PT Inquest

Latest Episodes:

182 Early Fear Reduction For Back Pain Sep 24, 2019

Show notes

Providing accurate information on back pain seems to build confidence in the provider but doesn't seem to have a huge effect on outcomes. Is this really an improvement? In this episode, Erik and JW explore the role of the provider is these difficult cases.

The Fear Reduction Exercised Early (FREE) approach to management of low back pain in general practice: A pragmatic cluster-randomised controlled trial. Darlow B, Stanley J, Dean S, Abbott JH, Garrett S, Wilson R, Mathieson F, Dowell A. PLoS Med. 2019 Sep 9;16(9):e1002897. doi: 10.1371/journal.pmed.1002897. eCollection 2019 Sep.

To order the rheumatology booklet created by Jack March that we discussed on the podcast head to his website: https://rheumatology.physio/

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

181 Effects of PT Personality on Patient Outcomes Sep 17, 2019

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Brought to you by CSMi

Patients have unique personalities, values, and circumstances but what about providers? Can the specific personality traits of the provider have an effect on outcomes? Is that a good thing? Or a bad thing? And what should we do about it?

Do therapist effects determine outcome in patients with shoulder pain in a primary care physiotherapy setting? Kooijman MK, Buininga EM, Swinkels ICS, Koes BW, Veenhof C. Physiotherapy. Available online 2019 Aug 13. doi: 10.1016/j.physio.2019.08.009.

Links from this episode's Mail Hole: How to Review an Article https://thesciencept.com/how-to-review-an-article/

Episode 123: How to Fix the Weak Spots in Contemporary Science https://ptpodcast.com/pt-inquest-episode-123-how-to-fix-the-weak-spots-in-contemporary-science/

Testing Treatments https://en.testingtreatments.org/book/

Produced by: Matt Hunter

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

180 Lots of Ways to Prevent ACL Injuries Sep 10, 2019

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Brought to you by CSMi

We can prevent ACL injuries!!! Or are we just reducing risk? Or both? How do these programs work? Does it matter what you do or do you just need to do something?

A Majority of Anterior Cruciate Ligament Injuries Can Be Prevented by Injury Prevention Programs: A Systematic Review of Randomized Controlled Trials and Cluster-Randomized Controlled Trials With Meta-analysis. Huang YL, Jung J, Mulligan CMS, Oh J, Norcross MF. Am J Sports Med. 2019 Aug 30:363546519870175. doi: 10.1177/0363546519870175. [Epub ahead of print]

Produced by: Matt Hunter

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Direct Download

179 Conflicts of Interest Sep 03, 2019

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Brought to you by CSMi

We are all aware of financial conflicts of interest. Their mechanisms for incentivizing towards inaccurate beliefs are known but can still be easy to fall for. But what about intellectual conflicts of interest? What if you job, or even worse your profession, depends on it?

Conflict of Interest Wojtys EM. Sports Health. 2019 Aug 26;11(5):395-396. doi: 10.2106/JBJS.18.01160.

Produced by: Matt Hunter

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

178 Omitting Routine Radiographs After Wrist Fracture Aug 27, 2019

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Brought to you by CSMi

Is more better? Would additional tests improve outcomes? How often do we look for things that may not actually make a difference? We explore these questions as we review this non-inferiority study on managing wrist fractures.

Omitting Routine Radiography of Traumatic Distal Radial Fractures After Initial 2-Week Follow-up Does Not Affect Outcomes. van Gerven P, El Moumni M, Zuidema WP, Rubinstein SM, Krijnen P, van Tulder MW, Schipper IB, Termaat MF. J Bone Joint Surg Am. 2019 Aug 7;101(15):1342-1350. doi: 10.2106/JBJS.18.01160.

Produced by: Matt Hunter

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

177 Predicting Return to Sport After FAI Surgery Aug 20, 2019

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Brought to you by CSMi

You have an athlete with want appears to be FAIS and you want to know if they would be able to return to full sport after surgery. How would you know? Are there predictors before surgery? Are predictors for failure after surgery also just predictors of failure in general?

Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up. Stone AV, Beck EC, Malloy P, Chahla J, Nwachuckwu BU, Neal WH, Nho SJ. Arthroscopy. 2019 Aug 5. pii: S0749-8063(19)30437-2. doi: 10.1016/j.arthro.2019.05.022. [Epub ahead of print]

Produced by: Matt Hunter

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

176 Predicting Outcomes With Meniscus Injuries Aug 13, 2019

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Brought to you by CSMi

When you look at someone with a torn meniscus and some osteoarthritis, can you tell who would benefit from arthroscopy and who wouldn't? What about whether or not they would benefit from rehab? Would you be better than a coin flip?

Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. van de Graaf V, Bloembergen CH MD, Willigenburg NW PhD, Noorduyn JCA MSc, Saris D, Harris I, Poolman R; ESCAPE Research Group. Br J Sports Med. 2019 Aug 1. pii: bjsports-2019-100567. doi: 10.1136/bjsports-2019-100567. [Epub ahead of print]

Produced by: Matt Hunter

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Episode 175 Pain or No Pain During Hamstring Rehab Exercises Aug 06, 2019

Show notes

Brought to you by CSMi

After acute hamstrings injury is it ok to push into pain during rehab? Would you actually get better results? If you didn't, why not? If you did, what would that mean? Join us as we look at loading up injured hamstrings with special guest Jack Hickey!

Pain-Free Versus Pain-Threshold Rehabilitation Following Acute Hamstring Strain Injury: A Randomized Controlled Trial. Hickey JT, Timmins RG, Maniar N, Rio E, Hickey PF, Pitcher CA, Williams MD, Opar DA. J Orthop Sports Phys Ther. 2019 Jun 28:1-35. doi: 10.2519/jospt.2019.8895. [Epub ahead of print]

Produced by: Matt Hunter

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

174 Evidence Vs Consensus in Clinical Practice Guidelines Jul 30, 2019

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Brought to you by CSMi

What is evidence without interpretation? For that matter, what exactly is evidence? Or interpretation? Can you make an evidence-based statement without a robust evidence base?

Evidence vs Consensus in Clinical Practice Guidelines. Djulbegovic B, Guyatt G. JAMA. 2019 Jul 19. doi: 10.1001/jama.2019.9751. [Epub ahead of print]

Produced by: Matt Hunter

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

173 Early Vs Delayed Surgery for FAI Jul 23, 2019

Show notes

Brought to you by CSMi

A study shows that those with FAI who get surgery earlier do better than those who get surgery later. Does that mean patients should rush to surgery? Or is the reality more nuanced?

Early Hip Arthroscopy for Femoroacetabular Impingement Syndrome Provides Superior Outcomes When Compared With Delaying Surgical Treatment Beyond 6 Months. Kunze KN, Beck EC, Nwachukwu BU, Ahn J, Nho SJ. Am J Sports Med. 2019 Jul 15:2038-2044. doi: 10.1177/0363546519837192. [Epub ahead of print]

Produced by: Matt Hunter

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

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