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Latest Episodes:

Ep 192: DREAMing of better care for meniscus tears, with Drs Jonas Thorlund and Søren Skou Aug 19, 2024

Show notes

A thirty-year-old woman, who plays social basketball once each week and goes to the climbing gym at least twice each week, has been diagnosed with a traumatic medial meniscus tear.

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

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

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RESOURCES

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

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

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

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

Ep 191: SPORTS CORNER in the WNBA, with Dr Kala Flagg Aug 12, 2024

Show notes

Dr Kala Flagg of the Washington Mystics answers the classic Sports Corner questions for high-level women's basketball. She covers the demands of the sport, the most common injuries, and key things to plan for during injury rehabilitation.

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

Ep 190: Progressing the visual-cognitive control chaos continuum, with Dr Meredith Chaput (part 2) Aug 05, 2024

Show notes

Today's episode builds on last week's discussion of how changes in the way that the nervous system works after injury can compensate for impairments like joint instability, pain and muscle inhibition.

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

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RESOURCES

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

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

Ep 189: Training the brain for the chaos of sport, with Dr Meredith Chaput (part 1) Jul 29, 2024

Show notes

Sports injury rehabilitation has moved well beyond simply focusing on physical function and recovery. There's various emphases on psychological responses to injury, mental readiness to return to sport, and now, the visual-cognitive components of recovery and return to sport.

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

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RESOURCES

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

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

Ep 188: "Is running bad for my knees?" with Dr Jean-François Esculier Jul 22, 2024

Show notes

You don't have to go far to find a media story warning people off the high impacts of running, especially on concrete, and claiming that running is no good for your knees.

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

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

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RESOURCES

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

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

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

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

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

Ep 187: Finding a digital way through depression and chronic pain, with Dr Pavlos Bobos Jul 15, 2024

Show notes

The relationship between musculoskeletal pain and mental distress is complex. Sometimes it can feel challenging to know where to start when supporting people to get their life back when they're struggling with chronic or persistent pain.

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

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RESOURCES

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

Ep 186: Adding telerehabilitation to your clinical practice, with Dr Belinda Lawford Jul 08, 2024

Show notes

Were you someone who started delivering telerehabilitation for the first time during the pandemic? Or perhaps you're an early adopter?

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

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

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RESOURCES

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

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

Ep 185: GPT vs. CPG - Is AI coming for your job? with Dr Giacomo Rossettini Jul 01, 2024

Show notes

What are the pros and cons of using AI chatbots in musculoskeletal rehabilitation? What are chatbot applications in education, clinical practice, and research?

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

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

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RESOURCES

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

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

Ep 184: Popping pills in elite youth sport - fact or fiction? with Julie Pedersen Jun 24, 2024

Show notes

Surveys of elite adult athletes reveal high use of analgesics, particularly non-steroidal anti-inflammatory drugs (NSAIDs). While medications like paracetamol have a generally low risk profile, certainly compared with NSAIDs or opioids, using pain medications to mask an injury or prevent pain might increase the risk of injury or make an existing injury worse.

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

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RESOURCES

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

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

Ep 183: AI as a clinical assistant, with Rebecca Fechner, Dr Joshua Pate and Dr Mick Thacker Jun 17, 2024

Show notes

There's plenty of work going into how AI can make health care better - including in recording consultation notes, or making early cancer diagnoses, or opening up low cost ways of doing musculoskeletal imaging.

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

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

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RESOURCES

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

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

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