In episode 14 of season 2 of Inside the Science we’re highlighting the article, “Do patients with low back pain remember physiotherapists' advice? A mixed-methods study on patient-therapist communication ” with the author, Mr. Georg Supp. He discusses the findings of this study - what existed on this topic prior, what had the greatest impact on whether patients remembered their therapist's advice, an unexpected finding of what influenced patients remembering more than other factors, and the big takeaways.
Season 2, Episode 12 with Ron Donelson: Can Large Disc Herniations Producing Radiculopathies Rapidly Improve?
In episode 12 of season 2 of Inside the Science we’re highlighting the study, “Can Large Cervical and Lumbar Disc Herniations Producing Radiculopathies Be Intentionally and Rapidly Improved?” with the author, Dr Ron Donelson. He shares how he’d suggest using this information as an advocate for a mechanical exam when patients present having a large herniation found on advanced imaging, who he’d share this data with, and the big takeaways.
Season 2, Episode 11 with Ron Donelson: Directional Preference for Acute/Chronic and LBP/Sciatica
In episode 11 of season 2 of Inside the Science we’re highlighting the study, “Influence of Directional Preference on Two Clinical Dichotomies: Acute Versus Chronic Pain and Axial Low Back Pain Versus Sciatica ” with the author, Dr Ron Donelson. He shares a look at the scene of classification and best care for low back and leg pain by the larger medical community at that time, the findings of this study and how directional preference improved care regardless of the pain location, duration and neurological status, how he’d suggest using this information to guide clinical behavior, and the big takeaways
Season 2, Episode 7 with Mark Laslett: Clinical Classification in LBP
In episode 7 of season 2 of Inside the Science, we’re highlighting the study, “Clinical classification in low back pain: best-evidence diagnostic rules based on systematic reviews” with the author, Dr. Mark Laslett. He shares a look at this case and his view as to why we should classify related to pathoanatomy. He elaborates, tissue by tissue, as to if the literature points toward our being able to classify according to each, how he’d suggest using it to impact our clinical behavior and the big takeaways.
Season 2, Episode 5 with Hans van Helvoirt: Centralization and Directional Preference Influence on Spinal Control
In episode 5 of season 2 of Inside the Science we’re highlighting the study, “The Influence of Centralization and Directional Preference on Spinal Control in Patients With Nonspecific Low Back Pain” with Mr. Hans van Helvoirt. He shares a bit of the reason why he thought this topic was important to study, how he uses the results to influence his clinical reasoning with spinal control tests whether directional preference or centralization is present, and the big takeaways.
Season 2, Episode 4 with Seth Petersen: Booster sessions and remote patient monitoring for LBP
In episode 4 of season 2 of Inside the Science, we’re highlighting the study, Telerehabilitation booster sessions, and remote patient monitoring in the management of chronic low back pain: A case series, and discussing it with the author Seth Petersen. He shares specifics on the specifics of this case series and the means of remote contact used, his views on how this might be effectively implemented and with which kinds of patients, and the big takeaways.
Season 2, Episode 3 with Mark Laslett: Manual Correction of an Acute Lumbar Lateral Shift
In episode 3 of season 2 of Inside the Science we’re highlighting the study, “Manual correction of an acute lumbar lateral shift: maintenance of correction and rehabilitation; A case report ” with the author, Dr Mark Laslett.. He shares a look at this case and some behind the scenes details of the case and why it was deemed important to publish. He explains its clinical implications, how he’d suggest using it to impact management of lumbar lateral shifts, and the big takeaways.
Season 1, Episode 16 with Daniel Belavy: Best modes of exercise for LBP
In episode 16 of season 1 of Inside the Science we’re highlighting the study, Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis and discussing it with one of the authors Daniel Belavy. He shares a look at this meta-analysis on exercise and what has shown effectiveness for low back pain. He explains what prompted this work, its clinical implications, how he’d suggest using it with patient education, and the big takeaways.
Season 1, Episode 15 with Daniel Belavy: The Causality of Low Back Pain
In episode 15 of season 1 of Inside the Science we’re highlighting the study, No consensus on causality of spine postures or physical exposure and low back pain: a systematic review of systematic reviews and discussing it with the author Daniel Belavy. He shares a look at this systematic review of systematic reviews on what causes low back pain. He explains what prompted this work, its clinical implications, how he’d suggest using it with patient education, and the big takeaways.
Season 1, Episode 14 with Hans van Helvoirt: Reliability of the Delitto Classification System
In episode 14 of season 1 of Inside the Science, we’re highlighting the study, Inter-rater reliability of a modified version of Delitto et al.’s classification-based system for low back pain: a pilot study and discussing it with one of its authors Hans van Helvoirt. He shares a look at this paper looking at the reliability of a popular classification system within physical therapy. He explains the appropriate interpretation of this data, how he allows these findings to influence his clinical thinking, the big takeaways, and recommended other work that would shed further light on this topic.
Season 1, Episode 6 with Audrey Long: A Case Series on Specific Directional Exercise on Low Back Pain
In Season 1 Episode 6 of Inside the Science I’m joined by Ms. Audrey Long, to discuss her paper Specific Directional exercise for Low Back Pain; A Case Series which was published in Physiotherapy Canada in 2008. Audrey gives the back story of this case series and how it was born out of the previous RCT “Does it Matter Which Exercise” from 2004. She explains what prompted her to conduct it, how it was originally intended to be performed, some limitations and criticisms, what the big takeaways are and how she uses this for patient and prospective patient education. This study gives important implications to those patients who’ve “tried therapy or exercise before” and haven’t found relief - another super-important study!
Season 1, Episode 5 with Audrey Long: An RCT of exercise for LBP
In Season 1 Episode 5 of Inside the Science I’m joined by Ms. Audrey Long, author of Does it matter which exercise? A randomized controlled trial of exercise for low back pain which was published in Spine in 2004. Although it’s over 15 years old it is a fundamental study for any clinician who evaluates and treats patients with low back pain. Being how common comparative effectiveness studies which show results where all the groups are improved but none more than the others, this study shows a different result. Comparing groups with a matched program to their directional preference, a non-matched program and a control group who received “evidence based” nondirectionally-specific exercises this trial revealed stark differences in patient responses. Hear Audrey acknowledge its limitations, how she uses this study with her patient education and how she’d encourage clinicians to be careful to not exaggerate its findings.
Season 1, Episode 4 with Ron Donelson: Predicting Annular Competence Based on Pain Response
In Season 1 Episode 4 of Inside the Science we summarize and discuss with the author, Dr. Ron Donelson, the study, A Prospective Study of Centralization of Lumbar and Referred Pain: A Predictor of Symptomatic Discs and Annular Competence. This paper hypothesized that the morphology and image findings of lumbar discs could be predicted by MDT therapists based on their symptom response. Dr. Donelson gives some background to the study, the limitations, big takeaways and an additional paper the avid clinician will want to read.
Season 1, Episode 1 with Ron Donelson - The cost impact of mechanical assessment in primary care.
S1E1 includes a review of the JMMT 2019 study, The Cost Impact of Quality-Assured Mechanical Assessment in Primary Low Back Pain Care. Subscribers of Inside the Science premium will hear Dr. Donelson share the motivation behind conducting and publishing this study, limitations, the implications, additional studies and the big takeaways for those clinicians treating patients with low back pain. A high definition infographic of the study specifics and insights from the author (like the image below) is made available.
(A high definition version of the image below is available for all premium subscribers)
