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The Journal of Orthopaedic & Sports Physical Therapy brings you the JOSPT Insights podcast every Monday. On each episode, experienced clinicians and researchers unpack musculoskeletal rehabilitation topics in under 30 minutes. Guests share clinical tips and research discoveries with host Dr Clare Ardern, Editor-in-Chief of JOSPT. Sports physical therapists Dr Chelsea Cooman and Dr Dan Chapman are frequent co-hosts.
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Researchers are increasingly partnering with patients, clinicians and others who use research to design, conduct, report and disseminate research studies. Today we hear about a conversation that involved over 600 patients, clinicians and carers, who were supported to nominate their top priorities for research on shoulder pain. Kristian Lyng (physio…
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There's a range of different interventions at your disposal when managing spine pain. 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 Ass…
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The anterior talofibular ligament (ATFL) and the Achilles tendon captures much of our ankle attention. As JOSPT Insights listeners know, there's plenty more to the ankle than the ATFL. Today, Liz Bayley shares her approach to diagnosing, managing and ideally, preventing ankle pain in active people. Liz covers diagnosing the problem, where imaging f…
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Hip arthroscopy is a common surgical procedure in athletes and active people, and it's not surprising that this clinical population is focused on returning to sport. Today, Dr Matthew King, physiotherapist and Senior Lecturer from La Trobe University's Discipline of Physiotherapy in Melbourne, Australia, discussed return to sport outcomes after hip…
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Myofascial pain syndrome is common - affecting somewhere around 1 in every 5 people. Yet there is plenty of debate about what causes myofascial pain syndrome, how to diagnose it, and even whether myofascial pain syndrome is a primary condition. Today, Professor Chad Cook (Duke University) discusses whether it is even possible to differentiate myofa…
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Postmenopausal women can build some serious bone AND stay safe with the right instruction and the right load. 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…
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Clinicians appreciate the value of a trustworthy clinical practice guideline for helping guide decisions in practice. 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 headlin…
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How do you approach assessing pain when you're working with athletes? What tools do you find most helpful? 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 athle…
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The latest update to the midportion Achilles tendinopathy Clinical Practice Guideline is hot off the presses! 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 fo…
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Did you know that only about 10% of the participants in sports medicine and sports physical therapy research are women? 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 - physiotherapi…
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You don't have to go far to find a media story warning people off the high impacts of running, especially on concrete, and claiming that running is no good for your knees. 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…
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In today's part 2 of an NMES masterclass from Dr Elanna Arhos (Northwestern University) and Dr Naoaki Ito (University of Wisconsin - Madison), we're getting into the nitty gritty of how to support patients to get the most out of a very beneficial intervention. Drs Arhos and Ito, and their team have tested a mix of common stimulators available on th…
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Neuromuscular electrical stimulation (NMES) hasn't quite had the coverage it deserves, especially when one considers the strength of evidence supporting NMES as a musculoskeletal rehabilitation intervention Today, Drs Elanna Arhos (Northwestern University) and Naoaki Ito (University of Wisconsin - Madison) are re-visiting how NMES is applied in spo…
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Dr Robert-Jan de Vos, sports physician and associate professor at Erasmus Medical Centre in Rotterdam, The Netherlands, dives deep into all things Achilles tendinopathy. 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 i…
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Dr Robert-Jan de Vos, sports physician and associate professor at Erasmus Medical Centre in Rotterdam, The Netherlands, dives deep into all things Achilles tendinopathy. As lead author of the Dutch Multidisciplinary Guideline on Achilles Tendinopathy (https://pubmed.ncbi.nlm.nih.gov/34187784/), he shares the key messages from this in-depth review. …
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When patients improve following treatment, how much can be attributed to the intervention delivered, and how much is due to contextual factors and nonspecific effects that lie outside of the clinician's control? Dr. Giacomo Rossettini joins the podcast again as a co-author of a paper (link below) that answers that very question. Dr. Rossettini and …
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Musicians and athletes might sometimes appear to exist in very different cultures. And yet, the single-minded focus, thousands of hours of practice, and high training loads on their musculoskeletal systems mean that musicians and athletes probably have more in common than they have differences. At least from a musculoskeletal rehabilitation perspec…
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When it comes to serious injury, like an ACL tear, in college sport, how many young athletes return to their previous level of performance? 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 C…
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Ballooning wait times, overworked and burnt out staff. No doubt you're only too familiar with the signs of a health system that's under serious strain. And not just since the Covid-19 pandemic. Simon Lafrance, physiotherapist and researcher from the University of Montreal, explains musculoskeletal care models that flip the traditional medical model…
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Musculoskeletal rehabilitation clinicians are well versed in the physical and mental benefits of regular physical activity. Unfortunately there is limited evidence to guide clinicians on how to best support return to sport and physical activity after childbirth. That's where today's guest comes in. Dr Jenna Schulz (physiotherapist and postdoctoral …
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Most people who pursue a career in health care do so because they want to help people. Depending on where you work, patients might find it easier or harder to access high-value musculoskeletal care, and you might run into barriers to providing the care you would like to provide. Dr Roy Film is a physical therapist, educator and current President of…
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The complex world of clinical practice in musculoskeletal rehabilitation brings many challenges. Some you might feel prepared for, while others...not so much. 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 critical…
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Today brings a refresher on best practice in managing non-traumatic shoulder pain. 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. ------------------------------ RESOURCES Diagnosing, managing and supporting ret…
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If you consult a clinical practice guideline for any musculoskeletal condition, you'll probably see advice and education included as part of the recommendations for helping someone manage their musculoskeletal pain. How well do the recommendations in clinical practice guidelines about what topics advice and education should cover align with the mai…
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Today's episode takes the spirit of our popular SPORTS CORNER series, and flips it to learning about playing a leading role in the world of sports medicine and rehabilitation. 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 pat…
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In this episode, we throw ourselves into the world of team handball with Dr Martin Asker (Sophiahemmet University, Sweden). 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 thin…
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Muscle strength is a core focus of many sports injury rehabilitation programmes, and often a prominent discharge criterion. Today's guest has an important message about the uninjured limb in ACL rehabilitation: "beware the moving target of strength". Olivia Barbosa is a sports physiotherapist with over a decade of experience in soccer and rugby. Sh…
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Ever wondered what a day in the life of a busy sports medicine clinic and research unit looks like? 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…
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Today's episode is all about running load and injuries. Dr Rasmus Nielsen (Aarhus University, Denmark) leads the RUNSAFE research group, and today he provides an update on the latest research in running-related injuries. ------------------------------ RESOURCES Garmin-RUNSAFE Study (injury data from >7000 runners in 87 countries): https://www.jospt…
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Andrew Mitchell (RB Leipzig) knows a thing or two about supporting athletes to return to play after injury, especially in professional football/soccer. 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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A thirty-year-old woman, who plays social basketball once each week and goes to the climbing gym at least twice each week, has been diagnosed with a traumatic medial meniscus tear. 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? Pro…
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Dr Kala Flagg of the Washington Mystics answers the classic Sports Corner questions for high-level women's basketball. She covers the demands of the sport, the most common injuries, and key things to plan for during injury rehabilitation. Considering playing style, shoe fit, and physical fitness are all in a day's work when supporting high-level wo…
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Today's episode builds on last week's discussion of how changes in the way that the nervous system works after injury can compensate for impairments like joint instability, pain and muscle inhibition. Dr Meredith Chaput (University of Central Florida) extends the 5 phases of the visual-cognitive control chaos continuum, to link the ways to assess f…
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Sports injury rehabilitation has moved well beyond simply focusing on physical function and recovery. There's various emphases on psychological responses to injury, mental readiness to return to sport, and now, the visual-cognitive components of recovery and return to sport. Today, Dr Meredith Chaput (University of Central Florida) introduces the v…
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You don't have to go far to find a media story warning people off the high impacts of running, especially on concrete, and claiming that running is no good for your knees. 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 fo…
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The relationship between musculoskeletal pain and mental distress is complex. Sometimes it can feel challenging to know where to start when supporting people to get their life back when they're struggling with chronic or persistent pain. Today, Dr Pavlos Bobos (Western University, Canada) shares his own story of recovery from serious musculoskeleta…
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Were you someone who started delivering telerehabilitation for the first time during the pandemic? Or perhaps you're an early adopter? 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 be…
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What are the pros and cons of using AI chatbots in musculoskeletal rehabilitation? What are chatbot applications in education, clinical practice, and research? 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 …
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Surveys of elite adult athletes reveal high use of analgesics, particularly non-steroidal anti-inflammatory drugs (NSAIDs). While medications like paracetamol have a generally low risk profile, certainly compared with NSAIDs or opioids, using pain medications to mask an injury or prevent pain might increase the risk of injury or make an existing in…
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There's plenty of work going into how AI can make health care better - including in recording consultation notes, or making early cancer diagnoses, or opening up low cost ways of doing musculoskeletal imaging. The technology and applications of AI in healthcare changes just about every week. Today, we're exploring generative AI as a help, not a hin…
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Welcome to a chat with a physical therapist who is using their orthopaedic and sports skills outside the typical practice environment. Dr Patricia Weber shares her experience as a senior physical therapist in the shock trauma setting–a world that blends orthopedic, neurologic and multi-trauma in a challenging emotional and psychological environment…
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In today's episode, Dr Nathan Vannatta outlines some ethical frameworks that the musculoskeletal rehabilitation clinician might use when working through clinical decisions, including about return to play. Dr Vannatta outlines ethical theories and 4 approaches to bioethics. He explains how one might justify different decisions, depending on the ethi…
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Specialist shoulder physiotherapists, Marianne van Gastel and Karin Hekman, are back for the second part of their discussion on rehabilitation for peple with anterior shoulder dislocation and Bankart repair. Marianne and Karin share how they use a psychologically-informed practice type of approach to support athletes and patients to work through an…
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Physiotherapists and clinician-researchers, Marianne van Gastel and Karin Hekman, share a new rehabilitation guideline on managing apprehension in people with anterior shoulder dislocation and Bankart repair. Over the next 2 episodes of JOSPT Insights, Marianne and Karin will take us through the rehabilitation guideline, explain what's new in shoul…
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Musculoskeletal rehabilitation practitioners spend years honing our clinical skills—how much time do we spend thinking about and practicing skills like listening, working in teams, and making decisions? Today, Dr Nicol van Dyk - physiotherapist and Assistant Professor at University College Dublin - is here to make the case for real skills as keys t…
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The YAHiR (Young Athletes Hip Research) Collaborative takes over the JOSPT Insights podcast today. Tune in to learn about best practice in diagnosing and managing inguinal-related groin pain. Willem Heijboer, sports physiotherapist and clinical epidemiologist from the Amsterdam University Medical Centre, joins Dr Josh Heerey to share the latest res…
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There's an app for just about everything these days, including in musculoskeletal rehabilitation and exercises therapy. Have you been scrolling the app store wondering if there's anything worthwhile to recommend to patients? Today, we're uncovering what makes a quality app for monitoring and promoting physical activity in chronic conditions, includ…
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If you're looking for a guide to testing function and readiness to return to sport after injury, you're in the right place! Dr Eric Hamrin Senorski (PT, PhD; University of Gothenburg, Sweden) shares how he blends his research training with his clinical skills to help athletes and active people with ACL injury. ------------------------------ RESOURC…
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Dr Carrie Cooper does the lead climbing and helps you belay (see what we did there?) into the world of climbing. From bouldering to sport climbing—there's no need to go free solo (ok, ok...we'll stop now) if you don't know much about climbing. JOSPT Insights has you covered. Dr Cooper discusses how climbing is like gymnastics, baseball, and rugby, …
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Health care practice is slowly transitioning from a paternalistic way of delivering care (doing to the patient) to a shared decision-making model (doing with the patient). Health systems, clinical professions and individual clinicians are at different points along the transition. As a process, shared decision-making provides a scaffold for the pati…
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