JOSPT Insights

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 settings, and the resources available for clinicians to help them best serve their patients with rehabilitation and performance.

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.

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RESOURCES

Primary cam morphology concept analysis: https://pubmed.ncbi.nlm.nih.gov/34281962/

physioFIRST pilot study: https://pubmed.ncbi.nlm.nih.gov/29607766/

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

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

Zurich consensus recommendations for classifying hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31959678/

More on the YAHiR collaborative work: https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2022

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 familiar with. Spoiler alert: humility and YouTube go a long way.

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/