JOSPT Insights

How do you help someone manage cancer-related fatigue or get back to exercise after their treatment? Is it safe for someone with bone metastases to exercise? PhD candidate and recent Master of Physical Therapy graduate, Kendra Zadravec, and Professor Kristin Campbell (Department of Physical Therapy at the University of British Columbia, Canada) share their research and clinical expertise in developing physiotherapy interventions for people with cancer to help answers to these questions and more. ------------------------------ RESOURCES Canadian Physiotherapy Association Oncology Division: https://www.oncologycpa.ca/ American PT Association Oncology: https://oncologypt.org/ Australian Physiotherapy Association - Cancer, Palliative Care and Lymphodema: https://australian.physio/membership/national-groups/cancer-palliative-care-and-lymphoedema Macmillan UK: https://www.macmillan.org.uk/healthcare-professionals ACSM guidelines for exercise and cancer: https://www.acsm.org/news-detail/2019/10/16/expert-panel-cancer-treatment-plans-should-include-tailored-exercise-prescriptions One stop shop for cancer and exercise information: www.cancerexercise.ca (direct link to resources for health care providers: https://cancerexercise.med.ubc.ca/resources-hcp/ Recommendations for exercise with bone metastases (open access): https://pubmed.ncbi.nlm.nih.gov/34990293/ Systematic review on exercise for people with bone metastases: https://pubmed.ncbi.nlm.nih.gov/34358650/ Physical activity recommendations for cancer survivors living with bony metastases: https://pubmed.ncbi.nlm.nih.gov/33604871/

Val Jones, Clinical Lead Physiotherapist, shares practical advice on managing elbow pain, including assessing common pathologies, the role of manual therapy, contextually relevant exercises, and appreciating the elbow's role in the upper limb.

Dr Casey Humbyrd—orthopaedic surgeon and Chief of foot & ankle orthopedics at the University of Pennsylvania—shares her expertise and insights on treating ankle sprains that are not responding to non-surgical treatment. Dr Humbyrd reviews ankle anatomy and her rationale for recommending surgery, how she performs a Broström repair, and explains how she works in close partnership with physical therapists and patients to achieve quality rehabilitation and return to sport outcomes. For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

Do you work with young people with ACL injury? Well, you're in the right place! Today, Drs Chris Kuenze and Adam Weaver walk through the story behind creating a comprehensive normative dataset for knee function and strength outcomes. You'll learn how the project got started, and how you can use the information to help make even more informed clinical decisions. ------------------------------ RESOURCES Find the paper "Age-, Sex-, and Graft-specific Reference Values From 783 Adolescent Patients At 5-7 months After ACL Reconstruction: IKDC, PEDI-IKDC, KOOS, ACL-RSI, Single-leg Hop, and Thigh Strength" on the JOSPT website: https://www.jospt.org/doi/abs/10.2519/jospt.2023.11389 To access the normative database: https://dataverse.lib.virginia.edu/dataset.xhtml?persistentId=doi:10.18130/V3/JNPHUB For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

Dr Lynn McKinnis, an expert in neck trauma, discusses the Canadian C-Spine Rule, vertebral artery injuries, and tips for diagnosing and treating acute neck trauma. The podcast explores a case of an unstable fracture, the importance of Canadian C-Spine Rules in assessing trauma patients, and evaluating high-risk factors for cervical spine injuries.

Dr Annina Schmid, physiotherapist and neuroscientist, shares valuable tips for conducting a thorough neurological assessment. Topics covered include the importance of the assessment, quantifying neurological changes, neurodynamic testing, and three essential tips for a successful assessment.

Tendinopathy is a common and often challenging musculoskeletal condition. A cornerstone of diagnosing and managing tendinopathy is assessing the problem well. In today's episode, Dr Myles Murphy (Edith Cowan University, Australia) shares a new patient-reported outcome measure for evaluating Achilles tendinopathy-related disability, the TENDINS-A (TENDINopathy Severity Assessment-Achilles). ------------------------------ RESOURCES The TENDINopathy Severity Assessment-Achilles (TENDINS-A) patient-reported outcome measure: https://www.jospt.org/doi/10.2519/jospt.2023.11964 ICON 2019 International Scientific Tendinopathy Symposium consensus statement: https://pubmed.ncbi.nlm.nih.gov/31685525/ JOSPT Insights episode 79: Treating tricky tendons, with Dr Ebonie Rio: https://podcasts.apple.com/au/podcast/ep-79-treating-tricky-tendons-with-dr-ebonie-rio/id1522929437?i=1000558586146 or https://open.spotify.com/episode/6d8WMYDQI8s0X9Iu1G68aK Systematic review of Achilles tendinopathy outcome measures: https://pubmed.ncbi.nlm.nih.gov/34797533/ For more on the Virtual Sports PT Conference (3-4 November, 2023), including the full program and to purchase tickets, head to https://www.eventbrite.com/e/aaspt-and-jospt-virtual-sports-pt-conference-tickets-694110913427.

Foot and ankle surgeon Dr Casey Humbyrd discusses the decision-making process for Achilles tendon repair, rehabilitation protocols after surgery, and the importance of collaboration with patients. The podcast also emphasizes the role of physical therapists in patient recovery and provides resources for further information.

Drs Elanna Arhos and Stephanie Di Stasi discuss how to interpret biomechanics research articles, translate findings to clinical practice, and set up a basic biomechanics mini lab in a clinic. The importance of blending clinical practice and research in sports physical therapy is highlighted.

Former Gaelic footballer turned rower, Luke Keaney, shares his journey of hip pain and injury, and discusses the lack of communication and proper care he experienced as an athlete. He highlights the challenges of rehabilitation after joint damage and emphasizes the importance of improving care and sharing knowledge in athletic rehabilitation.