The NAF Physio Podcast

In keeping with the recent International Day of Women in Science this month Adam and Greg highlight some of their favourite female clinicians and researchers and some of their work. Those mentioned and all their publications can be found below… Dr Anne Benjaminse https://www.researchgate.net/profile/Anne_Benjaminse Riika Holopainen https://www.researchgate.net/profile/Riikka_Holopainen3 Dr Rana Hinman https://www.researchgate.net/profile/Rana-Hinman Dr Rachel Chester https://www.researchgate.net/profile/Rachel-Chester Dr Charlotte Ganderton https://www.researchgate.net/profile/Charlotte-Ganderton Dr Mary O'Keefe https://www.researchgate.net/profile/Mary-Okeeffe-2 And if you wish to become a NAF Physio Podcast Patreon please click this link here https://www.patreon.com/NAFphysiopodcast

In this extrasode, Adam talks about a subject he loves to hate… that is massage, manipulations and all things manual therapy. Watch out! This one may offend and upset you... To become a show patreon click here https://www.patreon.com/NAFphysiopodcast

In this episode Adam and Greg are joined by Andrew McCauley a physio and strength and conditioning coach to talk all things S&C, getting swole, and how you can't go wrong getting strong. Watch out as this show is extra spicy in places and guaranteed to add 40lbs to your deadlift after listening. To become a show patreon click here https://www.patreon.com/NAFphysiopodcast

For 2021 I am doing something new with the NAF with some very short extra episodes or 'extrasodes' released each month, where I give some thoughts and opinions on various things. Don't panic Greg and myself will still be doing our usual monthly episodes as normal, these are just a little something extra for you. To start I take a look at how we can all move forward with social media debates and discussions. -Adam To become a show patreon click here https://www.patreon.com/NAFphysiopodcast

The gang is all here (except Greg) for another festive dump of holiday cheer! Happy Holidays everyone!!!

In this month's episode, Adam and Greg are joined by special guest Dr Brad Neal to discuss all things around PFP, anterior knee pain, and the role of biomechanics. Does knee valgus, hip adduction and running style matter in knee pain? Come join us to find out. To become a show Patreon please click here https://www.patreon.com/NAFphysiopodcast To see Adam's upcoming courses please click here https://www.thesports.physio/courses/ To see Greg's upcoming courses please click here http://www.greglehman.ca/courses-2021

In this episode Adam and Greg discuss all things in and around natural history and regression to the mean in musculoskeletal conditions. What do these terms actually mean? What, who and when do they apply? And how to do we know if it is happening? Dive on in to find out all the answers as well as hear Greg's strange Norwegian conference experience. To become a show patreon click here https://www.patreon.com/NAFphysiopodcast To check out Greg's course click here http://www.greglehman.ca/course-schedule-2020 To check out Adams course click here https://www.thesports.physio/courses/

In this months episode Greg and Adam discuss all things electromyography within physiotherapy research and clinical practice. What are its pros/cons and its uses and pitfalls. To become a NAF patreon click here https://www.patreon.com/NAFphysiopodcast To check out Greg's course click here http://www.greglehman.ca/course-schedule-2020 To check out Adams course click here https://www.thesports.physio/courses/

In this episode Adam and Greg are joined by Dr Max Paquette from the University of Memphis to discuss his recent paper challenging and questioning the utility and validity of measuring and monitoring weekly running mileage as a way to judge performance or reduce injury. This one is a runners geek fest! Max's paper can be found here: https://www.jospt.org/doi/abs/10.2519/jospt.2020.9533 To become a NAF podcast patreon click here: https://www.patreon.com/NAFphysiopodcast

So for this month's episode Adam and Greg discuss sham and placebo exercises in rehab. Now this topic is clearly raising lots of questions and doubts about our specific exercises and how and why those exercises help people with aches and pains. But does this mean that our specific exercises are useless and not necessary when sham and placebos work just as well, and does this also mean we can do whatever the hell we like with our exercise prescriptions? Warning: Watch out for a rather strong and long Adam rant at the beginning! If you would like access to the show reference list and video please go to our Patreon page here: https://www.patreon.com/join/NAFphysiopodcast

In this episode Greg and Adam discuss lying, deceit, and dishonesty but not in the way you may first think. They discuss how our body can often lie to us, telling us it's stiff, weak, out of place, or damaged when it's not. They try to work out why and when it does this and how we can tell when we are being lied to or not by our own body. If you want any of the references mentioned or access to the video of this episode then become a NAF patron for just $10 a month by clicking here: https://www.patreon.com/join/NAFphysiopodcast

In this month's episode Adam and Greg talk about a topic that keeps coming up again and again, and that's stretching. They discuss what is stretching, is it any good for improving flexibility and mobility, or reducing injury, or improving performance or anything else? Or is it just a waste of time and energy! Watch out as this one will stretch your views and beliefs and may cause some beliefs and opinions to be released. Also, if you want to now watch this show as well as get a full reference list of all the studies discussed you can now become a Patreon member here… https://www.patreon.com/join/NAFphysiopodcast

In this episode Adam is joined by Dr Andrew 'Drew' Ball from the US who is a Specialist Orthopaedic Physical Therapist, a PhD in Healthcare Management, as well as the Vice President of the NxtGen Institute, to discuss what ortho, MSK, sports, and general outpatient therapists need to know about COVID19 and what they should and should not be doing and advising others. For more on the PACER program mentioned please follow this link https://www.youtube.com/watch?v=W7bAfww8lWo&feature=youtu.be&fbclid=IwAR3cYucZ59Wv5c4x5J0Bav39gREPy94jB-bTN5f-rEWg1FdB0FVtb155oNM To get a copy of Dr Ball's presentation on what outpatient physios need to know about COVID19 rehab please follow this dropbox link here https://www.dropbox.com/s/gcljto9ft5safxv/For%20NAF.pdf?dl=0 For more on the UK CSP's MSK COVID advice please follow this link https://www.csp.org.uk/news/coronavirus To register with the UK's MSKReform group as an MSK physio who would like to offer your help and skills to the rehab of COVID patients please follow this link https://mskreform.org.uk/RehabRecruits/ Click on the link here to find out more and sign up… https://www.patreon.com/NAFphysiopodcast

***WARNING: Explicit content*** This episode on cervical manipulation was recorded a few weeks before the current coronavirus pandemic really took hold of the world, and so it seems irrelevant now, but Adam and Greg do mention some tips and ideas on how to still work as a therapist at a responsible and ethical clinician using online resources. However, if you want a few minutes escape from all the virus talk, there is 20 minutes of discussion on the risks and benefits of cervical manipulations. Stay safe, stay physically distance, and look after each other! Click on the link here to find out more and sign up… https://www.patreon.com/NAFphysiopodcast

***WARNING: Explicit content*** This episode on cervical manipulation was recorded a few weeks before the current coronavirus pandemic really took hold of the world, and so it seems irrelevant now, but Adam and Greg do mention some tips and ideas on how to still work as a therapist at a responsible and ethical clinician using online resources. However, if you want a few minutes escape from all the virus talk, there is 20 minutes of discussion on the risks and benefits of cervical manipulations. Stay safe, stay physically distance, and look after each other! Click on the link here to find out more and sign up… https://www.patreon.com/NAFphysiopodcast

***WARNING: Explicit content*** In this episode Adam and Greg talk all things dosage. What is the minimal effective dose to get stronger, more flexible, have less pain, or create a change? Also, if you now want to become a NAF Patreon member to get a host of extra fancy features such as… Early access to the video cast of the show one week before the podcast is aired Full access to all the research papers mentioned in the show Submit questions to Adam and Greg to be answered on the show Click on the link here to find out more and sign up… https://www.patreon.com/NAFphysiopodcast Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Greg and Adam discuss an always controversial topic: Bending when lifting. Should we keep our backs straight when picking things up? Is is ok to allow the spine to flex when bending forward? In this episode they discuss a recent systematic review published in JOSPT (https://www.jospt.org/doi/abs/10.2519/jospt.2020.9218) that questions some commonly held, deeply entrenched beliefs about lifting with a bent spine. As usual be prepared for some strong views, opinions and of course some language. Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam gets stood up by Greg but manages to find a last-minute guest to fill his shoes. In this podcast Adam talks with Amy Eicher who has a long and horrendous story about pain that affected her for just over 20 years. In the podcast Amy talks about her experiences as a patient and what effect these had on her as a person. She now uses her experiences not only in her job as a physio assistant but also as a patient advocate and speaker to all healthcare professionals. You can find more about Amy and her story on Facebook at Restoring Venus here https://www.facebook.com/RestoringVenus/ Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Greg dive deep into a topic that is surrounded by many myths, misconceptions, and uncertainty; that is the world or stretching. What does it do? What doesn't it do? Is it good, bad, or is it just a waste of time? Find out in the next 44 minutes. To read more on the papers and researchers Greg and Adam discuss follow these links here Blazevich https://www.ncbi.nlm.nih.gov/pubmed/30412028 Kubo https://www.ncbi.nlm.nih.gov/pubmed/30342379 Moltubakk https://www.ncbi.nlm.nih.gov/pubmed/29723911 Magnusson https://www.ncbi.nlm.nih.gov/pubmed/20075147 Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode, Adam interrupts Greg's holiday to talk about pain education after some recent research has shown it may not be as good at helping reduce pain intensity or disability as some claim or think. Greg and Adam also share some of their thoughts on how pain should and should not be explained. Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this slightly delayed episode due to some unforeseen circumstances Adam and Greg discuss the concept of motor control exercises which are popular in low back pain management and rehab in the belief that they correct faulty issues with specific stabilising muscles. But do they? Do motor control exercises, control motor function, or are they just a giant over complicated waste of time and no better than general exercise? Come join us as we try to find out. For access to many of the papers referenced in this episode please go to Greg's Google drive file here https://drive.google.com/open?id=1cx3hPbw8lvU-mCsAwHX-hqQCLCd7Cs6w Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

***WARNING: Explicit content*** In this episode Adam and Greg talk about the Acute to Chronic Workload Ratio (ACWR) and its role on injury risk. Does it tell us anything we don't already know and is it even accurate or reliable? Should you only increase your workload by 10% per week? Should you follow the 80/20 rule? Listen on to find out more…and how Greg almost offended all of Oklahoma. Link to Tim Gabbett's ACWR paper here: https://bjsm.bmj.com/content/bjsports/50/5/273.full.pdf And the link to Adam and Erik's Simple Solutions course in Nottingham on 22/23rd June can be found here: https://www.eventbrite.co.uk/e/complex-understanding-for-simple-solutions-nottingham-tickets-53746919483 Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

***WARNING: Explicit content*** In this episode Greg and Adam discuss the Good Living with Arthritis Denmark commonly referred to as the GLAD program. They talk about the benefits but also the issues they see with the GLA:D program and why it may have some limitation in trying to achieve what it wants to achieve in the general population. Greg also discusses his own FREE version of GLAD which he calls OA Optimism but may be re-naming it to LSD soon. Listen on to find out why. More details on GLA:D can be found here https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-017-1439-y And the link to Adam and Erik's Simple Solutions course in Nottingham on 22/23rd June can be found here: https://www.eventbrite.co.uk/e/complex-understanding-for-simple-solutions-nottingham-tickets-53746919483 Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Greg discuss the commonly used neural dynamic tests and treatments. They discuss their plausibility and effectiveness. Do they do what they are said to do, and do they actually work? Watch out as some sacred cows maybe sacrificed here! Links to some of the papers discussed in this episode can be found here: Schimd et al (2017) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5324720/ Wainner et al (2003) https://www.ncbi.nlm.nih.gov/pubmed/12544957 Nee et al (2012) https://www.ncbi.nlm.nih.gov/pubmed/22402638 Coppieters & Butler (2008) https://www.sciencedirect.com/science/article/abs/pii/S1356689X07000343 And the link to Adam and Erik's Simple Solutions course in Nottingham on 22/23rd June can be found here: https://www.eventbrite.co.uk/e/complex-understanding-for-simple-solutions-nottingham-tickets-53746919483 Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Greg discuss some of the issues and concerns they have in practicing ethically as evidence-based physios and earning an income. Adam also discusses the recent 'outrage' that occurred after his idea for a Wiki-Leaks database for those who use unethical practices. And then they get onto talking about a recent systematic review that finds resistance exercise has a LARGE effect on pain in older adults. You can find this free access paper here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377696/pdf/hpp-9-1.pdf And Gregs piece that he mentions here: https://www.physiofirst.org.uk/in-touch/spring-2017-exercise.html

In this episode Greg and Adam discuss the issues around the when and why to push into pain or not. They also discuss the role of exercise to help with pain and is it any better than anything else or even placebo or shams? We also need you to help us with the next episode by sending us your suggestions of when you would ask someone with an Achilles tendinopathy to load it specifically or non-specifically. And finally Greg needs some suggestions for names for his new clinic. Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

So Erik's gone and left the NAF, and Adam has gone and found a new co-host! Find out who this is, and what they have to say about psoas release, pain avoiders, and endurance copers! Come join us for a new year and new sounding NAF Physio Podcast! Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

That's right everyone! It's that time of year again! All the PT Podcast Network voices (except for Adam) have gathered together to bring you some podcast holiday cheer! This very special episode is brought to you by My PT Insurance. Head on over to their website at myptins.com/ptinquest to be entered into a drawing for a $250 Amazon gift card (contest ends February 28, 2019). While you are there listeners can get a $20 discount off their already low price for a professional liability policy - starting as low as $149! Click the link for more info! Music by Kevin MacLeod - incompetech.com

In this episode Erik and Adam discuss their recent attendance to The Big Rs in Manchester and some of the points raised around exercise as a treatment. They discuss how in the UK physios often have to abandon exercise and rehab to progress their careers into more medical areas such as scanning, injecting to prescribing. Also find out what an Alligator Pear is and how Dihydrogen Monoxide is one of the most dangerous substances known to man! Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Erik talk about their upcoming course in Washington DC on September 22-23, 2018 and what you can expect. They also discuss why simplicity is often avoided in healthcare and physiotherapy and what are the barriers that need to be overcome. For more info on Adam and Erik's course in Washington, DC: https://thesciencept.com/courses/shoulder-and-knee/washington-dc/ Make sure you sign up before the 25th of August to save $100 with the early bird rate!!! Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

After Erik stops talking about airline production lines we finally get to talking about some guidelines for ankle sprains just released in the BJSM this month which is fitting as Adam sprained his ankle just this week. After that Adam and Erik discuss their love hate relationship with exercise and the UK physios current 'love activity, hate exercise?' campaign. For more info on Adam and Erik's course in Washington, DC: https://thesciencept.com/courses/shoulder-and-knee/washington-dc/ Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Erik discuss the use of language and words we often use as physios. Are words harmful to our patients, do we have to avoid them, can we avoid them, and what the hell is unspeak all about? Also do you know what the national sport of Maryland is? For more info on Adam and Erik's course in Washington, DC: https://thesciencept.com/courses/shoulder-and-knee/washington-dc/ Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Erik discuss some issues that can often occur between orthopaedic surgeons and physios due to lack of communication, trust, or common sense! And who is to blame when a patient suffers post operative complications, is it the surgeon, the physio, or the patient?! Also find out at the end what 'interesting' facts Adam has found out this month! For more info on Adam and Erik's course in London: http://thesciencept.com/courses/shoulder-and-knee/london/ Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam is trying his hardest to stay awake after some serious jet lag from his trip down under, but eventually he gets around to talking about his own research due out very soon, and Erik gets to talking about the role and the importance or not of reducing pain in our patients within session, and of course he has to bring it back to dynamometry. For more info on Adam and Erik's course in London: http://thesciencept.com/courses/shoulder-and-knee/london/ Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Erik and Adam discuss tendons and the issues they have. Is the continuum model any good? Is any tendinopathy model any good? Is loading the answer? How does loading work? What's the best type of loading? Finally Adam asks the most important question... do kangaroos get tendinopathy? For more info on Adam and Erik's course in London: http://thesciencept.com/courses/shoulder-and-knee/london/ For Peter Malliaras' website: https://www.tendinopathyrehab.com/ Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In the first NAF of 2018 Adam and Erik are joined by special guest Nick Tumminello to discuss the application of science in training and physiotherapy. We discuss if there is an art to science or if this is just an excuse for some people to do whatever they want. We also hear Nick's views on how to debate and discuss things, and Adam learns what a 'steel man' is… and it's not his own reflection or a new Marvel superhero! Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this podcast Adam and Erik discuss what the future may hold for our profession and if physios can be trusted with truly autonomous first contact practice. Could physios really become the gate keepers for all musculoskeletal conditions or will they continue to be distracted by the constant stupid ideas around how we should assess and treat, and be cast aside onto the fringes of healthcare with the other quacks... and is Adam really Batman? Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Erik gets confused but we eventually discuss the placebo effect and how it effects everything we do with patients. But the question is do we need to be focusing on it so much and using our time and resources to investigate it? We then discuss the contentious issue of experience. Do you as a clinician need to have had personal experience of the things you ask your patients to do to be effective and credible? As always hold tight… this could get a little bumpy! Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this show Adam and Erik get their science geek on discussing Doppler effects. Then get to talking about what is and isn't important for a new graduate to focus on and how to induct them into the world of physiotherapy. Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

In this episode Adam and Erik discuss why some find it hard to separate their feelings and emotions from things such as manual therapy and exercise, and also about injury prevention programs and what role internal moments have. Erik also tries his hardest to put Adam off by wearing some interesting swim wear!!! Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

We're alive!!! The NAF is back and we are rocking a new, revamped, sexy format. Be prepared for some surprise announcements, a new co-host, and as usual some controversy and bad language. In this episode we talk about the different types of isometric muscle contractions and their differences and roles in rehab from Schaefer and Bittmann, BMC Sports Science, Medicine and Rehabilitation (2017) 9:11 DOI 10.1186/s13102-017-0075-z Come join us… it's good to be back! Music by Kevin MacLeod - incompetech.com: Intro - Also sprach Zarathustra Close - Vivacity

The PT Podcast Network crew are here to spread some holiday cheer with the annual PT Podcast Network Extravaganza! They talk Jedis, rectums, Festivus, and horrible jet lag - all the holiday standards. Some say it's unlistenable...but you get to judge for yourself! Music for The PT Podcast Holiday Extravaganza: Kevin MacLeod - incompetech.com

In this episode Adam talks with the hosts of the Physio Natters podcast Jack March and Rob Tyre about their recent podcast on adjuncts in physiotherapy. Adam gets on his high horse and holds Jack and Rob to account for some of their thoughts and opinions on adjuncts and has a good old rant about them. Watch out for some strong opinions, accents and of course language. Also if you are emotionally or financially attached to your acupuncture needles, coloured tape, massage cream or quartz crystals you may wish to move along quietly; you will find only anger here.

In this our first anniversary episode of the NAF we talk with Chris and Filip around the notorious, infamous and debatable subject of Scapula Dyskinesia. Is it cause or effect, is it defense or defect, do we need to consider it or disregard it? We get to hear Chris and Filip's thoughts about if we can and should assess scapulae for dyskinesia and if specific or general shoulder exercises matter. We also learn that Filip is a master with metaphors.

In this month's podcast Adam talks with Dr Tim Gabbett about injury prevention in sports. He discusses Dr Gabbett’s recent paper in the British Journal of Sports Medicine on the Acute to Chronic ratio for load as a guide to reduce the risk of preventable injury. Adam and Tim discuss the role and importance of monitoring load and how best this can be achieved in both professional, amateur, and individual sports. Dr Gabbett’s recent paper can be found as free access here:The training—injury prevention paradox: should athletes be training smarter and harder?Gabbett TJ.Br J Sports Med. 2016 Jan 12. pii: bjsports-2015-095788. doi: 10.1136/bjsports-2015-095788. [Epub ahead of print]

Happy New Year. We start 2016 on the NAF with a bang, talking with the well-known physio/chiro/researcher/sceptic Greg Lehman. In this episode we finally find out which side of the physio/chiropractic fence Greg sits on, and who he thinks would win a fight between a physio and a chiro. We also find out that he can’t hold his beer and that he has some unusual bedroom companions… Canadians eh!!! We do talk about some sensible stuff eventually such as the role of posture and pain, stretching effects on tendon and muscle tissue, and how education and biomechanics fit in with pain science. Enjoy!

It's that time of year again and the PT Podcast Network crew are in the holiday spirit! The gang got together, as best they can scattered across the world, to share a little eggnog and make fun of each other. So pour yourself a drink, sit by the fire (or pool in the Southern Hemisphere), and enjoy a little holiday cheer.

In this episode Adam talks with Steve Tolan, Head of Practice of the UK professional body for physiotherapists the CSP. He asks Steve what the CSP does for its members, as well as discussing the issues physios are facing in the ever cash-strapped NHS. We also talk about the role of evidence based practice and the need for physios to demonstrate and prove their worth and value.

In this month’s episode Adam talks with shoulder specialist Anju Jaggi about shoulder instability, in particular the complex multi-directional non traumatic unstable shoulder. Anju shares her years of clinical experience in how to assess and manage unstable shoulders with some invaluable tips and clinical gems. We also talk about the role of the structure and other psychosocial factors in the unstable shoulder and finally discuss the exciting placebo trial currently underway looking at the role of stabilisation surgery in non-traumatic unstable shoulder. Also keep listening right until the end of the podcast to find a little surprise offer you may be interested in...

After a month away Adam comes back with a bang! In this episode he talks with the well-known and respected Dr Mick Thacker about pain, the brain, and the person. Mick has recently been involved in some rather heated debates on these subjects and has been misinterpreted and misquoted in his discussions. In this episode Mick voices his concerns and warns us against becoming too brain bound when explaining and managing those in pain. In this episode Adam also questions Mick about his thoughts and feelings on social media, peer review, and the thorny subject of the academic-clinical divide and the issues it creates.