Inside the Science

In S4E11 of Inside the Science, we're highlighting the study, "Management of neck pain and associated disorders: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration" with Dr. Pierre Cote. If you'd like to get access to the full discussion with Dr. Cote to hear him further explain the bone and joint decade task force on neck pain and associat...

In S4E10 of Inside the Science, we're highlighting the study, "More cost-effective management of patients with musculoskeletal disorders in primary care after direct triaging to physiotherapists for initial assessment compared to initial general practitioner assessment" with Dr. Lena Bornhoft. You'll hear her explain a triage system steering patients to Physios as compared to medical doctors, what...

In S4E9 of Inside the Science, we're highlighting the study, "Physiotherapy in Primary Care Triage – the effects on utilization of medical services at primary health care clinics by patients and sub-groups of patients with musculoskeletal disorders: a case-control study" with Dr. Lena Bornhoft. You'll hear her elaborate on this triage system, how we should best interpret these findings, who might...

In S4E8 of Inside the Science, we're highlighting the study, "Effectiveness of Physical Therapists Serving as Primary Care Musculoskeletal Providers as Compared to Family Practice Providers in a Deployed Combat Location: A Retrospective Medical Chart Review" with Dr Troy McGill. You'll hear him further explain what was done in this study, the results related to the utilization of tests and service...

In S4E7 of Inside the Science, we're highlighting the study, "Do exercise-based prevention programs reduce non-contact musculoskeletal injuries in football (soccer)? A systematic review and meta-analysis with 13,355 athletes and more than 1 million exposure hours" with Dr. Italo Lemes. If you'd like to get access to the full discussion with Dr. Lemes to hear him further explain the specifics as to...

In S4E6 of Inside the Science, we're highlighting the study, "Prevention of Anterior Cruciate Ligament Rupture in Female Athletes" with Dr. Corinna Franklin. You'll hear her description of the difficulties due to variability in the included studies on ACL prevention programs, her explanation of some of the studies specific components to these programs and findings, the implications and the big tak...

In S4E5 of Inside the Science, we're highlighting the study, "Stiff Landings, Core Stability, and Dynamic Knee Valgus: A Systematic Review on Documented Anterior Cruciate Ligament Ruptures in Male and Female Athletes" with Dr Corinna Franklin. You'll hear her description of the difficulties due to variability in the included studies, her elaboration on some of the more common findings associated w...

In S4E4 of Inside the Science we're highlighting the study, "Does early management of whiplash-associated disorders assist or impede recovery?" with Dr. Pierre Cote. You'll hear him explain what prompted the production of this paper, what was in the literature on this topic before, the elements of clinicians care which can lead to iatrogenic disability, other non-clinical elements which can also n...

In S4E3 of Inside the Science, we're highlighting the study, "Primary care management of patients with pain complaints and the influence of physician training in mechanical diagnosis and therapy" with Dr Vikas Agarwal. You'll hear him explain how he attempted to reduce bias, even more of the differences in medications prescribed, procedures delivered and referrals made, the costs calculated, why h...

In S4E2 of Inside the Science, we're highlighting the pre-published study, "Comparison of Prevalence of Degenerative Findings in Lumbar Magnetic Resonance Imaging among Sciatica Patients classified using the McKenzie Method " with Dr. Sinikka Kilpikoski. She explains the differences in MRI findings in those who classified as derangement versus mechanically unresponsive radicular syndrome or MURS,...

In S4E1 of Inside the Science, we're highlighting the study, "The Association of High School Sport Participation and Injury History in Collegiate Club Sport Athletes" with Mr. Kevin Biese. He shares what previous studies on sport specialization and collegiate or professional sports and injuries have shown, the specific findings related to injuries in club college sports and previous athletic behav...

In S3E16 of Inside the Science, we're highlighting the study, "ACL reconstruction for all is not cost-effective after acute ACL rupture" with Dr. Vincent Eggerding. He shares what else is out there in the literature on this topic, what a quality-adjusted life year is, the most important data gleaned from this study related to cost and outcomes, how many subjects in the rehab group were eventually...

In S3E15 of Inside the Science, we're highlighting the study, "Differences in Knee Shape between ACL Injured and Non-Injured: A Matched Case-Control Study of 168 Patients" with Dr Vincent Eggerding. He shares what led to this study, what these 5 general anatomical characteristics were which were associated with a greater likelihood of ACL rupture, what this means to clinicians working with those w...

In S3E14 of Inside the Science, we're highlighting the study, "Beliefs in the Population about Cracking Sounds Produced during Spinal Manipulation" with Dr. Christophe Demoulin. He shares why he believes its important to know what patients believe about joint cracking, other studies which can shed light on this topic, some of the expectations of the authors and how these results might have been su...

In S3E13 of Inside the Science, we're highlighting the study, "Does load management using the acute: chronic workload ratio prevent health problems? A cluster-randomized trial of 482 elite youth footballers of both sexes" with Dr Torstein Dalen Lorensten. He shares his views on the specific items and how they were measured for these youth athletes, his belief as to what caused these results, what...

In S3E12 of Inside the Science, we're highlighting the study, "Is the Acute: Chronic Workload Ratio (ACWR) Associated with Risk of Time‑Loss Injury in Professional Team Sports? A Systematic Review of Methodology, Variables and Injury Risk in Practical Situations" with Dr. Tim Gabbett. He shares a description of this principle, how it compares to the 10% rule, the practical implications for rehab p...

In S3E11 of Inside the Science, we're highlighting the study, "How Much? How Fast? How Soon? Three Simple Concepts for Progressing Training Loads to Minimize Injury Risk and Enhance Performance" with Dr Tim Gabbett. He shares considerations of elements of load related to athletes including the floor, the ceiling, and time in respect to the competitive season, what the practitioner working with ath...

In S3E10 of Inside the Science, we're highlighting the study, "Validation of a pain mechanism classification system (PMCS) in physical therapy practice" with Ms. Melissa Kolski. She shares specifics on this classification system including each subgroups' distinct characteristics, the sensitivity, and specificity of each classification, the clinical implications, and the big takeaways.   We hope to...

In S3E9 of Inside the Science, we're highlighting the study, "A directional preference approach for chronic pelvic pain, bladder dysfunction and concurrent musculoskeletal symptoms: a case series" with Ms. Christine Hughes. She shares specifics on the 7 pelvic-related cases from this series, what common forces and interventions played a significant role in resolving their primary complaints, what...

In S3E8 of Inside the Science, we're highlighting the study, "Lower step rate is associated with a higher risk of bone stress injury: a prospective study of collegiate cross country runners" with Ms. Christa Wille and Ms. Mikel Joachim. They share specifics about their aims with this study, what two primary factors were most associated with bone stress injuries and what weren't, the clinical impli...

In S3E7 of Inside the Science, we're highlighting the study, "An orthopedic manual physical therapy fellowship training's impact on professional development, involvement, personal lives, and income – A survey study with its author Dr. Mark Shepherd. He shares an explanation of the data collected from those fellowship graduates, what specifically was found, a behind-the-scenes elaboration, his sugg...

In S3E6 of Inside the Science, we're highlighting the study, "Does objectively measured prolonged standing for desk work result in lower ratings of perceived low back pain than sitting? A systematic review and meta-analysis" with Dr. Diana De Carvalho. She shares the association of prolonged standing, the comparison in the included studies of how subjects responded to standing versus sitting versu...

In S3E5 of Inside the Science, we're highlighting the study, "Association of Exposures to Seated Postures With Immediate Increases in Back Pain: A Systematic Review of Studies With Objectively Measured Sitting Time" with Dr. Diana De Carvalho. She shares the association of prolonged sitting and immediate report of low back pain, other studies which would reveal more information on this topic, the...

In S3E4 of Inside the Science, we're highlighting the study, "The session rating scale preliminary psychometric properties of a working alliance measure." with the author, Dr. Scott Miller. He shares his understanding of the patient-clinician alliance, how alliance scores and changes in alliance scores through the episode of care correlate to outcomes, the clinical implications, and the big takeaw...

In S3E3 of Inside the Science, we're highlighting the study, "The Outcome Rating Scale: A Preliminary Study of the Reliability, Validity, and Feasibility of a Brief Visual Analog Measure" with the author, Dr. Scott Miller. He shares his thoughts on how well this tool might apply to our patients with musculoskeletal disorders, the specific statistical results, the clinical implications, and the big...