Physio Foundations

• Dr Liam West – How Physios and Sports Doctors Can Work Together Effectively

  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.

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• Unpacking Qualitative Research (Part 4): Data Analysis & Practical Tips with Dr Melanie Farlie

  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.

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• How to Evaluate the Quality of Qualitative Research in Physiotherapy (Part 3) with Dr Melanie Farlie

  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.

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• How to Read, Interpret, and Apply Qualitative Research in Physiotherapy (Part 2) with Dr Melanie Farlie

  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.

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• Demystifying Qualitative Research: A Student and Clinician’s Guide (Part 1) with Dr Melanie Farlie

  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.

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