Associate Professor Michelle Hall: Hip and knee osteoarthritis and the importance of sleep for musculoskeletal health

Tim is a consultant physiotherapist and managing director of Melbourne CBD Physiotherapy and Sports Medicine Clinic, in Melbourne, Australia.  In this episode, Tim summarised his approach to rehabilitation for people with ACL injuries and ACL reconstruction. In this episode: 0:00 About this episode and welcome Tim 2:20 Tim’s background and interests 6:33 Why are ACL injuries such a big problem? 10:00 How do you manage ACL injuries in the clinic?  15:45 Operative and non-operative pathways – it’s not always a black and white decision. ACL healing and long-term outcomes – watch this space. 20:22 Meniscal integrity and knee stability, early knee rehabilitation goals and exercises 32:00 Isometric and pulsing exercises with a metronome, preparing the motor system for locomotion and confidence in higher load situations 34:50 Confidence and fear of movement 37:00 Objective measures of function and strength – dynamometry and force plates 42:00 Return to sport testing – force plate variables and testing. Don’t forget the ankle plantarflexors Thanks Tim for a great conversation. Read more about Tim here: https://melbournecbdphysio.com.au/our-clinic/ Tim talked about this website: https://www.aclreferencevalues.nl/ Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Professor Terry Haines is the Head of the School of Primary and Allied Health Care at Monash University. In this episode we discussed Terry’s journey from graduate physiotherapist to research leader, and how clinicians can solve problems with research. In this episode: 0:00 About this episode and welcome Terry 3:17 What gets you out of bed in the morning? 7:40 How did you get started in research? 13:13  What are the key areas for physiotherapy research? 18:25 How can students and clinicians get involved in research? 29:15 The most important knowledge and skills for physiotherapists – be prepared to have a go Read more about Terry here: https://www.monash.edu/medicine/spahc/about-us/school-staff/thaines Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Michelle joined me to discuss her research in hip and knee osteoarthritis and how we can apply this research in the clinic. Thanks Michelle for a great conversation. In this episode: 0:00 About this episode and welcome Michelle 11:00 Summary of hip and knee osteoarthritis research and the role of sleep in musculoskeletal health 17:30 Are higher or lower loads responsible for changes in cartilage in the knee? Knee adduction moments, muscle strength, braces and orthotics. 23:00 Loading and the multifactorial nature of pain in osteoarthritis, changing the narrative of how osteoarthritis is described 32:30 Resources for managing sleep for people with musculoskeletal conditions 40:40 Women and girls in STEM, challenges faced and the BrainSTEM program Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Associate Professor Laura Diamond is a biomedical engineer and researcher interested in hip biomechanics and osteoarthritis. In this episode we discussed Laura’s research into the role of the deep hip muscles during functional activities and what her findings may mean for rehabilitation of people with hip pain.  Thanks Laura for a great conversation. In this episode: 0:00 About this episode and welcome Laura 5:45 Laura’s research in hip and knee biomechanics and muscle activation 9:15 What happens if you contact the deep hip muscles to the maximum amount? Redirecting the hip contact force in the acetabulum. 14:50 Do people with pain or joint pathology have difficulty generating force in the deep hip muscles? 19:20 Do we need to change the language from ‘stabilising the hip’ to ‘changing the loading of the hip’?  The importance of having enough cartilage loading 22:00 Strategies for changing hip joint loading – cues during walking 36:00 What does the future hold? Technology and wearables You can find the papers discussed in this episode here: https://scholar.google.com/citations?user=aAGSJHUAAAAJ&hl=en&oi=sra Connect with Laura via LinkedIn: https://www.linkedin.com/in/laura-diamond-8b0bb8135/?originalSubdomain=au We discussed this episode of the Physio Network podcast (but don’t leave here until you subscribe!): https://www.podbean.com/media/share/dir-siwxj-1dcf0dfd?utm_campaign=w_share_ep&utm_medium=dlink&utm_source=w_share Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Emma Williams is an Australian Army Officer and uniformed physiotherapist. In this episode, Emma discusses her career pathway from university to the military and her work with military personnel in Australia and overseas.  In this episode: 0:00 About this episode and welcome Emma 4:00 Pathway into the military through a military scholarship, what is it like working as a physio in the army? 13:05 Strategies for building rapport and gaining trust 17:00 Common injuries in the army – MTSS, ankle sprains, balancing injury prevention and surveillance with the need to develop toughness 22:00 Physical performance standards 25:20 What injuries do military personnel get and what are the trends in activities and causative factors? 33:00 What are the upsides and benefits of working in the military as a physio? Travel, free healthcare, getting paid to exercise 38:50 Making decisions under pressure 44:00 Baptism of fire and the valley of despair– developing confidence, humility and other life skills - foundational skills as a health professional Emma was recently featured in the Australian Physiotherapy Association’s magazine InMotion.  Read the article here: https://australian.physio/inmotion/salute-physio-front-line Connect with Emma via LinkedIn:  https://www.linkedin.com/in/emma-williams-b5367262/?originalSubdomain=au Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Thihan is a highly experienced Sports Physiotherapist who has held roles with the Melbourne Renegades, Bangladesh Cricket, Hampshire Cricket, and most recently as the Rehabilitation Manager for the Sri Lankan Cricket Team. Thihan is also one of the hosts of the Physio Social Club Podcast. In this episode, we took a tangent from cricket, and discussed Thihan’s recent leg injury and his experiences with injury, surgery and rehabilitation. Thihan offered very interesting insights into the experience of having a serious injury and surgery in a developing country, reflections on the real experience of a lengthy rehabilitation, and advise for students and new graduate physios for prioritising their assessment and management. There is a lot in this episode!  Thanks Thihan for a great conversation. In this episode: 0:00 About this episode and welcome Thihan 3:05 Thihan’s injury – fractured tibia and fibula. There was no pain until after the surgery – reflecting on when pain is not associated with pathology 5:30 The experience of having surgery in a developing country 9:30 How did you process the experience? Shared decision making with the surgeon 12:23 ‘Letting go’, controlling what you can control and allowing people to do their job 14:40 Fracture healing, pain management, IV paracetamol, risks of compartment syndrome, experience of having an epidural 20:50 Waking up halfway through orthopaedic surgery!  (not as bad as it sounds) 25:45 Being present and taking things one step at a time. It’s hard to think about the bigger picture as a patient. Meet the person where they are 31:40 Being proactive in your own rehabilitation. Lessons for practitioners 36:35 How can students keep things simple and be effective?  Have a system and a structure to your assessment that you can repeat until you learn the patterns. Know why you are asking questions. 42:40 What is your job as a sports physio? How is this similar to hospital-based work? 47:30 How do you stay motivated during long-term rehab? 50:30 Goals in long-term rehab can often be impairment goals, e.g. ankle dorsiflexion range of motion, because this helps you visualise progress 53:40 Maintaining a positive mindset during the rehab journey 55:30 Empathy – 'get in the hole' with the patient / person 59:00 Summary – the secret to long-term success is to engage with the process of your rehab (or learning), review and repeat throughout your career. Read more about Thihan here: https://thecricket.physio/about The Physio Social Club podcast: https://physiosocialclub.com/about Read Thihan’s Linked In posts related to his injury, surgery and rehab here: https://www.linkedin.com/in/thihanchandramohan/?originalSubdomain=au Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at www.Perraton.Physio or on the Perraton Physio LinkedIn page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Dr. Malia Ho is a sports podiatrist and Senior Lecturer within Monash University's Doctor of Podiatric Medicine course. With over two decades of experience in clinical practice, research, and education, Malia has a wealth of knowledge and insights. In this episode, Malia shares her unique journey from engineering to podiatry, revealing the pivotal moments and decisions that shaped her career. Malia offers useful tips for health profession students for achieving success, emphasizing the crucial role of foundational skills such as listening and empathy, alongside the importance of embracing technology in healthcare education. Thanks Malia for a great conversation. In this episode: 0:00 About this episode and welcome Malia 2:15 Malia’s professional background and interests – from engineering to podiatry 9:00 How did your hospital work influence your sports podiatry practice? Developing good habits early in your career 14:40 Malia’s education focus – technology in education, critical thinking skills 17:40 Realistic and authentic teaching with case based learning, interprofessional skills, the importance of listening skills 22:20 The most important knowledge and skills for a health professional – listening, empathy, being a good human. 25:30 The importance of clinical anatomy, using technology in assessment, core podiatry skills 30:55 Final thoughts – invest in your education, learn with other people Read more about Malia here: https://research.monash.edu/en/persons/malia-ho   Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Join the conversation on social media @PerratonPhysio For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.

Dr Luke Davies is a musculoskeletal physiotherapist, educator and researcher in the School of Primary and Allied Health Care at Monash University. His research focuses on telehealth for physiotherapy clinical practice and education. In this episode, we discussed how telehealth can be used within your clinical practice, and Luke’s tips for effective clinical care, in-person, or through technology. Thanks, Luke for a great conversation. In this episode: 0:00 About this episode and welcome Luke 1:12 Welcome to Physio Foundations 2:40 Hands on and Hands off physiotherapy 3:17 What is telehealth? 4:32 Who can telehealth be helpful for? 5:50 Rural and remote healthcare 6:40 What parts of care are easier to do in person? 8:40 Getting started with telehealth in private practice 9:50 How much should you charge for telehealth vs in-person care 11:15 Setting up curriculum for universities and systems for using telehealth in clinics 22:10 The most important knowledge and skills for a physiotherapist – communication, therapeutic alliance, building relationships between patients and therapists, lifelong learning – ask questions 24:20 Communication skills online – a core competency for our profession 26:55 Final thoughts – don’t be afraid to use telehealth, give it a go.   Read more about Luke here: https://research.monash.edu/en/persons/luke-davies Read Luke’s research here: https://scholar.google.com/citations?user=3ELSw1QAAAAJ&hl=en Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Join the conversation on social media @PerratonPhysio For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.  

James is one of the owners of The Second Visit, who provide mentoring for physiotherapists in private practice and a range of professional development courses. James is a highly experienced practitioner and practice owner, university lecturer and leader within a number of organisations and professional associations.  In this episode, James talked about the financial realities of running a private practice, key skills for new graduate practitioners to develop and how to build and maintain a list in private practice. Thanks, James for a great conversation. In this episode: About this episode, welcome James and welcome back Zuzana Are we undercharging our patients and overpaying our clinicians? Earning your stripes and getting results with clients. Costs of running a private practice Physiotherapy is an under-valued profession – defining our value What advice do you give new graduates to help them develop valuable skills, and market those skills?  What do you think are the most important foundational knowledge and skills for health professionals? Read more about James and The Second Visit here:  https://thesecondvisit.com.au/meet-the-team/james-schomburgk/ Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Join the conversation on social media @PerratonPhysio For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.  

Abby De Kretser is the principal physiotherapist at Universal Practice in Fitzroy in Melbourne, Australia, and an anatomy facilitator with Monash University Physiotherapy. In this episode, we talked about managing hip, pelvic and spine conditions using Pilates and other exercise-based rehabilitation, and her experiences teaching applied anatomy. Thanks Abby for a great conversation. In this episode: 0:00 About this episode and welcome Abby 2:00 Background and interests 4:01 Key career turning points and developing a special interest area in Pilates and sports physiotherapy. 6:19 How does clinical Pilates complement strength and conditioning? 9:48 Cues to help people who are over-bracing to become more fluent in their movement 14:03 The role of range of motion in performance 17:15 Managing hip pain in athletes 18:58 Case study of an athlete with hip pain – management strategies 23:50 Biomechanics and observation of running. What is ‘quad dominance’? 28:00 Developing a repertoire of exercises for rehabilitation 33:40 How anatomy underpins clinical practice 38:20 Tips for learning anatomy – don’t just rote learn, think about function, use the resources, never stop asking questions 49:00 The most important knowledge and skills for a physiotherapist – listening and understanding 60:00 Final thoughts Read more about Abby here: https://universalpractice.com.au/practitioners/ Physio Foundations Podcast Summaries: You can find articles based on Physio Foundations podcast episodes at Perraton.Physio or on the Perraton Physio Linked In page. Visit our YouTube channel for more: https://www.youtube.com/@PerratonPhysio Join the conversation on social media @PerratonPhysio For a list of episodes, transcripts and associated blogs, visit www.perraton.physio/physiofoundations Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This is a discussion aimed at health professionals and health professional students. Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.