The Shoulder Physio Podcast

An entrenched assumption in sport and exercise medicine/physiotherapy, going back decades, has been that ACL (anterior cruciate ligament) injuries DO NOT heal. Not ever. However, like many dogmatic beliefs in the health and fitness sector, this assumption appears to have been seriously wrong. Dr Stephanie Filbay joins me to discuss her latest paper about the healing capacity of the ACL and what this means for your clinical practice. Dr Filbay also teases some insights from the CROSS bracing trial, which is soon to be published. Be prepared to have some of your most tightly held beliefs seriously challenged in this episode.  Key papers: Dr Filbay et al 2022. Evidence of ACL healing on MRI following ACL rupture treated with rehabilitation alone may be associated with better patient-reported outcomes: a secondary analysis from the KANON trial Dr Filbay Lancet paper Surgery or rehabilitation for anterior cruciate ligament injury: where are we now? The KANON trial by Frobell et al 2010 Stay tuned for the Cross Bracing Method Trail.... Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Steph on twitter: @stephfilbay Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer 

Osteoarthritis (OA) is a leading cause of pain and disability. OA is also seems to be associated with several myths and misconceptions about how it is caused and how it might be managed. To cut through some of this mythology, I invited Professor David Hunter on the show for a 'no holds barred' conversation. David is the number 1 ranked expert in the world on OA, so it should come as no surprise he is a wealth of knowledge and a clear communicator on the complexities of osteoarthritis. I hope you enjoy.  Key papers:  The START trial for knee OA The IDEA trial David's Lancet paper on OA Connect with Jared: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 David on twitter:@ProfDavidHunter Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer 

Guest Filip Struyf, PhD discusses the question of whether or not to fix scapula dyskinesis in our physical examination. They explore the scapula assistance test, the role of scapula strengthening exercises, scapula positioning, and the importance of movement in treatment.

Feeling stiff is a familiar feeling for all of us. But does feeling stiff mean our joints are actually stiff? Or is there more to it. Tasha Stanton PhD is a clinical neuroscientist who has performed research directly addressing this question. This is a fascinating conversation and I hope you enjoy.  Key resources: Tasha's paper here   Connect with Jared and Tasha: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Tasha on Twitter: @Tash_Stanton Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer 

The Nordic hamstring exercise has enjoyed mostly good press with respect to injury prevention effectiveness. That is until recently. Professor's Franco Impellizzeri and Kristian Thorborg kindly and clearly join me in conversation to help us understand the evidence for and against this exercise. Key resources: Impellizzeri Meta analysis: HERE Ishoi and Thorborg response: HERE Van Dyk systematic review: HERE Connect with Jared, Franco and Kristian: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Franco on Twitter: @francoimpell  Kristian on Twitter: @KThorborg Cliniko free trial, click here!   See our Disclaimer here: The Shoulder Physio - Disclaimer 

I am joined by Connor Gleadhill to discuss causal inference. Connor is a PhD candidate exploring causal inference and is someone who speaks fluently about complex topics (must be the smooth Irish accent!). Causal inference is basically the pursuit of estimating how and why things happen. How do we determine causation - strictly through the randomised controlled trial or can we use observational evidence too? Can causal inference help us navigate a chaotic world? Key resources: COMPLEXITY: THE EMERGING SCIENCE AT THE EDGE OF ORDER AND CHAOS The Book of Why - Judea Pearl Hernan 2018 paper - The C Word Connect with Jared and Connor: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Connor's Email: connorgleadhill@gmail.com Connor's Website: http://www.connorgleadhill.physio Connor on Twitter: @CGleadhill See our Disclaimer here: The Shoulder Physio - Disclaimer 

The biopsychosocial model is ubiquitous in modern health care but what is it at its core? Is it accurately described and used in research and clinical practice? To help make headway into these questions and more, I'm joined by Ben Cormack. Ben is a MSK therapist from England who has developed a special interest in the philosophy and implementation of the biopsychosocial in MSK health care.  Key papers mentioned in the show: Engel 1977 paper Ben's upcoming paper on the BPS model: Cormack et al 2022 The biopsychosocial model is lost in translation: from misrepresentation to an enactive modernization. Physiotherapy Theory and Practice. Stilwell and Harman 2019 Enactivism paper Mescouto 2020 Critical review of the biopsychosocial model  Gatchel 2007 The biopsychosocial approach to chronic pain Melbourne workshop details Melbourne Workshop, June 4, The Performance Centre Connect with Jared and Ben Ben on Twitter: @CorKinetic Ben on Instagram: @corkinetic Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.  

Cognitive biases are as much of a problem as they are fundamental to the human condition. They exist, but can we mitigate them? What common cognitive biases afflict health care? Jarod and Jared shoot the s**t around these interesting questions. Melbourne workshop details:  Melbourne Workshop, June 4, The Performance Centre Jared Powell on Instagram: @shoulder_physio Jared Powell on Twitter: @jaredpowell12 Follow Jarod Hall on Instagram: @drjarodhallpt Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.  

Physiotherapist Scot Morrison discusses the envelope of function model in healthcare, covering concepts like capacity vs tolerance and stressors in training. The podcast also explores Bayesian reasoning, uncertainty, and the model's application in pain perception and exercise prescription.

Evidence changes and so should our beliefs. Peter O'Sullivan details his own radical change in beliefs and research agenda when it comes to low back pain and talks us through what instigated this about-face. Key Resources P2012 BJSM editorial: https://pubmed.ncbi.nlm.nih.gov/21821612/ 2018 CFT paper: https://academic.oup.com/ptj/article/98/5/408/4925487?login=false Lin 2020 paper: https://bjsm.bmj.com/content/54/2/79 Back pain myths paper: https://bjsm.bmj.com/content/54/12/698 Sydney and Melbourne workshop details: Sydney Workshop, May 14, The Sports Lab Alexandria Melbourne Workshop, June 4, The Performance Centre Connect with Jared and Peter Peter on Twitter: @peteosullivanpt Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Watch the full conversation on Youtube here. Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast.