Shows
PT Inquest395: Low Back Pain Risk Factors in Lacrosse Identifying Risk Factors for Preexisting or Developing Low Back Pain in Youth, High School, and Collegiate Lacrosse Players Using 3-Dimensional Motion Analysis Wasser JG, Bruner ML, Chen C, et al. Orthop J Sports Med. 2024;12(3):23259671241231960. doi:10.1177/23259671241231958 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jas...2025-05-0645 min
PT Inquest394: Super Shoes and Placebo Are super shoes a super placebo? A randomised crossover trial in female recreational runners Hébert-Losier K, Pfister A, Finlayson SJ, et al. Footwear Sci. Published Ahead of Print. doi:10.1080/19424280.2025.2458330 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Science P...2025-04-2950 min
PT Inquest393: Exercise and Education for Hip Dysplasia Feasibility and acceptability of a six-month exercise and patient education intervention for patients with hip dysplasia: A mixed methods study Jacobsen JS, Thorborg K, Sørensen D, et al. Musculoskelet Sci Pract. 2022;61:102615. doi:10.1016/j.msksp.2022.102615 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jaso...2025-04-2256 min
PT Inquest392: Knee Injury Rates in NCAA Soccer On this episode we were joined by special guest physical therapist Nicole Surdyka. Knee and ACL injury rates in NCAA soccer players: an epidemiological study of 10 consecutive seasons Chandran A, Rao N, Boltz AJ, et al. Sci Med Footb. Published Ahead of Print. doi:10.1080/24733938.2025.2476479 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www...2025-04-151h 08
PT Inquest391: Low Vs. High Compression For Insertional Achilles Tendinopathy Effectiveness of reducing tendon compression in the rehabilitation of insertional Achilles tendinopathy: a randomised clinical trial Pringels L, Capelleman R, Van den Abeele A, et al. Br J Sports Med. Published Ahead of Print. doi:10.1136/bjsports-2024-109138 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy...2025-04-0853 min
PT Inquest390: Statistical Ratios On this episode we were joined by special guest Dr. Keith Lohse from Washington University Explorations in statistics: the analysis of ratios and normalized data Curran-Everett D. Adv Physiol Educ. 2013;37(3):213-219. doi:10.1152/advan.00053.2013 Comparison of 5 Normalization Methods for Knee Joint Moments in the Single-Leg Squat Hirsch SM, Chapman CJ, Frost DM, et al. J Appl Biomech. 2022;38(1):29-38. doi:10.1123/jab.2021-0143 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the...2025-04-011h 03
PT Inquest389: The Ethics of Wearable Technology On this episode we were joined by special guest researcher Dr. Jess Elis. Investigating Wearable Technology Bioethics Through the Perspectives of NBA Athletes Elis J. Dissertation. Concordia University Chicago. 2024. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s cou...2025-03-251h 01
PT Inquest388: Dear New Physios "Dear Newly Graduated Physical Therapist": A Direct Message Containing Advice We Wish We Had Received Powell JK, Cook C, Lewis J, et al. J Orthop Sports Phys Ther. 2024;54(10):621-624. doi:10.2519/jospt.2024.12676 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Scie...2025-03-1850 min
PT Inquest387: Muscle Volume After ACLR and Clinician Interviews Live! The live clinician interviews took place at the Elite Football Rehab Conference. Thank you to our guests: Kaleb Whitehair, Scott Greenberg, Tim Vidale, Josh Funk, Marcin Szczyglowski, Neil Sheth, Amit Gohil, John DeWitt, Owen Runion, Shelbie Miller, Q Willey, Carol Mack, Brad Curran, Brian Adams, and Dano Norceide! Quantifying Muscle Volume Deficits Among 38 Lower Extremity Muscles in Collegiate Football Athletes After Anterior Cruciate Ligament Reconstruction Ito N, Martin JA, Joachim MR, et al. Am J Sports Med. Published online January 28, 2025. doi:10.1177/03635465241313235 Due to copyright laws, unless the...2025-03-1134 min
PT Inquest386: Hamstring Strains in American Football Live! On this episode we were joined by special guest researcher Dr. Bryan Heiderscheit from the University of Wisconsin-Madison The development of a HAMstring InjuRy (HAMIR) index to mitigate injury risk through innovative imaging, biomechanics, and data analytics: protocol for an observational cohort study Heiderscheit BC, Blemker SS, Opar D, et al. BMC Sports Sci Med Rehabil. 2022;14(1):128. doi:10.1186/s13102-022-00520-3 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will.2025-03-0439 min
PT Inquest385: Guardian Caps and Concussions The association between Guardian Cap use during practices and sport-related concussion risk in high school American football players Hammer E, Mosiman S, Joachim MR, et al. Br J Sports Med. 2025;59(4):257-262. doi:10.1136/bjsports-2024-108945 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chr...2025-02-2553 min
PT Inquest384: APTA CSM 2025 Live! On this episode we discuss Megan's platform at APTA CSM 2025 in Houston, TX. Beyond the Horizon(tal): Vertical Jump Symmetry Is Related to Quadriceps Strength and Return-to-Sport after ACL-Reconstruction Graham MC, Janatova T, Wilson BR, et al. Platform presented at: American Physical Therapy Association Combined Sections Meeting; February 2025; Houston, TX. https://plan.core-apps.com/apta_csm25/abstract/920ff843da68db87541be67e9250fc15 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download...2025-02-1857 min
PT Inquest383: MRI Findings and Meniscus Tear Prognosis Can Baseline MRI Findings Identify Who Responds Better to Early Surgery Versus Exercise and Education in Young Patients With Meniscal Tears? A Subgroup Analysis From the DREAM Trial Clausen S, Boesen M, Thorlund JB, et al. J Orthop Sports Phys Ther. Published online January 30, 2025:1-23. doi:10.2519/jospt.2025.12994 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.hum...2025-02-1154 min
PT Inquest382: Tendon and Ligament Loading Using load to improve tendon/ligament tissue engineering and develop novel treatments for tendinopathy Tam KT, Baar K. Matrix Biol. 2025;135:39-54. doi:10.1016/j.matbio.2024.12.001 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Science PT Support...2025-02-041h 01
PT Inquest381: Prognosis of Ankle Sprains with Syndesmosis Injury Does involvement of the anterior syndesmosis affect the functional outcome of acute ligamentous ankle injuries? Baltes TPA, Al-Sayrafi O, Al-Naimi MR, et al. J Sci Med Sport. Published Ahead of Print. doi:10.1016/j.jsams.2024.11.007 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chr...2025-01-2846 min
PT Inquest380: Hip Strength and Groin Pain Is hip adductor or abductor strength in healthy athletes associated with future groin pain? A systematic review and meta-analysis Quintana-Cepedal M, Vicente-Rodríguez G, Crespo I, et al. Br J Sports Med. Published Ahead of Print. doi:10.1136/bjsports-2024-108836 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more...2025-01-2159 min
PT Inquest379: Exercise Participation and Perceived Time It’s about time to exercise: development of the Exercise Participation Explained in Relation to Time (EXPERT) model Healy S, Patterson F, Biddle S, et al. Br J Sports Med. 2024;58(19):1131-1144. doi:10.1136/bjsports-2024-108500 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris...2025-01-1450 min
PT Inquest378: Sudden Vs. Gradual Onset Running Injuries A Paradigm Shift in Understanding Overuse Running-Related Injuries: Findings From the Garmin-RUNSAFE Study Point to a Sudden Not Gradual Onset Brandt Frandsen JS, Simonsen NS, Hulme A, et al. J Orthop Sports Phys Ther Open. Published Ahead of Print. doi:10.2519/josptopen.2024.0075 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest L...2025-01-0753 min
Forward PhysioRunning Related Injuries with Jason TuoriIn this episode, Noah spoke with Jason Tuori. Jason is a sports PT out of Rochester, New York and is the Vice Chair of the Running Special Interest Group of the American Academy of Sports Physical Therapy. He is also the host of the popular podcast, PT Inquest. Jason has a special interest in running performance and running related injuries, the latter of which is discussed in great detail in this episode. Enjoy!-------Become a better physiotherapist with Physio Network's Masterclass video courses. Use this link and enter the code "Noah10" for...2025-01-071h 02
PT Inquest377: Quad Strength and Gait Adaptations After ACLR Quadriceps Strength Does Not Associate with Gait Adaptation Ability in Individuals with Anterior Cruciate Ligament Reconstruction Evans-Pickett A, Franz JR, Padua DA, et al. J Athl Train. Published Ahead of Print. doi:10.4085/1062-6050-0266.24 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chr...2024-12-3148 min
PT Inquest376: Oblique Strength and Pitching Biomechanics Relationship of abdominal oblique strength on biomechanics in adolescent baseball pitchers Eilen HT, Kokott W, Dziuk C, et al. J Athl Train. Published Ahead of Print. doi:10.4085/1062-6050-0195.24 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Science PT 2024-12-2456 min
PT Inquest375: External Vs. Internal Cues For Motor Learning Reporting bias, not external focus: A robust Bayesian meta-analysis and systematic review of the external focus of attention literature McKay B, Corson AE, Seedu J, et al. Psychol Bull. 2024;150(11):1347-1362. doi:10.1037/bul0000451 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s cours...2024-12-171h 04
PT Inquest374: The Fragility Index and Hamstring Strains The Fragility Index of Risk Factors for Hamstring Injuries Anthis M, Gourd S, Kim B, et al. J Orthop Sports Phys Ther. 2024;54(10):672-678. doi:10.2519/jospt.2024.12300 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Science PT Suppor...2024-12-1048 min
PT Inquest373: Achilles Tendon Loading With Different Immobilization Boots The Difference in Achilles Tendon Loading within Immobilizing Boots Based on Ankle Angle, Boot Type, and Walking Speed Michener LA, McClure PW, Tate AR, et al. Orthop J Sports Med. 2024;12(10):23259671241283810. doi:10.1177/23259671241283806 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Scie...2024-12-0355 min
PT Inquest372: Injury Epidemiology in the NBA On this episode we were joined by private NBA medical consultant Alex Hubelbank. Epidemiology of Injuries Among National Basketball Association Players: 2013-2014 Through 2018-2019 Mack CD, Herzog MM, Maak TG, et al. Sports Health. Published Ahead of Print. doi:10.1177/19417381241258482 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest ...2024-11-261h 10
PT Inquest371: Single Vs. Multiple PT Sessions for Musculoskeletal Pain One and Done? The Effectiveness of a Single Session of Physiotherapy Compared With Multiple Sessions to Reduce Pain and Improve Function and Quality of Life in Patients With a Musculoskeletal Disorder: A Systematic Review With Meta-analyses Dubé MO, Dillon S, Gallagher K, et al. Arch Phys Med Rehabil. 2024;105(6):1171-1180. doi:10.1016/j.apmr.2023.09.017 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: 2024-11-1948 min
PT Inquest370: Hip Strength and Single Leg Biomechanics On this episode we were joined by special guest researcher Dr. Micah Garcia from Thomas More University. Hip strength does not correlate with hip and knee biomechanics during single-leg tasks: A systematic review with meta-analysis and evidence gap map Garcia MC, Waiteman MC, Taylor-Haas JA, et al. J Sports Sci. Published Ahead of Print. doi:10.1080/02640414.2024.2415219 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to...2024-11-1250 min
PT Inquest369: Does RED-S Exist? Does Relative Energy Deficiency in Sport (REDs) Syndrome Exist? Jeukendrup AE, Areta JL, Van Genechten L, et al. Sports Med. Published Ahead of Print. doi:10.1007/s40279-024-02108-y Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Science PT 2024-11-0556 min
PT Inquest368: Effects of Goal Setting in Sport The performance and psychological effects of goal setting in sport: A systematic review and meta-analysis Williamson O, Swann C, Bennett KJM, et al. Int Rev Sport Exerc Psychol. 2022:1-29. doi:10.1080/1750984X.2022.2116723 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Scie...2024-10-2949 min
PT Inquest367: The Braking Performance Framework The Braking Performance Framework: Practical Recommendations and Guidelines to Enhance Horizontal Deceleration Ability in Multi-Directional Sports Harper D, Cervantes C, Dyke MV, et al. Int J Strength Cond. 2024;4(1). doi:10.47206/ijsc.v4i1.351 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s cours...2024-10-221h 03
PT Inquest366: Stupidity in Science On this episode we were joined by special guest researcher Dr. Matt Stock from the University of Central Florida. The importance of stupidity in scientific research Schwartz MA. J Cell Sci. 2008;121(11):1771-1771. doi:10.1242/jcs.033340 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more abo...2024-10-1558 min
PT Inquest365: The DPT and Patient Introductions On this episode we were joined by special guest physical therapist Dr. Justin Martino from Duke Health. Not “that kind” of doctor: an exploratory study on Doctor of Physical Therapy-patient introductions in the United States Martino J, Smoliga JM, Mabry L. J Man Manip. Published Ahead of Print. doi:10.1080/10669817.2024.2396706 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: 2024-10-0858 min
PT Inquest364: Core Training and Basketball Skill Performance Effect of core training on athletic and skill performance of basketball players: A systematic review Luo S, Soh KG, Zhao Y, et al. PLoS One. 2023;18(6):e0287379. doi:10.1371/journal.pone.0287379 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Science PT 2024-10-0151 min
PT Inquest363: The Heel-Raise Test and Ankle Plantarflexion Strength The heel-raise test for ankle plantarflexor strength: a scoping review and meta-analysis of studies providing norms Bohannon RW J Phys Ther Sci. 2022;34(7):528-531. doi:10.1589/jpts.34.528 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Science PT Suppor...2024-09-2447 min
PT Inquest362: Supersets Vs. Traditional Strength Training Less Time, Same Gains: Comparison of Superset vs Traditional Set Training on Muscular Adaptations Burke R, Hermann T, Pinero A, et al. Preprint. 2024. doi:10.51224/SRXIV.419 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Science PT Suppor...2024-09-1758 min
PT Inquest361: Bone Mineral Density in Runners Vs. Sedentary Males Comparison of bone mineral density of runners with inactive males: A cross-sectional 4HAIE study Krajcigr M, Kutáč P, Elavsky S, et al. PLoS ONE. 2024;19(8):e0306715. doi:10.1371/journal.pone.0306715 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris’s courses – The Science PT 2024-09-1056 min
The E3 Rehab Podcast152. Dynamometer Testing and Training: Practical Strategies w/ Jason Tuori and Chris JuneauChris Hughen sat down with Jason Tuori and Chris Juneau to discuss all things dynamometer testing. We dive into: the value of dynamometry testing, practical strategies for both testing and training, upper and lower extremity case studies, and much more. Watch the full episode: https://youtu.be/1SxXXujooP0 More about Chris and Jason: Dungeons and Dynamometers PT Inquest Podcast Chris’ Instagram Jason’s Instagram --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/2024-06-111h 23
The E3 Rehab Podcast95. Do Running Shoes Reduce Injury Risk and Improve Performance? w/ Jason TuoriChris and Sam sat down with Jason Tuori to discuss running shoes and their impact on injury risk and performance. Jason is a Physical Therapist, Performance Coach at the University of Rochester, and the co-host of PT Inquest and The PT Podcast Network. We dive into: do shoes actually reduce injury risk, can they improve performance, does it matter which type of shoes to buy, design considerations, super shoes, shoes in the context of a clinical examination and decision making, and much more. More about Jason: Jason’s Instagram Jason’s Twitter PT...2023-05-091h 01
Force Matters Podcast17 — How to Unlock the Secret Power of Your Hamstrings: Revolutionary Insights on Returning to Running and Transforming Patient Care with Jason TuoriIn this week's episode of the Motusi Force Matters Podcast, host Jon Eng and Jaydee Romick delve into the world of optimizing patient care with guest Jason Tuori. As a sports physical therapist, Jason specializes in helping patients get back to their favorite sports and activities after injury. In this engaging conversation, he shares his insights on how to assess and improve hamstring capacity using nordic boards, a powerful tool for testing and rehabilitating injured athletes. Jason also discusses the key hallmarks of safely returning to running after an injury, and shares his practical tips for providing the best...2023-03-2354 min
Cory Cast#80 - Jason TuoriJason Tuori is a physical therapist and a great dude! I didn't realize how much physical therapists do, and just how crucial they are to athletes and their recovery. Jason continues to look at new data to educate himself on the latest science surrounding the human body.
Jason's Podcasts:
PT Inquest
PT Podcast
Instagram: @jasontuori.dpt
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Find this episode on YouTube by searching for "Cory Cast"
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Don't forget to follow, rate, and subscribe!
...2023-01-061h 07
PT Inquest246 Force Testing in Rehabilitation On this episode, Erik and Jason talk about testing using isokinetic dynamometers and force plates ahead of Erik and Laura Opstedal's course, "Practical Force Testing for the Rehab Professional: Force Plates & Isokinetic Machines" Diagnostic Accuracy of Handheld Dynamometry and 1-Repetition-Maximum Tests for Identifying Meaningful Quadriceps Strength Asymmetries. Sinacore JA, Evans AM, Lynch BN, et al. J Orthop Sports Phys Ther. 2017;47(2):97-107. doi:10.2519/jospt.2017.6651 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download...2022-06-2851 min
The E3 Rehab Podcast54. Running-Related Injuries, Rehab, & Performance w/ Dr. Jason TuoriIn this episode, we sat down with Dr. Jason Tuori to discuss running-related injuries, rehab, and performance. Questions included: - What are the most common running-related injuries? - What questions are you asking during the initial evaluation? - What does your physical examination entail? - What's your hierarchy of management strategies (education, load management, resistance training, running retraining, shoewear, foot orthoses, etc.)? - What do you recommend for improving performance and/or reducing the risk of injury? - What are the most common questions runners ask you?2022-01-1856 min
The Adaptive ZoneWhat Causes Running Injuries? | E23 with Jason Tuori, Physical Therapist & Running CoachEvery runner gets injured at some point. Estimates on how often runners get injured vary, depending on which study you read. In any given year it is estimated that your risk of getting injured is somewhere between 20 and 80%. Many studies settle on an estimate somewhere in the middle, around 50-60%. Now, don't quote me on the math here as statistics are definitely not my thing, but doesn't that mean in any given year each runner has a 1 in 2 chance of getting injured? And that we can expect to get injured every other year? That seems like a lot!
2021-09-011h 31
The Prehab Podcast#94 | Running Shoes: How Do You Pick The Best Running Shoes? with Running Expert Dr. Jason TuoriIn this episode, Dillon sits down with Dr. Jason Tuori to discuss the best practice in selecting running shoes. We look to answer; Do they need to be specifically fit to your foot type? Should we be running in minimalist shoes or barefoot running? Can shoes decrease the risk of running-related injury? Should we be using different shoe types for different distances? Enjoy! -Team [P]Rehab Learn More About Dr. Jason Tuori, PT, DPT, CSCS: Jason Tuori is a sports physical therapy resident at the University of Rochester Medical Ce...2021-04-1148 min
ClinicalAthlete PodcastEpisode 72: Jason Tuori – Footwear and the Running Athlete, Part 2The long awaited Part 2 of our discussion with Jason Tuori is here, and it's full of all kinds of brain gainzzz. This time, the conversation switches gears to the clinical side of running and footwear. Jason details the evidence and his experience, with footwear and its impact on running related injuries. He also provides some insight on and how to make footwear recommendations as a coach/clinician for runners, among other knowledge bombs!Enjoy the episode and show Jason some love for the fantastic job that he did!
Minimalist Index:https://bit.ly/2TxuyLP
Connect with the ClinicalAthlete Crew on In...2020-12-1344 minClinicalAthlete PodcastEpisode 72: Jason Tuori – Footwear and the Running Athlete, Part 2The long awaited Part 2 of our discussion with Jason Tuori is here, and it’s full of all kinds of brain gainzzz.
This time, the conversation switches gears to the clinical side of running and footwear. Jason details the evidence and his experience, with footwear and its impact on running related injuries. He also provides some insight on and how to make footwear recommendations as a coach/clinician for runners, among other knowledge bombs!
Enjoy the episode and show Jason some love for the fantastic job that he did!
Minimalist Index:https://bit...2020-12-1344 minClinicalAthlete PodcastEpisode 71: Jason Tuori – Footwear and the Running Athlete, Part 1You thought Clinical Athlete was all about strength sports? Think again! For all you runners out there, we’ve got you covered with the latest edition of the Clinical Athlete Podcast!
Clinical Athlete Provider Jason Tuori is on this week to discuss all things footwear and the running athlete! In part one of this two part series, Jason dives deep into the types and properties of running shoes, as well as their effect on running performance! He may even have convinced John to start training for a half marathon!
Stay tuned for part 2!
Mini...2020-12-0141 minClinicalAthlete PodcastEpisode 71: Jason Tuori – Footwear and the Running Athlete, Part 1You thought Clinical Athlete was all about strength sports? Think again! For all you runners out there, we've got you covered with the latest edition of the Clinical Athlete Podcast!
Clinical Athlete Provider Jason Tuori is on this week to discuss all things footwear and the running athlete! In part one of this two part series, Jason dives deep into the types and properties of running shoes, as well as their effect on running performance! He may even have convinced John to start training for a half marathon! Stay tuned for part 2!
Minimalist Index:https://bit.ly/2TxuyLP
Connect with th...2020-12-0141 min
PT Inquest199 Change of Direction in SportSupport us on Patreon! What does it take for an athlete to change direction? Does it matter how fast they are going? What about the angle of cut? What implications does this have for athletes who are returning to sport after injury? Listen in to our discussion on all things change of direction with special guest Richard Clarke! Richard Clarke can be found on Twitter: @RICH_AgilityLab Role of the Penultimate Foot Contact During Change of Direction: Implications on Performance and Risk of Injury. Dos'Santos T, Thomas C, Comfort P, Jones P.2020-08-041h 25
PT InquestExtrasode: Muscle Interventions After ACLRIn this Extrasode, Erik reads his post Muscle Interventions After ACLR. It explores what the true goals may be for interventions around restoring the quad in these subjects. With special guest voice from @LauraOpstedal Intro music for PT Inquest Extrasode is Take a Chance by Kevin MacLeod - incompetech.com2020-07-2815 min
PT Inquest198 Diversity, Equity, & Inclusion in Physical Therapy Support us on Patreon! Systemic racism is a topic that we have covered before on PT Inquest, but it has recently become the focus of worldwide attention. In this episode, we talked with Tim Vidale and Deidra Debnam from the American Academy of Sports Physical Therapy's (AASPT) Diversity, Equity, and Inclusion (DEI) Committee to discuss some of the current conversations around race. We hope that this discussion can help give some insight and initial guidance for individuals and PT organizations to push positive and effective change regarding DEI. Tim...2020-07-021h 20
PT InquestExtrasode: Brave New Profession We are bringing back the "Extrasodes"! They were a thing we used to do in 2014... In this Extrasode, Erik reads his post Brave New Profession that he wrote right after the COVID-19 lockdowns. It lays out a reimagining of who we are and how we should be reimbursed as professionals. Intro music for PT Inquest Extrasode is Take a Chance by Kevin MacLeod - incompetech.com 2020-06-2012 min
PT Inquest197 Strength and Knee OA In this episode we discuss the possible effects of exercise for knee osteoarthritis (OA). Are there non-specific effects but also specific effects? Can intensity of the workout change this? Which direction do the causation arrows point? Check our website: ptinquest.com Support us on Patreon: patreon.com/ptinquest Erik's courses and blog: thesciencept.com Enter "ptinquest" at checkout for 10% off Erik's courses The Role of Muscle Strengthening in Exercise Therapy for Knee Osteoarthritis: A Systematic Review and Meta-Regression Analysis of Randomized Trials. Bartholdy C, Juhl C...2020-06-0446 min
PT Inquest196 Therapeutic Alliance and Telehealth In this episode we go back to reviewing articles. We discuss the differences in therapist perceptions and patient perceptions of care, specifically in regards to telehealth. Are we more dissatisfied than our patients? Therapeutic Alliance Between Physical Therapists and Patients With Knee Osteoarthritis Consulting Via Telephone: A Longitudinal Study. Lawford BJ, Bennell KL, Campbell PK, Kasza J, Hinman RS. Arthritis Care Res (Hoboken). 2020 May;72(5):652-660. doi: 10.1002/acr.23890. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for...2020-05-0759 min
PT Inquest195 PT During COVID-19 Support us on Patreon! In this episode JW and Erik talk about what it means to be a PT practicing, or not practicing, during this COVID-19 pandemic. There is discussion about social responsibility, immunity, disease spread, and the luxury of quarantining yourself in a submarine at the bottom of Lake Michigan. This episode is NOT available for continuing education credit. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission Give us money by...2020-03-311h 00
PT InquestSession 2: Envelope of Function and Physical Stress Theory Available for CEU credit!!! Click here! The concepts of Envelope of Function and Physical Stress Theory are very useful in rehabilitation applications. We review these constructs and give ideas for use in the clinic. Reference List Dye SF. The Knee as a Biologic Transmission With an Envelope of Function: A Theory. Clinical Orthopaedics and Related Research. 1996;325:10-18. doi:10.1097/00003086-199604000-00003 Dye SF. The Pathophysiology of Patellofemoral Pain: A Tissue Homeostasis Perspective. Clinical Orthopaedics and Related Research. 2005;NA;(436):100-110. doi:10.1097/01.blo.0000172303.74414.7d Dye SF, Vaupel GL, Dye CC...2020-03-031h 07
PT InquestSession 1: History of ACLR Surgery and Rehabilitation Available for CEU credit!!! Click here! Our understanding of the ACL, it's related pathophysiology, surgical strategies, and postoperative rehabilitation has an interesting history. We take a tour of the history and interview a couple guests who lived it. Reference List Chambat P, Guier C, Sonnery-Cottet B, Fayard JM, Thaunat M. The evolution of ACL reconstruction over the last fifty years. Int Orthop. 2013;37(2):181-186. doi:10.1007/s00264-012-1759-3 Davarinos N, O’Neill BJ, Curtin W. A Brief History of Anterior Cruciate Ligament Reconstruction. Adv Orthop Surg. 2014;2014:1-6...2020-02-051h 17
PT Inquest194 Changes Coming in 2020Brought to you by CSMi In this episode we review an article about causal fallacies but, more importantly, changes are coming in 2020 to PT Inquest! Tune in to hear all about it. Also, PATREON!!! Core stability and low-back pain: a causal fallacy. Open Science Collaboration. J Exerc Rehabil. 2019 Jun 30;15(3):493-495. doi: 10.12965/jer.1938198.099. eCollection 2019 Jun. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact...2019-12-2455 min
PT Inquest193 The Science of ScienceBrought to you by CSMi. In this episode we are joined by Dan Quintana from the Everything Hertz podcast to discuss reproducibility and improving science. We even talk a little about the "love hormone"! PSYCHOLOGY. Estimating the reproducibility of psychological science. Open Science Collaboration. Science. 2015 Aug 28;349(6251):aac4716. doi: 10.1126/science.aac4716. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced...2019-12-101h 17
PT Inquest192 Exercise Intensity and Chronic LBPBrought to you by CSMi So we're not the best with chronic nonspecific low back pain. We also tend to underload our patients in general. Maybe if we increased the intensity of our exercises, we would be more effective with chronic nonspecific low back pain. Well, at least we can test it! Exercise Intensity Matters in Chronic Nonspecific Low Back Pain Rehabilitation. Verbrugghe J, Agten A, Stevens S, Hansen D, Demoulin C, O Eijnde B, Vandenabeele F, Timmermans A. Med Sci Sports Exerc. 2019 Dec;51(12):2434-2442. doi: 10.1249/MSS.0000000000002078. Due to copyright laws...2019-12-0355 min
PT Inquest191 Screening for DepressionBrought to you by CSMi Clinical depression is a very real part of many of our patients' lives. As a matter of fact, our current understanding of many commonly treated PT diagnoses suggests that clinical depression may be a huge driver of symptoms. How do we identify it in our patients? Assuming we can do that, what do we do about it once we identify it? Using the 9-Item Patient Health Questionnaire to Screen for and Monitor Depression. Zimmerman M. JAMA Insights. Published online October 18, 2019. doi:https://doi.org/10.1001/jama.2019.15883. The...2019-11-2650 min
PT Inquest190 Celebration Of FailureBrought to you by CSMi Everyone wants to succeed and no one wants to fail. Is failure so bad? Can we even have success without failure? How can we learn to embrace failure to get the greatest knowledge? A celebration of failure. Loscalzo J. Circulation. 2014 Mar 4;129(9):953-5. doi: 10.1161/CIRCULATIONAHA.114.009220. The other article that Erik mentioned: On the (f)utility of pain. Stonington SD. Lancet. 2015 Apr 11;385(9976):1388-9. doi: 10.1016/S0140-6736(15)60708-5. Due to copyright laws, unless the article is open source we cannot legally post the...2019-11-191h 00
PT Inquest189 What Should A Patient Expect After SurgeryBrought to you by CSMi One of the most important components of ethical healthcare is patient education. A fully informed patient makes everything easier later during the care. But that includes educated on the good and the bad. Sometimes "being hopeful" can actually be a disservice. "Doctor, What Happens After My Meniscectomy?" Smith JH, Houck DA, Kraeutler MJ, McCarty EC, Frank RM, Vidal AF. J Bone Joint Surg Am. 2019 Nov 6;101(21):1965-1973. doi: 10.2106/JBJS.19.00082. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the...2019-11-121h 06
PT Inquest188 CFT vs Group Exercise for CLBPBrought to you by CSMi Cognitive Functional Therapy for the win! Or is it? Are these differences in effect sizes from a simple group program big enough to get excited about? What else could be at play here? Chronic low back pain is hard... Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: a multicentre randomised controlled trial (RCT). O'Keeffe M, O'Sullivan P, Purtill H, Bargary N, O'Sullivan K. Br J Sports Med. 2019 Oct 19. pii: bjsports-2019-100780. doi: 10.1136/bjsports-2019-100780. [Epub ahead of print] ...2019-11-0558 min
PT Inquest187 Self-Efficacy for Home Exercise ProgramBrought to you by CSMi What does it mean to have self-efficacy? How does that differ from one's perceived locus of control? Are they situation dependent? Can we changed them or just measure them? How does this affect our patients. The Self-Efficacy for Home Exercise Programs Scale: Development and Psychometric Properties. Picha KJ, Lester M, Heebner NR, Abt JP, Usher EL, Capilouto G, Uhl TL. J Orthop Sports Phys Ther. 2019 Sep;49(9):647-655. doi: 10.2519/jospt.2019.8779. Epub 2019 Jul 10. Due to copyright laws, unless the article is open source we cannot legally post the...2019-10-291h 01
PT Inquest186 Steroid Injections for ArthritisBrought to you by CSMi Physicians often will offer a corticosteroid injection for those with osteoarthritis. Patients feel better in the short term, but is there long term harm? If the joint is shot anyway, does it matter? Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. J Radiology. Published Online:Oct 15 2019. doi: 10.1148/radiol.2019190341. Due to copyright laws, unless the article is open source we cannot legally...2019-10-2254 min
PT Inquest185 Patient Perception of Shared Decision Making Brought to you by CSMi Shared decision making is the greatest thing! Ethical, honest, engaging. But do patients give a crap? Would they rather the provider just tell them what to do? Can we find a happy ground? Semistructured interviews regarding patients' perceptions of Choosing Wisely and shared decision-making: an Australian study. Allen J, King R, Goergen SK, Melder A, Neeman N, Hadley A, Hutchinson AM. BMJ Open. 2019 Aug 28;9(8):e031831. doi: 10.1136/bmjopen-2019-031831. Due to copyright laws, unless the article is open source we cannot...2019-10-151h 05
PT Inquest184 Do PTs Follow Evidence Based Guidelines? Brought to you by CMSi There has been some great work done regarding guidelines for many different musculoskeletal diagnoses, but do physical therapists follow them? How do they do compare to other medical professionals? We can always be better, but what stops us? Is it stubbornness, lack of knowledge, or might market forces and patient/professional cultures drive some of this? We discuss all of this and more with one of the authors, Josh Zadro! Do physical therapists follow evidence-based guidelines when managing musculoskeletal conditions? Systematic review Zadro J, O’Ke...2019-10-081h 15
PT Inquest183 Strength Training After ACLR Brought to you by CSMi If you have listened to more than one episode of PT Inquest you will know that Erik thinks that quadriceps dysfunction is a major problem after ACLR. Assuming that you agree with that, are there interventions to address that issue? Do they work? What about just waiting? How would we know what works? Progressive strength training restores quadriceps and hamstring muscle strength within 7 months after ACL reconstruction in amateur male soccer players. Welling W, Benjaminse A, Lemmink K, Dingenen B, Gokeler A. Phys Ther...2019-10-011h 19
PT Inquest182 Early Fear Reduction For Back Pain Brought to you by CSMi Providing accurate information on back pain seems to build confidence in the provider but doesn't seem to have a huge effect on outcomes. Is this really an improvement? In this episode, Erik and JW explore the role of the provider is these difficult cases. The Fear Reduction Exercised Early (FREE) approach to management of low back pain in general practice: A pragmatic cluster-randomised controlled trial. Darlow B, Stanley J, Dean S, Abbott JH, Garrett S, Wilson R, Mathieson F, Dowell A. PLoS Med. 2019 Sep 9;16(9...2019-09-2453 min
PT Inquest181 Effects of PT Personality on Patient Outcomes Brought to you by CSMi Patients have unique personalities, values, and circumstances but what about providers? Can the specific personality traits of the provider have an effect on outcomes? Is that a good thing? Or a bad thing? And what should we do about it? Do therapist effects determine outcome in patients with shoulder pain in a primary care physiotherapy setting? Kooijman MK, Buininga EM, Swinkels ICS, Koes BW, Veenhof C. Physiotherapy. Available online 2019 Aug 13. doi: 10.1016/j.physio.2019.08.009. Links from this episode's Mail Hole:...2019-09-171h 08
PT Inquest180 Lots of Ways to Prevent ACL Injuries Brought to you by CSMi We can prevent ACL injuries!!! Or are we just reducing risk? Or both? How do these programs work? Does it matter what you do or do you just need to do something? A Majority of Anterior Cruciate Ligament Injuries Can Be Prevented by Injury Prevention Programs: A Systematic Review of Randomized Controlled Trials and Cluster-Randomized Controlled Trials With Meta-analysis. Huang YL, Jung J, Mulligan CMS, Oh J, Norcross MF. Am J Sports Med. 2019 Aug 30:363546519870175. doi: 10.1177/0363546519870175. [Epub ahead of print] Due...2019-09-101h 00
PT Inquest179 Conflicts of Interest Brought to you by CSMi We are all aware of financial conflicts of interest. Their mechanisms for incentivizing towards inaccurate beliefs are known but can still be easy to fall for. But what about intellectual conflicts of interest? What if you job, or even worse your profession, depends on it? Conflict of Interest Wojtys EM. Sports Health. 2019 Aug 26;11(5):395-396. doi: 10.2106/JBJS.18.01160. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download...2019-09-031h 03
PT Inquest178 Omitting Routine Radiographs After Wrist Fracture Brought to you by CSMi Is more better? Would additional tests improve outcomes? How often do we look for things that may not actually make a difference? We explore these questions as we review this non-inferiority study on managing wrist fractures. Omitting Routine Radiography of Traumatic Distal Radial Fractures After Initial 2-Week Follow-up Does Not Affect Outcomes. van Gerven P, El Moumni M, Zuidema WP, Rubinstein SM, Krijnen P, van Tulder MW, Schipper IB, Termaat MF. J Bone Joint Surg Am. 2019 Aug 7;101(15):1342-1350. doi: 10.2106/JBJS.18.01160. ...2019-08-2753 min
PT Inquest177 Predicting Return to Sport After FAI Surgery Brought to you by CSMi You have an athlete with want appears to be FAIS and you want to know if they would be able to return to full sport after surgery. How would you know? Are there predictors before surgery? Are predictors for failure after surgery also just predictors of failure in general? Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up. Stone AV, Beck EC, Malloy P, Chahla J, Nwachuckwu BU, Neal WH, Nho SJ. Arthroscopy. 2019 Aug 5...2019-08-2051 min
PT Inquest176 Predicting Outcomes With Meniscus Injuries Brought to you by CSMi When you look at someone with a torn meniscus and some osteoarthritis, can you tell who would benefit from arthroscopy and who wouldn't? What about whether or not they would benefit from rehab? Would you be better than a coin flip? Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions. van de Graaf V, Bloembergen CH MD, Willigenburg NW PhD, Noorduyn JCA MSc, Saris D, Harris I, Poolman...2019-08-1352 min
PT InquestEpisode 175 Pain or No Pain During Hamstring Rehab Exercises Brought to you by CSMi After acute hamstrings injury is it ok to push into pain during rehab? Would you actually get better results? If you didn't, why not? If you did, what would that mean? Join us as we look at loading up injured hamstrings with special guest Jack Hickey! Pain-Free Versus Pain-Threshold Rehabilitation Following Acute Hamstring Strain Injury: A Randomized Controlled Trial. Hickey JT, Timmins RG, Maniar N, Rio E, Hickey PF, Pitcher CA, Williams MD, Opar DA. J Orthop Sports Phys Ther. 2019 Jun 28:1-35. doi: 10.2519/jospt.2019.8895...2019-08-061h 12
PT Inquest174 Evidence Vs Consensus in Clinical Practice Guidelines Brought to you by CSMi What is evidence without interpretation? For that matter, what exactly is evidence? Or interpretation? Can you make an evidence-based statement without a robust evidence base? Evidence vs Consensus in Clinical Practice Guidelines. Djulbegovic B, Guyatt G. JAMA. 2019 Jul 19. doi: 10.1001/jama.2019.9751. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article...2019-07-301h 00
PT Inquest173 Early Vs Delayed Surgery for FAI Brought to you by CSMi A study shows that those with FAI who get surgery earlier do better than those who get surgery later. Does that mean patients should rush to surgery? Or is the reality more nuanced? Early Hip Arthroscopy for Femoroacetabular Impingement Syndrome Provides Superior Outcomes When Compared With Delaying Surgical Treatment Beyond 6 Months. Kunze KN, Beck EC, Nwachukwu BU, Ahn J, Nho SJ. Am J Sports Med. 2019 Jul 15:2038-2044. doi: 10.1177/0363546519837192. [Epub ahead of print] Due to copyright laws, unless the article is...2019-07-231h 00
PT Inquest172 Patient Recall of Preop Symptoms Brought to you by CSMi "How do you feel now compared to how you felt before surgery?" is a common question asked of patients? But how well do they remember? Are they accurate or do they overestimate or do they underestimate? What effects can perception of pretreatment symptoms have on perception of progress? Patients Undergoing Shoulder Stabilization Procedures Do Not Accurately Recall Their Preoperative Symptoms at Short- to Midterm Follow-up. Hope D, French J, Pizzari T, Hoy G, Barwood S. Orthop J Sports Med. 2019 Jun 12;7(6):2325967119851084. doi: 10.1177/2325967119851084. eCollection 2019 Jun. 2019-07-1652 min
PT Inquest171 Home-Based Exercise After THA Brought to you by CSMi This episode is less about exercise programs after total hip arthroplasty and more about meticulous study design prior to data collection. We look at essentially having the paper written before the study begins - all you have left to do is plug in the data and run the calculations! Pragmatic Home-Based Exercise after Total Hip Arthroplasty - Silkeborg: Protocol for a prospective cohort study (PHETHAS-1) Mikkelsen LR, Madsen MN, Rathleff MS, Thorborg K, Rossen CB, Kallemose T, Bandholm T. F1000 Research. Latest...2019-07-0955 min
PT Inquest170 Altering Patient Reported Outcomes Through Practice Brought to you by CSMi Patient reported outcome measures (PROM) are commonly used to assess function in patients. But is that what they are actually measuring? Can we alter those scores in a meaningful way just through practicing the tasks mentioned in the questionnaire? Can the QuickDASH PROM be Altered by First Completing the Tasks on the Instrument? Shapiro LM, Harris AHS, Eppler SL, Kamal RN. Clin Orthop Relat Res. 2019 Apr 27. doi: 10.1097/CORR.0000000000000731. [Epub ahead of print] Due to copyright laws, unless the article is...2019-07-0247 min
PT Inquest169 Patient Understanding of Nonsurgical Interventions for Knee OA Brought to you by CSMi What do patients believe about knee osteoarthritis and nonsurgical interventions? Where do they get these beliefs? Can we change these beliefs? Even if we do will that make a difference? Misconceptions and the Acceptance of Evidence-based Nonsurgical Interventions for Knee Osteoarthritis. A Qualitative Study. Bunzli S, O'Brien P, Ayton D, Dowsey M, Gunn J, Choong P, Manski-Nankervis JA. Clin Orthop Relat Res. 2019 Jun 10. doi: 10.1097/CORR.0000000000000784. [Epub ahead of print] Due to copyright laws, unless the article is open...2019-06-2547 min
PT Inquest168 Chronic Pain and Exercise Brought to you by CSMi Exercise works for pain..but why? Probably not for the reasons that we think. Does it matter? What a silly question... Musculoskeletal pain and exercise-challenging existing paradigms and introducing new. Smith BE, Hendrick P, Bateman M, Holden S, Littlewood C, Smith TO, Logan P. Br J Sports Med. 2018 Jun 20. pii: bjsports-2017-098983. doi: 10.1136/bjsports-2017-098983. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the...2019-06-181h 02
PT Inquest167 Internet-Based Information About Low Back Pain Brought to you by CSMi What happens when you go onto the interwebs and search for information from the websites of reputable organizations (government, hospital, university, professional associations, etc)? Is it accurate? Who defines accurate? What is the purpose of these websites? Credibility, Accuracy, and Comprehensiveness of Internet-Based Information About Low Back Pain: A Systematic Review. Ferreira G, Traeger AC, Machado G, O'Keeffe M, Maher CG. J Med Internet Res. 2019 May 7;21(5):e13357. doi: 10.2196/13357. Due to copyright laws, unless the article is open source we cannot...2019-06-1157 min
PT Inquest166 Algorithm Based Treatment of Proximal Humerus Fractures Brought to you by CSMi. Following an algorithm in medicine (and other high consequence professions) is shown to result in better outcomes. But isn't that just like following a cookbook? Or is it more about making sure that we don't miss things? Evidence-based algorithm to treat patients with proximal humerus fractures-a prospective study with early clinical and overall performance results. Spross C, Meester J, Mazzucchelli RA, Puskás GJ, Zdravkovic V, Jost B. J Shoulder Elbow Surg. 2019 Jun;28(6):1022-1032. doi: 10.1016/j.jse.2019.02.015. Epub 2019 Apr 16. Due t...2019-06-0447 min
PT Inquest165 Manipulation Effects On Cervical Radiculopathy Brought to you by CSMi Doing a manipulation on the thoracic spine may help people with cervical radiculopathy but there are a lot of questions to answer here. This paper has an odd presentation of the data and generates concerns when looking at the pretrial registration (https://clinicaltrials.gov/ct2/show/NCT01495728?term=NCT01495728&rank=1). Immediate and Short-term Effects of Thoracic Spine Manipulation in Patients With Cervical Radiculopathy: A Randomized Controlled Trial. Young IA, Pozzi F, Dunning J, Linkonis R, Michener LA. J Orthop Sports Phys Ther. 2019 May;49(5):299-309...2019-05-2750 min
PT Inquest164 Diversity in Orthopedics Brought to you by CSMi Is there a lack of diversity in orthopedics? Is improving diversity around gender the same challenge as improving diversity around race? Why are some areas of medicine improving while others are still having issues? In this episode we look at the specific issues around orthopedics and see if there are lessons that can be learned in the physical therapy profession. The Orthopaedic Workforce Is Not as Diverse as the Population It Serves: Where Are the Minorities and the Women?: AOA Critical Issues Symposium. Harrington MA...2019-05-211h 14
PT Inquest163 ACL, Obesity, Causation, and YOU! Brought to you by CSMi Does the weight of an athlete matter when considering how much force they can handle? Is obesity the cause of disease or just something else that was caused by the cause of disease; whatever that actually is? Here we take a look at understanding predictors versus understanding causation and how this affects interventions for public health. Why causality, and not prediction, should guide obesity prevention policy. Chiolero A. Lancet Public Health. 2018 Oct;3(10):e461-e462. doi: 10.1016/S2468-2667(18)30158-0. Epub 2018 Sep 1. ...2019-05-1453 min
PT Inquest162 PRP vs Placebo for Patellar Tendinopathy Brought to you by CSMi In previous episodes we have talked about many issues around biologics research. This article takes an honest look at PRP for patellar tendinopathy by including two different preparations AND a placebo group. How did it turn out? Not so well for PRP... Platelet-Rich Plasma for Patellar Tendinopathy: A Randomized Controlled Trial of Leukocyte-Rich PRP or Leukocyte-Poor PRP Versus Saline. Scott A, LaPrade RF, Harmon KG, Filardo G, Kon E, Della Villa S, Bahr R, Moksnes H, Torgalsen T, Lee J, Dragoo JL, Engebretsen L....2019-05-071h 00
PT Inquest161 Counteracting Health Misinformation Brought to you by CSMi There is a lot of health misinformation out there from simple "wellness" advice to anti-vaccination zealots, but what do we as medical providers do about it? Is it time to wage war? How high are the stakes? How do we make a difference? Do medical journals play a role? Counteracting Health Misinformation: A Role for Medical Journals? Armstrong, PW, Naylor CD. JAMA. Published online April 22, 2019. doi:10.1001/jama.2019.5168 Due to copyright laws, unless the article is open source we cannot legally...2019-04-301h 00
PT Inquest160 Hips, Knees, or Do Whatever for PFP There are studies that show that a hip focused exercise program helps for PFP; there are others that show that a knee focused exercise program also works. Is one better than the other? What about just doing ANY kind of exercise? This study takes a look at answering those questions...kind of. Effectiveness of Isolated Hip Exercise, Knee Exercise, or Free Physical Activity for Patellofemoral Pain: A Randomized Controlled Trial. Hott A, Brox JI, Pripp AH, Juel NG, Paulsen G, Liavaag S. Am J Sports Med. 2019 Apr 8:363546519830644. doi: 10.1177/0363546519830644. [Epub ahead of...2019-04-2359 min
PT Inquest159 Being a Medical Conservative "You hate on everything! What do you even do with your patients? Why so negative?" We've heard it all before, and so have the authors of this paper. This open source article explores and defends the position of being skeptic within the medical world. The Case for Being a Medical Conservative. Mandrola J, Cifu A, Prasad V, Foy A. Am J Med. 2019 Mar 6. pii: S0002-9343(19)30167-6. doi: 10.1016/j.amjmed.2019.02.005. [Epub ahead of print] Open Source! Due to copyright laws, unless the article...2019-04-1653 min
PT Inquest158 Knee Function 6 Months After ACLR Brought to you by CSMi Historically is has been typical to expect to return from an ACL reconstruction around 6 months after surgery. We know know that such suggestions are not very well founded. What can a study with over 3500 subjects tell us about how these athletes typically look at this time point? Only one patient out of five achieves symmetrical knee function 6 months after primary anterior cruciate ligament reconstruction. Cristiani R, Mikkelsen C, Forssblad M, Engström B, Stålman A. Knee Surg Sports Traumatol Arthrosc. 2019 Feb 18. doi: 10.1007/s00167-0...2019-04-0944 min
PT Inquest157 Rate of Torque Development and Knee Osteoarthritis Brought to you by CSMi When we say that a patient is "strong", what does that mean exactly? Can a single muscle do well on one strength test but poorly on another? Are some tests more "functional"? Sometimes it is less about IF they are strong and more about WHEN they are strong... Deficits in rate of torque development are accompanied by activation failure in patients with knee osteoarthritis. Ventura A, Muendle B, Friesenbichler B, Casartelli NC, Kramers I, Maffiuletti NA. J Electromyogr Kinesiol. 2019 Feb;44:94-100. doi: 10.1016/j.jelekin.2018.11.010...2019-04-0246 min
PT Inquest01April Importance of the Subjective Experience of a Stroke SurvivorIn this episode we swap podcast feeds in order to confuse the crap out of you and see if anyone reads the show notes. Hint: Take a look at the release date. For real, listen to the episode though. More info at https://www.ptpintcast.com/ 2019-04-0117 min
PT Inquest156 Effectiveness of Later Stage Exercise After TKR Brought to you by CSMi This episode explores the application of exercises starting 2 months after total knee replacement. Is working with a PT better than just joining a community program? If there are performance improvements, is there much of an effect on perceived function? How difficult is it to answer these questions? Effectiveness of Later-Stage Exercise Programs vs Usual Medical Care on Physical Function and Activity After Total Knee Replacement: A Randomized Clinical Trial. Piva SR, Schneider MJ, Moore CG, Catelani MB, Gil AB, Klatt BA, DiGioia AM, Almeida GJ...2019-03-2655 min
PT Inquest155 Surgical Fixation Techniques for Syndesmosis Injuries Brought to you by CSMi This episode explores the nature of fixating an injury in a place that normally allows a little movement. Should the fixation also allow some movement? Would this allow faster return to function? Can breaking a screw actually lead to better outcomes? We also explore the need for services like PRISMA. Suture Button Versus Syndesmotic Screw for Syndesmosis Injuries: A Meta-analysis of Randomized Controlled Trials. Shimozono Y, Hurley ET, Myerson CL, Murawski CD, Kennedy JG. Am J Sports Med. 2018 Nov 26:363546518804804. doi: 10.1177/0363546518804804. [Epub ahead...2019-03-1944 min
PT Inquest154 Hip Arthroscopy vs Physiotherapy Brought to you by CSMi This article ruffled some PT feathers. In a head to head match up, many interpreted this RCT to show that surgery beats physical therapy, but is there more to it? Would Erik and JW have been able to put together a better rehab program than what was studied in this paper? Perhaps...perhaps not. This article gives a great opportunity to contrast the quality of research in the surgical and rehabilitation worlds. Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment...2019-03-121h 02
PT Inquest136 Concussion ConfusionA lot of people out there, including medical providers, believe that our understanding of chronic traumatic encephalopathy (CTE) or even concussions is complete and conclusive. As with many things, our understanding is very much just emerging. Everything from management to definitions of terms are constantly changing. Is the horse still chasing the cart here? In this episode we take a little tour of what we know and don't know with special guest Jason Hugentobler, the director of the sports physical therapy residency program at Cincinnati Children's Hospital. Chronic Traumatic Encephalopathy: The Horse Is Still Chasing the Cart.2018-10-0355 min