Biceps femoris muscle-tendon strain during an entire overground sprint acceleration: a biomechanical explanation for hamstring injuries in the acceleration phase Astrella A, Iordanov D, De Caro D, et al. Sports Biomech. Published Ahead of Print. doi:10.1080/14763141.2024.2353233 Due to copyright laws, unless the article is open source we cannot leg…

Chris Hughen sat down with Tom Jesson to take a deep dive into the lower limb neuro exam. We discuss the purpose of a neuro exam, screening and stewarding, the 3 P’s of nerve function, diagnostic buckets, reassurance and education, sensory, strength and reflex testing, and much more. Watch the full episode: https://youtu.be/SPx8kfygGmo More about T…

On this episode we were joined by special guest researcher Dr. Dan Cobian from the University of Wisconsin-Madison. Knee Extensor Torque Steadiness and Quadriceps Activation Variability in Collegiate Athletes 4, 6, and 12 Months After ACL Reconstruction Cobian DG, Oppenheim ZR, Roehl TJ, et al. Orthop J Sports Med. 2024;12(6):23259671241253844. doi…

Chris Hughen sat down with Marc Surdyka to reflect on some of their prior podcast episodes. They discuss a variety of topics including: frozen shoulder, rotator cuff related shoulder pain, rotator cuff repairs, calf muscle strain injuries, the value of Louis Gifford’s work, our thoughts on the Stu McGill episodes, and changing ‘debate’ formats movi…

Human foot muscle strength and its association with sprint acceleration, cutting and jumping performance, and kinetics in high-level athletes Tourillon R, Michel A, Fourchet F, et al. J Sports Sci. Published Ahead of Print. doi:10.1080/02640414.2024.2367365 Due to copyright laws, unless the article is open source we cannot legally post the PDF on t…

Chris Hughen sat down with Jon Hodges to discuss hip arthroscopy rehab. We dive into pre-operative considerations, managing patient expectations, early post-op priorities, determining when to progress, objective testing, and much more. Watch the full episode: https://youtu.be/eTMNxW3_Pg4 More about Jon and NevPT: NevPT Website Instagram Updated Hip…

On this episode we were joined by special guest physical therapist Keelan Enseki from the University of Pittsburgh Medical Center. Evaluating functional performance tests in those with non-arthritic intra-articular hip pain: an international consensus statement Martin RL, Takla A, Disantis A, et al. Int J Sports Phys Ther. 2023;18(6). doi:10.26603/…

Chris Hughen sat down with Austin Jochum to discuss all things movement, exploration, and play. We dive into the importance of incorporating games and play into training, embracing failure, breaking free from constraints, the power of words, creating a positive environment, and much more. Watch the full episode: https://youtu.be/OfuG7tuP-zI More ab…

On this episode we were joined virtually by the Tufts DPT student journal club. Factors Associated With Concussion-like Symptom Reporting in High School Athletes Iverson GL, Silverberg ND, Mannix R, et al. JAMA Pediatr. 2015;169(12):1132. doi:10.1001/jamapediatrics.2015.2374 Due to copyright laws, unless the article is open source we cannot legally…

Chris Hughen sat down with Alec Blenis to discuss all things hybrid training. We dive into common mistakes runners and lifters make when introducing hybrid training, challenging misconceptions and fears, lifting and running form, making training fun, and much more. We hope you enjoy! Watch the full episode: https://youtu.be/BaRfhrXZFkM More about A…

The perception of time is slowed in response to exercise, an effect not further compounded by competitors: behavioral implications for exercise and health Edwards AM, Menting SGP, Elferink‐Gemser MT, et al. Brain Behav. 2024;14(4):e3471. doi:10.1002/brb3.3471 Due to copyright laws, unless the article is open source we cannot legally post the PDF on…

Chris Hughen sat down with Quinn Henoch to discuss the concept of “Defining Done” in the context of rehabilitation. We dive into why this is an important topic to broach with patients early on, the value of circling back to this topic throughout the plan of care, recommendations on how to initiate these conversations, and much more. Watch the full …

A modern way to teach and practice manual therapy Kerry R, Young KJ, Evans DW, et al. Chiropr Man Therap. 2024;32(1):17. doi:10.1186/s12998-024-00537-0 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. Brought to you by our sponsors at: CSMi – https://www.humacn…

Chris Hughen sat down with Jason Tuori and Chris Juneau to discuss all things dynamometer testing. We dive into: the value of dynamometry testing, practical strategies for both testing and training, upper and lower extremity case studies, and much more. Watch the full episode: https://youtu.be/1SxXXujooP0 More about Chris and Jason: Dungeons and Dy…

Hypohydration but not menstrual phase influences pain perception in healthy women Tan B, Philipp MC, Che Muhamed AM, et al. J Appl Physiol. 2022;132(3):611-621. doi:10.1152/japplphysiol.00402.2021 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you …

Chris Hughen sat down with Adam Meakins to chat about all things manual therapy. We discuss the new paper Adam co-authored, “A modern way to teach and practice manual therapy.” We dive into the value of updating outdated views and beliefs, Adam’s disagreement with parts of this piece, why he does not perform manual therapy, and much more. Watch the…

On this episode we were joined by special guest researcher Dr. Dustin Oranchuk from the University of Colorado. Exploring the associations between skeletal muscle echogenicity and physical function in aging adults: A systematic review with meta-analyses Oranchuk DJ, Bodkin SG, Boncella KL, et al. J Sport Health Sci. Published Ahead of Print. doi:10…

Chris Hughen sat down with Q Willey to discuss all things hamstring strain rehabilitation. We dive into: initial testing and training priorities, early introduction to pre-run drills, focusing on objective criteria, the importance of high velocity sprinting, and much more. Watch the full episode: https://youtu.be/6FnheswhRcU More about Q: Q’s Insta…

The effectiveness of dry needling in patients with chronic low back pain: a prospective, randomized, single-blinded study. Rajfur J, Rajfur K, Kosowski Ł, et al. Sci Rep. 2022;12(1):15803. doi:10.1038/s41598-022-19980-1 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download a…

Chris Hughen sat down with Josh Zadro to talk about High vs Low Value Care in musculoskeletal rehab and medicine. We dive into a variety of topics including high and low value care in the context of imaging, injections, surgery, and physical therapy. Watch the full episode: https://youtu.be/7dyTQNOHbXA Helpful Papers: Zadro et al, 2020 Overcoming O…

Which portion of physiotherapy treatments’ effect is attributable to contextual effects in people with musculoskeletal pain?: A meta-analysis of randomised placebo-controlled trials. Ezzatvar Y, Dueñas L, Balasch-Bernat M, et al. J Orthop Sports Phys Ther. Online Ahead of Print. doi:10.2519/jospt.2024.12126 Due to copyright laws, unless the article…

Chris Hughen sat down with Diego Hidalgo to discuss the value of skepticism. We dive into a variety of topics including: the challenges and benefits of seeing 60 patients per day, questioning anatomical possibilism, encouraging skepticism in clinicians and students, balancing learning and clinical practice, and much more. Watch the full episode: ht…

Effectiveness of patient education plus motor control exercise versus patient education alone versus motor control exercise alone for rural community-dwelling adults with chronic low back pain: a randomised clinical trial Michener LA, McClure PW, Tate AR, et al. BMC Musculoskelet Disord. 2023;24(1):142. doi:10.1186/s12891-022-06108-9 Due to copyrig…

Chris Hughen sat down with Peter O’Sullivan to discuss Elon Musk’s recent tweet on disc replacement surgery. We dive into the current evidence on disc replacements and alternative surgeries for neck and back pain, when a surgical consult might be warranted, primary treatment strategies and recommendations for managing neck and back pain, and much m…

Skill acquisition interventions for the learning of sports-related skills: A scoping review of randomised controlled trials Choo L, Novak A, Impellizzeri FM, et al. Psychol Sport Exerc. 2024;72:102615. doi:10.1016/j.psychsport.2024.102615 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the …

Chris Hughen sat down with Jim Eubanks to discuss all things lumbar spinal stenosis. We dive into a variety of topics including: differential diagnosis, base rates, when to consider imaging, treatment options, team-based care, and much more. Watch the full episode: https://youtu.be/46DVJQu5n-8 More about Jim: Jim’s Twitter Jim’s ResearchGate --- Fo…

On this episode we were joined by special guest researcher Dr. Mikel Joachim from the University of Wisconsin-Madison Preinjury Knee and Ankle Mechanics during Running Are Reduced among Collegiate Runners Who Develop Achilles Tendinopathy Joachim MR, Kliethermes SA, Heiderscheit BC. Med Sci Sports Exerc. 2024;56(1):128-133. doi:10.1249/MSS.00000000…

Chris Hughen sat down with Terrance Sgroi to discuss all things Rotator Cuff Repair Rehab. We dive into early rehab priorities, addressing persistent pain and complications, range of motion goals, when and how to introduce isometrics, the importance of going slow and the value of a conservative approach, and much more. Watch the full episode: https…

Cues to land softly and quietly result in acute reductions in ground reaction force loading rates in runners Sara LK, Gaudette LW, Souza Júnior JR de, et al. Gait Posture. 2024;109:220-225. doi:10.1016/j.gaitpost.2024.02.008 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to downl…

Chris sat down with Jared Powell to discuss all things Rotator Cuff-Related Shoulder Pain. We dive into a variety of topics including: contextual factors, developing a strong therapeutic relationship, acknowledging the uncertainty surrounding exercise therapy, combating misinformation, and much more. Paper’s Discussed: Powell, 2024 Powell, 2023 Mor…

Muscle Fiber Cross-Sectional Area Is Associated With Quadriceps Strength and Rate of Torque Development After ACL Injury Graham MC, Thompson KL, Hawk GS, et al. J Strength Cond Res. Published Ahead of Print. doi:10.1519/JSC.0000000000004743 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for th…

Chris sat down with Marc Surdyka to discuss the benefits and drawbacks of a test-retest approach, reactive versus proactive approaches to treatment and clinical decision making, setting realistic patient expectations, and much more. Watch the full episode: https://youtu.be/4W7ZMFWqn_0 Paper’s Discussed: Runge et al, 2019 Tuttle, 2009 Natural Histor…

On this episode we were joined by special guest US Navy physical therapist LCDR Mark Riebel. Effect of free-weight vs. machine-based strength training on maximal strength, hypertrophy and jump performance - a systematic review and meta-analysis Haugen ME, Vårvik FT, Larsen S, et al. BMC Sports Sci Med Rehabil. 2023;15(1):103. doi:10.1186/s13102-023…