JOSPT Insights

Clinical physiotherapy specialist, Jo Gibson, is 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?

Part 2 of our chat with Jo (find it here: https://podcasts.apple.com/us/podcast/ep-99-solving-stubborn-shoulders-part-2-with-jo-gibson/id1522929437?i=1000578394772) was all about supporting the athlete to return to sport: key considerations and best tests.

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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/

When helping someone to manage their femoroacetabular impingement syndrome, knowing how and when to refer to a surgeon can feel like an uncertain decision.

In today's episode, Dr Travis Maak shares the orthopaedic surgeon's perspective on hip pain in athletes. Dr Maak is a strong advocate for multidisciplinary practice—he’s a big fan of physical therapists and surgeons working together.

We cover when to refer to an orthopaedic surgeon, what to do when hip treatments aren’t going to plan, and how different surgical techniques have implications for the decisions clinicians make about rehabilitation.

"Help! I've tried everything - nothing has worked!" When the exasperated patient in front of you tells you she's tried all the treatments for Achilles tendionpathy - where do you go? Where do you start? What are the goals of treatment?

Specialist sports physiotherapist and clinical researcher, Dr Ebonie Rio brings her trademark brand of pragmatism to JOSPT Insights today, as she shares top clinical tips for diagnosing and managing tricky tendons.

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RESOURCES

More on tissue capacity: https://pubmed.ncbi.nlm.nih.gov/26255142/

Revisit the continuum model of tendon pathology: https://pubmed.ncbi.nlm.nih.gov/27127294/

In the final episode of JOSPT Insights for 2022, we're wrapping and putting a bow on a big year of content. Drs Chelsea Cooman and Dan Chapman join Dr Clare Ardern to share their big take-aways from a year of listening to and learning from all the wonderful experts who have contributed their wisdom on JOSPT Insights in 2022.

02:15: Prof Nicola Philips on optimal loading (https://tinyurl.com/3j4j7vpy)

04:05: Dr Ebonie Rio on loading tendons (https://tinyurl.com/rtvh6sfj)

06:35: Dr Tasha Stanton on managing osteoarthritis symptoms (https://tinyurl.com/yc8djs75)

07:45: Drs Matt Klein and Nathan Brown on running injuries (https://tinyurl.com/9t7jprjh)

09:25: Dr Kevin Wernli on moving better with pain (https://tinyurl.com/44ukf339)

11:30: Dr Amy Arundale on authentic connections with athletes (https://tinyurl.com/4tc8dewr)

13:50: Dr Matt Whalen shares injury prevention resources (https://tinyurl.com/23j2cxuj)

15:00: Dr Mike Rosenthal shares the American College of Radiology Appropriateness Criteria (https://tinyurl.com/5dwac4mt)

16:40: Dr Marie Boo on injuries in women's football (soccer) (https://tinyurl.com/bdfchmss)

Today we're diving into hip osteoarthritis, especially the link between hip joint loading in younger years and the risk of developing hip osteoarthritis later in life. What causes hip osteoarthritis in athletes? How can clinicians and athletes work together for healthy, happy hips?

Dr Josh Heerey—physiotherapist and Research Fellow at La Trobe University's Sport and Exercise Medicine Research Centre—has thought deeply about the answers to these questions through his clinical and research career, and he joins us to explain more.

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RESOURCES

More on the prevalence of hip morphology in athletes: https://www.jospt.org/doi/10.2519/jospt.2021.9622

Physiotherapist-led treatment for hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31732651/

Unravelling the relationship between cam morphology and hip OA: https://pubmed.ncbi.nlm.nih.gov/30175856/

Today’s episode is another JOSPT Cases cameo! Dr Mike Rosenthal, associate editor for JOSPT Cases, explains a clinical case of a patient after total hip arthroplasty with pain symptoms that don’t quite add up.

We discuss why it is important to continue red flag screening throughout care, how to frame an urgent referral, and how the imaging approach can influence health care.

There are even some bonus tips for authors who are considering submitting case studies to JOSPT Cases (https://www.jospt.org/toc/jospt-cases/current).

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RESOURCES

American College of Radiology Appropriateness Criteria: https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria

Radiology Across Borders' Diagnostic Imaging Pathways: https://radiologyacrossborders.org/diagnostic_imaging_pathways/

IFOMPT International Framework for Red Flags: https://www.jospt.org/doi/10.2519/jospt.2020.9971

Does the thought of dermatomes and myotomes, nerve trunks and nerve roots fill you with confidence or fill you with fear? Physiotherapist and neuroscientist, Dr Annina Schmid (Nuffield Department of Clinical Neurosciences, Oxford University), shares a checklist of what you need to know, and what you need to do, to nail your neurological assessment next time you're in the clinic.

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RESOURCES

Does your neurological examination for suspected peripheral neuropathies measure up? Do a check-up here: https://doi.org/10.2519/jospt.2022.11281

Why you cannot trust the dermatomes: https://www.youtube.com/watch?v=BZYtAR4zUpg&t=283s

More from Dr Schmid's Neuromusculoskeletal Health and Science Laboratory: https://www.ndcn.ox.ac.uk/research/neuromusculoskeletal-health-and-science-lab

The masters woman athlete has high expectations on herself for performing in sport. She is often navigating the training, performance and musculoskeletal health care landscape with little support from a dedicated multidisciplinary team.

Today, Professor Kirsty Elliott-Sale brings her physiology and endocrinology expertise to help you understand how best to support masters women athletes to stay healthy and perform at their best during and beyond the menopause.

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RESOURCES

Standards of practice for research on women in sport, sports medicine, sport science: https://pubmed.ncbi.nlm.nih.gov/33725341/

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 approach to supporting women to stay active through their life.

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”.

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RESOURCES

Dr. Wernli’s paper and subject of today’s interview: https://pubmed.ncbi.nlm.nih.gov/35959703/

Ten facts every person should know about back pain: https://pubmed.ncbi.nlm.nih.gov/31892534/

Empowered Beyond Pain podcast (especially episodes 4, 5, 11-20 about back facts): https://open.spotify.com/show/3ogpeLlDGLRLiHofEWvCje

Cognitive Functional Therapy: https://pubmed.ncbi.nlm.nih.gov/29669082/

Pain-Ed: www.Pain-ed.com

Infographics and short videos: https://www.pain-ed.com/blog/2020/06/13/ten-low-back-pain-facts-videos/

PainHealth: https://painhealth.csse.uwa.edu.au/