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  • December 13, 2008
  • 10:05 AM
  • 1,638 views

Peripheral nerve function during shoulder arthroplasty

by TexasOrtho in Orthopedic Physical Therapy

The incidence of peripheral nerve injury during shoulder arthroplasty is reported between one and four percent. However as these numbers are based on retrospective chart review, the actual incidence of intraoperative nerve dysfunction has not been clearly revealed.The present study utilized intraoperative nerve monitoring to identify the frequency, type, and predisposing factors for peripheral nerve injury during shoulder arthroplasty. Thirty consecutive patients undergoing shoulder arthroplasty........ Read more »

  • December 13, 2008
  • 09:57 AM
  • 884 views

More Neuroscience from the "Ortho Guy"

by TexasOrtho in Orthopedic Physical Therapy

Well the semester is finally over. Man I never thought there would be so much to my neuroscience course. It has been an eye opening process that has improved my clinical reasoning and given me a few extra tools in my therapeutic box!I thought I might take the next few weeks to share some of the topics discussed this semester. On the surface, some of th issues related to neuroscience seem only peripherally related to orthopedic practice. Upon further review, many hit really close to home for many........ Read more »

Baron, R. (2000) Peripheral Neuropathic Pain: From Mechanisms to Symptoms. Clinical Journal of Pain, 12-20.

  • December 13, 2008
  • 09:57 AM
  • 1,012 views

More Neuroscience from the "Ortho Guy"

by TexasOrtho in Orthopedic Physical Therapy

Well the semester is finally over. Man I never thought there would be so much to my neuroscience course. It has been an eye opening process that has improved my clinical reasoning and given me a few extra tools in my therapeutic box!I thought I might take the next few weeks to share some of the topics discussed this semester. On the surface, some of th issues related to neuroscience seem only peripherally related to orthopedic practice. Upon further review, many hit really close to home for many........ Read more »

Baron, R. (2000) Peripheral Neuropathic Pain: From Mechanisms to Symptoms. Clinical Journal of Pain, 12-20.

  • December 13, 2008
  • 09:15 AM
  • 1,671 views

Calcaneal and Plantar Nerves: Overlooked contributors to heel pain syndromes?

by TexasOrtho in Orthopedic Physical Therapy

So I'm sitting here in my living room watching coverage of the latest impending apocalypse (Hurricane Ike) churn in the Gulf. You might think it's an odd time for this Gulf Coast native to be thinking about heel pain, but here I am...thinking about heel pain. We can discuss the reasons I have no life at a later date.Diagnoses seem to come in spurts in this clinic and I've recently been referred several cases of both infracalcaneal and retrocalcaneal heel pain. As with many of my treatment approa........ Read more »

Rose JD, Malay DS, & Sorrento DL. (2003) Neurosensory Testing of the Medial Calcaneal and Medial Plantar Nerves in Patients With Plantar Heel Pain. The Journal of Foot and Ankle Surgery, 42(4), 173-177.

  • December 11, 2008
  • 01:54 PM
  • 1,904 views

Goal-setting: the professionals’ perspective

by Bronwyn Thompson in Healthskills: Skills for Healthy Living

In a qualitative study, Diane Playford and colleagues explore the views of health professionals who use goals and goal-setting within a rehabilitation context. This study was carried out with a group of health professionals working in rehabilitation in a variety of contexts - elder care, inpatient and community-based teams, as well as health care educators [...]... Read more »

E.D. Playford, L. Dawson, V. Limbert, M. Smith, C.D. Ward, & R. Wells. (2000) Goal-setting in rehabilitation: report of a workshop to explore professionals’ perceptions of goal-setting. Clinical Rehabilitation, 14(5), 491-496. DOI: 10.1191/0269215500cr343oa  

  • December 11, 2008
  • 10:07 AM
  • 855 views

Dissecting Manipulation, Q&A; with John Childs

by Eric Robertson in NPA Think Tank

The current issue of JMMT includes a very nice review of evidence supporting Spinal Manipulative Therapy (SMT) for low back pain. This interesting review is a solid piece of work, and useful in bringing to light the current picture of where we stand: namely that SMT should be used for low back pain, but questions still exist about the best way to use it. The authors of the review have recently published some evidence that calls into question some of the recent guidance we have been getting in te........ Read more »

Michael J. Walker, Robert E. Boyles, Brian A. Young, Joseph B. Strunce, Matthew B. Garber, Julie M. Whitman, Gail Deyle, & Robert S. Wainner. (2008) The Effectiveness of Manual Physical Therapy and Exercise for Mechanical Neck Pain. Spine, 33(22), 2371-2378. DOI: 10.1097/BRS.0b013e318183391e  

  • December 1, 2008
  • 04:00 AM
  • 1,552 views

Is a MRI Accurate in Detecting a Lumbar Disc Herniation in a Patient with Low Back Pain?

by Mike Reinold in MikeReinold.com

Low back pain may be the most common diagnosis seen in doctor and physical therapy clinics.  How about this for statistics from an article published by the American Academy of Family Physicians: Low back pain is the 5th most common reason for all physician visits. Low back pain is responsible for more than $20 billion annually in direct health care costs. In the United States, approximately 90% of adults experience back pain at some time in life. 100% of people writing this........ Read more »

Bradley K Weiner, & Rikin Patel. (2008) The accuracy of MRI in the detection of Lumbar Disc Containment. Journal of Orthopaedic Surgery and Research, 3(1), 46. DOI: 10.1186/1749-799X-3-46  

Bradley K Weiner, & Rikin Patel. (2008) The accuracy of MRI in the detection of Lumbar Disc Containment. Journal of Orthopaedic Surgery and Research, 3(1), 46. DOI: 10.1186/1749-799X-3-46  

  • November 26, 2008
  • 12:00 AM
  • 1,318 views

Clinical Examination of Superior Labral (SLAP) Tears - Part 2

by Michael M. Reinold in MikeReinold.com

Part 2 of a review of clinical exam special tests for SLAP lesions and clinical implications for selecting the right test for your patient... Read more »

Wayne A. Dessaur. (2008) Diagnostic Accuracy of Clinical Testing for Superior Labral Anterior Posterior Lesions: A Systematic Review. Journal of Orthopaedic and Sports Physical Therapy. DOI: 10.2519/jospt.2008.2676  

  • November 24, 2008
  • 09:49 AM
  • 1,244 views

Clinical Examination of Superior Labral (SLAP) Tears - Part 2

by Mike Reinold in MikeReinold.com

What is the best test for a SLAP tear?

Over the last series of posts of SLAP tears, we talked about many things:

What exactly is a SLAP tear?  Top 5 things you need to know about a Superior Labral Tear

How does a SLAP tear occur?  Mechanisms of injury to the superior labrum

Part 1 of how to choose which special test to perform to detect a SLAP tear.  I have gone back and tweaked this post to include some of the research results and links to article abstracts.  The sensi........ Read more »

Wayne A. Dessaur. (2008) Diagnostic Accuracy of Clinical Testing for Superior Labral Anterior Posterior Lesions: A Systematic Review. Journal of Orthopaedic and Sports Physical Therapy. DOI: 10.2519/jospt.2008.2676  

  • November 24, 2008
  • 01:37 AM
  • 1,950 views

Pacing: What’s the evidence for it?

by Bronwyn Thompson in Healthskills: Skills for Healthy Living

Pacing is one of those words: almost every person who has been through a pain management programme of any sort will roll their eyes and groan ‘pacing’ when asked about one of their least favourite strategies.

I have long disliked the word because of the mixed ways in which therapists (and patients) interpret what it actually [...]... Read more »

J GILL, & C BROWN. (2008) A structured review of the evidence for pacing as a chronic pain intervention. European Journal of Pain. DOI: 10.1016/j.ejpain.2008.03.011  

  • November 12, 2008
  • 12:00 AM
  • 2,151 views

Vocational Rehabilitation and Autistic Adults

by Matt Carey in Left Brain/Right Brain

Study of successes rates for adults with autism gaining employment using the Vocational Rehabilitation system for training. Shows good return on investment for VR, and compares success rates across developmental disability categories.... Read more »

Lindsay Lawer, Eugene Brusilovskiy, Mark S. Salzer, & David S. Mandell. (2008) Use of Vocational Rehabilitative Services Among Adults with Autism. Journal of Autism and Developmental Disorders. DOI: 10.1007/s10803-008-0649-4  

  • October 17, 2008
  • 09:03 AM
  • 707 views

What is the Best Approach to Mechanical Neck Pain?

by Eric Robertson in NPA Think Tank

Every so often a study comes along that you know is going to garner loads of attention and be cited by many for years to come. This month's issue of Spine includes just such a study. Walker et al. published their work entitled, "The Effectiveness of Manual Physical Therapy and Exercise for Mechanical Neck Pain." This well designed study compared a group of patients receiving impairment-based manual physical therapy and exercise (MTE) to a group receiving a minimal intervention consisting of sub-........ Read more »

Michael J. Walker, Robert E. Boyles, Brian A. Young, Joseph B. Strunce, Matthew B. Garber, Julie M. Whitman, Gail Deyle, & Robert S. Wainner. (2008) The Effectiveness of Manual Physical Therapy and Exercise for Mechanical Neck Pain. Spine, 33(22), 2371-2378. DOI: 10.1097/BRS.0b013e318183391e  

Michael J. Walker, Robert E. Boyles, Brian A. Young, Joseph B. Strunce, Matthew B. Garber, Julie M. Whitman, Gail Deyle, & Robert S. Wainner. (2008) The Effectiveness of Manual Physical Therapy and Exercise for Mechanical Neck Pain. Spine, 33(22), 2371-2378. DOI: 10.1097/BRS.0b013e318183391e  

  • September 1, 2008
  • 08:31 AM
  • 902 views

Direct Access: The Netherlands

by Eric Robertson in NPA Think Tank

We have established that one of the main barriers to direct access is the issue of third party reimbursement for physical therapy delivered via direct access. It is difficult to judge the true nature of the benefit or demand of direct access services when they are not being fairly offered (assuming a professional should be paid for delivering services consistent with their practice act is fair!). Well, a handy situation presented itself in the Netherlands in 2006 and researchers took advantage o........ Read more »

C. J Leemrijse, I. C. Swinkels, & C. Veenhof. (2008) Direct Access to Physical Therapy in the Netherlands: Results From the First Year in Community-Based Physical Therapy. Physical Therapy. DOI: 10.2522/ptj.20070308  

C. J Leemrijse, I. C. Swinkels, & C. Veenhof. (2008) Direct Access to Physical Therapy in the Netherlands: Results From the First Year in Community-Based Physical Therapy. Physical Therapy. DOI: 10.2522/ptj.20070308  

  • August 3, 2008
  • 08:19 AM
  • 888 views

Are you CPR Certified?

by TexasOrtho in Orthopedic Physical Therapy

Fortunately I'm not talking about through the Red Cross. As important as this life-saving skill is, it may be just as important to understand the nature of a more trendy form of CPR in the world of rehabilitation science: The Clinical Prediction Rule.Prescriptive clinical prediction rules on topics such as lumbar manipulation, traction, and even anterior knee pain have emerged recently in our rehabilitation literature. The fact these reports exist underscore the fact that we are actively engaged........ Read more »

John Childs, & Joshua Cleland. (2006) Development and Application of a Clinica Prediction Rule to Improve decision making in physical therapist practice. Physical Therapy, 122-131.

  • June 23, 2008
  • 12:03 AM
  • 897 views

Persistent Pain: An Independent Disease State?

by TexasOrtho in Orthopedic Physical Therapy

I recently began reading C.S. Lewis' The Problem of Pain. As with many of Lewis' writings, it is remarkable in both it's depth and simplicity. So many questions arise when it comes to the issue of pain, particularly for this therapist. Because I don't like weak links, I figured I'd better start looking for answers!One aspect of a good question is that it often gives rise to more even better and more clinically relevant questions. Many physical therapists (myself included) emerge from entry-level........ Read more »

M COUSINS. (2007) Persistent Pain: A Disease Entity. Journal of Pain and Symptom Management, 33(2). DOI: 10.1016/j.jpainsymman.2006.09.007  

  • June 4, 2008
  • 12:37 PM
  • 1,103 views

Adverse Events of Chiropractic Care: Transparency Now!

by TexasOrtho in Orthopedic Physical Therapy

So I've been binging on literature lately....One of my first courses at Texas Tech's doctoral program is Advanced Clinical Practice for the Cervicothoracic Junction and Thoracic Outlet. Let me be the first to say I had no idea this part of the body would be quite so involved and interesting at the same time.Our weekly assignments involve reading research ranging from randomized clinical trials to anatomical reviews. After only one week in this program, I've already picked up some good informatio........ Read more »

Eric Hurwitz, Hal Morgenstern, Maria Vassilaki, & Chiang. (2005) Frequency and Clinical Predictors of Adverse Reactions to Chiropractic Care in the UCLA Neck Pain Study . Spine, 30(13), 1477-1484.

  • May 14, 2008
  • 07:43 PM
  • 1,283 views

The Core: From Development, Through Distortion, to a Potential Solution

by TexasOrtho in Orthopedic Physical Therapy

I began working in outpatient physical therapy as an exercise physiologist back in 1996. At that time, I had no intentions of becoming a physical therapist and was busy trying to carve a niche in my profession as a strength and conditioning specialist. Back then, both the exercise science and physical therapy communities were running wild with this new form of training that would revolutionize the way we manage orthopedic conditions and enhance performance on the field. Like cave dwellers witnes........ Read more »

Karen Barr, Miriam Griggs, & Todd Cadby. (2007) Lumbar Stabilization. American Journal of Physical Medicine , 86(1), 72-80. DOI: 10.1097/01.phm.0000250566.44629.a0  

Marc Sherry, Thomas Best, & Bryan Heiderscheit. (2005) The Core: Where are we and where are we going?. Clinical Journal of Sports Medicine, 15(1), 1.

  • February 6, 2008
  • 12:00 AM
  • 1,101 views

Dyspnea & cadence

by CxLxMx in cxlxmxrx

I recently purchased a CD of Navy SEAL cadences to try listening to while running. For the past year or so, I've been trying to listen to mp3's of internet talk radio shows, but it doesn't do much to help. I also tried listening to Bach (I was intending to go through his whole repertoire on the treadmill), but I discovered that Bach actually inhibits athletic performance.

So, yesterday, I put on my radio shows and interspersed them with the SEAL cadences, and I had a very inter........ Read more »

Hill et al. (1998) Short-term entrainment of ventilation to the walking cycle in humans. Journal Of Applied Physiology, 65(2), 570-578.

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