OwlTail

Cover image of PT Inquest

PT Inquest

PT Inquest is an online journal club. Hosted by Erik Meira and JW Matheson, the show looks at an article every week and discusses how they apply to current physical therapy practice.

Weekly hand curated podcast episodes for learning

Popular episodes

All episodes

The best episodes ranked using user listens.

Podcast cover

116 Effective Treatments for Musculoskeletal Pain

There is a lot that we can throw at musculoskeletal pain, but what actually has evidence behind it? We do we actually know and what directions should the research be headed? THIS ARTICLE IS OPEN ACCESS SO FOLLOW THE LINK TO READ IT! Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence. Babatunde OO, Jordan JL, Van der Windt DA, Hill JC, Foster NE, Protheroe J. PLoS One. 2017 Jun 22;12(6):e0178621. doi: 10.1371/journal.pone.0178621. eCollection 2017. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

59mins

10 Oct 2017

Rank #1

Podcast cover

159 Being a Medical Conservative

"You hate on everything! What do you even do with your patients? Why so negative?" We've heard it all before, and so have the authors of this paper. This open source article explores and defends the position of being skeptic within the medical world. The Case for Being a Medical Conservative. Mandrola J, Cifu A, Prasad V, Foy A. Am J Med. 2019 Mar 6. pii: S0002-9343(19)30167-6. doi: 10.1016/j.amjmed.2019.02.005. [Epub ahead of print] Open Source! Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

53mins

16 Apr 2019

Rank #2

Similar Podcasts

Podcast cover

130 Blood Flow Restriction Training and You

Blow Flow Restriction (BFR) training is a topic that is often requested for us to cover, but the research has not been very impressive to us regarding rehab application. That said, we aim to please! (No we don't.) So in this episode, we are joined by Scot Morrison to discuss what we know and what we don't know around BFR and the potential rehab applications. THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT! Blood flow restriction training in clinical musculoskeletal rehabilitation: a systematic review and meta-analysis. Hughes L, Paton B, Rosenblatt B, Gissane C, Patterson SD. Br J Sports Med. 2017 Jul;51(13):1003-1011. doi: 10.1136/bjsports-2016-097071. Epub 2017 Mar 4. Here is the pre-review registration: ReviewRegistry91 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

1hr 9mins

23 May 2018

Rank #3

Podcast cover

075 How a Tendon is Like a Doughnut

Jill Cook and Karim Kahn gave a very interesting lecture on understanding tendinopathy at APTA's Combined Sections Meeting (CSM) in February 2016. PT Inquest decided to take a deeper look. Can disorganized tendon tissue change? If it can't does it matter? When we understand the true nature of tendinopathy, certain treatments become much more plausible and others appear almost silly. Also, Erik provides a poor man's homemade doughnut recipe. Or is it donut?

57mins

23 Feb 2016

Rank #4

Most Popular Podcasts

Podcast cover

145: Target ROM After RTC Repair

We thought we were done but THEY KEEP PULLING US BACK IN!!! We are back for a full year of weekly episodes thanks to generous sponsorship from CSMi! Brought to you by CSMi In previous episodes we have explored the controversy around the best rehabilitation after rotator cuff (RTC) repair with many papers concluding that it really doesn't matter. But when can you say that things are not going well? And if things are not going well, what can you do about it? If you have an isokinetic machine, make sure you register your clinic at CybexTest.org to be listed on their database for free! This article is open access at the time of recording so click the link below for free access. Target range of motion at 3 months after arthroscopic rotator cuff repair and its effect on the final outcome. Tonotsuka H, Sugaya H, Takahashi N, Kawai N, Sugiyama H, Marumo K. J Orthop Surg.2017 Sep-Dec;25(3):2309499017730423. doi: 10.1177/2309499017730423. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

55mins

8 Jan 2019

Rank #5

Podcast cover

050 Mechanisms of Manual Therapy

Erik and JW have asked for more inquiry into the mechanisms of manual therapy and this article does not disappoint! What about those neurophysiological effects? Are they specific or non-specific? Does it matter? Why does JW carry a galvanized bucket of vomit in the car?

47mins

24 Mar 2015

Rank #6

Podcast cover

Episode 27: Dry Needling

This episode discusses dry needling and the difficulty in controlling for placebos. http://ptpodcast.com/pt-inquest/

50mins

12 Oct 2013

Rank #7

Podcast cover

183 Strength Training After ACLR

Brought to you by CSMi If you have listened to more than one episode of PT Inquest you will know that Erik thinks that quadriceps dysfunction is a major problem after ACLR. Assuming that you agree with that, are there interventions to address that issue? Do they work? What about just waiting? How would we know what works? Progressive strength training restores quadriceps and hamstring muscle strength within 7 months after ACL reconstruction in amateur male soccer players. Welling W, Benjaminse A, Lemmink K, Dingenen B, Gokeler A. Phys Ther Sport. 2019 Aug 9;40:10-18. doi: 10.1016/j.ptsp.2019.08.004. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

1hr 19mins

1 Oct 2019

Rank #8

Podcast cover

IASTM and ROM Changes

In Episode 36 we look at changes in range of motion after IASTM. Is it really doing anything to the tissue itself? What evidence is there really behind these tool assisted treatments?

1hr 5mins

27 Jun 2014

Rank #9

Podcast cover

042 Classification Systems for Chronic LBP

In Episode 42 we look at classification systems for treating chronic low back pain with specific exercise. Do they matter? Are we overthinking things? What exactly are we treating?

53mins

5 Sep 2014

Rank #10

Podcast cover

105 Rehab After Meniscal Repair

Meniscal repairs are notorious for having a mix of opinions regarding postoperative precautions. Should we be restricting weight bearing? Range of motion? Both? Neither? Does any of it matter? Why or why not? Wait for the drop! Rehabilitation Protocols After Isolated Meniscal Repair. O'Donnell K, Freedman KB, Tjoumakaris FP. Am J Sports Med. 2016 Oct 1:363546516667578. doi: 10.1177/0363546516667578. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

50mins

14 Mar 2017

Rank #11

Podcast cover

192 Exercise Intensity and Chronic LBP

Brought to you by CSMi So we're not the best with chronic nonspecific low back pain. We also tend to underload our patients in general. Maybe if we increased the intensity of our exercises, we would be more effective with chronic nonspecific low back pain. Well, at least we can test it! Exercise Intensity Matters in Chronic Nonspecific Low Back Pain Rehabilitation. Verbrugghe J, Agten A, Stevens S, Hansen D, Demoulin C, O Eijnde B, Vandenabeele F, Timmermans A. Med Sci Sports Exerc. 2019 Dec;51(12):2434-2442. doi: 10.1249/MSS.0000000000002078. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

55mins

3 Dec 2019

Rank #12

Podcast cover

125 Plantarflexors, Training Volume and Intensity in Aging Runners

Do older runners run differently than younger runners? If they do, is it A GOOD THING OR A BAD THING?! Can this actually be used as a tool for training or useful information for return after injury? Join us with study co-author Blaise Williams from Nike! Biomechanical Implications of Training Volume and Intensity in Aging Runners. Paquette MR, Devita P, Williams DSB 3rd. Med Sci Sports Exerc. 2018 Mar;50(3):510-515. doi: 10.1249/MSS.0000000000001452. Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

49mins

18 Apr 2018

Rank #13

Podcast cover

131 Exercise vs Injection for Gluteal Tendinopathy

Exercise and education is better than steroid injection for gluteal tendinopathy! Hooray for physical therapy! Or is it? What are the options and how great are they? We end this season with another example of an article and an intervention that we use and love, but we may want to pump the brakes a little. See you all next season!!! THIS ARTICLE IS CURRENTLY OPEN ACCESS SO FOLLOW THE LINK TO READ IT! Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: prospective, single blinded, randomised clinical trial. Mellor R, Bennell K, Grimaldi A, Nicolson P, Kasza J, Hodges P, Wajswelner H, Vicenzino B. BMJ. 2018 May 2;361:k1662. doi: 10.1136/bmj.k1662. Here is the pre-trial protocol: BMC Musculoskeletal Disorders Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

1hr 9mins

30 May 2018

Rank #14

Podcast cover

Quad Strengthening For PFPS

In Episode 35 we look at the role of quadriceps strengthening exercises on patellofemoral pain syndrome (PFPS). Is it really effective? What role does it play during rehab?

1hr 3mins

20 Jun 2014

Rank #15

Podcast cover

058 Hip Strength FAI and Labral Tears

On this episode we look at the correlation between hip weakness and femoroacetabular impingement/labral tears. Is it all about the glute med? Can we just strengthen out of intra-articular hip injuries? Also, have you seen An Honest Liar yet???

54mins

19 Aug 2015

Rank #16

Podcast cover

039 Hip Spine Syndrome

In Episode 39 we look at a systematic review that explores the idea of Hip-Spine Syndrome. What is that? Is lumbar spine disease a contra-indication for hip surgery? Or maybe it is an indication?

31mins

1 Aug 2014

Rank #17

Podcast cover

168 Chronic Pain and Exercise

Brought to you by CSMi Exercise works for pain..but why? Probably not for the reasons that we think. Does it matter? What a silly question... Musculoskeletal pain and exercise-challenging existing paradigms and introducing new. Smith BE, Hendrick P, Bateman M, Holden S, Littlewood C, Smith TO, Logan P. Br J Sports Med. 2018 Jun 20. pii: bjsports-2017-098983. doi: 10.1136/bjsports-2017-098983. [Epub ahead of print] Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Produced by: Matt Hunter Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

1hr 2mins

18 Jun 2019

Rank #18

Podcast cover

092 Isometrics vs Isotonics for Patellar Tendon Pain

Early evidence suggests that heavy load isometrics may be effective for acute reduction in patellar tendon pain in a laboratory setting, but is it effective for managing patellar tendon pain for athletes during their competitive season? How does it compare to isotonics (heavy slow resistance)? Does the type of contraction matter more than the total time that the heavy load is applied? Is Erik too tired to think straight? Do isometric and isotonic exercise programs reduce pain in athletes with patellar tendinopathy in-season? A randomised clinical trial. van Ark M, Cook JL, Docking SI, Zwerver J, Gaida JE, van den Akker-Scheek I, Rio E. J Sci Med Sport. 2016 Sep;19(9):702-6. doi: 10.1016/j.jsams.2015.11.006. Epub 2015 Dec 7. Open Access at the time of release Check out Peter Malliaras' blog post on this paper! Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

53mins

13 Sep 2016

Rank #19

Podcast cover

128 Surgery Vs Physical Therapy for FAIS

Finally a randomized controlled trial comparing physical therapy management to surgery for femoroacetabular impingement syndrome (FAIS)!!! And what were the findings? Well, not impressive on either end. Of course this generates more questions than answers but that's what good research does. Arthroscopic Surgery or Physical Therapy for Patients With Femoroacetabular Impingement Syndrome: A Randomized Controlled Trial With 2-Year Follow-up. Mansell NS, Rhon DI, Meyer J, Slevin JM, Marchant BG. Am J Sports Med. 2018 May;46(6):1306-1314. doi: 10.1177/0363546517751912. Epub 2018 Feb 14. Here is the pretrial registration: ClinicalTrials.gov Here is the article that they cited that describes the physical therapy interventions: https://doi.org/10.1186/s12891-016-0914-1 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. That said, if you are having difficulty obtaining an article, contact us. Music for PT Inquest: "The Science of Selling Yourself Short" by Less Than Jake Used by Permission

1hr

9 May 2018

Rank #20