JOSPT Insights

Look no further for the latest information on assessing, diagnosing, treating and making a prognosis about, lateral elbow pain!

CPG authors Dr Ann Lucado and Dr Joseph “Matt” Day review the key take-aways from the CPG. They share the important differential diagnoses to consider, the outcome measures to use, and impairment measures to track.

Clinicians will love the clever approach to classifying the irritability stage of elbow pain, to guide both treatment and prognosis and liberate you to decide what's best for tailoring your recommendations throughout rehabilitation.

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RESOURCES

Read the full CPG for free: https://www.jospt.org/doi/10.2519/jospt.2022.0302

One-page summary of the key points for clinicians (including decision tree): https://www.jospt.org/doi/10.2519/jospt.2023.0501

One-page summary of the key CPG points for patients: https://www.jospt.org/doi/10.2519/jospt.2023.0504

Dr Mitchell Selhorst continues his chat about spondylosis/spondylolysis/spondylolisthesis in adolescent athletes. After reviewing the who, why, and what in part 1, today’s episode is full of clinical pearls about rehabilitation and return to sport.

Dr Selhorst presents a 3-stage approach to rehabilitation, and shares how he thinks differently when planning rehabilitation for an acute vs. a chronic injury. Another big take-home message: how important it is to consider the psychological aspect of these injuries for youth athletes.

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RESOURCES

More on rehabilitation for spondylolysis in youth athletes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7134351/

Micheli Functional Scale: https://pubmed.ncbi.nm.nih.gov/22382433/

Today, Dr Mitchell Selhorst dives in the world of pediatric spondylosis/spondylolysis/spondylolisthesis injuries with Chelsea and Dan. And it’s not all about female gymnasts!

You can expect about 3 in every 10 adolescents with low back pain to have a spondy. So, knowing the population, risk factors, and key things to look for on examination are incredibly important.

Dr Selhorst reviews the epidemiology, shares the current evidence on the effects of bracing and surgery, and explains how imaging findings can influence rehabilitation decisions.

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RESOURCES

More on rehabilitation for spondylolysis in youth athletes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7134351/

Two gentle giants of physiotherapy/physical therapy research and practice join JOSPT Insights today.

Associate Professor Peter Kent and Professor Peter O'Sullivan (Curtin University, Perth, Australia) share, on behalf of the whole trial team, the results of their RESTORE trial. Does cognitive functional therapy herald a revolution in how clinicians can support people to live well with back pain? Let's find out...

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RESOURCES

Toll-free link to access the published trial until June: https://www.sciencedirect.com/science/article/abs/pii/S0140673623004415?dgcid=coauthor. After June, you'll find it here: https://pubmed.ncbi.nlm.nih.gov/37146623/

Find out lots more about the RESTORE trial, including how patients and clinicians feel about cognitive functional therapy: https://www.restorebackpain.com/

Someone walks into your clinic with a sore shoulder. Are you dealing with a stiff shoulder? A rotator cuff problem? The acromioclavicular joint? Or something else entirely?

Today, Dr Angela Cadogan (PT, PhD) - Specialist Physiotherapist and clinical consultant - is helping you hone your clinical reasoning in differential diagnosis of subacromial pain.

Dr Cadogan shares her practical approach to diagnosing subacromial pain in a way that you can take straight to the clinic tomorrow.

Dr Rick Joreitz (University of Pittsburgh) joins Chelsea and Dan to chat all things ice hockey. From the unique demands on the hip in all planes of motion—c’mon, we couldn’t do a podcast about ice hockey without talking hips!—to the acute and chronic injuries, helpful manual therapy tips, and ways to progress a return to the ice. Dr Joreitz has got your key questions covered. Who would have thought the boards of the rink were such an important part of rehabilitation?

The YAHiR (Young Athletes Hip Research) Collaborative take over the JOSPT Insights podcast today with the second part of our explainer on hip dysplasia. Drs Inger Mechlenburg and Julie Jacobsen cover the key elements of an effective treatment program, when hip preserving surgery is an option, and how to balance loading, exercise and information to help people with hip dysplasia to stay active and healthy throughout life.

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RESOURCES

Learn more about how the YAHiR collaborative is partnering to promote and protect athletes' hip health through high-quality research: https://www.ndorms.ox.ac.uk/research/yahir

You can register to access full recordings of the Young Athlete's Hip Symposium, and the Oxford-Aspetar-La Trobe Young Athlete's Hip Webinar Series (11 webinars): https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2022

The next Young Athlete's Hip Symposium is on 25-27 September, 2024 at Worcester College, Oxford University

The YAHiR (Young Athletes' Hip Research) Collaborative takes over the JOSPT Insights podcast today with Part 1 of a 2-part explainer on hip dysplasia. Tune in to learn about what causes hip dysplasia and how common the problem is, plus how to put the clinical history, pain and imaging puzzle together to diagnose and identify the major impairments that come along with hip dysplasia.

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RESOURCES

Learn more about how the YAHiR collaborative is partnering to promote and protect athletes' hip health through high-quality research: https://www.ndorms.ox.ac.uk/research/yahir

You can register to access full recordings of the Young Athlete's Hip Symposium, and the Oxford-Aspetar-La Trobe Young Athlete's Hip Webinar Series (11 webinars): https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2022

The next Young Athlete's Hip Symposium is on 25-27 September, 2024 at Worcester College, Oxford University

Today’s sports corner is all about managing high-level basketball athletes. Dr Maggie Bryant, Director of Rehabilitation for the LA Clippers, explains the physical demands of basketball, common injuries, and important things to consider when planning rehabilitation with basketball athletes.

From the acceleration and deceleration demands, physical playing space restrictions, challenging anthropometrics of these athletes, and the variation in position demands—your rehabilitation plans for basketball athletes will require careful thought. Maggie’s hot tip: don’t forget about the foot and ankle!

Dr Chris Napier is a physiotherapist, Assistant Professor and Director of the Run Lab at Simon Fraser University in Vancouver, Canada, and 2:33-marathoner. Who better to share tips for ramping up running training?

Today we discuss strategies for performing well and staying injury free while running, how to choose a new running shoe, and Chris shares his approach to designing an effective all-round running training program.

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RESOURCES

Chris' book 'Science of Running: Analyze your Technique, Prevent Injury, Revolutionize your Training' is available wherever you purchase books (https://www.penguinrandomhouse.ca/books/612657/science-of-running-by-chris-napier/9780744022087)