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 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 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 7 with Lance Mabry: Physical Therapists Are Routinely Performing the Requisite Skills to Directly Refer for Musculoskeletal Imaging: An Observational Study
In episode 7 of season 7 of Inside the Science we’re highlighting the study, “Physical Therapists Are Routinely Performing the Requisite Skills to Directly Refer for Musculoskeletal Imaging: An Observational Study ” with Dr. Lance Mabry. You’ll hear him elaborate on some background of physical therapist capability of safely referring for imaging, the potential benefits of PTs taking on this role, specifics on the methods and how the survey was administered, the results, the clinical implications, and big takeaways
Season 7, Episode 6 with Lance Mabry: Safety Events and Privilege Utilization Rates in Advanced Practice Physical Therapy Compared to Traditional Primary Care: An Observational Study
In episode 6 of season 7 of Inside the Science we’re highlighting the study, “Safety Events and Privilege Utilization Rates in Advanced Practice Physical Therapy Compared to Traditional Primary Care: An Observational Study” with Dr. Lance Mabry. You’ll hear him elaborate on the utilization of these ten categories of services and treatment delivered in the two groups, which services were utilized more or less by the physical therapy group compared to the family health group, how this fits within the idea that PTs are or aren’t suitable and safe as first-line providers for musculoskeletal disorder management, the clinical implications, and big takeaways.
Season 6, Episode 7 with David Hunter: Multi-centre RCT comparing arthroscopic hip surgery to physiotherapist-led care for femoroacetabular impingement (FAI) syndrome on hip cartilage metabolism
In episode 7 of season 6 of Inside the Science we’re highlighting the study, “ Multi-centre randomised controlled trial comparing arthroscopic hip surgery to physiotherapist-led care for femoroacetabular impingement (FAI) syndrome on hip cartilage metabolism: the Australian FASHIoN trial” with Dr. David Hunter. He explain what exactly was measured and how, how the primary outcome of joint cartilage status and change was used to control placebo effect, how we should interpret this in everyday clinical consideration, what actually was favored between arthroscopy and physiotherapy-led care, the clinical implications and the big takeaways.
Season 5, Episode 16 with Nathan Savage: The Relationship Between History and Physical Examination Findings and the Outcome of Electrodiagnostic Testing in Patients With Sciatica
In episode 16 of season 5 of Inside the Science we’re highlighting the study, “The Relationship Between History and Physical Examination Findings and the Outcome of Electrodiagnostic Testing in Patients With Sciatica Referred to Physical Therapy” Dr. Nathan Savage. He shares what prompted this study, the results and association or lack of association with examination and patient history for patients with sciatica of electrodiagnostic testing with sciatica, how this should impact our care and education for our patients, the clinical implications and the big takeaways.
Season 5, Episode 14 with Nathan Savage; The prognostic value of electrodiagnostic testing in patients with sciatica receiving physical therapy
In episode 14 of season 5 of Inside the Science we’re highlighting the study, “The prognostic value of electrodiagnostic testing in patients with sciatica receiving physical therapy” Dr Nathan Savage. He shares some general understanding of electrodiagnostic testing, common electrodiagnostic testing changes with radiculopathy and expected test results over time in this population, elaboration of the extension-based care given, how this study may help for treatment decision making, whether conservative or interventional care, the clinical implications and the big takeaways.
Season 5, Episode 11 with Ebonie Rio: Is heavy eccentric calf training our best option for mid-portion Achilles tendinopathy?
In episode 11 of season 5 of Inside the Science we’re highlighting the editorial, “Is heavy eccentric calf training our best option for mid-portion Achilles tendinopathy? A systematic review and meta-analysis” with Dr. Ebonie Rio. She explains the findings of this systematic review, what constitutes the comparative exercises eccentrics were compared to, with whom this data is most important to share, how it’s not about what is the best exercise but what is best for the patient in front of me at this moment, the clinical implications and the big takeaways
Season 5, Episode 3 with Terry Rose: Measurement of outcomes for patients with centralising versus non-centralising neck pain
In episode 3 of season 5 of Inside the Science we’re highlighting the study, “Measurement of outcomes for patients with centralizing versus non-centralizing neck pain” with Dr. Terry Rose. He shares what was lacking in the literature which prompted this study, the operational definition of centralization which was used, the most important data he’d suggest we take from the results, the clinical implications and the big takeaways.
Season 4, Episode 16 with Kory Zimney: Evaluation is treatment for low back pain
In episode 16 of season 4, we’re highlighting the study, “Evaluation is a treatment for low back pain” with Dr. Korey Zimney. In the full discussion, you’ll hear Dr. Zimney further elaborate on the importance of the clinician-patient relationship commonly referred to as therapeutic alliance, specifics on the methods, which aspects of pain, beliefs and function were impacted and which weren’t, why he believes that may have occurred, the specific implications and the big takeaways.
Season 4, Episode 13 with Pierre Cote: Is a government -regulated rehab guideline more effective than a GP education or preferred-provider rehab for acute whiplash
In episode 13 of season 4 we’re highlighting the study, “Is a government-regulated rehabilitation guideline more effective than general practitioner education or preferred-provider rehabilitation in promoting recovery from acute whiplash-associated disorders? A pragmatic randomised controlled trial” with Dr. Pierre Cote. If you’d like to get access to the full discussion with Dr. Cote to hear him further explain how too much care too early can delay recovery, the differences of what was delivered in these three groups, how reducing the time it took for patients to receive care affected recovery, the specific implications and the big takeaways.
Season 4, Episode 12 with Joe Maccio: Directional preference of the wrist: a preliminary investigation
In episode 12 of season 4, we’re highlighting the study, “Directional preference of the extremity: a preliminary investigation” with Dr Joe Maccio. In the full discussion, you’ll hear Dr Maccio further explain what data was measured and gathered, what were the most associated findings linked to those with a directional preference and therefore classified as derangement, some data regarding movement targeted at the thoracic spine, the specific implications and the big takeaways. You can subscribe to the premium version at www.mechanicalcareforum.com
Season 4, Episode 10 with Lena Bornhoft: More Cost-Effective Management of Patients with MSDs in Primary Care After Direct Triaging to Physiotherapists
In episode 9 of season 4, we’re highlighting the study, “More cost-effective management of patients with musculoskeletal disorders in primary care after direct triaging to physiotherapists for initial assessment compared to initial general practitioner assessment” with Dr. Lena Bornhoft. You’ll hear her explain a triage system steering patients to Physios as compared to medical doctors, what effect this simple change in who saw the patient first had on secondary costs, how we might apply this in our own markets, its clinical implications and the big takeaways.
Season 4, Episode 9 with Lena Bornhoft: Physiotherapy in Primary Care Triage – the effects on utilization of medical services at primary health care clinics by patients with MSK disorder
In episode 9 of season 4 we’re highlighting the study, “Physiotherapy in Primary Care Triage – the effects on utilization of medical services at primary health care clinics by patients and sub-groups of patients with musculoskeletal disorders: a case-control study” with Dr. Lena Bornhoft. You’ll hear her elaborate on this triage system, how we should best interpret these findings, who might be most interested in this data, its clinical implications and the big takeaways.
Season 4, Episode 8 with Troy McGill: Effectiveness of Physical Therapists Serving as Primary Care Musculoskeletal Providers as Compared to Family Practice Providers in a Deployed Combat Location
In episode 8 of season 4, we’re highlighting the study, “Effectiveness of Physical Therapists Serving as Primary Care Musculoskeletal Providers as Compared to Family Practice Providers in a Deployed Combat Location: A Retrospective Medical Chart Review” with Dr Troy McGill. You’ll hear him further explain what was done in this study, the results related to the utilization of tests and services, and the most important outcomes of return to duty rate comparison, the most fitting audience who should have an interest in this data, its clinical implications and the big takeaways.