JOSPT Insights

Tendinopathy is a common and often challenging musculoskeletal condition. A cornerstone of diagnosing and managing tendinopathy is assessing the problem well. In today's episode, Dr Myles Murphy (Edith Cowan University, Australia) shares a new patient-reported outcome measure for evaluating Achilles tendinopathy-related disability, the TENDINS-A (TENDINopathy Severity Assessment-Achilles). ------------------------------ RESOURCES The TENDINopathy Severity Assessment-Achilles (TENDINS-A) patient-reported outcome measure: https://www.jospt.org/doi/10.2519/jospt.2023.11964 ICON 2019 International Scientific Tendinopathy Symposium consensus statement: https://pubmed.ncbi.nlm.nih.gov/31685525/ JOSPT Insights episode 79: Treating tricky tendons, with Dr Ebonie Rio: https://podcasts.apple.com/au/podcast/ep-79-treating-tricky-tendons-with-dr-ebonie-rio/id1522929437?i=1000558586146 or https://open.spotify.com/episode/6d8WMYDQI8s0X9Iu1G68aK Systematic review of Achilles tendinopathy outcome measures: https://pubmed.ncbi.nlm.nih.gov/34797533/ For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

Foot and ankle surgeon Dr Casey Humbyrd discusses the decision-making process for Achilles tendon repair, rehabilitation protocols after surgery, and the importance of collaboration with patients. The podcast also emphasizes the role of physical therapists in patient recovery and provides resources for further information.

Drs Elanna Arhos and Stephanie Di Stasi discuss how to interpret biomechanics research articles, translate findings to clinical practice, and set up a basic biomechanics mini lab in a clinic. The importance of blending clinical practice and research in sports physical therapy is highlighted.

Former Gaelic footballer turned rower, Luke Keaney, shares his journey of hip pain and injury, and discusses the lack of communication and proper care he experienced as an athlete. He highlights the challenges of rehabilitation after joint damage and emphasizes the importance of improving care and sharing knowledge in athletic rehabilitation.

Have you ever found yourself feeling uncertain or confused when choosing a patient-reported outcome measure (PROM)? Today we're talking about the hallmarks of a PROM for people with patellofemoral pain. Physical therapist, educator and researcher, Professor Lisa Hoglund, fills in the gaps to help us find the promise in PROMs. ------------------------- RESOURCES Construct validity, reliability, responsiveness and interpretability of PROMs for patellofemoral pain: https://www.jospt.org/doi/10.2519/jospt.2023.11730 Content validity and feasibility of PROMs for patellofemoral pain: https://www.jospt.org/doi/10.2519/jospt.2022.11317 Find out more about the KOOS (including the Excel scoring sheet): http://www.koos.nu/index.html ------------------------- The American Academy of Sports Physical Therapy and JOSPT are joining forces to bring you the Virtual Sports PT Conference on Friday the 3rd and Saturday the 4th of November, 2023. Visit the link below to see the full conference programme and to secure your ticket. If you purchase your ticket before the end of August, you can take advantage of a $50 discount. https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427

Dr. Rachel Harris, a former Olympic swimmer and Chief Medical Officer for the Australian Paralympic team, discusses vital health literacy issues facing female athletes. She underscores the importance of understanding the menstrual cycle and its effects on performance, advocating for personalized tracking over generic apps. Dr. Harris emphasizes the need for open conversations about menstrual health and the impact of hormonal contraception on athletics. Her insights aim to empower female athletes through education and informed decision-making.

Dr Lionel Chia, sports injury rehabilitation expert, discusses implementing backward design for sports injury rehab. Topics include deconstructing goals, determining key performance indicators, assessing the challenge point, and using the control-chaos continuum to guide interventions. Examples of using backward design during rehab are explored.

As a JOSPT Insights listener, you already know programs like the FIFA 11+, the PEP program and the GetSet app for reducing injury rates in team sports like soccer (football) and handball. When you're working with athletes, coaches and parents, how easy is it to get them set up with a warm-up program that athletes can follow and stick to a few times a week? Today's chat might just give you a tool to make life easier for you and the athletes, coaches and parents you work with. Drs Hayley Root and Jeff Driban are here to tell us all about the new Remain in the Game toolkit. ------------------------- RESOURCES Get access to the Remain in the Game toolkit: https://oaaction.unc.edu/remain-in-the-game-a-joint-effort/ Learn more about all the work of the Osteoarthritis Action Alliance: https://oaaction.unc.edu/standup2oa/

The YAHiR (Young Athletes' Hip Research) Collaborative takes over the JOSPT Insights podcast today with a deep dive into best practice for imaging the painful hip. What is the best approach to imaging for young people with hip pain? When do you reach for radiographs? What are the pros and cons of MRI for hip pain? And how do you interpret and act on the information you gather from the scan? Never fear, Dr Vasco Mascarenhas—radiologist and Assistant Professor at Católica Medical School, Portugal—is here to explain all you need to know to confidently use imaging for hip pain in clinical practice. ------------------------------ RESOURCES More on the methods of imaging for hip preservation: https://pubmed.ncbi.nlm.nih.gov/31163499/ Overview of the state of play for imaging in suspected femoroacetabular impingement syndrome: https://pubmed.ncbi.nlm.nih.gov/32845416/

In part 2 of this JOSPT Insights x JOSPT Cases collaboration, clinicians Dr Cody Mansfield and Dr Laura Cutler, with Dr Jake Bleacher continue discussing how they used graded motor imagery to help a patient with low back pain. Treatment sessions 3 and 4 include breakthroughs, progressions, graded movement exposure, and mindfulness training. We discuss who finds pain neuroscience most helpful, and Dr Chris Hughes explains why this case was a perfect match for JOSPT Cases. ------------------------------ RESOURCES Check out the case report article that is the main subject of today's discussion plus its supplemental material: https://www.jospt.org/doi/full/10.2519/josptcases.2021.9875 Understanding pain in less than 5 minutes, and what to do about it: https://www.youtube.com/watch?v=C_3phB93rvI Back pain: separating fact and fiction with Dr Peter O'Sullivan: https://www.youtube.com/watch?v=dlSQLUE4brQ The Recognise App from the NOI group: https://www.noigroup.com/product/recogniseapp/ Find the Why I Hurt Flashcards and heaps of helpful information about pain neuroscience education here: https://whyyouhurt.com/WYH-why.html Find out more about Headspace, and download the app for free: https://www.headspace.com/ Find "Sticks and Stones: The Impact of Language in Musculoskeletal Rehabilitation" here: https://www.jospt.org/doi/10.2519/jospt.2018.0610 The NOI Group's website has plenty of courses and resources for clinicians on managing pain: https://www.noigroup.com/ Don't forget, JOSPT has a terrific series called Pain Science in Practice, which is all about helping you understand and link basic pain science to the clinic and quality musculoskeletal rehabilitation care. Find part 1 in the series (6 editorials, and more on the way!) here: https://www.jospt.org/doi/10.2519/jospt.2022.10995