Эпизоды
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A mention of pre-professional or professional dance might conjure thoughts of relentless, gruelling training hours, incredible performances and bodies pushed through high musculoskeletal demands.
Dr Melanie Fuller (University of Southern Queensland) has devoted her clinical career of almost 20 years to working with dancers - helping them stay healthy and performing well - and she has a similar focus in her research work.
Today we discuss the prevalence of musculoskeletal injury, specifically focusing on osteoarthritis.
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RESOURCES
Osteoarthritis in dancers (systematic review with meta-analysis): https://www.jospt.org/doi/10.2519/jospt.2025.12918
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Tune in today for the latest consensus on rehabilitation approaches for people who have had meniscus surgery.
Orthopaedic surgeons and physical therapists from Europe and the US debated the best research evidence, and brought extensive clinical experience to the table, ultimately producing a 2-part series of summary papers.
Dr Arielle Giordano (University of Delaware) was one of the physical therapy leads on the project, and today she shares the most important messages from the consensus.
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RESOURCES
EU‐US Meniscus Rehabilitation 2024 Consensus - Rehabilitation after meniscus surgery: https://www.jospt.org/doi/10.2519/josptopen.2025.0162
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Пропущенные эпизоды?
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In the return of Sports Corner, Dr Olivia Abdoo chats all things UFC (Ultimate Fighting Championship) and MMA (mixed martial arts).
UFC combines wrestling, grappling and striking, which makes for complex demands that contribute to complex injury epidemiology. Whether working with a Championship fighter or a recreational martial arts athlete, Dr Abdoo provides excellent guidance for clinicians who are planning rehabilitation and return to sport.
Concussion is common in UFC, so stay tuned for an upcoming episode with Dr Abdoo about her approach to concussion rehabilitation with UFC athletes.
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Researchers are increasingly partnering with patients, clinicians and others who use research to design, conduct, report and disseminate research studies. Today we hear about a conversation that involved over 600 patients, clinicians and carers, who were supported to nominate their top priorities for research on shoulder pain.
Kristian Lyng (physiotherapst, PhD student at Aalborg University's Department of Health Science and Technology, and Center for General Practice) led the work as part of his PhD research looking at interventions for shared decision-making in collaboration with patients with subacromial pain syndrome.
Kristian discusses the challenges and opportunities in translating research to clinical practice, and the benefits to researchers of engaging patients and the public in doing musculoskeletal research.
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RESOURCES
Research priorities for atraumatic shoulder pain: https://www.jospt.org/doi/10.2519/jospt.2025.13059
Patients as partners in research - It's the right thing to do: https://www.jospt.org/doi/10.2519/jospt.2019.0106
Help for researchers wanting to engage patients as research partners: https://www.jospt.org/doi/10.2519/jospt.2020.0104
How to talk about compensation with patient partners: https://www.jospt.org/doi/10.2519/jospt.2020.0106
Engaging patients and the public in musculoskeletal research: https://www.jospt.org/doi/10.2519/jospt.2024.12668
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There's a range of different interventions at your disposal when managing spine pain.
Today we're focusing on spinal manipulative therapy, and asking questions like: does it matter how you apply a manipulation to get the best outcomes for the patient?
Answering the questions is Dr Casper Nim from the University of Southern Denmark. Casper is an Associate Professor, chiropractor, and senior researcher at the Spine Centre of Southern Denmark.
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RESOURCES
Does it matter how you apply spinal manipulative therapy? Network meta-analysis: https://www.jospt.org/doi/10.2519/jospt.2025.12707
Does targeting a specific vertebral level make a difference? Systematic review: https://www.jospt.org/doi/10.2519/jospt.2023.11962
Effect on clinical outcomes when targeting spinal manipulative therapy. Randomised controlled trial: https://pubmed.ncbi.nlm.nih.gov/32884045/
Preference randomised trials: https://www.jospt.org/doi/10.2519/josptmethods.2025.0129
JOSPT Methods journal website: https://www.jospt.org/toc/jospt-methods/current
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The anterior talofibular ligament (ATFL) and the Achilles tendon captures much of our ankle attention. As JOSPT Insights listeners know, there's plenty more to the ankle than the ATFL.
Today, Liz Bayley shares her approach to diagnosing, managing and ideally, preventing ankle pain in active people. Liz covers diagnosing the problem, where imaging fits, and how to support return to function, including high-level sport.
Liz is a former professional dancer, who now works as a dance-specialist physiotherapist. Her clinic is in London's West End, in close proximity to the freelance professional and student dancers she works with, at Trinity Laban Conservatoire of Music and Dance, and on 'Matilda The Musical' in Covent Garden.
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RESOURCES
Lateral ankle ligament sprains clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2021.0302
Updated model of chronic ankle instability: https://pubmed.ncbi.nlm.nih.gov/31162943/
Predictors of chronic ankle instability: https://pubmed.ncbi.nlm.nih.gov/26912285/
Intrinsic foot muscle training systematic review: https://pubmed.ncbi.nlm.nih.gov/35724360/
Neuromuscular electrical stimulation for foot intrinsic muscles: https://pubmed.ncbi.nlm.nih.gov/35142810/
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Hip arthroscopy is a common surgical procedure in athletes and active people, and it's not surprising that this clinical population is focused on returning to sport. Today, Dr Matthew King, physiotherapist and Senior Lecturer from La Trobe University's Discipline of Physiotherapy in Melbourne, Australia, discussed return to sport outcomes after hip arthroscopy.
Dr King led a team that synthesised and analysed return to sport outcomes after hip arthroscopy from 45 studies and over 5000 participants. The team's focus was on sex and gender differences, and how the return to sport outcomes change with increasing time after surgery.
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RESOURCES
Are women less likely to return to sport compared to men following hip arthroscopy? A systematic review with meta-analysis: https://www.jospt.org/doi/10.2519/jospt.2025.12813
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Myofascial pain syndrome is common - affecting somewhere around 1 in every 5 people. Yet there is plenty of debate about what causes myofascial pain syndrome, how to diagnose it, and even whether myofascial pain syndrome is a primary condition.
Today, Professor Chad Cook (Duke University) discusses whether it is even possible to differentiate myofascial pain syndrome from other pain conditions, and the implications for you, the clinician.
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RESOURCES
Myofascial pain syndromes - controversies and suggestions for improving diagnosis and treatment: https://www.jospt.org/doi/10.2519/jospt.2025.13072
International Association for the Study of Pain - Myofascial pain fact sheet 14: https://www.iasp-pain.org/wp-content/uploads/2022/10/14.-Myofascial-Pain-Fact-Sheet-Revised-2017.pdf
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Postmenopausal women can build some serious bone AND stay safe with the right instruction and the right load.
What’s the right load? Dr Belinda Beck can answer that, and in today's episode, she takes us through theresults of the LIFTMOR trial. With the right instruction and supervision, postmenopausal women can be lifting 85% of their 1 repetition maximum safely, and make a substantial change in their bone density, strength, and quality of life while doing it.
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RESOURCES
For more on the LIFTMOR trial: https://pubmed.ncbi.nlm.nih.gov/30861219/
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Clinicians appreciate the value of a trustworthy clinical practice guideline for helping guide decisions in practice.
Professor François Desmeules (University of Montréal) led an international team of shoulder experts who synthesised the latest evidence on diagnosing and non-surgically managing rotator cuff tendinopathy. Today he shares the headlines of the CPG and explains how the guideline group made sense of all the evidence to come up with recommendations for assessment, diagnosis, treatment and prognosis, including return to sport.
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RESOURCES
Rotator cuff tendinopathy diagnosis, non-surgical medical care and rehabilitation CPG: https://www.jospt.org/doi/10.2519/jospt.2025.13182
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How do you approach assessing pain when you're working with athletes? What tools do you find most helpful?
Today, sports physiotherapist and researcher, Ciarán Purcell (University of Limerick, Ireland) describes the project he is leading to gather consensus from athletes and sports medicine & rehabilitation clinicians about how best to assess athletes' pain. Listen to the end to learn about how you can get involved in the consensus!
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RESOURCES
IOC consensus on managing pain in elite athletes: https://pubmed.ncbi.nlm.nih.gov/28827314/
Framework for assessing upper and lower limb pain in athletes: https://www.jospt.org/doi/10.2519/jospt.2024.12807
Scoping review of tools for assessing pain in athletes: https://pubmed.ncbi.nlm.nih.gov/36759138/
To get in touch with Ciarán about the consensus project, email [email protected]
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The latest update to the midportion Achilles tendinopathy Clinical Practice Guideline is hot off the presses!
Dr Ruth Chimenti is a co-author of the updated clinical practice guideline, “Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024”, and joins JOSPT Insights to share the key updates relevant for your practice.
Dr Chimenti highlights the most important changes from the last CPG update in 2018, including specifics on the best way to exercise, how to approach patient education, and which modalities to consider.
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RESOURCES
Updated Achilles CPG: https://www.jospt.org/doi/10.2519/jospt.2024.0302 (no paywall)
ICON 2019: International Scientific Tendinopathy Symposium consensus on terminology: https://pubmed.ncbi.nlm.nih.gov/31399426/ICON 2020: International Scientific Tendinopathy Symposium consensus on psychological outcome measures: https://www.jospt.org/doi/10.2519/jospt.2022.11005
Dutch multidisciplinary guideline on Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/34187784/
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Did you know that only about 10% of the participants in sports medicine and sports physical therapy research are women?
When people are under-represented in research, it might mean that clinicians and researchers miss key concerns of women and girls when working with them to achieve the best outcomes of treatment.
Melissa Haberfield - physiotherapist and PhD candidate at the La Trobe Sports and Exercise Medicine Research Centre in Melbourne, Australia - shares the results of her work with women who have experienced serious knee injury, about what they wanted to know about managing knee health.
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RESOURCES
Systematic review of self-reported activity and knee-related outcomes after ACL injury (sex and gender differences): https://pubmed.ncbi.nlm.nih.gov/36889918/
Sex/gender equity in sport and exercise medicine/physical therapy publishing: https://pubmed.ncbi.nlm.nih.gov/36631242/
What do women (with serious knee injury) want to know about knee health (article): https://www.jospt.org/doi/10.2519/jospt.2025.12869
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You don't have to go far to find a media story warning people off the high impacts of running, especially on concrete, and claiming that running is no good for your knees.
Maybe you've had someone in the clinic who worries that running will wear their joints out? Today's guest has dedicated his career to helping runners stay healthy and running for life, and is adamant that running is a great physical activity choice, even for people with osteoarthritis and joint replacement.
Dr Jean François Esculier is a physiotherapist based in Kelowna, Canada. He leads the Research & Development team at The Running Clinic, and teaches at The University of British Columbia; his clinical practice is at MoveMed Physiotherapy.
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RESOURCES
Survey about perceptions on running and knee health: https://pubmed.ncbi.nlm.nih.gov/36199830/
Education resource on running and joint health, in 7 languages: http://hdl.handle.net/2429/82767
Evaluation of the education resource: https://www.jospt.org/doi/10.2519/josptopen.2024.0149
Free webinar (account required) about the influence of running on cartilage: https://therunningclinic.com/tv/?VideoId=185711&SelectedCategory=185731
Running with osteoarthritis case report: https://pubmed.ncbi.nlm.nih.gov/38725598/
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In today's part 2 of an NMES masterclass from Dr Elanna Arhos (Northwestern University) and Dr Naoaki Ito (University of Wisconsin - Madison), we're getting into the nitty gritty of how to support patients to get the most out of a very beneficial intervention. Drs Arhos and Ito, and their team have tested a mix of common stimulators available on the market today, and are here to share the results with us. Let them help you make an informed decision about your next equipment purchase for your clinic.
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RESOURCES
Who's afraid of electrical stimulation? Let's revisit the application of NMES at the knee: https://www.jospt.org/doi/10.2519/jospt.2023.12028
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Neuromuscular electrical stimulation (NMES) hasn't quite had the coverage it deserves, especially when one considers the strength of evidence supporting NMES as a musculoskeletal rehabilitation intervention
Today, Drs Elanna Arhos (Northwestern University) and Naoaki Ito (University of Wisconsin - Madison) are re-visiting how NMES is applied in sports clinical practice. Get the low-down on why you need NMES in your sports rehabilitation toolkit, and how to figure out dose and intensity.
In part 2 we discuss how to support patients to get the most out of NMES, and which equipment is best for your clinic.
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RESOURCES
Who's afraid of electrical stimulation? Let's revisit the application of NMES at the knee: https://www.jospt.org/doi/10.2519/jospt.2023.12028
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Dr Robert-Jan de Vos, sports physician and associate professor at Erasmus Medical Centre in Rotterdam, The Netherlands, dives deep into all things Achilles tendinopathy.
In part 2 of this series, Dr de Vos covers the multitude of options for treatment, outside of exercise therapy. Should you and the patient consider corticosteroid injections, PRP injections, heel lifts, shockwave, NSAIDs, or surgery? And when? What are the important clinical considerations when patients choose these options? Part 2 has it all!
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RESOURCES
Terminating corticosteroid injection in tendinopathy? https://www.jospt.org/doi/10.2519/jospt.2023.11875/
Dutch multidisciplinary guideline on Achilles tendinopathy: (https://pubmed.ncbi.nlm.nih.gov/34187784/
Platelet-rich plasma injection for chronic Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/20068208/
Time to put down the scalpel when treating tendinopathy? https://pubmed.ncbi.nlm.nih.gov/31653777/
Why tendons like load: https://pubmed.ncbi.nlm.nih.gov/29920664/
Clinical diagnosis of Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/34692248/
Clinical tool for identifying spondyloarthropathy: http://tinyurl.com/3my87hma
More on the pain monitoring model: https://pubmed.ncbi.nlm.nih.gov/17307888/
Dosing your resistance training in tendinopathy: https://pubmed.ncbi.nlm.nih.gov/37169370/
Best treatment for Achilles tendinopathy (living systematic review): https://pubmed.ncbi.nlm.nih.gov/32522732/
Achilles Pain, Stiffness, and Muscle Power Deficits - 2024 updated clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2024.0302
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Dr Robert-Jan de Vos, sports physician and associate professor at Erasmus Medical Centre in Rotterdam, The Netherlands, dives deep into all things Achilles tendinopathy. As lead author of the Dutch Multidisciplinary Guideline on Achilles Tendinopathy (https://pubmed.ncbi.nlm.nih.gov/34187784/), he shares the key messages from this in-depth review.
In today’s episode, Dr de Vos covers the important tendon anatomy to guide your differential diagnosis, what information he is most focused on communicating to patients, and the key factors that can affect your choices when managing Achilles tendinopathy.
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RESOURCES
Why tendons like load: https://pubmed.ncbi.nlm.nih.gov/29920664/
Clinical diagnosis of Achilles tendinopathy: https://pubmed.ncbi.nlm.nih.gov/34692248/
Clinical tool for identifying spondyloarthropathy: https://www.researchgate.net/profile/Paul-Kirwan/publication/332275130_D18_SCREEND%27EM_BEFORE_YOU_TREAT%27EM_A_CLINICAL_TOOL_TO_HELP_IDENTIFY_SPONDYLOARTHROPATHY_IN_PATIENTS_WITH_TENDINOPATHY/links/5cab530da6fdcca26d06aaf1/D18-SCREENDEM-BEFORE-YOU-TREATEM-A-CLINICAL-TOOL-TO-HELP-IDENTIFY-SPONDYLOARTHROPATHY-IN-PATIENTS-WITH-TENDINOPATHY.pdf
More on the pain monitoring model: https://pubmed.ncbi.nlm.nih.gov/17307888/
Dosing your resistance training in tendinopathy: https://pubmed.ncbi.nlm.nih.gov/37169370/
Best treatment for Achilles tendinopathy (living systematic review): https://pubmed.ncbi.nlm.nih.gov/32522732/
Achilles Pain, Stiffness, and Muscle Power Deficits - updated clinical practice guideline from AOPT: https://www.jospt.org/doi/10.2519/jospt.2024.0302
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When patients improve following treatment, how much can be attributed to the intervention delivered, and how much is due to contextual factors and nonspecific effects that lie outside of the clinician's control?
Dr. Giacomo Rossettini joins the podcast again as a co-author of a paper (link below) that answers that very question.
Dr. Rossettini and his research colleagues tried to quantify the effect of contextual factors with a meta-analysis. They found non-specific effects play a big role in patients' outcomes. Today's discussion covers what these contextual factors are, how the researchers quantified them, and how musculoskeletal rehabilitation clinicians can harness non-specific effects to boost patients' outcomes.
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RESOURCES
Non-specific effects in musculoskeletal pain treatment outcomes (meta-analysis): https://www.jospt.org/doi/10.2519/jospt.2024.12126
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Musicians and athletes might sometimes appear to exist in very different cultures. And yet, the single-minded focus, thousands of hours of practice, and high training loads on their musculoskeletal systems mean that musicians and athletes probably have more in common than they have differences. At least from a musculoskeletal rehabilitation perspective.
Today's guest is Marianne Roos - a former clarinetist and forever musician-at-heart, who now practices as a physiotherapist and conducts her PhD research from Laval University, Canada. Marianne explains the physical and psychological demands of orchestra performance on the musician's body, and shares the results of her PhD research in developing programmes to reduce musculoskeletal injuries among orchestra musicians.
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RESOURCES
Barriers and facilitators to implementing rehabilitation and wellness programs for orchestral musicians: https://pubmed.ncbi.nlm.nih.gov/33853373/
Workplace injury prevention and wellness program for orchestra musicians: https://www.jospt.org/doi/10.2519/jospt.2024.12277
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