JOSPT Insights

Latest Episodes:

Ep 162: REVISITED: Sorting out shoulder pain diagnoses, with Dr Angela Cadogan Jan 15, 2024

Show notes

Someone walks into your clinic with a sore shoulder. Are you dealing with a stiff shoulder? A rotator cuff problem? The acromioclavicular joint? Or something else entirely?

Today, Dr Angela Cadogan (PT, PhD) - Specialist Physiotherapist and clinical consultant - is helping you hone your clinical reasoning in differential diagnosis of subacromial pain.

Dr Cadogan shares her practical approach to diagnosing subacromial pain in a way that you can take straight to the clinic tomorrow.

Ep 161: Understanding and communicating about pain (part 2), with Drs Sam Bunzli and JP Caneiro Dec 25, 2023

Show notes

Welcome to part 2 of our masterclass with Dr Sam Bunzli (Griffith University, Brisbane, Australia) and Dr JP Caneiro (BodyLogic Physiotherapy, Perth, Australia) on understanding, talking about and shifting the narratives we all carry about musculoskeletal pain.

We are exploring the explicit and implicit messages that you communicate with your words and actions when you work with patients. Drs Bunzli and Caneiro share tips on communicating, and on developing your own practice as a musculoskeletal rehabilitation clinician.

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RESOURCES

For more on pain narratives, check out the 3-editorial series led by Dr Bunzli, "Broken Machines or Active Bodies", including 5 recommendations to shift the way you communicate with people in pain: https://www.jospt.org/doi/10.2519/jospt.2023.11879 and https://www.jospt.org/doi/10.2519/jospt.2023.11880 and https://www.jospt.org/doi/10.2519/jospt.2023.11881

More on how people communicate about knee osteoarthritis (qualitative review): https://pubmed.ncbi.nlm.nih.gov/33502513/

Ep 160: Talking about musculoskeletal pain (part 1), with Dr Samantha Bunzli and Dr JP Caneiro Dec 18, 2023

Show notes

We're wrapping up the 2023 JOSPT Insights year with a 2-part chat with physiotherapists, researchers and educators, Dr Sam Bunzli (Griffith University, Brisbane, Australia) and Dr JP Caneiro (BodyLogic Physiotherapy, Perth, Australia).

In part 1, we discuss the way that patients understand pain. Dr Bunzli kicks off by summarising the best research evidence, and Dr Caneiro shares some compelling clinical examples to explain how to apply the research to deliver quality musculoskeletal rehabilitation practice.

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RESOURCES

More on how people communicate about knee osteoarthritis (qualitative review): https://pubmed.ncbi.nlm.nih.gov/33502513/

Ep 159: Rehabilitation after cervical discectomy (part 2), with Drs Lantz, Evaristo, and Derian Dec 11, 2023

Show notes

In part 2 of this series, we continue chatting about designing and implementing a rehabilitation program after cervical discectomy with Drs Justin Lantz, Jessica Evaristo and Joseph Derian.

Today we work through phases 3 and 4 in the rehabilitation program: re-modeling and maturation occurring around 12-weeks after surgery.

We cover nerve glides and how to dose them, the goals and areas of focus for manual therapy and therapeutic exercise, incorporating proprioception training, and important clinical milestones to consider along the way.

The patient’s goal was to return to manual labor, and we talk about how healing timelines impact on clinical decisions in the later stages of rehabilitation.

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RESOURCES

Read more about the case: https://www.jospt.org/doi/10.2519/josptcases.2023.11608

Catch part 1 here: https://podcasts.apple.com/us/podcast/ep-158-planning-a-rehabilitation-program-after/id1522929437?i=1000637409917 or https://open.spotify.com/episode/0Ci1ya1CHXB8FgYYBO4Q3q?si=94b548f8e3bd4b4e

Ep 158: Planning a rehabilitation program after cervical discectomy, with Drs Justin Lantz, Jessica Evaristo, and Joseph Derian Dec 04, 2023

Show notes

Join a group of experienced orthopaedic clinicians as they review the background of anterior cervical discectomy and fusion surgery in a 2-part podcast series.

In part 1, we cover who does well with surgery, the indications and surgical procedure, plus a deep dive into evidence-based pre- and post-operative rehabilitation.

There's not much hard research evidence to guide your decisions on how to structure and deliver, so tune into hear how expert clinicians approach things.

You'll learn about the phases of rehabilitation (we tackle the first two in today's episode), what’s normal, what’s not, strategies for collaborating with surgeons, and suggested interventions.

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RESOURCES

Read more about the case: https://www.jospt.org/doi/10.2519/josptcases.2023.11608

Ep 157: Best care after total knee replacement, with Dr Jeremy Graber Nov 20, 2023

Show notes

Dr Jeremy Graber joins us to help answer the question: how often should patients with total knee arthroplasty come to rehabilitation? To answer this and more, we dive into the 2023 JOSPT article, “Expert Consensus for the Use of Outpatient Rehabilitation Visits After Total Knee Arthroplasty: A Delphi Study.”

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RESOURCES

Dr Graber and his colleagues led a expert consensus process to establish recommendations for how often and for how long you might consider scheduing rehabilitation visits. The group also discussed discharge planning, how to implement telerehabilitation, and monitoring the patient's progress to guide clinical decisions

Check out the JOSPT article: https://www.jospt.org/doi/10.2519/jospt.2023.11840

For more on predicting outcomes after total knee replacement: https://www.medrxiv.org/content/10.1101/2023.10.23.23297404v1 (preprint)

Ep 156: Preventing neck pain - what works? with Florian Teichert & Dr Daniel Belavy Nov 14, 2023

Show notes

What you can do to help prevent neck pain? What are the best exercise approaches?

PhD candidate, Florian Teichert, and Professor Daniel Belavy, from The University of Applied Sciences in Bochum, Germany, discuss which exercises and why they might work. We use their recent systematic review published in JOSPT as a launching point for the discussion.

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RESOURCES

To read the full systematic review: https://www.jospt.org/doi/10.2519/jospt.2023.12063

Blog and infographic: https://www.jospt.org/do/10.2519/jospt.blog.20231011/full/

Ep 155: Staying active during cancer treatment, with Dr Kristin Campbell and Kendra Zadravec Nov 06, 2023

Show notes

How do you help someone manage cancer-related fatigue or get back to exercise after their treatment? Is it safe for someone with bone metastases to exercise?

PhD candidate and recent Master of Physical Therapy graduate, Kendra Zadravec, and Professor Kristin Campbell (Department of Physical Therapy at the University of British Columbia, Canada) share their research and clinical expertise in developing physiotherapy interventions for people with cancer to help answers to these questions and more.

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RESOURCES

Canadian Physiotherapy Association Oncology Division: https://www.oncologycpa.ca/

American PT Association Oncology: https://oncologypt.org/

Australian Physiotherapy Association - Cancer, Palliative Care and Lymphodema: https://australian.physio/membership/national-groups/cancer-palliative-care-and-lymphoedema

Macmillan UK: https://www.macmillan.org.uk/healthcare-professionals

ACSM guidelines for exercise and cancer: https://www.acsm.org/news-detail/2019/10/16/expert-panel-cancer-treatment-plans-should-include-tailored-exercise-prescriptions

One stop shop for cancer and exercise information: www.cancerexercise.ca (direct link to resources for health care providers: https://cancerexercise.med.ubc.ca/resources-hcp/

Recommendations for exercise with bone metastases (open access): https://pubmed.ncbi.nlm.nih.gov/34990293/

Systematic review on exercise for people with bone metastases: https://pubmed.ncbi.nlm.nih.gov/34358650/

Physical activity recommendations for cancer survivors living with bony metastases: https://pubmed.ncbi.nlm.nih.gov/33604871/

Ep 154: Why the elbow is like Homer Simpson, with Val Jones Oct 30, 2023

Show notes

Does the thought of managing elbow pain leave you reaching for your orthopaedics textbook? Maybe you've got lateral elbow tendinopathy sorted, but how confident do you feel about managing elbow fractures and dislocations?

Today, Val Jones, Clinical Lead Physiotherapist at the Sheffield Shoulder and Elbow Unit at the Sheffield Teaching Hospital Foundation Trust, shares practical advice to help you feel confident about managing elbow pain.

For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

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RESOURCES

CT versus MRI for assessing osteochonritis dissecans of the capitellum: https://pubmed.ncbi.nlm.nih.gov/36342019/

Shoulder arm return to sport test battery: https://pubmed.ncbi.nlm.nih.gov/31203142/

Lateral elbow pain clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2022.0302

2022 Bern shoulder consensus: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952

JOSPT Insights episode 136 (lateral elbow pain with Drs Lucado and Day): https://podcasts.apple.com/us/podcast/ep-136-lateral-elbow-pain-2022-clinical-practice-guideline/id1522929437?i=1000617533681

JOSPT Insights episode 103 (baseball pitching biomechanics with Wake Forest Pitching Lab): https://podcasts.apple.com/us/podcast/ep-103-baseball-pitching-biomechanics-with-the-wake/id1522929437?i=1000581372250

Ep 153: REVISITED: The surgeon's perspective on treating lateral ankle sprain, with Dr Casey Humbyrd Oct 16, 2023

Show notes

Dr Casey Humbyrd—orthopaedic surgeon and Chief of foot & ankle orthopedics at the University of Pennsylvania—shares her expertise and insights on treating ankle sprains that are not responding to non-surgical treatment.

Dr Humbyrd reviews ankle anatomy and her rationale for recommending surgery, how she performs a Broström repair, and explains how she works in close partnership with physical therapists and patients to achieve quality rehabilitation and return to sport outcomes.

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