FUNCTIONAL F1RST FXNL Media

We speak with physiotherapist, Rich Severin [DPT, PhD(c), CCS] about the importance of screening for cardiovascular risk factors during musculoskeletal assessments. Rich discusses a case study demonstrating the impact that screening can have, how you can screen in your practice, and the #VitalsareVital campaign.
Find out more about Rich:
www.ptreviewer.com
Twitter: @ptreviewer
Instagram: @pt_reviewer
 
00:56 Can you introduce yourself?
02:32 What made you interested in doing two specialties?
04:29 What got you started with the vitals campaign?
08:44 What is the education like in schools for cardiovascular screening in MSK?
11:24 Can you take us through a case study?
15:24 Were you screening regularly at that point or was it the history that prompted you to take blood pressure?
16:52 Do you take blood pressure in younger populations?
18:49 Is there anything that you include in your screen beyond heart rate and blood pressure?
19:35 Is there any pushback from clinicians about implementing this in an assessment?
24:50 What cutoff values do you use for blood pressure? When would you refer someone on?
27:53 Do you have a standardized method of screening that you use in your clinic?
31:35 How is high blood pressure diagnosed?
33:15 Guidelines are to measure blood pressure in both arms, what accounts for differences between arms?
34:06 How immediate are changes in blood pressure with exercise?
38:13 How long would it take to see long term changes in hypertension?
39:18 What equipment do you use for testing? With exercise?
43:49 Does hypertension have an effect on orthopedic conditions?
47:32 More on the Vitals are Vital campaign
52:38 Where can people find out more about you?

We speak with physiotherapist, Dr. Daniel Harvie [B Physio (hons), M Musc & Sports Physio, PhD, Postdoctoral Research Fellow] about the use of virtual reality in the treatment of pain. Dan discusses the current uses of VR in acute pain, potential uses for persistent pain, and where he sees the future of VR heading.
Learn more about us here.
You can learn more about Dr. Daniel Harvie on Twitter or LinkedIn
 
00:25 Can you introduce yourself?
01:29 Can you tell us about what you were doing for your PhD?
02:56 Can you tell us about your interest in virtual reality?
04:23 What is the history of using VR therapeutically in pain management?
09:18 Do you find that cost will be a barrier for using this type of technology?
10:02 Do you envision VR being used clinically?
10:41 What is it about the visual part of VR that leads to such a powerful effect?
13:24 Where would you like to see the future of VR going?
14:24 Can you tell us about the VR you use in the Brain Bus and how you use this to explain persistent pain?
16:14 Has there been any research with augmented reality?
18:10 How frequently would you have to use VR for pain for someone to have a therapeutic effect?
19:21 Do you have other areas of interest with research?
23:59 Are there normative values for two-point discrimination?
25:47 Are there biomarkers for pain that you think will show promise in the future?
 
 

We speak with Pharmacist, Pene Wood (PhD, BPharm, Lecturer in Clinical Pharmacy at La Trobe University), about the growing issue of opioid dependence, appropriate uses for opioids, and alternative solutions.
Learn more about us here.
00:27 Can you introduce yourself?
00:56 Can you give us an overview of what opioids are, what opioid dependence is, and why this is a big issue lately?
03:54 What are the appropriate uses for opioids?
04:40 What are the stats on opioid addiction?
05:30 Why has it taken so long to find out the dangers of opioids?
06:44 What are other medications or non-medicinal options for people?
08:03 How can physiotherapists and other HCP’s help people who have been taking opioids long term?
10:36 How much interaction do you have with patients about alternatives to opioids?
12:32 Are there any signs of opioid dependence?
13:39 Are there certain medications that are over prescribed? Nerve pain medications?
15:24 What is the process like for someone to wean off opioids?
16:16 Can you tell us about your pain experience with your fall off your bike and dislocated elbow?
18:52 Any new insights from this injury?
19:34 Any advice you have for people who have gone through an injury and then developed chronic pain?

We speak with Prof Dave Walton, PhD, an associate professor at Western University School of Physical Therapy. Dr. Walton has been a strong advocate for incorporating technology into physiotherapy practice. In 2017, he traveled across Canada for the Physio Move Canada project to address the future of the profession. He speaks with us about a wide range of topics including:
Learn more about us here.
- Artificial intelligence (AI) in rehabilitation 
- Virtual reality (VR) in therapy
- Biomarkers for persistent pain
- Evolution of physiotherapy education 
- The use of outcome measures in clinical practice
- And much more!
 
You can find out more about Dr. Walton here and on Twitter.

We speak with Canadian Men’s National Basketball Team Performance Coaches Charlie Weingroff and Karamvir Gill about their experiences working with the team, getting injured athletes back to playing, and how training = rehab. 
Visit Basketball Canada or Charlie Weingroff's website for more info.
Learn more about us here.
00:28 Would you like to introduce yourselves?
01:02 Can you talk about your experience working for team Canada basketball and how you approach working together?
03:58 What’s your framework for developing a well-rounded strength and conditioning program?
06:17 At what level of sport or what age do you think it is important for kids to learn strength and conditioning?
08:22 There’s a lot of overlap between rehab programs and strength and conditioning programs. Do you look at those separately or together? How do you approach that?
10:08 What about if a player was recovering from an injury?
12:27 For physios or clinicians who aren’t working closely with a team but may be treating athletes, how would you suggest they communicate with the team coaches/strength coaches?
13:06 How can a physio at a clinic help to integrate their athlete back into their sports program?
16:34 How do you transition athletes back to playing? How do you determine when an athlete is ready to play again?
19:46 Do you use an athletes pain level as an outcome measure?
21:43 Do you incorporate pain science education into what you do with your athletes?
24:08 What are your opinions on biomechanics and how do you incorporate that into an athletes performance?
28:01 What are your thoughts on traditional physio equipment such as therabands?
28:56 Some physio clinics you go to, theres a treatment table, theraband, and weights up to 10 lbs. Do you think that is enough to get an athlete back to a high level of sport? Eg. A basketball player.
30:47 For clinicians who have not been taught a lot of strength and conditioning principles, do you have any recommendations on where they can learn that?
31:34 Do you think that strength training fundamentals should be taught in physio school?
33:02 Is there any technology that you see up and coming in this field?
33:31 Is there anything that you would like clinicians who don’t have a great idea of what you do to know?
37:19 Anything else you’d like to add in?

We speak with Johnny Owens, PT, from Owens Recovery Science. Johnny gives a great overview of blood flow restriction training and its use in the rehabilitation setting. This podcast covers a lot of ground, including:
- The basics and science behind blood flow restriction
- How to use it clinically
- What patient populations can benefit from BFR
- Risks and contraindications
- Future applications and research
- And more!
To find out more, you can listen to Owens Recovery Science podcast.
Learn more about us here.
00:25 Can you introduce yourself?
00:58 How did you get started with Blood Flow Restriction (BFR) and what made you decide to start an educational company?
03:09 What is BFR and how does it work?
07:13 Is the research in this area new or has it been around a long time?
4.What is the theory behind BFR?
5.What is the current research on BFR and what is still unknown?
08:33 What are the main populations that can benefit from BFR?
11:20 Are there any contraindications to using BFR?
13:39 Do you have to have a certain occlusion pressure to get the effect?
16: 32 What are the risks with BFR?
18:52 Any neural or sensory issues from the compression?
21:20 What is your opinion on the cheaper pump up cuffs without Doppler ultrasound to determine limb occlusion pressure?
24:29 Is there are a minimum frequency that must be achieved with BFR to make clinically significant changes?
25:50 If the cuff has to be proximal to the area that is worked on, how can it be effective for something like shoulder rehab?
29:01 A few studies cite the 30-15-15-15 protocol. Is this just a generic approach to prescribing BFR based on current research or is there more flexibility in prescribing BFR?
33:24 Would you do multiple exercises in one session with the cuff on?
35:34 If someone can lift over 75% of their max, do you not use a cuff?
36:11 What about using BFR for non-injured athletes (for performance)?
39:01 What are your thoughts on non-health professionals using BFR?
40:59 Are there screening questionnaires for BFR?
42:18 When after an injury or surgery would you start using BFR?
45:33 What are some big unknowns you hope will be answered with future research?
48:04 What about use of BFR in hospitals?
48:55 Where can people find out more about you?