In episode 9 of season 5 of Inside the Science we’re highlighting the editorial, “Adaptation of the pathological tendon: You cannot trade in for a new one, but perhaps you don't need to?” with Dr. Ebonie Rio. She explains the current understand of the pathology of a tendon, how she educates her patients who present with a painful or limiting tendon, some suggested resources to paint an accurate picture for patients, the clinical implications and the big takeaways.
Season 5, Episode 8 with Chad Cook: Classification of older adults who underwent lumbar-related surgery using pre-operative biopsychosocial predictors and relationships with surgical recovery
In episode 8 of season 5 of Inside the Science we’re highlighting the study, “Classification of older adults who underwent lumbar-related surgery using pre-operative biopsychosocial predictors and relationships with surgical recovery: An observational study conducted in the United States” with Dr. Chad Cook. He explains more about the three categories of risk of poor outcomes related to surgical recovery, a possible role of the non-surgical care provider and how we might contribute through screening patients, the clinical implications and the big takeaways.
Season 5, Episode 7 with Italo Lemes: Association of sedentary behavior and early engagement in physical activity with low back pain in adolescents: a cross‐sectional epidemiological study
In episode 7 of season 5 of Inside the Science we’re highlighting the study, “Association of sedentary behavior and early engagement in physical activity with low back pain in adolescents: a cross‐sectional epidemiological study” with Dr. Italo Lemes. He explains the methods and what qualified as physical activity and sedentary behavior, the most important finding, who the most relevant audience is and why policy makers are included, the clinical implications and the big takeaways.
Season 5, Episode 6 with Ebonie Rio: Isometric Exercise to Reduce Pain in Patellar Tendinopathy In-Season: Is It Effective “on the Road?”
In episode 6 of season 5 of Inside the Science we’re highlighting the study, “Isometric Exercise to Reduce Pain in Patellar Tendinopathy In-Season; Is It Effective “on the Road?” with Dr. Ebonie Rio. She explains how load was applied through this Spanish squat variation, the importance of patient or subject adherence, how educating the patient was scripted including a careful choice of words used, how these results are partly due to natural history, more studies on patellar tendinopathy, the clinical implications and the big takeaways.
Season 5, Episode 5 with Richard Rosedale: Efficacy of Exercise Intervention as Determined by the McKenzie System of Mechanical Diagnosis and Therapy for Knee Osteoarthritis; An RCT
In episode 5 of season 5 of Inside the Science we’re highlighting the study, “Efficacy of Exercise Intervention as Determined by the McKenzie System of Mechanical Diagnosis and Therapy for Knee Osteoarthritis; A RCT” with Mr. Richard Rosedale. He shares some specifics of the methods important to understand, the operational definition of directional preference in this paper, the most important data he’d suggest we take from the results like the effect size, the clinical implications and the big takeaways.
Season 5, Episode 4 with Joseph Hathcock: Shoulder Pain of Spinal Source in the Military: A Case Series
In episode 4 of season 5 of Inside the Science we’re highlighting the study, “Shoulder Pain of Spinal Source in the Military: A Case Series” with Dr Joseph Hathcock. He shares the selection process of these three patients with shoulder complaints included in this case series, the unique loading strategies which yielded a reduction of each subject’s pain and the restoration of movement and function, the subject’s response and utilization of care and timeframe needed to recover, 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 5, Episode 2 with Monica Chan: Inter-rater Reliability of MDT for the Provisional Classification of LBP in Adolescents and Young Adults
In episode 2 of season 5 we’re highlighting the study, “Inter-rater Reliability of the McKenzie Method of Mechanical Diagnosis and Therapy for the Provisional Classification of Low Back Pain in Adolescents and Young Adults ” with Ms. Monica Chan. In the full discussion you’ll hear Ms. Chan further explain the limitations of this study, the most important data to draw from this paper including the agreement between the examiners, possible reasons why younger subjects were classified less reliably, the specific implications and the big takeaways.
Season 5, Episode 1 with Joe Maccio: Directional preference of the wrist: a preliminary investigation
In episode 1 of season 5, we’re highlighting the study, “Directional preference of the wrist: a preliminary investigation” with Dr. Joe Maccio. In the full discussion, you’ll hear Dr. Maccio further explain the characteristics of these 19 patients, the predictive observations of those patients showing directional preference, how this has influenced his assessment of extremities in general and especially patients with wrist complaints, the specific 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 15 with Kory Zimney: The Clinical Application of Teaching People About Pain
In episode 15 of season 4 we’re highlighting the study, “The clinical application of teaching people about pain” with Dr. Kory Zimney. In the full discussion you’ll hear Dr. Zimney further explain the evidence behind effective pain neuroscience education, the benefits of the use of metaphors, examples, and illustrations, other resources to read additionally, the specific implications and the big takeaways.
Season 4, Episode 14 with Joe Maccio: The application of mechanical diagnosis and therapy in lateral epicondylalgia
In episode 14 of season 4 we’re highlighting the study, “The application of mechanical diagnosis and therapy in lateral epicondylalgia” with Mr. Joe Maccio. In the full discussion you’ll hear Mr. Maccio further explain the method of assessment and treatment for these three patients, the understood conventional criteria with which clinicians use to diagnose a patient with lateral epicondylitis or epicondylosis, specifics on the history and physical exam findings with the subjects, 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 11 with Pierre Cote: Management of neck pain and associated disorders: A clinical practice guideline from the OPTIMa
In episode 11 of season 4, we’re highlighting the study, “Management of neck pain and associated disorders: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration” with Dr. Pierre Cote. If you’d like to get access to the full discussion with Dr. Cote to hear him further explain the bone and joint decade task force on neck pain and associated disorders which led to this study, how clinical guidelines, in general, should be used and their value, the specific implications and the big takeaways.
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.
Season 4, Episode 7 with Italo Lemes: The study: Do exercise-based prevention programmes reduce non-contact musculoskeletal injuries in football (soccer)? A systematic review and meta-analysis
In episode 7 of season 4 we’re highlighting the study, “Do exercise-based prevention programs reduce non-contact musculoskeletal injuries in football (soccer)? A systematic review and meta-analysis with 13,355 athletes and more than 1 million exposure hours” with Dr. Italo Lemes. If you’d like to get access to the full discussion with Dr. Lemes to hear him further explain the specifics as to how this trial was conducted, what made up these prevention programs, what we should consider in addressing footballers or soccer players, the specific implications and the big takeaways
Season 4, Episode 6 with Corinna Franklin:Prevention of Anterior Cruciate Ligament Rupture in Female Athletes
In episode 6 of season 4 of Inside the Science we’re highlighting the study, “Prevention of Anterior Cruciate Ligament Rupture in Female Athletes” with Dr. Corinna Franklin. You’ll hear her description of the difficulties due to variability in the included studies on ACL prevention programs, her explanation of some of the studies specific components to these programs and findings, the implications and the big takeaways.