62 episodes

The Physiotutors podcast is your opportunity to hear from some of the best physio's, researchers, lecturers and medical professionals for all things physiotherapy related. Join us as we discuss topics from orthopedics to pain management, from spinal cord to respiratory all in the name of physiotherapy.

Physiotutors Podcast Physiotutors

    • Health & Fitness
    • 4.9 • 8 Ratings

The Physiotutors podcast is your opportunity to hear from some of the best physio's, researchers, lecturers and medical professionals for all things physiotherapy related. Join us as we discuss topics from orthopedics to pain management, from spinal cord to respiratory all in the name of physiotherapy.

    Poking into Pain: A Deep Dive into Dry Needling | Barbara Cagnie

    Poking into Pain: A Deep Dive into Dry Needling | Barbara Cagnie

    In this podcast episode, Barbara Cagnie, a physiotherapist and manual therapist, discusses the topic of dry needling, providing valuable insights into its definition, physiological effects, and clinical applications. Dry needling is described as a technique used by physiotherapists to treat myofascial pain, with the insertion of thin filiform needles into specific trigger points aiming to reduce pain and restore muscle function. Barbara highlights the physiological basis of dry needling, emphasizing its effects on peripheral and central systems, as well as its potential impact on pain and inflammation.
    The discussion delves into the differences between active and latent trigger points, reliability in identifying trigger points, and the mechanism of referred pain. Barbara also addresses the evidence supporting the efficacy of dry needling in various musculoskeletal disorders, particularly in neck pain, highlighting the need for ongoing research to further explore its clinical applications.
    The conversation touches on the contraindications and potential risks of dry needling, emphasizing the importance of proper training and anatomical knowledge to minimize adverse events. The future of dry needling is also considered, with mentions of ultrasound-guided and electrical dry needling techniques.
    Barbara's expertise and comprehensive explanations serve to demystify dry needling and shed light on its clinical relevance. Her insights not only provide valuable information for physiotherapists but also instill curiosity about the potential of this technique in optimizing patient care.
     
    Chapters
    00:00 Intro 00:46 Defining Dry Needling 01:49 The Physiology 07:26 Difficulty of human studies 08:15 Active vs. Latent Trigger Points 10:05 Reliability Issues of TP Therapy 12:00 Referred pain in Trigger Points 15:40 The local twitch response 17:50 In-situ vs. winding technique 18:36 Research vs. Clinical Practice 20:22 Dry Needling for Tendinopathy? 23:58 Evidence for MSK Complaints 28:01 Contraindications and Risks 30:45 Needles vs. Hands 32:16 Kai's Dry Needling Anecdote 33:06 Are we chasing short-term effects? 35:26 Top 3 Reasons to learn Dry Needling 40:01 Closing thoughts 41:06 Outro  
    Bonus Material
    Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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    • 41 min
    Ep. 061 | Jaw-dropping Insights: Tackling TMJ Dysfunction | Corinne Visscher

    Ep. 061 | Jaw-dropping Insights: Tackling TMJ Dysfunction | Corinne Visscher

    In this episode, Dutch researcher Corinne Visscher discusses temporomandibular disorders (TMD) with a focus on prevalence, risk factors, diagnosis, and treatment. She provides insights on the research she is currently focused on, particularly in understanding the journey of patients with chronic complaints related to TMD. Corinne also emphasizes the importance of screening for TMD, providing counseling and advice on habits, and referring patients to oral facial physical therapists or dentists when necessary. She also highlights the link between TMD and secondary headaches, and offers ways to reach out to her for further information.
     
    Content
    00:00 Intro
    00:35 What is TMD?
    01:18 TMD Prevalence/Incidence
    02:20 The typical TMD Patient
    03:23 Risk Factors
    06:38 Red Flag Screening
    09:20 The Diagnostic Process
    14:05 Special Tests
    15:25 Questionnaires
    17:47 TMD & Headaches
    19:30 Am I clenching my teeth?
    20:40 Is posture a factor for TMD?
    22:50 The course of TMD
    27:09 A place for Dry Needling?
    28:29 Other Manual Therapies?
    31:50 Current TMD Research
    35:05 Top 3 Takeaways
    40:20 Tension-Type or TMD Headache
    42:28 How to get in touch
    43:08 Outro
     
    Bonus Material
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    • 43 min
    Ep. 060 | Pain and Disability Drivers Management (PDDM) Model | Yannick Tousignant-Laflamme

    Ep. 060 | Pain and Disability Drivers Management (PDDM) Model | Yannick Tousignant-Laflamme

    In this Physiotutors podcast episode, Canadian researcher Yannick Tousignant-Laflamme introduces the Pain and Disability Drivers Management Model, a groundbreaking approach to understanding and managing chronic musculoskeletal pain, particularly low back pain. This model identifies five key domains across three dimensions, going beyond biomechanics to reveal the root causes of pain and disability. It underscores the significance of interdisciplinary collaboration and effective communication among healthcare professionals.
    By integrating classification systems and prognostic tools, this model optimizes its effectiveness. Classification systems pinpoint patient subgroups, while prognostic tools screen for psychological factors affecting pain outcomes. Clinicians are encouraged to utilize these tools for screening, delving deeper for medium or high-risk patients. The incorporation of questionnaires and patient-reported outcome measures informs evidence-based decision-making. The ultimate aim? Personalized, evidence-based care for musculoskeletal conditions, addressing both physical and psychosocial factors.
    Curious to learn more about this innovative approach? Tune in to the full episode for a comprehensive exploration.
     
    Guest
    Canadian researcher Yannick Tousignant-Laflamme is a professor at the School of Rehabilitation at the University of Sherbrooke. His research activities target the management of chronic pain associated with musculoskeletal disorders, particularly low back pain.
     
    Content
    00:00 Intro
    00:40 What is the PDDM?
    03:19 The 5 Drivers of Pain & Disability
    07:56 The struggle with interdisciplinary care
    11:15 Lifestyle within the PDDM
    13:28 Why is PDDM more than a classification system?
    17:23 Patient History within the PDDM
    30:57 Why so many PROMs?
    32:45 NSLBP - is it a helpful diagnosis?
    39:37 Can Physiotherapists cover all 5 domains?
    43:18 Is it all talking?
    45:42 What has changed since 2017
    49:28 How can we apply the PDDM? 3 Tips
    51:26 Yannicks closing thoughts
    53:15 Outro
     
    Bonus Material
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    • 54 min
    The Shoulder Blade Shuffle: Separating Fact from Fiction in Scapula Dyskinesia | Filip Struyf

    The Shoulder Blade Shuffle: Separating Fact from Fiction in Scapula Dyskinesia | Filip Struyf

    In this podcast, we explore scapular dyskinesis, the abnormal movement of the shoulder blade. We discuss related terms like scapular misalignment and sick scapula, questioning the practicality of assessing it through visual observation. We highlight that identifying it as normal or abnormal may not guide treatment decisions or pinpoint the cause of shoulder pain. We also address its prevalence in athletes and non-athletes and suggest using various tests to assess scapular dyskinesis. Intriguingly, we'll reveal a surprising connection between scapular dyskinesis and an unexpected aspect of training, which might change the way you think about shoulder issues. So, join us for the full episode to uncover this fascinating insight.
     
    Guest
    Filip Struyf is a sportsphysiotherapist and professor at the Department of Rehabilitation Sciences and Physiotherapy at the University of Antwerp, Belgium. According to Expertscape, he is the #1 shoulder researcher world-wide. He teaches shoulder courses nationally and internationally and has created an online course together with us called “Rotator Cuff Related Shoulder Pain: Separating Facts from Fiction”.
     
    Content
    00:00 Intro
    01:15 The "correct" definition
     04:05 What is "normal"
    12:05 Prevalence
    14:21 Is it a functional adaptation?
    16:46 Scapula Dyskinesia as a risk factor?
    26:09 How do we assess it?
    28:51 How reliable or valid is assessment?
    32:39 Can we improve scapula movement?
    39:09 What's up with focussing on the lower trapezius?
    42:26 What about Rhomboid Pain?
    46:21 Is there a place for scapula mobilization techniques?
    49:42 Filip's closing thoughts
    52:15 Outro
    Bonus Material
    To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
    All episodes and bonus content can be found here
     
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    • 53 min
    Ep. 058 | Beyond the Clinic: Harnessing Lifestyle for Physiotherapy Success | Jaap Wonders

    Ep. 058 | Beyond the Clinic: Harnessing Lifestyle for Physiotherapy Success | Jaap Wonders

    In this podcast episode, sports physiotherapist and lifestyle expert Jaap Wonders discusses the several aspects of successful lifestyle interventions as part of the treatment plans in physiotherapy practice. He outlines the guidelines on proper sleep hygiene, diet and other important factors to take into account when prescribing a healthy lifestyle. We discuss the challenges of adopting healthy habits and what we can do about this.
    Content
    00:00 intro 
    00:45 Why the interest in Lifestyle?
    02:50 How to deal with unhealthy lifestyles
    05:52 Failing to meet movement goals
    10:43 Movement snacks
    12:28 10K Steps a Day. What's the deal?
    17:55 Recommendations on Nutrition
    20:55 Healthy vs unhealthy Protein
    24:55 The importance of sleep
    31:16 How we address stress
    36:09 Positive Stress
    38:15 Mindfullness
    39:05 Cold Showers
    42:10 What doesn't kill you makes you stronger?
    47:22 Lifestyle interventions in chronic conditions
    58:00 3 steps to a healthier lifestyle
    01:03:20 Closing thoughts
    01:05:08 Outro 
    Bonus Material
    To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
    All episodes and bonus content can be found here
     
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    • 1 hr 6 min
    Ring of Truth: Exploring Physiotherapy's Role in Tinnitus Treatment | Sarah Michiels

    Ring of Truth: Exploring Physiotherapy's Role in Tinnitus Treatment | Sarah Michiels

    In this podcast episode, physiotherapist Sarah Michiels discusses somatic tinnitus, a type of tinnitus that is often caused by dysfunctions in the upper cervical spine and jaw. She highlights the prevalence of somatic tinnitus and the importance of a comprehensive diagnosis to rule out other causes. The talk provides insights into her evaluation and treatment approach, emphasizes the role of physiotherapy in improving muscle function and coordination to manage this debilitating condition.
    Content
    00:00 Intro
    00:46 Definition of Somatic Tinnitus
    01:35 Tinnitus and the Cervical Spine
    04:47 Prevalence of Tinnitus
    06:22 Epidemiology of Tinnitus
    08:15 Physiotherapy Diagnosis Possible?
    10:30 ENT Diagnosis of Somatosensory Tinnitus
    14:27 Special Testing for Tinnitus
    16:00 Cervical Spine Assessments
    17:35 Tinnitus and the Jaw
    18:51 Red Flags
    20:53 Physiotherapy Effectiveness for Somatosensory Tinnitus
    22:00 Typical Treatment Course
    23:20 What causes Improvements in Symptoms?
    25:18 Tinnitus Relapse
    27:10 Prognostic Factors
    29:30 Sarah's Treatment Approach
    31:48 Why Patients get worse
    34:15 How to learn more about Tinnitus
    35:10 Is MT knowledge required?
    36:20 Sarah's Closing Thoughts
    37:30 Could Van Gogh have been saved?
    38:10 Outro
     
    Bonus Material
    To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.
    All episodes and bonus content can be found here
     
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    • 39 min

Customer Reviews

4.9 out of 5
8 Ratings

8 Ratings

Katie EH ,

Good content but poor audio

Some great clinical knowledge being communicated. However, the host’s mic is very quiet (ie I am almost maxed in volume to hear him). Please consider improving sound quality 🙏🏼

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