Physio Foundations: Recent Episodes

Perraton.Physio

Welcome to the physio foundations podcast, a podcast about the foundational knowledge and skills that lie beneath expert clinical practice.

Hosted by Luke Perraton, PhD, physiotherapist and physiotherapy educator/researcher at Monash university, Melbourne, Australia.

You can watch the video podcast version on YouTube at https://www.youtube.com/channel/UCz_Dmvd9wVxpoVN5Dpnx76w/featured

Visit our website Perraton.Physio to read our blog and find out more about us

Leave a comment on Facebook, Twitter or Instagram @PerratonPhysio @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Cindy Phan and Chris Lawry are physiotherapists based at Bundoora Specialist Health Care and providers of the Bryta cognitive motor training program for older adults.

In this episode, we explore patient-centred physiotherapy for older adults, including community and geriatric physiotherapy, home visits, goal setting, communication with healthcare teams, and the real-world application of what physiotherapy students learn at university. We also discuss how clinicians stay current with evidence-based practice and why individualised care is so important when working with older adults.

Thanks to Chris and Cindy for a great conversation.

In this episode:

0:00 Introduction

1:44 What does a typical day in community and geriatric physiotherapy look like?

5:10 Balancing clinician and business owner roles

6:35 Why home visits improve personalised care and goal setting

11:15 Conditions commonly managed in older adults

13:15 When should physiotherapists refer for medical review?

16:00 Communication tips for speaking with referrers and healthcare teams

19:15 Real patient goals and individualised physiotherapy care

27:00 The real-world relevance of what you learn at university

32:15 Staying up to date with evidence in clinical practice

44:50 Final thoughts and how to connect

Read more about Chris and Cindy, and the Bryta program, at their practice website Bundoora Specialist Health Care

Cindy’s LinkedIn: https://www.linkedin.com/in/cindy-p-bryta/

Chris’ LinkedIn: https://www.linkedin.com/in/christopher-lawry-687210115/

Bryta LinkedIn: https://www.linkedin.com/company/bryta/

Bryta Instagram: @Brytatraining

https://www.instagram.com/brytatraining/

Website: www.bryta.net

Dementia Australia website: https://www.dementia.org.au/

University of Tasmania dementia resources: https://www.utas.edu.au/wicking

If you are finding this content helpful, we would appreciate a review and rating for the Physio Foundations podcast. This really helps promote the podcast to others. Hit the follow button and give us a review and 5-star rating!

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  • Watch us on YouTube: https://www.youtube.com/@PerratonPhysio
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This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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If you are studying and putting in the work, but feel like things aren’t sticking, or that you’re falling behind, this episode is for you.

This episode is a practical overview of learning as a skill, with a focus on how to study more effectively in physiotherapy. It will also be useful for new graduates and clinicians who want to revisit and strengthen their foundations skills in learning.

Use the timestamps below to jump to relevant sections.

In this episode:

0:00 Introduction to the episode

6:01 Learning is a skill

10:26 Adult learning is unstructured

18:30 Flexible learning is harder than structured learning

21:03 Lectures are a guide to your study – the problem with rote learning

27:50 Core learning skills – getting organised

30:55 Five tips for learning

41:30 Summary

If you are finding this content helpful, we would appreciate a review and rating for the Physio Foundations podcast. This really helps promote the podcast to others. Hit the follow button and give us a review and 5-star rating!

Stay connected:

  • Read more at Perraton.Physio or the Perraton Physio LinkedIn page.
  • Watch us on YouTube: https://www.youtube.com/@PerratonPhysio
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This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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Chris Lawry and Cindy Phan are physiotherapists based at Bundoora Specialist Health Care and providers of the Bryta Motor Cognitive training program for older adults.

In this episode, Chris and Cindy discuss motor cognitive training, including how they developed a special interest in this area and how it can be applied in clinical practice. We also discussed foundational communication and manual handling skills that will help take you from new grad practitioner to the next level.

Thanks to Chris and Cindy for a great conversation. Use the timestamps below to jump to relevant sections.

In this episode:

0:00 Introduction to the episode

5:30 Developing a special interest in motor cognitive training

10:15 What problems can you address with this type of training?

16:00 Examples of specific motor cognitive training

24:18 Making rehab matter to the person

25:20 Applying foundational knowledge from university

31:35 Be creative in your rehabilitation and have fun

32:20 The most important knowledge and skills for a physiotherapist

40:55 How long did it take to get comfortable working in private practice?

43:40 Where to follow Chris and Cindy to find out more about their work

Read more about Chris and Cindy, and the Bryta program, at their practice website Bundoora Specialist Health Care

Cindy’s LinkedIn: https://www.linkedin.com/in/cindy-p-bryta/

Chris’ LinkedIn: https://www.linkedin.com/in/christopher-lawry-687210115/

Bryta LinkedIn: https://www.linkedin.com/company/bryta/

Bryta Instagram: @Brytatraining

https://www.instagram.com/brytatraining/

Website: www.bryta.net

If you are finding this content helpful, we would appreciate a review and rating for the Physio Foundations podcast. This really helps promote the podcast to others. Hit the follow button and give us a review and 5-star rating!

Stay connected:

  • Read more at Perraton.Physio or the Perraton Physio LinkedIn page.
  • Watch us on YouTube: https://www.youtube.com/@PerratonPhysio
  • Follow @PerratonPhysio on Facebook, Instagram and Linked In.

This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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This episode is part of the Physio Foundations New Graduate Series, exploring the challenges and opportunities in the first five years after graduation.

Kristen Witt is a physiotherapist and founder of Witt Wellness in Sydney, Australia. Krissy is also a Nutritionist and Clinical Pilates instructor and was part of the Monash University Physiotherapy class of 2022.

Burnout in early-career physiotherapy is increasingly discussed among new graduates. In this episode, Krissy and I explore the realities of the first five years of physiotherapy practice, including balancing evidence-based care with real-world clinical practice, managing energy and workload, and finding long-term purpose in the profession.

We discuss practical strategies for navigating the early years of practice, protecting your energy, seeking mentorship, and building a sustainable and enjoyable physiotherapy career.

Thanks to Krissy for a great conversation.

Use the timestamps below to jump to relevant sections.

In this episode:

0:00 Introduction to the episode and Krissy

4:30 What do you love about being a physiotherapist?

6:40 The most important knowledge and skills for a physiotherapist

8:40 I don’t know if I want to be a physiotherapist anymore – balancing expectations and reality

14:30 Strategies for managing your energy and avoiding burnout as a physiotherapist?

22:00 How many professional development courses should you do?

24:30 Benefits of having a mentor

29:40 Why are you doing this job? Bigger picture

33:30 How can you avoid burnout? Practical tips

40:00 A final message of hope – hold on, good things are around the next corner!

Read more about Krissy at her practice website Witt Wellness

If you are finding this content helpful, we would appreciate a review and rating for the Physio Foundations podcast. This really helps promote the podcast to others. Hit the follow button and give us a review and 5-star rating!

Stay connected:

  • Read more at Perraton.Physio or the Perraton Physio LinkedIn page.
  • Watch us on YouTube: https://www.youtube.com/@PerratonPhysio
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This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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Associate Professor Tania Pizzari is an internationally recognised physiotherapy clinician, researcher and educator.

In this episode, Tania and I discuss shoulder assessment and management, with a particular focus on modifying symptoms during assessment, the role of diagnostic language, and helping people understand the contributing factors to their shoulder pain.

Thank you to Tania for a fantastic conversation and for generously sharing her expertise. Use the timestamps below to jump to specific sections of the episode.

In this episode:

0:00 Introduction to Tania

3:15 Classifications of shoulder conditions -diagnoses and movement systems

15:00 Providing a pathoanatomical diagnosis – language matters

17:30 Red flags to rule out

24:20 How do you prioritise physical examination tests?

29:10 Interpreting diagnostic tests – what do they really mean?

33:10 Patient education starts during your assessment

35:50 What presentations do you still find challenging?

39:15 Pain and sensitisation in shoulder conditions

42:00 The most important knowledge and skills for a physiotherapist – you can always learn more

If you are finding this content helpful, we would appreciate a review and rating for the Physio Foundations podcast. This really helps promote the podcast to others. Hit the follow button and give us a review and 5-star rating!

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  • Read more at Perraton.Physio or the Perraton Physio LinkedIn page.
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This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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Jaryd Bourke is a podiatrist and PhD candidate at Monash University Physiotherapy. In this episode, Jaryd discusses Achilles tendinopathy and his research investigating heel lifts and changes in patient outcomes and biomechanics.

Edit: Sorry for saying Wodonga is a city in NSW! At least I know people are listening... it's on the border...

Thanks to Jaryd for a great conversation. Use the timestamps below to jump to relevant sections.

In this episode:

  • 0:00 About this episode and welcome Jaryd
  • 2:20 What is tendinopathy?
  • 3:30 What is Achilles tendinopathy?
  • 5:30 Heel lifts for Achilles tendinopathy - research
  • 7:18 How could heel lifts help with Achilles tendinopathy symptoms
  • 10:00 Jaryd’s trial on heel lifts for Achilles tendinopathy – key methods
  • 17:00 Clinical implications
  • 23:33 Final thoughts

Diagnostic domains, differential diagnosis and conditions requiring further medical attention that are considered important in the assessment for Achilles tendinopathy: a Delphi consensus study, link to paper: https://bjsm.bmj.com/content/59/13/891.abstract

Follow Jaryd on LinkedIn: https://www.linkedin.com/in/jaryd-bourke-86932b200/?originalSubdomain=au

If you are finding this content helpful, we would appreciate a review and rating for the Physio Foundations podcast. This really helps promote the podcast to others. Hit the follow button and give us a review and 5-star rating.

Stay connected:

  • Read more at Perraton.Physio or the Perraton Physio LinkedIn page.
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This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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Just in time for World Bronchiectasis Day, this is Part 2 of my discussion with Associate Professor Annemarie Lee on exercise for people with bronchiectasis. In this episode, Annemarie explains the benefits of exercise for people with Bronchiectasis and explores different ways people can engage in physical activity—whether as part of a formal rehabilitation program or by integrating it into daily life.

A huge thanks to Annemarie for sharing your expertise.

Use the timestamps below to jump to sections of interest.

0:00 About this episode

1:52 How does exercise benefit people with Bronchiectasis?

4:15 What does a typical pulmonary rehabilitation class look like?

6:15 Who is suitable for a pulmonary rehabilitation class for Bronchiectasis?

11:26 Exercise for airway clearance and exercise tolerance

14:18 Research gaps

16:50 How can people with Bronchiectasis monitor their exercise and symptoms?

22:55 The patient as a person, developing a therapeutic alliance

24:38 The most important knowledge and skills for a health professional – empathy

28:40 How to connect with Annemarie

Links and Resources:

  • Bronchiectasis Toolbox
  • Strong Lungs
  • Annemarie Lee’s Research Profile (Monash University)

If you find this content helpful, please rate and review the Physio Foundations podcast on your favourite podcast app—it helps others find the show.

Stay connected:

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Disclaimer:
This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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Associate Professor Annemarie Lee is a leading cardiorespiratory physiotherapist, educator and researcher whose work has helped shape how we understand and manage bronchiectasis in physiotherapy practice. This is the first episode of a two-part series on bronchiectasis. In this episode, we discuss subjective and objective assessment of people with bronchiectasis and provide an introduction to airway clearance techniques. A huge thanks to Annemarie for sharing your expertise.

Use the timestamps below to jump to sections of interest.

In this episode:

0:00 About this episode and welcome Annemarie

4:50 What is bronchiectasis?

8:50 Other impacts of bronchiectasis – loss of physical function, pelvic floor dysfunction, low back pain, reflux, etc.

12:50 Emerging treatments

13:40 Objective assessment of people with bronchiectasis

21:30 Airway clearance techniques

25:00 Bronchiectasis Toolbox website

29:12 Strong Lungs website

31:50 Summary

Links and Resources:

  • Bronchiectasis Toolbox
  • Strong Lungs
  • Annemarie Lee’s Research Profile (Monash University)

If you find this content helpful, please rate and review the Physio Foundations podcast on your favourite podcast app—it helps others find the show.

Stay connected:

  • Read more at www.Perraton.Physio or follow the Perraton Physio LinkedIn page.
  • Watch us on YouTube: Perraton Physio YouTube Channel
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Disclaimer:
This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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In this episode, Associate Professor Jane Rooney explains the latest evidence for non-operative management of ACL injuries, including the Cross Bracing Protocol and associated research.

This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

Jane Rooney is a Specialist Sports and Exercise Physiotherapist (as awarded by the Australian College of Physiotherapists in 2009) and a facilitator and examiner for physiotherapists completing their specialisation through the College. She has extensive experience in sports physiotherapy, working with athletes of all levels, and is widely respected for her contributions to university and clinical teaching, including through the Physio Educators platform. In 2016, Jane was awarded a prestigious Churchill Fellowship to investigate how knee injuries are managed around the world. She is now part of the research team investigating the effectiveness of the Cross-Bracing Protocol for non-operative ACL injury management.

Thanks to Jane for a fantastic conversation. Use the timestamps below to jump to key sections of the episode:

In this episode:
0:00 About this episode and welcome Jane
4:10 Findings from Jane’s Churchill Fellowship: global ACL management and societal costs
7:16 Operative vs non-operative ACL management and patient decision aids
10:15 Case study: decision-making in ACL injury management
15:45 Bracing for native ACL healing: history of the Cross-Bracing Protocol
23:19 Non-operative management is not suitable for everyone
25:30 Bracing at 90 degrees: mechanisms and anatomical rationale
27:40 “ACL first aid”: preserving the option of non-operative management
30:30 Important! Bracing must involve a doctor, surgeon, and patient
33:36 Eligibility criteria, timeframes, and factors influencing ACL healing
37:05 Understanding the anatomy of ACL healing
41:45 Risks and medical considerations for referring patients for bracing
47:30 Future directions: non-operative care and evolving bracing protocols
59:50 Shared decision-making: pros and cons of bracing vs surgical care

Jane referenced this study on treatment decision-making for ACL injuries:
https://academic.oup.com/ptj/advance-article/doi/10.1093/ptj/pzaf030/8075093

Find out more about the Cross Bracing workshop at physioeducators.com.au

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Stay connected:
• Read more at www.Perraton.Physio or visit the Perraton Physio LinkedIn page
• Watch on YouTube: @PerratonPhysio
• Follow @PerratonPhysio on Facebook, Instagram, LinkedIn, and X (formerly Twitter)

This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any health concerns or medical conditions.

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On this episode, I welcome back Mick Hughes and Randall Cooper to talk about the role of exercise in health and physiotherapy practice. We also discuss the work they are doing with their education platform, Learn.Physio, and what they have learned over the past five years from interviewing and creating content with world-class clinicians and educators.

Thanks to Randall and Mick for a great conversation. Use the timestamps below to jump to the relevant sections.

In this episode:

0:00 About this episode and welcome back Mick and Randall

1:50 Exercise Matters podcast

8:45 How can graduate physios advance their exercise knowledge and skills?

11:35 What sets physiotherapy apart from coaching, exercise physiology, and other professions?

18:40 When to say “I’m not sure” and refer to other health professionals

20:15 Can we over-medicalise exercise? When is it actually appropriate to medicalise exercise?

27:38 Tips for engaging people in exercise – find out what’s important to them

30:15 The Learn.Physio platform – highlights from behind the scenes

36:30 How do you integrate new knowledge from courses into your practice?

40:30 Managing information overload as a graduate practitioner

42:07 Do students learn differently in 2025 compared to the past?

48:00 Learn online, but learn in person as well – don’t neglect your interpersonal and hands-on skills

Links and resources:

Check out: www.Learn.Physio

Listen to the Exercise Matters podcast with Randall and Mick, and give them a 5-star rating and review on Spotify, Apple, or your favourite podcast player:

  • Spotify
  • Apple Podcasts

While you're there, we’d also appreciate a rating and review for the Physio Foundations podcast—it really helps promote the show. Hit the follow button and give us a review and 5 stars!

Stay connected:

  • Read more at www.Perraton.Physio or follow the Perraton Physio LinkedIn page.
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Disclaimer:
This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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Nick Kane is the founder of the Sports MAP network, an educational platform for physiotherapists and sports medicine professionals and the former head physiotherapist for the Essendon Australian Rules Football club. Nick founded and consults at the Complete Balance Physiotherapy clinic in Melbourne, Australia.

In this episode, Nick discussed his experiences working in elite sport and how you can develop your own career in sports physiotherapy.

Thanks Nick for a great conversation. Use the timestamps below to jump to relevant sections.

In this episode:

0:00 About this episode and welcome Nick

7:25 Experiences working as the head physiotherapist for the Essendon football club

9:45 Nick’s clinical special interests

11:45 The most important foundational knowledge and skills – clinical reasoning and rehab principles

13:50 Applying anatomy and pathology knowledge as a practitioner

16:58 Sports MAP

20:25 Challenges for graduates – distractions, impatience

22:50 Mentoring and developing strong clinicians

33:40 Developing a special interest area

43:00 Final thoughts

We discussed the SportsMAP network: https://sportsmap.com.au/

Stay connected:

  • Read more at Perraton.Physio or the Perraton Physio LinkedIn page.
  • Watch us on YouTube: https://www.youtube.com/@PerratonPhysio
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This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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Narelle Dalwood is a neurological physiotherapist and Senior Lecturer at Monash University Physiotherapy. In this episode, Narelle and I discuss the foundations of neurological physiotherapy, including neuroanatomy and the pathology of common conditions such as stroke.

Thanks Narelle for a great conversation. Use the timestamps below to jump to relevant sections.

In this episode:

0:00 About this episode and welcome Narelle

1:04 Common neurological conditions

3:14 Middle cerebral artery strokes

7:50 Heterogeneity - combining imaging, history and assessment findings

12:45 Defining terminology – infarcts and haemorrhagic strokes

14:38 How do you recognise a stroke? Timely recognition and clot busting drugs.

22:00 Upper and lower motor neurons

25:14 Reflexes and recognising serious neurological problems

33:25 Neuroplasticity

41:12 How to develop your neuro physio knowledge and skills – brush up on your neuroanatomy

54:30 Final thoughts

Narelle mentioned these guidelines and resources for health professionals, patients and their families from the National Stroke Foundation: https://informme.org.au/ https://enableme.org.au/ https://sciptguide.com/

Stay connected:

  • Read more at Perraton.Physio or the Perraton Physio LinkedIn page.
  • Watch us on YouTube: https://www.youtube.com/@PerratonPhysio
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This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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Ellen Ball is a physiotherapist and Monash University Physiotherapy graduate who is currently completing a master’s degree in public health. In this conversation, Ellen and I discuss the study habits that helped her become a highly successful student, how to network effectively, and alternative career pathways after graduation.

Thanks Ellen for a great conversation. Use the timestamps below to jump to relevant sections.

In this episode:

0:00 About this episode and welcome Ellen

1:50 Ellen’s foundations

4:20 How do you find and stay in touch with mentors?

6:05 How do you get your foot in the door in education and research?

7:38 What skills did you learn in the physiotherapy course that you now use in the workforce?

9:45 The most important foundational knowledge and skills for a physiotherapist

11:55 Developing interpersonal skills as a student and a new grad

14:10 Managing distractions in the era of TikTok and smartphones

15:25 What is public health?

18:55 Advanced study skills for postgraduate training

21:20 Prioritisation is a skill

25:50 What advice would you give to your younger self?

31:00 Improving health outcomes through public health rather than individual physiotherapy care

32:22 Final thoughts – ride the wave and be kind to yourself

Stay connected:

  • Read more at Perraton.Physio or the Perraton Physio LinkedIn page.
  • Watch us on YouTube: https://www.youtube.com/@PerratonPhysio
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This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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Associate Professor Adam Culvenor is a Principal Research Fellow from the La Trobe Sport and Exercise Medicine (LASEM) Research Centre, a National Health and Medical Research Council (NHMRC) Emerging Leadership Fellow and the head of the Knee Injury Research Group within LASEM.

In this conversation, Adam and I discussed the research he has led on post traumatic knee osteoarthritis including the OPTIKNEE 2022: consensus recommendations, the SUPER-Knee trial, the role of diet in managing osteoarthritis and the Australian Knee Injury Study.

Thanks Adam for a great conversation. Use the timestamps below to jump to relevant sections and follow the links below to find out more about Adam and his work.

In this episode:

0:00 About this episode and welcome Adam

6:00 The infrapatellar fat pad

8:10 Adam’s pathway into research – MRI outcomes after ACL reconstruction

14:45 Cartilage imaging studies leading into the SUPER-Knee trial

19:36 How does strengthening help with cartilage health after knee injury?

24:40 Role of diet in managing osteoarthritis

26:40 OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis

30:55 Australian Knee Injury Study

35:15 Key takeaways – consider the need for imaging, be guided by the guidelines, get involved in research as a clinician or a student

Read more about Adam here: https://scholars.latrobe.edu.au/a2culvenor

Be part of the Australian Knee Injury Study: https://www.kneeinjurystudy.com.au/

Adam discussed the OPTIKNEE consensus recommendations following traumatic knee injury: https://bjsm.bmj.com/content/56/24/1393.citation-tools

Whittaker JL, Culvenor AG, Juhl CB, et al OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis. British Journal of Sports Medicine 2022;56:1393-1405.

Read more about the SUPER-Knee trial: https://bmjopen.bmj.com/content/13/1/e068279

Stay Connected:

  • Read more at www.Perraton.Physio or the Perraton Physio LinkedIn page.
  • Watch us on YouTube: https://www.youtube.com/@PerratonPhysio
  • Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.

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Bec Phillips is a musculoskeletal physiotherapist and educator at Charles Sturt University. In this episode, Bec reflects on her fascinating career in physiotherapy and public health, including her work supporting the health of people in rural Kenya.

Bec then explores her PhD research findings and provides practical tips for physiotherapists to help us understand how different types of people adhere to their rehab plans.

Thanks, Bec for a great conversation. You can use the timestamps below to jump to relevant sections and follow the links below to find out more about Bec and her work.

In this episode:

0:00 About this episode and welcome Bec

9:11 Improving the health of people in Kenya – problem solving and applying physiotherapy skills on a global scale

22:30 How do you define adherence to rehabilitation?

27:50 What influences adherence in people with Achilles tendinopathy?

30:30 Profiles of people with low, moderate and high adherence. Practical considerations for helping different types of people adhere to their rehab plans

43:45 Collaborating with the patient about their health needs – not a consultancy

44:35 Can you help everyone?

46:40 What factors influence adherence?

56:00 Teaching patients how to build habits if they don’t have one.

59:00 Final thoughts

Read more about Bec here: https://science-health.csu.edu.au/schools/health-exercise-sports/staff/profiles/physiotherapy/rebecca-phillips

Follow Bec on LinkedIn: https://www.linkedin.com/in/rebecca-phillips-b9b361175/?originalSubdomain=au

Follow Bec on Instagram @moving_free_physio

Read Bec’s research:

Phillips, R., Hilton, C., Sousa Filho, L. F., Farlie, M., Morrissey, D., & Malliaras, P. (2024). Behaviour change and rehabilitation adherence in adults with tendinopathy: a scoping review. Disability and Rehabilitation, 46(25), 6021-6033.

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This episode contains discussions about self-harm, suicide and sexual abuse, which may be distressing for some listeners. If you or someone you know is struggling, help is available. In Australia, you can contact Lifeline at 13 11 14 for 24/7 confidential support. If you are outside Australia, please seek support from a crisis service in your country.

Dr Liam West is a Sports and Exercise Physician based in Melbourne, Australia and a fellow of the Australasian College of Sport & Exercise Physicians. In this episode, Liam, Zuzana and I discussed some practical aspects of how physiotherapists can work with sports doctors, what sports doctors want to know in your referral letter and updates, and common conditions where a sports doctor should be involved in patient care. We finish our discussion by focusing on the person rather than the patient and talk about Liam’s approach to integrating biopsychosocial elements in patient care.

In this episode:

0:00 About this episode and welcome Liam – background and interests

13:00 What do physios do that Liam is jealous of?

16:00 How do you build a career in sports medicine or sports physio?

17:30 Describe a typical week for a sports doctor – consulting, surgical assisting, sports game coverage

29:06 Referring people to a sports doctor, what does a sports doctor want to know in a referral or update?

38:53 Should you arrange an MRI or other investigations before you send someone to the sports doctor? Practicalities of rebates and referrals. When should a doctor be involved in managing fractures?

52:30 When should you refer to a GP and when should you refer to a specialist?

54:00 Mental health in sports injury rehab, difficult questions, mental health support for patients and health professionals/students

71:30 Influence of hormones on musculoskeletal health, screening for rheumatological conditions

79:00 The most important skills for a physiotherapist - problem solving and active listening. Learn from other health professionals, be curious and vulnerable enough to admit when you are wrong

87:00 Final tips for career development

Thanks, Liam for a great conversation. Read more about Liam here: https://alphingtonsportsmed.com.au/profile/dr-liam-west/

Follow Liam on X: https://x.com/liam_west?lang=en

Read Liam’s chapters in the Brukner and Khan textbook (students I’m looking at you, read books!): https://csm.mhmedical.com/book.aspx?bookid=1970

Liam talked about the Tame the Beast website: https://www.tamethebeast.org/about

We also discussed the SCREENDEM checklist for screening for rheumatological problems: https://rheumatology.physio/mini-blog-screendem/

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page.

Follow @PerratonPhysio on YouTube, Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Dr Melanie Farlie is a Senior Lecturer in Monash University's Department of Physiotherapy. Mel is an educator, physiotherapy researcher and developer of the Balance Intensity Scale.

In part 4 of this four-part series, Mel finishes her quality appraisal of the quality of the study by Katherine Lawler and colleagues. Mel demystifies the process of data analysis in qualitative research and gives us some tips for using qualitative research in our study and clinical practice.

Access the study here: https://doi.org/10.1080/09638288.2024.2343822

Follow along using the COREQ checklist here: https://www.equator-network.org/reporting-guidelines/coreq/

In this episode:

0:00 Introduction to the episode

1:14 Who did the data analysis? Knowledge and perspectives of the team. Naming and identification of themes? The coding tree. Why does this matter?

5:45 How are themes identified? The coding lens – perspectives of the researchers. The inductive process - using the words of the people to make codes, vs predetermined themes.

10:42 Are there times when it is more appropriate to use a deductive process?

12:15 Relating qualitative research to what we do in the clinic, e.g. a subjective assessment

14:45 The difference between how you collect vs analyse data. Open vs closed questions

16:50 Software for qualitative analysis, feedback from participants on findings

18:20 Where should a busy clinician start? Look at the quotes from participants. Is there consistency between the data and the author’s findings? Is there diversity of opinions in the report?

28:03 Final thoughts – try to engage with research evidence. Resources to look at to get started and progress your qualitative research skills

Read more about Dr Melanie Farlie here: https://research.monash.edu/en/persons/melanie-farlie

Follow Physio Foundations and Perraton Physio at our website www.Perraton.Physio or the Perraton Physio LinkedIn page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

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This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Dr Melanie Farlie is a Senior Lecturer in Monash University's Department of Physiotherapy. Mel is an educator, physiotherapy researcher and developer of the Balance Intensity Scale.

In part 3 of this four-part series, Mel explains the process of appraising the quality of qualitative research, using the example of the study by Katherine Lawler and colleagues. Access the study here: https://doi.org/10.1080/09638288.2024.2343822

Follow along using the COREQ checklist here: https://www.equator-network.org/reporting-guidelines/coreq/

In this episode:

  • 0:00 Introduction to the episode
  • 1:25 Why we need to evaluate the quality of qualitative research?
  • 2:51 Checklists you can use – the COREQ checklist. Don’t forget to look at the supplementary material for your article
  • 6:45 Reflexivity: The research team and how they manage their biases. Why this is important?
  • 12:20 The relationship between researchers and participants. A guide to understanding
  • 16:10 The interviewer characteristics and why they matter. Relating qualitative research to the interviews we do with patients in the clinic
  • 19:30 Study design – what is a theoretical framework? Examples of theoretical frameworks. Real world practical applications of qualitative research
  • 29:05 Study setting and data collection – where was the study conducted? Who was present at the interviews? What questions were asked (topic guide)
  • 30:40 How big is the dataset? Looking beyond the sample size. The concept of ‘information power’
  • 33:24 What are the most important things to consider from the quality appraisal so far?

Coming up next: In the final part of this series (part 4) we will finalise our quality appraisal of the qualitative study by Lawler and colleagues and give you our tips for applying what you have learned in the clinic or in your research studies.

Read more about Dr Melanie Farlie here: https://research.monash.edu/en/persons/melanie-farlie

Follow Physio Foundations and Perraton Physio at our website www.Perraton.Physio or the Perraton Physio LinkedIn page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

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This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Dr Melanie Farlie is a Senior Lecturer in Monash University's Department of Physiotherapy. Mel is an educator, physiotherapy researcher and developer of the Balance Intensity Scale.

In part 2 of this four-part series, Mel demonstrates the process of reading, interpreting and understanding qualitative research. Mel refers to a study by Katherine Lawler and colleagues. Access the study here: https://doi.org/10.1080/09638288.2024.2343822

In this episode:

  • 0:00 Introduction to the episode
  • 3:19 Example of the methods of a qualitative study
  • 5:00 When is qualitative research the best approach to answer a research question?
  • 8:00 Explaining the qualitative methods that were used and relating these methods to what you do in the clinic, e.g. during a subjective assessment or patient interview
  • 11:15 How qualitative data can be collected and analysed – exploring and explaining phenomena, understanding the context of the study and introducing the concepted of transferability
  • 18:50 Summary and final thoughts

Coming up next in part 3 of the series, we will discuss how to appraise the quality of the study.

Read more about Dr Melanie Farlie here: https://research.monash.edu/en/persons/melanie-farlie

We discussed the Balance Intensity Scale: https://rb.gy/cwcfmz

Follow Physio Foundations and Perraton Physio at our website www.Perraton.Physio or the Perraton Physio LinkedIn page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

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This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Dr Melanie Farlie is a Senior Lecturer in Monash University's Department of Physiotherapy. Mel is an educator, physiotherapy researcher and developer of the Balance Intensity Scale.

In this four-part series, Mel introduces qualitative research, provides examples of how you can read and understand qualitative research, explains how you can search for, and evaluate the quality of, qualitative research, and discusses how qualitative research can influence your clinical practice.

Part 1 of this four-part series is an introduction to qualitative research for students and clinicians.

In this episode:

  • 0:00 Introduction to Mel and the four-part series
  • 2:00 What is qualitative research and why is it important in physiotherapy?
  • 3:25 How is qualitative research different from qualitative research?
  • 5:35 What are some barriers for clinicians to engage with qualitative research?
  • 7:35 Key terminology you need to be familiar with, e.g. reflexivity – being aware of your influence on the research process. Transferability – can the findings be transferred to other similar contexts?
  • 13:45 How can clinicians get started with using qualitative research? Don't just read the abstract, read the methods. Look for systematic reviews of qualitative research
  • 16:50 Summary – qualitative research can be very useful when it is transferable to your clinical practice. Jump in and start reading

In part 2 we will explore a recently published qualitative study and how this research's findings may apply to clinical practice.

Read more about Dr Melanie Farlie here: https://research.monash.edu/en/persons/melanie-farlie

We discussed the Balance Intensity Scale: https://rb.gy/cwcfmz

Follow Physio Foundations and Perraton Physio at our website www.Perraton.Physio or the Perraton Physio LinkedIn page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

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This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Tim is a consultant physiotherapist and managing director of Melbourne CBD Physiotherapy and Sports Medicine Clinic, in Melbourne, Australia. In this episode, Tim summarised his approach to rehabilitation for people with ACL injuries and ACL reconstruction.

In this episode:

  • 0:00 About this episode and welcome Tim
  • 2:20 Tim’s background and interests
  • 6:33 Why are ACL injuries such a big problem?
  • 10:00 How do you manage ACL injuries in the clinic?
  • 15:45 Operative and non-operative pathways – it’s not always a black and white decision. ACL healing and long-term outcomes – watch this space.
  • 20:22 Meniscal integrity and knee stability, early knee rehabilitation goals and exercises
  • 32:00 Isometric and pulsing exercises with a metronome, preparing the motor system for locomotion and confidence in higher load situations
  • 34:50 Confidence and fear of movement
  • 37:00 Objective measures of function and strength – dynamometry and force plates
  • 42:00 Return to sport testing – force plate variables and testing. Don’t forget the ankle plantarflexors

Thanks Tim for a great conversation. Read more about Tim here: https://melbournecbdphysio.com.au/our-clinic/

Tim talked about this website: https://www.aclreferencevalues.nl/

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

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This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Professor Terry Haines is the Head of the School of Primary and Allied Health Care at Monash University. In this episode we discussed Terry’s journey from graduate physiotherapist to research leader, and how clinicians can solve problems with research.

In this episode:

  • 0:00 About this episode and welcome Terry
  • 3:17 What gets you out of bed in the morning?
  • 7:40 How did you get started in research?
  • 13:13 What are the key areas for physiotherapy research?
  • 18:25 How can students and clinicians get involved in research?
  • 29:15 The most important knowledge and skills for physiotherapists – be prepared to have a go

Read more about Terry here: https://www.monash.edu/medicine/spahc/about-us/school-staff/thaines

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Michelle joined me to discuss her research in hip and knee osteoarthritis and how we can apply this research in the clinic. Thanks Michelle for a great conversation.

In this episode:

  • 0:00 About this episode and welcome Michelle
  • 11:00 Summary of hip and knee osteoarthritis research and the role of sleep in musculoskeletal health
  • 17:30 Are higher or lower loads responsible for changes in cartilage in the knee? Knee adduction moments, muscle strength, braces and orthotics.
  • 23:00 Loading and the multifactorial nature of pain in osteoarthritis, changing the narrative of how osteoarthritis is described
  • 32:30 Resources for managing sleep for people with musculoskeletal conditions
  • 40:40 Women and girls in STEM, challenges faced and the BrainSTEM program

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Associate Professor Laura Diamond is a biomedical engineer and researcher interested in hip biomechanics and osteoarthritis. In this episode we discussed Laura’s research into the role of the deep hip muscles during functional activities and what her findings may mean for rehabilitation of people with hip pain. Thanks Laura for a great conversation.

In this episode:

  • 0:00 About this episode and welcome Laura
  • 5:45 Laura’s research in hip and knee biomechanics and muscle activation
  • 9:15 What happens if you contact the deep hip muscles to the maximum amount? Redirecting the hip contact force in the acetabulum.
  • 14:50 Do people with pain or joint pathology have difficulty generating force in the deep hip muscles?
  • 19:20 Do we need to change the language from ‘stabilising the hip’ to ‘changing the loading of the hip’? The importance of having enough cartilage loading
  • 22:00 Strategies for changing hip joint loading – cues during walking
  • 36:00 What does the future hold? Technology and wearables

You can find the papers discussed in this episode here: https://scholar.google.com/citations?user=aAGSJHUAAAAJ&hl=en&oi=sra

Connect with Laura via LinkedIn: https://www.linkedin.com/in/laura-diamond-8b0bb8135/?originalSubdomain=au

We discussed this episode of the Physio Network podcast (but don’t leave here until you subscribe!): https://www.podbean.com/media/share/dir-siwxj-1dcf0dfd?utm_campaign=w_share_ep&utm_medium=dlink&utm_source=w_share

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Emma Williams is an Australian Army Officer and uniformed physiotherapist. In this episode, Emma discusses her career pathway from university to the military and her work with military personnel in Australia and overseas.

In this episode:

  • 0:00 About this episode and welcome Emma
  • 4:00 Pathway into the military through a military scholarship, what is it like working as a physio in the army?
  • 13:05 Strategies for building rapport and gaining trust
  • 17:00 Common injuries in the army – MTSS, ankle sprains, balancing injury prevention and surveillance with the need to develop toughness
  • 22:00 Physical performance standards
  • 25:20 What injuries do military personnel get and what are the trends in activities and causative factors?
  • 33:00 What are the upsides and benefits of working in the military as a physio? Travel, free healthcare, getting paid to exercise
  • 38:50 Making decisions under pressure
  • 44:00 Baptism of fire and the valley of despair– developing confidence, humility and other life skills - foundational skills as a health professional

Emma was recently featured in the Australian Physiotherapy Association’s magazine InMotion. Read the article here: https://australian.physio/inmotion/salute-physio-front-line

Connect with Emma via LinkedIn: https://www.linkedin.com/in/emma-williams-b5367262/?originalSubdomain=au

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Thihan is a highly experienced Sports Physiotherapist who has held roles with the Melbourne Renegades, Bangladesh Cricket, Hampshire Cricket, and most recently as the Rehabilitation Manager for the Sri Lankan Cricket Team. Thihan is also one of the hosts of the Physio Social Club Podcast.

In this episode, we took a tangent from cricket, and discussed Thihan’s recent leg injury and his experiences with injury, surgery and rehabilitation. Thihan offered very interesting insights into the experience of having a serious injury and surgery in a developing country, reflections on the real experience of a lengthy rehabilitation, and advise for students and new graduate physios for prioritising their assessment and management. There is a lot in this episode! Thanks Thihan for a great conversation.

In this episode:

  • 0:00 About this episode and welcome Thihan
  • 3:05 Thihan’s injury – fractured tibia and fibula. There was no pain until after the surgery – reflecting on when pain is not associated with pathology
  • 5:30 The experience of having surgery in a developing country
  • 9:30 How did you process the experience? Shared decision making with the surgeon
  • 12:23 ‘Letting go’, controlling what you can control and allowing people to do their job
  • 14:40 Fracture healing, pain management, IV paracetamol, risks of compartment syndrome, experience of having an epidural
  • 20:50 Waking up halfway through orthopaedic surgery! (not as bad as it sounds)
  • 25:45 Being present and taking things one step at a time. It’s hard to think about the bigger picture as a patient. Meet the person where they are
  • 31:40 Being proactive in your own rehabilitation. Lessons for practitioners
  • 36:35 How can students keep things simple and be effective? Have a system and a structure to your assessment that you can repeat until you learn the patterns. Know why you are asking questions.
  • 42:40 What is your job as a sports physio? How is this similar to hospital-based work?
  • 47:30 How do you stay motivated during long-term rehab?
  • 50:30 Goals in long-term rehab can often be impairment goals, e.g. ankle dorsiflexion range of motion, because this helps you visualise progress
  • 53:40 Maintaining a positive mindset during the rehab journey
  • 55:30 Empathy – 'get in the hole' with the patient / person
  • 59:00 Summary – the secret to long-term success is to engage with the process of your rehab (or learning), review and repeat throughout your career.

Read more about Thihan here: https://thecricket.physio/about

The Physio Social Club podcast: https://physiosocialclub.com/about

Read Thihan’s Linked In posts related to his injury, surgery and rehab here: https://www.linkedin.com/in/thihanchandramohan/?originalSubdomain=au

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Dr. Malia Ho is a sports podiatrist and Senior Lecturer within Monash University's Doctor of Podiatric Medicine course. With over two decades of experience in clinical practice, research, and education, Malia has a wealth of knowledge and insights. In this episode, Malia shares her unique journey from engineering to podiatry, revealing the pivotal moments and decisions that shaped her career. Malia offers useful tips for health profession students for achieving success, emphasizing the crucial role of foundational skills such as listening and empathy, alongside the importance of embracing technology in healthcare education. Thanks Malia for a great conversation.

In this episode:

  • 0:00 About this episode and welcome Malia
  • 2:15 Malia’s professional background and interests – from engineering to podiatry
  • 9:00 How did your hospital work influence your sports podiatry practice? Developing good habits early in your career
  • 14:40 Malia’s education focus – technology in education, critical thinking skills
  • 17:40 Realistic and authentic teaching with case based learning, interprofessional skills, the importance of listening skills
  • 22:20 The most important knowledge and skills for a health professional – listening, empathy, being a good human.
  • 25:30 The importance of clinical anatomy, using technology in assessment, core podiatry skills
  • 30:55 Final thoughts – invest in your education, learn with other people

Read more about Malia here: https://research.monash.edu/en/persons/malia-ho

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Dr Luke Davies is a musculoskeletal physiotherapist, educator and researcher in the School of Primary and Allied Health Care at Monash University. His research focuses on telehealth for physiotherapy clinical practice and education. In this episode, we discussed how telehealth can be used within your clinical practice, and Luke’s tips for effective clinical care, in-person, or through technology. Thanks, Luke for a great conversation.

In this episode:

  • 0:00 About this episode and welcome Luke
  • 1:12 Welcome to Physio Foundations
  • 2:40 Hands on and Hands off physiotherapy
  • 3:17 What is telehealth?
  • 4:32 Who can telehealth be helpful for?
  • 5:50 Rural and remote healthcare
  • 6:40 What parts of care are easier to do in person?
  • 8:40 Getting started with telehealth in private practice
  • 9:50 How much should you charge for telehealth vs in-person care
  • 11:15 Setting up curriculum for universities and systems for using telehealth in clinics
  • 22:10 The most important knowledge and skills for a physiotherapist – communication, therapeutic alliance, building relationships between patients and therapists, lifelong learning – ask questions
  • 24:20 Communication skills online – a core competency for our profession
  • 26:55 Final thoughts – don’t be afraid to use telehealth, give it a go.

Read more about Luke here: https://research.monash.edu/en/persons/luke-davies

Read Luke’s research here: https://scholar.google.com/citations?user=3ELSw1QAAAAJ&hl=en

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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James is one of the owners of The Second Visit, who provide mentoring for physiotherapists in private practice and a range of professional development courses. James is a highly experienced practitioner and practice owner, university lecturer and leader within a number of organisations and professional associations.

In this episode, James talked about the financial realities of running a private practice, key skills for new graduate practitioners to develop and how to build and maintain a list in private practice. Thanks, James for a great conversation.

In this episode:

  • About this episode, welcome James and welcome back Zuzana
  • Are we undercharging our patients and overpaying our clinicians? Earning your stripes and getting results with clients. Costs of running a private practice
  • Physiotherapy is an under-valued profession – defining our value
  • What advice do you give new graduates to help them develop valuable skills, and market those skills?
  • What do you think are the most important foundational knowledge and skills for health professionals?

Read more about James and The Second Visit here: https://thesecondvisit.com.au/meet-the-team/james-schomburgk/

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Abby De Kretser is the principal physiotherapist at Universal Practice in Fitzroy in Melbourne, Australia, and an anatomy facilitator with Monash University Physiotherapy. In this episode, we talked about managing hip, pelvic and spine conditions using Pilates and other exercise-based rehabilitation, and her experiences teaching applied anatomy. Thanks Abby for a great conversation.

In this episode:

  • 0:00 About this episode and welcome Abby
  • 2:00 Background and interests
  • 4:01 Key career turning points and developing a special interest area in Pilates and sports physiotherapy.
  • 6:19 How does clinical Pilates complement strength and conditioning?
  • 9:48 Cues to help people who are over-bracing to become more fluent in their movement
  • 14:03 The role of range of motion in performance
  • 17:15 Managing hip pain in athletes
  • 18:58 Case study of an athlete with hip pain – management strategies
  • 23:50 Biomechanics and observation of running. What is ‘quad dominance’?
  • 28:00 Developing a repertoire of exercises for rehabilitation
  • 33:40 How anatomy underpins clinical practice
  • 38:20 Tips for learning anatomy – don’t just rote learn, think about function, use the resources, never stop asking questions
  • 49:00 The most important knowledge and skills for a physiotherapist – listening and understanding
  • 60:00 Final thoughts

Read more about Abby here: https://universalpractice.com.au/practitioners/

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Christina Ekegren is a Senior Research Fellow at the Rehabilitation, Ageing, and Independent Living (RAIL) Research Centre at Monash University, Melbourne, Australia. Her research focuses on physical activity for hospitalised patients, older adults, and people recovering from traumatic injury. In this episode, we discussed Christina’s research on strategies for helping people stay physically active in hospital and after major trauma.

In this episode:

  • 0:00 About this episode and welcome Christina
  • 1:39 Background and interests
  • 5:42 The many factors that lead to people being sedentary in hospital
  • 6:30 Physical activity as a vital sign in hospital
  • 7:40 Wearables and measurement as an intervention, limitations in hospitals, feasible ways to measure physical activity in hospitals
  • 11:40 Why don’t patients move around in hospital. The need for shared decision-making in hospitals related to falls and physical activity
  • 14:30 What is the relationship between physical activity and heath outcomes? 600 steps or 25 minutes a day of slow-paced walking per day
  • 18:20 Key research papers – end PJ paralysis!
  • 28:30 Foundational knowledge and skills – learning how to talk about physical activity
  • 32:20 Is physical activity medicine?
  • 34:30 Physical activity following major trauma
  • 39:20 Final thoughts

You can read more about Christina and her research here

Christina mentioned the Multi-Process Action Control (M-PAC) Framework, an approach to physical activity behaviour promotion.

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Dimitrie joins me again to discuss her strategies for managing complexity in the clinic as a new graduate physiotherapist. This is part 12 of the new graduate series on the podcast. Enjoy!

In this episode:

  • 0:00 About this episode
  • 2:30 Experience in the first days of working as a new graduate physiotherapist
  • 5:30 What happens when the routine approach doesn’t work? When is it time to try something different?
  • 9:30 What allows you to have the confidence to make mistakes?
  • 14:45 What to people want when they see a physio?
  • 15:13 Balancing ‘high value’ and ‘low value’ treatment
  • 18:44 Referring to other health professionals – good practice tips
  • 23:05 Going to court – the importance of taking good notes and medical records
  • 27:27 ‘Tell me your story’ starting sessions with open questions. Maintaining rapport when taking notes.
  • 36:00 Final thoughts

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Dimitrie Damos in a physiotherapist from Perth, Western Australia who was my mentee for the Australian Physiotherapy Association’s mentoring program in 2023. We talked about her special interest area and postgraduate training in pelvic health and incontinence, working under pressure and the importance of maintaining a broad skillset even when training in a specialty area. We finished with Dimi's tips for students. Thanks Dimi for a great conversation.

In this episode:

  • 0:00 About this episode and welcome Dimitrie
  • 2:20 About Dimi – what led you to pursue a career in physiotherapy?
  • 4:40 Developing a special interest area prior to graduating.
  • 6:35 Starting a masters in pelvic health and continence
  • 8:25 How do you balance work and study? Working well under pressure.
  • 10:55 High pressure careers – matching career choices with professional skills and personalities
  • 13:30 Integrating new skills from masters training
  • 15:15 Balancing different types of clinical work
  • 19:05 Tips for students
  • 22:45 Mentoring
  • 27:25 The most important foundational knowledge and skills – have a structure so you don’t miss things

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Mick Girdwood is a physiotherapist, researcher, and PhD candidate. We spoke about his research on knee injuries and osteoarthritis, and their association with the strength of the hip and knee muscles. We finished with a discussion about outcome measures you can use in the clinic and the importance of considering the goals and activities that are most important to the patient/person. Thanks, Mick for a great conversation.

In this episode:

  • 0:00 About this episode and welcome Mick
  • 1:55 What drew you to physiotherapy?
  • 9:00 Journey into research – how did this start?
  • 11:27 Mick’s PhD in ACL injuries and getting started as a research assistant
  • 18:00 Knee research
  • 23:20 Hip and knee strength – association with patient outcomes
  • 25:55 Change in strength over time after ACL injury
  • 30:57 Outcome measures for ACL injury – what’s important to the patient? Goal setting and re-measuring against goals
  • 35:20 Hop strengths are not tests of strength – considering movement confidence and other patient outcomes
  • 41:29 Final thoughts

You can read more about Mick and his research here

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Jaap is back again and this time we discussed ways to publish research as a practitioner in the clinic, focusing on case studies and literature reviews related to your special interest areas.

In this episode:

  • 0:00 About this episode
  • 2:15 What research have you done in your clinic and how did you achieve this?
  • 7:00 Using publications to get into a PhD
  • 8:15 How does having publications help you as a clinician? Challenging beliefs and biases, developing expertise through the process of doing research
  • 14:50 Does publishing a case study help improve your clinical data collection processes?
  • 19:00 Meaningful clinical change – using patient reported outcome measures in the clinic
  • 24:00 Why are case studies important? External generalisability and personalised interventions
  • 28:50 Jaap’s case studies – working through the process of collecting the data, consent and publication
  • 43:00 What’s next? Would you do a PhD? Other benefits to being research active. The realities of publishing research
  • 52:43 Final thoughts

Read more about Jaap here.

Jaap’s research - discussed during the episode

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I had a conversation with new graduate physiotherapist Tom Peers-Barlow about his experiences moving from the public sector into private practice. We discussed ways you can get involved in research as a new graduate practitioner and strategies for managing feelings of nervousness when you first start working as a health professional. Tom shared his tips for how to set yourself up with good habits for lifelong learning and getting the most out of your clinical career. Thanks Tom for a great conversation.

In this episode:

  • 0:00 About this episode and welcome Tom
  • 2:10 Tom’s background and interests
  • 5:15 How did you feel when you first started in private practice?
  • 8:20 How did hospital work and university help prepare you for private practice?
  • 10:45 Adapting to stress – the positive aspects of stress
  • 12:10 Transitioning from university to working life
  • 16:50 Strategies for when you are feeling overwhelmed
  • 19:50 Simulated clinical work at university – making mistakes in a safe environment as a way of learning and prompting discussion
  • 22:20 Tips for students – get as much exposure to your areas of interest as possible and use all the learning resources
  • 25:26 Strategies for managing distractions and staying focused
  • 31:30 What is it like learning as a professional vs learning as a student?
  • 34:00 How do you get started in research as a new grad? Developing special interest areas
  • 42:30 Thinking about formal research training, masters and PhD
  • 50:05 Final thoughts: If you don’t understand something, look it up. Stay curious.

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke to Jaap Switters about chronic pelvic pain and the range of contributing factors and management strategies that practitioners can use to help people in the clinic.

Jaap is an osteopath and physiotherapist based in Vienna, Austria who specialises in male chronic pelvic pain and associated conditions. Jaap is also a university educator and researcher with a series of research publications on chronic pelvic pain and associated conditions.

In this episode:

  • 0:00 About this episode
  • 3:07 Welcome back Jaap, background and interests
  • 4:20 Definition of male chronic pelvic pain and the noisy neighbours analogy
  • 7:30 What causes chronic pelvic pain? The dodgy garlic kebab analogy
  • 12:10 How acute stress contributes to chronic pelvic pain. The alarm system analogy
  • 18:00 Can new graduate practitioners help men with chronic pelvic pain, and if so, where do they start?
  • 19:25 Negative findings on investigations is a good thing!
  • 21:20 Red flags and contributing factors for chronic pelvic pain
  • 26:15 Overactive bladder – understanding normal frequency of urination and screening questions to use in the clinic
  • 32:30 Education strategies related to fluid intake, nocturia and retraining the nervous system
  • 37:20 Bladder health and retraining
  • 41:00 Incontinence
  • 44:58 Summary and tips for managing chronic pelvic pain in the clinic – the flat tyre analogy
  • 49:41 Bringing it all together and what’s next

Read more about Jaap here.

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I welcomed back Dr Luke Nelson to the Physio Foundations podcast to talk about running and running-related injuries.

In this episode:

  • 0:00 About this episode
  • 1:00 Welcome back Luke to Physio Foundations
  • 2:15 Luke’s background and interests
  • 6:00 What are some of the first things you look at when assessing a runner?
  • 12:10 What are common running-related injuries?
  • 14:29 Running speed/surfaces and how they relate to injuries?
  • 17:10 Using smart watches and technology to explore training loads in the clinic
  • 21:20 When injuries are more complex and chronic – differing management strategies
  • 25:40 Medial tibial stress syndrome – management strategies and tips
  • 30:00 Prognosis and expectations – how long will it take? When to focus on performance more than pain
  • 35:05 When should you not run with pain? Bone stress injuries discussion
  • 39:00 Unhelpful messages for runners
  • 40:20 When do you refer for investigations or to other professionals?
  • 45:05 RED-S Relative energy deficiency in sport – athlete fuelling and recovery, key take-aways
  • 48:50 Luke’s sub-3 marathon and upcoming 1500 metre track race
  • 55:35 Final thoughts

Find Luke on Instagram @SportsChiroLuke

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Tim is the program director for the physical health suite of programs at Torrens University, a rehab specialist at Complete Physio Exercise and Performance in Melbourne, Australia and a PhD candidate in the area of tendinopathy. In this episode, Tim talks about finding your purpose as a health professional. Thanks Tim for a great conversation.

In this episode:

  • 0:00 About this episode
  • 2:27 About Tim
  • 7:30 Finding you purpose and the meaning for your you do, the concept of Ikigai
  • 8:10 Australian physiotherapy workforce survey; 55-60% are leaving the profession within 10 years of graduating – exploring reasons for this
  • 10:45 What does the world need and what is your mission?
  • 11:50 What are you good at?
  • 12:32 What do you love? What do you feel enthusiastic about doing?
  • 13:05 What can you be paid for?
  • 17:53 Working through Tim’s Ikigai and finding his purpose as a health professional
  • 22:57 What if you don’t have the passion for the profession yet?
  • 27:39 How soon is too soon to specialise? Planning your pathway to specialisation. What is a specialist?
  • 33:50 Talking to new grads and students about ‘putting yourself out there’ on social media and professionally.
  • 40:40 Workshopping Physio Foundations – where I fit in and what is my purpose?
  • 49:40 Summary – where to from here?

Find Tim on Instagram @blackbeltrehab

Find out more at timtrevail.com

We mentioned the book ‘So good they can’t ignore you’ by Cal Newport

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Pat joins me to talk about his tips for studying and learning in physiotherapy. This is an episode for students and new graduates who want to further develop their learning and professional development. This is Pat’s third time on the podcast – thanks Pat for a great conversation.

In this episode:

  • 0:00 About this episode
  • 1:34 Welcome back Pat
  • 3:09 About Pat – teaching interests and responsibilities
  • 5:55 Pat’s tips for success in studying – use the resources that are available to you
  • 10:05 Pitfalls when studying – don’t just listen to lecture recordings. Appraise the quality of the information you are provided with
  • 13:49 Hot tips – practice your skills but also think about the clinical applications and ask questions
  • 17:00 What are the most important knowledge and skills for a physiotherapist? Challenging yourself and reflection on strengths and weaknesses
  • 22:15 What are the most satisfying parts of physiotherapy education?
  • 25:15 What gets you out of bed in the morning?
  • 28:05 What if you are lacking enthusiasm? Thinking of the bigger picture
  • 31:40 Keep your mind open for new opportunities. The importance of curiosity
  • 36:00 Final thoughts – find balance, consider sleep, distractions and plan breaks

Connect with Pat on Twitter @Physio_Pat

Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes on the Perraton Physio Linked In page.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Jordan Rutherford is a physiotherapist with the Professional Golf Association of Australasia and the director of Launch Health in Melbourne, Australia. In part 2 of our conversation we talked about working with professional golfers for performance and injury management and using objective measures such as handheld dynamometers.

In this episode:

  • 0:00 About this episode
  • 1:51 What it’s like being a physiotherapist working in professional golf and how Jordan got started
  • 4:40 The hard yards in professional golf
  • 6:19 Millimetres and degrees is the difference between the fairway and the trees
  • 7:25 What injuries do golfers get?
  • 9:00 What preparation do golfers do before they start hitting?
  • 9:56 How do you avoid coaching when you play golf yourself?
  • 11:50 Could you assess somebody and predict their most likely injuries and performance?
  • 14:00 Strength and conditioning for performance in golf – objective measures for what is important for performance
  • 16:30 Collecting data and doing research in your clinic
  • 19:50 Handheld dynamometers, force plates and other objective measures Jordan uses in the clinic.
  • 24:17 How you set up your handheld dynamometer testing and your instructions will affect the quality of your measurement
  • 27:50 When to use force, torque or body-weight normalised torque
  • 29:59 Final thoughts? Develop your own way of helping people and find the people you can help

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes and episode summaries visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, X, Instagram and Linked In.

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Jordan Rutherford is a physiotherapist with the Professional Golf Association of Australasia and the director of Launch Health in Melbourne, Australia. He is one of our teaching staff in Monash University Physiotherapy working in the first year of our undergraduate program. We talked about Jordan’s experiences in starting a private practice and his reflections on working in physiotherapy education.

In this episode

  • 0:00 About this episode
  • 3:45 About Jordan
  • 6:47 Starting a private practice, benefits and risks, when to go for it and when may you be better off working for somebody
  • 10:55 Supervising students in private practice
  • 14:20 Going straight into private practice from university – selling points
  • 17:20 What have you learnt working in undergraduate teaching as a clinician?
  • 23:50 Helping students to bring together anatomy, clinical reasoning and clinical skills.
  • 29:00 What are the most important knowledge and skills for a physiotherapist? Humility, honesty, knowing where your expertise lies

Thanks Jordan for a great conversation. Part 2 is dropping next week.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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On this episode I had a conversation with recently graduated physiotherapist and PhD Candidate Jess Coventry about networking as a student and early career practitioner, and how to find mentors. We spoke about Jess’ experience seeking specific skills, finding mentors, networking at university, and her first couple of years of clinical practice leading up to the start of her PhD. Thanks Jess for a great conversation.

In this episode

0:00 About this episode

1:05 Welcome Jess – bio, interests, clinical career so far

4:40 Jess’ PhD working in the Kids Leg Pain project

8:50 Building connections and seeking specific skills rather than networking. The benefits and drawbacks of saying yes to lots of things at the early stage of your career

12:50 What are the benefits of being involved in professional associations and activities and when to realise you are doing too much.

17:45 What are some mistakes you have made or lessons you have learnt from other people’s mistakes?

19:02 What is a mentor?

20:20 How have your mentors shaped and influenced your career?

22:29 Formal vs informal mentors

24:52 Finding informal mentors – good and bad experiences

25:55 LinkedIn. Why LinkedIn isn’t cool (it ain’t TikTok) but it can be very useful

31:00 Be specific about what you want from your mentor, and how much time is required from them

35:54 Approaching mentors – who dares wins! How to put yourself out there and ask for time from people

40:50 What happens if you are unsure about your study and career? How early is too early to start networking and seeking mentors?

45:36 What are the most important knowledge and skills for a physiotherapist? Strategies for finding the truth using communication

53:45 Final thoughts – develop skills in reflection before and after patient and colleague interactions

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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On this episode I had a conversation with recently graduated physiotherapist Seven Shan about her experiences studying, living and working in Australia as an international student, and now an Australian health professional. I asked Seven for her tips for success in study and work, particularly for international students or people from culturally and linguistically diverse backgrounds.

In this episode we discuss the Clinical Communication Support Program run by Jo-Anne Corbett and team at Monash Uni Physiotherapy and how Seven has developed her own clinical communication skills through her training and clinical practice.

This is a special episode for anyone who is studying, or working, overseas, and using a different language in their studies or work, to what they use at home, focusing on clinical communication skills.

In this episode

0:00 About this episode

2:20 Welcome Seven -background and interests.

4:15 What led you to study Physiotherapy in Australia?

6:55 What was it like when you first moved to Australia to study? Challenges and achievements, adapting to living and studying overseas

9:20 Challenges in communication when first moving to Australia to study

10:40 Group discussions - it can be difficult to comprehend, then translate, then contribute in group discussions, sometimes the conversation moves on without you

11:30 What tips and strategies could you give for develop interpersonal and clinical communication skills?

15:15 Tips for study for students – form a study group.

16:20 The Clinical Communication Support program at Monash Uni Physiotherapy with Jo Corbett – what made you want to attend these sessions? How did this training help you during your training and after graduation?

20:50 Getting feedback on clinical communication – how could you phrase questions differently, how to explain assessment findings to patients

22:54 Jargon. Words and phrases to avoid saying to patients.

27:38 The importance of practicing communication – moving from being highly focused to being automatic, through practice

31:06 How did clinical communication training help you when you went on clinical placements?

33:00 Study groups – including local and international students in your group

34:58 Learning the local culture and how this helps your clinical communication

36:20 Final thoughts – keep practicing with your friends and in the community, talk to lots of different people and keep practicing those communication skills

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This is part 2 of my conversation with physiotherapist Dr Udari Colombage from Monash University Physiotherapy. We talked about pelvic health and pelvic floor dysfunction in women with breast cancer and Udari’s PhD research findings, with key take-home messages for you to use in the clinic.

In this episode:

0:00 Welcome back Udari

1:25 Overview of pelvic floor disorders and their management – Udari’s PhD research

8:09 Prevalence of pelvic floor dysfunction in women with breast cancer – summary of systematic review findings

10:40 The problem of underestimation of the impact of bladder and bower dysfunction

11:46 The prevalence of pelvic floor dysfunction in women with breast cancer is high – what else do we need to know?

12:30 Pelvic floor muscle strength, and ability to relax the pelvic floor, was poorer in women with breast cancer – the need for pelvic floor training exercises

14:05 Pelvic floor muscle training done via telehealth is feasible and effective – summary of Udari’s research on pelvic floor muscle training

15:08 Why is pelvic floor muscle relaxation important? What do pelvic floor muscle training programs involve?

Udari discussed the Continence Foundation of Australia. Visit this website for resources for practitioners and patients https://www.continence.org.au/

Please send any questions you have to Udari to me and I will forward to Udari.

You can contact me via Linked In or Twitter @lukeperraton or @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke with physiotherapist and recent PhD graduate Dr Udari Columbage from Monash University Physiotherapy about pelvic floor dysfunction and her pathway from graduate, to PhD student, to early career researcher.

In this episode

0:00 About this episode

1:58 Welcome Udari – background, interest, qualifications and career pathway so far

5:15 Finding mentors and a special interest area in your career

7:00 Pelvic floor dysfunction in people with breast cancer

9:55 What did you enjoy about studying research in university?

12:40 Working with people following breast cancer surgery and people with lymphedema

16:05 What is lymphoedema and what are the common management strategies?

17:55 What are the psychological impacts of breast cancer surgery and how equipped did you feel to help people with cancer as a new graduate?

20:20 Sexual dysfunction and continence – challenges and clinical questions leading to research questions

25:00 How can practitioners help? How to ask questions about incontinence and sexual health

29:30 Final thoughts? Don’t shy away from talking about incontinence – there are resources out there to help you

Udari discussed the Continence Foundation of Australia. Visit this website for resources for practitioners and patients https://www.continence.org.au/

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I had a conversation with Advanced Musculoskeletal Physiotherapist Matt Donnelly from Monash Health in Melbourne, Australia. We talked about the role of Advanced Musculoskeletal Physiotherapists in emergency departments, how advanced practice roles help people higher quality care, and how his career and experience led him to this role. We also talked about Matt’s tips for students on clinical placements, including how to be successful and how to manage feeling nervous. This was a great conversation and I learned a lot, I hope you do too.

In this episode

0:00 About this episode

1:38 Welcome Matt

4:03 Surgical screening clinics and triage of people in emergency departments – overview of advanced practice roles

10:25 The importance of professional relationships and understanding your own limitations.

13:42 How do you ask questions well? Be proactive.

14:54 Tips for students on clinical placements from a clinical educator

16:33 Tips for students who are feeling nervous on clinical placements.

21:58 The most important foundational knowledge and skills for practitioners – find out the most important concern of your patient, how to do reflective listening, the importance of silence.

27:50 Doing a clinical master’s degree as part of a pathway to an advanced practice role

30:50 The goal of doing an entry-to-practice physiotherapy degree is to become safe and effective – it’s ok to not know everything.

36:15 Final thoughts – it’s ok to not know what you want to do for the rest of your career when you graduate. Just be safe, effective and learn from your colleagues and patients.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke to new graduate physiotherapist Jun Soong about the benefits of working in a non-metropolitan health care system as a new graduate physiotherapist, developing your own style of practice, and how he is setting up the next stages of his career.

We also spoke about transitioning from university to working life, planning overseas travel as a health professional and why he is going back to university to study a masters degree.

Thanks, Jun, for a great conversation. If you enjoyed the episode and want to be a part of the conversation yourself, be brave, and send me a DM! Track me down online on Twitter, LinkedIn, YouTube and Instagram @PerratonPhysio and @lukeperraton. You can follow Physio Foundations in your favourite podcast episode and share this episode with your friends.

The podcast is ad free. I don't make any money from it. I do it as part of my academic work and to support students and other clinicians. You can support the podcast by giving it a 5-star rating and a review on your podcast player.

In this episode

0:00 About this episode, welcome Jun

3:58 About Jun – background and interests

5:45 Benefits of working in rural or non-metropolitan health care settings

11:35 Challenges of being a new graduate practitioner in private practice

14:45 Looking back to first year physiotherapy studies – tips for current students

19:35 Ask questions! Get out of the performance zone and into the learning zone

21:50 Tips for new grads on finding an employer – search for clinicians you want to learn from and who will support you

26:26 Private practice or hospital?

28:50 Why manual therapy matters in private practice

33:13 Foundational knowledge and skills in physiotherapy – developing rapport with people and developing your own style of practice

37:12 What’s next? Going back to uni, choosing a clinical masters degree, professional development tips

43:10 Final thoughts – You can only ‘fake it 'til you make it’ up to a certain point, you get out what you put in. Commit to lifelong learning and remember the bigger picture

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Watch video versions of episodes on YouTube: https://www.youtube.com/@PerratonPhysio

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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On the 50th episode of the Physio Foundations podcast I had a conversation with Associate Professor Christian Osadnik from Monash University Physiotherapy about the various ways you can get involved in research as a clinician, and the research-specific knowledge and skills that should form the foundation of your practice.

If you enjoyed this conversation, please share it with a friend or on your social networks. Sharing the episode is the best way to support the podcast and will help us get these positive messages about our profession out to more people around the world.

In this episode

0:00 About this episode

3:28 About Christian – background, interests and experience

6:35 Travelling and reflecting on standards of practice

7:35 ‘I wanted a new challenge’. Research as a way to lead in your field

8:38 What are some of the options for progressing your career and leading within your field?

11:47 Flipping the script – Christian’s reflections on planning a clinical and academic career. Getting your foot in the door of a university.

15:35 ‘I don’t want to do a PhD, but I do want to get more active with research’. Advice for clinicians in this position. Tips for those considering doing a PhD

22:27 Small research projects you can get involved in as a full-time clinician.

25:40 What are the most important research skills to develop as a clinician?

28:50 What is good evidence and where does evidence have limitations?

30:20 How does doing research inform your clinical practice? Knowing about reporting guidelines for research.

35:50 Ways to consume research that aren’t overwhelming and knowing where to find information – becoming ‘resource aware’

36:47 Developing a special interest area and knowing where to ‘put up your gates’

45:20 Research ‘literacy’. Skills and awareness of evidence based practice in modern day students

49:00 The most important knowledge and skills for physiotherapists – being an evidence engaged practitioner

55:32 Final thoughts – you don’t have to be a full time researcher to contribute to research, get in touch with your researcher colleagues

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Christian’s website www.resptlab.com

Christian’s academic profile: https://research.monash.edu/en/persons/christian-osadnik

Connect with Christian on Twitter:

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke to new graduate physiotherapist Oliver Wong about his experiences transitioning from university to working life, how to develop confidence and develop your professional ‘character’ and why he thinks a career brainstorm is better than a career plan.

Thanks Oli for a great conversation. If you found this episode helpful, please follow Physio Foundations in your favourite podcast episode on YouTube, Twitter, LinkedIn and Instagram @PerratonPhysio

In this episode

0:00 About this episode, welcome Oli

2:59 About Oli – background, interests and transition to working life

5:00 How are you finding working as a physiotherapist? Is it what you expected?

6:20 Changing perspectives – learning more about the profession, physiotherapy is more than elite sport

9:20 Parts of the job that a first-year physiotherapy student may not know about yet? The complexity and considering ‘what’s next?’ The importance of general knowledge, even when specialising

12:00 The importance of having a thirst for knowledge and creating options for yourself

15:50 Having a career brainstorm rather than a career plan – a useful approach for the new grad years. Adding variation to your career planning

18:25 Making yourself available for opportunities

20:50 Social media isn’t for professional development

22:30 Attending conferences

24:30 The most important foundational knowledge and skills for a physiotherapist

29:40 Tips for developing your patient communication skills while you’re still in university

33:35 Communicating with confidence – communicating with patients and other professionals, developing your professional persona

39:34 Stepping into your authentic professional character. Develop the clinician version of you.

43:06 Advice for students for your careers ahead – the importance of developing good habits

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Watch video versions of episodes on YouTube: https://www.youtube.com/@PerratonPhysio

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke to physiotherapist and PhD candidate Mac Hall about his practical tips for clinicians working with people with persistent pain. We also talked about the findings of his PhD investigating mechanisms of pain in people with chronic low back pain. Thanks Mac for a great conversation.

If you enjoyed this episode please share it with a friend or on your social networks. Sharing the episode is the best way to support the podcast and will help us get these positive messages about our profession out to more people around the world.

In this episode

0:00 About this episode

1:05 Mac’s background, interests and clinical experience

4:06 What is pain?

4:35 Why do we experience pain?

6:17 What is persistent pain?

7:55 Why do some people have all the contributing factors for persistent pain, but they don’t get it?

12:00 Tips for working with people with pain: Listen to people, treat the person as a person,

15:00 What assessments do you do with people with persistent pain?

17:50 Tips for explaining pain to people and neurological mechanisms

20:30 The connection between childhood trauma and persistent pain

24:45 How do you ask people about childhood trauma?

27:57 Tips for new graduate practitioners working with people with pain

34:00 The role of exercise

37:06 Mac’s PhD investigating neurological mechanisms in people with low back pain

45:18 Final thoughts – develop good rapport with your patients, listen to people, value what they are saying, go with what works for each person

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Mac’s clinical profile: https://www.physiocentre.com.au/team/mac-hall/

Connect with Mac on Twitter: https://twitter.com/machall2110

Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke to physiotherapist, chiropractor and strength and conditioning specialist Dr Greg Lehman about challenging your own beliefs and assumptions in clinical practice. We spoke about the challenges of keeping things simple whilst balancing this with the complexities of clinical practice. We then talked about some of Greg’s pet topics; applied biomechanics, strength training and movement preparation.

If you enjoyed this conversation please share it with a friend or on your social networks. Sharing the episode is the best way to support the podcast and will help us get these positive messages about our profession out to more people around the world.

In this episode

0:00 About this episode

1:54 Welcome Greg

5:50 What are the most important foundational knowledge and skills for practitioners? Find the common threads between people

7:03 Apply stress to someone and that causes some adaptation, then observe and consider when this could be wrong.

7:40 Keep things simple. Calm sht down, build sht back up

8:22 Finding the principles and techniques that work for you and you are passionate about and apply them

10:55 How do you reconcile the need to keep things simple with the known complexities in clinical practice?

13:55 How can asking questions make you a better clinician? Simplify and create options.

17:49 Do you have any beliefs that you have done a 180 degree turn on?

19:09 Changing beliefs about heavy loading and rehab – do tendons need heavy load? The process of challenging your own beliefs

22:30 Biomechanics – re-framing ‘impairments’ as movement variability. When is this appropriate and when is it misleading? Movement preparation is important.

31:30 Why can’t I just run? Debating whether you need additional strengthening in prevention and rehab.

33:55 Dialectic: The art of investigating and discussing the truth of opinions

37:02 How do students and young professionals reconcile biomechanics and pain science? Search for common threads

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Read more about Greg on his website https://www.greglehman.ca/bio

Follow Greg on Instagram https://www.instagram.com/greglehman/?hl=en

Follow Greg on Twitter https://twitter.com/GregLehman

Greg’s course as discussed in the episode: https://www.greglehman.ca/reconciling-biomechanics-with-pain-science/

Subscribe to our YouTube channel: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke to Monash University Physiotherapy educator and PhD candidate Jess Lindstrom about her tips for developing your career through education and research, tips for students for learning at university and why you might choose to do a PhD.

If you enjoyed this conversation please share it with a friend or on your social networks. Sharing the episode is the best way to support the podcast and will help us get these positive messages about our profession out to more people around the world.

Thanks for your support of the Physio Foundations podcast as we make our way towards episode 50!

In this episode

0:00 About this episode, welcome Jess

2:00 Jess’ journey through the new grad years leading to physio education – COVID-related disruptions, adaptations, growing and improving

6:40 The specific teaching activities Jess did to build up her CV

8:43 What do you love about anatomy teaching?

11:30 What are the best parts of clinical work? Getting to know people and teaching people how to manage their health

13:32 Are the people who teach in physiotherapy courses dinosaurs? Pushing back on an unfair stereotype, learning goes both ways

17:00 Everyone learns so differently – what works for someone won’t work for someone else

18:23 Good ways to learn and study - learn how to learn, study groups, learn through teaching, the importance of making mistakes, learn in-person whenever possible, don’t try to be perfect

25:38 The value of saying ‘I don’t know’.

26:30 Use the supports that are available for you. Need help, ask

28:38 Jess’ PhD in pelvic health in athletes, and why do you do a PhD?

33:00 Tips for approaching supervisors and starting a PhD, be patient, build your connections and ideas

38:22 Tips for building your research CV. Everyone talks about the importance of saying no, but make time and space so you have the opportunity to say yes.

50:29 Saying ‘I don’t know’ is a sign of an expert (provided you have a plan for finding out the answer)

43:00 What are the most important foundational knowledge and skills for practitioners? Wanting to connect with people, listening, making the space to listen to people. Knowledge of your own skills and limitations, you don’t need to know it all, but you need to have processes for learning

47:55 How well do you need to know anatomy?

52:17 Final thoughts? Have a go. Put your hand up, say yes to things, try things you may not be successful in

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Subscribe to our YouTube channel: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke to Monash University Physiotherapy graduate Isabella Smith about her tips for successfully transitioning from university to your first hospital job and her experiences working in a hospital, including in an intensive care unit. We also spoke about Issie is integrating education and research into her clinical work and her plans for developing her career in the years ahead. Thanks Issie for a great conversation.

In this episode

0:00 About this episode, welcome Issie

2:00 About Issie – background, interests and transition to working life

5:05 What area did you see yourself going into when you were in uni?

6:15 What is it like working in ICU? It’s never boring!

9:37 It can be quiet dawning working in ICU but the foundations are similar to other areas of physiotherapy

10:20 How to communicate with other health professionals in hospital and ICU settings

11:10 How did university prepare you to start working as a physio?

12:30 People don’t fit into neat boxes, they often have complex medical needs

13:58 What are the most important foundational knowledge and skills for a physio? The ability to tailor your communication to different people. The ability to reflect on your practice.

16:30 Finding mentors

19:00 How does teaching and clinical education help you develop as a physio?

24:00 Advice for physios re-entering the hospital system

25:16 How do you see our profession changing in the future?

27:23 How do you keep on top of new research and trends in practice? Teaching is a great way to learn

36:00 Combining education and teaching with clinical work as a new grad physio

40:55 Make the most of opportunities and look at the bigger picture

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Connect with Issie on LinkedIn: https://www.linkedin.com/in/isabella-smith-7ab268181/?originalSubdomain=au

Issie’s Monash University Profile: https://www.monash.edu/medicine/study/meet-our-students/isabella-smith

Subscribe to our YouTube channel: https://www.youtube.com/@PerratonPhysio

Join the conversation on social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke with recently graduated physiotherapist Vasish Vasan about his experience working with doctors, podiatrists, nurses, orthopaedic surgeons and other health professionals. This was the 5th in my 'New Graduate Series', and in this episode,, Vasish gave us tips for transitioning from university to working life and for getting the most out of this phase of your career. We also spoke about his experiences managing an ACL injury and the psychological impact of the injury on his rehab and return to sport. Thanks Vasish for a great conversation and sharing your experiences.

In this episode

0:00 About this episode

1:45 About Vasish

3:30 Working with doctors, nurses and other allied health professionals

5:00 The benefits of working closely with different types of professionals

7:00 Ask questions, build rapport, how and when to show vulnerability

10:20 How did you prepare to start in this role?

13:18 Tips for new grads and students applying for their first big job

18:08 The most important foundational knowledge and skills for practitioners – being able to explain complex concepts to people on their terms

21:20 There’s always something you can do – the importance of confidence, reinforcement, the power of keeping things simple first

24:30 The patient’s perspective having an ACL injury, working with physiotherapist Jane Rooney, the mental rollercoaster of rehab

28:40 The experience of having a spontaneously healing ACL. Discussions about the Cross bracing protocol

34:00 Vasish’s unique insight – rehab sucks. Appreciating the psychological impact of injuries

35:54 Where do you see the physiotherapy profession going over the next decade? Challenges affecting the profession

41:28 Methods for contacting clinics and strategically filling holes in your training.

42:40 Talking to athletes and coaches

46:47 Final thoughts – embrace the vulnerability of now knowing. Find your strengths and build on them

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Connect with Vasish on Linked In

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke to Monash University Physiotherapy graduate Josh Vinton about his experience transitioning from student life to working life, and his upcoming plans for working as a physiotherapist in the United Kingdom. Thanks Josh for a great conversation.

In this episode:

0:00 About this episode, welcome Josh

2:10 About Josh – background, interests and transition to working life

3:02 What interested you about private practice when you were a student?

4:12 Developing knowledge and skills in hospital settings in another country

7:15 What skills are you developing since graduation? Thinking on your feet

9:30 What attitude do you need to be successful as a new graduate physio? Be prepared to make mistakes and learn from them. You don’t have to do everything in the first appointment

11:55 What are the most important foundational knowledge and skills for a physiotherapist? It’s less about new techniques and more about communication skills, building empathy, connection, listening skills

18:10 A hallmark of expertise is being able to say ‘I don’t know’. Be empowered to ask questions

20:45 Tips for first year physiotherapy students – trust the process, concentrate in class, take notes, be brave and ask questions

24:45 Learning for the bigger picture – why am I here, why does this matter, when would I use this when working as a physio in the future?

29:00 There’s more to physio than sport, it’s all connected. Wise words from Josh

31:00 Why do you want to work overseas (Australian in the UK) as a physio? Practical tips and experience. Tips for others who are thinking of working overseas

43:52 Final thoughts and summary – trust the process

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Josh’s clinical profile: http://www.psmgroup.com.au/team-details/josh-vinton/

Watch the video version on YouTube: https://www.youtube.com/@PerratonPhysio

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke to specialist paramedic, educator and researcher Dr Ben Meadley about his career as a specialist mobile intensive care ambulance (MICA) paramedic and the rapidly evolving profession of paramedicine. Ben explained what Johnny Utah from the movie Point Break can teach us about physical performance standards for health professionals and the importance of emotional intelligence, empathy, capability, aligning practice with research and pushing into new frontiers. Thanks Ben for a great conversation.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode

0:00 Welcome Ben

1:12 About Ben – background, interests, career so far

4:40 Why is it so important that health professionals look after their own health? It takes time to develop expertise – the importance of people staying healthy and staying in health professions

8:40 What can Johnny Utah from Point Break teach us about physical performance standards for health professionals?

11:30 What is an acceptable baseline of physical fitness and performance? A job task analysis for physiotherapy

18:30 The importance of being able to perform tasks confidently and capably, e.g. being able to demonstrate exercises well

20:00 What are the most important foundational knowledge and skills for a physiotherapist? Emotional intelligence, understand when its time to listen and when its time to take charge

25:10 People want you to help them solve a problem; the balance of listening/adapting and being decisive

27:45 The evolution of the paramedic profession and what we can learn from this in physiotherapy. Working effectively with other professionals

36:55 The importance of being empowered to say ‘I don’t know’. Look, pause, plan

40:20 Final thoughts? The evolution of all health professionals is to develop your emotional intelligence, empathy, capability, aligning with research and pushing into new frontiers

42:00 Thank you for helping me spread positive messages about our profession

Ben’s academic profile: https://www.monash.edu/medicine/spahc/paramedicine/staff/ben-meadley

Ben’s website: https://www.benmeadley.com/

Find Ben on social media: https://twitter.com/ben_meadley

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Zuzana and I sat down with physiotherapist, business owner and runner Kevin Lieberthal about managing running-related injuries. We also spoke about strength assessment and strength training in the clinic, and about Kev’s entrepreneurial side-project, Gravel and Tar.

In this episode

0:00 About this episode

1:39 Kevin’s background, interests and career so far - from squash, to triathlon, to cycling to running marathons

5:20 How do you maintain your passion for the profession?

8:07 Positive reflections on our great profession

9:40 What does running mean to your patient? Weighing up high and low risk injuries and the other reasons that people choose to run

12:12 Why running training load is like Bolognaise sauce

13:35 You can’t run too fast all the time. Some people recover faster than others. Consider how you look at the individual and how they tolerate load

14:30 Running shoes – they can change things, but they don’t make load disappear

14:50 Injuries as opportunities. Knowing when to quit and playing the long-term game

20:45 Three phases to consider: Return to run, return to train and return to perform. There is no such thing as a return to running program that suits everyone.

25:30 High risk and low risk injuries. Using hopping and weight bearing tolerance as indicators. Energy deficiency, alternations in menstrual cycle, bone health

29:25 Bone deafness. Lack of stimulation of bone in distance running. The importance of cross training and including impact and change of direction.

32:42 How and when do you introduce strength work for runners?

36:45 What are your top 3 exercises in the gym for runners? Don’t forget those calves

42:05 What are the most important knowledge and skills for a physio? Question yourself, constantly explore things, challenge yourself, disagree when necessary, follow your interests

53:00 What advice would you give physios who want to develop their entrepreneurial side?

58:25 Final thoughts. Love this profession. Find your niche and stick to it. Be known for something.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Kevin’s profile: http://www.physiocentralpark.com.au/kevin_lieberthal.html

Find Kevin on social media:

https://www.linkedin.com/in/kevin-lieberthal-b7409731/?originalSubdomain=au

https://www.instagram.com/physio_at_central_park/?hl=en

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton. Connect with Zuzana @drzuzi

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week I spoke with Associate Professor Kelly-Ann Bowles from the Department of Paramedicine at Monash University. Kelly is a biomechanist and a paramedicine researcher as well as the acting head of the Department of Paramedicine and the Director of Research for our School of Primary and Allied Health Care. We spoke about the foundations of her career and her thoughts on the direction of the physiotherapy profession.

Kelly has a very interesting and diverse professional background and has mentored many students and colleagues (myself included) in their careers. There is plenty in this episode for students, grads and experienced clinicians to unpack. Enjoy, and thanks Kelly for a great conversation.

In this episode:

0:00 About this episode

3:00 Welcome Kelly to Physio Foundations

4:20 The foundations of Kelly’s career

6:15 The unpredictability of working in elite sports biomechanics, working around athletes and coaches, working long hours and loving it

8:30 How did you develop your research career? Sports bras for breast support – finding important research questions with real impact for people

10:43 The importance of getting fitted for a bra and how this can improve physical activity and participation in sports

12:59 How did you get into paramedics research? Completing a PhD over ten years, saying yes to lots of things, sending your CV to everyone in the country

15:15 Strategically building your knowledge and skills

16:20 Balancing new opportunities and the need to stick things - skills more than titles

18:55 What are the attributes that make a really good clinician? Research skills and collaboration with other professionals

21:30 How do you develop professionalism in paramedics and what can other professions learn from this?

24:21 Ben Meadley’s fascinating PhD on the health of paramedics

26:40 It’s easy to always put your patient’s health first - the importance of professionals looking after their own health

31:00 Message for the next generation of clinicians – you get to dictate the direction of the profession through your own stance and behaviour.

31:35 How to connect with Physio Foundations and share the podcast

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Kelly’s academic profile: https://research.monash.edu/en/persons/kelly-bowles

Find Kelly on social media: https://twitter.com/k_bowles

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Chris Seville is a physiotherapist, physiotherapy educator and principal practice owner at healthy bodies physiotherapy in Cheltenham in Melbourne’s south east. Chris is also a powerlifter and powerlifting coach who has won multiple championships and represented Australia at the World Championships. He currently holds the under 83kg Australian Squat Record. We spoke about his clinical interests, his experiences working in high-profile clinical roles and how he uses his knowledge of powerlifting to help people of all ages and functional levels improve their quality of life. Thanks Chris for a great conversation.

In this episode:

0:00 About Chris

2:17 Welcome Chris to Physio Foundations

4:40 What is powerlifting? How did you get into powerlifting? Chris’s squat record.

11:26 How did a shoulder reconstruction lead to a career in powerlifting?

12:18 How do you use powerlifting knowledge with everyday people in the clinic?

13:30 Getting people in the gym as a clinician is a really enjoyable part of the practice

14:56 What else do you offer patients apart from strengthening exercises?

16:54 How did your strength training skills help you as a physio working in elite football?

18:45 What can a health professions student learn by being active and training themselves?

23:05 Anyone can get strong. Apply a stimulus, progressively overload over time, allow time for recovery, and you’re going to get stronger

24:48 What are the benefits of strength training for people of all ages?

28:44 The Epley formula for predicting how much weight people can lift.

29:25 How can clinicians move beyond the manual muscle test? Dynamometry and functional strength assessment

30:00 If somebody can lift 60kg, and your program never takes them to 60 kg, you can’t develop their strength – have a look at the task you want to improve

32:45 Ways to measure and train strength when you don’t have access to a gym

33:25 What are the most important foundational knowledge and skills for a physiotherapist? Principles of strength training and knowledge of anatomy

35:38 Why is knowledge of anatomy important? Examples of when knowledge of specific tissues is vital

43:16 Tips for retaining knowledge when working as a clinician – discuss areas you need to revise with your team and mentors

45:09 Where can young clinicians find postgraduate training to improve their knowledge and skills in strength training – courses, reading, working with mentors

50:40 Final thoughts – get to the gym and find people to work with who can teach you how to apply these principles in the clinic

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Chris’ clinical profile: https://www.healthybodiesphysiotherapy.com.au/meet-our-team/

Find Chris on social media: https://www.instagram.com/healthybodiesphysio

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This is part 2 of my conversation with sports physiotherapist, physio educator and pelvic health researcher Jodie Dakic from Monash University Physiotherapy. We discuss the how you can reframe your approach to university and lifelong learning and the bigger picture of developing yourself professionally across your career.

In this episode:

0:00 Why is this episode important?

2:15 Students are worried about assessments, educators want students to focus on their learning – Jodie’s perspectives

3:00 The ‘soft skills’ that can make or break you as a student and a professional. What else are you learning when you enrol in a course?

5:00 Are you learning for assessments or learning to become a professional?

6:08 What learning skills do you need to learn effectively at any level?

7:20 You need to practice if you want to practice physiotherapy!

9:00 Independent learning = trying to find information for yourself. Be a problem solver

11:00 It’s a small world. You are not invisible in your classroom and you are studying with your future colleagues and maybe your future boss! Practice professionalism and balance this with having fun.

15:35 If learning is the most important thing, then why do we have assessments?

18:15 How important are grades and marks in university? Let’s put things in perspective.

19:38 Personal development is a huge part of university learning – the importance of developing strategies for resilience and self-care

24:08 Make you own decisions about the importance of what you are learning and what you like – don’t get drawn into groupthink

26:20 What are the most important foundational knowledge and skills for a physiotherapist – active listening, really listen to a person and reflect on what they are saying. Adapt your style of communication to individuals

30:00 It’s not just the questions you ask but how you ask them

34:15 Final thoughts – get the foundations right now and have an amazing career later

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Jodie’s academic profile: https://research.monash.edu/en/persons/jodie-dakic

Follow Jodie on Twitter: https://twitter.com/JodieDakic

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

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Jodie is a highly experienced sports physiotherapist, physiotherapy educator and emerging researcher in the field of women’s health and physical activity. In this episode I spoke to Jodie about her many years’ experience working in elite sport and the series of ground-breaking studies she is doing as part of her PhD looking at the impact of pelvic health on women’s physical activity. We explored the foundations of Jodie's career and her tips for up and coming practitioners who want to follow a similar path. Enjoy!

In this episode:

0:24 About Jodie

3:00 Jodie’s foundations – training, experience and pathway into elite sport, research and physio education

7:20 What do you love about working as a sports physio?

9:55 ‘I enjoy the pressure’. You have to enjoy striving and succeeding despite the pressure.

14:15 The unromantic side of sports physiotherapy

16:22 Other roles of a sports physiotherapist – triage, liaison, medical referral – building resilience and life experience

18:00 Life skills that develop when you travel with and without a sports team and travelling/working on your own

18:57 The sense of team and community within sports teams and the sports medicine team

22:08 Jodie’s PhD – ground-breaking studies of pelvic health and physical activity for female athletes

27:45 ‘I really believe in what I’m doing’ The driving force behind Jodie’s research

31:35 Jodie’s tips for finding your pathway into research – consider your motivating factors

34:50 You could do your PhD with Jodie one day? Just putting that out there…

35:30 Where can we find out more about Jodie and her work?

37:06 Jodie’s tips for starting a career in sports physiotherapy

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Jodie’s academic profile:

Follow Jodie on Twitter: twitter.com/jodiedakic

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This is part 2 of my conversation with physiotherapist, triathlete and physiotherapy educator Dr Sarah Ward. We discussed Sarah’s experiences as a physio educator in New Zealand and how Sarah and her colleagues help prepare physiotherapy students for the workforce

In this episode:

0:00 Welcome back Sarah

2:50 What physiotherapy courses are there in New Zealand?

5:00 How do you remember anatomy when you return to study?

6:32 Why is anatomy so important?

8:10 The disruptions to education from COVID-19 – New Zealand experiences

14:04 Simulation in physio education. Making teaching relatable

15:32 The difficulties of engaging with students online

19:35 The stale physio academic who trained 30 years ago doesn’t actually exist

20:00 To be a good educator you have to be a good clinician – but being an educator is itself a skill

Sarah’s clinical profile: https://www.sportslab.net.nz/sarah-ward

Follow Sarah on Twitter: https://twitter.com/sarahward_nz

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Sarah Ward is a physiotherapist, researcher, age group champion triathlete and physio educator at the University of Auckland, New Zealand. I spoke to Sarah about balancing research, clinical practice and research, all the wonderful places she has been able to travel to as a physiotherapist. I really enjoyed this conversation with Sarah. If you enjoy it as well please share the episode and remember to follow the show so you can see future episodes like this.

In this episode:

0:20 Welcome Sarah

5:15 Where in the world has your physiotherapy degree taken you?

9:38 I thought I knew what physio was when I started the degree – skills and knowledge to treat the whole person

11:45 What led you from clinical work to research?

16:30 Taking frustrations in the clinic and developing them into research questions

17:00 Persisting quadriceps weakness – thinking beyond the muscle

17:52 How did your PhD change what you do clinically?

20:30 When you don’t have access to fancy tools and technology – basic foundational principles of strengthening and patient education

23:50 Novices – be patient with gaining experience

25:56 Ask questions. Always question things

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Sarah’s clinical profile: https://www.sportslab.net.nz/sarah-ward

Follow Sarah on Twitter: https://twitter.com/sarahward_nz

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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In this episode Pat Vallance and I try to answer the perennial question asked of physiotherapy educators; why don’t you teach them this at university?

In this episode:

  • 3:30 What is realistic to cover in an entry-to-practice course?
  • 5:25 What are we trying to achieve in an entry-to-practice course?
  • 6:05 The aim isn't to specialise - you have 3-4 years to become safe, effective and professional over a wide range of competencies
  • 7:12 The huge challenge of transforming a novice learner into an autonomous professional
  • 8:15 Why don’t we do two years of full time strength and conditioning in entry-to-practice physiotherapy courses?
  • 11:45 The wide range of competencies and skills that are covered in a physiotherapy course. If you add something in you need to take something out
  • 12:30 Competing demands for student’s time and energy – the trade off between surviving and learning
  • 14:00 Having a life outside of study. The importance of having balance, avoiding distractions and burnout
  • 15:35 Why don’t you guys teach them X, or Y, at university?
  • 17:30 When the responsibility for teaching and learning falls beyond the entry-to-practice course
  • 20:37 You don’t have to have a master-level of competency after finishing an undergraduate course
  • 22:45 What mentorship did you seek as a graduate?
  • 25:58 Do you know why physiotherapy courses are so popular?
  • 30:03 The main reason to go to university is to learn how to learn
  • 31:10 How does your engagement as a student in the early years of studying relate to your success in later years?
  • 33:10 The skills that really matter when you are a practitioner – why your marks and grades don’t matter nearly as much as you think they do
  • 38:28 Pat’s example of how he developed a weaker area of his undergraduate study into a PhD

Connect with Pat on Linked In: https://www.linkedin.com/in/patrick-vallance-1b0713182/?originalSubdomain=au

Follow Pat on Twitter: https://mobile.twitter.com/pat_vallance

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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I spoke to physiotherapist, PhD student and physio educator Pat Vallance about his pathway from student, to clinician, to PhD student and physiotherapy educator. Pat gave us some tips for learning and being engaged with learning during university training and we finished off our conversation by discussing the perennial question that haunts physiotherapy educators... 'Why don't you guys teach them this stuff at uni?'

In this episode:

  • 2:40 What do you love about teaching?
  • 4:35 About Pat – how did you end up at Monash uni physio teaching with us?
  • 8:22 How do you become a physiotherapy educator?
  • 12:40 What tips would you give physiotherapy or other health professions students?
  • 15:08 Spend the time to plan to prepare yourself to learn
  • 17:26 Learn by teaching to your peers
  • 19:55 The perils of being distracted when studying and the importance of recovering and reflecting
  • 23:05 The most important foundational knowledge and skills for practitioners – communication, particularly informal communication with peers and patients
  • 24:32 Critical thinking and applying information to new circumstances
  • 28:33 A story from Pat about the importance of clinical communication
  • 31:42 Anxiety related to being assessed – get out of your head and listen to the patient
  • 33:30 Why didn’t you teach them that at university? Opening a can of worms

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Connect with Pat on Linked In: https://www.linkedin.com/in/patrick-vallance-1b0713182/?originalSubdomain=au

Follow Pat on Twitter: https://mobile.twitter.com/pat_vallance

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Zuzana and I continue our discussion on the application of my 10 tips for clinical communication.

In this episode:

  • 7:13 Motivation interviewing tips – how to engage people and consider their motivations for exercise.
  • 10:05 How confident are you that this week you will get your exercises done?
  • 18:02. The 3 things you need consent for in clinical practice and practical examples
  • 20:35. Give people options so they can give you informed consent.
  • 23:27 Investigate with your communication – Zuzana’s perspectives and examples
  • 29:45 Warning people, without frightening them, warning about risk of reoccurrence
  • 34:10 Give people a couple of tests they can do every day to monitor their condition and reflect on how they can manage their condition.
  • 46:30 Educating people through verbal and non-verbal cues
  • 53:10 Strategies for helping people who are becoming dependent on therapy
  • 56:00 Learn from your patients and have fun in the clinic

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Zuzana and I discuss the application of my 10 tips for clinical communication to clinical cases.

In this episode:

  • 2:30 ‘Now I understand, nobody has explained it to me like that!’. How to tailor your patient education to different people
  • 6:17 The Teach Back method – a powerful way to confirm if the patient understands you, using their own words
  • 7:57 A patient may not be ready to hear what you want to say. Repeat and reinforce important points multiple times.
  • 11:00 Doing ‘hands on’ treatment – this is the perfect time to do some education and explore their perspectives and goals
  • 15:40 Using patient’s jargon to help them understand their problem more deeply.
  • 21:50 The exercises people do have a foundation in clinical communication and humour
  • 23:30 If someone has bought in a radiology report, it is meaningful to them. Don’t ignore it.
  • 26:20 Using literature in your education without just appealing to authority

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

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Join me as I discuss the problem with clinical communication that can affect practitioners at any level and my 10 tips for building solid foundations in your clinical communication.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode:

  • 5:25 What is the problem with clinical communication?
  • 9:33 Tip 1. Slow down and explain what you want to do and why you want to do it
  • 17:51 Tip 2. No jargon!
  • 22:40 Tip 3. Get consent (not negotiable). The three things you need consent for. The enemy of consent is assumption. Explanation and consent come as a package deal and can't be sold separately
  • 28:17 Tip 4. Explain what you are doing while you are doing it. Involve people in the process of assessment and treatment
  • 31:10 Tip 5. Investigate with your communication
  • 38:28 Tip 6. Monitor the effect of interventions
  • 43:03 Tip 7. Warnings
  • 46:03 Tip 8. Verbal and non-verbal cueing
  • 49:28 Tip 9. Summarise
  • 50:41 Tip 10. Link everything back to the person and their condition

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Last week Zuzana worked as a sports physiotherapist at Falls Creek ski resort in Victoria, Australia. I sat down with Zuzana to talk about her experience. We talked about the common injuries seen in skiing, Zuzana’s previous work with the Australian Paralympic Ski team, ski instructing and bracing for early management of acute ACL injuries. Its always good fun having a chat to @drzuzi herself!

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Zuzana’s research profile: https://scholars.latrobe.edu.au/zperraton/about

Zuzana’s clinical profile: https://www.sportsmedbiologic.com.au/zuzana-perraton.html

Connect with Zuzana on Twitter @DrZuzi https://twitter.com/drzuzi

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Jaap Switters is an osteopath and sports/musculoskeletal physiotherapist from Vienna, Austria with a special interest in helping men manage chronic pelvic pain. Jaap and I talked about screening for pelvic pain and other series health conditions, how to ask sensitive questions related to bowel, bladder and sexual function and the biopsychosocial management of chronic pelvic pain, including patient education, exercise and behaviour change.

This is an episode for health professionals of all levels and fields, not just those working in the field of male pelvic health. Enjoy, and thanks Jaap for a great conversation.

Reminder - this is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode:

  • 0:00 Welcome Jaap
  • 3:58 Getting started in the area of male chronic pelvic pain
  • 6:00 What is the burden of male chronic pelvic pain?
  • 9:58 Men need the courage to seek treatment
  • 14:00 Tips for screening for bladder, bowel and sexual function
  • 18:00 How do you prepare a person to talk about sensitive topics?
  • 21:19 When Dr Google turns the pain volume up
  • 25:15 Helping people change their behaviour to improve their pelvic pain
  • 28:35 Empowering people with motivational interviewing
  • 30:20 The UPOINT system to manage chronic pelvic pain in men
  • 33:00 Published literature by Jaap
  • 35:00 Referred pain, red flags and differential diagnosis of thoracic pain
  • 38:50 Gut feelings. Something is not right
  • 40:25 Multilingual clinical practice. Managing terminology and patient communication in different languages
  • 43:10 Final thoughts – stay open minded and open to new information

Connect with Jaap

https://www.jms-praxis.at/

Using the UPOINT system to manage men with chronic pelvic pain syndrome

https://pubmed.ncbi.nlm.nih.gov/34552790/#:~:text=Methods%3A%20%3A%20CP%2FCPPS%20in,sexual%20dysfunction%20and%20psychiatric%20complaints.

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week on Physio Foundations I spoke with Professor Craig Hassad from the Faculty of Medicine at Monash University about how health professionals and health professions students can look after their own health throughout their careers.

Professor Craig Hassed OAM is a highly experienced general practitioner and mindfulness expert who has worked within the Faculty of Medicine at Monash University since 1989. He is the coordinator of the Monash mindfulness program and developed the world-first mindfulness-based healthy lifestyle course called the Health Enhancement Program for health professions students. In 2019 Craig was awarded the Medal of the Order of Australia (OAM) for services to Medicine.

Craig has published 13 books and 14 book chapters, has featured in documentaries and authored over 100 papers in peer-reviewed journals. He is regularly invited to speak and present courses in Australia and overseas and has worked with Australian and international universities to develop similar content to help health professions students maintain their health and wellbeing.

In this episode:

  • 0:00 About this episode
  • 0:23 About Craig
  • 3:10 About the Health Enhancement Program
  • 5:25 How can the Health Enhancement Program help health professions students?
  • 6:54 Behaviour change is not that easy
  • 9:17 Self care is an essential responsibility for ourselves and our patients
  • 10:15 How can mindfulness help health professionals?
  • 12:50 Three tips for avoiding distraction when studying
  • 19:11 Drinking information like we’re drinking from a firehose – how to manage information overload
  • 21:00 Getting interrupted during complex tasks degrades your attention and leads to errors
  • 23:08 Free resources for you to use

Read more about Craig:

https://www.monash.edu/medicine/sphpm/general-practice/our-people/craig-hassed

Free courses run by Monash university

Mindfulness for wellbeing and peak performance

https://www.futurelearn.com/courses/mindfulness-wellbeing-performance

Maintaining a mindful life

https://www.futurelearn.com/courses/mindfulness-life

Mindfulness for life – book by Dr Craig Hassad

https://www.booktopia.com.au/mindfulness-for-life-craig-hassed/book/9781922539014.html

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week on Physio Foundations I spoke to anatomy educator Associate Professor Michelle Lazarus. Michelle is the Director of the Centre for Human Anatomy Education at Monash University and a highly experienced anatomy educator and researcher. We had a really interesting discussion about the best ways for students and practitioners to learn anatomy, how to remember and retain anatomical knowledge and resources you can use to continue to build you foundations in anatomy.

This was also the official launch of the Clinical Anatomy series on this podcast – stay tuned for future podcasts on applied and clinical anatomy that you can use in the clinic.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode:

  • 0:00 Welcome Michelle
  • 0:28 About Michelle and the anatomy series
  • 3:06 Teaching anatomy requires energy!
  • 3:25 What do you love about anatomy?
  • 5:45: Story telling in anatomy
  • 7:28 Ask.Anatomist podcast
  • 9:35 Anatomy is shared by everyone – learn from each other and embrace the complexity
  • 10:40 Anatomy is vast – tips for learning anatomy
  • 11:57 Tip 1 – listen to your educators
  • 13:00 Tip 2 – move away from memorisation
  • 13:40 Tip 3 – understand the story of anatomy
  • 15:40 What makes a good anatomy educator – story telling, set boundaries and have passion
  • 17:40 Principles of anatomy for clinicians
  • 18:40 Expectation theory, the curse of knowledge
  • 24:45 Resources to learn anatomy

Follow Michelle @InsidOutAnatomy

Visit https://www.askanatomist.com/

Michelle’s profile: https://research.monash.edu/en/persons/michelle-lazarus

Michelle mentioned the novel 100 years of solitude: https://en.wikipedia.org/wiki/One_Hundred_Years_of_Solitude

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week on Physio Foundations I spoke to Monash University Physiotherapy graduate Jacob Waller about his experience transitioning from student to clinician. Jacob spoke about the importance of teamwork in private practice and hospital work, ways to stay up to date with literature and how to find balance in your professional life.

This conversation was the 3rd episode in the new graduate series on the podcast, following on from two earlier episodes with Monash University graduate Brian Kim. Students and early career practitioner, this one is for you. Enjoy, and please share within your networks.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode:

  • 0:00 Introduction to this episode
  • 0:15 About the new graduate series
  • 1:29 Welcome Jacob – background and interests
  • 3:37 What led you to a career in physio?
  • 5:00 I wanted to work with people
  • 5:45 How have your interests developed throughout university and into professional life?
  • 7:30 How have you applied cardiothoracic and neurological knowledge to musculoskeletal practice?
  • 8:38 It’s not always muscle or bone – consider past medical history
  • 9:38 Moving from private practice to hospital work – collaboration and teamwork
  • 11:35 Working with nurses, doctors and allied health – learning from other professionals
  • 13:20 Foundational knowledge and skills - consider the whole picture of where the patient is going
  • 14:09 Teamwork, communication with other professionals, clinical reasoning and online learning
  • 16:35 Balancing work and professional development
  • 17:26 Using social media to stay updated on the latest research
  • 20:29 How year 12 experiences can shape university experiences
  • 21:50 Talk to people who are doing what you want to do
  • 24:18 You don’t have to know everything, just ask good questions
  • 25:17 Balance study, work and social life

Connect with Jacob on LinkedIn https://au.linkedin.com/in/jacob-waller-0785221b7?trk=people-guest_people_search-card

Jacob’s year 12 article where he talked about the importance of balance study and social life – mentioned in the podcast: https://www.girton.vic.edu.au/confidence-the-key-to-vce/

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week on Physio Foundations Zuzana and I continued our conversation with Dr Brooke Patterson from the La Trobe Sports and Exercise Medicine research centre about the Prep-to-Play injury prevention program and improving performance in women and girl’s sport.

Both Brooke and Zuzana have extensive experience as clinicians, players and researchers in football and women’s sport and this was a great conversation, with tips and resources for clinicians working in all types of sport.

You can follow Brooke and Zuzana on Twitter @knee_howells and @Drzuzi

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode:

  • 0:00 Welcome back Brooke
  • 1:36 What is the Prep-to-Play program?
  • 2:40 Training 60 physios to deliver an injury prevention program
  • 3:20 Why do we need sports injury prevention programs for women?
  • 4:22 Components of the Prep-to-Play program – specific skills, deceleration, jumping, landing, contact, sprinting, balance, strength, education
  • 7:55 Zuzana – connect with the players and the coaches
  • 9:26 Brooke – empower the players and coaches to lead their injury prevention programs
  • 10:46 Build relationships with community clubs
  • 12:15 What resources are available to clinicians?
  • 14:11 Zuzana – the importance of having a baseline for athlete’s movement and performance
  • 15:16 You can’t prevent all injuries, but there are other benefits of injury prevention programs
  • 17:22 Is it our duty of care to run injury prevention programs?
  • 18:25 ACL injuries and concussion, healthcare costs
  • 19:41 How can injury prevention programs prevent concussions? Trunk and neck conditioning and learning how to tackle
  • 23:25 Fear of doing contact drills in training?
  • 24:20 HERsport research group – improving injury outcomes and performance
  • 26:00 Women in Sports Congress 2022, get involved

Women in Sport Congress 2022: https://womeninsportcongress.org.au/

The Prep-to-Play program: https://coach.afl/prep-play-warm

Rugby Activate program: https://australia.rugby/participate/coach/coaching-resources/world-rugby-activate

FIFA-11+ https://bjsm.bmj.com/content/49/9/577

Netball Knee program: https://knee.netball.com.au/

The Get Set app for injury prevention: https://bjsm.bmj.com/content/49/11/762

Brooke’s research profile https://scholars.latrobe.edu.au/bpatterson

Brooke’s publications: https://scholar.google.com/citations?user=Tct0d9gAAAAJ&hl=en&oi=sra

Contact Brooke directly: B.Patterson@latrobe.edu.au

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week on Physio Foundations Zuzana and I spoke with Dr Brooke Patterson from the La Trobe Sports and Exercise Medicine research centre about her research into knee joint health and function following anterior cruciate ligament reconstruction and translating her research into the clinic.

You can follow Brooke on Twitter @knee_howells

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode:

  • 0:00 Welcome Brooke
  • 1:35 About Brooke – background and current interests
  • 2:35 Playing elite football, being a researcher, physio and coach
  • 3:15 What led you to coaching?
  • 4:50 How did your ACL injury shape your career?
  • 7:11 What would you do differently with your ACL rehab next time?
  • 7:30 The biggest mistake was to stop the gym
  • 8:20 Brooke’s PhD studies – function and joint health after ACL reconstruction
  • 10:50 New grads – how do you learn how to manage ACLs?
  • 13:18 Resources for ACL rehab
  • 17:40 Does better knee function and strength slow or prevent knee osteoarthritis?
  • 18:32 What are the foundational skills and knowledge that you can’t go to work without?
  • 23:35 Give the person something to assess themselves with every day
  • 25:40 Test yourself with simple gym equipment and functional tests
  • 27:25 Helping women and girls participate fully in rehab
  • 28:31 Women in sport congress 2022
  • 29:55 Summary and what’s next?

Brooke’s research profile https://scholars.latrobe.edu.au/bpatterson

Brooke’s publications: https://scholar.google.com/citations?user=Tct0d9gAAAAJ&hl=en&oi=sra

Contact Brooke directly: B.Patterson@latrobe.edu.au

Women in Sport Congress 2022: https://womeninsportcongress.org.au/

Melbourne ACL rehabilitation guide: https://www.melbourneaclguide.com/docs/ACL_Guide.pdf

The Super Knee trial with Adam Culvenor: http://semrc.blogs.latrobe.edu.au/super-knee/

Trek knee resources:

https://trekeducation.org/

Watch Brooke and Adam discuss non-operative ACL management at learn.physio

https://www.learn.physio/p/non-operative-acl-masterclass

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week on Physio Foundations I spoke with Associate Professor Cylie Williams from Monash University’s School of Primary and Allied Health Care about how podiatrists help children and adults with foot conditions, her current research projects and why we desperately need more podiatrists!

Please visit @kidslegpain on Facebook and Twitter and find out how you can help kids with chronic musculoskeletal pain, as a parent, clinician or even a PhD student.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode:

  • 0:00 Welcome Cylie
  • 0:14 About Cylie
  • 1:22 Cylie’s current projects and interests
  • 3:20 How you can help with research into chronic pain in children
  • 4:34 How did Cylie become interested in idiopathic toe walking?
  • 5:52 How Cylie’s research is helping identify the right treatments for kids with idiopathic toe walking
  • 6:43 The new Monash Doctor of podiatry course – there’s not enough podiatrists in Australia
  • 10:33 How should podiatrists and physiotherapists work together?
  • 11:30 Podiatrists are good at looking after skin and nails
  • 12:04 Skin and nail problems affect people through the lifespan
  • 12:50 ‘I can’t imagine a world where I didn’t work with physios’
  • 14:52 Managing chronic health conditions, neurological, vascular conditions
  • 16:00 The complexities of managing foot wounds and ulcers
  • 17:29 ‘Diabetes-related foot wounds can be looked at like cancer’
  • 18:55 Simple question for somebody with diabetes ‘have you had your feet checked?’ Annual foot checks
  • 19:30 Essential foundational skills – listen, think, reflect
  • 21:06 Leave your ego at the door and listen to your patients
  • 23:18 Funny kids stories, rollerblades, poo
  • 26:59 Kids leg pain – how you can help with research into chronic pain in kids
  • 28:58 @kidsleg pain – follow for more information, parents, clinicians, PhD opportunities

Follow @kidslegpain on Facebook or Twitter

Cylie’s profile: https://research.monash.edu/en/persons/cylie-williams

Cylie’s interview about idiopathic toe walking on the @MonashMRU podcast: https://www.podbean.com/ew/pb-ur3me-10054a2

Cylie’s email: Cylie.Williams@monash.edu

Connect with Cylie on Twitter: @Cyliepaedspod

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week Zuzana and I spoke to Dr Matt King from the La Trobe Sport and Exercise Medicine Research Centre.  Matt is a physiotherapist, researcher and educator with a special interest in hip pain and biomechanics in athletes.

Zuzana and I asked Matt about his PhD research on men and women with hip-related pain and the use of biomechanics to understand why some people with femoroacetabular impingement syndrome (FAIS) develop osteoarthritis later in life. We also spoke about rehabilitation for people with hip pain and differences between men and women in movement patterns in sport. We then had a really interesting conversation about biomechanical research, women in sport and how clinicians can get involved in research. 

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode:

  • 0:00 Welcome Matt
  • 2:25 What got Matt interested in research?
  • 4:09 Biomechanical risk factors for progression of FAIS and hip osteoarthritis (OA)
  • 5:07 Are higher demand tasks associated with faster progression of hip OA?
  • 5:43 Low level vs high level tasks
  • 7:52 What is it about walking that we should be looking at in athletes?
  • 10:10 Stair running in athletes with hip pain - Load the hip without hip extension
  • 12:50 Backwards walking and running for rehabilitation
  • 14:40 Men vs women in high and low impact tasks
  • 17:28 The trade-off between the ankle and the hip
  • 20:15 How to women move compared to men?
  • 22:31 Participation rates are increasing in women and girl’s football
  • 25:25 How do you measure biomechanics?
  • 30:55 How can you measure forces and joint angles in the clinic?
  • 32:57 The FORCE project
  • 33:32 The prep-to-play program
  • 34:15 ACL and knee osteoarthritis – Adam Culvenor and colleagues
  • 35:15 How can clinicians get involved in research?
  • 38:30 Volunteer for research – doors will open
  • 40:26 The importance of support, mentoring, reflection and teamwork
  • 44:19 How to re-open the bar at a conference – essential skills for face-to-face conferences

Read more about Matt: https://scholars.latrobe.edu.au/m2king

Contact Matt on Twitter: https://mobile.twitter.com/mattking_physio

Follow the La Trobe Sport and Exercise Medicine Research Centre on Twitter: https://twitter.com/LaTrobeSEM

Matt talked about this paper in the episode: ‘Lower limb biomechanics during low- and high-impact functional tasks differ between men and women with hip-related groin pain’

Link here: https://pubmed.ncbi.nlm.nih.gov/31181339/

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations  

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week on Physio Foundations I spoke again to Narelle Dalwood from Monash University Physiotherapy. Narelle is an APA titled neurological physiotherapist and physiotherapy educator from Monash University Physiotherapy and the leader of our simulation program. Listen to episode 19 for a summary of Narelle’s background and experience.

Narelle and I spoke about the benefits and challenges of using peer simulation to help physiotherapy students to prepare for their clinical placements. We talk about what simulation is, the benefits and challenges for students, and discuss ‘how real does it have to be?’ Hint – it can be unexpectedly realistic.

This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode:

  • 0:00 Welcome back Narelle
  • 0:23 What is simulation?
  • 1:45 Can high-quality simulation replace clinical placement?
  • 2:35 Virtual reality, mannequins, simulated patients
  • 4:00 Limitations of using actors and simulated patients, using peers as patients
  • 5:15 Bridge the gap between campus-based learning and clinical placements
  • 6:51 Stressed, nervous, anxious and unprepared to enter a clinical role – the importance of practice and simulation
  • 8:39 What do students learn from simulation? What is it like for students?
  • 10:24 What do students learn from being a patient?
  • 10:55 Step into the patient’s shoes
  • 12:35 What do clinical educators think about simulation?
  • 15:37 How real does simulation have to be?
  • 18:45 Physical acting – you learn so much from attempting to portray physical impairments
  • 20:46 What’s next for simulation?
  • 24:06 The importance of feeling prepared when you enter a clinical environment
  • 25:51 More prepared students = better patient outcomes

Read more about Narelle and our simulation program: https://research.monash.edu/en/persons/narelle-dalwood

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM me on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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My guest this week is Narelle Dalwood. Narelle is an APA titled neurological physiotherapist and physiotherapy educator from Monash University Physiotherapy. Narelle and I sat down to discuss her pathway into neurological physiotherapy and the foundational knowledge and skills of an acute neurological physiotherapist. Narelle has so much knowledge and experience, I’m sure you will love hearing from her.

This is a discussion aimed at health professionals. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode:

  • 0:00 About this episode – welcome Narelle
  • 1:50 About Narelle – pathway into neurological physiotherapy
  • 3:05 I didn’t want to be a neurological physiotherapist
  • 5:20 Develop a wide variety of skills
  • 7:35 Experience counts for a lot – let your experiences guide your interests
  • 8:00 Be open to new and challenging experiences
  • 10:45 How I knew I wanted to work in acute neuro
  • 12:15 What skills are needed in acute neurological physiotherapy? Empathy is important, but not too much
  • 13:25 Teamwork and communication – acknowledgement of your team member’s skills
  • 15:25 Know your anatomy
  • 16:50 Don’t go in blind – anticipate impairments
  • 19:05 Take your time to assess the person to their highest functional level
  • 21:15 Narelle takes us through a typical acute neuro assessment
  • 22:20 What if the patient’s communication is impaired? Receptive and expressive dysphasia, dysarthria, disorientation
  • 25:15 There are no recipes – heterogeneity in neurological conditions
  • 26:40 Non-motor impairments – confusion, memory deficits, neglect
  • 28:40 What are the most important knowledge and skills for an acute neurological physiotherapist?
  • 28:44 Your role as a physio is to allow people to live their most meaningful life possible
  • 29:35 A beautiful story about the importance of goal setting
  • 33:42 Like, share, subscribe – how you can help the podcast

Read more about Narelle: https://research.monash.edu/en/persons/narelle-dalwood

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In.

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio, or DM on Twitter @lukeperraton

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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My guest this week is new graduate physiotherapist Brian Kim. Brian gives us an update on his experiences as a newly graduated health practitioner, including how to seek mentoring and support, how to make your own opportunities and when to ask for help. Brian talks about building rapport with people and how your experience outside the clinic can help your clinical practice in ways you may not know.

It was interesting to summarise some of the advice given by the experienced clinicians who have been on the podcast so far and get the perspective of a new grad clinician – and a very thoughtful and reflective one at that! Enjoy, and please share with your colleagues and on social media, help me get these conversations out to people all around the world who need to hear them.

This is a discussion aimed at health professionals. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this episode:

  • 0:00 Brian’s back
  • 1:30 What is new grad life like?
  • 2:50 The squeaky wheel gets the oil
  • 3:06 Career advice you are really glad you took
  • 3:40 Look at how workplaces market their mentoring
  • 4:36 Mentoring isn’t always format
  • 5:40 Support for clinical work and life outside of work is essential
  • 6:21 Empathy and emotional detachment helps you help others
  • 8:10 Mentoring doesn’t have to come from above
  • 9:00 Leadership doesn’t have to come from above
  • 10:00 Make your own opportunities – ask, observe, start a conversation
  • 11:47 I need some help. So, ask for it. It’s ok to not know everything
  • 14:15 What you do outside of your clinical work can help your clinical practice in ways you may not know
  • 16:15 If a single research paper changes your practice, you’re probably not reading enough papers
  • 21:45 Think about people’s personalities and motivations
  • 22:30 How to build rapport with people

Follow Brian on Twitter @briankimwk

View Brian’s clinical profile

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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My guest this week is Scot Morrison. Scot is a board certified orthopaedic physical therapist and certified strength coach. In this conversation, Scot summarises six steps for measuring strength in clinical practice. You will learn the importance of accepting uncertainty in measurement, how to minimise error with a standardised testing routine and the importance of interpreting test findings to the person being tested.

This is a discussion aimed at health professionals. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this conversation:

  • 0:00 About this episode
  • 0:19 About Scot, welcome to Physio Foundations
  • 1:39 Scot’s work so far – strength coaching, physical therapy, high performance, management, education and research
  • 3:55 Why are you interested in measuring strength in the clinic?
  • 6:00 What is strength, how do you define it?
  • 7:10 The importance of being reliable when measuring strength
  • 7:44 It’s better to say ‘I don’t know’ than to not know and guess
  • 8:40 If strength matters, measure it properly
  • 10:00 It’s your job to interpret strength testing results to that individual
  • 10:40 Example of measuring knee extensor strength after ACL reconstruction
  • 11:45 Step 1 – is this measure meaningful right now? Can you test strength without pain?
  • 12:25 Step 2 - does the device measure in meaningful units (Newtons)
  • 13:05 Step 3 – does the device have the ability to measure force at the rate you require?
  • 13:30 Step 4 – set the test up properly. Proper fixation of the patient and device
  • 15:45 Step 5 - The line of pull must be 90 degrees to the moment arm
  • 16:15 Step 6 – Standardised approach to testing, warm up, instructions, 30 sec- 1 minute rest between efforts, standardised cueing, be consistent
  • 19:15 Realise that there is uncertainty in measurement
  • 21:03 Torque calculator on Scot’s website. Upgrade your manual muscle test
  • 21:45 Why is it important to consider torque and body weight normalised torque?
  • 24:45 Testing strength with a device doesn’t add more work and time
  • 27:35 Limits of the Oxford scale. Can they lift their limb against gravity
  • 28:12 What devices are most useful for measuring strength in the clinic?
  • 31:45 Scot’s PhD – are we testing strength and are we testing it well. What is meaningful change?
  • 35:20 Scot’s final thoughts. Realise we are dealing with uncertainty and need to make decisions under uncertainty
  • 37:48 Scot Morrison PT is not the Australian PM! Angry Tweets from Australians… Funny.
  • 39:11 Support this podcast by sharing it

Listen to Scot discuss strength assessment with Luke on the @MonashMRU podcast: https://podcasts.apple.com/au/podcast/how-to-measure-strength-in-your-clinical-practice-with/id1549298610?i=1000558331646

Find out more about Scot here: physiopraxis.co/about

Scot’s Therapeutic Exercise database: physiopraxis.co/physiotherexdatabase

Scot’s torque calculator: physiopraxis.co/torque-calculation-app

Scot mentioned the TinDeq dynamometer: tindeq.com

He also mentioned the JLW dynamometer: https://jlwforce.com/products/praxis-3-500

He also mentioned dynamometer systems by Hawkin Dynamics https://www.hawkindynamics.com/

…and Vald Health: https://valdhealth.com/dynamo/

Scot and I have no conflicts of interest and receive no money or benefits from these companies, we are simply interested in equipment for measuring strength

Follow Scot on Twitter: twitter.com/scotmorrsn

Follow Scot on Instagram: instagram.com/physio_praxis

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week on Physio Foundations I spoke to my wife and the other half of Perraton Physio, Zuzana Perraton! Zuzana spoke about her career pathway, how she identified opportunities for career development, tips for building rapport with patients and how to develop your own clinical evidence and expertise alongside your knowledge of research evidence. Enjoy, and please share the episode with a friend or on social media.

This is a discussion aimed at health professionals. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this conversation:

  • 0:00 About Zuzana
  • 1:45 Zuzana’s foundations
  • 4:00 Who here wants to be a sports physio?
  • 4:55 Don’t go straight into sports physio
  • 6:56 Find people who will support you when you first graduate from university
  • 8:45 Mentoring and support – two contrasting examples
  • 9:25 Learn from other practitioners – watch, learn, listen and ask questions
  • 13:56 Make sure physio isn’t the only thing you do
  • 14:40 Ski instruction and physiotherapy – spark your professional interests with your life experience
  • 17:45 Learn how to teach others – instruct, demonstrate, practice, feedback
  • 21:13 Foundational knowledge and skills
  • 22:10 Try to disprove your own diagnosis – be critical and reflective
  • 24:45 Talk to people as you do an assessment – involve your patients and build rapport
  • 27:40 If things aren’t improving, reassess, try something different, or refer on
  • 30:05 Why are you interested in research?
  • 30:20 Develop your own clinical evidence
  • 37:06 Where to find Zuzana
  • 38:45 Overconfidence and under confidence – work with your mentors

Read more about Zuzana here: https://www.sportsmedbiologic.com.au/zuzana-perraton.html

And here: https://www.perraton.physio/zuzana-perraton

Follow Zuzana on Instagram: @drZuzi

Follow Zuzana on Twitter: https://twitter.com/drzuzi

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week’s Physio Foundations podcast is part 2 of my chat with Dr Luke Nelson. This episode is full of great tips for helping clients manage their running related injuries and approach their running in a healthy way.

This is a discussion aimed at health professionals. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In this conversation:

  • 0:00 Welcome back Luke
  • 1:30 Listening to podcasts when running
  • 6:15 Running goals
  • 8:25 Align your personal and professional goals
  • 9:10 What questions do you routinely ask runners?
  • 10:45 Four questions to ask every runner
  • 11:21 Training loads – tips for measuring load in the clinic
  • 12:50 Education about training loads – consistency and progressive overload
  • 15:15 Non-training stresses – diet, sleep, stress
  • 18:10 A systematic, but personalised, approach
  • 19:20 Previous injury is the strongest risk factor for future injury, so sort things out now
  • 21:15 What role does strength and conditioning play in managing running injuries?
  • 22:18 Nothing helps your running like running
  • 23:45 Running with osteoarthritis
  • 25:00 The body isn’t a car – stress the body and it gets stronger
  • 31:30 General health, tissue health, mobility, shoes
  • 33:45 Manual therapy, how it fits in to the management plan

Read more about Luke here: https://www.healthhp.com.au/meet-the-team

Follow Luke on Instagram: https://www.instagram.com/sportschiroluke

Follow Luke on Twitter: https://mobile.twitter.com/sportschiroluke

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

You can find a video version of this podcast on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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This week on the Physio Foundations podcast I spoke to Dr Luke Nelson, AKA sports Chiro Luke, about the pathway he has been on from new grad practitioner, to highly experienced sports chiropractor and leader within his profession.

Luke is a sports chiropractor with a special interest in helping people manage running related injuries. He is an active member of the Australian sports rehab and sports medicine world and a strong advocate for evidence-based practice and collaboration between professional groups.

In part one of our conversation:

  • 0:00 Welcome to Physio Foundations
  • 2:50 Luke’s background and interests
  • 4:40 Develop a thirst for knowledge
  • 5:05 Sports chiro and sports physio – how are they similar?
  • 8:30 The patient comes first
  • 9:10 Interprofessional boundaries and working together to achieve the same things
  • 12:41 What are the most important foundational knowledge and skills that practitioners should focus on?
  • 13:30 Communication – look and listen more than you talk
  • 16:40 Spend time observing other practitioners inside and outside your field
  • 17:50 What got you interested in helping people with running injuries?
  • 21:20 Career crossroads – pick who you want to work with
  • 23:20 Do you have to be a runner to help runners?
  • 24:58 Don’t be lazy – Keep the runner running
  • 30:05 Running is mental – Keep people involved in some way when they are injured

Stay tuned for part 2 next week!

Read more about Luke: https://www.healthhp.com.au/meet-the-team

Follow Luke on Instagram: https://www.instagram.com/sportschiroluke

Follow Luke on Twitter: https://mobile.twitter.com/sportschiroluke

Follow and subscribe to Physio Foundations on your favourite podcast app.

Join the conversation in the YouTube comments or via social media @PerratonPhysio

You can find a video version of this podcast on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition

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This week’s Physio Foundations is part 2 of my conversation with Dr Ebonie Rio from La Trobe University.

We talked about tendinopathy research; specifically, how to understand and apply research.

HINT– you can’t just read the abstract!

In this episode:

  • 0:00 Dr Ebonie Rio - Welcome to part 2 of our conversation
  • 2:10 Isometrics and TMS – you need to read and understand the paper before applying findings
  • 3:30 Don’t just read the abstract
  • 4:00 Isometrics and eccentrics – it’s not that simple. Research + clinical reasoning
  • 4:55 Consider who was included in research – diagnostic criteria
  • 8:10 Tendons are a spring. Anything static or slow won’t bother them
  • 8:50 Misinterpretation of research happens when you don’t consider the diagnosis and the people who were included in the study
  • 9:30 How has research changed tendinopathy practice?
  • 10:30 Know your exercise prescription principles – don’t make Ebonie cry
  • 11:20 Management of tendinopathy – understand load and relationship to symptoms
  • 12:20 Rehab – don’t stop at strength
  • 13:10 Where to read more and find useful resources

Read more about Ebonie: https://scholars.latrobe.edu.au/erio

Find the follow or subscribe button on your podcast app.

What do you think? Join the conversation in the YouTube comments or via social media @PerratonPhysio

You can find a video version of this podcast on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition

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This week on Physio Foundations I spoke with the one and only Ebonie Rio about her career pathway from physiotherapy student to being an internationally recognised practitioner, educator and researcher.

Ebonie is a sports physiotherapist, physiotherapy educator and a world-leading researcher with many highly cited and highly discussed papers in the areas of tendinopathy.

We discussed Ebonie’s career pathway, her mentors, the interesting people she has worked with, balancing clinical, research and teaching work with life outside work and what she thinks are the most important foundational knowledge and skills for physiotherapy practice.

In this episode:

  • 0:00 Welcome and introduction to Ebonie
  • 3:00 Ebonie – I’m a better clinician for doing teaching and research
  • 3:58 How does working with dancers differ from working with other athletes?
  • 5:00 Dancers are strong!
  • 5:35 How did you first get interested in being a physio?
  • 7:20 Strive for the career you are passionate about
  • 9:40 Sometime just do the things you love, even if they aren’t a part of your plan
  • 9:55 It’s not always all about the clinical skills
  • 12:30 What are the most important foundational knowledge and skills for a physiotherapist?
  • 13:35 Every day is a school day – keep learning new skills
  • 15:15 What other foundational skills are needed – diagnosis, anatomy, physiology and understanding load
  • 18:00 What led you to research?
  • 19:00 If you are a researcher you can help many people
  • 21:30 Leadership and mentoring
  • 23:40 Don’t forget that there’s life outside work

Read more about Ebonie: https://scholars.latrobe.edu.au/erio

Find the follow or subscribe button on your podcast app.

What do you think? Join the conversation in the YouTube comments or via social media @PerratonPhysio

You can find a video version of this podcast on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

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This week’s Physio Foundations is part 2 of my conversation with Mat Prior, sports and exercise physiotherapist and lecturer at Flinders University in Adelaide, Australia.

This week Mat and I spoke about his tips for breaking into, and succeeding, in sports physiotherapy.

We spoke about when doors open for you, and when you knock on doors to see if they will open. We spoke about Mat’s experiences working with adults, kids and people with disabilities in elite and recreational sport. Then we finished off our discussion talking about how Mat implements new research into his practice.

This was a great discussion, thanks Mat. Please let Mat and I know what you think and join the conversation in the YouTube comments or via social media @PerratonPhysio.

In this episode:

  • 0:00 Welcome back Mat. About this episode
  • 1:30 How do opportunities to work as a sports physio come about?
  • 4:15 Proactive, or lucky? How do you land sports physio jobs?
  • 5:25 What are the differences between working with adults, kids and people with disabilities
  • 7:30 What are the challenges of working with adults with disabilities?
  • 10:40 Develop broad skills as a physio
  • 12:00 Tips for using exercise effectively in rehab – prepare people for the load they are returning to in sport
  • 15:40 How does physio fit in with sports science, high performance and coaching?
  • 18:25 How do you stay on top of research evidence?
  • 22:50 Where can we continue this conversation?

Find out more about Mat here: https://www.flinders.edu.au/people/mat.prior

Body Fit Physiotherapy: https://www.bodyfit.life/

You can find a video version of this podcast on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Find the follow or subscribe button on your podcast app.

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition

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This week on Physio Foundations I spoke to Mat Prior, sports and exercise physiotherapist and lecturer at Flinders University in Adelaide, Australia, about the pathway from student to practitioner and then physiotherapy educator.

We spoke about the foundational knowledge and skills that Mat uses as a sports physiotherapist and the values instils in his students as a physio educator. This episode has has great tips for practitioners and physio students. Please let Mat and I know what you think and join the conversation in the YouTube comments or via social media @PerratonPhysio.

In this episode:

  • 0:00 Welcome and introduction to Mat
  • 3:00 Mat’s story – how he became interested in being a physio
  • 4:30 Straight into private practice, or take a rotating role?
  • 5:45 You don’t learn everything at university
  • 7:00 How do you balance clinical work and teaching?
  • 8:00 Never read the comments... Physiotherapy is broader than your special interest area
  • 10:45 Develop good processes for your assessment and treatment and patient outcomes will follow
  • 13:03 The learning zone and the performance zone
  • 14:03 Traffic light system for clinical decisions
  • 15:12 What are the most important foundational knowledge and skills for a physio?
  • 15:45 Communication, yes, but also, clinical reasoning
  • 16:20 Have a clear reason for why you do your assessments and treatments
  • 17:30 Know your clinical patterns
  • 20:50 Why now? A great question to consider with your diagnostic reasoning and history taking
  • 23:18 Running and helping runners with injuries

Find out more about Mat here: https://www.flinders.edu.au/people/mat.prior

You can find a video version of this podcast on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Find the follow or subscribe button on your podcast app.

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition

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This week's episode of Physio Foundations is part 2 of the conversation with Randall Cooper, Mick Hughes and Zuzana Perraton. Check out part 1 first for a background on Mick, Randall and Zuzana and their perspectives on working as sports physiotherapists.

In this episode, Mick, Randall and Zuzana talk about how they apply their knowledge and skills to help people with their rehabilitation following ACL injuries.

In this episode:

  • 0:00 About this episode - welcome back Mick, Randall and Zuzana
  • 2:00 What are the most important knowledge and skills for managing ACL injuries?
  • 3:05 The Melbourne ACL return to sport after injury guide
  • 3:50 The second half of rehab after ACL reconstruction is the most important
  • 4:30 Mick - measure horizontal hops, vertical jump height, strength
  • 7:10 Mick - don't forget questionnaires, IKDC, ACL-RSI
  • 8:15 Assess, don't guess. But avoid paralysis by analysis too
  • 9:15 Zuzana - Ask people directly about their confidence, pain, progress and work/sport readiness
  • 11:00 Learn.Physio. How did it start?
  • 14:45 Randall - Online learning is valuable, but you still have to get your hands dirty
  • 16:00 Mick - ACL injury is an evolving research area - keep reading!
  • 18:15 Randall - Maintaining and protecting long term health is as important as return to sport
  • 19:00 Check out the Journal Club podcast and Mick's 2-cents blog

Find out more about Mick, Randall and Learn Physio at learn.physio

Find out more about Zuzana

You can find a video version of this podcast on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Find the follow or subscribe button on your podcast app.

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

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In this week's episode, Zuzana and I talk to specialist sports and exercise physiotherapist Randall Cooper and APA sports and exercise physiotherapist Mick Hughes from learn.physio about the foundational knowledge and skills that helped them become leaders in the field of ACL injury and management.

We talk about the experiences that shaped their early careers, their pathway towards a career in sports physiotherapy, what motivated their special interests in ACL injuries and rehabilitation and the roles and responsibilities of a sports physio travelling and working with a team and with elite athletes.

Zuzana co-hosts the episode and talks about her own experiences travelling the world and working as a sports physio.

This episode is full of worldly and sage advice from three highly experienced practitioners and educators. Enjoy!

In this episode:

  • 0:00 Introducing Randall and Mick
  • 0:28 About Randall and Mick
  • 3:12 Randall's foundations
  • 7:35 Mick's foundations
  • 10:00 Students - It's not all about the grades
  • 10:58 Zuzana - Learn from your patients
  • 11:55 Randall - What does a sports physio do?
  • 14:28 Mick - Roles and responsibilities of a sports physio in a team
  • 18:30 Zuzana - travelling and working in teams
  • 20:50 Randall - Working in a team makes you accountable
  • 21:50 Mick - Being accountable for athletes makes you reflect on your practice
  • 22:35 Zuzana - Working in a sports team is a completely different experience from working in a clinic
  • 25:55 The most important knowledge and skills for a sports physio
  • 27:12 Randall - The most successful practitioners and the best communicators
  • 27:50 Mick - Bring your personal experience and communication skills into your practice
  • 31:00 Zuzana - Don't forget athlete's mental health. Keep them in some type of sport
  • 33:10 Randall - The Winter Olympics!

Find out more about Mick, Randall and Learn Physio at learn.physio

Find out more about Zuzana

You can find a video version of this podcast on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Find the follow or subscribe button on your podcast app.

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition

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This week’s episode of Physio Foundations is all about how to explain things well as a health professional. I give four tips for progressing and developing your communication skills, specifically the explanations you provide to people, with a focus on the person you are talking to, rather than yourself.

In this episode:

  • 0:00 The power of a well thought-out explanation
  • 0:25 On this week’s episode
  • 1:57 Spend some time on your most important intervention – education
  • 4:18 Broaden your view on patient education
  • 9:50 Tip 1: Take your time
  • 14:08 Tip 2: Personalise your explanations
  • 19:08 Tip 3: Have a two-way conversation when you explain things
  • 25:00 Tip 4: Consider the power dynamic
  • 29:30 Super important. Explain what the person is consenting to
  • 34:30 Don’t assume people know what you are going to do or why you want to do it
  • 35:15 Explain assessment findings and the expected effects of treatment
  • 38:20 Summary of my tips for effective explanations in clinical practice
  • 40:45 Share your ideas and suggestions with me

The video version of this episode will be available soon on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Find the follow or subscribe button on your podcast app.

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition

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This week’s episode of Physio Foundations is the first in a series of solo episodes helping students and new graduate practitioners develop a vision and plan for their careers.

In this episode:

  • 0:00 Your personal development journey from novice to expert
  • 3:11 Develop yourself as a person, not just as a professional
  • 4:00 People are coming to see you, not your CV or resume or profile
  • 4:57 Have a plan for how you want to develop as person within your professional career
  • 9:05 Life experiences – how do they shape you as a professional?
  • 16:20 Find hooks to connect yourself to other people
  • 25:00 You need to have a plan – you are unlikely to reach your full potential by accident
  • 32:30 How do you learn?
  • 34:30 Personalise your learning style – active learning
  • 37:00 Invest in yourself
  • 38:15 Make a commitment and let me know how you go

You can find a video version of this podcast on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Find the follow or subscribe button on your podcast app.

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition

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Welcome to another episode of Physio Foundations, a podcast about the knowledge and skills that provide the foundation of expert physiotherapy or clinical practice.

In this week’s episode I talk to specialist neurological physiotherapist and Monash university educator Professor Prue Morgan about the knowledge and skills that provide the foundation of her expertise in neurological physiotherapy. Prue is a highly experienced clinician and educator and students/clinicians of all areas of practice will find this episode really interesting. Prue gives us some great tips to consider in the examination of a person with a neurological condition and talks about the pathways that clinicians can take to add research and education to their own clinical practice. Great information here from a giant of neurological physiotherapy practice, research and education. Remember to like, share and subscribe!

In this conversation:

  • 1:49 ‘I was never a sporty child…’ Prue’s story of finding her calling in neurological physiotherapy
  • 3:57 What does a neuro physio do?
  • 5:54 You need well-developed observational skills
  • 7:15 Rain stops play!
  • 7:32 Understand normal movement first
  • 8:45 Foundational knowledge essential for neurological physiotherapy
  • 9:04 Manage ‘non-motor’ impairments – neglect, dysphasia, dyspraxia
  • 10:30 Know your neuro anatomy
  • 11:20 Unique communication challenges
  • 13:50 How does teaching improve your clinical practice?
  • 14:40 Prue’s top teaching tips – bring people along on your journey
  • 16:50 Pathways for clinicians to enter research or teaching
  • 19:45 Find out more about Prue

Prue’s research and teaching profile: research.monash.edu/en/persons/prue-morgan

Stay tuned for more about Prue’s research and Churchill fellowship in future episodes.

You can find a video version of this podcast on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Find the follow or subscribe button on your podcast app.

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

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Welcome to another episode of Physio Foundations, a podcast about the knowledge and skills that provide the foundation of expert physiotherapy or clinical practice.

This week's episode is the first of my series of discussions with new graduate clinicians. I talk to Monash university physiotherapy graduate Brian Kim about the knowledge and skills that he has found most useful in his transition from university to clinical practice. Brian gives us some great tips about considering the whole person in your assessment and management, considering the individual person when providing education and practical ways to reflect on your clinical practice.

In this conversation:

  • 0:00 Welcome to episode 4 and introducing Brian Kim, physiotherapist
  • 4:10 New graduate perspectives of undergraduate training and foundational knowledge
  • 4:50 Linking theory and practice as a student
  • 6:06 What foundational knowledge is most important to you now?
  • 6:57 Big tip: Do a good subjective assessment and consider the whole person
  • 8:45 Know your physiology so you can provide effective eduction
  • 9:18 Applying anatomy to the clinic
  • 10:10 Don’t just learn facts, learn how to learn
  • 10:25 How do you provide education on basic science concepts?
  • 11:40 Use the resources that you have
  • 13:10 Lecture you patients and you will lose rapport
  • 14:35 How do you reflect, learn and improve?
  • 16:50 Practice and learn from different people!
  • 18:00 What can I learn from teaching other students?

Follow Brian on Twitter @briankimwk

View Brian’s clinical profile

Please like, share and subscribe!

You can find a video version of this podcast on the Perraton Physio YouTube channel

For a list of episodes, transcripts and associated blogs, visit perraton.physio/physiofoundations

Find the follow or subscribe button on your podcast app.

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Welcome to another episode of Physio Foundations, a podcast about the knowledge and skills that provide the foundation of expert physiotherapy or clinical practice.

This week's episode is part 2 of my discussion with physiotherapist, tendon expert and researcher Associate Professor Peter Malliaras from Monash University. In part 2 of our discussion Peter builds on the foundations we laid in part 1. We talk about how you can be critical of your own practice and still maintain your confidence. We then talk about applying tendinopathy research and key resources in tendinopathy for you to know about.

In this episode:

0:00 The worst thing you can do is to be too confident

3:45 Exercise is not a panacea for tendinopathy, it doesn't work for everyone

5:00 Trying using the words 'may', 'can I suggest' and 'let's see'

5:15 Be careful criticising other clinicians. You weren't there!

6:55 As an expert, what do you do differently as a clinician?

7:55 Once you have been critical of your practice, you can commit and be confident

10:00 What's new in tendinopathy research?

12:10 Bring energy into your practice

13:35 Key resources in tendinopathy to know about

15:35 Summary and what's next

View Peter's research profile here

Peter's tendinopathy website

Connect with Peter on Twitter @drpetemalliaras

Email Peter: peter.malliaras@monash.edu

Peter's tendinopathy rehab course for clinicians: tendinopathyrehab.com

Please like, share and subscribe!

You can find a video version of this podcast on the Perraton Physio YouTube channel

Find the follow or subscribe button on your podcast app.

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

For a list of episodes, transcripts and associated blogs, visit our website: perraton.physio/physiofoundations

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Welcome to the second episode of Physio Foundations, a podcast about the knowledge and skills that provide the foundation of expert physiotherapy or clinical practice.

In this episode I talk to tendon expert and researcher Associate Professor Peter Malliaras from Monash University about how he built his foundations in physiotherapy practice and research and the most important things to consider for people with tendinopathy.

In this episode:

0:00 Introducing Peter Malliaras

2:05 Find your passion

2:44 Work with people you admire and want to work with

3:30 What are the fundamentals of tendinopathy?

4:50 Old ways of treating tendinopathy, oh my...

5:30 Be critical of your practice

6:30 Goals of management of tendinopathy

8:30 Why do people get tendinopathy?

11:10 Look broadly at the problem and the person

11:55 Foundations of physical examination

14:10 Avoid confirmation bias

16:05 People who measure and people who don't measure

18:30 Not everyone with tendinopathy will be weak

20:12 Prognosis. Who goes well, who takes longer? Psychosocial factors

23:20 Look how far we have come

View Peter's research profile here

Peter's tendinopathy website

Connect with Peter on Twitter @drpetemalliaras

Please like, share and subscribe!

You can find a video version of this podcast on the Perraton Physio YouTube channel

Find the follow or subscribe button on your podcast app.

Follow @PerratonPhysio on Facebook, Twitter, Instagram and Linked In. Share this episode and tag me in @lukeperraton

For a list of episodes, transcripts and associated blogs, visit our website: perraton.physio/physiofoundations

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

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Welcome to the first episode of Physio Foundations, a podcast about the knowledge and skills that provide the foundation of expert physiotherapy or clinical practice.

You can find a video version of this podcast on the Perraton Physio YouTube channel

Follow Perraton Physio on Facebook, Twitter and Instagram @PerratonPhysio and @lukeperraton

For a list of episodes, transcripts and associated blogs, visit: perraton.physio/physiofoundations

Do you have a topic you would like me to cover on the podcast? Email me: luke@perraton.physio

Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

In the first episode I discuss:

0:28 What this podcast is about and who it is for

0:55 Why is it called Physio Foundations?

2:38: Foundational doesn't mean basic

4:00 How you can strategically plan your career and how to learn

8:50 About your host

12:15 Get in touch and be a part of the podcast

Below is a transcript of this episode:


Hello, I’m Luke Perraton, and welcome to the physio foundations podcast. I’m really happy that you chose to click on this video, or listen to this podcast, and I’m looking forward to you joining me on your own personal and professional development journey as a clinician or a student.

This is a podcast about the knowledge and skills that provide the foundation of expert physiotherapy or clinical practice. The podcast is not just for physiotherapists, other types of clinicians will find value in what I’m talking about as well. But the episodes are going to come from my perspective as a physiotherapist and a physiotherapy educator, and the perspectives of my guests.

So why is the podcast called physio foundations. Well, you need solid foundations to be successful at anything. As a clinician, you need to build on your foundations throughout your career and when you focus your attention on building your foundations in anything over time, this is what allows you to develop expertise.

There are a lot of podcasts about expert clinical practice. The focus is often ‘cutting edge content’ presented by an expert, and the emphasis is often the things that you need to be doing, or the things you need to add to your practice, if you want to be an expert too.

And there’s nothing wrong with that. But I’m coming from this as both a clinician and from an education perspective, and specifically as an educator who works in the first year of a bachelor of physiotherapy course, where the focus is developing fundamental, or foundational, knowledge and skills in students. These are skills that students will build upon throughout their career.

So, for you, as a clinician, or a student, or even a fellow educator, I’m going to be able to bring you content that offers you real value in terms of developing your own foundations. And developing your foundations is something you need to proactively do, throughout your whole career, starting as a student, and as a new graduate clinician and then as an expert clinician.

Physio Foundations is about foundational knowledge and skills that underpin expert clinical practice. But don’t make the mistake of thinking that foundational means basic, or easy, or something that you learn once and then progress to the next level… Your foundations are what you use every day to be an expert.

We are going to be going deep on many topics. For example, I’m going to do whole episodes on how you can develop specific aspects of your communication… there will be episodes specifically on providing explanations and demonstrations to patients, because these are foundational skills that allow you to deliver a high quality patient education, so they’re really important.

I’m going to have episodes on things to consider when giving warnings to patients…very specific topic. There will also be episodes that are focused on your own personal development as a clinician and we’ll get experts to guide you on how you can strategically plan your career. I’ll have episodes that come from an education perspective that focus on how to learn as a student and an adult. This is something that is vital for both your learning at university and for your lifelong learning.

I’ll also have episodes that are more focused on your patient outcomes and conditions. For examples, I have episodes planned on clinical decision making, and physical examination skills, and exercise programming and prescription, and patient education, and behaviour change, and using evidence in your practice….. If we find ourselves talking about a specific condition that you aren’t that interested in, or your don’t see often as a clinician, you’ll find that the underlying messages of the episode are still valuable. Its going to be the thinking and clinical decision making that will be key message, and you’ll be able to apply that thinking to your own patients and context.

I’ll also have episodes on anatomy, biomechanics, physiology and evidence-based practice to help you brush up on your knowledge and to give you tips on how to remember and apply this knowledge – and these are the types of tips I give to students when I teach.

With the help of guests I’m going to explore specific clinical problems and topics in cardiothoracic, neurological, paediatrics, geriatrics, women’s health, sports, occupational physio, and any other field of physio or healthcare that is relevant to physiotherapy professional development. You can learn so much by stepping outside your field of interest. If you do identify as a specific type of clinician, I encourage you to try some different things. Dig into some episodes on different topics and this will add depth to your knowledge as a clinician.

The aim is to keep the discussions and topics broad and of interest to a wide range of clinicians and students, inside and outside the physiotherapy profession. I want to make a resource that you can use to reflect on the many different aspects of your practice and something that will be valuable and helpful to you. And rather than being just a summary of information, the focus will be on you and your personal and professional development journey as a clinician.

The format of the podcast will be a combination of solo episodes with me and interviews with guests. I have some great guests lined up! Stay tuned and stick around, you are going to learn a lot from these people!

A quick word about me. As of the start of 2022 I have worked as a physiotherapist and physiotherapy educator and researcher for 20 years. I’ve just turned 20. I have qualifications as a sports and exercise physiotherapist and a musculoskeletal physiotherapist as titled by the Australian Physiotherapy Association. I did my PhD and post-doctoral research on biomechanics and function of the knee joint. So we’ll definitely have a chat about the knee at some stage… amongst many other topics…

I work in the physiotherapy department of Monash university in Melbourne, Australia, at the Peninsula campus. Our campus is located in Frankston, which is in the south east of Melbourne down on the edge of port phillip bay, and I am very lucky to work with friends and colleagues from many different areas of physiotherapy. It’s a pretty exciting place to work and seek inspiration for what I’ll be talking about on this podcast. So, we’ll have no shortage of guests and fun things to talk about.

For the last 15 years I have been married to the other half of Perraton Physio, Zuzana Perraton, nee Zuzana Machotka. And we have just moved down to Mount Eliza which is close to the peninsula campus down on the beach. So, we’re very happy

Even though I work at Monash university, this podcast is hosted by me through Perraton Physio. I’m going to be writing, recording, producing and promoting episodes outside of my hours at Monash, and this is really a passion project that I have wanted to do for a long time... I won’t be making any money from it, I won’t be running ads, and I won’t be asking you for any money. So its all free for you and I hope its really valuable. But, there is no point in me making this content if very few people are seeing it or hearing it. So, if you find the content valuable, the way you can ‘pay me’ is to simply hit the like button, or share the episode to relevant groups or pages or to friends online. And this will help get this information out to the people who need to hear it. If you prefer watching things you can find Physio Foundations episodes on the Perraton Physio YouTube channel – just google Perraton Physio Youtube and it will pop up. And if you have found these episodes on YouTube and want to listen when you’re out and about, head to your favourite podcast app and look up Physio Foundations. Also, check out our website which is Perraton.Physio where you can find our blog and read more about these topics, so that URL is Perraton.Physio. I don’t know if there are any other Perratons out there who are also physios… if there are, drop me a line and say hello!

So once again, welcome to the physio foundations podcast. If you become a regular listener I would love to hear from you. Let me know what you think of the episodes and share your experiences. If you’re a student, or an educator at another university, it could be a physio course or another other health professions course, it doesn’t matter. There are no trade secrets being spilled here, I’m not going to talk about specifically about physiotherapy curriculum, or get into conversations with people online about this, and talk about things that should and shouldn’t be taught at universities…. this is all off limits. This podcast is going to be a friendly, safe place where clinicians, students and educators can share ideas about foundational physiotherapy skills and knowledge. So, please get in touch with me. You can email me at luke@perraton.physio, or look up my monash email address if you want to, or you already use it… You can contact me on the Perraton Physio Facebook page, or send me a tweet @PerratonPhysio. I’ll add these addresses and handles in the show notes.

Coming up in the next episode is Associate Professor Peter Malliaras from Monash university talking about the foundational knowledge and skills that helped him become an expert in tendinopathy and a leading researcher in this field. This will be really helpful for clinicians of all levels, so students, new grads and experts, don’t miss it.

And that’s it, we’re live. I hope you will join me as a regular listener, and until next time, this is your host Luke Perraton wishing you all the best with your studying, professional development and lifelong learning.