The following is another article written for the online, video-based physical therapy continuing education company MedBridge Education… Among one of the most common musculoskeletal complaints, neck pain has been estimated to affect between 22% and 77% of individuals in their lifetime according to the Neck Pain Clinical Practice Guidelines published by Childs et al. While this pain…
Blog Posts 1. "Metacognition, Critical Thinking, and Science Based Practice" by Kyle Ridgeway, DPT (PTThinkTank.com) 2. "Let’s Talk Spinal Manipulation (Thrust, Grade 5, or Whatever Else You Wanna Call It)…" by Joseph Brence, DPT, FAAOMPT (ForwardThinkingPT.com) 3. "MRI Findings in Low Back Pain" by Mark Gibson (MarkGibsonPhysio.com) 4. "Clinical Prediction Rules: The Good, The Bad,…
Study Design Randomized Controlled Trial. Subjects One hundred five patients diagnosed with LBP and referred to physical therapy at 1 of 5 outpatient clinics of Clalit Health Services in the Tel-Aviv metropolitan area, Israel, were recruited for this study. Of these 105 patients, 40 were positive on the Stabilization CPR and 65 were negative. The…
In the next installment of my Research Review series for MedBridge Education, we will discuss a recent study that appeared in Physical Therapy Journal conducted by Thomas et al. The authors investigated the changes in vertebral and internal carotid blood flow during selective positions that are commonly associated with manual therapy techniques were assumed. This…
The following is another article written for the online, video-based physical therapy continuing education company MedBridge Education... Following any type of surgery, significant weakness of the primary and secondary musculature is common. For example, quadriceps weakness has been documented during the immediate post-operative phase following surgery (Snyder-Mackler et al), as well as years following rehabilitation (Rosenberg et…
Blog Posts Over at ACL Prevention, Trent Nessler, DPT has posted several fantastic posts centered around using movement analysis in the treatment of orthopedic conditions ("Does Movement Assessment Really Tell You Anything?", "Does Injury Prevention = Improved Performance?", "Does endurance play a role in lower kinetic chain injury prevention?"). Evidence-Based Practice has been an important…
In my first in a series of 'Research Review' articles for MedBridge Education, I will review a recent study that appeared in The American Journal of Sports Medicine. Shaarani et al investigated the utility of a Prehabilitation program for patients scheduled to undergo anterior cruciate ligament reconstruction (ACLR). Considering the variable rate of return to sport…
Biomechanical and neuromuscular factors receive considerable attention in discussing Return to Sport Following ACL Reconstruction. Psychological considerations, however, despite playing an integral role in returning an injured athlete to their respective sport, often go under-appreciated. The purpose of this piece is therefore to briefly review the literature related to the psychology of ACL injury and…
In my previous post, I discussed the current research and concepts with regards to Return to Sport following Anterior Cruciate Ligament Reconstruction (ACLR)... Now it is time to discuss how we, as clinicians, can help to prevent these injuries altogether. A recent Systematic Review and Meta-analysis of 14 studies and 27,000 participants conducted by Gagnier…
Clinical decision making is integral to becoming an effective clinician, regardless of profession. One tool that we, as physical therapists, have is the clinical prediction rule (CPR), which is the best combination of medical signs, symptoms, and/or other findings in predicting the probability of a specific disease or outcome. There have been many CPRs developed…
John Snyder, DPT 