Podcasts about physical function

In this episode of the Movement Logic Podcast, Sarah and Laurel are thrilled to interview esteemed exercise scientist Professor Belinda Beck, investigator in the groundbreaking LIFTMOR trial. They discuss the necessity of high-intensity resistance and impact training for improving bone density, comparing it to less effective exercises like Pilates, yoga, and walking. Professor Beck shares insights on her LIFTMOR, LIFTMOR-M, and MEDEX-OP studies, underlining the importance of mechanical loading for bone health. They explore the misleading promotion of devices like OsteoStrong or courses like Buff Bones that do not provide the necessary rate of loading or magnitude of load to impact bone density. The conversation elucidates the mechanisms of bone adaptation and defends high-intensity training as essential for combating osteoporosis.00:20 Bone Density Course Progress06:28 Guest Introduction08:25 Interview with Professor Belinda Beck16:59 Understanding Bone Health and Research23:46 Bone Adaptation and Remodeling36:15 Bone Remodeling and Exercise Breaks37:52 Exercise Types and Bone Response39:35 Strength Training and Client Engagement42:37 Effective Exercise for Osteoporosis44:00 Impact of Weight-Bearing Activities48:47 High-Intensity Training for Older Adults53:14 Impact Training and Bone Health01:02:12 Marketing vs. Science in Osteoporosis Treatment01:04:09 Comparing Exercise Programs for Bone HealthReferences:Get on the wait list for our Bone Density CourseOnero at the Bone ClinicBecome an Onero ProviderHigh-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled TrialA Comparison of Bone-Targeted Exercise Strategies to Reduce Fracture Risk in Middle-Aged and Older Men with Osteopenia and Osteoporosis: LIFTMOR-M Semi-Randomized Controlled TrialA Comparison of Bone-Targeted Exercise With and Without Antiresorptive Bone Medication to Reduce Indices of Fracture Risk in Postmenopausal Women With Low Bone Mass: The MEDEX-OP Randomized Controlled TrialREMS Echolight Bone ScanPaul Grilley Bone PhotographsMechanosensitivity of the rat skeleton decreases after a long period of loading, but is improved with time offEpisode 53: Your Bones Are BoredExercise to prevent falls in older adults: an updated systematic review and meta-analysisOptimum frequency of exercise for bone health: randomised controlled trial of a high-impact unilateral interventionOsteostrong: 3 Things You Should KnowTwelve-Minute Daily Yoga Regimen Reverses Osteoporotic Bone LossBuff Bones

In this episode, Kylee and Zoë explore the complicated history that humans have with alcohol and athletics. We dive into the deep past (shoutout to our simian ancestors!) and see why scientists think humans developed a taste for something that seems counterproductive to passing on our genes (looking at you, Smirnoff blue raspberry). We try to parse out why alcohol is so closely tied to endurance sports and take a deep dive into what the research says about this substance (spoiler alert: three shots of whiskey do NOT make you better at running on a treadmill.) References: Slingerland, E. (2022). Drunk: How we sipped, danced, and stumbled our way to civilization. Little, Brown Spark. Popovic, Dejana; Damjanovic, Svetozar S.; Plecas-Solarovic, Bosiljka; Pešić, Vesna; Stojiljkovic, Stanimir; Banovic, Marko; Ristic, Arsen; Mantegazza, Valentina; Agostoni, Piergiuseppe. Exercise capacity is not impaired after acute alcohol ingestion: a pilot study. Journal of Cardiovascular Medicine 17(12):p 896-901, December 2016. | DOI: 10.2459/JCM.0000000000000151  The prohibited list. World Anti Doping Agency. (2024, January 1). https://www.wada-ama.org/en/prohibited-list  The scientific history of why Humans love drinking booze. (n.d.-a). https://www.esquire.com/entertainment/books/a47449/alcohol-science-history-vice-evans/  U.S. Department of Health and Human Services. (n.d.). Major depression. National Institute of Mental Health. https://www.nimh.nih.gov/health/statistics/major-depression   Prentice, C., Stannard, S. R., & Barnes, M. J. (2015). Effects of heavy episodic drinking on physical performance in club level rugby union players. Journal of science and medicine in sport, 18(3), 268–271. https://doi.org/10.1016/j.jsams.2014.04.009  Castaldo L, Narváez A, Izzo L, Graziani G, Gaspari A, Minno GD, Ritieni A. Red Wine Consumption and Cardiovascular Health. Molecules. 2019 Oct 8;24(19):3626. doi: 10.3390/molecules24193626. PMID: 31597344; PMCID: PMC6804046. Ragland G. (1990). Electrolyte abnormalities in the alcoholic patient. Emergency medicine clinics of North America, 8(4), 761–773.  https://pubs.niaaa.nih.gov/publications/arh25-2/101-109.htm  Nam, Y. S., Lee, G., Yun, J. M., & Cho, B. (2018). Testosterone Replacement, Muscle Strength, and Physical Function. The world journal of men's health, 36(2), 110–122. https://doi.org/10.5534/wjmh.182001 Judelson, D. A., Maresh, C. M., Anderson, J. M., Armstrong, L. E., Casa, D. J., Kraemer, W. J., & Volek, J. S. (2007). Hydration and muscular performance: does fluid balance affect strength, power and high-intensity endurance?. Sports medicine (Auckland, N.Z.), 37(10), 907–921. https://doi.org/10.2165/00007256-200737100-00006  Sullivan, E. V., Harris, R. A., & Pfefferbaum, A. (2010). Alcohol's effects on brain and behavior. Alcohol research & health : the journal of the National Institute on Alcohol Abuse and Alcoholism, 33(1-2), 127–143.  National Institute on Alcohol Abuse and Alcoholism. (2022). Alcohol and the Brain: an Overview | National Institute on Alcohol Abuse and Alcoholism (NIAAA). Www.niaaa.nih.gov. https://www.niaaa.nih.gov/publications/alcohol-and-brain-overview  Stein, M. D., & Friedmann, P. D. (2005). Disturbed sleep and its relationship to alcohol use. Substance abuse, 26(1), 1–13. https://doi.org/10.1300/j465v26n01_01 Shirreffs, S. M., & Maughan, R. J. (2006). The effect of alcohol on athletic performance. Current sports medicine reports, 5(4), 192–196. https://doi.org/10.1097/01.csmr.0000306506.55858.e5 Onate J. (2019). Depression in Ultra-endurance Athletes, A Review and Recommendations. Sports medicine and arthroscopy review, 27(1), 31–34. https://doi.org/10.1097/JSA.0000000000000233

On this episode we were joined by special guest researcher Dr. Dustin Oranchuk from the University of Colorado. Exploring the associations between skeletal muscle echogenicity and physical function in aging adults: A systematic review with meta-analyses Oranchuk DJ, Bodkin SG, Boncella KL, et al. J Sport Health Sci. Published Ahead of Print. doi:10.1016/j.jshs.2024.05.005 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

Today, I want to share insights from a paper authored by a team of surgeons and clinicians based in the United States.Titled Lipedema Reduction Surgery Improves Pain, Mobility, Physical Function, and Quality of Life: Case Series Report, this paper was published in the peer-reviewed journal PRS Global Open in November 2023.The primary objective of this article is to outline the advantages observed among women in the USA following lipedema reduction surgery, employing methodologies aimed at safeguarding lymphatic structures.

Show Notes Today's Guests: Jason Falvey PT, DPT, PhD jfalvey@som.umaryland.edu https://www.medschool.umaryland.edu/profiles/falvey-jason/ Twitter: @JayRayFalvey Please look for Jason's full speech in a future 2024 Journal of Acute Care Physical Therapy issue. Guest Quotes: 2:44 “physical function is a really, really important predictor of how successfully people are going to transition to the next level of care. And when I say successful discharge, I don't just mean readmissions…if you ask patients what they care about, that's not necessarily what they're going to say is they're not going to say, I don't want to visit the hospital in the next 30 days. And then after that, I don't care.  They really care about being at home, being able to age in place successfully, being able to functionally improve. So PTs have a lot to do with, you know, helping patients reach their goals and things that are maybe not exactly the same as the things your hospital system says are important.” 6:54 “Acute care PTs never know what happens to that person when they leave. They can't close the loop on equipment or modifications or caregiver training that they recommend. And you're hoping that everything goes smoothly with a care, you know, transition where that person gets the home care that you recommended or goes to outpatient that you recommended. But you don't have You know value from your organization to say we're going to consider it productive time for you to call and follow up …” 15:26 “I think one of the issues I have with productivity systems that are built on touching people is we really have created a volume based model. And do you really feel like you're able to address every person's need comprehensively? When, you have, you know, more credit for initial evaluations or new patients or metrics to see every patient within 24, 48 hours, right, it's, if we started highlighting the value of these other things, maybe there's advocacy and support and budgets at the hospital for more therapists or people to take on different roles.” Rapid Responses: If you had to co treat with a cartoon character on a home health visit, which cartoon character would you co treat with? “Oh, the genie from Aladdin for sure.” You know you work in Post-acute care when: You are working on a Sunday to get your last visit slash minute slash whatever you need to hit your metrics for the week are. Connect with our hosts and the podcast! Leo Arguelles (LEE-O R-GWELL-IS) largue2@uic.edu Twitter @LeoArguellesPT Ashley Poole Twitter @AshleyPooleDPT Interested in being a future guest? APTA Acute Care: Website Awards Journal Access Twitter @AcuteCareAPTA Facebook APTA Acute Care Instagram @AcademyAcutePT YouTube  APTA Acute Care Podcast Bridge the Gap APTA Acute Care Resources APTA Adult Vital Signs APTA Lab Values Document Webinar Recordings 2023 Long Covid Webinar Series

Osteosarcoma Webinar Series: Keri Schadler, PhD and Kiri Ness, PT, PhD, FAPTA will partner to provide information about the importance of exercise for patients undergoing treatment as well as long term survivors of osteosarcoma. Together, they will provide a clinical perspective as well as an overview of the latest evidence that documents the need for and the initial success of exercise intervention during and after treatment for cancer. Dr. Schadler is an Associate Professor in the Department of Pediatrics at MD Anderson Cancer Center. Her lab utilizes mouse models and collaborations with clinical investigators to delineate the multi-faceted effects of exercise on the tumor microenvironment. Specifically, the Schadler lab aims to understand how exercise changes cellular and molecular signaling within the tumor vasculature and immune cells, and to use exercise as a tool to enhance tumor response to standard therapies. Dr. Ness is a physical therapist and clinical epidemiologist whose research focuses on the late effects of childhood and adolescent cancer and its treatment. She has a particular interest in human movement and performance, designing interventions to prevent functional loss during therapy or remediate impairment following curative treatment. She has over 350 peer reviewed original research papers and has had continuous funding to support her work since 2005. She is the MPI of the St. Jude Lifetime Cohort and PI of the Human Performance Laboratory at St. Jude Children's Research Hospital.

This episode accompanies the January 2024 issue of Rehabilitation Oncology; a special issue focusing on physical activity in the context of oncology rehabilitation. On this episode, Alexander Brooks, a PhD Candidate from the Exercise Oncology Laboratory in the Arnold School of Public Health at the University of South Carolina discusses his study which examined changes in objective and patient-reported measures of physical function following an 8-week exercise oncology program.

Today I'd like to tell you about a paper by a group of surgeons and clinicians in the US.The paper is titled, Lipedema Reduction Surgery Improves Pain, Mobility, Physical Function, and Quality of Life: Case Series Report.It was published in the peer-reviewed journal PRS Global Open in November 2023.The purpose of this article is to describe the benefits experienced by women in the USA after lipedema reduction surgery, using techniques to protect lymphatics.

I det här avsnittet forskningsspanar vi tillsammans med Peter Martin. Peter är läkaren och medicine doktorn som lämnade läkemedelsforskningen och startade Funmed, en läkarklinikkedja som arbetar med precisionshälsa på funktionsmedicinsk grund. Idag pratar vi om en ny stor studie som heter Supplementing Glycine and N-Acetylcysteine (GlyNAC) in Older Adults Improves Glutathione Deficiency, Oxidative Stress, Mitochondrial Dysfunction, Inflammation, Physical Function, and Aging Hallmarks: A Randomized Clinical Trial.Glycin och Cystein är två viktiga aminosyror och den här studien visar vilka fördelar man kan få på hälsan hos äldre personer som tar tillskott av glycin och N-acetylcystein (NAC). Peter förklarar hur själva studien är upplagd och genomförd samt går igenom de spännande resultaten. Vi pratar också om vikten av kollagen i kosten och hur vi under evolutionen klarat oss utan några som helst tillskott. Det här är verkligen superspännande, så precis som titeln antyder så har det kopplingar till allt från oxidativ stress, mitokondriefunktion, inflammation till vår fysiska kroppsfunktion och åldrande. För alla som vill leva länge och bibehålla funktioner som att kunna resa sig från en stol, bära sina matkassar eller gå upp för en trappa, även upp i hög ålder, verkar det finnas mycket att hämta i just glycin och NAC.OBS! Doserna av glycin och NAC som de använde i studien är rejält höga och deltagarna screenas både före och under studien av medicinsk kunnig personal. Vi rekommenderar inte att du tar dessa höga doser av glycin eller NAC. Mer information om studien hittar du i länken nedan.Länk till studien hittar du här:https://academic.oup.com/biomedgerontology/article/78/1/75/6668639Här är mer information om Peter Martin och Funmed: https://www.funmed.se Vårt avsnitt om anti-aging med läkaren Suzana Maltar Zoric hittar du här: https://shows.acast.com/halsosnack/episodes/254-suzana-maltar-zoric-longevityPeters avsnitt om oxalater hittar du här: https://shows.acast.com/halsosnack/episodes/157petermartin-varfordingronasmoothieintearsanyttigsommantrott- Hosted on Acast. See acast.com/privacy for more information.

Grit is the disposition to strive for long-term goals despite setbacks and challenges. Given the lengthy, arduous process of rehabilitation after anterior cruciate ligament reconstruction (ACLR), an athlete's grit may predict postoperative outcomes across time.   In conclusion, athletes with higher baseline grit reported superior postoperative physical function and activity level over the course of 1 year after ACLR compared with less gritty athletes. Grit may be a useful measure in predicting success in regaining physical function across time after ACLR in adolescent athletes.     To read the article, click here.

Welcome to Episode 51 of the Movement Logic podcast! In this episode, Laurel and Sarah discuss myths around osteoporosis and osteopenia, including why yoga and Pilates are poor choices for bone building (yes, we'll talk about THAT study, again) and ultimately how weight training and impact training are both safe options when applied with the proper dosage and programming.You will learn: Osteoporosis and osteopenia, defined Why so many people with osteoporosis are afraid of falling What the fear-mongering messaging around osteoporosis is disempowering people with osteoporosis Why strength training is not only tolerable for people with osteoporosis, it's essential How no progressive overload in weight training is like staying in kindergarten forever Why the myth that yoga reverses osteoporosis from the Fishman study prevails to this day, and why this is proof that we need to keep a critical eye about research Why the Fishman paper does not prove what it claims to prove How yoga asana might help bone density for a very short time, but strength and impact training are your best bets overall What is cellular accommodation and what does it mean for your bone density building Types of movement classes for osteoporosis and their respective claims around their safety and efficacy Is Osteosteong a good choice to build bone density? Do Osteostrong's claims match up with what research has found so far?And more!Sign up here for the Live Strength Training Webinar on Sept 14th with 30 day replayEpisode 5 Does Yoga Asana Build Bone Density?Episode 38 Got Bones? Yoga Asana Isn't EnoughTwelve-Minute Daily Yoga Regimen Reverses Osteoporotic Bone Losshttps://osteostrongla.com/BonES Lab at University of Waterloo Video Questions Efficacy of Osteostrong ProgramIs OSTEOSTRONG Misleading Vulnerable People Regarding Claims of High Increases in Bone Density?High-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial

Join us in this enlightening episode as we dive into the concept of ageing well with the esteemed guest, Al Lyman. Together, we explore the profound idea of living a life where, as we age, we can continue doing the things we love and maintain our health, rather than experiencing a gradual decline. Al shares his insights on how lifting weights and taking care of our bodies play a crucial role in defying the traditional bell curve of ageing and embracing a square curve of vitality.Discover the keys to unlocking a life of active ageing and optimal well-being. Al delves into the importance of strength training, emphasizing its ability to preserve muscle mass, increase bone density, and enhance overall physical function as we grow older. Explore the connection between lifting weights and maintaining independence, agility, and a high quality of life throughout the ageing process.Together, we challenge the conventional notions of ageing, encouraging listeners to adopt a proactive approach to their health and wellness. By prioritizing strength training and nurturing our bodies, we can break free from the limitations imposed by age and truly thrive.Join us on this empowering conversation as we unravel the secrets to ageing well and redefine what it means to live a vibrant and fulfilling life at any stage. Al's wealth of knowledge and passion for healthy ageing offer valuable insights and actionable strategies that can inspire positive change in your own journey.As an added bonus, Redefine Fitness, a leading provider of comprehensive fitness and nutrition programs, offers two exceptional nutrition programs: Advanced and Basic. These programs teach you how to eat and help you establish healthy eating habits. With the convenience of their own tracking app and access to knowledgeable coaches, Redefine Fitness ensures personalized guidance and support to change the way you eat.For all our podcast listeners, Redefine Fitness is offering an exclusive 10% discount on both nutrition programs. Simply use the code "podcast" to take advantage of this incredible offer. The best part? These exceptional programs are available to individuals worldwide, allowing anyone, regardless of location, to benefit from Redefine Fitness's expertise. Email staff@redefine-fitness.com for more information or visit www.redefine-fitness.com. #AgeingWell #ActiveAgeing #HealthyAgeing #StrengthTraining #Vitality #QualityOfLife #FitnessOver40 #HealthyLifestyle #MusclePreservation #BoneDensity #PhysicalFunction #ProactiveHealth #LifelongWellness #SquareCurveOfAgeing #DefyAgeing #ThriveInLife #HealthyAgingJourneySupport the show

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Interview with Wendy C. King, PhD, author of A 7-Year Study of the Durability of Improvements in Pain, Physical Function, and Work Productivity After Roux-en-Y Gastric Bypass and Sleeve Gastrectomy. Hosted by Angel N. Desai, MD, MPH.

GlyNAC may reverse multiple hallmarks of aging “This is the first randomized clinical trial of GlyNAC supplementation in older humans (*March 2021 was smaller and open label), and it found that a wide variety of age-associated abnormalities improved in older adults supplemented with GlyNAC, while no improvements were seen in those receiving placebo,” said corresponding author Dr. Rajagopal Sekhar, professor of medicine - endocrinology, diabetes and metabolism at Baylor. Premranjan Kumar, PhD, Chun Liu, BS, James Suliburk, MD, Jean W Hsu, PhD, Raja Muthupillai, PhD, Farook Jahoor, PhD, Charles G Minard, PhD, George E Taffet, MD, Rajagopal V Sekhar, MD, Supplementing Glycine and N-Acetylcysteine (GlyNAC) in Older Adults Improves Glutathione Deficiency, Oxidative Stress, Mitochondrial Dysfunction, Inflammation, Physical Function, and Aging Hallmarks: A Randomized Clinical Trial, The Journals of Gerontology: Series A, 2022;, glac135, https://doi.org/10.1093/gerona/glac135 #GlyNAC #longevity #glutathione GlyNAC, NAC, glycine, glutathione, N-Acetylcysteine, aging, longevity, n acetyl cysteine, celltrient, mitochondrial dysfunction, mitophagy, inflammation, insulin resistance, endothelial dysfunction, genomic damage, stem cell fatigue, cellular senescence, glutathione deficiency, gait, gait speed, Oxidative Stress, Physical Function #GlyNAC #longevity#glutathione #nac #nacetylcysteine #aging #muscle #glycine --- Support this podcast: https://anchor.fm/ralph-turchiano/support

GlyNAC may reverse multiple hallmarks of aging “This is the first randomized clinical trial of GlyNAC supplementation in older humans (*March 2021 was smaller and open label), and it found that a wide variety of age-associated abnormalities improved in older adults supplemented with GlyNAC, while no improvements were seen in those receiving placebo,” said corresponding author Dr. Rajagopal Sekhar, professor of medicine - endocrinology, diabetes and metabolism at Baylor. Premranjan Kumar, PhD, Chun Liu, BS, James Suliburk, MD, Jean W Hsu, PhD, Raja Muthupillai, PhD, Farook Jahoor, PhD, Charles G Minard, PhD, George E Taffet, MD, Rajagopal V Sekhar, MD, Supplementing Glycine and N-Acetylcysteine (GlyNAC) in Older Adults Improves Glutathione Deficiency, Oxidative Stress, Mitochondrial Dysfunction, Inflammation, Physical Function, and Aging Hallmarks: A Randomized Clinical Trial, The Journals of Gerontology: Series A, 2022;, glac135, https://doi.org/10.1093/gerona/glac135 #GlyNAC #longevity #glutathione GlyNAC, NAC, glycine, glutathione, N-Acetylcysteine, aging, longevity, n acetyl cysteine, celltrient, mitochondrial dysfunction, mitophagy, inflammation, insulin resistance, endothelial dysfunction, genomic damage, stem cell fatigue, cellular senescence, glutathione deficiency, gait, gait speed, Oxidative Stress, Physical Function #GlyNAC #longevity#glutathione #nac #nacetylcysteine #aging #muscle #glycine --- Support this podcast: https://anchor.fm/ralph-turchiano/support

Welcome back to a NEW season of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. This season some of our speakers are guests who will be live in-person at the EIM Align Conference this August 26-28 in Dallas, Texas. On our eleventh episode of season 3, Heidi Moyer, PT, DPT, GCS, CEEAA a Board-Certified Clinical Specialist in Geriatric Physical Therapy (GCS) and a Certified Exercise Expert in Aging Adults (CEEAA) joins us! Heidi is the Program director for Evidence In Motion's Geriatric Certification Program currently. She has previous teaching experience with EIM, Illinois Physical Therapy Association, and for conferences such as National Student Conclave and Combined Sections Meeting. Heidi is an active APTA Geriatrics member, serving as a leader in multiple roles for APTA Geriatrics with the State Advocate Program and Balance and Falls Special Interest Group (BFSIG) as well as for the Illinois Physical Therapy Association, where they are the active chair of the IPTA Geriatric Special Interest Group (GeriSIG). We are so lucky to have her joining us at the Align conference this year!   Heidi's Align Session Preview: Heidi will be presenting at the conference during lab 6, “Move Well and OPTIMIZE Always,” alongside Teresa Schuemann, PT, DPT, ATC, CSCS, SCS & Jennifer Stone, PT, DPT, OCS, PHC. The lab is hands-on and interactive. Its goal is to look at the maximization optimization of management and assessment and screening over of athletes across the life span. They will be looking at how you can optimize the performance of athletes across the lifespan, starting at the screening process, then assessment and management. Heidi will be talking about the importance of plyometrics in training older adults and particularly in athletes that are in a plyometrics sport. As well as looking at the senior fitness examination and how you can integrate that in your practice to give you a guidance to how to manage older adults that are athletes.   This lab will be presented twice on Friday, once in the morning, once in the afternoon and once on Sunday, in the morning. Here are some of the highlights: In this episode Heidi expands on her experience working in geriatric physical therapy and becoming a geriatric certified clinical specialist. Heidi does say that you do have to be a jack of all trades because you are not just studying one body system or one joint in the body when looking at our older adults. The geriatric population can be present anywhere. She says her favorite geriatric topic to look at is health promotion and wellness and trying to get people moving long after we discharge them. She is very interested in keeping the geriatric population active and healthy. She also is interested in the topic of ageism. Whether that is self-ageism or ageism reflected from someone else.   Heidi completed her Certified Exercise Expert for Aging Adults (CEEAA) through the geriatrics academy through the American Physical Therapy Association (APTA). It consists of 3-weekend intensive that included, assessment, interventions, and lastly special populations. There was then a written exam and a practical exam. The whole focus was to provide hand-on skills to be able to get access to outcome measures and get facetime with experts in the field within APTA geriatrics to learn about some of these test and measures that are not taught in entry level DPT programs. Heidi says it was a great way to get clinical skills, to see changes in management with her patients, trace progress closely and more.   Heidi says medication reconciliation is within the scope for physical therapists to perform for patients and serves as a safety net to make sure the medications are doing what they are supposed to do. Heidi works hybrid home health currently and the medication reconciliation is her least favorite part. Heidi expands on career negative habits she picked up on and has broken over the years of practicing in the clinic, the fall risk assessment and handling patient falls, using the available assessment tools and more!   Heidi's Clinical Pearl for Physical Therapist working with Pharmacist– “If you have an interest in older adults and working with the geriatric population jump on the continuing education train. While the entry level DPT curriculum is obviously good enough to get us pass the exam, it is not sufficient to be an excellent clinician when working with older adults. If geriatrics is your passion or if you are in a setting where you do not have a choice and you must see patients of Medicare age, get into some continuing education classes, and make yourself comfortable. We are dealing with human lives and livelihoods and quality of life. We do not want to take that lightly. Do not be afraid to learn more, you are going to have to if you want to work with older adults.” Helpful research and training: Geriatric Certification Introduction to Geriatric Rehabilitation Geriatric Cardiovascular & Pulmonary Exercise Prescription in Geriatric Rehab Regulatory, Legal, and Policy Issues in Geriatric Rehabilitation Geriatric Related Neurological Conditions Management of Geriatric Musculoskeletal Conditions Integumentary Conditions Certified Exercise Expert for Aging Adults – American Physical Therapy Association High-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial   Ad Info: We are excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a PT Elevated Podcast listener. Visit alignconference.com and use the promo code PTELEVATED at checkout.  You can find the promo code and a link to the website in the show notes. We can't wait to see you! Connect with us on socials:@ZimneyKJ on Twitter @PMintkenDPT on Twitter Align Conference 2022, Website

While telehealth has expanded the delivery of healthcare services, many populations--including older adults with cancer--lack the know-how to use technology to their advantage during their cancer journey. Lower levels of digital literacy impede patients from accessing timely information, feeling empowered to ask questions, and seeking the best treatment for their diagnosis. To support patients to become DIGITALLY EMPOWERED, learn about a free program from the Patient Empowerment Network that teaches older adults with cancer valuable technology skills to engage digitally in their care. Guest:   Andrea Conners   Executive Director  Patient Empowerment Network     Resources:   Digital Bridges: Optimizing Telehealth for Older Adults with Cancer  Patient Empowerment Network   DIGITALLY EMPOWERED  Virtual Assessment of Physical Function in Adults With Cancer: Practical Tips  Using Telemedicine to Assess Psychological Health  [VIDEO PODCAST] Ep 07: Genetic Testing & Telehealth   This podcast is part of the ACCC education program, Digital Bridges. This project is supported by Merck.   

Efficacy of chronic disease treatment to improve physical function of training | Article – a meta-analysis

Getting back to exercise after pregnancy and while breastfeeding can feel very daunting. This week, Heather and Maureen welcome special guest, Sonya Looney. Sonya is a world champion professional athlete, a health and performance coach and the host of the Sonya Looney Show podcast. Pregnancy and postpartum is a time when everything about the body is changing. It's important and empowering to know that you can safely introduce exercise, strengthen your body and improve your overall physical function - even when breastfeeding!Don't miss this one!Find our guest, Sonya Looney in her Facebook Group, Plant Powered Academy with Sonya Looney, on Instagram or on her website, SonyaLooney.com.THANK YOU TO THIS EPISODE'S SPONSORSClick HERE to get HappiTummi and enter code MILKMINUTE10 for 10% off your order!Get your breastfeeding journey BACK ON TRACK with a Lactation Consult with Heather! Telehealth available and some insurance accepted. Click HERE for the deets. If you have Blue Cross Blue Shield, Anthem, or Cigna PPO - you can fill out a short form to get pre-approval to get your visits with Heather 100% approved! Click HERE to access the form!Listener Question: Breastfeeding parent with 13-month-old child is nursing to sleep, but it's become painful recently. What's going on?Find the new Milk Minute Podcast website by clicking here!Become a Milk Minute VIP: Click here to get behind-the-scenes-access and exclusive merch!Contact us: To send us feedback, personal stories, or just to chat you can send us an email at milkminutepodcast@gmail.comGet Community Support: Click Here to Join our Free Facebook Community!Stay up to Date: Find us on INSTAGRAM @milk_minute_podcastStare at us on TikTokPrefer to read the transcript?- Click Here to read the edited version of this episode!All of the books recommended by Sonya can be found in the professional transcript!Support the show (https://www.patreon.com/milkminutepodcast)

When the pandemic brought in-person patient services to a halt, the Pluta Integrative Oncology & Wellness Center developed a virtual platform to provide patients more widespread access to integrative oncology modalities.Hear how a virtual integrative format can enable cancer programs to adapt touch modalities to self-interventions, leverage opportunities for research, and overcome social and economic barriers, while impacting a greater number of patients at lower costs. Guest: Alissa Huston, MDCo-Medical Director, Pluta Integrative Oncology & Wellness CenterAssistant Professor of Medicine, James P. Wilmot Cancer Institute at the University of Rochester Resources: Oncology Issues journalViews: A Pandemic's Silver Lining: Building a Collaborative Integrative Therapy ProgramRapid Practice Change During COVID-19 Leads to Enduring Innovations and Expansion of Integrative Oncology ServicesTelehealth in ActionAdoption and Expansion of Telehealth SolutionsCANCER BUZZ Podcast: Telehealth After COVID-19[WEBINAR] Using Telemedicine to Assess Psychosocial Health[WEBINAR] Virtual Assessment of Physical Function in Adults with Cancer: Practical Tips

Dr. Christie Rampersad discusses the results of her study "Change in Physical Activity and Function in Patients with Baseline Advanced Nondialysis CKD," on behalf of her colleagues.

Many of us have seen the sad, steady march of Alzheimer's disease in friends or loved ones. Can people with advancing dementia benefit from physical therapy and physical activity? Learn how some symptoms can be improved or delayed.

Many of us have seen the sad, steady march of Alzheimer's disease in friends or loved ones. Can people with advancing dementia benefit from physical therapy and physical activity? Learn how some symptoms can be improved or delayed.

On this episode, we'll hear what genetic counselors wish providers would say to their patients. We'll uncover a few common barriers to genetic counseling and testing for patients with cancer and—from the genetic counselor's perspective—how providers can help improve the uptake of testing delivered via telehealth to educate, inform, and improve patient care. Genetic counselors—as members of the cancer care team—can help patients better understand their cancer diagnosis, make informed treatment decisions, and navigate the financial costs of testing. Guest: Katie Lemas, MS, CGC Certified Genetic Counselor Genome Medical Related Resources [WEBINAR] Using Telemedicine to Assess Psychosocial Health [WEBINAR] Virtual Assessment of Physical Function in Adults with Cancer: Practical Tips Metastatic Breast Cancer Digital Resource Library Effective Principles & Practices in Patient Support Workbook (Part I) Effective Principles in Action Publication (Part II) Multidisciplinary Team Communication: Survey Highlights The Need for Increased Access to Genetic Counselors Genetic Counselor Extenders Help Meet Growing Demand for Services Bill to Improve Access to Genetic Counseling Introduced in House and Senate Making the Business Case for Hiring a Board-Certified Genetic Counselor [PODCAST] Ep 53: Telehealth & Genetics During COVID-19 This video podcast is part of the ACCC Multidisciplinary Metastatic Breast Cancer Project.

Is offsetting bone losses in menopause with high impact safe? Is it recommended? Aren't you more prone to fractures? This episode explores the recent research in honor of Menopause Awareness Month (and Osteoporosis Day October 20, 2021). If you're trying to prevent, if you've been diagnosed, or if you've got younger women in your life who need this information NOW to be better prepared than we could have known to be… this is for you. Episode sponsor: Flipping50 Fitness Specialist (learn more here about how to become one and grow a successful business while you do it) Bone Losses in Menopause Average bone loss is 1.5% per year for the spine and 1.1% - 1.4% for the femoral neck in the first 4-5 years post menopause. Losses slow slightly after this and then increase again in latter decades. Just 6 months into the pandemic research began to emerge about the long-term health effects of short-term muscle loss. The possible devasting disability includes sarcopenia and osteoporosis both, as well as increases in risk of obesity. A combined loss of muscle, strength, bone, with or without increased body fat sets up females specifically for avoidable negative health effects. Osteoporosis & Exercise Exercise is recommended but often with poor and non-specific guidelines for having the most benefit. The purpose of this post is to: Present the continuum of activity results on bone mineral density Present other valuable components of exercise Support prioritization of exercise time for readers Consider a variety of exercises (and non-exercise) interventions and their results Integrating safety Optimal exercise interventions are those favoring a mechanical stimulus on bone both through antigravity loading and the stress exerted on muscles. Two types of activity for osteoporosis prevention and post-diagnosis therapeutic effects: Weight-bearing activities Strength/Resistance exercises What is weight-bearing activity? Defined as any activity one performs on one or more feet. Technically, however it would also include activity weight bearing on the upper body as in a downward facing dog. Where bone density is concerned, there are levels of weight-bearing. Standing in tree pose is weight bearing. Using an elliptical is weight bearing. Neither of those however has any striking force involved as when there is a heel strike in walking. The greater the strike the greater the force to bone. What is resistance exercise? Technically, resistance exercise is anything that provides additional overload to the muscle (and bone) beyond activities of daily living. Resistance exercise includes use of machine and free weights, body weight, tubing, bands, even water exercise or swimming is viewed as resistance training. Each activity falls along a continuum of benefits. As you might guess, use of machine or free weights will surpass swimming or water exercise for bone density benefits. Use of weight training also surpasses benefits from bands and tubing. Though use of bands and tubing may be a first step, an only option depending on access to dumbbells, or machine weights, or support lateral movements unachievable from free-weights alone, the application of heavy resistance is most beneficial and more closely mimics activity of daily life. Of the two activities for osteoporosis prevention and therapeutic effects, strength/resistance exercise have the greatest benefit. This is due to the overload and what is referred to as Minimal Effective Stress (MES). Minimum Effective Stress Walking alone does not improve bone mass. It may have a limited contribution to slowing bone losses. The limit to benefits of walking occurs due to an effect called Minimal Effective Stress. For example, if you walk 2 or 3 miles several times a week, neither walking more days a week or walking 4 or 5 miles offers more bone benefit. You're already adapted to the stress of your own body weight. What would potentially change or increase bone benefit would be jogging or adding a weighted vest during the walk. (Note: not handheld weights). Similarly, with jogging, once you can jog or run, you don't get greater benefits by running longer or more frequently. In fact, long distance runners who find low body fat, low body weight, may be at greater risk for low bone density. Older runners who do no resistance training with heavy weight are prone to fractures as much (or more if lower body weight) as general population. It's Not All Bone Strength There is also more than the strength of the bone and of the muscle in consideration of activity. As aforementioned, the balance or stability-enhancing benefit of an activity also plays a part in reducing risk of falls. Where heavy resistance exercise is not possible, lighter weight and balance activities alone will still be beneficial, though not to bone, to improved stability and balance. It's important that balance is specific to balance practice. Agility, balance and coordination don't come from strength alone, but must be practiced. For anyone seeking bone density and muscle strength, exercise selection should match those goals. For anyone limited by conditions, injuries, or access, a greater emphasis should be placed on balance and stability, each of which require less equipment. In either case, balance and agility/reaction skills are specific and need to be trained. They aren't just added benefits from strength training. The Research Women in menopause transition are susceptible to muscle and bone losses that lead to sarcopenia and osteoporosis, respectively. That makes them more prone to falls, fractures, and then increasing bedrest and instability leading to frailty and early death. How Much Muscle is Typically Lost? Traditionally, loss of muscle can be about 8% per decade beginning at age 30. There's an annual decline in total body LM during 4 to 5 years of the menopausal transition accelerates. The rapid acceleration of losses over a short period of time sets of alarms. If this isn't countered with sufficient resistance training during that time, or mitigated soon after, it leads to a cascade of events including bone losses.   The accelerated losses do slow again after the surge in early post menopause. Yet, in another decade or more they again accelerate to nearly 1% annual decline in leg LM among women between the ages of 70 and 79. Start at the Beginning The early research for exercise in osteoporosis prevention and treatment was conservative. The list of contraindications for those diagnosed with osteoporosis was long or at least limiting. Recent studies however, explore the intensity of exercise that does more than slows bone losses in favor of that which -even after menopause- where once thought game over, bone density can be improved. Conservative Start Early research scared many women who may have been avid exercise enthusiasts with a passion for downhill skiing or golf, into thinking they couldn't potentially participate any longer. It suggested they suddenly come with a “fragile” label and are resigned to light and safe exercise. One particular study in the Clinical Interventions in Aging journal I've spoke of before but bears mentioning as I kick off this section of a review of studies suggests otherwise. Post- diagnosis, there are considerations, and you have unique needs. You can however, and possibly should, find high intensity exercise that will start and wisely progress that includes both high impact weight bearing exercise and high intensity weight training. That is, includes jumping, as well as heavy weight training. A study intended to be 18 months long was cut short by Covid at 13 months when supervision was no longer possible in March 2020, revealed even without getting to the most intense phase of the program, bone density was improved. In addition, compliance was high, injuries were non-existent.  12-month high impact programs Significantly better results were found in women who did high impact exercise and medication and dietary changes than medication and dietary changes alone. High impact- jumping, hopping, explosive movements was safe and effective 24-week aerobic dance programs Another study in Medicine published in 2019 showed 3 times per week high impact exercise with women not taking HRT, improved bone density. Site-Specific Benefits High intensity exercise is a more effective stimulus for lumbar spine BMD than low or moderate intensity, but not femoral neck BMD, however, the latter finding may be due to lack of power in the exercises performed. Additional Proof for High Intensity High Impact for Bone Losses in Menopause A 2020 study published in the International Journal of Behavioral Nutrition and Physical Activity looked at women 65 and older. For them too higher doses of activity and particularly those involving resistance training are significantly more effective. Let's talk about dose where exercise for bone density is concerned. It's important to know increasing frequency beyond 2-3 times a week is not the best way to increase volume. The better application of volume is increased amount of resistance, and increased sets. This will result in a decreased number of repetitions. While muscle can benefit from greater repetitions (performed with smaller weights), bone cannot. If you are able to lift heavy (defined as reaching fatigue in 10 or fewer repetitions) you will have the most bone benefits. Recent Research is Most Specific While you may choose to believe that yoga, that pilates, that walking improves bone density, you'll want to keep this in mind. In a review of literature including 75 articles, published from 1989 to 2019, results were too variable to conclude exercise effects on osteoporosis. This is proof that some protocols DO and some DO NOT benefit bone density. This makes the statement, “something is better than nothing” questionable if you have a specific goal. You can't do your boyfriend's, your daughters, or your best friend's exercise program and expect the specific results you want without checking the match for your priorities. What we need is an exercisematch.com so you can sort through the prolific options and be sure that if your goal is bone density, or weight loss, or reducing arthritic pain, you are doing the right exercise to match this goal and any limitations. Flipping50's mission is to make this a little easier for you. Other Health Benefits High intensity aerobic activity in a small co-hort of post menopausal women increased HDL, decreased body fat, and improved VO2 (cardiovascular fitness) but did nothing to lean muscle mass. Now, at first glance this is good. At second you might not think entirely. Even with a loss of body fat, because of the decrease in overall weight, metabolism will be lower. Without adjustments in dietary intake ultimately weight regain is likely. A 2018 study in the Journal of Bone Mineral Research employed a protocol of high intensity loads (5 reps to fatigue x 5) for 4 different exercises, including high impact drop jumps. This study too had a high compliance level, one/100 adverse effects (low back spasm), and positive bone density improvements. Yoga Poses for Bone Density Some holes in the yoga study make it difficult to discern if the yoga was exclusively responsible for bone density improvement. There wasn't enough control in the activity and habits of the participants. Monthly gain in BMD was significant in spine (0.0029 g/cm2, P = .005) and femur (0.00022 g/cm2, P = .053). At 22, 22, and 24 months, respectively, 72, 81, and 83 of these subjects reported mean gains of 0.048, 0.088, and 0.0003 g/cm2 per month which is the equivalent 1.152 (22 mos) and .0072 (24 mos). Compare to 24 weeks strength training that include 3.1 ± 4.6%. There's a significant difference both in results. Yoga and Pilates for Bone Density A 2021 study published in PLoS One showed only non-significant results on BMD. Benefits do occur for balance and stability. As a means of risk reduction from fall-related fractures there is value in these activities. What we each need to do is determine what is our realistic time spend and co-create a program based on the most influential exercises for each of our unique goals. It is possible to create a program that is inclusive of the high intensity strength training, the high impact (where a wise choice) activity, and the balance and stability building movements. This doesn't have to mean many and separate sessions weekly. Minutes of balance and stability work regularly can be included in warm ups and cool downs. Whole Body Vibration for Bone Density Best indicated for the frail unable to perform other resistance exercises. For greatest effectiveness must contain a component of strength training. There is a degree of improvement in balance and stability from WBV. However, the biggest benefit is from resistance training combined with WBV, not in performing WBV alone. The additional benefit if the platform is available is worth it. The investment in the equipment for home, may not be the best or wisest use of time. There you have it. This summary of recent bone losses and menopause research (provided during Menopause Awareness Month) is intended to get you pointed in the right direction for your exercise journey. References Mentioned: 28 Day Kickstart Fitness Trainers & Health Coaches MasterClass Ageless Woman Summit Stop the Menopause Madness Summit References: Kirwan R, McCullough D, Butler T, Perez de Heredia F, Davies IG, Stewart C. Sarcopenia during COVID-19 lockdown restrictions: long-term health effects of short-term muscle loss. Geroscience. 2020 Dec;42(6):1547-1578. doi: 10.1007/s11357-020-00272-3. Epub 2020 Oct 1. PMID: 33001410; PMCID: PMC7528158. Sipilä S, Törmäkangas T, Sillanpää E, et al. Muscle and bone mass in middle-aged women: role of menopausal status and physical activity. J Cachexia Sarcopenia Muscle. 2020;11(3):698-709. doi:10.1002/jcsm.12547 Hettchen M, von Stengel S, Kohl M, Murphy MH, Shojaa M, Ghasemikaram M, Bragonzoni L, Benvenuti F, Ripamonti C, Benedetti MG, Julin M, Risto T, Kemmler W. Changes in Menopausal Risk Factors in Early Postmenopausal Osteopenic Women After 13 Months of High-Intensity Exercise: The Randomized Controlled ACTLIFE-RCT. Clin Interv Aging. 2021 Jan 11;16:83-96. doi: 10.2147/CIA.S283177. PMID: 33469276; PMCID: PMC7810823. Ilinca, Ilona & Avramescu, Taina & Shaao, Mirela & Rosulescu, Eugenia & Zavaleanu, Mihaela. (2010). The role of high - impact exercises in improve bone mineral density in postmenopausal women with osteopenia or osteoporosis. Citius Altius Fortius. 27. Yu, Pei-An MDa,b; Hsu, Wei-Hsiu MD, PhDa,b,c; Hsu, Wei-Bin PhDb; Kuo, Liang-Tseng MDa,b; Lin, Zin-Rong PhDd; Shen, Wun-Jer MDe; Hsu, Robert Wen-Wei MDa,b,c,∗ The effects of high impact exercise intervention on bone mineral density, physical fitness, and quality of life in postmenopausal women with osteopenia, Medicine: March 2019 - Volume 98 - Issue 11 - p e14898doi: 10.1097/MD.0000000000014898 Kistler-Fischbacher M, Weeks BK, Beck BR. The effect of exercise intensity on bone in postmenopausal women (part 2): A meta-analysis. Bone. 2021 Feb;143:115697. doi: 10.1016/j.bone.2020.115697. Epub 2020 Dec 24. PMID: 33357834. Pinheiro, M.B., Oliveira, J., Bauman, A. et al. Evidence on physical activity and osteoporosis prevention for people aged 65+ years: a systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. Int J Behav Nutr Phys Act17, 150 (2020). https://doi.org/10.1186/s12966-020-01040-4 https://www.frontiersin.org/articles/10.3389/fphys.2020.00652/full https://www.frontiersin.org/articles/10.3389/fragi.2021.667519/full Watson, S.L., Weeks, B.K., Weis, L.J., Harding, A.T., Horan, S.A. and Beck, B.R. (2018), High-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial. J Bone Miner Res, 33: 211-220. https://doi.org/10.1002/jbmr.3284 Lu YH, Rosner B, Chang G, Fishman LM. Twelve-Minute Daily Yoga Regimen Reverses Osteoporotic Bone Loss. Top Geriatr Rehabil. 2016;32(2):81-87. doi:10.1097/TGR.0000000000000085 Fernández-Rodríguez R, Alvarez-Bueno C, Reina-Gutiérrez S, Torres-Costoso A, Nuñez de Arenas-Arroyo S, Martínez-Vizcaíno V. Effectiveness of Pilates and Yoga to improve bone density in adult women: A systematic review and meta-analysis. PLoS One. 2021;16(5):e0251391. Published 2021 May 7. doi:10.1371/journal.pone.0251391

In this podcast, Michelle Jackman discusses her paper 'Interventions to improve physical function for children and young people with cerebral palsy: international clinical practice guideline'. The paper is available here: https://onlinelibrary.wiley.com/doi/10.1111/dmcn.15055  Subscribe to our channel for more: https://bit.ly/2ONCYiC ___ Listen to all our episodes: https://bit.ly/2yPFgTC __ DMCN Journal: Developmental Medicine & Child Neurology (DMCN) has defined the field of paediatric neurology and childhood-onset neurodisability for over 60 years. DMCN disseminates the latest clinical research results globally to enhance the care and improve the lives of disabled children and their families. DMCN Journal - https://onlinelibrary.wiley.com/journal/14698749 ___   Watch DMCN videos on our YouTube channel: https://bit.ly/2ONCYiC   Find us on Twitter! @mackeithpress - https://twitter.com/mackeithpress

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-243   Overview: Evidence strongly supports a correlation between hearing impairment in older adults and decline in physical functioning. A recent population cohort study of older adults revealed that hearing impairment was associated with poorer physical function, reduced walking endurance, and accelerated decline. Join us while we discuss this evidence and how to apply it to your practice. You'll walk away with strategies to promote hearing assessment and to help optimize physical functioning in your older adult patients.   Episode resource links: Brenowitz WD, Wallhagen MI. Does Hearing Impairment Affect Physical Function?: Current Evidence, Potential Mechanisms, and Future Research Directions for Healthy Aging. JAMA Netw Open. 2021 Jun 1;4(6):e2114782. doi: 10.1001/jamanetworkopen.2021.14782. PMID: 34170308. Martinez-Amezcua P, Powell D, Kuo PL, Reed NS, Sullivan KJ, Palta P, Szklo M, Sharrett R, Schrack JA, Lin FR, Deal JA. Association of Age-Related Hearing Impairment With Physical Functioning Among Community-Dwelling Older Adults in the US. JAMA Netw Open. 2021 Jun 1;4(6):e2113742. doi: 10.1001/jamanetworkopen.2021.13742. PMID: 34170305; PMCID: PMC8233700. Martinez-Amezcua P, Kuo PL, Reed NS, Simonsick EM, Agrawal Y, Lin FR, Deal JA, Ferrucci L, Schrack JA. Association of hearing impairment with higher level physical functioning and walking endurance: Results from the Baltimore Longitudinal Study of Aging (BLSA). J Gerontol A Biol Sci Med Sci. 2021 May 18:glab144. doi: 10.1093/gerona/glab144. Epub ahead of print. PMID: 34003883. Croll, P.H., Vinke, E.J., Armstrong, N.M. et al. Hearing loss and cognitive decline in the general population: a prospective cohort study. J Neurol 268, 860–871 (2021). https://doi.org/10.1007/s00415-020-10208-8 Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-243   Overview: Evidence strongly supports a correlation between hearing impairment in older adults and decline in physical functioning. A recent population cohort study of older adults revealed that hearing impairment was associated with poorer physical function, reduced walking endurance, and accelerated decline. Join us while we discuss this evidence and how to apply it to your practice. You'll walk away with strategies to promote hearing assessment and to help optimize physical functioning in your older adult patients.   Episode resource links: Brenowitz WD, Wallhagen MI. Does Hearing Impairment Affect Physical Function?: Current Evidence, Potential Mechanisms, and Future Research Directions for Healthy Aging. JAMA Netw Open. 2021 Jun 1;4(6):e2114782. doi: 10.1001/jamanetworkopen.2021.14782. PMID: 34170308.   Martinez-Amezcua P, Powell D, Kuo PL, Reed NS, Sullivan KJ, Palta P, Szklo M, Sharrett R, Schrack JA, Lin FR, Deal JA. Association of Age-Related Hearing Impairment With Physical Functioning Among Community-Dwelling Older Adults in the US. JAMA Netw Open. 2021 Jun 1;4(6):e2113742. doi: 10.1001/jamanetworkopen.2021.13742. PMID: 34170305; PMCID: PMC8233700.   Martinez-Amezcua P, Kuo PL, Reed NS, Simonsick EM, Agrawal Y, Lin FR, Deal JA, Ferrucci L, Schrack JA. Association of hearing impairment with higher level physical functioning and walking endurance: Results from the Baltimore Longitudinal Study of Aging (BLSA). J Gerontol A Biol Sci Med Sci. 2021 May 18:glab144. doi: 10.1093/gerona/glab144. Epub ahead of print. PMID: 34003883. Croll, P.H., Vinke, E.J., Armstrong, N.M. et al. Hearing loss and cognitive decline in the general population: a prospective cohort study. J Neurol 268, 860–871 (2021). https://doi.org/10.1007/s00415-020-10208-8   Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Richard Onorato

In this 30-minute podcast, Steven Hertzler, PhD, RD, LD, and Courtney Allgeier, MS, RD, LD, discuss their December 2020 Nutrients article titled, “Plant Proteins: Assessing Their Nutritional Quality & Effects on Health & Physical Function.”See the full transcript on anhi.org.

Editor-in-Chief Alan Jette and Dr. Johnson address topics including impact of value-based care and the variability among outcomes and costs, identifying the target populations that will benefit from inpatient rehabilitation, and the need for readers to understand some of the challenges and limitations of using large, complex data sets in research.  Dr. Johnson is coauthor of “Physical Function in the Hospital Is Associated With Patient-Centered Outcomes in an Inpatient Rehabilitation Facility.”

Link to bioRxiv paper: http://biorxiv.org/cgi/content/short/2020.09.28.313460v1?rss=1 Authors: Frye, B. M., Valure, P. M., Craft, S., Baxter, M. G., Scott, C., Wise-Walden, S., Bissinger, D., Register, H. M., Copeland, C., Jorgensen, M. J., Justice, J. N., Kritchevsky, S. B., Register, T. C., Shively, C. A. Abstract: Dual declines in gait speed and cognitive performance are associated with increased risk of developing dementia. Characterizing the patterns of such impairments therefore is paramount to distinguishing healthy from pathological aging. Nonhuman primates such as vervet/African green monkeys (Chlorocebus aethiops sabaeus) are important models of human neurocognitive aging, yet the trajectory of dual decline has not been characterized. We therefore 1) assessed whether cognitive and physical performance (i.e., gait speed) are lower in older aged animals; 2) explored the relationship between performance in a novel task of executive function (Wake Forest Maze Task: WFMT) and a well-established assessment of working memory (Delayed Response Task: DR Task); and 3) examined the association between baseline gait speed with executive function and working memory at one-year follow-up. We found 1) physical and cognitive declines with age; 2) strong agreement between performance in the novel WFMT and DR task; and 3) that slow gait predicted poor cognitive performance in both domains. Our results suggest that older-aged vervets exhibit a coordinated suite of traits consistent with human aging and that slow gait may be a risk factor for cognitive decline. This integrative approach provides evidence that gait speed and cognitive function differ across the lifespan in female vervet monkeys, which advances them as a model that could be used to evaluate the trajectory of dual decline over time. Copy rights belong to original authors. Visit the link for more info

Death by Ignorance – Episode 12 – Just a little prickAdditional reading: https://www.amazon.com/Fantasyland-America-Haywire-500-Year-History-ebook/dp/B004J4WNJE https://www.amazon.com/Thinking-Fast-Slow-Daniel-Kahneman/dp/0374533555 Sherman KJ, Cherkin DC, Deyo RA, et al. The diagnosis and treatment of chronic back pain by acupuncturists, chiropractors, and massage therapists. Clin J Pain. 2006 Mar-Apr;22(3):227–234. Barrett, S (30 December 2007). "Be Wary of Acupuncture, Qigong, and "Chinese Medicine"". Quackwatch. http://www.dcscience.net/Ernst-2011-AcupunctAlleviatePainRiskReview.pdf Deare JC, Zheng Z, Xue CC, Liu JP, Shang J, Scott SW, Littlejohn G (May 2013). "Acupuncture for treating fibromyalgia". The Cochrane Database of Systematic Reviews. 5 (5): CD007070. Seca S, Miranda D, Cardoso D, Nogueira B, Greten HJ, Cabrita A, Rodrigues MA (19 December 2018). "Effectiveness of Acupuncture on Pain, Physical Function and Health-Related Quality of Life in Patients with Rheumatoid Arthritis: A Systematic Review of Quantitative Evidence". Chinese Journal of Integrative Medicine. doi:10.1007/s11655-018-2914-x. PMID 30569405 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616356 Towler P, Molassiotis A, Brearley SG (October 2013). "What is the evidence for the use of acupuncture as an intervention for symptom management in cancer supportive and palliative care: an integrative overview of reviews". Supportive Care in Cancer. 21 (10): 2913–23. doi:10.1007/s00520-013-1882-8. PMID 23868190. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1466855 Barrett, Stephen. "Auriculotherapy: A Skeptical Look". Acupuncture Watch. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC558023 Cheuk DK, Wong V (May 2014). "Acupuncture for epilepsy". The Cochrane Database of Systematic Reviews. 5(5): CD005062. doi:10.1002/14651858.CD005062.pub4. PMID 24801225. https://books.google.com/books?id=E6oa37ZyTxEC&pg=PA90 Burke A, Upchurch DM, Dye C, Chyu L. Acupuncture use in the United States: findings from the National Health Interview Survey. J Altern Complement Med. 2006 Sep;12(7):639–648. Wu DZ. Acupuncture and neurophysiology. Clinical Neurology & Neurosurgery. 1990;92(1):13–25. Cheng R, Pomeranz B. Monoamineergic mechanisms of electroacupuncture analgesia. Brain Res. 1981;215:77–92. Hui KK, Liu J, Makris N, et al. Acupuncture modulates the limbic system and subcortical gray structures of the human brain: evidence from fMRI studies in normal subjects. Human Brain Mapping. 2000;9(1):13–25. Park J, Linde K, Manheimer E, et al. The status and future of acupuncture clinical research. J Altern Complement Med. 2008 Sep;14(7):871–881. Vickers AJ. Placebo controls in randomized trials of acupuncture. Eval Health Prof. 2002 Dec;25(4):421–435. Support Death by Ignorance by donating to their Tip Jar: https://tips.pinecast.com/jar/death-by-ignoranceThis podcast is powered by Pinecast.

Velkommen til Smerteuniverset Episode 1 - Alt om rygsmerter Simon Kirkegaard fra Smertevidenskab.dk byder PhD Pernille Frederiksen indenfor i Smerteuniverset, til en snak om rygsmerter samt hendes egen forskning på området. Der stilles skarpt på den viden, vi på nuværende tidspunkt har om rygsmerter. Den gængse samfundsmæssige og sundhedsfaglige opfattelse af rygsmerter belyses og de problematikker som hører hertil. Det understreges at smerter sjældent er så simple som de kan forekomme at være. Hovedbudskaber Dårlig sammenhæng mellem scanningsfund og smerter De fleste rygsmerter har en god prognose Intense rygsmerter er ikke nødvendigvis tegn på alvorlig tilstande i ryggen Ryggen er stærk og robust Rygsmerter påvirkes af mange forskellige faktorer udover kropslige. Eksempelvis kan tidligere erfaringer, overbevisninger og forventninger spille en stor rolle  Fysisk aktivitet/bevægelse er hensigtsmæssigt i de rette doser selvom man har smerter Gode råd til håndtering og rehabilitering af rygsmerter Simon og Pernille taler om hvordan mødet med sundhedsvæsenet nogle gange kan skabe unødvendige bekymringer omkring almindelige, kortvarige rygsmerter og hvordan disse bekymringer potentielt kan bidrage til at smerterne vedvarer i længere tid. De taler om udviklingen af kroniske smerter og de faktorer som kan øge risikoen og kommer med forslag til hvordan behandlingssystemet kan gøre det endnu bedre.  Diskusprolaps er almindeligt forstået som en årsag til rygsmerter men Simon og Pernille forklarer hvorfor denne tilstand ikke altid kan forklare hvorfor en person har ondt i ryggen samt belyser hvorfor tilstanden har en god prognose. Til slut fortæller Pernille om sit PhD projekt hvor 2 x 1 times information omkring rygsmerter øgede chancerne væsentligt for at deltagerne tog på arbejde på trods af rygsmerter. Pernille giver derudover sit forslag til hvilken viden, der vil være mest værdifuld at gøre tilgængelig og forståelig for alle - fagpersoner som lægmænd.   Pernille Frederiksens kontaktinformationer: LinkedIn profil og mail. Her finder du links til de studier som omtales i denne episode: Jacobs 1996 - Effects of culture on back pain in Australian aboriginals O’sullivan et al. 2013 - Disabling chronic low back pain as an iatrogenic disorder: a qualitative study in Aboriginal Australians Watson et al. 2018 - High-Intensity Resistance and Impact Training Improves Bone Mineral Density and Physical Function in Postmenopausal Women With Osteopenia and Osteoporosis: The LIFTMOR Randomized Controlled Trial. O’sullivan et al. 2018 - Is it time to reframe how we care for people with non-traumatic musculoskeletal pain? Bigos et al. 1992 - A longitudinal, prospective study of industrial back injury reporting Frederiksen et al. 2017 - Can group-based reassuring information alter low back pain behavior? A cluster-randomized controlled trial  

Brought to you by CSMi This episode explores the application of exercises starting 2 months after total knee replacement. Is working with a PT better than just joining a community program? If there are performance improvements, is there much of an effect on perceived function? How difficult is it to answer these questions? Effectiveness of Later-Stage Exercise Programs vs Usual Medical Care on Physical Function and Activity After Total Knee Replacement: A Randomized Clinical Trial. Piva SR, Schneider MJ, Moore CG, Catelani MB, Gil AB, Klatt BA, DiGioia AM, Almeida GJ, Khoja SS, Sowa G, Irrgang JJ. JAMA Netw Open. 2019 Feb 1;2(2):e190018. doi: 10.1001/jamanetworkopen.2019.0018. 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. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Illness perception is defined as the cognitive representations or beliefs that patients have about their illness. It basically means that how you perceive your illness has an influence on the way you think, what you believe is possible, and perhaps most importantly, what you do moving forward. Physiotherapist Edwin de Raaij recently completed a systematic review called the Association of Illness Perception and Prognosis for Pain and Physical Function in Patients with Non-Cancer Musculoskeletal Pain. This is an important topic because illness perceptions have been associated with pain intensity as well as physical function in individuals with all types of musculoskeletal pain. Illness perception is a large part of Edwin’s current doctoral work. He dives into this important topic and shares a tool that he uses with his patients to help them understand pain.   Sign up for the latest episode at www.drjoetatta.com/podcasts.   Love the show? Subscribe, rate, review, and share! Here’s How » Join the Healing Pain Podcast Community today: drjoetatta.com Healing Pain Podcast Facebook Healing Pain Podcast Twitter Healing Pain Podcast YouTube Healing Pain Podcast LinkedIn

In this student podcast, Kathryn Osment interviews Dr. Laura Gitlin about her article, "Compensatory Strategies: Prevalence of Use and Relationship to Physical Function and Well-Being" published in volume 36 issue 6 in the Journal of Applied Gerontology. Click here to read the article.    

SHORTS: Association Between Purpose in Life & Objective Measures of Physical Function in Older Adults Erinn & Tali discuss: Association Between Purpose in Life and Objective Measures of Physical Function in Older Adults. From JAMA Psychiatry in October 2017 https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2648692?resultClick=1 Mentioned: Health & Retirement Study: http://hrsonline.isr.umich.edu/ ---------- SRP is brought to you by the generous support of the SRP Game Changers. If you want to Crush Mediocrity, Join the Monthly Meetups, & Stear the Direction of this Movement...go to http://SeniorRehabProject.com/GameChangers

Dr Marwan Bukhari talks to Prof Jon Giles, Columbia University, New York, USA, regarding his paper on the associations of muscle mass relative to fat mass with physical function in RA. Prof Giles states both his and his co-authors past research indicates that body composition, low muscle and high fat, is very strongly associated with physical function and, in some cases, more strongly associated with physical dysfunction thank the number of swollen and tender joints a patient has. He highlights the importance of considering muscle and fat mass impact on patients to improve physical function. They discuss the next steps to be taken to build on this research.

Dr Marwan Bukhari talks to Prof Jon Giles, Columbia University, New York, USA, regarding his paper on the associations of muscle mass relative to fat mass with physical function in RA. Prof Giles states both his and his co-authors past research indicates that body composition, low muscle and high fat, is very strongly associated with physical function and, in some cases, more strongly associated with physical dysfunction thank the number of swollen and tender joints a patient has. He highlights the importance of considering muscle and fat mass impact on patients to improve physical function. They discuss the next steps to be taken to build on this research.

Dr Marwan Bukhari talks to Prof Jon Giles, Columbia University, New York, USA, regarding his paper on the associations of muscle mass relative to fat mass with physical function in RA. Prof Giles states both his and his co-authors past research indicates that body composition, low muscle and high fat, is very strongly associated with physical function and, in some cases, more strongly associated with physical dysfunction thank the number of swollen and tender joints a patient has. He highlights the importance of considering muscle and fat mass impact on patients to improve physical function. They discuss the next steps to be taken to build on this research.

  Nesse episódio eu, Heric Lopes, apresento uma das vozes do Fisio na Pauta Podcast e explico como eu resolvi a dissonância cognitiva em relação ao Ultrassom Terapêutico (US).   Se liga no que deu!   Esse podcast é parte do Canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Nossa intenção é oferecer informação sobre saúde, ciência, reabilitação e claro... Fisioterapia!   Esse podcast é uma produção independente elaborado por voluntários dispostos a disseminar conhecimento em prol da evolução da ciência da Fisioterapia.   O conteúdo do programa é meramente informativo e nada de ser utilizado como conselho médico, uma vez que o conteúdo cientifico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde.   Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta     Opine sobre o Fisio na Pauta Podcast no iTunes e complete as estrelas de acordo com a sua satisfação!   Quer colaborar e apoiar o canal Fisio na Pauta? Acesse: http://www.fisionapauta.com.br/apoie/   Músicas: Captain Planet - Enter the Esperanto - www.youtube.com/watch?v=20OPSVdDw…6Vx1Cl1CA&index=1 Rapping Hood & Caetano Veloso - Rap du Bom parte 2 - https://www.youtube.com/watch?v=3zWwtLz2Oz0 Joakim Karud - Boost - https://www.youtube.com/watch?v=gWzd1oMggSA   Referências bibliográficas: Hogan, R. D., Burke, K. M., & Franklin, T. D. (1982). The effect of ultrasound on microvascular hemodynamics in skeletal muscle: effects during ischemia. Microvascular research, 23(3), 370-379.   Hogan, R. D., Franklin, T. D., Fry, F. J., Avery, K. A., & Burke, K. M. (1982). The effect of ultrasound on microvascular hemodynamics in skeletal muscle: effect on arterioles. Ultrasound in Medicine & Biology, 8(1), 4549-4755.   Dyson M. (1987). Mechanisms involved in therapeutic ultrasound. Physiotherapy, 73 (3),116-120.   Yeğin, T., Altan, L., & Aksoy, M. K. (2017). The Effect of Therapeutic Ultrasound on Pain and Physical Function in Patients with Knee Osteoarthritis. Ultrasound in Medicine & Biology, 43(1), 187-194.   Xia, P., Wang, X., Lin, Q., Cheng, K., & Li, X. (2017). Effectiveness of ultrasound therapy for myofascial pain syndrome: a systematic review and meta-analysis. Journal of Pain Research, 10, 545.   Mascarin, N. C., Vancini, R. L., dos Santos Andrade, M., de Paiva Magalhães, E., de Lira, C. A. B., & Coimbra, I. B. (2012). Effects of kinesiotherapy, ultrasound and electrotherapy in management of bilateral knee osteoarthritis: prospective clinical trial. BMC musculoskeletal disorders, 13(1), 182.   Baker, K. G., Robertson, V. J., & Duck, F. A. (2001). A review of therapeutic ultrasound: biophysical effects. Physical therapy, 81(7), 1351.   Daniels, S., Santiago, G., Cuchna, J., & Van Lunen, B. (2017). The Effects of Low-Intensity Therapeutic Ultrasound (LITUS) on Measurable Outcomes: A Critically Appraised Topic. Journal of Sport Rehabilitation, 1-18.   Desmeules, F., Boudreault, J., Roy, J. S., Dionne, C., Frémont, P., & MacDermid, J. C. (2015). The efficacy of therapeutic ultrasound for rotator cuff tendinopathy: A systematic review and meta-analysis. Physical Therapy in Sport, 16(3), 276-284.   Ebadi, S., Henschke, N., Nakhostin Ansari, N., Fallah, E., & van Tulder, M. W. (2014). Therapeutic ultrasound for chronic low‐back pain. The Cochrane Library.   Griffin, X. L., Smith, N., Parsons, N., & Costa, M. L. (2012). Ultrasound and shockwave therapy for acute fractures in adults. The Cochrane Library.   Robertson, V. J., & Baker, K. G. (2001). A review of therapeutic ultrasound: effectiveness studies. Physical Therapy, 81(7), 1339.   Rutjes, A. W., Nüesch, E., Sterchi, R., & Jüni, P. (2010). Therapeutic ultrasound for osteoarthritis of the knee or hip. The Cochrane Library.   Schuhfried, O., Vukanovic, D., Kollmann, C., Pieber, K., & Paternostro-Sluga, T. (2016). Effects of Pulsed Ultrasound Therapy on Sensory Nerve Conduction Parameters and the Pain Threshold Perceptions in Humans. PM&R.   Shanks, P., Curran, M., Fletcher, P., & Thompson, R. (2010). The effectiveness of therapeutic ultrasound for musculoskeletal conditions of the lower limb: A literature review. The Foot, 20(4), 133-139.   Ulus, Y., Tander, B., Akyol, Y., Durmus, D., Buyukakıncak, O., Gul, U., ... & Kuru, O. (2012). Therapeutic ultrasound versus sham ultrasound for the management of patients with knee osteoarthritis: a randomized double‐blind controlled clinical study. International journal of rheumatic diseases, 15(2), 197-206.   Zhang, C., Xie, Y., Luo, X., Ji, Q., Lu, C., He, C., & Wang, P. (2016). Effects of therapeutic ultrasound on pain, physical functions and safety outcomes in patients with knee osteoarthritis: a systematic review and meta-analysis. Clinical rehabilitation, 30(10), 960-971.   Festinger, L. (1957). A theory of cognitive dissonance: Stanford Univ Pr. Fornell, C., & Larcker, DF (1981). Evaluating structural equation models with.   Festinger, L. (1964). Conflict, decision, and dissonance (Vol. 3). Stanford University Press.   McLeod, S. A. (2014). Cognitive Dissonance. Retrieved from www.simplypsychology.org/cognitive-dissonance.html   Traeger, A. C., Moynihan, R., & Maher, C. G. (2017). Wise choices: making physiotherapy care more valuable.

  Nesse episódio eu, Heric Lopes, apresento uma das vozes do Fisio na Pauta Podcast e explico como eu resolvi a dissonância cognitiva em relação ao Ultrassom Terapêutico (US).   Se liga no que deu!   Esse podcast é parte do Canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Nossa intenção é oferecer informação sobre saúde, ciência, reabilitação e claro... Fisioterapia!   Esse podcast é uma produção independente elaborado por voluntários dispostos a disseminar conhecimento em prol da evolução da ciência da Fisioterapia.   O conteúdo do programa é meramente informativo e nada de ser utilizado como conselho médico, uma vez que o conteúdo cientifico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde.   Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta     Opine sobre o Fisio na Pauta Podcast no iTunes e complete as estrelas de acordo com a sua satisfação!   Quer colaborar e apoiar o canal Fisio na Pauta? Acesse: http://www.fisionapauta.com.br/apoie/   Músicas: Captain Planet - Enter the Esperanto - www.youtube.com/watch?v=20OPSVdDw…6Vx1Cl1CA&index=1 Rapping Hood & Caetano Veloso - Rap du Bom parte 2 - https://www.youtube.com/watch?v=3zWwtLz2Oz0 Joakim Karud - Boost - https://www.youtube.com/watch?v=gWzd1oMggSA   Referências bibliográficas: Hogan, R. D., Burke, K. M., & Franklin, T. D. (1982). The effect of ultrasound on microvascular hemodynamics in skeletal muscle: effects during ischemia. Microvascular research, 23(3), 370-379.   Hogan, R. D., Franklin, T. D., Fry, F. J., Avery, K. A., & Burke, K. M. (1982). The effect of ultrasound on microvascular hemodynamics in skeletal muscle: effect on arterioles. Ultrasound in Medicine & Biology, 8(1), 4549-4755.   Dyson M. (1987). Mechanisms involved in therapeutic ultrasound. Physiotherapy, 73 (3),116-120.   Yeğin, T., Altan, L., & Aksoy, M. K. (2017). The Effect of Therapeutic Ultrasound on Pain and Physical Function in Patients with Knee Osteoarthritis. Ultrasound in Medicine & Biology, 43(1), 187-194.   Xia, P., Wang, X., Lin, Q., Cheng, K., & Li, X. (2017). Effectiveness of ultrasound therapy for myofascial pain syndrome: a systematic review and meta-analysis. Journal of Pain Research, 10, 545.   Mascarin, N. C., Vancini, R. L., dos Santos Andrade, M., de Paiva Magalhães, E., de Lira, C. A. B., & Coimbra, I. B. (2012). Effects of kinesiotherapy, ultrasound and electrotherapy in management of bilateral knee osteoarthritis: prospective clinical trial. BMC musculoskeletal disorders, 13(1), 182.   Baker, K. G., Robertson, V. J., & Duck, F. A. (2001). A review of therapeutic ultrasound: biophysical effects. Physical therapy, 81(7), 1351.   Daniels, S., Santiago, G., Cuchna, J., & Van Lunen, B. (2017). The Effects of Low-Intensity Therapeutic Ultrasound (LITUS) on Measurable Outcomes: A Critically Appraised Topic. Journal of Sport Rehabilitation, 1-18.   Desmeules, F., Boudreault, J., Roy, J. S., Dionne, C., Frémont, P., & MacDermid, J. C. (2015). The efficacy of therapeutic ultrasound for rotator cuff tendinopathy: A systematic review and meta-analysis. Physical Therapy in Sport, 16(3), 276-284.   Ebadi, S., Henschke, N., Nakhostin Ansari, N., Fallah, E., & van Tulder, M. W. (2014). Therapeutic ultrasound for chronic low‐back pain. The Cochrane Library.   Griffin, X. L., Smith, N., Parsons, N., & Costa, M. L. (2012). Ultrasound and shockwave therapy for acute fractures in adults. The Cochrane Library.   Robertson, V. J., & Baker, K. G. (2001). A review of therapeutic ultrasound: effectiveness studies. Physical Therapy, 81(7), 1339.   Rutjes, A. W., Nüesch, E., Sterchi, R., & Jüni, P. (2010). Therapeutic ultrasound for osteoarthritis of the knee or hip. The Cochrane Library.   Schuhfried, O., Vukanovic, D., Kollmann, C., Pieber, K., & Paternostro-Sluga, T. (2016). Effects of Pulsed Ultrasound Therapy on Sensory Nerve Conduction Parameters and the Pain Threshold Perceptions in Humans. PM&R.   Shanks, P., Curran, M., Fletcher, P., & Thompson, R. (2010). The effectiveness of therapeutic ultrasound for musculoskeletal conditions of the lower limb: A literature review. The Foot, 20(4), 133-139.   Ulus, Y., Tander, B., Akyol, Y., Durmus, D., Buyukakıncak, O., Gul, U., ... & Kuru, O. (2012). Therapeutic ultrasound versus sham ultrasound for the management of patients with knee osteoarthritis: a randomized double‐blind controlled clinical study. International journal of rheumatic diseases, 15(2), 197-206.   Zhang, C., Xie, Y., Luo, X., Ji, Q., Lu, C., He, C., & Wang, P. (2016). Effects of therapeutic ultrasound on pain, physical functions and safety outcomes in patients with knee osteoarthritis: a systematic review and meta-analysis. Clinical rehabilitation, 30(10), 960-971.   Festinger, L. (1957). A theory of cognitive dissonance: Stanford Univ Pr. Fornell, C., & Larcker, DF (1981). Evaluating structural equation models with.   Festinger, L. (1964). Conflict, decision, and dissonance (Vol. 3). Stanford University Press.   McLeod, S. A. (2014). Cognitive Dissonance. Retrieved from www.simplypsychology.org/cognitive-dissonance.html   Traeger, A. C., Moynihan, R., & Maher, C. G. (2017). Wise choices: making physiotherapy care more valuable.

In this podcast Helen Noble talks to Jennifer Fournier about the recently published paper in EBN "Nurse-led home exercise programme improves physical function for people receiving haemodialysis" Full paper >> http://ebn.bmj.com/content/19/1/12.full

Interview with Wendy C. King, PhD, author of Change in Pain and Physical Function Following Bariatric Surgery for Severe Obesity

In this podcast, Editor-in-Chief Randolph J. Nudo, PhD, interviews Janey Prodoehl, PhD, and Daniel Corcos, MD, about their article, "Two-Year Exercise Program Improves Physical Function in Parkinson’s Disease The PRET-PD Randomized Clinical Trial", published in the February 2015 issue of Neurorehabilitation & Neural Repair.    Click here to read the full article. 

Editor's Audio Summary by Howard Bauchner, MD, Editor in Chief of JAMA, the Journal of the American Medical Association, for the June 03, 2013 issue

Discussion of a potential new approach for more effective management of lower back pain in primary care.

Authors discuss the results of the PACE trial concerning treatment strategies for chronic fatigue syndrome.

A PTJ podcast titled 'Physical Function in Men With Prostate Cancer on Androgen Deprivation Therapy'