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.
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 7, Episode 5 with Pascale Granicher: Prehabilitation Improves Knee Functioning Before and Within the First Year After Total Knee Arthroplasty: A Systematic Review With Meta-analysis
In episode 5 of season 7 of Inside the Science, we’re highlighting the study, “Prehabilitation Improves Knee Functioning Before and Within the First Year After Total Knee Arthroplasty: A Systematic Review With Meta-analysis” with Dr. Pascale Granicher. She shares some specifics on the studies which met the inclusion criteria, which parameters measured showed some favor for the prehab intervention group, the clinical implications, and big takeaways.
Season 7, Episode 4 with Pascale Granicher: Do athletes benefit from preoperative physical therapy before ACL-reconstruction?
In episode 4 of season 7 of Inside the Science we’re highlighting the study, “Do athletes benefit from preoperative physical therapy before ACL reconstruction?” with Dr. Pascale Granicher. She shares some specifics on what the literature suggests is related to whether an athlete returns to a sport or not, and how factors like psychological factors, knee-specific factors, patient-specific factors, and timing of surgery may impact a return to sport. She also shares any relationship between prehabilitation to a return to sport and her recommended clinical implications and big takeaways.
Season 7, Episode 3 with Jean-Philippe: Quantitative MRI to Characterize the Nucleus Pulposus Morphological and Biomechanical Variation According to Sagittal Bending Load and Radial Fissure...
In episode 3 of season 7 of Inside the Science we’re highlighting the study, “Quantitative MRI to Characterize the Nucleus Pulposus Morphological and Biomechanical Variation According to Sagittal Bending Load and Radial Fissure, an ex vivo Ovine Specimen Proof-of-Concept Study” with Dr. Jean-Philippe Deneuville. He shares how this and his prior systematic review was part of his doctorate work, more specifics on the method of this lamb specimen model, the loads placed on the model, and the nuclear migration exhibited on both the intact, healthy disc and the disc with the fissure, the clinical implications, and big takeaways.
Season 7, Episode 2 with Jean-Philippe Deneuville: The Dynamic Disc Model, A Systematic Review with Meta-analysis
In episode 2 of season 7 of Inside the Science, we’re highlighting the study, “The Dynamic Disc Model, a systematic review with meta-analysis” with Dr. Jean-Philippe Deneuville. He shares how this paper was part of his doctorate work, the previous literature related to the disc model, some of the specific studies included in this review, the support for the use of the disc model of nuclear material migration upon loading, his recommended clinical implications, and big takeaways.
Season 7, Episode 1 with Christina Abdel Shaheed: Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain
In episode 1 of season 7 of Inside the Science, we’re highlighting the study, “Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain” with Dr. Christina Abdel Shaheed. She shares some of what prompted this study, how patterns of prescribing opioids vary across the globe, some specifics on the studies included in this review, and how she would advise the reader who cares for patients with low back pain who are prescribed opioids might use this paper to advocate for their patient, the clinical implications and the big takeaways.
Season 6, Episode 16 with Christina Abdel Shaheed: Transcutaneous electric nerve stimulation (TENS) for acute low back pain: systematic review
In episode 16 of season 6 of Inside the Science we’re highlighting the study, “Transcutaneous electric nerve stimulation (TENS) for acute low back pain: systematic review” with Dr. Christina Abdel Shaheed. She shares what TENS is and its intent, what the evidence says about TENS for chronic low back pain, the interpretations she’d advise in situations like this where there is simply a lack of evidence for an intervention, how TENS may be viewed as an alternative intervention to opioids, the clinical implications and the big takeaways.
Season 6, Episode 15 with Christina Abdel Shaheed: Efficacy, safety, and dose-dependence of the analgesic effects of opioid therapy for people with osteoarthritis
In episode 15 of season 6 of Inside the Science, we’re highlighting the study, “Efficacy, safety, and dose-dependence of the analgesic effects of opioid therapy for people with osteoarthritis: systematic review and meta-analysis” with Dr. Christina Abdel Shaheed. She shares some of what prompted this study, the dilemma related to the use of opioids for patients with osteoarthritis, the results of the placebo-controlled studies which were included in this systematic review, the responsibility she feels clinicians have in informing the public of these results, the clinical implications and the big takeaways.
Season 6, Episode 14 with Joshua Zadro: Development of a Patient Decision Aid on Subacromial Decompression Surgery and Rotator Cuff Repair Surgery: An International Mixed-Methods Study
In episode 14 of season 6 of Inside the Science, we’re highlighting the study, “Development of a patient decision aid on subacromial decompression surgery and rotator cuff repair surgery: an international mixed-methods study” with Dr. Joshua Zadro. He explains from where the idea of this paper came, some specifics as to what is included in the decision aid itself, what was identified as to when a shoulder surgery is appropriate, and some of the differing opinions of the aid from patients versus various clinicians, the clinical implications and the big takeaways.