What to Read: April-May 2015

Each month multiple bloggers, researchers, and clinicians produce evidence-based content that moves our profession forward. Below are several research and blog articles I recommend from this past month... Blog Posts: 1. "Stabbed in the back: Moving the knife out of back pain", by Jørgen Jevne 2. "Don't Freak Out: Treating Pain with Simple Fundamentals", by Greg…

Should we stop blaming the glutes for everything?

Below is an article written for MikeReinold.com...  Anterior cruciate ligament (ACL) rupture1,2 and patellofemoral pain syndrome (PFPS)3,4,5 are two of the most common lower extremity complaints that physicians or physical therapists will encounter. In addition to the high incidence of these pathologies, with regards to ACL injury, very high ipsilateral re-injury and contralateral injury have…

Research Review: Comparison of 2 Manual Therapy and Exercise Protocols for Cervical Radiculopathy

In the next installment of the Research Review Series, we discuss a recent randomized controlled study investigating the effectiveness of a manual therapy program specifically tailored to increase the intervertebral foramen (IVF) versus a general manual therapy program in patients presenting with cervical radiculopathy3. Study Design Participant and assessor-blinded randomized clinical trial. Subjects Thirty-six subjects were…

What to Read: February 2015

Each month multiple bloggers, researchers, and clinicians produce evidence-based content that moves our profession forward. Below are several research and blog articles I recommend from this past month... Blog Posts: 1. "Stabbed in the back: Moving the knife out of back pain", by Jørgen Jevne 2. "Don't Freak Out: Treating Pain with Simple Fundamentals", by Greg…

Evidence-Based Strength Training: Scapulothoracic Musculature, Part 2

Scapulothoracic Muscles and Pain As I mentioned in Part 1, weakness or poor neuromuscular control of the periscapular muscles has been implicated in subacromial impingement1,2, lateral epicondylalgia3-5, cervicogenic headache6, and neck pain7,8. Specifically, insidious onset of neck pain and whiplash associated disorder (WAD) have been linked with a significant delay in and shorter duration of…

Evidence-Based Strength Training: Scapulothoracic Musculature, Part 1

In the next installment of the Evidence-Based Strength Training Series for MedBridge Education, we are going to take a look at the often-neglected scapulothoracic musculature... Typically when considering the management of painful upper quarter conditions, local exercise and manual therapy interventions are employed judiciously. However, when utilizing a proper movement assessment or regional interdependence philosophy, impairments…

Research Review: Immediate Effects of Real-Time Feedback on Jump-Landing Kinematics

In the next instalment of the Research Review Series, we discuss the impact of real-time feedback in addition to post-response feedback compared to post-response feedback alone on jumping-landing mechanics in a young female population1.  Study Design Randomized controlled trial. Subjects Thirty-six pain-free females were recruited from the general student population at the University of Toledo and assigned…

The Most Important Aspect of Patient Care

The following is an article written for the online, video-based physical therapy continuing education company MedBridge… Helping individuals with chronic pain and significant functional limitations is a remarkably difficult and delicate task. Numerous treatment philosophies are available to clinicians from the overtly biomechanical (Cyriax, Kaltenborn, Sahrmann, etc.) to more patient-response driven (Maitland, Mckenzie, etc.). Unfortunately, no one…

Clinical Prediction Rule Update

I have taken the time to update the Clinical Predition Rule (CPR) Resource... Newly added CPRs include: 1. Anterior Shoulder Instability 2. Closed Cervical Fracture 3. Hip Osteoarthritis 4. Lumbar Spinal Stenosis 5. MCL Pathology 6. Vertebral Compression Fracture Additionally, the Litaker et al. study was added to the diagnostic CPR for Rotator Cuff Pathology and the…