JOSPT Insights

A healthier society for less cost? Value-based health care aims to achieve just that by focusing on what matters to patients. Dr Chuck Thigpen from ATI Physical Therapy unpacks value in musculoskeletal care, the rehabilitation clinician’s role in delivering best care, and why you need to be a good team player.

What happens when your ACL rehabilitation plan isn’t going as well as you hoped? In this follow up to episode 25, Dr Erik Meira shares his thoughts on some of the more challenging issues in ACL reconstruction and rehabilitation. We discuss rehab after second and third ACL tears, sleepy quads, underdosing, and concurrent meniscus repair, and aim to help you find concrete solutions.

If you thought concussion was all about big hits in collision sports like rugby and American football, then think again. Dr Kerry Peek— physical therapist, strength and conditioning coach, and researcher—is committed to protecting the next generation of young soccer/football players. Tune in for the latest on exercise programs to prevent concussion in youth athletes.

Dr Sarah Haag brings her engaging brand of practical tips and her down-to-earth demeanor as she demystifies how to assess and treat the pelvic floor, whatever the clinical setting. No longer fear the pelvic floor—instead, head into the clinic this week confident in your skills.

Dr. Erik Meira, a specialist in ACL rehabilitation, joins Drs. Dan Chapman and Chelsea Cooman to break down the stages of recovery after ACL surgery. He discusses critical strategies for the acute phase and the significance of tailored assessments and pain management. The conversation highlights overcoming quad strength plateaus, transitioning to dynamic exercises, and the essential training needed for return to sports. Meira also emphasizes the importance of symmetry in strength and biomechanics adjustments for optimal recovery.

Don’t let managing Achilles tendon rupture become your Achilles heel. In Part 2 of this 2-part series on managing Achilles tendon problems, JOSPT Editor Dr Karin Silbernagel outlines the foundations for quality rehabilitation planning, load progression, and return to high performance in sport. Achilles tendon rupture need not sound the death knell on the athlete’s career.

On your marks, get set, go! Get off to a flying start when managing Achilles tendon problems. JOSPT Editor Dr Karin Silbernagel blends the best of science and practice in her approach to diagnosing and managing Achilles tendon problems. In Part 1 of a 2-part series, we dive into Achilles tendinopathy and get the low down on load progression for happy tendons and happy athletes.

Are you delivering musculoskeletal care based on the most up-to-date model of chronic pain? Professor Steve Kamper explains why he’s riding his bicycle around Australia on the Pain Revolution Tour, shares his tips for framing a conversation with a person experiencing chronic pain, and encourages clinicians to move from treating a body part to treating a person. Learn more about Pain Revolution at www.painrevolution.org.

Dr Mike Reinold brings his wealth of experience at the pinnacle of pro baseball to JOSPT Insights this week, sharing his practical advice on how to measure and manage baseball pitchers’ workload, and explaining how he collaborates with coaches to help athletes perform at their best. Don’t miss Mike’s tips for return to sport.

Join Dr Max Paquette on a deep dive into his October 2020 JOSPT article, "Moving Beyond Weekly 'Distance': Optimizing Quantification of Training Load in Runners". How do you measure running load? What about wearables? Dr Paquette will bring you up to speed on the external and internal factors to consider when working with runners and how to figure out which factors are most relevant to the runner you’re working with. You can access Dr Paquette’s article for free at https://www.jospt.org/doi/10.2519/jospt.2020.9533