JOSPT Insights

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/

Dr Garrett Bullock shares his perspectives on the demands of different playing positions in baseball, and the implications of different demands for the types of injuries clinicians are likely to encounter. He also shares his pick of the best metrics to use when supporting athletes to gradually return to play.

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RESOURCES

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More on humeral torsion: https://www.sciencedirect.com/science/article/pii/S1058274621005218

More on prediction models for humeral torsion: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975570/

How do you make the most of the information available to you about sports injuries while you focus on building a strong trust relationship with the athlete? Dr Nicol van Dyk—medical research lead with the Irish Rugby Football Union—brings his trademark innovative thinking and practical advice to JOSPT Insights. We draw on Nicol’s extensive experience in sports medicine research and practice to walk step-by-step through simple solutions to diagnosing and managing hamstring injuries.

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RESOURCES

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2016 Bern Consensus on return to sport: https://pubmed.ncbi.nlm.nih.gov/27226389/

Early versus delayed rehabilitation after acute muscle injury: https://pubmed.ncbi.nlm.nih.gov/28953439/

Rehabilitation after acute hamstring injury: https://www.jospt.org/doi/10.2519/jospt.2020.8895

Clinical Practice Guideline Hamstring Injury in Athletes: https://www.jospt.org/doi/10.2519/jospt.2022.0301

Biology of muscle tissue healing: https://skeletalmusclejournal.biomedcentral.com/articles/10.1186/s13395-017-0142-x

Steven Covey's 7 Habits of Highly Effective People: https://www.goodreads.com/book/show/36072.The_7_Habits_of_Highly_Effective_People

How confident do you feel to design and deliver a quality rehabilitation program for someone who has had a total knee replacement? Today, Professor Jennifer Stevens-Lapsley, who is one of the leading lights in clinical research in this field, shares her tips for clinical success and an update on the open research questions in the field. Professor Stevens-Lapsley gives us the inside running on the work going on to help provide answers to those important clinical questions.

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Clinical practice guidelines for physical therapy after total knee replacement: https://pubmed.ncbi.nlm.nih.gov/32542403/

We're premiering a new series focused on JOSPT Cases—a teaching tool to help develop your clinical reasoning and highlight how to apply evidence in your practice. Today, Dr Kimiko Yamada explains an orthopedic case from JOSPT Cases. She outlines how JOSPT Cases works, how you can subscribe, and how you can submit your own cases to be highlighted in future editions.

To visit JOSPT Cases you can follow the link here: https://www.jospt.org/loi/jospt-cases

You've probably read clinical practice guidelines that tell you to screen for so-called yellow flags. But how do you approach screening? Today, Dr Trevor Lentz shares a practical, 3-step framework on how to screen for yellow flags, and that important next step—what to do with the information.

Learn more about screening for yellow flags in orthopaedic physical therapy: https://www.jospt.org/doi/10.2519/jospt.2021.10570

Downlad the Optimal Screening for Prediction of Referral and Outcome (OSPRO) tool: https://www.jospt.org/doi/10.2519/jospt.2016.6487