We dive into a placebo comparison paper for the GLAD programme which has been growing over the past few years as a structured exercise approach to manage osteoarthritis.

How does it shape up to open label placebo injections? What are our thoughts on the nuances of the study, and the positives / negatives of the GLAD programme?

Please note, nothing in this episode is intended to be medical advice.

We know that a most conditions will improve or fluctuate with time, but how much does that effect research outcomes?

To help answer this we are looking at the 2024 paper - Regression to the mean for physical function and quality of life in clinical trials for symptomatic knee osteoarthritis - Martin Englund and Aleksandra Turkiewicz

- What is regression to the mean?

- How can we measure it?

- How does this effect research outcomes?

- What does this mean for us and our patients?

A little bit of a different episode this week! Instead of talking through a paper we sit down to discuss our thoughts on Ben Patrick, otherwise known online as 'Knees Over Toes Guy'; a hugely successful movement with the aim to help people get out of pain.

Athletic Truth Group is the name of Ben Patrick's business that has emerged from this training philosophy that appears to be doing really well based off a simple message of de-threatening knees going over toes in exercise for people with knee pain.

We ask:

• Who is Ben Patrick?
• How has he become so influential?
• What are the strengths of his approach?
• What are the drawbacks of his approach?
• How could his approach be improved?
• What are we doing differently now as a result of our deep dive into this approach?

This was a great discussion, and one we hope you will find useful if you are unsure on your feelings about the ATG movement!

This week we discuss the 2022 Van Der Graff paper

Arthroscopic partial meniscectomy versus physical therapy for traumatic meniscal tears in a young study population: a randomised controlled trialWhat are the long term outcomes for these patients between the two groups and what can we take forward to help our patients make the best choice for them?

https://pmc.ncbi.nlm.nih.gov/articles/PMC9304087/#s4

This week we chat through a paper that looked at surgeons answers to questions on knee osteoarthritis compared to ChatGPT.

Who comes out on top?

How can AI be used in healthcare?

How would you fare against AI at the end of a long day?

Are James and Jeff progressive thinkers or old at heart in their early 30's?

Find the paper here: https://www.thekneejournal.com/article/S0968-0160(25)00065-1/abstract

Please note, nothing in this episode is intended to be medical advice.

We review a paper with 5200 participants that tried to answer how best to analyse someones risk of injury with training load.

It's been making the rounds on social media, what does it actually show and how can we use this information clinically?

Please note, this episode does not constitute medical advice.

https://bjsm.bmj.com/content/bjsports/59/17/1203.full.pdf

This week we look at the new paper

"The effect of exercise time and frequency on the development of cam morphology" by M. Baldawi et al 2025

https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-025-08603-1

• What do we know about the development of CAM morphology?
• How do we define it?
• Could they be useful to athletes?

In this episode we sit down to discuss a really interesting paper all about how stability is produced in the glenohumeral joint. Concavity compression or Intrinsic muscle stiffness? Rotator cuff or larger muscle groups?

We go through the mechanisms and basic biomechanical considerations of this before discussing what we think this papers findings mean in clinical practice.

Use the comment function below to engage and ask any questions!

Please note, this episode does not constitute medical advice.

https://link.springer.com/article/10.1007/s10439-025-03683-5