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.
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A thirty-year-old woman, who plays social basketball once each week and goes to the climbing gym at least twice each week, has been diagnosed with a traumatic medial meniscus tear. The woman was told that surgery is the only way to 'fix' her knee so she can get back to basketball and climbing. But is that really what the research evidence says? Pro…
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Dr Kala Flagg of the Washington Mystics answers the classic Sports Corner questions for high-level women's basketball. She covers the demands of the sport, the most common injuries, and key things to plan for during injury rehabilitation. Considering playing style, shoe fit, and physical fitness are all in a day's work when supporting high-level wo…
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Ep 190: Progressing the visual-cognitive control chaos continuum, with Dr Meredith Chaput (part 2)
16:57
Today's episode builds on last week's discussion of how changes in the way that the nervous system works after injury can compensate for impairments like joint instability, pain and muscle inhibition. Dr Meredith Chaput (University of Central Florida) extends the 5 phases of the visual-cognitive control chaos continuum, to link the ways to assess f…
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Sports injury rehabilitation has moved well beyond simply focusing on physical function and recovery. There's various emphases on psychological responses to injury, mental readiness to return to sport, and now, the visual-cognitive components of recovery and return to sport. Today, Dr Meredith Chaput (University of Central Florida) introduces the v…
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You don't have to go foar to find a media story warning people off the high impacts of running, especially on concrete, and claiming that running is no good for your knees. Maybe you've had someone in the clinic who worries that running will wear their joints out? My guest today has dedicated his career to helping runners stay healthy and running f…
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The relationship between musculoskeletal pain and mental distress is complex. Sometimes it can feel challenging to know where to start when supporting people to get their life back when they're struggling with chronic or persistent pain. Today, Dr Pavlos Bobos (Western University, Canada) shares his own story of recovery from serious musculoskeleta…
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Were you someone who started delivering telerehabilitation for the first time during the pandemic? Or perhaps you're an early adopter? Have you ever wondered how effective delivering rehabilitation via a screen is versus seeing the patient in the clinic? Dr Belinda Lawford (The University of Melbourne) shares the latest research illustrating the be…
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What are the pros and cons of using AI chatbots in musculoskeletal rehabilitation? What are chatbot applications in education, clinical practice, and research? How does the chatbot advice compare to the recommendations of trusted clinical practice guidelines? Dr Giacomo Rossettini shares the results of 2 new papers from his research team to answer …
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Surveys of elite adult athletes reveal high use of analgesics, particularly non-steroidal anti-inflammatory drugs (NSAIDs). While medications like paracetamol have a generally low risk profile, certainly compared with NSAIDs or opioids, using pain medications to mask an injury or prevent pain might increase the risk of injury or make an existing in…
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Ep 183: AI as a clinical assistant, with Rebecca Fechner, Dr Joshua Pate and Dr Mick Thacker
26:45
There's plenty of work going into how AI can make health care better - including in recording consultation notes, or making early cancer diagnoses, or opening up low cost ways of doing musculoskeletal imaging. The technology and applications of AI in healthcare changes just about every week. Today, we're exploring generative AI as a help, not a hin…
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Ep 182: Working at the top of your licence - a day in the life of a trauma physical therapist, with Dr Patricia Weber
17:32
Welcome to a chat with a physical therapist who is using their orthopaedic and sports skills outside the typical practice environment. Dr Patricia Weber shares her experience as a senior physical therapist in the shock trauma setting–a world that blends orthopedic, neurologic and multi-trauma in a challenging emotional and psychological environment…
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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 ethi…
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Ep 180: Tackling apprehension after Bankart repair (part 2), with Marianne van Gastel & Karin Hekman
14:02
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 an…
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Ep 179: Tackling apprehension after Bankart repair (part 1), with Marianne van Gastel & Karin Hekman
20:09
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 shoul…
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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 t…
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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 res…
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Ep 176: Musculoskeletal rehabilitation in a digital age, with Dr Alessio Bricca and Nikolaj Nøhr
26:48
There's an app for just about everything these days, including in musculoskeletal rehabilitation and exercises therapy. Have you been scrolling the app store wondering if there's anything worthwhile to recommend to patients? Today, we're uncovering what makes a quality app for monitoring and promoting physical activity in chronic conditions, includ…
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If you're looking for a guide to testing function and readiness to return to sport after injury, you're in the right place! Dr Eric Hamrin Senorski (PT, PhD; University of Gothenburg, Sweden) shares how he blends his research training with his clinical skills to help athletes and active people with ACL injury. ------------------------------ RESOURC…
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Dr Carrie Cooper does the lead climbing and helps you belay (see what we did there?) into the world of climbing. From bouldering to sport climbing—there's no need to go free solo (ok, ok...we'll stop now) if you don't know much about climbing. JOSPT Insights has you covered. Dr Cooper discusses how climbing is like gymnastics, baseball, and rugby, …
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Health care practice is slowly transitioning from a paternalistic way of delivering care (doing to the patient) to a shared decision-making model (doing with the patient). Health systems, clinical professions and individual clinicians are at different points along the transition. As a process, shared decision-making provides a scaffold for the pati…
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Ep 172: SPORTS CORNER: Primary and secondary injury prevention in men's Australian football (AFLM), with Nick Kane
24:20
Nick Kane, the head physio at Essendon Football Club in Australia, brings our attention back to Australian Rules Football. Like in all Sports Corner episodes, he reviews the demands of the sport, the common injuries, and key things to keep in mind when designing and progressing rehabilitation programs with Australian football athletes. In today’s e…
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Ep 171: Mind-body connections in people with hip pain - how clinicians can help, with Dr Kate Jochimsen
15:31
How do you approach evaluating psychological health factors when working with people in pain? Do you have an established process for screening? How about an approach to managing the psychological aspects of injury and health? Athletes say they would like psychological support, while many musculoskeletal rehabilitation clinicians feel ill-equipped t…
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In today's part 2 of an NMES masterclass from Dr Elanna Arhos and Dr Naoaki Ito, we're getting into the nitty gritty of how to support patients to get the most out of a very beneficial intervention. Drs Arhos and Ito, and their team have tested a mix of common stimulators available on the market today, and are here to share the results with us. Let…
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Neuromuscular electrical stimulation (NMES) hasn't quite had the coverage it deserves, especially when one considers the strength of evidence supporting NMES as a musculoskeletal rehabilitation intervention Today, Drs Elanna Arhos (Ohio State University) and Naoaki Ito (University of Wisconsin - Madison) are re-visiting how NMES is applied in sport…
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Dr Robert-Jan de Vos, sports physician and associate professor at Erasmus Medical Centre in Rotterdam, The Netherlands, dives deep into all things Achilles tendinopathy. In part 2 of this series, Dr de Vos covers the multitude of options for treatment, outside of exercise therapy. Should you and the patient consider corticosteroid injections, PRP i…
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Dr Robert-Jan de Vos, sports physician and associate professor at Erasmus Medical Centre in Rotterdam, The Netherlands, dives deep into all things Achilles tendinopathy. As lead author of the Dutch Multidisciplinary Guideline on Achilles Tendinopathy (https://pubmed.ncbi.nlm.nih.gov/34187784/), he shares the key messages from this in-depth review. …
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Sports Corner is back for 2024! Today, we revisit ice hockey, and focus on acute injuries—preventing and managing them. Dr Joe Robinson is the head physical therapist for the National Hockey League’s Boston Bruins. He skates into Sports Corner to explain the physical demands of hockey, the typical acute injuries he sees and how to prevent them, and…
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Does the thought of managing elbow pain leave you reaching for your orthopaedics textbook? Maybe you've got lateral elbow tendinopathy sorted, but how confident do you feel about managing elbow fractures and dislocations? Today, Val Jones, Clinical Lead Physiotherapist at the Sheffield Shoulder and Elbow Unit at the Sheffield Teaching Hospital Foun…
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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 in…
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Ep 163: REVISITED: Best bet for managing back pain? The RESTORE trial, with Drs Peter Kent & Peter O'Sullivan
29:03
Two (gentle) giants of physiotherapy/physical therapy research and practice join JOSPT Insights today. Associate Professor Peter Kent and Professor Peter O'Sullivan (Curtin University, Perth, Australia) share, on behalf of the whole trial team, the results of their RESTORE trial. Does cognitive functional therapy herald a revolution in how clinicia…
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Someone walks into your clinic with a sore shoulder. Are you dealing with a stiff shoulder? A rotator cuff problem? The acromioclavicular joint? Or something else entirely? Today, Dr Angela Cadogan (PT, PhD) - Specialist Physiotherapist and clinical consultant - is helping you hone your clinical reasoning in differential diagnosis of subacromial pa…
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Ep 161: Understanding and communicating about pain (part 2), with Drs Sam Bunzli and JP Caneiro
15:53
Welcome to part 2 of our masterclass with Dr Sam Bunzli (Griffith University, Brisbane, Australia) and Dr JP Caneiro (BodyLogic Physiotherapy, Perth, Australia) on understanding, talking about and shifting the narratives we all carry about musculoskeletal pain. We are exploring the explicit and implicit messages that you communicate with your words…
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Ep 160: Talking about musculoskeletal pain (part 1), with Dr Samantha Bunzli and Dr JP Caneiro
17:43
We're wrapping up the 2023 JOSPT Insights year with a 2-part chat with physiotherapists, researchers and educators, Dr Sam Bunzli (Griffith University, Brisbane, Australia) and Dr JP Caneiro (BodyLogic Physiotherapy, Perth, Australia). In part 1, we discuss the way that patients understand pain. Dr Bunzli kicks off by summarising the best research …
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Ep 159: Rehabilitation after cervical discectomy (part 2), with Drs Lantz, Evaristo, and Derian
18:22
In part 2 of this series, we continue chatting about designing and implementing a rehabilitation program after cervical discectomy with Drs Justin Lantz, Jessica Evaristo and Joseph Derian. Today we work through phases 3 and 4 in the rehabilitation program: re-modeling and maturation occurring around 12-weeks after surgery. We cover nerve glides an…
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Ep 158: Planning a rehabilitation program after cervical discectomy, with Drs Justin Lantz, Jessica Evaristo, and Joseph Derian
21:42
Join a group of experienced orthopaedic clinicians as they review the background of anterior cervical discectomy and fusion surgery in a 2-part podcast series. In part 1, we cover who does well with surgery, the indications and surgical procedure, plus a deep dive into evidence-based pre- and post-operative rehabilitation. There's not much hard res…
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Dr Jeremy Graber joins us to help answer the question: how often should patients with total knee arthroplasty come to rehabilitation? To answer this and more, we dive into the 2023 JOSPT article, “Expert Consensus for the Use of Outpatient Rehabilitation Visits After Total Knee Arthroplasty: A Delphi Study.” ------------------------------ RESOURCES…
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What you can do to help prevent neck pain? What are the best exercise approaches? PhD candidate, Florian Teichert, and Professor Daniel Belavy, from The University of Applied Sciences in Bochum, Germany, discuss which exercises and why they might work. We use their recent systematic review published in JOSPT as a launching point for the discussion.…
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Ep 155: Staying active during cancer treatment, with Dr Kristin Campbell and Kendra Zadravec
25:08
How do you help someone manage cancer-related fatigue or get back to exercise after their treatment? Is it safe for someone with bone metastases to exercise? PhD candidate and recent Master of Physical Therapy graduate, Kendra Zadravec, and Professor Kristin Campbell (Department of Physical Therapy at the University of British Columbia, Canada) sha…
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Does the thought of managing elbow pain leave you reaching for your orthopaedics textbook? Maybe you've got lateral elbow tendinopathy sorted, but how confident do you feel about managing elbow fractures and dislocations? Today, Val Jones, Clinical Lead Physiotherapist at the Sheffield Shoulder and Elbow Unit at the Sheffield Teaching Hospital Foun…
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Ep 153: REVISITED: The surgeon's perspective on treating lateral ankle sprain, with Dr Casey Humbyrd
22:15
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 …
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Ep 152: REVISITED: Raising the bar in ACL rehabilitation, with Drs Chris Kuenze & Adam Weaver
27:46
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 comprehensive normative dataset for knee 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 clinic…
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Ep 151: REVISITED: The cervical spine questions you don't want to miss, with Dr Lynn McKinnis
19:13
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 a…
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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 …
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Tendinopathy is a common and often challenging musculoskeletal condition. A cornerstone of diagnosing and managing tendinopathy is assessing the problem well. In today's episode, Dr Myles Murphy (Edith Cowan University, Australia) shares a new patient-reported outcome measure for evaluating Achilles tendinopathy-related disability, the TENDINS-A (T…
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Foot and ankle surgeon, Dr Casey Humbyrd, returns to JOSPT Insights to share the surgeon’s perspective on Achilles tendon repair. What does she consider when helping patients to make a decision about surgery or no surgery? How does she perform the surgical repair, and why is she so fastidious with post-op restrictions? Dr Humbyrd is a champion for …
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Assessing how people move and helping them to reach their goals for moving is your bread and butter as a clinician. Today we're learning from 2 leaders in sports biomechanics: Drs Elanna Arhos and Stephanie Di Stasi from the Ohio State University. We discuss how to make sense of a biomechanics research article, how to translate what you read to cli…
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Luke Keaney's career at the top level of Gaelic football was cut short at the age of 24 by hip pain and injury. After 5 hip surgeries and countless hours of hard work in the gym and rehabilitation room, Luke has switched his focus from Gaelic football to rowing, and has his eye on the Paris Olympics. While Luke's career in sport has continued in a …
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Have you ever found yourself feeling uncertain or confused when choosing a patient-reported outcome measure (PROM)? Today we're talking about the hallmarks of a PROM for people with patellofemoral pain. Physical therapist, educator and researcher, Professor Lisa Hoglund, fills in the gaps to help us find the promise in PROMs. ----------------------…
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Maybe you think of health literacy as the building blocks of knowing how to access the healthcare system, and knowing what to do when you have a cold? Today, Dr Rachel Harris is guiding us as we consider our collective health literacy of the particular health, wellbeing and performance needs of female athletes. Dr Harris represented Australia at th…
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Dr Lionel Chia joins Chelsea and Dan to bring his 2022 article in JOSPT, Beginning With The End In Mind: Implementing Backward Design To Improve Sports Injury Rehabilitation Practices, to life. Lionel outlines 4 categories to consider when planning return to sport and performance: (1) deconstructing goals, (2) determining key performance indicators…
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