Quick Links! | Modern Manual Therapy Blog

Quick Links!


Today's Quick Links come from Eurekalert, The Sports Physiotherapist, Body In Mind, Save Yourself.ca, and PT Think Tank.

Has a patient of yours ever looked at another patient in the clinic and said, "That guy is not doing well at all!" Or, in contrast, "That guy is doing much better than I am!" Here is a summary of some research that says why patients shouldn't compared themselves either way. When I notice a patient saying that, I tell them, "For all people, there is someone always doing better and doing worse. You should focus on how you are doing now compared to how you were prior to starting treatment."

The Sports Physiotherapist reviews research that may allow you to predict the prognosis better after hamstring injury. The recovery period and readiness to progress to more aggressive rehab like eccentric training depends on the location of the injury/which hamstring muscle.

More Lorimer Moseley asking Why Do We Keep Beating Around the Bush, in regard to Teaching People About Pain. He states it is not good enough to state that someone has "gone chronic" and is now appropriate for pain education. Again, I point I disagree with as not everyone needs the in the brain explanation, especially at the acute state when they will most likely get better before central sensitization occurs. It's often a tough sell and much easier to use peripheral/mechanical explanations in a practical sense.

Paul Ingraham on SaveYourself.ca writes about That Massage Article that so many massage blogs have picked up and ran with last recently. He breaks it down very well about the erroneous assumptions the researchers have made regarding the effects of massage and mitochondira.

Dr. Mike Pascoe, PhD live tweeted Drs. Clelland and Bialosky's Manual Therapy: How Does It Work, presentation from CSM 2012. Some great research and points made. Some of which we teach in our manipulation program in fellowship. Recent studies have shown that specificity does not matter (or is indeed not possible in regard to moving 2 segments only), and that manual therapy has more neurophysiologic modes. This is why I think all multimodal studies have better outcomes, because the repeated motions, or HEP enforces the improved pain free movement patterns, thus decreasing threat and increasing stretch tolerance. The more modes of treatment, other than passive modalities, the more bombarding of the CNS that eventually results in improved movement quality and quantity.

Hope this gets your through the weekend and thanks for reading!

2 comments:

  1. Kyle J Ridgeway, PT, DPTFebruary 11, 2012 at 4:54 PM

    "More Lorimer Moseley asking Why Do We Keep Beating Around the Bush, in regard to Teaching People About Pain. He states it is not good enough to state that someone has "gone chronic" and is now appropriate for pain education. Again, I point I disagree with as not everyone needs the in the brain explanation, especially at the acute state when they will most likely get better before central sensitization occurs. It's often a tough sell and much easier to use peripheral/mechanical explanations in a practical sense."

    My response here would be you need to be able to apriori identify who "will go chronic and who will not. Not everyone NEEDS the explanation, but it does not have to be an hour long lecture. Just a little education about what pain IS neuropyshiologic. Maybe if we educated more up front, less people "would go chronic'? Just a thought....

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  2. I agree Kyle, with the advent of us the biopsych approach research, I have been thinking that our job is to prevent a chronic condition, but like I've been stating, I find from experience that we may be able to prevent catastophization with education and quality treatment but some people are like that no matter what, before they had onset of pain. I don't think that is easily or practically changed.

    Practically it would involve hopefully more pt education on our front as well as referring provider education to get them in ASAP. I've already been doing this as a private practice owner for a while and even prior to just being a manager. We want all patients when they're acute. Sounds like you had a great time at CSM, hope to make it one of these days.

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