JOSPT Insights

• Ep 222: Where to next for research on shoulder pain? with Kristian Lyng

  Researchers are increasingly partnering with patients, clinicians and others who use research to design, conduct, report and disseminate research studies. Today we hear about a conversation that involved over 600 patients, clinicians and carers, who were supported to nominate their top priorities for research on shoulder pain. Kristian Lyng (physiotherapst, PhD student at Aalborg University's Department of Health Science and Technology, and Center for General Practice) led the work as part of his PhD research looking at interventions for shared decision-making in collaboration with patients with subacromial pain syndrome. Kristian discusses the challenges and opportunities in translating research to clinical practice, and the benefits to researchers of engaging patients and the public in doing musculoskeletal research. ------------------------------ RESOURCES Research priorities for atraumatic shoulder pain: https://www.jospt.org/doi/10.2519/jospt.2025.13059 Patients as partners in research - It's the right thing to do: https://www.jospt.org/doi/10.2519/jospt.2019.0106 Help for researchers wanting to engage patients as research partners: https://www.jospt.org/doi/10.2519/jospt.2020.0104 How to talk about compensation with patient partners: https://www.jospt.org/doi/10.2519/jospt.2020.0106 Engaging patients and the public in musculoskeletal research: https://www.jospt.org/doi/10.2519/jospt.2024.12668

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• Ep 221: Does it matter how you apply spinal manipulative therapy? With Dr Casper Nim

  There's a range of different interventions at your disposal when managing spine pain. Today we're focusing on spinal manipulative therapy, and asking questions like: does it matter how you apply a manipulation to get the best outcomes for the patient? Answering the questions is Dr Casper Nim from the University of Southern Denmark. Casper is an Associate Professor, chiropractor, and senior researcher at the Spine Centre of Southern Denmark. ------------------------------ RESOURCES Does it matter how you apply spinal manipulative therapy? Network meta-analysis: https://www.jospt.org/doi/10.2519/jospt.2025.12707 Does targeting a specific vertebral level make a difference? Systematic review: https://www.jospt.org/doi/10.2519/jospt.2023.11962 Effect on clinical outcomes when targeting spinal manipulative therapy. Randomised controlled trial: https://pubmed.ncbi.nlm.nih.gov/32884045/ Preference randomised trials: https://www.jospt.org/doi/10.2519/josptmethods.2025.0129 JOSPT Methods journal website: https://www.jospt.org/toc/jospt-methods/current

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• Ep 220: There's more to the ankle than the ATFL, with Liz Bayley

  The anterior talofibular ligament (ATFL) and the Achilles tendon captures much of our ankle attention. As JOSPT Insights listeners know, there's plenty more to the ankle than the ATFL. Today, Liz Bayley shares her approach to diagnosing, managing and ideally, preventing ankle pain in active people. Liz covers diagnosing the problem, where imaging fits, and how to support return to function, including high-level sport. Liz is a former professional dancer, who now works as a dance-specialist physiotherapist. Her clinic is in London's West End, in close proximity to the freelance professional and student dancers she works with, at Trinity Laban Conservatoire of Music and Dance, and on 'Matilda The Musical' in Covent Garden. ------------------------------ RESOURCES Lateral ankle ligament sprains clinical practice guideline: https://www.jospt.org/doi/10.2519/jospt.2021.0302 Updated model of chronic ankle instability: https://pubmed.ncbi.nlm.nih.gov/31162943/ Predictors of chronic ankle instability: https://pubmed.ncbi.nlm.nih.gov/26912285/ Intrinsic foot muscle training systematic review: https://pubmed.ncbi.nlm.nih.gov/35724360/ Neuromuscular electrical stimulation for foot intrinsic muscles: https://pubmed.ncbi.nlm.nih.gov/35142810/

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• Ep 219: Are women less likely than men to return to sport after hip arthroscopy? With Dr Matthew King

  Hip arthroscopy is a common surgical procedure in athletes and active people, and it's not surprising that this clinical population is focused on returning to sport. Today, Dr Matthew King, physiotherapist and Senior Lecturer from La Trobe University's Discipline of Physiotherapy in Melbourne, Australia, discussed return to sport outcomes after hip arthroscopy. Dr King led a team that synthesised and analysed return to sport outcomes after hip arthroscopy from 45 studies and over 5000 participants. The team's focus was on sex and gender differences, and how the return to sport outcomes change with increasing time after surgery. ------------------------------ RESOURCES Are women less likely to return to sport compared to men following hip arthroscopy? A systematic review with meta-analysis: https://www.jospt.org/doi/10.2519/jospt.2025.12813

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• Ep 218: Putting the horse before the myofascial pain cart, with Dr Chad Cook

  Myofascial pain syndrome is common - affecting somewhere around 1 in every 5 people. Yet there is plenty of debate about what causes myofascial pain syndrome, how to diagnose it, and even whether myofascial pain syndrome is a primary condition. Today, Professor Chad Cook (Duke University) discusses whether it is even possible to differentiate myofascial pain syndrome from other pain conditions, and the implications for you, the clinician. ------------------------------ RESOURCES Myofascial pain syndromes - controversies and suggestions for improving diagnosis and treatment: https://www.jospt.org/doi/10.2519/jospt.2025.13072 International Association for the Study of Pain - Myofascial pain fact sheet 14: https://www.iasp-pain.org/wp-content/uploads/2022/10/14.-Myofascial-Pain-Fact-Sheet-Revised-2017.pdf

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