PT Inquest

By Erik Meira & JW Matheson

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 Jan 29, 2019

Description

PT Inquest is an online journal club. Hosted by Erik Meira and JW Matheson, the show looks at an article every week and discusses how they apply to current physical therapy practice.

Episode Date
164 Diversity in Orthopedics
01:14:28

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, Rankin EA, Ladd AL, Mason BS.
J Bone Joint Surg Am. 2019 Apr 17;101(8):e31. doi: 10.2106/JBJS.18.01010.

Academic Metrics Do Not Explain the Underrepresentation of Women in Orthopaedic Training Programs.
Poon S, Nellans K, Crabb RAL, Rothman A, Wendolowski SF, Kiridly D, Gecelter R, Akerman M, Chahine NO.
J Bone Joint Surg Am. 2019 Apr 17;101(8):e32. doi: 10.2106/JBJS.17.01372.

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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

May 21, 2019
163 ACL, Obesity, Causation, and YOU!
53:07

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.

The article mentioned in the Mail Hole:

Normalization influences knee abduction moment results: Could it influence ACL-injury research, too?
Norcross MF, Johnson ST, Pollard CD, Chang EW, Hoffman MA.
J Sci Med Sport. 2017 Apr;20(4):318-321. doi: 10.1016/j.jsams.2016.10.005. Epub 2016 Oct 21.

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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

May 14, 2019
162 PRP vs Placebo for Patellar Tendinopathy
01:00:02

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.
Am J Sports Med. 2019 Apr 30:363546519837954. doi: 10.1177/0363546519837954. [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, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

May 07, 2019
161 Counteracting Health Misinformation
01:00:15

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 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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Apr 30, 2019
160 Hips, Knees, or Do Whatever for PFP
59:28

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 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, contact us.

Brought to you by CSMi

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Apr 23, 2019
159 Being a Medical Conservative
53:21

"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 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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Apr 16, 2019
158 Knee Function 6 Months After ACLR
44:33

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/s00167-019-05396-4. [Epub ahead of print]

Open Source!

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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Apr 09, 2019
157 Rate of Torque Development and Knee Osteoarthritis
46:15

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. Epub 2018 Dec 4.

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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Apr 02, 2019
01April Importance of the Subjective Experience of a Stroke Survivor
17:25

In 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/

 

Apr 01, 2019
156 Effectiveness of Later Stage Exercise After TKR
55:49

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, Khoja SS, Sowa G, Irrgang JJ.
JAMA Netw Open. 2019 Feb 1;2(2):e190018. doi: 10.1001/jamanetworkopen.2019.0018.

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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Mar 26, 2019
155 Surgical Fixation Techniques for Syndesmosis Injuries
44:58

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 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, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Mar 19, 2019
154 Hip Arthroscopy vs Physiotherapy
01:02:03

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 of symptomatic femoroacetabular impingement: multicentre randomised controlled trial.
Palmer AJR, Ayyar Gupta V, Fernquest S, et al.
BMJ. 2019 Feb 7;364:l185. doi: 10.1136/bmj.l185.

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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Mar 12, 2019
153 Lumbar Spine Injuries In Athletes
51:20

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.
Orthop J Sports Med. 2019 Jan 23;7(1):2325967118820046. doi: 10.1177/2325967118820046. eCollection 2019 Jan.

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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Mar 05, 2019
152 Provider Cognitive Errors Contributes To Medical Overuse
01:03:20

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 Jan 1;179(1):16-25. doi: 10.1001/jamainternmed.2018.5086.

Medical Overuse as a Physician Cognitive Error: Looking Under the Hood.
Korenstein D.
JAMA Intern Med. 2019 Jan 1;179(1):26-27. doi: 10.1001/jamainternmed.2018.5136.

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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Feb 26, 2019
151 Pain Coping Skills Training and TKA
01:00:45

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, McKee D, Dumenci L.
JBJS. February 6, 2019 - Volume 101 - Issue 3 - p 218-227 doi: 10.2106/JBJS.18.00621. The effectiveness trial.

Pain coping skills training for patients with elevated pain catastrophizing who are scheduled for knee arthroplasty: a quasi-experimental study.
Riddle DL, Keefe FJ, Nay WT, McKee D, Attarian DE, Jensen MP.
Arch Phys Med Rehabil. 2011 Jun;92(6):859-65. doi: 10.1016/j.apmr.2011.01.003. Epub 2011 Apr 29. The efficacy trial. OPEN ACCESS!

Preoperative pain catastrophizing predicts pain outcome after knee arthroplasty.
Riddle DL, Wade JB, Jiranek WA, Kong X.
Clin Orthop Relat Res. 2010 Mar;468(3):798-806. doi: 10.1007/s11999-009-0963-y. Epub 2009 Jul 8. The validation of the metric. OPEN ACCESS!

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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Feb 19, 2019
150 Relation of Psychological Readiness and Kinematics After ACLR
54:36

This image has an empty alt attribute; its file name is CSMIlogoCMYK-1024x663.png 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 Jul 27.

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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Feb 12, 2019
149 Ultrasound Works Sorta Kinda
51:30

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 the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Feb 05, 2019
148 Text Messaging to Improve Outcomes
48:33

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 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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Jan 29, 2019
147: Role of Cam In Hip Torsion Forces
37:57

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 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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Jan 22, 2019
146 Self Reported Home Exercise Adherence
42:41

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 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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Jan 15, 2019
145: Target ROM After RTC Repair
55:10

 

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 have an isokinetic machine, make sure you register your clinic at CybexTest.org to be listed on their database for free!

This article is open access at the time of recording so click the link below for free access.

Target range of motion at 3 months after arthroscopic rotator cuff repair and its effect on the final outcome.
Tonotsuka H, Sugaya H, Takahashi N, Kawai N, Sugiyama H, Marumo K.
J Orthop Surg.2017 Sep-Dec;25(3):2309499017730423. doi: 10.1177/2309499017730423.

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 by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Jan 08, 2019
2018 PT Podcast Network Holiday Extravaganza
51:42

That'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 Kevin MacLeod - incompetech.com

Dec 11, 2018
144 Predatory Journals And You
43:54

It'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!

Manual Therapy Cures Death: I Think I Read That Somewhere.
Cook CE, Cleland JA, Mintken PE.
J Orthop Sports Phys Ther. 2018 Nov;48(11):830-832. doi: 10.2519/jospt.2018.0107.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Nov 27, 2018
143 Early Intensive Pain Education To Reduce Chronic Back Pain
48:12

Accurate 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 GL, Nicholas MK, Henschke N, Refshauge KM, Blyth FM, Main CJ, Hush JM, Lo S, McAuley JH.
JAMA Neurol. 2018 Nov 5. doi: 10.1001/jamaneurol.2018.3376. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Nov 20, 2018
142 Evidence-Based PT Marketing
49:07

Here 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 Sports Med. 2018 Oct 27. pii: bjsports-2018-099749. doi: 10.1136/bjsports-2018-099749. [Epub ahead of print]

The blog post that Erik wrote on the ethics of healthcare marketing.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Nov 13, 2018
141 Frickin Lasers
52:40

Pew! 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 Med. 2018 Oct;50(8):819-828. doi: 10.1002/lsm.22939. Epub 2018 May 7.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

 

Nov 06, 2018
140 Compensatory Strategies After ACLR
01:03:58

Thinking 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.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Oct 30, 2018
139 Rotator Cuff Surgery and Non Inferiority
47:22

A 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 found here: https://doi.org/10.1016/j.arthro.2018.07.003

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

 

Oct 23, 2018
138 PT Practice Patterns Following ACLR
56:23

Anterior 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.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Oct 16, 2018
137 Is Sitting Really the New Smoking?
52:47

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.
Am J Public Health. 2018 Sep 25:e1-e5. doi: 10.2105/AJPH.2018.304649. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Oct 09, 2018
136 Concussion Confusion
55:19

A 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.
Asken BM, Bauer RM.
J Orthop Sports Phys Ther. 2018 Sep;48(9):672-675. doi: 10.2519/jospt.2018.0612.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Oct 02, 2018
135 Predictors of Postop Pain: Psychosocial or Structural?
46:17

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 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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sep 25, 2018
134 ACL Injury and Cardiovascular Diseases
46:36

Sometimes 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 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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sep 18, 2018
133 Scientific Journals and Advocacy
52:31

This week we are discussing an editorial from Physical Therapy Journal. We get into how much we really enjoy editorials, especially from specific editors, but we also discuss the role of scientific journals. Many clinicians confuse the broad and varied missions of a professional organization and the goals of that organization's scientific journal. What is the right platform for advocacy of a profession and what role does science play?

Scientific Journals Are Not Advocacy Organizations.
Jette AM.
Phys Ther. 2018 Sep 1;98(9):731-732. doi: 10.1093/ptj/pzy073.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sep 11, 2018
132 The Long and the Short on Isometrics for Tendon Pain
50:08

We are back for another season of PT Inquest with more tendinopathy talk! There are a couple studies that have shown that high load, long duration isometrics reduce pain, but would short duration be just as effective as long as time under tension was held constant? And are the effects only on pain or is there something more specific going on?

Immediate and Short-Term Effects of Short- and Long-Duration Isometric Contractions in Patellar Tendinopathy.
Pearson SJ, Stadler S, Menz H, Morrissey D, Scott I, Munteanu S, Malliaras P.
Clin J Sport Med. 2018 Aug 8. doi: 10.1097/JSM.0000000000000625. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sep 04, 2018
132 The Long and the Short on Isometrics for Tendon Pain

We are back for another season of PT Inquest with more tendinopathy talk! There are a couple studies that have shown that high load, long duration isometrics reduce pain, but would short duration be just as effective as long as time under tension was held constant? And are the effects only on pain or is there something more specific going on?

Immediate and Short-Term Effects of Short- and Long-Duration Isometric Contractions in Patellar Tendinopathy.
Pearson SJ, Stadler S, Menz H, Morrissey D, Scott I, Munteanu S, Malliaras P.
Clin J Sport Med. 2018 Aug 8. doi: 10.1097/JSM.0000000000000625. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sep 04, 2018
131 Exercise vs Injection for Gluteal Tendinopathy
01:09:19

Exercise and education is better than steroid injection for gluteal tendinopathy! Hooray for physical therapy! Or is it? What are the options and how great are they? We end this season with another example of an article and an intervention that we use and love, but we may want to pump the brakes a little. See you all next season!!!

THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial.
Mellor R, Bennell K, Grimaldi A, Nicolson P, Kasza J, Hodges P, Wajswelner H, Vicenzino B.
BMJ. 2018 May 2;361:k1662. doi: 10.1136/bmj.k1662.

Here is the pre-trial protocol: BMC Musculoskeletal Disorders

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

May 30, 2018
130 Blood Flow Restriction Training and You
01:09:17

Blow Flow Restriction (BFR) training is a topic that is often requested for us to cover, but the research has not been very impressive to us regarding rehab application. That said, we aim to please! (No we don't.) So in this episode, we are joined by Scot Morrison to discuss what we know and what we don't know around BFR and the potential rehab applications. THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Blood flow restriction training in clinical musculoskeletal rehabilitation: a systematic review and meta-analysis.
Hughes L, Paton B, Rosenblatt B, Gissane C, Patterson SD.
Br J Sports Med. 2017 Jul;51(13):1003-1011. doi: 10.1136/bjsports-2016-097071. Epub 2017 Mar 4.

Here is the pre-review registration: ReviewRegistry91

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

May 23, 2018
129 Pain Neuroscience and Exercise for Chronic Spine Pain
59:02

We love us some pain neuroscience and exercise for the treatment of chronic pain as a very plausible approach, but there is not very much research out there that truly tests it. This article compared that approach to a more "old style" approach to physical therapy management of chronic spine pain. The conclusions were promoted as promising, but the findings may not be as impressive as advertised. Special guest Kenny Venere joins us to take an exploration of pain neuroscience as an intervention! (Here you can find Kenny's blog and his Twitter profile)

Effect of Pain Neuroscience Education Combined With Cognition-Targeted Motor Control Training on Chronic Spinal PainA Randomized Clinical Trial.
Malfliet A, Kregel J, Coppieters I, et al.
JAMA Neurol. Published online April 16, 2018. doi:10.1001/jamaneurol.2018.0492.

Here is the pretrial registration: ClinicalTrials.gov

Here is the article that they cited that describes the exercise interventions: https://doi.org/10.1016/j.bjpt.2017.06.019

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

May 16, 2018
128 Surgery Vs Physical Therapy for FAIS
01:00:19

Finally a randomized controlled trial comparing physical therapy management to surgery for femoroacetabular impingement syndrome (FAIS)!!! And what were the findings? Well, not impressive on either end. Of course this generates more questions than answers but that's what good research does.

Arthroscopic Surgery or Physical Therapy for Patients With Femoroacetabular Impingement Syndrome: A Randomized Controlled Trial With 2-Year Follow-up.
Mansell NS, Rhon DI, Meyer J, Slevin JM, Marchant BG.
Am J Sports Med. 2018 May;46(6):1306-1314. doi: 10.1177/0363546517751912. Epub 2018 Feb 14.

Here is the pretrial registration: ClinicalTrials.gov

Here is the article that they cited that describes the physical therapy interventions: https://doi.org/10.1186/s12891-016-0914-1

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

 

May 09, 2018
127 Anxiety Depression and Concussion Baseline Measures
01:00:19

Determining when to return to play after concussion requires the use of testing to make sure that the athlete has returned to baseline. But what if you don't have a baseline measurement? Can having a history of common mental illnesses like anxiety and depression have an impact in the true baseline for an individual athlete? What about other cognitive peculiarities? Erik also discusses what it is like to be on the autism spectrum.

Here is the test for Autism/Asperger's that Erik was referring to:
https://psychcentral.com/quizzes/autism-test/

Influences of Mental Illness, Current Psychological State, and Concussion History on Baseline Concussion Assessment Performance.
Weber ML, Dean JL, Hoffman NL, et al.
Am J Sports Med. 2018 Apr 1:363546518765145. doi: 10.1177/0363546518765145. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

May 02, 2018
126 Screening for Female Athlete Triad
55:28

Female Athlete Triad may be more common than you think, and it turns out many male athletes can have it too! We take a deep exploration of the condition, how it works, and how to screen for it with special guest, San Diego State University PT School Program Director Mitch Rauh!

Association of the Female Athlete Triad Risk Assessment Stratification to the Development of Bone Stress Injuries in Collegiate Athletes.
Tenforde AS, Carlson JL, Chang A, Sainani KL, Shultz R, Kim JH, Cutti P, Golden NH, Fredericson M.
Am J Sports Med. 2017 Feb;45(2):302-310. doi: 10.1177/0363546516676262. Epub 2016 Dec 30.

We also discussed one of Mitch's many article on the topic from several years ago that happens to be open access:
Associations between the female athlete triad and injury among high school runners.
Rauh MJ, Barrack M, Nichols JF.
Int J Sports Phys Ther. 2014 Dec;9(7):948-58.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Apr 24, 2018
125 Plantarflexors, Training Volume and Intensity in Aging Runners
49:24

Do older runners run differently than younger runners? If they do, is it A GOOD THING OR A BAD THING?! Can this actually be used as a tool for training or useful information for return after injury? Join us with study co-author Blaise Williams from Nike!

Biomechanical Implications of Training Volume and Intensity in Aging Runners.
Paquette MR, Devita P, Williams DSB 3rd.
Med Sci Sports Exerc. 2018 Mar;50(3):510-515. doi: 10.1249/MSS.0000000000001452.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Apr 18, 2018
124 Are Athletes Adequately Tested Prior to RTS After ACLR?
51:54

Many clinicians wonder is tests such as the quad index are good enough for returning an athlete to sport after ACLR. Turns out, clinicians aren't even doing that! In the episode we have special guests Allison Toole and Matt Ithurburn discussing their recent paper that looked at how athletes tested after they had already been cleared to return to play after ACLR. Spoiler - they didn't look very good.

Young Athletes Cleared for Sports Participation After Anterior Cruciate Ligament Reconstruction: How Many Actually Meet Recommended Return-to-Sport Criterion Cutoffs?
Toole AR, Ithurburn MP, Rauh MJ, Hewett TE, Paterno MV, Schmitt LC.
J Orthop Sports Phys Ther. 2017 Nov;47(11):825-833. doi: 10.2519/jospt.2017.7227. Epub 2017 Oct 7.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Apr 10, 2018
123 How to Fix the Weak Spots in Contemporary Science
01:14:37

The scientific community has made some mistakes over the past couple decades, leading people to think many effects were much larger than they actually are, if they even existed at all! So what is the reason for this? How has the current process incentivized the publication of studies that may not be the best reflection of the truth? And what can we do about it? Turns out, there is a lot we can do about it! THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

The Weak Spots in Contemporary Science (and How to Fix Them).
Wicherts JM.
Animals (Basel). 2017 Nov 27;7(12). pii: E90. doi: 10.3390/ani7120090.

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.

In the episode we also reference this wonderful overview of "replication crisis" and p-hacking from Veritasium.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Apr 03, 2018
122 Injections, Shams, and Achilles Tendinopathy
01:03:20

Injecting tendinopathies is a popular practice; everything from PRP to steroids to saline to even sugar. But is there any efficacy? What exactly do these things do? Could there actually be a mechanical effect or is it chemical or just good ol' placebo? When is a sham not really a sham and how do we know? We explore all these questions and more with special guest, Peter Malliaras!

Effect of High-Volume Injection, Platelet-Rich Plasma, and Sham Treatment in Chronic Midportion Achilles Tendinopathy: A Randomized Double-Blinded Prospective Study.
Boesen AP, Hansen R, Boesen MI, Malliaras P, Langberg H.
Am J Sports Med. 2017 Jul;45(9):2034-2043. doi: 10.1177/0363546517702862. Epub 2017 May 22.

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.

Check out Peter's blog which includes his online tendinopathy course at TendinopathyRehab.com

In the episode we reference Episode 107 and that article's Checklist for Minimum Reporting for Clinical Studies Evaluating PRP.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Mar 27, 2018
121 Hamstrings Fatigue After Injury
01:00:34

Injuries to the hamstrings are more common than just about any other muscle injury in sport. And once you do it once, you are more likely to do it again. What is the problem here? Are some people just good at injuring that muscle and simple are destined to repeat it? Or are there deficits that just aren't fully rehabilitated prior to return to sport? Also, does anyone know how to pronounce Vodafone? THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Change in knee flexor torque after fatiguing exercise identifies previous hamstring injury in football players.
Lord C, Ma'ayah F, Blazevich AJ.
Scand J Med Sci Sports. 2018 Mar;28(3):1235-1243. doi: 10.1111/sms.13007. Epub 2018 Jan 8.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Mar 20, 2018
120 Placebo Use In Sports Medicine
01:02:08

When it comes to using treatments which have effects that may be nothing more than placebo, the question that is often asked is "What's the harm?" Well, according to these authors, it could be more than you realize. If it works, who cares? Does it matter that you are accidentally treating a psychosocial issue with something claiming to be treating something else? THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

'Caution, this treatment is a placebo. It might work, but it might not': why emerging mechanistic evidence for placebo effects does not legitimise complementary and alternative medicines in sport.
Rohrer JM.
Br J Sports Med. 2017 Jul 19. pii: bjsports-2017-097747. doi: 10.1136/bjsports-2017-097747. [Epub ahead of print]

The two blog posts Erik refers to in the episode can be found here:
Placebo-Fu
Elite Level Placebos

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Mar 13, 2018
119 Thinking Clearly About Correlations and Causation
53:17

We all know that "correlation does not equal causation" but it is still counterintuitive. There are many questions in healthcare that just cannot be approached by the randomized controlled trial (RCT) requiring us to depend on observational data which is extremely susceptible to this confounding correlation problem. Are there any visual tools that we can use to help keep our thinking honest and not fall for spurious correlations? YES! Join us on an exploration of directed acyclic graphs!!! THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Thinking Clearly About Correlations and Causation: Graphical Causal Models for Observational Data.
Rohrer JM.
Advances in Methods and Practices in Psychological Science. First Published January 29, 2018.

Here is the Amazon link to the book Erik was talking about, Anathem by Neal Stephenson.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Mar 06, 2018
118 Spin in the Literature
01:05:45

Being positive in life is usually seen as a good thing. Try to identify the silver lining and highlight it. But when it comes to research, that "spin" can have detrimental results for developing clinical guidelines and the scientific process as a whole. This is the final episode of this season - we'll see you all in a few months!

'Spin' in published biomedical literature: A methodological systematic review.
Chiu K, Grundy Q, Bero L.
PLoS Biol. 2017 Sep 11;15(9):e2002173. doi: 10.1371/journal.pbio.2002173. eCollection 2017 Sep.

Recommendations are made in the absence of any good treatments.
Colquhoun D.
BMJ. 2017 Aug 30;358:j3975. doi: 10.1136/bmj.j3975.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Oct 26, 2017
117 Double Your Bundle
51:33

The double bundle ACL reconstruction is better! Kinda. Sorta. Maybe. But maybe it's not for you. Or maybe it is! Does this squirrel look fat? Does anyone read these descriptions? Does anyone else smell toast? I smell toast...

Double-Bundle Versus Single-Bundle Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Study With 10-Year Results.
Järvelä S, Kiekara T, Suomalainen P, Järvelä T.
Am J Sports Med. 2017 Sep;45(11):2578-2585. doi: 10.1177/0363546517712231. Epub 2017 Jun 29.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Oct 17, 2017
116 Effective Treatments for Musculoskeletal Pain
59:55

There is a lot that we can throw at musculoskeletal pain, but what actually has evidence behind it? We do we actually know and what directions should the research be headed? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence.
Babatunde OO, Jordan JL, Van der Windt DA, Hill JC, Foster NE, Protheroe J.
PLoS One. 2017 Jun 22;12(6):e0178621. doi: 10.1371/journal.pone.0178621. eCollection 2017.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Oct 10, 2017
115 How To Survive the Medical Misinformation Mess
01:01:35

Medical research as a whole can be a mess of low quality studies. This has significant downstream effects of misinformation, confusion, and large variation of practice, not to mention the abundance of low value healthcare being provided. So how do we survive this mess? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

How to survive the medical misinformation mess.
Ioannidis JPA, Stuart ME, Brownlee S, Strite SA.
Eur J Clin Invest. 2017 Sep 7. doi: 10.1111/eci.12834. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Oct 04, 2017
114 Changing Hip Morphology During Adolescence
45:57

QUICK! Cams in the hip: Good thing or bad thing?! Where do they come from? How do they develop? Does playing sports during adolescence cause them? How should you advise your patients? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Physical activity during adolescence and the development of cam morphology: a cross-sectional cohort study of 210 individuals.
Palmer A, Fernquest S, Gimpel M, Birchall R, Judge A, Broomfield J, Newton J, Wotherspoon M, Carr A, Glyn-Jones S.
BJSM. 2017 Aug 10. pii: bjsports-2017-097626. doi: 10.1136/bjsports-2017-097626. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sep 26, 2017
113 Preparing to Avoid Research Waste
49:31

Why is there so much research waste? Why are there lots of redundancies and studies that show effects but don't actually move our understanding forward? Can anything be done to prevent this for happening before data collection even begins? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Preparing for what the reporting checklists will not tell you: the PREPARE Trial guide for planning clinical research to avoid research waste.
Bandholm T, Christensen R, Thorborg K, Treweek S, Henriksen M.
BJSM. 2017 Sep 7. pii: bjsports-2017-097527. doi: 10.1136/bjsports-2017-097527. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sep 19, 2017
112 Cost-Effectiveness of Early Rehabilitation After Lumbar Disc Surgery
52:15

If all patients get formal rehab right after lumbar disc surgery that would result in better outcomes and reduced overall costs right? Well, that makes sense but it turns out that such a question is very difficult to answer objectively. Turns out that cost-effectiveness studies require a very particular design and a lot of forethought. Keep in mind that papers like this provide our profession honest guidance, not hurtful criticism. THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Early rehabilitation after lumbar disc surgery is not effective or cost-effective compared to no referral: a randomised trial and economic evaluation.
Oosterhuis T, Ostelo RW, van Dongen JM1, Peul WC, de Boer MR, Bosmans JE, Vleggeert-Lankamp CL, Arts MP, van Tulder MW.
J Physiother. 2017 Jul;63(3):144-153. doi: 10.1016/j.jphys.2017.05.016. Epub 2017 Jun 28.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sep 12, 2017
Episode 111 Psychological Interventions and Pain
46:37

Psychological interventions are becoming popular for treating pain but what is the evidence base for this? Can these interventions stand alone or are they just are part of a bigger picture? Is pain what should be measured as a benchmark for success? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

An umbrella review of the literature on the effectiveness of psychological interventions for pain reduction.
Markozannes G, Aretouli E, Rintou E, Dragioti E, Damigos D, Ntzani E, Evangelou E, Tsilidis KK.
BMC Psychology. 2017 Aug 31. doi: 10.1186/s40359-017-0200-5.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

 

Sep 05, 2017
110 Statistics As A Grammar For Research
01:00:01

Is research like a language? The data being the words, studies being the sentences, and systematic reviews being paragraphs. But what gives all of this the required structure? You know, the grammar? Statistics! But how is all of this supposed to work? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Statistical science: a grammar for research.
Cox DR.
Eur J Epidemiol. 2017 Jul 29. doi: 10.1007/s10654-017-0288-1. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Aug 29, 2017
109 Rate of Force Development and PFP
47:06

Back again (sorry). This time talking about PFP. A lot of people confuse the subtle differences of all the factors that underlie the heading "strength". Many are not interchangeable and should be thought about as separate constructs. This episode looks at how rate of force development may be a large factor in rehabilitation, specifically regarding PFP.

Hip rate of force development and strength are impaired in females with patellofemoral pain without signs of altered gluteus medius and maximus morphology.
Nunes GS, Barton CJ, Serrão FV.
J Sci Med Sport. 2017 May 24. pii: S1440-2440(17)30440-1. doi: 10.1016/j.jsams.2017.05.014. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Aug 22, 2017
PT Inquest Quick Break
02:01

Sorry everyone. Erik has a bit too much going on these next couple weeks so we need to take a short 4 week break. We promise to resume with the next 10 episodes after that. If you want to catch Erik at his courses in Australia in early August or the small Portland course he is doing in September, go to http://thesciencept.com and click on the courses link.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Jul 25, 2017
108 Postural Control and ACL Injury Risk
57:54

Can someone do poorly on static balance tests and NOT be an ACL injury risk? I mean, if they're having a hard time there they MUST be having issues during sport, right? Can poor coordination during one task predict poor coordination in another? What about more dynamic tests? IS JW ON DRUGS?!

No association between static and dynamic postural control and ACL injury risk among female elite handball and football players: a prospective study of 838 players.
Steffen K, Nilstad A, Krosshaug T, Pasanen K, Killingmo A, Bahr R.
Br J Sports Med. 2017 Feb;51(4):253-259. doi: 10.1136/bjsports-2016-097068.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Jul 18, 2017
107 Minimum Information for Studies Evaluating Biologics in Orthopaedics
42:29

WE ARE BACK FROM BREAK and bringing with us some biologics! When talking biologics like PRP and "stem cells" sloppy research abounds. This reality isn't really fair to anyone trying to find a deeper understanding of what may or may not be going on here. Can we do better with this process? Can physical therapists apply some of these same reporting guidelines to their on research to provide a better "fair test"? Do you find this episode...Bohrium?

Minimum Information for Studies Evaluating Biologics in Orthopaedics (MIBO): Platelet-Rich Plasma and Mesenchymal Stem Cells.
Murray IR, Geeslin AG, Goudie EB, Petrigliano FA, LaPrade RF.
J Bone Joint Surg Am. 2017 May 17;99(10):809-819. doi: 10.2106/JBJS.16.00793.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

 

Jul 12, 2017
106 How to Science in Medicine
01:25:26

We all love evidence-based medicine (EBM) with its three pillars and levels of evidence and science-sounding stuff. But why do we even have it? And does it mean what we think it means? 25 years later, have we really changed very much as a profession? Erik liked this article so much that he should marry it! Unfortunately marrying a document is not yet legal in the State of Oregon.

See everyone in 3 months! Going on break...

Progress in evidence-based medicine: a quarter century on.
Djulbegovic B, Guyatt GH.
Lancet. 2017 Feb 16. pii: S0140-6736(16)31592-6. doi: 10.1016/S0140-6736(16)31592-6. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

 

Mar 21, 2017
105 Rehab After Meniscal Repair
50:19

Meniscal repairs are notorious for having a mix of opinions regarding postoperative precautions. Should we be restricting weight bearing? Range of motion? Both? Neither? Does any of it matter? Why or why not? Wait for the drop!

Rehabilitation Protocols After Isolated Meniscal Repair.
O'Donnell K, Freedman KB, Tjoumakaris FP.
Am J Sports Med. 2016 Oct 1:363546516667578. doi: 10.1177/0363546516667578. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Mar 14, 2017
104 The Costs of Low Value Healthcare
01:01:04

The prevalence of low-value healthcare is a huge burden on the global healthcare system. Sure, unnecessary care drives up costs and diverts scarce resources away from where they could provide more overall societal benefit, but are there other harms as well? Do physical therapists unknowingly make this problem worse, especially when it comes to treating diagnoses like low back pain? Are there broader ethical concerns to consider when engaging in simple promotion of a healthcare profession? Will JW abandon a hockey team's state championship game just to record an episode of PT Inquest?! Also "Corinthian"...

Wise choices: making physiotherapy care more valuable.
Traeger AC, Moynihan R, Maher CG.
J of Physiotherapy. Available online 28 February 2017.
OPEN SOURCE!!!

Links relative to the discussion:
AMA Code of Medical Ethics
APTA Code of Ethics for the Physical Therapist

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Mar 07, 2017
103 Prognostic Factors for Postop Frozen Shoulder
39:10

One of the most dreaded perceived complications after shoulder surgery is the development of developing frozen shoulder. Can we spot those who are at increased risk? If we can, is there anything we can do about it? Can a study be more awkward than Erik?

Incidence and prognostic factors for postoperative frozen shoulder after shoulder surgery: a prospective cohort study.
Koorevaar RC, Van't Riet E, Ipskamp M, Bulstra SK.
Arch Orthop Trauma Surg. 2017 Mar;137(3):293-301. doi: 10.1007/s00402-016-2589-3. Epub 2017 Jan 28.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Feb 28, 2017
102 Subgrouping Is Really Hard
58:23

I know my treatment doesn't work across a large population but what about subgroups?! Ah yes. Subgroups. Subgroups are absolutely a thing but how do we go about defining them? Do we just track everyone we treat then look back to see who responded and who didn't? Or is it more complicated than that? Find out on this dynamite episode of Nobel proportions!

Evaluation of Evidence of Statistical Support and Corroboration of Subgroup Claims in Randomized Clinical Trials.
Wallach JD, Sullivan PG, Trepanowski JF, Sainani KL, Steyerberg EW, Ioannidis JP.
JAMA Intern Med. 2017 Feb 13. doi: 10.1001/jamainternmed.2016.9125. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

 

Feb 21, 2017
101 Measuring Quad Index In Your Clinic
56:21

The quad index (side to side strength comparison of the quadriceps) is one of the best known correlations to knee function, but can you test it accurately in the clinic? Do you need an expensive electromechanical dynamometer or can you get by with simpler tools? Also, are you going to CSM?

Diagnostic Accuracy of Handheld Dynamometry and 1-Repetition-Maximum Tests for Identifying Meaningful Quadriceps Strength Asymmetries.
Sinacore JA, Evans AM, Lynch BN, Joreitz RE, Irrgang JJ, Lynch AD.
J Orthop Sports Phys Ther. 2017 Feb;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 at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Feb 14, 2017
100 A Look Back At PT Inquest
01:15:09

It is a landmark episode for PT Inquest - the century mark! No article to review but the guys look back on some of our listeners' favorite episodes and topics from over the years. Full list of episodes can be found on the PT Inquest Home Page.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

"Balkan in the City" by rocavaco
Licensed under a Attribution (3.0)

"café connection" by morgantj
Licensed under a Attribution (3.0)

"Otra Vez (sight mix)" by gmz
Licensed under a Attribution (3.0)

Feb 07, 2017
099 Effect of Early ROM After RTC Repair
46:45

We got 99 episodes but a bad one ain't...one! That didn't work. Dammit. Anyway, this episode takes another look at whether or not early range of motion after rotator cuff repair makes a difference during recovery. Also there are balloons...

The Effect of Early Range of Motion on Quality of Life, Clinical Outcome, and Repair Integrity After Arthroscopic Rotator Cuff Repair.
Mazzocca AD, Arciero RA, Shea KP, Apostolakos JM, Solovyova O, Gomlinski G, Wojcik KE, Tafuto V, Stock H, Cote MP.
Arthroscopy. 2017 Jan 19. pii: S0749-8063(16)30889-1. doi: 10.1016/j.arthro.2016.10.017. [Epub ahead of print]

Here is the supplemental material page.

Here is the pre-trial registration.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

 

Jan 31, 2017
098 Learning From Critique
01:03:37

In this first for PT Inquest, the guys review a letter to the editor. No paper is perfect. When looking in hindsight, papers that seemed to be originally accurate reveal themselves to be flawed. How do we steer clear of those mistakes in the present? What is the responsibility of a journal to catch these issues before publishing a paper? Would any of our listeners like to buy JW a '60s era Oldsmobile 98?

High Risk of Bias and Low Transparency in "How Effective are F-MARC Injury Prevention Programs for Soccer Players? A Systematic Review and Meta-Analysis".
Thorborg K, Krommes K, Esteve E, Clausen MB, Bartels EM, Rathleff MS.
Sports Med. 2016 Feb;46(2):293-4. doi: 10.1007/s40279-015-0458-9.

Here is the original article.

Here is the authors' reply.

The video from Veritasium that Erik references:
https://youtu.be/42QuXLucH3Q

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

 

Jan 24, 2017
097 Clinician Expectation of Benefits and Harms
49:43

What do you believe about the treatments, screenings, and tests that you use as a clinician? What are the potential benefits? What are the potential harms? How accurate are your beliefs? Does anyone know what a Proth prime is?

Clinicians’ Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review.
Hoffmann TC, Del Mar C.
JAMA Intern Med. Published online January 9, 2017. doi:10.1001/jamainternmed.2016.8254

Open Access at the time of release

The similar article on patient expectations that was referenced in the podcast. Open Access at the time of release

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Jan 17, 2017
096 Patellofemoral Pain and the Envelope of Function
56:12

On this episode the guys review a clinical commentary on patellofemoral pain (PFP) written by Rich Willy and some moron (Erik and his dumb face). How should we best conceptualize PFP? Is Scott Dye's "envelope of function" accurate or even useful? Does this understanding change the way we treat this enigmatic diagnosis for the better? We break out the shorts and t-shirts as the temperature in Minnesota gets above 0°F!

Current concepts in biomechanical interventions for patellofemoral pain.
Willy RW, Meira EP.
Int J Sports Phys Ther. 2016 Dec;11(6):877-890.

Open Access at the time of release

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Jan 10, 2017
095 Early PT Does Not Reduce Healthcare Utilization in Acute LBP
01:08:49

It's time for another season of PT Inquest! This first paper does not bode well for the idea of seeing a PT early making much of a difference in long term costs and outcomes for acute low back pain in older patients. How was this study conducted? What does this mean for physical therapists? As a profession, are we promoting ourselves in spite of the research? Are there ethical implications? Is there a roadmap forward? Is JW becoming the weakest member of his family?!

Subsequent healthcare utilization associated with early physical therapy for new episodes of low back pain in older adults.
Karvelas DA, Rundell SD, Friedly JL, Gellhorn AC, Gold LS, Comstock BA, Heagerty PJ, Bresnahan BW, Nerenz DR, Jarvik JG.
Spine J. 2016 Oct 17. pii: S1529-9430(16)31013-0. doi: 10.1016/j.spinee.2016.10.007. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Jan 03, 2017
Holiday Extravaganza
57:12

The PT Podcast Network crew are here to spread some holiday cheer with the annual PT Podcast Network Extravaganza! They talk Jedis, rectums, Festivus, and horrible jet lag - all the holiday standards. Some say it's unlistenable...but you get to judge for yourself!

Music for The PT Podcast Holiday Extravaganza:
Kevin MacLeod - incompetech.com

 

Dec 11, 2016
093 Warwick Agreement on FAI Syndrome
01:12:46

As the fellas wrap up this season of PT Inquest, they discuss the newly released Warwick Agreement on FAI Syndrome. What do we know about this condition? What differentiates "FAI" from "FAI syndrome"? What is the best way to diagnose and then manage this? WHY CAN'T WE ALL GET ALONG?! (We can and do.) What is your favorite crappy action movie?

SEE YOU ALL IN 12 WEEKS!!!

The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement.
Griffin DR, Dickenson EJ, O'Donnell J, Agricola R, Awan T, Beck M, Clohisy JC, Dijkstra HP, Falvey E, Gimpel M, Hinman RS, Hölmich P, Kassarjian A, Martin HD, Martin R, Mather RC, Philippon MJ, Reiman MP, Takla A, Thorborg K, Walker S, Weir A, Bennell KL.
Br J Sports Med. 2016 Oct;50(19):1169-76. doi: 10.1136/bjsports-2016-096743.

Open Access at the time of release

You can also download Supplementary File A which is a simple summary of the agreement.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sep 20, 2016
092 Isometrics vs Isotonics for Patellar Tendon Pain
53:30

Early evidence suggests that heavy load isometrics may be effective for acute reduction in patellar tendon pain in a laboratory setting, but is it effective for managing patellar tendon pain for athletes during their competitive season? How does it compare to isotonics (heavy slow resistance)? Does the type of contraction matter more than the total time that the heavy load is applied? Is Erik too tired to think straight?

Do isometric and isotonic exercise programs reduce pain in athletes with patellar tendinopathy in-season? A randomised clinical trial.
van Ark M, Cook JL, Docking SI, Zwerver J, Gaida JE, van den Akker-Scheek I, Rio E.
J Sci Med Sport. 2016 Sep;19(9):702-6. doi: 10.1016/j.jsams.2015.11.006. Epub 2015 Dec 7.

Open Access at the time of release

Check out Peter Malliaras' blog post on this paper!

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sep 13, 2016
091 Predicting PT Outcomes for Shoulder Pain
53:32

Can we predict which shoulder patients will get better with physical therapy? How much does the psychology of the patient play into their response? Does it have anything to do with the actual treatment provided by the therapist or were these patients going to get better no matter what? Is JW actually DYNOMIIIITE!!!!!

Hip Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study.
Chester R, Jerosch-Herold C, Lewis J, Shepstone L.
Br J Sports Med. 2016 Jul 21. pii: bjsports-2016-096084. doi: 10.1136/bjsports-2016-096084. [Epub ahead of print]

Open Access at the time of release

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sep 06, 2016
090 Overground vs Treadmill Loads
01:01:07

Running on a treadmill is not the same as running over ground!!! Or is it? It appears that in most respects it's a wash. But what about regarding loads to the patellofemoral joint and the Achilles tendon? Find out as Rich Willy (the author of the paper) joins Erik and JW to discuss this and more!

Hip Patellofemoral Joint and Achilles Tendon Loads During Overground and Treadmill Running.
Willy RW, Halsey L, Hayek A, Johnson H, Willson JD.
J Orthop Sports Phys Ther. 2016 Aug;46(8):664-72. doi: 10.2519/jospt.2016.6494. Epub 2016 May 12.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Aug 30, 2016
089 Effects of Structured Exercise on Depression
50:14

Clinical depression has a known correlation with chronic pain. Can exercise be an effective treatment for these patients by using it to "treat the depression"? Well, before we can explore that, we need to get a better understanding of the psychological effects of exercise on subjects with clinical depression who DO NOT have pain. Also, JW now has an IQ higher than a sea cucumber!

Hip Strength in "Crawling Out of the Cocoon": Patients' Experiences of a Physical Therapy Exercise Intervention in the Treatment of Major Depression.
Danielsson L, Kihlbom B, Rosberg S.
Phys Ther. 2016 Aug;96(8):1241-50. doi: 10.2522/ptj.20150076. Epub 2016 Feb 4.

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.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Aug 23, 2016
088 Hip Strength With Quad Deficits After ACLR
01:08:18

Deficits in quadriceps strength after ACL reconstruction are a well known problem. Is this specific to the quadriceps or is this just an example of general weakness throughout the lower extremity? What about hip strength? Does this change as well? Is JW smarter than a sea cucumber? In this episode we are joined by Ohio State researcher and clinician Matt Ithurburn!

Hip Strength in Patients with Quadriceps Strength Deficits after ACL Reconstruction.
Bell DR, Trigsted S, Post EG, Walden CE.
Med Sci Sports Exerc. 2016 May 26. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Aug 16, 2016
087 Lack of Credibility of Subgroup Claims in LBP
42:43

When treatments don't seem to work for a diagnosis we will often try to see if they work for particular subgroups. Sure, that's a thing, but that is a very difficult thing to determine that demands a very specific process. How have we done with subgroup analysis regarding low back pain? Have JW and Erik found the Ultimate Prime Number?!

A systematic review reveals that the credibility of subgroup claims in low back pain trials was low.
Saragiotto BT, Maher CG, Moseley AM, Yamato TP, Koes BW, Sun X, Hancock MJ.
J Clin Epidemiol. 2016 Jun 10. pii: S0895-4356(16)30174-3. doi: 10.1016/j.jclinepi.2016.06.003. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

 

Aug 09, 2016
86 Preventing Overuse Shoulder Injuries

JW and Erik are having a lovely conversation about Bozeman, handball, and the number 86 when they are rudely interrupted by Adam Meakins from The NAF Physio Podcast to talk about preventing shoulder injuries. Can we prevent overuse shoulder injuries? If we can prevent them, do we know what about the program actually worked? Is it specific to the program? How do numbers needed to treat and time investment play into all of this?

Preventing overuse shoulder injuries among throwing athletes: a cluster-randomised controlled trial in 660 elite handball players.
Andersson SH, Bahr R, Clarsen B, Myklebust G.
Br J Sports Med. 2016 Jun 16. pii: bjsports-2016-096226. doi: 10.1136/bjsports-2016-096226. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Aug 02, 2016
86 Preventing Overuse Shoulder Injuries
53:29

JW and Erik are having a lovely conversation about Bozeman, handball, and the number 86 when they are rudely interrupted by Adam Meakins from The NAF Physio Podcast to talk about preventing shoulder injuries. Can we prevent overuse shoulder injuries? If we can prevent them, do we know what about the program actually worked? Is it specific to the program? How do numbers needed to treat and time investment play into all of this?

Preventing overuse shoulder injuries among throwing athletes: a cluster-randomised controlled trial in 660 elite handball players.
Andersson SH, Bahr R, Clarsen B, Myklebust G.
Br J Sports Med. 2016 Jun 16. pii: bjsports-2016-096226. doi: 10.1136/bjsports-2016-096226. [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, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Aug 02, 2016
085 Physical Agents Are Effective Sorta
44:35

Systematic reviews are a great tool to boil down decades of research into a single paper. But what if those decades of research were full of low quality studies? Can we make strong "Level 1a" statements from that? Well, as long as those statements are vague it looks like you can. What should we do when the evidence doesn't support or refute something? (HINT: Be skeptical!!!)

Jul 26, 2016
084 Running Into Arthritis
43:21

Running is bad for your knees. It will wear them down and lead to arthritis. We've all heard it and it makes sense, right? But does that really happen? And what does this have to do with Uranus?!

Jul 19, 2016
083: Predicting Injuries in Sports
59:11

Can we predict injuries in athletes? Is it like screening for disease or is this kind of screening a different animal? Will this episode be the greatest thing since sliced bread?!

Jul 12, 2016
082 Self Managed Single Exercise Program for RTC
54:09

What is required for rotator cuff tendinopathy? Scapular stability? Manual therapy? What if you just gave exercises? How about just one exercise? In this episode we explore all of that as Erik explores living in an apartment again for the first time in 15 years.

Jul 05, 2016
081 Effect of Abdominal Bracing on GRF
01:00:44

When engaging in athletic activities, many physical therapists recommend bracing with the abdominals for stability as a better way to manage loads, but is it? Is it possible that bracing actually increases forces through the body? How might that be? Is Erik's singing in any way tolerable to our listeners?

Apr 05, 2016
080 Glenohumeral Kinematics with RTC Tears
48:23

If your patient has completely torn their supraspinatus, then their humeral head must translate superiorly during arm elevation. Or does it??? In this episode JW and Erik look at a novel kinematic study that found the exact opposite. Remember, there is always more to a hypothesis than, "It makes sense."

Mar 29, 2016
079 Predicting Pain After Shoulder Surgery
53:31

Some patients complain of severe pain after rotator cuff repair way more than others. Is this something that can be predicted? Does the extent of the injury have any correlation to postoperative pain? What about specifics of the surgery? Or is it something else? Find out all that and more by listening to "The Gold Episode"!

Mar 22, 2016
078 Using LP-PRP for Osteoarthritis
58:32

Erik and JW have a history of skepticism regarding the use of platelet rich plasm (PRP) injections for tendon injuries, but can it have an effect on osteoarthritis? What would they need to see in order to be convinced? Does this article provide that? Or do Erik and JW just hate every new thing no matter what?

Mar 15, 2016
077 Predicting Hamstring Injuries
52:22

Can hamstring injuries be predicted? Does sustaining an injury permanently change something about its function? Is it just a matter of strength or is there something else? How does strength training effect it? Or does it? Time to buy a mfMRI! (Does not stand for "motherf**king MRI" by the way.)

Mar 08, 2016
076 Getting Salty About The Literature
01:02:06

Is eating salt a good thing or a bad thing?! Why do we as physical therapists care? This study actually has to do more with the problem of opinion infiltrating the evidence in what appear to be unbiased studies. How common is this in physical therapy literature? How can we spot it? Is it more than financial bias? Is JW turning into Batman...again?!

 

Mar 01, 2016
075 How a Tendon is Like a Doughnut
57:00

Jill Cook and Karim Kahn gave a very interesting lecture on understanding tendinopathy at APTA's Combined Sections Meeting (CSM) in February 2016. PT Inquest decided to take a deeper look. Can disorganized tendon tissue change? If it can't does it matter? When we understand the true nature of tendinopathy, certain treatments become much more plausible and others appear almost silly. Also, Erik provides a poor man's homemade doughnut recipe. Or is it donut?

Feb 23, 2016
074 Orthopedic Surgeons Are Bad With Uncertainty
01:02:31

Uncertainty is not just a reality in life it is a reality of professional practice. The ability to embrace uncertainty is known to have a positive effect on critical thinking and avoiding errors in judgement. That's all great, but do medical professionals acknowledge uncertainty in their practice? Is this harmful to patients? Does it raise healthcare costs? What about informed consent? As William Osler once said, "The greater the ignorance, the greater the dogmatism."

Feb 16, 2016
073 Lever Sign for ACL Injury
40:26

A couple years ago, Alessandro Lelli described his new test for ACL insufficiency via YouTube. Originally known as "Lelli's Test", he first published it in the literature as the "Lever Sign" in late 2014 reporting 100% accuracy. Ok - seemed a little TOO perfect. Now the literature has its first independent study on the Lever Sign so let's take a closer look at this test.

Feb 09, 2016
072 How To Tear An ACL
45:48

Sure, we know that ACLs get torn and the vast majority of those mechanisms are non-contact. So what EXACTLY happens in those knees? We have some plausible ideas like dynamic valgus, but how does that tear the ACL without any injury to the MCL? How would we answer such a question? Will JW survive the current heatwave in Minnesota?

Feb 02, 2016
071 High Ankle Sprains
50:08

When dealing with a high ankle sprain (syndesmosis injury) Grade I never requires surgery whereas Grade III always requires surgery. But what about Grade II? In this episode we explore predictors of syndesmotic instability when assessing a Grade II sprain and the return to sport prognoses. All this while JW approaches absolute zero!

Jan 26, 2016
070 Epidemiology of Sports-Related Concussions
59:50

Sports-related concussions have been getting more and more attention over the past decade. The growing understanding of the potential for developing chronic brain disease is creating a cause for concern. Are sports medicine professionals managing concussions differently today? How well do we understand this process? Has Erik had too many concussions over the years to form a complete sentence?

Here is a link to the NATA Position Statement on Management of Sport Concussion.

Jan 19, 2016
069 Holiday Extravaganza
01:00:41

It's that time of year again and the PT Podcast Network crew are in the holiday spirit! The gang got together, as best they can scattered across the world, to share a little eggnog and make fun of each other. So pour yourself a drink, sit by the fire (or pool in the Southern Hemisphere), and enjoy a little holiday cheer.

Dec 14, 2015
068 Strength Asymmetry and Landing Mechanics After ACLR
01:19:32

It is well known that quadriceps strength asymmetries are commonly seen in subjects who have difficulty returning to sport after anterior cruciate ligament reconstruction (ACLR), but does that asymmetry correlate to a specific presentation on landing mechanics? What do we know about second injury in these subjects? Can we do anything about it? We ask these and many other questions when we chat with lead author from The Ohio State University, Laura Schmitt, PhD, PT!

Also, this is the last podcast of the current 12 episode season before we go on our usual 3 month hiatus. While we're gone, catch up on previous episodes or check out some of the other shows on the network!

Oct 27, 2015
067 Hip Strength Greater with PFP
49:55

There is a belief out there that weak hips may cause patellofemoral pain, but this article found the opposite. How can we make any sense out of all the ambiguity? If only we had a Masters in Biomechanics. Luckily special guest Greg Lehman does! For more info on Greg including his teaching schedule, visit his website!

Oct 20, 2015
066 To Cut or Not To Cut for Rotator Cuff Tears
55:35

Orthopedic surgeons have a lot to consider when they are deciding whether or not to recommend surgery for rotator cuff tears, but how do they implement that decision process in practice? What makes a surgeon more or less likely to go towards early surgery vs physical therapy? Will JW take "the Bard-Parker solution"???

Oct 13, 2015
065 Interpreting Pain Research
01:00:40

There are a maze of treatment options for people with pain, "each backed by enthusiastic and highly motivated advocates, all of whom lay claim to 'evidence'". How do clinicians wade through all the different ideas out there and get a handle on effectiveness? Or is it efficacy? Confused? Even if you're not, listen to this episode with special guest Neil O'Connell!!!

Oct 06, 2015
064 PFP in Adolescence vs Adults
57:22

Exercise-based interventions are known to be most effective for patellofemoral pain but how good are they really? Do adolescents with patellofemoral pain respond in a similar manner? What do we know, what don't we know? Can you handle the dueling Barry Whites???

Sep 29, 2015
063 What To Do With Fat Hips
49:12

When talking about whether or not to repair someone's rotator cuff, we often consider the Goutallier/Fuchs category which is a grading of the amount of fat infiltration in the muscle. Should we start doing the same when considering repairs of the gluteal tendons, the "rotator cuff of the hip"? Might it predict outcomes better than the size of the tendon tear? Can JW pass on his disease to Erik via the internet???

Sep 22, 2015
062 To Decompress or Not To Decompress Subacromial Space
46:33

80 years ago Ernest Codman proposed that calcific tendinopathy was initiated by tendon degeneration. This has never been validated. In recalcitrant cases, would surgical decompression lead to better outcomes than simple debridement of the calcium? Is this another case of "makes sense" turning out to be wrong?

Sep 15, 2015
061 Inflammatory Cells and Painful Tendinopathy
53:53

There is a lot of talk about "inflammation", or lack thereof, around tendinopathies; but what does that even mean? Could this still be present in chronic conditions? Are NSAIDs pure evil or are they the ultimate answer??? This episode includes Peter Gettings, one of the authors of this systematic review and someone you should follow on Twitter!!!

Sep 08, 2015
060 Hip Strength and Dynamic Lower Extremity Control
56:14

The idea of hip strength having an effect on lower extremity dynamics is not new. Is there actually a correlation between the two? What is the difference between kinematics and kinetics? Is the gluteus medius as important as we used to think? Can JW break down the number 60 into its component prime numbers???

Sep 01, 2015
059 Hip Internal Rotation and ACL Fatigue Failure
53:53

There is some evidence that repeated loads can fatigue an ACL in a cadaveric model. There is some other evidence that lack of hip internal rotation is a risk factor for ACL injury. This episode explores these ideas and asks how these factors might play a role in this common yet serious injury. How does one tear an ACL? Assuming they matter, is there anything we can really do proactively about these concerns? Can JW afford a new bike? Does Erik have a thing for foot piercings?

Aug 26, 2015
058 Hip Strength FAI and Labral Tears
54:51

On this episode we look at the correlation between hip weakness and femoroacetabular impingement/labral tears. Is it all about the glute med? Can we just strengthen out of intra-articular hip injuries? Also, have you seen An Honest Liar yet???

Aug 19, 2015
057 Quad Strength and Patellofemoral Chondral Damage After ACLR
49:00

We are back from hiatus and on this episode we look at the correlation between quadriceps weakness and patellofemoral chondral damage after ACLR. Might the chondral damage progress due to quadriceps weakness? Is this another reason to aggressively seek quad strength after surgery? How was JW's summer?

Aug 08, 2015
056 Exercise Interventions for the Treatment of CLBP
40:45

In this last episode before the hiatus, we explore exercise interventions for chronic low back pain (CLBP). Are they truly effective for the treatment of CLBP? If they are, does the type of exercise matter? What about stabilization exercises? Is JW a carpetbagger?

May 05, 2015
055 Pain Sensitivity and Its Response to Desensitization
35:46

Desensitization treatments have known effects on sensitivity in healthy controls, but what about in those with chronic pain? Does it matter if the patient has low pain sensitivity or high pain sensitivity? Will JW remodel his clinic to have nothing but ice buckets and exercise bikes?

Apr 29, 2015
054 FAI in Elite Ice Hockey Goaltenders
41:52

What hip movements are required for being an elite ice hockey goaltender? Does this make them at a higher risk for hip pathology? Can a person with a cam even GET to an elite level as a goaltender? Can Erik survive a pun avalanche???

Apr 24, 2015
053 Strength Changes After Hamstring Autograft ACLR
42:04

What kinds of strength deficits remain after hamstring autograft ACLR? Will the quadriceps fare better? Do they just need more time? Was JW's poorly told joke left in the episode? (You bet it was!)

Apr 16, 2015
052 Influence of PT Kinesiophobic Beliefs
46:43

Can the kinesiophobic beliefs of a physical therapist have an influence on the people they are educating? Might this also occur in patient populations? When JW said in a previous episode, "You don't have kinesiophobia but dammit I can give it to you!" was he right?

Apr 08, 2015
051 Undiffusion of Established Practices
47:06

When the literature starts to question an intervention that you use, how long does it take you to abandon it? Is JW a laggard?

Apr 01, 2015
050 Mechanisms of Manual Therapy
47:44

Erik and JW have asked for more inquiry into the mechanisms of manual therapy and this article does not disappoint! What about those neurophysiological effects? Are they specific or non-specific? Does it matter? Why does JW carry a galvanized bucket of vomit in the car?

Mar 24, 2015
049 Eccentric Hip Abduction Strength and PFP
45:39

We take a look at whether or not lack of eccentric hip strength is a risk factor for developing patellofemoral pain in novice runners. How hard is it to do a prospective study like this? What conclusions can we draw from this? Does this fit with our previous understanding? Is JW afraid of chickens?

Mar 20, 2015
048 Nonsurgical Care for Lateral Epicondylalgia
44:53

We take a look at a meta-analysis on nonsurgical management of lateral epicondylalgia which does not show much difference in the long term. Do short term changes matter? What exactly are we treating? No comment on the miscommunication that occurs during the episode.

Mar 11, 2015
047 Enhancing Motor Learning to Reduce Injury Risk
50:59

We take a skeptical look at ACL injury prevention programs and whether they are doing what we think they are doing. Do we need to think differently? What can we learn from motor learning theory? Is reviewing a Level 5 article a waste of our time???

Mar 04, 2015
046 Bogus Visual Feedback Chronic and Neck Pain
44:30

In Episode 46 we look at the effect of bogus visual feedback on chronic neck pain. Nociceptors, central sensitization - is this now something else? What effect does this information have on the care of these patients? Also, zombies.

Feb 25, 2015
045 Kinesiophobia After ACLR
49:31

In Episode 45 we look at kinesiophobia as a predictor of failure to return to sport after anterior cruciate ligament reconstruction (ACLR). What is kinesiophobia? How does it interact with all of the other issues present after ACLR? What is JW's obsession with 50 Shades of Grey???

Feb 18, 2015
Extrasode: When A Valid Argument Can Be False
10:14

In this PT Inquest Extrasode, Erik explores the the concepts of validity and soundness by sharing the post "When A Valid Argument Can Be False".

Oct 31, 2014
044 Steroid Injection vs Manual Physical Therapy
42:17

In Episode 44 we look at comparing corticosteroid injection with "manual" physical therapy with special guest Adam Meakins (@adammeakins). What do they mean by "manual" physical therapy? Were the effects of either treatment very impressive? What does a study like this mean for the profession?

Oct 08, 2014
Extrasode: Does God Exist?
11:33

In this PT Inquest Extrasode, Erik explores the nature of a scientific question by asking, "Does God Exist?"

Oct 03, 2014
043 Nonlinear Pedagogy and Learning Sport Skills
49:33

In Episode 43 we look at nonlinear vs linear pedagogy for teaching a sport skill. What does that even mean? How do we apply it? Have we been approaching return to sport completely wrong?

Sep 27, 2014
Extrasode: The Science Series
30:46

In this Extrasode, Erik covers The Science Series.

Sep 20, 2014
Extrasode: Operant Conditioning and Positive Feedback Loops
18:43

This is the first Extrasode! Unlike regular episodes, this is just an audio-recording of content from the blog. In this Extrasode, Erik covers the posts Does Positive Mean What You Think It Means? and Getting Rid of Something Positive.

Sep 12, 2014
042 Classification Systems for Chronic LBP
53:02

In Episode 42 we look at classification systems for treating chronic low back pain with specific exercise. Do they matter? Are we overthinking things? What exactly are we treating?

Sep 05, 2014
041 Rectangular Tunnels for ACLR
28:06

In Episode 41 we look at a comparing a rectangular-shaped tunnel with a traditional transtibial round-shaped tunnels for ACL reconstruction. Does a rectangular tunnel require less graft tension? While this restore more natural kinematics after ACL reconstruction? Is this combining the best of both worlds? Will JW make a bad joke somewhere?

Aug 16, 2014
040 ACLR Technique and Kinematic Forces
41:00

In Episode 40 we look at a comparing the transtibial (TT) and the anteriomedial portal (AMP) techniques for ACL reconstruction and their effect on femoral tunnel orientation and subsequent postoperative knee joint kinematics. Does technique matter? Are the differences clinically relevant?

Aug 10, 2014
039 Hip Spine Syndrome
31:31

In Episode 39 we look at a systematic review that explores the idea of Hip-Spine SyndromeWhat is that? Is lumbar spine disease a contra-indication for hip surgery? Or maybe it is an indication?

Aug 01, 2014
038 Normal Landing Mechanics
37:59

In Episode 38 we look at a systematic review that tries to define "normal" mechanics for preventing ACL tears. Does that exist? How slippery is this idea of "normal"?

Jul 25, 2014
Hip Strength and PFP
01:00:59

In Episode 37 we look at hip strength as a predictor of patellofemoral pain (PFP). Can we say that hip weakness causes PFP? What do we really know about this enigmatic condition?

Jul 04, 2014
IASTM and ROM Changes
01:05:25

In Episode 36 we look at changes in range of motion after IASTM. Is it really doing anything to the tissue itself? What evidence is there really behind these tool assisted treatments?

Jun 27, 2014
Quad Strengthening For PFPS
01:03:28

In Episode 35 we look at the role of quadriceps strengthening exercises on patellofemoral pain syndrome (PFPS). Is it really effective? What role does it play during rehab?

Jun 20, 2014
Incidence of 2nd ACL Injury
50:01

In Episode 34 we look at the incidence of second ACL injuries two years after primary ACL reconstruction. How often to patients that return to sports re-tear their ACL? What about the contra-lateral side? Can we do anything about this?

Jun 13, 2014
FMS and Performance
01:09:46

In Episode 33 we look at the relationship of the Functional Movement Screen (FMS) in-line lunge to power, speed, and balance measures. Why is this question being asked? Does the intended function of a test matter? How are professionals using movement screens?

Jun 06, 2014
PT and Hip OA
01:07:13

In Episode 32 we look at the effect of physical therapy on pain and function in patients with hip osteoarthritis. Is your knee-jerk reaction to get defensive? Let's explore the history of this question and what the science really says.

May 30, 2014
Biochemical Markers After Manipulations
49:56

In Episode 31 we look at biochemical markers of pain and stress after manipulations. Are these effects specific or merely objective? Does it need to do more than provide temporary analgesia?

May 23, 2014
Therapeutic Alliance
42:19

In Episode 30 we look at the effects of therapeutic alliance on outcomes involving treatments with no known specific effects.

May 16, 2014
Episode 29: ACLR Active Flexion Deficit and Bundling
31:17

In Episode 29 we look at limited active knee flexion as a predictor of function after hamstring ACLR and comparing long term function of double- vs single-bundle ACLR.

Dec 28, 2013
Episode 28: Injury Prevention
36:22

In Episode 28 we discuss the differences between specific effects and objective changes - not the same thing. We also look at the following article on injury prevention programs.

Nov 02, 2013
Episode 27: Dry Needling
50:59

This episode discusses dry needling and the difficulty in controlling for placebos. http://ptpodcast.com/pt-inquest/

Oct 12, 2013
Episode 26: Research Needs
53:24

This episode looks at the current research needs and the kinds of questions that should be answered.

Sep 24, 2013
PT Inquest Episode #25: MET for PFPS and Roller Massage Increasing ROM
45:29

Episode #25: MET for PFPS and Roller Massage Increasing ROM. For Links to the articles reviewed on this episode go to ptpodcast.com/pt-inquest

Jun 11, 2013
PT Inquest Episode #24: Gluteus Medius Repairs and Lumbopelvic Manip/KT in PFPS
48:25

Episode #24: Gluteus Medius Repairs and Lumbopelvic Manip/KT in PFPS. For Links to the articles reviewed on this episode go to ptpodcast.com/pt-inquest

May 19, 2013
PT Inquest Episode #23: Arthroscopy in Knees with DJD and STarT Back Screening Tool
45:20

Episode #23: Arthroscopy in Knees with DJD and STarT Back Screening Tool. For links to the articles reviewed on this episode go to ptpodcast.com/pt-inquest

Apr 30, 2013
PT Inquest Episode #22: MRI Accuracy of Cartilage Lesions and MRI Accuracy of Lumbar Disk Herniation Follow Up
35:59

Episode #22: MRI Accuracy of Cartilage Lesions and MRI Accuracy of Lumbar Disk Herniation Follow Up. For links to the articles reviewed on this episode go to ptpodcast.com/pt-inquest

Mar 22, 2013
PT Inquest Episode #21: Steroid/Physio with Epicondylalgia and Early OKC after ACLR
59:31

Episode #21: Steroid/Physio with Epicondylalgia and Early OKC after ACLR. For links to the articles reviewed on this episode got to ptpodcast.com/pt-inquest

Mar 02, 2013
PT Inquest Episode #20: Nonoperative vs operative ACL after 5 years and EMG comparing gluteus medius vs TFL
56:55

Episode #20: Nonoperative vs operative ACL after 5 years and EMG comparing gluteus medius vs TFL. For links to the articles reviewed on this episode got to ptpodcast.com/pt-inquest

Feb 11, 2013
PT Inquest Episode #19: Transphyseal ACL Reconstruction in Skeletally Immature and ACL Reconstruction Surgery Timing After Injury.
46:18

Episode #19: Transphyseal ACL Reconstruction in Skeletally Immature and ACL Reconstruction Surgery Timing After Injury. For more info on the articles, go to ptpodcast.com/pt-inquest

Jan 17, 2013
PT Inquest Episode #18: Strength with Epicondylalgia and Movement Pattern Modification with PFPS
44:48

Episode #18: Strength with Epicondylalgia and Movement Pattern Modification with PFPS. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Dec 29, 2012
PT Inquest Episode #17: OAT vs. Microfracture (again) and Systematic Review of CPRs
52:28

Episode #17: OAT vs. Microfracture (again) and Systematic Review of CPRs. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Dec 11, 2012
PT Inquest #16: OAT vs. Microfracture and Operative vs. Nonoperative ACL
44:38

Episode #16: OAT vs. Microfracture and Operative vs. Nonoperative ACL. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Nov 26, 2012
PT Inquest #15: Lateral Ankle Sprains and SMT Efficacy in Acute LBP
01:03:33

Lateral Ankle Sprains and SMT Efficacy in Acute LBP. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Nov 08, 2012
Episode #14: Cartilage Research Bias and Strain Counterstrain
52:00

Cartilage Research Bias and Strain Counterstrain. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Oct 23, 2012
Episode #13: Mirror Gait Retraining in PFPS and Neurogenerative Causes of Death in NFL
43:30

Mirror Gait Retraining in PFPS and Neurogenerative Causes of Death in NFL. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Oct 09, 2012
Episode #12: Quadriceps Femoris Strength Asymmetry and Rate of Force Development After ACLR
34:32

Quadriceps Femoris Strength Asymmetry and Rate of Force Development After ACLR. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Sep 24, 2012
Episode #11: Kinesio Tape vs. Thrust Manipulations and Accelerated Rehab After ACI
34:22

Kinesio Tape vs. Thrust Manipulations and Accelerated Rehab After ACI. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Sep 07, 2012
Episode 10: Inactivity/Disease and Classification-Based LBP Approach
41:06

Episode 10: Inactivity/Disease and Classification-Based LBP Approach. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Aug 16, 2012
Episode 9: Bankart Repair and High Ankle Sprain Prognostic Predictors
32:07

Episode 9: Bankart Repair and High Ankle Sprain Prognostic Predictors. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Jul 31, 2012
Episode 8: CNLBP Prognosis and Effusion/Quad Inhibition
33:50

Episode 8: CNLBP Prognosis and Effusion/Quad Inhibition. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Jul 10, 2012
Episode 7: ACL Survival and Hip Strength/Trunk Kinematics in PFPS
36:35

Episode 7: ACL Survival and Hip Strength/Trunk Kinematics in PFPS. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Jun 28, 2012
PT Inquest: Episode 6: Weight loss after THA and Scapular Assistance Test
32:14

Episode 6: Weight loss after THA and Scapular Assistance Test. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Jun 07, 2012
PT Inquest: Episode 5: Diathermy and Meniscus Repairs
31:09

PT Inquest: Episode 5: Diathermy and Meniscus Repairs Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

May 22, 2012
PT Inquest: Episode 4: PFPS Predictors and Early ROM after RTC Repair
32:46

PT Inquest: Episode 4: PFPS Predictors and Early ROM after RTC Repair Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

May 05, 2012
PT Inquest: Episode 3: Cam Incidence and Comparing Exercise Treatments for Chronic NS LBP
40:45

PT Inquest: Episode 3: Cam Incidence and Comparing Exercise Treatments for Chronic NS LBP. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Apr 21, 2012
Episode 2: Patient Activation and Non-Specific Effects
30:56

Episode 2: Patient Activation and Non-Specific Effects. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Apr 01, 2012
Episode 1: CAM and New Ideas
30:02

Episode 1: CAM and New Ideas. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

Mar 19, 2012