JOSPT Insights

Latest Episodes:

Ep 182: Working at the top of your licence - a day in the life of a trauma physical therapist, with Dr Patricia Weber Jun 10, 2024

Show notes

Welcome to a chat with a physical therapist who is using their orthopaedic and sports skills outside the typical practice environment. Dr Patricia Weber shares her experience as a senior physical therapist in the shock trauma setting–a world that blends orthopedic, neurologic and multi-trauma in a challenging emotional and psychological environment.

Dr Weber is a senior physical therapist at the University of Maryland Medical Center. She primarily treats within the R. Adams Cowley Shock Trauma center in downtown Baltimore.

Ep 181: The ethics of your clinical decisions, with Dr Nathan Vannatta Jun 03, 2024

Show notes

In today's episode, Dr Nathan Vannatta outlines some ethical frameworks that the musculoskeletal rehabilitation clinician might use when working through clinical decisions, including about return to play.

Dr Vannatta outlines ethical theories and 4 approaches to bioethics. He explains how one might justify different decisions, depending on the ethical framing, illustrating the complexity of return to play decisions with the clinical example of 'Ellie', who is returning to soccer after ACL reconstruction.

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RESOURCES

More on ethics frameworks and return to sport decisions: https://www.jospt.org/doi/10.2519/jospt.2024.12310

Ep 180: Tackling apprehension after Bankart repair (part 2), with Marianne van Gastel & Karin Hekman May 27, 2024

Show notes

Specialist shoulder physiotherapists, Marianne van Gastel and Karin Hekman, are back for the second part of their discussion on rehabilitation for peple with anterior shoulder dislocation and Bankart repair.

Marianne and Karin share how they use a psychologically-informed practice type of approach to support athletes and patients to work through and overcome anxiety and apprehension.

The chat focuses on supporting patients to return to high levels of function, including sport, after their shoulder surgery.

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RESOURCES

Rehabilitation guideline for managing apprehension after anterior shoulder dislocation and Bankart repair: https://www.jospt.org/doi/10.2519/jospt.2024.12106

To find out more and register for the YAHiR-JOSPT Young athlete’s Hip Webinar Series: https://semrc.blogs.latrobe.edu.au/events/yahir/

Ep 179: Tackling apprehension after Bankart repair (part 1), with Marianne van Gastel & Karin Hekman May 20, 2024

Show notes

Physiotherapists and clinician-researchers, Marianne van Gastel and Karin Hekman, share a new rehabilitation guideline on managing apprehension in people with anterior shoulder dislocation and Bankart repair.

Over the next 2 episodes of JOSPT Insights, Marianne and Karin will take us through the rehabilitation guideline, explain what's new in shoulder rehabilitation, and share their approaches to helping people feel confident to get back to the sports and recreation activities they love after shoulder dislocation.

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RESOURCES

Rehabilitation guideline for managing apprehension after anterior shoulder dislocation and Bankart repair: https://www.jospt.org/doi/10.2519/jospt.2024.12106

Patients' perspectives after treatment for anterior instability: https://pubmed.ncbi.nlm.nih.gov/37811392/

To find out more and register for the YAHiR-JOSPT Young athlete’s Hip Webinar Series: https://semrc.blogs.latrobe.edu.au/events/yahir/

Ep 178: Leading from every chair, with Dr Nicol van Dyk May 13, 2024

Show notes

Musculoskeletal rehabilitation practitioners spend years honing our clinical skills—how much time do we spend thinking about and practicing skills like listening, working in teams, and making decisions?

Today, Dr Nicol van Dyk - physiotherapist and Assistant Professor at University College Dublin - is here to make the case for real skills as keys to expert musculoskeletal rehabilitation practice.

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RESOURCES

To find out more and register for the YAHiR-JOSPT Young athlete’s Hip Webinar Series: https://semrc.blogs.latrobe.edu.au/events/yahir/

Essential skills for Physiotherapists led by David Clancy: https://www.us.elsevierhealth.com/essential-skills-for-physiotherapists-9780443111280.html

Seth Godin blog on real skills: https://itsyourturnblog.com/lets-stop-calling-them-soft-skills-9cc27ec09ecb and TED talk https://ideas.ted.com/soft-skills-and-real-skills/

Harvard Business Review - In praise of the incomplete leader: https://hbr.org/2007/02/in-praise-of-the-incomplete-leader

More on listening as a clinical skill: https://pubmed.ncbi.nlm.nih.gov/30279218/

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NICOL'S TOP BOOK RECOMMENDATIONS

How to win friends and influence people (Dale Carnegie): https://www.amazon.com/How-Win-Friends-Influence-People/dp/0671027034

Leaders eat last (Simon Sinek): https://simonsinek.com/books/leaders-eat-last/

Dare to lead (Brene Brown): https://brenebrown.com/book/dare-to-lead/

The 21 Irrefutable Laws of Leadership: Follow Them and People Will Follow You (John C Maxwell): https://www.amazon.com/21-Irrefutable-Laws-Leadership-Anniversary/dp/0785288376

Amazing discussion about vulnerability from Adam Grant with Brene Brown: https://www.youtube.com/watch?v=uXVhDSBiZCI

Ep 177: Diagnosing and managing inguinal-related groin pain, with Willem Heijboer Apr 30, 2024

Show notes

The YAHiR (Young Athletes Hip Research) Collaborative takes over the JOSPT Insights podcast today. Tune in to learn about best practice in diagnosing and managing inguinal-related groin pain. Willem Heijboer, sports physiotherapist and clinical epidemiologist from the Amsterdam University Medical Centre, joins Dr Josh Heerey to share the latest research to inform your practice.

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RESOURCES

Learn more about how the YAHiR collaborative is partnering to promote and protect athletes' hip health through high-quality research: https://www.ndorms.ox.ac.uk/research/yahir

The next Young Athlete's Hip Symposium is on 25-27 September, 2024, at Worcester College, Oxford University

The YAHiR Collaborative, La Trobe University and JOSPT are co-hosting a webinar mini series in May and June 2024. In these webinars, you'll hear more from experienced clinician-researchers Drs Josh Heerey, Jo Kemp, Kate Jochimsen and Mike Reiman. Dr Lindsey Plass and Luke Kearney, who both have lived experience of hip pain limiting their sporting careers, bring the athlete's perspective. For more information, and to register: https://semrc.blogs.latrobe.edu.au/events/yahir/

More on the terminology of inguinal-related groin pain: https://pubmed.ncbi.nlm.nih.gov/36111127/

Reliability and accuracy of clinical tests for diagnosing inguinal-related groin pain: https://pubmed.ncbi.nlm.nih.gov/36643406/

Rehabilitation and return to sport after surgery for inguinal-related groin pain: https://www.sciencedirect.com/science/article/abs/pii/S1060187217300382

Ep 176: Musculoskeletal rehabilitation in a digital age, with Dr Alessio Bricca and Nikolaj Nøhr Apr 22, 2024

Show notes

There's an app for just about everything these days, including in musculoskeletal rehabilitation and exercises therapy. Have you been scrolling the app store wondering if there's anything worthwhile to recommend to patients?

Today, we're uncovering what makes a quality app for monitoring and promoting physical activity in chronic conditions, including musculoskeletal pain. Dr Alessio Bricca (Assistant Professor, University of Southern Denmark) and physiotherapist, Nikolaj Nøhr, share their latest research and discuss how to apply it in practice.

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RESOURCES

World Health Organization's global strategy on digital health (2020-2025): https://www.who.int/publications/i/item/9789240020924

More on the quality of health apps available in major app stores: https://pubmed.ncbi.nlm.nih.gov/35119367/

Research waste in musculoskeletal pain apps: https://pubmed.ncbi.nlm.nih.gov/30324177/

Benefits and harms of digital health interventions for promoting physical activity: https://pubmed.ncbi.nlm.nih.gov/37410534/

International consensus on research priorities for telehealth in musculoskeletal pain: https://pubmed.ncbi.nlm.nih.gov/37789304/

Making sense of digital health data in primary care: https://pubmed.ncbi.nlm.nih.gov/37096688/

Ep 175: Measuring for success in ACL rehabilitation, with Dr Eric Hamrin Senorski Apr 15, 2024

Show notes

If you're looking for a guide to testing function and readiness to return to sport after injury, you're in the right place! Dr Eric Hamrin Senorski (PT, PhD; University of Gothenburg, Sweden) shares how he blends his research training with his clinical skills to help athletes and active people with ACL injury.

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RESOURCES

Project ACL ("Project Korsband") registry: https://projektkorsband.se/

Quadriceps and hamstrings strength reference values for soccer/football, basketball and handball: https://www.jospt.org/doi/10.2519/jospt.2022.10693

Hop and jump test reference values for soccer/football, and basketball: https://www.jospt.org/doi/10.2519/jospt.2024.12374

Knee injuries after returning to sport following ACL reconstruction: https://pubmed.ncbi.nlm.nih.gov/27162233/

Return to sport rates after ACL reconstruction: https://pubmed.ncbi.nlm.nih.gov/25157180/

Ep 174: SPORTS CORNER: The ins and outs of climbing, with Dr Carrie Cooper Apr 08, 2024

Show notes

Dr Carrie Cooper does the lead climbing and helps you belay (see what we did there?) into the world of climbing. From bouldering to sport climbing—there's no need to go free solo (ok, ok...we'll stop now) if you don't know much about climbing. JOSPT Insights has you covered.

Dr Cooper discusses how climbing is like gymnastics, baseball, and rugby, with their shared hand, shoulder, and knee injuries. Some other key take-aways from the episode are how to identify weakness that climbers are so good at hiding, and how to progress a return to climb program. Hang on; it’s a good one!

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RESOURCES

Knee injuries in bouldering and rock climbing: https://pubmed.ncbi.nlm.nih.gov/32004071/

Classifying and managing flexor pulley injuries: https://pubmed.ncbi.nlm.nih.gov/30904240/

Ep 173: Shared decision-making - what it is, and what it isn't, with Diane Slater Apr 01, 2024

Show notes

Health care practice is slowly transitioning from a paternalistic way of delivering care (doing to the patient) to a shared decision-making model (doing with the patient). Health systems, clinical professions and individual clinicians are at different points along the transition.

As a process, shared decision-making provides a scaffold for the patient's values, preferences and circumstances to receive primacy when discussing options, benefits and risks. As a mindset, shared decision-making is a standard of excellence in clinical practice - it ensures your are focused supporting the patient to authentically engage in decisions about their health.

Today, Diane Slater, physiotherapist and educator from Aalborg University, Denmark is helping you self-diagnose your shared decision-making practice. Diane shares tips for staying up-to-date with the best information to support quality shared decision-making, which she has honed through her work as a coach and mentor to musculoskeletal health practitioners.

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