PT Inquest

“You have (Rotator cuff related) shoulder pain, and to treat it, I recommend exercise.” A scoping review of the possible mechanisms underpinning exercise therapy.
Powell JK, Schram B, Lewis J, et al.
Musculoskelet Sci Pract. 2022;62:102646. doi:10.1016/j.msksp.2022.102646

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Shoulder range of motion deficits in youth throwers presenting with elbow pain
Rosen M, Meijer K, Tucker S, et al.
Sports Health. 2022;14(4):478-482. doi:10.1177/19417381211036387

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On this episode we were joined by special guest Dr. Rich Willy from the University of Montana

Survey of confidence and knowledge to manage patellofemoral pain in readers versus nonreaders of the physical therapy clinical practice guideline
Willy RW, Hoglund LT, Glaviano NR, et al.
Phys Ther Sport. 2022;55:218-228. doi:10.1016/j.ptsp.2022.04.009

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The three-dimensional reconstruction of an Achilles tendon rupture in a professional football player reveals a multiplanar injury mechanism
Della Villa F, Esposito F, Busà M, et al.
Knee Surg Sports Traumatol Arthrosc. Published Ahead of Print. doi:10.1007/s00167-022-07078-0

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On this episode we were joined by special guest Jarred Boyd.

Deceleration Training in Team Sports: Another Potential 'Vaccine' for Sports-Related Injury?
McBurnie AJ, Harper DJ, Jones PA, et al.
Sports Med. 2022;52(1):1-12. doi:10.1007/s40279-021-01583-x

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On this episode we were joined by special guest Jarred Boyd.

Deceleration Training in Team Sports: Another Potential 'Vaccine' for Sports-Related Injury?
McBurnie AJ, Harper DJ, Jones PA, et al.
Sports Med. 2022;52(1):1-12. doi:10.1007/s40279-021-01583-x

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On this episode we were joined by special guest Chris Juneau.

Effect of Ultrasonography-Guided Corticosteroid Injection vs Placebo Added to Exercise Therapy for Achilles Tendinopathy: A Randomized Clinical Trial
Johannsen F, Olesen JL, Øhlenschläger TF, et al.
JAMA Netw Open. 2022;5(7):e2219661. doi:10.1001/jamanetworkopen.2022.19661

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On this episode we were joined by special guest Chris Juneau.

Monitoring work and training load in military settings - what's in the toolbox?
Michael SW, Siddall AG, O’Leary TJ, et al.
Eur J Sport Sci. 2022;22(1):58-71. doi:10.1080/17461391.2021.1971774

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On this episode, JW will be going outside and may be some time.

Most healthcare interventions tested in Cochrane Reviews are not effective according to high quality evidence: a systematic review and meta-analysis
Howick J, Koletsi D, Ioannidis JPA, et al.
Sports Med. 2022;148:160-169. doi:10.1016/j.jclinepi.2022.04.017

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Just How Confident Can We Be in Predicting Sports Injuries? A Systematic Review of the Methodological Conduct and Performance of Existing Musculoskeletal Injury Prediction Models in Sport
Bullock GS, Mylott J, Hughes T, et al.
Sports Med. Published Ahead of Print. doi:10.1007/s40279-022-01698-9

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People with knee osteoarthritis attending physical therapy have broad education needs, and prioritize information about surgery and exercise: A concept mapping study.
Goff AJ, Donaldson A, De Oliveira Silva D, et al.
J Orthop Sports Phys Ther. Published Ahead of Print. doi:10.2519/jospt.2022.11089

Physical therapists prioritize providing education about exercise therapy and to dispel misconceptions about radiology for people with knee osteoarthritis. A concept mapping study.
Goff AJ, Donaldson A, De Oliveira Silva D, et al.
J Orthop Sports Phys Ther. Published Ahead of Print. doi:10.2519/jospt.2022.11090

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Effectiveness of adding virtual reality to physiotherapeutic treatment in patients with total hip arthroplasty. A randomized controlled trial.
Zavala-González J, Martínez D, Gutiérrez-Espinoza H.
Clin Rehabil. 2022;36(5):660-668. doi:10.1177/02692155221080546

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On this episode, Erik and Jason talk about testing using isokinetic dynamometers and force plates ahead of Erik and Laura Opstedal's course, "Practical Force Testing for the Rehab Professional: Force Plates & Isokinetic Machines"

Diagnostic Accuracy of Handheld Dynamometry and 1-Repetition-Maximum Tests for Identifying Meaningful Quadriceps Strength Asymmetries.
Sinacore JA, Evans AM, Lynch BN, et al.
J Orthop Sports Phys Ther. 2017;47(2):97-107. doi:10.2519/jospt.2017.6651

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Unilateral Versus Bilateral Resistance Exercise in Postoperative Rehabilitation After ACL Reconstruction With Bone-Patellar Tendon-Bone Graft: A Randomized Controlled Trial.
Oliveira M, Júnior PL, Imoto AM, et al.
Orthop J Sports Med. 2022;10(4):23259671221088830. doi:10.1177/23259671221088830

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Adding Physical Activity Coaching and an Activity Monitor Was No More Effective Than Adding an Attention Control Intervention to Group Exercise for Patients With Chronic Nonspecific Low Back Pain (PAyBACK Trial): A Randomized Trial.
Oliveira CB, Christofaro DGD, Maher CG, et al.
J Orthop Sports Phys Ther. 2022;52(5):287-299. doi:10.2519/jospt.2022.10874

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Clinical measures of foot posture and ankle joint dorsiflexion do not differ in adults with and without plantar heel pain.
Landorf KB, Kaminski MR, Munteanu SE, et al.
Sci Rep. 2021;11(1):6451. doi:10.1038/s41598-021-85520-y

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Frankly, we do give a damn: improving patient outcomes with swearing.
Washmuth NB, Stephens R.
Arch Physiother. 2022;12(1):6. doi:10.1186/s40945-022-00131-8

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Teaching More About Less: Preparing Clinicians for Practice.
Lessing JN, Pierce RG, Dhaliwal G.
Am J Med. Published Ahead of Print. doi:10.1016/j.amjmed.2022.01.060

The State of Spine Care in the United States: Opinion of a Recovering Interventional Spine Physiatrist.
Farooque M.
Spine. Published Ahead of Print. doi:10.1097/BRS.0000000000004343

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Criteria-based return-to-sport testing is associated with lower recurrence rates following arthroscopic Bankart repair.
Junior MD, Popchak A, Wilson K, et al.
J Shoulder Elbow Surg. 2021;30(7):S14-S20. doi:10.1016/j.jse.2021.03.141

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Effect of an Unsupervised Exercises-Based Athletics Injury Prevention Programme on Injury Complaints Leading to Participation Restriction in Athletics: A Cluster-Randomised Controlled Trial.
Edouard P, Steffen K, Peuriere M, et al.
Int J Environ Res Public Health. 2021;18(21):11334. doi:10.3390/ijerph182111334

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On this episode we were joined by special guest Dr. Christa Wille from the University of Wisconsin-Madison

Vertical Loading Rate Is not Associated with Running Injury, Regardless of Calculation Method.
Schmida EA, Wille CM, Stiffler-Joachim MR, et al.
Med Sci Sports Exerc. Published Ahead of Print. doi:10.1249/MSS.0000000000002917

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Screening for Yellow Flags in Orthopaedic Physical Therapy: A Clinical Framework.
Stearns ZR, Carvalho ML, Beneciuk JM, et al.
J Orthop Sports Phys Ther. 2021;51(9):459-469. doi:10.2519/jospt.2021.10570

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Continuing Education Courses for Orthopedic and Sports Physical Therapists in the United States Often Lack Supporting Evidence: A Review of Available Intervention Courses.
Peterson S, Weible K, Halpert B, et al.
Phys Ther. Publish Ahead of Print. doi:10.1093/ptj/pzac031

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Identifying gait pathology after acl reconstruction using temporal characteristics of kinetics and electromyography.
Ito N, Capin JJ, Khandha A, et al.
Med Sci Sports Exerc. Publish Ahead of Print. doi:10.1249/MSS.0000000000002881

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Effects of Spaceflight on Musculoskeletal Health: A Systematic Review and Meta-analysis, Considerations for Interplanetary Travel.
Comfort P, McMahon JJ, Jones PA, et al.
Sports Med. 2021;51(10):2097-2114. doi:10.1007/s40279-021-01496-9

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Follow this link to the NASA Scientific and Technical Information Repository, a collection of aerospace-related citations, full-text online documents, images, and videos created or funded by NASA

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Football players with long standing hip and groin pain display deficits in functional task performance.
Roughead EA, King MG, Crossley KM, et al.
Phys Ther Sport. 2022;55:46-54. doi:10.1016/j.ptsp.2022.02.023

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On this episode we were joined by special guest Dr. Keith Lohse from Washington University

Ten common statistical errors from all phases of research, and their fixes.
Borg DN, Lohse KR, Sainani KL.
PM&R. 2020;12(6):610-614. doi:10.1002/pmrj.12395

Methodological Advances in Motor Learning and Development.
Lohse KR.
J Mot Learn Dev. 2020;8(1):1-13. doi:10.1123/jmld.2019-0054

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Why methods matter in a meta-analysis: a reappraisal showed inconclusive injury preventive effect of Nordic hamstring exercise.
Impellizzeri FM, McCall A, van Smeden M.
J Clin Epidemiol. 2021;140:111-124. doi:10.1016/j.jclinepi.2021.09.007

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Classification Approaches for Treating Low Back Pain Have Small Effects That Are Not Clinically Meaningful: A Systematic Review With Meta-analysis.
Tagliaferri SD, Mitchell UH, Saueressig T, et al.
J Orthop Sports Phys Ther. 2022;52(2):67–84. Epub 15 Nov 2021. doi:10.2519/jospt.2022.10761

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Early Surgery or Exercise and Education for Meniscal Tears in Young Adults.
Skou ST, Hölmich P, Lind M, et al.
NEJM Evid. 2022; 1 (2). doi:10.1056/EVIDoa2100038

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In this Extrasode, Erik reads his post turn to Running After ACLR.

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Disentangling contextual effects from musculoskeletal treatments.
Cashin AG, McAuley JH, Lamb SE, Lee H.
Osteoarthr. Cartil.. March 2021. doi:10.1016/j.joca.2020.12.011

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No article this episode. Erik and JW basically rant for about an hour…

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Association of Ankle Dorsiflexion and Landing Forces in Jumping Athletes.
Martinez AF, Scattone Silva R, Paschoal BLF, et al.
Sports Health. December 2022. doi:10.1177/19417381211063456

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In this Extrasode, Erik reads his post Special Tests Can Be Special.

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Effect of Platelet-Rich Plasma Injection vs Sham Injection on Tendon Dysfunction in Patients With Chronic Midportion Achilles Tendinopathy: A Randomized Clinical Trial.
Kearney RS, Ji C, Warwick J, et al.
JAMA. 2021;326(2):137-144. doi: 10.1001/jama.2021.6986

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In Orthopaedic Speciality Care, Longer Explanations Are Not More Caring or More Satisfying.
van Maren K, Brown LE, Cremers T, et al.
Clin Orthop Relat Res. 2021 479:12 – p 2601-2607 doi: 10.1097/CORR.0000000000001860

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Exercise and education versus saline injections for knee osteoarthritis: a randomised controlled equivalence trial.
Bandak E, Christensen R, Overgaard A, et al.
Annals of the Rheumatic Diseases, (2021), doi:10.1136/annrheumdis-2021-221129

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In this Extrasode, Erik reads his post The False Dichotomy of Open vs Closed Kinetic Chain.

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Music by Kevin MacLeod – incompetech.com:
Intro – Take a Chance
End Credit Promo – Mining by Moonlight

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Comparative effectiveness of treatments for patellofemoral pain: a living systematic review with network meta-analysis.
Winters M, Holden S, Lura CB, et al.
Br J Sports Med. 2021;55:369-377. doi:10.1136/bjsports-2020-102819

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
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MidRoll Promo – Mining by Moonlight

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Methodology over metrics: current scientific standards are a disservice to patients and society.
Van Calster B, Wynants L, Riley RD, et al.
JOSPT. 2021;138:219-226. doi:10.1016/j.jclinepi.2021.05.018

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
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MidRoll Promo – Mining by Moonlight

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Has Reporting on Physical Therapy Interventions Improved in 2 Decades? An Analysis of 140 Trials Reporting on 225 Interventions.
McCambridge AB, Nasser AM, Mehta P, Stubbs PW, Verhagen AP.
JOSPT. 2021;51:503-509. doi:10.2519/jospt.2021.10642

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
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Special guest Dan Quintana! Brought to you by CSMi – https://csmisolutions.com/

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Replication studies for undergraduate theses to improve science and education.
Quintana DS.
BMJ Open. 5,1117–1118(2021). https://doi.org/10.1038/s41562-021-01192-8

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Links that Dan mentioned in the show:

Free access to this paper: https://rdcu.be/czouE The link to CREP: https://osf.io/wfc6u/ His preprint on auxiliary hypothesis, that’s currently under review: https://psyarxiv.com/48ayg/ Sample size justification paper: https://psyarxiv.com/9d3yf/

Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
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Taking patients to the ice cream shop but telling them that they cannot have ice cream: a qualitative study of orthopaedic spine clinicians’ perceptions of persistent low back pain consultations.
Braeuninger-Weimer KL, Anjarwalla N, McGregor AH, et al.
BMJ Open. 2021;11:e052938. doi:10.1136/bmjopen-2021-052938

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
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MidRoll Promo – Mining by Moonlight

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Quadriceps strength to body weight ratio is a significant indicator for initiating jogging after anterior cruciate ligament reconstruction.
Iwame T, Matsuura T, Okahisa T, et al.
Knee. 2021;28:240-246. doi:10.1016/j.knee.2020.12.010

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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“The Science of Selling Yourself Short” by Less Than Jake
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In this Extrasode, Erik reads his post Science Is Absurd.

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Intro music for PT Inquest Extrasode is Take a Chance by Kevin MacLeod – incompetech.com

Problem with patient decision aids.
Zadro JR, Traeger AC, Décary S, O’Keeffe M.
BMJ Evidence-Based Medicine. 2021;26:180-183. doi:10.1136/bmjebm-2020-111371

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“The Science of Selling Yourself Short” by Less Than Jake
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Effect of a Psychologically Informed Intervention to Treat Adolescents With Patellofemoral Pain: A Randomized Controlled Trial.
Selhorst M, Fernandez-Fernandez A, Schmitt L, and Hoehn J.
Archives of Physical Medicine and Rehabilitation. 2021;102:1267–1273. doi:10.1016/j.apmr.2021.03.016

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Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
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Are questionable research practices facilitating new discoveries in sport and exercise medicine? The proportion of supported hypotheses is implausibly high.
Büttner F, Toomey E, McClean S, et al.
Br J Sports Med. 2020;54:1365-1371. doi:10.1136/bjsports-2019-101863

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“The Science of Selling Yourself Short” by Less Than Jake
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MidRoll Promo – Mining by Moonlight

In this Extrasode, Erik reads his post Feedback Calibration Specialists.

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Ten Commandments for patient-centred treatment.
Lehman R, Tejani AM, McCormack J, et al.
Br J Gen Pract. 015;65:532–3. doi:10.3399/bjgp15X687001

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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“The Science of Selling Yourself Short” by Less Than Jake
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Photobiomodulation therapy is not better than placebo in patients with chronic nonspecific low back pain: a randomised placebo-controlled trial.
Guimarães L de S, Costa L da CM, Araujo AC, et al.
Pain. 2021;162:1612–20. doi:10.1097/j.pain.0000000000002189

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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“The Science of Selling Yourself Short” by Less Than Jake
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Establishing a taxonomy of potential hazards associated with communicating medical science in the age of disinformation.
David Robert Grimes, Laura J Brennan, Robert O’Connor.
BMJ Open. 2020;10:e035626. doi: 10.1136/bmjopen-2019-035626.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
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Other Music by Kevin MacLeod – incompetech.com:
MidRoll Promo – Mining by Moonlight

In this Extrasode, Erik reads his post Cultural Influences on Injury Risk. The post explores the idea that the difference in ACL injury incidence between male and female athletes may have more to do with gender norms rather than something genetic.

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Intro music for PT Inquest Extrasode is Take a Chance by Kevin MacLeod – incompetech.com

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Effectiveness of Adding a Large Dose of Shoulder Strengthening to Current Nonoperative Care for Subacromial Impingement: A Pragmatic, Double-Blind Randomized Controlled Trial (SExSI Trial).
Mikkel Bek Clausen, Per Hölmich, Michael Rathleff, Thomas Bandholm, Karl Bang Christensen, Mette Kreutzfeldt Zebis, Kristian Thorborg.
Am J Sports Med. doi: 10.1177/03635465211016008. Epub 2021 May 28.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
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MidRoll Promo – Mining by Moonlight

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Feeling reassured after a consultation does not reduce disability or healthcare use in people with acute low back pain: a mediation analysis of a randomised trial.
Aidan G Cashin, Hopin Lee, Adrian C Traeger, Markus Hübscher, Ian W Skinner, James H McAuley.
J of Physiotherapy. 2021 July;67:197-200. doi: 10.1016/j.jphys.2021.06.007. Epub 2021 Jun 19.

An introduction to mediation analyses of randomized controlled trials.
Aidan G Cashin, Hopin Lee.
J Clin Epidemiol. 2021 May;133:161-164. doi: 10.1016/j.jclinepi.2021.02.014. Epub 2021 Feb 15.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
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MidRoll Promo – Mining by Moonlight

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Anteromedial versus posterolateral hip musculature strengthening with dose-controlled in women with patellofemoral pain: A randomized controlled trial.
Gabriel Peixoto Leão Almeida, Helena Larissa das Neves Rodrigues, Bruno Augusto Lima Coelho, Carlos Augusto Silva Rodrigues, Pedro Olavo de Paula Lima.
Phys Ther Sport. 2021 May;49:149-156. doi: 10.1016/j.ptsp.2021.02.016. Epub 2021 Mar 2.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
Used by Permission

Other Music by Kevin MacLeod - incompetech.com:
MidRoll Promo - Mining by Moonlight

In this Extrasode, Erik reads his post Does Exercise Need to Be Fun? It explores what we mean by "fun" and whether or not there is a better word that might get more at the root of the problem we are addressing as physical therapists.

For more info go to thesciencept.com

Intro music for PT Inquest Extrasode is Take a Chance by Kevin MacLeod - incompetech.com

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Lower step rate is associated with a higher risk of bone stress injury: a prospective study of collegiate cross country runners.
Kliethermes SA, Stiffler-Joachim MR, Wille CM, et al.
British Journal of Sports Medicine. Published Online First: 14 May 2021. doi: 10.1136/bjsports-2020-103833

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
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In this episode we talk about the mechanisms proposed in the literature regarding the effects of exercise on chronic low back pain.

Why is exercise prescribed for people with chronic low back pain? A review of the mechanisms of benefit proposed by clinical trialists.
Annika Wun, Paul Kollias, Harry Jeong, Rodrigo Rizzo, Aidan Cashin, Matthew Bagg, James McAuley, Matthew Jones.
Musculoskelet Sci Pract. February 2021.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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In this episode we discuss an article that found that being confident after ACLR was a factor for increased risk of 2nd ACL injury.

Confidence, ability to meet return to sport criteria, and second ACL injury risk associations after ACL‐reconstruction.
Mark V Paterno, Staci Thomas, Karen Thatcher VanEtten, Laura C Schmitt.
J Orthop Res. 2021 Apr 30. doi: 10.1002/jor.25071. Online ahead of print.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
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Just a quick episode letting everyone know that we are taking an indefinite hiatus from the show. We'll keep you posted...

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Changes are coming! We want to have YOU on the show! It’s very simple, just fill out this online form and let us know your idea.

In this episode we discuss an article that randomized osteochondroplasty in hip arthroscopy patients.

Osteochondroplasty and labral repair for the treatment of young adults with femoroacetabular impingement.
Femoroacetabular Impingement Randomized Controlled Trial (FIRST) Investigators.
Am J Sports Med. 2021 Jan;49(1):25-34. doi: 10.1177/0363546520952804. Epub 2020 Sep 24.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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“The Science of Selling Yourself Short” by Less Than Jake
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The gang is all here (except Greg) for another festive dump of holiday cheer! Happy Holidays everyone!!!

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Did you see that Lancet article that says that all the world needs the rehabs?! So did we! Does this mean physical therapists are going to be swimming in business/money in the future? Or that we need to get a whole lot more efficient in what we do?

Also, is this the end of PT Inquest??? [dramatic music]

Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019.
Alarcos Cieza, PhD; Kate Causey, BSc; Kaloyan Kamenov, PhD; Sarah Wulf Hanson, PhD; Somnath Chatterji, MD; Theo Vos, PhD.
Lancet. 2020 Dec 01. doi: 10.1016/S0140-6736(20)32340-0.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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"The Science of Selling Yourself Short" by Less Than Jake
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MidRoll Promo - Mining by Moonlight

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On this episode we chat with James Heathers from the Everything Hertz podcast. We talk about his new job in the physical therapy world working for Cipher Skin and discuss some of the ways that the published literature has gone astray.

PSYCHOLOGY. Estimating the reproducibility of psychological science.
Open Science Collaboration.
Science. 2015 Aug 28;349(6251):aac4716. doi: 10.1126/science.aac4716.

High Replicability of Newly-Discovered Social-behavioral Findings is Achievable.
Protzko, John, et al.
PsyArXiv. 2020 Sep 10. doi: 10.31234/osf.io/n2a9x.

The post that James wrote on leaving academia: I Quit. And I'm OK With That.

The work that he mentioned from Henry Drysdale and other smart folks: COMPare: a prospective cohort study correcting and monitoring 58 misreported trials in real time

The Everything Hertz episode where they talk to Chris Chambers about Registered Reports: Episode 56

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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"The Science of Selling Yourself Short" by Less Than Jake
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MidRoll Promo - Mining by Moonlight

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How do patients engage with pain medications? How much of this is influenced by their medical providers? How do we make sure that patients are in more control of their pain? Does this article really provide a good faith exploration of these issues?

Can We Eliminate Opioid Medications for Postoperative Pain Control? A Prospective, Surgeon-Blinded, Randomized Controlled Trial in Knee Arthroscopic Surgery.
Matthew J. Hartwell, Ryan S. Selley, Michael A. Terry, Vehniah K. Tjong.
Am J Sports Med. 2020;48(11):2711-2717. doi: 10.1177/0363546520941861.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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"The Science of Selling Yourself Short" by Less Than Jake
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MidRoll Promo - Mining by Moonlight

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The literature around dry needling has some...issues...to say the least. But is it just dry needling? Or is this common around other PT interventions? How should we investigate some of these ideas? Should some of them be investigated at all? Join us along with study author Giovanni Ferreira to find out more!

Dry Needling Combined With Guideline-Based Physical Therapy Provides No Added Benefit in the Management of Chronic Neck Pain: A Randomized Controlled Trial.
Fábio Franciscatto Stieven, Giovanni Esteves Ferreira, Matheus Wiebusch, Francisco Xavier de Araújo, Luis Henrique Telles da Rosa, Marcelo Faria Silva.
J Orthop Sports Phys Ther. 2020 Aug;50(8):447-454. doi: 10.2519/jospt.2020.9389. Epub 2020 Apr 9.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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"The Science of Selling Yourself Short" by Less Than Jake
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MidRoll Promo - Mining by Moonlight

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What does it take for an athlete to change direction? Does it matter how fast they are going? What about the angle of cut? What implications does this have for athletes who are returning to sport after injury? Listen in to our discussion on all things change of direction with special guest Richard Clarke!

Richard Clarke can be found on Twitter: @RICH_AgilityLab

Role of the Penultimate Foot Contact During Change of Direction: Implications on Performance and Risk of Injury.
Dos'Santos T, Thomas C, Comfort P, Jones P.
Strength Cond J. 2019 Feb;41(1):87-104 doi: 10.1519/SSC.0000000000000395.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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"The Science of Selling Yourself Short" by Less Than Jake
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MidRoll Promo - Mining by Moonlight

In this Extrasode, Erik reads his post Muscle Interventions After ACLR. It explores what the true goals may be for interventions around restoring the quad in these subjects. With special guest voice from @LauraOpstedal

Intro music for PT Inquest Extrasode is Take a Chance by Kevin MacLeod - incompetech.com

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Systemic racism is a topic that we have covered before on PT Inquest, but it has recently become the focus of worldwide attention. In this episode, we talked with Tim Vidale and Deidra Debnam from the American Academy of Sports Physical Therapy's (AASPT) Diversity, Equity, and Inclusion (DEI) Committee to discuss some of the current conversations around race. We hope that this discussion can help give some insight and initial guidance for individuals and PT organizations to push positive and effective change regarding DEI.

Tim Vidale can be found on Instagram: @drtimvidale

Deidra Debnam can be found on Twitter: @DeidraDPT

Previous episode from 2019 where we discussed Diversity in Orthopedics: Episode 164

Michael Cromartie's APTA post on code-switching: Code-Switching

The Orthopaedic Workforce Is Not as Diverse as the Population It Serves: Where Are the Minorities and the Women?: AOA Critical Issues Symposium.
Harrington MA, Rankin EA, Ladd AL, Mason BS.
J Bone Joint Surg Am. 2019 Apr 17;101(8):e31. doi: 10.2106/JBJS.18.01010.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
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MidRoll Promo - Mining by Moonlight

We are bringing back the "Extrasodes"! They were a thing we used to do in 2014...

In this Extrasode, Erik reads his post Brave New Profession that he wrote right after the COVID-19 lockdowns. It lays out a reimagining of who we are and how we should be reimbursed as professionals.

Intro music for PT Inquest Extrasode is Take a Chance by Kevin MacLeod - incompetech.com

In this episode we discuss the possible effects of exercise for knee osteoarthritis (OA). Are there non-specific effects but also specific effects? Can intensity of the workout change this? Which direction do the causation arrows point?

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Erik's courses and blog: thesciencept.com Enter "ptinquest" at checkout for 10% off Erik's courses

The Role of Muscle Strengthening in Exercise Therapy for Knee Osteoarthritis: A Systematic Review and Meta-Regression Analysis of Randomized Trials.
Bartholdy C, Juhl C, Christensen R, Lund H, Zhang W, Henriksen M.
Semin Arthritis Rheum. 2017 Aug;47(1):9-21. doi: 10.1016/j.semarthrit.2017.03.007. Epub 2017 Mar 18.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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"The Science of Selling Yourself Short" by Less Than Jake
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MidRoll Promo - Mining by Moonlight

In this episode we go back to reviewing articles. We discuss the differences in therapist perceptions and patient perceptions of care, specifically in regards to telehealth. Are we more dissatisfied than our patients?

Therapeutic Alliance Between Physical Therapists and Patients With Knee Osteoarthritis Consulting Via Telephone: A Longitudinal Study.
Lawford BJ, Bennell KL, Campbell PK, Kasza J, Hinman RS.
Arthritis Care Res (Hoboken). 2020 May;72(5):652-660. doi: 10.1002/acr.23890.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

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"The Science of Selling Yourself Short" by Less Than Jake
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In this episode JW and Erik talk about what it means to be a PT practicing, or not practicing, during this COVID-19 pandemic. There is discussion about social responsibility, immunity, disease spread, and the luxury of quarantining yourself in a submarine at the bottom of Lake Michigan.

This episode is NOT available for continuing education credit.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Give us money by buying stuff from Amazon using this link!

Available for CEU credit!!! Click here!

The concepts of Envelope of Function and Physical Stress Theory are very useful in rehabilitation applications. We review these constructs and give ideas for use in the clinic.

Reference List

Dye SF. The Knee as a Biologic Transmission With an Envelope of Function: A Theory. Clinical Orthopaedics and Related Research. 1996;325:10-18. doi:10.1097/00003086-199604000-00003 Dye SF. The Pathophysiology of Patellofemoral Pain: A Tissue Homeostasis Perspective. Clinical Orthopaedics and Related Research. 2005;NA;(436):100-110. doi:10.1097/01.blo.0000172303.74414.7d Dye SF, Vaupel GL, Dye CC. Conscious Neurosensory Mapping of the Internal Structures of the Human Knee Without Intraarticular Anesthesia. Am J Sports Med. 1998;26(6):773-777. doi:10.1177/03635465980260060601 Mueller MJ, Maluf KS. Tissue Adaptation to Physical Stress: A Proposed “Physical Stress Theory” to Guide Physical Therapist Practice, Education, and Research. Physical Therapy. 2002;82(4):383-403. doi:10.1093/ptj/82.4.383 Post W, Dye S. Patellofemoral pain: an enigma explained by homeostasis and common sense. Am J Orthop. 2017;46:92–100.

Music by:
Intro - Butta Fly's Jazz Handz - kcentric - ccmixter.org
Transition - The Joy Jacket - Pitx - ccmixter.org
Close - See You Later - Pitx - ccmixter.org

Available for CEU credit!!! Click here!

Our understanding of the ACL, it's related pathophysiology, surgical strategies, and postoperative rehabilitation has an interesting history. We take a tour of the history and interview a couple guests who lived it.

Reference List

Chambat P, Guier C, Sonnery-Cottet B, Fayard JM, Thaunat M. The evolution of ACL reconstruction over the last fifty years. Int Orthop. 2013;37(2):181-186. doi:10.1007/s00264-012-1759-3 Davarinos N, O’Neill BJ, Curtin W. A Brief History of Anterior Cruciate Ligament Reconstruction. Adv Orthop Surg. 2014;2014:1-6. doi:10.1155/2014/706042 Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg MA. Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016:Epud ahead of print. doi:10.1136/bjsports-2016-096031 Paulos L, Noyes FR, Grood E, Butler DL. Knee rehabilitation after anterior cruciate ligament reconstruction and repair. Am J Sports Med. 1981;9(3):140-149. doi:10.1177/036354658100900303 Shelbourne KD, Gray T. Anterior cruciate ligament reconstruction with autogenous patellar tendon graft followed by accelerated rehabilitation. A two- to nine-year followup. Am J Sports Med. 1997;25(6):786-795. doi:10.1177/036354659702500610 Torg JS, Conrad W, Kalen V. Clinical I diagnosis of anterior cruciate ligament instability in the athlete. Am J Sports Med. 1976;4(2):84-93. doi:10.1177/036354657600400206 Yamamoto SK, Hartman CW, Feagin JA, Kimball G. Functional rehabilitation of the knee: A preliminary study. Am J Sports Med. 1975;3(6):288-291. doi:10.1177/036354657500300605

Music by:
Intro - Butta Fly's Jazz Handz - kcentric - ccmixter.org
Transition - The Joy Jacket - Pitx - ccmixter.org
Close - See You Later - Pitx - ccmixter.org

Brought to you by CSMi

In this episode we review an article about causal fallacies but, more importantly, changes are coming in 2020 to PT Inquest! Tune in to hear all about it. Also, PATREON!!!

Core stability and low-back pain: a causal fallacy.
Open Science Collaboration.
J Exerc Rehabil. 2019 Jun 30;15(3):493-495. doi: 10.12965/jer.1938198.099. eCollection 2019 Jun.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi.

In this episode we are joined by Dan Quintana from the Everything Hertz podcast to discuss reproducibility and improving science. We even talk a little about the "love hormone"!

PSYCHOLOGY. Estimating the reproducibility of psychological science.
Open Science Collaboration.
Science. 2015 Aug 28;349(6251):aac4716. doi: 10.1126/science.aac4716.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

So we're not the best with chronic nonspecific low back pain. We also tend to underload our patients in general. Maybe if we increased the intensity of our exercises, we would be more effective with chronic nonspecific low back pain. Well, at least we can test it!

Exercise Intensity Matters in Chronic Nonspecific Low Back Pain Rehabilitation.
Verbrugghe J, Agten A, Stevens S, Hansen D, Demoulin C, O Eijnde B, Vandenabeele F, Timmermans A.
Med Sci Sports Exerc. 2019 Dec;51(12):2434-2442. doi: 10.1249/MSS.0000000000002078.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Clinical depression is a very real part of many of our patients' lives. As a matter of fact, our current understanding of many commonly treated PT diagnoses suggests that clinical depression may be a huge driver of symptoms. How do we identify it in our patients? Assuming we can do that, what do we do about it once we identify it?

Using the 9-Item Patient Health Questionnaire to Screen for and Monitor Depression.
Zimmerman M.
JAMA Insights. Published online October 18, 2019. doi:https://doi.org/10.1001/jama.2019.15883.

The other article that we mentioned:

Screening for symptoms of depression by physical therapists managing low back pain.
Haggman S, Maher CG, Refshauge KM.
Phys Ther. 2004 Dec;84(12):1157-66. doi: 10.1093/ptj/84.12.1157.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Everyone wants to succeed and no one wants to fail. Is failure so bad? Can we even have success without failure? How can we learn to embrace failure to get the greatest knowledge?

A celebration of failure.
Loscalzo J.
Circulation. 2014 Mar 4;129(9):953-5. doi: 10.1161/CIRCULATIONAHA.114.009220.

The other article that Erik mentioned:

On the (f)utility of pain.
Stonington SD.
Lancet. 2015 Apr 11;385(9976):1388-9. doi: 10.1016/S0140-6736(15)60708-5.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

One of the most important components of ethical healthcare is patient education. A fully informed patient makes everything easier later during the care. But that includes educated on the good and the bad. Sometimes "being hopeful" can actually be a disservice.

"Doctor, What Happens After My Meniscectomy?"
Smith JH, Houck DA, Kraeutler MJ, McCarty EC, Frank RM, Vidal AF.
J Bone Joint Surg Am. 2019 Nov 6;101(21):1965-1973. doi: 10.2106/JBJS.19.00082.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Cognitive Functional Therapy for the win! Or is it? Are these differences in effect sizes from a simple group program big enough to get excited about? What else could be at play here? Chronic low back pain is hard...

Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: a multicentre randomised controlled trial (RCT).
O'Keeffe M, O'Sullivan P, Purtill H, Bargary N, O'Sullivan K.
Br J Sports Med. 2019 Oct 19. pii: bjsports-2019-100780. doi: 10.1136/bjsports-2019-100780. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

What does it mean to have self-efficacy? How does that differ from one's perceived locus of control? Are they situation dependent? Can we changed them or just measure them? How does this affect our patients.

The Self-Efficacy for Home Exercise Programs Scale: Development and Psychometric Properties.
Picha KJ, Lester M, Heebner NR, Abt JP, Usher EL, Capilouto G, Uhl TL.
J Orthop Sports Phys Ther. 2019 Sep;49(9):647-655. doi: 10.2519/jospt.2019.8779. Epub 2019 Jul 10.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Physicians often will offer a corticosteroid injection for those with osteoarthritis. Patients feel better in the short term, but is there long term harm? If the joint is shot anyway, does it matter?

Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought?
Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A.
J Radiology. Published Online:Oct 15 2019. doi: 10.1148/radiol.2019190341.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Shared decision making is the greatest thing! Ethical, honest, engaging. But do patients give a crap? Would they rather the provider just tell them what to do? Can we find a happy ground?

Semistructured interviews regarding patients' perceptions of Choosing Wisely and shared decision-making: an Australian study.
Allen J, King R, Goergen SK, Melder A, Neeman N, Hadley A, Hutchinson AM.
BMJ Open. 2019 Aug 28;9(8):e031831. doi: 10.1136/bmjopen-2019-031831.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CMSi

There has been some great work done regarding guidelines for many different musculoskeletal diagnoses, but do physical therapists follow them? How do they do compare to other medical professionals? We can always be better, but what stops us? Is it stubbornness, lack of knowledge, or might market forces and patient/professional cultures drive some of this? We discuss all of this and more with one of the authors, Josh Zadro!

Do physical therapists follow evidence-based guidelines when managing musculoskeletal conditions? Systematic review
Zadro J, O’Keeffe M, Maher C.
BMJ Open. 2019;9:e032329. doi: 10.1136/bmjopen-2019-032329

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

If you have listened to more than one episode of PT Inquest you will know that Erik thinks that quadriceps dysfunction is a major problem after ACLR. Assuming that you agree with that, are there interventions to address that issue? Do they work? What about just waiting? How would we know what works?

Progressive strength training restores quadriceps and hamstring muscle strength within 7 months after ACL reconstruction in amateur male soccer players.
Welling W, Benjaminse A, Lemmink K, Dingenen B, Gokeler A.
Phys Ther Sport. 2019 Aug 9;40:10-18. doi: 10.1016/j.ptsp.2019.08.004. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Providing accurate information on back pain seems to build confidence in the provider but doesn't seem to have a huge effect on outcomes. Is this really an improvement? In this episode, Erik and JW explore the role of the provider is these difficult cases.

The Fear Reduction Exercised Early (FREE) approach to management of low back pain in general practice: A pragmatic cluster-randomised controlled trial.
Darlow B, Stanley J, Dean S, Abbott JH, Garrett S, Wilson R, Mathieson F, Dowell A.
PLoS Med. 2019 Sep 9;16(9):e1002897. doi: 10.1371/journal.pmed.1002897. eCollection 2019 Sep.

To order the rheumatology booklet created by Jack March that we discussed on the podcast head to his website: https://rheumatology.physio/

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Patients have unique personalities, values, and circumstances but what about providers? Can the specific personality traits of the provider have an effect on outcomes? Is that a good thing? Or a bad thing? And what should we do about it?

Do therapist effects determine outcome in patients with shoulder pain in a primary care physiotherapy setting?
Kooijman MK, Buininga EM, Swinkels ICS, Koes BW, Veenhof C.
Physiotherapy. Available online 2019 Aug 13. doi: 10.1016/j.physio.2019.08.009.

Links from this episode's Mail Hole:
How to Review an Article
https://thesciencept.com/how-to-review-an-article/

Episode 123: How to Fix the Weak Spots in Contemporary Science
https://ptpodcast.com/pt-inquest-episode-123-how-to-fix-the-weak-spots-in-contemporary-science/

Testing Treatments
https://en.testingtreatments.org/book/

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

We can prevent ACL injuries!!! Or are we just reducing risk? Or both? How do these programs work? Does it matter what you do or do you just need to do something?

A Majority of Anterior Cruciate Ligament Injuries Can Be Prevented by Injury Prevention Programs: A Systematic Review of Randomized Controlled Trials and Cluster-Randomized Controlled Trials With Meta-analysis.
Huang YL, Jung J, Mulligan CMS, Oh J, Norcross MF.
Am J Sports Med. 2019 Aug 30:363546519870175. doi: 10.1177/0363546519870175. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Direct Download

Brought to you by CSMi

We are all aware of financial conflicts of interest. Their mechanisms for incentivizing towards inaccurate beliefs are known but can still be easy to fall for. But what about intellectual conflicts of interest? What if you job, or even worse your profession, depends on it?

Conflict of Interest
Wojtys EM.
Sports Health. 2019 Aug 26;11(5):395-396. doi: 10.2106/JBJS.18.01160.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Is more better? Would additional tests improve outcomes? How often do we look for things that may not actually make a difference? We explore these questions as we review this non-inferiority study on managing wrist fractures.

Omitting Routine Radiography of Traumatic Distal Radial Fractures After Initial 2-Week Follow-up Does Not Affect Outcomes.
van Gerven P, El Moumni M, Zuidema WP, Rubinstein SM, Krijnen P, van Tulder MW, Schipper IB, Termaat MF.
J Bone Joint Surg Am. 2019 Aug 7;101(15):1342-1350. doi: 10.2106/JBJS.18.01160.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

You have an athlete with want appears to be FAIS and you want to know if they would be able to return to full sport after surgery. How would you know? Are there predictors before surgery? Are predictors for failure after surgery also just predictors of failure in general?

Preoperative Predictors of Achieving Clinically Significant Athletic Functional Status After Hip Arthroscopy for Femoroacetabular Impingement at Minimum 2-Year Follow-Up.
Stone AV, Beck EC, Malloy P, Chahla J, Nwachuckwu BU, Neal WH, Nho SJ.
Arthroscopy. 2019 Aug 5. pii: S0749-8063(19)30437-2. doi: 10.1016/j.arthro.2019.05.022. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

When you look at someone with a torn meniscus and some osteoarthritis, can you tell who would benefit from arthroscopy and who wouldn't? What about whether or not they would benefit from rehab? Would you be better than a coin flip?

Can even experienced orthopaedic surgeons predict who will benefit from surgery when patients present with degenerative meniscal tears? A survey of 194 orthopaedic surgeons who made 3880 predictions.
van de Graaf V, Bloembergen CH MD, Willigenburg NW PhD, Noorduyn JCA MSc, Saris D, Harris I, Poolman R; ESCAPE Research Group.
Br J Sports Med. 2019 Aug 1. pii: bjsports-2019-100567. doi: 10.1136/bjsports-2019-100567. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

After acute hamstrings injury is it ok to push into pain during rehab? Would you actually get better results? If you didn't, why not? If you did, what would that mean? Join us as we look at loading up injured hamstrings with special guest Jack Hickey!

Pain-Free Versus Pain-Threshold Rehabilitation Following Acute Hamstring Strain Injury: A Randomized Controlled Trial.
Hickey JT, Timmins RG, Maniar N, Rio E, Hickey PF, Pitcher CA, Williams MD, Opar DA.
J Orthop Sports Phys Ther. 2019 Jun 28:1-35. doi: 10.2519/jospt.2019.8895. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

What is evidence without interpretation? For that matter, what exactly is evidence? Or interpretation? Can you make an evidence-based statement without a robust evidence base?

Evidence vs Consensus in Clinical Practice Guidelines.
Djulbegovic B, Guyatt G.
JAMA. 2019 Jul 19. doi: 10.1001/jama.2019.9751. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

A study shows that those with FAI who get surgery earlier do better than those who get surgery later. Does that mean patients should rush to surgery? Or is the reality more nuanced?

Early Hip Arthroscopy for Femoroacetabular Impingement Syndrome Provides Superior Outcomes When Compared With Delaying Surgical Treatment Beyond 6 Months.
Kunze KN, Beck EC, Nwachukwu BU, Ahn J, Nho SJ.
Am J Sports Med. 2019 Jul 15:2038-2044. doi: 10.1177/0363546519837192. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

"How do you feel now compared to how you felt before surgery?" is a common question asked of patients? But how well do they remember? Are they accurate or do they overestimate or do they underestimate? What effects can perception of pretreatment symptoms have on perception of progress?

Patients Undergoing Shoulder Stabilization Procedures Do Not Accurately Recall Their Preoperative Symptoms at Short- to Midterm Follow-up.
Hope D, French J, Pizzari T, Hoy G, Barwood S.
Orthop J Sports Med. 2019 Jun 12;7(6):2325967119851084. doi: 10.1177/2325967119851084. eCollection 2019 Jun.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

This episode is less about exercise programs after total hip arthroplasty and more about meticulous study design prior to data collection. We look at essentially having the paper written before the study begins - all you have left to do is plug in the data and run the calculations!

Pragmatic Home-Based Exercise after Total Hip Arthroplasty - Silkeborg: Protocol for a prospective cohort study (PHETHAS-1)
Mikkelsen LR, Madsen MN, Rathleff MS, Thorborg K, Rossen CB, Kallemose T, Bandholm T.
F1000 Research. Latest published: 25 Jun 2019, 8:965 doi: 10.12688/f1000research.19570.1.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

The quad torque-to-body-weight article in elderly that was mentioned in response to the Mail Hole question: https://www.ncbi.nlm.nih.gov/pubmed/11909879

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Patient reported outcome measures (PROM) are commonly used to assess function in patients. But is that what they are actually measuring? Can we alter those scores in a meaningful way just through practicing the tasks mentioned in the questionnaire?

Can the QuickDASH PROM be Altered by First Completing the Tasks on the Instrument?
Shapiro LM, Harris AHS, Eppler SL, Kamal RN.
Clin Orthop Relat Res. 2019 Apr 27. doi: 10.1097/CORR.0000000000000731. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

What do patients believe about knee osteoarthritis and nonsurgical interventions? Where do they get these beliefs? Can we change these beliefs? Even if we do will that make a difference?

Misconceptions and the Acceptance of Evidence-based Nonsurgical Interventions for Knee Osteoarthritis. A Qualitative Study.
Bunzli S, O'Brien P, Ayton D, Dowsey M, Gunn J, Choong P, Manski-Nankervis JA.
Clin Orthop Relat Res. 2019 Jun 10. doi: 10.1097/CORR.0000000000000784. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Exercise works for pain..but why? Probably not for the reasons that we think. Does it matter? What a silly question...

Musculoskeletal pain and exercise-challenging existing paradigms and introducing new.
Smith BE, Hendrick P, Bateman M, Holden S, Littlewood C, Smith TO, Logan P.
Br J Sports Med. 2018 Jun 20. pii: bjsports-2017-098983. doi: 10.1136/bjsports-2017-098983. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

What happens when you go onto the interwebs and search for information from the websites of reputable organizations (government, hospital, university, professional associations, etc)? Is it accurate? Who defines accurate? What is the purpose of these websites?

Credibility, Accuracy, and Comprehensiveness of Internet-Based Information About Low Back Pain: A Systematic Review.
Ferreira G, Traeger AC, Machado G, O'Keeffe M, Maher CG.
J Med Internet Res. 2019 May 7;21(5):e13357. doi: 10.2196/13357.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi.

Following an algorithm in medicine (and other high consequence professions) is shown to result in better outcomes. But isn't that just like following a cookbook? Or is it more about making sure that we don't miss things?

Evidence-based algorithm to treat patients with proximal humerus fractures-a prospective study with early clinical and overall performance results.
Spross C, Meester J, Mazzucchelli RA, Puskás GJ, Zdravkovic V, Jost B.
J Shoulder Elbow Surg. 2019 Jun;28(6):1022-1032. doi: 10.1016/j.jse.2019.02.015. Epub 2019 Apr 16.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Doing a manipulation on the thoracic spine may help people with cervical radiculopathy but there are a lot of questions to answer here. This paper has an odd presentation of the data and generates concerns when looking at the pretrial registration (https://clinicaltrials.gov/ct2/show/NCT01495728?term=NCT01495728&rank=1).

Immediate and Short-term Effects of Thoracic Spine Manipulation in Patients With Cervical Radiculopathy: A Randomized Controlled Trial.
Young IA, Pozzi F, Dunning J, Linkonis R, Michener LA.
J Orthop Sports Phys Ther. 2019 May;49(5):299-309. doi: 10.2519/jospt.2019.8150. Epub 2019 Apr 25.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Is there a lack of diversity in orthopedics? Is improving diversity around gender the same challenge as improving diversity around race? Why are some areas of medicine improving while others are still having issues? In this episode we look at the specific issues around orthopedics and see if there are lessons that can be learned in the physical therapy profession.

The Orthopaedic Workforce Is Not as Diverse as the Population It Serves: Where Are the Minorities and the Women?: AOA Critical Issues Symposium.
Harrington MA, Rankin EA, Ladd AL, Mason BS.
J Bone Joint Surg Am. 2019 Apr 17;101(8):e31. doi: 10.2106/JBJS.18.01010.

Academic Metrics Do Not Explain the Underrepresentation of Women in Orthopaedic Training Programs.
Poon S, Nellans K, Crabb RAL, Rothman A, Wendolowski SF, Kiridly D, Gecelter R, Akerman M, Chahine NO.
J Bone Joint Surg Am. 2019 Apr 17;101(8):e32. doi: 10.2106/JBJS.17.01372.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Does the weight of an athlete matter when considering how much force they can handle? Is obesity the cause of disease or just something else that was caused by the cause of disease; whatever that actually is? Here we take a look at understanding predictors versus understanding causation and how this affects interventions for public health.

Why causality, and not prediction, should guide obesity prevention policy.
Chiolero A.
Lancet Public Health. 2018 Oct;3(10):e461-e462. doi: 10.1016/S2468-2667(18)30158-0. Epub 2018 Sep 1.

The article mentioned in the Mail Hole:

Normalization influences knee abduction moment results: Could it influence ACL-injury research, too?
Norcross MF, Johnson ST, Pollard CD, Chang EW, Hoffman MA.
J Sci Med Sport. 2017 Apr;20(4):318-321. doi: 10.1016/j.jsams.2016.10.005. Epub 2016 Oct 21.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

In previous episodes we have talked about many issues around biologics research. This article takes an honest look at PRP for patellar tendinopathy by including two different preparations AND a placebo group. How did it turn out? Not so well for PRP...

Platelet-Rich Plasma for Patellar Tendinopathy: A Randomized Controlled Trial of Leukocyte-Rich PRP or Leukocyte-Poor PRP Versus Saline.
Scott A, LaPrade RF, Harmon KG, Filardo G, Kon E, Della Villa S, Bahr R, Moksnes H, Torgalsen T, Lee J, Dragoo JL, Engebretsen L.
Am J Sports Med. 2019 Apr 30:363546519837954. doi: 10.1177/0363546519837954. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

There is a lot of health misinformation out there from simple "wellness" advice to anti-vaccination zealots, but what do we as medical providers do about it? Is it time to wage war? How high are the stakes? How do we make a difference? Do medical journals play a role?

Counteracting Health Misinformation: A Role for Medical Journals?
Armstrong, PW, Naylor CD.
JAMA. Published online April 22, 2019. doi:10.1001/jama.2019.5168

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

There are studies that show that a hip focused exercise program helps for PFP; there are others that show that a knee focused exercise program also works. Is one better than the other? What about just doing ANY kind of exercise? This study takes a look at answering those questions...kind of.

Effectiveness of Isolated Hip Exercise, Knee Exercise, or Free Physical Activity for Patellofemoral Pain: A Randomized Controlled Trial.
Hott A, Brox JI, Pripp AH, Juel NG, Paulsen G, Liavaag S.
Am J Sports Med. 2019 Apr 8:363546519830644. doi: 10.1177/0363546519830644. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Brought to you by CSMi

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

"You hate on everything! What do you even do with your patients? Why so negative?" We've heard it all before, and so have the authors of this paper. This open source article explores and defends the position of being skeptic within the medical world.

The Case for Being a Medical Conservative.
Mandrola J, Cifu A, Prasad V, Foy A.
Am J Med. 2019 Mar 6. pii: S0002-9343(19)30167-6. doi: 10.1016/j.amjmed.2019.02.005. [Epub ahead of print]

Open Source!

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Historically is has been typical to expect to return from an ACL reconstruction around 6 months after surgery. We know know that such suggestions are not very well founded. What can a study with over 3500 subjects tell us about how these athletes typically look at this time point?

Only one patient out of five achieves symmetrical knee function 6 months after primary anterior cruciate ligament reconstruction.
Cristiani R, Mikkelsen C, Forssblad M, Engström B, Stålman A.
Knee Surg Sports Traumatol Arthrosc. 2019 Feb 18. doi: 10.1007/s00167-019-05396-4. [Epub ahead of print]

Open Source!

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

When we say that a patient is "strong", what does that mean exactly? Can a single muscle do well on one strength test but poorly on another? Are some tests more "functional"? Sometimes it is less about IF they are strong and more about WHEN they are strong...

Deficits in rate of torque development are accompanied by activation failure in patients with knee osteoarthritis.
Ventura A, Muendle B, Friesenbichler B, Casartelli NC, Kramers I, Maffiuletti NA.
J Electromyogr Kinesiol. 2019 Feb;44:94-100. doi: 10.1016/j.jelekin.2018.11.010. Epub 2018 Dec 4.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

In this episode we swap podcast feeds in order to confuse the crap out of you and see if anyone reads the show notes. Hint: Take a look at the release date.

For real, listen to the episode though. More info at https://www.ptpintcast.com/

Brought to you by CSMi

This episode explores the application of exercises starting 2 months after total knee replacement. Is working with a PT better than just joining a community program? If there are performance improvements, is there much of an effect on perceived function? How difficult is it to answer these questions?

Effectiveness of Later-Stage Exercise Programs vs Usual Medical Care on Physical Function and Activity After Total Knee Replacement: A Randomized Clinical Trial.
Piva SR, Schneider MJ, Moore CG, Catelani MB, Gil AB, Klatt BA, DiGioia AM, Almeida GJ, Khoja SS, Sowa G, Irrgang JJ.
JAMA Netw Open. 2019 Feb 1;2(2):e190018. doi: 10.1001/jamanetworkopen.2019.0018.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

This episode explores the nature of fixating an injury in a place that normally allows a little movement. Should the fixation also allow some movement? Would this allow faster return to function? Can breaking a screw actually lead to better outcomes? We also explore the need for services like PRISMA.

Suture Button Versus Syndesmotic Screw for Syndesmosis Injuries: A Meta-analysis of Randomized Controlled Trials.
Shimozono Y, Hurley ET, Myerson CL, Murawski CD, Kennedy JG.
Am J Sports Med. 2018 Nov 26:363546518804804. doi: 10.1177/0363546518804804. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

This article ruffled some PT feathers. In a head to head match up, many interpreted this RCT to show that surgery beats physical therapy, but is there more to it? Would Erik and JW have been able to put together a better rehab program than what was studied in this paper? Perhaps...perhaps not. This article gives a great opportunity to contrast the quality of research in the surgical and rehabilitation worlds.

Arthroscopic hip surgery compared with physiotherapy and activity modification for the treatment of symptomatic femoroacetabular impingement: multicentre randomised controlled trial.
Palmer AJR, Ayyar Gupta V, Fernquest S, et al.
BMJ. 2019 Feb 7;364:l185. doi: 10.1136/bmj.l185.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Epidemiology studies are a fascinating snapshot of injuries in a population, but they also provide insight on how we interpret data. How common are lumbar spine injuries amongst elite athletes? How are they defined? How limiting are they? Is there a group we should address and another group we should leave alone?

Lumbar Spine Injuries in National Collegiate Athletic Association Athletes: A 6-Season Epidemiological Study.
Hassebrock JD, Patel KA, Makovicka JL, Chung AS, Tummala SV, Peña AJ, Williams KE, Hartigan DE, Chhabra A.
Orthop J Sports Med. 2019 Jan 23;7(1):2325967118820046. doi: 10.1177/2325967118820046. eCollection 2019 Jan.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Low value healthcare (like ordering imaging for patients with nonspecific low back pain) is a known issue for healthcare providers. But how big of an issue is it? Are the best providers doing that much better than the worst offenders? Why do they do this? Is there anything we can do about medical overuse and all the problems that come with it?

Analysis of Physician Variation in Provision of Low-Value Services.
Schwartz AL, Jena AB, Zaslavsky AM, McWilliams JM.
JAMA Intern Med. 2019 Jan 1;179(1):16-25. doi: 10.1001/jamainternmed.2018.5086.

Medical Overuse as a Physician Cognitive Error: Looking Under the Hood.
Korenstein D.
JAMA Intern Med. 2019 Jan 1;179(1):26-27. doi: 10.1001/jamainternmed.2018.5136.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Pain catastrophizing has been shown to have an affect on outcomes specifically after total knee arthroplasty. This article took a good look at the problem and many people interpreted the findings to say that cognitive behavioral therapy (CBT) wasn't effective. Turns out it's much more interesting than that...

Pain Coping Skills Training for Patients Who Catastrophize About Pain Prior to Knee Arthroplasty: A Multisite Randomized Clinical Trial.
Riddle DL, Keefe FJ, Ang DC, Slover J, Jensen MP, Bair MJ, Kroenke K, Perera RA, Reed SD, McKee D, Dumenci L.
JBJS. February 6, 2019 - Volume 101 - Issue 3 - p 218-227 doi: 10.2106/JBJS.18.00621. The effectiveness trial.

Pain coping skills training for patients with elevated pain catastrophizing who are scheduled for knee arthroplasty: a quasi-experimental study.
Riddle DL, Keefe FJ, Nay WT, McKee D, Attarian DE, Jensen MP.
Arch Phys Med Rehabil. 2011 Jun;92(6):859-65. doi: 10.1016/j.apmr.2011.01.003. Epub 2011 Apr 29. The efficacy trial. OPEN ACCESS!

Preoperative pain catastrophizing predicts pain outcome after knee arthroplasty.
Riddle DL, Wade JB, Jiranek WA, Kong X.
Clin Orthop Relat Res. 2010 Mar;468(3):798-806. doi: 10.1007/s11999-009-0963-y. Epub 2009 Jul 8. The validation of the metric. OPEN ACCESS!

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Brought to you by CSMi

Returning to sport after ACL reconstruction is kind of a complex mess. Strength issues, coordination, soreness, not to mention the psychological factors. How do these things interact? What matters? What should we measure and how? Join us with special guest Ryan Zarzycki from Arcadia University!

Psychological Readiness to Return to Sport Is Associated With Knee Kinematic Asymmetry During Gait Following Anterior Cruciate Ligament Reconstruction.
Zarzycki R, Failla M, Capin JJ, Snyder-Mackler L.
J Orthop Sports Phys Ther. 2018 Dec;48(12):968-973. doi: 10.2519/jospt.2018.8084. Epub 2018 Jul 27.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Therapeutic ultrasound has been relegated to the physical therapy trash heap as "ultraplacebo". But is there an application where it might work? What can we learn about other physical therapy interventions from research on ultrasound?

Effect of low-intensity long-duration ultrasound on the symptomatic relief of knee osteoarthritis: a randomized, placebo-controlled double-blind study.
Draper DO, Klyve D, Ortiz R, Best TM.
J Orthop Surg Res. 2018 Oct 16;13(1):257. doi: 10.1186/s13018-018-0965-0.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

It would be great if we could provide regular, personal follow up communications with our patients but the time commitment becomes huge. But what if you just had a bot send generic patient education text messages? Would that give a sense of connection? Will that improve patient compliance?

A Novel, Automated Text-Messaging System Is Effective in Patients Undergoing Total Joint Arthroplasty.
Campbell KJ, Louie PK, Bohl DD, et al.
JBJS. 2019;101:145-51. doi: 10.2106/JBJS.17.01505. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Some people have cams in their hips, some don't. Some cams are a problem, some aren't. What effects can a cam have on a hip joint? Are these good or bad? What happens after a cam is surgically removed?

Hip Joint Torsional Loading Before and After Cam Femoroacetabular Impingement Surgery.
Ng KCG, El Daou H, Bankes MJK, Rodriguez Y Baena F, Jeffers JRT.
Am J Sports Med. 2018 Dec 31:363546518815159. doi: 10.1177/0363546518815159. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

A home exercise program is not very effective if the patient isn't actually, you know, doing the exercises. Is self-report accurate? What about a home program diary? Does it matter? Does this have any impact on our interpretations of previous literature?

Self-Reported Home Exercise Adherence: A Validity and Reliability Study Using Concealed Accelerometers.
Nicolson PJA, Hinman RS, Wrigley TV, Stratford PW, Bennell KL.
J Orthop Sports Phys Ther. 2018 Jul 27:1-38. doi: 10.2519/jospt.2018.8275. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

We thought we were done but THEY KEEP PULLING US BACK IN!!! We are back for a full year of weekly episodes thanks to generous sponsorship from CSMi!

Brought to you by CSMi

In previous episodes we have explored the controversy around the best rehabilitation after rotator cuff (RTC) repair with many papers concluding that it really doesn't matter. But when can you say that things are not going well? And if things are not going well, what can you do about it?

If you have an isokinetic machine, make sure you register your clinic at CybexTest.org to be listed on their database for free!

This article is open access at the time of recording so click the link below for free access.

Target range of motion at 3 months after arthroscopic rotator cuff repair and its effect on the final outcome.
Tonotsuka H, Sugaya H, Takahashi N, Kawai N, Sugiyama H, Marumo K.
J Orthop Surg.2017 Sep-Dec;25(3):2309499017730423. doi: 10.1177/2309499017730423.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Produced by:
Matt Hunter

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

That's right everyone! It's that time of year again! All the PT Podcast Network voices (except for Adam) have gathered together to bring you some podcast holiday cheer!

This very special episode is brought to you by My PT Insurance. Head on over to their website at myptins.com/ptinquest to be entered into a drawing for a $250 Amazon gift card (contest ends February 28, 2019). While you are there listeners can get a $20 discount off their already low price for a professional liability policy - starting as low as $149! Click the link for more info!

Music by Kevin MacLeod - incompetech.com

It's time for another season finale and we conclude with a discussion of one of the worst things in modern science, the predatory journal. These are journals that make money by publishing literally ANYTHING as long as you pay your fee. The authors of this editorial did just that, publishing a paper where they claimed that manual therapy was applied to a subject who had been dead for 5 years - and he was revived! We explore the history of demonstrations of how bad articles get into publication.

Happy Holidays to everyone and we'll see you in March!

Manual Therapy Cures Death: I Think I Read That Somewhere.
Cook CE, Cleland JA, Mintken PE.
J Orthop Sports Phys Ther. 2018 Nov;48(11):830-832. doi: 10.2519/jospt.2018.0107.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Accurate education on pain has become a popular mantra in physical therapy practice, specifically around chronic pain. A common argument is to educate at risk patients early in the process to reduce the likelihood of their pain becoming chronic. But just how effective is this? Does it really make that much of a difference? Is it addressing the driving factors related to these subjects?

Effect of Intensive Patient Education vs Placebo Patient Education on Outcomes in Patients With Acute Low Back Pain: A Randomized Clinical Trial.
Traeger AC, Lee H, Hübscher M, Skinner IW, Moseley GL, Nicholas MK, Henschke N, Refshauge KM, Blyth FM, Main CJ, Hush JM, Lo S, McAuley JH.
JAMA Neurol. 2018 Nov 5. doi: 10.1001/jamaneurol.2018.3376. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Here we go again, hating on physical therapy (the theme song does say "I'm my own worst enemy"...) There have been some recent pushes in the physical therapy world to promote what we do, but has this been the most honest, evidence-based approach? What is the difference between "non-evidence-based" and "evidence-based" marketing? Can we do better? Special guest Joshua Zadro from the University of Sydney School of Public Health and the Institute for Musculoskeletal Health is here to help us figure it out!

Evidence-based physiotherapy needs evidence-based marketing.
Zadro JR, O'Keeffe M, Maher CG.
Br J Sports Med. 2018 Oct 27. pii: bjsports-2018-099749. doi: 10.1136/bjsports-2018-099749. [Epub ahead of print]

The blog post that Erik wrote on the ethics of healthcare marketing.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Pew! Pew! Pew! Lasers!!! What could be more high tech than that? Hold on a second...what exactly IS a laser? And how is it different than other sources of light? Knowing that, why would you use it? And can you have very high quality research on very low plausibility hypothesis? You bet you can!

Incorporation of photobiomodulation therapy into a therapeutic exercise program for knee osteoarthritis: A placebo-controlled, randomized, clinical trial.
de Paula Gomes CAF, Leal-Junior ECP, Dibai-Filho AV, de Oliveira AR, Bley AS, Biasotto-Gonzalez DA, de Tarso Camillo de Carvalho P.
Lasers Surg Med. 2018 Oct;50(8):819-828. doi: 10.1002/lsm.22939. Epub 2018 May 7.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Thinking your ACLR patients are using compensatory strategies when they are squatting? Simple! Just watch them do a squat and you'll see it with your own eyes...OR WILL YOU?! This week our super-special guest is study lead-author Susan Sigward, Associate Professor of Clinical Physical Therapy at the University of Southern California.

Compensatory Strategies That Reduce Knee Extensor Demand During a Bilateral Squat Change From 3 to 5 Months Following Anterior Cruciate Ligament Reconstruction.
Sigward SM, Chan MM, Lin PE, Almansouri SY, Pratt KA.
J Orthop Sports Phys Ther. 2018 Sep;48(9):713-718. doi: 10.2519/jospt.2018.7977. Epub 2018 Jun 12.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

A topic we have discussed before, early activity after rotator cuff repair, but this is a different study design. What is meant by non-inferiority? Is this the same as saying equal? What if it was better? Would such a paper tell us?

No Functional Difference Between Three and Six Weeks of Immobilization After Arthroscopic Rotator Cuff Repair: A Prospective Randomized Controlled Non-Inferiority Trial.
Jenssen KK, Lundgreen K, Madsen JE, Kvakestad R, Pripp AH, Dimmen S.
Arthroscopy. 2018 Oct;34(10):2765-2774. doi: 10.1016/j.arthro.2018.05.036. Epub 2018 Sep 6.

The editorial that was written about this article can be found here: https://doi.org/10.1016/j.arthro.2018.07.003

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Anterior Cruciate Ligament Reconstruction (ACLR) is a procedure that has a lot published on it yet there are still second injury rates as high as 40% in some populations. There seems to be some consensus in the literature as to how these patients should be managed, but do physical therapists actually manage them this way? Embarrassingly the answer is no.

Rehabilitation Practice Patterns Following Anterior Cruciate Ligament Reconstruction: A Survey of Physical Therapists.
Greenberg EM, Greenberg ET, Albaugh J, Storey E, Ganley TJ.
J Orthop Sports Phys Ther. 2018 Oct;48(10):801-811. doi: 10.2519/jospt.2018.8264. Epub 2018 May 22.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

There is a lot of talk amongst medical professionals and the media about sitting being the new smoking. Is that true? How would we compare that? Even if that is not EXACTLY true, what's the harm if it scares people into moving more?

This article is open access at the time this episode was released so click the link below to download!

Evaluating the Evidence on Sitting, Smoking, and Health: Is Sitting Really the New Smoking?
Vallance JK, Gardiner PA, Lynch BM, D'Silva A, Boyle T, Taylor LM, Johnson ST, Buman MP, Owen N.
Am J Public Health. 2018 Sep 25:e1-e5. doi: 10.2105/AJPH.2018.304649. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

A lot of people out there, including medical providers, believe that our understanding of chronic traumatic encephalopathy (CTE) or even concussions is complete and conclusive. As with many things, our understanding is very much just emerging. Everything from management to definitions of terms are constantly changing. Is the horse still chasing the cart here? In this episode we take a little tour of what we know and don't know with special guest Jason Hugentobler, the director of the sports physical therapy residency program at Cincinnati Children's Hospital.

Chronic Traumatic Encephalopathy: The Horse Is Still Chasing the Cart.
Asken BM, Bauer RM.
J Orthop Sports Phys Ther. 2018 Sep;48(9):672-675. doi: 10.2519/jospt.2018.0612.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Can psychosocial factors predict pain after rotator cuff surgery? Or could they be predictive of a poor outcome in general? Does this mean surgery shouldn't be done in these cases? Also, does hunger have an effect on the quality of a PT Inquest episode?

A prospective evaluation of predictors of pain after arthroscopic rotator cuff repair: psychosocial factors have a stronger association than structural factors.
Ravindra A, Barlow JD, Jones GL, Bishop JY.
J Shoulder Elbow Surg. 2018 Oct;27(10):1824-1829. doi: 10.1016/j.jse.2018.06.019. Epub 2018 Aug 16.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sometimes it seems like ACL injury can be linked to all kinds of future problems. In this example there is a correlation to future myocardial infarction, although not statistically significant. We all know that showing a correlation doesn't mean causation, but what exactly does it mean? More importantly, just how many people are murdered by steam related weapons?!

Relation of Anterior Cruciate Ligament Tears to Potential Chronic Cardiovascular diseases.
Meehan WP, Weisskopf MG, et al.
American Journal of Cardiology. 2018. doi: 10.1016/j.amjcard.2018.08.030.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

This week we are discussing an editorial from Physical Therapy Journal. We get into how much we really enjoy editorials, especially from specific editors, but we also discuss the role of scientific journals. Many clinicians confuse the broad and varied missions of a professional organization and the goals of that organization's scientific journal. What is the right platform for advocacy of a profession and what role does science play?

Scientific Journals Are Not Advocacy Organizations.
Jette AM.
Phys Ther. 2018 Sep 1;98(9):731-732. doi: 10.1093/ptj/pzy073.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

We are back for another season of PT Inquest with more tendinopathy talk! There are a couple studies that have shown that high load, long duration isometrics reduce pain, but would short duration be just as effective as long as time under tension was held constant? And are the effects only on pain or is there something more specific going on?

Immediate and Short-Term Effects of Short- and Long-Duration Isometric Contractions in Patellar Tendinopathy.
Pearson SJ, Stadler S, Menz H, Morrissey D, Scott I, Munteanu S, Malliaras P.
Clin J Sport Med. 2018 Aug 8. doi: 10.1097/JSM.0000000000000625. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

We are back for another season of PT Inquest with more tendinopathy talk! There are a couple studies that have shown that high load, long duration isometrics reduce pain, but would short duration be just as effective as long as time under tension was held constant? And are the effects only on pain or is there something more specific going on?

Immediate and Short-Term Effects of Short- and Long-Duration Isometric Contractions in Patellar Tendinopathy.
Pearson SJ, Stadler S, Menz H, Morrissey D, Scott I, Munteanu S, Malliaras P.
Clin J Sport Med. 2018 Aug 8. doi: 10.1097/JSM.0000000000000625. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Exercise and education is better than steroid injection for gluteal tendinopathy! Hooray for physical therapy! Or is it? What are the options and how great are they? We end this season with another example of an article and an intervention that we use and love, but we may want to pump the brakes a little. See you all next season!!!

THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial.
Mellor R, Bennell K, Grimaldi A, Nicolson P, Kasza J, Hodges P, Wajswelner H, Vicenzino B.
BMJ. 2018 May 2;361:k1662. doi: 10.1136/bmj.k1662.

Here is the pre-trial protocol: BMC Musculoskeletal Disorders

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Blow Flow Restriction (BFR) training is a topic that is often requested for us to cover, but the research has not been very impressive to us regarding rehab application. That said, we aim to please! (No we don't.) So in this episode, we are joined by Scot Morrison to discuss what we know and what we don't know around BFR and the potential rehab applications. THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Blood flow restriction training in clinical musculoskeletal rehabilitation: a systematic review and meta-analysis.
Hughes L, Paton B, Rosenblatt B, Gissane C, Patterson SD.
Br J Sports Med. 2017 Jul;51(13):1003-1011. doi: 10.1136/bjsports-2016-097071. Epub 2017 Mar 4.

Here is the pre-review registration: ReviewRegistry91

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

We love us some pain neuroscience and exercise for the treatment of chronic pain as a very plausible approach, but there is not very much research out there that truly tests it. This article compared that approach to a more "old style" approach to physical therapy management of chronic spine pain. The conclusions were promoted as promising, but the findings may not be as impressive as advertised. Special guest Kenny Venere joins us to take an exploration of pain neuroscience as an intervention! (Here you can find Kenny's blog and his Twitter profile)

Effect of Pain Neuroscience Education Combined With Cognition-Targeted Motor Control Training on Chronic Spinal PainA Randomized Clinical Trial.
Malfliet A, Kregel J, Coppieters I, et al.
JAMA Neurol. Published online April 16, 2018. doi:10.1001/jamaneurol.2018.0492.

Here is the pretrial registration: ClinicalTrials.gov

Here is the article that they cited that describes the exercise interventions: https://doi.org/10.1016/j.bjpt.2017.06.019

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Finally a randomized controlled trial comparing physical therapy management to surgery for femoroacetabular impingement syndrome (FAIS)!!! And what were the findings? Well, not impressive on either end. Of course this generates more questions than answers but that's what good research does.

Arthroscopic Surgery or Physical Therapy for Patients With Femoroacetabular Impingement Syndrome: A Randomized Controlled Trial With 2-Year Follow-up.
Mansell NS, Rhon DI, Meyer J, Slevin JM, Marchant BG.
Am J Sports Med. 2018 May;46(6):1306-1314. doi: 10.1177/0363546517751912. Epub 2018 Feb 14.

Here is the pretrial registration: ClinicalTrials.gov

Here is the article that they cited that describes the physical therapy interventions: https://doi.org/10.1186/s12891-016-0914-1

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Determining when to return to play after concussion requires the use of testing to make sure that the athlete has returned to baseline. But what if you don't have a baseline measurement? Can having a history of common mental illnesses like anxiety and depression have an impact in the true baseline for an individual athlete? What about other cognitive peculiarities? Erik also discusses what it is like to be on the autism spectrum.

Here is the test for Autism/Asperger's that Erik was referring to:
https://psychcentral.com/quizzes/autism-test/

Influences of Mental Illness, Current Psychological State, and Concussion History on Baseline Concussion Assessment Performance.
Weber ML, Dean JL, Hoffman NL, et al.
Am J Sports Med. 2018 Apr 1:363546518765145. doi: 10.1177/0363546518765145. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Female Athlete Triad may be more common than you think, and it turns out many male athletes can have it too! We take a deep exploration of the condition, how it works, and how to screen for it with special guest, San Diego State University PT School Program Director Mitch Rauh!

Association of the Female Athlete Triad Risk Assessment Stratification to the Development of Bone Stress Injuries in Collegiate Athletes.
Tenforde AS, Carlson JL, Chang A, Sainani KL, Shultz R, Kim JH, Cutti P, Golden NH, Fredericson M.
Am J Sports Med. 2017 Feb;45(2):302-310. doi: 10.1177/0363546516676262. Epub 2016 Dec 30.

We also discussed one of Mitch's many article on the topic from several years ago that happens to be open access:
Associations between the female athlete triad and injury among high school runners.
Rauh MJ, Barrack M, Nichols JF.
Int J Sports Phys Ther. 2014 Dec;9(7):948-58.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Do older runners run differently than younger runners? If they do, is it A GOOD THING OR A BAD THING?! Can this actually be used as a tool for training or useful information for return after injury? Join us with study co-author Blaise Williams from Nike!

Biomechanical Implications of Training Volume and Intensity in Aging Runners.
Paquette MR, Devita P, Williams DSB 3rd.
Med Sci Sports Exerc. 2018 Mar;50(3):510-515. doi: 10.1249/MSS.0000000000001452.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Many clinicians wonder is tests such as the quad index are good enough for returning an athlete to sport after ACLR. Turns out, clinicians aren't even doing that! In the episode we have special guests Allison Toole and Matt Ithurburn discussing their recent paper that looked at how athletes tested after they had already been cleared to return to play after ACLR. Spoiler - they didn't look very good.

Young Athletes Cleared for Sports Participation After Anterior Cruciate Ligament Reconstruction: How Many Actually Meet Recommended Return-to-Sport Criterion Cutoffs?
Toole AR, Ithurburn MP, Rauh MJ, Hewett TE, Paterno MV, Schmitt LC.
J Orthop Sports Phys Ther. 2017 Nov;47(11):825-833. doi: 10.2519/jospt.2017.7227. Epub 2017 Oct 7.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

The scientific community has made some mistakes over the past couple decades, leading people to think many effects were much larger than they actually are, if they even existed at all! So what is the reason for this? How has the current process incentivized the publication of studies that may not be the best reflection of the truth? And what can we do about it? Turns out, there is a lot we can do about it! THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

The Weak Spots in Contemporary Science (and How to Fix Them).
Wicherts JM.
Animals (Basel). 2017 Nov 27;7(12). pii: E90. doi: 10.3390/ani7120090.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

In the episode we also reference this wonderful overview of "replication crisis" and p-hacking from Veritasium.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Injecting tendinopathies is a popular practice; everything from PRP to steroids to saline to even sugar. But is there any efficacy? What exactly do these things do? Could there actually be a mechanical effect or is it chemical or just good ol' placebo? When is a sham not really a sham and how do we know? We explore all these questions and more with special guest, Peter Malliaras!

Effect of High-Volume Injection, Platelet-Rich Plasma, and Sham Treatment in Chronic Midportion Achilles Tendinopathy: A Randomized Double-Blinded Prospective Study.
Boesen AP, Hansen R, Boesen MI, Malliaras P, Langberg H.
Am J Sports Med. 2017 Jul;45(9):2034-2043. doi: 10.1177/0363546517702862. Epub 2017 May 22.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Check out Peter's blog which includes his online tendinopathy course at TendinopathyRehab.com

In the episode we reference Episode 107 and that article's Checklist for Minimum Reporting for Clinical Studies Evaluating PRP.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Injuries to the hamstrings are more common than just about any other muscle injury in sport. And once you do it once, you are more likely to do it again. What is the problem here? Are some people just good at injuring that muscle and simple are destined to repeat it? Or are there deficits that just aren't fully rehabilitated prior to return to sport? Also, does anyone know how to pronounce Vodafone? THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Change in knee flexor torque after fatiguing exercise identifies previous hamstring injury in football players.
Lord C, Ma'ayah F, Blazevich AJ.
Scand J Med Sci Sports. 2018 Mar;28(3):1235-1243. doi: 10.1111/sms.13007. Epub 2018 Jan 8.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

When it comes to using treatments which have effects that may be nothing more than placebo, the question that is often asked is "What's the harm?" Well, according to these authors, it could be more than you realize. If it works, who cares? Does it matter that you are accidentally treating a psychosocial issue with something claiming to be treating something else? THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

'Caution, this treatment is a placebo. It might work, but it might not': why emerging mechanistic evidence for placebo effects does not legitimise complementary and alternative medicines in sport.
Rohrer JM.
Br J Sports Med. 2017 Jul 19. pii: bjsports-2017-097747. doi: 10.1136/bjsports-2017-097747. [Epub ahead of print]

The two blog posts Erik refers to in the episode can be found here:
Placebo-Fu
Elite Level Placebos

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

We all know that "correlation does not equal causation" but it is still counterintuitive. There are many questions in healthcare that just cannot be approached by the randomized controlled trial (RCT) requiring us to depend on observational data which is extremely susceptible to this confounding correlation problem. Are there any visual tools that we can use to help keep our thinking honest and not fall for spurious correlations? YES! Join us on an exploration of directed acyclic graphs!!! THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Thinking Clearly About Correlations and Causation: Graphical Causal Models for Observational Data.
Rohrer JM.
Advances in Methods and Practices in Psychological Science. First Published January 29, 2018.

Here is the Amazon link to the book Erik was talking about, Anathem by Neal Stephenson.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Being positive in life is usually seen as a good thing. Try to identify the silver lining and highlight it. But when it comes to research, that "spin" can have detrimental results for developing clinical guidelines and the scientific process as a whole. This is the final episode of this season - we'll see you all in a few months!

'Spin' in published biomedical literature: A methodological systematic review.
Chiu K, Grundy Q, Bero L.
PLoS Biol. 2017 Sep 11;15(9):e2002173. doi: 10.1371/journal.pbio.2002173. eCollection 2017 Sep.

Recommendations are made in the absence of any good treatments.
Colquhoun D.
BMJ. 2017 Aug 30;358:j3975. doi: 10.1136/bmj.j3975.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

The double bundle ACL reconstruction is better! Kinda. Sorta. Maybe. But maybe it's not for you. Or maybe it is! Does this squirrel look fat? Does anyone read these descriptions? Does anyone else smell toast? I smell toast...

Double-Bundle Versus Single-Bundle Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Study With 10-Year Results.
Järvelä S, Kiekara T, Suomalainen P, Järvelä T.
Am J Sports Med. 2017 Sep;45(11):2578-2585. doi: 10.1177/0363546517712231. Epub 2017 Jun 29.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

There is a lot that we can throw at musculoskeletal pain, but what actually has evidence behind it? We do we actually know and what directions should the research be headed? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence.
Babatunde OO, Jordan JL, Van der Windt DA, Hill JC, Foster NE, Protheroe J.
PLoS One. 2017 Jun 22;12(6):e0178621. doi: 10.1371/journal.pone.0178621. eCollection 2017.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Medical research as a whole can be a mess of low quality studies. This has significant downstream effects of misinformation, confusion, and large variation of practice, not to mention the abundance of low value healthcare being provided. So how do we survive this mess? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

How to survive the medical misinformation mess.
Ioannidis JPA, Stuart ME, Brownlee S, Strite SA.
Eur J Clin Invest. 2017 Sep 7. doi: 10.1111/eci.12834. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

QUICK! Cams in the hip: Good thing or bad thing?! Where do they come from? How do they develop? Does playing sports during adolescence cause them? How should you advise your patients? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Physical activity during adolescence and the development of cam morphology: a cross-sectional cohort study of 210 individuals.
Palmer A, Fernquest S, Gimpel M, Birchall R, Judge A, Broomfield J, Newton J, Wotherspoon M, Carr A, Glyn-Jones S.
BJSM. 2017 Aug 10. pii: bjsports-2017-097626. doi: 10.1136/bjsports-2017-097626. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Why is there so much research waste? Why are there lots of redundancies and studies that show effects but don't actually move our understanding forward? Can anything be done to prevent this for happening before data collection even begins? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Preparing for what the reporting checklists will not tell you: the PREPARE Trial guide for planning clinical research to avoid research waste.
Bandholm T, Christensen R, Thorborg K, Treweek S, Henriksen M.
BJSM. 2017 Sep 7. pii: bjsports-2017-097527. doi: 10.1136/bjsports-2017-097527. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

If all patients get formal rehab right after lumbar disc surgery that would result in better outcomes and reduced overall costs right? Well, that makes sense but it turns out that such a question is very difficult to answer objectively. Turns out that cost-effectiveness studies require a very particular design and a lot of forethought. Keep in mind that papers like this provide our profession honest guidance, not hurtful criticism. THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Early rehabilitation after lumbar disc surgery is not effective or cost-effective compared to no referral: a randomised trial and economic evaluation.
Oosterhuis T, Ostelo RW, van Dongen JM1, Peul WC, de Boer MR, Bosmans JE, Vleggeert-Lankamp CL, Arts MP, van Tulder MW.
J Physiother. 2017 Jul;63(3):144-153. doi: 10.1016/j.jphys.2017.05.016. Epub 2017 Jun 28.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Psychological interventions are becoming popular for treating pain but what is the evidence base for this? Can these interventions stand alone or are they just are part of a bigger picture? Is pain what should be measured as a benchmark for success? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

An umbrella review of the literature on the effectiveness of psychological interventions for pain reduction.
Markozannes G, Aretouli E, Rintou E, Dragioti E, Damigos D, Ntzani E, Evangelou E, Tsilidis KK.
BMC Psychology. 2017 Aug 31. doi: 10.1186/s40359-017-0200-5.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Is research like a language? The data being the words, studies being the sentences, and systematic reviews being paragraphs. But what gives all of this the required structure? You know, the grammar? Statistics! But how is all of this supposed to work? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT!

Statistical science: a grammar for research.
Cox DR.
Eur J Epidemiol. 2017 Jul 29. doi: 10.1007/s10654-017-0288-1. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Back again (sorry). This time talking about PFP. A lot of people confuse the subtle differences of all the factors that underlie the heading "strength". Many are not interchangeable and should be thought about as separate constructs. This episode looks at how rate of force development may be a large factor in rehabilitation, specifically regarding PFP.

Hip rate of force development and strength are impaired in females with patellofemoral pain without signs of altered gluteus medius and maximus morphology.
Nunes GS, Barton CJ, Serrão FV.
J Sci Med Sport. 2017 May 24. pii: S1440-2440(17)30440-1. doi: 10.1016/j.jsams.2017.05.014. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Sorry everyone. Erik has a bit too much going on these next couple weeks so we need to take a short 4 week break. We promise to resume with the next 10 episodes after that. If you want to catch Erik at his courses in Australia in early August or the small Portland course he is doing in September, go to http://thesciencept.com and click on the courses link.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Can someone do poorly on static balance tests and NOT be an ACL injury risk? I mean, if they're having a hard time there they MUST be having issues during sport, right? Can poor coordination during one task predict poor coordination in another? What about more dynamic tests? IS JW ON DRUGS?!

No association between static and dynamic postural control and ACL injury risk among female elite handball and football players: a prospective study of 838 players.
Steffen K, Nilstad A, Krosshaug T, Pasanen K, Killingmo A, Bahr R.
Br J Sports Med. 2017 Feb;51(4):253-259. doi: 10.1136/bjsports-2016-097068.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

WE ARE BACK FROM BREAK and bringing with us some biologics! When talking biologics like PRP and "stem cells" sloppy research abounds. This reality isn't really fair to anyone trying to find a deeper understanding of what may or may not be going on here. Can we do better with this process? Can physical therapists apply some of these same reporting guidelines to their on research to provide a better "fair test"? Do you find this episode...Bohrium?

Minimum Information for Studies Evaluating Biologics in Orthopaedics (MIBO): Platelet-Rich Plasma and Mesenchymal Stem Cells.
Murray IR, Geeslin AG, Goudie EB, Petrigliano FA, LaPrade RF.
J Bone Joint Surg Am. 2017 May 17;99(10):809-819. doi: 10.2106/JBJS.16.00793.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

We all love evidence-based medicine (EBM) with its three pillars and levels of evidence and science-sounding stuff. But why do we even have it? And does it mean what we think it means? 25 years later, have we really changed very much as a profession? Erik liked this article so much that he should marry it! Unfortunately marrying a document is not yet legal in the State of Oregon.

See everyone in 3 months! Going on break...

Progress in evidence-based medicine: a quarter century on.
Djulbegovic B, Guyatt GH.
Lancet. 2017 Feb 16. pii: S0140-6736(16)31592-6. doi: 10.1016/S0140-6736(16)31592-6. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

Meniscal repairs are notorious for having a mix of opinions regarding postoperative precautions. Should we be restricting weight bearing? Range of motion? Both? Neither? Does any of it matter? Why or why not? Wait for the drop!

Rehabilitation Protocols After Isolated Meniscal Repair.
O'Donnell K, Freedman KB, Tjoumakaris FP.
Am J Sports Med. 2016 Oct 1:363546516667578. doi: 10.1177/0363546516667578. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

The prevalence of low-value healthcare is a huge burden on the global healthcare system. Sure, unnecessary care drives up costs and diverts scarce resources away from where they could provide more overall societal benefit, but are there other harms as well? Do physical therapists unknowingly make this problem worse, especially when it comes to treating diagnoses like low back pain? Are there broader ethical concerns to consider when engaging in simple promotion of a healthcare profession? Will JW abandon a hockey team's state championship game just to record an episode of PT Inquest?! Also "Corinthian"...

Wise choices: making physiotherapy care more valuable.
Traeger AC, Moynihan R, Maher CG.
J of Physiotherapy. Available online 28 February 2017.
OPEN SOURCE!!!

Links relative to the discussion:
AMA Code of Medical Ethics
APTA Code of Ethics for the Physical Therapist

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

One of the most dreaded perceived complications after shoulder surgery is the development of developing frozen shoulder. Can we spot those who are at increased risk? If we can, is there anything we can do about it? Can a study be more awkward than Erik?

Incidence and prognostic factors for postoperative frozen shoulder after shoulder surgery: a prospective cohort study.
Koorevaar RC, Van't Riet E, Ipskamp M, Bulstra SK.
Arch Orthop Trauma Surg. 2017 Mar;137(3):293-301. doi: 10.1007/s00402-016-2589-3. Epub 2017 Jan 28.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

I know my treatment doesn't work across a large population but what about subgroups?! Ah yes. Subgroups. Subgroups are absolutely a thing but how do we go about defining them? Do we just track everyone we treat then look back to see who responded and who didn't? Or is it more complicated than that? Find out on this dynamite episode of Nobel proportions!

Evaluation of Evidence of Statistical Support and Corroboration of Subgroup Claims in Randomized Clinical Trials.
Wallach JD, Sullivan PG, Trepanowski JF, Sainani KL, Steyerberg EW, Ioannidis JP.
JAMA Intern Med. 2017 Feb 13. doi: 10.1001/jamainternmed.2016.9125. [Epub ahead of print]

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

The quad index (side to side strength comparison of the quadriceps) is one of the best known correlations to knee function, but can you test it accurately in the clinic? Do you need an expensive electromechanical dynamometer or can you get by with simpler tools? Also, are you going to CSM?

Diagnostic Accuracy of Handheld Dynamometry and 1-Repetition-Maximum Tests for Identifying Meaningful Quadriceps Strength Asymmetries.
Sinacore JA, Evans AM, Lynch BN, Joreitz RE, Irrgang JJ, Lynch AD.
J Orthop Sports Phys Ther. 2017 Feb;47(2):97-107. doi: 10.2519/jospt.2017.6651.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

It is a landmark episode for PT Inquest - the century mark! No article to review but the guys look back on some of our listeners' favorite episodes and topics from over the years. Full list of episodes can be found on the PT Inquest Home Page.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission

"Balkan in the City" by rocavaco
Licensed under a Attribution (3.0)

"café connection" by morgantj
Licensed under a Attribution (3.0)

"Otra Vez (sight mix)" by gmz
Licensed under a Attribution (3.0)

We got 99 episodes but a bad one ain't...one! That didn't work. Dammit. Anyway, this episode takes another look at whether or not early range of motion after rotator cuff repair makes a difference during recovery. Also there are balloons...

The Effect of Early Range of Motion on Quality of Life, Clinical Outcome, and Repair Integrity After Arthroscopic Rotator Cuff Repair.
Mazzocca AD, Arciero RA, Shea KP, Apostolakos JM, Solovyova O, Gomlinski G, Wojcik KE, Tafuto V, Stock H, Cote MP.
Arthroscopy. 2017 Jan 19. pii: S0749-8063(16)30889-1. doi: 10.1016/j.arthro.2016.10.017. [Epub ahead of print]

Here is the supplemental material page.

Here is the pre-trial registration.

Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us.

Music for PT Inquest:
"The Science of Selling Yourself Short" by Less Than Jake
Used by Permission