This week, Jeff and James talk internal / external focus of attention in ACL testing, ramble unnecessarily about isokinetic dynamometry and testing philosophy.

This week....

We discuss the Bender et al paper from 2023 Does Your Bedside Neurological Examination for Suspected Peripheral Neuropathies Measure https://www.jospt.org/doi/10.2519/jospt.2022.11281

and...

• Jeff debriefs about his recent BASK conference
• James has some nerdy nerve facts

This week we discuss similar cases we have experienced regarding Achilles tendinopathies and ruptures associated with certain types of antibiotics.

Please note, this episode is not intended to be medical advice.

This week

- Jeff opens a beer

- James has a case study

- We get into the weird world of scapula's

Does scapula movement matter? and if so, when?

We look at the 2026 Villa-Dieguez et al paper

Clinicians who think scapular dyskinesis is important are more likely to identify it in healthy individuals

https://pmc.ncbi.nlm.nih.gov/articles/PMC12929090/

A little bit of a different approach this week, we look to a clinical commentary on rehabilitation following a CAM resection in people who also have 'borderline' hip dysplasia.

We spend the first half hour going over some basic principles which are fundamental to our critiques, before going over the protocol itself.

Please note, nothing in this episode is intended to be medical advice.

Find the paper we are discussing HERE

This week we look at a large 2026 Meta Analysis comparing arthritis rates in ACL reconstruction vs conservatively management!

- Is there a long term difference in OA rates?

- What predicts higher levels of OA?

Shah et al 2026 - The Long-term Radiographic Fate of theChronically ACL-Deficient Knee: A Systematic Review and Meta-analysis of Matched Cohort StudiesDOI: 10.1177/03635465251405438

In this episode we discuss the pros and cons of Masters level education, particularly as it applies to job progression within the NHS before moving on to a case study of James' that is all about medial foot pain!

Please note, this episode is not intended to give any medical advice.

Today on Physio pulse we discuss the 2026 "PROP OA" study

The largest study looking at bracing for knee OA

https://www.bmj.com/content/392/bmj-2025-086005