JOSPT Insights

Tactical athletes work and cope with injury in complex and often changing environments. In today’s episode, Dr John J Fraser shares his expertise and advice on working with tactical athletes, such as military, fire, and police. He explains the most common injuries, what makes a tactical athlete different than other athletes, how musculoskeletal rehabilitation clinicians can best communicate their allyship, and the #1 thing to remember when working with tactical athletes.

Frozen shoulder is an enigma characterized by uncertainty, pain, stiffness and disability. It is difficult for patients and clinicians to know how best to manage the symptoms and what is the likely prognosis. In today’s episode, Part 2 of a 2-part series, Prof Jeremy Lewis gives us the low-down on the best evidence for treating frozen shoulder. Manual therapy, injections, exercise therapy: what, when, and how much? Tune in for the answers you’re looking for. Framework for assessing and managing frozen shoulder: https://pubmed.ncbi.nlm.nih.gov/25107826/ Effectiveness of non-surgical interventions: https://pubmed.ncbi.nlm.nih.gov/31233183/ UK FROST trial: https://pubmed.ncbi.nlm.nih.gov/33010843/ Prof Lewis’ new book "The Shoulder: Theory & Practice" is available from Handspring Publishing: https://www.handspringpublishing.com/product/the-shoulder-theory-and-practice/

Frozen shoulder is an enigma characterized by uncertainty, pain, stiffness and disability. It is difficult for patients and clinicians to know how best to manage the symptoms and what is the likely prognosis. In today’s episode, Part 1 of a 2-part series, you’ll hear ideas about how you might approach assessing a painful and stiff shoulder, and how you might talk with patients to make a decision together about the best way forward. Framework for assessing and managing frozen shoulder: https://pubmed.ncbi.nlm.nih.gov/25107826/ Effectiveness of non-surgical interventions: https://pubmed.ncbi.nlm.nih.gov/31233183/ UK FROST trial: https://pubmed.ncbi.nlm.nih.gov/33010843/ Prof Lewis’ new book "The Shoulder: Theory & Practice" is available from Handspring Publishing: https://www.handspringpublishing.com/product/the-shoulder-theory-and-practice/

Professor Nicola Phillips is here to guide us through how to best load the upper extremity after injury. She shares her expertise on how rehabilitation professionals can change the way we prescribe functional exercise to maximize the benefits of how patients learn. She also provides insight into considerations for both short- and long-term programming for an upper limb rehabilitation plan. For more, check out: http://dx.doi.org/10.1136/bjsports-2014-094443

How would you approach diagnosing concussion for an athlete with underlying balance problems? Or for an athlete who is blind? The usual concussion tests simply may not be appropriate. Dr Osman Ahmed is a physical therapist on a mission to improve how athletes receive and experience care after concussion. Tune in to hear all about the work of the Concussion in Para Sport Group. Download the position statement of the Concussion in Para Sport (CIPS) Group: https://pubmed.ncbi.nlm.nih.gov/33837003/ Find out more about the CIPS Group’s work: https://www.parafootball.com/our-projects/concussion-in-para-sport

Join JOSPT Insights hosts Drs Chelsea Cooman, Dan Chapman and Clare Ardern as they revisit their favorite episodes from a jam-packed 2021, from treating ACL injuries and shoulder pain to designing quality rehabilitation for patients with meniscus repair and building authentic connections with patients. Share your favorite episodes on social media using #JOSPTInsights.

Athletes, large and small, old and young, elite and recreational experience low back pain at some time in their sporting lives. So, how do you best help athletes manage their pain, stay healthy and perform to their full potential? Dr Fiona Wilson from Trinity College Dublin shares the latest evidence with the JOSPT community, including the 2021 consensus on preventing and managing low back pain in rowers. Download the 2021 consensus from: https://pubmed.ncbi.nlm.nih.gov/33685861/ Delphi study of clinicians’ opinions: https://pubmed.ncbi.nlm.nih.gov/33431498/ Systematic review of treatment strategies: https://pubmed.ncbi.nlm.nih.gov/33355180/

You’ve figured out contributing impairments—now what? Exercise therapy or taping? Foot orthoses or manual therapy? Dr Christian Barton continues his chat with Drs Dan Chapman and Chelsea Cooman in the second episode of our 2-part patellofemoral pain CPG series to share the most effective treatment strategies for reducing pain and improving function. The patellofemoral pain CPG is freely available on JOSPT's website at the following link: https://doi.org/10.2519/jospt.2019.0302

Dr Christian Barton joins Drs Dan Chapman and Chelsea Cooman to dive into the patellofemoral pain CPG published in JOSPT in April 2019. In the first episode of this 2-part series, we hit the highlights of this extensive CPG, including the true definition of patellofemoral pain syndrome, as well as the 4 categories of impairments the CPG lays out to allow for a simplified diagnosis. Dr Barton makes the case for looking beyond the research—widening the clinical lens for better diagnosis and better musculoskeletal care. The patellofemoral pain CPG is freely available on JOSPT's website at the following link: https://doi.org/10.2519/jospt.2019.0302

When it comes to rehabilitation after ACL injury, return to running can get a bit overshadowed by return to sport. Yet running is a key function milestone for athletes. Why is return to running so important and how do you help set the athlete up for successful return to running? Dr Rich Willy from the University of Montana is here to help.