JOSPT Insights – Details, episodes & analysis

A thirty-year-old woman, who plays social basketball once each week and goes to the climbing gym at least twice each week, has been diagnosed with a traumatic medial meniscus tear.

The woman was told that surgery is the only way to 'fix' her knee so she can get back to basketball and climbing. But is that really what the research evidence says?

Professors Jonas Thorlund and Søren Skou (University of Southern Denmark) share the key findings of their DREAM trial, and its clinical implications for managing traumatic meniscal tears.

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RESOURCES

DREAM trial report: https://pubmed.ncbi.nlm.nih.gov/38319181/

STARR trial report: https://pubmed.ncbi.nlm.nih.gov/35676079/

Comparing treatment strategies for traumatic and non-traumatic meniscus tears: https://www.jospt.org/doi/10.2519/jospt.2024.12245

Should symptom onset guide treatment choice for meniscus tears? https://www.jospt.org/do/10.2519/jospt.blog.20240415/full/

Dr Kala Flagg of the Washington Mystics answers the classic Sports Corner questions for high-level women's basketball. She covers the demands of the sport, the most common injuries, and key things to plan for during injury rehabilitation.

Considering playing style, shoe fit, and physical fitness are all in a day's work when supporting high-level women's basketball athletes to perform at their best.

Welcome to a chat with a physical therapist who is using their orthopaedic and sports skills outside the typical practice environment. Dr Patricia Weber shares her experience as a senior physical therapist in the shock trauma setting–a world that blends orthopedic, neurologic and multi-trauma in a challenging emotional and psychological environment.

Dr Weber is a senior physical therapist at the University of Maryland Medical Center. She primarily treats within the R. Adams Cowley Shock Trauma center in downtown Baltimore.

How do you make the most of the information available to you about sports injuries while you focus on building a strong trust relationship with the athlete? Dr Nicol van Dyk—medical research lead with the Irish Rugby Football Union—brings his trademark innovative thinking and practical advice to JOSPT Insights. We draw on Nicol’s extensive experience in sports medicine research and practice to walk step-by-step through simple solutions to diagnosing and managing hamstring injuries.

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RESOURCES

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2016 Bern Consensus on return to sport: https://pubmed.ncbi.nlm.nih.gov/27226389/

Early versus delayed rehabilitation after acute muscle injury: https://pubmed.ncbi.nlm.nih.gov/28953439/

Rehabilitation after acute hamstring injury: https://www.jospt.org/doi/10.2519/jospt.2020.8895

Clinical Practice Guideline Hamstring Injury in Athletes: https://www.jospt.org/doi/10.2519/jospt.2022.0301

Biology of muscle tissue healing: https://skeletalmusclejournal.biomedcentral.com/articles/10.1186/s13395-017-0142-x

Steven Covey's 7 Habits of Highly Effective People: https://www.goodreads.com/book/show/36072.The_7_Habits_of_Highly_Effective_People

How confident do you feel to design and deliver a quality rehabilitation program for someone who has had a total knee replacement? Today, Professor Jennifer Stevens-Lapsley, who is one of the leading lights in clinical research in this field, shares her tips for clinical success and an update on the open research questions in the field. Professor Stevens-Lapsley gives us the inside running on the work going on to help provide answers to those important clinical questions.

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Clinical practice guidelines for physical therapy after total knee replacement: https://pubmed.ncbi.nlm.nih.gov/32542403/

Tune in for a view of baseball injuries across the lifespan and across the field positions with clinician-scientists Dr Ellen Shanley and Dr Chuck Thigpen. We cover what the clinician can expect in early season vs. late season injuries, how baseball injuries have changed, the changes in injuries across the athlete’s lifespan, and how communicating well with athletes and coaches will make lasting changes in injury rates.

We're premiering a new series focused on JOSPT Cases—a teaching tool to help develop your clinical reasoning and highlight how to apply evidence in your practice. Today, Dr Kimiko Yamada explains an orthopedic case from JOSPT Cases. She outlines how JOSPT Cases works, how you can subscribe, and how you can submit your own cases to be highlighted in future editions.

To visit JOSPT Cases you can follow the link here: https://www.jospt.org/loi/jospt-cases

You've probably read clinical practice guidelines that tell you to screen for so-called yellow flags. But how do you approach screening? Today, Dr Trevor Lentz shares a practical, 3-step framework on how to screen for yellow flags, and that important next step—what to do with the information.

Learn more about screening for yellow flags in orthopaedic physical therapy: https://www.jospt.org/doi/10.2519/jospt.2021.10570

Downlad the Optimal Screening for Prediction of Referral and Outcome (OSPRO) tool: https://www.jospt.org/doi/10.2519/jospt.2016.6487

Sports Corner is a brand-new series from JOSPT Insights! Dan and Chelsea talk with experts in a specific sport, and ask them to share their knowledge on how to deliver best care for athletes. Dr Tim Stone is a physical therapist who specializes in treating lacrosse players, and is an athlete himself. He details the demands of lacrosse by position and shares tips on how to handle “lax back”.

Why do we hurt, and why does pain persist for some people? Today, Dr Tasha Stanton—clinical pain neuroscientist and physiotherapist from the University of South Australia—is exploring ways to hijack the complex processes going on in our body for good. All in the name of managing pain better. ------------------- DR STANTON'S RESOURCE RECOMMENDATIONS NOI Group: https://www.noigroup.com/ Pain Chats: https://painchats.com/ HealthSkills Blog (Dr Bronnie Lennox Thompson): https://healthskills.wordpress.com/