JOSPT Insights

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/...

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 r...

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 rel...

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 i...

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...

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.sc...

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 wal...

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...

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 c...

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 fol...

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....

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:...

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...

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 l...

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. Tod...

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....

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—A...

“Help! I’ve tried everything—nothing has worked!” When the exasperated patient in front of you tells you that she has tried all the treatments for Achilles tendinopathy to no avail, where do you go? Specialist sports physiotherapist and clinician researcher, Dr Ebonie Rio, brings her trademark pragmatic approach to JOSPT Insights, as she shares top clinical tips for diagnosing and managing tricky...

In part 1 of this 2-part series on post-exertion symptom exacerbation, Dr Todd Davenport explained what post-exertion symptom exacerbation is, what it feels like, and how to test and monitor it. In part 2, we dive into pacing - the less is more approach to managing post-exertion symptom exacerbation that will challenge you to think differently about how you prescribe exercise and what the goals of...

How prepared are you to support someone who is living with post-exertion symptom exacerbation? Dr Todd Davenport wants to start a conversation about re-imagining the way most of us have thought about fatigue, physical activity and exercise. Tune in to learn more about post-exertion symptom exacerbation, including what it feels like, and how to test and monitor it. For a deeper dive on post-exertio...

Returning to work after work-related injury often throws up some curveballs. Beyond the usual health care practitioners, there are multiple stakeholders who are invested in the person's care. Outside pressures, and factors specific to the person's situation and work requirements also demand careful attention. That’s where the clinical practice guideline can help you know what to pay attention to,...

What happens when the athlete is not taking in sufficient energy to meet the demands of day-to-day life, including training and performance? Today, endocrinologist and sports physician, Dr Kathryn Ackerman, explains what relative energy deficiency in sport is, expands the female athlete triad of energy intake, bone health and menstrual function, and shares 3 important ways that you can support ath...

How long will it take for my whiplash symptoms to improve? In this episode, Dr Michele Sterling helps answer that important question. She shares the basics of whiplash: diagnosis and mechanisms, key factors to consider when determining prognosis, and planning treatment. Learn more about assessing pain-related disability and hyperarousal symptoms, as well as the benefits of a proactive approach to...