In episode 5 of season 9, we’re highlighting the study, “Cost savings of reducing opioid prescribing for the treatment of people with low back pain in general practice: a modelling study”, with Dr. Anagha Killedar. You’ll hear her share a little on modeling studies and how they are conducted, considerations with different countries and healthcare systems, the actual cost and life savings estimated with reduction in opioid prescribing, those individuals who might most be interested in this paper whom we might share it with, the clinical implications and big takeaways.
Season 9, Episode 4 with Andrew Gamble: Intensive supervised rehab versus less supervised rehab following anterior cruciate ligament reconstruction? A systematic review and meta-analysis
In episode 4 of season 9 we’re highlighting the study, “Intensive supervised rehabilitation versus less supervised rehabilitation following anterior cruciate ligament reconstruction? A systematic review and meta-analysis” with Mr. Andrew Gamble. You’ll hear him elaborate on this issue of ACL reconstruction and subsequent rehabilitation considering what is best for outcomes, some of what may have been incorporated in rehab, the outcomes of return to sport participation, self-reported function, limb strength and functional performance tests, the clinical implications and big takeaways.
Season 9, Episode 3 with Andrew Gamble: Development of a patient decision aid for children and adolescents following anterior cruciate ligament rupture: an international mixed-methods study
In episode 3 of season 9 we’re highlighting the study, “Development of a patient decision aid for children and adolescents following anterior cruciate ligament rupture: an international mixed-methods study” with Mr. Andrew Gamble. You’ll hear him set the stage regarding the topic of management of ACL ruptures, precedence of decision aids in informing patients on other conditions, the specifics on how this study was conducted, specific statements made by those surveyed, the clinical implications and big takeaways
Season 9, Episode 2 with Dave Pleva: Management of concussion symptoms utilizing Mechanical Diagnosis and Therapy: a case series
In episode 2 of season 9 we’re highlighting the study, “Management of concussion symptoms utilizing Mechanical Diagnosis and Therapy: a case series” with Mr. Dave Pleva. You’ll hear him set the stage regarding concussion and the standard assessment and treatment, three cases where a multidisciplinary group managed these patients, the utility of MDT in ruling in or out the presence of a mechanical source of symptoms, the clinical implications and big takeaways.
Season 9, Episode 1 with Sigmund Gismervik: Physical examination tests of the shoulder: A systematic review and meta-analysis of diagnostic test performance
In episode 1 of season 9 of Inside the Science, we highlight the study, “Physical examination tests of the shoulder: A systematic review and meta-analysis of diagnostic test performance” with Mr. Sigmund Gismervik. You’ll hear him explain what the literature was understood related to physical exam tests for the shoulder before this systematic review and meta-analysis, some clarification on diagnostic odds ratio measure and how pooled DOR is done, the tests which showed more promise and those which didn’t, the clinical implications and big takeaways.
Season 8, Episode 16 with Scott Tagliaferri: Classification approaches for treating lower back pain have small effects that are not clinically meaningful: systematic review with meta analysis
In episode 16 of season 8 of Inside the Science we’re highlighting the study, “Classification approaches for treating lower back pain have small effects that are not clinically meaningful: a systematic review with meta-analysis” with Mr Scott Tagliaferri.. You’ll hear him explain what the literature on classification systems was suggesting before which prompted this study, exactly what was assessed in this review, how effectiveness was measured from the included studies, which systems showed any superiority in effectiveness compared to others, possible interpretation regarding the use of classification systems for complaints like low back pain, the clinical implications and big takeaways.
Season 8, Episode 15 with Peter Malliaris: Patient experiences of rotator cuff-related shoulder pain and their views on diagnostic shoulder imaging: a qualitative study
In episode 15 of season 8 of Inside the Science we’re highlighting the study, “Patient experiences of rotator cuff-related shoulder pain and their views on diagnostic shoulder imaging: a qualitative study” with Dr. Peter Malliaris. You’ll hear him discuss why he and his colleagues produced this paper, the impact of diagnostic imaging on rotator cuff-related pain patients, some themes from the responses of subjects in this study, how he’d suggest addressing these concerns with similar patients, the clinical implications and big takeaways.
Season 8, Episode 14 with Peter Malliaris: Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations
In episode 14 of season 8 of Inside the Science we’re highlighting the study, “Patellar Tendinopathy: Clinical Diagnosis, Load Management, and Advice for Challenging Case Presentations” with Dr. Peter Malliaris. You’ll hear him explain the best terminology we should consider using with patients with tendon pain, what historical characteristics are most associated with it, the physical examination findings most consistent with it, the latest best evidence of loading strategies most effective in management, the clinical implications and big takeaways.
Season 8, Episode 13 with Steve Karas: The effect of direction specific thoracic manipulation on the cervical spine: a randomized control trial
In episode 13 of season 8 of Inside the Science we’re highlighting the study, “The effect of direction-specific thoracic manipulation on the cervical spine: a randomized control trial” with Dr. Steve Karas. You’ll hear him explain the specific methods of this study, other related papers which might be of interest on this topic, how Dr. Karas uses this paper practically, the clinical implications and big takeaways.
Season 8, Episode 12 with Steve Karas: An RCT to compare the immediate effects of seated thoracic and targeted supine thoracic manipulation on cervical spine flexion range of motion and pain
In episode 12 of season 8 of Inside the Science, we highlight the study, “A randomized clinical trial to compare the immediate effects of seated thoracic manipulation and targeted supine thoracic manipulation on cervical spine flexion range of motion and pain” with Dr Steve Karas. You’ll hear him explain the results of each thoracic manipulation, other papers that address this topic of regional interdependence, the clinical implications and big takeaways.
Season 8, Episode 11 with Lindsay Carlton: The application of Mechanical Diagnosis and Therapy to the ankle-foot complex: a case series
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.