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***WARNING: Explicit content***

In this slightly delayed episode due to some unforeseen circumstances Adam and Greg discuss the concept of motor control exercises which are popular in low back pain management and rehab in the belief that they correct faulty issues with specific stabilising muscles.

But do they? Do motor control exercises, control motor function, or are they just a giant over complicated waste of time and no better than general exercise? Come join us as we try to find out.

For access to many of the papers referenced in this episode please go to Greg’s Google drive file here https://drive.google.com/open?id=1cx3hPbw8lvU-mCsAwHX-hqQCLCd7Cs6w

Music by Kevin MacLeod – incompetech.com:
Intro – Also sprach Zarathustra
Close – Vivacity

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“How do you feel now compared to how you felt before surgery?” is a common question asked of patients? But how well do they remember? Are they accurate or do they overestimate or do they underestimate? What effects can perception of pretreatment symptoms have on perception of progress?

Patients Undergoing Shoulder Stabilization Procedures Do Not Accurately Recall Their Preoperative Symptoms at Short- to Midterm Follow-up.
Hope D, French J, Pizzari T, Hoy G, Barwood S.
Orthop J Sports Med. 2019 Jun 12;7(6):2325967119851084. doi: 10.1177/2325967119851084. eCollection 2019 Jun.

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

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This episode is less about exercise programs after total hip arthroplasty and more about meticulous study design prior to data collection. We look at essentially having the paper written before the study begins – all you have left to do is plug in the data and run the calculations!

Pragmatic Home-Based Exercise after Total Hip Arthroplasty – Silkeborg: Protocol for a prospective cohort study (PHETHAS-1)
Mikkelsen LR, Madsen MN, Rathleff MS, Thorborg K, Rossen CB, Kallemose T, Bandholm T.
F1000 Research. Latest published: 25 Jun 2019, 8:965 doi: 10.12688/f1000research.19570.1.

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.

The quad torque-to-body-weight article in elderly that was mentioned in response to the Mail Hole question: https://www.ncbi.nlm.nih.gov/pubmed/11909879

Produced by:
Matt Hunter

Music for PT Inquest:
“The Science of Selling Yourself Short” by Less Than Jake
Used by Permission

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Patient reported outcome measures (PROM) are commonly used to assess function in patients. But is that what they are actually measuring? Can we alter those scores in a meaningful way just through practicing the tasks mentioned in the questionnaire?

Can the QuickDASH PROM be Altered by First Completing the Tasks on the Instrument?
Shapiro LM, Harris AHS, Eppler SL, Kamal RN.
Clin Orthop Relat Res. 2019 Apr 27. doi: 10.1097/CORR.0000000000000731. [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

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Brought to you by CSMi

What do patients believe about knee osteoarthritis and nonsurgical interventions? Where do they get these beliefs? Can we change these beliefs? Even if we do will that make a difference?

Misconceptions and the Acceptance of Evidence-based Nonsurgical Interventions for Knee Osteoarthritis. A Qualitative Study.
Bunzli S, O’Brien P, Ayton D, Dowsey M, Gunn J, Choong P, Manski-Nankervis JA.
Clin Orthop Relat Res. 2019 Jun 10. doi: 10.1097/CORR.0000000000000784. [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

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Brought to you by CSMi

Exercise works for pain..but why? Probably not for the reasons that we think. Does it matter? What a silly question…

Musculoskeletal pain and exercise-challenging existing paradigms and introducing new.
Smith BE, Hendrick P, Bateman M, Holden S, Littlewood C, Smith TO, Logan P.
Br J Sports Med. 2018 Jun 20. pii: bjsports-2017-098983. doi: 10.1136/bjsports-2017-098983. [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

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***WARNING: Explicit content***

In this episode Adam and Greg talk about the Acute to Chronic Workload Ratio (ACWR) and its role on injury risk. Does it tell us anything we don’t already know and is it even accurate or reliable? Should you only increase your workload by 10% per week? Should you follow the 80/20 rule? Listen on to find out more…and how Greg almost offended all of Oklahoma.

Link to Tim Gabbett’s ACWR paper here:
https://bjsm.bmj.com/content/bjsports/50/5/273.full.pdf

And the link to Adam and Erik’s Simple Solutions course in Nottingham on 22/23rd June can be found here:
https://www.eventbrite.co.uk/e/complex-understanding-for-simple-solutions-nottingham-tickets-53746919483

Music by Kevin MacLeod – incompetech.com:
Intro – Also sprach Zarathustra
Close – Vivacity

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This study looked at pain score associations between people with “typical” and “atypical” bedtimes. Sandy and Cory discuss the topic of sleep and pain broadly as well. So, perk up and see if you can make through this episode without dozing off.

Does bedtime matter among patients with chronic pain? A longitudinal comparison study.
McHugh RK, Edwards R, Ross E, Jamison R.
PAIN Reports. May/June 2019 – Volume 4 – Issue 3 – p e747. doi: 10.1097/PR9.0000000000000747.

We also discussed this paper:
Effects of sleep changes on pain-related health outcomes in the general population: A systematic review of longitudinal studies with exploratory meta-analysis.
Afolalu EF, Ramlee F, Tang NKY.
Sleep Med Rev. 2018 Jun;39:82-97. doi: 10.1016/j.smrv.2017.08.001. Epub 2017 Aug 18.

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.

Music by Kevin MacLeod – incompetech.com:
Intro – Brandenburg No4 and Meatball Parade
Close – Meatball Parade

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Brought to you by CSMi

What happens when you go onto the interwebs and search for information from the websites of reputable organizations (government, hospital, university, professional associations, etc)? Is it accurate? Who defines accurate? What is the purpose of these websites?

Credibility, Accuracy, and Comprehensiveness of Internet-Based Information About Low Back Pain: A Systematic Review.
Ferreira G, Traeger AC, Machado G, O’Keeffe M, Maher CG.
J Med Internet Res. 2019 May 7;21(5):e13357. doi: 10.2196/13357.

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

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Brought to you by CSMi

Following an algorithm in medicine (and other high consequence professions) is shown to result in better outcomes. But isn’t that just like following a cookbook? Or is it more about making sure that we don’t miss things?

Evidence-based algorithm to treat patients with proximal humerus fractures-a prospective study with early clinical and overall performance results.
Spross C, Meester J, Mazzucchelli RA, Puskás GJ, Zdravkovic V, Jost B.
J Shoulder Elbow Surg. 2019 Jun;28(6):1022-1032. doi: 10.1016/j.jse.2019.02.015. Epub 2019 Apr 16.

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

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