JOSPT Insights

“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

The words of the Irish poet and Nobel Prize laureate Seamus Heaney frame the key message for today’s episode: “If you have the words, there’s always a chance that you’ll find the way.” Dr Lindsey Plass draws on her own experience managing femoroacetabular impingement syndrome, as well as a decade of clinical experience, to share her top tips for communicating and supporting patients with musculoskeletal pain to, in the words of Seamus Heaney, find the way to recovery and do the things they love. Access the Young Athlete’s Hip webinar series at: https://www.ndorms.ox.ac.uk/events/Oxford-Hip-2021

Despite the excellent benefits of knee replacement surgery for reducing pain and improving knee function, people are just as physically inactive after surgery as they were before. If it's not an issue of knee symptoms and function, then what's going on? Dr Daniel White, physical activity and osteoarthritis (OA) expert from the University of Delaware explains 3 common myths about physical activity with knee OA and shares up-to-date research to help you counter those myths when you're in the clinic. 2018 physical activity guidelines for Americans: https://health.gov/our-work/nutrition-physical-activity/physical-activity-guidelines/current-guidelines What's new in the 2018 physical activity guidelines: https://www.jospt.org/doi/10.2519/jospt.2019.0609

Dr Luciana de Michelis Mendonça realized very early on in her physical therapy career that something wasn't quite right in the sports physical therapy arena; very few of her women colleagues progressed through the ranks of general training to the specialist field of sports, and even fewer worked at the top level of sports, especially with elite or professional teams. She was determined to drive change. Register for the 4th World Congress of Sports Physical Therapy (early bird closes May 1): https://www.conferencemanager.dk/wcspt2022 Gender bias in sports physical therapy: https://www.jospt.org/do/10.2519/jospt.blog.20210825/full/