PT Inquest

Anterior Cruciate Ligament Reconstruction (ACLR) is a procedure that has a lot published on it yet there are still second injury rates as high as 40% in some populations. There seems to be some consensus in the literature as to how these patients should be managed, but do physical therapists actually manage them this way? Embarrassingly the answer is no.

Rehabilitation Practice Patterns Following Anterior Cruciate Ligament Reconstruction: A Survey of Physical Therapists. Greenberg EM, Greenberg ET, Albaugh J, Storey E, Ganley TJ. J Orthop Sports Phys Ther. 2018 Oct;48(10):801-811. doi: 10.2519/jospt.2018.8264. Epub 2018 May 22.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

There is a lot of talk amongst medical professionals and the media about sitting being the new smoking. Is that true? How would we compare that? Even if that is not EXACTLY true, what's the harm if it scares people into moving more?

This article is open access at the time this episode was released so click the link below to download!

Evaluating the Evidence on Sitting, Smoking, and Health: Is Sitting Really the New Smoking? Vallance JK, Gardiner PA, Lynch BM, D'Silva A, Boyle T, Taylor LM, Johnson ST, Buman MP, Owen N. Am J Public Health. 2018 Sep 25:e1-e5. doi: 10.2105/AJPH.2018.304649. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

A lot of people out there, including medical providers, believe that our understanding of chronic traumatic encephalopathy (CTE) or even concussions is complete and conclusive. As with many things, our understanding is very much just emerging. Everything from management to definitions of terms are constantly changing. Is the horse still chasing the cart here? In this episode we take a little tour of what we know and don't know with special guest Jason Hugentobler, the director of the sports physical therapy residency program at Cincinnati Children's Hospital.

Chronic Traumatic Encephalopathy: The Horse Is Still Chasing the Cart. Asken BM, Bauer RM. J Orthop Sports Phys Ther. 2018 Sep;48(9):672-675. doi: 10.2519/jospt.2018.0612.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Can psychosocial factors predict pain after rotator cuff surgery? Or could they be predictive of a poor outcome in general? Does this mean surgery shouldn't be done in these cases? Also, does hunger have an effect on the quality of a PT Inquest episode?

A prospective evaluation of predictors of pain after arthroscopic rotator cuff repair: psychosocial factors have a stronger association than structural factors. Ravindra A, Barlow JD, Jones GL, Bishop JY. J Shoulder Elbow Surg. 2018 Oct;27(10):1824-1829. doi: 10.1016/j.jse.2018.06.019. Epub 2018 Aug 16.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Sometimes it seems like ACL injury can be linked to all kinds of future problems. In this example there is a correlation to future myocardial infarction, although not statistically significant. We all know that showing a correlation doesn't mean causation, but what exactly does it mean? More importantly, just how many people are murdered by steam related weapons?!

Relation of Anterior Cruciate Ligament Tears to Potential Chronic Cardiovascular diseases. Meehan WP, Weisskopf MG, et al. American Journal of Cardiology. 2018. doi: 10.1016/j.amjcard.2018.08.030.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

This week we are discussing an editorial from Physical Therapy Journal. We get into how much we really enjoy editorials, especially from specific editors, but we also discuss the role of scientific journals. Many clinicians confuse the broad and varied missions of a professional organization and the goals of that organization's scientific journal. What is the right platform for advocacy of a profession and what role does science play?

Scientific Journals Are Not Advocacy Organizations. Jette AM. Phys Ther. 2018 Sep 1;98(9):731-732. doi: 10.1093/ptj/pzy073.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

We are back for another season of PT Inquest with more tendinopathy talk! There are a couple studies that have shown that high load, long duration isometrics reduce pain, but would short duration be just as effective as long as time under tension was held constant? And are the effects only on pain or is there something more specific going on?

Immediate and Short-Term Effects of Short- and Long-Duration Isometric Contractions in Patellar Tendinopathy. Pearson SJ, Stadler S, Menz H, Morrissey D, Scott I, Munteanu S, Malliaras P. Clin J Sport Med. 2018 Aug 8. doi: 10.1097/JSM.0000000000000625. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

We are back for another season of PT Inquest with more tendinopathy talk! There are a couple studies that have shown that high load, long duration isometrics reduce pain, but would short duration be just as effective as long as time under tension was held constant? And are the effects only on pain or is there something more specific going on?

Immediate and Short-Term Effects of Short- and Long-Duration Isometric Contractions in Patellar Tendinopathy. Pearson SJ, Stadler S, Menz H, Morrissey D, Scott I, Munteanu S, Malliaras P. Clin J Sport Med. 2018 Aug 8. doi: 10.1097/JSM.0000000000000625. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Exercise and education is better than steroid injection for gluteal tendinopathy! Hooray for physical therapy! Or is it? What are the options and how great are they? We end this season with another example of an article and an intervention that we use and love, but we may want to pump the brakes a little. See you all next season!!!

THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial. Mellor R, Bennell K, Grimaldi A, Nicolson P, Kasza J, Hodges P, Wajswelner H, Vicenzino B. BMJ. 2018 May 2;361:k1662. doi: 10.1136/bmj.k1662.

Here is the pre-trial protocol: BMC Musculoskeletal Disorders

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Blow Flow Restriction (BFR) training is a topic that is often requested for us to cover, but the research has not been very impressive to us regarding rehab application. That said, we aim to please! (No we don't.) So in this episode, we are joined by Scot Morrison to discuss what we know and what we don't know around BFR and the potential rehab applications. THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Blood flow restriction training in clinical musculoskeletal rehabilitation: a systematic review and meta-analysis. Hughes L, Paton B, Rosenblatt B, Gissane C, Patterson SD. Br J Sports Med. 2017 Jul;51(13):1003-1011. doi: 10.1136/bjsports-2016-097071. Epub 2017 Mar 4.

Here is the pre-review registration: ReviewRegistry91

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission