Episodios

  • Strength Training for Healthy Aging: Insights from Andreas Delaere
    Apr 1 2026

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    Summary

    In this episode of the Physiotutors podcast, Andreas Delaere discusses the critical role of physiotherapy in promoting healthy aging. He emphasizes the importance of prevention, strength training, and power training for older adults, while also addressing common mistakes made in their treatment. The conversation explores the hallmarks of aging, the significance of sleep in rehabilitation, and effective strategies for tracking progress and overcoming barriers to adherence. Andreas advocates for a holistic approach to physiotherapy, focusing on empowering patients and maintaining their functional independence.

    Guest

    Andreas Delaere is a physiotherapist, scientific researcher, and co-owner of Praktijk ROBUUST in Merchtem, Belgium. He combines clinical practice with research, with a strong focus on prevention, muscle health, strength training, and sarcopenia in older adults. Since 2015, he's been connected to the VUB, has contributed to multiple scientific publications, and to the Belgian Sarcopenia Guideline validated by CEBAM. Andreas also has an extra expertise in sleep and completed training in Cognitive Behavioral Therapy for Insomnia, CBT-I.

    Chapters

    00:00:00 Intro
    00:01:32 Why focus on prevention?
    00:03:15 Healthy aging and missed aspects
    00:06:21 Twelve aging hallmarks?
    00:10:48 Sponsor: Physiotutors courses
    00:13:01 Recognizing sarcopenia
    00:17:13 Common muscle-building mistakes
    00:22:06 Strength versus power differences
    00:25:19 Safe power training for elders
    00:27:42 Non-negotiable movements, adaptations
    00:34:23 Sponsor: WriteUpp software
    00:35:58 Programming variables and frequency
    00:40:40 Tracking progress and mismatches
    00:42:27 Barriers and boosting adherence
    00:46:25 Handling passive-treatment seekers
    00:50:17 Strength-function translation issues
    00:51:55 Sleep's role and myths
    00:58:20 Sponsor: Physiotutors membership
    00:59:16 When to refer sleep issues
    01:01:01 Three actions for this week
    01:02:10 Controversial view on training
    01:04:56 Contact info & Outro

    Bonus Material

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    1 h y 7 m
  • Patellar Tendinopathy with Ebonie Rio
    Mar 4 2026
    Summary In this conversation, Ebonie Rio, a physiotherapist and researcher, discusses the complexities of patellar tendinopathy, including its causes, myths, and effective rehabilitation strategies. She emphasizes the importance of understanding the condition as an overload issue, the need for accurate diagnosis, and the role of strength training in prevention and recovery. Ebonie also highlights the significance of motor control and coordination in managing tendon pain, and the necessity of clear communication among athletes, coaches, and clinicians for optimal outcomes. Check out the Rehabilitendon App: http://rehabilitendon.com.au/ Guest Ebonie Rio is a physiotherapist and researcher from La Trobe University in Australia. She holds a PhD in tendon pain and has a background that includes a Masters in Sports Physiotherapy and two bachelor degrees. Her clinical work spans some of the top performance environments in the world. She has worked with the Australian Institute of Sport, the Australian Ballet Company and Ballet School, pro football with Melbourne Heart, the Victorian Institute of Sport, and several major events including the Commonwealth Games, the Vancouver Winter Olympics, the Singapore Youth Olympics and the London Paralympics. She also spent more than a year on tour with Disneys The Lion King. Ebonie has published widely on tendon pain, motor control, load, and rehab, with a special focus on patellar tendinopathy. Chapters 00:00:00 - Intro: Ebonie Rio (background + welcome) 00:01:02 - Explaining patellar tendinopathy in simple terms (athlete-friendly) 00:02:47 - Biggest myths in patellar tendinopathy (imaging, diagnosis, puberty) 00:04:20 - Why "young jumping men" are most affected (risk factors + load profile) 00:06:06 - Misdiagnosis: patellar tendinopathy vs patellofemoral pain 00:07:15 - What changed most in tendon pain research (and clinical thinking) 00:08:27 - What clinicians still underrate in tendon rehab (getting strong enough) 00:10:16 - Sponsor: PhysioTutors Premium Membership 00:11:12 - Why weakness increases tendon overload (load distribution + performance) 00:12:06 - Where tendon research is heading (better diagnosis + better outcomes) 00:14:01 - Key assessment questions + progressive load testing approach 00:18:43 - Morning stiffness, night pain, and 24-hour response (diagnostic clues) 00:20:09 - Quad tendon vs patellar tendon: does it matter for rehab choices? 00:21:46 - Isometrics debate: what people misunderstand about pain relief 00:26:43 - What is "peritendin" and why it matters (especially in Achilles) 00:28:13 - How to diagnose peritendin vs tendinopathy (progressive load patterns) 00:31:53 - Peritendin treatment options (incl. Hirudoid + Voltaren discussion) 00:34:07 - Sponsor: Writeup (practice management software) 00:35:42 - Tendon rehab plan overview: in-season management vs full rehab 00:40:57 - Rehab strength targets + objective markers (leg press, calf, leg extension) 00:42:33 - Measuring the 24-hour response (decline squat vs hop testing) 00:43:02 - Spanish squat vs wall squat: why Spanish squat wins 00:44:19 - Heavy vs fast loading: why rate of loading matters 00:45:11 - Sponsor: PhysioTutors Courses 00:46:32 - Spring phase progression (energy storage + return-to-sport build-up) 00:50:15 - When is an athlete "cleared" to return to sport? 00:51:16 - Motor control + tendon pain: what changes and why it matters 00:53:47 - Metronome training: how to use it clinically (60 bpm setup) 00:55:17 - Managing flare-ups before major events (short-term strategies) 00:58:16 - Meds and injections: ibuprofen, pain relief, and why caution matters 00:59:30 - Key messages to coaches + athletes (performance mindset + heavy is safe) 01:01:08 - Final takeaways: diagnosis confidence + avoiding imaging traps 01:02:16 - Where to find Ebonie + her rehab app (Rehabilitendin) 01:03:18 - Outro: where to listen, app languages, transcript, and review request Sponsors Thanks to our Sponsor WriteUpp. Get 3 Months free on their cutting-edge clinic management software when you sign-up through https://writeupp.com/physiotutors Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
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    1 h y 5 m
  • Conquering Burnout: Strategies for Physiotherapists with WriteUpp
    Feb 18 2026

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    Summary

    In this episode of the Physiotutors podcast, we discuss the pervasive issue of burnout among physiotherapists, focusing on the business and operational challenges that contribute to this phenomenon. Joined by Claire Braham and Anna Bunch, experts in practice management and virtual assistance, the conversation delves into the daily realities of running a physiotherapy practice. They highlight that burnout often stems not just from long hours or difficult patients, but from the overwhelming mental load, inefficient admin systems, and the constant feeling of being behind. Claire and Anna share insights on how these factors can lead to emotional fatigue and ultimately impact both personal and professional lives. The discussion also emphasizes the importance of recognizing early signs of burnout, such as feeling constantly behind or lacking the capacity to manage tasks that once felt manageable. Claire and Anna provide practical solutions, including the implementation of effective systems and boundaries, to help clinicians regain control over their workload. They stress the need for clinicians to prioritize their well-being and consider outsourcing administrative tasks to alleviate stress and improve overall practice efficiency.

    Guests

    Clare is a Business Development Representative at WriteUpp, a practice management software used by many healthcare professionals. Her background is in operations, team leadership, and private practice support. She spends her time helping clinics get more organised, save time, and reduce stress around things like compliance, admin, and patient experience.

    Anna Bunch is a Virtual Assistant who specialises in supporting psychologists and therapists. Since 2019, she has worked closely with private healthcare practices to improve systems, workflows, and daily operations. She also supports and mentors other VAs who work in this space.

    Chapters

    00:00:00 Intro
    00:01:53 Burnout in daily practice?
    00:04:44 Early signs of burnout?
    00:08:55 Sponsor: WriteUpp
    00:10:30 Constant on-mode impact?
    00:16:55 Draining vs energizing patients
    00:18:20 Over-responsibility problem
    00:21:00 Clinicians hating admin
    00:27:11 Sponsor: Physiotutors Premium
    00:28:15 Insurance documentation pressure
    00:30:30 Better systems for admin?
    00:32:06 Tools and human support
    00:36:35 Too many tools?
    00:39:13 Powerful yet simple systems
    00:43:35 Sponsor: Physiotutors Courses
    00:44:51 One realistic change now?
    00:50:15 Anything we missed?
    00:52:09 Contact Details & Outro

    Bonus Material

    Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.

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    54 m
  • (Dutch Episode) When Passion and Reality Collide - Quitting Physiotherapy with Arjan Elshof
    Feb 4 2026

    Note: This episode was recoreded in Dutch and can be listened to in English and other languages on the Physiotutors App. The next episode will be in English again!

    Summary

    In this episode, we discuss the journey of Ajan Elshof, a former physiotherapist who transitioned to a care-intensive advisor role. We explore the reasons behind his departure from physiotherapy, including changing perspectives on care, the challenges of practice management, and the relationship between physiotherapists and insurers. Ajan shares insights on the future of physiotherapy, the importance of innovation, and the need for collaboration in the healthcare sector.

    Chapters

    00:00:00 Intro and the big question: why does a passionate physiotherapist leave the profession?

    00:03:42 Why physiotherapy was chosen: sports background, injuries, and early motivation

    00:05:13 Workload, balance, and no burnout

    00:06:40 Sponsor: Premium membership

    00:07:17 From patient care to management: views on efficient, hybrid care and the right care in the right place

    00:10:24 Overtreatment vs insured sessions: ethics and clinic policy

    00:12:06 Ambition, ownership, and scale of impact

    00:14:27 The purchasing plan: from the first years to the concrete process

    00:16:09 Why the purchasing failed and business lessons learned, market fit, agreements, transition period

    00:19:17 Considered paths, education, research, own practice, and the choice for a health insurer to increase impact

    00:22:29 Sponsor: WriteUpp practice management software

    00:24:20 Low rates, productivity, and admin work: the health insurer's view

    00:27:29 Relationship between health insurer and therapist: shared goal and trust

    00:30:53 New role at Zilveren Kruis: tasks and the value of a physio background

    00:33:23 Clinic vs office: differences in workday, focus, and downtime

    00:36:20 How do we keep passionate professionals? Perspective, career paths, and regional primary care cooperation

    00:37:43 Sponsor: Physiotutors online courses

    00:39:18 Career outlook and conditions for a possible return

    00:41:21 Advice to the next generation, including his own children, about physiotherapy

    00:42:30 Closing message: working together toward sustainable, accessible, local care

    00:44:15 Closing

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    Bonus Material

    Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.

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    45 m
  • The role of exercise in oncology with Nele Adriaenssens, Nirit Rotem, Grainne Sheill
    Jan 15 2026
    Summary This podcast explores the critical role of exercise therapy in oncology, highlighting its importance in cancer treatment, rehabilitation, and survivorship. Experts discuss the evolution of exercise in oncology, current practices, and innovative trials that examine the interactions between exercise and chemotherapy. The conversation also addresses the unique challenges faced by patients with head and neck cancer and the significance of tailored exercise programs in improving patient outcomes. This conversation delves into the critical role of exercise in cancer care, highlighting patient barriers, the importance of personalized exercise programs, and the need for better integration of physiotherapy in oncology. The speakers discuss the life-saving benefits of exercise, the challenges faced in clinical practice, and the necessity of addressing patient fears and misconceptions about exercise. They emphasize the importance of collaboration among healthcare professionals to ensure consistent messaging and support for cancer patients. Looking ahead, they advocate for more research, education, and advocacy to improve exercise oncology practices globally. Check out our Podcast Sponsor WriteUpp here: https://www.writeupp.com/partners/physiotutors Guests Prof. Dr. Nele Adriaenssens Prof. Dr. Nele Adriaenssens from the Vrije Universiteit Brussel is an associate professor and leads the Rehabilitation Research group, focusing on cancer rehabilitation and exercise oncology, with a special interest in side effects of chemotherapy and immunotherapy and how exercise can help. She also coordinates cancer rehabilitation and survivorship at the University Hospital in Brussels and has been a key figure in building cancer rehab services and research infrastructure there. Dr. Grainne Sheill Dr. Grainne Sheill, clinical specialist physiotherapist in cancer rehabilitation at St James's Hospital in Dublin. Grainne leads work on exercise for people treated for head and neck cancer, looking at the barriers they face and how group based programs can support recovery, fitness and daily function after treatment. Nirit Rotem She is the head of the physiotherapy department at Tel Aviv Souraski Medical Center. She is a physiotherapist, educator and long standing leader in national and international physiotherapy bodies, with a strong focus on cancer care, exercise prescription and raising standards of practice and policy. Time Stamps 00:00:00 - Intro and guest lineup: Exercise therapy in oncology overview 00:01:36 - Why is exercise part of cancer treatment, not just an extra? 00:04:04 - What "exercise" means in cancer care: cardio, strength, or both? 00:05:32 - How the role of exercise in oncology has changed since 2008–2009 00:08:42 - Sponsor: PhysioTutors Premium Membership (ad) 00:09:35 - Policy and health system view: Where oncology rehab stands and gaps 00:12:40 - How drugs/side effects shape exercise plans (exercise–pharmacology examples) 00:16:56 - PAPTOX and FORX trials: What's new vs classic cancer rehab studies 00:20:45 - Exercise goals in palliative care and oncogeriatrics 00:24:17 - Are palliative/fragile patients motivated to exercise? 00:25:30 - Sponsor: WriteUpp practice management (ad) 00:27:05 - Head & neck cancer: Why this group is different and challenging for activity 00:31:34 - National survey findings: Top barriers and surprises to exercise post–head & neck cancer 00:33:49 - Key exercise-oncology messages still missing in day-to-day practice 00:37:33 - Turning position statements into simple clinical routines 00:41:41 - Global online oncology course: Is it available yet? 00:42:15 - Sponsor: PhysioTutors online courses (ad) 00:43:10 - Screening and triage: Group vs 1:1 vs medical referral 00:46:16 - Addressing fear: How to talk about risk and safety to keep patients engaged 00:49:55 - One belief to change among doctors/nurses about exercise in cancer care 00:53:19 - Ten-year outlook: Priorities for research, education, and implementation 00:56:13 - Final messages: Getting physios on board and entry-level competencies 00:58:54 - Congress announcement and closing remarks Bonus Material Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App. Download the Free App now Follow our Podcast on: Spotify | Apple Podcasts
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    1 h
  • From Core to Kick: The Pelvis as the Missing Link in Hamstring and Groin Injuries ft. Nick van der Horst
    Dec 5 2025

    Summary

    In this conversation, Dr. Nick van der Horst, a sports physiotherapist, discusses the significant impact of hamstring and groin injuries in football, emphasizing the importance of pelvic control in injury prevention and rehabilitation. He highlights the prevalence of these injuries, the role of eccentric strength training, and the need for comprehensive screening and assessment methods. Dr. van der Horst shares insights on how to modify pelvic posture and control during rehabilitation, providing practical advice for integrating these concepts into injury prevention programs. The discussion also covers the relationship between pelvic mechanics and performance optimization, making it clear that understanding these factors is crucial for effective rehabilitation and injury prevention in sports.

    Guest

    Dr. Nick van der Horst is a sports physiotherapist and rehabilitation specialist with deep expertise in football medicine. He's currently part of the medical staff at PSV Eindhoven's first team, where he focuses on on- and off-field rehab, return-to-play strategies, and injury prevention.Nick earned his PhD at UMC Utrecht with a thesis on preventing hamstring injuries in male soccer players. Over the years, he has worked with organizations like the KNVB and Go Ahead Eagles, and he's the founder and CEO of SoccerDoc, a platform dedicated to improving football medicine through research, education, and clinical care.His work centers on maximizing football performance by reducing injury burden and creating evidence-based, player-centered rehab and prevention programs.

    Timestamps

    00:00:00 Intro and guest bio

    00:01:00 How big are hamstring and groin injury problems (incidence and time loss)?

    00:04:04 Clarifying the topic: SI joint issues vs pelvic position/control

    00:04:42 Why are pelvic control and positioning key for hamstring and groin pain?

    00:12:44 Sponsor: PhysioTutors Premium Membership

    00:15:28 Screening and assessment: Go-to markers for pelvic posture/control issues

    00:19:27 Do you need motion capture or other equipment to assess pelvic control?

    00:22:17 How do you differentiate pelvic-mechanics-related hamstring issues from tissue-specific or neural problems?

    00:27:12 Common lumbopelvic patterns in recurrent hamstring and groin injuries

    00:25:38 Sponsor: WriteUpp Practice Management

    00:37:54 Groin pain: Is pelvic posture/control a cause or a consequence?

    00:41:50 How modifiable is pelvic posture and control?

    00:44:51 Rehab progression: Early vs late stages when focusing on pelvic control

    00:48:54 Do you use basic core/lumbopelvic exercises (bird dog, dead bug, pelvic tilts)?

    00:52:13 Have improvements in pelvic control reduced hamstring/groin injuries in practice?

    00:54:46 Sponsor: PhysioTutors Online Courses

    00:56:13 Case experience: Moments that shifted perspective on pelvic role

    01:03:08 Practical advice for integrating pelvic control into prevention/rehab in football

    01:05:49 Where to find Dr. Nick van der Horst

    01:06:29 Outro

    Bonus Material

    Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.

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    1 h y 7 m
  • An Introduction to Neurocentric Training with Jannik Schuster
    Nov 3 2025

    Summary

    In this podcast episode, neuroathletic performance and pain coach Jannik Schuster discusses neurocentric training, a method focusing on the brain and nervous system to enhance performance and alleviate pain. Schuster explains how he discovered this approach through personal experience with injuries and highlights its effectiveness in reducing inflammation and pain. He defines neurocentric training as targeting brain and nervous system interactions to improve performance, distinguishing it from traditional training methods that focus on biomechanical structures. Schuster emphasizes the significance of understanding the nervous system's role in pain and movement limitations, advocating for individualized approaches to address specific nervous system needs. He also discusses the integration of neurocentric training with traditional practices, the impact of visual, vestibular, and proprioceptive inputs, and the potential for neurocentric training to become more prevalent in both athletic and therapeutic settings. The conversation underscores the importance of neuroplasticity and suggests resources for those interested in exploring neurocentric training further.

    Guest

    Jannik Schuster — Neuroathletic Performance and Pain Coach, M.Sc. in Sports Science, educator, and former elite footballer. After training in the youth academy of FC Augsburg and the professional squad of FC Schweinfurt, Jannik discovered neurocentric training as a breakthrough method to unlock performance, prevent injury, and resolve pain. Educated through Z-Health and grounded in sports science, he now helps others apply neuro-based strategies for pain-free movement and optimal function

    Content

    00:00:00 Introduction

    00:00:47 Yannick's Background and Introduction to Neuroathletic Training

    00:02:49 Definition and Differentiation of Neurocentric Training

    00:04:36 Scientific Foundation of Neurocentric Training

    00:08:39 Common Misconceptions in Neurotraining

    00:10:23 Role of the Nervous System in Pain and Movement Limitations

    00:11:55 Neurocentric Training in Rehab

    00:14:42 Assessment and Testing in Neurocentric Training

    00:21:46 Role of Visual, Vestibular, and Proprioceptive Inputs

    00:25:19 Typical Neuroperformance Training Session

    00:28:17 Effects Observed in Performance-Oriented Athletes

    00:31:01 Athlete Feedback on Neuro Training

    00:35:38 Prevalence of Neurocentric Training in Elite Sports

    00:37:29 Integration with Traditional Training and Therapy

    00:40:08 Incorporating Neurocentric Elements in Daily Work

    00:47:03 Striking Changes Observed Through Neuro Training

    00:49:23 Resources for Learning About Neurocentric Training

    00:51:27 Conclusion and Final Thoughts

    Bonus Material

    Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.

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    55 m
  • Beyond Whiplash: Modern Physiotherapy for Prolonged Post-Concussion Symptoms with Melvin Pitz and Cornel Tol
    Oct 1 2025

    Summary

    In this episode, Melvin Pitz and Cornel Tol from the Headache, Pain, and Concussion Training Institute (HPCTI) delve into the intricacies of managing concussions and post-concussion symptoms. They advocate for using the term "prolonged post-concussion symptoms" over "mild traumatic brain injury" to reduce the nocebo effect associated with the latter.

    The discussion highlights the importance of a multidisciplinary and biopsychosocial approach in diagnosis and treatment, emphasizing the significance of early intervention and patient education. Melvin and Cornel share insights into diagnostic criteria, the impact of framing on patient outcomes, and the gaps in current practices, particularly in the Netherlands. They stress the need for physiotherapists to be proactive in education and networking to bridge the knowledge gap in concussion management.

    The episode also touches on the neurophysiological aspects of concussion, the shortcomings of monodisciplinary approaches, and the potential of a treatable traits approach for better patient outcomes. Listeners are encouraged to rethink the role of physiotherapy and consider the broader implications of prolonged symptoms, including psychological and social factors. The episode provides practical advice for physiotherapists and healthcare professionals on how to improve their practice and patient care in the context of concussions.

    Guests

    Today's guests are Melvin Pitz and Cornel Tol from the HPC-TI — short for Headache, Pain & Concussion Training Institute.
    They're on a mission to educate and empower healthcare professionals with cutting-edge, evidence-based strategies to manage headache, pain complaints, and mild traumatic brain injury. With a strong clinical background and a critical view on how care is currently delivered, they're pushing for a multidisciplinary and biopsychosocial approach that actually works — in the clinic, and beyond

    Content

    00:00 Intro

    00:41 Definition of PPCS

    03:06 Diagnostic Criteria

    06:35 Gaps in recognizing PPCS

    09:47 Why patients are misdiagnosed

    14:24 Sponsor

    15:00 Prognostic Factors to develop prolonged symptoms

    18:48 Rethinking Physiotherapists' role in treating PPCS

    24:40 Neurophysiology of PPCS

    28:28 Why monodisciplinary approaches fail

    33:12 Diagnosis & Decisionmaking

    35:48 Sponsor

    37:04 Biggest pitfalls

    38:44 Treatment

    50:48 Interesting Case Studies

    57:38 Return to work/play

    01:03:21 Opinion on high-impact sports

    01:05:25 Myths to bust

    01:06:26 Closing thoughts

    01:07:37 Contact info & Outro

    Bonus Material

    Download the referenced transcript including PubMed Links and a high-resolution infographic on this episode as part of your Physiotutors membership on the Physiotutors App.

    Download the Free App now

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    1 h y 9 m