The Clinical Gap Podcast: Recent Episodes
Zach Walston
Health misinformation is pervasive and harmful. The mission of the Clinical Gap Podcastis to arm people with credible information to successfully tackle health misinformation. The host, Dr. Zachary Walston, is a physical therapist, researcher, and educator who draws on this expertise and credibility to help you better understand health research and challenge misinformation. As Richard Feynman said, “Science is the belief in the ignorance of experts.” This podcast will stimulate scientific curiosity and critical thinking. Conversations with invited guests and thought leaders will challenge commonly held beliefs, translate the current research, and explore topics often ignored in traditional healthcare education. Much of our schooling is outdated and influenced by bias, leaving gaps in our understanding. This podcast will fill in the clinical gaps.
In this episode, I cover the concept of 'the dosage makes the poison.' I explain why the concept applies to all aspects of health and wellness.
Full blog post: Kale Won’t Kill You & Sugar Isn’t Poison: Ignore Silly Food Claims About Harm
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In this episode, I tackle the myths that resistance training is harmful for prepubescent children. Exercise does more than improve aesthetics. We need to better educate and equip children for developing healthy exercise habits.
PMID: 36981742
Read the full blog post: Is Weight Lifting Harmful for Kids? Another Myth That Needs to Disappear
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In this episode, I discuss a study (PMID: 36825643) that explores how much we atrophy throughout our lifespan.
I also provide strategies for reducing and reversing age-related atrophy.
You can read more about this topic in my blog post 'Our Muscles Degrade as We Age. Here Are 3 Strategies to Prevent It.'
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In this episode, I cover a recent study (PMID 36107233) compared the effects of concentric-only, eccentric-only, and concentric-eccentric resistance training of the biceps on muscle strength and hypertrophy (muscle growth).
Main takeaway? Don’t skip the eccentrics.
You can read more about this topic in the recent blog post 'Comparing the Concentric vs The Eccentric Part of Resistance Exercises.'
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This episode explores cryotherapy for pain, exercise recovery, and injury healing. Does research support common claims?
Related article (including research links): Freezing for Fitness? The Science Behind Cryotherapy and its Impact on Recovery
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For fitness equipment, I highly recommend Rogue Fitness (affiliate link)
This episode assesses the pros and cons of bands, free weights, machines, or calisthenics.
Related Article (research links included): Bands, Free Weights, Machines, or Calisthenics — Which is Best for Muscle Growth?
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For fitness equipment, I highly recommend Rogue Fitness (affiliate link)
This episode explores current evidence supporting various strategies for lifting objects and heavy weight. Adding lifting variety can safely build strength and resilience
Related article (research links included): Why It Is Safe and Effective to Lift and Exercise With a Rounded Back
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In this episode, I discuss strategies to reduce exercise time without sacrificing results.
Reflection questions:
- How do you track exercise volume within and across sessions?
- When would you integrate super sets, drop sets, or rest-pause sets into a program?
Links to the studies:
PMID: 34125411
PMID: 34822137
Related Blogs:
4 Strategies to Reduce Your Gym Time Without Sacrificing Results
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In this episode, I discuss various interset strategies to implement in the gym and clinic
Reflection questions:
- What interest strategies do you currently use?
- When would you recommend implementing a specific interest strategy?
Links to the studies:
PMID: 36457663
PMID: 30946261
Related Blogs:
How Stretching Between Sets May Help You Build More Muscle
What Are the Best Interset Strategies?
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Support the showInterested in receiving short health and fitness research summaries? Subscribe here
For full in-depth reviews, subscribe to my Medium articles here
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For fitness equipment, I highly recommend Rogue Fitness (affiliate link)
In this episode, I discuss implementing repetitions in reserve (RIR) and ratings of perceived exertion (RPE) in the gym and clinic settings.
Reflection questions:
- How would you anchor reps in reserve?
- How would you teach reps in reserve to a patient?
- How would you integrate reps in reserve into a home exercise program?
Links to the studies:
PMID: 36135029
PMID: 34542869
PMID: 36361320
PMID: 35251786
Related Blogs:
Is Repetition in Reserve a Reliable Strategy for Prescribing Exercise?
Ratings of Perceived Exertion Are Susceptible to Anchors
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For full in-depth reviews, subscribe to my Medium articles here
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For fitness equipment, I highly recommend Rogue Fitness (affiliate link)
In this episode, I discuss clinical approaches to treating patients with non-specific low back pain.
- How do you determine the appropriate dose of care for patients with non-specific low back pain?
- Do you modify exercises if patients report mild or moderate pain? Why or why not? If so, how?
Links to the studies:
PMID: 36355819
PMID: 36048791
Blogs:
How Much Treatment is Needed for Chronic Low Back Pain?
Does Pain Reduce Peak Force Output?
Interested in receiving daily research summaries? Subscribe here
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Interested in writing? Grow an audience on Medium
Support the showInterested in receiving short health and fitness research summaries? Subscribe here
For full in-depth reviews, subscribe to my Medium articles here
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For fitness equipment, I highly recommend Rogue Fitness (affiliate link)
In this episode, I discuss the benefits of gamifying exercise, and how resistance training does more than build muscle.
- How can you integrate gamification into your clinical practice?
- How do you explain the benefits of resistance exercises to a patient who is hesitant to perform them?
Links to the studies:
PMID: 36301514
Study #2
Blogs:
How to Gamify Rehabilitation
Resistance Training Does More than Build Muscle
Don’t Like to Exercise? Try Gamifying It
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Interested in writing? Grow an audience on Medium
Support the showInterested in receiving short health and fitness research summaries? Subscribe here
For full in-depth reviews, subscribe to my Medium articles here
Follow me on Instagram and LinkedIn for more content
For fitness equipment, I highly recommend Rogue Fitness (affiliate link)
In this episode, I discuss a trio of studies that assess the effectiveness of various exercise strategies for Achilles tendinopathy.
- How do you dose exercise to reduce pain in the Achilles tendon?
- How do you dose exercise to improve the Achilles tendon quality?
- How do you dose exercise to improve plantar flexion strength?
Links to the studies:
PMID: 36538166
PMID: 36698184
PMID: 36750789
Blogs:
Is High Load Training Superior for Achilles Tendinopathy?
Should Eccentric Exercises be Prioritized for the Achilles Tendon?
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For fitness equipment, I highly recommend Rogue Fitness (affiliate link)
In this episode, I discuss a couple of studies that assess the benefits of aggressive, long-duration stretching.
Applying the evidence to your clinical practice:
- Do you prescribe stretching in the clinic? If so, what is the dosage?
- Do you prescribe stretching for home exercise programs? If so, what is the dosage?
Links to the studies:
PMID: 36685189
PMID: 36175903
Blogs:
Can Stretching Build Muscle and Strength?
Is Aggressive Stretching Effective for a Frozen Shoulder?
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In this episode, I discuss two variables you can manipulate to enhance muscle hypertrophy: proximity to failure and range of contraction.
- Do you use training to failure in the clinic?
- How can you implement partial range of motion training in your treatment plans?
Links to the studies:
PMID: 35165946
PMID: 36334240
Blogs:
Do You Need to Train at Full Range of Motion to Build Muscle?
Should We Train to Failure?
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In this episode, I speak with Dr. Chris Pieton about common misconceptions and myths of pelvic health and postpartum care. She shares her approaches to blending orthopedic and pelvic health silos into an integrated approach to treatment.
*The episode was originally released on Wednesday, 27th January 2021
Follow Dr. Chris Pieton on Instagram, YouTube, Website
Support the showInterested in receiving short health and fitness research summaries? Subscribe here
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In this research recap, I look at building resilience and reducing workplace-related pain.
Applying the evidence to your clinical practice:
- How do you build resilience?
- What preventative strategies do you use for work-related pain?
Links to the studies:
PMID: 36298418
PMID: 36208321
Blogs:
What is a Good Strategy to Reduce Work-Related Pain?
Can Positive Lifestyle Behaviors and Emotional Health Factors Help with Low Back Pain?
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For fitness equipment, I highly recommend Rogue Fitness (affiliate link)
In this research recap, I look at the effectiveness of manual therapy. How much is placebo and driven by belief effects? This conversation largely centers around sham interventions in research. I close by comparing high and low-dose treatments.
Applying the evidence to your clinical practice:
- How do you decide what manual therapy techniques to use and when to use them? How do you determine if the manual treatment was successful?
Links to the studies:
PMID: 36360901
PMID: 36309690
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For full in-depth reviews, subscribe to my Medium articles here
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In this research recap, I look at common treatment approaches for hip and knee OA.
Applying the evidence to your clinical practice:
- How do you dose exercise for patients with hip or knee OA?
- How do you facilitate behavior change and long-term exercise adherence?
Links to the studies:
PMID: 36593092
PMID: 36657659
Interested in receiving daily research summaries? Subscribe here
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For full in-depth reviews, subscribe to my Medium articles here
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For fitness equipment, I highly recommend Rogue Fitness (affiliate link)
In this research recap, I look at psychosocial factors in physical therapy. I discuss the ability of clinicians to accurately assess the factors and how they can design treatment plans to address them.
Applying the evidence to your clinical practice:
- How confident are you in your ability to assess psychosocial factors? Do you use validated questionnaires?
- When do you implement graded activity or graded exposure in a plan of care?
Links to the studies:
PMID: 36348309
PMID: 36564962
Blog posts:
Is Graded Activity Superior for Chronic Low Back Pain?
How Good Are Physical Therapists at Identifying Relevant Psychosocial Factors?
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In this research recap, look at the current research on rehabilitation for chronic pain in pediatric patients.
Applying the evidence to your clinical practice:
- How do you assess and treat psychosocial factors in pediatric patients?
- What differs in your treatment of pediatric patients compared to adults?
- How do you involve parents in the treatment of chronic pain in pediatric patients?
Links to the studies:
PMID: 36587243
PMID: 36376953
Blog posts:
How Can We Help Adolescents with Persistent Low Back Pain?
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In this research recap, I challenge the common belief that surgery is always needed after an ACL tear. I also look at psychosocial factors that influence return to sport success.
Applying the evidence to your clinical practice:
- What criteria do you use to determine whether surgery is appropriate or not?
- How do you transition a patient from the clinic to the field? What criteria do you use to determine when someone is ready to return to sport?
Links to the studies:
PMID: 36328403
PMID: 36590562
Blog posts:
Is Surgery Necessary after an ACL Tear?
What Psychological Factors Influence ACL Return to Sport?
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In this research recap, I look at strategies for improving mobility and integrating stretching into treatment.
Applying the evidence to your clinical practice:
- How do you help patients improve mobility?
- When and how do you integrate stretching into a plan of care?
Links to the studies:
PMID: 36622555
PMID: 36530599
Blog posts:
Do We Need to Stretch to Improve Mobility?
Can A Simple Quad Stretch Help with Knee Osteoarthritis?
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In this research recap, I focus on factors that influence patient adherence and buy-in to treatment.
Applying the evidence to your clinical practice:
- How do you improve exercise adherence outside of the clinic?
- How do you establish credibility and build trust with a new patient?
Links to the studies:
PMID: 34957769
PMID: 36494862
In this episode, I speak with Dr. Nicole Surdyka about current misconceptions in ACL rehab, return to sport treatment, and injury prevention strategies. We kick off by discussing clinical debates on social media and in person. We discuss issues around one-size-fits-all treatment approaches in any stage of treating athletes (prehab, in-clinic rehab, return to sport). Nicole also shares her experiences of mentorship and entrepreneurship.
*This episode was recorded in 2020 and aired on the first iteration of the Clinical Gap Podcast on November 4, 2020.
In this episode, I speak with Dr. Patrick Berner, PT, DPT, RDN about integrating nutrition into physical therapy practice. Patrick is one of only a handful of dual DPT/RDN clinicians in the United States. He provides a valuable perspective for any physio seeking to provide a comprehensive plan of care for patients. Patrick discusses the importance of broaching nutrition conversation, the challenges of navigating nutrition research, and the benefits of building a collaborative approach and bridging the worlds of physical therapy nutrition.
*This episode was recorded in 2020 and aired on the first iteration of the Clinical Gap Podcast on October 21, 2020.
Website, Twitter, LinkedIn
In this episode, I discuss a few key strategies for supporting health behavior change. I primarily focus on motivational interviewing and social support. These are foundational concepts that can be applied to any patient and clinical encounter.
Relevant studies:
Behavior Change (PMID 27464877)
Motivational Interviewing (PMID 33835006)
Social Support (PMID 17082973)
In this research recap, I focus on several aspects of exercise, exploring mechanics, the warm-up, and dosing tendons.
Applying the evidence to your clinical practice:
- How do you determine the appropriate load for treating tendinopathies?
- When do you change a patient's or client's spine posture during exercise?
- How do you warm-up patient's or client's for exercise?
- How does the severity of an ACL tear influence your education and treatment decisions?
Links to the studies:
PMID: 34196903
PMID: 33799053
PMID: 28147703
PMID: 28045756
Strength, power, and mobility are all vital components of health. How much of each do we need? How do we effectively and efficiently measure each? In this episode, I look at some research on effective objective methods of assessing strength and power. There is more ambiguity with mobility.
Research articles mentioned:
- Grip Strength: An Indispensable Biomarker For Older Adults
- Handgrip strength and health outcomes: Umbrella review of systematic reviews with meta-analyses of observational studies
- Test-Retest Reliability of the One-Repetition Maximum (1RM) Strength Assessment: a Systematic Review
- Does Strength-Promoting Exercise Confer Unique Health Benefits?
- The ramp power test: a power assessment during a functional task for older individuals
- The sit-to-stand muscle power test: An easy, inexpensive and portable procedure to assess muscle power in older people
- Maximal anaerobic power test in athletes of different sport disciplines
- Jump test performance and sarcopenia status in men and women, 55 to 75 years of age
- The countermovement jump to monitor neuromuscular status: A meta-analysis
In this episode, I speak with Dr. James Nuzzo about stretching and flexibility in fitness and rehabilitation. In his 2020 paper, The Case for Retiring Flexibility as a Major Component of Physical Fitness, he proposes flexibility should not be a primary focus when designing exercise and rehabilitation programs. We also discuss the misconceptions the paper has created and some of the reasons why people misunderstand research papers.
*This episode was recorded in 2020 and aired on the first iteration of the Clinical Gap Podcast on January 13, 2021.
Where to find James:
Website, Twitter, LinkedIn
In this episode, I discuss why we aren't very good at making predictions. There are many personal and environmental factors that impact the consistency of our judgments and decisions as well. Bias and noise both impact clinical decisions, but there are a few strategies you can use to minimize their influences.
Books mentions (and highly recommended)
Thinking, Fast and Slow
The Undoing Project: A Friendship That Changed Our Minds
Noise: A Flaw in Human Judgment
Superforecasting: The Art and Science of Prediction
In this episode, I cover my recent publication Clinical decision making in physical therapy – Exploring the ‘heuristic’ in clinical practice. I cover some content on rationality that I had to cut out in the final version and how it can help your clinical practice.
After two years of work and many rewrites, this project has finally been published.
The paper integrates many of the decision-making theories and principles developed by Daniel Kahneman and Amos Trevesky with clinical decision-making strategies developed by Gerd Gigerenzer and Pat Croskerry.
While those great minds have taught us much about decision-making, heuristics, and bias, those topics have barely been explored in PT. In this perspective, we discuss the use of heuristics and bias in physical therapy practice.
Here are the highlights:
1️⃣Intuition and heuristics guide clinical decision-making in physical therapy.
2️⃣ System 2 thinking and executive override are vital for novice clinicians.
3️⃣ Busy clinical environments, sleep deprivation, and fatigue impair decision-making.
4️⃣ Experts can rely more on intuition and less on clinical information than novices.
5️⃣ External perspectives from mentors and colleagues can help reduce personal bias.
I learned a lot working with @daleyfurter and writing this paper (including all of the rationality content I had to cut for the final version).
Find the full text online until December 8
This episode explores the fear-avoidance model of pain. I look at different coping and avoidance strategies people use when they experience pain.
I also provide a brief overview of PNE. How can we best integrate PNE and what are some misunderstandings about it?
Lastly, I contrast risk and resilience and how those concepts influence our clinical assessment and education.
PMID: 20425199
PMID: 35959703
In this research recap, I continue the conversations surrounding individualized care and movement optimism. I tackle the myth that running is bad for your knees while also challenging my own biases on MRIs. No topic should ever be written off. There is always more to learn.
Applying the evidence to your clinical practice:
- How do you determine an appropriate dosage of running for a patient? What if they have OA? What if they are experiencing knee pain?
- How do you discuss MRI findings with a patient? How do findings influence your prognosis?
- How can you improve hip flexor strength?
- What are the differences between relative and absolute risk? How do they influence your education about treatment risk?
Links to the studies:
PMID: 33279802
PMID: 34269758
PMID: 34375940
PMID: 34287630
This session explores patient values, goals, and expectations. We explore four types. of expectations that help shape a plane of care:
- Predicted – What they believe will occur
- Ideal – What they hope will occur
- Normative – What should occur
- Unknown – Unaware, unwilling, or unable
Understanding a patient's values, goals, and expectations are vital to treatment and plan of care development.
Research discussed:
Expectations
Values
Find out more about the PT Solutions Orthopaedic Residency Program here.
Let's kick off this episode with a hot take: having a PT degree does not make you a movement expert.
In this episode, I discuss movement expertise and exercise prescription. How good are PTs at prescribing exercise for outcomes other than pain and functional outcome score improvement?
I also discuss the use of manual therapy in PT.
Applying the evidence to your clinical practice:
- How do you determine the dosage of exercise intensity for aerobic training? How do you determine the dosage for a patient's home exercise program?
- How confident are you in prescribing exercise for strength, power, hypertrophy, and endurance? How can you improve your confidence level?
- How do you decide what manual therapy techniques to use and when to use them? What are your measures of success?
- How do you carry yourself in the clinic? How do your attitude and appearance change during the day?
Links to the studies:
PMID: 34822354
PMID: 33662892
Demonization of Manual Therapy
PMID: 34126294
How do physical therapists show value? How does that value proposition change when interacting with patients, legislators, or payors? In this episode, I discuss how to show value and where physical therapists and the profession are missing the mark. I also use statistics to show why individualized care is so important. Research should provide the foundation for treatment, but research alone never provides the full answer. All treatment and assessments are a blend of art and science.
Harwood 2022 Study (PMID 35606781)
Hear more takeaways in my Residency Recap reel. My recent reel on this residency session discussed how frequently patients should be treated within a plan of care.
Find out more about the PT Solutions Orthopaedic Residency Program here.
This episode was recorded in 2020 but unfortunately never aired. It's a shame because it is a great conversation and very relevant to the current landscape of physical therapy.
Telehealth took center stage in physiotherapy across the world in 2020 due to the COVID-19 pandemic. Additionally, digital PT has exploded in popularity, leading to concerns that brick-and-mortar PT may become obsolete.
Rather than approaching these care models as 'ether/or' we should be exploring and refining hybrid models.
Tom and Lindsay share their experiences with hybrid care and the data outcome they have collected at CBI Health. The research that has been published since this conversation supports their conclusions. The hybrid model supports continuity of care, improves patient outcomes and satisfaction, and expands access to clinical experts.
Bios:
Tom Carter is the National Director of Clinical Excellence at CBI Health, a national provider of rehabilitation services, and he completed his MSc at the University of Toronto in the Graduate Department of Rehabilitation Sciences. His research interests involve the interdisciplinary management of injuries and the field of health services. He has held the appointment of Adjunct Lecturer in the School of Physiotherapy, Faculty of Medicine at the University of Toronto. For over 20 years Tom has provided leadership expertise developing interdisciplinary healthcare teams providing community-based services, managing outpatient rehabilitation clinic operations and training programs at the clinic, provincial and national levels.
Lindsay Benoit graduated from the University of Alberta in 2004 and has worked in an interdisciplinary brain injury team treating concussions, traumatic brain injury, and stroke since graduation. Throughout her work with this population, she has taken several courses related specifically to vestibular rehabilitation including the Herdman Course out of Atlanta Georgia. Lindsay was a key person in developing the protocols in CBI as they relate to concussion treatment as well as for traumatic brain injury and stroke. Lindsay teaches a vestibular course and a concussion course to assist in using best practice across CBI. She is also one of the subject matter experts for CBI in concussion and vestibular care.
CBI Health
APTA Consumer Awareness Research Report
APTA's stance on digital health
Digital health resources
One of our residents asked, "what is failed conservative care." This question was unpacked in our third residency session and I cover it in this episode of Residency Roundup. I also discuss the importance of patient limitation, locus of control, and patient satisfaction.
Hear more takeaways in my Residency Recap reel. My recent reel on this residency session discussed why there are no optimal movement patterns.
Find out more about the PT Solutions Orthopaedic Residency Program here.
What is a Clinical Specialist? Better yet, what does it mean to specialize in PT Practice?
I explore the answers to these questions in this podcast episode. I talk about obtaining clinical specialization certifications and developing clinical expertise and how they differ. I also look at the relationship between expertise and experience. I provide four key strategies every student and clinician can employ to develop expertise.
This talk was originally given at the 2022 GA Student Conclave.
APTA Georgia Student FIN Instagram Page
This episode covers two main topics discussed in our second residency session: labels and good physical therapy vs. bad physical therapy.
The labels we use have profound effects on our patients and the ways we interact with them. If we label patients by a body region or diagnosis, it’s easy to home-in on that specific label and miss key characteristics of the individual, causing us to develop and implement an incomplete plan of care. It’s important to understand the patient’s primary complaint, but we don’t want to limit their experience or define them strictly with that complaint.
Is bad PT better than no PT? This argument can parallel the discussion of some exercise is better than no exercise, but we need to consider the long-term implications for the patient and the profession. How does the outcome and experience of PT influence public perception, reimbursement, and direct access laws? I discuss this in greater detail in the episode.
Applying the evidence to your clinical practice:
- When are painful exercise interventions ok? How do you minimize anxiety and catastrophizing with painful exercise?
- Do you purposefully use painful manual therapy? If so, what is the communication to the patient?
- How do educate a patient that experiences an increase in pain after exercise? Does it influence future exercise considerations?
- How do you structure plans of care when hypertrophy is the goal? What variables do you consider? How do you increase patient buy-in? How do you integrate an effective HEP?
Links to the studies:
https://pubmed.ncbi.nlm.nih.gov/33887445/
https://pubmed.ncbi.nlm.nih.gov/34391267/
https://pubmed.ncbi.nlm.nih.gov/33400333/
https://pubmed.ncbi.nlm.nih.gov/34658936/
Please leave a rating and review, share the podcast with fellow clinicians, and check out future episodes!
In this Residency Roundup, I cover the first session of the 2023 PT Solutions Orthopedic Residency Class. Today’s session focused on communication and relationships. Here are a few key reflection questions from the session:
How do you measure clinical quality?
How does the patient define success in PT?
What does the patient need from you?
A necessary attribute to be a clinical expert is curiosity. We all need a willingness to adapt, understanding no tool is undroppable.
Much of the residency will be focused on fostering curiosity. We also will work on refining, even shrinking the clinical toolbox. Rather than trying to add a bunch of shiny tools, we will focus on perfecting the foundational tools necessary for great patient care: relationship building, communication, and exercise.
Find out more about the PT Solutions Orthopaedic Residency Program here.
Applying the evidence to your clinical practice:
- What prognostic factors do you focus on? How do they influence your POC development? Do you communicate the factors to the patient, referring provider, or your colleagues who may co-treat?
- How do you assess a patient’s confidence level with respect to the body region they primarily experience symptoms (e.g. confidence in their knee when they have knee OA)
- Is stretching part of your in-clinic or at-home programming? If so, how do you determine the dosage (duration, intensity, and number of sets)
- How do you assess the effectiveness of your manual therapy techniques?
Links to the studies:
https://pubmed.ncbi.nlm.nih.gov/35717179/
https://pubmed.ncbi.nlm.nih.gov/35713515/
https://pubmed.ncbi.nlm.nih.gov/35694390/
https://pubmed.ncbi.nlm.nih.gov/35719196/
Please leave a rating and review, share the podcast with fellow clinicians, and check out future episodes!
In this episode, physiotherapist, consultant, and researcher Dale Whelehan shares his research and thoughts on sleep and heuristics. We discuss how bias and heuristics can aid clinicians when used correctly. However, when sleep deprivation enters the equation, critical thinking Is heavily Influenced.
Dale received his Ph.D. (after recording this episode) in Behaviour Science at Trinity College Dublin. He focused on surgical performance with respect to the objectivity of performance, the influence of sleep deprivation, clinical decision-making, and fatigue risk management approaches to enhance performance. He is now a Human Capital Management Consultant for Deloitte.
*This episode was recorded in 2020 and originally aired on the first iteration of the Clinical Gap Podcast on September 1, 2020.
Where to find Dale:
Twitter, LinkedIn, Physioplus, Research Gate
Applying the evidence to your clinical practice:
- What movements do your patients fear? How do you implement graded exposure for those movements?
- Practice conversations arguing for conservative care first in common surgical situations (ACL, Rotator Cuff Tear, Knee OA, etc.)
- How do you stage your education throughout a POC?
- Do you track physical activity guideline adherence? Should you? How would you?
Links to the studies:
https://pubmed.ncbi.nlm.nih.gov/35661387/
https://pubmed.ncbi.nlm.nih.gov/35655691/
https://pubmed.ncbi.nlm.nih.gov/35647883/
https://pubmed.ncbi.nlm.nih.gov/34746955/
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In this episode, I speak with Lars Avemarie about critical thinking and translating research. We discuss the propensity of misinformation across mass and social media and how to remain accountable to the information we provide patients and fellow physical therapists. We also tackle the state of manual therapy research (in 2020). As with any good conversation, I am left with more questions than I started with. The points Lars made have led to a lot of personal reflection about my clinical practice and how I teach.
*This episode was recorded in 2020 and aired on the first iteration of the Clinical Gap Podcast on September 1, 2020.
Where to find Lars:
Website, Twitter, Instagram
The Clinical Gap Podcast is back! This is the first Research Recap episode (keep a look out for Residency Roundups starting in mid-September and past interviews).
This Research Recap dives into many topics regarding plan of care development and appropriate exercise selection, taking into account neural health, self-efficacy, metabolic health, and training goals. Here are some practical questions to consider and help you apply the evidence to your clinical practice:
- How do you decide if spinal manipulative therapy is appropriate for your patient?
- How can you enhance exercise self-efficacy?
- What strategies do you use to enhance motor learning? How do you bias myelination vs. remyelination?
- How do you structure HIIT and MICT exercises? How do you involve patients in the decision-making process for exercise?
Links to the studies:
https://pubmed.ncbi.nlm.nih.gov/35633383/
https://pubmed.ncbi.nlm.nih.gov/35622474/
https://pubmed.ncbi.nlm.nih.gov/35635130/
https://pubmed.ncbi.nlm.nih.gov/35399102/
Please leave a rating and review, share the podcast with fellow clinicians, and check out future episodes!