"Help! I've tried everything - nothing has worked!" When the exasperated patient in front of you tells you she's tried all the treatments for Achilles tendionpathy - where do you go? Where do you start? What are the goals of treatment?
Specialist sports physiotherapist and clinical researcher, Dr Ebonie Rio brings her trademark brand of pragmatism to JOSPT Insights today, as she shares top clinical tips for diagnosing and managing tricky tendons.
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RESOURCES
More on tissue capacity: https://pubmed.ncbi.nlm.nih.gov/26255142/
Revisit the continuum model of tendon pathology: https://pubmed.ncbi.nlm.nih.gov/27127294/

Ep 114: REVISITED: Treating tricky tendons, with Dr Ebonie Rio

The Journal of Orthopaedic & Sports Physical Therapy brings you the JOSPT Insights podcast every Monday. On each episode, experienced clinicians and researchers unpack musculoskeletal rehabilitation topics in under 30 minutes. Guests share clinical tips and research discoveries with host Dr Clare Ardern, Editor-in-Chief of JOSPT. Sports physical therapists Dr Chelsea Cooman and Dr Dan Chapman are frequent co-hosts.

Medicine

Science & Medicine

Sports

Health & Fitness

In today's episode, Dr Nathan Vannatta outlines some ethical frameworks that the musculoskeletal rehabilitation clinician might use when working through clinical decisions, including about return to play.
Dr Vannatta outlines ethical theories and 4 approaches to bioethics. He explains how one might justify different decisions, depending on the ethical framing, illustrating the complexity of return to play decisions with the clinical example of 'Ellie', who is returning to soccer after ACL reconstruction.
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RESOURCES
More on ethics frameworks and return to sport decisions: https://www.jospt.org/doi/10.2519/jospt.2024.12310

Ep 181: The ethics of your clinical decisions, with Dr Nathan Vannatta

Specialist shoulder physiotherapists, Marianne van Gastel and Karin Hekman, are back for the second part of their discussion on rehabilitation for peple with anterior shoulder dislocation and Bankart repair.
Marianne and Karin share how they use a psychologically-informed practice type of approach to support athletes and patients to work through and overcome anxiety and apprehension.
The chat focuses on supporting patients to return to high levels of function, including sport, after their shoulder surgery.
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RESOURCES
Rehabilitation guideline for managing apprehension after anterior shoulder dislocation and Bankart repair: https://www.jospt.org/doi/10.2519/jospt.2024.12106
To find out more and register for the YAHiR-JOSPT Young athlete’s Hip Webinar Series: https://semrc.blogs.latrobe.edu.au/events/yahir/

Ep 180: Tackling apprehension after Bankart repair (part 2), with Marianne van Gastel & Karin Hekman

Physiotherapists and clinician-researchers, Marianne van Gastel and Karin Hekman, share a new rehabilitation guideline on managing apprehension in people with anterior shoulder dislocation and Bankart repair.
Over the next 2 episodes of JOSPT Insights, Marianne and Karin will take us through the rehabilitation guideline, explain what's new in shoulder rehabilitation, and share their approaches to helping people feel confident to get back to the sports and recreation activities they love after shoulder dislocation.
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RESOURCES
Rehabilitation guideline for managing apprehension after anterior shoulder dislocation and Bankart repair: https://www.jospt.org/doi/10.2519/jospt.2024.12106
Patients' perspectives after treatment for anterior instability: https://pubmed.ncbi.nlm.nih.gov/37811392/
To find out more and register for the YAHiR-JOSPT Young athlete’s Hip Webinar Series: https://semrc.blogs.latrobe.edu.au/events/yahir/

Ep 179: Tackling apprehension after Bankart repair (part 1), with Marianne van Gastel & Karin Hekman

Musculoskeletal rehabilitation practitioners spend years honing our clinical skills—how much time do we spend thinking about and practicing skills like listening, working in teams, and making decisions?
Today, Dr Nicol van Dyk - physiotherapist and Assistant Professor at University College Dublin - is here to make the case for real skills as keys to expert musculoskeletal rehabilitation practice.
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RESOURCES
To find out more and register for the YAHiR-JOSPT Young athlete’s Hip Webinar Series: https://semrc.blogs.latrobe.edu.au/events/yahir/
Essential skills for Physiotherapists led by David Clancy: https://www.us.elsevierhealth.com/essential-skills-for-physiotherapists-9780443111280.html
Seth Godin blog on real skills: https://itsyourturnblog.com/lets-stop-calling-them-soft-skills-9cc27ec09ecb and TED talk https://ideas.ted.com/soft-skills-and-real-skills/
Harvard Business Review - In praise of the incomplete leader: https://hbr.org/2007/02/in-praise-of-the-incomplete-leader
More on listening as a clinical skill: https://pubmed.ncbi.nlm.nih.gov/30279218/
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NICOL'S TOP BOOK RECOMMENDATIONS
How to win friends and influence people (Dale Carnegie): https://www.amazon.com/How-Win-Friends-Influence-People/dp/0671027034
Leaders eat last (Simon Sinek): https://simonsinek.com/books/leaders-eat-last/
Dare to lead (Brene Brown): https://brenebrown.com/book/dare-to-lead/
The 21 Irrefutable Laws of Leadership: Follow Them and People Will Follow You (John C Maxwell): https://www.amazon.com/21-Irrefutable-Laws-Leadership-Anniversary/dp/0785288376
Amazing discussion about vulnerability from Adam Grant with Brene Brown: https://www.youtube.com/watch?v=uXVhDSBiZCI

Ep 178: Leading from every chair, with Dr Nicol van Dyk

The YAHiR (Young Athletes Hip Research) Collaborative takes over the JOSPT Insights podcast today. Tune in to learn about best practice in diagnosing and managing inguinal-related groin pain. Willem Heijboer, sports physiotherapist and clinical epidemiologist from the Amsterdam University Medical Centre, joins Dr Josh Heerey to share the latest research to inform your practice.
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RESOURCES
Learn more about how the YAHiR collaborative is partnering to promote and protect athletes' hip health through high-quality research: https://www.ndorms.ox.ac.uk/research/yahir
The next Young Athlete's Hip Symposium is on 25-27 September, 2024, at Worcester College, Oxford University
The YAHiR Collaborative, La Trobe University and JOSPT are co-hosting a webinar mini series in May and June 2024. In these webinars, you'll hear more from experienced clinician-researchers Drs Josh Heerey, Jo Kemp, Kate Jochimsen and Mike Reiman. Dr Lindsey Plass and Luke Kearney, who both have lived experience of hip pain limiting their sporting careers, bring the athlete's perspective. For more information, and to register: https://semrc.blogs.latrobe.edu.au/events/yahir/
More on the terminology of inguinal-related groin pain: https://pubmed.ncbi.nlm.nih.gov/36111127/
Reliability and accuracy of clinical tests for diagnosing inguinal-related groin pain: https://pubmed.ncbi.nlm.nih.gov/36643406/
Rehabilitation and return to sport after surgery for inguinal-related groin pain: https://www.sciencedirect.com/science/article/abs/pii/S1060187217300382

Ep 114: REVISITED: Treating tricky tendons, with Dr Ebonie Rio

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