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JOSPT Insights: Daily Summaries Delivered
by JOSPT
The Journal of Orthopaedic & Sports Physical Therapy brings you the JOSPT Insights podcast every Monday. On each episode, experienced clinicians and researchers unpack musculoskeletal rehabilitation topics in under 30 minutes. Guests share clinical tips and research discoveries in musculoskeletal rehabilitation with host Dr Clare Ardern, Editor-in-Chief of JOSPT. Sports physical therapists Drs Chelsea Cooman, Dan Chapman and Marquis Sanabrais are frequent co-hosts.
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- Today26 min
Ep 287: Finding your place in high-performance sport, with Emily Ross
We all think about how we want our careers to grow and what we see ourselves doing in 10 years. Many of us go into sports physiotherapy/physical therapy because we want to work with athletes in high performance sport. But there's no one career pathway into those roles. How do you shape your own path if you don't have a solid map? Emily Ross has forged one of those paths in elite women's sport—moving from post-graduate clinical practice in musculoskeletal care to working for over 10 years in elite sport.Emily Ross’ career has centred on achieving excellence, always improving, and finding ways to boost athlete availability. She led the physiotherapy provision for England Rugby’s Red Roses across two World Cup campaigns. Her achievements with the Red Roses include: (i) completing 4 unbeaten Autumn International series and 6 consecutive title-winning Women’s Six Nations tournaments (including 5 Grand slam campaigns), (ii) a silver medal in the 2022 Rugby World Cup in New Zealand, and (iii) winning gold at the Women’s Rugby World Cup 2025 on home soil. Today Emily shares her experiences and her advice for breaking into and sustaining a fulfilling career in elite sport.------------------------------RESOURCES2023 IOC consensus on relative energy deficiency in sport (REDs)
- 1 weeks ago22 min
Ep 286: How to prevent osteoarthritis, with Dr Tarcisio de Campos
Osteoarthritis is common, and there's no cure for it. Clinicians working in musculoskeletal rehabilitation are likely to see people who are at risk of, or who have developed, osteoarthritis. In place of a cure, your focus might shift to strategies to reduce the risk of joint trauma—which could be the trigger for developing osteoarthritis years later—or to strategies that aim to slow the progression of the disease.Dr Tarcisio de Campos—physiotherapist and Clinical Postdoctoral Research Fellow (Institute of Musculoskeletal Health, University of Sydney and Sydney Local Health District)—tackles the questions of which strategies should you choose and how effective are they?------------------------------RESOURCESInterventions for preventing knee osteoarthritis: systematic reviewOPTIKNEE 2022 consensus recommendations for improving knee health and preventing osteoarthritis
- 2 weeks ago22 min
Ep 285: How well does a ruptured ACL heal? With Dr Joanna Kvist
Does the ACL have the capacity to heal following injury? And if it does, what might that mean for how clinicians approach ACL rehabilitation? The prevailing assumption has been that a ruptured ACL has limited capacity to heal and restore structural continuity without reconstruction. Now, a growing body of research is challenging that assumption.In today's episode, Professor Joanna Kvist (Linköping University, Sweden) discusses new findings from the NACOX cohort examining how ACL structure changes on MRI during the first 2 years following acute ACL injury. Dr Kvist and her team found that ACL structure and fiber continuity improved over time in many participants managed without ACL reconstruction, and greater ACL continuity was associated with less knee laxity on objective measurement.Dr Kvist explains what the ACL looked like on MRI over those 2 years, the changes in ligament thickness and fiber continuity, how those structural findings related to clinical outcomes, and what clinicians should (and shouldn't) take from these findings when discussing rehabilitation and treatment options with patients.------------------------------RESOURCESStructural changes of the ACL, evaluated by MRI, and their relation to clinical outcomes within 2 years after ACL injury
- 3 weeks ago25 min
Ep 284: No more CFT for chronic back pain? With Dr Henrik Bjarke Vægter
The RESTORE trial, published in 2023, put cognitive functional therapy (CFT) on the map as an effective approach for managing chronic, disabling low back pain. Since then, there has been more research supporting CFT, including a large network meta-analysis published in JOSPT in early 2026. In today's episode, we explore the results of the CONFeTTI trial, which tested the CFT+ intervention - combined care delivered by a physiotherapist and a psychologist in an interdisciplinary pain clinic.Dr Henrik Bjarke Vægter led the CONFeTTI trial. He is an experienced physiotherapist and head of the interdisciplinary Pain Centre at Odense University Hospital in Denmark. Dr Bjarke Vægter is Professor of Physiotherapy and Pain Treatment at the University of Southern Denmark's Department of Clinical Research.------------------------------RESOURCESCONFeTTI trialTailored exercise therapy with or without psychological interventions: systematic review with network meta-analysis
- 4 weeks ago20 min
Ep 283: Who gets best-practice care for osteoarthritis? With Dr Jodi Young
How many patients describe receiving what sounds like inadequate care for osteoarthritis before they reached your clinic? Osteoarthritis is one of the most common chronic musculoskeletal conditions. When there are many trustworthy, international clinical guidelines that clearly outline what best-practice osteoarthritis care should entail, why are so many patients missing out on high-value care?Today's guest, Dr Jodi Young, discusses her team's analysis of data from nearly 25,000 patients who received osteoarthritis care in the United States, and what these data say about osteoarthritis care. Dr Young is the Director of Research for the Doctor of Science in Physical Therapy program at Bellin College in Green Bay, Wisconsin. She is also a fellow of the American Academy of Orthopaedic Manual Physical Therapists.------------------------------RESOURCESReal-world use of exercise and manual therapy for managing knee osteoarthritis: https://www.jospt.org/doi/10.2519/josptopen.2026.0221Opioid prescribing to active duty US military personnel: https://pubmed.ncbi.nlm.nih.gov/37507224/Opioid vs. non-opioid medications for people with chronic back pain or hip or knee OA (SPACE Trial): https://pubmed.ncbi.nlm.nih.gov/29509867/Opioid use patterns among active duty service members and civilians: https://pubmed.ncbi.nlm.nih.gov/29514335/ JOSPT Insights episode 257 - Reflecting on contemporary manual therapy: https://pod.link/1522929437/episode/NzM4ZjYwY2EtMzNhYi00OTI5LWE5OTAtZmUwY2ZkM2QxMDA0
- Sep 28, 202622 min
Ep 282: How to explain a musculoskeletal diagnosis, with Marc Perron
There's plenty of debate in the musculoskeletal rehabilitation community about how to clearly communicate with patients about a diagnosis. Clinicians are trying to balance being clear about what the likely cause of the symptoms is without inducing unnecessary worry. How much should you—or even can you—accurately describe the pathology and anatomy of the problem? On the flip side, others have strongly argued that pathoanatomic labels do more harm than good.Today, experienced musculoskeletal physiotherapist and researcher (Laval University, Canada), Marc Perron makes the case that clinicians should not hide the pathology and anatomy—it's how you talk with patients about their diagnosis that matters most.------------------------------RESOURCESPhysical therapists diagnosing musculoskeletal conditions: don't hide what matters - just say it the right way: https://www.jospt.org/doi/10.2519/jospt.2026.14197
- Sep 21, 202624 min
Ep 281: Tackling pain-related fear with exercise therapy, with Drs Courtney Mears and Matthew Heindel
Psychological factors like a person's thoughts, beliefs and emotions can exert a strong influence on rehabilitation outcomes for people with chronic musculoskeletal conditions. When a person has pain, they might feel scared to move or convinced that moving in a certain way will damage their body. Today's discussion focuses on how a person's thoughts about shoulder pain can change over an 8-week exercise-based rehabilitation program, and the implications for how musculoskeletal rehabilitation clinicians approach discussions about fear and moving with the patients you work with. Dr Courtney Mears and Dr Matthew Heindel discuss their recent JOSPT publication (linked below).Dr Mears is a physical therapist at the University of Southern California, and a researcher in the Clinical Biomechanics Orthopedic and Sports Outcomes Research Lab. Her research focuses on understanding the relationship between psychosocial factors, shoulder pain, and functional outcomes.Dr Heindel is a physical therapist, and a postdoctoral associate at Duke University’s School of Medicine, where he studies the neuroimmune mechanisms of chronic musculoskeletal pain. Dr Heindel completed his PhD on the mechanics of pain and muscle dysfunction in rotator cuff tendinopathy in 2025 at the Clinical Biomechanics Orthopedic and Sports Outcomes Research Lab at the University of Southern California.------------------------------RESOURCESChanges in pain-related fear: https://www.jospt.org/doi/10.2519/jospt.2026.13563OSPRO yellow flag assessment tool: https://www.jospt.org/doi/10.2519/jospt.2016.6487
- Aug 24, 202622 min
Ep 280: Should I worry about noisy joints? With Dr Danilo De Oliveira Silva
Does hip crepitus make a difference to the health of the joint? Does crepitus indicate damage, harm or progression of osteoarthritis? How should clinicians explain hip crepitus and its implications to patients? Today's guest addresses those questions and more in a deep dive on hip crepitus. Dr Danilo De Oliveira Silva (La Trobe University) discusses his JOSPT article, Self-Reported Hip Crepitus Is Prevalent in Football Players With Hip/Groin Pain, but Is It Associated With Early Hip Osteoarthritis Structural Features? A Longitudinal Study, with Dan and Marquis.------------------------------RESOURCESSelf-reported hip crepitus - longitudinal study: https://www.jospt.org/doi/10.2519/jospt.2025.13474Beliefs and attitudes about hip crepitus: https://pubmed.ncbi.nlm.nih.gov/41056730/
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About JOSPT Insights
The Journal of Orthopaedic & Sports Physical Therapy brings you the JOSPT Insights podcast every Monday. On each episode, experienced clinicians and researchers unpack musculoskeletal rehabilitation topics in under 30 minutes. Guests share clinical tips and research discoveries in musculoskeletal rehabilitation with host Dr Clare Ardern, Editor-in-Chief of JOSPT. Sports physical therapists Drs Chelsea Cooman, Dan Chapman and Marquis Sanabrais are frequent co-hosts.
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