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 her tips for supporting elite-level soccer players, and what a day in the life of the USWNT physical therapist looks like.

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.

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RESOURCES

Read more about the case here: https://doi.org/10.2519/josptcases.2021.10049

Seen an interesting clinical case lately and want to share it with the JOSPT Community? Why not submit the case to JOSPT Cases? We offer timely, fair and quality peer review. For more information, check out the instructions for authors: https://www.jospt.org/pb-assets/JOSPT%20Cases/JOSPT%20Cases%20Instructions%20for%20Authors%20with%20form_02112021-1613587003923.pdf

Subscribe to JOSPT Cases: https://www.jospt.org/action/ecommerce

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.

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RESOURCES

World Physiotherapy briefing papers: https://world.physio/resources/publications

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.

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RESOURCES

Bern 2022 consensus on shoulder injury prevention, rehabilitation and return to sport: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952

The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/

Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

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?

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RESOURCES

The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/

Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

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?

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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 rehabilitation guidelines: https://sites.udel.edu/ptclinic/professionals/guidelines/

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 athletes are returning to sport can make all the difference.

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RESOURCES

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Football Australia Perform+ program: https://www.footballaustralia.com.au/performance

Fit To Play: https://fittoplay.org/

FIFA 11+ program: https://www.yrsa.ca/wp-content/uploads/2019/11/pdf/Fifa11/11plus_workbook_e.pdf

Do niggles matter infographic: https://adamvirgile.com/2020/01/09/do-niggles-matter-increased-injury-risk-following-physical-complaints-in-football-soccer/

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.

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RESOURCES

Hamstring strain injury in athletes CPG: https://www.jospt.org/doi/10.2519/jospt.2022.0301

Hamstring injury: what is it? What should I do about it? When can I get back to my sport? Patient information: https://www.jospt.org/doi/10.2519/jospt.2022.0502

Infographic: criteria-based progression for hamstring injury rehabilitation: https://www.jospt.org/doi/10.2519/jospt.2022.9001

Pain-free vs. pain-threshold rehabilitation: https://www.jospt.org/doi/10.2519/jospt.2020.8895

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.

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RESOURCES

2022 Bern consensus on shoulder injury prevention, rehabilitation and return to sport: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952

3 findings that are key to diagnosing multidirectional instability: https://www.jospt.org/doi/10.2519/jospt.2020.0602

Derby Shoulder Instability Rehabilitation Programme: https://derbyshoulderunit.co.uk/download/derby-shoulder-instability-rehabilitation-programme/