JOSPT Insights

The ground feels like it's forever shifting for clinicians who work with runners—whether you work with high performance athletes, or the person who likes to run for physical and mental health a few times a week—in this intersection between technology, marketing, biomechanics and health. It can be hard to know where the research is at, and how to tease out what is marketing hype from the truth. Today, Dr Nathan Brown and Dr Matt Klein, who specialise in running injuries and performance, cut through the confusing information, to help you help the runners you work with. Managing stress fractures in runners: https://www.jospt.org/doi/10.2519/jospt.2021.9982 Gait re-training for preventing injury and improving performance: https://www.jospt.org/doi/abs/10.2519/jospt.2022.10585 Visit www.doctorsofrunning.com to connect with Nathan and Matt.

When working with a patient who has femoroacetabular impingement syndrome (FAI), knowing how and when to work with an orthopaedic surgeon can feel daunting. Dr. Travis Maak puts your mind at ease today as he chats with Dan and Chelsea to share the surgeon's perspective. Dr Maak is a strong proponent of multidisciplinary practice—he’s a big fan of physical therapists and surgeons working together. In today’s episode, he covers when to refer a patient to a surgeon, what happens when hip treatments aren’t going to plan, different surgical techniques and how they can influence rehabilitation.

It is sometimes difficult to know what the best approach is for preventing and treating shoulder injuries in athletes. Enter, the 2022 Bern Consensus Statement on Shoulder Injury Prevention, Rehabilitation, and Return to Sport—a paper that delivers a flexible, principle-based approach that you can implement with any athlete in any sport. Today, the two clinician researchers who led the consensus—Ariane Schwank and Paul Blazey—bring you the key messages. Download the consensus statement for free: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952

“Help! I’ve tried everything—nothing has worked!” When the exasperated patient in front of you tells you that she has tried all the treatments for Achilles tendinopathy to no avail, where do you go? Specialist sports physiotherapist and clinician researcher, Dr Ebonie Rio, brings her trademark pragmatic approach to JOSPT Insights, as she shares top clinical tips for diagnosing and managing tricky tendons. 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 part 1 of this 2-part series on post-exertion symptom exacerbation, Dr Todd Davenport explained what post-exertion symptom exacerbation is, what it feels like, and how to test and monitor it. In part 2, we dive into pacing - the less is more approach to managing post-exertion symptom exacerbation that will challenge you to think differently about how you prescribe exercise and what the goals of therapy are for people who are living with post-exertion symptom exacerbation. Long COVID physio: https://longcovid.physio/ World Physio COVID-19 briefing papers (including briefing paper #9 on safe rehabilitation approaches for people living with long covid): https://world.physio/covid-19-information-hub/covid-19-briefing-papers WorkWell Foundation: https://workwellfoundation.org/resources/

How prepared are you to support someone who is living with post-exertion symptom exacerbation? Dr Todd Davenport wants to start a conversation about re-imagining the way most of us have thought about fatigue, physical activity and exercise. Tune in to learn more about post-exertion symptom exacerbation, including what it feels like, and how to test and monitor it. For a deeper dive on post-exertion symptom exacerbation, check out the JOSPT blog: Lessons for long COVID from myalgic encephalomyelitis: https://www.jospt.org/do/10.2519/jospt.blog.20220202/full/ Abnormal physiologic response during acute exercise: https://www.jospt.org/do/10.2519/jospt.blog.20220209/full/

Returning to work after work-related injury often throws up some curveballs. Beyond the usual health care practitioners, there are multiple stakeholders who are invested in the person's care. Outside pressures, and factors specific to the person's situation and work requirements also demand careful attention. That’s where the clinical practice guideline can help you know what to pay attention to, to support participation in work after injury or illness. Access the CPG here: https://www.jospt.org/doi/10.2519/jospt.2021.0303

What happens when the athlete is not taking in sufficient energy to meet the demands of day-to-day life, including training and performance? Today, endocrinologist and sports physician, Dr Kathryn Ackerman, explains what relative energy deficiency in sport is, expands the female athlete triad of energy intake, bone health and menstrual function, and shares 3 important ways that you can support athlete health and performance. International Olympic Committee consensus statement on RED-S: https://pubmed.ncbi.nlm.nih.gov/29773536/ RED-S CAT (Relative Energy Deficiency in Sport Clinical Assessment Tool): https://bjsm.bmj.com/content/bjsports/49/7/421.full.pdf Australian Institute of Sport Female Performance & Health Initiative (including free education resources): https://www.ais.gov.au/fphi

How long will it take for my whiplash symptoms to improve? In this episode, Dr Michele Sterling helps answer that important question. She shares the basics of whiplash: diagnosis and mechanisms, key factors to consider when determining prognosis, and planning treatment. Learn more about assessing pain-related disability and hyperarousal symptoms, as well as the benefits of a proactive approach to treatment. More info on using WhipPredict: https://recover.centre.uq.edu.au/whiplash-associated-disorders-clinician-resources#0 https://www.jospt.org/doi/10.2519/jospt.2016.6918

Over the past decade, the way clinicians and researchers understand patellofemoral pain—what causes it and how to manage it—has evolved from a focus on the biomechanics of joint alignment and posture to embracing a more rounded biopsychosocial model of musculoskeletal pain. Tune in as Professors Bill Vicenzino and Michael Rathleff share the results of the recent consensus they led to establish the clinical and research priorities on pain features and psychological factors in people with patellofemoral pain. Access the consensus at: https://www.jospt.org/doi/10.2519/jospt.2022.10647