What to Read: December 2012

Cathedral of Learning

Blog Posts

The first blog post comes from Joseph Brence, DPT (Forward Thinking PT) and Francois Prizinski, DPT, OCS, COMT, DAC, FAAOMPT who made a portion of their lecture titled “Modern Manual Therapy: Painful Paradigms, Pain Science and Neurodynamics of the Upper Extremity” available. If you are unsure or unaware of the mounting evidence supporting a biopsychosocial approach and its implications to manual therapy, then this is definitely worth checking out!

Harrison Vaughn at In Touch Physical Therapy once again asks an important question, “What do you consider a successful treatment?” This is a great question and one that is not asked enough. Are you satisfied with providing a few exercises, some TENS, and maybe some moist heat? More importantly, is your patient satisfied? Also from In Touch Physical Therapy, a case (Part 1, Part 2) is presented that lays out the potential benefit of IASTM after a patient begins to plateau.

Mike Reinold, DPT, SCS, ATC, CSCS discusses “Working the Glutes in 3D”, which refers to considering a muscle’s function in all planes of motion and applying an appropriate intervention. Isolated movements are necessary, especially early in the rehabilitation process, but in order to make more substantial gains, progression to a more functional program is necessary.

Over at PT Think Tank, there have been two great posts recently. The first post was written by Paul Mitalski regarding the unique professional hierarchy utilized at his sports rehabilitation and performance enhancement facility. His philosophy is very much in line with where I believe the Sports Physical Therapist should be in the organizational food chain. Within this framework, the PT performs a supervisory role within the performance enhancement program in addition to his/her duties in the rehabilitation arena. This is an innovative program and will hopefully be the norm as more PTs choose to further their education/experience through residency and fellowship training. The second post was written by Kyle Ridgeway, PT, DPT regarding common misconceptions and myths regarding Acute Care Physical Therapy. This is a setting that does not get enough credit, which is something I learned first hand during my summer clinical rotation.

Finally, at Therapydia, there was a panel discussion regarding “The Future and Direction of Manual Physical Therapy”. The panel included Joseph Brence, DPT, John Ware, PT, MS, FAAOMPT, and Timothy Flynn, PT, PhD, OCS, FAAOMPT. This was a great discussion by some of the experts in the manual therapy community… If you haven’t watched this yet, watch it now!

Research

Fritz JM, et al. Primary Care Referral of Patients With Low Back Pain to Physical Therapy: Impact on Future Health Care Utilization and Costs. Spine. 2012;37(25): 2114–2121.

Muth S, et al. The Effects of Thoracic Spine Manipulation in Subjects With Signs of Rotator Cuff Tendinopathy. Journal of Orthopaedic & Sports Physical Therapy. 2012;42(12): 1005-1016.

Register B, et al. Prevalence of Abnormal Hip Findings in Asymptomatic Participants: A Prospective, Blinded Study. American Journal of Sports Medicine. 2012;40(12): 2720-2724.

Salsich GB, et al. The Effects of Movement Pattern Modification on Lower Extremity Kinematics and Pain in Women With Patellofemoral Pain. Journal of Orthopaedic & Sports Physical Therapy. 2012;42(12): 1017-1024.

Shultz SJ, et al. Associations Between Lower Extremity Muscle Mass and Multiplanar Knee Laxity and Stiffness: A Potential Explanation for Sex Differences in Frontal and Transverse Plane Knee Laxity. American Journal of Sports Medicine. 2012;40(12): 2836-2844.

Villafaine JH, et al. Effects of Passive Upper Extremity Joint Mobilization on Pain Sensitivity and Function in Participants With Secondary Carpometacarpal Osteoarthritis: A Case Series. Journal of Manipulative and Physiological Therapeutics. 2012;35(9): 735-742.

Wouters I, et al. Effects of a movement training program on hip and knee joint frontal plane running mechanics. International Journal of Sports Physical Therapy. 2012; 7(6): 637-642.

What to Read: November 2012

Cathedral of Learning

This is the first installment of a monthly post suggesting great physical therapy related blog posts and research to read…

Blog Posts

The first blog post comes from Joseph Brence, PT, DPT at Forward Thinking PT who posted a thorough response to a controversial speech given by Dr. Stanley Paris regarding the current state of manual therapy in the physical therapy profession.

At In Touch Physical Therapy Blog, Harrison Vaughn, PT, OCS, Cert. SMT posed an important question, “What’s the Image of Physical Therapy?” Have you ever done a google image search for ‘physical therapy’? Lets just say we have a ways to go in changing the public’s perception of our profession.

Lack of tibial internal rotation can create several negative biomechanical effects and Erson Religioso, PT, DPT, FAAOMPT at The Manual Therapist went into great detail on how to combine IASTM with joint mobilization to improve this deficit. Definitely worth a read!

Over at the Student Special Interist Group of the AAOMPT’s blog, they posted a four part series on understanding pain. As a physical therapist, you MUST have a thorough understanding of what causes pain and how that pain is perceived by your patient. Not all pain is nociceptive, not all pain is biomechanically driven, and not all pain is the same.

Part 1: Understanding Pain
Part 2: The Role of the Brain in Chronic Pain
Part 3: The Mystery of Chronic Pain
Part 4: Teaching People About Pain

Finally, Erson Religioso, Joseph Brence, and Chris Johnson (Chris Johnson PT) discuss their differing opinions, experiences, and treatment strategies when dealing with a patient suffering from Iliotibial Band Syndrome via Google Chat. This is a great resource for any clinician who sees patients diagnosed with this impairment.

Research

Hando BR, et al. Short- and long-term clinical outcomes following a standardized protocol of orthopedic manual physical therapy and exercise in individuals with osteoarthritis of the hip: a case series. Journal of Manual & Manipulative Therapy. 2012;20(4):192-200.

Hegedus EJ, et al. Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests. British Journal of Sports Medicine. 2012;46(14):964-978.

Fukuda TY, et al. Hip Posterolateral Musculature Strengthening in Sedentary Women With Patellofemoral Pain Syndrome: A Randomized Controlled Clinical Trial With 1-Year Follow-up. Journal of Orthopaedic & Sports Physical Therapy. 2012;42(11):823-840.

Greenberger HB, et al. Patient Age is Related to the Types of Physical Therapy Interventions Provided for Chronic Low Back Pain – An Observational Study. Journal of Orthopaedic & Sports Physical Therapy. 2012;42(11):902-911.

Lentz TA, et al. A Cross Sectional Study of Return to Pre-Injury Sports Participation Following Anterior Cruciate Ligament Reconstruction: Contributions of Demographic, Knee Impairment, and Self-Report Measures. Journal of Orthopaedic & Sports Physical Therapy. 2012;42(11):893–901.