In episode 11 of season 8 of Inside the Science we’re highlighting the study, “The application of Mechanical Diagnosis and Therapy to the ankle-foot complex: a case series” with Dr. Lindsay Carlton. You’ll hear her give the background related to this topic and why she and her coauthor decided to produce this work, clarify each patient in this series, give the important contrasting treatment which led to resolution different from conventional care, the clinical implications and big takeaways.
Season 8, Episode 10 with Jan Hartvigsen: What low back pain is and why we need to pay attention
In episode 10 of season 8 of Inside the Science we’re highlighting the study, “What low back pain is and why we need to pay attention” with Dr. Jan Hartvigsen. You’ll hear him describe some of what prompted this study and how it’s part one of three, the burden of back pain and what factors are associated with back pain and disability, the various risk factors of back pain, disability and persisting disability, the clinical implications and big takeaways.
Season 8, Episode 9 with Eduard Verheijen: The Outcome of Epidural Injections in Lumbar Radiculopathy Is Not Dependent on the Presence of Disc Herniation on Magnetic Resonance Imaging
In episode 9 of season 8 of Inside the Science we’re highlighting the study, “The Outcome of Epidural Injections in Lumbar Radiculopathy Is Not Dependent on the Presence of Disc Herniation on Magnetic Resonance Imaging: Assessment of Short-Term and Long-Term Efficacy” with Dr. Eduard Verheijen. You’ll hear him describe some background information on this topic of the effectiveness of transforaminal epidural injections contrasting those to have lumbar disc herniation versus those without, the important findings of how many show herniation and how those with herniation respond to injection versus those without herniation, the effectiveness of a second injection when the first didn’t resolve the symptoms, some future related work he’s working on, the clinical implications and big takeaways.
Season 8, Episode 8 with Eduard Verheijen: Epidural steroid compared to placebo injection in sciatica: a systematic review and meta‑analysis
In episode 8 of season 8 of Inside the Science we’re highlighting the study, “Epidural steroid compared to placebo injection in sciatica: a systematic review and meta‑analysis” with Dr. Eduard Verheijen. You’ll hear him describe why he and his coauthors wanted to pursue another systematic review on this topic, specific differences or lack of differences found in epidural steroid injections compared with placebos, the quality of evidence in these 17 studies, including the clinical implications and big takeaways.
Season 8, Episode 7 with Ron Schenk: Utilizing directional preference in the management of cervicogenic headache: a case series
In episode 7 of season 8 of Inside the Science we’re highlighting the study, “Utilizing directional preference in the management of cervicogenic headache: a case series” with Dr. Ron Schenk. You’ll hear him share a bit about the backstory of this paper and the lead author Lin Lan Pu, some general information on headache classifications, some characteristics of this series of patients in the clinic setting of the primary investigator, specifics on how these patients were assessed and managed per mechanical diagnosis and therapy specific to this patient population, the clinical implications and big takeaways.
Season 8, Episode 6 with Ron Schenk: Effectiveness of mechanical diagnosis and therapy in patients with back pain who meet a clinical prediction rule for spinal manipulation
In episode 6 of season 8 of Inside the Science we’re highlighting the study, “Effectiveness of mechanical diagnosis and therapy in patients with back pain who meet a clinical prediction rule for spinal manipulation” with Dr. Ron Schenk. You’ll hear him share a bit about this paper’s origin and backstory, some clarification on clinical prediction rules, specifics on the methodology of this paper, the actual differences in outcomes in the two treatment arms, the clinical implications, and big takeaways.
Season 8, Episode 5 with Stephen May; An international survey of the comprehensiveness of the McKenzie classification system and the proportions in spinal pain
In episode 5 of season 8 of Inside the Science we’re highlighting the study, “An international survey of the comprehensiveness of the McKenzie classification system and the proportions of classifications and directional preferences in patients with spinal pain” with Dr. Stephen May. You’ll hear him share the background of what prompted the paper, specifics as to what classification syndromes were found and to what percentage, what was found for the “OTHER” subgroup, what direction was generally preferred, how often the provisional classification remained the same from initial to discharge, the clinical implications and big takeaways.
Season 8, Episode 4 with Stephen May: Centralization and directional preference: An updated systematic review with synthesis of previous evidence
In episode 4 of season 8 of Inside the Science we’re highlighting the study, “Centralization and directional preference: An updated systematic review with synthesis of previous evidence” with Dr. Stephen May. You’ll hear him share why the need for an updated systematic review, the consistency or variability of what was studied and the operational definitions of centralization and directional preference, the quality of the studies, the prevalence and the degree to which the data showed these two phenomena predict outcomes, the clinical implications and big takeaways.
Season 8, Episode 3 with Mark Laslett: Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests
In episode 3 of season 8 of Inside the Science we’re highlighting the study, “Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests” with Dr. Mark Laslett. You’ll hear him share what was in the literature and why he and his coauthors had the opportunity to conduct this study, specifics on the procedure of clinical examination of the spine and SI joint, the injection process, the results, and what they mean from a clinical utility perspective for SI joint provocation tests, the clinical implications and big takeaways.
Season 8, Episode 2 with Mark Laslett: The Reliability of Selected Pain Provocation Tests for Sacroiliac Joint Pathology
In episode 2 of season 8 of Inside the Science we’re highlighting the study, “The Reliability of Selected Pain Provocation Tests for Sacroiliac Joint Pathology” with Dr. Mark Laslett. You’ll hear him share what prompted he and his co-author to conduct and write this paper, what was lacking in precise examination and diagnosis of the sacroiliac joint prior, exactly how this study was conducted and why, what six tests were found to be more reliable and by how much, the clinical implications and big takeaways.
Season 8, Episode 1 with Yannick Tousignant-Laflamme: Mastering Prognostic Tools: An Opportunity to Enhance Personalized Care and to Optimize Clinical Outcomes in Physical Therapy
In episode 1 of season 8 of Inside the Science we’re highlighting the study, “Mastering Prognostic Tools: An Opportunity to Enhance Personalized Care and to Optimize Clinical Outcomes in Physical Therapy” with Dr. Yannick Tousignant-Laflamme. You’ll hear him share how making the best decisions for patients includes both diagnostic-related guidance and prognosis-related guidance, various factors which influence prognosis, clinical prediction rules, the clinical implications, and big takeaways.
Season 7, Episode 16 with Yannick Tousignant-Laflamme: Rehabilitation management of low back pain – it’s time to pull it all together!
In episode 16 of season 7 of Inside the Science we’re highlighting the study, “Improving consultations for persistent musculoskeletal low back pain in orthopaedic spine settings: an intervention development” with Dr. Yannick Tousignant-Laflamme. You’ll hear him share 5 domains of pain and disability, how these drivers of pain and disability of nociceptive pain, nervous system dysfunction, comorbidities, cognitive emotional, and contextual drivers appear, and what is useful to identify and with which to intervene needs of both the patients and the clinicians, what’s still uncertain due to the limitations of this study, the clinical implications and big takeaways.
Season 7, Episode 15 with Kathrin Braenuinger-Weimer: Improving consultations for persistent musculoskeletal low back pain in orthopaedic spine settings: an intervention development
In episode 15 of season 7 of Inside the Science we’re highlighting the study, “Improving consultations for persistent musculoskeletal low back pain in orthopaedic spine settings: an intervention development” with Dr. Kathrin Braeuninger-Weimer. You’ll hear her give the backstory on the genesis of this paper, more clarification of this intervention development, some of the more important needs of both the patients and the clinicians, what’s still uncertain due to the limitations of this study, the clinical implications and big takeaways
Season 7, Episode 14 with Kathrin Braeuninger-Weimer: Reassurance and healthcare seeking in people with persistent musculoskeletal low back pain consulting orthopaedic spine practitioners
In episode 14 of season 7 of Inside the Science we’re highlighting the study, “Reassurance and healthcare seeking in people with persistent musculoskeletal low back pain consulting orthopaedic spine practitioners: A prospective cohort study” with Dr. Kathrin Braeuninger-Weimer. You’ll hear her give specifics to the reassurance data collected, the reassurance elements that predicted more subsequent physician consultations later, the clinical implications, and big takeaways.
Season 7, Episode 13 with Angela Cadogan: Shoulder pain in primary care: Frozen shoulder
In episode 13 of season 7 of Inside the Science we’re highlighting the study, “Shoulder pain in primary care: Frozen Shoulder” with Angela Cadogan. You’ll hear her share her comments on key features of frozen shoulder diagnosis, the three stages of the condition, the common complaints related to the two categories of pain-dominant versus stiffness-dominant phases, what best care is understood in the two stages appropriate for treatment, its etiology, the clinical implications, and big takeaways.
Season 7, Episode 12 with Angela Cadogan: Diagnostic Accuracy of Clinical Examination and Imaging Findings for Identifying Subacromial Pain
In episode 12 of season 7 of Inside the Science we’re highlighting the study, “Diagnostic Accuracy of Clinical Examination and Imaging Findings for Identifying Subacromial Pain” with Angela Cadogan. You’ll hear her share the backstory to why she and her co-authors conducted the study, specifics important to understand regarding the methods, the key findings including what is correlated to a higher likelihood of subacromial impingement, how the loss of motion with particular directions of shoulder motion, how this impacts the popular discussion of whether impingement exists in the first place the clinical implications and big takeaways.
Season 7, Episode 11 with Lindsay and Bryant Clark: Direct access to PT is highly successful in the US military. When will [authorities] provide the same to US civilian PTs?
In episode 11 of season 7 of Inside the Science we’re highlighting the study, “A call to action: direct access to physical therapy is highly successful in the US military. When will professional bodies, legislatures, and payers provide the same advantages to all US civilian physical therapists?” with Lindsay Clark and Bryant Clark. You’ll hear them share what prompted the study, some of what else has been published prior on this topic, additional evidence which would support PTs are safe and effective to see patients via direct access, some of the resistance to direct access for physical therapists, other studies on this topic, the clinical implications and big takeaways.
Season 7, Episode 10 with Laura Finucane: International Framework for Red Flags for Potential Serious Spinal Pathologies
In episode 10 of season 7 of Inside the Science we’re highlighting the study, “International Framework for Red Flags for Potential Serious Spinal Pathologies” with Dr. Laura Finucane. You’ll hear her give the backstory of the need for better abilities to pick on serious pathology through red flag identification, how prevalent these conditions are, a suggested three-step process on how a clinician might approach these scenarios, the risk factors related to four more common serious pathology conditions, the clinical implications, and big takeaways.
Season 7, Episode 9 with Belinda Lawford: Effect of Information Content and General Practitioner Recommendation to Exercise on Treatment Beliefs and Intentions for Knee Osteoarthritis
In episode 9 of season 7 of Inside the Science we’re highlighting the study, “Effect of Information Content and General Practitioner Recommendation to Exercise on Treatment Beliefs and Intentions for Knee Osteoarthritis: An Online Multi-Arm Randomized Controlled Trial” with Dr. Belinda Lawford. You’ll hear her further share specifics on what prompted the study, how the study was carried out, her perspective on how this might be carried out in everyday practice, other studies on the topic, the clinical implications, and big takeaways.
Season 7, Episode 8 with Belinda Lawford: Removing pathoanatomical content from information pamphlets about knee osteoarthritis did not affect beliefs about imaging or surgery, but led to...
In episode 8 of season 7 of Inside the Science we’re highlighting the study, “Removing pathoanatomical content from information pamphlets about knee osteoarthritis did not affect beliefs about imaging or surgery, but led to lower perceptions that exercise is damaging and better osteoarthritis knowledge: An online randomized controlled trial” with Dr. Belinda Lawford. You’ll hear her give the backstory of what prompted the study, why a group was chosen without symptoms and were given a hypothetical scenario about knee osteoarthritis, specifics on the methods of the study, the important results discovered related to giving more information and including pathoanatomical terms or not, the clinical implications and big takeaways.