JOSPT Insights

A surfer walks into your clinic with neck pain…What do you do next? And why? Dr. Lynn McKinnis expertly walks through when and how to apply the Canadian C-Spine Rule when a patient presents with neck pain, types of vertebral artery injuries, and tips for diagnosing and treating acute neck trauma. ------------------------------ RESOURCES Learn more about the specific case here: https://www.jospt.org/doi/full/10.2519/jospt.2016.0416 Canadian C-Spine Rule: https://med-fom-clone-pt.sites.olt.ubc.ca/files/2014/01/C-spine-Rule-FAQs.pdf NEXUS Criteria for detecting clinically-important cervical spine injury following blunt trauma: https://www.nejm.org/doi/full/10.1056/NEJM200007133430203

Do you work with young people with ACL injury? Well, you're in the right place! Today, Drs Chris Kuenze and Adam Weaver walk through the story behind creating a brilliant, new normative dataset for function and strength outcomes. You'll learn how the project got started, and how you can use the information to help make even more informed clinical decisions. ------------------------------ RESOURCES Find the paper "Age-, Sex-, and Graft-specific Reference Values From 783 Adolescent Patients At 5-7 months After ACL Reconstruction: IKDC, PEDI-IKDC, KOOS, ACL-RSI, Single-leg Hop, and Thigh Strength" on the JOSPT website: https://www.jospt.org/doi/abs/10.2519/jospt.2023.11389 To access the normative database: https://dataverse.lib.virginia.edu/dataset.xhtml?persistentId=doi:10.18130/V3/JNPHUB

Dr Casey Humbyrd—orthopaedic surgeon and Chief of foot & ankle orthopedics at the University of Pennsylvania—shares her expertise and insights on treating ankle sprains that are not responding to non-surgical treatment. Dr Humbyrd reviews ankle anatomy and her rationale for recommending surgery, how she performs a Broström repair, and explains how she works in close partnership with physical therapists and patients to achieve quality rehabilitation and return to sport outcomes.

How do you approach managing low back pain with children and adolescents? Do you have a different approach than when working with adults? Diving into the 2022 JOSPT clinical commentary, “What Works When Treating Children and Adolescents with Low Back Pain?”, Dan and Chelsea chat with author Dr Tiê Yamato. They review the physical, psychological, pharmacological, interdisciplinary and family-centered, and communication interventions that are most effective for treating and managing low back pain in this important population. Read Dr Yamato's article here: https://www.jospt.org/doi/10.2519/jospt.2022.10768

Dr Cara Baxter takes Dan and Chelsea through the keys to designing top-quality rehabilitation programs for ski and snow athletes. Dr Baxter describes the wide variety of competitive events, the demands they place on the athlete, plus the common acute and chronic injuries that plague particular snow sport disciplines. We discuss the travel and schedule demands of the sport, the cognitive demands, the harsh and changing environment, and how you and the athlete can make an informed decision about when is the right time to return to snow.

Frozen shoulder is an enigma characterized by uncertainty, pain, stiffness and disability. It is difficult for patients and clinicians to know how best to manage the symptoms, and what is the likely prognosis. In today’s episode, you’ll hear ideas from Professor Jeremy Lewis about how you might approach assessing a painful and stiff shoulder, and how you might talk with patients to make a decision together about the best way forward. Find Part 2 of the chat with Jeremy—all about treating frozen shoulder—here: https://podcasts.apple.com/us/podcast/ep-68-frozen-shoulder-and-how-to-treat-it-with-prof/id1522929437?i=1000550291168 or https://open.spotify.com/episode/2mDypUMV2BNEypGe52wsIs. ------------------------------ RESOURCES Framework for assessing and managing frozen shoulder: https://pubmed.ncbi.nlm.nih.gov/25107826/ Effectiveness of non-surgical interventions: https://pubmed.ncbi.nlm.nih.gov/31233183/ UK FROST trial: https://pubmed.ncbi.nlm.nih.gov/33010843/ Prof Lewis’ book, The Shoulder: Theory & Practice, is available from https://www.handspringpublishing.com/product/the-shoulder-theory-and-practice/

Clinical physiotherapy specialist, Jo Gibson, is making assessing and diagnosing shoulder problems simple. What are the keys to communicating well with athletes, and the tests you need in your clinical arsenal to best support injured athletes? Part 2 of our chat with Jo (find it here: https://podcasts.apple.com/us/podcast/ep-99-solving-stubborn-shoulders-part-2-with-jo-gibson/id1522929437?i=1000578394772) was all about supporting the athlete to return to sport: key considerations and best tests. ------------------------------ RESOURCES The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/ Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

When helping someone to manage their femoroacetabular impingement syndrome, knowing how and when to refer to a surgeon can feel like an uncertain decision. In today's episode, Dr Travis Maak shares the orthopaedic surgeon's perspective on hip pain in athletes. Dr Maak is a strong advocate for multidisciplinary practice—he’s a big fan of physical therapists and surgeons working together. We cover when to refer to an orthopaedic surgeon, what to do when hip treatments aren’t going to plan, and how different surgical techniques have implications for the decisions clinicians make about rehabilitation.

"Help! I've tried everything - nothing has worked!" When the exasperated patient in front of you tells you she's tried all the treatments for Achilles tendionpathy - where do you go? Where do you start? What are the goals of treatment? Specialist sports physiotherapist and clinical researcher, Dr Ebonie Rio brings her trademark brand of pragmatism to JOSPT Insights today, as she shares top clinical tips for diagnosing and managing tricky tendons. ------------------------------ RESOURCES More on tissue capacity: https://pubmed.ncbi.nlm.nih.gov/26255142/ Revisit the continuum model of tendon pathology: https://pubmed.ncbi.nlm.nih.gov/27127294/

In the final episode of JOSPT Insights for 2022, we're wrapping and putting a bow on a big year of content. Drs Chelsea Cooman and Dan Chapman join Dr Clare Ardern to share their big take-aways from a year of listening to and learning from all the wonderful experts who have contributed their wisdom on JOSPT Insights in 2022. 02:15: Prof Nicola Philips on optimal loading (https://tinyurl.com/3j4j7vpy) 04:05: Dr Ebonie Rio on loading tendons (https://tinyurl.com/rtvh6sfj) 06:35: Dr Tasha Stanton on managing osteoarthritis symptoms (https://tinyurl.com/yc8djs75) 07:45: Drs Matt Klein and Nathan Brown on running injuries (https://tinyurl.com/9t7jprjh) 09:25: Dr Kevin Wernli on moving better with pain (https://tinyurl.com/44ukf339) 11:30: Dr Amy Arundale on authentic connections with athletes (https://tinyurl.com/4tc8dewr) 13:50: Dr Matt Whalen shares injury prevention resources (https://tinyurl.com/23j2cxuj) 15:00: Dr Mike Rosenthal shares the American College of Radiology Appropriateness Criteria (https://tinyurl.com/5dwac4mt) 16:40: Dr Marie Boo on injuries in women's football (soccer) (https://tinyurl.com/bdfchmss)