Welcome to the Physio Foundations podcast, a podcast about the foundational knowledge and skills that lie beneath expert clinical practice.
Hosted by Luke Perraton, PhD, physiotherapist and physiotherapy educator/researcher at Monash university, Melbourne, Australia.
Watch the video version on YouTube at https://www.youtube.com/@PerratonPhysio
Visit our website www.Perraton.Physio for episode summaries and to book clinical services in Box Hill and Mount Eliza, Australia.
If you enjoy the episodes please share and leave a comment on Facebook, X or Instagram @PerratonPhysio or @lukeperraton
Always seek the guidance of a qualified health professional with any questions you may have regarding your health or a medical condition.
Nick Kane is the founder of the Sports MAP network, an educational platform for physiotherapists and sports medicine professionals and the former head physiotherapist for the Essendon Australian Rules Football club. Nick founded and consults at the Complete Balance Physiotherapy clinic in Melbourne, Australia. In this episode, Nick discussed his experiences working in elite sport and how you can develop your own career in sports physiotherapy. Thanks Nick for a great conversation. Use the timestamps below to jump to relevant sections. In this episode: 0:00 About this episode and welcome Nick 7:25 Experiences working as the head physiotherapist for the Essendon football club 9:45 Nick’s clinical special interests 11:45 The most important foundational knowledge and skills – clinical reasoning and rehab principles 13:50 Applying anatomy and pathology knowledge as a practitioner 16:58 Sports MAP 20:25 Challenges for graduates – distractions, impatience 22:50 Mentoring and developing strong clinicians 33:40 Developing a special interest area 43:00 Final thoughts We discussed the SportsMAP network: https://sportsmap.com.au/ Stay connected: Read more at Perraton.Physio or the Perraton Physio LinkedIn page. Watch us on YouTube: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.
Narelle Dalwood is a neurological physiotherapist and Senior Lecturer at Monash University Physiotherapy. In this episode, Narelle and I discuss the foundations of neurological physiotherapy, including neuroanatomy and the pathology of common conditions such as stroke. Thanks Narelle for a great conversation. Use the timestamps below to jump to relevant sections. In this episode: 0:00 About this episode and welcome Narelle 1:04 Common neurological conditions 3:14 Middle cerebral artery strokes 7:50 Heterogeneity - combining imaging, history and assessment findings 12:45 Defining terminology – infarcts and haemorrhagic strokes 14:38 How do you recognise a stroke? Timely recognition and clot busting drugs. 22:00 Upper and lower motor neurons 25:14 Reflexes and recognising serious neurological problems 33:25 Neuroplasticity 41:12 How to develop your neuro physio knowledge and skills – brush up on your neuroanatomy 54:30 Final thoughts Narelle mentioned these guidelines and resources for health professionals, patients and their families from the National Stroke Foundation: https://informme.org.au/ https://enableme.org.au/ https://sciptguide.com/ Stay connected: Read more at Perraton.Physio or the Perraton Physio LinkedIn page. Watch us on YouTube: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.
Ellen Ball is a physiotherapist and Monash University Physiotherapy graduate who is currently completing a master’s degree in public health. In this conversation, Ellen and I discuss the study habits that helped her become a highly successful student, how to network effectively, and alternative career pathways after graduation. Thanks Ellen for a great conversation. Use the timestamps below to jump to relevant sections. In this episode: 0:00 About this episode and welcome Ellen 1:50 Ellen’s foundations 4:20 How do you find and stay in touch with mentors? 6:05 How do you get your foot in the door in education and research? 7:38 What skills did you learn in the physiotherapy course that you now use in the workforce? 9:45 The most important foundational knowledge and skills for a physiotherapist 11:55 Developing interpersonal skills as a student and a new grad 14:10 Managing distractions in the era of TikTok and smartphones 15:25 What is public health? 18:55 Advanced study skills for postgraduate training 21:20 Prioritisation is a skill 25:50 What advice would you give to your younger self? 31:00 Improving health outcomes through public health rather than individual physiotherapy care 32:22 Final thoughts – ride the wave and be kind to yourself Stay connected: Read more at Perraton.Physio or the Perraton Physio LinkedIn page. Watch us on YouTube: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.
Associate Professor Adam Culvenor is a Principal Research Fellow from the La Trobe Sport and Exercise Medicine (LASEM) Research Centre, a National Health and Medical Research Council (NHMRC) Emerging Leadership Fellow and the head of the Knee Injury Research Group within LASEM. In this conversation, Adam and I discussed the research he has led on post traumatic knee osteoarthritis including the OPTIKNEE 2022: consensus recommendations, the SUPER-Knee trial, the role of diet in managing osteoarthritis and the Australian Knee Injury Study. Thanks Adam for a great conversation. Use the timestamps below to jump to relevant sections and follow the links below to find out more about Adam and his work. In this episode: 0:00 About this episode and welcome Adam 6:00 The infrapatellar fat pad 8:10 Adam’s pathway into research – MRI outcomes after ACL reconstruction 14:45 Cartilage imaging studies leading into the SUPER-Knee trial 19:36 How does strengthening help with cartilage health after knee injury? 24:40 Role of diet in managing osteoarthritis 26:40 OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis 30:55 Australian Knee Injury Study 35:15 Key takeaways – consider the need for imaging, be guided by the guidelines, get involved in research as a clinician or a student Read more about Adam here: https://scholars.latrobe.edu.au/a2culvenor Be part of the Australian Knee Injury Study: https://www.kneeinjurystudy.com.au/ Adam discussed the OPTIKNEE consensus recommendations following traumatic knee injury: https://bjsm.bmj.com/content/56/24/1393.citation-tools Whittaker JL, Culvenor AG, Juhl CB, et al OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis. British Journal of Sports Medicine 2022;56:1393-1405. Read more about the SUPER-Knee trial: https://bmjopen.bmj.com/content/13/1/e068279 Stay Connected: Read more at www.Perraton.Physio or the Perraton Physio LinkedIn page. Watch us on YouTube: https://www.youtube.com/@PerratonPhysio Follow @PerratonPhysio on Facebook, X (Twitter), Instagram and Linked In. This discussion is intended for health professionals and health professional students. Always seek guidance from a qualified health professional regarding any questions about your health or medical condition.
Bec Phillips is a musculoskeletal physiotherapist and educator at Charles Sturt University. In this episode, Bec reflects on her fascinating career in physiotherapy and public health, including her work supporting the health of people in rural Kenya. Bec then explores her PhD research findings and provides practical tips for physiotherapists to help us understand how different types of people adhere to their rehab plans. Thanks, Bec for a great conversation. You can use the timestamps below to jump to relevant sections and follow the links below to find out more about Bec and her work. In this episode: 0:00 About this episode and welcome Bec 9:11 Improving the health of people in Kenya – problem solving and applying physiotherapy skills on a global scale 22:30 How do you define adherence to rehabilitation? 27:50 What influences adherence in people with Achilles tendinopathy? 30:30 Profiles of people with low, moderate and high adherence. Practical considerations for helping different types of people adhere to their rehab plans 43:45 Collaborating with the patient about their health needs – not a consultancy 44:35 Can you help everyone? 46:40 What factors influence adherence? 56:00 Teaching patients how to build habits if they don’t have one. 59:00 Final thoughts Read more about Bec here: https://science-health.csu.edu.au/schools/health-exercise-sports/staff/profiles/physiotherapy/rebecca-phillips Follow Bec on LinkedIn: https://www.linkedin.com/in/rebecca-phillips-b9b361175/?originalSubdomain=au Follow Bec on Instagram @moving_free_physio Read Bec’s research: Phillips, R., Hilton, C., Sousa Filho, L. F., Farlie, M., Morrissey, D., & Malliaras, P. (2024). Behaviour change and rehabilitation adherence in adults with tendinopathy: a scoping review. Disability and Rehabilitation, 46(25), 6021-6033. 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.
This episode contains discussions about self-harm, suicide and sexual abuse, which may be distressing for some listeners. If you or someone you know is struggling, help is available. In Australia, you can contact Lifeline at 13 11 14 for 24/7 confidential support. If you are outside Australia, please seek support from a crisis service in your country. Dr Liam West is a Sports and Exercise Physician based in Melbourne, Australia and a fellow of the Australasian College of Sport & Exercise Physicians. In this episode, Liam, Zuzana and I discussed some practical aspects of how physiotherapists can work with sports doctors, what sports doctors want to know in your referral letter and updates, and common conditions where a sports doctor should be involved in patient care. We finish our discussion by focusing on the person rather than the patient and talk about Liam’s approach to integrating biopsychosocial elements in patient care. In this episode: 0:00 About this episode and welcome Liam – background and interests 13:00 What do physios do that Liam is jealous of? 16:00 How do you build a career in sports medicine or sports physio? 17:30 Describe a typical week for a sports doctor – consulting, surgical assisting, sports game coverage 29:06 Referring people to a sports doctor, what does a sports doctor want to know in a referral or update? 38:53 Should you arrange an MRI or other investigations before you send someone to the sports doctor? Practicalities of rebates and referrals. When should a doctor be involved in managing fractures? 52:30 When should you refer to a GP and when should you refer to a specialist? 54:00 Mental health in sports injury rehab, difficult questions, mental health support for patients and health professionals/students 71:30 Influence of hormones on musculoskeletal health, screening for rheumatological conditions 79:00 The most important skills for a physiotherapist - problem solving and active listening. Learn from other health professionals, be curious and vulnerable enough to admit when you are wrong 87:00 Final tips for career development Thanks, Liam for a great conversation. Read more about Liam here: https://alphingtonsportsmed.com.au/profile/dr-liam-west/ Follow Liam on X: https://x.com/liam_west?lang=en Read Liam’s chapters in the Brukner and Khan textbook (students I’m looking at you, read books!): https://csm.mhmedical.com/book.aspx?bookid=1970 Liam talked about the Tame the Beast website: https://www.tamethebeast.org/about We also discussed the SCREENDEM checklist for screening for rheumatological problems: https://rheumatology.physio/mini-blog-screendem/ 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. Follow @PerratonPhysio on YouTube, 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 Melanie Farlie is a Senior Lecturer in Monash University's Department of Physiotherapy. Mel is an educator, physiotherapy researcher and developer of the Balance Intensity Scale. In part 4 of this four-part series, Mel finishes her quality appraisal of the quality of the study by Katherine Lawler and colleagues. Mel demystifies the process of data analysis in qualitative research and gives us some tips for using qualitative research in our study and clinical practice. Access the study here: https://doi.org/10.1080/09638288.2024.2343822 Follow along using the COREQ checklist here: https://www.equator-network.org/reporting-guidelines/coreq/ In this episode: 0:00 Introduction to the episode 1:14 Who did the data analysis? Knowledge and perspectives of the team. Naming and identification of themes? The coding tree. Why does this matter? 5:45 How are themes identified? The coding lens – perspectives of the researchers. The inductive process - using the words of the people to make codes, vs predetermined themes. 10:42 Are there times when it is more appropriate to use a deductive process? 12:15 Relating qualitative research to what we do in the clinic, e.g. a subjective assessment 14:45 The difference between how you collect vs analyse data. Open vs closed questions 16:50 Software for qualitative analysis, feedback from participants on findings 18:20 Where should a busy clinician start? Look at the quotes from participants. Is there consistency between the data and the author’s findings? Is there diversity of opinions in the report? 28:03 Final thoughts – try to engage with research evidence. Resources to look at to get started and progress your qualitative research skills Read more about Dr Melanie Farlie here: https://research.monash.edu/en/persons/melanie-farlie Follow Physio Foundations and Perraton Physio at our website www.Perraton.Physio or 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 Melanie Farlie is a Senior Lecturer in Monash University's Department of Physiotherapy. Mel is an educator, physiotherapy researcher and developer of the Balance Intensity Scale. In part 3 of this four-part series, Mel explains the process of appraising the quality of qualitative research, using the example of the study by Katherine Lawler and colleagues. Access the study here: https://doi.org/10.1080/09638288.2024.2343822 Follow along using the COREQ checklist here: https://www.equator-network.org/reporting-guidelines/coreq/ In this episode: 0:00 Introduction to the episode 1:25 Why we need to evaluate the quality of qualitative research? 2:51 Checklists you can use – the COREQ checklist. Don’t forget to look at the supplementary material for your article 6:45 Reflexivity: The research team and how they manage their biases. Why this is important? 12:20 The relationship between researchers and participants. A guide to understanding 16:10 The interviewer characteristics and why they matter. Relating qualitative research to the interviews we do with patients in the clinic 19:30 Study design – what is a theoretical framework? Examples of theoretical frameworks. Real world practical applications of qualitative research 29:05 Study setting and data collection – where was the study conducted? Who was present at the interviews? What questions were asked (topic guide) 30:40 How big is the dataset? Looking beyond the sample size. The concept of ‘information power’ 33:24 What are the most important things to consider from the quality appraisal so far? Coming up next: In the final part of this series (part 4) we will finalise our quality appraisal of the qualitative study by Lawler and colleagues and give you our tips for applying what you have learned in the clinic or in your research studies. Read more about Dr Melanie Farlie here: https://research.monash.edu/en/persons/melanie-farlie Follow Physio Foundations and Perraton Physio at our website www.Perraton.Physio or 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 Melanie Farlie is a Senior Lecturer in Monash University's Department of Physiotherapy. Mel is an educator, physiotherapy researcher and developer of the Balance Intensity Scale. In part 2 of this four-part series, Mel demonstrates the process of reading, interpreting and understanding qualitative research. Mel refers to a study by Katherine Lawler and colleagues. Access the study here: https://doi.org/10.1080/09638288.2024.2343822 In this episode: 0:00 Introduction to the episode 3:19 Example of the methods of a qualitative study 5:00 When is qualitative research the best approach to answer a research question? 8:00 Explaining the qualitative methods that were used and relating these methods to what you do in the clinic, e.g. during a subjective assessment or patient interview 11:15 How qualitative data can be collected and analysed – exploring and explaining phenomena, understanding the context of the study and introducing the concepted of transferability 18:50 Summary and final thoughts
Coming up next in part 3 of the series, we will discuss how to appraise the quality of the study. Read more about Dr Melanie Farlie here: https://research.monash.edu/en/persons/melanie-farlie We discussed the Balance Intensity Scale: https://rb.gy/cwcfmz Follow Physio Foundations and Perraton Physio at our website www.Perraton.Physio or 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 Melanie Farlie is a Senior Lecturer in Monash University's Department of Physiotherapy. Mel is an educator, physiotherapy researcher and developer of the Balance Intensity Scale. In this four-part series, Mel introduces qualitative research, provides examples of how you can read and understand qualitative research, explains how you can search for, and evaluate the quality of, qualitative research, and discusses how qualitative research can influence your clinical practice. Part 1 of this four-part series is an introduction to qualitative research for students and clinicians. In this episode: 0:00 Introduction to Mel and the four-part series 2:00 What is qualitative research and why is it important in physiotherapy? 3:25 How is qualitative research different from qualitative research? 5:35 What are some barriers for clinicians to engage with qualitative research? 7:35 Key terminology you need to be familiar with, e.g. reflexivity – being aware of your influence on the research process. Transferability – can the findings be transferred to other similar contexts? 13:45 How can clinicians get started with using qualitative research? Don't just read the abstract, read the methods. Look for systematic reviews of qualitative research 16:50 Summary – qualitative research can be very useful when it is transferable to your clinical practice. Jump in and start reading In part 2 we will explore a recently published qualitative study and how this research's findings may apply to clinical practice. Read more about Dr Melanie Farlie here: https://research.monash.edu/en/persons/melanie-farlie We discussed the Balance Intensity Scale: https://rb.gy/cwcfmz Follow Physio Foundations and Perraton Physio at our website www.Perraton.Physio or 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.
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.
Physio Foundations is a podcast about the knowledge and skills that form the foundation of expert clinical practice.
Episodes include interviews with experts in their fields on topics ranging from physical examination, evidence based management, clinical communication and career pathways. We also have a 'new-grad series' following the emerging careers of newly graduated physios and sharing their insights.
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