![[Physio Discussed] Beyond surgery: nonoperative approaches to ACL injuries with Dr Kieran Richardson and Dr Steph Filbay](https://is4-ssl.mzstatic.com/image/thumb/Podcasts116/v4/10/38/62/103862d9-9aa9-517d-61ae-fc84b7b75035/mza_8561040065341671675.jpeg/250x250bb.jpg)
Episodios
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In this episode with Brad Beer we discuss running related injuries. We explore:
Restoring capacity in the injured runnerReturn to run programs and using RPE in rehabilitationBuilding confidence in treating running athletesRisk factors for bone stress injuriesTips for navigating rehabilitation with these patients
This episode is closely tied to Brad’s Practical he did with us. With Practicals you can see exactly how top experts assess and treat specific conditions – so you can become a better clinician, faster.
👉🏻 Watch Brad’s Practical here with our 7-day free trial: https://physio.network/practicals-beer
Brad Beer is known for his expertise in treating running and triathlon related injuries. He is a physiotherapist with over 17 years experience, an APA Titled Sports & Exercise Physiotherapist, Exercise Scientist, and former Head Physiotherapist for the Super League Triathlon Series.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @sarah.yule from Physio Network -
In this episode we explore all things to do with managing patients with Osteoporosis. We cover:
Factors to consider in treating patients with OsteoporosisImportance of fall risk in fracture riskRisk assessment calculators and how to use theseExercise prescription with this patient population, including those with vertebral fracturesRecommendations regarding more structured exercise/involvement in sportsRisks clinicians need to be aware of in this patient populationWant to learn more about managing patients with Osteoporosis? Lora recently did a brilliant Masterclass with us, called “Strategies for Osteoporosis Management and Fracture Prevention” where she goes into further depth on managing patients with low bone density.
👉🏻 You can watch her class now with our 7-day free trial: https://physio.network/masterclass-giangregorio
Lora Giangregorio, PhD is a Professor in the Department of Kinesiology and Health Sciences at the University of Waterloo, and a Schlegel Research Chair in Mobility and Aging. She completed her PhD in Human Biodynamics at McMaster University. She leads the Bone Health and Exercise Science Lab, where her team conducts research on physical activity for older adults and people with osteoporosis.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @James_Armstrong_Physio
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In this episode with Dr Anthony Teoli, we explore a recent paper looking at therapeutic exercise for knee and hip OA. We discuss:
Treatment effects of specific interventionsSimplistic views in patient improvementPotential mechanisms for patient improvementRole of anti-inflammatoriesExercise as treatment for knee and hip OA👉🏻 See Anthony’s full Research Review here - https://physio.network/reviews-teoli
Dr Anthony Teoli has a Master's in Physiotherapy and a PhD in Rehabilitation Science from McGill University. He works as a physiotherapist specialising in knee osteoarthritis research and clinical outcomes post-knee replacement. He is also the founder of InfoPhysiotherapy, an online platform offering evidence-based courses for rehabilitation professionals.
Reference to article: Runhaar J, Holden M, Hattle M, Quicke J, Healey E, van der Windt D, Dziedzic K, Middelkoop M, Bierma-Zeinstra S, Foster N, The STEER OA Patient Advisory Group; The STEER OA Patient Advisory Group (2023) Mechanisms of action of therapeutic exercise for knee and hip OA remain a black box phenomenon: an individual patient data mediation study with the OA Trial Bank. RMD Open, 9(3).If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @James_Armstrong_Physio
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Introducing our new, longer form podcast, Physio Discussed, where 2 expert guests and our host explore everything you need to know about your favourite topics!
In this episode, we discuss exercise during pregnancy and postpartum. We explore:
Pelvic floor screening and assessmentsReturn to sport after pregnancyPelvic floor rehabilitationCreating training programs for pelvic floor dysfunctionCompression garments in pelvic healthSilvia Giagio is a PhD physiotherapist and researcher at the University of Bologna. Her research primarily focuses on pelvic floor health within the field of sports medicine. She has applied her personal and clinical experiences in sports, along with her passion for pelvic floor rehabilitation, to this research area. Currently, she collaborates with World Athletics as research consultant, promoting worldwide initiatives for élite athletes' pelvic health.
Gráinne Donnelly is an Advanced Physiotherapist in pelvic health, doctoral research student at Cardiff Metropolitan University and the current Editor-in-Chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy. Her research focuses include i) postpartum return to sport and pelvic floor dysfunction and ii) diastasis rectus abdominis.
Link to the screening tool discussed in this episode (open access) - https://bjsm.bmj.com/content/57/14/899
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @James_Armstrong_Physio
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In this episode, we chat with Dr Heather Linden who discusses her role as the senior director of medicine in the UFC and the unique nature of working with athletes within this sport. We explore:
The unique role of working with a UFC athleteSpecific injuries seen in this athlete populationThe mindset of these athletes and how to utilise this in an athlete’s rehabilitationThe pathway of working with the UFCDr. Heather Linden serves as the Senior Director of Physical Therapy at the UFC Performance Institute (UFCPI). She oversees the sports medicine departments at both UFCPI locations in Las Vegas, NV, and Shanghai, China. In 2022, Heather received the prestigious “Trainer of the Year” honor at the World MMA Awards. Prior to her role with the UFC, she was part of the Sports Medicine Division at the United States Olympic & Paralympic Committee and also led an outpatient orthopedic clinic in Los Angeles.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @James_Armstrong_Physio
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In this episode, we break down motivational interviewing into bite sized useful skills that you can implement with your patients in the clinic. We discuss:
Microskills of motivational interviewingThe different stages of changeHow to facilitate a conversation with your patientUnhelpful beliefs and the impact this can have on a patient’s painDr Tim Anstiss is a medical doctor, educator, coach and coach trainer. After working various NHS jobs including in cardiology, orthopaedics, psychiatry and occupational health, Tim developed and led an MSc in Exercise and Behavioural Medicine at Thames Valley University. Tim has trained thousands of health professionals in motivational interviewing and health coaching, has been involved in several national and international behaviour change initiatives and has written several book chapters on different coaching approaches.
See the active conversations course here - https://movingmedicine.ac.uk/activeconversations/
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @James_Armstrong_Physio
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In this episode with John Osborne we explore all things plantar heel pain. We discuss:
Is a foot and ankle strengthening regime helpful for this patient population?Current research in this realmThe short foot exercise: is it still relevant to use? Calf raises: are they helpful for this patient population? Discrepancies in morphology and capacity between people with plantar heel pain and those withoutJohn is currently completing his PhD about the association of muscle strength and plantar heel pain. He has had a systematic review published in Journal of Orthopaedic Sports Physiotherapy in 2019 titled Muscle Function and Muscle Size Differences in People With and Without Plantar Heel Pain: A Systematic Review. The focus of John’s PhD includes exercise prescription for plantar heel pain, which muscles function during exercises for the foot and ankle and the association of foot muscle strength and size to plantar heel pain.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @sarah.yule from Physio Network
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Introducing our new, longer form podcast, Physio Discussed, where 2 expert guests and our host explore everything you need to know about your favourite topics!
In this episode, we discuss running injuries and the running athlete. We explore:
Most challenging injuries to manageImportance of education and load management within treatment Footwear and its role in the prevention and treatment of running injuriesScreening for relative energy deficiency in sport (REDs)Bone stress injury in this populationRole and limitations of current technologyDr. Rich Willy is an Associate Professor in the School of Physical Therapy, University of Montana (Missoula, MT, USA) and the Director of the Montana Running Lab. He received his PhD in Biomechanics and Movement Science from the University of Delaware and his Masters of Physical Therapy from Ohio University. Dr. Willy has been a clinician for over 20 years specialising in the treatment of the injured runner.
Brad Beer is known for his expertise in treating running and triathlon related injuries. A physiotherapist with over 17 years experience, Brad is an APA Titled Sports & Exercise Physiotherapist, Exercise Scientist, and former Head Physiotherapist for the Super League Triathlon Series.
Want to learn more about running injuries? Dr Rich Willy has done a brilliant Masterclass with us, called “Restoring load capacity in the injured runner” where he goes into further depth on this topic - https://physio.network/masterclass-willy
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @sarah.yule from Physio Network
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In this episode we explore a recent paper which showed that female athletes' with greater psychological readiness had a higher risk of second ACL injury after primary ACL reconstruction, in which Ryan was the lead author. We discuss:
How and when to use questionnaires in ACL rehabThe interesting finding from this paper of higher ACL re-injury rates in those who scored higher in the ACL-RSI questionnairesReturn to sport readiness and which athletes we might want to hold back for longer to prevent second ACL injuryThe importance of communication and discussions in ACL rehabDr. Zarzycki received his PT degree from the University of Delaware in 2003 and his PhD in Biomechanics and Movement Science from the University of Delaware in 2018. Between degrees, Dr. Zarzycki practiced for 10 years in sports and orthopedic physical therapy. His research interests lie in athletes after traumatic knee injury with an emphasis on ACL injuries.
Reference to the paper that Ryan discusses here -
Zarzycki R, Cummer K, Arhos E, Failla M, Capin JJ, Smith AH, Snyder-Mackler L (2024) Female Athletes With Better Psychological Readiness Are at Higher Risk for Second ACL Injury After Primary ACL Reconstruction. Sports Health, 16(1): 149-154.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @James_Armstrong_Physio
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In this episode with Robin Kerr, we explore a recent paper looking at the addition of manual therapy to an exercise program for subacromial shoulder pain. We discuss:
Discrepancies in current shoulder researchImportance of individual patient treatment selectionExercises used within this paper for shoulder rehabilitation Manual therapy within treatmentImportance of subgrouping in research👉🏻 See Robin’s full Research Review here - https://physio.network/reviews-kerr1
Reference to paper - Michener L, McClure P, Tate A, Bailey L, Seitz A, Straub R, Thigpen C (2023) Adding Manual Therapy to an Exercise Program Improves Long-term Patient Outcomes Over Exercise Alone in Patients with Subacromial Shoulder Pain: A Randomized Clinical Trial. JOSPT, Published Online, 0,1-31
Robin Kerr is an Australian trained physiotherapist with over three decades of clinical experience. Her special interests lay in helping patients with pelvic floor and lumbo-pelvic dysfunction. She is heavily trained in biomechanics and gait lab running analysis and continues to assist elite athletes with injuries.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @sarah.yule from Physio Network
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In this episode with JF Esculier, we explore the new acronym of “PEACE and LOVE” in acute musculoskeletal injuries. We discuss:
What each of the letters in the acronym means and the evidence behind them being used in an acute settingThe evidence behind icing in acute injuriesIce vs heat in acute injuriesThe inflammatory response in acute musculoskeletal injuriesJean-Francois (JF) Esculier PT PhD is a Canadian physiotherapist and clinician-researcher. His main research interests include knee pain, treatments for common musculoskeletal injuries, and running biomechanics and footwear. JF leads the Research & Development division at The Running Clinic, is a Clinical Associate Professor at the University of British Columbia and practices at his clinic, MoveMed Physiotherapy.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @James_Armstrong_Physio
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Introducing our new, longer form podcast, Physio Discussed, where 2 expert guests and our host explore everything you need to know about your favourite topics!
In this episode, we discuss:
The Physiotherapist’s role in discussing both surgical and non-surgical options with the patientEarly surgery vs delayed surgeryCross-bracing protocol for non-operative ACL managementHow to have the conversation of treatment options for patientsWhat type of meniscal tears (in the presence of ACL Injury) are recommended for surgery vs non-surgical managementOsteoarthritis in surgical vs non-surgical managementReturn to sport post ACL injuryWant to learn more about non-surgical ACL Rehabilitation? Kieran recently did a brilliant Masterclass with us, called “Non-surgical Management of ACL Tears" where he goes into further depth on this topic.
👉🏻 You can watch his class now with our 7-day free trial:https://physio.network/podcast-richardsonfilbay
A/Prof Steph Filbay is an NHMRC Emerging Leadership Fellow, Dame Kate Campbell Fellow and Principal Research Fellow within the Centre for Health, Exercise and Sports Medicine in the Department of Physiotherapy at the University of Melbourne. A/Prof Filbay leads a team aiming to improve outcomes for people with ACL injury across the lifespan.Dr Kieran Richardson is a Specialist Musculoskeletal Physiotherapist who is passionate about patients undertaking physiotherapy rehabilitation to solve their pain and injury problems, prior to opting for imaging, injections or surgery. Kieran has a special interest in ACL (Anterior Cruciate Ligament) tear non-surgical management, and runs national workshops and lectures on this topic. Kieran utilises a research-based, comprehensive approach to each client as an individual, tailoring a specific management plan to achieve significant long-term outcomes.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @sarah.yule from Physio Network
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In this episode with Andrew Wallis, we discuss:
Importance of posture in hip dysplasiaHow to treat posture in hip dysplasiaStrength training for rehabilitation of hip dysplasiaImportance of patient based assessment and treatmentRadiology in hip dysplasiaSee Part 1 of Andrew’s podcast here - https://open.spotify.com/episode/4CE24YTyQUXByJAlTl9Q1y?si=QEeV68kcST-Bd5qoYynuxw
Andrew is an APA Sports and Manipulative Physiotherapist who is currently employed at St. Kilda Football Club (since 2007) and works privately at Melbourne Orthopaedic Group Sports Medicine. Over the last 20 years, Andrew has worked in both a clinical setting and within the elite sporting environment at Melbourne Victory, Adelaide Thunderbirds, SACA Redbacks, V8 Supercars, triathlon and athletics.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @sarah.yule from Physio Network -
In this episode with Dr Allison Ezzat we talk about the GLA:D Program (Good Life With Osteoarthritis Denmark) which is a rehabilitation program for hip and knee Osteoarthritis. We discuss:
GLA:D outcomes for individuals with hip and knee osteoarthritisPros and cons of GLA:D delivered in-person vs telehealthHow to assist patients to self-management from the programHow we can market this rehabilitation program better to patientsThis episode is closely tied to Allison’s Practical she did with us. With Practicals you can see exactly how top experts assess and treat specific conditions – so you can become a better clinician, faster.
👉🏻 Watch Allison’s Practical here with our 7-day free trial: https://physio.network/practicals-ezzatDr. Allison Ezzat is a physiotherapist and postdoctoral research fellow at La Trobe Sport and Exercise Medicine Research Centre, as well as a Clinical Assistant Professor in the Department of Physiotherapy at the University of British Columbia (UBC). Allison has been involved in Good Life with osteoArthritis in Demark (GLA:D) in Canada since 2017 sitting on numerous national leadership committees as well as working clinically with patients who have osteoarthritis both in-person and virtually.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is Michael Rizk from Physio Network -
In this episode we discuss:
History of corticosteroid injectionsEvidence base behind corticosteroid injectionsEffectiveness of injection therapyInjection therapy for specific conditions e.g. Frozen shoulder, RC related disorders, carpal tunnel syndrome, tennis elbowRisks and benefits of corticosteroid injectionsWant to learn more about Injection Therapy? Nick recently did a brilliant Masterclass with us, called “Injection therapy for Musculoskeletal Disorders” where he goes into further depth on everything you need to know about injection therapy.
👉🏻 You can watch his class now with our 7-day free trial: https://physio.network/masterclass-livadas
Nick Livadas is an advanced practice physiotherapist and clinical lead for a community musculoskeletal service in the United Kingdom. He combines his clinical caseload with a lecturing position at Teesside University where he leads on an injection therapy masters module. He is currently studying for his PhD and has published academic articles in a variety of musculoskeletal disorders.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @James_Armstrong_Physio -
Introducing our new, longer form podcast, Physio Discussed, where 2 expert guests and our host explore everything you need to know about your favourite topics!
In this episode, we discuss:
Key principles of sports rehabImportance of dynamometry and measurement tools in rehab, and how to implement them in your clinical practicePotential complications of working with athletes and how to overcome thisImportance of load management in rehabSports rehab considerations in ACL rehab; including working with the surgeon & athlete readiness for return to playSports rehab considerations for swimmersPhone applications for use in return to play testingWant to learn more about sports rehabilitation? Dr Teddy Wilsey recently did a brilliant Masterclass with us called, “Exercise Prescription in Sports Rehab” where he goes into further depth on all the latest research for all things related to sports rehabilitation.
👉🏻 You can watch his class now with our 7-day free trial: https://physio.network/masterclass-willsey1
Dr. Teddy Willsey is a Physical therapist and private practice owner in Rockville, Maryland. Teddy is a certified strength and conditioning specialist and sports performance coach. Teddy has an interest in working with high level athletes and specifically in return to sports rehab. Teddy’s expertise lies in the evaluation and diagnosis of orthopaedic musculoskeletal conditions while emphasising exercise and movement as the primary means of recovery.
Dr Travis Pollen is a personal trainer and has completed a PhD in Rehabilitation Sciences (Drexel University). He also holds a master’s degree in Biomechanics and Movement Science (University of Delaware). His research interests focus on movement screening, injury risk appraisal, and return to play testing in athletes. Travis’s expertise lies in bridging the gap between rehabilitation and performance and reducing the chasm between research and practice.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @James_Armstrong_Physio
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In this episode with Mariana, we discuss a recent article looking at the difference between muscle power and muscle strength in predicting falls in older adults. This paper found the 5x sit to stand as a measure of power was a better predictor of falls compared to manual muscle testing or strength testing using a dynamometer. We discuss:
The implications of this paper for our patientsThe difference and the relationship between muscle power and muscle strengthBest tests to use to assess power output in your patientsHow you can use strength exercises to improve power in patients of all ages with and without equipmentImportance of power and strength for balance training in this population👉🏻 See Mariana’s full Research Review here - https://physio.network/reviews-wingood
Dr Mariana Wingood is a clinician, a program director of a CEU company that provides courses related to Geriatrics, and has a PhD on physical activity prescription among physical therapists.
Reference to article: Simpkins C, Yang F (2022) Muscle power is more important than strength in preventing falls in community-dwelling older adults. J Biomech, 134, 111018.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @James_Armstrong_Physio
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This episode with Dr Ebonie Rio is a snippet taken from our Practicals live Q&A sessions. Held monthly, these sessions give Practicals members the chance to ask their pressing questions and get direct answers from our expert presenters.
Learn more about Physio Network’s Practicals here - https://physio.network/practicals-rio1
Dr Ebonie Rio is a world-leading expert in tendinopathies. Ebonie completed her PhD in tendon pain and continues to research this topic at La Trobe University, Melbourne. She also holds a Masters of Sports Physiotherapy degree.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps! -
In this episode with Mark Jones we cover:
Common principles of clinical reasoning What Physios can do to improve their clinical reasoning skillsPsychosocial factors in clinical reasoningCategories of clinical reasoning/hypothesis categoriesAnalysis of clinical reasoning and using this in your treatmentMark Jones is an Adjunct Senior Lecturer at the University of South Australia with 35 years’ experience teaching undergraduate and postgraduate physiotherapy. He has over 90 publications including three editions of the text “Clinical Reasoning in the Health Professions” and two editions of the text “Clinical Reasoning in Musculoskeletal Practice”.
Want to learn more about Clinical Reasoning? Mark recently did a brilliant Masterclass with us, called, “Enhancing Clinical Reasoning: Effective Strategies for Clinicians” where he goes into further depth on this topic.
👉🏻 You can watch his class now with our 7-day free trial: physio.network/masterclass-jones
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @sarah.yule from Physio Network -
Introducing our new, longer form podcast, Physio Discussed, where 2 expert guests and our host explore everything you need to know about your favourite topics!
When can you consider pharmacological treatments in a patent with early hip OA/OA.What role does hip morphology play when considering treatment optionsWill all patients with FAI syndrome and hip dysplasia develop hip osteoarthritis? Does exercise have a role in treating hip pain in younger people, if pain is coming from structural things like labral or cartilage tears? How can exercise work in this scenario? Why would you choose exercise over surgery?What is the evidence for exercise and does this type of exercise matter?Are there other things alongside exercise that are important? - exercise different in younger people than older people with hip OA?
In this episode we dive deep into hip pain and hip osteoarthritis. We discuss:
Want to learn more about hip osteoarthritis? Dr Jo Kemp has done a brilliant Masterclass with us called, “Hip Osteoarthritis: Optimising your Assessment and Treatment” where she goes into further depth on all things assessment and treatment of hip osteoarthritis.👉🏻 You can watch her class now with our 7-day free trial: https://physio.network/masterclass-jkemp
Associate Professor Joanne Kemp is a Principal Research Fellow at the La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Australia.She is a titled APA Sports Physiotherapist with over 30 years of experience and has consulted to many National Sporting Organisations on the area of hip pain.
Dr Joshua Heerey is recognised internationally as an expert in the diagnosis and management of hip and groin conditions. Dr Heerey is a physiotherapist and Hip Osteoarthritis Research and Development Lead at La Trobe University's Sport and Exercise Medicine Research Centre.
If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!
Our host is @sarah.yule from Physio Network - Mostrar más
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