Vagner Miolla

Musculoskeletal Physiotherapist, MSc, MACP member

[Adam Dobson @adamdobson123]

Know your fibres to know your functions.

A little snippet of a table I've developed for the Radicular Reminders book. Alluded to here in a post course video, which will soon be available in the members' section.

Very happy with this one. 😊

[MSKPhysioJournal @MSKPhysioJnl]

Safe cervical spine care starts before treatment. 🦴
This survey https://t.co/rv1Q8sYu7C highlights how physical therapists assess risk factors, manage safety concerns, and where further training may strengthen clinical practice.
#Physiotherapy #CervicalSpine #PatientSafety

[Physio Meets Science @PhysioMeScience]

Just published 🔥

𝗔𝗻 𝗶𝗻𝗱𝗲𝗽𝗲𝗻𝗱𝗲𝗻𝘁 𝘃𝗮𝗹𝗶𝗱𝗮𝘁𝗶𝗼𝗻 𝗼𝗳 𝗮 𝗰𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗽𝗿𝗲𝗱𝗶𝗰𝘁𝗶𝗼𝗻 𝗿𝘂𝗹𝗲 𝗳𝗼𝗿 𝘁𝗵𝗲 𝗱𝗶𝗮𝗴𝗻𝗼𝘀𝗶𝘀 𝗼𝗳 𝗰𝗲𝗿𝘃𝗶𝗰𝗮𝗹 𝗿𝗮𝗱𝗶𝗰𝘂𝗹𝗼𝗽𝗮𝘁𝗵𝘆 𝘄𝗶𝘁𝗵 𝗿𝗮𝗱𝗶𝗰𝘂𝗹𝗮𝗿 𝗽𝗮𝗶𝗻

https://t.co/FXu0FPVnU3

[Vagner Miolla @vmiolla]

@TDekkersPhysio cauda equina

[Lea Alhilali, MD @teachplaygrub]

1/Do radiologists sound like they are speaking a different language when they talk about MRI?

T1 shortening what? T2 prolongation who?

Here’s a translation w/an introductory thread to MRI.

[Howard Luks MD @hjluks]

Are Most Rotator Cuff Tears Actually Tears?
This topic is far, far more complicated than most think... and it's certainly far more complicated than the discussion in most office visits portrays.
1/
If you have a rotator cuff tear on an MRI report, almost everything you have been told about it is more wrong than right.
A short thread on what the cuff actually is, why most "tears" aren't what you think, and why surgery is rarely the right first step.

[William A. Wallace, Ph.D. @WilliamWallace]

One week of short sleep in otherwise healthy adults. Not "sleep deprived" by strict definition. Just 4-5 hours a night. Testosterone dropped 15%. Insulin sensitivity dropped 20%. Muscle protein synthesis dropped 19%. Hunger hormones rose 28%. Cortisol rose 51%. These aren't the only systems affected. They're just some of the ones that have been measured in controlled settings. No supplement, no diet hack, no training program (crazy claim, I know, but you can't outrain poor sleep...) outperforms sleep at keeping systems "online".

References:
Leproult & Van Cauter, JAMA, 2011. Buxton et al., Diabetes, 2010. Zuraikat et al., Diabetes Care, 2024. Spiegel et al., Lancet, 1999. Saner et al., J Physiol, 2020. Spiegel et al., Ann Intern Med, 2004.

[Teppo Järvinen @shamteppo]

👉 Key finding:

Rotator cuff imaging abnormalities in people over 40 are almost universal.

99% had at least one imaging abnormality
78% of full-thickness tears were found in asymptomatic shoulders

Imaging findings ≠ pain.

[ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 @Retlouping]

Our paper is free open access. Please read share, and enjoy , thank you 🙏

Contextual effects in musculoskeletal pain: are we overlooking essential factors?

https://t.co/zbVXDQYqFq

[PeterMalliaras @DrPeteMalliaras]

Achilles ruptures are a hot topic in the NBA right now

What a privilege to share my post-rupture rehab approach with some NBA PTs.

Thanks to NBA PT Association & @sportsmapnet 🙌

#NBA #AchillesRupture

Watch the full video here: https://t.co/miEnouGyq8

[Peter O'Sullivan @PeteOSullivanPT]

More great work @ivan_physio_au exploring people with lifting related low back pain undergoing CFT in the RESTORE trial

[Roger Kerry @RogerKerry1]

JUST OUT!

We are thrilled that this critically important paper led by @MattLowPT now published, co-authored by @DaveNicholls3 @fimo18 and myself.

This paper discusses the mounting challenges facing our profession #planetarycrisis

https://t.co/BGVpCmDLJ7

[Ben Whybrow @BWhybrowPhysio]

This paper came out earlier in the year on how Behavioural Economics principles can increase exercise adherence ⬇️

But what does it say?

Here’s a summary 🧵

Well done to @GemmaAltinger @CGMMaher @adrian_traeger

Link to article at the end.

[ChadCookPT @chadcookpt]

Wonderful experience writing this editorial with @GiacomoRoss86 and Alvisa Palese on measuring contextual factors. https://t.co/WZKnwv9uII Open access here: https://t.co/7zFRdpC0mw

[Vagner Miolla @vmiolla]

@JuliaTreleaven Well done Julia! I hope you are well!

[Dr Rangan Chatterjee @drchatterjeeuk]

You simply cannot separate psychology from physiology. This ‘practised separation’ is one of reasons the health professions sometimes struggle to help people with chronic pain - and, many other conditions.

It’s a new season, and in this brand new episode of my podcast ‘Feel Better, Live More,’ my guest @PeteOSullivanPT and I had a fascinating conversation about pain management in our healthcare system and how physiology and psychology are fundamentally intertwined.

Peter highlights the important role that emotions and psychology play in managing and treating pain, rather the often purely mechanical approach that is often taken by some clinicians.

Listen to our conversation in full here https://t.co/JfO7GKZEJv or enjoy wherever you get your podcasts.

[Kieran O'Sullivan @kieranosull]

For anyone who missed this, @_ISCP_ are hosting a webinar on the same topic for world Physiotherapy day Tues Sept 10th - to register Events | World Physiotherapy Day Public Lecture Myths Of Low Back Pain | The Irish Society of Chartered Physiotherapists (https://t.co/IWwt2j8fIv)

[Thomas Dekkers | Spinal Specialist Physiotherapist @TDekkersPhysio]

Beautiful podcast with @drchatterjeeuk & @PeteOSullivanPT on low back pain and chronic pain.
👏👏👏

Great to hear the contemporary understanding of pain being discussed like this - we need more!

Essential listening for clinicians and patients alike 👇

https://t.co/1RRh8R8zyQ

[ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 @Retlouping]

On understanding the validity of diagnostic tests

https://t.co/afSYMYTa6J

[Derek Griffin @DerekGriffin86]

Important paper
👉49% of the change in pain is likely attributable to natural history.
👉18% may be attributable to placebo.
👉Only 33% of the effect relates to the specifics of the intervention.