JOSPT Insights JOSPT
-
- Health & Fitness
The Journal of Orthopaedic & Sports Physical Therapy brings you the JOSPT Insights podcast every Monday. On each episode, experienced clinicians and researchers unpack musculoskeletal rehabilitation topics in under 30 minutes. Guests share clinical tips and research discoveries with host Dr Clare Ardern, Editor-in-Chief of JOSPT. Sports physical therapists Dr Chelsea Cooman and Dr Dan Chapman are frequent co-hosts.
-
Ep 184: Popping pills in elite youth sport - fact or fiction? with Julie Pedersen
Surveys of elite adult athletes reveal high use of analgesics, particularly non-steroidal anti-inflammatory drugs (NSAIDs). While medications like paracetamol have a generally low risk profile, certainly compared with NSAIDs or opioids, using pain medications to mask an injury or prevent pain might increase the risk of injury or make an existing injury worse.
Julie Pedersen - physiotherapist and PhD student (University of Southern Denmark) - is studying what, how, when and why youth athletes use pain medications. Today, Julie discusses how clinicians, coaches, parents and schools can support safe use of analgesics among youth athletes.
------------------------------
RESOURCES
Prospective study of Danish youth analgesic use: https://www.jospt.org/doi/10.2519/jospt.2024.12407
Prevalence, frequency, adverse events data from youth athletes: https://pubmed.ncbi.nlm.nih.gov/36100523/ -
Ep 183: AI as a clinical assistant, with Rebecca Fechner, Dr Joshua Pate and Dr Mick Thacker
There's plenty of work going into how AI can make health care better - including in recording consultation notes, or making early cancer diagnoses, or opening up low cost ways of doing musculoskeletal imaging.
The technology and applications of AI in healthcare changes just about every week. Today, we're exploring generative AI as a help, not a hindrance to musculoskeletal rehabilitation practice.
Physiotherapists Rebecca Fechner (Queensland Paediatric Persistent Pain Service), Dr Josh Pate (University of Technology Sydney) and Professor Mick Thacker (Royal College of Surgeons Ireland) talk about ways to use chatbots and generative AI to generate ideas and solve clinical problems.
------------------------------
RESOURCES
The Prompt Engineering Guide is a deep dive into how to craft effective prompts for generative AI: https://www.promptingguide.ai/
More on the science of active inference: https://pubmed.ncbi.nlm.nih.gov/25563935/ -
Ep 182: Working at the top of your licence - a day in the life of a trauma physical therapist, with Dr Patricia Weber
Welcome to a chat with a physical therapist who is using their orthopaedic and sports skills outside the typical practice environment. Dr Patricia Weber shares her experience as a senior physical therapist in the shock trauma setting–a world that blends orthopedic, neurologic and multi-trauma in a challenging emotional and psychological environment.
Dr Weber is a senior physical therapist at the University of Maryland Medical Center. She primarily treats within the R. Adams Cowley Shock Trauma center in downtown Baltimore. -
Ep 181: The ethics of your clinical decisions, with Dr Nathan Vannatta
In today's episode, Dr Nathan Vannatta outlines some ethical frameworks that the musculoskeletal rehabilitation clinician might use when working through clinical decisions, including about return to play.
Dr Vannatta outlines ethical theories and 4 approaches to bioethics. He explains how one might justify different decisions, depending on the ethical framing, illustrating the complexity of return to play decisions with the clinical example of 'Ellie', who is returning to soccer after ACL reconstruction.
------------------------------
RESOURCES
More on ethics frameworks and return to sport decisions: https://www.jospt.org/doi/10.2519/jospt.2024.12310 -
Ep 180: Tackling apprehension after Bankart repair (part 2), with Marianne van Gastel & Karin Hekman
Specialist shoulder physiotherapists, Marianne van Gastel and Karin Hekman, are back for the second part of their discussion on rehabilitation for peple with anterior shoulder dislocation and Bankart repair.
Marianne and Karin share how they use a psychologically-informed practice type of approach to support athletes and patients to work through and overcome anxiety and apprehension.
The chat focuses on supporting patients to return to high levels of function, including sport, after their shoulder surgery.
------------------------------
RESOURCES
Rehabilitation guideline for managing apprehension after anterior shoulder dislocation and Bankart repair: https://www.jospt.org/doi/10.2519/jospt.2024.12106
To find out more and register for the YAHiR-JOSPT Young athlete’s Hip Webinar Series: https://semrc.blogs.latrobe.edu.au/events/yahir/ -
Ep 179: Tackling apprehension after Bankart repair (part 1), with Marianne van Gastel & Karin Hekman
Physiotherapists and clinician-researchers, Marianne van Gastel and Karin Hekman, share a new rehabilitation guideline on managing apprehension in people with anterior shoulder dislocation and Bankart repair.
Over the next 2 episodes of JOSPT Insights, Marianne and Karin will take us through the rehabilitation guideline, explain what's new in shoulder rehabilitation, and share their approaches to helping people feel confident to get back to the sports and recreation activities they love after shoulder dislocation.
------------------------------
RESOURCES
Rehabilitation guideline for managing apprehension after anterior shoulder dislocation and Bankart repair: https://www.jospt.org/doi/10.2519/jospt.2024.12106
Patients' perspectives after treatment for anterior instability: https://pubmed.ncbi.nlm.nih.gov/37811392/
To find out more and register for the YAHiR-JOSPT Young athlete’s Hip Webinar Series: https://semrc.blogs.latrobe.edu.au/events/yahir/