31162943/

Predictors of chronic ankle instability: https://pubmed.ncbi.nlm.nih.gov/26912285/

Intrinsic foot muscle training systematic review: https://pubmed.ncbi.nlm.nih.gov/35724360/

Neuromuscular electrical stimulation for foot intrinsic muscles: https://pubmed.ncbi.nlm.nih.gov/35142810/

Professor François Desmeules (University of Montréal) led an international team of shoulder experts who synthesised the latest evidence on diagnosing and non-surgically managing rotator cuff tendinopathy. Today he shares the headlines of the CPG and explains how the guideline group made sense of all the evidence to come up with recommendations for assessment, diagnosis, treatment and prognosis, including return to sport.

RESOURCES

Rotator cuff tendinopathy diagnosis, non-surgical medical care and rehabilitation CPG: https://www.jospt.org/doi/10.2519/jospt.2025.13182

We jump into non-surgical treatment, and all the return to sport considerations for athletes and active people with meniscus injury.

Dr Arielle Giordano (University of Delaware) shares the results of the EU-US Meniscus Rehabilitation Consensus.

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RESOURCES

EU-US Meniscus Rehabilitation Consensus on prevention, non-operative treatment and return to sport: https://www.jospt.org/doi/10.2519/josptopen.2025.13539

DREAM trial primary report: https://pubmed.ncbi.nlm.nih.gov/38319181/

Should symptoms guide treatment choice in young patients? https://www.jospt.org/do/10.2519/jospt.blog.20240415/full/

Early surgery vs exercise therapy + education for traumatic and non-traumatic meniscus tears: https://www.jospt.org/doi/10.2519/jospt.2024.12245

Ep 224: Saving the meniscus: https://pod.link/1522929437/episode/NTg3YTgzZWUtYTZjZC00ZDYwLWI2OTAtYTczMzAzNTEyNzgz

Ep 192: DREAMing of better care for meniscus tears: https://pod.link/1522929437/episode/Yzk2YzkyOWItMDk1MS00YWZkLWI2MjQtNmRlYjIwZGJmOTg0

In today’s episode, Dr Maggie Horn (Duke University) walks us through her research team’s work to assess if, how, and when clinicians follow CPG recommendations. The team worked with clinicians in their hospital system to embed templates in the EMR, and used self-report strategies to answer these questions, specifically for the neck pain CPG.

Dr Horn reviews the neck pain CPG, how the research team evaluated adherence, and what the findings mean for CPGs and clinicians.

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RESOURCES

Neck pain clinical practice guideline (revised in 2017): https://www.jospt.org/doi/10.2519/jospt.2017.0302

Translating the neck pain CPG into practice framework: https://www.jospt.org/doi/10.2519/josptopen.2025.0101

You've probably also heard from patients who are concerned that the exercise therapy you prescribe might do more harm to their already worn-out joint. But is that true?

Today, Dr Alessio Bricca (Centre for Muscle and Joint Health, University of Southern Denmark) explores the evidence and refutes these beliefs.

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RESOURCES

Exercise Therapy "Wears Down" My Knee Joint: Myth or Reality?: https://www.jospt.org/doi/10.2519/jospt.2025.13069

Many athletes have a bony bump on their hip that doesn't cause any problems - it's the morphology in combination with symptoms that clinicians might worry about.

Today's episode builds on the foundation of the developing hip, and covers appropriate loads for youth athletes. Dr Terrell discusses how to plan, monitor and progress a loading programs, and how you might incorporate strength & conditioning principles into your practice.

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RESOURCES

Strategies to deter primary cam morphology in youth athletes: https://www.jospt.org/doi/10.2519/josptopen.2025.0128

Can we reduce injury risk during the adolescent growth spurt?: https://pubmed.ncbi.nlm.nih.gov/37823577/

“My kid is going through a growth spurt – what should I do?”: https://shorturl.at/FqqCM

Today's episode of JOSPT Insights is part 1 of a 2-part chat about training load and the youth athlete's hip. We discuss how primary cam morphology and femoroacetabular impingement syndrome might develop.

Dr Sara Lynn Terrell (Florida Southern College) shares her >20 years of experience in exercise science and strength & conditioning, and walks listeners through the complexity of working with youth athletes to support their best sports performance.

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RESOURCES

Strategies to deter primary cam morphology in youth athletes: https://www.jospt.org/doi/10.2519/josptopen.2025.0128

Oxford consensus on primary cam morphology and FAI (part 1): https://pubmed.ncbi.nlm.nih.gov/36588401/

Oxford consensus on primary cam morphology and FAI (part 2): https://pubmed.ncbi.nlm.nih.gov/36588402/

Today, Dr Brad Neal (Queen Mary University of London) walks us through how to apply the best research to your practice.

Dr Neal has worked for over a decade in elite sport, private and public health care settings as a specialist musculoskeletal physiotherapist. His PhD work in biomechanics has helped guide understanding of how to manage patellofemoral pain.

------------------------------

RESOURCES

Best practice guide for patellofemoral pain: https://pubmed.ncbi.nlm.nih.gov/39401870/

Effects of treatment for patellofemoral pain - systematic review with meta-analysis: https://www.jospt.org/doi/full/10.2519/jospt.2022.11359

Patellofemoral pain 2019 clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2019.0302

In today's episode, Dr Paul Mintken guides listeners through different ways to work with a person to help make sense of, and explain, unexplained pain.

Dr Mintken (Hawai'i Pacific University) is a board-certified Orthopaedic Clinical Specialist and a Fellow of the American Academy of Orthopaedic and Manual Physical Therapists.

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RESOURCES

JOSPT Viewpoint article - The Worst Pain is an Unexplained Pain: https://www.jospt.org/doi/10.2519/jospt.2025.13167

Dr Abdoo's experience treating UFC athletes provides an insight into working with athletes for whom skills including wrestling, striking, and grappling are crucial to performing well.

How to approach educating the athlete and everyone involved with them about concussion, ensuring the athlete can participate safely while recovering from concussion, what an MMA-specific concussion evaluation looks like, and the importance of sport-specificity in concussion rehabilitation - we hit on it all!

Do you know what patients will want from their rehabilitation? Are you confident with your approach to managing rotator cuff tears?

Today, Dr Kathryn Fahy, physiotherapist and researcher from Aspetar Orthopaedic & Sports Medicine Hospital, Doha discusses the CALMeR Cuff pathway. Dr Fahy developed CALMeR Cuff with patients, clinicians and researchers to guide care for people with large to massive rotator cuff tears.

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RESOURCES

Co-design of the CALMeR Cuff pathway: https://www.jospt.org/doi/10.2519/jospt.2025.13342

Dr Melanie Fuller (University of Southern Queensland) has devoted her clinical career of almost 20 years to working with dancers - helping them stay healthy and performing well - and she has a similar focus in her research work.

Today we discuss the prevalence of musculoskeletal injury, specifically focusing on osteoarthritis.

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RESOURCES

Osteoarthritis in dancers (systematic review with meta-analysis): https://www.jospt.org/doi/10.2519/jospt.2025.12918

Orthopaedic surgeons and physical therapists from Europe and the US debated the best research evidence, and brought extensive clinical experience to the table, ultimately producing a 2-part series of summary papers.

Dr Arielle Giordano (University of Delaware) was one of the physical therapy leads on the project, and today she shares the most important messages from the consensus.

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RESOURCES

EU‐US Meniscus Rehabilitation 2024 Consensus - Rehabilitation after meniscus surgery: https://www.jospt.org/doi/10.2519/josptopen.2025.0162

UFC combines wrestling, grappling and striking, which makes for complex demands that contribute to complex injury epidemiology. Whether working with a Championship fighter or a recreational martial arts athlete, Dr Abdoo provides excellent guidance for clinicians who are planning rehabilitation and return to sport.

Concussion is common in UFC, so stay tuned for an upcoming episode with Dr Abdoo about her approach to concussion rehabilitation with UFC athletes.

Kristian Lyng (physiotherapst, PhD student at Aalborg University's Department of Health Science and Technology, and Center for General Practice) led the work as part of his PhD research looking at interventions for shared decision-making in collaboration with patients with subacromial pain syndrome.

Kristian discusses the challenges and opportunities in translating research to clinical practice, and the benefits to researchers of engaging patients and the public in doing musculoskeletal research.

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RESOURCES

Research priorities for atraumatic shoulder pain: https://www.jospt.org/doi/10.2519/jospt.2025.13059

Patients as partners in research - It's the right thing to do: https://www.jospt.org/doi/10.2519/jospt.2019.0106

Help for researchers wanting to engage patients as research partners: https://www.jospt.org/doi/10.2519/jospt.2020.0104

How to talk about compensation with patient partners: https://www.jospt.org/doi/10.2519/jospt.2020.0106

Engaging patients and the public in musculoskeletal research: https://www.jospt.org/doi/10.2519/jospt.2024.12668

Today we're focusing on spinal manipulative therapy, and asking questions like: does it matter how you apply a manipulation to get the best outcomes for the patient?

Answering the questions is Dr Casper Nim from the University of Southern Denmark. Casper is an Associate Professor, chiropractor, and senior researcher at the Spine Centre of Southern Denmark.

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RESOURCES

Does it matter how you apply spinal manipulative therapy? Network meta-analysis: https://www.jospt.org/doi/10.2519/jospt.2025.12707

Does targeting a specific vertebral level make a difference? Systematic review: https://www.jospt.org/doi/10.2519/jospt.2023.11962

Effect on clinical outcomes when targeting spinal manipulative therapy. Randomised controlled trial: https://pubmed.ncbi.nlm.nih.gov/32884045/

Preference randomised trials: https://www.jospt.org/doi/10.2519/josptmethods.2025.0129

JOSPT Methods journal website: https://www.jospt.org/toc/jospt-methods/current

Today, Liz Bayley shares her approach to diagnosing, managing and ideally, preventing ankle pain in active people. Liz covers diagnosing the problem, where imaging fits, and how to support return to function, including high-level sport.

Liz is a former professional dancer, who now works as a dance-specialist physiotherapist. Her clinic is in London's West End, in close proximity to the freelance professional and student dancers she works with, at Trinity Laban Conservatoire of Music and Dance, and on 'Matilda The Musical' in Covent Garden.

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RESOURCES

Lateral ankle ligament sprains clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2021.0302

Updated model of chronic ankle instability: https://pubmed.ncbi.nlm.nih.gov/31162943/

Predictors of chronic ankle instability: https://pubmed.ncbi.nlm.nih.gov/26912285/

Intrinsic foot muscle training systematic review: https://pubmed.ncbi.nlm.nih.gov/35724360/

Neuromuscular electrical stimulation for foot intrinsic muscles: https://pubmed.ncbi.nlm.nih.gov/35142810/

Dr King led a team that synthesised and analysed return to sport outcomes after hip arthroscopy from 45 studies and over 5000 participants. The team's focus was on sex and gender differences, and how the return to sport outcomes change with increasing time after surgery.

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RESOURCES

Are women less likely to return to sport compared to men following hip arthroscopy? A systematic review with meta-analysis: https://www.jospt.org/doi/10.2519/jospt.2025.12813

Today, Professor Chad Cook (Duke University) discusses whether it is even possible to differentiate myofascial pain syndrome from other pain conditions, and the implications for you, the clinician.

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RESOURCES

Myofascial pain syndromes - controversies and suggestions for improving diagnosis and treatment: https://www.jospt.org/doi/10.2519/jospt.2025.13072

International Association for the Study of Pain - Myofascial pain fact sheet 14: https://www.iasp-pain.org/wp-content/uploads/2022/10/14.-Myofascial-Pain-Fact-Sheet-Revised-2017.pdf

What’s the right load? Dr Belinda Beck can answer that, and in today's episode, she takes us through the results of the LIFTMOR trial. With the right instruction and supervision, postmenopausal women can be lifting 85% of their 1 repetition maximum safely, and make a substantial change in their bone density, strength, and quality of life while doing it.

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RESOURCES

For more on the LIFTMOR trial: https://pubmed.ncbi.nlm.nih.gov/30861219/

Professor François Desmeules (University of Montréal) led an international team of shoulder experts who synthesised the latest evidence on diagnosing and non-surgically managing rotator cuff tendinopathy. Today he shares the headlines of the CPG and explains how the guideline group made sense of all the evidence to come up with recommendations for assessment, diagnosis, treatment and prognosis, including return to sport.

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RESOURCES

Rotator cuff tendinopathy diagnosis, non-surgical medical care and rehabilitation CPG: https://www.jospt.org/doi/10.2519/jospt.2025.13182

Today, sports physiotherapist and researcher, Ciarán Purcell (University of Limerick, Ireland) describes the project he is leading to gather consensus from athletes and sports medicine & rehabilitation clinicians about how best to assess athletes' pain. Listen to the end to learn about how you can get involved in the consensus!

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RESOURCES

IOC consensus on managing pain in elite athletes: https://pubmed.ncbi.nlm.nih.gov/28827314/

Framework for assessing upper and lower limb pain in athletes: https://www.jospt.org/doi/10.2519/jospt.2024.12807

Scoping review of tools for assessing pain in athletes: https://pubmed.ncbi.nlm.nih.gov/36759138/

To get in touch with Ciarán about the consensus project, email ciaran.purcell@ul.ie

Dr Ruth Chimenti is a co-author of the updated clinical practice guideline, “Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024”, and joins JOSPT Insights to share the key updates relevant for your practice.

Dr Chimenti highlights the most important changes from the last CPG update in 2018, including specifics on the best way to exercise, how to approach patient education, and which modalities to consider.

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RESOURCES

Updated Achilles CPG: https://www.jospt.org/doi/10.2519/jospt.2024.0302 (no paywall)

ICON 2020: International Scientific Tendinopathy Symposium consensus on psychological outcome measures: https://www.jospt.org/doi/10.2519/jospt.2022.11005

Dutch multidisciplinary guideline on Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/34187784/

When people are under-represented in research, it might mean that clinicians and researchers miss key concerns of women and girls when working with them to achieve the best outcomes of treatment.

Melissa Haberfield - physiotherapist and PhD candidate at the La Trobe Sports and Exercise Medicine Research Centre in Melbourne, Australia - shares the results of her work with women who have experienced serious knee injury, about what they wanted to know about managing knee health.

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RESOURCES

Systematic review of self-reported activity and knee-related outcomes after ACL injury (sex and gender differences): https://pubmed.ncbi.nlm.nih.gov/36889918/

Sex/gender equity in sport and exercise medicine/physical therapy publishing: https://pubmed.ncbi.nlm.nih.gov/36631242/

What do women (with serious knee injury) want to know about knee health (article): https://www.jospt.org/doi/10.2519/jospt.2025.12869

Maybe you've had someone in the clinic who worries that running will wear their joints out? Today's guest has dedicated his career to helping runners stay healthy and running for life, and is adamant that running is a great physical activity choice, even for people with osteoarthritis and joint replacement.

Dr Jean François Esculier is a physiotherapist based in Kelowna, Canada. He leads the Research & Development team at The Running Clinic, and teaches at The University of British Columbia; his clinical practice is at MoveMed Physiotherapy.

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RESOURCES

Survey about perceptions on running and knee health: https://pubmed.ncbi.nlm.nih.gov/36199830/

Education resource on running and joint health, in 7 languages: http://hdl.handle.net/2429/82767

Evaluation of the education resource: https://www.jospt.org/doi/10.2519/josptopen.2024.0149

Free webinar (account required) about the influence of running on cartilage: https://therunningclinic.com/tv/?VideoId=185711&SelectedCategory=185731

Running with osteoarthritis case report: https://pubmed.ncbi.nlm.nih.gov/38725598/

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RESOURCES

Who's afraid of electrical stimulation? Let's revisit the application of NMES at the knee: https://www.jospt.org/doi/10.2519/jospt.2023.12028

Today, Drs Elanna Arhos (Northwestern University) and Naoaki Ito (University of Wisconsin - Madison) are re-visiting how NMES is applied in sports clinical practice. Get the low-down on why you need NMES in your sports rehabilitation toolkit, and how to figure out dose and intensity.

In part 2 we discuss how to support patients to get the most out of NMES, and which equipment is best for your clinic.

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RESOURCES

Who's afraid of electrical stimulation? Let's revisit the application of NMES at the knee: https://www.jospt.org/doi/10.2519/jospt.2023.12028

In part 2 of this series, Dr de Vos covers the multitude of options for treatment, outside of exercise therapy. Should you and the patient consider corticosteroid injections, PRP injections, heel lifts, shockwave, NSAIDs, or surgery? And when? What are the important clinical considerations when patients choose these options? Part 2 has it all!

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RESOURCES

Terminating corticosteroid injection in tendinopathy? https://www.jospt.org/doi/10.2519/jospt.2023.11875/

Dutch multidisciplinary guideline on Achilles tendinopathy: (https://pubmed.ncbi.nlm.nih.gov/34187784/

Platelet-rich plasma injection for chronic Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/20068208/

Time to put down the scalpel when treating tendinopathy? https://pubmed.ncbi.nlm.nih.gov/31653777/

Why tendons like load: https://pubmed.ncbi.nlm.nih.gov/29920664/

Clinical diagnosis of Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/34692248/

Clinical tool for identifying spondyloarthropathy: http://tinyurl.com/3my87hma

More on the pain monitoring model: https://pubmed.ncbi.nlm.nih.gov/17307888/

Dosing your resistance training in tendinopathy: https://pubmed.ncbi.nlm.nih.gov/37169370/

Best treatment for Achilles tendinopathy (living systematic review): https://pubmed.ncbi.nlm.nih.gov/32522732/

Achilles Pain, Stiffness, and Muscle Power Deficits - 2024 updated clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2024.0302

In today’s episode, Dr de Vos covers the important tendon anatomy to guide your differential diagnosis, what information he is most focused on communicating to patients, and the key factors that can affect your choices when managing Achilles tendinopathy.

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RESOURCES

Why tendons like load: https://pubmed.ncbi.nlm.nih.gov/29920664/

Clinical diagnosis of Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/34692248/

Clinical tool for identifying spondyloarthropathy: https://www.researchgate.net/profile/Paul-Kirwan/publication/332275130_D18_SCREEND%27EM_BEFORE_YOU_TREAT%27EM_A_CLINICAL_TOOL_TO_HELP_IDENTIFY_SPONDYLOARTHROPATHY_IN_PATIENTS_WITH_TENDINOPATHY/links/5cab530da6fdcca26d06aaf1/D18-SCREENDEM-BEFORE-YOU-TREATEM-A-CLINICAL-TOOL-TO-HELP-IDENTIFY-SPONDYLOARTHROPATHY-IN-PATIENTS-WITH-TENDINOPATHY.pdf

More on the pain monitoring model: https://pubmed.ncbi.nlm.nih.gov/17307888/

Dosing your resistance training in tendinopathy: https://pubmed.ncbi.nlm.nih.gov/37169370/

Best treatment for Achilles tendinopathy (living systematic review): https://pubmed.ncbi.nlm.nih.gov/32522732/

Achilles Pain, Stiffness, and Muscle Power Deficits - updated clinical practice guideline from AOPT: https://www.jospt.org/doi/10.2519/jospt.2024.0302

Dr. Giacomo Rossettini joins the podcast again as a co-author of a paper (link below) that answers that very question.

Dr. Rossettini and his research colleagues tried to quantify the effect of contextual factors with a meta-analysis. They found non-specific effects play a big role in patients' outcomes. Today's discussion covers what these contextual factors are, how the researchers quantified them, and how musculoskeletal rehabilitation clinicians can harness non-specific effects to boost patients' outcomes.

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RESOURCES

Non-specific effects in musculoskeletal pain treatment outcomes (meta-analysis): https://www.jospt.org/doi/10.2519/jospt.2024.12126

Today's guest is Marianne Roos - a former clarinetist and forever musician-at-heart, who now practices as a physiotherapist and conducts her PhD research from Laval University, Canada. Marianne explains the physical and psychological demands of orchestra performance on the musician's body, and shares the results of her PhD research in developing programmes to reduce musculoskeletal injuries among orchestra musicians.

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RESOURCES

Barriers and facilitators to implementing rehabilitation and wellness programs for orchestral musicians: https://pubmed.ncbi.nlm.nih.gov/33853373/

Workplace injury prevention and wellness program for orchestra musicians: https://www.jospt.org/doi/10.2519/jospt.2024.12277

Today's guest led a team that has done the hard yards of synthesising all the available data to find an answer.

Dr Cortez Brown is a junior orthopaedic surgery resident at the University of Pittsburgh Medical Centre.

In today's episode, Dr Brown shares the results of his systematic review, and guides listeners through the complex factors that affect return to play outcomes for college athletes.

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RESOURCES

Return to college sport after ACL reconstruction systematic review: https://www.jospt.org/doi/10.2519/jospt.2024.12483

Systematic review of return to competitive sport (all levels) after ACL reconstruction: https://pubmed.ncbi.nlm.nih.gov/25157180/

Simon Lafrance, physiotherapist and researcher from the University of Montreal, explains musculoskeletal care models that flip the traditional medical model of the doctor as the first contact point a patient has with the health system, to a musculoskeletal specialist, like a physical therapist, leading instead.

Simon's clinical work and research work merge as he works to develop and evaluate advance practice physiotherapy models.

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RESOURCES

Trial of single vs. multiple sessions of advanced practice physiotherapy: https://www.jospt.org/doi/10.2519/jospt.2024.12618

Dr Jenna Schulz (physiotherapist and postdoctoral researcher from Western University, Canada) specializes in pelvic health and sport, women’s health, and improving longevity in sport for females across the lifespan. Today, Jenna shares how she approaches supporting physical and mental readiness for sport postpartum, and when to refer to your colleagues in the multidisciplinary health care team.

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RESOURCES

Systematic review of exercise interventions for physical activity and cardiorespiratory fitness: https://www.jospt.org/doi/10.2519/jospt.2024.12666

Scoping review of guidelines for returning to physical activity and sport postpartum: https://pubmed.ncbi.nlm.nih.gov/37898507/

Relative Energy Deficiency in Sport (REDs) and the lactating athlete: https://pubmed.ncbi.nlm.nih.gov/37752008/

Dr Roy Film is a physical therapist, educator and current President of APTA Maryland. In today's episode, Roy explains his work trying to make it easier for people to choose high-value musculoskeletal rehabilitation.

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RESOURCES

Racial disparities in outpatient PT use: https://www.jospt.org/doi/10.2519/jospt.2024.12641

Musculoskeletal physiotherapist and shoulder specialist, Jared Powell, is here to reassure us that no-one expects you to have all the answers, encourage us all to think carefully and critically when evaluating information, and to embrace a work-related niche that resonates with your passions and strengths.

Jared shares ideas on how to succeed as a compassionate and effective musculoskeletal rehabilitation specialist.

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RESOURCES

"Dear newly graduated physical therapst" article: https://www.jospt.org/doi/10.2519/jospt.2024.12676

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The American Academy of Sports Physical Therapy and JOSPT are co-hosting the second Virtual Sports PT Conference on Saturday 2 November. You'll hear from world-leading clinician-scientists including Drs Terri Chmielewski, Lori Michener, Karin Silbernagel, Liz Wellsandt and Rich Willy. Register now to take advantage of the opportunity for up to 13 continuing education contact hours.

Registration and information: https://tinyurl.com/3xkcrtu2

Professor Karen McCreesh (University of Limerick) guides the listener to the best available clinical practice guidelines and runs the ruler over different approaches to exercise therapy.

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RESOURCES

Diagnosing, managing and supporting return to work for people with rotator cuff disorders (practice guideline): https://www.jospt.org/doi/10.2519/jospt.2022.11306

Efficacy of exercise therapy - systematic review: https://www.jospt.org/doi/10.2519/jospt.2024.12453

GRASP trial: https://pubmed.ncbi.nlm.nih.gov/34382931/

JOSPT Insights episode 173 (shared decision making): https://podcasts.apple.com/ca/podcast/ep-173-shared-decision-making-what-it-is-and-what-it/id1522929437?i=1000651049481 or https://open.spotify.com/episode/6CCh5FRTGAsz54bdpWbYGB?si=c40b2c227eb94a12

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The American Academy of Sports Physical Therapy and JOSPT are co-hosting the second Virtual Sports PT Conference on Saturday 2 November. You'll hear from world-leading clinician-scientists including Drs Terri Chmielewski, Lori Michener, Karin Silbernagel, Liz Wellsandt and Rich Willy. Register now to take advantage of the opportunity for up to 13 continuing education contact hours.

Registration and information: https://tinyurl.com/3xkcrtu2

How well do the recommendations in clinical practice guidelines about what topics advice and education should cover align with the main concerns of people with back pain?

Dr Giovanni Ferreira (University of Sydney) joins JOSPT Insights to explain.

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RESOURCES

Concerns of people with acute back pain: https://www.jospt.org/doi/10.2519/jospt.2024.12571

AI chatbots answering questions about low back pain: https://pubmed.ncbi.nlm.nih.gov/39299722/

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The American Academy of Sports Physical Therapy and JOSPT are co-hosting the second Virtual Sports PT Conference on Saturday 2 November. You'll hear from world-leading clinician-scientists including Drs Terri Chmielewski, Lori Michener, Karin Silbernagel, Liz Wellsandt and Rich Willy. Register now to take advantage of the opportunity for up to 13 continuing education contact hours.

Registration and information: https://tinyurl.com/3xkcrtu2

Dr Ciara Burgi has worked across collegiate, professional men's, and professional women's sport, and has a ton of wisdom to share.

From building rapport with athletes and patients, to valuing your work in the present without looking too far ahead to what might (or might not) come next, and doing what you can with the resources at your disposal, are among the topics Dr Burgi covers.

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RESOURCES

The American Academy of Sports Physical Therapy and JOSPT are co-hosting the second Virtual Sports PT Conference on Saturday 2 November. You'll hear from world-leading clinician-scientists including Drs Terri Chmielewski, Lori Michener, Karin Silbernagel, Liz Wellsandt and Rich Willy. Register now to take advantage of the extended early-bird price and the opportunity for up to 13 continuing education contact hours.

Registration and information: https://tinyurl.com/3xkcrtu2

If your exposure to handball is every 4 years at the Olympic Games, we've got you covered with a review of the game and the demands of the sport.

Martin's shoulder expertise shines as he covers the common injuries and key things to keep in mind while treating these tricky, well-rounded athletes.

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RESOURCES

Handball Medicine & Science website: https://www.handballmedicine.com/

Bern consensus on managing shoulder injuries in athletes: https://www.jospt.org/doi/10.2519/jospt.2022.10952

Olivia Barbosa is a sports physiotherapist with over a decade of experience in soccer and rugby. She currently works at the Aspetar Orthopaedic & Sports Medicine Hospital where she contributes to the concussion and the ACL clinical teams, and does research focused on muscle activation and strength recovery in ACL rehabilitation.

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RESOURCES

More on changes in quadriceps and hamstrings muscle strength over rehabilitation: https://www.jospt.org/doi/10.2519/jospt.2023.11961

Aspetar ACL rehabilitation clinical practice guideline: https://www.aspetar.com/en/professionals/aspetar-clinical-guidelines/recommendations-on-rehabilitation-after-aclr

Dr Enda King combines his roles as a sports physiotherapist, strength and conditioning coach, researcher, and educator through his work with individual athletes and elite teams across a spectrum of sports and disciplines.

Currently, he is the Head of Elite Performance and Development at the Aspetar Orthopaedic & Sports Medicine Hospital in Doha, Qatar.

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RESOURCES

For more on the Aspetar International Sports Medicine Conference - complete guide to thigh muscle injuries (November 2024): https://www.aspetar.com/en/professionals/our-events/complete-guide-to-thigh-muscle-injuries

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RESOURCES

Garmin-RUNSAFE Study (injury data from >7000 runners in 87 countries): https://www.jospt.org/doi/10.2519/jospt.2023.11959

Garmin-RUNSAFE Study protocol: https://pubmed.ncbi.nlm.nih.gov/31494626/

Changing distance and the association with injuries: https://www.jospt.org/doi/10.2519/jospt.2019.8541

Today, Andrew explains his return to performance pathway, which is a criteria-based approach to help you and the athlete keep focused on the athlete's return to performance goal.

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RESOURCES

Andrew's return to performance pathway: https://www.jospt.org/doi/10.2519/josptopen.2024.1240

Clinical pearls for supporting return to performance: https://www.jospt.org/doi/10.2519/josptcases.2021.0103

Control-chaos continuum for progressing rehabilitation: https://pubmed.ncbi.nlm.nih.gov/30737202/

On-field rehabilitation progression (part 1): https://www.jospt.org/doi/10.2519/jospt.2019.8954

On-field rehabilitation progression (part 2): https://www.jospt.org/doi/10.2519/jospt.2019.8952

The woman was told that surgery is the only way to 'fix' her knee so she can get back to basketball and climbing. But is that really what the research evidence says?

Professors Jonas Thorlund and Søren Skou (University of Southern Denmark) share the key findings of their DREAM trial, and its clinical implications for managing traumatic meniscal tears.

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RESOURCES

DREAM trial report: https://pubmed.ncbi.nlm.nih.gov/38319181/

STARR trial report: https://pubmed.ncbi.nlm.nih.gov/35676079/

Comparing treatment strategies for traumatic and non-traumatic meniscus tears: https://www.jospt.org/doi/10.2519/jospt.2024.12245

Should symptom onset guide treatment choice for meniscus tears? https://www.jospt.org/do/10.2519/jospt.blog.20240415/full/

Considering playing style, shoe fit, and physical fitness are all in a day's work when supporting high-level women's basketball athletes to perform at their best.

Dr Meredith Chaput (University of Central Florida) extends the 5 phases of the visual-cognitive control chaos continuum, to link the ways to assess for cognitive compensations and how to progressively load the visual-cognitive system during sports injury rehabilitation.

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RESOURCES

From control to chaos - visual-cognitive progression during recovery: https://www.jospt.org/doi/10.2519/jospt.2024.12443

The control-chaos continuum adapted to basketball: https://www.jospt.org/doi/10.2519/jospt.2023.11981

Today, Dr Meredith Chaput (University of Central Florida) introduces the visual-cognitive control chaos continuum as a framework for sports injury rehabilitation. Her research uses functional MRI to evaluate neuroplasticity after knee injuries, focusing on understanding how people use visual attention to compensate for motor control, and how rehabilitation may better target these compensations.

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RESOURCES

From control to chaos - visual-cognitive progression during recovery: https://www.jospt.org/doi/10.2519/jospt.2024.12443

The control-chaos continuum adapted to basketball: https://www.jospt.org/doi/10.2519/jospt.2023.11981

Maybe you've had someone in the clinic who worries that running will wear their joints out? My guest today has dedicated his career to helping runners stay healthy and running for life, and is adamant that running is a great physical activity choice, even for people with osteoarthritis and joint replacement.

Dr Jean François Esculier is a physiotherapist based in Kelowna, Canada. He leads the Research & Development team at The Running Clinic, and teaches at The University of British Columbia; his clinical practice is at MoveMed Physiotherapy.

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RESOURCES

Survey about perceptions on running and knee health: https://pubmed.ncbi.nlm.nih.gov/36199830/

Education resource on running and joint health, in 7 languages: http://hdl.handle.net/2429/82767

Evaluation of the education resource: https://www.jospt.org/doi/10.2519/josptopen.2024.0149

Free webinar (account required) about the influence of running on cartilage: https://therunningclinic.com/tv/?VideoId=185711&SelectedCategory=185731

Running with osteoarthritis case report: https://pubmed.ncbi.nlm.nih.gov/38725598/

Today, Dr Pavlos Bobos (Western University, Canada) shares his own story of recovery from serious musculoskeletal injury, and how that experience drives the work he does now as a researcher. He discusses the results of a network meta-analysis of digital interventions for managing musculoskeletal pain and depression.

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RESOURCES

Network meta-analysis of digital interventions: https://www.jospt.org/doi/10.2519/jospt.2024.12216

Have you ever wondered how effective delivering rehabilitation via a screen is versus seeing the patient in the clinic?

Dr Belinda Lawford (The University of Melbourne) shares the latest research illustrating the benefits of telerehabilitation for managing chronic knee pain.

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RESOURCES

More on patients' perceptions of telerehabilitation/digital health: https://www.jospt.org/doi/10.2519/jospt.2024.12383

PEAK trial of telerehabilitation vs. in-person care for knee osteoarthritis: https://pubmed.ncbi.nlm.nih.gov/38461844/

How does the chatbot advice compare to the recommendations of trusted clinical practice guidelines? Dr Giacomo Rossettini shares the results of 2 new papers from his research team to answer these questions.

This episode is about the best ways clinicians can think about using AI chatbots to advance their clinical practice, while avoiding the pitfalls.

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RESOURCES

Pros and cons of AI chatbots in musculoskeletal rehabilitation practice: https://www.jospt.org/doi/10.2519/jospt.2023.12000

ChatGPT vs. CPGs for managing lumbosacral radicular pain: https://www.jospt.org/doi/10.2519/jospt.2024.12151

Julie Pedersen - physiotherapist and PhD student (University of Southern Denmark) - is studying what, how, when and why youth athletes use pain medications. Today, Julie discusses how clinicians, coaches, parents and schools can support safe use of analgesics among youth athletes.

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RESOURCES

Prospective study of Danish youth analgesic use: https://www.jospt.org/doi/10.2519/jospt.2024.12407

Prevalence, frequency, adverse events data from youth athletes: https://pubmed.ncbi.nlm.nih.gov/36100523/

The technology and applications of AI in healthcare changes just about every week. Today, we're exploring generative AI as a help, not a hindrance to musculoskeletal rehabilitation practice.

Physiotherapists Rebecca Fechner (Queensland Paediatric Persistent Pain Service), Dr Josh Pate (University of Technology Sydney) and Professor Mick Thacker (Royal College of Surgeons Ireland) talk about ways to use chatbots and generative AI to generate ideas and solve clinical problems.

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RESOURCES

The Prompt Engineering Guide is a deep dive into how to craft effective prompts for generative AI: https://www.promptingguide.ai/

More on the science of active inference: https://pubmed.ncbi.nlm.nih.gov/25563935/

Dr Weber is a senior physical therapist at the University of Maryland Medical Center. She primarily treats within the R. Adams Cowley Shock Trauma center in downtown Baltimore.

Dr Vannatta outlines ethical theories and 4 approaches to bioethics. He explains how one might justify different decisions, depending on the ethical framing, illustrating the complexity of return to play decisions with the clinical example of 'Ellie', who is returning to soccer after ACL reconstruction.

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RESOURCES

More on ethics frameworks and return to sport decisions: https://www.jospt.org/doi/10.2519/jospt.2024.12310

Marianne and Karin share how they use a psychologically-informed practice type of approach to support athletes and patients to work through and overcome anxiety and apprehension.

The chat focuses on supporting patients to return to high levels of function, including sport, after their shoulder surgery.

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RESOURCES

To find out more and register for the YAHiR-JOSPT Young athlete’s Hip Webinar Series: https://semrc.blogs.latrobe.edu.au/events/yahir/

Over the next 2 episodes of JOSPT Insights, Marianne and Karin will take us through the rehabilitation guideline, explain what's new in shoulder rehabilitation, and share their approaches to helping people feel confident to get back to the sports and recreation activities they love after shoulder dislocation.

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RESOURCES

Rehabilitation guideline for managing apprehension after anterior shoulder dislocation and Bankart repair: https://www.jospt.org/doi/10.2519/jospt.2024.12106

Patients' perspectives after treatment for anterior instability: https://pubmed.ncbi.nlm.nih.gov/37811392/

To find out more and register for the YAHiR-JOSPT Young athlete’s Hip Webinar Series: https://semrc.blogs.latrobe.edu.au/events/yahir/

Today, Dr Nicol van Dyk - physiotherapist and Assistant Professor at University College Dublin - is here to make the case for real skills as keys to expert musculoskeletal rehabilitation practice.

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RESOURCES

To find out more and register for the YAHiR-JOSPT Young athlete’s Hip Webinar Series: https://semrc.blogs.latrobe.edu.au/events/yahir/

Essential skills for Physiotherapists led by David Clancy: https://www.us.elsevierhealth.com/essential-skills-for-physiotherapists-9780443111280.html

Seth Godin blog on real skills: https://itsyourturnblog.com/lets-stop-calling-them-soft-skills-9cc27ec09ecb and TED talk https://ideas.ted.com/soft-skills-and-real-skills/

Harvard Business Review - In praise of the incomplete leader: https://hbr.org/2007/02/in-praise-of-the-incomplete-leader

More on listening as a clinical skill: https://pubmed.ncbi.nlm.nih.gov/30279218/

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NICOL'S TOP BOOK RECOMMENDATIONS

How to win friends and influence people (Dale Carnegie): https://www.amazon.com/How-Win-Friends-Influence-People/dp/0671027034

Leaders eat last (Simon Sinek): https://simonsinek.com/books/leaders-eat-last/

Dare to lead (Brene Brown): https://brenebrown.com/book/dare-to-lead/

The 21 Irrefutable Laws of Leadership: Follow Them and People Will Follow You (John C Maxwell): https://www.amazon.com/21-Irrefutable-Laws-Leadership-Anniversary/dp/0785288376

Amazing discussion about vulnerability from Adam Grant with Brene Brown: https://www.youtube.com/watch?v=uXVhDSBiZCI

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RESOURCES

Learn more about how the YAHiR collaborative is partnering to promote and protect athletes' hip health through high-quality research: https://www.ndorms.ox.ac.uk/research/yahir

The next Young Athlete's Hip Symposium is on 25-27 September, 2024, at Worcester College, Oxford University

The YAHiR Collaborative, La Trobe University and JOSPT are co-hosting a webinar mini series in May and June 2024. In these webinars, you'll hear more from experienced clinician-researchers Drs Josh Heerey, Jo Kemp, Kate Jochimsen and Mike Reiman. Dr Lindsey Plass and Luke Kearney, who both have lived experience of hip pain limiting their sporting careers, bring the athlete's perspective. For more information, and to register: https://semrc.blogs.latrobe.edu.au/events/yahir/

More on the terminology of inguinal-related groin pain: https://pubmed.ncbi.nlm.nih.gov/36111127/

Reliability and accuracy of clinical tests for diagnosing inguinal-related groin pain: https://pubmed.ncbi.nlm.nih.gov/36643406/

Rehabilitation and return to sport after surgery for inguinal-related groin pain: https://www.sciencedirect.com/science/article/abs/pii/S1060187217300382

Today, we're uncovering what makes a quality app for monitoring and promoting physical activity in chronic conditions, including musculoskeletal pain. Dr Alessio Bricca (Assistant Professor, University of Southern Denmark) and physiotherapist, Nikolaj Nøhr, share their latest research and discuss how to apply it in practice.

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RESOURCES

World Health Organization's global strategy on digital health (2020-2025): https://www.who.int/publications/i/item/9789240020924

More on the quality of health apps available in major app stores: https://pubmed.ncbi.nlm.nih.gov/35119367/

Research waste in musculoskeletal pain apps: https://pubmed.ncbi.nlm.nih.gov/30324177/

Benefits and harms of digital health interventions for promoting physical activity: https://pubmed.ncbi.nlm.nih.gov/37410534/

International consensus on research priorities for telehealth in musculoskeletal pain: https://pubmed.ncbi.nlm.nih.gov/37789304/

Making sense of digital health data in primary care: https://pubmed.ncbi.nlm.nih.gov/37096688/

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RESOURCES

Project ACL ("Project Korsband") registry: https://projektkorsband.se/

Quadriceps and hamstrings strength reference values for soccer/football, basketball and handball: https://www.jospt.org/doi/10.2519/jospt.2022.10693

Hop and jump test reference values for soccer/football, and basketball: https://www.jospt.org/doi/10.2519/jospt.2024.12374

Knee injuries after returning to sport following ACL reconstruction: https://pubmed.ncbi.nlm.nih.gov/27162233/

Return to sport rates after ACL reconstruction: https://pubmed.ncbi.nlm.nih.gov/25157180/

Dr Cooper discusses how climbing is like gymnastics, baseball, and rugby, with their shared hand, shoulder, and knee injuries. Some other key take-aways from the episode are how to identify weakness that climbers are so good at hiding, and how to progress a return to climb program. Hang on; it’s a good one!

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RESOURCES

Knee injuries in bouldering and rock climbing: https://pubmed.ncbi.nlm.nih.gov/32004071/

Classifying and managing flexor pulley injuries: https://pubmed.ncbi.nlm.nih.gov/30904240/

As a process, shared decision-making provides a scaffold for the patient's values, preferences and circumstances to receive primacy when discussing options, benefits and risks. As a mindset, shared decision-making is a standard of excellence in clinical practice - it ensures your are focused supporting the patient to authentically engage in decisions about their health.

Today, Diane Slater, physiotherapist and educator from Aalborg University, Denmark is helping you self-diagnose your shared decision-making practice. Diane shares tips for staying up-to-date with the best information to support quality shared decision-making, which she has honed through her work as a coach and mentor to musculoskeletal health practitioners.

In today’s episode, we take a deep dive into the hard preseason work that goes into preventing injuries, as Nick shares the specific primary and secondary strategies his team uses to keep athletes healthy and performing at their best.

------------------------------

RESOURCES

For more on the Sports MAP Network: https://sportsmap.com.au/

Normative isometric plantarflexion strength values: https://www.sciencedirect.com/science/article/pii/S1466853X23000469?via%3Dihub

More on the relationship between fascicle length and hamstring strength: https://bjsm.bmj.com/content/50/24/1524

JOSPT Insights episode 138 with Melissa Haberfield: https://open.spotify.com/episode/0qizZvG0ESHDfvWhOxq1Nd?si=c052ab2987e141f8 or https://podcasts.apple.com/us/podcast/ep-138-sports-corner-footy-the-game-they-play-in/id1522929437?i=1000619109573

JOSPT Insights episode 124 with Dr Seth O'Neill: https://open.spotify.com/episode/4n4wkxGK1hwBykR1MZyzJm?si=be616b82cc9542d6 or https://podcasts.apple.com/us/podcast/ep-124-caring-for-the-calf-with-dr-seth-oneill/id1522929437?i=1000604944985

Athletes say they would like psychological support, while many musculoskeletal rehabilitation clinicians feel ill-equipped to provide appropriate support. What to do?!

Fortunately, Dr Kate Jochimsen (ATC, PhD; Massachusetts General Hospital) is leading a research program geared towards developing and evaluating mind-body interventions for chronic hip pain, and she addresses some of the clinical challenges in today's episode.

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RESOURCES

Psychologically-informed practice when managing sports injuries: https://pubmed.ncbi.nlm.nih.gov/37647239/

More on the prevalence of hip morphology in athletes: https://www.jospt.org/doi/10.2519/jospt.2021.9622

Physiotherapist-led treatment for hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31732651/

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Find out more about the Pain Science in Practice courses delivered by Prof Lorimer Mosley: https://tinyurl.com/25kzcfmh

Direct links for each of the North American Pain Science in Practice courses:

Vancouver, Canada (27-28 September, 2024): https://clinicalsportsmedicine.com/lorimer-moseley

San Francisco, USA (5-6 October, 2024): https://www.noigroup.com/event/pain-science-in-practice-moseley-san-francisco/

New York City, USA (12-13 October, 2024): https://www.noigroup.com/event/pain-science-in-practice-moseley-nyc/

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RESOURCES

Who's afraid of electrical stimulation? Let's revisit the application of NMES at the knee: https://www.jospt.org/doi/10.2519/jospt.2023.12028

Find out more about the Pain Science in Practice courses delivered by Prof Lorimer Mosley: https://tinyurl.com/25kzcfmh

Direct links for each of the North American Pain Science in Practice courses:

Vancouver, Canada (27-28 September, 2024): https://clinicalsportsmedicine.com/lorimer-moseley

San Francisco, USA (5-6 October, 2024): https://www.noigroup.com/event/pain-science-in-practice-moseley-san-francisco/

New York City, USA (12-13 October, 2024): https://www.noigroup.com/event/pain-science-in-practice-moseley-nyc/

Today, Drs Elanna Arhos (Ohio State University) and Naoaki Ito (University of Wisconsin - Madison) are re-visiting how NMES is applied in sports clinical practice. Get the low-down on why you need NMES in your sports rehabilitation toolkit, and how to figure out dose and intensity.

In part 2 we discuss how to support patients to get the most out of NMES, and which equipment is best for your clinic.

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RESOURCES

Who's afraid of electrical stimulation? Let's revisit the application of NMES at the knee: https://www.jospt.org/doi/10.2519/jospt.2023.12028

Find out more about the Pain Science in Practice courses delivered by Prof Lorimer Mosley: https://tinyurl.com/25kzcfmh

Direct links for each of the North American Pain Science in Practice courses:

Vancouver, Canada (27-28 September, 2024): https://clinicalsportsmedicine.com/lorimer-moseley

San Francisco, USA (5-6 October, 2024): https://www.noigroup.com/event/pain-science-in-practice-moseley-san-francisco/

New York City, USA (12-13 October, 2024): https://www.noigroup.com/event/pain-science-in-practice-moseley-nyc/

In part 2 of this series, Dr de Vos covers the multitude of options for treatment, outside of exercise therapy. Should you and the patient consider corticosteroid injections, PRP injections, heel lifts, shockwave, NSAIDs, or surgery? And when? What are the important clinical considerations when patients choose these options? Part 2 has it all!

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RESOURCES

Terminating corticosteroid injection in tendinopathy? https://www.jospt.org/doi/10.2519/jospt.2023.11875/

Dutch multidisciplinary guideline on Achilles tendinopathy: (https://pubmed.ncbi.nlm.nih.gov/34187784/

Platelet-rich plasma injection for chronic Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/20068208/

Time to put down the scalpel when treating tendinopathy? https://pubmed.ncbi.nlm.nih.gov/31653777/

Why tendons like load: https://pubmed.ncbi.nlm.nih.gov/29920664/

Clinical diagnosis of Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/34692248/

Clinical tool for identifying spondyloarthropathy: http://tinyurl.com/3my87hma

More on the pain monitoring model: https://pubmed.ncbi.nlm.nih.gov/17307888/

Dosing your resistance training in tendinopathy: https://pubmed.ncbi.nlm.nih.gov/37169370/

Best treatment for Achilles tendinopathy (living systematic review): https://pubmed.ncbi.nlm.nih.gov/32522732/

In today’s episode, Dr de Vos covers the important tendon anatomy to guide your differential diagnosis, what information he is most focused on communicating to patients, and the key factors that can affect your choices when managing Achilles tendinopathy.

------------------------------

RESOURCES

Why tendons like load: https://pubmed.ncbi.nlm.nih.gov/29920664/

Clinical diagnosis of Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/34692248/

Clinical tool for identifying spondyloarthropathy: https://www.researchgate.net/profile/Paul-Kirwan/publication/332275130_D18_SCREEND%27EM_BEFORE_YOU_TREAT%27EM_A_CLINICAL_TOOL_TO_HELP_IDENTIFY_SPONDYLOARTHROPATHY_IN_PATIENTS_WITH_TENDINOPATHY/links/5cab530da6fdcca26d06aaf1/D18-SCREENDEM-BEFORE-YOU-TREATEM-A-CLINICAL-TOOL-TO-HELP-IDENTIFY-SPONDYLOARTHROPATHY-IN-PATIENTS-WITH-TENDINOPATHY.pdf

More on the pain monitoring model: https://pubmed.ncbi.nlm.nih.gov/17307888/

Dosing your resistance training in tendinopathy: https://pubmed.ncbi.nlm.nih.gov/37169370/

Best treatment for Achilles tendinopathy (living systematic review): https://pubmed.ncbi.nlm.nih.gov/32522732/

Dr Joe Robinson is the head physical therapist for the National Hockey League’s Boston Bruins. He skates into Sports Corner to explain the physical demands of hockey, the typical acute injuries he sees and how to prevent them, and runs through how the medical team responds during emergency scenarios.

Today, Val Jones, Clinical Lead Physiotherapist at the Sheffield Shoulder and Elbow Unit at the Sheffield Teaching Hospital Foundation Trust, shares practical advice to help you feel confident about managing elbow pain.

------------------------------

RESOURCES

CT versus MRI for assessing osteochonritis dissecans of the capitellum: https://pubmed.ncbi.nlm.nih.gov/36342019/

Shoulder arm return to sport test battery: https://pubmed.ncbi.nlm.nih.gov/31203142/

Lateral elbow pain clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2022.0302

2022 Bern shoulder consensus: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952

JOSPT Insights episode 136 (lateral elbow pain with Drs Lucado and Day): https://podcasts.apple.com/us/podcast/ep-136-lateral-elbow-pain-2022-clinical-practice-guideline/id1522929437?i=1000617533681

JOSPT Insights episode 103 (baseball pitching biomechanics with Wake Forest Pitching Lab): https://podcasts.apple.com/us/podcast/ep-103-baseball-pitching-biomechanics-with-the-wake/id1522929437?i=1000581372250

Today, Dr Seth O'Neill from the University of Leicester, joins us to blend the latest science in calf injury with high-level clinical reasoning. You'll get something out of today's chat whether you're beginning in your clinical career or whether you're looking for suggestions for advanced clinical practice.

Associate Professor Peter Kent and Professor Peter O'Sullivan (Curtin University, Perth, Australia) share, on behalf of the whole trial team, the results of their RESTORE trial. Does cognitive functional therapy herald a revolution in how clinicians can support people to live well with back pain? Let's find out.

------------------------------

RESOURCES

For the published trial: https://pubmed.ncbi.nlm.nih.gov/37146623/

Find out lots more about the RESTORE trial, including how patients and clinicians feel about cognitive functional therapy: https://www.restorebackpain.com/

Today, Dr Angela Cadogan (PT, PhD) - Specialist Physiotherapist and clinical consultant - is helping you hone your clinical reasoning in differential diagnosis of subacromial pain.

Dr Cadogan shares her practical approach to diagnosing subacromial pain in a way that you can take straight to the clinic tomorrow.

We are exploring the explicit and implicit messages that you communicate with your words and actions when you work with patients. Drs Bunzli and Caneiro share tips on communicating, and on developing your own practice as a musculoskeletal rehabilitation clinician.

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RESOURCES

For more on pain narratives, check out the 3-editorial series led by Dr Bunzli, "Broken Machines or Active Bodies", including 5 recommendations to shift the way you communicate with people in pain: https://www.jospt.org/doi/10.2519/jospt.2023.11879 and https://www.jospt.org/doi/10.2519/jospt.2023.11880 and https://www.jospt.org/doi/10.2519/jospt.2023.11881

More on how people communicate about knee osteoarthritis (qualitative review): https://pubmed.ncbi.nlm.nih.gov/33502513/

In part 1, we discuss the way that patients understand pain. Dr Bunzli kicks off by summarising the best research evidence, and Dr Caneiro shares some compelling clinical examples to explain how to apply the research to deliver quality musculoskeletal rehabilitation practice.

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RESOURCES

For more on pain narratives, check out the 3-editorial series led by Dr Bunzli, "Broken Machines or Active Bodies", including 5 recommendations to shift the way you communicate with people in pain: https://www.jospt.org/doi/10.2519/jospt.2023.11879 and https://www.jospt.org/doi/10.2519/jospt.2023.11880 and https://www.jospt.org/doi/10.2519/jospt.2023.11881

More on how people communicate about knee osteoarthritis (qualitative review): https://pubmed.ncbi.nlm.nih.gov/33502513/

Today we work through phases 3 and 4 in the rehabilitation program: re-modeling and maturation occurring around 12-weeks after surgery.

We cover nerve glides and how to dose them, the goals and areas of focus for manual therapy and therapeutic exercise, incorporating proprioception training, and important clinical milestones to consider along the way.

The patient’s goal was to return to manual labor, and we talk about how healing timelines impact on clinical decisions in the later stages of rehabilitation.

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RESOURCES

Read more about the case: https://www.jospt.org/doi/10.2519/josptcases.2023.11608

Catch part 1 here: https://podcasts.apple.com/us/podcast/ep-158-planning-a-rehabilitation-program-after/id1522929437?i=1000637409917 or https://open.spotify.com/episode/0Ci1ya1CHXB8FgYYBO4Q3q?si=94b548f8e3bd4b4e

In part 1, we cover who does well with surgery, the indications and surgical procedure, plus a deep dive into evidence-based pre- and post-operative rehabilitation.

There's not much hard research evidence to guide your decisions on how to structure and deliver, so tune into hear how expert clinicians approach things.

You'll learn about the phases of rehabilitation (we tackle the first two in today's episode), what’s normal, what’s not, strategies for collaborating with surgeons, and suggested interventions.

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RESOURCES

Read more about the case: https://www.jospt.org/doi/10.2519/josptcases.2023.11608

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RESOURCES

Dr Graber and his colleagues led a expert consensus process to establish recommendations for how often and for how long you might consider scheduing rehabilitation visits. The group also discussed discharge planning, how to implement telerehabilitation, and monitoring the patient's progress to guide clinical decisions

Check out the JOSPT article: https://www.jospt.org/doi/10.2519/jospt.2023.11840

For more on predicting outcomes after total knee replacement: https://www.medrxiv.org/content/10.1101/2023.10.23.23297404v1 (preprint)

]]> Mon, 20 Nov 2023 10:00:00 +0000 944 false false 1 Ep 156: Preventing neck pain - what works? with Florian Teichert & Dr Daniel Belavy What you can do to help prevent neck pain? What are the best exercise approaches? PhD candidate, Florian Teichert, and Professor Daniel Belavy, from The University of Applied Sciences in Bochum, G... full 262f2ed9-4293-4640-be85-12d0c3e70ed7 What you can do to help prevent neck pain? What are the best exercise approaches?

PhD candidate, Florian Teichert, and Professor Daniel Belavy, from The University of Applied Sciences in Bochum, Germany, discuss which exercises and why they might work. We use their recent systematic review published in JOSPT as a launching point for the discussion.

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RESOURCES

To read the full systematic review: https://www.jospt.org/doi/10.2519/jospt.2023.12063

Blog and infographic: https://www.jospt.org/do/10.2519/jospt.blog.20231011/full/

PhD candidate and recent Master of Physical Therapy graduate, Kendra Zadravec, and Professor Kristin Campbell (Department of Physical Therapy at the University of British Columbia, Canada) share their research and clinical expertise in developing physiotherapy interventions for people with cancer to help answers to these questions and more.

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RESOURCES

Canadian Physiotherapy Association Oncology Division: https://www.oncologycpa.ca/

American PT Association Oncology: https://oncologypt.org/

Australian Physiotherapy Association - Cancer, Palliative Care and Lymphodema: https://australian.physio/membership/national-groups/cancer-palliative-care-and-lymphoedema

Macmillan UK: https://www.macmillan.org.uk/healthcare-professionals

ACSM guidelines for exercise and cancer: https://www.acsm.org/news-detail/2019/10/16/expert-panel-cancer-treatment-plans-should-include-tailored-exercise-prescriptions

One stop shop for cancer and exercise information: www.cancerexercise.ca (direct link to resources for health care providers: https://cancerexercise.med.ubc.ca/resources-hcp/

Recommendations for exercise with bone metastases (open access): https://pubmed.ncbi.nlm.nih.gov/34990293/

Systematic review on exercise for people with bone metastases: https://pubmed.ncbi.nlm.nih.gov/34358650/

Physical activity recommendations for cancer survivors living with bony metastases: https://pubmed.ncbi.nlm.nih.gov/33604871/

Today, Val Jones, Clinical Lead Physiotherapist at the Sheffield Shoulder and Elbow Unit at the Sheffield Teaching Hospital Foundation Trust, shares practical advice to help you feel confident about managing elbow pain.

For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

------------------------------

RESOURCES

CT versus MRI for assessing osteochonritis dissecans of the capitellum: https://pubmed.ncbi.nlm.nih.gov/36342019/

Shoulder arm return to sport test battery: https://pubmed.ncbi.nlm.nih.gov/31203142/

Lateral elbow pain clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2022.0302

2022 Bern shoulder consensus: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952

JOSPT Insights episode 136 (lateral elbow pain with Drs Lucado and Day): https://podcasts.apple.com/us/podcast/ep-136-lateral-elbow-pain-2022-clinical-practice-guideline/id1522929437?i=1000617533681

JOSPT Insights episode 103 (baseball pitching biomechanics with Wake Forest Pitching Lab): https://podcasts.apple.com/us/podcast/ep-103-baseball-pitching-biomechanics-with-the-wake/id1522929437?i=1000581372250

Dr Humbyrd reviews ankle anatomy and her rationale for recommending surgery, how she performs a Broström repair, and explains how she works in close partnership with physical therapists and patients to achieve quality rehabilitation and return to sport outcomes.

For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

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RESOURCES

Find the paper "Age-, Sex-, and Graft-specific Reference Values From 783 Adolescent Patients At 5-7 months After ACL Reconstruction: IKDC, PEDI-IKDC, KOOS, ACL-RSI, Single-leg Hop, and Thigh Strength" on the JOSPT website: https://www.jospt.org/doi/abs/10.2519/jospt.2023.11389

To access the normative database: https://dataverse.lib.virginia.edu/dataset.xhtml?persistentId=doi:10.18130/V3/JNPHUB

For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

Dr Lynn McKinnis expertly walks through when and how to apply the Canadian C-Spine Rule when a patient presents with neck pain, types of vertebral artery injuries, and tips for diagnosing and treating acute neck trauma.

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RESOURCES

Learn more about the specific case here: https://www.jospt.org/doi/full/10.2519/jospt.2016.0416

Canadian C-Spine Rule: https://med-fom-clone-pt.sites.olt.ubc.ca/files/2014/01/C-spine-Rule-FAQs.pdf

NEXUS Criteria for detecting clinically-important cervical spine injury following blunt trauma: https://www.nejm.org/doi/full/10.1056/NEJM200007133430203

For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

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RESOURCES

Does your neurological examination for suspected peripheral neuropathies measure up? Do a check-up here: https://doi.org/10.2519/jospt.2022.11281

Why you cannot trust the dermatomes: https://www.youtube.com/watch?v=BZYtAR4zUpg&t=283s

More from Dr Schmid's Neuromusculoskeletal Health and Science Laboratory: https://www.ndcn.ox.ac.uk/research/neuromusculoskeletal-health-and-science-lab

For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

In today's episode, Dr Myles Murphy (Edith Cowan University, Australia) shares a new patient-reported outcome measure for evaluating Achilles tendinopathy-related disability, the TENDINS-A (TENDINopathy Severity Assessment-Achilles).

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RESOURCES

The TENDINopathy Severity Assessment-Achilles (TENDINS-A) patient-reported outcome measure: https://www.jospt.org/doi/10.2519/jospt.2023.11964

ICON 2019 International Scientific Tendinopathy Symposium consensus statement: https://pubmed.ncbi.nlm.nih.gov/31685525/

JOSPT Insights episode 79: Treating tricky tendons, with Dr Ebonie Rio: https://podcasts.apple.com/au/podcast/ep-79-treating-tricky-tendons-with-dr-ebonie-rio/id1522929437?i=1000558586146 or https://open.spotify.com/episode/6d8WMYDQI8s0X9Iu1G68aK

Systematic review of Achilles tendinopathy outcome measures: https://pubmed.ncbi.nlm.nih.gov/34797533/

For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

What does she consider when helping patients to make a decision about surgery or no surgery? How does she perform the surgical repair, and why is she so fastidious with post-op restrictions?

Dr Humbyrd is a champion for physical therapy, and underscores wound care, person-centred care, and why tension can help the Achilles!

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RESOURCES

For more about the American Orthopaedic Foot & Ankle Society: https://www.aofas.org/

More resources to share with patients: https://www.footcaremd.org/

For more on the AASPT x JOSPT Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

Today we're learning from 2 leaders in sports biomechanics: Drs Elanna Arhos and Stephanie Di Stasi from the Ohio State University.

We discuss how to make sense of a biomechanics research article, how to translate what you read to clinical practice, and the minimum biomechanics set-up for your clinic.

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RESOURCES

For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

While Luke's career in sport has continued in a different guise, he feels that things might have been different had the clinicians and practitioners he interacted with as a young athlete taken the time to listen and communicate better.

Luke's messages about communicating are relevant whether you work with athletes or non-athletes, at professional or recreational levels, and with youth or adults - there's something for all musculoskeletal rehabilitation clinicians.

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RESOURCES

For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427. If you purchase your ticket before the end of August, you can take advantage of a $50 discount.

Learn more about how the YAHiR collaborative is partnering to promote and protect athletes' hip health through high-quality research: https://www.ndorms.ox.ac.uk/research/yahir

You can register to access full recordings of the Young Athlete's Hip Symposium, and the Oxford-Aspetar-La Trobe Young Athlete's Hip Webinar Series (11 webinars): https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2022

The next Young Athlete's Hip Symposium is on 25-27 September, 2024 at Worcester College, Oxford University.

Today we're talking about the hallmarks of a PROM for people with patellofemoral pain. Physical therapist, educator and researcher, Professor Lisa Hoglund, fills in the gaps to help us find the promise in PROMs.

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RESOURCES

Construct validity, reliability, responsiveness and interpretability of PROMs for patellofemoral pain: https://www.jospt.org/doi/10.2519/jospt.2023.11730

Content validity and feasibility of PROMs for patellofemoral pain: https://www.jospt.org/doi/10.2519/jospt.2022.11317

Find out more about the KOOS (including the Excel scoring sheet): http://www.koos.nu/index.html

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The American Academy of Sports Physical Therapy and JOSPT are joining forces to bring you the Virtual Sports PT Conference on Friday the 3rd and Saturday the 4th of November, 2023. Visit the link below to see the full conference programme and to secure your ticket. If you purchase your ticket before the end of August, you can take advantage of a $50 discount.

https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427

Today, Dr Rachel Harris is guiding us as we consider our collective health literacy of the particular health, wellbeing and performance needs of female athletes.

Dr Harris represented Australia at the Olympics as a swimming athlete, and was the Chief Medical Officer for the Australian Paralympic team in Tokyo 2021. She leads the Australian Institute of Sport's female athlete performance and health, menstrual cycle and hormonal contraception project.

-------------------------

RESOURCES

For trustworthy education resources to share with athletes, coaches, parents and others who support female athletes, check out: https://www.ais.gov.au/fphi/education

Lionel outlines 4 categories to consider when planning return to sport and performance: (1) deconstructing goals, (2) determining key performance indicators, (3) assessing the challenge point, and (4) using the control-chaos continuum to guide interventions.

We work through examples of why and where to use the concept of backward design during rehabilitation.

-------------------------

RESOURCES

Find Lionel's paper here: https://www.jospt.org/doi/10.2519/jospt.2022.11440

More on designing effect exercise progressions during rehabilitation (Blanchard & Glasgow): https://pubmed.ncbi.nlm.nih.gov/28756390/

More on motor learning and the challenge point—where effective practice occurs: https://pubmed.ncbi.nlm.nih.gov/15130871/

The control-chaos continuum and progressing rehabilitation (Taberner and colleagues): https://pubmed.ncbi.nlm.nih.gov/30737202/

Today's chat might just give you a tool to make life easier for you and the athletes, coaches and parents you work with. Drs Hayley Root and Jeff Driban are here to tell us all about the new Remain in the Game toolkit.

-------------------------

RESOURCES

Get access to the Remain in the Game toolkit: https://oaaction.unc.edu/remain-in-the-game-a-joint-effort/

Learn more about all the work of the Osteoarthritis Action Alliance: https://oaaction.unc.edu/standup2oa/

What is the best approach to imaging for young people with hip pain? When do you reach for radiographs? What are the pros and cons of MRI for hip pain? And how do you interpret and act on the information you gather from the scan?

Never fear, Dr Vasco Mascarenhas—radiologist and Assistant Professor at Católica Medical School, Portugal—is here to explain all you need to know to confidently use imaging for hip pain in clinical practice.

------------------------------

RESOURCES

More on the methods of imaging for hip preservation: https://pubmed.ncbi.nlm.nih.gov/31163499/

Overview of the state of play for imaging in suspected femoroacetabular impingement syndrome: https://pubmed.ncbi.nlm.nih.gov/32845416/

Treatment sessions 3 and 4 include breakthroughs, progressions, graded movement exposure, and mindfulness training.

We discuss who finds pain neuroscience most helpful, and Dr Chris Hughes explains why this case was a perfect match for JOSPT Cases.

------------------------------

RESOURCES

Check out the case report article that is the main subject of today's discussion plus its supplemental material: https://www.jospt.org/doi/full/10.2519/josptcases.2021.9875

Understanding pain in less than 5 minutes, and what to do about it: https://www.youtube.com/watch?v=C_3phB93rvI

Back pain: separating fact and fiction with Dr Peter O'Sullivan: https://www.youtube.com/watch?v=dlSQLUE4brQ

The Recognise App from the NOI group: https://www.noigroup.com/product/recogniseapp/

Find the Why I Hurt Flashcards and heaps of helpful information about pain neuroscience education here: https://whyyouhurt.com/WYH-why.html

Find out more about Headspace, and download the app for free: https://www.headspace.com/

Find "Sticks and Stones: The Impact of Language in Musculoskeletal Rehabilitation" here: https://www.jospt.org/doi/10.2519/jospt.2018.0610

The NOI Group's website has plenty of courses and resources for clinicians on managing pain: https://www.noigroup.com/

Don't forget, JOSPT has a terrific series called Pain Science in Practice, which is all about helping you understand and link basic pain science to the clinic and quality musculoskeletal rehabilitation care. Find part 1 in the series (6 editorials, and more on the way!) here: https://www.jospt.org/doi/10.2519/jospt.2022.10995

First, they review the history, clinical assessment, and the interventions performed over the first 2 treatment sessions.

Next, the clinical team reviews how they decided when to leave the biomechanical world and when to focus on graded motor imagery and laterality training.

Dr Chris Hughes, Editor-in-Chief for JOSPT Cases, introduces the journal. He explains why case reports are important in musculoskeletal health and rehabilitation.

------------------------------

RESOURCES

Check out the case report article that is the main subject of today's discussion plus its supplemental material: https://www.jospt.org/doi/full/10.2519/josptcases.2021.9875

Dr Lorimer Moseley on the role of the brain in chronic pain (snake story): https://www.youtube.com/watch?v=bj9CUGzw6fs&t=26s

Dr Peter O’Sullivan and “Jack” sharing how Jack regained his life: https://www.youtube.com/watch?v=j4gmtpdwmrs&t=214s

Understanding pain in less than 5 minutes, and what to do about it: https://www.youtube.com/watch?v=C_3phB93rvI

Back pain: separating fact and fiction with Dr Peter O'Sullivan: https://www.youtube.com/watch?v=dlSQLUE4brQ

The Recognise App from the NOI group: https://www.noigroup.com/product/recogniseapp/

Melissa breaks down the demands of the sport, the common injuries, and key things for clinicians to keep in mind when working with Australian football athletes.

------------------------------

RESOURCES

More on the Prep2Play injury prevention program, including player, coach and clinician resources: https://www.play.afl/coach/resources/prep-to-play/

Intro to footy video: https://www.youtube.com/watch?v=u_SqfNNfhmM&authuser=0

Tayla Harris and the landmark AFLW photo: https://www.abc.net.au/news/2019-03-21/tayla-harris-aflw-photo-could-be-landmark-moment-in-australia/10921892

Physiotherapist, researcher and educator at University of Technology Sydney, Dr Joshua Pate, is on a mission to help kids and clinicians work better together when it comes to understanding and managing musculoskeletal pain. Today he shares the latest on pain neuroscience, and tips for honing your listening and communicating skills.

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RESOURCES

More on assessing children's understanding of pain: https://pubmed.ncbi.nlm.nih.gov/32960825/ (Concept of Pain Inventory) and what paediatric pain experts think https://pubmed.ncbi.nlm.nih.gov/29342976/

More on the pGALS (paediatric Gait Arms Legs and Spine) quick musculoskeletal assessment tool: https://pubmed.ncbi.nlm.nih.gov/24219838/

https://www.zoeandzakspainhacks.com is the free online portal for kids, clinicians, parents and teachers. You'll find the books at: https://www.noigroup.com/product/zoe-and-zaks-pain-hacks/

More from Josh on his website: https://joshuawpate.com/

CPG authors Dr Ann Lucado and Dr Joseph “Matt” Day review the key take-aways from the CPG. They share the important differential diagnoses to consider, the outcome measures to use, and impairment measures to track.

Clinicians will love the clever approach to classifying the irritability stage of elbow pain, to guide both treatment and prognosis and liberate you to decide what's best for tailoring your recommendations throughout rehabilitation.

------------------------------

RESOURCES

Read the full CPG for free: https://www.jospt.org/doi/10.2519/jospt.2022.0302

One-page summary of the key points for clinicians (including decision tree): https://www.jospt.org/doi/10.2519/jospt.2023.0501

One-page summary of the key CPG points for patients: https://www.jospt.org/doi/10.2519/jospt.2023.0504

Dr Selhorst presents a 3-stage approach to rehabilitation, and shares how he thinks differently when planning rehabilitation for an acute vs. a chronic injury. Another big take-home message: how important it is to consider the psychological aspect of these injuries for youth athletes.

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RESOURCES

More on rehabilitation for spondylolysis in youth athletes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7134351/

Micheli Functional Scale: https://pubmed.ncbi.nm.nih.gov/22382433/

]]> Mon, 12 Jun 2023 09:00:00 +0000 1211 false false 1 Ep 134: Back pain in adolescent athletes (part 1) – who, why and what, with Dr Mitchell Selhorst Today, Dr Mitchell Selhorst dives in the world of pediatric spondylosis/spondylolysis/spondylolisthesis injuries with Chelsea and Dan. And it’s not all about female gymnasts! You can expect about ... full f70b1780-4cf8-4e65-8b5f-d753fe2a7792 Today, Dr Mitchell Selhorst dives in the world of pediatric spondylosis/spondylolysis/spondylolisthesis injuries with Chelsea and Dan. And it’s not all about female gymnasts!

You can expect about 3 in every 10 adolescents with low back pain to have a spondy. So, knowing the population, risk factors, and key things to look for on examination are incredibly important.

Dr Selhorst reviews the epidemiology, shares the current evidence on the effects of bracing and surgery, and explains how imaging findings can influence rehabilitation decisions.

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RESOURCES

More on rehabilitation for spondylolysis in youth athletes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7134351/

Associate Professor Peter Kent and Professor Peter O'Sullivan (Curtin University, Perth, Australia) share, on behalf of the whole trial team, the results of their RESTORE trial. Does cognitive functional therapy herald a revolution in how clinicians can support people to live well with back pain? Let's find out...

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RESOURCES

Toll-free link to access the published trial until June: https://www.sciencedirect.com/science/article/abs/pii/S0140673623004415?dgcid=coauthor. After June, you'll find it here: https://pubmed.ncbi.nlm.nih.gov/37146623/

Find out lots more about the RESTORE trial, including how patients and clinicians feel about cognitive functional therapy: https://www.restorebackpain.com/

Today, Dr Angela Cadogan (PT, PhD) - Specialist Physiotherapist and clinical consultant - is helping you hone your clinical reasoning in differential diagnosis of subacromial pain.

Dr Cadogan shares her practical approach to diagnosing subacromial pain in a way that you can take straight to the clinic tomorrow.

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RESOURCES

Learn more about how the YAHiR collaborative is partnering to promote and protect athletes' hip health through high-quality research: https://www.ndorms.ox.ac.uk/research/yahir

You can register to access full recordings of the Young Athlete's Hip Symposium, and the Oxford-Aspetar-La Trobe Young Athlete's Hip Webinar Series (11 webinars): https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2022

The next Young Athlete's Hip Symposium is on 25-27 September, 2024 at Worcester College, Oxford University

------------------------------

RESOURCES

Learn more about how the YAHiR collaborative is partnering to promote and protect athletes' hip health through high-quality research: https://www.ndorms.ox.ac.uk/research/yahir

You can register to access full recordings of the Young Athlete's Hip Symposium, and the Oxford-Aspetar-La Trobe Young Athlete's Hip Webinar Series (11 webinars): https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2022

The next Young Athlete's Hip Symposium is on 25-27 September, 2024 at Worcester College, Oxford University

From the acceleration and deceleration demands, physical playing space restrictions, challenging anthropometrics of these athletes, and the variation in position demands—your rehabilitation plans for basketball athletes will require careful thought. Maggie’s hot tip: don’t forget about the foot and ankle!

Today we discuss strategies for performing well and staying injury free while running, how to choose a new running shoe, and Chris shares his approach to designing an effective all-round running training program.

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RESOURCES

Chris' book 'Science of Running: Analyze your Technique, Prevent Injury, Revolutionize your Training' is available wherever you purchase books (https://www.penguinrandomhouse.ca/books/612657/science-of-running-by-chris-napier/9780744022087)

Mike has assumed the role of Sports Academy President at an exciting time of innovation in learning, professional development, and mentorship. Today we discuss how the Sports Academy is nurturing the physical therapy profession and its future leaders.

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RESOURCES

Academy of Sports Physical Therapy: https://sportspt.org/

Sports Academy Learning Centre: https://learn.sportspt.org/

Today, Dr Seth O'Neill from the University of Leicester, joins us to blend the latest science in calf injury with high-level clinical reasoning. You'll get something out of today's chat whether you're beginning in your clinical career or whether you're looking for suggestions for advanced clinical practice.

He explains how to assess falls risk and physical performance, and recommends his top measures and resources.

Dr Jones addresses why it’s important to focus, not only on preventing falls, but on helping older people prepare for falls too, and reviews some drills he uses with his clients.

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RESOURCES

STEADI: https://www.cdc.gov/steadi/index.html

Ability Lab: https://www.sralab.org/additional-resources

Stronger Life: https://www.strongerlifehq.com/

Dr. Lynn McKinnis expertly walks through when and how to apply the Canadian C-Spine Rule when a patient presents with neck pain, types of vertebral artery injuries, and tips for diagnosing and treating acute neck trauma.

------------------------------

RESOURCES

Learn more about the specific case here: https://www.jospt.org/doi/full/10.2519/jospt.2016.0416

Canadian C-Spine Rule: https://med-fom-clone-pt.sites.olt.ubc.ca/files/2014/01/C-spine-Rule-FAQs.pdf

NEXUS Criteria for detecting clinically-important cervical spine injury following blunt trauma: https://www.nejm.org/doi/full/10.1056/NEJM200007133430203

------------------------------

RESOURCES

Find the paper "Age-, Sex-, and Graft-specific Reference Values From 783 Adolescent Patients At 5-7 months After ACL Reconstruction: IKDC, PEDI-IKDC, KOOS, ACL-RSI, Single-leg Hop, and Thigh Strength" on the JOSPT website: https://www.jospt.org/doi/abs/10.2519/jospt.2023.11389

To access the normative database: https://dataverse.lib.virginia.edu/dataset.xhtml?persistentId=doi:10.18130/V3/JNPHUB

Dr Humbyrd reviews ankle anatomy and her rationale for recommending surgery, how she performs a Broström repair, and explains how she works in close partnership with physical therapists and patients to achieve quality rehabilitation and return to sport outcomes.

Diving into the 2022 JOSPT clinical commentary, “What Works When Treating Children and Adolescents with Low Back Pain?”, Dan and Chelsea chat with author Dr Tiê Yamato. They review the physical, psychological, pharmacological, interdisciplinary and family-centered, and communication interventions that are most effective for treating and managing low back pain in this important population.

Read Dr Yamato's article here: https://www.jospt.org/doi/10.2519/jospt.2022.10768

Dr Baxter describes the wide variety of competitive events, the demands they place on the athlete, plus the common acute and chronic injuries that plague particular snow sport disciplines.

We discuss the travel and schedule demands of the sport, the cognitive demands, the harsh and changing environment, and how you and the athlete can make an informed decision about when is the right time to return to snow.

Find Part 2 of the chat with Jeremy—all about treating frozen shoulder—here: https://podcasts.apple.com/us/podcast/ep-68-frozen-shoulder-and-how-to-treat-it-with-prof/id1522929437?i=1000550291168 or https://open.spotify.com/episode/2mDypUMV2BNEypGe52wsIs.

------------------------------

RESOURCES

Framework for assessing and managing frozen shoulder: https://pubmed.ncbi.nlm.nih.gov/25107826/

Effectiveness of non-surgical interventions: https://pubmed.ncbi.nlm.nih.gov/31233183/

UK FROST trial: https://pubmed.ncbi.nlm.nih.gov/33010843/

Prof Lewis’ book, The Shoulder: Theory & Practice, is available from https://www.handspringpublishing.com/product/the-shoulder-theory-and-practice/

Part 2 of our chat with Jo (find it here: https://podcasts.apple.com/us/podcast/ep-99-solving-stubborn-shoulders-part-2-with-jo-gibson/id1522929437?i=1000578394772) was all about supporting the athlete to return to sport: key considerations and best tests.

------------------------------

RESOURCES

The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/

Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

In today's episode, Dr Travis Maak shares the orthopaedic surgeon's perspective on hip pain in athletes. Dr Maak is a strong advocate for multidisciplinary practice—he’s a big fan of physical therapists and surgeons working together.

We cover when to refer to an orthopaedic surgeon, what to do when hip treatments aren’t going to plan, and how different surgical techniques have implications for the decisions clinicians make about rehabilitation.

Specialist sports physiotherapist and clinical researcher, Dr Ebonie Rio brings her trademark brand of pragmatism to JOSPT Insights today, as she shares top clinical tips for diagnosing and managing tricky tendons.

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RESOURCES

More on tissue capacity: https://pubmed.ncbi.nlm.nih.gov/26255142/

Revisit the continuum model of tendon pathology: https://pubmed.ncbi.nlm.nih.gov/27127294/

02:15: Prof Nicola Philips on optimal loading (https://tinyurl.com/3j4j7vpy)

04:05: Dr Ebonie Rio on loading tendons (https://tinyurl.com/rtvh6sfj)

06:35: Dr Tasha Stanton on managing osteoarthritis symptoms (https://tinyurl.com/yc8djs75)

07:45: Drs Matt Klein and Nathan Brown on running injuries (https://tinyurl.com/9t7jprjh)

09:25: Dr Kevin Wernli on moving better with pain (https://tinyurl.com/44ukf339)

11:30: Dr Amy Arundale on authentic connections with athletes (https://tinyurl.com/4tc8dewr)

13:50: Dr Matt Whalen shares injury prevention resources (https://tinyurl.com/23j2cxuj)

15:00: Dr Mike Rosenthal shares the American College of Radiology Appropriateness Criteria (https://tinyurl.com/5dwac4mt)

16:40: Dr Marie Boo on injuries in women's football (soccer) (https://tinyurl.com/bdfchmss)

Dr Josh Heerey—physiotherapist and Research Fellow at La Trobe University's Sport and Exercise Medicine Research Centre—has thought deeply about the answers to these questions through his clinical and research career, and he joins us to explain more.

------------------------------

RESOURCES

More on the prevalence of hip morphology in athletes: https://www.jospt.org/doi/10.2519/jospt.2021.9622

Physiotherapist-led treatment for hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31732651/

Unravelling the relationship between cam morphology and hip OA: https://pubmed.ncbi.nlm.nih.gov/30175856/

We discuss why it is important to continue red flag screening throughout care, how to frame an urgent referral, and how the imaging approach can influence health care.

There are even some bonus tips for authors who are considering submitting case studies to JOSPT Cases (https://www.jospt.org/toc/jospt-cases/current).

------------------------------

RESOURCES

American College of Radiology Appropriateness Criteria: https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria

Radiology Across Borders' Diagnostic Imaging Pathways: https://radiologyacrossborders.org/diagnostic_imaging_pathways/

IFOMPT International Framework for Red Flags: https://www.jospt.org/doi/10.2519/jospt.2020.9971

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RESOURCES

Does your neurological examination for suspected peripheral neuropathies measure up? Do a check-up here: https://doi.org/10.2519/jospt.2022.11281

Why you cannot trust the dermatomes: https://www.youtube.com/watch?v=BZYtAR4zUpg&t=283s

More from Dr Schmid's Neuromusculoskeletal Health and Science Laboratory: https://www.ndcn.ox.ac.uk/research/neuromusculoskeletal-health-and-science-lab

Today, Professor Kirsty Elliott-Sale brings her physiology and endocrinology expertise to help you understand how best to support masters women athletes to stay healthy and perform at their best during and beyond the menopause.

------------------------------

RESOURCES

Standards of practice for research on women in sport, sports medicine, sport science: https://pubmed.ncbi.nlm.nih.gov/33725341/

In today's episode, Professor Kirsty Elliott-Sale (Institute of Sport at Manchester Metropolitan University) walks through all you need to know about the menopause and how you might tailor your exercise prescription for women who are approaching, in the middle of, or post- menopausal.

We talk through the phases of menopause, typical signs and symptoms, and Kirsty's whole body approach to supporting women to stay active through their life.

Kevin’s approach focuses on liberating the person to test their own beliefs with information and knowledge from trusted sources. Today we’re tackling the common belief that “my back is easy to injure and hard to heal”.

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RESOURCES

Dr. Wernli’s paper and subject of today’s interview: https://pubmed.ncbi.nlm.nih.gov/35959703/

Ten facts every person should know about back pain: https://pubmed.ncbi.nlm.nih.gov/31892534/

Empowered Beyond Pain podcast (especially episodes 4, 5, 11-20 about back facts): https://open.spotify.com/show/3ogpeLlDGLRLiHofEWvCje

Cognitive Functional Therapy: https://pubmed.ncbi.nlm.nih.gov/29669082/

Pain-Ed: www.Pain-ed.com

Infographics and short videos: https://www.pain-ed.com/blog/2020/06/13/ten-low-back-pain-facts-videos/

PainHealth: https://painhealth.csse.uwa.edu.au/

As the director of education content for the American Academy of Sports Physical Therapy and a business owner, Dr Mack also shares her thoughts on working in the insurance and cash-based settings, and the resources available for clinicians to help them best serve their patients with rehabilitation and performance.

Dr Paul Dijkstra, Consultant Sport & Exercise Medicine Physician and Director of Medical Education at the Aspetar Orthopaedic & Sports Medicine Hospital in Doha, Qatar, walks through his approach to diagnosing and managing hip pain in youth athletes.

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RESOURCES

Primary cam morphology concept analysis: https://pubmed.ncbi.nlm.nih.gov/34281962/

physioFIRST pilot study: https://pubmed.ncbi.nlm.nih.gov/29607766/

Physiotherapist-led treatment for hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31732651/

Unravelling the relationship between cam morphology and hip osteoarthritis: https://pubmed.ncbi.nlm.nih.gov/30175856/

Zurich consensus recommendations for classifying hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31959678/

More on the YAHiR collaborative work: https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2022

Dr Amy Arundale joins Dan and Chelsea to share her experiences working with elite extreme athletes at the Red Bull Athlete Performance Center, Austria.

Amy explains what a typical day looks like, how she approaches tailoring rehabilitation to the demands of training and competition, and how to authentically connect with an athlete who plays a sport you aren’t familiar with. Spoiler alert: humility and YouTube go a long way.

To wrap up, Marie shares her tips for supporting elite-level soccer players, and what a day in the life of the USWNT physical therapist looks like.

------------------------------

RESOURCES

Read more about the case here: https://doi.org/10.2519/josptcases.2021.10049

Seen an interesting clinical case lately and want to share it with the JOSPT Community? Why not submit the case to JOSPT Cases? We offer timely, fair and quality peer review. For more information, check out the instructions for authors: https://www.jospt.org/pb-assets/JOSPT%20Cases/JOSPT%20Cases%20Instructions%20for%20Authors%20with%20form_02112021-1613587003923.pdf

Subscribe to JOSPT Cases: https://www.jospt.org/action/ecommerce

Dr Emma Stokes, President of World Physiotherapy (formerly WCPT), is a fierce ambassador for the physiotherapy/physical therapy profession. Tune in as Emma shares her advice for the next generation of profession leaders, and her thoughts on the future for musculoskeletal rehabilitation.

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RESOURCES

World Physiotherapy briefing papers: https://world.physio/resources/publications

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RESOURCES

Bern 2022 consensus on shoulder injury prevention, rehabilitation and return to sport: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952

The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/

Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

------------------------------

RESOURCES

The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/

Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

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RESOURCES

More on graft type differences in time to meet milestones and return to sport criteria: https://www.jospt.org/doi/10.2519/jospt.2020.9111

University of Delaware rehabilitation guidelines: https://sites.udel.edu/ptclinic/professionals/guidelines/

Dr Whalan explains which injuries you can expect to see, and the best (free!) resources for preventing these injuries. You’ll also hear tips for building trust relationships with coaches and players, educating athletes, and how using empowering language when athletes are returning to sport can make all the difference.

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RESOURCES

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Football Australia Perform+ program: https://www.footballaustralia.com.au/performance

Fit To Play: https://fittoplay.org/

FIFA 11+ program: https://www.yrsa.ca/wp-content/uploads/2019/11/pdf/Fifa11/11plus_workbook_e.pdf

Do niggles matter infographic: https://adamvirgile.com/2020/01/09/do-niggles-matter-increased-injury-risk-following-physical-complaints-in-football-soccer/

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RESOURCES

Hamstring strain injury in athletes CPG: https://www.jospt.org/doi/10.2519/jospt.2022.0301

Hamstring injury: what is it? What should I do about it? When can I get back to my sport? Patient information: https://www.jospt.org/doi/10.2519/jospt.2022.0502

Infographic: criteria-based progression for hamstring injury rehabilitation: https://www.jospt.org/doi/10.2519/jospt.2022.9001

Pain-free vs. pain-threshold rehabilitation: https://www.jospt.org/doi/10.2519/jospt.2020.8895

------------------------

RESOURCES

2022 Bern consensus on shoulder injury prevention, rehabilitation and return to sport: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952

3 findings that are key to diagnosing multidirectional instability: https://www.jospt.org/doi/10.2519/jospt.2020.0602

Derby Shoulder Instability Rehabilitation Programme: https://derbyshoulderunit.co.uk/download/derby-shoulder-instability-rehabilitation-programme/

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RESOURCES

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More on humeral torsion: https://www.sciencedirect.com/science/article/pii/S1058274621005218

More on prediction models for humeral torsion: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975570/

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RESOURCES

------------------------

2016 Bern Consensus on return to sport: https://pubmed.ncbi.nlm.nih.gov/27226389/

Early versus delayed rehabilitation after acute muscle injury: https://pubmed.ncbi.nlm.nih.gov/28953439/

Rehabilitation after acute hamstring injury: https://www.jospt.org/doi/10.2519/jospt.2020.8895

Clinical Practice Guideline Hamstring Injury in Athletes: https://www.jospt.org/doi/10.2519/jospt.2022.0301

Biology of muscle tissue healing: https://skeletalmusclejournal.biomedcentral.com/articles/10.1186/s13395-017-0142-x

Steven Covey's 7 Habits of Highly Effective People: https://www.goodreads.com/book/show/36072.The_7_Habits_of_Highly_Effective_People

--------------------------

Clinical practice guidelines for physical therapy after total knee replacement: https://pubmed.ncbi.nlm.nih.gov/32542403/

To visit JOSPT Cases you can follow the link here: https://www.jospt.org/loi/jospt-cases

Learn more about screening for yellow flags in orthopaedic physical therapy: https://www.jospt.org/doi/10.2519/jospt.2021.10570

Downlad the Optimal Screening for Prediction of Referral and Outcome (OSPRO) tool: https://www.jospt.org/doi/10.2519/jospt.2016.6487