This weeks guest is Dr. Jarred Boyd, head of physical therapy at the Memphis Grizzlies and an expert in critical thinking when it comes to reasoning out rehabilitation.

In this episode, we dive straight into how Jarred uses dynamic systems theory, the theory of affordances and attractor states in his clinical reasoning. We have a post on our instagram page to explain these terms a little more however if you don't have the time and are unfamiliar, ask chatGPT to give you a rundown!

This is an incredible episode that we guarantee you will pick new things up from if you listen back.

Make sure to give Jarred a follow on social media and check out his episodes on other podcast platforms as there is a lot of topics we didn't even attempt to discuss with him already doing such a great job on those! (Forward Physio, E3 Rehab, Rethinking Rehab)

This week James and Jeff tread the tightrope of Physiotherapy...

Plenty of clowning about...

A circus acrobat with 8 months of worsening big toe pain

• What are your differentials?
• Would you investigate?
• How would you treat this?
• When does surgery become the right option?

We dive into a placebo comparison paper for the GLAD programme which has been growing over the past few years as a structured exercise approach to manage osteoarthritis.

How does it shape up to open label placebo injections? What are our thoughts on the nuances of the study, and the positives / negatives of the GLAD programme?

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

We know that a most conditions will improve or fluctuate with time, but how much does that effect research outcomes?

To help answer this we are looking at the 2024 paper - Regression to the mean for physical function and quality of life in clinical trials for symptomatic knee osteoarthritis - Martin Englund and Aleksandra Turkiewicz

- What is regression to the mean?

- How can we measure it?

- How does this effect research outcomes?

- What does this mean for us and our patients?

A little bit of a different episode this week! Instead of talking through a paper we sit down to discuss our thoughts on Ben Patrick, otherwise known online as 'Knees Over Toes Guy'; a hugely successful movement with the aim to help people get out of pain.

Athletic Truth Group is the name of Ben Patrick's business that has emerged from this training philosophy that appears to be doing really well based off a simple message of de-threatening knees going over toes in exercise for people with knee pain.

We ask:

• Who is Ben Patrick?
• How has he become so influential?
• What are the strengths of his approach?
• What are the drawbacks of his approach?
• How could his approach be improved?
• What are we doing differently now as a result of our deep dive into this approach?

This was a great discussion, and one we hope you will find useful if you are unsure on your feelings about the ATG movement!

This week we discuss the 2022 Van Der Graff paper

Arthroscopic partial meniscectomy versus physical therapy for traumatic meniscal tears in a young study population: a randomised controlled trialWhat are the long term outcomes for these patients between the two groups and what can we take forward to help our patients make the best choice for them?

https://pmc.ncbi.nlm.nih.gov/articles/PMC9304087/#s4

This week we chat through a paper that looked at surgeons answers to questions on knee osteoarthritis compared to ChatGPT.

Who comes out on top?

How can AI be used in healthcare?

How would you fare against AI at the end of a long day?

Are James and Jeff progressive thinkers or old at heart in their early 30's?

Find the paper here: https://www.thekneejournal.com/article/S0968-0160(25)00065-1/abstract

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

We review a paper with 5200 participants that tried to answer how best to analyse someones risk of injury with training load.

It's been making the rounds on social media, what does it actually show and how can we use this information clinically?

Please note, this episode does not constitute medical advice.

https://bjsm.bmj.com/content/bjsports/59/17/1203.full.pdf