PT Inquest

Uncertainty is not just a reality in life it is a reality of professional practice. The ability to embrace uncertainty is known to have a positive effect on critical thinking and avoiding errors in judgement. That's all great, but do medical professionals acknowledge uncertainty in their practice? Is this harmful to patients? Does it raise healthcare costs? What about informed consent? As William Osler once said, "The greater the ignorance, the greater the dogmatism."

A couple years ago, Alessandro Lelli described his new test for ACL insufficiency via YouTube. Originally known as "Lelli's Test", he first published it in the literature as the "Lever Sign" in late 2014 reporting 100% accuracy. Ok - seemed a little TOO perfect. Now the literature has its first independent study on the Lever Sign so let's take a closer look at this test.

Sure, we know that ACLs get torn and the vast majority of those mechanisms are non-contact. So what EXACTLY happens in those knees? We have some plausible ideas like dynamic valgus, but how does that tear the ACL without any injury to the MCL? How would we answer such a question? Will JW survive the current heatwave in Minnesota?

When dealing with a high ankle sprain (syndesmosis injury) Grade I never requires surgery whereas Grade III always requires surgery. But what about Grade II? In this episode we explore predictors of syndesmotic instability when assessing a Grade II sprain and the return to sport prognoses. All this while JW approaches absolute zero!

Sports-related concussions have been getting more and more attention over the past decade. The growing understanding of the potential for developing chronic brain disease is creating a cause for concern. Are sports medicine professionals managing concussions differently today? How well do we understand this process? Has Erik had too many concussions over the years to form a complete sentence? Here is a link to the NATA Position Statement on Management of Sport Concussion.

It's that time of year again and the PT Podcast Network crew are in the holiday spirit! The gang got together, as best they can scattered across the world, to share a little eggnog and make fun of each other. So pour yourself a drink, sit by the fire (or pool in the Southern Hemisphere), and enjoy a little holiday cheer.

It is well known that quadriceps strength asymmetries are commonly seen in subjects who have difficulty returning to sport after anterior cruciate ligament reconstruction (ACLR), but does that asymmetry correlate to a specific presentation on landing mechanics? What do we know about second injury in these subjects? Can we do anything about it? We ask these and many other questions when we chat with lead author from The Ohio State University, Laura Schmitt, PhD, PT! Also, this is the last podcast of the current 12 episode season before we go on our usual 3 month hiatus. While we're gone, catch up on previous episodes or check out some of the other shows on the network!

There is a belief out there that weak hips may cause patellofemoral pain, but this article found the opposite. How can we make any sense out of all the ambiguity? If only we had a Masters in Biomechanics. Luckily special guest Greg Lehman does! For more info on Greg including his teaching schedule, visit his website!

Orthopedic surgeons have a lot to consider when they are deciding whether or not to recommend surgery for rotator cuff tears, but how do they implement that decision process in practice? What makes a surgeon more or less likely to go towards early surgery vs physical therapy? Will JW take "the Bard-Parker solution"???

There are a maze of treatment options for people with pain, "each backed by enthusiastic and highly motivated advocates, all of whom lay claim to 'evidence'". How do clinicians wade through all the different ideas out there and get a handle on effectiveness? Or is it efficacy? Confused? Even if you're not, listen to this episode with special guest Neil O'Connell!!!