JOSPT Insights

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.

Dan and Chelsea’s guest today is Dr Marie Boo—physical therapist for the US Women’s National Soccer Team (USWNT). Dr Boo outlines the physical demands of women’s soccer, including how the demands change by position when it comes to accelerations, decelerations, changes of direction, top speed, and overall volume. She covers the typical injuries in elite women’s soccer, and how injury patterns in soccer are changing with the ever-increasing physical performance demands. To wrap up, Marie shares her tips for supporting elite-level soccer players, and what a day in the life of the USWNT physical therapist looks like.

Dr Lynn McKinnis (Associate Editor for JOSPT Cases, the sister journal for JOSPT) takes Dan and Chelsea through a case that reminds us of a rare but important differential diagnosis. Without giving the diagnosis away, this case highlights the importance of performing the upper quarter screen, choosing the right neurological special tests, and timely referral for imaging. ------------------------------ RESOURCES Read more about the case here: https://doi.org/10.2519/josptcases.2021.10049 Seen an interesting clinical case lately and want to share it with the JOSPT Community? Why not submit the case to JOSPT Cases? We offer timely, fair and quality peer review. For more information, check out the instructions for authors: https://www.jospt.org/pb-assets/JOSPT%20Cases/JOSPT%20Cases%20Instructions%20for%20Authors%20with%20form_02112021-1613587003923.pdf Subscribe to JOSPT Cases: https://www.jospt.org/action/ecommerce

We're celebrating the 100th episode of JOSPT Insights with an extra special guest! Dr Emma Stokes, President of World Physiotherapy (formerly WCPT), is a fierce ambassador for the physiotherapy/physical therapy profession. Tune in as Emma shares her advice for the next generation of profession leaders, and her thoughts on the future for musculoskeletal rehabilitation. ------------------------------ RESOURCES World Physiotherapy briefing papers: https://world.physio/resources/publications