The FysioAalborg Pod

I denne episode har jeg besøg af fysioterapeut Andreas Bjerregaard

Andreas har ikke taget den mest traditionelle vej til hvor han er i dag. 
Andreas fortæller om sin tid i Aspetar.

Hvilken population arbejder man med. Hvordan er arbejdsgangen og hvorfor gør man som man gør.

Det leder os automatisk over i episode 2 - ACL rehabilitering "Need to know"

du kan læse mere om Andreas Bjerregaard på dette link ;

https://andreasphysioblog.com/

Som altid tak fordi du lytter med

Brian 

Georg Supp from Freiburg Germany is talking outcome measures

In most research being it qualitative or quantitative outcome measures are used and as clinicians we have learned to understand that it when looking into research.  However in clinical practice it is still not integrated as part of our clinical encounters. Personally I´ve tried numerous times to make validated outcome measures a part of my practice, but honestly I´ve not had succes. 

Georg Supp will share his knowledge on the subject. He will both present how they in his clinical work with it as physiotherapists and what they´ve done to integrate in. But he will also share their data on how the patients look at it.

Georg has a specific interest in the PROMIS-29 which you can find on this site https://heartbeat-med.com/resources/promis-29/

You can also look into Georgs company related to outcome measures https://mophys.de/de/

Thanks for sharing you knowledge Georg

Lets talk frozen shoulders (FS) or as Jeremy suggested back in 2015 Frozen shoulder contracture syndrome (FSCS).

 We try to unravel the subject a bit more digging into the following subjects;

What is it and how many actually has a FS.

Who are most likely to get it and do we know which risk factors also affect the course and outcome / prognosis. 

What clinical signs assists the diagnose of FS including exclusion of others more common reasons for shoulder pain ?

Does imaging has its place in diagnosis FS including in the exclusion of other reasons for shoulder pain.

 Prognosis; Do people recover on their own...

 Intervention strategies and how to guide and inform patients. How do Jeremy sell the message that it might not get better in a decent and yet optimistic way.

In regards to injections Jeremy shares how he does the procedure 

As always thanks for listening

In this episode we talk about Musculoskeletal (MSK) care and not least the overuse in healthcare and what it is and what we do not consider it to be.

The overuse are driven by many factors such as patient - & clinician perspective and the system where in practice is taken place among others

In a society with increasing cost to healthcare it´s import to consider how the money is spent well.

In the MSK area it´s also important to remember that for every delivery of non-guideline based intervention the risk of chronicity increases.

Finally we discuss how MSK care could look like from an evidence based perspective.

As always thanks for listening

Rethinking Pain Frameworks

This is episode 2 of 2 episodes with Peter Stillwell and Samuel Krogh Pedersen

The following subjects will be discussed in these 2 episodes

The BPS model – still relevant and has it ever been a better model than the biomedical

The BPS model revolutionized how we understand pain. Is has been 48 years - it still relevant, or have we outgrown it?

What gaps do we see in its clinical application?

What is enactivism ?

Enactivism and how it might be a different and maybe better way of working with humans in pain

How does the enactive approach to pain address these challenges?"

We’ll explore philosophy, psychology, and the future of pain science.
 
"Why should physiotherapists  and healthcare personal engage with philosophy and psychology in their work?"
 
How do concepts like phenomenology and embodied cognition enhance pain management?

Uncertainty in Healthcare and how can clinicians navigate the uncertainty in health care?"

All the above rolled in tar and bathed in feathers with our personel thoughts and detours.

Thanks for listening

Rethinking Pain Frameworks

This is episode 1 of 2 episodes with Peter Stillwell and Samuel Krogh Pedersen

The following subjects will be discussed in these 2 episodes

The BPS model – still relevant and has it ever been a better model than the biomedical

The BPS model revolutionized how we understand pain. Is has been 48 years - it still relevant, or have we outgrown it?

What gaps do we see in its clinical application?

What is enactivism ?

Enactivism and how it might be a different and maybe better way of working with humans in pain

How does the enactive approach to pain address these challenges?"

We’ll explore philosophy, psychology, and the future of pain science.
 
"Why should physiotherapists  and healthcare personal engage with philosophy and psychology in their work?"
 
How do concepts like phenomenology and embodied cognition enhance pain management?

Uncertainty in Healthcare and how can clinicians navigate the uncertainty in health care?"

All the above rolled in tar and bathed in feathers with our personel thoughts and detours.

Thanks for listening

Today’s guest is Hans van Helviort, PT, DIP. MDT from the Netherlands, Rugpoli

Hans and I´ve meet on different occasion on conferences around the globe and last year in DK and this summer in Ottawa Canada.

So who is Hans ? Well better listen carefully because he has 39 years of experience as a PT and educator and its never borring when Hans start talking

Today’s  maín topic is his most recent publication published in The Spine Journal;

Effectiveness and cost-effectiveness of mechanical diagnosis & treatment combined with transforaminal epidural steroid injections for patients on a waiting list for surgery for a chronic lumbar herniated disc: A randomized controlled trial and economic evaluation

Hans will provide us with some background why the study is relevant based on what you´ve seen as a clinician but also based on the literature on the subject.

Outline of the study suchs as target group included and the 2 different arms

Which outcome measure

Why the cost effectiveness calculation is also an important factor 

And finally take us through some of the challenges and the results

As always thanks for listening

The subject of this episode is about working in an environment within the military and generally thoughts about working with very active people.

My guest is  Maj. Christopher W. Boyer, PT, DPT, U.S. Army.

There are huge physical and mental demands and medical discharge are a large burden because a lot of money is spent on the individual. I remember working with an Australian from the special forces who said that 40% of those being discharged were due to medical discharge.

On large scale addressing MSK is not just a health concern; it’s a critical factor in maintaining our national defense capabilities. This means that being able to keep staff ready has larger implications than just the individual and their ambitions.

Chris and I cover some of the following themes;

Working with peers and demanding contexts.

Which demands and competencies does it require . 

Does being in that positionrequire special training and competencies besides Mechanical Diagnosis & Therapy, MDT. 

Which options for referral to such as  imaging, blodtests etc etc

How are the demands to get people ready for service again after injury I have the idea that´s its very similar to professional sports?

How to deal with longstanding injuries / pain when your workplace and the people in your unit are depending on you ? This includes also on how to help people in those situations where it really takes months to get better.

And much much more GREAT stuff

Keen on more stuff regarding this? read this article by Chris and co-authors

https://www.armyupress.army.mil/Journals/Military-Review/English-Edition-Archives/SO-24/SO-24-Musculoskeletal-Imperative/

Thanks for listening

Fysioterapeuten i elitefodbold

Jonas Petersen er til daglig fysioterapeut i FC Nordsjælland og min gæst i denne episode af The FysioAalborg Pod.

Jonas er den perfekte gæst til at tale om hvordan vi hjælper fodboldspilleren når de er i en periode med smerter som gør at de ikke kan deltage på banen.

Fakta fra forskningen om folk der er skadet

Når folk er sat “på sidelinien” ved vi at der er følgende tematikker og måder de forholder sig til situationen på.

• En forstyrrelse der så absolut ikke var en del af planen frygt, tvivl, bekymringer.
• En trussel mod karrieren og den personlige identitet – hvem er jeg så nu og hvordan klarer jeg det økonomisk.
• Bekymring for tilbagefald og oplevelse af isolation.
• En mulighed for at få en pause og udnytte tiden til at blive bedre på nogle parametre så det ender med at blive en fordel.
• Bare en del af det at være atlet på højt niveau og så lad os få det bedste ud af det.
• En time out fra det mentale og fysiske pres.

Jonas og jeg kommer omkring disse ud fra vores og i særdeleshed hans erfaringer.

Strategier og accept

Vi kigger nærmere på hvorledes Jonas i hans position i en større organisation som FCN anvender nogle strategier og handlemønstre til at støtte de atleter som er på ”sidelinien” i kortere og længere tid. Strategier som baserer sig meget på accept.

Som altid tak fordi du lytter med

Dagens gæst er fysioterapeut Morten Skjoldager. Som jo nok har det nogle i vores branche vil mene er det mest profilerede og efterspurgte job man kan have som fysioterapeut. Det var i hver tilfælde årsagen til at jeg ønskede at uddanne mig som fysioterapeut. Var det også din drøm ?

Morten og jeg har en snak om følgende emner

Hvad er hans rolle på landsholdet  i herrefodbold

Er det meget tender love and care eller hvad laver man i den position

 Hvordan arbejder man sammen med de øvrige involverede som er andre sundhedsfaglige og trænerstaben

Hvor meget har man som en erfaren fysioterapeut at skulle have sagt i forhold til at bringe en småskadet spiller i spil og herunder hvordan arbejder man med den risici der er for recidiv ? er der en fælles beslutningstagen med spiller, træner, klub etc

Hvor meget er man involveret når der ikke er træningssamlinger og landskamp

Hvordan navigerer man i de situationer hvor spillerne inddrager andre sundhedsfaglige , eks synes jeg at det er irriterende med for mange kokke (mener bla der i medierne for nogle år siden var der ikke en situation hvor  flere spillere ville bruge ”egne” sundhedsfaglige)

Hvordan arbejder Morten med de der er langtidsskadede og hvor det kan være svært at give en præcis tidshorisont

Gode råd

Slutteligt kommer Morten med hans bud og gode råd  hvordan vi kan hjælpe vores nuværende og kommende kolleger som ikke har erfaring med elitemiljøet men som synes det kunne være et interessant sted at praktisere