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
164 Diversity in Orthopedics
May 21, 2019 17:55 - 1 hour - 85.8 MBBrought 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 ...
163 ACL, Obesity, Causation, and YOU!
May 14, 2019 17:55 - 53 minutes - 61.3 MBBrought 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):e...
162 PRP vs Placebo for Patellar Tendinopathy
May 07, 2019 17:55 - 1 hour - 69.2 MBBrought 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, Moksn...
161 Counteracting Health Misinformation
April 30, 2019 17:55 - 1 hour - 69.5 MBBrought 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 artic...
160 Hips, Knees, or Do Whatever for PFP
April 23, 2019 17:55 - 59 minutes - 68.6 MBThere 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...
159 Being a Medical Conservative
April 16, 2019 17:55 - 53 minutes - 61.6 MB"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 artic...
158 Knee Function 6 Months After ACLR
April 09, 2019 17:55 - 44 minutes - 51.5 MBBrought 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, Stålm...
157 Rate of Torque Development and Knee Osteoarthritis
April 02, 2019 17:55 - 46 minutes - 53.5 MBBrought 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 Electrom...
01April Importance of the Subjective Experience of a Stroke Survivor
April 01, 2019 07:01 - 17 minutes - 24.5 MBIn 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/
156 Effectiveness of Later Stage Exercise After TKR
March 26, 2019 18:09 - 55 minutes - 64.4 MBBrought 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...
155 Surgical Fixation Techniques for Syndesmosis Injuries
March 19, 2019 16:30 - 44 minutes - 52 MBBrought 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, Ken...
154 Hip Arthroscopy vs Physiotherapy
March 12, 2019 16:26 - 1 hour - 71.6 MBBrought 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...
153 Lumbar Spine Injuries In Athletes
March 05, 2019 18:45 - 51 minutes - 59.3 MBBrought 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, Chu...
152 Provider Cognitive Errors Contributes To Medical Overuse
February 26, 2019 18:55 - 1 hour - 73 MBBrought 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. JA...
151 Pain Coping Skills Training and TKA
February 19, 2019 18:55 - 1 hour - 70.1 MBBrought 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,...
150 Relation of Psychological Readiness and Kinematics After ACLR
February 12, 2019 18:55 - 54 minutes - 63 MBBrought 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...
149 Ultrasound Works Sorta Kinda
February 05, 2019 18:55 - 51 minutes - 59.5 MBTherapeutic 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/s13018-018-0...
148 Text Messaging to Improve Outcomes
January 29, 2019 18:55 - 48 minutes - 56.1 MBIt 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 ah...
147: Role of Cam In Hip Torsion Forces
January 22, 2019 18:55 - 37 minutes - 44 MBSome 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 arti...
146 Self Reported Home Exercise Adherence
January 15, 2019 18:55 - 42 minutes - 49.4 MBA 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.2018.8...
145: Target ROM After RTC Repair
January 08, 2019 18:42 - 55 minutes - 63.7 MBWe 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 ...
2018 PT Podcast Network Holiday Extravaganza
December 11, 2018 18:27 - 51 minutes - 47.9 MBThat'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 polic...
144 Predatory Journals And You
November 27, 2018 19:50 - 43 minutes - 40.7 MBIt'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 publicatio...
143 Early Intensive Pain Education To Reduce Chronic Back Pain
November 20, 2018 19:50 - 48 minutes - 44.7 MBAccurate 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...
142 Evidence-Based PT Marketing
November 13, 2018 18:38 - 49 minutes - 45.5 MBHere 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 fi...
141 Frickin Lasers
November 06, 2018 19:15 - 52 minutes - 48.8 MBPew! 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...
140 Compensatory Strategies After ACLR
October 30, 2018 18:55 - 1 hour - 59.1 MBThinking 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 Reconstructio...
139 Rotator Cuff Surgery and Non Inferiority
October 23, 2018 22:52 - 47 minutes - 43.9 MBA 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 Oc...
138 PT Practice Patterns Following ACLR
October 16, 2018 17:53 - 56 minutes - 52.2 MBAnterior 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, Gre...
137 Is Sitting Really the New Smoking?
October 09, 2018 16:36 - 52 minutes - 48.9 MBThere 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 ...
136 Concussion Confusion
October 02, 2018 22:21 - 55 minutes - 51.2 MBA 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 ...
135 Predictors of Postop Pain: Psychosocial or Structural?
September 25, 2018 22:35 - 46 minutes - 64.1 MBCan 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;2...
134 ACL Injury and Cardiovascular Diseases
September 18, 2018 17:36 - 46 minutes - 64.5 MBSometimes 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. Am...
133 Scientific Journals and Advocacy
September 11, 2018 18:48 - 52 minutes - 72.7 MBThis 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. Je...
132 The Long and the Short on Isometrics for Tendon Pain
September 04, 2018 22:24 - 50 minutes - 69.4 MBWe 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, Morriss...
132 The Long and the Short on Isometrics for Tendon Pain
September 04, 2018 22:18We 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, Morriss...
131 Exercise vs Injection for Gluteal Tendinopathy
May 30, 2018 00:00 - 1 hour - 64 MBExercise 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 approac...
130 Blood Flow Restriction Training and You
May 23, 2018 00:00 - 1 hour - 64 MBBlow 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 reha...
129 Pain Neuroscience and Exercise for Chronic Spine Pain
May 16, 2018 00:00 - 59 minutes - 54.6 MBWe 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 interventi...
128 Surgery Vs Physical Therapy for FAIS
May 09, 2018 04:44 - 1 hour - 55.8 MBFinally 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 ...
127 Anxiety Depression and Concussion Baseline Measures
May 02, 2018 00:00 - 1 hour - 55.8 MBDetermining 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 referri...
126 Screening for Female Athlete Triad
April 24, 2018 18:33 - 55 minutes - 51.3 MBFemale 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, Gol...
125 Plantarflexors, Training Volume and Intensity in Aging Runners
April 18, 2018 03:34 - 49 minutes - 45.8 MBDo 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 a...
124 Are Athletes Adequately Tested Prior to RTS After ACLR?
April 10, 2018 18:55 - 51 minutes - 48.1 MBMany 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 Reconstruc...
123 How to Fix the Weak Spots in Contemporary Science
April 03, 2018 18:55 - 1 hour - 68.9 MBThe 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 ...
122 Injections, Shams, and Achilles Tendinopathy
March 27, 2018 17:35 - 1 hour - 58.5 MBInjecting 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 Tendin...
121 Hamstrings Fatigue After Injury
March 20, 2018 17:00 - 1 hour - 56 MBInjuries 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 ...
120 Placebo Use In Sports Medicine
March 13, 2018 18:53 - 1 hour - 57.4 MBWhen 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 i...
119 Thinking Clearly About Correlations and Causation
March 06, 2018 18:30 - 53 minutes - 49.3 MBWe 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!!! T...
118 Spin in the Literature
October 26, 2017 21:08 - 1 hour - 60.7 MBBeing 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/jou...