How comfortable do you feel when guiding women on how to stay active, healthy and injury-free beyond the menopause? In today's episode, Professor Kirsty Elliott-Sale (Institute of Sport at Manchester Metropolitan University) walks through all you need to know about the menopause and how you might tailor your exercise prescription for women who are approaching, in the middle of, or post- menopausal. We talk through the phases of menopause, typical signs and symptoms, and Kirsty's whole body appro...
Nov 07, 2022•26 min
Dr. Kevin Wernli unpacks his research on patients’ beliefs about relationships between low back pain, posture and movement. We’re helping you support patients as they challenge their own beliefs about pain and moving. Kevin’s approach focuses on liberating the person to test their own beliefs with information and knowledge from trusted sources. Today we’re tackling the common belief that “my back is easy to injure and hard to heal”. ------------------------------ RESOURCES Dr. Wernli’s paper and...
Oct 31, 2022•23 min
Today we tackle some big-picture questions about what it means to exist between the sports performance and sports physical therapy arenas. Dr Mack explains how collaborating with and learning from a variety of people in a variety of professions helps her thrive in the rehabilitation and performance spheres. As the director of education content for the American Academy of Sports Physical Therapy and a business owner, Dr Mack also shares her thoughts on working in the insurance and cash-based sett...
Oct 24, 2022•21 min
Is primary cam morphology a plain and simple bump on the hip—nothing to worry about? Or is it much more of a burden? Dr Paul Dijkstra, Consultant Sport & Exercise Medicine Physician and Director of Medical Education at the Aspetar Orthopaedic & Sports Medicine Hospital in Doha, Qatar, walks through his approach to diagnosing and managing hip pain in youth athletes. ------------------------------ RESOURCES Primary cam morphology concept analysis: https://pubmed.ncbi.nlm.nih.gov/34281962/ ...
Oct 17, 2022•24 min
What are the sport demands of professional kiteboarding? F1 racing? How would you best support a cliff diver who is returning from injury? Dr Amy Arundale joins Dan and Chelsea to share her experiences working with elite extreme athletes at the Red Bull Athlete Performance Center, Austria. Amy explains what a typical day looks like, how she approaches tailoring rehabilitation to the demands of training and competition, and how to authentically connect with an athlete who plays a sport you aren’t...
Oct 10, 2022•23 min
Today, Dan and Chelsea interview the Wake Forest Pitching Lab: Dr Garrett Bullock, who you may remember from episode 93, Dr Kristen Faith Nicholson, and pitching coach Mike McFerran, Lab Coordinator and Director of Player Development. The team covers common pitching faults they see in their lab, tips to help you pick up on these problems and their recommended cues for improving efficiency with pitchers suffering from shoulder pain.
Oct 03, 2022•23 min
Dan and Chelsea’s guest today is Dr Marie Boo—physical therapist for the US Women’s National Soccer Team (USWNT). Dr Boo outlines the physical demands of women’s soccer, including how the demands change by position when it comes to accelerations, decelerations, changes of direction, top speed, and overall volume. She covers the typical injuries in elite women’s soccer, and how injury patterns in soccer are changing with the ever-increasing physical performance demands. To wrap up, Marie shares h...
Sep 26, 2022•18 min
Dr Lynn McKinnis (Associate Editor for JOSPT Cases, the sister journal for JOSPT) takes Dan and Chelsea through a case that reminds us of a rare but important differential diagnosis. Without giving the diagnosis away, this case highlights the importance of performing the upper quarter screen, choosing the right neurological special tests, and timely referral for imaging. ------------------------------ RESOURCES Read more about the case here: https://doi.org/10.2519/josptcases.2021.10049 Seen an ...
Sep 19, 2022•20 min
We're celebrating the 100th episode of JOSPT Insights with an extra special guest! Dr Emma Stokes, President of World Physiotherapy (formerly WCPT), is a fierce ambassador for the physiotherapy/physical therapy profession. Tune in as Emma shares her advice for the next generation of profession leaders, and her thoughts on the future for musculoskeletal rehabilitation. ------------------------------ RESOURCES World Physiotherapy briefing papers: https://world.physio/resources/publications...
Sep 12, 2022•29 min
In part 1 of this mini shoulder masterclass with clinical physiotherapy specialist, Jo Gibson, we tackled a simple approach to assessing and diagnosing shoulder problems in athletes. Today, we launch into supporting the athlete to return to sport: key considerations? Which return to sport tests? How do you know when the athlete is ready to return? All this and more in part 2. ------------------------------ RESOURCES Bern 2022 consensus on shoulder injury prevention, rehabilitation and return to ...
Sep 05, 2022•19 min
In part 1 of this 2-part series with clinical physiotherapy specialist, Jo Gibson, we're making assessing and diagnosing shoulder problems simple. What are the keys to communicating well with athletes, and the tests you need in your clinical arsenal to best support injured athletes? ------------------------------ RESOURCES The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/ Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/...
Aug 29, 2022•24 min
Join the indomitable Dr Lynn Snyder-Mackler (University of Delaware) for a mini-masterclass on tailoring rehabilitation to the nuances of the most common ACL reconstruction graft types. Hamstrings tendon, bone-patellar tendon-bone, quadriceps tendon, allograft—what's different? What's the same? ------------------------------ RESOURCES More on graft type differences in time to meet milestones and return to sport criteria: https://www.jospt.org/doi/10.2519/jospt.2020.9111 University of Delaware re...
Aug 22, 2022•21 min
Sports physiotherapist, PhD and strength & conditioning coach, Dr Matt Whalan, breaks down the demands of the beautiful game by position. Did you realize how much coaching philosophy can alter the physical and mental demands on players? Dr Whalan explains which injuries you can expect to see, and the best (free!) resources for preventing these injuries. You’ll also hear tips for building trust relationships with coaches and players, educating athletes, and how using empowering language when ...
Aug 15, 2022•22 min
Today is hamstring strain care from start to finish! Prof Heiderscheit joins Chelsea and Dan to share the headlines from the 2022 JOSPT Clinical Practice Guideline (CPG) for managing hamstring strains in athletes. This CPG includes evidence-based recommendations for accurately diagnosing, treating, and preventing hamstring strains. ------------------------------ RESOURCES Hamstring strain injury in athletes CPG: https://www.jospt.org/doi/10.2519/jospt.2022.0301 Hamstring injury: what is it? What...
Aug 08, 2022•22 min
There's plenty to think about when you're trying to diagnose and then manage shoulder instability. Sometimes simply teasing out exactly what is going on can frustrate clinicians and patients alike. Today we hear from Dr Amee Seitz, who has spent her clinical and research career trying to improve how clinicians and patients manage musculoskeletal shoulder disorders for best recovery and performance. ------------------------ RESOURCES 2022 Bern consensus on shoulder injury prevention, rehabilitati...
Aug 01, 2022•28 min
Dr Garrett Bullock shares his perspectives on the demands of different playing positions in baseball, and the implications of different demands for the types of injuries clinicians are likely to encounter. He also shares his pick of the best metrics to use when supporting athletes to gradually return to play. ------------------- RESOURCES ------------------- More on humeral torsion: https://www.sciencedirect.com/science/article/pii/S1058274621005218 More on prediction models for humeral torsion:...
Jul 25, 2022•24 min
How do you make the most of the information available to you about sports injuries while you focus on building a strong trust relationship with the athlete? Dr Nicol van Dyk—medical research lead with the Irish Rugby Football Union—brings his trademark innovative thinking and practical advice to JOSPT Insights. We draw on Nicol’s extensive experience in sports medicine research and practice to walk step-by-step through simple solutions to diagnosing and managing hamstring injuries. -------------...
Jul 18, 2022•25 min
How confident do you feel to design and deliver a quality rehabilitation program for someone who has had a total knee replacement? Today, Professor Jennifer Stevens-Lapsley, who is one of the leading lights in clinical research in this field, shares her tips for clinical success and an update on the open research questions in the field. Professor Stevens-Lapsley gives us the inside running on the work going on to help provide answers to those important clinical questions. -----------------------...
Jul 11, 2022•26 min
Tune in for a view of baseball injuries across the lifespan and across the field positions with clinician-scientists Dr Ellen Shanley and Dr Chuck Thigpen. We cover what the clinician can expect in early season vs. late season injuries, how baseball injuries have changed, the changes in injuries across the athlete’s lifespan, and how communicating well with athletes and coaches will make lasting changes in injury rates.
Jul 04, 2022•22 min
We're premiering a new series focused on JOSPT Cases—a teaching tool to help develop your clinical reasoning and highlight how to apply evidence in your practice. Today, Dr Kimiko Yamada explains an orthopedic case from JOSPT Cases. She outlines how JOSPT Cases works, how you can subscribe, and how you can submit your own cases to be highlighted in future editions. To visit JOSPT Cases you can follow the link here: https://www.jospt.org/loi/jospt-cases
Jun 27, 2022•18 min
You've probably read clinical practice guidelines that tell you to screen for so-called yellow flags. But how do you approach screening? Today, Dr Trevor Lentz shares a practical, 3-step framework on how to screen for yellow flags, and that important next step—what to do with the information. Learn more about screening for yellow flags in orthopaedic physical therapy: https://www.jospt.org/doi/10.2519/jospt.2021.10570 Downlad the Optimal Screening for Prediction of Referral and Outcome (OSPRO) t...
Jun 20, 2022•25 min
Sports Corner is a brand-new series from JOSPT Insights! Dan and Chelsea talk with experts in a specific sport, and ask them to share their knowledge on how to deliver best care for athletes. Dr Tim Stone is a physical therapist who specializes in treating lacrosse players, and is an athlete himself. He details the demands of lacrosse by position and shares tips on how to handle “lax back”.
Jun 13, 2022•21 min
Why do we hurt, and why does pain persist for some people? Today, Dr Tasha Stanton—clinical pain neuroscientist and physiotherapist from the University of South Australia—is exploring ways to hijack the complex processes going on in our body for good. All in the name of managing pain better. ------------------- DR STANTON'S RESOURCE RECOMMENDATIONS NOI Group: https://www.noigroup.com/ Pain Chats: https://painchats.com/ HealthSkills Blog (Dr Bronnie Lennox Thompson): https://healthskills.wordpres...
Jun 06, 2022•27 min
JOSPT Pain Science in Practice is a new series that aims to decode the basic science of pain and how it applies to your clinical practice. Dr Morten Høgh—physiotherapist, educator and researcher—leads the series, and today he explains how #JOSPTPainScienceInPractice will help you help the patients you work with. We're co-developing #JOSPTPainScienceInPractice with you! Let us know what you want to read about. Follow the discussion on social media (Twitter: @JOSPT, @MH_DK, #JOSPTPainScienceInPrac...
May 30, 2022•20 min
We couldn't interview 2 experts in running and running shoes without talking about the shoe that's taking the running world by storm: the Nike Vaporfly. Dr Nathan Brown and Dr Matt Klein walk you through the technology that's in the Vaporfly, and explain what makes this shoe different to most other running shoes on the market today. Visit www.doctorsofrunning.com to connect with Nathan and Matt.
May 26, 2022•10 min
Stack height, drop, rocker soles, cushioning and more. Join Dr Nathan Brown and Dr Matt Klein—runners and physical therapists—for the low-down on the latest in running shoe construction and technology: what really works and how to help runners choose the best shoe for them. More on the effects of motion-control shoes: https://www.jospt.org/doi/10.2519/jospt.2021.9710. More on monitoring training load in runners: https://www.jospt.org/doi/10.2519/jospt.2020.9533. Visit www.doctorsofrunning.com to...
May 23, 2022•24 min
The ground feels like it's forever shifting for clinicians who work with runners—whether you work with high performance athletes, or the person who likes to run for physical and mental health a few times a week—in this intersection between technology, marketing, biomechanics and health. It can be hard to know where the research is at, and how to tease out what is marketing hype from the truth. Today, Dr Nathan Brown and Dr Matt Klein, who specialise in running injuries and performance, cut throu...
May 16, 2022•20 min
When working with a patient who has femoroacetabular impingement syndrome (FAI), knowing how and when to work with an orthopaedic surgeon can feel daunting. Dr. Travis Maak puts your mind at ease today as he chats with Dan and Chelsea to share the surgeon's perspective. Dr Maak is a strong proponent of multidisciplinary practice—he’s a big fan of physical therapists and surgeons working together. In today’s episode, he covers when to refer a patient to a surgeon, what happens when hip treatments...
May 09, 2022•26 min
It is sometimes difficult to know what the best approach is for preventing and treating shoulder injuries in athletes. Enter, the 2022 Bern Consensus Statement on Shoulder Injury Prevention, Rehabilitation, and Return to Sport—a paper that delivers a flexible, principle-based approach that you can implement with any athlete in any sport. Today, the two clinician researchers who led the consensus—Ariane Schwank and Paul Blazey—bring you the key messages. Download the consensus statement for free:...
May 02, 2022•25 min
“Help! I’ve tried everything—nothing has worked!” When the exasperated patient in front of you tells you that she has tried all the treatments for Achilles tendinopathy to no avail, where do you go? Specialist sports physiotherapist and clinician researcher, Dr Ebonie Rio, brings her trademark pragmatic approach to JOSPT Insights, as she shares top clinical tips for diagnosing and managing tricky tendons. More on tissue capacity: https://pubmed.ncbi.nlm.nih.gov/26255142/ Revisit the continuum mo...
Apr 25, 2022•26 min