Physiotutors Podcast

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Summary
This episode explores the critical role of breathing in health, recovery, and performance, featuring Steven Zwerink, a breathing physiologist. Discover how dysfunctional breathing impacts the body, the importance of CO2 over oxygen, and practical techniques for physiotherapists to incorporate breathing exercises into their practice.
Guest
Steven is a breathing physiologist and the founder of the Dutch Institute for Breathing Physiology. His work focuses on how breathing influences health, recovery, and performance.
His interest in breathing started after a serious cycling accident, where he experienced a long and difficult recovery with symptoms like a concussion and whiplash. Traditional approaches only got him so far, but when he started working with breathing, things began to change. That experience became the foundation of his work today.
With a background in elite sports and extensive training in different breathing methods, Steven now works with physiotherapists, healthcare professionals, and athletes. His goal is to make breathing practical, evidence-informed, and clinically applicable.
Chapters:
00:00:00 Introduction to breathing in physiotherapy
00:01:17 Steven Zwerink's accident and recovery journey
00:07:57 Sponsor: Physiotutors membership and learning platform
00:09:04 Dysfunctional breathing, CO2, and nasal vs mouth breathing
00:16:38 Why nasal breathing can feel difficult
00:20:26 Early-life habits, jaw development, and airway problems
00:24:38 Sponsor: Physiotutors courses
00:25:39 Why breathing matters in everyday physio practice
00:31:45 How to assess when breathing is part of the problem
00:36:05 Three practical breathing techniques for therapists
00:42:26 Box breathing dosage and workplace applications
00:46:23 Advanced breath control and prolonged exhale training
00:50:55 Coherent breathing and nervous system regulation
00:50:54 Sponsor: WriteUp practice management software
00:52:30 When breathing is complementary vs primary treatment
00:56:46 Sleep-disordered breathing, recovery, and injury risk
00:59:14 Clinical case: post-COVID recovery with breathing work
01:01:34 Mistakes to avoid when adding breathwork to physio
01:04:20 Key myth, nervous system regulation, and therapist takeaways
01:06:13 Diaphragm, psoas, and overlooked physical links
01:08:11 Where to find Steven and final 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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Summary
In this episode, physiotherapist Bahram Jam shares his 34 years of experience in understanding and treating chronic pain, emphasizing the importance of shifting from structural fixes to a focus on primary pain and the psychological aspects of pain management. Discover insights on how to better approach persistent pain, debunk common misconceptions, and explore innovative concepts like pain as a musical.
00:00:00 Introduction
00:01:28 How has your understanding of chronic pain changed over time?
00:04:14 When does pain stop being mainly tissue-driven?
00:06:27 If tissues have healed, why can pain still persist?
00:08:43 What do patients with persistent pain get told that makes things worse?
00:11:36 Sponsored segment: Physiotutors courses
00:13:20 How do you explain persistent pain in a way that helps patients move forward?
00:16:32 What is primary pain versus secondary pain?
00:22:43 What are you trying to figure out in a first consultation?
00:25:17 How do you handle resistance when patients are skeptical?
00:27:09 Sponsored segment: Physiotutors membership
00:29:05 Where do clinicians go wrong with persistent low back pain?
00:39:04 How do you approach patients who have tried everything?
00:41:49 How do you explain MRI findings that do not match symptoms?
00:45:44 What makes TMJ disorders tricky and what do clinicians miss?
00:49:29 Sponsored segment: WriteUpp
00:51:04 What exercise approach do you use for persistent low back pain?
00:57:08 How do you balance manual therapy, exercise, and education?
00:58:41 How important are lifestyle factors in persistent pain?
01:01:42 What is your one piece of advice for clinicians treating persistent pain?
01:06:18 Is there anything else you want to add?
01:08:08 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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Summary
In this episode, Firat Kesgin, founder of the German Institute for Vestibular Rehabilitation, discusses the controversial topic of cervicogenic dizziness. He challenges the validity of this diagnosis, arguing that dizziness often associated with neck pain and limited cervical mobility should not be considered a distinct disorder. Kesgin references the Barani Society's stance, which suggests that the connection between cervical issues and dizziness lacks high-quality evidence. He explains that patients with vestibular disorders often restrict head movement, leading to neck problems over time, which can be mistaken for cervicogenic dizziness.Kesgin emphasizes the importance of accurate diagnosis and the risks of relying on exclusion-based diagnoses. He highlights the need for specialized knowledge in vestibular disorders to avoid misdiagnosis and unnecessary treatments. The discussion also touches on the psychological aspects of dizziness, comparing it to chronic pain conditions where the central nervous system plays a significant role. Kesgin advocates for a more comprehensive understanding of vestibular disorders and cautions against simplistic mechanical explanations for complex symptoms.
Guest
Firat is the founder of the German Institute for Vestibular Rehabilitation and has been teaching postgraduate courses throughout Europe. His work focuses on helping clinicians better understand and treat patients with dizziness and balance disorders.
Alongside his clinical and teaching work, Firat is currently pursuing a PhD on the standardization of BPPV testing and the implementation of structured vestibular rehab programs in outpatient care.
Chapters
00:00:00 Intro
00:01:22 Why "cervical dizziness" isn't a valid diagnosis
00:03:36 Neck pain/limited ROM as consequences of vestibular issues
00:04:26 Sponsor: WriteUpp
00:06:00 Temporal link to neck pain doesn't prove causation
00:08:15 Does treating the neck fix dizziness? Short-term vs long-term
00:10:51 Risks of diagnosis by exclusion
00:12:24 Diagnostic gaps in routine ENT practice
00:14:20 No specific test: is that enough to reject it?
00:16:59 Vestibular migraine vs "cervical dizziness"
00:20:51 Sponsor: Physiotutors Premium
00:21:27 Common mislabels: BPPV, hypofunction, and 3PD
00:25:45 Cervical proprioception: acute vs chronic relevance
00:32:32 Interpreting cervical torsion and SPNT tests
00:36:53 Sponsor: Physiotutors Courses
00:37:55 Parallels with chronic low back pain
00:38:41 Why the research persists and biomechanical bias
00:45:19 Clinical guidance for dizzy patients with neck pain
00:46:54 Myth-busting: negative ENT and psychology factors
00:49:23 Closing thoughts
00:50:33 Where to find Firat
00:51:19 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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Download the FREE Physiotutors App 📲: https://physiotutors.app
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Summary
In this episode, Karl Jacobs, a renowned anatomist and educator, explores the complex world of fascia—its structure, function, and clinical significance. Discover how fascia influences movement, pain, and tissue adaptability, and learn about the latest research and practical insights for clinicians.
Guest
Karl is an accredited anatomist, presently working at the Department of Medical Biology, Section Clinical Anatomy & Embryology of the University of Amsterdam. As an anatomist, his area of special interest is the functional anatomy of the musculoskeletal system, head and neck region and Karl has a particular focus on fascia. He graduated with merit for his MSc Functional and Clinical Anatomy at the University of Birmingham (United Kingdom) in 2017; and wrote his final dissertation on the embryological, histological, physiological, and morphological aspects of the fascial system.
 
Chapters
00:00:00 Intro & guest bio
00:01:34 Path from physio to fascia
00:02:54 What is fascia?
00:03:51 Why fascia was overlooked
00:04:59 Fascia in movement & force transmission
00:06:06 Common oversimplifications
00:06:55 Fascia's role in stability
00:07:52 Fascia, nociception & pain
00:10:52 Sponsor: Physiotutors Courses
00:11:50 Continuity vs predictability
00:12:50 Can we diagnose fascial issues?
00:14:26 Do therapies change fascia?
00:16:47 "Releasing" fascia vs influencing biology
00:17:40 Sponsor: WriteUpp practice software
00:19:19 How adaptable is fascia?
00:21:12 Imaging fascia with ultrasound
00:22:41 Adhesions and layer gliding
00:24:17 How dissection changes clinicians' views
00:25:08 Lifestyle, load, and fascia
00:26:22 Sponsor: Physiotutors Premium
00:26:59 What "better" fascia means (function-specific)
00:28:08 Where the field is heading
00:29:08 Clinical takeaway
00:31:10 Where to find Karl
00:31:28 Courses: Fascia in a Nutshell & Discovering Fascia
00:32:38 Outro
 
Bonus Material
Discovering Fascia Online Course
Fascia in a Nutshell Masterclass
Anatomy Insight Institute
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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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
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