Inside the Science

In episode 6 of season 9, we're highlighting the study, "Impact of overweight, obesity, and severe obesity on life expectancy of Australian adults", with Dr. Anagha Killedar. You'll hear her share a little more on how this modelling method was created, the results, and which gender and age group appeared to be affected most by obesity. Those individuals who this study might resonate with the most,...

In episode 5 of season 9 we're highlighting the study, "Cost savings of reducing opioid prescribing for the treatment of people with low back pain in general practice: a modelling study" with Dr. Anagha Killedar. You'll hear her share a little on modeling studies and how they are conducted, considerations with different countries and healthcare systems, the actual cost and life savings estimated w...

In episode 4 of season 9 we're highlighting the study, "Intensive supervised rehabilitation versus less supervised rehabilitation following anterior cruciate ligament reconstruction? A systematic review and meta-analysis" with Mr. Andrew Gamble. You'll hear him elaborate on this issue of ACL reconstruction and subsequent rehabilitation considering what is best for outcomes, some of what may have b...

In episode 3 of season 9 we're highlighting the study, "Development of a patient decision aid for children and adolescents following anterior cruciate ligament rupture: an international mixed-methods study" with Mr. Andrew Gamble. You'll hear him set the stage regarding the topic of management of ACL ruptures, precedence of decision aids in informing patients on other conditions, the specifics on...

In episode 2 of season 9 we're highlighting the study, "Management of concussion symptoms utilizing Mechanical Diagnosis and Therapy: a case series" with Mr. Dave Pleva. You'll hear him set the stage regarding concussion and the standard assessment and treatment, three cases where a multidisciplinary group managed these patients, the utility of MDT in ruling in or out the presence of a mechanical...

In episode 1 of season 9 of Inside the Science we're highlighting the study, "Physical examination tests of the shoulder: A systematic review and meta-analysis of diagnostic test performance" with Mr. Sigmund Gismervik. You'll hear him explain what the literature what was understood related to physical exam tests for the shoulder before this systematic review and meta-analysis, some clarification...

In episode 16 of season 8 of Inside the Science we're highlighting the study, "Classification approaches for treating lower back pain have small effects that are not clinically meaningful: systematic review with meta analysis" with Mr. Scott Tagliaferri.. You'll hear him explain what the literature on classification systems was suggesting before which prompted this study, exactly what was assessed...

In episode 15 of season 8 of Inside the Science we're highlighting the study, "Patient experiences of rotator cuff-related shoulder pain and their views on diagnostic shoulder imaging: a qualitative study" with Dr. Peter Malliaris.  You'll hear him discuss why he and his colleagues produced this paper, the impact of diagnostic imaging on rotator cuff-related pain patients, some themes from the res...

In episode 14 of season 8 of Inside the Science we're highlighting the study, "Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations" with Dr. Peter Malliaris. You'll hear him explain the best terminology we should consider using with patients with tendon pain, what historical characteristics are most associated with it, the physical examination...

In episode 13 of season 8 of Inside the Science we're highlighting the study, "The effect of direction specific thoracic manipulation of the cervical spine: a randomized control trial" with Dr. Steve Karas. You'll hear him explain the specific methods of this study, other related papers which might be of interest on this topic, how Dr. Karas uses this paper practically, the clinical implications a...

In episode 12 of season 8 of Inside the Science we're highlighting the study, "A randomized clinical trial to compare the immediate effects of seated thoracic manipulation and targeted supine thoracic manipulation on cervical spine flexion range of motion and pain" with Dr. Steve Karas. You'll hear him explain the results of each thoracic manipulation, other papers that address this topic of regio...

In episode 11 of season 8 of Inside the Science we're highlighting the study, "The application of Mechanical Diagnosis and Therapy to the ankle-foot complex: a case series" with Dr. Lindsay Carlton. You'll hear her give the background related to this topic and why she and her coauthor decided to produce this work, clarify each patient in this series, give the important contrasting treatment which...

In episode 10 of season 8 of Inside the Science we're highlighting the study, "What low back pain is and why we need to pay attention" with Dr. Jan Hartvigsen. You'll hear him describe some of what prompted this study and how it's part one of three, the burden of back pain and what factors are associated with back pain and disability, the various risk factors of back pain, disability and persistin...

In S8E9 of Inside the Science, we're highlighting the study, "The Outcome of Epidural Injections in Lumbar Radiculopathy Is Not Dependent on the Presence of Disc Herniation on Magnetic Resonance Imaging: Assessment of Short-Term and Long-Term Efficacy" with Dr. Eduard Verheijen.  You'll hear him describe some background information on this topic of the effectiveness of transforaminal epidural inje...

In S8E8 of Inside the Science, we're highlighting the study, "Epidural steroid compared to placebo injection in sciatica: a systematic review and meta‑analysis" with Dr. Eduard Verheijen. You'll hear him describe why he and his coauthors wanted to pursue another systematic review on this topic, specific differences or lack of differences found in epidural steroid injections compared with placebos,...

In S8E7 of Inside the Science, we're highlighting the study, "Utilizing directional preference in the management of cervicogenic headache: a case series" with Dr. Ron Schenk. You'll hear him share a bit about the backstory of this paper and the lead author Lin Lan Pu, some general information on headache classifications, some characteristics of this series of patients in the clinic setting of the...

In S8E6 of Inside the Science, we're highlighting the study, "Effectiveness of mechanical diagnosis and therapy in patients with back pain who meet a clinical prediction rule for spinal manipulation" with Dr. Ron Schenk. You'll hear him share a bit about this paper's origin and backstory, some clarification on clinical prediction rules, specifics on the methodology of this paper, the actual differ...

In S8E5 of Inside the Science, we're highlighting the study, "An international survey of the comprehensiveness of the McKenzie classification system and the proportions of classifications and directional preferences in patients with spinal pain" with Dr. Stephen May. You'll hear him share the background of what prompted the paper, specifics as to what classification syndromes were found and to wha...

In S8E4 of Inside the Science, we're highlighting the study, "Centralization and directional preference: An updated systematic review with synthesis of previous evidence" with Dr. Stephen May. You'll hear him share why the need for an updated systematic review, the consistency or variability of what was studied and the operational definitions of centralization and directional preference, the quali...

In S8E3 of Inside the Science, we're highlighting the study, "Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests" with Dr. Mark Laslett. You'll hear him share what was in the literature and why he and his coauthors had the opportunity to conduct this study, specifics on the procedure of clinical examination of the spine and SI joint, th...

In S8E2 of Inside the Science, we're highlighting the study, "The Reliability of Selected Pain Provocation Tests for Sacroiliac Joint Pathology" with Dr. Mark Laslett. You'll hear him share what prompted he and his co-author to conduct and write this paper, what was lacking in precise examination and diagnosis of the sacroiliac joint prior, exactly how this study was conducted and why, what six te...

In S8E1 of Inside the Science, we're highlighting the study, "Mastering Prognostic Tools: An Opportunity to Enhance Personalized Care and to Optimize Clinical Outcomes in Physical Therapy" with Dr. Yannick Tousignant-Laflamme. You'll hear him share how making the best decisions for patients includes both diagnostic-related guidance and prognosis-related guidance, various factors which influence pr...

In S7E16 of Inside the Science, we're highlighting the study, "Rehabilitation management of low back pain – it's time to pull it all together!" with Dr. Yannick Tousignant-Laflamme. You'll hear him share 5 domains of pain and disability, how these drivers of pain and disability of nociceptive pain, nervous system dysfunction, comorbidities, cognitive emotional, and contextual drivers appear, and w...

In S7E15 of Inside the Science, we're highlighting the study, "Improving consultations for persistent musculoskeletal low back pain in orthopaedic spine settings: an intervention development" with Dr. Kathrin Braeuninger-Weimer. You'll hear her give the backstory on the genesis of this paper, more clarification of this intervention development, some of the more important needs of both the patients...

In S7E14 of Inside the Science, we're highlighting the study, "Reassurance and healthcare seeking in people with persistent musculoskeletal low back pain consulting orthopaedic spine practitioners: A prospective cohort study" with Dr. Kathrin Braeuninger-Weimer. You'll hear her give specifics to the reassurance data collected, the reassurance elements that predicted more subsequent physician consu...