JOSPT Insights

The YAHiR (Young Athletes' Hip Research) Collaborative takes over the JOSPT Insights podcast today with Part 1 of a 2-part explainer on hip dysplasia. Tune in to learn about what causes hip dysplasia and how common the problem is, plus how to put the clinical history, pain and imaging puzzle together to diagnose and identify the major impairments that come along with hip dysplasia. ------------------------------ 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 You can register to access full recordings of the Young Athlete's Hip Symposium, and the Oxford-Aspetar-La Trobe Young Athlete's Hip Webinar Series (11 webinars): https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2022 The next Young Athlete's Hip Symposium is on 25-27 September, 2024 at Worcester College, Oxford University

Today’s sports corner is all about managing high-level basketball athletes. Dr Maggie Bryant, Director of Rehabilitation for the LA Clippers, explains the physical demands of basketball, common injuries, and important things to consider when planning rehabilitation with basketball athletes. From the acceleration and deceleration demands, physical playing space restrictions, challenging anthropometrics of these athletes, and the variation in position demands—your rehabilitation plans for basketball athletes will require careful thought. Maggie’s hot tip: don’t forget about the foot and ankle!

Dr Chris Napier is a physiotherapist, Assistant Professor and Director of the Run Lab at Simon Fraser University in Vancouver, Canada, and 2:33-marathoner. Who better to share tips for ramping up running training? Today we discuss strategies for performing well and staying injury free while running, how to choose a new running shoe, and Chris shares his approach to designing an effective all-round running training program. ------------------------------ RESOURCES Chris' book 'Science of Running: Analyze your Technique, Prevent Injury, Revolutionize your Training' is available wherever you purchase books (https://www.penguinrandomhouse.ca/books/612657/science-of-running-by-chris-napier/9780744022087)

The American Physical Therapy Association's Academy of Sports Physical Therapy is now in its 50th year. Today, Academy President, Dr Mike Reinold, is celebrating not only the achievements of the past 50 years, but looking forward to the future. Mike has assumed the role of Sports Academy President at an exciting time of innovation in learning, professional development, and mentorship. Today we discuss how the Sports Academy is nurturing the physical therapy profession and its future leaders. ------------------------------ RESOURCES Academy of Sports Physical Therapy: https://sportspt.org/ Sports Academy Learning Centre: https://learn.sportspt.org/

Dr Seth O'Neill (University of Leicester) is back sharing his tips on diagnosing the source of calf pain in active people. What are the common diagnoses? The things you should not miss? The concerning diagnosis masquerading as calf pain? And much more.

Did you know that calf injuries are one of the most common soft tissue injuries in team sports? How comfortable do you feel assessing and managing calf pain, especially designing and progressing a program to help someone get back to their sport? Today, Dr Seth O'Neill from the University of Leicester, joins us to blend the latest science in calf injury with high-level clinical reasoning. You'll get something out of today's chat whether you're beginning in your clinical career or whether you're looking for suggestions for advanced clinical practice.

Dr Dustin Jones, from StrongerLife, talks about the important impact that preventing falls can have on an older adult's wellbeing. He explains how to assess falls risk and physical performance, and recommends his top measures and resources. Dr Jones addresses why it’s important to focus, not only on preventing falls, but on helping older people prepare for falls too, and reviews some drills he uses with his clients. ------------------------------ RESOURCES STEADI: https://www.cdc.gov/steadi/index.html Ability Lab: https://www.sralab.org/additional-resources Stronger Life: https://www.strongerlifehq.com/

A surfer walks into your clinic with neck pain…What do you do next? And why? Dr. Lynn McKinnis expertly walks through when and how to apply the Canadian C-Spine Rule when a patient presents with neck pain, types of vertebral artery injuries, and tips for diagnosing and treating acute neck trauma. ------------------------------ RESOURCES Learn more about the specific case here: https://www.jospt.org/doi/full/10.2519/jospt.2016.0416 Canadian C-Spine Rule: https://med-fom-clone-pt.sites.olt.ubc.ca/files/2014/01/C-spine-Rule-FAQs.pdf NEXUS Criteria for detecting clinically-important cervical spine injury following blunt trauma: https://www.nejm.org/doi/full/10.1056/NEJM200007133430203

Do you work with young people with ACL injury? Well, you're in the right place! Today, Drs Chris Kuenze and Adam Weaver walk through the story behind creating a brilliant, new normative dataset for function and strength outcomes. You'll learn how the project got started, and how you can use the information to help make even more informed clinical decisions. ------------------------------ RESOURCES Find the paper "Age-, Sex-, and Graft-specific Reference Values From 783 Adolescent Patients At 5-7 months After ACL Reconstruction: IKDC, PEDI-IKDC, KOOS, ACL-RSI, Single-leg Hop, and Thigh Strength" on the JOSPT website: https://www.jospt.org/doi/abs/10.2519/jospt.2023.11389 To access the normative database: https://dataverse.lib.virginia.edu/dataset.xhtml?persistentId=doi:10.18130/V3/JNPHUB

Dr Casey Humbyrd—orthopaedic surgeon and Chief of foot & ankle orthopedics at the University of Pennsylvania—shares her expertise and insights on treating ankle sprains that are not responding to non-surgical treatment. Dr Humbyrd reviews ankle anatomy and her rationale for recommending surgery, how she performs a Broström repair, and explains how she works in close partnership with physical therapists and patients to achieve quality rehabilitation and return to sport outcomes.

How do you approach managing low back pain with children and adolescents? Do you have a different approach than when working with adults? Diving into the 2022 JOSPT clinical commentary, “What Works When Treating Children and Adolescents with Low Back Pain?”, Dan and Chelsea chat with author Dr Tiê Yamato. They review the physical, psychological, pharmacological, interdisciplinary and family-centered, and communication interventions that are most effective for treating and managing low back pain in this important population. Read Dr Yamato's article here: https://www.jospt.org/doi/10.2519/jospt.2022.10768

Dr Cara Baxter takes Dan and Chelsea through the keys to designing top-quality rehabilitation programs for ski and snow athletes. Dr Baxter describes the wide variety of competitive events, the demands they place on the athlete, plus the common acute and chronic injuries that plague particular snow sport disciplines. We discuss the travel and schedule demands of the sport, the cognitive demands, the harsh and changing environment, and how you and the athlete can make an informed decision about when is the right time to return to snow.

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, you’ll hear ideas from Professor Jeremy Lewis 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. Find Part 2 of the chat with Jeremy—all about treating frozen shoulder—here: https://podcasts.apple.com/us/podcast/ep-68-frozen-shoulder-and-how-to-treat-it-with-prof/id1522929437?i=1000550291168 or https://open.spotify.com/episode/2mDypUMV2BNEypGe52wsIs. ------------------------------ RESOURCES 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’ book, The Shoulder: Theory & Practice, is available from https://www.handspringpublishing.com/product/the-shoulder-theory-and-practice/

Clinical physiotherapy specialist, Jo Gibson, is making assessing and diagnosing shoulder problems simple. What are the keys to communicating well with athletes, and the tests you need in your clinical arsenal to best support injured athletes? Part 2 of our chat with Jo (find it here: https://podcasts.apple.com/us/podcast/ep-99-solving-stubborn-shoulders-part-2-with-jo-gibson/id1522929437?i=1000578394772) was all about supporting the athlete to return to sport: key considerations and best tests. ------------------------------ RESOURCES The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/ Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

When helping someone to manage their femoroacetabular impingement syndrome, knowing how and when to refer to a surgeon can feel like an uncertain decision. In today's episode, Dr Travis Maak shares the orthopaedic surgeon's perspective on hip pain in athletes. Dr Maak is a strong advocate for multidisciplinary practice—he’s a big fan of physical therapists and surgeons working together. We cover when to refer to an orthopaedic surgeon, what to do when hip treatments aren’t going to plan, and how different surgical techniques have implications for the decisions clinicians make about rehabilitation.

"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. ------------------------------ 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/

In the final episode of JOSPT Insights for 2022, we're wrapping and putting a bow on a big year of content. Drs Chelsea Cooman and Dan Chapman join Dr Clare Ardern to share their big take-aways from a year of listening to and learning from all the wonderful experts who have contributed their wisdom on JOSPT Insights in 2022. 02:15: Prof Nicola Philips on optimal loading (https://tinyurl.com/3j4j7vpy) 04:05: Dr Ebonie Rio on loading tendons (https://tinyurl.com/rtvh6sfj) 06:35: Dr Tasha Stanton on managing osteoarthritis symptoms (https://tinyurl.com/yc8djs75) 07:45: Drs Matt Klein and Nathan Brown on running injuries (https://tinyurl.com/9t7jprjh) 09:25: Dr Kevin Wernli on moving better with pain (https://tinyurl.com/44ukf339) 11:30: Dr Amy Arundale on authentic connections with athletes (https://tinyurl.com/4tc8dewr) 13:50: Dr Matt Whalen shares injury prevention resources (https://tinyurl.com/23j2cxuj) 15:00: Dr Mike Rosenthal shares the American College of Radiology Appropriateness Criteria (https://tinyurl.com/5dwac4mt) 16:40: Dr Marie Boo on injuries in women's football (soccer) (https://tinyurl.com/bdfchmss)

Today we're diving into hip osteoarthritis, especially the link between hip joint loading in younger years and the risk of developing hip osteoarthritis later in life. What causes hip osteoarthritis in athletes? How can clinicians and athletes work together for healthy, happy hips? Dr Josh Heerey—physiotherapist and Research Fellow at La Trobe University's Sport and Exercise Medicine Research Centre—has thought deeply about the answers to these questions through his clinical and research career, and he joins us to explain more. ------------------------------ RESOURCES More on the prevalence of hip morphology in athletes: https://www.jospt.org/doi/10.2519/jospt.2021.9622 Physiotherapist-led treatment for hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31732651/ Unravelling the relationship between cam morphology and hip OA: https://pubmed.ncbi.nlm.nih.gov/30175856/

Today’s episode is another JOSPT Cases cameo! Dr Mike Rosenthal, associate editor for JOSPT Cases, explains a clinical case of a patient after total hip arthroplasty with pain symptoms that don’t quite add up. We discuss why it is important to continue red flag screening throughout care, how to frame an urgent referral, and how the imaging approach can influence health care. There are even some bonus tips for authors who are considering submitting case studies to JOSPT Cases (https://www.jospt.org/toc/jospt-cases/current). ------------------------------ RESOURCES American College of Radiology Appropriateness Criteria: https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria Radiology Across Borders' Diagnostic Imaging Pathways: https://radiologyacrossborders.org/diagnostic_imaging_pathways/ IFOMPT International Framework for Red Flags: https://www.jospt.org/doi/10.2519/jospt.2020.9971

Does the thought of dermatomes and myotomes, nerve trunks and nerve roots fill you with confidence or fill you with fear? Physiotherapist and neuroscientist, Dr Annina Schmid (Nuffield Department of Clinical Neurosciences, Oxford University), shares a checklist of what you need to know, and what you need to do, to nail your neurological assessment next time you're in the clinic. ------------------------------ RESOURCES Does your neurological examination for suspected peripheral neuropathies measure up? Do a check-up here: https://doi.org/10.2519/jospt.2022.11281 Why you cannot trust the dermatomes: https://www.youtube.com/watch?v=BZYtAR4zUpg&t=283s More from Dr Schmid's Neuromusculoskeletal Health and Science Laboratory: https://www.ndcn.ox.ac.uk/research/neuromusculoskeletal-health-and-science-lab

The masters woman athlete has high expectations on herself for performing in sport. She is often navigating the training, performance and musculoskeletal health care landscape with little support from a dedicated multidisciplinary team. Today, Professor Kirsty Elliott-Sale brings her physiology and endocrinology expertise to help you understand how best to support masters women athletes to stay healthy and perform at their best during and beyond the menopause. ------------------------------ RESOURCES Standards of practice for research on women in sport, sports medicine, sport science: https://pubmed.ncbi.nlm.nih.gov/33725341/

How comfortable do you feel when guiding women on how to stay active, healthy and injury-free beyond the menopause? In today's episode, Professor Kirsty Elliott-Sale (Institute of Sport at Manchester Metropolitan University) walks through all you need to know about the menopause and how you might tailor your exercise prescription for women who are approaching, in the middle of, or post- menopausal. We talk through the phases of menopause, typical signs and symptoms, and Kirsty's whole body approach to supporting women to stay active through their life.

Dr. Kevin Wernli unpacks his research on patients’ beliefs about relationships between low back pain, posture and movement. We’re helping you support patients as they challenge their own beliefs about pain and moving. Kevin’s approach focuses on liberating the person to test their own beliefs with information and knowledge from trusted sources. Today we’re tackling the common belief that “my back is easy to injure and hard to heal”. ------------------------------ RESOURCES Dr. Wernli’s paper and subject of today’s interview: https://pubmed.ncbi.nlm.nih.gov/35959703/ Ten facts every person should know about back pain: https://pubmed.ncbi.nlm.nih.gov/31892534/ Empowered Beyond Pain podcast (especially episodes 4, 5, 11-20 about back facts): https://open.spotify.com/show/3ogpeLlDGLRLiHofEWvCje Cognitive Functional Therapy: https://pubmed.ncbi.nlm.nih.gov/29669082/ Pain-Ed: www.Pain-ed.com Infographics and short videos: https://www.pain-ed.com/blog/2020/06/13/ten-low-back-pain-facts-videos/ PainHealth: https://painhealth.csse.uwa.edu.au/

Today we tackle some big-picture questions about what it means to exist between the sports performance and sports physical therapy arenas. Dr Mack explains how collaborating with and learning from a variety of people in a variety of professions helps her thrive in the rehabilitation and performance spheres. As the director of education content for the American Academy of Sports Physical Therapy and a business owner, Dr Mack also shares her thoughts on working in the insurance and cash-based settings, and the resources available for clinicians to help them best serve their patients with rehabilitation and performance.

Is primary cam morphology a plain and simple bump on the hip—nothing to worry about? Or is it much more of a burden? Dr Paul Dijkstra, Consultant Sport & Exercise Medicine Physician and Director of Medical Education at the Aspetar Orthopaedic & Sports Medicine Hospital in Doha, Qatar, walks through his approach to diagnosing and managing hip pain in youth athletes. ------------------------------ RESOURCES Primary cam morphology concept analysis: https://pubmed.ncbi.nlm.nih.gov/34281962/ physioFIRST pilot study: https://pubmed.ncbi.nlm.nih.gov/29607766/ Physiotherapist-led treatment for hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31732651/ Unravelling the relationship between cam morphology and hip osteoarthritis: https://pubmed.ncbi.nlm.nih.gov/30175856/ Zurich consensus recommendations for classifying hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31959678/ More on the YAHiR collaborative work: https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2022

What are the sport demands of professional kiteboarding? F1 racing? How would you best support a cliff diver who is returning from injury? Dr Amy Arundale joins Dan and Chelsea to share her experiences working with elite extreme athletes at the Red Bull Athlete Performance Center, Austria. Amy explains what a typical day looks like, how she approaches tailoring rehabilitation to the demands of training and competition, and how to authentically connect with an athlete who plays a sport you aren’t familiar with. Spoiler alert: humility and YouTube go a long way.

Today, Dan and Chelsea interview the Wake Forest Pitching Lab: Dr Garrett Bullock, who you may remember from episode 93, Dr Kristen Faith Nicholson, and pitching coach Mike McFerran, Lab Coordinator and Director of Player Development. The team covers common pitching faults they see in their lab, tips to help you pick up on these problems and their recommended cues for improving efficiency with pitchers suffering from shoulder pain.

Dan and Chelsea’s guest today is Dr Marie Boo—physical therapist for the US Women’s National Soccer Team (USWNT). Dr Boo outlines the physical demands of women’s soccer, including how the demands change by position when it comes to accelerations, decelerations, changes of direction, top speed, and overall volume. She covers the typical injuries in elite women’s soccer, and how injury patterns in soccer are changing with the ever-increasing physical performance demands. To wrap up, Marie shares her tips for supporting elite-level soccer players, and what a day in the life of the USWNT physical therapist looks like.

Dr Lynn McKinnis (Associate Editor for JOSPT Cases, the sister journal for JOSPT) takes Dan and Chelsea through a case that reminds us of a rare but important differential diagnosis. Without giving the diagnosis away, this case highlights the importance of performing the upper quarter screen, choosing the right neurological special tests, and timely referral for imaging. ------------------------------ RESOURCES Read more about the case here: https://doi.org/10.2519/josptcases.2021.10049 Seen an interesting clinical case lately and want to share it with the JOSPT Community? Why not submit the case to JOSPT Cases? We offer timely, fair and quality peer review. For more information, check out the instructions for authors: https://www.jospt.org/pb-assets/JOSPT%20Cases/JOSPT%20Cases%20Instructions%20for%20Authors%20with%20form_02112021-1613587003923.pdf Subscribe to JOSPT Cases: https://www.jospt.org/action/ecommerce

We're celebrating the 100th episode of JOSPT Insights with an extra special guest! Dr Emma Stokes, President of World Physiotherapy (formerly WCPT), is a fierce ambassador for the physiotherapy/physical therapy profession. Tune in as Emma shares her advice for the next generation of profession leaders, and her thoughts on the future for musculoskeletal rehabilitation. ------------------------------ RESOURCES World Physiotherapy briefing papers: https://world.physio/resources/publications

In part 1 of this mini shoulder masterclass with clinical physiotherapy specialist, Jo Gibson, we tackled a simple approach to assessing and diagnosing shoulder problems in athletes. Today, we launch into supporting the athlete to return to sport: key considerations? Which return to sport tests? How do you know when the athlete is ready to return? All this and more in part 2. ------------------------------ RESOURCES Bern 2022 consensus on shoulder injury prevention, rehabilitation and return to sport: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952 The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/ Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

In part 1 of this 2-part series with clinical physiotherapy specialist, Jo Gibson, we're making assessing and diagnosing shoulder problems simple. What are the keys to communicating well with athletes, and the tests you need in your clinical arsenal to best support injured athletes? ------------------------------ RESOURCES The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/ Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

Join the indomitable Dr Lynn Snyder-Mackler (University of Delaware) for a mini-masterclass on tailoring rehabilitation to the nuances of the most common ACL reconstruction graft types. Hamstrings tendon, bone-patellar tendon-bone, quadriceps tendon, allograft—what's different? What's the same? ------------------------------ RESOURCES More on graft type differences in time to meet milestones and return to sport criteria: https://www.jospt.org/doi/10.2519/jospt.2020.9111 University of Delaware rehabilitation guidelines: https://sites.udel.edu/ptclinic/professionals/guidelines/

Sports physiotherapist, PhD and strength & conditioning coach, Dr Matt Whalan, breaks down the demands of the beautiful game by position. Did you realize how much coaching philosophy can alter the physical and mental demands on players? Dr Whalan explains which injuries you can expect to see, and the best (free!) resources for preventing these injuries. You’ll also hear tips for building trust relationships with coaches and players, educating athletes, and how using empowering language when athletes are returning to sport can make all the difference. ------------------- RESOURCES ------------------- Football Australia Perform+ program: https://www.footballaustralia.com.au/performance Fit To Play: https://fittoplay.org/ FIFA 11+ program: https://www.yrsa.ca/wp-content/uploads/2019/11/pdf/Fifa11/11plus_workbook_e.pdf Do niggles matter infographic: https://adamvirgile.com/2020/01/09/do-niggles-matter-increased-injury-risk-following-physical-complaints-in-football-soccer/

Today is hamstring strain care from start to finish! Prof Heiderscheit joins Chelsea and Dan to share the headlines from the 2022 JOSPT Clinical Practice Guideline (CPG) for managing hamstring strains in athletes. This CPG includes evidence-based recommendations for accurately diagnosing, treating, and preventing hamstring strains. ------------------------------ RESOURCES Hamstring strain injury in athletes CPG: https://www.jospt.org/doi/10.2519/jospt.2022.0301 Hamstring injury: what is it? What should I do about it? When can I get back to my sport? Patient information: https://www.jospt.org/doi/10.2519/jospt.2022.0502 Infographic: criteria-based progression for hamstring injury rehabilitation: https://www.jospt.org/doi/10.2519/jospt.2022.9001 Pain-free vs. pain-threshold rehabilitation: https://www.jospt.org/doi/10.2519/jospt.2020.8895

There's plenty to think about when you're trying to diagnose and then manage shoulder instability. Sometimes simply teasing out exactly what is going on can frustrate clinicians and patients alike. Today we hear from Dr Amee Seitz, who has spent her clinical and research career trying to improve how clinicians and patients manage musculoskeletal shoulder disorders for best recovery and performance. ------------------------ RESOURCES 2022 Bern consensus on shoulder injury prevention, rehabilitation and return to sport: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952 3 findings that are key to diagnosing multidirectional instability: https://www.jospt.org/doi/10.2519/jospt.2020.0602 Derby Shoulder Instability Rehabilitation Programme: https://derbyshoulderunit.co.uk/download/derby-shoulder-instability-rehabilitation-programme/

Dr Garrett Bullock shares his perspectives on the demands of different playing positions in baseball, and the implications of different demands for the types of injuries clinicians are likely to encounter. He also shares his pick of the best metrics to use when supporting athletes to gradually return to play. ------------------- RESOURCES ------------------- More on humeral torsion: https://www.sciencedirect.com/science/article/pii/S1058274621005218 More on prediction models for humeral torsion: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975570/

How do you make the most of the information available to you about sports injuries while you focus on building a strong trust relationship with the athlete? Dr Nicol van Dyk—medical research lead with the Irish Rugby Football Union—brings his trademark innovative thinking and practical advice to JOSPT Insights. We draw on Nicol’s extensive experience in sports medicine research and practice to walk step-by-step through simple solutions to diagnosing and managing hamstring injuries. ------------------------ RESOURCES ------------------------ 2016 Bern Consensus on return to sport: https://pubmed.ncbi.nlm.nih.gov/27226389/ Early versus delayed rehabilitation after acute muscle injury: https://pubmed.ncbi.nlm.nih.gov/28953439/ Rehabilitation after acute hamstring injury: https://www.jospt.org/doi/10.2519/jospt.2020.8895 Clinical Practice Guideline Hamstring Injury in Athletes: https://www.jospt.org/doi/10.2519/jospt.2022.0301 Biology of muscle tissue healing: https://skeletalmusclejournal.biomedcentral.com/articles/10.1186/s13395-017-0142-x Steven Covey's 7 Habits of Highly Effective People: https://www.goodreads.com/book/show/36072.The_7_Habits_of_Highly_Effective_People

How confident do you feel to design and deliver a quality rehabilitation program for someone who has had a total knee replacement? Today, Professor Jennifer Stevens-Lapsley, who is one of the leading lights in clinical research in this field, shares her tips for clinical success and an update on the open research questions in the field. Professor Stevens-Lapsley gives us the inside running on the work going on to help provide answers to those important clinical questions. -------------------------- Clinical practice guidelines for physical therapy after total knee replacement: https://pubmed.ncbi.nlm.nih.gov/32542403/

Tune in for a view of baseball injuries across the lifespan and across the field positions with clinician-scientists Dr Ellen Shanley and Dr Chuck Thigpen. We cover what the clinician can expect in early season vs. late season injuries, how baseball injuries have changed, the changes in injuries across the athlete’s lifespan, and how communicating well with athletes and coaches will make lasting changes in injury rates.

We're premiering a new series focused on JOSPT Cases—a teaching tool to help develop your clinical reasoning and highlight how to apply evidence in your practice. Today, Dr Kimiko Yamada explains an orthopedic case from JOSPT Cases. She outlines how JOSPT Cases works, how you can subscribe, and how you can submit your own cases to be highlighted in future editions. To visit JOSPT Cases you can follow the link here: https://www.jospt.org/loi/jospt-cases

You've probably read clinical practice guidelines that tell you to screen for so-called yellow flags. But how do you approach screening? Today, Dr Trevor Lentz shares a practical, 3-step framework on how to screen for yellow flags, and that important next step—what to do with the information. Learn more about screening for yellow flags in orthopaedic physical therapy: https://www.jospt.org/doi/10.2519/jospt.2021.10570 Downlad the Optimal Screening for Prediction of Referral and Outcome (OSPRO) tool: https://www.jospt.org/doi/10.2519/jospt.2016.6487

Sports Corner is a brand-new series from JOSPT Insights! Dan and Chelsea talk with experts in a specific sport, and ask them to share their knowledge on how to deliver best care for athletes. Dr Tim Stone is a physical therapist who specializes in treating lacrosse players, and is an athlete himself. He details the demands of lacrosse by position and shares tips on how to handle “lax back”.

Why do we hurt, and why does pain persist for some people? Today, Dr Tasha Stanton—clinical pain neuroscientist and physiotherapist from the University of South Australia—is exploring ways to hijack the complex processes going on in our body for good. All in the name of managing pain better. ------------------- DR STANTON'S RESOURCE RECOMMENDATIONS NOI Group: https://www.noigroup.com/ Pain Chats: https://painchats.com/ HealthSkills Blog (Dr Bronnie Lennox Thompson): https://healthskills.wordpress.com/

JOSPT Pain Science in Practice is a new series that aims to decode the basic science of pain and how it applies to your clinical practice. Dr Morten Høgh—physiotherapist, educator and researcher—leads the series, and today he explains how #JOSPTPainScienceInPractice will help you help the patients you work with. We're co-developing #JOSPTPainScienceInPractice with you! Let us know what you want to read about. Follow the discussion on social media (Twitter: @JOSPT, @MH_DK, #JOSPTPainScienceInPractice). You can read the first article in the series here: https://www.jospt.org/doi/10.2519/jospt.2022.10992.

We couldn't interview 2 experts in running and running shoes without talking about the shoe that's taking the running world by storm: the Nike Vaporfly. Dr Nathan Brown and Dr Matt Klein walk you through the technology that's in the Vaporfly, and explain what makes this shoe different to most other running shoes on the market today. Visit www.doctorsofrunning.com to connect with Nathan and Matt.

Stack height, drop, rocker soles, cushioning and more. Join Dr Nathan Brown and Dr Matt Klein—runners and physical therapists—for the low-down on the latest in running shoe construction and technology: what really works and how to help runners choose the best shoe for them. More on the effects of motion-control shoes: https://www.jospt.org/doi/10.2519/jospt.2021.9710. More on monitoring training load in runners: https://www.jospt.org/doi/10.2519/jospt.2020.9533. Visit www.doctorsofrunning.com to connect with Nathan and Matt.

The ground feels like it's forever shifting for clinicians who work with runners—whether you work with high performance athletes, or the person who likes to run for physical and mental health a few times a week—in this intersection between technology, marketing, biomechanics and health. It can be hard to know where the research is at, and how to tease out what is marketing hype from the truth. Today, Dr Nathan Brown and Dr Matt Klein, who specialise in running injuries and performance, cut through the confusing information, to help you help the runners you work with. Managing stress fractures in runners: https://www.jospt.org/doi/10.2519/jospt.2021.9982 Gait re-training for preventing injury and improving performance: https://www.jospt.org/doi/abs/10.2519/jospt.2022.10585 Visit www.doctorsofrunning.com to connect with Nathan and Matt.

When working with a patient who has femoroacetabular impingement syndrome (FAI), knowing how and when to work with an orthopaedic surgeon can feel daunting. Dr. Travis Maak puts your mind at ease today as he chats with Dan and Chelsea to share the surgeon's perspective. Dr Maak is a strong proponent of multidisciplinary practice—he’s a big fan of physical therapists and surgeons working together. In today’s episode, he covers when to refer a patient to a surgeon, what happens when hip treatments aren’t going to plan, different surgical techniques and how they can influence rehabilitation.

It is sometimes difficult to know what the best approach is for preventing and treating shoulder injuries in athletes. Enter, the 2022 Bern Consensus Statement on Shoulder Injury Prevention, Rehabilitation, and Return to Sport—a paper that delivers a flexible, principle-based approach that you can implement with any athlete in any sport. Today, the two clinician researchers who led the consensus—Ariane Schwank and Paul Blazey—bring you the key messages. Download the consensus statement for free: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952