By Physiotutors
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The podcast currently has 69 episodes available.
In this episode of the Physiotutors podcast, Kai interviews Niek Vink, a physiotherapist and manager at the National Training Center for Ultrasound (NT-E) in Utrecht, Netherlands. They discuss the role and benefits of ultrasound in physiotherapy. Niek explains the basics of ultrasound imaging, comparing it to other imaging techniques like MRI and X-ray. He emphasizes that while ultrasound offers high spatial resolution and is useful for assessing soft tissues, it cannot see inside bones. The conversation also highlights the importance of dynamic scanning and sono-palpation in physiotherapy, as well as the advantages and disadvantages of ultrasound.
The discussion covers the adoption and application of ultrasound in physiotherapy practices, noting varying levels of usage in different countries. Niek shares success stories and potential pitfalls, stressing the importance of proper training, practice, and patient communication to avoid nocebo effects. He also touches on new developments in ultrasound technology, such as AI and elastography, and offers advice for physiotherapists considering adopting ultrasound in their practice.
Guest
Niek is a Physiotherapist from Utrecht, Netherlands and the manager and teacher at NT-e, an educational company focused on teaching ultrasound imaging to doctors, and physiotherapists. He’s been a public speaker on countless international events and today we will talk to him about the role of ultrasound in physiotherapy.
Content
Bonus Material
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In this episode of the Physiotutors podcast, host Kai speaks with Edel Fanning, a lead upper limb physiotherapist from Ireland, about various shoulder pathologies in athletes and effective rehabilitation strategies. Edel discusses common shoulder injuries in different sports, such as dislocations in contact sports like rugby and rotator cuff issues in overhead sports like swimming and tennis. She emphasizes the importance of considering the kinetic chain in rehabilitation, focusing on both local shoulder control and the role of other body parts to optimize recovery and performance. Edel also highlights the significance of proper scapular function and offers insights into the nuances of treating shoulder injuries, including specific exercises and positions to support recovery.
Edel also delves into the challenges of returning athletes to sport post-injury, discussing the importance of objective testing, psychological readiness, and sport-specific considerations. She outlines the differences in rehabilitation approaches for contact vs. non-contact sports, noting the unique demands and injury mechanisms of each. The conversation touches on screening tests, injury prevention strategies, and the development of an online course on athletic shoulder rehabilitation. Edel's expertise and practical advice provide valuable insights for physiotherapists and sports professionals aiming to enhance shoulder health and performance in athletes.
Content
00:00 Intro
00:45 Which pathologies to consider
08:34 The scapula and stability & performance
15:36 Which muscles to consider in rehab
19:08 The importance of strength in the kinetic chain
21:43 How to reduce injury risk
25:03 Shoulder warm-up routines
27:29 Screening tests useful?
33:11 Exercise dilemmas
38:47 AC Joint Injuries
45:50 What is assessed?
51:35 RTP & RTS markers are different
01:00:09 Edel's closing thoughts
01:01:00 Contact Details
01:02:50 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
In this podcast episode, we talk with Jente Wachemans, a physiotherapist and researcher specializing in ankle sprains and chronic instability. We discuss the nature of lateral ankle sprains, differentiating them from other types of ankle injuries, and touch on chronic ankle instability, a condition that remains somewhat ambiguous and under-researched. Jente emphasizes that while ankle sprains are common, particularly in sports, the transition to chronic instability isn't always straightforward and requires more prospective data for a clearer understanding. We also explore the prevalence of ankle sprains across various sports and demographic groups, noting higher incidences in females and younger populations.
Jente shares his approach to managing ankle sprains, from the acute phase to return to sport, advocating for exercise-based rehabilitation and the importance of patient education. He highlights the Peace and Love principles for immediate post-injury care and emphasizes the role of neurocognitive tasks in rehabilitation. We also discuss the use of orthopedic tests, ultrasound, and the significance of understanding which ligaments are involved in the injury for effective treatment. Jente stresses the importance of not underestimating ankle sprains, ensuring proper rehabilitation to prevent recurrence, and the potential role of surgery in persistent cases.
Guest
Jente Wagemans is a physiotherapist and researcher at the University of Antwerp who is currently doing is PhD in collaboration with Ulster Universtity and Bern University of applied sciences. As part of his PhD he has published several papers about ankle sprains and chronic instability.
Timestamps
00:00 Intro
00:49 What is a lateral ankle sprain?
02:04 How is it different from other sprains?
03:12 At what point do we talk about chronic instability?
08:00 Prevalence
09:36 The typical patient
11:22 Risk factors
14:00 Ankle mobility & strength metrics
15:07 Chronic Instability risk factors
18:45 Red Flag Awareness
23:46 PEACE & LOVE
26:45 Orthopedic Testing
31:20 When is MRI valuable?
32:54 Functional Assessment
36:37 Management Approach
45:18 Taping & Braces
47:13 Recurrence & Prevention
49:00 When surgery is indicated
52:10 Return to Sport timeline
56:20 Jente's closing thoughts
57:53 Contact Info
59:40 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
Download the Free App now
Follow our Podcast on:
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In this podcast, Dr. Claire Minshull shares her insights on teaching strength and conditioning to physiotherapists, emphasizing the practical application of academic knowledge. She discusses common mistakes in S&C practices, the importance of muscular strength in rehabilitation, and the significance of individualized exercise prescription for optimal outcomes. Claire also explores topics like measuring strength, rate of force development, and emerging technologies in strength training, underlining the need for patient-centered approaches and effective rehabilitation strategies.
Guest
Dr. Claire Minshull is a sport scientist, researcher and visiting professor at Leeds Beckett University in the UK. She has published more than 30 papers mainly on strength and conditioning and runs an educational company called Get Back to Sport
Content
00:00 Intro
01:01 Claire's Journey in S&C
04:58 The issue with S&C in Physio
07:38 S&C Mistakes Physios make
13:36 Hypertrophy & Strength is important
18:43 How to gauge Strength
24:03 Compound vs. Isolation Exercises
27:19 How far to push Patients to Fatigue
33:26 Failure to adapt Exercise Prescription in Clinic
36:04 Rate of Force Development explained
42:47 Cross Education Effect explained
50:41 Tips to create Patient Buy-In to Exercise
55:06 Emerging Technology Highlights in S&C
01:01:56 Claire's closing thoughts
01:03:48 Contact Info
01:04:48 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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In this podcast episode, Dr. Kerstin Luedtkee discusses the topic of migraine headaches, providing insights into the definition, classification, and pathophysiological theories behind migraines. She explains the criteria for diagnosing migraine headaches, including the presence of associated symptoms such as nausea and sensitivity to light or sound. Dr. Luedtkee delves into the role of the hypothalamus as a key structure in triggering migraine attacks and highlights the importance of understanding the central nervous system changes that occur in individuals with migraines. Moreover, she emphasizes the need for a holistic approach in managing migraines, incorporating physiotherapy interventions alongside pharmacological treatments. Dr. Luedtkee suggests addressing musculoskeletal dysfunctions in the neck, providing education on migraine triggers and symptoms, promoting relaxation techniques, and encouraging aerobic exercise. She also mentions ongoing research areas focused on patient perspectives, the effectiveness of physiotherapy in migraine treatment, and the importance of incorporating patient feedback into future studies to enhance the overall management of migraines.
Content
00:00 Introduction
00:37 Definition of Migraine Headaches
01:40 Migraine with Aura
03:30 Pathophysiology
05:30 The role of the Hypothalamus
07:36 Risk Factors for Migraine
13:25 Prevalence
16:44 The typical patient
18:29 Migraine and Chronic Pain
21:30 Red Flags
23:13 Other Diagnostic Measures
29:00 MSK Dysfunctions in Headache
31:18 The role of Vestibular Assessment
33:25 Subtype Vestibular Migraine
34:34 Physical Therapy Effectiveness
40:11 Guideline Management Approach
45:15 Added benefit of moving more?
46:16 Hot topics in Migraine Research
48:30 The Importance of the Patient’s perspective
49:56 Contact Info
51:15 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
Download the Free App now
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In this podcast episode, Dr. Leanne Bisset, a musculoskeletal physiotherapist and associate professor at Griffith University, shares valuable insights on lateral epicondylalgia, also known as lateral elbow tendinopathy. She discusses the anatomy and function of the affected muscles, highlighting the importance of stability in wrist movements and the role of the extensor carpi radialis brevis. Dr. Bisset emphasizes the shift in terminology from epicondylitis to tendinopathy, debunking misconceptions around inflammation in the condition and providing a comprehensive overview of diagnostic considerations, risk factors, and red flags to look for during assessment.
Furthermore, Dr. Bisset delves into the management of lateral elbow tendinopathy, emphasizing the significance of tailored exercise programs focusing on isometric loading initially, progressing to incorporate global upper limb strengthening for comprehensive rehabilitation. She also addresses the limited efficacy of modalities like shockwave therapy and the potential benefits of orthoses in pain management. Dr. Bisset's evidence-based approach underscores the importance of patient education, individualized treatment plans, and monitoring pain responses to optimize outcomes in the management of lateral epicondylalgia.
Guest Dr. Leanne Bisset is a musculoskeletal physiotherapist and an associate professor at Griffith University at the gold coast, Australia. She has published over 100 papers on a variety of topics and has done extensive research on lateral epicondylalgia.
Chapters
00:00 Intro
00:44 Definition of lateral elbow tendinopathy
05:39 Why Inflammation is inaccurate
11:49 Risk factors
13:46 The typical patient
17:34 Red Flags
27:30 Diagnostic tests
29:49 Leanne's Diagnostic Approach
32:27 Treatment
38:15 Details on Isometric Loading
49:29 Other treatments
54:02 Treatment Progressions
58:45 How much pain to allow
01:01:28 Shockwave and Dry Needling
01:03:56 Elbow Braces
01:05:50 Contact Info
01:06:58 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
Download the Free App now
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In this episode of the Physiotutors podcast, Tom Goom, also known as the Running Physio, provides valuable insights into medial tibial stress syndrome (MTSS) and its management. He discusses the pathophysiology of MTSS, Risk factors, and emphasizes the importance of gradual training progression and proper footwear selection to prevent MTSS. Tom also shares his approach to assessing and treating MTSS, focusing on finding a pain-free level of loading, incorporating strength training, and carefully guiding patients through a structured return to running program.
It's a value-packed episode so tune in to master your approach to treating shin splints.
This episode is sponsored by Lindy.ai - your A.I. medical scribe. Try Lindy for free by going to lindy.ai/physiotutors and receive 1 week of unlimited patient notes.
Content
00:00 Intro
01:06 What is MTSS?
02:19 Risk Factors
03:34 Typical Patient
04:20 Specific Training Errors
05:40 Influence of Footwear
06:58 Forefoot Running
08:40 Red Flag Diagnoses
12:08 MTSS DIagnosis
13:06 Assessing the Patient
15:45 Muscle Testing
17:18 Sponsored Segment
18:55 Other Strength Parameters
21:05 Running Analysis/Technique
26:15 Treatment
29:29 Strengthening Exercises
31:58 What about Tibialis Anterior?
33:12 How to manage a flare-up?
35:25 Return to running
38:02 Different Mx for Different Sports
40:20 Duration of MTSS
41:35 Adjunct Treatments
43:30 Can MTSS become a Fracture?
44:25 Tom's closing remarks
46:25 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
Download the Free App now
Follow our Podcast on:
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In this podcast episode, Barbara Cagnie, a physiotherapist and manual therapist, discusses the topic of dry needling, providing valuable insights into its definition, physiological effects, and clinical applications. Dry needling is described as a technique used by physiotherapists to treat myofascial pain, with the insertion of thin filiform needles into specific trigger points aiming to reduce pain and restore muscle function. Barbara highlights the physiological basis of dry needling, emphasizing its effects on peripheral and central systems, as well as its potential impact on pain and inflammation.
The discussion delves into the differences between active and latent trigger points, reliability in identifying trigger points, and the mechanism of referred pain. Barbara also addresses the evidence supporting the efficacy of dry needling in various musculoskeletal disorders, particularly in neck pain, highlighting the need for ongoing research to further explore its clinical applications.
The conversation touches on the contraindications and potential risks of dry needling, emphasizing the importance of proper training and anatomical knowledge to minimize adverse events. The future of dry needling is also considered, with mentions of ultrasound-guided and electrical dry needling techniques.
Barbara's expertise and comprehensive explanations serve to demystify dry needling and shed light on its clinical relevance. Her insights not only provide valuable information for physiotherapists but also instill curiosity about the potential of this technique in optimizing patient care.
Chapters
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
Download the Free App now
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In this episode, Dutch researcher Corinne Visscher discusses temporomandibular disorders (TMD) with a focus on prevalence, risk factors, diagnosis, and treatment. She provides insights on the research she is currently focused on, particularly in understanding the journey of patients with chronic complaints related to TMD. Corinne also emphasizes the importance of screening for TMD, providing counseling and advice on habits, and referring patients to oral facial physical therapists or dentists when necessary. She also highlights the link between TMD and secondary headaches, and offers ways to reach out to her for further information.
Content
00:00 Intro
00:35 What is TMD?
01:18 TMD Prevalence/Incidence
02:20 The typical TMD Patient
03:23 Risk Factors
06:38 Red Flag Screening
09:20 The Diagnostic Process
14:05 Special Tests
15:25 Questionnaires
17:47 TMD & Headaches
19:30 Am I clenching my teeth?
20:40 Is posture a factor for TMD?
22:50 The course of TMD
27:09 A place for Dry Needling?
28:29 Other Manual Therapies?
31:50 Current TMD Research
35:05 Top 3 Takeaways
40:20 Tension-Type or TMD Headache
42:28 How to get in touch
43:08 Outro
Bonus Material
To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
All episodes and bonus content can be found here
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In this Physiotutors podcast episode, Canadian researcher Yannick Tousignant-Laflamme introduces the Pain and Disability Drivers Management Model, a groundbreaking approach to understanding and managing chronic musculoskeletal pain, particularly low back pain. This model identifies five key domains across three dimensions, going beyond biomechanics to reveal the root causes of pain and disability. It underscores the significance of interdisciplinary collaboration and effective communication among healthcare professionals.
By integrating classification systems and prognostic tools, this model optimizes its effectiveness. Classification systems pinpoint patient subgroups, while prognostic tools screen for psychological factors affecting pain outcomes. Clinicians are encouraged to utilize these tools for screening, delving deeper for medium or high-risk patients. The incorporation of questionnaires and patient-reported outcome measures informs evidence-based decision-making. The ultimate aim? Personalized, evidence-based care for musculoskeletal conditions, addressing both physical and psychosocial factors.
Curious to learn more about this innovative approach? Tune in to the full episode for a comprehensive exploration.
Guest
Canadian researcher Yannick Tousignant-Laflamme is a professor at the School of Rehabilitation at the University of Sherbrooke. His research activities target the management of chronic pain associated with musculoskeletal disorders, particularly low back pain.
Content
00:00 Intro 00:40 What is the PDDM? 03:19 The 5 Drivers of Pain & Disability 07:56 The struggle with interdisciplinary care 11:15 Lifestyle within the PDDM 13:28 Why is PDDM more than a classification system? 17:23 Patient History within the PDDM 30:57 Why so many PROMs? 32:45 NSLBP - is it a helpful diagnosis? 39:37 Can Physiotherapists cover all 5 domains? 43:18 Is it all talking? 45:42 What has changed since 2017 49:28 How can we apply the PDDM? 3 Tips 51:26 Yannicks closing thoughts 53:15 Outro
Bonus Material
To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
All episodes and bonus content can be found here
Follow our Podcast on:
Spotify | Apple Podcasts
The podcast currently has 69 episodes available.
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