Shows
PT Inquest405: Limb Length and Hip Strength Rankings Live! On this episode we discuss Jason's poster at the Elite Basketball Rehab Conference 2025 in Las Vegas, NV. The Relationship Between Limb Length and Bodyweight-Normalized Hip Strength Testing Tuori J, Bunn A, Pontillo M. Poster presented at: Elite Basketball Rehab Conference; July 2025; Las Vegas, NV. 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...2025-07-1542 min
New Books in German StudiesKaius Tuori, "Empire of Law: Nazi Germany, Exile Scholars and the Battle for the Future of Europe" (Cambridge UP, 2020)In his new book Empire of Law: Nazi Germany, Exile Scholars, and the Battle for the Future of Europe (Cambridge UP, 2020), Kaius Tuori examines the inherent unity of European legal traditions that extend to ancient Rome. This book explores the invention of this tradition, tracing it to a group of legal scholars divided by the onslaught of Nazi terror and totalitarianism in Europe. As exiles in Britain and the US, its formulators worked to build bridges between the Continental and the Atlantic legal traditions, incorporating ideas such as rule of law, liberty, and equality to the European heritage. Others join...2023-08-1651 min
Restaurant RadioTalking "Fair Kitchens" with Chef Kyla TuoriPassionate, creative, and undeniably driven, Kyla Tuori’s culinary career began at the highly acclaimed professional chef school George Brown College. Starting her career in fine dining coupled with a marketing background from University of Guelph, made Unilever Food Solutions an ideal fit.What began as an internship evolved into a career with the prestigious company, and the opportunity to work amongst Unilever’s talented and experienced chefs throughout North America and the Globe.Through Chef Tuori’s, almost decade long career with Unilever, she has been the recipient of the OHI’s Top 30 Under 30 Award, affiliated with a v...2022-05-1227 min
Timeout with the Tuori's2021Wk6Ep4: OK Red and OK White PreviewTimeout with the Tuori's concludes Week 6 previews with a look at the following games:
OK Red
Caledonia v West Ottawa
Grand Haven v Grandville
Hudsonville v East Kentwood
Rockford v Jenison
OK White
Byron Center v Forest Hills Northern
GR Christian v Forest Hills Central
Northview v Greenville
East Grand Rapids v Lowell
2021-10-0114 minTimeout with the Tuori's2021Wk3Ep2: OK Silver/Gold/Blue RecapTimeout with the Tuori's is back, previewing the following games in Day 2 of Week 3:
Allendale vs. West Catholic
Hamilton vs. Unity Christian
Coopersville vs. Fruitport
Holland Christian vs. Spring Lake
Kenowa Hills vs. Wayland
GR Catholic Central vs. Forest Hills Eastern
South Christian vs. Middleville
Cedar Springs vs. Ottawa Hills
Hopkins vs. Godwin Heights
Belding vs. Kelloggsville
Comstock Park vs. Sparta
Calvin Christian vs. SH Parkway Christian
Tune back in Wednesday for the OK Green/WMC/Lakes 8 preview with M7 Sports' Mike Meekhof.2021-09-0817 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
Timeout with the Tuori's2021Wk1Ep4: Gameday! Final Week 1 PreviewsIt's finally game day! The final set of previews feature the following games and guests:
Caledonia vs Holt
Grandville vs Glenbard West (IL) (Guests: Nate Dreyer, Michigan Sports Radio and Josh Welge, Shaw Media)
Hudsonville v Saline
Forest Hills Central v Jenison (Guest: Sam Tuori, 2021 FHC Grad)
Rockford v Sterling Heights Stevenson
West Ottawa v Northview
East Grand Rapids v Zeeland West
Grand Rapids Christian v South Christian (Guest: Bob Sack, Michigan Sports Radio)
Unity Christian v Hopkins
Tune back in Friday morning to hear my reactions to Thursday night's season-opening action!2021-08-2620 min
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 minTimeout with the Tuori'sMHSAA Basketball Quarterfinals Preview w/ 8 Head CoachesA special double episode of Timeout With the Tuori's. I preview the MHSAA Boys and Girls Basketball Quarterfinals with help from 8 coaches that are still in the tournament! Specific coaches/times:
BOYS
0:35 Joe Soules, FHN
5:45 Tyler Schimmel, Covenant Christian
9:00 Mark Keeler, Tri-Unity
GIRLS
14:00 Casey Glass, Hudsonville
18:00 Nate Thomasma, Newaygo
22:15 Wes Hudson, Wayland
28:45 Scott Carlson, Kent City
32:45 Ben Schipper, Martin
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This episode is sponsored by
· Anchor: The easiest way to make a podcast. https://a...2021-04-0338 minTimeout with the Tuori'sMHSAA Basketball Regional Tournament PreviewI am joined by Eric and Zach Tuori as we preview the Regional Basketball Tournaments. We start with boys basketball in all four divisions. Next (19:00) is the girls basketball regional predictions. Finally (38:00) we close by discussing the forfeit at Jackson Northwest, where 8 players opt to take a Spring Break instead of playing in the regionals.
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This episode is sponsored by
· Anchor: The easiest way to make a podcast. https://anchor.fm/app2021-03-2944 minTimeout with the Tuori's3/17/21 Baskets, Goals and Pins!The postseason continues to heat up, and Timeout with the Tuori's is your home for the latest in MHSAA playoff hockey action. In addition to the hockey regionals, teams are clinching conference titles on the hardwood. We break down the latest, as well as preview the high school bowling regionals, where Nick gives his thoughts on who will advance to the State match.
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This episode is sponsored by
· Anchor: The easiest way to make a podcast. https://anchor.fm/app2021-03-1815 minTimeout with the Tuori's3/11/21 Basketball Recap, Friday Night PreviewFirst Ever Episode of Timeout with the Tuori's. We take a look back at high school basketball scores around our coverage area. With a limited slate on Friday, we preview some of the best action.2021-03-1215 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!
Minimalist Index:https://bit.ly/2TxuyLP
Connect with th...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!
Mini...2020-12-0141 min
New Books in European PoliticsKaius Tuori, "Empire of Law: Nazi Germany, Exile Scholars and the Battle for the Future of Europe" (Cambridge UP, 2020)In his new book Empire of Law: Nazi Germany, Exile Scholars, and the Battle for the Future of Europe (Cambridge UP, 2020), Kaius Tuori examines the inherent unity of European legal traditions that extend to ancient Rome. This book explores the invention of this tradition, tracing it to a group of legal scholars divided by the onslaught of Nazi terror and totalitarianism in Europe. As exiles in Britain and the US, its formulators worked to build bridges between the Continental and the Atlantic legal traditions, incorporating ideas such as rule of law, liberty, and equality to the European heritage. Others join...2020-11-3051 min
Exchanges: A Cambridge UP PodcastKaius Tuori, "Empire of Law: Nazi Germany, Exile Scholars and the Battle for the Future of Europe" (Cambridge UP, 2020)In his new book Empire of Law: Nazi Germany, Exile Scholars, and the Battle for the Future of Europe (Cambridge UP, 2020), Kaius Tuori examines the inherent unity of European legal traditions that extend to ancient Rome. This book explores the invention of this tradition, tracing it to a group of legal scholars divided by the onslaught of Nazi terror and totalitarianism in Europe. As exiles in Britain and the US, its formulators worked to build bridges between the Continental and the Atlantic legal traditions, incorporating ideas such as rule of law, liberty, and equality to the European heritage. Others join...2020-11-3051 min
Tuori TalkEpisode 14: Lions Lose, Gardy Retires, Bryson Wins, B1G Schedule is Out, and MoreThis is a jam packed episode of the Tuori Talk. We covered the following:
Lions lose AGAIN, this time to Green Bay. Is Patricia's time up?
NFL Injuries Continue to Pile Up--Saquon, Bosa, Davante, etc.
Bryson wins the US Open. Is it bad or good for golf?
Gardy retires as manager of the Tigers. Our thoughts on his legacy and his future replacement
B1G Football Schedule is Out--Winners, Losers, Predictions and We Miss Beth Mowins!
Tune in Thursday for another episode of the show!
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Support this podcast: https://podcasters.spotify.com/pod/show/tuoritalk...2020-09-2141 minTuori TalkEpisode 13: The B1G is Back, Predicting the US OpenThe latest episode of Tuori Talk is full of fantastic content!
First, we discuss the fact that B1G Football is back. We talk about the impact of those who have announced they are sitting out, and our thoughts on the schedule format.
Secondly, we take a look at this weekend's US Open. Who are our winners?
After that, we take a stab at our first "Football Pick Six". Who will win these games?
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Support this podcast: https://podcasters.spotify.com/pod/show/tuoritalk/support2020-09-1739 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 minTuori TalkEpisode 7: Settling Some Sports DebatesThe latest episode of The Tuori Talk covers a variety of debate topics.
Does Pete Rose belong in the Hall of Fame? Did Urban Meyer underachieve at Ohio State? Was Miguel Cabrera the rightful winner of his two-MVPs over Mike Trout? Also, our thoughts on Steve Forbes to Wake Forest, Aaron Henry declaring for the draft and Mel Tucker's latest football recruiting!
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Support this podcast: https://podcasters.spotify.com/pod/show/tuoritalk/support2020-04-3023 minTuori TalkEpisode 4: Interview with Dan HastyThe Tuori Talk Episode 4 Itinerary:
Recruiting News (MSU Football, DJ Carton),
CPBL Update,
Interview w/ Dan Hasty (WM Whitecaps/Detroit Mercy MBB Announcer)
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Support this podcast: https://podcasters.spotify.com/pod/show/tuoritalk/support2020-04-1636 minTuori TalkEpisode 3: Interview with Jehuu CaulcrickThe Tuori Talk Episode 3 Itinerary:
Josh Christopher commits to Arizona State; impact on Michigan (1:10)
Recruiting news for Michigan State football (6:00)
Interview w/ former Michigan State running back Jehuu Caulcrick (9:15)
Closing Thoughts (36:20)
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Support this podcast: https://podcasters.spotify.com/pod/show/tuoritalk/support2020-04-1440 minTuori TalkEpisode 2: CBB Coaching Carousel and Transfer Portal DraftOn the latest episode of The Tuori Talk, we continue to talk about coaches. This time, we discuss some of the biggest moves in the coaching carousel including Rick Pitino, Bryce Drew, and more. We unveil the MIAA Minute, with Zach's reflections on a shortened basketball season. Later, we unleash the transfer portal draft, where we each draft a team of five guys still in college basketball's transfer portal. We have some Rapid Fire Q&A about Josh Christopher's recruitment, golf, Tom Brady and Michigan State football. Finally, Zach faces our first ever Pop Quiz, can he answer the...2020-04-0837 minTuori TalkEpisode 1: Five Worst NCAA Basketball Coaches to Win a National ChampionshipToday is the first episode of the Tuori Talk. We start with the Five Worst Coaches to win the NCAA D1 Basketball Championship, and we follow that with some Rapid Fire Q&A about Pistons & Lions draft pick projections, Tigers prospects, MSU football headlines to watch and where MSU will find that extra guard in their rotation.
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Support this podcast: https://podcasters.spotify.com/pod/show/tuoritalk/support2020-04-0519 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
Radio 957Sähköpyörämies Ari Tuori pyöräili Suomen halkiAri Tuori on mies, joka tempaisi Suomen halki sähköpyörällä 21 päivässä. Miten matka Nuorgamista Hankoon sujui? Entä mistä idea tempaukseen sai alkunsa?
Sähköpyörämies Ari Tuori Radio 957:n aamupäivävieraana.2019-09-1125 min
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 Inquest153 Lumbar Spine Injuries In Athletes Brought to you by CSMi Epidemiology studies are a fascinating snapshot of injuries in a population, but they also provide insight on how we interpret data. How common are lumbar spine injuries amongst elite athletes? How are they defined? How limiting are they? Is there a group we should address and another group we should leave alone? Lumbar Spine Injuries in National Collegiate Athletic Association Athletes: A 6-Season Epidemiological Study. Hassebrock JD, Patel KA, Makovicka JL, Chung AS, Tummala SV, Peña AJ, Williams KE, Hartigan DE, Chhabra A...2019-03-0551 min
PT Inquest152 Provider Cognitive Errors Contributes To Medical Overuse Brought to you by CSMi Low value healthcare (like ordering imaging for patients with nonspecific low back pain) is a known issue for healthcare providers. But how big of an issue is it? Are the best providers doing that much better than the worst offenders? Why do they do this? Is there anything we can do about medical overuse and all the problems that come with it? Analysis of Physician Variation in Provision of Low-Value Services. Schwartz AL, Jena AB, Zaslavsky AM, McWilliams JM. JAMA Intern Med. 2019...2019-02-261h 03
PT Inquest151 Pain Coping Skills Training and TKA Brought to you by CSMi Pain catastrophizing has been shown to have an affect on outcomes specifically after total knee arthroplasty. This article took a good look at the problem and many people interpreted the findings to say that cognitive behavioral therapy (CBT) wasn't effective. Turns out it's much more interesting than that... Pain Coping Skills Training for Patients Who Catastrophize About Pain Prior to Knee Arthroplasty: A Multisite Randomized Clinical Trial. Riddle DL, Keefe FJ, Ang DC, Slover J, Jensen MP, Bair MJ, Kroenke K, Perera RA, Reed SD...2019-02-191h 00
PT Inquest150 Relation of Psychological Readiness and Kinematics After ACLR Brought to you by CSMi Returning to sport after ACL reconstruction is kind of a complex mess. Strength issues, coordination, soreness, not to mention the psychological factors. How do these things interact? What matters? What should we measure and how? Join us with special guest Ryan Zarzycki from Arcadia University! Psychological Readiness to Return to Sport Is Associated With Knee Kinematic Asymmetry During Gait Following Anterior Cruciate Ligament Reconstruction. Zarzycki R, Failla M, Capin JJ, Snyder-Mackler L. J Orthop Sports Phys Ther. 2018 Dec;48(12):968-973. doi: 10.2519/jospt.2018.8084. Epub 2018...2019-02-1254 min
PT Inquest149 Ultrasound Works Sorta Kinda Therapeutic ultrasound has been relegated to the physical therapy trash heap as "ultraplacebo". But is there an application where it might work? What can we learn about other physical therapy interventions from research on ultrasound? Effect of low-intensity long-duration ultrasound on the symptomatic relief of knee osteoarthritis: a randomized, placebo-controlled double-blind study. Draper DO, Klyve D, Ortiz R, Best TM. J Orthop Surg Res. 2018 Oct 16;13(1):257. doi: 10.1186/s13018-018-0965-0. Due to copyright laws, unless the article is open source we cannot legally post the PDF on...2019-02-0551 min
PT Inquest148 Text Messaging to Improve Outcomes It would be great if we could provide regular, personal follow up communications with our patients but the time commitment becomes huge. But what if you just had a bot send generic patient education text messages? Would that give a sense of connection? Will that improve patient compliance? A Novel, Automated Text-Messaging System Is Effective in Patients Undergoing Total Joint Arthroplasty. Campbell KJ, Louie PK, Bohl DD, et al. JBJS. 2019;101:145-51. doi: 10.2106/JBJS.17.01505. [Epub ahead of print] Due to copyright laws, unless the article is open source...2019-01-2948 min
PT Inquest147: Role of Cam In Hip Torsion Forces Some people have cams in their hips, some don't. Some cams are a problem, some aren't. What effects can a cam have on a hip joint? Are these good or bad? What happens after a cam is surgically removed? Hip Joint Torsional Loading Before and After Cam Femoroacetabular Impingement Surgery. Ng KCG, El Daou H, Bankes MJK, Rodriguez Y Baena F, Jeffers JRT. Am J Sports Med. 2018 Dec 31:363546518815159. doi: 10.1177/0363546518815159. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post...2019-01-2237 min
PT Inquest146 Self Reported Home Exercise Adherence A home exercise program is not very effective if the patient isn't actually, you know, doing the exercises. Is self-report accurate? What about a home program diary? Does it matter? Does this have any impact on our interpretations of previous literature? Self-Reported Home Exercise Adherence: A Validity and Reliability Study Using Concealed Accelerometers. Nicolson PJA, Hinman RS, Wrigley TV, Stratford PW, Bennell KL. J Orthop Sports Phys Ther. 2018 Jul 27:1-38. doi: 10.2519/jospt.2018.8275. [Epub ahead of print] Due to copyright laws, unless the article is open source we...2019-01-1542 min
PT Inquest145: Target ROM After RTC Repair We thought we were done but THEY KEEP PULLING US BACK IN!!! We are back for a full year of weekly episodes thanks to generous sponsorship from CSMi! Brought to you by CSMi In previous episodes we have explored the controversy around the best rehabilitation after rotator cuff (RTC) repair with many papers concluding that it really doesn't matter. But when can you say that things are not going well? And if things are not going well, what can you do about it? If you h...2019-01-0855 min
PT Inquest2018 PT Podcast Network Holiday ExtravaganzaThat's right everyone! It's that time of year again! All the PT Podcast Network voices (except for Adam) have gathered together to bring you some podcast holiday cheer! This very special episode is brought to you by My PT Insurance. Head on over to their website at myptins.com/ptinquest to be entered into a drawing for a $250 Amazon gift card (contest ends February 28, 2019). While you are there listeners can get a $20 discount off their already low price for a professional liability policy - starting as low as $149! Click the link for more info! Music by...2018-12-1151 min
PT Inquest144 Predatory Journals And YouIt's time for another season finale and we conclude with a discussion of one of the worst things in modern science, the predatory journal. These are journals that make money by publishing literally ANYTHING as long as you pay your fee. The authors of this editorial did just that, publishing a paper where they claimed that manual therapy was applied to a subject who had been dead for 5 years - and he was revived! We explore the history of demonstrations of how bad articles get into publication. Happy Holidays to everyone and we'll see you in March!2018-11-2743 min
PT Inquest143 Early Intensive Pain Education To Reduce Chronic Back PainAccurate education on pain has become a popular mantra in physical therapy practice, specifically around chronic pain. A common argument is to educate at risk patients early in the process to reduce the likelihood of their pain becoming chronic. But just how effective is this? Does it really make that much of a difference? Is it addressing the driving factors related to these subjects? Effect of Intensive Patient Education vs Placebo Patient Education on Outcomes in Patients With Acute Low Back Pain: A Randomized Clinical Trial. Traeger AC, Lee H, Hübscher M, Skinner IW, Moseley G...2018-11-2048 min
PT Inquest142 Evidence-Based PT MarketingHere we go again, hating on physical therapy (the theme song does say "I'm my own worst enemy"...) There have been some recent pushes in the physical therapy world to promote what we do, but has this been the most honest, evidence-based approach? What is the difference between "non-evidence-based" and "evidence-based" marketing? Can we do better? Special guest Joshua Zadro from the University of Sydney School of Public Health and the Institute for Musculoskeletal Health is here to help us figure it out! Evidence-based physiotherapy needs evidence-based marketing. Zadro JR, O'Keeffe M, Maher CG. Br J...2018-11-1349 min
PT Inquest141 Frickin LasersPew! Pew! Pew! Lasers!!! What could be more high tech than that? Hold on a second...what exactly IS a laser? And how is it different than other sources of light? Knowing that, why would you use it? And can you have very high quality research on very low plausibility hypothesis? You bet you can! Incorporation of photobiomodulation therapy into a therapeutic exercise program for knee osteoarthritis: A placebo-controlled, randomized, clinical trial. de Paula Gomes CAF, Leal-Junior ECP, Dibai-Filho AV, de Oliveira AR, Bley AS, Biasotto-Gonzalez DA, de Tarso Camillo de Carvalho P. Lasers Surg...2018-11-0652 min
PT Inquest140 Compensatory Strategies After ACLRThinking your ACLR patients are using compensatory strategies when they are squatting? Simple! Just watch them do a squat and you'll see it with your own eyes...OR WILL YOU?! This week our super-special guest is study lead-author Susan Sigward, Associate Professor of Clinical Physical Therapy at the University of Southern California. Compensatory Strategies That Reduce Knee Extensor Demand During a Bilateral Squat Change From 3 to 5 Months Following Anterior Cruciate Ligament Reconstruction. Sigward SM, Chan MM, Lin PE, Almansouri SY, Pratt KA. J Orthop Sports Phys Ther. 2018 Sep;48(9):713-718. doi: 10.2519/jospt.2018.7977. Epub 2018 Jun 12. ...2018-10-301h 03PT Inquest139 Rotator Cuff Surgery and Non InferiorityA topic we have discussed before, early activity after rotator cuff repair, but this is a different study design. What is meant by non-inferiority? Is this the same as saying equal? What if it was better? Would such a paper tell us? No Functional Difference Between Three and Six Weeks of Immobilization After Arthroscopic Rotator Cuff Repair: A Prospective Randomized Controlled Non-Inferiority Trial. Jenssen KK, Lundgreen K, Madsen JE, Kvakestad R, Pripp AH, Dimmen S. Arthroscopy. 2018 Oct;34(10):2765-2774. doi: 10.1016/j.arthro.2018.05.036. Epub 2018 Sep 6. The editorial that was written about this article can be...2018-10-2447 minPT Inquest138 PT Practice Patterns Following ACLRAnterior Cruciate Ligament Reconstruction (ACLR) is a procedure that has a lot published on it yet there are still second injury rates as high as 40% in some populations. There seems to be some consensus in the literature as to how these patients should be managed, but do physical therapists actually manage them this way? Embarrassingly the answer is no. Rehabilitation Practice Patterns Following Anterior Cruciate Ligament Reconstruction: A Survey of Physical Therapists. Greenberg EM, Greenberg ET, Albaugh J, Storey E, Ganley TJ. J Orthop Sports Phys Ther. 2018 Oct;48(10):801-811. doi: 10.2519/jospt.2018.8264. Epub 2018 May 22. ...2018-10-1656 minPT Inquest137 Is Sitting Really the New Smoking?There is a lot of talk amongst medical professionals and the media about sitting being the new smoking. Is that true? How would we compare that? Even if that is not EXACTLY true, what's the harm if it scares people into moving more? This article is open access at the time this episode was released so click the link below to download! Evaluating the Evidence on Sitting, Smoking, and Health: Is Sitting Really the New Smoking? Vallance JK, Gardiner PA, Lynch BM, D'Silva A, Boyle T, Taylor LM, Johnson ST, Buman MP, Owen N.2018-10-0952 minPT 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
PT Inquest135 Predictors of Postop Pain: Psychosocial or Structural?Can psychosocial factors predict pain after rotator cuff surgery? Or could they be predictive of a poor outcome in general? Does this mean surgery shouldn't be done in these cases? Also, does hunger have an effect on the quality of a PT Inquest episode? A prospective evaluation of predictors of pain after arthroscopic rotator cuff repair: psychosocial factors have a stronger association than structural factors. Ravindra A, Barlow JD, Jones GL, Bishop JY. J Shoulder Elbow Surg. 2018 Oct;27(10):1824-1829. doi: 10.1016/j.jse.2018.06.019. Epub 2018 Aug 16. Due to copyright laws, unless the article is open...2018-09-2646 min
PT Inquest134 ACL Injury and Cardiovascular DiseasesSometimes it seems like ACL injury can be linked to all kinds of future problems. In this example there is a correlation to future myocardial infarction, although not statistically significant. We all know that showing a correlation doesn't mean causation, but what exactly does it mean? More importantly, just how many people are murdered by steam related weapons?! Relation of Anterior Cruciate Ligament Tears to Potential Chronic Cardiovascular diseases. Meehan WP, Weisskopf MG, et al. American Journal of Cardiology. 2018. doi: 10.1016/j.amjcard.2018.08.030. Due to copyright laws, unless the article is open source we...2018-09-1846 min