PT Inquest

Brought to you by CSMi One of the most important components of ethical healthcare is patient education. A fully informed patient makes everything easier later during the care. But that includes educated on the good and the bad. Sometimes "being hopeful" can actually be a disservice. "Doctor, What Happens After My Meniscectomy?" Smith JH, Houck DA, Kraeutler MJ, McCarty EC, Frank RM, Vidal AF. J Bone Joint Surg Am. 2019 Nov 6;101(21):1965-1973. doi: 10.2106/JBJS.19.00082. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Brought to you by CSMi Cognitive Functional Therapy for the win! Or is it? Are these differences in effect sizes from a simple group program big enough to get excited about? What else could be at play here? Chronic low back pain is hard... Cognitive functional therapy compared with a group-based exercise and education intervention for chronic low back pain: a multicentre randomised controlled trial (RCT). O'Keeffe M, O'Sullivan P, Purtill H, Bargary N, O'Sullivan K. Br J Sports Med. 2019 Oct 19. pii: bjsports-2019-100780. doi: 10.1136/bjsports-2019-100780. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Brought to you by CSMi What does it mean to have self-efficacy? How does that differ from one's perceived locus of control? Are they situation dependent? Can we changed them or just measure them? How does this affect our patients. The Self-Efficacy for Home Exercise Programs Scale: Development and Psychometric Properties. Picha KJ, Lester M, Heebner NR, Abt JP, Usher EL, Capilouto G, Uhl TL. J Orthop Sports Phys Ther. 2019 Sep;49(9):647-655. doi: 10.2519/jospt.2019.8779. Epub 2019 Jul 10. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Brought to you by CSMi Physicians often will offer a corticosteroid injection for those with osteoarthritis. Patients feel better in the short term, but is there long term harm? If the joint is shot anyway, does it matter? Intra-articular Corticosteroid Injections in the Hip and Knee: Perhaps Not as Safe as We Thought? Kompel AJ, Roemer FW, Murakami AM, Diaz LE, Crema MD, Guermazi A. J Radiology. Published Online:Oct 15 2019. doi: 10.1148/radiol.2019190341. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Brought to you by CSMi Shared decision making is the greatest thing! Ethical, honest, engaging. But do patients give a crap? Would they rather the provider just tell them what to do? Can we find a happy ground? Semistructured interviews regarding patients' perceptions of Choosing Wisely and shared decision-making: an Australian study. Allen J, King R, Goergen SK, Melder A, Neeman N, Hadley A, Hutchinson AM. BMJ Open. 2019 Aug 28;9(8):e031831. doi: 10.1136/bmjopen-2019-031831. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Brought to you by CMSi There has been some great work done regarding guidelines for many different musculoskeletal diagnoses, but do physical therapists follow them? How do they do compare to other medical professionals? We can always be better, but what stops us? Is it stubbornness, lack of knowledge, or might market forces and patient/professional cultures drive some of this? We discuss all of this and more with one of the authors, Josh Zadro! Do physical therapists follow evidence-based guidelines when managing musculoskeletal conditions? Systematic review Zadro J, O'Keeffe M, Maher C. BMJ Open. 2019;9:e032329. doi: 10.1136/bmjopen-2019-032329 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Brought to you by CSMi If you have listened to more than one episode of PT Inquest you will know that Erik thinks that quadriceps dysfunction is a major problem after ACLR. Assuming that you agree with that, are there interventions to address that issue? Do they work? What about just waiting? How would we know what works? Progressive strength training restores quadriceps and hamstring muscle strength within 7 months after ACL reconstruction in amateur male soccer players. Welling W, Benjaminse A, Lemmink K, Dingenen B, Gokeler A. Phys Ther Sport. 2019 Aug 9;40:10-18. doi: 10.1016/j.ptsp.2019.08.004. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Brought to you by CSMi Providing accurate information on back pain seems to build confidence in the provider but doesn't seem to have a huge effect on outcomes. Is this really an improvement? In this episode, Erik and JW explore the role of the provider is these difficult cases. The Fear Reduction Exercised Early (FREE) approach to management of low back pain in general practice: A pragmatic cluster-randomised controlled trial. Darlow B, Stanley J, Dean S, Abbott JH, Garrett S, Wilson R, Mathieson F, Dowell A. PLoS Med. 2019 Sep 9;16(9):e1002897. doi: 10.1371/journal.pmed.1002897. eCollection 2019 Sep. To order the rheumatology booklet created by Jack March that we discussed on the podcast head to his website: https://rheumatology.physio/ Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Brought to you by CSMi Patients have unique personalities, values, and circumstances but what about providers? Can the specific personality traits of the provider have an effect on outcomes? Is that a good thing? Or a bad thing? And what should we do about it? Do therapist effects determine outcome in patients with shoulder pain in a primary care physiotherapy setting? Kooijman MK, Buininga EM, Swinkels ICS, Koes BW, Veenhof C. Physiotherapy. Available online 2019 Aug 13. doi: 10.1016/j.physio.2019.08.009. Links from this episode's Mail Hole: How to Review an Article https://thesciencept.com/how-to-review-an-article/ Episode 123: How to Fix the Weak Spots in Contemporary Science https://ptpodcast.com/pt-inquest-episode-123-how-to-fix-the-weak-spots-in-contemporary-science/ Testing Treatments https://en.testingtreatments.org/book/ Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

Brought to you by CSMi We can prevent ACL injuries!!! Or are we just reducing risk? Or both? How do these programs work? Does it matter what you do or do you just need to do something? A Majority of Anterior Cruciate Ligament Injuries Can Be Prevented by Injury Prevention Programs: A Systematic Review of Randomized Controlled Trials and Cluster-Randomized Controlled Trials With Meta-analysis. Huang YL, Jung J, Mulligan CMS, Oh J, Norcross MF. Am J Sports Med. 2019 Aug 30:363546519870175. doi: 10.1177/0363546519870175. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission Direct Download