tag:blogger.com,1999:blog-2003705960781611123.post2154478236648160505..comments2023-07-06T06:50:19.166-04:00Comments on Modern Manual Therapy Blog - Manual Therapy, Videos, Neurodynamics, Podcasts, Research Reviews: Friday 5: 5 Evaluation GoalsErson Religioso III, DPT, FAAOMPThttp://www.blogger.com/profile/06798486555271324601noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-2003705960781611123.post-9252233098609590072013-02-23T20:43:17.080-05:002013-02-23T20:43:17.080-05:00I would say regardless of how long the patient has...I would say regardless of how long the patient has their complaints, most of my patients also tend to respond rapidly. Unless they have true central sensitization.Dr. Erson Religioso III, DPThttp://themanualtherapist.comnoreply@blogger.comtag:blogger.com,1999:blog-2003705960781611123.post-68678762281973954622013-02-23T20:42:23.918-05:002013-02-23T20:42:23.918-05:00Barb, yes, it was with patients of all types, not ...Barb, yes, it was with patients of all types, not just acute. The difference between DIPs and CertMDTs is that DIPs have more training and tend to make derangements out of what most would call dysfunction.Dr. Erson Religioso III, DPThttp://themanualtherapist.comnoreply@blogger.comtag:blogger.com,1999:blog-2003705960781611123.post-90482968832313756462013-02-23T19:57:42.569-05:002013-02-23T19:57:42.569-05:00Actually, I should say, I seldom use repeated moti...Actually, I should say, I seldom use repeated motion strategies with the chronic patients, since most have dysfunctions rather than derangements. I still use all the good posture, back protection info.Barb Carusillo PT, OCS, COMTnoreply@blogger.comtag:blogger.com,1999:blog-2003705960781611123.post-16040279432514137112013-02-23T19:55:13.213-05:002013-02-23T19:55:13.213-05:00In those studies by trained MDT clinicians that sa...In those studies by trained MDT clinicians that say 87% of patients show derangement syndrome, do the studies look at mainly acute patients? I could see that being true, since when I worked in occupational medicine and saw patients right after injury, almost all could be treated with repeated motion and directional preference techniques quickly and successfully. But now I see mainly chronic pain patients, folks that have had problems for often decades, and with that group, I can seldom use MDT type techniques.Barb Carusillo PT, OCS, COMTnoreply@blogger.comtag:blogger.com,1999:blog-2003705960781611123.post-80178450405419523892013-02-23T17:16:59.004-05:002013-02-23T17:16:59.004-05:00Eric,
The pattern is for central or bilateral com...Eric,<br /><br />The pattern is for central or bilateral complains in the c spine, most respond to retraction and derivations of like traction with extension. For unilateral mid/lower pain or peripheralized Sx, most respond to repeated sidebending with overpressure. For upper cervical/HA they may respond to repeated rotation. I'll film this later next week and make it a Q&A for WednesdayDr. Erson Religioso III, DPThttp://themanualtherapist.comnoreply@blogger.comtag:blogger.com,1999:blog-2003705960781611123.post-3672761115359586832013-02-23T12:34:53.931-05:002013-02-23T12:34:53.931-05:00Dr. E,
Another great post, emphasizing pt ed...Dr. E, <br /><br /><br /><br /> Another great post, emphasizing pt education! <br /><br /><br /><br /> In regards to directional preference, Dr. E, can you tell me what you typically observe in the cervical spine? The other day in our manual course we reviewed Traction, Retraction Extension, for a common direction preference in patients with radicular/referred sx (possibly root? discorgenic)... Do you see this pattern ? What are other patterns of directional preference you see here? Thanks so much!Eric Lehmannoreply@blogger.com