JOSPT Insights

Today we're diving into hip osteoarthritis, especially the link between hip joint loading in younger years and the risk of developing hip osteoarthritis later in life. What causes hip osteoarthritis in athletes? How can clinicians and athletes work together for healthy, happy hips? Dr Josh Heerey—physiotherapist and Research Fellow at La Trobe University's Sport and Exercise Medicine Research Centre—has thought deeply about the answers to these questions through his clinical and research career, and he joins us to explain more. ------------------------------ RESOURCES More on the prevalence of hip morphology in athletes: https://www.jospt.org/doi/10.2519/jospt.2021.9622 Physiotherapist-led treatment for hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31732651/ Unravelling the relationship between cam morphology and hip OA: https://pubmed.ncbi.nlm.nih.gov/30175856/

Today’s episode is another JOSPT Cases cameo! Dr Mike Rosenthal, associate editor for JOSPT Cases, explains a clinical case of a patient after total hip arthroplasty with pain symptoms that don’t quite add up. We discuss why it is important to continue red flag screening throughout care, how to frame an urgent referral, and how the imaging approach can influence health care. There are even some bonus tips for authors who are considering submitting case studies to JOSPT Cases (https://www.jospt.org/toc/jospt-cases/current). ------------------------------ RESOURCES American College of Radiology Appropriateness Criteria: https://www.acr.org/Clinical-Resources/ACR-Appropriateness-Criteria Radiology Across Borders' Diagnostic Imaging Pathways: https://radiologyacrossborders.org/diagnostic_imaging_pathways/ IFOMPT International Framework for Red Flags: https://www.jospt.org/doi/10.2519/jospt.2020.9971

Does the thought of dermatomes and myotomes, nerve trunks and nerve roots fill you with confidence or fill you with fear? Physiotherapist and neuroscientist, Dr Annina Schmid (Nuffield Department of Clinical Neurosciences, Oxford University), shares a checklist of what you need to know, and what you need to do, to nail your neurological assessment next time you're in the clinic. ------------------------------ RESOURCES Does your neurological examination for suspected peripheral neuropathies measure up? Do a check-up here: https://doi.org/10.2519/jospt.2022.11281 Why you cannot trust the dermatomes: https://www.youtube.com/watch?v=BZYtAR4zUpg&t=283s More from Dr Schmid's Neuromusculoskeletal Health and Science Laboratory: https://www.ndcn.ox.ac.uk/research/neuromusculoskeletal-health-and-science-lab

The masters woman athlete has high expectations on herself for performing in sport. She is often navigating the training, performance and musculoskeletal health care landscape with little support from a dedicated multidisciplinary team. Today, Professor Kirsty Elliott-Sale brings her physiology and endocrinology expertise to help you understand how best to support masters women athletes to stay healthy and perform at their best during and beyond the menopause. ------------------------------ RESOURCES Standards of practice for research on women in sport, sports medicine, sport science: https://pubmed.ncbi.nlm.nih.gov/33725341/

How comfortable do you feel when guiding women on how to stay active, healthy and injury-free beyond the menopause? In today's episode, Professor Kirsty Elliott-Sale (Institute of Sport at Manchester Metropolitan University) walks through all you need to know about the menopause and how you might tailor your exercise prescription for women who are approaching, in the middle of, or post- menopausal. We talk through the phases of menopause, typical signs and symptoms, and Kirsty's whole body approach to supporting women to stay active through their life.

Dr. Kevin Wernli unpacks his research on patients’ beliefs about relationships between low back pain, posture and movement. We’re helping you support patients as they challenge their own beliefs about pain and moving. Kevin’s approach focuses on liberating the person to test their own beliefs with information and knowledge from trusted sources. Today we’re tackling the common belief that “my back is easy to injure and hard to heal”. ------------------------------ RESOURCES Dr. Wernli’s paper and subject of today’s interview: https://pubmed.ncbi.nlm.nih.gov/35959703/ Ten facts every person should know about back pain: https://pubmed.ncbi.nlm.nih.gov/31892534/ Empowered Beyond Pain podcast (especially episodes 4, 5, 11-20 about back facts): https://open.spotify.com/show/3ogpeLlDGLRLiHofEWvCje Cognitive Functional Therapy: https://pubmed.ncbi.nlm.nih.gov/29669082/ Pain-Ed: www.Pain-ed.com Infographics and short videos: https://www.pain-ed.com/blog/2020/06/13/ten-low-back-pain-facts-videos/ PainHealth: https://painhealth.csse.uwa.edu.au/

Dr. Carol Mack, director of education content for the American Academy of Sports Physical Therapy and a business owner, explores the intersection of sports rehabilitation and performance. She emphasizes the importance of collaboration among various professionals to optimize athlete recovery. Dr. Mack discusses the pros and cons of cash-based versus insurance-based therapy models. She also shares insights on interdisciplinary connections in sports performance, encouraging clinicians to engage with strength coaches and sports scientists for enhanced patient care.

Is primary cam morphology a plain and simple bump on the hip—nothing to worry about? Or is it much more of a burden? Dr Paul Dijkstra, Consultant Sport & Exercise Medicine Physician and Director of Medical Education at the Aspetar Orthopaedic & Sports Medicine Hospital in Doha, Qatar, walks through his approach to diagnosing and managing hip pain in youth athletes. ------------------------------ RESOURCES Primary cam morphology concept analysis: https://pubmed.ncbi.nlm.nih.gov/34281962/ physioFIRST pilot study: https://pubmed.ncbi.nlm.nih.gov/29607766/ Physiotherapist-led treatment for hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31732651/ Unravelling the relationship between cam morphology and hip osteoarthritis: https://pubmed.ncbi.nlm.nih.gov/30175856/ Zurich consensus recommendations for classifying hip-related pain: https://pubmed.ncbi.nlm.nih.gov/31959678/ More on the YAHiR collaborative work: https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2022

What are the sport demands of professional kiteboarding? F1 racing? How would you best support a cliff diver who is returning from injury? Dr Amy Arundale joins Dan and Chelsea to share her experiences working with elite extreme athletes at the Red Bull Athlete Performance Center, Austria. Amy explains what a typical day looks like, how she approaches tailoring rehabilitation to the demands of training and competition, and how to authentically connect with an athlete who plays a sport you aren’t familiar with. Spoiler alert: humility and YouTube go a long way.

Today, Dan and Chelsea interview the Wake Forest Pitching Lab: Dr Garrett Bullock, who you may remember from episode 93, Dr Kristen Faith Nicholson, and pitching coach Mike McFerran, Lab Coordinator and Director of Player Development. The team covers common pitching faults they see in their lab, tips to help you pick up on these problems and their recommended cues for improving efficiency with pitchers suffering from shoulder pain.