POPULARITY
I detta sjukt nog längre soloavsnitt med Erwin så kommer del 2 av reflektionerna på Cognitive Functional Therapy-kursen med Kieran O’Sullivan. Erwin delar med sig av uppföljning på live patientfallet och de intressanta aspekter det medförde av att få observera Kieran som den stjärnterapeut han är. Erwin går igenom en checklista för omhändertagande enligt CFT och slutligen saker av intresse som pratades om, bland annat som identifierandes av säkerhetsbeteenden och användandet av beteendeexperiment för att förändra smärta. Följ Tyngre Rehab och värdarna på Instagram: @Tyngrerehab, Daniel Andréasson, Kenneth Färnqvist, Adrian Valkeaoja och Erwin Lindén. Du som lyssnar på vår podcast får gärna betygsätta den på Apple Podcasts - lämna gärna en recension. Då blir podden mer synlig för andra plus att vi värdar blir glada.
I detta kortare soloavsnitt delar Erwin med sig av sina reflektioner från första halvan av kursen i Cognitive Functional Therapy med Kieran O’Sullivan. Saker som tas upp är dels övergripande om kursen i sig men också om intressanta saker som första halvan fört med sig. Till exempel hur vi kanske måste börja resonera kring den stora majoriteten av kostsam ländryggssmärta som inte tycks bli bättre av det vi hittills försökt med. Följ Tyngre Rehab och värdarna på Instagram: @Tyngrerehab, Daniel Andréasson, Kenneth Färnqvist, Adrian Valkeaoja och Erwin Lindén. Du som lyssnar på vår podcast får gärna betygsätta den på Apple Podcasts - lämna gärna en recension. Då blir podden mer synlig för andra plus att vi värdar blir glada.
If you’ve ever heard the expression ‘sit up straight or you’ll be in bits with your back’, you might be interested in some new research straight out of the University of Limerick which has found that sitting posture might not be as important as we all thought. Dr Kieran O’Sullivan from the School of Allied Health at UL joined Dermot and Dave to explain why sitting up straight isn't all its cracked up to be! [audio mp3="https://media.radiocms.net/uploads/2021/01/28132726/KieranOSullivan_Sitting.mp3"][/audio]
It’s a Woodbine takeover of our RacingPicks.com Players’ Podcasts with deep dives into Saturday’s loaded Woodbine card. First up, Jason Portuondo drops in – live from Woodbine -- for a look at this year’s Queen’s Plate. Next, our pal Ashley Mailloux is here to talk in-depth about the Grade 2 Canadian. In the penultimate segment, In the Money’s own John Camardo talks about the success he’s had playing on the StableDuel app and gives out a few horses running at Woodbine on Saturday he’ll be centering around for his StableDuel and cash plays. Last but not least, we head east to Ireland where PTF’s colleague Kieran O’Sullivan gives his view on the five Win-And-You’re-In Races in Ireland over the weekend.
It’s a Woodbine takeover of our RacingPicks.com Players’ Podcasts with deep dives into Saturday’s loaded Woodbine card. First up, Jason Portuondo drops in – live from Woodbine -- for a look at this year’s Queen’s Plate. Next, our pal Ashley Mailloux is here to talk in-depth about the Grade 2 Canadian. In the penultimate segment, In the Money’s own John Camardo talks about the success he’s had playing on the StableDuel app and gives out a few horses running at Woodbine on Saturday he’ll be centering around for his StableDuel and cash plays. Last but not least, we head east to Ireland where PTF’s colleague Kieran O’Sullivan gives his view on the five Win-And-You’re-In Races in Ireland over the weekend.
Från en opinionsartikel skriven av den eminente Kieran O’Sullivan tar Erwin, Daniel och Adrian avstamp i detta avsnitt av Tyngre Rehab där frågan är vad det är som gör att folk ”väljer” dåliga alternativ i vården för att få hjälp med smärta. Ett patientfall tas upp om en man med långvarig ländryggssmärta och knäproblem och saker som diskuteras är: ”Väljer” folk icke-effektiv vård trots bättre vetande eller handlar det om ett vinklat utbud? Vad säger riktlinjerna vid vård av smärta som inte har någon allvarlig orsak? Hur kan vi göra för att förändra den nuvarande utbud-efterfrågan situationen? Hållpunkter: 00:00:00 Introsnack 00:01:45 Introduktion av varför folk ”söker” dålig vård och erfarenheter av detta 00:07:50 Patientfallet ”Jim” 00:12:05 Vård vid långvarig smärta: hur ska man tänka kring bilddiagnostik, mediciner, injektioner och kirurgi? 00:13:25 Veckans fråga: Snapping scapula - orsak, behandling och prognos 00:17:10 Vård vid långvarig smärta: vad man rekommenderas göra 00:18:55 Varför är bra vård ofta ”osexig”? 00:22:20 Är folk redo att göra förändringar i sina liv? 00:25:10 Vårdgivarens ansvar 00:30:35 Hård vs mjuk approach i beteendeförändring 00:33:35 Hur påverkar vårdgivaren valet av behandling? 00:34:45 Veckans spaning: Vikten av sömn 00:36:10 Möjliga lösningar på problemet 00:37:50 Sluta ge pengar för ineffektiva och/eller riskfyllda alternativ? 00:39:00 Ge bara pengar till effektiva och säkra alternativ? 00:43:15 Vårdgivare måste bli bättre! 00:46:00 Utbildningarna måste bli bättre! 00:49:00 Måste det alltid ”göras något”? Följ Tyngre Rehab och värdarna på Instagram: @Tyngrerehab, Daniel Andréasson, Kenneth Färnqvist, Adrian Valkeaoja och Erwin Lindén. Du som lyssnar på vår podcast får gärna betygsätta den på Apple Podcasts - lämna gärna en recension. Då blir podden mer synlig för andra plus att vi värdar blir glada.
Beskrivelse Vi er taget til Danske Fysioterapeuters Fagkongres i Odense, som forløber over 3 dage. Vi laver ét afsnit pr. dag og dette er det tredje og sidste i rækken. I denne episode har interviewet Michael Rathleff, omkring behandling af forreste knæsmerter hos sports aktive børn og unge. Vi fik også en snak med Henrik Riel omkring teknologiunderstøttet træning og dernæst fik vi snakket med Rasmus Husted omkring hans oplæg “1 hård øvelse til patienter med knæartrose - er det nok?”. Derudover fik vi mulighed for at snakke med Kieran O’Sullivan om patienter med længerevarende rygsmerter. Til sidst snakkede vi med Lene Nyboe omkring PTSD. Dagens afsnit 00:00:00 - Intro 00:01:05 - Behandling af forreste knæsmerter hos sports aktive børn og unge, Michael Rathleff 00:21:05 - Længerevarende rygsmerter, Kieran O’Sullivan 00:37:08 - Teknologiunderstøttet træning, Henrik Riel 00:50:47 - 1 hård øvelse til patienter med knæartrose - er det nok? Rasmus Husted 01:01:39 - PTSD, Lene Nyboe Dagens gæster Michael Rathleff - Fysioterapeut, PhD, lektor, Research Unit for General Practice, Aalborg Hospital Kieran O’Sullivan - Fysioterapeut, PhD, Sports Spine Centre at Aspetar Sports Medicine and Orthopedic Hospital, Qatar Henrik Riel - Fysioterapeut, PhD-studerende, Aalborg Hospital Lene Nyboe - Fysioterapeut, PhD, Forskningsenheden for Depression og Angst og Klinik for PTSD, AUH, Risskov Rasmus Husted - Fysioterapeut, PhD-studerende, Amager-Hvidovre Hospital Vil du vide mere? Michael Rathleff på ResearchGate Michael Rathleff på Twitter BJSM Blog om praksis anvendelse af belastningsalgoritme Kieran O’Sullivan på Research Gate Pain-ED
Assistant Professor Dr Fiona Wilson is a Chartered Physiotherapist in the discipline of Physiotherapy, Trinity College, Ireland. She has over 25 years of clinical experience in the UK, South Africa and Ireland. She has worked with elite and international athletes throughout her career and was Lead Physiotherapist for Rowing Ireland for 10 years. Her research has focused on sport and exercise medicine with a special focus on rowing and back pain and recently in rugby and concussion. She is editorial board member for BJSM and was awarded the prestigious Cochrane Fellowship in 2012. In this podcast Dr Wilson shares wisdom on topics such as: • Managing back pain in the mature rower • 3 common pitfalls / stroke issues to assess • How to assess the rowing athlete • How rowers monitor load / or not • How you can use technology and apps to monitor rowers • How to apply lessons from rowing to managing back pain in all sports and among the general public • Debate on stability and mobility – are planks associated with increased incidence of back pain? 3 previous BJSM podcasts on back pain in sport include the very popular: • Tiger Woods – soon after his 2014 spinal surgery, @PeteOSullivanPT (Prof Peter O’Sullivan) feared for the worst. Was surgery a good idea? Remember this conversation predated Tiger Woods’ plunging down the world ranking. https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-peteosullivanpt-on-tiger-woods-back-and-core-strength • Tiger Woods – 2015 update. With @PeteOSullivanPT after a 2nd operation a year later. How helpful is the postoperative MRI scan? https://soundcloud.com/bmjpodcasts/test • Dr Kieran O’Sullivan (no relation to Peter above) shares 7 habits of highly effective clinicians who manage back pain. It’s had 23K listens! https://soundcloud.com/bmjpodcasts/dr-kieran-osullivan-on-managing-back-pain-7-habits-of-highly-effective-clinicians-part-2-2016
Dr Kieran O’Sullivan, PT, PhD, was one of the first podcast guests to crack 9,000 listens! From the University of Limerick, Ireland, he has vast clinical experience and he completed a PhD on the role of sitting in back pain. In this 18-minute podcast he reviews his 2015 podcast in the first 3 minutes and then rattles off at least 7 practical tips. Kieran was a guest of PhysioFirst (UK) when BJSM interviewed him in April 2015. The 2017 PhysioFirst conference is on April 1-2 (2017!) in Nottingham (UK) and guest speakers include Professor Paul Hodges, Dr Tania Pizzari and Dr Igor Tak. Timeline: 1.00 m Back pain is neither explained by what patients and clinicians see on scans nor just by load 2.00 m When treating, you need to assess the various factors that could be playing a role, such as load, posture, stress, and address the right one. 4.00 m Should we try to prevent all back pain? Listen to Dr O’Sullivan challenge the belief that it’s important to never have back pain. He likens back pain to conditions like sadness, constipation – not great but not a major problem as long as it doesn’t persist. Athletes need to load their bodies and adapt rather than avoid load and become vulnerable (See Gabbett papers and podcast, below). Don’t pass on fear (of back pain coming on or persisting) to athletes. 5.00 m Screen for red flags of course, if the clinical picture warrants it – but most long-term back pain is NOT due to something listed as a red flag. 6.00 m Reassurance – being empathetic without inducing fear. 7.00 m Think through. What precipitated the pain? Too much load, too much stress, bad posture, movement patterns? If unknown, have patient create a pain diary. Look for trends. Examine all the dimensions of the biopsychosocial model. 9:00 m Don’t just make the diagnosis but be practical. Patient sad? Don’t just say ‘You are sad, your back pain will go away’. Provide specific treatment for the specific threat. 10:00 m Empower the patient to choose the exercises he or she wants and what he or she will do! Exercise has benefits across systems. 11:00 m Don’t give up. Here Kieran walks us through a challenging real life case. A simple tissue diagnosis would not have helped this person at the centre of the case 12:00 m Explain! Explain the pain! (HT to Professor Lorimer Moseley and Dr David Butler). 13:00 m The period at 4-6 weeks of pain can be difficult – patient has not adapted to the contemporary model and may still be on waiting list for imaging. 14:00 m What is the evidence for this approach? How does the evidence compare, with, for example Hamstring injuries? Links to previous podcast: 2015 – Dr O’Sullivan on “Effective treatments for back pain: Kieran O'Sullivan’s practical tips within a guiding framework” http://ow.ly/4nepGu BJSM paper: O'Sullivan K, O'Sullivan P. The ineffectiveness of paracetamol for spinal pain provides opportunities to better manage low back pain. Br J Sports Med. 2016 Feb;50(4):197-8. http://ow.ly/4neqbS (Members Only/subscribers) Manual Therapy paper: Hurley J, …., O'Sullivan K. Effect of education on non-specific neck and low back pain: A meta-analysis of randomized controlled trials. Man Ther. 2016 Mar 10. pii: S1356-689X(16)00017-5. doi: 10.1016/j.math.2016.02.009. [Epub ahead of print] http://www.ncbi.nlm.nih.gov/pubmed/27026111
Physical rehab (physiotherapy), behavioural rehab and combinations of these have been mainstays of back pain treatment. Dr Kieran O’Sullivan shares his expertise on what to do and what not to do – lessons from 15 years of providing specialised clinical care and engaging in top level research. Specifically, what is the role of patient advice, targeted exercises, and novel therapies including injections? You can link to Dr O’Sullivan’s home page at the University of Limerick here: http://www.ul.ie/clinicaltherapies/node/443 Interested in back pain? Related resources: Editorial: Common misconceptions about back pain in sport: Tiger Woods’ case brings five fundamental questions into sharp focus http://bjsm.bmj.com/content/early/2015/02/08/bjsports-2014-094542.extract Podcast: Professor Peter O’Sullivan on Tiger Woods’ back and ‘core strength’ https://soundcloud.com/bmjpodcasts/professor-peter-osullivan-peteosullivanpt-on-tiger-woods-back-and-core-strength?in=bmjpodcasts/sets/bjsm-1
Dr Kieran O’Sullivan is back on the Physio Edge podcast after talking about hamstring injuries, this time discussing his other big area of interest and expertise - chronic low back pain (CLBP). In this episode, Kieran and David Pope discuss Recent research on CLBP Central vs peripheral contributions to CLBP Sitting postures and behaviours, and the relationship of this to pain Is there an ideal sitting posture, and does changing sitting behaviour change CLBP? Manual therapy in CLBP Lumbar kyhposis/lordosis Physical and psychological interventions for CLBP The effect of exercise on CLBP Movement patterns and retraining in chronic pain states The challenges of talking to patients about chronic pain states Enjoy this episode, brought to you by the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”. Links of Interest Show your love of feeling great, and also the podcast by writing a review on iTunes Kieran O’Sullivan Pain Education website with Peter O’Sullivan, Kieran O’Sullivan, Wim Dankaerts, Kjartan Vibe Fersum University of Limerick The role of muscle strength in hamstring injury. Kieran O Sullivan and Cian McGinley. 2010. Nova Publications Clinical Edge Tags: physiotherapy, low back pain, chronic, chronic low back pain, sitting, posture, movement, research, podcast, injuries, rehabilitation, physio edge, Kieran O’Sullivan, clinical edge
What are the best ways to avoid hamstring injuries? What are the main factors to consider in hamstring rehabilitation? How does muscle strength relate to hamstring injury? How can we screen for or predict hamstring injuries? In episode 19 of the Physio Edge podcast, Kieran O’Sullivan, PhD of the University of Limerick, Physiotherapist and co-author of the book “The role of muscle strength in hamstring injury.” Kieran O Sullivan and Cian McGinley. 2010. Nova Publications and David Pope get stuck into hamstrings and the many facets of this important muscle group, including: Injury reduction Rehabilitation - early stages, and return to sport Return to Sport Flexibility Eccentric training Predicting hamstring injury Assessing readiness of return to sport Stretching - Static vs Dynamic vs PNF etc, and the clinical implications Enjoy this episode, brought to you by the podcast sponsor, Clinical Edge, and their fantastic face to face and online education. Get 20% off your first months Clinical Edge membership with the code “PHYSIOEDGE”. Links of Interest Love the podcast by writing a review on iTunes Kieran O’Sullivan Pain Education website with Peter O’Sullivan, Kieran O’Sullivan, Wim Dankaerts, Kjartan Vibe Fersum University of Limerick The role of muscle strength in hamstring injury. Kieran O Sullivan and Cian McGinley. 2010. Nova Publications Clinical Edge Tags: Physio, Hamstrings, Podcast, Flexibility, Strength, Injuries, Hamstring Injury, Rehabilitation, Physio Edge, Eccentric training, Return to sport, Clinical Edge