In part 1 of this 2-part series on post-exertion symptom exacerbation, Dr Todd Davenport explained what post-exertion symptom exacerbation is, what it feels like, and how to test and monitor it. In part 2, we dive into pacing - the less is more approach to managing post-exertion symptom exacerbation that will challenge you to think differently about how you prescribe exercise and what the goals of therapy are for people who are living with post-exertion symptom exacerbation. Long COVID physio: h...
Apr 18, 2022•19 min
How prepared are you to support someone who is living with post-exertion symptom exacerbation? Dr Todd Davenport wants to start a conversation about re-imagining the way most of us have thought about fatigue, physical activity and exercise. Tune in to learn more about post-exertion symptom exacerbation, including what it feels like, and how to test and monitor it. For a deeper dive on post-exertion symptom exacerbation, check out the JOSPT blog: Lessons for long COVID from myalgic encephalomyeli...
Apr 11, 2022•20 min
Returning to work after work-related injury often throws up some curveballs. Beyond the usual health care practitioners, there are multiple stakeholders who are invested in the person's care. Outside pressures, and factors specific to the person's situation and work requirements also demand careful attention. That’s where the clinical practice guideline can help you know what to pay attention to, to support participation in work after injury or illness. Access the CPG here: https://www.jospt.org...
Apr 04, 2022•24 min
What happens when the athlete is not taking in sufficient energy to meet the demands of day-to-day life, including training and performance? Today, endocrinologist and sports physician, Dr Kathryn Ackerman, explains what relative energy deficiency in sport is, expands the female athlete triad of energy intake, bone health and menstrual function, and shares 3 important ways that you can support athlete health and performance. International Olympic Committee consensus statement on RED-S: https://p...
Mar 28, 2022•24 min
How long will it take for my whiplash symptoms to improve? In this episode, Dr Michele Sterling helps answer that important question. She shares the basics of whiplash: diagnosis and mechanisms, key factors to consider when determining prognosis, and planning treatment. Learn more about assessing pain-related disability and hyperarousal symptoms, as well as the benefits of a proactive approach to treatment. More info on using WhipPredict: https://recover.centre.uq.edu.au/whiplash-associated-diso...
Mar 21, 2022•20 min
Over the past decade, the way clinicians and researchers understand patellofemoral pain—what causes it and how to manage it—has evolved from a focus on the biomechanics of joint alignment and posture to embracing a more rounded biopsychosocial model of musculoskeletal pain. Tune in as Professors Bill Vicenzino and Michael Rathleff share the results of the recent consensus they led to establish the clinical and research priorities on pain features and psychological factors in people with patellof...
Mar 14, 2022•25 min
The words of the Irish poet and Nobel Prize laureate Seamus Heaney frame the key message for today’s episode: “If you have the words, there’s always a chance that you’ll find the way.” Dr Lindsey Plass draws on her own experience managing femoroacetabular impingement syndrome, as well as a decade of clinical experience, to share her top tips for communicating and supporting patients with musculoskeletal pain to, in the words of Seamus Heaney, find the way to recovery and do the things they love....
Mar 07, 2022•25 min
Despite the excellent benefits of knee replacement surgery for reducing pain and improving knee function, people are just as physically inactive after surgery as they were before. If it's not an issue of knee symptoms and function, then what's going on? Dr Daniel White, physical activity and osteoarthritis (OA) expert from the University of Delaware explains 3 common myths about physical activity with knee OA and shares up-to-date research to help you counter those myths when you're in the clini...
Feb 28, 2022•24 min
Dr Luciana de Michelis Mendonça realized very early on in her physical therapy career that something wasn't quite right in the sports physical therapy arena; very few of her women colleagues progressed through the ranks of general training to the specialist field of sports, and even fewer worked at the top level of sports, especially with elite or professional teams. She was determined to drive change. Register for the 4th World Congress of Sports Physical Therapy (early bird closes May 1): http...
Feb 21, 2022•23 min
Tactical athletes work and cope with injury in complex and often changing environments. In today’s episode, Dr John J Fraser shares his expertise and advice on working with tactical athletes, such as military, fire, and police. He explains the most common injuries, what makes a tactical athlete different than other athletes, how musculoskeletal rehabilitation clinicians can best communicate their allyship, and the #1 thing to remember when working with tactical athletes.
Feb 15, 2022•22 min
Frozen shoulder is an enigma characterized by uncertainty, pain, stiffness and disability. It is difficult for patients and clinicians to know how best to manage the symptoms and what is the likely prognosis. In today’s episode, Part 2 of a 2-part series, Prof Jeremy Lewis gives us the low-down on the best evidence for treating frozen shoulder. Manual therapy, injections, exercise therapy: what, when, and how much? Tune in for the answers you’re looking for. Framework for assessing and managing ...
Feb 07, 2022•21 min
Frozen shoulder is an enigma characterized by uncertainty, pain, stiffness and disability. It is difficult for patients and clinicians to know how best to manage the symptoms and what is the likely prognosis. In today’s episode, Part 1 of a 2-part series, you’ll hear ideas about how you might approach assessing a painful and stiff shoulder, and how you might talk with patients to make a decision together about the best way forward. Framework for assessing and managing frozen shoulder: https://pu...
Jan 31, 2022•15 min
Professor Nicola Phillips is here to guide us through how to best load the upper extremity after injury. She shares her expertise on how rehabilitation professionals can change the way we prescribe functional exercise to maximize the benefits of how patients learn. She also provides insight into considerations for both short- and long-term programming for an upper limb rehabilitation plan. For more, check out: http://dx.doi.org/10.1136/bjsports-2014-094443
Jan 24, 2022•24 min
How would you approach diagnosing concussion for an athlete with underlying balance problems? Or for an athlete who is blind? The usual concussion tests simply may not be appropriate. Dr Osman Ahmed is a physical therapist on a mission to improve how athletes receive and experience care after concussion. Tune in to hear all about the work of the Concussion in Para Sport Group. Download the position statement of the Concussion in Para Sport (CIPS) Group: https://pubmed.ncbi.nlm.nih.gov/33837003/ ...
Jan 17, 2022•24 min
Join JOSPT Insights hosts Drs Chelsea Cooman, Dan Chapman and Clare Ardern as they revisit their favorite episodes from a jam-packed 2021, from treating ACL injuries and shoulder pain to designing quality rehabilitation for patients with meniscus repair and building authentic connections with patients. Share your favorite episodes on social media using #JOSPTInsights.
Dec 27, 2021•28 min
Athletes, large and small, old and young, elite and recreational experience low back pain at some time in their sporting lives. So, how do you best help athletes manage their pain, stay healthy and perform to their full potential? Dr Fiona Wilson from Trinity College Dublin shares the latest evidence with the JOSPT community, including the 2021 consensus on preventing and managing low back pain in rowers. Download the 2021 consensus from: https://pubmed.ncbi.nlm.nih.gov/33685861/ Delphi study of...
Dec 20, 2021•25 min
You’ve figured out contributing impairments—now what? Exercise therapy or taping? Foot orthoses or manual therapy? Dr Christian Barton continues his chat with Drs Dan Chapman and Chelsea Cooman in the second episode of our 2-part patellofemoral pain CPG series to share the most effective treatment strategies for reducing pain and improving function. The patellofemoral pain CPG is freely available on JOSPT's website at the following link: https://doi.org/10.2519/jospt.2019.0302
Dec 13, 2021•21 min
Dr Christian Barton joins Drs Dan Chapman and Chelsea Cooman to dive into the patellofemoral pain CPG published in JOSPT in April 2019. In the first episode of this 2-part series, we hit the highlights of this extensive CPG, including the true definition of patellofemoral pain syndrome, as well as the 4 categories of impairments the CPG lays out to allow for a simplified diagnosis. Dr Barton makes the case for looking beyond the research—widening the clinical lens for better diagnosis and better...
Dec 07, 2021•19 min
When it comes to rehabilitation after ACL injury, return to running can get a bit overshadowed by return to sport. Yet running is a key function milestone for athletes. Why is return to running so important and how do you help set the athlete up for successful return to running? Dr Rich Willy from the University of Montana is here to help.
Nov 22, 2021•26 min
Profs Lori Michener and Joe Donnelly, Vice President and President, respectively, of the APTA’s Academy of Orthopaedic Physical therapy (AOPT), share the inside track on the AOPT’s new strategic framework, opportunities for grants, and how you can get involved with AOPT. Visit http://www.orthopt.org to find out more about the Academy and its work.
Nov 15, 2021•18 min
Sports physical therapist Elisa Nédélec heard so many harmful myths about when and how girls and women should play sport that she decided to start a PhD. In today’s episode, Elisa explains why girls and women should stay active, and what research can (and can’t) tell us about the relationship between reproductive hormones and musculoskeletal injury. Elisa co-leads the FAIR-ACL Project with Professor Kirsty Elliott-Sale, which tracks female athletes’ hormone profiles at the time of ACL injury. Fi...
Nov 08, 2021•25 min
In the second episode of our 2-part masterclass on late-phase ACL rehabilitation, Dr Dan Lorenz shares what it means to bring sport specificity to rehab. It’s not about replicating every drill the athlete will do at practice. Rather, Dr Lorenz encourages clinicians to understand how the athlete moves during sport and treat the impairment that’s preventing the athlete from unleashing powerful movements.
Nov 01, 2021•15 min
In Part 1 of this 2-part podcast, Dr Dan Lorenz joins Drs Dan Chapman and Chelsea Cooman to dig into what quality rehab looks like in the late stages after an ACL reconstruction. Dr Lorenz covers the importance of loading, including where to start, how to load for the demands of the sport, and how it can look different at 4 vs 8 months. He shares his criteria for returning to run, prerunning drills, when and how to progress into plyometrics, and a peek into what he thinks the early stages should...
Oct 25, 2021•22 min
A young handball player walks into your clinic tomorrow—she tells you her shoulder pain is bad, and getting worse. What should she do? Sports physical therapist Suzanne Gard is here to help untangle shoulder instability. Tune in for tips on assessing and treating shoulder instability and building strong and supportive lines of communication with youth athletes. The International Federation of Sports Physical Therapy (IFSPT) World Congress will take place in Denmark in August 2022. Head to http:/...
Oct 18, 2021•26 min
Dr Caitlin McGee is back for the second of a two-part episode to outline the challenges and opportunities for diversity and inclusion in esports. Like many industries, esports is grappling with a past that did not embrace the rich and diverse gaming community as much as it could have. How is change happening, and who is driving it? Dr McGee is the co-owner and Performance & Esports Medicine Director of 1HP, a company that provides health and performance services to esports players, teams, an...
Oct 11, 2021•20 min
Ease your way into the billion-dollar esports industry in this first of a two-part episode as Dr Caitlin McGee explains what esports are and the common musculoskeletal problems seen in gamers, then walks through how she approaches an initial clinical evaluation. Dr McGee is the co-owner and Performance & Esports Medicine Director of 1HP, a company that provides health and performance services to esports players, teams, and organizations. For more on the role for the musculoskeletal rehabilit...
Oct 04, 2021•26 min
Dr Marcie Harris-Hayes joins Drs Dan Chapman and Chelsea Cooman to share her extensive knowledge of hip-related groin pain. We dive into 3 of her papers to get to the bottom of 3 important questions: What counts as hip-related groin pain? Can physical therapy help? Which treatment interventions are most effective for improving function?
Sep 27, 2021•24 min
2021 has been a big year for trials studying the benefits of different approaches to rehabilitation for rotator cuff–related shoulder pain. Keeping up with the latest research can feel a bit like chasing your tail—today, Professor Lori Michener is here to help! We look at the latest research, explain what it all means, and how to apply it tomorrow in the clinic. GRASP trial: https://pubmed.ncbi.nlm.nih.gov/34265255/ SExSI trial: https://pubmed.ncbi.nlm.nih.gov/34048281/
Sep 13, 2021•26 min
Join Kate Mahony—sports physical therapist and Head of Performance Health at the New South Wales Institute of Sport—for a post-Olympics wrap-up of the achievements and advocacy of women athletes, clinicians and coaches in sport. Kate shares her tips for supporting women athletes to help them perform at their best and her advice for clinicians who aspire to work in elite sport.
Aug 30, 2021•27 min
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 returns with Drs Chelsea Cooman and Dan Chapman to map out 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. Part 1 covered key rehabilitation principles 1...
Aug 16, 2021•19 min
