JOSPT Insights

Latest Episodes:

Ep 152: REVISITED: Raising the bar in ACL rehabilitation, with Drs Chris Kuenze & Adam Weaver Oct 09, 2023

Show notes

Do you work with young people with ACL injury? Well, you're in the right place! Today, Drs Chris Kuenze and Adam Weaver walk through the story behind creating a comprehensive normative dataset for knee function and strength outcomes. You'll learn how the project got started, and how you can use the information to help make even more informed clinical decisions.

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RESOURCES

Find the paper "Age-, Sex-, and Graft-specific Reference Values From 783 Adolescent Patients At 5-7 months After ACL Reconstruction: IKDC, PEDI-IKDC, KOOS, ACL-RSI, Single-leg Hop, and Thigh Strength" on the JOSPT website: https://www.jospt.org/doi/abs/10.2519/jospt.2023.11389

To access the normative database: https://dataverse.lib.virginia.edu/dataset.xhtml?persistentId=doi:10.18130/V3/JNPHUB

Ep 151: REVISITED: The cervical spine questions you don't want to miss, with Dr Lynn McKinnis Oct 02, 2023

Show notes

A surfer walks into your clinic with neck pain…What do you do next? And why?

Dr Lynn McKinnis expertly walks through when and how to apply the Canadian C-Spine Rule when a patient presents with neck pain, types of vertebral artery injuries, and tips for diagnosing and treating acute neck trauma.

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RESOURCES

Learn more about the specific case here: https://www.jospt.org/doi/full/10.2519/jospt.2016.0416

Canadian C-Spine Rule: https://med-fom-clone-pt.sites.olt.ubc.ca/files/2014/01/C-spine-Rule-FAQs.pdf

NEXUS Criteria for detecting clinically-important cervical spine injury following blunt trauma: https://www.nejm.org/doi/full/10.1056/NEJM200007133430203

Ep 150: REVISITED: Nailing your neurological assessment, with Dr Annina Schmid Sep 25, 2023

Show notes

Does the thought of dermatomes and myotomes, nerve trunks and nerve roots fill you with confidence or fill you with fear? Physiotherapist and neuroscientist, Dr Annina Schmid (Nuffield Department of Clinical Neurosciences, Oxford University), shares a checklist of what you need to know, and what you need to do, to nail your neurological assessment next time you're in the clinic.

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RESOURCES

Does your neurological examination for suspected peripheral neuropathies measure up? Do a check-up here: https://doi.org/10.2519/jospt.2022.11281

Why you cannot trust the dermatomes: https://www.youtube.com/watch?v=BZYtAR4zUpg&t=283s

More from Dr Schmid's Neuromusculoskeletal Health and Science Laboratory: https://www.ndcn.ox.ac.uk/research/neuromusculoskeletal-health-and-science-lab

Ep 149: VISA-free travel for tendinopathy? Introducing the TENDINS-A, with Dr Myles Murphy Sep 18, 2023

Show notes

Tendinopathy is a common and often challenging musculoskeletal condition. A cornerstone of diagnosing and managing tendinopathy is assessing the problem well.

In today's episode, Dr Myles Murphy (Edith Cowan University, Australia) shares a new patient-reported outcome measure for evaluating Achilles tendinopathy-related disability, the TENDINS-A (TENDINopathy Severity Assessment-Achilles).

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RESOURCES

The TENDINopathy Severity Assessment-Achilles (TENDINS-A) patient-reported outcome measure: https://www.jospt.org/doi/10.2519/jospt.2023.11964

ICON 2019 International Scientific Tendinopathy Symposium consensus statement: https://pubmed.ncbi.nlm.nih.gov/31685525/

JOSPT Insights episode 79: Treating tricky tendons, with Dr Ebonie Rio: https://podcasts.apple.com/au/podcast/ep-79-treating-tricky-tendons-with-dr-ebonie-rio/id1522929437?i=1000558586146 or https://open.spotify.com/episode/6d8WMYDQI8s0X9Iu1G68aK

Systematic review of Achilles tendinopathy outcome measures: https://pubmed.ncbi.nlm.nih.gov/34797533/

Ep 148: Repairing the Achilles tendon, with Dr Casey Humbyrd Sep 11, 2023

Show notes

Foot and ankle surgeon, Dr Casey Humbyrd, returns to JOSPT Insights to share the surgeon’s perspective on Achilles tendon repair.

What does she consider when helping patients to make a decision about surgery or no surgery? How does she perform the surgical repair, and why is she so fastidious with post-op restrictions?

Dr Humbyrd is a champion for physical therapy, and underscores wound care, person-centred care, and why tension can help the Achilles!

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RESOURCES

For more about the American Orthopaedic Foot & Ankle Society: https://www.aofas.org/

More resources to share with patients: https://www.footcaremd.org/

For more on the AASPT x JOSPT 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.

Ep 147: Breaking down biomechanics, with Drs Elanna Arhos and Stephanie Di Stasi Sep 04, 2023

Show notes

Assessing how people move and helping them to reach their goals for moving is your bread and butter as a clinician.

Today we're learning from 2 leaders in sports biomechanics: Drs Elanna Arhos and Stephanie Di Stasi from the Ohio State University.

We discuss how to make sense of a biomechanics research article, how to translate what you read to clinical practice, and the minimum biomechanics set-up for your clinic.

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RESOURCES

Ep 146. Build your listening and communicating superpowers, with Luke Keaney Aug 28, 2023

Show notes

Luke Keaney's career at the top level of Gaelic football was cut short at the age of 24 by hip pain and injury. After 5 hip surgeries and countless hours of hard work in the gym and rehabilitation room, Luke has switched his focus from Gaelic football to rowing, and has his eye on the Paris Olympics.

While Luke's career in sport has continued in a different guise, he feels that things might have been different had the clinicians and practitioners he interacted with as a young athlete taken the time to listen and communicate better.

Luke's messages about communicating are relevant whether you work with athletes or non-athletes, at professional or recreational levels, and with youth or adults - there's something for all musculoskeletal rehabilitation clinicians.

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RESOURCES

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. If you purchase your ticket before the end of August, you can take advantage of a $50 discount.

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

You can register to access full recordings of the Young Athlete's Hip Symposium, and the Oxford-Aspetar-La Trobe Young Athlete's Hip Webinar Series (11 webinars): https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2022

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

Ep 145: Finding the promise in PROMs, with Dr Lisa Hoglund Aug 21, 2023

Show notes

Have you ever found yourself feeling uncertain or confused when choosing a patient-reported outcome measure (PROM)?

Today we're talking about the hallmarks of a PROM for people with patellofemoral pain. Physical therapist, educator and researcher, Professor Lisa Hoglund, fills in the gaps to help us find the promise in PROMs.

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RESOURCES

Construct validity, reliability, responsiveness and interpretability of PROMs for patellofemoral pain: https://www.jospt.org/doi/10.2519/jospt.2023.11730

Content validity and feasibility of PROMs for patellofemoral pain: https://www.jospt.org/doi/10.2519/jospt.2022.11317

Find out more about the KOOS (including the Excel scoring sheet): http://www.koos.nu/index.html

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The American Academy of Sports Physical Therapy and JOSPT are joining forces to bring you the Virtual Sports PT Conference on Friday the 3rd and Saturday the 4th of November, 2023. Visit the link below to see the full conference programme and to secure your ticket. If you purchase your ticket before the end of August, you can take advantage of a $50 discount.

https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427

Ep 144: Helping female athletes perform at their best, with Dr Rachel Harris Aug 14, 2023

Show notes

Maybe you think of health literacy as the building blocks of knowing how to access the healthcare system, and knowing what to do when you have a cold?

Today, Dr Rachel Harris is guiding us as we consider our collective health literacy of the particular health, wellbeing and performance needs of female athletes.

Dr Harris represented Australia at the Olympics as a swimming athlete, and was the Chief Medical Officer for the Australian Paralympic team in Tokyo 2021. She leads the Australian Institute of Sport's female athlete performance and health, menstrual cycle and hormonal contraception project.

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RESOURCES

For trustworthy education resources to share with athletes, coaches, parents and others who support female athletes, check out: https://www.ais.gov.au/fphi/education

Ep 143. Beginning with the end in mind for return to sport, with Dr Lionel Chia Aug 07, 2023

Show notes

Dr Lionel Chia joins Chelsea and Dan to bring his 2022 article in JOSPT, Beginning With The End In Mind: Implementing Backward Design To Improve Sports Injury Rehabilitation Practices, to life.

Lionel outlines 4 categories to consider when planning return to sport and performance: (1) deconstructing goals, (2) determining key performance indicators, (3) assessing the challenge point, and (4) using the control-chaos continuum to guide interventions.

We work through examples of why and where to use the concept of backward design during rehabilitation.

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RESOURCES

Find Lionel's paper here: https://www.jospt.org/doi/10.2519/jospt.2022.11440

More on designing effect exercise progressions during rehabilitation (Blanchard & Glasgow): https://pubmed.ncbi.nlm.nih.gov/28756390/

More on motor learning and the challenge point—where effective practice occurs: https://pubmed.ncbi.nlm.nih.gov/15130871/

The control-chaos continuum and progressing rehabilitation (Taberner and colleagues): https://pubmed.ncbi.nlm.nih.gov/30737202/

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