Afleveringen
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Summary
In this episode, Firat Kesgin, founder of the German Institute for Vestibular Rehabilitation, discusses the controversial topic of cervicogenic dizziness. He challenges the validity of this diagnosis, arguing that dizziness often associated with neck pain and limited cervical mobility should not be considered a distinct disorder. Kesgin references the Barani Society's stance, which suggests that the connection between cervical issues and dizziness lacks high-quality evidence. He explains that patients with vestibular disorders often restrict head movement, leading to neck problems over time, which can be mistaken for cervicogenic dizziness.Kesgin emphasizes the importance of accurate diagnosis and the risks of relying on exclusion-based diagnoses. He highlights the need for specialized knowledge in vestibular disorders to avoid misdiagnosis and unnecessary treatments. The discussion also touches on the psychological aspects of dizziness, comparing it to chronic pain conditions where the central nervous system plays a significant role. Kesgin advocates for a more comprehensive understanding of vestibular disorders and cautions against simplistic mechanical explanations for complex symptoms.
Guest
Firat is the founder of the German Institute for Vestibular Rehabilitation and has been teaching postgraduate courses throughout Europe. His work focuses on helping clinicians better understand and treat patients with dizziness and balance disorders.
Alongside his clinical and teaching work, Firat is currently pursuing a PhD on the standardization of BPPV testing and the implementation of structured vestibular rehab programs in outpatient care.Chapters
00:00:00 Intro
00:01:22 Why "cervical dizziness" isn't a valid diagnosis
00:03:36 Neck pain/limited ROM as consequences of vestibular issues
00:04:26 Sponsor: WriteUpp
00:06:00 Temporal link to neck pain doesn't prove causation
00:08:15 Does treating the neck fix dizziness? Short-term vs long-term
00:10:51 Risks of diagnosis by exclusion
00:12:24 Diagnostic gaps in routine ENT practice
00:14:20 No specific test: is that enough to reject it?
00:16:59 Vestibular migraine vs "cervical dizziness"
00:20:51 Sponsor: Physiotutors Premium
00:21:27 Common mislabels: BPPV, hypofunction, and 3PD
00:25:45 Cervical proprioception: acute vs chronic relevance
00:32:32 Interpreting cervical torsion and SPNT tests
00:36:53 Sponsor: Physiotutors Courses
00:37:55 Parallels with chronic low back pain
00:38:41 Why the research persists and biomechanical bias
00:45:19 Clinical guidance for dizzy patients with neck pain
00:46:54 Myth-busting: negative ENT and psychology factors
00:49:23 Closing thoughts
00:50:33 Where to find Firat
00:51:19 OutroBonus Material
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Summary
In this episode, Karl Jacobs, a renowned anatomist and educator, explores the complex world of fascia—its structure, function, and clinical significance. Discover how fascia influences movement, pain, and tissue adaptability, and learn about the latest research and practical insights for clinicians.
Guest
Karl is an accredited anatomist, presently working at the Department of Medical Biology, Section Clinical Anatomy & Embryology of the University of Amsterdam. As an anatomist, his area of special interest is the functional anatomy of the musculoskeletal system, head and neck region and Karl has a particular focus on fascia. He graduated with merit for his MSc Functional and Clinical Anatomy at the University of Birmingham (United Kingdom) in 2017; and wrote his final dissertation on the embryological, histological, physiological, and morphological aspects of the fascial system.
Chapters
00:00:00 Intro & guest bio
00:01:34 Path from physio to fascia
00:02:54 What is fascia?
00:03:51 Why fascia was overlooked
00:04:59 Fascia in movement & force transmission
00:06:06 Common oversimplifications
00:06:55 Fascia's role in stability
00:07:52 Fascia, nociception & pain
00:10:52 Sponsor: Physiotutors Courses
00:11:50 Continuity vs predictability
00:12:50 Can we diagnose fascial issues?
00:14:26 Do therapies change fascia?
00:16:47 "Releasing" fascia vs influencing biology
00:17:40 Sponsor: WriteUpp practice software
00:19:19 How adaptable is fascia?
00:21:12 Imaging fascia with ultrasound
00:22:41 Adhesions and layer gliding
00:24:17 How dissection changes clinicians' views
00:25:08 Lifestyle, load, and fascia
00:26:22 Sponsor: Physiotutors Premium
00:26:59 What "better" fascia means (function-specific)
00:28:08 Where the field is heading
00:29:08 Clinical takeaway
00:31:10 Where to find Karl
00:31:28 Courses: Fascia in a Nutshell & Discovering Fascia
00:32:38 Outro
Bonus Material
Discovering Fascia Online Course
Fascia in a Nutshell Masterclass
Anatomy Insight Institute
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Summary
In this episode of the Physiotutors podcast, Andreas Delaere discusses the critical role of physiotherapy in promoting healthy aging. He emphasizes the importance of prevention, strength training, and power training for older adults, while also addressing common mistakes made in their treatment. The conversation explores the hallmarks of aging, the significance of sleep in rehabilitation, and effective strategies for tracking progress and overcoming barriers to adherence. Andreas advocates for a holistic approach to physiotherapy, focusing on empowering patients and maintaining their functional independence.
Guest
Andreas Delaere is a physiotherapist, scientific researcher, and co-owner of Praktijk ROBUUST in Merchtem, Belgium. He combines clinical practice with research, with a strong focus on prevention, muscle health, strength training, and sarcopenia in older adults. Since 2015, he's been connected to the VUB, has contributed to multiple scientific publications, and to the Belgian Sarcopenia Guideline validated by CEBAM. Andreas also has an extra expertise in sleep and completed training in Cognitive Behavioral Therapy for Insomnia, CBT-I.
Chapters
00:00:00 Intro
00:01:32 Why focus on prevention?
00:03:15 Healthy aging and missed aspects
00:06:21 Twelve aging hallmarks?
00:10:48 Sponsor: Physiotutors courses
00:13:01 Recognizing sarcopenia
00:17:13 Common muscle-building mistakes
00:22:06 Strength versus power differences
00:25:19 Safe power training for elders
00:27:42 Non-negotiable movements, adaptations
00:34:23 Sponsor: WriteUpp software
00:35:58 Programming variables and frequency
00:40:40 Tracking progress and mismatches
00:42:27 Barriers and boosting adherence
00:46:25 Handling passive-treatment seekers
00:50:17 Strength-function translation issues
00:51:55 Sleep's role and myths
00:58:20 Sponsor: Physiotutors membership
00:59:16 When to refer sleep issues
01:01:01 Three actions for this week
01:02:10 Controversial view on training
01:04:56 Contact info & OutroBonus Material
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Summary
In this conversation, Ebonie Rio, a physiotherapist and researcher, discusses the complexities of patellar tendinopathy, including its causes, myths, and effective rehabilitation strategies. She emphasizes the importance of understanding the condition as an overload issue, the need for accurate diagnosis, and the role of strength training in prevention and recovery. Ebonie also highlights the significance of motor control and coordination in managing tendon pain, and the necessity of clear communication among athletes, coaches, and clinicians for optimal outcomes.
Check out the Rehabilitendon App: http://rehabilitendon.com.au/
Guest
Ebonie Rio is a physiotherapist and researcher from La Trobe University in Australia. She holds a PhD in tendon pain and has a background that includes a Masters in Sports Physiotherapy and two bachelor degrees. Her clinical work spans some of the top performance environments in the world. She has worked with the Australian Institute of Sport, the Australian Ballet Company and Ballet School, pro football with Melbourne Heart, the Victorian Institute of Sport, and several major events including the Commonwealth Games, the Vancouver Winter Olympics, the Singapore Youth Olympics and the London Paralympics. She also spent more than a year on tour with Disneys The Lion King.
Ebonie has published widely on tendon pain, motor control, load, and rehab, with a special focus on patellar tendinopathy.Chapters
00:00:00 - Intro: Ebonie Rio (background + welcome)
00:01:02 - Explaining patellar tendinopathy in simple terms (athlete-friendly)
00:02:47 - Biggest myths in patellar tendinopathy (imaging, diagnosis, puberty)
00:04:20 - Why "young jumping men" are most affected (risk factors + load profile)
00:06:06 - Misdiagnosis: patellar tendinopathy vs patellofemoral pain
00:07:15 - What changed most in tendon pain research (and clinical thinking)
00:08:27 - What clinicians still underrate in tendon rehab (getting strong enough)
00:10:16 - Sponsor: PhysioTutors Premium Membership
00:11:12 - Why weakness increases tendon overload (load distribution + performance)
00:12:06 - Where tendon research is heading (better diagnosis + better outcomes)
00:14:01 - Key assessment questions + progressive load testing approach
00:18:43 - Morning stiffness, night pain, and 24-hour response (diagnostic clues)
00:20:09 - Quad tendon vs patellar tendon: does it matter for rehab choices?
00:21:46 - Isometrics debate: what people misunderstand about pain relief
00:26:43 - What is "peritendin" and why it matters (especially in Achilles)
00:28:13 - How to diagnose peritendin vs tendinopathy (progressive load patterns)
00:31:53 - Peritendin treatment options (incl. Hirudoid + Voltaren discussion)
00:34:07 - Sponsor: Writeup (practice management software)
00:35:42 - Tendon rehab plan overview: in-season management vs full rehab
00:40:57 - Rehab strength targets + objective markers (leg press, calf, leg extension)
00:42:33 - Measuring the 24-hour response (decline squat vs hop testing)
00:43:02 - Spanish squat vs wall squat: why Spanish squat wins
00:44:19 - Heavy vs fast loading: why rate of loading matters
00:45:11 - Sponsor: PhysioTutors Courses
00:46:32 - Spring phase progression (energy storage + return-to-sport build-up)
00:50:15 - When is an athlete "cleared" to return to sport?
00:51:16 - Motor control + tendon pain: what changes and why it matters
00:53:47 - Metronome training: how to use it clinically (60 bpm setup)
00:55:17 - Managing flare-ups before major events (short-term strategies)
00:58:16 - Meds and injections: ibuprofen, pain relief, and why caution matters
00:59:30 - Key messages to coaches + athletes (performance mindset + heavy is safe)
01:01:08 - Final takeaways: diagnosis confidence + avoiding imaging traps
01:02:16 - Where to find Ebonie + her rehab app (Rehabilitendin)
01:03:18 - Outro: where to listen, app languages, transcript, and review request
Sponsors
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Bonus Material
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Summary
In this episode of the Physiotutors podcast, we discuss the pervasive issue of burnout among physiotherapists, focusing on the business and operational challenges that contribute to this phenomenon. Joined by Claire Braham and Anna Bunch, experts in practice management and virtual assistance, the conversation delves into the daily realities of running a physiotherapy practice. They highlight that burnout often stems not just from long hours or difficult patients, but from the overwhelming mental load, inefficient admin systems, and the constant feeling of being behind. Claire and Anna share insights on how these factors can lead to emotional fatigue and ultimately impact both personal and professional lives. The discussion also emphasizes the importance of recognizing early signs of burnout, such as feeling constantly behind or lacking the capacity to manage tasks that once felt manageable. Claire and Anna provide practical solutions, including the implementation of effective systems and boundaries, to help clinicians regain control over their workload. They stress the need for clinicians to prioritize their well-being and consider outsourcing administrative tasks to alleviate stress and improve overall practice efficiency.
Guests
Clare is a Business Development Representative at WriteUpp, a practice management software used by many healthcare professionals. Her background is in operations, team leadership, and private practice support. She spends her time helping clinics get more organised, save time, and reduce stress around things like compliance, admin, and patient experience.
Anna Bunch is a Virtual Assistant who specialises in supporting psychologists and therapists. Since 2019, she has worked closely with private healthcare practices to improve systems, workflows, and daily operations. She also supports and mentors other VAs who work in this space.
Chapters
00:00:00 Intro
00:01:53 Burnout in daily practice?
00:04:44 Early signs of burnout?
00:08:55 Sponsor: WriteUpp
00:10:30 Constant on-mode impact?
00:16:55 Draining vs energizing patients
00:18:20 Over-responsibility problem
00:21:00 Clinicians hating admin
00:27:11 Sponsor: Physiotutors Premium
00:28:15 Insurance documentation pressure
00:30:30 Better systems for admin?
00:32:06 Tools and human support
00:36:35 Too many tools?
00:39:13 Powerful yet simple systems
00:43:35 Sponsor: Physiotutors Courses
00:44:51 One realistic change now?
00:50:15 Anything we missed?
00:52:09 Contact Details & OutroBonus Material
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Note: This episode was recoreded in Dutch and can be listened to in English and other languages on the Physiotutors App. The next episode will be in English again!
Summary
In this episode, we discuss the journey of Ajan Elshof, a former physiotherapist who transitioned to a care-intensive advisor role. We explore the reasons behind his departure from physiotherapy, including changing perspectives on care, the challenges of practice management, and the relationship between physiotherapists and insurers. Ajan shares insights on the future of physiotherapy, the importance of innovation, and the need for collaboration in the healthcare sector.
Chapters
00:00:00 Intro and the big question: why does a passionate physiotherapist leave the profession?
00:03:42 Why physiotherapy was chosen: sports background, injuries, and early motivation
00:05:13 Workload, balance, and no burnout
00:06:40 Sponsor: Premium membership
00:07:17 From patient care to management: views on efficient, hybrid care and the right care in the right place
00:10:24 Overtreatment vs insured sessions: ethics and clinic policy
00:12:06 Ambition, ownership, and scale of impact
00:14:27 The purchasing plan: from the first years to the concrete process
00:16:09 Why the purchasing failed and business lessons learned, market fit, agreements, transition period
00:19:17 Considered paths, education, research, own practice, and the choice for a health insurer to increase impact
00:22:29 Sponsor: WriteUpp practice management software
00:24:20 Low rates, productivity, and admin work: the health insurer's view
00:27:29 Relationship between health insurer and therapist: shared goal and trust
00:30:53 New role at Zilveren Kruis: tasks and the value of a physio background
00:33:23 Clinic vs office: differences in workday, focus, and downtime
00:36:20 How do we keep passionate professionals? Perspective, career paths, and regional primary care cooperation
00:37:43 Sponsor: Physiotutors online courses
00:39:18 Career outlook and conditions for a possible return
00:41:21 Advice to the next generation, including his own children, about physiotherapy
00:42:30 Closing message: working together toward sustainable, accessible, local care
00:44:15 Closing
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Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
This podcast explores the critical role of exercise therapy in oncology, highlighting its importance in cancer treatment, rehabilitation, and survivorship. Experts discuss the evolution of exercise in oncology, current practices, and innovative trials that examine the interactions between exercise and chemotherapy. The conversation also addresses the unique challenges faced by patients with head and neck cancer and the significance of tailored exercise programs in improving patient outcomes. This conversation delves into the critical role of exercise in cancer care, highlighting patient barriers, the importance of personalized exercise programs, and the need for better integration of physiotherapy in oncology. The speakers discuss the life-saving benefits of exercise, the challenges faced in clinical practice, and the necessity of addressing patient fears and misconceptions about exercise. They emphasize the importance of collaboration among healthcare professionals to ensure consistent messaging and support for cancer patients. Looking ahead, they advocate for more research, education, and advocacy to improve exercise oncology practices globally.
Check out our Podcast Sponsor WriteUpp here: https://www.writeupp.com/partners/physiotutors
Guests
Prof. Dr. Nele AdriaenssensProf. Dr. Nele Adriaenssens from the Vrije Universiteit Brussel is an associate professor and leads the Rehabilitation Research group, focusing on cancer rehabilitation and exercise oncology, with a special interest in side effects of chemotherapy and immunotherapy and how exercise can help. She also coordinates cancer rehabilitation and survivorship at the University Hospital in Brussels and has been a key figure in building cancer rehab services and research infrastructure there.
Dr. Grainne SheillDr. Grainne Sheill, clinical specialist physiotherapist in cancer rehabilitation at St James's Hospital in Dublin. Grainne leads work on exercise for people treated for head and neck cancer, looking at the barriers they face and how group based programs can support recovery, fitness and daily function after treatment.
Nirit RotemShe is the head of the physiotherapy department at Tel Aviv Souraski Medical Center. She is a physiotherapist, educator and long standing leader in national and international physiotherapy bodies, with a strong focus on cancer care, exercise prescription and raising standards of practice and policy.
Time Stamps
00:00:00 - Intro and guest lineup: Exercise therapy in oncology overview
00:01:36 - Why is exercise part of cancer treatment, not just an extra?
00:04:04 - What "exercise" means in cancer care: cardio, strength, or both?
00:05:32 - How the role of exercise in oncology has changed since 2008–2009
00:08:42 - Sponsor: PhysioTutors Premium Membership (ad)
00:09:35 - Policy and health system view: Where oncology rehab stands and gaps
00:12:40 - How drugs/side effects shape exercise plans (exercise–pharmacology examples)
00:16:56 - PAPTOX and FORX trials: What's new vs classic cancer rehab studies
00:20:45 - Exercise goals in palliative care and oncogeriatrics
00:24:17 - Are palliative/fragile patients motivated to exercise?
00:25:30 - Sponsor: WriteUpp practice management (ad)
00:27:05 - Head & neck cancer: Why this group is different and challenging for activity
00:31:34 - National survey findings: Top barriers and surprises to exercise post–head & neck cancer
00:33:49 - Key exercise-oncology messages still missing in day-to-day practice
00:37:33 - Turning position statements into simple clinical routines
00:41:41 - Global online oncology course: Is it available yet?
00:42:15 - Sponsor: PhysioTutors online courses (ad)
00:43:10 - Screening and triage: Group vs 1:1 vs medical referral
00:46:16 - Addressing fear: How to talk about risk and safety to keep patients engaged
00:49:55 - One belief to change among doctors/nurses about exercise in cancer care
00:53:19 - Ten-year outlook: Priorities for research, education, and implementation
00:56:13 - Final messages: Getting physios on board and entry-level competencies
00:58:54 - Congress announcement and closing remarks
Bonus Material
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Summary
In this conversation, Dr. Nick van der Horst, a sports physiotherapist, discusses the significant impact of hamstring and groin injuries in football, emphasizing the importance of pelvic control in injury prevention and rehabilitation. He highlights the prevalence of these injuries, the role of eccentric strength training, and the need for comprehensive screening and assessment methods. Dr. van der Horst shares insights on how to modify pelvic posture and control during rehabilitation, providing practical advice for integrating these concepts into injury prevention programs. The discussion also covers the relationship between pelvic mechanics and performance optimization, making it clear that understanding these factors is crucial for effective rehabilitation and injury prevention in sports.
Guest
Dr. Nick van der Horst is a sports physiotherapist and rehabilitation specialist with deep expertise in football medicine. He's currently part of the medical staff at PSV Eindhoven's first team, where he focuses on on- and off-field rehab, return-to-play strategies, and injury prevention.Nick earned his PhD at UMC Utrecht with a thesis on preventing hamstring injuries in male soccer players. Over the years, he has worked with organizations like the KNVB and Go Ahead Eagles, and he's the founder and CEO of SoccerDoc, a platform dedicated to improving football medicine through research, education, and clinical care.His work centers on maximizing football performance by reducing injury burden and creating evidence-based, player-centered rehab and prevention programs.
Timestamps
00:00:00 Intro and guest bio
00:01:00 How big are hamstring and groin injury problems (incidence and time loss)?
00:04:04 Clarifying the topic: SI joint issues vs pelvic position/control
00:04:42 Why are pelvic control and positioning key for hamstring and groin pain?
00:12:44 Sponsor: PhysioTutors Premium Membership
00:15:28 Screening and assessment: Go-to markers for pelvic posture/control issues
00:19:27 Do you need motion capture or other equipment to assess pelvic control?
00:22:17 How do you differentiate pelvic-mechanics-related hamstring issues from tissue-specific or neural problems?
00:27:12 Common lumbopelvic patterns in recurrent hamstring and groin injuries
00:25:38 Sponsor: WriteUpp Practice Management
00:37:54 Groin pain: Is pelvic posture/control a cause or a consequence?
00:41:50 How modifiable is pelvic posture and control?
00:44:51 Rehab progression: Early vs late stages when focusing on pelvic control
00:48:54 Do you use basic core/lumbopelvic exercises (bird dog, dead bug, pelvic tilts)?
00:52:13 Have improvements in pelvic control reduced hamstring/groin injuries in practice?
00:54:46 Sponsor: PhysioTutors Online Courses
00:56:13 Case experience: Moments that shifted perspective on pelvic role
01:03:08 Practical advice for integrating pelvic control into prevention/rehab in football
01:05:49 Where to find Dr. Nick van der Horst
01:06:29 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
In this podcast episode, neuroathletic performance and pain coach Jannik Schuster discusses neurocentric training, a method focusing on the brain and nervous system to enhance performance and alleviate pain. Schuster explains how he discovered this approach through personal experience with injuries and highlights its effectiveness in reducing inflammation and pain. He defines neurocentric training as targeting brain and nervous system interactions to improve performance, distinguishing it from traditional training methods that focus on biomechanical structures. Schuster emphasizes the significance of understanding the nervous system's role in pain and movement limitations, advocating for individualized approaches to address specific nervous system needs. He also discusses the integration of neurocentric training with traditional practices, the impact of visual, vestibular, and proprioceptive inputs, and the potential for neurocentric training to become more prevalent in both athletic and therapeutic settings. The conversation underscores the importance of neuroplasticity and suggests resources for those interested in exploring neurocentric training further.
Guest
Jannik Schuster — Neuroathletic Performance and Pain Coach, M.Sc. in Sports Science, educator, and former elite footballer. After training in the youth academy of FC Augsburg and the professional squad of FC Schweinfurt, Jannik discovered neurocentric training as a breakthrough method to unlock performance, prevent injury, and resolve pain. Educated through Z-Health and grounded in sports science, he now helps others apply neuro-based strategies for pain-free movement and optimal function
Content
00:00:00 Introduction
00:00:47 Yannick's Background and Introduction to Neuroathletic Training
00:02:49 Definition and Differentiation of Neurocentric Training
00:04:36 Scientific Foundation of Neurocentric Training
00:08:39 Common Misconceptions in Neurotraining
00:10:23 Role of the Nervous System in Pain and Movement Limitations
00:11:55 Neurocentric Training in Rehab
00:14:42 Assessment and Testing in Neurocentric Training
00:21:46 Role of Visual, Vestibular, and Proprioceptive Inputs
00:25:19 Typical Neuroperformance Training Session
00:28:17 Effects Observed in Performance-Oriented Athletes
00:31:01 Athlete Feedback on Neuro Training
00:35:38 Prevalence of Neurocentric Training in Elite Sports
00:37:29 Integration with Traditional Training and Therapy
00:40:08 Incorporating Neurocentric Elements in Daily Work
00:47:03 Striking Changes Observed Through Neuro Training
00:49:23 Resources for Learning About Neurocentric Training
00:51:27 Conclusion and Final Thoughts
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
In this episode, Melvin Pitz and Cornel Tol from the Headache, Pain, and Concussion Training Institute (HPCTI) delve into the intricacies of managing concussions and post-concussion symptoms. They advocate for using the term "prolonged post-concussion symptoms" over "mild traumatic brain injury" to reduce the nocebo effect associated with the latter.
The discussion highlights the importance of a multidisciplinary and biopsychosocial approach in diagnosis and treatment, emphasizing the significance of early intervention and patient education. Melvin and Cornel share insights into diagnostic criteria, the impact of framing on patient outcomes, and the gaps in current practices, particularly in the Netherlands. They stress the need for physiotherapists to be proactive in education and networking to bridge the knowledge gap in concussion management.
The episode also touches on the neurophysiological aspects of concussion, the shortcomings of monodisciplinary approaches, and the potential of a treatable traits approach for better patient outcomes. Listeners are encouraged to rethink the role of physiotherapy and consider the broader implications of prolonged symptoms, including psychological and social factors. The episode provides practical advice for physiotherapists and healthcare professionals on how to improve their practice and patient care in the context of concussions.
Guests
Today's guests are Melvin Pitz and Cornel Tol from the HPC-TI — short for Headache, Pain & Concussion Training Institute.
They're on a mission to educate and empower healthcare professionals with cutting-edge, evidence-based strategies to manage headache, pain complaints, and mild traumatic brain injury. With a strong clinical background and a critical view on how care is currently delivered, they're pushing for a multidisciplinary and biopsychosocial approach that actually works — in the clinic, and beyondContent
00:00 Intro
00:41 Definition of PPCS
03:06 Diagnostic Criteria
06:35 Gaps in recognizing PPCS
09:47 Why patients are misdiagnosed
14:24 Sponsor
15:00 Prognostic Factors to develop prolonged symptoms
18:48 Rethinking Physiotherapists' role in treating PPCS
24:40 Neurophysiology of PPCS
28:28 Why monodisciplinary approaches fail
33:12 Diagnosis & Decisionmaking
35:48 Sponsor
37:04 Biggest pitfalls
38:44 Treatment
50:48 Interesting Case Studies
57:38 Return to work/play
01:03:21 Opinion on high-impact sports
01:05:25 Myths to bust
01:06:26 Closing thoughts
01:07:37 Contact info & Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Summary
In this episode, we welcome Dr. Sue Mayes, a distinguished physiotherapist and senior lecturer at La Trobe University, who is renowned for her expertise in injury prevention and rehabilitation, particularly in elite dancers and athletes. Dr. Mayes discusses the significance of foot intrinsic muscles, focusing on their role in ballet and sports injuries. She explains common issues like hallux valgus and foot arch control, emphasizing the importance of intrinsic muscle strengthening to enhance performance and reduce injury risk.
Dr. Mayes shares insights into effective foot strengthening techniques, such as banded exercises and stair running, while highlighting the limitations of traditional exercises like toe doming. She also explores the impact of footwear, advocating for a gradual adaptation to minimalist shoes. The conversation covers the role of intrinsic muscles in chronic conditions like ankle instability and shin splints, and the need for a comprehensive approach that includes calf and hip strengthening.
Listeners gain practical tips on creating foot strengthening programs, selecting appropriate exercises, and understanding the nuances of rehabilitation across different sports. Dr. Mayes underscores the importance of balancing foot strength and emphasizes the need for proper footwear to prevent stress fractures. The episode concludes with a call to acknowledge the lateral foot muscles and their role in distributing load effectively.
Content
00:00 Intro
01:01 What are Foot Intrinsics?
01:40 Most common foot/ankle injuries in Ballet
02:20 Hallux Valgus
04:30 Taping for Hallux Valgus
06:12 Quantifying intrinsic muscle strength
08:03 Foot Arch
09:45 Sponsor
10:35 The dome exercise
12:30 Common misconceptions
13:43 Footwear
17:40 Intrinsic Foot muscle weakness as risk factor
19:50 Performance Impact
22:25 Building a foot strengthening program
27:32 Sponsor
28:44 Strength program progression
30:50 Balance program
32:43 Focus on Abductor Hallucis
34:42 What else to focus on?
36:15 Plyometrics
38:25 Footballer are like Ballerinas
41:12 What clinicians should know about feet
42:26 Sue's closing thoughts
44:10 Contact info & Outro
Bonus Material
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Description
In this episode, Dr. Jack Hickey, a leading researcher in hamstring injuries, shares valuable insights into the complexities of hamstring rehabilitation and injury prevention. He discusses the common misconceptions surrounding hamstring rehab, emphasizing the importance of understanding the adaptations targeted by specific exercises rather than simply mimicking injury mechanisms. Dr. Hickey also delves into the significance of hamstring muscle architecture, particularly the role of fascicle length as a modifiable risk factor for injury. He highlights recent research comparing the effectiveness of exercises like Nordic hamstring exercises and Romanian deadlifts in enhancing fascicle length.
Dr. Hickey further explores his pioneering work in pain threshold rehabilitation, explaining how allowing low to moderate levels of pain during rehab can lead to better strength and muscle adaptation without delaying return-to-play timelines. He also touches on the fragility index as a measure of the robustness of risk factors associated with hamstring injuries.
Throughout the conversation, Dr. Hickey underscores the importance of individualized rehab programs, incorporating both on-field and gym-based conditioning, and the need to prioritize fundamental principles such as load management and athlete well-being. He also provides a glimpse into ongoing and future research endeavors aimed at advancing our understanding of hamstring injury mechanics and prevention strategies. This episode is packed with practical advice and evidence-based approaches for clinicians, making it a must-listen for those involved in sports medicine and rehabilitation.
Guest
Jack Hickey is a leading researcher in the field of hamstring injuries. Jack is currently based at Maynooth University in Ireland, where he joined in 2023 as the first academic in the Department of Sport Science and Nutrition.Before that, he was a Senior Lecturer at the Australian Catholic University in Melbourne and part of the SPRINT Research Centre, focusing on sports performance, injury, and rehab. His PhD centered on hamstring strain injuries and pain-threshold rehab – a body of work that earned him multiple national awards, including the ESSA Medal for best PhD thesis in Exercise and Sport Science.Beyond academia, Jack is an accredited Exercise Physiologist with over a decade of experience treating athletes from all levels—especially those dealing with hamstring injuries and ACL reconstructions.
Content
00:00 Intro
01:31 Why the interest in the hamstrings?
03:41 Transitioning from Australia to Ireland
06:05 Common Misconceptions in Hamstring Rehab
13:09 sponsor
13:46 How to measure fascicle length
16:07 Pain threshold rehabilitation explained
21:55 But there's more than pain levels
27:51 How to modify fascicle length
30:01 Nordic Hamstring Curls vs. RDLs
35:05 sponsor
36:08 Which exercises favor different parts of the hamstrings
40:54 Ideal eccentric loading parameters
43:40 What is the Fragility Index?
49:49 Describing Return to Play Criteria
52:47 Hamstring Rehab in the ideal world 5
6:15 Current Hamstring Research Highlights
59:32 Jack's closing thoughts
01:00:26 Contact Info & Outro
Bonus Material
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Summary
In this episode, we explore the innovative world of Runeasi, a company co-founded by Dr. Kurt Schütte, which is revolutionizing the assessment of running and jumping in both clinical and athletic settings. Dr. Schütte shares how Runeasi bridges the gap between lab-based biomechanics research and real-world application, offering affordable, evidence-based analysis tools. The episode delves into the workings of Runeasi's AI-driven 3D gait analysis and its jump module, highlighting their key metrics and practical applications in reducing injury risk and enhancing performance. Additionally, the podcast covers the benefits of using Runeasi for clinicians and coaches, its validation process, and its future developments, including remote rehabilitation and mobile app advancements. The discussion emphasizes Runeasi's mission to make data-driven insights accessible and actionable for everyday physiotherapists, coaches, and athletes.
Guest
Dr. Kurt Schütte, PhD in biomechanics, CEO, and co-founder of Runeasi — a company that's shaking up how we assess running and jumping in both clinical and athletic settings.
After completing his PhD, Kurt saw a gap between the lab and the field — and a clear need for affordable, evidence-based biomechanics analysis that could be used in the real world. That realization became Runeasi. His mission? To empower clinicians and coaches to use data-driven insights to reduce injury risk and enhance performance — and to make this the standard within the next three years.
Resources
Andreas Halfmarathon Case Study with Runeasi
Runeasi Website
Content
00:00:00 Introduction of Dr. Kurt Schütte and Runeasi
00:01:06 Discussion on the origin of Runeasi
00:02:09 Motivation from research to entrepreneurship
00:04:11 Vision for data-driven insights in clinical practice
00:08:25 Core of Runeasi's AI-driven 3D gait analysis
00:09:50 Difference from traditional lab-based systems
00:12:27 Ensuring closeness to the gold standard
00:14:58 Main metrics from gait testing
00:22:02 Who uses Runeasi and for which scenarios
00:27:18 Typical test session walkthrough
00:32:24 Running on a treadmill vs. outdoors
00:38:11 Jump testing module
00:41:11 Main metrics in the jump module
00:44:26 Ensuring accuracy compared to force plates
00:48:34 Special cases in return to sport testing
00:52:59 Future developments for Runeasi
00:57:26 Message to physios hesitant about biomechanics tech
01:01:51 Final thoughts and how to get Runeasi
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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In Episode 77 of the PhysioTutors podcast, we welcome Hedwig Neels, a renowned physiotherapist from Belgium who specializes in pelvic health. Hedwig is a professor at the University of Antwerp and founder of the Pelvic Floor platform, which aims to break taboos and make pelvic health accessible and understandable for women. During the episode, Hedwig discusses her journey in creating the Pelvic Floor platform and the common misconceptions around pelvic health, such as the overemphasis on Kegel exercises. She emphasizes the importance of education, awareness, and a holistic approach to pelvic health. The conversation also covers pelvic health during pregnancy and postpartum, highlighting the need for pelvic floor training and the challenges in returning to high-impact sports. Hedwig shares insights into male pelvic health, particularly saddle pain in cyclists, and the significance of relaxation over strengthening in certain cases. The episode concludes with a discussion on the future of pelvic floor rehabilitation and the importance of open communication and education in the field. Hedwig provides valuable resources and advice for physiotherapists and individuals looking to understand and improve pelvic health.
Guest
Hedwig is a physiotherapist specializing in pelvic health, with a particular focus on education and awareness. She is a professor at the University of Antwerp, where she combines academic research with clinical practice at the University Hospital of Antwerp. Hedwig is also the founder of The Pelvic Floor, an information platform and community designed to break taboos and make pelvic health accessible and understandable for all women. She teaches both medical and paramedical professionals through the Women's & Pelvic Health Professionals network and is the author of Het Bekkenbodemboek — a beautifully illustrated, accessible guide to pelvic floor health for women.
Her clinical expertise also extends to athletes, including both women and men, with a special focus on cycling-related saddle pain and its impact on performance.Content
00:00 Intro
01:12 Why she started her Pelvic Health Platform
03:19 Misconceptions about the Pelvic Floor
06:42 Sponsor
07:19 Lowering the barrier to start talking about pelvic health
12:00 Pelvic Health during and after pregnancy
15:40 Return to sport post-partum
20:00 Quantifying pelvic floor function in practice
23:37 Pelvic Floor Problems among top reasons women stop playing sports
26:52 Male pelvic pain
31:43 More about letting go than holding in
34:12 Pelvic health skills for non-pelvic health practitioners
37:01 Sponsor
38:02 Go beyond Kegels
42:54 Don't forget the pelvic girdle
46:34 The biggest innovation in pelvic rehab
49:32 What every physio should know about pelvic health
51:02 Hedwig's closing thoughts
53:18 Contact info & Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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In episode 76 of the podcast, we engage with Dan Elias, a seasoned physiotherapist with over 15 years of experience, specializing in youth athletes. Dan works with the England athletics team and runs the Youth Physiotherapy Clinic in Bath, focusing on athletes aged 8-18. During the episode, Dan discusses his journey into youth physiotherapy, emphasizing the unique approach required for treating young athletes compared to adults. He highlights common misconceptions about physiotherapy for children and the importance of adapting communication and treatment strategies to suit their developmental needs.
Dan elaborates on the challenges of managing injuries during growth spurts and the significance of bone health and appropriate strength training for young athletes. He also addresses the phenomenon of overtraining, offering insights into recognizing early signs and mitigating risks through proper rest, nutrition, and diversified physical activities. The conversation underscores the role of fun and engagement in rehabilitation and the necessity of establishing healthy long-term habits for injury prevention. Dan stresses the importance of understanding each child's unique circumstances and fostering a supportive environment that encourages confidence and communication. The episode is a comprehensive discussion on the nuances of youth physiotherapy, offering valuable insights for parents, coaches, and practitioners involved in youth sports.
Content
00:00 Intro
01:14 Dan's Journey into Youth Athletics
04:34 What are the biggest misconceptions on Youth Athlete Physiotherapy
08:03 Tips on communicating with children & adolescents
10:08 How Growth Spurts affect Injury Risk
16:19 Sponsor
17:20 What does a typical Assessment look like
22:20 What are common injuries in this population?
25:05 Are avulsion fractures prevalent?
26:13 How to recognize early signs of overtraining
30:30 How to deal with overtraining symptoms
33:01 Specific sports that have the most injuries
35:35 Resistance Training in adolescents
38:02 How to design "fun" rehab plans
41:15 Sponsor
42:03 How to help adolescents create healthy habits
45:26 Physical and mental advice for young patients
50:25 Parents' biggest mistakes in youth development
52:54 Early sports specilization
54:05 Dan's closing thoughts
55:47 Contact Info & Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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In this episode of the podcast, we are joined by Shrey Vazir, an advanced physiotherapist and founder of Mind Body Horizons. Shrey shares his personal journey of managing fibromyalgia and discovering the intersection of mindfulness and physiotherapy. He emphasizes the importance of integrating mindfulness practices into healthcare, particularly for managing chronic pain, stress, and burnout.
Shrey discusses the science behind mindfulness, its benefits for patients and healthcare professionals, and offers practical steps for incorporating mindfulness into physiotherapy practice. He also addresses common misconceptions and barriers to adopting mindfulness and shares success stories of patients and professionals who have benefited from these practices. Listeners will get book recommendations for those interested in learning more about mindfulness and information on how to connect with Shrey.
Content
00:00 Intro
01:33 Shrey's Background
05:16 Founding Mind Body Horizon
07:40 Defining Mindfulness in Healthcare
14:05 Effects of Chronic Stress
20:24 How to integrate Mindfulness in Practice
28:10 Mindfulness Tips to prevent Clinic Burnout
32:15 Barriers to implementing Mindfulness
35:55 Athletes swear on Mindfulness
38:00 Dealing with Skepticism
43:15 Success Stories
50:56 Mindfulness Movement
52:50 Shrey's closing thoughts
54:25 Book Recommendations
56:32 Contact Info & Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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In Episode 74 of the Physiotutors podcast, host Kai is joined by Dr. Erik Thoomes, an expert in musculoskeletal conditions, particularly cervical radiculopathy. Dr. Thoomes provides an in-depth discussion on cervical radiculopathy, distinguishing it from nonspecific neck pain. He explains that cervical radiculopathy involves radiating arm pain due to nerve root irritation or compression, often caused by disc herniation or spondylotic changes, contrasting it with lumbar radiculopathy.
The episode emphasizes the importance of thorough patient history in diagnosis and suggests a cluster of tests including Spurling's test and neural tension tests to improve diagnostic accuracy. Dr. Thoomes also challenges the reliability of traditional dermatomes and myotomes, advocating for individualized assessment and treatment strategies.
The conversation covers various treatment options, highlighting the ineffectiveness of cervical traction and suggesting neurodynamic mobilization, spinal manipulative therapy, and targeted exercises. Dr. Thoomes advises adapting management strategies from acute to chronic stages and stresses the role of patient education and self-management. The episode also touches on the limited role of imaging unless necessary and discusses the importance of differentiating cervical radiculopathy from other conditions.
Dr. Thoomes calls for more research in areas like epidemiological data and neurodynamic mobilization and shares clinical gems for effective management. The episode concludes with an emphasis on individualized patient care and encourages questions and further discussion from listeners.
Content
00:00 Intro
00:52What is Cervical Radiculopathy?
04:05 Cervical vs Lumbar Disc Herniation
05:29 Clearer Terminology needed
07:15 Prevalence and Risk Factors
08:26 Most useful Tests
10:33 Crucial History Findings
11:56 Dermatomal/myotomal examination
13:13 Treatment Options
18:27 Manipulations? Mobilizations?
21:29 Motor Control Training
24:55 Directional Preference in the Cervical Spine?
26:03 Higher Level Exercises
27:01 Self-Management
28:52 Diagnostic Mistakes to Avoid
31:30 Red Flags and Imaging
33:15 Lessons to learn from LRS
34:25 Future Research Directions
37:45 Top Tips
39:27 Outro & Contact InfoBonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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Description
In episode 73 of the Physiotutors podcast, we talk to Philipp Andersson, a seasoned physical therapist and strength and conditioning coach who heads the medical department for IFK Värnamo in Sweden's top football league. Philipp shares insights into his unconventional journey into sports physiotherapy, starting with a passion for working in professional sports, leading to volunteering opportunities that paved his way into elite sports teams. Despite lacking initial connections, his determination and strategic volunteer work helped him secure his current role.
Philipp discusses the unique challenges of working with both women's and men's football teams and the differences between training high-profile clients and professional athletes. He emphasizes the importance of sport-specific training and the need to connect gym work with on-field performance. The conversation also touches upon common injuries in soccer, particularly the prevalence of ACL injuries in women and muscle injuries in men, and the balance between performance and recovery.
Philipp talks about the realities of working in professional sports, debunking myths about glamour and high salaries, and highlights the rewarding aspects, such as forming strong connections with players. He also shares his leadership philosophy, stressing the importance of listening and open dialogue within a multidisciplinary team. The episode concludes with insights into Philipp's daily routine and the demands of balancing personal life with a career in professional sports.
GuestPhilip Andersson is a Physical Therapist and Strength & Conditioning Coach leading the medical department for IFK Värnamo in Sweden's top football league. With experience in elite women's football and training high-profile clients, Philip brings a wealth of knowledge on athlete care and performance.
Content
00:00 Intro
00:35 Philip's Journey into Professional Sports
03:13 Challenges of working with Athletes vs. Celebrities
05:05 How he landed his clients
06:00 Most common injuries he sees
07:45 Different injuries in men's vs. women's sports
08:22 Decision-making for RTP in professional sports
09:46 What's physio really like in professional sports
12:07 Common misconceptions
14:35 Most rewarding moments
18:13 Differences working with high profile clients
19:17 Leadership lessons
20:45 Philip's Advice to land a job in professional sports
23:30 Use of non EBP in professional sports
28:08 Philip's work philosophy
29:20 A typical day/week
32:20 Career Plans
34:30 Bonus Story
37:50 Bonus Story 2
39:29 Contact Info & Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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In Episode 72 of the Physiotutors podcast, we interview Dr. Daniel Belavy, a professor with a prolific research background in muscle, bone, and joint health, specifically focusing on low back pain. The discussion explores various aspects of back pain research, including disk herniations in astronauts, the role of mechanical loading in disk health, and the challenges of classifying non-specific low back pain.
Dr. Belavy shares insights from his studies on physical exposure and spine postures, contextual effects in treatment, and exercise training for back pain. He emphasizes the importance of understanding how treatments work to optimize clinical care and highlights the ongoing quest to identify subgroups and optimal exercise prescriptions for back pain. The episode underscores the complexity of back pain and the multifactorial elements influencing it, advocating for continued research and collaboration in the field.
Content
00:00 Intro
00:57 Disc Herniations in Astronauts
04:08 Discs need (de-)loading
08:04 Is there a U-curve for loading?
10:15 NSLBP Classification Challenges
19:20 SI Joint Pain Classification Challenges
24:30 Physical Exposures and Low Back Pain
29:04 Physical Function/Activity and Low Back Pain
31:40 Contextual Effects in Low Back Pain
40:09 How to harness contextual effects in treatment
41:21 Which type of exercise is best for LBP
47:01 Exercise variables and pain reduction
50:29 Daniel's closing thoughts
53:00 Contact info
55:52 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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In this episode of the PhysioTutors podcast, Dr. Annina Schmid, a specialist in musculoskeletal physiotherapy and a professor of pain neurosciences at Oxford University, discusses entrapment neuropathies, focusing on conditions like carpal tunnel syndrome and cubital tunnel syndrome. She explains that these conditions occur when nerves are compressed or irritated as they pass through narrow anatomical spaces, leading to symptoms such as pain, tingling, numbness, and sometimes motor changes like weakness. The conversation covers common types of entrapment neuropathies, diagnostic challenges, and distinctions between peripheral and nerve root entrapment. Dr. Schmid emphasizes the importance of pattern recognition, detailed patient assessment, and understanding the anatomical and neurological aspects of each case. Dr. Schmid also delves into the importance of deep clinical phenotyping and precision physiotherapy, highlighting the need for detailed understanding of patient presentations and individualized treatment approaches. She discusses the potential benefits and mechanisms of neurodynamic treatments and other interventions, stressing that education and managing patient expectations are crucial. The discussion touches on the role of advanced imaging techniques like ultra-high field MRI in diagnosing and treating entrapment neuropathies, and the significance of surgical intervention in severe cases. The episode concludes with Dr. Schmid's takeaways for clinicians, emphasizing the need for careful diagnosis, patient education, and innovative research approaches.
Content
00:00 Intro
00:48 What are entrapment neuropathies?
01:48 Typical presentations
02:45 Does Piriformis syndrome exist?
05:10 Causes and Riskfactors of PNE
07:23 Differential diagnosis
13:00 How reliable is dermatome examination
15:25 What is Deep Clinical Phenotyping?
20:20 What is Precision Physiotherapy?
24:37 Effects of Neurodynamics
26:49 Effectiveness of other Interventions
31:35 Interface treatment
34:40 When to refer for surgery
36:48 Nerve repair
41:25 Ultra High Field MRI Explained
44:48 Three Take Aways
47:03 Annina's Closing Thoughts
48:13 Contact Info
49:39 Outro
Bonus Material
Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.
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