FUNCTIONAL F1RST

We speak with physiotherapist, Rich Severin [DPT, PhD(c), CCS] about the importance of screening for cardiovascular risk factors during musculoskeletal assessments. Rich discusses a case study demonstrating the impact that screening can have, how you can screen in your practice, and the #VitalsareVital campaign. Find out more about Rich: www.ptreviewer.com Twitter: @ptreviewer Instagram: @pt_reviewer 00:56 Can you introduce yourself? 02:32 What made you interested in doing two specialties? 04:29 What got you started with the vitals campaign? 08:44 What is the education like in schools for cardiovascular screening in MSK? 11:24 Can you take us through a case study? 15:24 Were you screening regularly at that point or was it the history that prompted you to take blood pressure? 16:52 Do you take blood pressure in younger populations? 18:49 Is there anything that you include in your screen beyond heart rate and blood pressure? 19:35 Is there any pushback from clinicians about implementing this in an assessment?…

We speak with physiotherapist, Dr. Daniel Harvie [B Physio (hons), M Musc & Sports Physio, PhD, Postdoctoral Research Fellow] about the use of virtual reality in the treatment of pain. Dan discusses the current uses of VR in acute pain, potential uses for persistent pain, and where he sees the future of VR heading. Learn more about us here. You can learn more about Dr. Daniel Harvie on Twitter or LinkedIn 00:25 Can you introduce yourself? 01:29 Can you tell us about what you were doing for your PhD? 02:56 Can you tell us about your interest in virtual reality? 04:23 What is the history of using VR therapeutically in pain management? 09:18 Do you find that cost will be a barrier for using this type of technology? 10:02 Do you envision VR being used clinically? 10:41 What is it about the visual part of VR that leads to such a powerful effect? 13:24 Where would you like to see the future of VR going? 14:24 Can you tell us about the VR you use in the Brain Bus and how you use this to explain persistent pain?…

We speak with Pharmacist, Pene Wood (PhD, BPharm, Lecturer in Clinical Pharmacy at La Trobe University), about the growing issue of opioid dependence, appropriate uses for opioids, and alternative solutions. Learn more about us here. 00:27 Can you introduce yourself? 00:56 Can you give us an overview of what opioids are, what opioid dependence is, and why this is a big issue lately? 03:54 What are the appropriate uses for opioids? 04:40 What are the stats on opioid addiction? 05:30 Why has it taken so long to find out the dangers of opioids? 06:44 What are other medications or non-medicinal options for people? 08:03 How can physiotherapists and other HCP’s help people who have been taking opioids long term? 10:36 How much interaction do you have with patients about alternatives to opioids? 12:32 Are there any signs of opioid dependence? 13:39 Are there certain medications that are over prescribed? Nerve pain medications? 15:24 What is the process like for someone to wean off opioids? 16:16 Can you tell us…

We speak with Prof Dave Walton, PhD, an associate professor at Western University School of Physical Therapy. Dr. Walton has been a strong advocate for incorporating technology into physiotherapy practice. In 2017, he traveled across Canada for the Physio Move Canada project to address the future of the profession. He speaks with us about a wide range of topics including: Learn more about us here. - Artificial intelligence (AI) in rehabilitation - Virtual reality (VR) in therapy - Biomarkers for persistent pain - Evolution of physiotherapy education - The use of outcome measures in clinical practice - And much more! You can find out more about Dr. Walton here and on Twitter.

We speak with Canadian Men’s National Basketball Team Performance Coaches Charlie Weingroff and Karamvir Gill about their experiences working with the team, getting injured athletes back to playing, and how training = rehab. Visit Basketball Canada or Charlie Weingroff's website for more info. Learn more about us here. 00:28 Would you like to introduce yourselves? 01:02 Can you talk about your experience working for team Canada basketball and how you approach working together? 03:58 What’s your framework for developing a well-rounded strength and conditioning program? 06:17 At what level of sport or what age do you think it is important for kids to learn strength and conditioning? 08:22 There’s a lot of overlap between rehab programs and strength and conditioning programs. Do you look at those separately or together? How do you approach that? 10:08 What about if a player was recovering from an injury? 12:27 For physios or clinicians who aren’t working closely with a team but may be treating athletes, how…

We speak with Johnny Owens, PT, from Owens Recovery Science. Johnny gives a great overview of blood flow restriction training and its use in the rehabilitation setting. This podcast covers a lot of ground, including: - The basics and science behind blood flow restriction - How to use it clinically - What patient populations can benefit from BFR - Risks and contraindications - Future applications and research - And more! To find out more, you can listen to Owens Recovery Science podcast. Learn more about us here. 00:25 Can you introduce yourself? 00:58 How did you get started with Blood Flow Restriction (BFR) and what made you decide to start an educational company? 03:09 What is BFR and how does it work? 07:13 Is the research in this area new or has it been around a long time? 4.What is the theory behind BFR? 5.What is the current research on BFR and what is still unknown? 08:33 What are the main populations that can benefit from BFR? 11:20 Are there any contraindications to using BFR? 13:39 Do you have to…

“Restricting activity in the hopes of saving your vagina is not holistic womens health” We speak with Antony Lo (Musculoskeletal Physiotherapist based in Sydney, Australia) about pelvic health considerations in the female athlete and Crossfit training and injuries. To find out more about Antony, visit: http://physiodetective.com Learn more about us here. 00:28 Can you introduce yourself? 00:55 What got you interested in women’s health? 03:05 How often do you treat males with pelvic floor dysfunction? 03:59 How do women perceive you as a male in this career path? 05:24 How do you explain what you do to women? 06:53 How do you assess what the pelvic floor is doing without an internal exam? 08:32 What are some of the biggest myths about pelvic floor dysfunction that you are hoping to dispel? 14:01 What are your thoughts on crunches and sit-ups? 17:20 How do you teach women to control their pressure system? 19:29 How did you get involved with crossfit? 22:10 Sometime crossfit gets a bad reputation because of…

"'If you just hold your tummy tight you’ll be fine’…we’ve communicated, stiff equals strong, but really that dynamic quality is more like function and fitness, we move and so that system needs to move too to mimic that” We speak with physical therapist Julie Wiebe about the role of breathing and the pelvic floor in the core system, and how this can be integrated into fitness. Julie also discusses common patterns she sees in assessments and how changing these patterns can improve someones function. Visit JulieWiebePT for more info. Learn more about us here. 00:29 Can you introduce yourself? 01:53 What are your thoughts on pregnancy and exercise? 03:14 Can you explain the core system? 04:26 How does breathing and the pelvic floor work together? 05:57 Why do you call that piston science? 07:15 How can someone’s breathing pattern become altered? 09:40 What are some common breathing patterns you see? 11:09 Is belly breathing a good strategy to use? 12:52 When do you assess peoples breathing pattern? 15:20 How do…

"If you use a metronome to pace your strength training activity, what you get are the changes that you want at a muscle and tendon level, but you also get the changes to your motor cortex." We speak with Dr. Ebonie Rio [Ba. App Sci, Ba Phys (hons), Masters Sports Phys, PhD] about tendon neuroplastic training, how the brain is involved in tendon pain and what the future holds for tendon rehabilitation. To learn more about Dr. Ebonie Rio visit LaTrobe University Learn more about us here. 00:25 Can you introduce yourself? 00:39 What are your main areas of research? 01:05 Can you describe how the brain is involved in tendon pain and rehab? 03:12 As physiotherapist, how can we address this brain involvement? 04:36 Why use auditory cues? Why not visual cues? 05:52 How can you use a metronome clinically with patients? 06:52 With patients are you starting with slower speed and increasing speed as they are able to load their tendon more? 08:17 What rehab phases do you feel are necessary to restore a tendon to full…

“Pain and pathology aren’t necessarily related. So you can have profound pathology, profound degeneration in your tendon and have no pain” We speak with professor Jill Cook [PhD, Grad Cert Higher Ed, PG Dip Manips, BAppSci (Phty)] about tendon pathology, pain, and rehabilitation. Visit LaTrobe University to contact or find out more about Jill Cook. Learn more about us here. 00:25 Can you please introduce yourself? 00:54 Can you clarify the terminology for tendon pain? (tendinitis/tendinosis/tendinopathy) 02:01 Can you describe the structure of tendons and what makes them unique? 03:28 What happens with a tendon when there is injury? 04:28 If tendons do not recovery, how do people have success with physiotherapy and tendon loading? 05:15 Why are tendon injuries imaged? 06:39 How do you explain tendon pathology to a patient? 07:34 Are pathologic tendons more likely to rupture? 10:17 What are the differences in outcomes for surgery vs. non surgery with tendon ruptures? 11:25 Is surgery ever indicated for a…

"Why are we trying to decrease inflammation? Inflammation, the last I checked, was an amazing thing, it's a good thing!" We speak with physiotherapist, Dr. Bahram Jam [D.Sc.PT, M.PHTY, B.Sc.PT, FCAMT], about the evidence behind the use of ice post soft tissue injury. Bahram also discusses the effects of ice, heat, and anti-inflammatories on the body's healing process. To read Bahram's article on Ice and for references to studies visit: Questioning the use of ICE Given Inflammation is a Perfectly Healthy Response Following Acute Musculoskeletal Injuries Learn more about us here. 00:28 Can you introduce yourself? 01:03 Patients often ask if they should use ice or heat for an injury. How do you answer that? 02:10 Do you think that peoples preference (ice vs. heat) has an influence on their pain? 03:35 Can you explain how the inflammatory process works and how ice would influence that? 06:49 Is there any research that ice may have a negative effect after acute injury? 08:28 What are your thoughts on ice baths…

You asked, they answered! Three top pain scientists - Prof Lorimer Moseley, Dr. Tasha Stanton, Dr. David Butler - answer your burning questions about pain science. This episode is live from the Pain Revolution event in Australia. Thank you to all who contributed questions and special thanks to the online communities who collaborated with us to make this podcast possible: Trust Me I'm a Physiotherapist, PhysioTutors, Rethinking Physiotherapy, GetPT1st, InfoPhysiotherapy and Exploring Pain Science. Check them out on Instagram, Facebook, and Twitter. Learn more about us here. 00:30 What is pain? 01:24 What do you tell a patient who answers you "So it's just in my head?" 02:07 How can we change people's general knowledge (before they become "patients") about pain and pain management? 03:09 What metaphors and analogies do you use with your patients? 04:38 How much is it possible to deliver in a 20-minute clinical education setting? What would you focus on? 05:37 What are some exciting new advances in pain science…

"Some of the biggest manufacturers in Canada and the US often claim to make custom product when they’re actually using stock item shells and creating orthotics that are not actually unique to the patients feet." We speak with Aaron Tran, pedorthist and founder of Orthogenic Laboratories, about custom foot orthotics - what they are, what conditions they help treat, how they're made, and how to tell if they are truly custom. To find out more visit http://orthogeniclab.com Learn more about us here. 00:25 Can we start by having you introduce yourself? 01:06 Can you give us an overview of what Orthogenic Lab does? 01:42 What are the differences between the types of foot specialists? 03:28 What are orthotics and why are they important? 04:35 What types of conditions can orthotics help with? 05:22 Can orthotics help conditions that are not foot related, such as low back pain? 06:25 Are orthotics a temporary or long term solution? 08:12 Do you recommend that if someone has orthotics they use them all of the time?…

“If there’s no bio (in biopsychosocial), why are there physios?...For a long time we said every body has a brain, meaning don’t forget there’s a brain attached, but we have to also go backwards and remember that the brain has a body” We speak with physiotherapist Adriaan Louw (PT, PhD, CSMT) about pain neuroscience education, including layman's explanations and metaphors to help patients better understand their pain. Adriaan discusses the science behind pain education and current research in this area. He also addresses the biosychosocial model, and the importance of including the bio in a pain science approach. For more information visit www.ispinstitute.com Learn more about us here. 00:24 Can you introduce yourself? 00:42 What was your PhD in? 01:21 How did you get involved with pain neuroscience education? 02:18 Can you define Pain Neuroscience Education? 03:14 Can you give us a 5 minute layman’s explanation to describe pain? 06:47 What metaphors do you use to help patients understand their pain? 07:43…

In this episode, physiotherapist Darryl Yardley (FCAMPT, B.Kin (Hons), M.Sc.(PT), M.Cl.Sc.(Manip), Chair Private Practice Division – Canadian Physiotherapy Association, Founder - Mentorship Bootcamp) answers questions from students and new grads. Topics include job hunting and applying for jobs, contract negotiations, salary, building a caseload, and mentorship for both private and public sectors. To find our more visit http://cpaprivatepractice.ca Learn more about us here. 00:37 Can you introduce yourself and your background? 02:38 Today we are getting your answers to some student and new grad questions that were collected from physiotherapy schools across Canada. 02:50 The first question is: What is the best way to build a caseload when first starting out? 06:01 Do you have any suggestions on how new grad can market themselves when they don’t have much experience? 08:00 One of the biggest questions that was asked is: What is the difference between an independent contractor and an employee. 12:08 As an…

"Degenerative change is not something we really want to put cortisone in and around if we can avoid it, because the pathology in that situation is not inflammation...On top of that you've added a drug that can be degenerative to tissue that already is degenerative, and for that reason again I'm reluctant to use cortisone in most situations." In this podcast, Dr. Douglas Stoddard (MD, Sports Medicine Physician and Founder of RegenerVate) gives an overview of therapeutic medical injections, including: Cortisone, Prolotherapy, Viscosupplementation, Platelet-rich plasma (PRP), and Stem cells. These injections are used to treat a variety of musculoskeletal injuries and are considered if conservative treatment fails. Controversy still exists around regenerative and non-regenerative injections. Conflicting research shows either favourable or unfavourable results depending on the type of injection. Whether medical injections will be standard in musculoskeletal medicine remains to be seen. Learn more about us here.…

"What I’ve learned is that when a muscle becomes wasted, its not just because of a lack of impulses from the nerve into the muscle, its not just a lack of activity, it’s being told by a trophic factor produced by the nerve to get wasted" We speak with physiotherapist Michael Shacklock (DipPhysio, MAppSC, FACP, NDS Instructor and founding director) about neurodynamics, nerve dysfunction, the anatomy and physiology of the nervous system, diagnosis and treatment of peripheral nerve disorders, and patient education. Check out the summary video we did with Michael on Why Do Nerves Become Hypersensitive? To find out more about Michael, visit his website, Twitter, Facebook and Instagram. Learn more about us here. Shownotes: Reliability of clinical tests to evaluate nerve function and mechanosensitivity of the upper limb peripheral nervous system Neural Mobilization: Treating Nerve-Related Musculoskeletal Conditions Ectopic sensory discharges and paresthesiae in patients with disorders of peripheral nerves, dorsal…

Sanjeev Bhatia (CEO and co-founder of Clinic Space) returns as guest host to interview Charlotte Anderson (PhD(c), MScPT). Charlotte is a physiotherapist and owner of Alpha Health Services, a multi-disciplinary rehab clinic she started over 4 years ago. In this podcast, they explore the challenges of starting, managing and growing a private practice. You can follow Sanjeev on Instagram @thesanjeevbhatia or find him on LinkedIn. To find out more information about Charlotte visit https://www.alphahealthservices.ca Learn more about us here. This Business Series is in partnership with the CPA Private Practice Division. Check out http://cpaprivatepractice.ca for more great business content and stay tuned for the next instalments of the business series.

"The real key with the Mulligan Concept and its effectiveness is that you know you're in the right place, doing the right technique, in the right direction, with the right grade while you're doing it, by symptom abolition." We speak with physiotherapist Jack Miller [BSc(PT), DipMT(NZ), MClSc, DPT, FCAMPT] about the Mulligan Concept, including common terminology, techniques used, and current research. Jack also discusses the structure of the Mulligan Concept courses that he teaches. To find out more about Jack Miller and the Mulligan Concept visit www.mulliganconcept.ca Learn more about us here. 00:24 Can you introduce yourself? 00:52 How did you get involved with the Mulligan Concept? 01:41 Can you explain what the Mulligan Concept is? 03:18 Can you explain the terminology used with the Mulligan Concept? 04:06 What body areas can this concept be used on? 05:16 What are the basic principles of the Mulligan technique? 07:15 How do you determine what technique to perform? 08:41 How do the techniques change when…

“You can give someone all the tactics, all the strategies. You can even give them the processes, the training material, get team buy in. But if you can’t execute, and you can’t deliver, then you’ve dropped the ball. So what I’ve learned is execution is everything.” We speak with Sanjeev Bhatia (CEO and Co-founder of Clinic Space) about how to efficiently run and automate your practice and how the patient experience is the common thread that ties it all together. You can follow Sanjeev on Instagram @thesanjeevbhatia and LinkedIn This Business Series is in partnership with the CPA Private Practice Division. Check out CPA Private Practice Division for more great business content and stay tuned for the next instalments of the business series. Learn more about us here. 00:42 Can you introduce yourself? 03:25 How do you define clinic operations? 04:41 Why is it important to have your operations in place? 05:51 How do you systematize different parts of the clinic? Can all parts of a clinic work in this way? 12:05…

“Common is very different than normal…1-in-3 to 1-in-4 women struggle with incontinence…but its not normal, it means there is a dysfunction” We speak with physiotherapist Carolyn Vandyken (BHSc (PT), Pelvic Health Physiotherapist, Owner & Instructor of Pelvic Health Solutions) about pelvic health, including common conditions, myths, prevalence in men and women, and how pelvic health physiotherapy can help. Carolyn also discusses what all rehab professionals should know about the pelvic floor and how they can screen for a pelvic floor dysfunction. To learn more or to find a pelvic health physiotherapist go to http://pelvichealthsolutions.ca Learn more about us here. 00:24 Can you give a brief background of yourself and what got you interested in pelvic health? 03:16 Can you describe what you do as a pelvic health physio? 04:17 There’s a lot of myths surrounding pelvic health, what are your thoughts on: 04:27 is pelvic rehab is mainly for during/after pregnancy? 05:27 Is pelvic physio mainly for women? 06:40…

"When I deal with a patient who's had a concussion, you're not just dealing with the concussion, you're dealing with the concussion plus all of the pre-existing history" We speak with Dr. Patrick Quaid (Optometrist, FCOVD, PhD) about his background in optometry and his focused interest in vision rehabilitation for patients with learning difficulties and concussions. Dr. Quaid discusses common symptoms/complaints that may indicate an underlying vision issue in these populations, as well as treatment strategies used in vision therapy. To learn more about Dr. Patrick Quaid visit Guelph Vision Therapy Center at http://www.gvtc.ca For more information about vision therapy visit http://www.covd.org 00:26 Can you introduce yourself and give a brief background? 00:52 What got you interested in optometry? 02:25 Do you have a focused interest in your practice? 04:34 As an optometrist, how do you categorize or think of the visual system? 07:15 Are there different aspects within central and peripheral vision that can be…

"By focusing on brand first you start to create a bit of differentiation, and you start to create a better position in the market for what you stand for" We chat with Scott Marcaccio, CEO and Co-founder of Myodetox about tips on how to market, brand, and scale a rehab clinic. Scott was previously a marketing executive before jumping into the world of rehab/therapy. You can follow Scott on Instagram @scottmarkk and Myodetox @myodetox or www.myodetox.com This Business Series is in partnership with the CPA Private Practice Division. Check out www.CPAprivatepractice.ca for more great business content and stay tuned for the next instalments of the business series. 00:27 Can you introduce yourself? 00:59 Can you tell us the origin story of Myodetox? 02:13 What is your opinion of the rehab industry? 03:15 How important is marketing to growing a clinic? 04:03 Why focus on brand first? 04:51 What is a brand? Is it all about the logo and name? 06:18 In terms of branding and marketing, what advice do you have on where…

"Traditional acupuncture is the bicycle, electroacupuncture is the motor bike" We speak with Dr. Alejandro Elorriaga Claraco [MD (Spain), Sports Medicine Specialist (Spain), Director McMaster University Contemporary Medical Acupuncture Program] about the science behind both traditional and neurofunctional acupuncture and their similarities and differences. Alejandro also discusses his evolution as a clinician and his integration of neurofunctional acupuncture in the treatment of high-level athletes. To learn more about Dr. Alejandro Elorriaga Claraco and Contemporary Medical Acupuncture, visit www.mcmasteracupuncture.com 00:24 Can you introduce yourself? 01:36 Can you give us an overview of how your approach to treatment has changed over the years? 03:04 How did you come to use acupuncture? 04:15 Can you describe the neurofunctional approach and what makes it unique? 07:37 Can you give us a specific example of how you would structure this approach when working with a patient? 15:16 Can you give an example of…

We speak with Rob Werstine [HBA, BSc(PT), MSc(PT), Dip Manip, Dip Sport, FCAMPT], physiotherapist and co-director of Key Clinical Skills, a company offering Canada's first transitional Doctorate of Physical Therapy (DPT) program. In this talk we discuss the evolution of physiotherapy in Canada and how many countries are moving towards a more specialized designation - the doctorate degree. Rob discusses the challenges of introducing this program to Canada, how it fits within the current educational landscape, the reasons for creating this program, and much more! To learn more about this program, visit www.keyclinskills.ca or www.EIM.com, and follow them on twitter @KeyClinSkills 00:28 Can you introduce yourself? 00:52 Can you explain what the DPT program is? What is its purpose? 01:22 From a greater perspective, do you see entry level program in Canada transitioning to DPT in the future, similar to the States? 02:48 Why did you decide to bring a DPT program to Canada now? 06:57 Does completion of the DPT…

"If you help a patient with back pain, they're going to be grateful. If you help a patient with TMJ dysfunction, they're going to leave you in their will" Physical therapist, Dr. Erson Religioso III [DPT, MS, MTC, Cert. MDT, CFC, CSCS, FMS, FMT, FAAOMPT], speaks with us about the temporomandibular joint (TMJ) dysfunction, including anatomy, typical clinical presentations, and treatment. Erson also discusses business tips for those specializing in TMJ dysfunction. To learn more about Erson, visit his websites: Modernmanualtherapy.com MMTmastery.com IASTMtechnique.com Edgemobilitysystem.com Or connect with him on Twitter @The_OMPT 00:29 Would you like to introduce yourself? 01:19 Have you ever had a patient bite your hand? 02:26 What got you interested in TMJ dysfunction? 04:48 When marketing to dentists, did you get any pushback that you were encroaching on their territory? 08:43 Can you briefly describe the anatomy of the TMJ? 11:38 What are some typical patient presentations that you would see? 13:08 Can…

"The way a patient responds to treatment is probably 50%, or maybe even more than 50%, directly related to our personal interactions" Physiotherapist, Jasdeep Dhir [BSc(PT), TDPT, MClSc(MT), FCAMPT], speaks with us about therapeutic alliance, including the importance of interpersonal skills to improve treatment outcomes. Jasdeep also discusses strategies for making a good first impression, improving patient interactions, and evaluating your interpersonal skills. To connect with Jasdeep Dhir, visit her LinkedIn (https://www.linkedin.com/in/jasdeep-dhir-0a2b5021/) or follow her on Twitter @JasDhirPT Links to studies: Pinto et al. Patient-centred communication is associated with positive therapeutic alliance: a systematic review. 2012. (https://www.ncbi.nlm.nih.gov/pubmed/22613237) Ferreira et al. The therapeutic alliance between clinicians and patients predicts outcome in chronic low back pain. 2013. (https://www.ncbi.nlm.nih.gov/m/pubmed/23139428) Fuentes et al. Enhanced therapeutic alliance modulates pain…

"A lot of the things that we have to spend time dispelling in our practice are myths that patients come in with" Chiropractor, Dr. Shawn Thistle [B.Kin (Hons.), D.C., Medical Acupuncture, ART, CSCS, F.R], speaks with us about common chiropractic myths. Shawn also discusses his business, RRS Education, and how clinicians can stay up to date with current research. To connect with Dr. Shawn Thistle, visit his website www.shawnthistle.com and to learn more about RRS Education visit www.rrseducation.com 00:28 Can you introduce yourself and your background? 01:26 Can you tell us about your company, RRS Education? 07:12 Can you briefly describe what chiropractic medicine is and what it isn’t? 09:21 Many chiropractors and physiotherapists treat similarly, so what is the difference between the two? 11:37 What are the biggest myths that you have to dispel as a chiropractor? What are your thoughts on the following myths: 16:55 - Chiropractors are back specialists only 19:02 - Chiropractors always do spinal adjustments…

Optometrist, Dr. Shirley Blanc (B.Sc., O.D.), talks with us about the relationship between concussion and visual dysfunction, including prevalence, signs and symptoms, and treatment strategies. Dr. Blanc highlights the difference between a Standard Eye Exam and a Neuro-optometric Assessment, and explains how you can have 20/20 vision post-concussion, yet still have a visual dysfunction. 00:24 Can you please introduce yourself? 01:02 How did you get involved in concussion and neuro-optometry? 01:47 There is a saying that the eyes are the window to the brain? Would you agree with this? 02:51 Why is vision affected after a concussion? 03:30 What is the prevalence of vision problems after a concussion? 03:52 What vision symptoms can be present following a concussion? 04:32 Can a standard eye exam diagnose a visual system dysfunction? 05:23 What are some eye abnormalities that you may find in a more detailed occulomotor screen? 06:06 Can eye movements give clues between an inner ear vs a central problem vs other…

Dr. Dina Brooks (BScPT, MSc, PhD, Canada Research Chair in Rehabilitation For Chronic Obstructive Pulmonary Disease), talks with us about the benefits of exercise, both in heathy populations and in people with chronic diseases, addresses some common myths about exercise, and shares some of the research her team is currently doing in this area. 00:23 Can you introduce yourself? 00:39 What areas do you practice in? 00:52 What are the benefits of exercise? 01:44 What are the effects of exercise on mental health? 02:09 Are there specific types of exercise that are need to be done to get these benefits? 02:49 Does raising your heart rate from other means such as stress or caffeine provide the same benefits? 03:30 Can exercise negate or lessen the effects of unhealthy habits (e.g. Smoking, poor nutrition, alcohol consumption)? 04:14 Is sitting the new smoking? 04:57 What are your thoughts on standing desks? 05:25 How much exercise is needed to offset a sedentary lifestyle? 06:06 Are there studies to support this?…

"Shoulder special tests are not that special" "For the vast majority of [shoulder] conditions...its probably impossible to be certain exactly where the symptoms are coming from" We speak with Dr. Jeremy Lewis (PhD, FCSP, Consultant Physiotherapist, Professor of Musculoskeletal Research) about rotator cuff shoulder pain, including issues relating to shoulder special tests, medical imaging, and research which reports that, for most people, exercise is as effective as surgery. To connect with Jeremy, visit his website http://www.londonshoulderclinic.com or follow him on twitter @JeremyLewisPT 00:25 Can you give us a brief background? 01:33 Can you describe each of the following hypotheses, how they started, and what the research supports?: 01:42 - Shoulder impingement 06:22 - Rotator cuff tears 07:23 - Shoulder special tests 09:56 - Shoulder imaging and pain 12:32 - Shoulder surgery 14:14 - Posture and shoulder pain 16:24 Why do you think that all of these hypotheses are still prevalent despite the research?…

Posture is important, but do we overemphasize its importance when it comes to injuries and pain? We speak with Dr. Greg Lehman (BKin, MSc, DC, MScPT) to explore when biomechanics and posture are important and when they're not. Greg also shares current research on the relationship between biomechanical factors and pain, challenging common beliefs of both patients and clinicians. To connect with Greg, visit his website http://www.greglehman.ca or follow him on twitter @greglehman 00:26 Can you introduce yourself? 00:55 What got you interested in biomechanics and pain science? 01:46 What are common beliefs among both patients and clinicians regarding posture, biomechanics and pain? 02:53 When do you feel biomechanics and posture are important vs not important? 04:20 What does the research support? 05:31 What are your thoughts on structural abnormalities (e.g. Scoliosis, leg length discrepancy) and their relationship to pain? 06:53 Should clinicians abandon the biomechanical model? 08:07 What is the…

"I can't run, I have arthritis" "It hurts to bend forward because of my bulging disc" People are always blaming their pain on their medical imaging results, but how much do your x-ray and MRI findings actually correlate with your pain? We speak with physiotherapist, Dr. Bahram Jam, about common medical imaging results, their correlation with pain, and how to incorporate these results into your practice. We also discuss the impact of imaging on the healthcare system and the over-medicalization of pain, which can lead to poorer patient outcomes. To learn more about Dr. Bahram Jam, read his clinical articles, and download a free VOMIT poster (now titled "Medical Imaging: The Untold Truth"), visit his website www.aptei.ca 00:27 Can you introduce yourself? 01:03 Can you share your story of your evolution as a clinician? 02:49 Do you believe that everyone should get medial imaging for an injury? 04:10 How do you incorporate medical imaging results into your patient care? 05:25 Do medical imaging findings correlate…