Harrison Vaughan, PT, DPT at In Touch PT delves into some current evidence and clinical reasoning related to mechanical traction for patients presenting with neck pain (“What is Your Clinical Reasoning Behind Using Cervical Traction?“). As he states, the current CPR is unvalidated and likely leaves out many patients who could potentially benefit from this intervention.
Once again, Mike Reinold, PT, DPT, SCS, ATC, CSCS has provided several great posts over the past few months. One post of particular note titled, “Are We Putting Our Kids at Risk for Youth Baseball Injuries?“, discusses the importance of understanding what young overhead athletes can and cannot tolerate. Additionally, a guest post written by Peter Nelson lays out the recent research and principles related to groin injuries in ice hockey players.
The Manual Therapist has again provided great content, one great post was a guest article written by Andrew M. Ball, PT, DPT, PhD, OCS, CMTPT titled, “DPT vs Experience“. Which is most important? Well, neither is and the sooner our profession realizes this, the better. An entry-level graduate will not have the tools or clinical reasoning skills that an experienced clinician has, regardless of educational level. However, I believe current DPT graduates are starting at and performing at a higher level than their predecessors. Both aspects are important in becoming an ‘expert clinician’ and in my opinion, you cannot have one without the other.
Over at The Sports Physio, several informative articles have been published over the past few months. The first two of note have to do with the assessment and treatment of sacroilliac joint disorders (“What is the best way to reliably assess the Sacroiliac Joint?” and “What is the best way to treat a painful Sacroiliac Joint?“). While I cannot say I 100% agree with his conclusions, I do agree that palpating for ‘rotations’ or ‘fixations’ in this region should be phased out of clinicians’ clinical reasoning schemes. While we likely do not fix ‘malalignments’, manual treatments in this region often provide pain relief based on a more neurophysiological course of action than anything in the neighborhood of biomechanical. Next up, a great review of everything postrolateral corner was written by Richard Norris (“The Postero-Lateral Corner, the “Dark side of the Knee”“). Definitely worth a read.
Finally, over at the AAOMPT Student SIG’s Blog, Scot Morrison posted a fantastic review of the current state of pain science and the importance of implementing this information in our assessment/treatment of patients (“Pain Series: A look at the role of movement in relation to pain“). This article provides a great resource for those that need a better understanding of modern pain science and, more specifically, the neuromatrix theory initially proposed by Ronald Melzach back in 1989. Obviously, much has changed since then with regards to the neuromatrix theory and pain science in general and this is where this article provides great information for any reader.
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