Reflex — PM&R Board Review

Reflex — PM&R Board Review

Reflex / Z. Shumaker, MD
Krajina Spojené štáty
Jazyk EN-US
Epizódy 176
Najnovšia 20.08.2026

Reflex — PM&R Board Review is a study podcast for physicians preparing for the ABPMR Part 1 exam in physical medicine and rehabilitation. Its 176 in-depth teaching episodes cover the full content outline: musculoskeletal rehabilitation, the neurological cluster, medical rehabilitation, foundational rehabilitation concepts, and electrodiagnostics. The series pairs with a companion 173-chapter digital textbook and a 1,900-plus question board-style Q-bank at reflexpmr.com, with episodes narrated by AI voices from the Reflex chapters. It is made by a practicing physiatrist for fellow physiatrists. It is educational board review only — not medical advice or for patient care — and is not affiliated with or endorsed by the ABPMR.

Epizódy

  • Shoulder Instability & Impingement: Bankart, Hill-Sachs, SLAP | PM&R Board Review (MSK-01) 20.08.2026 46min
    Shoulder Anatomy, Instability, and Impingement. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-01. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Opening vignette: quarterback dislocation 3:28 Shoulder range of motion and the thumb-down block 6:12 Glenohumeral architecture and stabilizers 12:30 Shoulder innervation by motion 17:15 AC joint, Rockwood, and distal clavicle osteolysis 22:42 Instability spectrum: TUBS and AMBRI 26:41 Anterior and posterior instability lesions 29:49 Hypermobility, instability exam, and imaging 34:25 SLAP tears 36:23 Impingement: Neer, Bigliani, and exam triad 42:45 Secondary impingement from instability
  • Rotator Cuff Tear & Frozen Shoulder: Special Tests, Biceps | PM&R Board Review (MSK-02) 19.08.2026 1h 7min
    Rotator Cuff, Adhesive Capsulitis, and Biceps. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-02. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 2:56 Partial vs full thickness tears and fatty infiltration 8:33 High Yield - Rotator cuff anatomy and special tests 15:36 Rotator cuff imaging stepladder 22:37 Rotator cuff rehab, injections, and surgical indications 26:52 Calcific tendonitis and barbotage 30:35 Adhesive capsulitis: restriction pattern and stages 35:20 Adhesive capsulitis systemic associations 38:17 Adhesive capsulitis imaging and treatment 44:06 Long head biceps tendonitis and rupture 49:56 Biceps special tests 52:31 Shoulder osteoarthritis vs adhesive capsulitis 55:47 Total shoulder arthroplasty rehab protocol 58:56 Shoulder arthrodesis indications and position 1:03:10 5 Things to Know Cold
  • Scapular Winging & Shoulder Fractures: Neer, Thoracic Outlet | PM&R Board Review (MSK-03) 18.08.2026 58min
    Shoulder Fractures, Winging, and Nerve Entrapment. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-03. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Opening hook: medial winging on a wall pushup 2:33 Deltoid segments and the axillary nerve 6:19 Medial winging: serratus anterior and long thoracic nerve 10:10 Lateral winging: trapezius and spinal accessory nerve 14:07 Seddon nerve injury grades 17:36 Clavicle fractures 22:24 Scapular fractures 26:43 Proximal Humerus Fractures and the Neer Four-Part Classification 32:20 Surgical vs anatomic neck: vessels and nerves at risk 37:30 Stress fractures in throwers and Little Leaguer's shoulder 39:53 Suprascapular nerve entrapment 44:07 Quadrilateral space syndrome 45:59 Thoracic Outlet Syndrome 54:43 5 Things to Know Cold
  • Lateral Epicondylitis & Elbow Anatomy: UCL, Terrible Triad | PM&R Board Review (MSK-04) 17.08.2026 54min
    Elbow Anatomy, Epicondylitis, and Throwing Injuries. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-04. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 2:20 The Three-Joint Capsule, Range of Motion, and the Carrying Angle 8:38 Ligamentous restraints and nursemaid's elbow 10:59 Epicondyle Origins and the Medial-Lateral Dichotomy 16:47 Lateral epicondylitis 22:53 Medial epicondylitis and little leaguer's elbow 27:25 Throwing Biomechanics and UCL Injury 33:04 Valgus extension overload 37:47 Olecranon bursitis 40:17 Elbow dislocation and the terrible triad 43:56 Distal biceps rupture 48:22 Elbow arthrodesis angles 51:20 5 Things to Know Cold
  • Cubital Tunnel & Pronator Syndrome: Elbow Fractures, Mason | PM&R Board Review (MSK-05) 16.08.2026 48min
    Elbow Nerve Entrapments and Adult Fractures. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-05-a. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 2:48 Pronator Syndrome and the Four Median Compression Sites 14:46 Cubital Tunnel Syndrome and Ulnar Nerve at the Elbow 24:47 Humeral Shaft Fracture and the Spiral Groove Radial Nerve 32:08 Radial head fractures and the Mason classification 35:03 Olecranon and distal humerus fractures 37:42 Supracondylar Fracture and Volkmann Contracture 43:43 Nursemaid's elbow and CRITOE 45:30 5 Things to Know Cold
  • Carpal Tunnel Syndrome & Wrist: Scaphoid Fracture, De Quervain | PM&R Board Review (MSK-06) 15.08.2026 21min
    Wrist, Carpal Bones, Carpal Tunnel, and DeQuervain. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-06. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 1:55 Carpal Bone Architecture and Wrist Range of Motion 4:51 Scaphoid Fractures and Lunate Pathology 9:04 Extensor Compartments and Flexor Tendon Zones 11:19 Carpal Tunnel Syndrome 15:51 DeQuervain Tenosynovitis, TFCC, Distal Radius Fractures, and Ganglion Cysts 20:19 5 Things to Know Cold
  • Trigger Finger & Dupuytren: Mallet, Boutonniere, Swan Neck | PM&R Board Review (MSK-07-a) 14.08.2026 36min
    Hand: Flexor Pulleys, Trigger Finger, Dupuytren, and the Fingertip Deformity Quartet. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-07-a. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 1:06 Mnemonic - "Lower lesion, more claw" 3:17 Flexor pulley system and bowstringing 7:37 Camper chiasm and FDS isolation test 10:34 Trigger finger 13:59 Dupuytren contracture 19:33 Mallet finger 23:46 Boutonniere and swan neck deformities 28:06 Jersey finger and Leddy-Packer classification 32:51 5 Things to Know Cold
  • Hand Nerve Injuries: Claw Hand, Gamekeeper Thumb, Froment Sign | PM&R Board Review (MSK-07-b) 13.08.2026 35min
    Hand: Thumb UCL Injury, Intrinsic Muscles, and Deformity by Nerve Injury. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-07-b. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 3:00 Gamekeeper Thumb, Skier Thumb, and the Stener Lesion 9:55 Intrinsic Muscles of the Hand 13:08 Ulnar claw hand, Froment, Jeanne, and Wartenberg 17:19 Median nerve: ape hand, benediction, AIN 20:20 Radial nerve: wrist drop, tenodesis, PIN 24:20 Seddon and Sunderland nerve injury grading 29:10 Hand infections: flexor tenosynovitis, paronychia, felon 32:54 5 Things to Know Cold
  • Hip Special Tests & Anatomy: FABER, FADIR, Trendelenburg, FAI | PM&R Board Review (MSK-08) 12.08.2026 44min
    Hip Anatomy, Muscles, and Special Tests. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-08. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 2:44 Hip joint anatomy and stability 9:27 Hip range of motion and internal rotation loss 13:10 Hip Muscle Innervation and the Gluteal Nerve Trap 19:52 Trendelenburg sign and Thomas test 23:29 Provocative hip tests: FABER, FADIR, Ober, log roll 29:03 Femoroacetabular impingement and labral tears 32:27 Athletic pubalgia and adductor strain 34:36 Snapping hip 36:30 Greater trochanteric pain syndrome 38:23 Piriformis syndrome and meralgia paresthetica 42:00 5 Things to Know Cold
  • Hip Fractures: Garden Classification, Hip Precautions, SCFE | PM&R Board Review (MSK-09) 11.08.2026 1h 25min
    Hip Fractures, Arthroplasty, and Pediatric Hip. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-09. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 2:16 Geriatric hip fracture mortality and care 5:58 Fracture posture, dislocation, and occult fracture 8:57 The Geriatric Hip Fracture and the Garden Classification 14:41 Hemiarthroplasty versus total hip arthroplasty 18:02 Total Hip Arthroplasty Precautions by approach 22:22 Intertrochanteric fractures 25:47 Femoral neck stress fractures 28:38 Post-arthroplasty complications 37:42 Femoral Shaft Fractures, Fat Embolism, and Compartment Syndrome 45:14 Nontraumatic avascular necrosis 47:46 Legg-Calve-Perthes disease 52:45 Slipped capital femoral epiphysis 1:00:13 Developmental dysplasia of the hip 1:05:02 Transient synovitis versus septic arthritis 1:08:02 Heterotopic ossification 1:12:44 Hamstring injuries 1:16:20 Apophyseal avulsion fractures 1:21:49 5 Things to Know Cold
  • ACL & PCL Injuries, Knee Anatomy: Lachman, Pivot Shift, Segond | PM&R Board Review (MSK-10) 10.08.2026 32min
    Knee Anatomy, ACL, PCL, and Ligaments. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-10. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 2:57 Knee anatomy and screw-home mechanism 5:48 Range of Motion and Q-Angle 10:10 Quadriceps, hamstrings, and biceps short head 12:54 ACL Injury, Lachman, Pivot Shift, and the Segond Fracture 21:06 PCL Injury, Sag Sign, and Quadriceps Active Test 23:57 MCL, LCL, and posterolateral corner 27:02 Unhappy triad and knee dislocation 30:13 5 Things to Know Cold
  • Meniscus Tear & Patellofemoral Pain: Knee OA, Osgood-Schlatter | PM&R Board Review (MSK-11) 09.08.2026 1h 5min
    Knee Meniscus, Patellofemoral, and Overuse. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-11. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 3:13 Meniscus Anatomy, Vascular Zones, and Tear Patterns 9:15 Meniscal tears and provocative tests 16:31 Meniscus repair versus resection rehab 18:52 Patellofemoral pain and lateral maltracking 24:19 Acute patellar dislocation 27:37 Patellofemoral rehab, joint forces, and bicycle fitting 33:41 Patellar tendinopathy and extensor ruptures 37:29 IT band syndrome 42:17 Knee bursitis and pes anserine 44:14 Osgood-Schlatter, Sinding-Larsen-Johansson, and plica 47:11 Knee osteoarthritis and the treatment ladder 54:43 Total knee arthroplasty rehab and complications 59:42 Osteochondritis dissecans 1:01:58 5 Things to Know Cold
  • Ankle Sprain & Achilles Rupture: Ottawa Rules, Weber, Hawkins | PM&R Board Review (MSK-12) 08.08.2026 1h 2min
    Ankle Anatomy, Lateral Sprains, Achilles Pathology, and Compartment Syndrome. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-12. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 2:43 The Ankle Mortise, Range of Motion, and the Inversion Bias 7:51 Lateral ligament sequence and the deltoid 12:15 High ankle sprain and the syndesmosis 15:53 Lateral sprain tests, grades, and management 20:09 Ottawa ankle and foot rules 24:18 Weber ankle fracture classification 26:52 Hawkins talar neck fractures and Hawkins sign 31:42 Triceps surae and Achilles rupture 40:14 Achilles tendinopathy 45:53 Acute compartment syndrome 52:41 Exertional leg pain differential 57:06 Sinus tarsi and peroneal tendon subluxation 59:21 5 Things to Know Cold
  • Plantar Fasciitis & Stress Fractures: Morton Neuroma, Lisfranc | PM&R Board Review (MSK-13) 07.08.2026 1h 5min
    Foot: Stress Fractures, Plantar Fasciitis, Morton, Lisfranc, and Deformities. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-13. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 2:21 Foot arches and their supporting structures 7:15 Stress fracture sites and high-risk sites 15:33 Stress fracture screening and imaging 18:51 Fifth metatarsal zones 24:57 Plantar fasciitis 32:06 Morton neuroma 35:42 Tarsal tunnel syndrome 39:02 Lisfranc injury 43:21 Pes planus and posterior tibial tendon dysfunction 50:00 Pes cavus 52:20 Hallux valgus and hallux rigidus 54:57 Lesser toe deformities 57:28 Freiberg infraction 58:58 Charcot foot 1:02:02 5 Things to Know Cold
  • Cervical & Lumbar Radiculopathy: Disc Herniation, Foot Drop | PM&R Board Review (MSK-14) 06.08.2026 56min
    Spine: Anatomy, Disc Herniation, and Radiculopathy. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-14. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Setup 2:38 Vertebral and upper cervical anatomy 8:29 Vertebral arteries 10:36 Disc structure and nutrition 15:12 Spinal ligaments 17:10 Herniation and root exit rules 22:45 Cervical radiculopathy 30:09 Lumbar radiculopathy 34:44 Lumbar provocative tests 38:31 Foot drop localization 41:01 Lhermitte sign and myelopathy 44:20 Thoracic radiculopathy 46:40 Spinal imaging 48:54 Radiculopathy treatment 52:34 5 things to know cold
  • Spinal Stenosis & Spondylolisthesis: Myelopathy, Facet Pain | PM&R Board Review (MSK-15) 05.08.2026 1h 8min
    Spine: Stenosis, Spondylolisthesis, and Facet-Mediated Pain. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-15. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 3:08 Cervical canal measurements 7:57 Myelopathy examination and grading 15:39 Nondegenerative myelopathy 19:05 Rheumatoid instability and cervical treatment 21:08 Lumbar stenosis geometry 27:04 Claudication differential and treatment 31:42 Spondylolysis 36:54 Spondylolisthesis classifications 43:27 Lumbar instability and treatment 45:43 Facet pain and innervation 49:47 Facet procedures and sacroiliac pain 54:23 Spinal infection 1:01:58 Scheuermann disease 1:04:57 5 Things to Know Cold
  • Cauda Equina Syndrome & Back Pain Red Flags: Scoliosis, DISH | PM&R Board Review (MSK-16) 04.08.2026 52min
    Spine: Red Flags, Cauda Equina, Scoliosis, and Ankylosing Spondylitis. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-16. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Setup 3:46 Red flags for back pain 12:31 Cauda equina syndrome 18:51 Conus medullaris syndrome 20:56 Ankylosing spondylitis 29:07 Diffuse idiopathic skeletal hyperostosis 31:40 Scoliosis 40:19 Cervical spine clearance 44:33 Sacral insufficiency fractures 46:54 Waddell signs 48:44 5 things to know cold
  • Concussion Return to Play Protocol: SCAT6, Stingers, RED-S | PM&R Board Review (MSK-17) 03.08.2026 44min
    Sports Medicine. Topics: Concussion, Return-to-Play Protocol, and Stingers. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-17. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 3:28 Concussion Definition and Pathophysiology 9:56 SCAT-6 and Sideline Assessment 19:21 Graduated Return-to-Play Protocol 25:23 Second impact syndrome 28:27 Chronic traumatic encephalopathy 31:03 Stingers 36:33 Female athlete triad and RED-S 38:51 5 Things to Know Cold
  • Exercise Physiology: VO2max, METs, Fick Equation, Karvonen | PM&R Board Review (MSK-18) 02.08.2026 44min
    Sports Medicine. Topics: Exercise Physiology, Cardiac Equations, and Muscle Physiology. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-18. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 2:48 VO2max plateau, norms, and central adaptation 9:24 METs and clinical thresholds 12:50 Cardiac Output and the Fick Equation 19:01 Karvonen formula and heart rate reserve 22:34 Borg scales and intensity dosing methods 27:14 FITT principle 28:56 Muscle Fiber Types and the Henneman Size Principle 33:56 Contraction types, force-velocity, and length-tension 39:35 Rate-pressure product 41:27 5 Things to Know Cold
  • Heat Illness, Exertional Rhabdomyolysis & Altitude Sickness | PM&R Board Review (MSK-19) 01.08.2026 35min
    Sports Medicine. Topics: Environmental Illness, Rhabdomyolysis, and Special Populations. Part of the Musculoskeletal series of the Reflex PM&R Board Review podcast. The full companion chapter and a linked board-style Q-bank set for this topic are at https://www.reflexpmr.com/read/MSK-19. On YouTube, every Musculoskeletal episode in order: https://www.youtube.com/playlist?list=PLHZu3dmTnObo. Educational only, not medical advice. AI-narrated from the Reflex chapter. Chapters: 0:00 Intro 0:31 Episode Setup 2:41 Heat illness spectrum 9:54 Altitude illness: AMS, HACE, HAPE 17:37 Exertional rhabdomyolysis 21:21 Exercise-associated hyponatremia 24:53 Single-organ athletes 26:52 Wolff law, Davis law, kinetic chains 30:42 Lever systems of the human body 32:44 5 Things to Know Cold

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