Modern Manual Therapy Blog - Manual Therapy, Videos, Neurodynamics, Podcasts, Research Reviews

Clinical and Radiological Follow-up Results of Sequestered Lumbar Disc Herniation - themanualtherapist.com


Goal of the Study?

In this follow-up cohort study published in the Karger Open Access Journal 1 the authors assessed clinical and radiological follow-up results of surgical and non-surgical patients with a sequestered Lumbar Disc Herniation (LDH).  The goal was to determine if a difference existed between patients that had early surgery versus ones that had no surgical intervention.

What is the Difference Between Cervicogenic Dizziness and Vertigo - themanualtherapist.com



In this video, I briefly describe the difference in symptoms and description of symptoms between vertigo and cervicogenic dizziness. 
Untold Physio Stories - Persistent Widespread Pain - themanualtherapist.com



In this episode, Andrew goes over what would be a difficult case for the most seasoned clinician: Persistent widespread pain. He reviews the conversations and odd prescription from the doctor as well as exercise regressions. Would you have done anything differently in this case?


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Also, be sure to check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual - https://edgemobsys.com/bestsellers

Keeping it Eclectic...

An Up-to-Date on Clinical Prospects and Management of Osteoarthritis (OA) - themanualtherapist.com

Untold Physio Stories - The Origins of Arthritic Knee Pain - themanualtherapist.com


In this episode, Andrew reviews a recent case of arthritic knee pain. What are some common referral sites for knee pain? When the knee moves well and is strong, where else do you look?


Untold Physio Stories is sponsored by


EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full Google Workspace and Telehealth integrations


Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education - Join now!


Also, be sure to check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual.


Keeping it Eclectic...

Upside Down Recovery - themanualtherapist.com


Upside Down Recovery - Does it Work?


INTRO:
Many recreational cyclists try to speed recovery after intense exercise by lying upside-down. This is thought to speed up physical recovery and enhance subsequent exercise performance. Gentilin et al. (2021), investigated the effectiveness of this technique among a group of active cyclists.

METHODS:
  • 25 active cyclists (10 females/15 males) tested upside down recovery vs. upright, randomly, in a two-day cross-over protocol.
  • All performed a supra-maximal 45-sec Wingate test.
  • Then took a 7-min recovery period at +45° angle or -20° of inclination.
  • Then repeated the supra-maximal 45-sec Wingate test.
Recovery effectiveness was assessed via:
  • The percentage decline of post- compared to pre-recovery Wingate performance.
  • Kinetics of Lactate.
  • Heart rate (HR).
  • Average blood pressure (MBP).
RESULTS:
7 subjects (5 males, 2 females) did not complete the +45° protocol due to pre-syncopal symptoms.

Upside-down vs. Standing recovery:
  • Did not change the subsequent Wingate performance.
  • Faster HR decline.
  • Cyclists perceived better recovery.
  • Did not change the kinetics of lactate clearance.
  • Prevented the MBP fall.

CONCLUSIONS:
  • Among subjects who fully completed the protocol, the upside-down recovery did not enhance subsequent exercise performance, despite the faster HR decline and personal feeling of greater recovery.
  • Upside-down compared to standing recovery may be associated with a good feeling of attenuation of post-exercise hypotension symptoms.
  • This data suggest being cautious in basing the assessment of the athlete's recovery exclusively on the post-exercise kinetics of the HR.

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SOURCE:
Gentilin et al. 2021. Post-exercise upside-down recovery does accelerate the heart rate recovery but does not improve subsequent sprint performance. J Spot Med & Phys Fit.

Dalton Urrutia, MSc PT

Dalton is a Physical Therapist from Oregon, currently living and running the performance physiotherapy clinic he founded in London for Grapplers and Strength & Conditioning athletes. Dalton runs the popular instagram account @physicaltherapyresearch, where he posts easy summaries of current and relevant research on health, fitness, and rehab topics. 
Want to learn more or contact him?
Reach out online:
@Grapplersperformance

Learn more online - new online discussion group included!


Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. 
  • NEW - Online Discussion Group
  • Live cases
  • webinars
  • lecture
  • Live Q&A
  • over 600 videos - hundreds of techniques and more! 
  • Check out MMT Insiders
Keeping it Eclectic...

[RESEARCH] Return to Play Following Meniscus Injury - themanualtherapist.com



Return to Play Following Meniscus Injury

  • The menisci are semicircular, wedge-shaped cartilages in the knee joint.
  • They have been identified to play a role in shock absorption, load bearing, and stabilization of the knee.
  • Over the past few decades, an abundance of research has been dedicated to meniscal preservation procedures, as both cadaveric and clinical studies have demonstrated a risk for early degenerative changes in the knee with complete loss of meniscal tissue (ie, total meniscectomy).
  • The vascular supply to the meniscus has also been extensively researched and demonstrates that the outer peripheral 1/3 has adequate blood supply (red-red zone), whereas the inner 2/3 tends be more avascular (red-white zone and white-white zone).
  • This has particular implications on the potential healing of a meniscus repair.
  • Knowledge of the zones of blood supply as well as age of the patient and tear characteristics, such as chronicity, tear pattern, and tear location, can aid in making treatment decisions.
  • Studies have suggested that there is an overall incidence of meniscal tears requiring surgery of 60 to 70 per 100,000 person years and approximately 1/3 of these tears are sport related.
  • This review describes the post-op rehab protocol for each procedure and evaluates the outcomes in existing literature as it pertains to the athlete.

KEY POINTS:
  • Meniscectomy offers a faster return to play and is a more attractive option to the in-season athlete. 
  • Meniscus repair should be performed when possible in the young athletically active patient. 
  • Accelerated rehabilitation protocols for meniscus repair offer equivalent functional outcomes when compared with traditional regimens. 
  • Meniscal allograft transplantation is a viable salvage procedure, although return to collision or contact sports must be carefully weighed.

SOURCE:
Brelin & Rue, 2016. Return to Play Following Meniscus Surgery. Clin Sports Med, Oct;35(4):669-78.

Dalton Urrutia, MSc PT

Dalton is a Physical Therapist from Oregon, currently living and running the performance physiotherapy clinic he founded in London for Grapplers and Strength & Conditioning athletes. Dalton runs the popular instagram account @physicaltherapyresearch, where he posts easy summaries of current and relevant research on health, fitness, and rehab topics. 
Want to learn more or contact him?
Reach out online:
@Grapplersperformance

Learn more online - new online discussion group included!


Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. 
  • NEW - Online Discussion Group
  • Live cases
  • webinars
  • lecture
  • Live Q&A
  • over 600 videos - hundreds of techniques and more! 
  • Check out MMT Insiders
Keeping it Eclectic...

Untold Physio Stories - When a Little Angle Goes a Long Way - themanualtherapist.com


Does a lot of repetitive activity and load go a long way toward developing great toe pain and swelling? It's possible! Erson goes over a recent case where a cyclist over did it.



Untold Physio Stories is sponsored by


EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full Google Workspace and Telehealth integrations - find out more at https://edgehealthandtech.com


Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education - Join now at https://insiders.modernmanualtherapy.com


Also, be sure to check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual - https://edgemobsys.com/bestsellers