show episodes
 
M
MSHA Radio
Monthly
 
Speech-Language Pathology and Audiology News and Features
 
Discussions of articles related to the practice of massage and manual therapy
 
A podcast devoted to children's speech and language needs.
 
P
PT Inquest
Monthly+
 
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.
 
Loading …
show series
 
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 ...…
 
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 ...…
 
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 ...…
 
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 ...…
 
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 cog ...…
 
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 Stratificat ...…
 
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, ...…
 
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 t ...…
 
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 ca ...…
 
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 ...…
 
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 ...…
 
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 treat ...…
 
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 t ...…
 
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 publ ...…
 
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-Yea ...…
 
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. ...…
 
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 th ...…
 
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 st ...…
 
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 wil ...…
 
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 ...…
 
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 ...…
 
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 ...…
 
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 regard ...…
 
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 c ...…
 
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 co ...…
 
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 reporti ...…
 
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 n ...…
 
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. 20 ...…
 
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 ...…
 
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 ...…
 
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 pro ...…
 
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-Repet ...…
 
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 "Ba ...…
 
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 Arth ...…
 
Test The post Article Reviews appeared first on Massage and Manual Therapy Institute.
 
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 ...…
 
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 T ...…
 
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 o ...…
 
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 o ...…
 
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…
 
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? S ...…
 
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 t ...…
 
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 a ...…
 
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 Loa ...…
 
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 h ...…
 
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 clin ...…
 
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 syste ...…
 
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 th ...…
 
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 som ...…
 
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?!
 
Google login Twitter login Classic login