Pt Inquest

The PT Podcast Network crew are here to spread some holiday cheer with the annual PT Podcast Network Extravaganza! They talk Jedis, rectums, Festivus, and horrible jet lag - all the holiday standards. Some say it's unlistenable...but you get to judge for yourself! Music for The PT Podcast Holiday Extravaganza: Kevin MacLeod - incompetech.com  

As the fellas wrap up this season of PT Inquest, they discuss the newly released Warwick Agreement on FAI Syndrome. What do we know about this condition? What differentiates "FAI" from "FAI syndrome"? What is the best way to diagnose and then manage this? WHY CAN'T WE ALL GET ALONG?! (We can and do.) What is your favorite crappy action movie? SEE YOU ALL IN 12 WEEKS!!! The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Griffin DR, Dickenson EJ, O'Donnell J, Agricola R, Awan T, Beck M, Clohisy JC, Dijkstra HP, Falvey E, Gimpel M, Hinman RS, Hölmich P, Kassarjian A, Martin HD, Martin R, Mather RC, Philippon MJ, Reiman MP, Takla A, Thorborg K, Walker S, Weir A, Bennell KL. Br J Sports Med. 2016 Oct;50(19):1169-76. doi: 10.1136/bjsports-2016-096743. Open Access at the time of release You can also download Supplementary File A which is a simple summary of the agreement. Due to copyright laws, unless the article is open source we cannot legally post

Early evidence suggests that heavy load isometrics may be effective for acute reduction in patellar tendon pain in a laboratory setting, but is it effective for managing patellar tendon pain for athletes during their competitive season? How does it compare to isotonics (heavy slow resistance)? Does the type of contraction matter more than the total time that the heavy load is applied? Is Erik too tired to think straight? Do isometric and isotonic exercise programs reduce pain in athletes with patellar tendinopathy in-season? A randomised clinical trial. van Ark M, Cook JL, Docking SI, Zwerver J, Gaida JE, van den Akker-Scheek I, Rio E. J Sci Med Sport. 2016 Sep;19(9):702-6. doi: 10.1016/j.jsams.2015.11.006. Epub 2015 Dec 7. Open Access at the time of release Check out Peter Malliaras' blog post on this paper! 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, co

Can we predict which shoulder patients will get better with physical therapy? How much does the psychology of the patient play into their response? Does it have anything to do with the actual treatment provided by the therapist or were these patients going to get better no matter what? Is JW actually DYNOMIIIITE!!!!! Hip Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: a multicentre longitudinal cohort study. Chester R, Jerosch-Herold C, Lewis J, Shepstone L. Br J Sports Med. 2016 Jul 21. pii: bjsports-2016-096084. doi: 10.1136/bjsports-2016-096084. [Epub ahead of print] Open Access at the time of release 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

Running on a treadmill is not the same as running over ground!!! Or is it? It appears that in most respects it's a wash. But what about regarding loads to the patellofemoral joint and the Achilles tendon? Find out as Rich Willy (the author of the paper) joins Erik and JW to discuss this and more! Hip Patellofemoral Joint and Achilles Tendon Loads During Overground and Treadmill Running. Willy RW, Halsey L, Hayek A, Johnson H, Willson JD. J Orthop Sports Phys Ther. 2016 Aug;46(8):664-72. doi: 10.2519/jospt.2016.6494. Epub 2016 May 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

Clinical depression has a known correlation with chronic pain. Can exercise be an effective treatment for these patients by using it to "treat the depression"? Well, before we can explore that, we need to get a better understanding of the psychological effects of exercise on subjects with clinical depression who DO NOT have pain. Also, JW now has an IQ higher than a sea cucumber! Hip Strength in "Crawling Out of the Cocoon": Patients' Experiences of a Physical Therapy Exercise Intervention in the Treatment of Major Depression. Danielsson L, Kihlbom B, Rosberg S. Phys Ther. 2016 Aug;96(8):1241-50. doi: 10.2522/ptj.20150076. Epub 2016 Feb 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. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Deficits in quadriceps strength after ACL reconstruction are a well known problem. Is this specific to the quadriceps or is this just an example of general weakness throughout the lower extremity? What about hip strength? Does this change as well? Is JW smarter than a sea cucumber? In this episode we are joined by Ohio State researcher and clinician Matt Ithurburn! Hip Strength in Patients with Quadriceps Strength Deficits after ACL Reconstruction. Bell DR, Trigsted S, Post EG, Walden CE. Med Sci Sports Exerc. 2016 May 26. [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

When treatments don't seem to work for a diagnosis we will often try to see if they work for particular subgroups. Sure, that's a thing, but that is a very difficult thing to determine that demands a very specific process. How have we done with subgroup analysis regarding low back pain? Have JW and Erik found the Ultimate Prime Number?! A systematic review reveals that the credibility of subgroup claims in low back pain trials was low. Saragiotto BT, Maher CG, Moseley AM, Yamato TP, Koes BW, Sun X, Hancock MJ. J Clin Epidemiol. 2016 Jun 10. pii: S0895-4356(16)30174-3. doi: 10.1016/j.jclinepi.2016.06.003. [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  

JW and Erik are having a lovely conversation about Bozeman, handball, and the number 86 when they are rudely interrupted by Adam Meakins from The NAF Physio Podcast to talk about preventing shoulder injuries. Can we prevent overuse shoulder injuries? If we can prevent them, do we know what about the program actually worked? Is it specific to the program? How do numbers needed to treat and time investment play into all of this? Preventing overuse shoulder injuries among throwing athletes: a cluster-randomised controlled trial in 660 elite handball players. Andersson SH, Bahr R, Clarsen B, Myklebust G. Br J Sports Med. 2016 Jun 16. pii: bjsports-2016-096226. doi: 10.1136/bjsports-2016-096226. [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 P

Systematic reviews are a great tool to boil down decades of research into a single paper. But what if those decades of research were full of low quality studies? Can we make strong "Level 1a" statements from that? Well, as long as those statements are vague it looks like you can. What should we do when the evidence doesn't support or refute something? (HINT: Be skeptical!!!)

Running is bad for your knees. It will wear them down and lead to arthritis. We've all heard it and it makes sense, right? But does that really happen? And what does this have to do with Uranus?!

Can we predict injuries in athletes? Is it like screening for disease or is this kind of screening a different animal? Will this episode be the greatest thing since sliced bread?!

What is required for rotator cuff tendinopathy? Scapular stability? Manual therapy? What if you just gave exercises? How about just one exercise? In this episode we explore all of that as Erik explores living in an apartment again for the first time in 15 years.

When engaging in athletic activities, many physical therapists recommend bracing with the abdominals for stability as a better way to manage loads, but is it? Is it possible that bracing actually increases forces through the body? How might that be? Is Erik's singing in any way tolerable to our listeners?

If your patient has completely torn their supraspinatus, then their humeral head must translate superiorly during arm elevation. Or does it??? In this episode JW and Erik look at a novel kinematic study that found the exact opposite. Remember, there is always more to a hypothesis than, "It makes sense."

Some patients complain of severe pain after rotator cuff repair way more than others. Is this something that can be predicted? Does the extent of the injury have any correlation to postoperative pain? What about specifics of the surgery? Or is it something else? Find out all that and more by listening to "The Gold Episode"!

Erik and JW have a history of skepticism regarding the use of platelet rich plasm (PRP) injections for tendon injuries, but can it have an effect on osteoarthritis? What would they need to see in order to be convinced? Does this article provide that? Or do Erik and JW just hate every new thing no matter what?

Can hamstring injuries be predicted? Does sustaining an injury permanently change something about its function? Is it just a matter of strength or is there something else? How does strength training effect it? Or does it? Time to buy a mfMRI! (Does not stand for "motherf**king MRI" by the way.)

Is eating salt a good thing or a bad thing?! Why do we as physical therapists care? This study actually has to do more with the problem of opinion infiltrating the evidence in what appear to be unbiased studies. How common is this in physical therapy literature? How can we spot it? Is it more than financial bias? Is JW turning into Batman...again?!  

Jill Cook and Karim Kahn gave a very interesting lecture on understanding tendinopathy at APTA's Combined Sections Meeting (CSM) in February 2016. PT Inquest decided to take a deeper look. Can disorganized tendon tissue change? If it can't does it matter? When we understand the true nature of tendinopathy, certain treatments become much more plausible and others appear almost silly. Also, Erik provides a poor man's homemade doughnut recipe. Or is it donut?