Podcasts about j orthop sports phys ther

Is there really one correct way to move? For decades, clinicians and coaches have acted like there is. In this episode, we prosecute that idea. We start in a 1930s Soviet forge, where Nikolai Bernstein filmed blacksmiths and found their hammer strikes landed in the same spot every time, despite every joint angle differing swing to swing. That's "repetition without repetition." From there we bring in Mark Latash's motor abundance: why your nervous system treats extra degrees of freedom as a resource, not a problem, and what that means for scapular "dyskinesis," core stability cues, and fear-based rehab language. We close with a practical clinical translation for coaches and clinicians. Plus: a quick update on my next in-person workshop, The Complete Shoulder Workshop, Melbourne 17 October. Key resources Low M. A Time to Reflect on Motor Control in Musculoskeletal Physical Therapy. J Orthop Sports Phys Ther. 2018 Nov;48(11):833-836. doi: 10.2519/jospt.2018.0614. PMID: 30381024. Latash ML. The bliss (not the problem) of motor abundance (not redundancy). Exp Brain Res. 2012 Mar;217(1):1-5. doi: 10.1007/s00221-012-3000-4. Epub 2012 Jan 14. PMID: 22246105; PMCID: PMC3532046. Register for the complete shoulder online course Melbourne workshop details Connect with Jared: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

The question of allowing pain, or avoiding it, during exercise based rehab remains contentious and uncertain. So, like any good scientist, we (led by Ivy Tran) studied the evidence-base and sought an answer to this clinical conundrum to help not just you, but us too! What did we find? Listen to the episode to find out. Key resources Tran I et al. Effectiveness of Painful Versus Nonpainful Exercise on Pain Intensity, Disability, and Other Patient-Reported Outcomes in Adults With Chronic Musculoskeletal Pain: An Updated Systematic Review With Meta-Analysis. J Orthop Sports Phys Ther. 2025 Smith BE et al. Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis. Br J Sports Med. 2017 Register for the complete shoulder online course Register for The Complete Clinician Mentorship Connect with Jared: Jared on Instagram: @‌shoulder_physio Jared on X: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

Le scarpe barefoot (o minimaliste) sono uno degli argomenti più discussi nel mondo del fitness e della corsa negli ultimi anni. Ma cosa dice davvero la scienza? In questo episodio analizziamo in modo obiettivo e basato sulle evidenze:

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Send us a textIn this episode, we delve into the fundamentals of shoulder labral tears. Learn about the anatomy and function of the shoulder labrum, common types of labral tears, and how they occur. Discover methods to diagnose these injuries, including special tests and imaging techniques. We'll also explore treatment options, from conservative management to surgical intervention, and the importance of tailored rehabilitation. Remember to check out our show notes for helpful resources and special offers!00:00 Welcome to BT Snacks Podcast00:25 Introduction to Shoulder Labral Tears01:29 Understanding the Shoulder Labrum02:45 Types and Causes of Labral Tears05:03 Diagnosing Labral Tears06:31 Special Tests for Labral Tears09:20 Conservative and Surgical Treatments12:07 Post-Operative Rehabilitation12:50 Conclusion and Additional ResourcesSnyder SJ, Karzel RP, Del Pizzo W, Ferkel RD, Friedman MJ. SLAP lesions of the shoulder. Arthroscopy. 1990;6(4):274-279.Kim SH, Ha KI, Kim SH. Classification and diagnosis of SLAP lesions: operative arthroscopic assessment and a new classification. J Bone Joint Surg Am. 2004;86(7):1310-1317.Wilk KE, Reinold MM, Andrews JR. Rehabilitation of the overhead throwing shoulder: current concepts and clinical applications. J Orthop Sports Phys Ther. 2011;41(5):388-400.Lesniak BP, Hsu AR, Potter HG, et al. Glenoid labral tears: part I—anatomy, pathophysiology, and diagnosis. Am J Sports Med. 2013;41(5):1114-1122.Hegedus EJ, Goode A, Cook CE, et al. Physical examination tests of the shoulder: a systematic review with meta-analysis of individual tests. J Orthop Sports Phys Ther. 2008;38(7):341-352.Go to PT Final Exam using this link to access great studying options to conquer the NPTE!Support the showStay Connected! Follow so you never miss an episode. Send your questions via email to ptsnackspodcast@gmail.com Join the email list HERE Need CEUs or NPTE Prep? Save over $100 on unlimited CEUs with MedBridge using code PTSNACKSPODCAST at checkout. Students: Get a full year of access for less with code PTSNACKSPODCASTSTUDENT. Prepping for the NPTE? PT Final Exam offers all the tools you need. Use code PTSnacks at checkout to get a discount! Support the Show:Share the episode with someone who'd benefit. Contributing directly to the "support" link. Thanks for tuning in—your support makes this all possible!

Send us a textIn this episode of PT Snacks podcast, we continue our discussion on the sacroiliac (SI) joint, discussing optimal manual techniques and exercises to help patients experiencing SI joint pain. We'll break down the function of the SI joint, explore the latest research on manual therapy, and explain why a combination of manual therapy and exercise is most effective. Join us as we cover high-level reviews and specific techniques to help your patients move better and feel better. Don't forget to hit the subscribe button, leave a review, and check out the special MedBridge discount in the show notes!00:00 Introduction and Podcast Overview00:26 Listener Feedback and Today's Topic Introduction01:29 Understanding the Sacroiliac (SI) Joint02:03 Manual Therapy Techniques for SI Joint05:52 Mechanisms and Theories Behind Manual Therapy13:46 Exercises for SI Joint Stabilization15:44 Combining Manual Therapy and Exercise16:57 Conclusion and Additional ResourcesTrager RJ, Baumann A, Rogers H, et al. Efficacy of manual therapy for sacroiliac joint pain syndrome: a systematic review and meta-analysis of randomized controlled trials. J Man Manip Ther. 2024;32(2):71-85.Nejati P, Safarcherati A, Karimi F. Effectiveness of exercise therapy and manipulation on sacroiliac joint dysfunction: a randomized controlled trial. Pain Physician. 2019;22(1):53-61.Kamali F, Zamanlou M, Ghanbari A, Alipour A, Bervis S. Comparison of manipulation and stabilization exercises in patients with sacroiliac joint dysfunction: a randomized clinical trial. J Bodyw Mov Ther. 2019;23(1):177-182.Bialosky JE, Bishop MD, Price DD, Robinson ME, George SZ. The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model. J Orthop Sports Phys Ther. 2009;39(3):123-130.Testa M, Rossettini G. Enhance placebo, avoid nocebo: how contextual factors affect physiotherapy outcomes. Phys Ther. 2016;96(11):1541-1549.Shahali S, Ebrahimian MR, Hosseinifar M, et al. Effects of motor control exercise on pain and disability in patients with sacroiliac joint pain: a systematic review and meta-analysis. Musculoskelet Sci Pract. 2021;56:102419.Visser LH, Woudenberg NP, de Bont J, et al. Treatment of the sacroiliac joint in patients with leg pain: a randomized controlled trial. Eur Spine J. 2Go to PT Final Exam using this link to access great studying options to conquer the NPTE!Support the showStay Connected! Follow so you never miss an episode. Send your questions via email to ptsnackspodcast@gmail.com Join the email list HERE Need CEUs or NPTE Prep? Save over $100 on unlimited CEUs with MedBridge using code PTSNACKSPODCAST at checkout. Students: Get a full year of access for less with code PTSNACKSPODCASTSTUDENT. Prepping for the NPTE? PT Final Exam offers all the tools you need. Use code PTSnacks at checkout to get a discount! Support the ShowShare the episode with someone who'd benefit. Contributing directly to the "support" link. Thanks for tuning in—your support makes this all possible!

繼續跟大家分享今年最新發表的CPG: 旋轉肌肌腱病變 (Rotator cuff tendinopathy) 這次主要分享的內容是關於物理治療和回場運動的部分，包含運動治療、貼紮、和回場運動的建議等等，來聽聽看CPG怎麼說 也可以在Apple podcast, Spotify, Google podcast, YouTube收聽 https://linktr.ee/2PRO_PT Reference: Desmeules F, Roy JS, Lafrance S, et al. Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline. J Orthop Sports Phys Ther. 2025;55(4):235-274. doi:10.2519/jospt.2025.13182 Music by Elizabeth's Groove by Amarià @amariamusique Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: bit.ly/elizabeths-groove Music promoted by Audio Library youtu.be/-MO-mrBlo5s

繼續大家分享今年最新發表的CPG: 旋轉肌肌腱病變 (Rotator cuff tendinopathy) 這次主要分享的內容是關於藥物治療的部分，包含口服藥物、注射類藥物、PRP/增生治療等 來聽聽看CPG怎麼說 快點連結在自己喜歡的平台收聽：https://linktr.ee/2PRO_PT 歡迎到Facebook, Instagram追蹤或來信來訊跟我們互動～ Email: 2propt@gmail.com Reference: Desmeules F, Roy JS, Lafrance S, et al. Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline. J Orthop Sports Phys Ther. 2025;55(4):235-274. doi:10.2519/jospt.2025.13182 Music by Elizabeth's Groove by Amarià @amariamusique Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: bit.ly/elizabeths-groove Music promoted by Audio Library youtu.be/-MO-mrBlo5s

跟大家分享今年最新發表的CPG: 旋轉肌肌腱病變 (Rotator Cuff Tendinopathy) 這次主要分享的內容是關於評估檢測的臨床指引 也有今年CSM上作者演講的相關補充 快點連結在自己喜歡的平台收聽：https://linktr.ee/2PRO_PT 歡迎到Facebook, Instagram追蹤或來信來訊跟我們互動～ Email: 2propt@gmail.com Reference: Desmeules F, Roy JS, Lafrance S, et al. Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline. J Orthop Sports Phys Ther. 2025;55(4):235-274. doi:10.2519/jospt.2025.13182 Music by Elizabeth's Groove by Amarià @amariamusique Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: bit.ly/elizabeths-groove Music promoted by Audio Library youtu.be/-MO-mrBlo5

An Exercise Therapists' Guide to Neuromuscular Exercise for People With Knee or Hip Osteoarthritis Roos EM, Kroman S, Ageberg E. J Orthop Sports Phys Ther. Published Ahead of Print. doi:10.2519/jospt.2025.13041 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

Myofascial Pain Syndromes: Controversies and Suggestions for Improving Diagnosis and Treatment Cook CE, Degenhardt B, Aspinall S, et al. J Orthop Sports Phys Ther. 2025;55(4):231-234. doi:10.2519/jospt.2025.13072 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

"Dear Newly Graduated Physical Therapist": A Direct Message Containing Advice We Wish We Had Received Powell JK, Cook C, Lewis J, et al. J Orthop Sports Phys Ther. 2024;54(10):621-624. doi:10.2519/jospt.2024.12676 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

In this episode of The Shoulder Physio Podcast, I am interviewed by my wife, Tara, about my recently completed PhD. For the past 7 years of my life I have been engaged in a research based PhD investigating the causal mechanisms underpinning the effectiveness of exercise therapy for rotator cuff related shoulder pain. This research program has produced 6 published pieces of research that is contained with the thesis. In this episode I briefly discuss the premise of the thesis, its main findings, and recommendations for future research. I also gives some tips and tricks and to prospective PhD or current PhD students which may help their journey. Don't miss this episode with myself, Dr Jared Powell, and my wife, the amazing Tara Powell. Buckle up! Key Papers: Powell JK, Lewis JS. Rotator Cuff-Related Shoulder Pain: Is It Time to Reframe the Advice, "You Need to Strengthen Your Shoulder"? J Orthop Sports Phys Ther. 2021 Apr;51(4):156-158. doi: 10.2519/jospt.2021.10199. PMID: 33789431. Powell JK, Schram B, Lewis J, Hing W. "You have (rotator cuff related) shoulder pain, and to treat it, I recommend exercise." A scoping review of the possible mechanisms underpinning exercise therapy. Musculoskelet Sci Pract. 2022 Dec;62:102646. doi: 10.1016/j.msksp.2022.102646. Epub 2022 Aug 8. PMID: 35964499. Powell JK, Schram B, Lewis J, Hing W. Physiotherapists nearly always prescribe exercise for rotator cuff-related shoulder pain; but why? A cross-sectional international survey of physiotherapists. Musculoskeletal Care. 2023 Mar;21(1):253-263. doi: 10.1002/msc.1699. Epub 2022 Sep 11. PMID: 36089802. Powell JK, Costa N, Schram B, Hing W, Lewis J. "Restoring That Faith in My Shoulder": A Qualitative Investigation of How and Why Exercise Therapy Influenced the Clinical Outcomes of Individuals With Rotator Cuff-Related Shoulder Pain. Phys Ther. 2023 Dec 6;103(12):pzad088. doi: 10.1093/ptj/pzad088. PMID: 37440455; PMCID: PMC10733131. Powell JK, Lewis J, Schram B, Hing W. Is exercise therapy the right treatment for rotator cuff-related shoulder pain? Uncertainties, theory, and practice. Musculoskeletal Care. 2024 Jun;22(2):e1879. doi: 10.1002/msc.1879. PMID: 38563603. READ THE WHOLE THESIS! Check out the Shoulder Physio Online Course here Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer

Can Baseline MRI Findings Identify Who Responds Better to Early Surgery Versus Exercise and Education in Young Patients With Meniscal Tears? A Subgroup Analysis From the DREAM Trial Clausen S, Boesen M, Thorlund JB, et al. J Orthop Sports Phys Ther. Published online January 30, 2025:1-23. doi:10.2519/jospt.2025.12994 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

The Fragility Index of Risk Factors for Hamstring Injuries Anthis M, Gourd S, Kim B, et al. J Orthop Sports Phys Ther. 2024;54(10):672-678. doi:10.2519/jospt.2024.12300 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

I denne episoden diskuterer vi det provokative spørsmålet “er trening egentlig riktig behandling for skulderplager?” Vi belyser hvordan en nylig publisert kronikk gikk viralt i sosiale medier, hvordan slike kronikker gir oss en selvtillitsboost og hvordan det er lett å bli revet med av lettbente og provokative artikler. Vi tar en fot i bakken og stiller oss selv noen ubehagelige spørsmål: Er egentlig trening så effektivt som vi skal ha det til? Fungerer det egentlig å løfte vekter for å bli bedre i en smertefull skulder? Finnes det virkelig en “optimal dose” når det kommer til trening for skuldersmerter? Finnes det andre tiltak som er like gode som trening? Skifter egentlig Jørgen underbukser sjeldnere enn Stian publiserer en ny bok? Er Stian nødt til å skrive autograf hver gang han går på klatresenteret nå? REFERANSER: Kjerpeset Ø. Den neglisjerte vidundermedisinen. Tidsskrift for den Norske Legeforening. 2024;144(9).Powell JK, et al. "Restoring That Faith in My Shoulder": A Qualitative Investigation of How and Why Exercise Therapy Influenced the Clinical Outcomes of Individuals With Rotator Cuff-Related Shoulder Pain. Phys Ther. 2023;103(12).Powell JK, et al. Is exercise therapy the right treatment for rotator cuff-related shoulder pain? Uncertainties, theory, and practice. Musculoskeletal Care. 2024;22(2):e1879.Powell JK, Lewis JS. Rotator Cuff-Related Shoulder Pain: Is It Time to Reframe the Advice, "You Need to Strengthen Your Shoulder"? J Orthop Sports Phys Ther. 2021;51(4):156-8.Powell JK, et al. "You have (rotator cuff related) shoulder pain, and to treat it, I recommend exercise." A scoping review of the possible mechanisms underpinning exercise therapy. Musculoskelet Sci Pract. 2022;62:102646.PATREON: Fra 2024 spør vi lytterne våre om å bidra til podcasten ved å bli patreons. For prisen av en Oslokaffe i måneden gir du oss muligheten til å fortsette podcasten, samtidig som du skaffer deg selv VIP-billetter til VONDT fellesskapet. Her får du blant annet tilgang på lukket diskusjonsforum, referanselister fra episodene, mulighet til å stille gjestene spørsmål og rabatter på kurs&fagdager. Les mer og bli en patreon i dag på: patreon.com/vondt MUSIKK: Joseph McDade - Mirrors

In this episode of The Shoulder Physio podcast, I am joined by Kim Bennell, a professor and research physiotherapist from the University of Melbourne. Kim has been involved in designing and implementing dozens of clinical trials over her many years of research and is a true giant of the physiotherapy profession. In this episode we discuss something novel. We venture into the world of physiotherapists providing dietary advice for people with knee osteoarthritis, which might be controversial. Kim has just published a landmark clinical trial on this very topic. We also delve into exercise for knee and hip osteoarthritis and whether there is an ideal dose or adherence level that leads to superior clinical outcomes. This is based on a recent review and there is some surprising results. Don't miss this enlightening episode with professor Kim Bennell. Key Papers: 1. Allison K et al. Alternative models to support weight loss in chronic musculoskeletal conditions: effectiveness of a physiotherapist-delivered intensive diet programme for knee osteoarthritis, the POWER randomised controlled trial. Br J Sports Med. 2024 May 2;58(10):538-547. doi: 10.1136/bjsports-2023-107793. PMID: 38637135.2. 2. Lawford BJ et al. How Does Exercise, With and Without Diet, Improve Pain and Function in Knee Osteoarthritis? A Secondary Analysis of a Randomized Controlled Trial Exploring Potential Mediators of Effects. Arthritis Care Res (Hoboken). 2023 Nov;75(11):2316-2327. doi: 10.1002/acr.25140. Epub 2023 Jun 15. PMID: 37128836; PMCID: PMC10952828. 3. Marriott KA et al. Are the Effects of Resistance Exercise on Pain and Function in Knee and Hip Osteoarthritis Dependent on Exercise Volume, Duration, and Adherence? A Systematic Review and Meta-Analysis. Arthritis Care Res (Hoboken). 2024 Jun;76(6):821-830. doi: 10.1002/acr.25313. Epub 2024 Apr 15. PMID: 38317328. 4. Bailey DL, Holden MA, Foster NE, et al. Defining adherence to therapeutic exercise for musculoskeletal pain: a systematic review. British Journal of Sports Medicine 2020;54:326-331. 5. Nicolson PJA, Hinman RS, Wrigley TV, Stratford PW, Bennell KL. Self-reported Home Exercise Adherence: A Validity and Reliability Study Using Concealed Accelerometers. J Orthop Sports Phys Ther. 2018 Dec;48(12):943-950. doi: 10.2519/jospt.2018.8275. Epub 2018 Jul 27. PMID: 30053792. The Shoulder Physio Online Course is on sale for a limited time! Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Kim on Twitter: @kimbennell The Centre for Health, Exercise and Sports Medicine (CHESM): @CHESM_unimelb See our Disclaimer here: The Shoulder Physio - Disclaimer

In this episode of The Shoulder Physio podcast, I am joined by Amy McDevitt, an associate professor and clinician at the University of Colorado. Amy shared her perspective on manual therapy and the importance of unraveling the mechanisms behind this treatment approach.We discussed the evolving causal explanations of manual therapy, moving beyond antiquated notions towards a more contemporary and scientifically based explanation for how it many help people in pain.We delved into the complexities of how manual therapy works, from historical biomechanical viewpoints to more contemporary neurophysiological aspects. Amy highlighted the importance of considering contextual factors and therapeutic alliance, which may play a more significant role in patient outcomes than previously believed. Don't miss this enlightening episode that sheds light on the intricacies of manual therapy and the quest for a deeper understanding of how interventions work to benefit patients. Key Papers: 1. McDevitt AW, O'Halloran B, Cook CE. Cracking the code: unveiling the specific and shared mechanisms behind musculoskeletal interventions. Arch Physiother. 2023 Jul 6;13(1):14. doi: 10.1186/s40945-023-00168-3. PMID: 37415258; PMCID: PMC10327381. 2. Bialosky JE, Beneciuk JM, Bishop MD, Coronado RA, Penza CW, Simon CB, George SZ. Unraveling the Mechanisms of Manual Therapy: Modeling an Approach. J Orthop Sports Phys Ther. 2018 Jan;48(1):8-18. doi: 10.2519/jospt.2018.7476. Epub 2017 Oct 15. PMID: 29034802. 3. Silvernail JL, Deyle GD, Jensen GM, Chaconas E, Cleland J, Cook C, Courtney CA, Fritz J, Mintken P, Lonnemann ME. Orthopaedic Manual Physical Therapy: A Modern Definition and Description. Phys Ther. 2024 Mar 8:pzae036. doi: 10.1093/ptj/pzae036. Epub ahead of print. PMID: 38457654. 4. Powell JK, Lewis JS. Rotator Cuff-Related Shoulder Pain: Is It Time to Reframe the Advice, "You Need to Strengthen Your Shoulder"? J Orthop Sports Phys Ther. 2021 Apr;51(4):156-158. doi: 10.2519/jospt.2021.10199. PMID: 33789431. The Shoulder Physio Online Course Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Amy on Twitter: @awmcdevittDPT See our Disclaimer here: The Shoulder Physio - Disclaimer

Which portion of physiotherapy treatments' effect is attributable to contextual effects in people with musculoskeletal pain?: A meta-analysis of randomised placebo-controlled trials. Ezzatvar Y, Dueñas L, Balasch-Bernat M, et al. J Orthop Sports Phys Ther. Online Ahead of Print. doi:10.2519/jospt.2024.12126 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

Patello-femoral pain is a common, and at times, debilitating condition of the knee that can impact people across the lifespan. Professor Bill Vicenzino is a world leading expert on this topic and to that end I've enticed him onto the show to give us the ins and outs of this tricky condition. This is truly a must listen episode with a real pioneer of physiotherapy about a very common and important musculoskeletal condition. Key Papers: 1. Rathleff MS, Holden S, Krommes K, Winiarski L, Hölmich P, Salim TJ, Thorborg K. The 45-second anterior knee pain provocation test: A quick test of knee pain and sporting function in 10-14-year-old adolescents with patellofemoral pain. Phys Ther Sport. 2022 Jan;53:28-33. doi: 10.1016/j.ptsp.2021.11.002. Epub 2021 Nov 4. PMID: 34775189. 2. Powers CM, Witvrouw E, Davis IS, Crossley KM. Evidence-based framework for a pathomechanical model of patellofemoral pain: 2017 patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester, UK: part 3. Br J Sports Med. 2017 Dec;51(24):1713-1723. doi: 10.1136/bjsports-2017-098717. Epub 2017 Nov 6. PMID: 29109118. 3. Powers CM, Ho KY, Chen YJ, Souza RB, Farrokhi S. Patellofemoral joint stress during weight-bearing and non-weight-bearing quadriceps exercises. J Orthop Sports Phys Ther. 2014 May;44(5):320-7. doi: 10.2519/jospt.2014.4936. Epub 2014 Mar 27. PMID: 24673446. 4. Crossley KM, Stefanik JJ, Selfe J, Collins NJ, Davis IS, Powers CM, McConnell J, Vicenzino B, Bazett-Jones DM, Esculier JF, Morrissey D, Callaghan MJ. 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures. Br J Sports Med. 2016 Jul;50(14):839-43. doi: 10.1136/bjsports-2016-096384. Epub 2016 Jun 24. PMID: 27343241; PMCID: PMC4975817. 5. Nimon G, Murray D, Sandow M, Goodfellow J. Natural history of anterior knee pain: a 14- to 20-year follow-up of nonoperative management. J Pediatr Orthop. 1998 Jan-Feb;18(1):118-22. PMID: 9449112. 6. Dye SF. The pathophysiology of patellofemoral pain: a tissue homeostasis perspective. Clin Orthop Relat Res. 2005 Jul;(436):100-10. doi: 10.1097/01.blo.0000172303.74414.7d. PMID: 15995427. 7. Holden S, Matthews M, Rathleff MS, Kasza J; Fohx Group; Vicenzino B. How Do Hip Exercises Improve Pain in Individuals With Patellofemoral Pain? Secondary Mediation Analysis of Strength and Psychological Factors as Mechanisms. J Orthop Sports Phys Ther. 2021 Dec;51(12):602-610. doi: 10.2519/jospt.2021.10674. PMID: 34847699. 8. Robertson CJ, Hurley M, Jones F. People's beliefs about the meaning of crepitus in patellofemoral pain and the impact of these beliefs on their behaviour: A qualitative study. Musculoskelet Sci Pract. 2017 Apr;28:59-64. doi: 10.1016/j.msksp.2017.01.012. Epub 2017 Feb 2. PMID: 28171780. The Shoulder Physio Online Course Connect with Jared and guests: Jared on Instagram: @‌shoulder_physio Jared on Twitter: @‌jaredpowell12 Bill on Twitter: @Bill_Vicenzino See our Disclaimer here: The Shoulder Physio - Disclaimer

There is a Lack of Clinical Homogeneity in Lower-Limb Tendinopathy Trials: A Scoping Review Lyng KD, Sørensen LB, Platzer OJ, et al. J Orthop Sports Phys Ther. 2024;54(1):1-10. doi:10.2519/jospt.2023.11722 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

Beware of the 'moving target' - uninvolved limb strength increases to exceed pre-operative values during rehabilitation after ACL reconstruction in male professional and recreational athletes. Barbosa O, Kotsifaki R, Whiteley R, et al. J Orthop Sports Phys Ther. Published Ahead of Print. doi:10.2519/jospt.2023.11961 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

Can Clinicians Trust Objective Measures of Hip Muscle Strength From Portable Dynamometers? A Systematic Review With Meta-analysis and Evidence Gap Map of 107 Studies of Reliability and Criterion Validity Using the COSMIN Methodology Waiteman MC, Garcia MC, Briani RV, et al. J Orthop Sports Phys Ther. 2023;53(11):655-672. doi:10.2519/jospt.2023.12045 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

On this episode we were joined by special guest physical therapist/athletic trainer Sam Oft. Relationships between common preseason screening measures and dance-related injuries in preprofessional ballet dancers. Critchley ML, Bonfield S, Ferber R, et al. J Orthop Sports Phys Ther. 2023;53(11):703-711. doi:10.2519/jospt.2023.11835 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Physio Network - https://physio.network/pt-research-reviews Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Sam Roux - Spanish Jungle

Drawing a "Perfect Circle": How Clinicians Can Become Better Communicators. Peterson S, Miciak M, Kleiner M, et al. J Orthop Sports Phys Ther. 2023;53(10):579-584. doi:10.2519/jospt.2023.11917 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Physio Network - https://physio.network/pt-research-reviews Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Sam Roux - Spanish Jungle

Adding brief pain science or ergonomics messages to guideline advice did not increase feelings of reassurance in people with acute low back pain: a randomised experiment. Ferreira GE, Zadro JR, Traeger AC, et al. J Orthop Sports Phys Ther. Published Ahead of Print. doi:10.2519/jospt.2023.12090 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Physio Network–https://www.physio-network.com/ Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by: Kevin MacLeod – incompetech.com: Mining by Moonlight Sam Roux: Spanish Jungle

On this episode we were joined by special guest researcher Dr. Justin Losciale from the University of British Columbia. Description, Prediction, and Causation in Sport and Exercise Medicine Research: Resolving the Confusion to Improve Research Quality and Patient Outcomes. Losciale JM, Bullock GS, Collins GS, et al. J Orthop Sports Phys Ther. 2023;0(7):1-7. doi:10.2519/jospt.2023.11773 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

這次跟大家討論如何在評估過程中運用CFT 以及如何在治療中融入CFT 希望對大家有幫助囉 歡迎到Facebook, Instagram追蹤或來信來訊跟我們提出疑問～ Email: 2propt@gmail.com Timecode: 00:30 閒聊美國的夏令營，跳脫舒適圈 09:40 複習CFT三個重點 12:12 CFT評估流程：是否有紅旗=》是否為慢行？=〉是否為持續性疼痛？=》是否對疼痛、動作有恐懼？=〉判斷疼痛機制（mechanical, nonmechanical, or mix) 18:30 CFT評估流程：判斷可調控的心理因子：認知、情緒 21:30 CFT 評估流程：判斷可調控的行為因子：動作行為、社交行為、生活型態 25:40 CFT處理流程：疼痛教育 30:17 CFT處理流程：可控範圍下動作行為暴露 37:46 CFT處理流程：生活型態改變 42:36 本篇病人處理流程實例 也可以在此收聽： Apple podcast: https://tinyurl.com/y97q7tms Spotify: https://tinyurl.com/ydavzqxu Google podcast: https://tinyurl.com/yd86pbcl YouTube channel: https://tinyurl.com/y82ewo5b Music by Elizabeth's Groove by Amarià @amariamusique Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: bit.ly/elizabeths-groove Music promoted by Audio Library youtu.be/-MO-mrBlo5s Reference: Kent P, Haines T, O'Sullivan P, et al. Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomised, controlled, three-arm, parallel group, phase 3, clinical trial [published correction appears in Lancet. 2023 Jun 17;401(10393):2040]. Lancet. 2023;401(10391):1866-1877. Caneiro JP, Smith A, Rabey M, Moseley GL, O'Sullivan P. Process of Change in Pain-Related Fear: Clinical Insights From a Single Case Report of Persistent Back Pain Managed With Cognitive Functional Therapy. J Orthop Sports Phys Ther. 2017;47(9):637-651.

這次跟大家討論接受及承諾療法ACT和CFT的差異 以及如何幫助病人找到目標 希望大家對CFT有更深一層的了解 Timecode: 00:30 閒聊美國信用卡優惠 11:30 接受與承諾療法ACT與認知功能療法CFT的不同之處 15:34 ACT的六重點：present movement, value, committed action, self as context, cognitive defusion, acceptance 16:00 如何幫助病人找出有意義的治療目標 25:30 不要把注意力放在「疼痛」上 28:55 CFT的評估治療有別於其他心理治療不同之處：問診的重點、衛教解釋疼痛、控制下暴露、生活型態改變 35:30 CFT治療重點複習 36:30 CFT 使用前的注意事項 37:40 認知、情緒相關介入的使用時機，痛三個月就算慢性疼痛嗎？大腦到底發生什麼事？ 歡迎到Facebook, Instagram追蹤或來信來訊跟我們提出疑問～ Email: 2propt@gmail.com 也可以在此收聽： Apple podcast: https://tinyurl.com/y97q7tms Spotify: https://tinyurl.com/ydavzqxu Google podcast: https://tinyurl.com/yd86pbcl YouTube channel: https://tinyurl.com/y82ewo5b Music by Elizabeth's Groove by Amarià @amariamusique Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: bit.ly/elizabeths-groove Music promoted by Audio Library youtu.be/-MO-mrBlo5s Reference: Kent P, Haines T, O'Sullivan P, et al. Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomised, controlled, three-arm, parallel group, phase 3, clinical trial [published correction appears in Lancet. 2023 Jun 17;401(10393):2040]. Lancet. 2023;401(10391):1866-1877. Caneiro JP, Smith A, Rabey M, Moseley GL, O'Sullivan P. Process of Change in Pain-Related Fear: Clinical Insights From a Single Case Report of Persistent Back Pain Managed With Cognitive Functional Therapy. J Orthop Sports Phys Ther. 2017;47(9):637-651.

這次主題很長所以分為兩集 先跟大家討論為什麼認知功能療法對物理治療師很重要 以及認知功能療法的基本原則 下集會有更多細節盡請期待囉！ Timecode: 00:30 台大操作治療學課程相關澄清：基礎物理治療學、實證操作治療學 12:40 本篇CFT case study 簡介 17:30 為什麼spinal pain 容易發展成慢性疼痛 20:15 疼痛是多面向的概念：認知、情緒、行為改變…等，運動為什麼沒辦法完全解決疼痛 25:00 物理治療師也可以學得起來認知、行為介入的技巧嗎？ 27:40 CFT與其他常見的心理治療方式的相同之處（認知行為療法, CBT；接受與承諾療法, ACT…等） 29:00 共同原則(1)以病人為中心的問診(patient-center interview) 31:30 多專業介入處理慢性疼痛與物理治療師使用CFT的差別 35:30 疼痛強度很高無法被控制的處理方法 38:30 與病人一起達成共識，一起決定要怎麼治療 41:20 病人的認知、想法、信念如何被改變？蘇格拉底式對話(Socratic conversation) 46:25 漸進式暴露、生活型態改變 歡迎到Facebook, Instagram追蹤或來信來訊跟我們提出疑問～ Email: 2propt@gmail.com 也可以在此收聽： Apple podcast: https://tinyurl.com/y97q7tms Spotify: https://tinyurl.com/ydavzqxu Google podcast: https://tinyurl.com/yd86pbcl YouTube channel: https://tinyurl.com/y82ewo5b Music by Elizabeth's Groove by Amarià @amariamusique Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: bit.ly/elizabeths-groove Music promoted by Audio Library youtu.be/-MO-mrBlo5s Reference: Kent P, Haines T, O'Sullivan P, et al. Cognitive functional therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomised, controlled, three-arm, parallel group, phase 3, clinical trial [published correction appears in Lancet. 2023 Jun 17;401(10393):2040]. Lancet. 2023;401(10391):1866-1877. Caneiro JP, Smith A, Rabey M, Moseley GL, O'Sullivan P. Process of Change in Pain-Related Fear: Clinical Insights From a Single Case Report of Persistent Back Pain Managed With Cognitive Functional Therapy. J Orthop Sports Phys Ther. 2017;47(9):637-651.

這次跟大家分享2021年更新的下背痛臨床指引 接下來的集數會進入到討論慢性疼痛的系列 請大家盡請期待囉！ Timecode: 00:30 QA: 場邊物理治療與隨隊物理治療差別？ 06:16 QA: 場邊或隨隊物理治療機會哪裡找？推薦「台灣運動物理治療學會」 16:00 下背痛CPG更新概要，2012年版的CPG還是很重要！ 19:45 運動對於下背痛的療效證據更新 28:15 徒手治療對於下背痛的療效證據更新。徒手治療被妖魔化？ 32:30 下背痛的分類系統：Treatment-based, McKenzie system, Movement system impairment, Cognitive functional therapy 36:00 各種儀器治療討論：拉腰、超音波、體外震波 44:30 衛教對於下背痛的療效證據更新 也可以在此收聽： Apple podcast: https://tinyurl.com/y97q7tms Spotify: https://tinyurl.com/ydavzqxu Google podcast: https://tinyurl.com/yd86pbcl YouTube channel: https://tinyurl.com/y82ewo5b Music by Elizabeth's Groove by Amarià @amariamusique Creative Commons — Attribution 3.0 Unported — CC BY 3.0 Free Download / Stream: bit.ly/elizabeths-groove Music promoted by Audio Library youtu.be/-MO-mrBlo5s Reference: George SZ, Fritz JM, Silfies SP, et al. Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021. J Orthop Sports Phys Ther. 2021;51(11):CPG1-CPG60.

On this week's episode of the Ready to Run Podcast, we have the pleasure of meeting with Lindsey Plass to discuss femoroacetabular impingement (otherwise known as FAI) and hip labrum tears in runners. Lindsey is a Chicago-based physical therapist, performance coach, author, and international speaker. Lindsey is a former college soccer player turned 10-time marathoner and triathlete. She completed an orthopedic physical therapy residency and manual therapy fellowship making her a board certified Orthopedic Clinical Specialist and Fellow of the American Academy of Orthopedic Manual therapists.  It was her own lived experience, nearly 10 years ago, with hip pain related to FAI and a labral tear that sparked her interest in helping others with hip issues getting back to doing the things they love.  She is a clinician and coach and owner of Plass Physical Therapy and Performance. She is currently faculty in the University of Chicago Medicine Orthopedic Physical Therapy Residency and University of Chicago Manual Physical Therapy Fellowship. In 2021, Lindsey was invited to be a part of the international Young Athlete's Hip Research Collaboration led by Dr. Henrik (Paul) Dijkstra who is the Director of Medical Education at Aspetar. Lindsey was also invited as an expert clinician panel member of the 2022 Oxford University Young Adult Hip Consensus meeting, where she represented physical therapists internationally.  We are excited to share her wealth of knowledge and expertise in how to recognize and manage these injuries with the best current evidence. Let's get ready to run with Lindsey Plass! Show notes: 5:10- What is FAI and its associated pathologies? 7:50- Prevalence of FAI  9:15- When does cam/pincer morphology develop? 12:15- Signs and symptoms of FAI/hip labrum tear 19:15- Key components of the physical exam and diagnostic work-up 28:45- Interpretation of MRI findings 33:00- Common functional impairments in patients with symptomatic FAI 39:10- Understanding non-surgical and surgical treatment options and managing expectations  44:10- Effect of athlete level of sport and decision-making process for surgical and non-surgical treatment of FAI References: Freke MD, Kemp J, Svege I, Risberg MA, Sem-ciw A, Crossley KM. Physical impairments in symptomatic femoroacetabular impingement: a systematic review of the evidence. Br J Sports Med. 2016;50:1180. Kemp JL, Coburn SL, Jones DM, Crossley KM. The Physiotherapy for Femoroacetabular Impingement Rehabilitation STudy (physioFIRST): A Pilot Randomized Controlled Trial. J Orthop Sports Phys Ther. 2018 Apr;48(4):307-315. Mansell NS, Rhon DI, Meyer J, Slevin JM, Marchant BG. Arthroscopic Surgery or Physical Therapy for Patients With Femoroacetabular Impingement Syndrome: A Randomized Controlled Trial With 2-Year Follow-up. Am J Sports Med. 2018 May;46(6):1306-1314. Thorborg K, Reiman MP, Weir A, Kemp JL, Serner A, Mosler AB, HÖlmich P. Clinical Examination, Diagnostic Imaging, and Testing of Athletes With Groin Pain: An Evidence-Based Approach to Effective Management. J Orthop Sports Phys Ther. 2018 Apr;48(4):239-249.  Social media links: Website: https://plassptperformance.com/ Instagram: @plassptperformance

References:Buckthorpe M, Gimpel M, Wright S, et alHamstring muscle injuries in elite football: translating research into practiceBritish Journal of Sports Medicine 2018;52:628-629 Duhig S, Shield AJ, Opar D, Gabbett TJ, Ferguson C, Williams M. Effect of high-speed running on hamstring strain injury risk. Br J Sports Med. 2016;50(24):1536-1540 Ekstrand J, Waldén M, Hägglund M. Hamstring injuries have increased by 4% annually in men's professional football, since 2001: a 13-year longitudinal analysis of the UEFA Elite Club injury study. Br J Sports Med. 2016;50(12):731-737 Gronwald T, Klein C, Hoenig T, et al. Hamstring injury patterns in professional male football (soccer): a systematic video analysis of 52 cases. Br J Sports Med. 2022;56(3):165-171. Hickey JT, Timmins RG, Maniar N, et al. Pain-Free Versus Pain-Threshold Rehabilitation Following Acute Hamstring Strain Injury: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2020;50(2):91-103. Pizzari, T., Green, B., van Dyk, N. (2020). Extrinsic and Intrinsic Risk Factors Associated with Hamstring Injury. In: Thorborg, K., Opar, D., Shield, A. (eds) Prevention and Rehabilitation of Hamstring Injuries. Springer, Cham Pollock N, James SL, Lee JC, Chakraverty R. British athletics muscle injury classification: a new grading system. Br J Sports Med. 2014;48(18):1347- 1351 Timmins, R. G., Bourne, M. N., Shield, A. J., Williams, M. D., Lorenzen, C., & Opar, D. A. (2016). Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study. British journal of sports medicine, 50(24), 1524-1535

In the latest episode of The Flip N' Shift Podcast, my guest is Dr. Tawny Kross. Dr. Tawny Kross, Pain Specialist of Kross Centered Care. Dr. Kross is a Doctor of Physical Therapy and a Pain Specialist. She has nearly a decade of experience at a Veteran's hospital in North Carolina working with patients that have some of the most complex chronic pain cases. Dr. Kross  believes passionately in our brain and body's innate ability to heal. She is SO excited to be able to share her knowledge with you now as a Pain and Wellness Coach.  Website:  https://www.drtawnykross.com Facebook: https://www.facebook.com/tawny.kross Instagram:  https://www.instagram.com/dr.tawny.kross Link Tree:  https://journals.lww.com/pain/Abstract/2022/02000 https://uspainfoundation.org/news/the-financial-and-emotional-cost-of-chronic-pain https://pubmed.ncbi.nlm.nih.gov/16896359 https://www.nytimes.com/2017/06/23/science/john-sarno-dead-healing-back-pain-doctor.html   Article and Publication Cite Sourcing: eyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001;344(5):363-370. doi:10.1056/NEJM200102013440508; Chou R, Qaseem A, Snow V, et al. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society [published correction appears in Ann Intern Med. 2008 Feb 5;148(3):247-8]. Ann Intern Med. 2007;147(7):478-491. doi:10.7326/0003-4819-147-7-200710020-00006; Webster BS, Bauer AZ, Choi Y, Cifuentes M, Pransky GS. Iatrogenic consequences of early magnetic resonance imaging in acute, work-related, disabling low back pain. Spine (Phila Pa 1976). 2013;38(22):1939-1946. doi:10.1097/BRS.0b013e3182a42eb6 Koes BW, Van Tulder MW. Clinical Review, Diagnosis and treatment of low back pain.  Stewart M, Loftus S. Sticks and Stones: The Impact of Language in Musculoskeletal Rehabilitation. J Orthop Sports Phys Ther. 2018;48(7):519-522. doi:10.2519/jospt.2018.0610 Major NM, Helms CA. MR imaging of the knee: findings in asymptomatic collegiate basketball players. AJR Am J Roentgenol. 2002;179(3):641-644. doi:10.2214/ajr.179.3.1790641   Please subscribe to the Flip N' Shift Podcast Channels. Connect with us through The Flip N Shift website.   The Flip N Shift Self Healing Podcast is Now Available on ALL Podcast Platforms.   All audio formatted episodes will have corresponding visual/kinesthetic aides, tools and techniques available for download in our website.  (click on the link below)   https://www.flipnshift.com   The Instatie link will connect you to all of our social media platforms and podcast platforms.   https://www.instatie.com/FlipnShift-Podcast    

In this episode, I am joined by Dr. Alison Grimaldi BPhty, MPhty(Sports), PhD, to discuss diagnosing and rehabilitating gluteal tendinopathy.   Show notes:  00:01:06 Painful gluteal tendons. 00:06:11 Recognize gluteal tendinopathy. 00:15:50 Load gluteal tendons actively. 00:21:03 Education and exercise first. 00:28:43 Reduce provocative positions. 00:34:44 Improve patient-specific function. 00:35:07 Listen and tailor the program. 00:45:17 Insurance limits treatment options. 00:50:01 Invest in continuing education.   More About Alison: Dr. Grimaldi is an Australian Sports Physiotherapist and the practice principal of PhysioTec Physiotherapy in Brisbane, Australia, with over 30 years of clinical experience and a special interest in the management of hip, groin and pelvic pain. She has a Bachelor of Physiotherapy, Masters of Sports Physiotherapy and a PhD through the University of Queensland, Australia. Alison was a key investigator on the multicentre LEAP randomized clinical trial comparing the effects of treatment for gluteal tendinopathy. She has had involvement in research for over 20 years and continues her research interests as an Adjunct Senior Research Fellow at the University of Queensland, and in collaborative international research. She has contributed to three leading clinical texts, conducted over 100 clinical workshops worldwide and presented over 50 keynotes, invited or podium conference presentations. Alison also runs a Hip Academy with online learning and live mentoring at www.dralisongrimaldi.com.    Resources from this Episode:   15% discount on Hip Academy joining fee for Healthy, Wealthy & Smart podcast listeners : Use coupon code: HWS2023 Website Alison's Twitter Alison's Instagram Alison's Facebook Alison's LinkedIn Dr Alison Grimaldi's Hip Academy May 13-14 New York Hip Workshop Registrations   Key Papers: Wilson R, Abbott JH, Mellor R, Grimaldi A, Bennell K, Vicenzino B. Education plus exercise for persistent gluteal tendinopathy improves quality of life and is cost-effective compared with corticosteroid injection and wait and see: economic evaluation of a randomised trial. J Physiother. 2023 Jan;69(1):35-41. doi: 10.1016/j.jphys.2022.11.007. Epub 2022 Dec 14. PMID: 36526564. Link: https://www.sciencedirect.com/science/article/pii/S183695532200114X?   Mellor R, Kasza J, Grimaldi A, Hodges P, Bennell K, Vicenzino B. Mediators and Moderators of Education Plus Exercise on Perceived Improvement in Individuals With Gluteal Tendinopathy: An Exploratory Analysis of a 3-Arm Randomized Trial. J Orthop Sports Phys Ther. 2022 Dec;52(12):826-836. doi: 10.2519/jospt.2022.11261. Epub 2022 Oct 28. PMID: 36306175. Link: https://www.jospt.org/doi/10.2519/jospt.2022.11261?   Mellor R, Bennell K, Grimaldi A, Nicolson P, Kasza J, Hodges P, Wajswelner H, Vicenzino B. Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial. BMJ. 2018 May 2;361:k1662. doi: 10.1136/bmj.k1662. PMID: 29720374; PMCID: PMC5930290. Link: https://www.bmj.com/content/361/bmj.k1662.long   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio    

Exercise Descriptors That Determine Muscle Strength Gains Are Missing From Reported Anterior Cruciate Ligament Reconstruction Rehabilitation Programs: A Scoping Review of 117 Exercises in 41 Studies Vlok A, van Dyk N, Coetzee D, et al. J Orthop Sports Phys Ther. 2022;52(2):100-112. doi:10.2519/jospt.2022.10651 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

Nathan Carlson is a physical therapist, coach, and business owner based out of Kansas City. He specializes in the management of bone stress injuries, managing the high school and collegiate runner, and implementing resistance training with endurance athletes. Nathan teaches nationally and internationally on these topics. Nathan has two digital resources - A Guidebook to Running After a Stress Fracture and A Guidebook to Navigating High School Running. In this episode, we focus on how to approach bone stress injuries once we have established our diagnosis. We open our discussion with the physiology of bone healing and what the current research says about how long it actually takes for a bone to heal and how that may differ based on the location of the injury. We also discuss the factors that influence treatment, how to test when an athlete is ready to return to running, and how to progress training load for a successful recovery. Bone stress injuries are one of the most complex and frustrating injuries for runners. After our discussion with Nathan, we hope that you will have a better understanding of the training, nutrition, and metabolic factors that need to be considered with diagnosing and treating these injuries. What we talked about: 3:05- The physiology of bone healing and the expectations to set for patients 17:40- Modalities for recovery 22:20- Focus for the return to run program 31:00- Being flexible with the protocol Show notes: Nathan's website Nathan on Instagram References: Gehman S, Ackerman KE, Caksa S, Rudolph SE, Hughes JM, Garrahan M, Tenforde AS, Bouxsein ML, Popp KL. Restrictive Eating and Prior Low-Energy Fractures Are Associated With History of Multiple Bone Stress Injuries. Int J Sport Nutr Exerc Metab. 2022 May 6;32(5):325-333. Popp KL, Ackerman KE, Rudolph SE, Johannesdottir F, Hughes JM, Tenforde AS, Bredella MA, Xu C, Unnikrishnan G, Reifman J, Bouxsein ML. Changes in Volumetric Bone Mineral Density Over 12 Months After a Tibial Bone Stress Injury Diagnosis: Implications for Return to Sports and Military Duty. Am J Sports Med. 2021 Jan;49(1):226-235. Rudolph SE, Caksa S, Gehman S, Garrahan M, Hughes JM, Tenforde AS, Ackerman KE, Bouxsein ML, Popp KL. Physical Activity, Menstrual History, and Bone Microarchitecture in Female Athletes with Multiple Bone Stress Injuries. Med Sci Sports Exerc. 2021 Oct 1;53(10):2182-2189. Warden SJ, Davis IS, Fredericson M. Management and prevention of bone stress injuries in long-distance runners. J Orthop Sports Phys Ther. 2014 Oct;44(10):749-65. Warden SJ, Edwards WB, Willy RW. Optimal Load for Managing Low-Risk Tibial and Metatarsal Bone Stress Injuries in Runners: The Science Behind the Clinical Reasoning. J Orthop Sports Phys Ther. 2021 Jul;51(7):322-330.

In this episode we discuss the Patellofemoral Pain Clinical Practice Guidelines. Topics Include: Differential Diagnosis Objective Exam Techniques Functional Tests and Measures Classification Systems Treatment References: 1. Willy RW, Hoglund LT, Barton CJ, et al. Patellofemoral Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2019;49(9):CPG1-CPG95. doi:10.2519/jospt.2019.0302 Thanks for listening and as always, please let us know if you have any questions, recommendations, or topics you would like us to cover! More About Us: Website: https://athletesfirstperformance.weebly.com/ Instagram: https://www.instagram.com/athletes_first_physio/ Run Time: 58:36 Released on October 9, 2022

The effectiveness of gait retraining on running kinematics, kinetics, performance, pain, and injury in distance runners: a systematic review with meta-analysis Doyle E, Doyle TLA, Bonacci J, et al. J Orthop Sports Phys Ther. 2022;52(4):192-A5. doi:10.2519/jospt.2022.10585 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

Dr. Joshua Heerey chats on this podcast to BJSM's Dr. Liam West about hip joint imaging. Josh gives us a sneak peek into the findings from the “Femoroacetabular impingement & hip OsteoathRitis Cohort (FORCe) study & how they may help clinicians manage their patients with hip and groin pain. The podcast is heavily based around clinical scenarios that are commonly faced in the clinic or sports team settings. Dr Heerey is a physiotherapist and Hip Osteoarthritis Research and Development Lead at La Trobe University's Sport and Exercise Medicine Research Centre in Melbourne, Australia. Dr Heerey obtained his PhD in 2021, with his research programme focusing on understanding the relationship between hip joint imaging findings and pain, and risk factors for development of early hip osteoarthritis in football players. He has published numerous articles examining the diagnosis and treatment of intra-articular hip conditions and is a current member of the International Hip-Related Pain Research Network and Young Athlete's Hip Research Collaboration, which are multi-disciplinary international research teams created to improve the care of people living with hip and groin conditions. Dr Heerey works clinically at Lifecare Prahran Sports Medicine Clinic. He has a particular interest in the management of longstanding hip and groin conditions Relevant links: - Heerey et al. What is the prevalence of imaging-defined intra-articular hip pathologies in people with and without pain? A systematic review and meta-analysis. Br J Sports Med. 2018;52(9):581-93. http://dx.doi.org/10.1136/bjsports-2017-098264 - Heerey et al. What is the prevalence of hip intra-articular pathologies and osteoarthritis in active athletes with hip and groin pain compared with those without? A systematic review and meta-analysis. Sports Med. 2019;49:951-972. https://doi.org/10.1007/s40279-019-01092-y - Heerey et al. Prevalence of early hip OA features in high- impact athletes. The femoroacetabular impingement and hip osteoarthritis cohort (FORCe) study. Osteoarthritis Cartilage. 2021; 29(3): 323-334. https://doi.org/10.1016/j.joca.2020.12.013 - Heerey et al. The size and prevalence of bony hip morphology do not differ between football players with and without hip and/or groin pain: Findings from the FORCe cohort. J Orthop Sports Phys Ther. 2021; 51(3): 115-125. https://www.jospt.org/doi/10.2519/jospt.2021.9622 - Heerey et al. Cam morphology is associated with MRI-defined cartilage defects and labral tears: a case–control study of 237 young adult football players with and without hip and groin pain. BMJ Open Sport & Exercise Medicine 2021;7:e001199. http://dx.doi.org/10.1136/bmjsem-2021-001199

Welcome to the Down Week segment of the Ready to Run Podcast! These episodes will be shorter than our standard interviews with guests and will be packed with clinical information on some of the most common and challenging cases we see as clinicians. We will be providing listeners a lens into how we use the most current evidence based medicine to help athletes navigate injury in our practice. There will be some parts of the conversation that get more technical but we will try to break it down so that you can take home some practical tips whether you are a clinician working with runners or an athlete wanting to know what options are available and what questions to ask.  We hope that these episodes will serve as a resource of information to help you get ready to run! What we talked about: 3:35- Initial assessment and exam 7:40- When is imaging helpful? Advantages and limitations of different imaging modalities? What are we looking for? How do we interpret abnormal findings? 17:25- Considerations for the differential diagnosis - including ischiofemoral impingement, nerve entrapment, lumbar radiculopathy, intra-articular hip pathology 21:10- Tips for reducing sitting pain 24:45- Setting expectations for return to running 28:35- Hamstring rehabilitation - when and how to progress 34:35- Determining readiness to return to running - including graded exposure to speed work, uphill training, and long runs 37:00- Pain-threshold monitoring and assessing load tolerance 42:50- Treatment options for recalcitrant tendinopathy References Goom TS, Malliaras P, Reiman MP, Purdam CR. Proximal Hamstring Tendinopathy: Clinical Aspects of Assessment and Management. J Orthop Sports Phys Ther. 2016 Jun;46(6):483-93. Sherry MA, Johnston TS, Heiderscheit BC. Rehabilitation of acute hamstring strain injuries. Clin Sports Med. 2015 Apr;34(2):263-84. Davenport KL, Campos JS, Nguyen J, Saboeiro G, Adler RS, Moley PJ. Ultrasound-Guided Intratendinous Injections With Platelet-Rich Plasma or Autologous Whole Blood for Treatment of Proximal Hamstring Tendinopathy: A Double-Blind Randomized Controlled Trial. J Ultrasound Med. 2015 Aug;34(8):1455-63. Rosales J, García N, Rafols C, Pérez M, Verdugo MA. Perisciatic Ultrasound-Guided Infiltration for Treatment of Deep Gluteal Syndrome: Description of Technique and Preliminary Results. J Ultrasound Med. 2015 Nov;34(11):2093-7. Lempainen L, Johansson K, Banke IJ, et al. Expert opinion: diagnosis and treatment of proximal hamstring tendinopathy. Muscles Ligaments Tendons J. 2015;5(1):23-28. Published 2015 Mar 27. Connect with the Ready to Run Podcast: Ready to Run Podcast on Instagram Ready to Run Website Follow SandyBoy Productions: Sandyboy Productions on Twitter Sandyboy Productions on Instagram SandyBoy Productions Shows: Why is Everyone Yelling? I'll Have Another Podcast The Illuminate Podcast The Herban Farmacy Podcast

People with knee osteoarthritis attending physical therapy have broad education needs, and prioritize information about surgery and exercise: A concept mapping study. Goff AJ, Donaldson A, De Oliveira Silva D, et al. J Orthop Sports Phys Ther. Published Ahead of Print. doi:10.2519/jospt.2022.11089 Physical therapists prioritize providing education about exercise therapy and to dispel misconceptions about radiology for people with knee osteoarthritis. A concept mapping study. Goff AJ, Donaldson A, De Oliveira Silva D, et al. J Orthop Sports Phys Ther. Published Ahead of Print. doi:10.2519/jospt.2022.11090 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

On this episode, Erik and Jason talk about testing using isokinetic dynamometers and force plates ahead of Erik and Laura Opstedal's course, "Practical Force Testing for the Rehab Professional: Force Plates & Isokinetic Machines" Diagnostic Accuracy of Handheld Dynamometry and 1-Repetition-Maximum Tests for Identifying Meaningful Quadriceps Strength Asymmetries. Sinacore JA, Evans AM, Lynch BN, et al. J Orthop Sports Phys Ther. 2017;47(2):97-107. doi:10.2519/jospt.2017.6651 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

Adding Physical Activity Coaching and an Activity Monitor Was No More Effective Than Adding an Attention Control Intervention to Group Exercise for Patients With Chronic Nonspecific Low Back Pain (PAyBACK Trial): A Randomized Trial. Oliveira CB, Christofaro DGD, Maher CG, et al. J Orthop Sports Phys Ther. 2022;52(5):287-299. doi:10.2519/jospt.2022.10874 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

Screening for Yellow Flags in Orthopaedic Physical Therapy: A Clinical Framework. Stearns ZR, Carvalho ML, Beneciuk JM, et al. J Orthop Sports Phys Ther. 2021;51(9):459-469. doi:10.2519/jospt.2021.10570 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight

Classification Approaches for Treating Low Back Pain Have Small Effects That Are Not Clinically Meaningful: A Systematic Review With Meta-analysis. Tagliaferri SD, Mitchell UH, Saueressig T, et al. J Orthop Sports Phys Ther. 2022;52(2):67–84. Epub 15 Nov 2021. doi:10.2519/jospt.2022.10761 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight  

What is the most efficient way to treat a hamstring strain? What criteria can we use to feel sure our patients are ready to return to sport?For reference:Erickson LN, Sherry MA. Rehabilitation and return to sport after hamstring strain injury. J Sport Health Sci. 2017 Sep;6(3):262-270. doi: 10.1016/j.jshs.2017.04.001. Epub 2017 Apr 10. PMID: 30356646; PMCID: PMC6189266.Heiderscheit BC, Sherry MA, Silder A, Chumanov ES, Thelen DG. Hamstring strain injuries: recommendations for diagnosis, rehabilitation, and injury prevention. J Orthop Sports Phys Ther. 2010;40(2):67-81. doi:10.2519/jospt.2010.3047The purpose of this podcast is to provide useful, condensed information for exhausted, time-crunched Physical Therapists and Student Physical Therapists who looking to build confidence in their foundational knowledge base and still have time to focus on other important aspects of life. Hit follow to make sure you never miss an episode. Have questions? Want to connect? Contact me at ptsnackspodcast@gmail.com or check out more at ptsnackspodcast.com. On Instagram? Check out the unique content on @ptsnackspodcast!Need CEUs but low on time and resources? Go to https://www.medbridgeeducation.com/pt-snacks-podcast for $175 off a year subscription. Use the promo code PTSNACKSPODCAST. This is an affiliate link, but I wouldn't recommend MedBridge if I didn't think they offered value.Willing to support monetarily? Follow the link below to help me continue to create free content. You can also support the show by sharing the word about this show with someone you think would benefit from it.Support the show (https://buymeacoffee.com/Ptsnackspodcast)

In this episode, we discuss bone stress injuries in running athletes and military population. Topics Include What is a bone stress injury (BSI) Basic pathophysiology of BSI and healing, Epidemiology and risk factors Clinical dx and low vs high risk BSI, Overarching treatment plan mobility, strength, and plyometrics for bone loading, When can athletes return to run and how to progress running program References 1. Warden SJ, Davis IS, Fredericson M. Management and Prevention of Bone Stress Injuries in Long-Distance Runners. J Orthop Sports Phys Ther. 2014;44(10):749-765. doi:10.2519/jospt.2014.5334 2. Warden SJ, Edwards WB, Willy RW. Optimal Load for Managing Low-Risk Tibial and Metatarsal Bone Stress Injuries in Runners: The Science Behind the Clinical Reasoning. J Orthop Sports Phys Ther. 2021;51(7):322-330. doi:10.2519/jospt.2021.9982 3. Warden SJ, Edwards WB, Willy RW. Preventing Bone Stress Injuries in Runners with Optimal Workload. Curr Osteoporos Rep. 2021;19(3):298-307. doi:10.1007/s11914-021-00666-y Thanks for listening and as always, please let us know if you have any questions, recommendations, or topics you would like us to cover! More About Us: Website: https://athletesfirstperformance.weebly.com/ Instagram: https://www.instagram.com/athletes_first_physio/ Run Time: 55:04 Released on November 4th, 2021

In this episode we introduce the new clinical practice guidelines for managing lateral ankle sprains. We break down the CPG and discuss how we will be using the evidence to help improve our treatment for athletes/patients following a lateral ankle sprain. The flow of the podcast starts with defining a lateral ankle sprain and then identifying risk factors for primary and secondary injury. We then dive into our assessment of specific impairments for acute sprains then analyze a new framework for return to sport criteria. There is also discussion on prophylactic ankle bracing vs taping, stable and unstable surface balance training, and updated views on ankle special testing. Thanks for listening and as always, please let us know if you have any questions, recommendations, or topics you would like us to cover! Articles Caffrey E, Docherty CL, Schrader J, Klossnner J. The Ability of 4 Single-Limb Hopping Tests to Detect Functional Performance Deficits in Individuals With Functional Ankle Instability. J Orthop Sports Phys Ther. 2009;39(11):799-806. doi:10.2519/jospt.2009.3042 Martin RL, Davenport TE, Fraser JJ, et al. Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2021;51(4):CPG1-CPG80. doi:10.2519/jospt.2021.0302 Smith MD, Vicenzino B, Bahr R, et al. Return to sport decisions after an acute lateral ankle sprain injury: introducing the PAASS framework—an international multidisciplinary consensus. Br J Sports Med. Published online June 22, 2021:bjsports-2021-104087. doi:10.1136/bjsports-2021-104087 Run Time: 1:08:12 Released on July 13th, 2021