Episode 29: ACLR Active Flexion Deficit and Bundling

FromPT Inquest

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Episode 29: ACLR Active Flexion Deficit and Bundling

FromPT Inquest

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Length:

31 minutes

Released:

Dec 28, 2013

Format:

Podcast episode

Description

In Episode 29 we look at limited active knee flexion as a predictor of function after hamstring ACLR and comparing long term function of double- vs single-bundle ACLR.

Released:

Dec 28, 2013

Format:

Podcast episode

Titles in the series (100)

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.

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138 PT Practice Patterns Following ACLR: Anterior Cruciate Ligament Reconstruction (ACLR) is a procedure that has a lot published on it yet there are still second injury rates as high as 40% in some populations. There seems to be some consensus in the literature as to how these patients... by PT Inquest
56 min listen
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... by PT Inquest
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139 Rotator Cuff Surgery and Non Inferiority: A topic we have discussed before, early activity after rotator cuff repair, but this is a different study design. What is meant by non-inferiority? Is this the same as saying equal? What if it was better? Would such a paper tell us? No Functional... by PT Inquest
47 min listen
132 The Long and the Short on Isometrics for Tendon Pain: We are back for another season of PT Inquest with more tendinopathy talk! There are a couple studies that have shown that high load, long duration isometrics reduce pain, but would short duration be just as effective as long as time under tension was... by PT Inquest
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Episode #14: Cartilage Research Bias and Strain Counterstrain: Cartilage Research Bias and Strain Counterstrain. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode. by PT Inquest
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142 Evidence-Based PT Marketing: Here we go again, hating on physical therapy (the theme song does say "I'm my own worst enemy"...) There have been some recent pushes in the physical therapy world to promote what we do, but has this been the most honest, evidence-based approach? What... by PT Inquest
49 min listen
140 Compensatory Strategies After ACLR: Thinking your ACLR patients are using compensatory strategies when they are squatting? Simple! Just watch them do a squat and you'll see it with your own eyes...OR WILL YOU?! This week our super-special guest is study lead-author Susan Sigward,... by PT Inquest
64 min listen
167 Internet-Based Information About Low Back Pain: Brought to you by CSMi What happens when you go onto the interwebs and search for information from the websites of reputable organizations (government, hospital, university, professional associations, etc)? Is it accurate? Who defines accurate? What... by PT Inquest
57 min listen
133 Scientific Journals and Advocacy: This week we are discussing an editorial from Physical Therapy Journal. We get into how much we really enjoy editorials, especially from specific editors, but we also discuss the role of scientific journals. Many clinicians confuse the broad and... by PT Inquest
53 min listen
134 ACL Injury and Cardiovascular Diseases: Sometimes it seems like ACL injury can be linked to all kinds of future problems. In this example there is a correlation to future myocardial infarction, although not statistically significant. We all know that showing a correlation doesn't mean... by PT Inquest
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135 Predictors of Postop Pain: Psychosocial or Structural?: Can psychosocial factors predict pain after rotator cuff surgery? Or could they be predictive of a poor outcome in general? Does this mean surgery shouldn't be done in these cases? Also, does hunger have an effect on the quality of a PT Inquest... by PT Inquest
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141 Frickin Lasers: Pew! Pew! Pew! Lasers!!! What could be more high tech than that? Hold on a second...what exactly IS a laser? And how is it different than other sources of light? Knowing that, why would you use it? And can you have very high quality research on very... by PT Inquest
53 min listen
137 Is Sitting Really the New Smoking?: There is a lot of talk amongst medical professionals and the media about sitting being the new smoking. Is that true? How would we compare that? Even if that is not EXACTLY true, what's the harm if it scares people into moving more? This article is... by PT Inquest
53 min listen
2018 PT Podcast Network Holiday Extravaganza: That's right everyone! It's that time of year again! All the PT Podcast Network voices (except for Adam) have gathered together to bring you some podcast holiday cheer! This very special episode is brought to you by My PT Insurance. Head on over to... by PT Inquest
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136 Concussion Confusion: A lot of people out there, including medical providers, believe that our understanding of chronic traumatic encephalopathy (CTE) or even concussions is complete and conclusive. As with many things, our understanding is very much just emerging.... by PT Inquest
55 min listen
148 Text Messaging to Improve Outcomes: It would be great if we could provide regular, personal follow up communications with our patients but the time commitment becomes huge. But what if you just had a bot send generic patient education text messages? Would that give a sense of... by PT Inquest
49 min listen
144 Predatory Journals And You: It's time for another season finale and we conclude with a discussion of one of the worst things in modern science, the predatory journal. These are journals that make money by publishing literally ANYTHING as long as you pay your fee. The authors of... by PT Inquest
44 min listen
150 Relation of Psychological Readiness and Kinematics After ACLR: Brought to you by CSMi Returning to sport after ACL reconstruction is kind of a complex mess. Strength issues, coordination, soreness, not to mention the psychological factors. How do these things interact? What matters? What should we measure and... by PT Inquest
55 min listen
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. ... by PT Inquest
53 min listen
146 Self Reported Home Exercise Adherence: A home exercise program is not very effective if the patient isn't actually, you know, doing the exercises. Is self-report accurate? What about a home program diary? Does it matter? Does this have any impact on our interpretations of previous... by PT Inquest
43 min listen
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,... by PT Inquest
62 min listen
182 Early Fear Reduction For Back Pain: Providing accurate information on back pain seems to build confidence in the provider but doesn't seem to have a huge effect on outcomes. Is this really an improvement? In this episode, Erik and JW explore the role of the provider is these difficult... by PT Inquest
53 min listen
157 Rate of Torque Development and Knee Osteoarthritis: Brought to you by CSMi When we say that a patient is "strong", what does that mean exactly? Can a single muscle do well on one strength test but poorly on another? Are some tests more "functional"? Sometimes it is less about IF they are strong and... by PT Inquest
46 min listen
143 Early Intensive Pain Education To Reduce Chronic Back Pain: Accurate education on pain has become a popular mantra in physical therapy practice, specifically around chronic pain. A common argument is to educate at risk patients early in the process to reduce the likelihood of their pain becoming chronic. But... by PT Inquest
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151 Pain Coping Skills Training and TKA: Brought to you by CSMi Pain catastrophizing has been shown to have an affect on outcomes specifically after total knee arthroplasty. This article took a good look at the problem and many people interpreted the findings to say that cognitive behavioral... by PT Inquest
61 min listen
166 Algorithm Based Treatment of Proximal Humerus Fractures: Brought to you by CSMi. Following an algorithm in medicine (and other high consequence professions) is shown to result in better outcomes. But isn't that just like following a cookbook? Or is it more about making sure that we don't miss things? ... by PT Inquest
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165 Manipulation Effects On Cervical Radiculopathy: Brought to you by CSMi Doing a manipulation on the thoracic spine may help people with cervical radiculopathy but there are a lot of questions to answer here. This paper has an odd presentation of the data and generates concerns when looking at the... by PT Inquest
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172 Patient Recall of Preop Symptoms: "How do you feel now compared to how you felt before surgery?" is a common question asked of patients? But how well do they remember? Are they accurate or do they overestimate or do they underestimate? What effects can perception of pretreatment... by PT Inquest
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161 Counteracting Health Misinformation: Brought to you by CSMi There is a lot of health misinformation out there from simple "wellness" advice to anti-vaccination zealots, but what do we as medical providers do about it? Is it time to wage war? How high are the stakes? How do we make a... by PT Inquest
60 min listen
163 ACL, Obesity, Causation, and YOU!: Brought to you by CSMi Does the weight of an athlete matter when considering how much force they can handle? Is obesity the cause of disease or just something else that was caused by the cause of disease; whatever that actually is? Here we take a look... by PT Inquest
53 min listen

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Episode 29: ACLR Active Flexion Deficit and Bundling

Episode 29: ACLR Active Flexion Deficit and Bundling

Description

Titles in the series (100)

More Episodes from PT Inquest