JOSPT Insights

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

In part 1 of this mini shoulder masterclass with clinical physiotherapy specialist, Jo Gibson, we tackled a simple approach to assessing and diagnosing shoulder problems in athletes. Today, we launch into supporting the athlete to return to sport: key considerations? Which return to sport tests? How do you know when the athlete is ready to return? All this and more in part 2. ------------------------------ RESOURCES Bern 2022 consensus on shoulder injury prevention, rehabilitation and return to sport: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952 The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/ Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

In part 1 of this 2-part series with clinical physiotherapy specialist, Jo Gibson, we're 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? ------------------------------ RESOURCES The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/ Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/

Dr. Lynn Snyder-Mackler discusses the nuances of ACL graft types and tailoring rehabilitation to each type. The importance of different graft choices, such as quad tendon grafts, and proper rehab to regain strength is highlighted. Preoperative conversations about reinjury risk and individualized care are emphasized. The chapter explores various graft types and rehab strategies, respecting the body's healing process and integrating the graft into the joint structure.

Sports physiotherapist, PhD and strength & conditioning coach, Dr Matt Whalan, breaks down the demands of the beautiful game by position. Did you realize how much coaching philosophy can alter the physical and mental demands on players? Dr Whalan explains which injuries you can expect to see, and the best (free!) resources for preventing these injuries. You’ll also hear tips for building trust relationships with coaches and players, educating athletes, and how using empowering language when athletes are returning to sport can make all the difference. ------------------- RESOURCES ------------------- Football Australia Perform+ program: https://www.footballaustralia.com.au/performance Fit To Play: https://fittoplay.org/ FIFA 11+ program: https://www.yrsa.ca/wp-content/uploads/2019/11/pdf/Fifa11/11plus_workbook_e.pdf Do niggles matter infographic: https://adamvirgile.com/2020/01/09/do-niggles-matter-increased-injury-risk-following-physical-complaints-in-football-soccer/

Today is hamstring strain care from start to finish! Prof Heiderscheit joins Chelsea and Dan to share the headlines from the 2022 JOSPT Clinical Practice Guideline (CPG) for managing hamstring strains in athletes. This CPG includes evidence-based recommendations for accurately diagnosing, treating, and preventing hamstring strains. ------------------------------ RESOURCES Hamstring strain injury in athletes CPG: https://www.jospt.org/doi/10.2519/jospt.2022.0301 Hamstring injury: what is it? What should I do about it? When can I get back to my sport? Patient information: https://www.jospt.org/doi/10.2519/jospt.2022.0502 Infographic: criteria-based progression for hamstring injury rehabilitation: https://www.jospt.org/doi/10.2519/jospt.2022.9001 Pain-free vs. pain-threshold rehabilitation: https://www.jospt.org/doi/10.2519/jospt.2020.8895

Dr Amee Seitz, an expert in shoulder disorders, talks about diagnosing and managing shoulder instability. She highlights the challenges in diagnosis and discusses different classification systems. The podcast also explores managing irritability and pain in shoulder rehab, the integration of a rehabilitation program, and the importance of addressing psychological impairments. Clinicians also learn about the challenges of addressing anxiety and re-injury concerns in athletes.

Dr Garrett Bullock shares his perspectives on the demands of different playing positions in baseball, and the implications of different demands for the types of injuries clinicians are likely to encounter. He also shares his pick of the best metrics to use when supporting athletes to gradually return to play. ------------------- RESOURCES ------------------- More on humeral torsion: https://www.sciencedirect.com/science/article/pii/S1058274621005218 More on prediction models for humeral torsion: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975570/