Harrison Dale

Physiotherapist and Exercise Sport Scientist at Physio Focus in Sydney

[The BMJ @bmj_latest]

New #BMJResearch: Calcium, vitamin D, or combined supplements offer little to no clinically meaningful benefit on fracture and fall prevention in most older people, finds in-depth review of the latest evidence
https://t.co/jsgwQ2Rlvy

Linked commentary
https://t.co/yPXnwXgTPY

[JOSPT Community @JOSPT]

People with acute #LowBackPain have concerns that may not be addressed by guideline-recommended advice 😔

#Infographic drawn from the #MixedMethods study published in September 2024

Infographic ➡️ https://t.co/p7GhUERwG1
Full article ➡️ https://t.co/7e6Ljxv3zo

#yourJOSPT

[Anatoli Kopadze @AnatoliKopadze]

this is f*cking gold

the Claude setup most people will never find on their own

if I had this a year ago, I would've worked 5x faster

in the right hands, this changes everything:

[Dr Alison Grimaldi @alisongrimaldi]

🏃‍♂️ Acute hip flexor injury: MOI matters for clinical reasoning
⚽ Sprinting/kicking → more likely rectus femoris
🔄 Rapid accel/decel or change of direction → more likely iliopsoas
💡 MOI helps guide assessment + early rehab priorities
https://t.co/3LLdt9UTDE
#HipPain

[British Journal of Sports Medicine (BJSM) @BJSM_BMJ]

#NEW 3-arm RCT on achilles tendon rupture 🚀

Does individualised CARTA rehab provide superior results to operative/non-operative approaches?

Find out more here 👉 https://t.co/08ioEowJLo

[JOSPT Community @JOSPT]

Hand Pain and Sensory Deficits #CarpalTunnel Syndrome

Our updated #ClinicalPracticeGuideline (Revision 2026) is now available ➡️ https://t.co/2ugvyVV89i

For the TL:DR check the 'summary of recommendations' #OpenAccess

#yourJOSPT @APTAOrthopedics

[Corey Twine @CoreyTwine]

This is a good read and it gives a very clean framework for a conversation we often overcomplicate.

Gabbett frames rehabilitation and performance programming around three concepts: the floor, the ceiling, and time. The floor is the athlete’s current capacity. The ceiling is the capacity required to perform the specific demands of the sport. The problem is that we cannot pretend someone is ready just because symptoms are down or because they look good in a controlled setting. The real question is whether their current capacity has been progressively built toward the demand they are about to face.

That is why injury mitigation cannot become the primary operating system.

When injury mitigation leads the process, it can easily become exposure reduction. Less load. Less speed. Less complexity. Less chaos. That may look safer on paper, but Gabbett makes the opposite concern very clear: if the training stimulus is inadequate, the athlete may be underprepared, underperform, and be at risk for reinjury. The paper also states that reducing the ceiling is not realistic because the demands of performance continue to evolve, and the physicality and complexity of sport are generally increasing.

The right structure is performance first, with injury mitigation as a byproduct of intelligent preparation.

The goal is not to avoid demand. The goal is to build the capacity to tolerate demand. That means maintaining an adequate floor, identifying the ceiling, understanding the most demanding passages of play, and progressing training loads in a gradual, systematic way. Gabbett’s summary is the line that matters: appropriately prescribed training can create resilient and robust athletes capable of withstanding the high loads of competition.

That is the distinction.

Therapy can restore function.
Performance has to build capability.

Those are connected, but they are not the same thing. The end point cannot simply be “less pain” or “less exposure.” The end point has to be readiness for the real environment.

[JOSPT Community @JOSPT]

Rotator Cuff Imaging Abnormalities in Asymptomatic Shoulders: A #SystematicReview

Can we *always* rely on imaging findings to support what we're seeing in the clinic 🤔

Read the findings ➡️ https://t.co/ROhvSwHmCG

#yourJOSPT

[Physio Network @PhysioNetwork]

🤔 What are the key signs you’re dealing with Fat Pad, and not Patellofemoral Pain?

👉🏻 We have just launched a new episode of Case Studies: Inside a Complex Hoffa’s Fat Pad Case with Claire Robertson

😎 In this episode, Claire Patella walks us through a real clinical case, covering:

🧠 Differential diagnosis of Hoffa’s fat pad pain
🛠️ Key, expert tips for management of this condition
🏋️‍♂️ Specific, evidence-based exercises for treatment

📲 Listen to the new episode now: https://t.co/2z1HXaj4WD

🎧 Hear how experts treat real patients - with the Physio Case Studies podcast

Also available on Spotify & Apple Podcasts

[Benoy Mathew @function2fitnes]

𝐒𝐩𝐨𝐭𝐭𝐢𝐧𝐠 𝐚 𝐅𝐮𝐥𝐥-𝐓𝐡𝐢𝐜𝐤𝐧𝐞𝐬𝐬 𝐒𝐮𝐩𝐫𝐚𝐬𝐩𝐢𝐧𝐚𝐭𝐮𝐬 𝐓𝐞𝐚𝐫 𝐨𝐧 𝐔𝐥𝐭𝐫𝐚𝐬𝐨𝐮𝐧𝐝: 𝐃𝐨𝐧’𝐭 𝐌𝐢𝐬𝐬 𝐭𝐡𝐞 𝐈𝐧𝐝𝐢𝐫𝐞𝐜𝐭 𝐒𝐢𝐠𝐧𝐬

Chronic full-thickness supraspinatus tears can sometimes, be tricky on ultrasound. Defects are often filled with fibrous tissue, giving the illusion of tendon continuity. That’s where indirect signs become essential.

Here’s a practical approach I use:
-Look for the sagging pre-bursal fat sign on the transverse view. It’s been reported to have around 88% sensitivity for full-thickness tears.
-Then increase your confidence by checking for cortical irregularities at the footprint. In this case, they’re clearly present.

When the pre-bursal fat sag sign is combined with cortical irregularities, specificity and positive predictive value can approach 100%.

Ref: https://t.co/FqmotHUlkR

These are the cases where careful attention to indirect signs makes all the difference in diagnosing rotator cuff tears.

If you’d like to dive deeper or develop your diagnostic skills, our mentorship programme at the award-winning MSK Team at Guy's and St Thomas'​ NHS Foundation Trust can help. Feel free to reach out –contact [email protected] for more details

[Dr Alison Grimaldi @alisongrimaldi]

🍑 Buttock pain… or lumbar spine referral?
More likely spine-related if: back pain, pain below the knee, tingling/numbness, bilateral, worsened by bending/lifting.

Source matters for effective management 👉 https://t.co/SUehMbJn6m

#ButtockPain #BackPain #Physio

[Physio Network @PhysioNetwork]

Knowing this might help you next shoulder pain patient get a better outcome... 👉

Thank you for an excellent Case Study @kathrynfahy4

[Dr Alison Grimaldi @alisongrimaldi]

🦴 Anterior hip replacement ≠ completely “muscle-sparing.” Deep hip rotators (obturator internus & externus, gemelli, sometimes piriformis) are often affected. ✅ Know what’s involved to guide rehab.
Read more: https://t.co/yGnzDUakpY
#HipReplacement #HipRehab #Physio

[Harrison Dale @physiodale]

@SHIFT_MvmtSci any chance we can still access these two resources somewhere?

https://t.co/fw9T8rK1Tx

https://t.co/4V2EBoTUIq

Thanks!

[JOSPT Community @JOSPT]

Not using #CognitiveFunctionalTherapy 🤔

If not, have a listen to #JOSPTInsights w/Dr Ruth Chang & Dr JP Caneiro as they walk us through why it is a mindset, not a modality 👉 https://t.co/bFVQUO831l

2026 comparative effectiveness #Review ➡️ https://t.co/HBrjQQrKsB

#yourJOSPT

[British Journal of Sports Medicine (BJSM) @BJSM_BMJ]

Stepping into Play ⚽️

A FIFA decision aid for football participation after childbirth 🤰

#OpenAccess ➡️ https://t.co/qRzX7xmmtP

[Harrison Dale @physiodale]

@PhysioNetwork @PanSci Where??

[JOSPT Community @JOSPT]

Differences in Psychological Factors Between People With Persistent Tendinopathy and Those Without Tendinopathy: A Systematic Review With Meta-Analysis

#Review in the December @JOSPT

Read ➡️ https://t.co/esPAewbl1F

#yourJOSPT #Tendon #Tendinopathy

[JOSPT Community @JOSPT]

Rotator Cuff Imaging Abnormalities in Asymptomatic Shoulders: A #SystematicReview

Can we *always* rely on imaging findings to support what we're seeing in the clinic 🤔

Read the findings ➡️ https://t.co/ROhvSwHmCG

#yourJOSPT

[JOSPT Community @JOSPT]

Rotator Cuff Imaging Abnormalities in Asymptomatic Shoulders: A #SystematicReview

Can we *always* rely on imaging findings to support what we're seeing in the clinic 🤔

Read the findings ➡️ https://t.co/ROhvSwHmCG

#yourJOSPT