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.
Clinical Journal Of Sport Medicine
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Best Clinical Journal Of Sport Medicine podcasts we could find (updated May 2020)
Best Clinical Journal Of Sport Medicine podcasts we could find
Updated May 2020
Updated May 2020
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This free monthly podcast is part of Clinical Chemistry. Clinical Chemistry is the leading forum for peer-reviewed, original research on innovative practices in today's clinical laboratory. In addition to being the most cited journal in the field (24,297 citations in 2009), Clin Chem has the highest Impact Factor (6.263 in 2009) among journals of clinical chemistry, clinical (or anatomic) pathology, analytical chemistry, and the subspecialties, such as transfusion medicine, clinical microbio ...
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Clinical Journal of Sport Medicine - The Clinical Journal of Sport Medicine Podcast
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An interview with the current ACSEP President – Sports and Sports Medicine in Australia, pre/post COVID
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Our guest is Dr. Louise Tulloh, a sports medicine physician practicing in Sydney and current president of the Australasian College of Sport and Exercise Physicians (ACSEP)
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PT Inquest
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196 Therapeutic Alliance and Telehealth
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In this episode we go back to reviewing articles. We discuss the differences in therapist perceptions and patient perceptions of care, specifically in regards to telehealth. Are we more dissatisfied than our patients? Therapeutic Alliance Between Physical Therapists and Patients With Knee Osteoarthritis Consulting Via Telephone: A Longitudinal Stud…
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Clinical Journal of Sport Medicine - The Clinical Journal of Sport Medicine Podcast
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Practice Patterns of Family Physicians With and Without Sports Medicine Certification
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We talk with two authors about their new study exploring the characteristics of Family Medicine physicians in the USA who have gone on for subspecialty training in sports medicine: Lars Peterson VP of the American Board of Family Medicine (ABFM) and Rachel Cox
Support us on Patreon! In this episode JW and Erik talk about what it means to be a PT practicing, or not practicing, during this COVID-19 pandemic. There is discussion about social responsibility, immunity, disease spread, and the luxury of quarantining yourself in a submarine at the bottom of Lake Michigan. This episode is NOT available for conti…
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PT Inquest
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Session 2: Envelope of Function and Physical Stress Theory
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Available for CEU credit!!! Click here! The concepts of Envelope of Function and Physical Stress Theory are very useful in rehabilitation applications. We review these constructs and give ideas for use in the clinic. Reference List Dye SF. The Knee as a Biologic Transmission With an Envelope of Function: A Theory. Clinical Orthopaedics and Related …
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Clinical Journal of Sport Medicine - The Clinical Journal of Sport Medicine Podcast
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Mental Health Issues and Psychological Factors in Athletes: The AMSSM Position Statement.
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Our guests are past presidents of the AMSSM and co-lead authors of the new AMSSM Position Statement: Drs. Cindy Chang and Margot Putukian
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PT Inquest
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Session 1: History of ACLR Surgery and Rehabilitation
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Available for CEU credit!!! Click here! Our understanding of the ACL, it's related pathophysiology, surgical strategies, and postoperative rehabilitation has an interesting history. We take a tour of the history and interview a couple guests who lived it. Reference List Chambat P, Guier C, Sonnery-Cottet B, Fayard JM, Thaunat M. The evolution of AC…
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Clinical Journal of Sport Medicine - The Clinical Journal of Sport Medicine Podcast
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Youth vs. High School football players – tracking head impacts and DTI changes over the course of a season.
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We talk with the two principal authors of a newly published CJSM study: Ms. Kim Barber-Foss and Dr. Greg Myer. They share the results of this new, prospective study and their thoughts on the larger meaning of their results in the continued debate over tackling in American youth football.
Brought to you by CSMi In this episode we review an article about causal fallacies but, more importantly, changes are coming in 2020 to PT Inquest! Tune in to hear all about it. Also, PATREON!!! Core stability and low-back pain: a causal fallacy. Open Science Collaboration. J Exerc Rehabil. 2019 Jun 30;15(3):493-495. doi: 10.12965/jer.1938198.099. …
Brought to you by CSMi. In this episode we are joined by Dan Quintana from the Everything Hertz podcast to discuss reproducibility and improving science. We even talk a little about the "love hormone"! PSYCHOLOGY. Estimating the reproducibility of psychological science. Open Science Collaboration. Science. 2015 Aug 28;349(6251):aac4716. doi: 10.112…
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PT Inquest
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192 Exercise Intensity and Chronic LBP
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Brought to you by CSMi So we're not the best with chronic nonspecific low back pain. We also tend to underload our patients in general. Maybe if we increased the intensity of our exercises, we would be more effective with chronic nonspecific low back pain. Well, at least we can test it! Exercise Intensity Matters in Chronic Nonspecific Low Back Pai…
Brought to you by CSMi Clinical depression is a very real part of many of our patients' lives. As a matter of fact, our current understanding of many commonly treated PT diagnoses suggests that clinical depression may be a huge driver of symptoms. How do we identify it in our patients? Assuming we can do that, what do we do about it once we identif…
Brought to you by CSMi Everyone wants to succeed and no one wants to fail. Is failure so bad? Can we even have success without failure? How can we learn to embrace failure to get the greatest knowledge? A celebration of failure. Loscalzo J. Circulation. 2014 Mar 4;129(9):953-5. doi: 10.1161/CIRCULATIONAHA.114.009220. The other article that Erik men…
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PT Inquest
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189 What Should A Patient Expect After Surgery
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Brought to you by CSMi One of the most important components of ethical healthcare is patient education. A fully informed patient makes everything easier later during the care. But that includes educated on the good and the bad. Sometimes "being hopeful" can actually be a disservice. "Doctor, What Happens After My Meniscectomy?" Smith JH, Houck DA, …
Brought to you by CSMi Cognitive Functional Therapy for the win! Or is it? Are these differences in effect sizes from a simple group program big enough to get excited about? What else could be at play here? Chronic low back pain is hard... Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low b…
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PT Inquest
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187 Self-Efficacy for Home Exercise Program
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Brought to you by CSMi What does it mean to have self-efficacy? How does that differ from one's perceived locus of control? Are they situation dependent? Can we changed them or just measure them? How does this affect our patients. The Self-Efficacy for Home Exercise Programs Scale: Development and Psychometric Properties. Picha KJ, Lester M, Heebne…
Brought to you by CSMi Physicians often will offer a corticosteroid injection for those with osteoarthritis. Patients feel better in the short term, but is there long term harm? If the joint is shot anyway, does it matter? Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? Kompel AJ, Roemer FW, Murakam…
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PT Inquest
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185 Patient Perception of Shared Decision Making
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Brought to you by CSMi Shared decision making is the greatest thing! Ethical, honest, engaging. But do patients give a crap? Would they rather the provider just tell them what to do? Can we find a happy ground? Semistructured interviews regarding patients' perceptions of Choosing Wisely and shared decision-making: an Australian study. Allen J, King…
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PT Inquest
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184 Do PTs Follow Evidence Based Guidelines?
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Brought to you by CMSi There has been some great work done regarding guidelines for many different musculoskeletal diagnoses, but do physical therapists follow them? How do they do compare to other medical professionals? We can always be better, but what stops us? Is it stubbornness, lack of knowledge, or might market forces and patient/professiona…
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PT Inquest
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183 Strength Training After ACLR
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Brought to you by CSMi If you have listened to more than one episode of PT Inquest you will know that Erik thinks that quadriceps dysfunction is a major problem after ACLR. Assuming that you agree with that, are there interventions to address that issue? Do they work? What about just waiting? How would we know what works? Progressive strength train…
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PT Inquest
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182 Early Fear Reduction For Back Pain
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Brought to you by CSMi Providing accurate information on back pain seems to build confidence in the provider but doesn't seem to have a huge effect on outcomes. Is this really an improvement? In this episode, Erik and JW explore the role of the provider is these difficult cases. The Fear Reduction Exercised Early (FREE) approach to management of lo…
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PT Inquest
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181 Effects of PT Personality on Patient Outcomes
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Brought to you by CSMi Patients have unique personalities, values, and circumstances but what about providers? Can the specific personality traits of the provider have an effect on outcomes? Is that a good thing? Or a bad thing? And what should we do about it? Do therapist effects determine outcome in patients with shoulder pain in a primary care p…
Our guest is Alison Brooks M.D., M.P.H., the guest editor of the September 2019 special thematic issue on the pediatric and adolescent athlete.
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PT Inquest
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180 Lots of Ways to Prevent ACL Injuries
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Brought to you by CSMi We can prevent ACL injuries!!! Or are we just reducing risk? Or both? How do these programs work? Does it matter what you do or do you just need to do something? A Majority of Anterior Cruciate Ligament Injuries Can Be Prevented by Injury Prevention Programs: A Systematic Review of Randomized Controlled Trials and Cluster-Ran…
Brought to you by CSMi We are all aware of financial conflicts of interest. Their mechanisms for incentivizing towards inaccurate beliefs are known but can still be easy to fall for. But what about intellectual conflicts of interest? What if you job, or even worse your profession, depends on it? Conflict of Interest Wojtys EM. Sports Health. 2019 A…
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PT Inquest
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178 Omitting Routine Radiographs After Wrist Fracture
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Brought to you by CSMi Is more better? Would additional tests improve outcomes? How often do we look for things that may not actually make a difference? We explore these questions as we review this non-inferiority study on managing wrist fractures. Omitting Routine Radiography of Traumatic Distal Radial Fractures After Initial 2-Week Follow-up Does…
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PT Inquest
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177 Predicting Return to Sport After FAI Surgery
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Brought to you by CSMi You have an athlete with want appears to be FAIS and you want to know if they would be able to return to full sport after surgery. How would you know? Are there predictors before surgery? Are predictors for failure after surgery also just predictors of failure in general? Preoperative Predictors of Achieving Clinically Signif…
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176 Predicting Outcomes With Meniscus Injuries
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Brought to you by CSMi When you look at someone with a torn meniscus and some osteoarthritis, can you tell who would benefit from arthroscopy and who wouldn't? What about whether or not they would benefit from rehab? Would you be better than a coin flip? Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients p…
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Clinical Journal of Sport Medicine - The Clinical Journal of Sport Medicine Podcast
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What are the typical characteristics and timelines for recovery of pediatric/adolescent sport-related concussion?
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Our guest is Tamara McLeod, PhD, ATC, lead author of a new study on youth concussions using the Athletic Training Practice-Based Research Network
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PT Inquest
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Episode 175 Pain or No Pain During Hamstring Rehab Exercises
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Brought to you by CSMi After acute hamstrings injury is it ok to push into pain during rehab? Would you actually get better results? If you didn't, why not? If you did, what would that mean? Join us as we look at loading up injured hamstrings with special guest Jack Hickey! Pain-Free Versus Pain-Threshold Rehabilitation Following Acute Hamstring St…
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174 Evidence Vs Consensus in Clinical Practice Guidelines
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Brought to you by CSMi What is evidence without interpretation? For that matter, what exactly is evidence? Or interpretation? Can you make an evidence-based statement without a robust evidence base? Evidence vs Consensus in Clinical Practice Guidelines. Djulbegovic B, Guyatt G. JAMA. 2019 Jul 19. doi: 10.1001/jama.2019.9751. [Epub ahead of print] D…
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173 Early Vs Delayed Surgery for FAI
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Brought to you by CSMi A study shows that those with FAI who get surgery earlier do better than those who get surgery later. Does that mean patients should rush to surgery? Or is the reality more nuanced? Early Hip Arthroscopy for Femoroacetabular Impingement Syndrome Provides Superior Outcomes When Compared With Delaying Surgical Treatment Beyond …
Brought to you by CSMi "How do you feel now compared to how you felt before surgery?" is a common question asked of patients? But how well do they remember? Are they accurate or do they overestimate or do they underestimate? What effects can perception of pretreatment symptoms have on perception of progress? Patients Undergoing Shoulder Stabilizati…
Brought to you by CSMi This episode is less about exercise programs after total hip arthroplasty and more about meticulous study design prior to data collection. We look at essentially having the paper written before the study begins - all you have left to do is plug in the data and run the calculations! Pragmatic Home-Based Exercise after Total Hi…
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170 Altering Patient Reported Outcomes Through Practice
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Brought to you by CSMi Patient reported outcome measures (PROM) are commonly used to assess function in patients. But is that what they are actually measuring? Can we alter those scores in a meaningful way just through practicing the tasks mentioned in the questionnaire? Can the QuickDASH PROM be Altered by First Completing the Tasks on the Instrum…
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169 Patient Understanding of Nonsurgical Interventions for Knee OA
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Brought to you by CSMi What do patients believe about knee osteoarthritis and nonsurgical interventions? Where do they get these beliefs? Can we change these beliefs? Even if we do will that make a difference? Misconceptions and the Acceptance of Evidence-based Nonsurgical Interventions for Knee Osteoarthritis. A Qualitative Study. Bunzli S, O'Brie…
Brought to you by CSMi Exercise works for pain..but why? Probably not for the reasons that we think. Does it matter? What a silly question... Musculoskeletal pain and exercise-challenging existing paradigms and introducing new. Smith BE, Hendrick P, Bateman M, Holden S, Littlewood C, Smith TO, Logan P. Br J Sports Med. 2018 Jun 20. pii: bjsports-20…
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167 Internet-Based Information About Low Back Pain
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Brought to you by CSMi What happens when you go onto the interwebs and search for information from the websites of reputable organizations (government, hospital, university, professional associations, etc)? Is it accurate? Who defines accurate? What is the purpose of these websites? Credibility, Accuracy, and Comprehensiveness of Internet-Based Inf…
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166 Algorithm Based Treatment of Proximal Humerus Fractures
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Brought to you by CSMi. Following an algorithm in medicine (and other high consequence professions) is shown to result in better outcomes. But isn't that just like following a cookbook? Or is it more about making sure that we don't miss things? Evidence-based algorithm to treat patients with proximal humerus fractures-a prospective study with early…
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165 Manipulation Effects On Cervical Radiculopathy
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Brought to you by CSMi Doing a manipulation on the thoracic spine may help people with cervical radiculopathy but there are a lot of questions to answer here. This paper has an odd presentation of the data and generates concerns when looking at the pretrial registration (https://clinicaltrials.gov/ct2/show/NCT01495728?term=NCT01495728&rank=1). Imme…
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 lear…
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Clinical Journal of Sport Medicine - The Clinical Journal of Sport Medicine Podcast
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Principles of Mental Health in Competitive Sport
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Our guest is Krista Van Slingerland, co-founder of the Canadian Centre for Mental Health and Sport (CCMHS) and lead author of a new publication in CJSM on mental health in competitive and high performance sport.
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163 ACL, Obesity, Causation, and YOU!
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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 …
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162 PRP vs Placebo for Patellar Tendinopathy
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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 Tr…
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161 Counteracting Health Misinformation
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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 Jo…
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160 Hips, Knees, or Do Whatever for PFP
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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…
"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 …
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158 Knee Function 6 Months After ACLR
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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 symmetr…
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Clinical Journal of Sport Medicine - The Clinical Journal of Sport Medicine Podcast
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Medicine through movement: How physical activity is changing health care
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Our guest is Dr. Jane Thornton, a member of the Canadian Academy of Sport & Exercise Medicine (CASEM). She’ll be talking about the upcoming CASEM conference on “Medicine through movement: How physical activity is changing health care.’
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157 Rate of Torque Development and Knee Osteoarthritis
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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 activatio…
