What to Read: November 2013 – January 2014

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, and The Ugly” by Matthew Barton, SPT, CSCS, HFS (AAOMPTsSIG.wordpress.com)

5. “Becoming a Self-Sustaining Physical Therapist: From Spoon-Fed to Hunter-Gatherer” by Kenneth Taylor, SPT (AAOMPTsSIG.wordpress.com)

6. “Agree or Disagree the Less Wrong Way” by Kyle Ridgeway, DPT (PTThinkTank.com)

7. “What is a Lateral Shift & Why Does It Matter?” by Trent Nessler, DPT (ACLPrevention.com)

8. “Here’s to a Nonoperative 2014” by John Childs, PhD, DPT, FAAOMPT (EvidenceInMotion.com)

9. “Busting the Myth that Manipulation is at End-Range” by Harrison Vaughn, DPT (InTouchPT.wordpress.com)

10. “Does evidence support using the Functional Movement Screen?” by Chris Beardsley (StrengthandConditioningResearch.com)


1. Beattie PF, et al. The Within-Session Change in Low Back Pain Intensity Following Spinal Manipulative Therapy is Related to Differences in Diffusion of Water in the Intervertebral Discs of the Upper Lumbar Spine and L5-S1. Journal of Orthopaedic & Sports Physical Therapy. 2014; 44 (1): 19–29.

2. Di Stasi SL, et al. Neuromuscular Training to Target Deficits Associated With Second Anterior Cruciate Ligament Injury. Journal of Orthopaedic & Sports Physical Therapy. 2013; 43 (11): 777–792, A1–11.

3. Frank B, et al. Trunk and Hip Biomechanics Influence Anterior Cruciate Loading Mechanisms in Physically Active Participants. American Journal of Sports Medicine. 2013; 41 (11): 2676–2683.

4. Hartigan EH, et al. Kinesiophobia After Anterior Cruciate Ligament Rupture and Reconstruction: Noncopers Versus Potential Copers. Journal of Orthopaedic & Sports Physical Therapy. 2013; 43 (11): 821–832.

5. Herrington L, et al. Task based rehabilitation protocol for elite athletes following Anterior Cruciate ligament reconstruction: a clinical commentary. Physical Therapy in Sport. 2013; 14 (4): 188–198.

6. Lind M, et al. Free Rehabilitation Is Safe After Isolated Meniscus Repair: A Prospective Randomized Trial Comparing Free with Restricted Rehabilitation Regimens. American Journal of Sports Medicine. 2013; 41 (12): 2753–2758.

7. Rabin A, et al. A Clinical Prediction Rule to Identify Patients With Low Back Pain Who Are Likely to Experience Short-Term Success Following Lumbar Stabilization Exercises: A Randomized Controlled Validation Study. Journal of Orthopaedic & Sports Physical Therapy. 2014; 44 (1): 6–18, B1–13.

8. Rhon D, et al. Manual physical therapy and perturbation exercises in knee osteoarthritis. Journal of Manual & Manipulative Therapy. 2013; 21 (4): 220–228.

9. Sihvonen R, et al. Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear. New England Journal of Medicine. 2013; 369 (26): 2515–2524.

10. Thomas LC, et al. Effect of Selected Manual Therapy Interventions for Mechanical Neck Pain on Vertebral and Internal Carotid Arterial Blood Flow and Cerebral Inflow. Physical Therapy. 2013; 93 (11): 1563–1574.

What to Read: August-October 2013

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 topic leading up to and following the AAOMPT Annual Conference in Cincinnati, Ohio. Selena Horner at Evidence in Motion and Harrison Vaughn at In Touch PT both give their opinion on the current state of this theoretical model (“AAOMPT and Evidence Based Practice” and “Evidence-Based Practice: Survey Results“).

Mike Reinold has continued to provide excellent content at his website starting with his views on Glenohumeral Internal Rotation Deficit (GIRD). As he points out, GIRD is not as simple as previously assumed and, at times, these deficits are not detrimental to the athlete or his/her performance. The take away from this article is simple, “assess, don’t assume”.

Finally, over at Ortho Chat, my fellow classmate TJ Moore posted several fantastic interviews with some of the leaders in our field. The first of which is a discussion with Keelan Enseki regarding the treatment of Sports Hernia. Shortly following, Chad Cook joined him to discuss the current state of Randomized Controlled Trials in the physical therapy literature. And finally, Tom Tisdale discussed the current best practice with regards to treatment, diagnosis, and prevention of Ulnar Collateral Ligament Pathology. Definitely worth checking out.


1. Engquist M, et al. Surgery Versus Nonsurgical Treatment of Cervical Radiculopathy: A Prospective, Randomized Study Comparing Surgery Plus Physiotherapy With Physiotherapy Alone With a 2-Year Follow-up. Spine. 2013; 38(20): 1715–1722.

2. Ericsson YB, et al. Lower extremity performance following ACL rehabilitation in the KANON-trial: impact of reconstruction and predictive value at 2 and 5 years. British Journal of Sports Medicine. 2013; 47(15): 980-985.

3. Farrokhi S, et al. A Biomechanical Perspective on Physical Therapy Management of Knee Osteoarthritis. Journal of Orthopaedic & Sports Physical Therapy. 2013; 43(9): 600–619.

4. Gagnier JJ, et al. Interventions Designed to Prevent Anterior Cruciate Ligament Injuries in Adolescents and Adults: A Systematic Review and Meta-analysis. American Journal of Sports Medicine. 2013;41(8):1952–1962.

5. Kuhn JE, et al. Effectiveness of physical therapy in treating atraumatic full-thickness rotator cuff tears: a multicenter prospective cohort study. Journal of Shoulder & Elbow Surgery. 2013; 22(10): 1371-1379.

6. Manske RC, et al. Current Concepts in Shoulder Examination of the Overhead Athlete. International Journal of Sports Physical Therapy. 2013; 8(5): 554–578.

7. Martin RL, et al. Ankle Stability and Movement Coordination Impairments: Ankle Ligament Sprains. Journal of Orthopaedic & Sports Physical Therapy. 2013; 43(9): A1–A40.

8. Peters J, et al. Proximal Exercises are Effective in Treating Patellofemoral Pain Syndrome: A Systematic Review. International Journal of Sports Physical Therapy. 2013; 8(5): 689–700.

9. Rio E, Moseley L, Purdam C, et al. The Pain of Tendinopathy: Physiological or Pathophysiological? Sports Med. 2013.

10. Shaarani SR, et al. Effect of Prehabilitation on the Outcome of Anterior Cruciate Ligament Reconstruction. American Journal of Sports Medicine. 2013; 41(9): 2117–2127.

What to Read: March-July 2013

Blog Posts

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.


Ardern CL, et al. Psychological Responses Matter in Returning to Preinjury Level of Sport After Anterior Cruciate Ligament Reconstruction Surgery. American Journal of Sports Medicine. 2013;41(7):1549–1558.

Bialosky JE, et al. Patient Expectations of Benefit from Interventions for Neck Pain and Resulting Influence on Outcomes. Journal of Orthopaedic & Sports Physical Therapy. 2013;43(7):457–465.

Cleland JA, et al. Manual Physical Therapy and Exercise Versus Supervised Home Exercise in the Management of Patients Status Post Inversion Ankle Sprain: A Multi-Center Randomized Clinical Trial. Journal of Orthopaedic & Sports Physical Therapy. 2013;43(7):443–456.

Cynn HS, et al. Musculoskeletal Predictors of Movement Quality for the Forward Step Down Test in Asymptomatic Women. Journal of Orthopaedic & Sports Physical Therapy. 2013;43(7):504–510.

de Oliveira RF, et al. Immediate Effects of Region-Specific and Non-Region-Specific Spinal Manipulative Therapy in Patients With Chronic Low Back Pain: A Randomized Controlled Trial. Physical Therapy. 2013;93(6):748–756.

Donaldson M, et al. The Role of Patients’ Expectation of Appropriate Initial Manual Therapy Treatment in Outcomes for Patients with Low Back Pain. Journal of Manipulative and Physiological Therapeutics. 2013;36(5):276–283.

Ha SM, et al. Selective Activation of the Infraspinatus Muscle. Journal of Athletic Training. 2013;48(3):346–352.

Kelley MJ, et al. Shoulder Pain and Mobility Deficits: Adhesive Capsulitis. Journal of Orthopaedic & Sports Physical Therapy. 2013;43(5):A1–A31.

Masaracchio M, et al. Short-term Combined Effects of Thoracic Spine Thrust Manipulation and Cervical Spine Non-thrust Manipulation in Individuals With Mechanical Neck Pain: A Randomized Clinical Trial. Journal of Orthopaedic & Sports Physical Therapy. 2013;43(3):118–128.

Pappas E, et al. Asymmetries in Functional Hop Tests, Lower Extremity Kinematics and Isokinetic Strength Persist 6-9 Months Following ACL Reconstruction. Journal of Orthopaedic & Sports Physical Therapy. 2013;43(3):154–162.

Pierce CM, et al. Ice Hockey Goaltender Rehabilitation, Including On-Ice Progression, After Arthroscopic Hip Surgery for Femoroacetabular Impingement. Journal of Orthopaedic & Sports Physical Therapy. 2013;43(3):129–141.

Yim JH, et al. A Comparative Study of Meniscectomy and Nonoperative Treatment for Degenerative Horizontal Tears of the Medial Meniscus. American Journal of Sports Medicine. 2013;41(7):1565–1570.

What to Read: February 2013


To start, Therapydia’s Blog Awards end this Tuesday, February 26th at 5 PM PST / 8 PM EST. Immediately following the end of voting, the winners will be announced live on Therapydia’s PT-TV. So, please take the time to vote for Orthopedic Manual PT as the ‘Best Student Blog’, I appreciate your continued support! VOTE HERE!

This month’s blog posts come from Forward Thinking PT, In Touch Physical Therapy, The Sports Physio, My New Joints, and The Manual Therapist.

Blog Posts

Joseph Brence, DPT wrote a great post detailing the brain’s influence on human movement in an article titled, “The Beauty of Movement…Part 1“. This is a topic that I think many therapists disregard, but the importance is paramount to a successful rehabilitation.

Harrison Vaughn, DPT over at In Touch PT has been busy this month with a number of great, informative posts. The first (“By the Numbers: 3.57 vs 2.46“) is an overview of a recent article published by Dr. James Dunning and the differing amount of cavitations versus a similar study conducted in 1996 by Reggars et al. Differing techniques may have contributed, but does this translate to improved outcomes? Current research in the lumbar spine says no, but the cervical spine is a much different animal. The next post, “PT Tests for Dx Achilles Tendon Rupture“, that details the Matles Test (sp = 0.85, sn = 0.88), which is a lesser known diagnostic test for achilles tendon rupture. Finally, “Hoffman’s Test and Inverted Supinator Sign” explains the clinical utility of these tests in the screening for cervical myelopathy (especially when used within the cluster described by Cook et al). The videos of ‘positive’ findings were very useful, especially for current students or new grads.

In a post titled “Shoulder pain, GIRDs and Sleeper Stretches…“, Adam Meakins, PT discusses the probable causes, diagnosis, and treatment of GIRD. Well worth a read!

Non-operative Management for Patients after ACL Rupture” written by Joseph Zeni, MSPT, PhD details the current research and qualifying criteria for individuals who may be able to forgo ACL reconstruction in favor of conservative treatment. Research has begun to mount in favor of conservative physical therapy for a certain sub-set of patients with this injury and this is information that all patients should know prior to going under the knife.

Finally, at The Manual Therapist, Erson Religioso, DPT, FAAOMPT has posted several articles about IASTM, SIJ Dysfunction, and Patient Evaluation… Check them out:

5 Important Things I Didn’t Learn in School
Q&A Time! How Do I Address SIJ Dysfunction?
5 Techniques for “SIJ” Dysfunction
2 Myths of IASTM
3 Advantages of IASTM
5 Evaluation Goals


Anneli P, et al. Physical Function Outcome in Cervical Radiculopathy Patients After Physiotherapy Alone Compared With Anterior Surgery Followed by Physiotherapy: A Prospective Randomized Study With a 2-Year Follow-up. Spine. 2013; 38(4): 300–307.

Collins NJ, et al. Prognostic factors for patellofemoral pain: a multicentre observational analysis. British Journal of Sports Medicine. 2013; 47(4): 227-233.

Oliveira VC, et al. Multimodal physiotherapy is effective for anterior knee pain relief. British Journal of Sports Medicine. 2013; 47(4): 245-246.

Selkowitz DM, et al. Which Exercises Target the Gluteal Muscles While Minimizing Activation of the Tensor Fascia Lata? Electromyographic Assessment Using Fine-Wire Electrodes. Journal of Orthopaedic & Sports Physical Therapy. 2013; 43(2): 54-65.

Swensen DM, et al. Epidemiology of Knee Injuries among U.S. High School Athletes, 2005/2006–2010/2011. Medicine & Science in Sports & Exercise. 2013; 45(3): 462–469.

Walton DM, et al. Risk Factors for Persistent Problems Following Acute Whiplash Injury: Update of a Systematic Review and Meta-analysis. Journal of Orthopaedic & Sports Physical Therapy. 2013; 43(2): 31-43.

Additionally, if you are a physical therapy student and you are interested in interacting with other students from around the world, consider joining the WWPTSN’s Facebook Group!

What to Read: January 2013

Cathedral of Learning

Blog Posts

Mike Reinold recently published a guest post titled “Do Males and Females with Patellofemoral Pain Need to be Treated Differently?” written by Heidi Mills, BSc (Hons), GSR. This article points out the inherent biomechanical differences between men and women and how these translate to clinical practice. That being said, there is no cookbook protocol based on sex and each individual program should be specific to your patient’s deficits.

At the EIM Blog, in an article titled “The Future of Physical Therapy Education“, John Childs, PT, PhD, MBA discusses the disjointed educational requirements to become a Doctor of Physical Therapy. With increasing student loan debts and changing medical reimbursements, it is only time before the DPT curriculum begins to mirror that of most MD programs.

Erson Religioso III, DPT, FAAOMPT posted a detailed video (“Eclectic Strategies for Thoracic Mobility“) demonstrating and discussing the need for thoracic intervention/evaluation. Well worth the 20 minutes!

Finally, in the aftermath of the “Dr.” Oz debacle, there have been several blog posts addressing the issue. We as therapists or future therapists must educate the general public on what we do and why we do it. The general population does not understand our place in the medical community and this needs to change. At the same time, outdated passive modalities NEED to be phased out… Ultrasound, Hot Packs, and TENS do not cut it anymore.

1 Step Forward, 10 Steps Back” – Forward Thinking PT
In the News” – In Touch PT
There’s No Such Thing as Bad Press” – PT Think Tank
I Am a Doctor of Physical Therapy…” – Doctors of Physical Therapy


Almeida Lins CA, et al. Kinesio Taping® does not alter neuromuscular performance of femoral quadriceps or lower limb function in healthy subjects: Randomized, blind, controlled, clinical trial. Manual Therapy. 2013; 18(1): 41-45.

Campbell AB, et al. Preoperative MRI Underestimates Articular Cartilage Defect Size Compared With Findings at Arthroscopic Knee Surgery. American Journal of Sports Medicine. 2013. [Epub ahead of print]

Cook CE, et al. Which Prognostic Factors for Low Back Pain Are Generic Predictors of Outcome Across a Range of Recovery Domains? Physical Therapy. 2013; 93(1): 32-40.

Jihong P, et al. Induced Anterior Knee Pain Immediately Reduces Involuntary and Voluntary Quadriceps Activation. Clinical Journal of Sport Medicine. 2013; 23(1): 19–24.

Noehren B, et al. Prospective Evidence for a Hip Etiology in Patellofemoral Pain. Medical Science in Sports & Exercise. 2013. [Epub ahead of print]