This week we discuss periosteal and intra-articular electrical dry needling as a treatment for knee osteoarthritis. We really show our biases in this. We don't like it. Hopefully we put our thoughts together coherently enough to explain all the reasons why we don't like it.

The article can be found here: https://spinalmanipulation.org/wp-content/uploads/2025/10/periosteal-and-intraarticular-electrical-dry-needling-boosters-in-patients-with-knee-osteoarthritis-2025.pdf

As always, if you enjoy what you hear, be sure to follow us on your favorite podcast platform and on Instagram @readingrehabpod. If you have any article recommendations be sure to send them our way!

Data Nerds is a new series that we are introducing which will be alternating weeks with our usual journal club podcast. In this series, we share cases from our clinical practice where we utilize objective testing to inform our decision making, with most attention paid to the results of the tests and interpretation of the information. Therefore, this works best when you can see the numbers. Luckily, these are uploaded to our YouTube channel! Check us out at https://www.youtube.com/@ReadingRehab.

Pat walks us through some single leg hop testing that he did with a 14 year old female volleyball player coming back from a severe inversion sprain. We go over key metrics, some confusion we have with duplicate metrics, importance of knowing the units you're referencing, and how this testing impacts clinical decision-making.

This week Mike and Pat break down "Interpreting p values and interval estimates based on practical relevance: guidance for the sports medicine clinician". This is a short but dense article explaining the use and interpretation of p-values in research. Since p-values are so important to research and publication, clinicians need to know what they are telling us about the data and the potential limitations with them. While this paper was meant for clinicians, it can be hard to understand. We do our best to break it down and simplify according to our understanding.

The article can be found here: https://bjsm.bmj.com/content/early/2025/10/13/bjsports-2024-109357

As always, if you enjoy what you hear, be sure to follow us on your favorite podcast platform and on Instagram @readingrehabpod. If you have any article recommendations be sure to send them our way!

Data Nerds is a new series that we are introducing which will be alternating weeks with our usual journal club podcast. In this series, we share cases from our clinical practice where we utilize objective testing to inform our decision making, with most attention paid to the results of the tests and interpretation of the information. Therefore, this works best when you can see the numbers. Luckily, these are uploaded to our YouTube channel! Check us out at https://www.youtube.com/@ReadingRehab.

This week, Pat shares a case of a female, youth swimmer post shoulder subluxation. We go over the ASH test, why he tested, limitations of the test, exercise selection, return to sport decision making, and teamwork within his clinic.

Today is a solo podcast from Mike talking about "The effect of strength training on endurance performance determinants in middle- and long-distance endurance athletes: an umbrella review of systematic reviews and meta-analysis". While there are a lot of components to cover with this article, Mike's key takeaway is this: there are benefits of strength training to running economy and endurance performance (time trials or time to exhaustion), and there is no "magic formula" that is best. So, if you aren't doing any strength training to supplement running, you are leaving possible performance improvements on the table.

The article can be found here: https://pubmed.ncbi.nlm.nih.gov/40153564/

As always, if you enjoy what you hear, be sure to follow us on your favorite podcast platform and on Instagram @readingrehabpod. If you have any article recommendations be sure to send them our way!

Data Nerds is a new series that we are introducing which will be alternating weeks with our usual journal club podcast. In this series, we share cases from our clinical practice where we utilize objective testing to inform our decision making, with most attention paid to the results of the tests and interpretation of the information. Therefore, this works best when you can see the numbers. Luckily, these are uploaded to our YouTube channel! Check us out at https://www.youtube.com/@ReadingRehab.

Pat presents countermovement jump data from a high school freshman female soccer player who returned to sport early against the advice of the treating physical therapist. He shows how her lingering quad strength deficits impact her movement patterns. Enjoy!

We're back talking about "Relative values of maximal isometric strength in lower limbs across different sports disciplines in high-performance athletes" an article published in Journal of Strength and Conditioning Research in 2025. The title and a quick skim brought our hopes up: having more normative values for the major muscle actions of the lower extremity would be nice. But our hopes came crashing down when we got to the methods. Measuring force:bodyweight not torque:bodyweight, different sports being analyzed as the same group, and not stabilizing during in-line dynamometry are some of the major crimes of the paper. Listen to the episode to hear our various rants!

The article can be found here: https://pubmed.ncbi.nlm.nih.gov/40440540/

As always, if you enjoy what you hear, be sure to follow us on your favorite podcast platform and on Instagram @readingrehabpod. If you have any article recommendations be sure to send them our way!

Data Nerds is a new series that we are introducing which will be alternating weeks with our usual journal club podcast. In this series, we share cases from our clinical practice where we utilize objective testing to inform our decision making, with most attention paid to the results of the tests and interpretation of the information. Therefore, this works best when you can see the numbers. Luckily, these are uploaded to our YouTube channel! Check us out at https://www.youtube.com/@ReadingRehab.

Pat shows off countermovement jump data for a young gymnast coming back from osteoma in her knee. He sets the stage by going over isokinetic knee extensor strength, then demonstrates the importance of a battery of testing to uncover weaknesses.