Can you tell a bone stress reaction from a stress fracture? What is safe cross-training for the athlete with bone stress injury? Dr Stuart Warden joins Drs Chelsea Cooman and Dan Chapman to map out the key principles for rehabilitation of low-risk bone stress injuries: (1) manage load, (2) consider healing supplements, (3) maintain fitness, (4) address muscle function, (5) recommence and progress running, and (6) reduce risk of subsequent injury. This episode, Part 1, covers key rehabilitation p...
Aug 09, 2021•25 min
Delivering quality musculoskeletal rehabilitation practice is a balancing act of art and science. Dr Jason Beneciuk, physical therapist and clinical research scientist at Brooks Rehabilitation and University of Florida, understands the challenges—and he’s here to offer practical solutions. Find the article "What does best practice care for musculoskeletal pain look like?" (Lin et al 2020) here: https://bit.ly/3kMtFxM
Aug 02, 2021•25 min
Concussion can loom as an intimidating and daunting challenge—there’s much to consider from headaches to heart rates, vision to vestibular function. Dr Kathryn Schneider is at the front line of clinical practice and research in return-to-sport after concussion. Today, she shares her tips to help the JOSPT community feel confident, not confused, about concussion. For more, check out the Berlin Concussion in Sport Consensus: https://bit.ly/3wGHosc
Jul 26, 2021•21 min
Dr Tracy Blake joins us from a pre-Olympics training camp to give us an inside look at how she and her high-performance team have supported Canada’s men’s volleyball team to reach Tokyo in peak condition. Lockdowns, travel bubbles, COVID tests, and long stints living out of a suitcase: the life of a pandemic-era team physical therapist.
Jul 19, 2021•28 min
Dr Todd Davenport joins Drs Chelsea Cooman and Dan Chapman to share the headlines from the fresh, updated clinical practice guideline (CPG) for lateral ankle sprains and chronic ankle instability. We discuss the advantages of prophylactic bracing, how ankle dorsiflexion influences mechanics, the importance of neurodynamic control, and why ice is no longer #1. Download the CPG here: https://www.jospt.org/doi/10.2519/jospt.2021.0302
Jul 12, 2021•26 min
How many times have you reached for the explanation that pain hurts when the brain concludes that the body’s tissues need protecting from an external threat? Specialist clinician and pain educator Laura Rathbone wants to challenge the nociception view of pain and invite clinicians to cultivate a philosophy of pain. For more, check out these links: NoiJam blog: https://bit.ly/35RFH02 Philosophers Chatting with Clinicians podcast: https://spoti.fi/3quCL31 The Words Matter Podcast: http://www.words...
Jul 05, 2021•22 min
Quality musculoskeletal rehabilitation covers more than whether the athlete can run, jump, and land without pain or swelling. But how comfortable do you designing a rehabilitation program to train the brain as well as the body? Ohio University’s Dustin Grooms explains how to harness neuroscience in your sports injury rehabilitation programs and shares his tips for using the latest virtual reality technology in the clinic. For more help getting started with virtual reality, check out Dustin’s hel...
Jun 28, 2021•28 min
Physical therapists Linda Truong and Christina Le share their evidence-based approach to group rehabilitation for athletes of all ages and abilities. The Functional Agility Strength Training (FAST) program is a tailored approach that balances and promotes the physical and mental sides of recovery after serious injury such as ACL tear. Tune in for tips on how you can set up your own group-based program to support patients to reach their sports participation goals.
Jun 21, 2021•28 min
Dr Rob Landel boils down the 75 pages of the concussion clinical practice guideline (CPG) into a 25 min podcast episode. He highlights the key points from the CPG—including how to plan and deliver effective assessment (complete with chart), an efficient way to organize clinical information—and offers practical tips on how to educate patients and take irritability into consideration when choosing interventions. Join Chelsea Cooman and Dan Chapman to learn how to best help patients in a multi-disc...
Jun 14, 2021•26 min
More than 10 million people across the world are living with the long-term consequences of COVID-19. But the crushing fatigue experienced by so many with long COVID—the postexertion malaise—is not new. People have lived with postviral illness and postexertion malaise, and they've faced stigma and harm for decades. Sabrina Poirier and Dr Simon Décary are working tirelessly to ensure the mistakes and harms inflicted on so many people living with postviral illness are not repeated for people living...
Jun 07, 2021•29 min
Have you pivoted to telerehabilitation during the coronavirus pandemic? Are you wondering what the digital future of musculoskeletal rehabilitation is? Professor Kim Bennell leads a multidisciplinary team designing, implementing, and studying telehealth for musculoskeletal rehabilitation. Join her for a run-down of the key issues to consider when you’re planning and delivering telerehabilitation and an overview of what the research says about its effectiveness.
May 31, 2021•21 min
Dr Saurab Sharma knows first hand the challenges and opportunities of working across different cultures and in different resource settings. From his work as a physical therapist in Nepal, to his research at University of Otago, and his current work at Neuroscience Research Australia, Saurab is committed to improving the lives of people living with chronic pain. Tune in as Saurab shares his ideas for improving how clinicians and people living with pain can talk about and understand pain.
May 24, 2021•22 min
“If we’ve learned anything from all these different studies, it’s that different meniscus tears behave differently, require different treatment, and ultimately have a different prognosis.” Dr James Dreese is an orthopedic surgeon at MedStar Health in Baltimore, MD, who joined Chelsea and Dan to share his thoughts on how different meniscus tears in different locations in the meniscus might influence the choices you make in rehabilitation.
May 17, 2021•26 min
How do you start a clinical consultation, and what do you do with the information that comes from the patient’s story? Jo Belton and Professor Pete O’Sullivan are tireless advocates for patient-centered care in the truest sense of the phrase. They share their insights on building authentic connections with patients—how to be a human to a human.
May 10, 2021•25 min
The Dutch COMPARE trial landed in BMJ at the end of February 2021, adding much needed weight to the nuanced discussion of best treatment for ACL injury: early surgery versus exercise therapy first with the option for late ACL reconstruction if needed. Leading clinician-researcher Dr Hege Grindem dissects the key results and shares her views on who succeeds without ACL reconstruction.
May 03, 2021•25 min
When 2 in every 3 people with a musculoskeletal condition also have at least one other underlying health condition, it’s time for rehabilitation clinicians to up our game in understanding complex health needs. Thankfully, Professor Søren Skou is here to help. Who is best placed to help patients manage their complex health needs? And is exercise—the veritable polypill—always the answer? Link to the START trial: https://pubmed.ncbi.nlm.nih.gov/33591346/
Apr 26, 2021•25 min
Dr Claire Minshull joins Drs Dan Chapman and Chelsea Cooman to unpack rate of force development (RFD): what it is, what it isn’t, and how to measure it. We take a deep dive into how fatigue affects RFD, differences between the sexes, potential implications for injury, and the best ways to incorporate RFD training into your rehabilitation plans.
Apr 19, 2021•27 min
Join IFOMPT Vice President Paolo Sanzo for his interview with IFOMPT President Laura Finucane on assessing and managing red flags in practice, and how you can add the international framework for screening for serious spine pathology to your practice tomorrow. Over 50,000 people have downloaded the framework for free from the JOSPT website (https://www.jospt.org/doi/10.2519/jospt.2020.9971). Thanks to IFOMPT and World Physiotherapy for their partnership with JOSPT—together we’re bringing you cove...
Apr 12, 2021•24 min
Sports podiatrists and researchers Dr Katrine Kryger and Dr Athol Thomson raise the profile of footwear for improving athletes’ health and performance. Today’s episode jumps into the impact of footwear in sport—how the right footwear can help athletes avoid injury, what athletes should look for when selecting footwear, and the long overdue investment in footwear specifically for women athletes.
Apr 05, 2021•27 min
A healthier society for less cost? Value-based health care aims to achieve just that by focusing on what matters to patients. Dr Chuck Thigpen from ATI Physical Therapy unpacks value in musculoskeletal care, the rehabilitation clinician’s role in delivering best care, and why you need to be a good team player.
Mar 29, 2021•24 min
What happens when your ACL rehabilitation plan isn’t going as well as you hoped? In this follow up to episode 25, Dr Erik Meira shares his thoughts on some of the more challenging issues in ACL reconstruction and rehabilitation. We discuss rehab after second and third ACL tears, sleepy quads, underdosing, and concurrent meniscus repair, and aim to help you find concrete solutions.
Mar 22, 2021•20 min
If you thought concussion was all about big hits in collision sports like rugby and American football, then think again. Dr Kerry Peek— physical therapist, strength and conditioning coach, and researcher—is committed to protecting the next generation of young soccer/football players. Tune in for the latest on exercise programs to prevent concussion in youth athletes.
Mar 15, 2021•25 min
Dr Sarah Haag brings her engaging brand of practical tips and her down-to-earth demeanor as she demystifies how to assess and treat the pelvic floor, whatever the clinical setting. No longer fear the pelvic floor—instead, head into the clinic this week confident in your skills.
Mar 08, 2021•26 min
Dr Erik Meira joins Drs Dan Chapman and Chelsea Cooman to discuss ACL rehabilitation at every stage: acute, strengthening, plyometric, and returning to sport. Dr Meira breaks down the typical timelines and priorities, shares his favorite interventions, and outlines progression criteria for each stage of rehabilitation.
Mar 01, 2021•25 min
Don’t let managing Achilles tendon rupture become your Achilles heel. In Part 2 of this 2-part series on managing Achilles tendon problems, JOSPT Editor Dr Karin Silbernagel outlines the foundations for quality rehabilitation planning, load progression, and return to high performance in sport. Achilles tendon rupture need not sound the death knell on the athlete’s career.
Feb 22, 2021•14 min
On your marks, get set, go! Get off to a flying start when managing Achilles tendon problems. JOSPT Editor Dr Karin Silbernagel blends the best of science and practice in her approach to diagnosing and managing Achilles tendon problems. In Part 1 of a 2-part series, we dive into Achilles tendinopathy and get the low down on load progression for happy tendons and happy athletes.
Feb 16, 2021•25 min
Are you delivering musculoskeletal care based on the most up-to-date model of chronic pain? Professor Steve Kamper explains why he’s riding his bicycle around Australia on the Pain Revolution Tour, shares his tips for framing a conversation with a person experiencing chronic pain, and encourages clinicians to move from treating a body part to treating a person. Learn more about Pain Revolution at www.painrevolution.org.
Feb 10, 2021•24 min
Dr Mike Reinold brings his wealth of experience at the pinnacle of pro baseball to JOSPT Insights this week, sharing his practical advice on how to measure and manage baseball pitchers’ workload, and explaining how he collaborates with coaches to help athletes perform at their best. Don’t miss Mike’s tips for return to sport.
Feb 01, 2021•25 min
Join Dr Max Paquette on a deep dive into his October 2020 JOSPT article, "Moving Beyond Weekly 'Distance': Optimizing Quantification of Training Load in Runners". How do you measure running load? What about wearables? Dr Paquette will bring you up to speed on the external and internal factors to consider when working with runners and how to figure out which factors are most relevant to the runner you’re working with. You can access Dr Paquette’s article for free at https://www.jospt.org/doi/10.2...
Jan 25, 2021•23 min
“My hip still hurts. I’m doing everything you’ve suggested, but it’s not getting better”. In this bonus episode, Dr Alison Grimaldi shares her approach to troubleshooting hip pain when things aren’t going as planned. For more from Dr Grimaldi, check out episode 3 of JOSPT Insights—a deep dive into gluteal tendinopathy and tendon loading.
Jan 21, 2021•11 min
