JOSPT Insights

The American Physical Therapy Association's Academy of Sports Physical Therapy is now in its 50th year. Today, Academy President, Dr Mike Reinold, is celebrating not only the achievements of the past 50 years, but looking forward to the future.

Mike has assumed the role of Sports Academy President at an exciting time of innovation in learning, professional development, and mentorship. Today we discuss how the Sports Academy is nurturing the physical therapy profession and its future leaders.

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RESOURCES

Academy of Sports Physical Therapy: https://sportspt.org/

Sports Academy Learning Centre: https://learn.sportspt.org/

Did you know that calf injuries are one of the most common soft tissue injuries in team sports? How comfortable do you feel assessing and managing calf pain, especially designing and progressing a program to help someone get back to their sport?

Today, Dr Seth O'Neill from the University of Leicester, joins us to blend the latest science in calf injury with high-level clinical reasoning. You'll get something out of today's chat whether you're beginning in your clinical career or whether you're looking for suggestions for advanced clinical practice.

Dr Dustin Jones, from StrongerLife, talks about the important impact that preventing falls can have on an older adult's wellbeing.

He explains how to assess falls risk and physical performance, and recommends his top measures and resources.

Dr Jones addresses why it’s important to focus, not only on preventing falls, but on helping older people prepare for falls too, and reviews some drills he uses with his clients.

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RESOURCES

STEADI: https://www.cdc.gov/steadi/index.html

Ability Lab: https://www.sralab.org/additional-resources

Stronger Life: https://www.strongerlifehq.com/

A surfer walks into your clinic with neck pain…What do you do next? And why?

Dr. Lynn McKinnis expertly walks through when and how to apply the Canadian C-Spine Rule when a patient presents with neck pain, types of vertebral artery injuries, and tips for diagnosing and treating acute neck trauma.

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RESOURCES

Learn more about the specific case here: https://www.jospt.org/doi/full/10.2519/jospt.2016.0416

Canadian C-Spine Rule: https://med-fom-clone-pt.sites.olt.ubc.ca/files/2014/01/C-spine-Rule-FAQs.pdf

NEXUS Criteria for detecting clinically-important cervical spine injury following blunt trauma: https://www.nejm.org/doi/full/10.1056/NEJM200007133430203

Do you work with young people with ACL injury? Well, you're in the right place! Today, Drs Chris Kuenze and Adam Weaver walk through the story behind creating a brilliant, new normative dataset for function and strength outcomes. You'll learn how the project got started, and how you can use the information to help make even more informed clinical decisions.

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RESOURCES

Find the paper "Age-, Sex-, and Graft-specific Reference Values From 783 Adolescent Patients At 5-7 months After ACL Reconstruction: IKDC, PEDI-IKDC, KOOS, ACL-RSI, Single-leg Hop, and Thigh Strength" on the JOSPT website: https://www.jospt.org/doi/abs/10.2519/jospt.2023.11389

To access the normative database: https://dataverse.lib.virginia.edu/dataset.xhtml?persistentId=doi:10.18130/V3/JNPHUB

Dr Casey Humbyrd—orthopaedic surgeon and Chief of foot & ankle orthopedics at the University of Pennsylvania—shares her expertise and insights on treating ankle sprains that are not responding to non-surgical treatment.

Dr Humbyrd reviews ankle anatomy and her rationale for recommending surgery, how she performs a Broström repair, and explains how she works in close partnership with physical therapists and patients to achieve quality rehabilitation and return to sport outcomes.

How do you approach managing low back pain with children and adolescents? Do you have a different approach than when working with adults?

Diving into the 2022 JOSPT clinical commentary, “What Works When Treating Children and Adolescents with Low Back Pain?”, Dan and Chelsea chat with author Dr Tiê Yamato. They review the physical, psychological, pharmacological, interdisciplinary and family-centered, and communication interventions that are most effective for treating and managing low back pain in this important population.

Read Dr Yamato's article here: https://www.jospt.org/doi/10.2519/jospt.2022.10768

Dr Cara Baxter takes Dan and Chelsea through the keys to designing top-quality rehabilitation programs for ski and snow athletes.

Dr Baxter describes the wide variety of competitive events, the demands they place on the athlete, plus the common acute and chronic injuries that plague particular snow sport disciplines.

We discuss the travel and schedule demands of the sport, the cognitive demands, the harsh and changing environment, and how you and the athlete can make an informed decision about when is the right time to return to snow.

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, you’ll hear ideas from Professor Jeremy Lewis 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.

Find Part 2 of the chat with Jeremy—all about treating frozen shoulder—here: https://podcasts.apple.com/us/podcast/ep-68-frozen-shoulder-and-how-to-treat-it-with-prof/id1522929437?i=1000550291168 or https://open.spotify.com/episode/2mDypUMV2BNEypGe52wsIs.

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RESOURCES

Framework for assessing and managing frozen shoulder: https://pubmed.ncbi.nlm.nih.gov/25107826/

Effectiveness of non-surgical interventions: https://pubmed.ncbi.nlm.nih.gov/31233183/

UK FROST trial: https://pubmed.ncbi.nlm.nih.gov/33010843/

Prof Lewis’ book, The Shoulder: Theory & Practice, is available from https://www.handspringpublishing.com/product/the-shoulder-theory-and-practice/