PT Inquest
373 episodes - English - Latest episode: about 1 month ago - ★★★★★ - 115 ratingsPT Inquest is an online journal club. Hosted by Jason Tuori, Megan Graham, and Chris Juneau, the show looks at an article every week and discusses how it applies to current physical therapy practice.
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Episodes
207: Step Rate and Bone Stress Injury
June 22, 2021 18:55 - 46 minutes - 43.1 MBLearn more about/Buy Erik’s new course – Foundations of Practice Support us on the Patreons! 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 fo...
206 Exercise for CLBP
June 15, 2021 18:43 - 50 minutes - 46.9 MBLearn more about/Buy Erik’s new course – Foundations of Practice Support us on the Patreons! 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 ...
205 ACL Confidence
June 08, 2021 18:55 - 45 minutes - 42.4 MBSupport us on the Patreons! 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 c...
Hiatus
April 14, 2021 17:10 - 12 minutes - 11.9 MBJust a quick episode letting everyone know that we are taking an indefinite hiatus from the show. We'll keep you posted... Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission
204 Changes Coming and an RCT on Hip Surgery
January 21, 2021 01:25 - 50 minutes - 46.7 MBSupport us on the Patreons! 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:...
2020 PT Podcast Network Holiday Extravaganza
December 14, 2020 18:00 - 59 minutes - 54.7 MBThe gang is all here (except Greg) for another festive dump of holiday cheer! Happy Holidays everyone!!!
203 The World Needs All The Rehabs
December 10, 2020 20:37 - 52 minutes - 48.2 MBSupport us on the Patreons! 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 Stud...
202 Bad Science w/ James Heathers
November 03, 2020 16:55 - 1 hour - 78.9 MBSupport us on Patreon! 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...
201 Eliminating Postoperative Opioids
October 06, 2020 18:39 - 1 hour - 71.2 MBSupport us on Patreon! 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...
200 Added Benefits of Dry Needling...or Lack Thereof
September 01, 2020 13:01 - 1 hour - 67.9 MBSupport us on Patreon! 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. F...
199 Change of Direction in Sport
August 04, 2020 14:55 - 1 hour - 79 MBSupport us on Patreon! 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 o...
Extrasode: Muscle Interventions After ACLR
July 28, 2020 11:00 - 15 minutes - 14.2 MBIn 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
198 Diversity, Equity, & Inclusion in Physical Therapy
July 02, 2020 01:11 - 1 hour - 74.4 MBSupport us on Patreon! 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 organizat...
Extrasode: Brave New Profession
June 19, 2020 23:33 - 12 minutes - 12.1 MBWe 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
197 Strength and Knee OA
June 04, 2020 20:08 - 46 minutes - 43.1 MBIn 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? Check our website: ptinquest.com Support us on Patreon: patreon.com/ptinquest 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 Osteoarthrit...
196 Therapeutic Alliance and Telehealth
May 06, 2020 22:07 - 59 minutes - 54.7 MBIn 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...
195 PT During COVID-19
March 31, 2020 15:30 - 1 hour - 83.6 MBSupport us on Patreon! 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 ...
Session 2: Envelope of Function and Physical Stress Theory
March 03, 2020 22:36 - 1 hour - 53.2 MBAvailable 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 Per...
Session 1: History of ACLR Surgery and Rehabilitation
February 05, 2020 08:01 - 1 hour - 53.3 MBAvailable 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...
194 Changes Coming in 2020
December 24, 2019 18:50 - 55 minutes - 63.7 MBBrought 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...
193 The Science of Science
December 10, 2019 17:12 - 1 hour - 89 MBBrought 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...
192 Exercise Intensity and Chronic LBP
December 03, 2019 19:44 - 55 minutes - 63.7 MBBrought 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. 20...
191 Screening for Depression
November 26, 2019 18:58 - 50 minutes - 58.5 MBBrought 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 Octob...
Episode 190 Celebration Of Failure
November 19, 2019 18:55 - 1 hour - 70 MBBrought 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 c...
190 Celebration Of Failure
November 19, 2019 18:55 - 1 hour - 70 MBBrought 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 c...
189 What Should A Patient Expect After Surgery
November 12, 2019 18:55 - 1 hour - 76.6 MBBrought 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 copyr...
188 CFT vs Group Exercise for CLBP
November 05, 2019 18:55 - 58 minutes - 67.5 MBBrought 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. 20...
187 Self-Efficacy for Home Exercise Program
October 29, 2019 19:51 - 1 hour - 70.7 MBBrought 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 ...
186 Steroid Injections for Arthritis
October 22, 2019 17:55 - 54 minutes - 62.6 MBBrought 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...
185 Patient Perception of Shared Decision Making
October 15, 2019 15:47 - 1 hour - 75.6 MBBrought 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 c...
184 Do PTs Follow Evidence Based Guidelines?
October 08, 2019 17:55 - 1 hour - 87.4 MBBrought 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-bas...
183 Strength Training After ACLR
October 01, 2019 17:55 - 1 hour - 92 MBBrought 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, Ben...
182 Early Fear Reduction For Back Pain
September 24, 2019 17:55 - 53 minutes - 61.5 MBBrought 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...
181 Effects of PT Personality on Patient Outcomes
September 17, 2019 17:55 - 1 hour - 79.1 MBBrought 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/...
180 Lots of Ways to Prevent ACL Injuries
September 10, 2019 17:55 - 1 hour - 70.1 MBBrought 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 30:36354651987017...
179 Conflicts of Interest
September 03, 2019 17:55 - 1 hour - 73.6 MBBrought 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...
178 Omitting Routine Radiographs After Wrist Fracture
August 27, 2019 17:55 - 53 minutes - 61.8 MBBrought 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 ...
177 Predicting Return to Sport After FAI Surgery
August 20, 2019 17:57 - 51 minutes - 59.2 MBBrought 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, Mallo...
176 Predicting Outcomes With Meniscus Injuries
August 13, 2019 17:55 - 52 minutes - 61 MBBrought 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, W...
Episode 175 Pain or No Pain During Hamstring Rehab Exercises
August 06, 2019 20:55 - 1 hour - 83 MBBrought 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 Sp...
174 Evidence Vs Consensus in Clinical Practice Guidelines
July 30, 2019 17:55 - 1 hour - 69.2 MBBrought 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. Th...
173 Early Vs Delayed Surgery for FAI
July 23, 2019 18:47 - 1 hour - 69.6 MBBrought 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...
172 Patient Recall of Preop Symptoms
July 16, 2019 17:55 - 52 minutes - 60.7 MBBrought 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, Barwoo...
171 Home-Based Exercise After THA
July 09, 2019 17:55 - 55 minutes - 63.7 MBBrought 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, ...
170 Altering Patient Reported Outcomes Through Practice
July 02, 2019 17:55 - 47 minutes - 55.2 MBBrought 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 pri...
169 Patient Understanding of Nonsurgical Interventions for Knee OA
June 25, 2019 17:55 - 47 minutes - 54.6 MBBrought 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...
168 Chronic Pain and Exercise
June 18, 2019 17:55 - 1 hour - 71.5 MBBrought 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 lega...
167 Internet-Based Information About Low Back Pain
June 11, 2019 17:55 - 57 minutes - 65.8 MBBrought 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;2...
166 Algorithm Based Treatment of Proximal Humerus Fractures
June 04, 2019 17:55 - 47 minutes - 54.3 MBBrought 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. 201...
165 Manipulation Effects On Cervical Radiculopathy
May 27, 2019 17:55 - 50 minutes - 58.4 MBBrought 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,...