In this month’s resources, we start by sharing a link to a randomised trial looking at the effect of progressive tendon-loading exercise therapy in the management of patellar tendinopathy.
We also have two podcasts to share, the first a recent Physio Explained episode looking into open-chain knee extension exercises for knee pain, as well as a podcast with Tom Jesson chatting with David Butler about nerve root pain.
Lastly, we have another ‘Outside the Box’ article, looking at the wide-ranging benefits of life-long learning with the mind of a ‘beginner’.
This block-randomised trial published in the British Journal of Sports Medicine explored the effectiveness of progressive tendon-loading exercise therapy compared to eccentric exercise in the management of patellar tendinopathy.1
(Duration: ~15 minutes)
Many of us learned not to use open-chain knee extension exercises in rehab for patients post anterior cruciate ligament, or with patellofemoral pain.
In this podcast, Dr Rich Willy and Michael Rizk chat about some of the recent changes in the understanding of how and when these exercises could be used safely for particular patients.
A big takeaway for me is to enjoy being open-minded about changes in the recommended best practice. To often be looking at ways to improve my clinical reasoning, and the benefits this open thinking can potentially have for each patient, depending on their injury stage, irritability, and goals for rehabilitation.
Physiotherapist Tom Jesson has recently started a nice newsletter and podcast focusing on updates on all things to do with radicular pain.
He sat down and recorded a chat with David Butler to chat through the topic of nerve root pain.
Outside the Box
– By Tom Vanderbilt – The Guardian (Published online: 7th January 2021)
This article is an extract from a book by the same author titled ‘Beginners: The Curious Power of Lifelong Learning’.
I enjoyed this article as it explored the topic of learning new skills as adults, and how we can adopt a beginner’s mind in the same way that comes naturally to children.
Physiotherapists, like all professionals, can be at risk of leaning too much on their automated ways of thinking and decision making. Although pattern recognition and clinical experience are invaluable, I’m sure that we could all benefit as physios, in trying to be open-minded and broad in our learning, both inside and outside the profession.
Thanks for taking the time to check out these resources.
As always, feel free to share these with anyone that may find them helpful or interesting.
1. Breda SJ, Oei EHG, Zwerver J, et al. Effectiveness of progressive tendon-loading exercise therapy in patients with patellar tendinopathy: a randomised clinical trial. British Journal of Sports Medicine. Published Online First: 20 November 2020. doi: 10.1136/bjsports-2020-103403. http://creativecommons.org/licenses/by-nc/4.0/ [link]
2. Podcast: #8 – Open chain quad exercises – friend or foe? With Dr. Rich Willy. Physio Explained by Physio Network – 10th January 2021 [link]
3. Podcast: My Conversation with David Butler. Tom’s Sciatica Newsletter – Tom Jesson – 12th July 2020 [link]
4. The joys of being an absolute beginner – for life. By Tom Vanderbilt – The Guardian – 7th January 2021 [link]