PT Inquest

Latest Episodes:

153 Lumbar Spine Injuries In Athletes Mar 05, 2019

Show notes

Brought to you by CSMi Epidemiology studies are a fascinating snapshot of injuries in a population, but they also provide insight on how we interpret data. How common are lumbar spine injuries amongst elite athletes? How are they defined? How limiting are they? Is there a group we should address and another group we should leave alone?

Lumbar Spine Injuries in National Collegiate Athletic Association Athletes: A 6-Season Epidemiological Study. Hassebrock JD, Patel KA, Makovicka JL, Chung AS, Tummala SV, Peña AJ, Williams KE, Hartigan DE, Chhabra A. Orthop J Sports Med. 2019 Jan 23;7(1):2325967118820046. doi: 10.1177/2325967118820046. eCollection 2019 Jan.

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

152 Provider Cognitive Errors Contributes To Medical Overuse Feb 26, 2019

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Brought to you by CSMi

Low value healthcare (like ordering imaging for patients with nonspecific low back pain) is a known issue for healthcare providers. But how big of an issue is it? Are the best providers doing that much better than the worst offenders? Why do they do this? Is there anything we can do about medical overuse and all the problems that come with it?

Analysis of Physician Variation in Provision of Low-Value Services. Schwartz AL, Jena AB, Zaslavsky AM, McWilliams JM. JAMA Intern Med. 2019 Jan 1;179(1):16-25. doi: 10.1001/jamainternmed.2018.5086.

Medical Overuse as a Physician Cognitive Error: Looking Under the Hood. Korenstein D. JAMA Intern Med. 2019 Jan 1;179(1):26-27. doi: 10.1001/jamainternmed.2018.5136.

Produced by: Matt Hunter

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

151 Pain Coping Skills Training and TKA Feb 19, 2019

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Brought to you by CSMi

Pain catastrophizing has been shown to have an affect on outcomes specifically after total knee arthroplasty. This article took a good look at the problem and many people interpreted the findings to say that cognitive behavioral therapy (CBT) wasn't effective. Turns out it's much more interesting than that...

Pain Coping Skills Training for Patients Who Catastrophize About Pain Prior to Knee Arthroplasty: A Multisite Randomized Clinical Trial. Riddle DL, Keefe FJ, Ang DC, Slover J, Jensen MP, Bair MJ, Kroenke K, Perera RA, Reed SD, McKee D, Dumenci L. JBJS. February 6, 2019 - Volume 101 - Issue 3 - p 218-227 doi: 10.2106/JBJS.18.00621. The effectiveness trial.

Pain coping skills training for patients with elevated pain catastrophizing who are scheduled for knee arthroplasty: a quasi-experimental study. Riddle DL, Keefe FJ, Nay WT, McKee D, Attarian DE, Jensen MP. Arch Phys Med Rehabil. 2011 Jun;92(6):859-65. doi: 10.1016/j.apmr.2011.01.003. Epub 2011 Apr 29. The efficacy trial. OPEN ACCESS!

Preoperative pain catastrophizing predicts pain outcome after knee arthroplasty. Riddle DL, Wade JB, Jiranek WA, Kong X. Clin Orthop Relat Res. 2010 Mar;468(3):798-806. doi: 10.1007/s11999-009-0963-y. Epub 2009 Jul 8. The validation of the metric. OPEN ACCESS!

Produced by: Matt Hunter

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

150 Relation of Psychological Readiness and Kinematics After ACLR Feb 12, 2019

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Brought to you by CSMi

Returning to sport after ACL reconstruction is kind of a complex mess. Strength issues, coordination, soreness, not to mention the psychological factors. How do these things interact? What matters? What should we measure and how? Join us with special guest Ryan Zarzycki from Arcadia University!

Psychological Readiness to Return to Sport Is Associated With Knee Kinematic Asymmetry During Gait Following Anterior Cruciate Ligament Reconstruction. Zarzycki R, Failla M, Capin JJ, Snyder-Mackler L. J Orthop Sports Phys Ther. 2018 Dec;48(12):968-973. doi: 10.2519/jospt.2018.8084. Epub 2018 Jul 27.

Produced by: Matt Hunter

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

149 Ultrasound Works Sorta Kinda Feb 05, 2019

Show notes

Therapeutic ultrasound has been relegated to the physical therapy trash heap as "ultraplacebo". But is there an application where it might work? What can we learn about other physical therapy interventions from research on ultrasound?

Effect of low-intensity long-duration ultrasound on the symptomatic relief of knee osteoarthritis: a randomized, placebo-controlled double-blind study. Draper DO, Klyve D, Ortiz R, Best TM. J Orthop Surg Res. 2018 Oct 16;13(1):257. doi: 10.1186/s13018-018-0965-0.

Produced by: Matt Hunter

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

148 Text Messaging to Improve Outcomes Jan 29, 2019

Show notes

It would be great if we could provide regular, personal follow up communications with our patients but the time commitment becomes huge. But what if you just had a bot send generic patient education text messages? Would that give a sense of connection? Will that improve patient compliance?

A Novel, Automated Text-Messaging System Is Effective in Patients Undergoing Total Joint Arthroplasty. Campbell KJ, Louie PK, Bohl DD, et al. JBJS. 2019;101:145-51. doi: 10.2106/JBJS.17.01505. [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

147: Role of Cam In Hip Torsion Forces Jan 22, 2019

Show notes

Some people have cams in their hips, some don't. Some cams are a problem, some aren't. What effects can a cam have on a hip joint? Are these good or bad? What happens after a cam is surgically removed?

Hip Joint Torsional Loading Before and After Cam Femoroacetabular Impingement Surgery. Ng KCG, El Daou H, Bankes MJK, Rodriguez Y Baena F, Jeffers JRT. Am J Sports Med. 2018 Dec 31:363546518815159. doi: 10.1177/0363546518815159. [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

146 Self Reported Home Exercise Adherence Jan 15, 2019

Show notes

A home exercise program is not very effective if the patient isn't actually, you know, doing the exercises. Is self-report accurate? What about a home program diary? Does it matter? Does this have any impact on our interpretations of previous literature?

Self-Reported Home Exercise Adherence: A Validity and Reliability Study Using Concealed Accelerometers. Nicolson PJA, Hinman RS, Wrigley TV, Stratford PW, Bennell KL. J Orthop Sports Phys Ther. 2018 Jul 27:1-38. doi: 10.2519/jospt.2018.8275. [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

145: Target ROM After RTC Repair Jan 08, 2019

Show notes

We thought we were done but THEY KEEP PULLING US BACK IN!!! We are back for a full year of weekly episodes thanks to generous sponsorship from CSMi!

Brought to you by CSMi

In previous episodes we have explored the controversy around the best rehabilitation after rotator cuff (RTC) repair with many papers concluding that it really doesn't matter. But when can you say that things are not going well? And if things are not going well, what can you do about it?

If you have an isokinetic machine, make sure you register your clinic at CybexTest.org to be listed on their database for free!

This article is open access at the time of recording so click the link below for free access.

Target range of motion at 3 months after arthroscopic rotator cuff repair and its effect on the final outcome. Tonotsuka H, Sugaya H, Takahashi N, Kawai N, Sugiyama H, Marumo K. J Orthop Surg.2017 Sep-Dec;25(3):2309499017730423. doi: 10.1177/2309499017730423.

Produced by: Matt Hunter

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

2018 PT Podcast Network Holiday Extravaganza Dec 11, 2018

Show notes

That's right everyone! It's that time of year again! All the PT Podcast Network voices (except for Adam) have gathered together to bring you some podcast holiday cheer!

This very special episode is brought to you by My PT Insurance. Head on over to their website at myptins.com/ptinquest to be entered into a drawing for a $250 Amazon gift card (contest ends February 28, 2019). While you are there listeners can get a $20 discount off their already low price for a professional liability policy - starting as low as $149! Click the link for more info!

Music by Kevin MacLeod - incompetech.com

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