JOSPT Insights

Returning to work after work-related injury often throws up some curveballs. Beyond the usual health care practitioners, there are multiple stakeholders who are invested in the person's care. Outside pressures, and factors specific to the person's situation and work requirements also demand careful attention. That’s where the clinical practice guideline can help you know what to pay attention to, to support participation in work after injury or illness.

Access the CPG here: https://www.jospt.org/doi/10.2519/jospt.2021.0303

What happens when the athlete is not taking in sufficient energy to meet the demands of day-to-day life, including training and performance? Today, endocrinologist and sports physician, Dr Kathryn Ackerman, explains what relative energy deficiency in sport is, expands the female athlete triad of energy intake, bone health and menstrual function, and shares 3 important ways that you can support athlete health and performance.

International Olympic Committee consensus statement on RED-S: https://pubmed.ncbi.nlm.nih.gov/29773536/

RED-S CAT (Relative Energy Deficiency in Sport Clinical Assessment Tool): https://bjsm.bmj.com/content/bjsports/49/7/421.full.pdf

Australian Institute of Sport Female Performance & Health Initiative (including free education resources): https://www.ais.gov.au/fphi

How long will it take for my whiplash symptoms to improve? In this episode, Dr Michele Sterling helps answer that important question. She shares the basics of whiplash: diagnosis and mechanisms, key factors to consider when determining prognosis, and planning treatment. Learn more about assessing pain-related disability and hyperarousal symptoms, as well as the benefits of a proactive approach to treatment.

More info on using WhipPredict:

https://recover.centre.uq.edu.au/whiplash-associated-disorders-clinician-resources#0

https://www.jospt.org/doi/10.2519/jospt.2016.6918

Over the past decade, the way clinicians and researchers understand patellofemoral pain—what causes it and how to manage it—has evolved from a focus on the biomechanics of joint alignment and posture to embracing a more rounded biopsychosocial model of musculoskeletal pain. Tune in as Professors Bill Vicenzino and Michael Rathleff share the results of the recent consensus they led to establish the clinical and research priorities on pain features and psychological factors in people with patellofemoral pain.

Access the consensus at: https://www.jospt.org/doi/10.2519/jospt.2022.10647

The words of the Irish poet and Nobel Prize laureate Seamus Heaney frame the key message for today’s episode: “If you have the words, there’s always a chance that you’ll find the way.” Dr Lindsey Plass draws on her own experience managing femoroacetabular impingement syndrome, as well as a decade of clinical experience, to share her top tips for communicating and supporting patients with musculoskeletal pain to, in the words of Seamus Heaney, find the way to recovery and do the things they love.

Access the Young Athlete’s Hip webinar series at: https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2021

Despite the excellent benefits of knee replacement surgery for reducing pain and improving knee function, people are just as physically inactive after surgery as they were before. If it's not an issue of knee symptoms and function, then what's going on? Dr Daniel White, physical activity and osteoarthritis (OA) expert from the University of Delaware explains 3 common myths about physical activity with knee OA and shares up-to-date research to help you counter those myths when you're in the clinic.

2018 physical activity guidelines for Americans: https://health.gov/our-work/nutrition-physical-activity/physical-activity-guidelines/current-guidelines

What's new in the 2018 physical activity guidelines: https://www.jospt.org/doi/10.2519/jospt.2019.0609

Dr Luciana de Michelis Mendonça realized very early on in her physical therapy career that something wasn't quite right in the sports physical therapy arena; very few of her women colleagues progressed through the ranks of general training to the specialist field of sports, and even fewer worked at the top level of sports, especially with elite or professional teams. She was determined to drive change.

Register for the 4th World Congress of Sports Physical Therapy (early bird closes May 1): https://www.conferencemanager.dk/wcspt2022

Gender bias in sports physical therapy: https://www.jospt.org/do/10.2519/jospt.blog.20210825/full/

Tactical athletes work and cope with injury in complex and often changing environments. In today’s episode, Dr John J Fraser shares his expertise and advice on working with tactical athletes, such as military, fire, and police. He explains the most common injuries, what makes a tactical athlete different than other athletes, how musculoskeletal rehabilitation clinicians can best communicate their allyship, and the #1 thing to remember when working with tactical athletes.

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, Part 2 of a 2-part series, Prof Jeremy Lewis gives us the low-down on the best evidence for treating frozen shoulder. Manual therapy, injections, exercise therapy: what, when, and how much? Tune in for the answers you’re looking for.

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’ new book "The Shoulder: Theory & Practice" is available from Handspring Publishing: https://www.handspringpublishing.com/product/the-shoulder-theory-and-practice/

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, Part 1 of a 2-part series, you’ll hear ideas 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.

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’ new book "The Shoulder: Theory & Practice" is available from Handspring Publishing: https://www.handspringpublishing.com/product/the-shoulder-theory-and-practice/