Jony Sena

AMTA is excited to announce that the Rhode Island Governor recently signed a bill that improves standards for the massage therapy profession. Highlights from the bill include:  An increase in initial required massage therapy education from 500 to 650 hours of supervised in-class, hands-on courses and clinical work.  A mandate that the department of health investigate all complaints, including allegations by any person, entity, license or organization related to the practice of massage therapy.  Changes to the examining board to ensure that the majority of its members will be licensed massage therapists.  The new bill which sets the standards for continuing education also requires the board to create an annual report with detailed actions and recommendations. Congratulations to the AMTA Rhode Island Chapter on advancing the massage therapy profession in your state!  Related Resources Massage Therapy in Integrated Care » Massage for Health Co...

The lateral tibial glide is a great assessment and treatment when a patient lacks dorsiflexion. This could also lead to knee valgus instability during running, jumping or other CKC activities. To get a refresher on lateral tibial glide, check out these posts first! Lateral Tibial Glide Assessment for Ankle Mobility and Knee Stability Lateral Tibial Glide vs Tibial Internal Rotation Q&A Functional Mobilization for Ankle Pain in Deep Squat Self Lateral Tibial Glide Assessment Self treatment after you improve this important component of ankle mobility is key for the improvements to continue between visits. In this video, I present two variations on self lateral tibial glide for homework. These are two of my favorites for my dynamic warm ups. Improve Ankle Mobility and Knee Stability Interested in learning more? Check out our full online Modern Manual Therapy Seminar - 11.5 hours of CEUs and 26 modules! Want to learn in person? Attend a #manualtherapyparty! Check...

AMTA is excited to announce that the Rhode Island Governor recently signed a bill that improves standards for the massage therapy profession. Highlights from the bill include:  An increase in initial required massage therapy education from 500 to 650 hours of supervised in-class, hands-on courses and clinical work.  A mandate that the department of health investigate all complaints, including allegations by any person, entity, license or organization related to the practice of massage therapy.  Changes to the examining board to ensure that the majority of its members will be licensed massage therapists.  The new bill which sets the standards for continuing education also requires the board to create an annual report with detailed actions and recommendations. Congratulations to the AMTA Rhode Island Chapter on advancing the massage therapy profession in your state!  Related Resources Massage Therapy in Integrated Care » Massage for Health Co...

How often have you used the title's phrase when speaking to a concerned patient? Much of our job is reducing patient's anxiety and fears about movement. Post op is another ballgame as patient's often think they are easily going to break something. Listen in as Modern Rehab Mastery Dr. Phil Van Pelt tells a story about a recent post op case that was worried about her new hardware snapping. Search for Untold Physio Stories on your favorite music/podcast apps!    Untold Physio Stories is sponsored by the EDGE Mobility System, featuring the EDGE Mobility Tool for IASTM, EDGE Mobility Bands, webinars, ebooks, Pain Science Education products and more! Check it out at  edgemobilitysystem.com  .  Be sure to also connect with Dr. Erson Religioso at  Modern Manual Therapy  and Andrew Rothschild at  Modern Patient  Education . Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog V...

Is Preoperative Education Beneficial? For part 1 of this post click here Does PE achieve any of its goals, and is PE worth the time and financial resources required of it? A 2014 systematic review by Jordan et al. concludes, “There is currently insufficient evidence to recommend routine implementation of pre-operative education programmes (2).” Then there is another 2014 systematic review by McDonald et al. that states, “...we are unsure if it (preoperative education) offers benefits over usual care in terms of reducing anxiety, or in surgical outcomes, such as pain, function, and adverse events” (1). There arises different difficulties when assessing the effectiveness of PE. One difficulty is the heterogeneity as described before. There are wide differences in PE in terms of goals, delivery methods, content, timing, duration, and instructor. There are also different outcomes for different surgeries and different patient populations. The research on PE also has inherent limita...

How often have you used the title's phrase when speaking to a concerned patient? Much of our job is reducing patient's anxiety and fears about movement. Post op is another ballgame as patient's often think they are easily going to break something. Listen in as Modern Rehab Mastery Dr. Phil Van Pelt tells a story about a recent post op case that was worried about her new hardware snapping. Search for Untold Physio Stories on your favorite music/podcast apps!    Untold Physio Stories is sponsored by the EDGE Mobility System, featuring the EDGE Mobility Tool for IASTM, EDGE Mobility Bands, webinars, ebooks, Pain Science Education products and more! Check it out at  edgemobilitysystem.com  .  Be sure to also connect with Dr. Erson Religioso at  Modern Manual Therapy  and Andrew Rothschild at  Modern Patient  Education . Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog V...

Walking can help people lose weight. Setting a faster pace, using an incline, and walking multiple times per day can all help increase the amount of calories a person burns. Learn more here. Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

People can do many exercises to strengthen their knees, which can relieve pain and reduce the risk of injury. These exercises include leg lifts, hamstring curls, and wall squats. Learn more about how to strengthen the knee here. Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

Walking can help people lose weight. Setting a faster pace, using an incline, and walking multiple times per day can all help increase the amount of calories a person burns. Learn more here. Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

People can do many exercises to strengthen their knees, which can relieve pain and reduce the risk of injury. These exercises include leg lifts, hamstring curls, and wall squats. Learn more about how to strengthen the knee here. Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

Loss of rotation or unilateral upper cervical headaches could benefit from an Upper Cervical Rotation Mobilization. No need for uncomfortable and repeated oscillations into the barrier. Try this quick and comfortable Upper Cervical Rotation Variation and instruct on repeated retraction and rotation with ipsilateral eye gaze and isometrics for a home reset. Be sure to check out our full online seminar Modern Manual Therapy: The Eclectic Approach to UQ and LQ Assessment and Tx! - new modules being added for Upper Quarter Closed Chain Patterns soon - 12 hours and 27 modules! Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online! 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. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Manual Therapy! K...

When a clinician thinks of dizziness from the neck, or Cervicogenic Dizziness or Cervicogenic Vertigo,  typically  the zygapophyseal joints come to mind as a proprioceptive and nocioceptive abnormal afferent input. In fact, most authors agree that the following order,  C1-2, C2-3, C0-1 and C3-4 , are the most often influenced in cervical symptoms following mTBI due to high influence of proprioceptive activity from these levels. Moreover, the muscles of the posterior cervical spine, the suboccipital musculature, have an abundance of muscle spindles and are high in mechanoreceptor concentrations.  These deep, short intervertebral neck muscles are also  typically  involved in proprioceptive and nocioceptive abnormal afferent input. Interesting enough, a recent case report in 2018 and literature review appeared in Medicine Journal with title, “ Vertigo caused by longus colli tendonitis “. For us with anatomical training, we know the longus colli is ...

Part 1 of this Post Op Progression Series is here - 5 Considerations for Post-Op Patients Over my years of practicing, I’ve realized that many clinicians have no criteria for progressing/regressing their post-surgical patient's rehab programs.  They seem to do it randomly or solely based on time or “just because.” And if you’re anything like me, those reasons (especially the “just because”) doesn’t fly. So here are the thoughts, criteria, etc. that go through my head when deciding on when/how to progress (or regress) patients rehab programs.  I’m not saying these criteria are the only way to do things, the only factors to consider or that they are set in stone, rather these are guidelines I use/consider to safely progress my treatments.  Anything has to be better than nothing. The two main areas I will touch upon are range of motion and exercises (i.e. strengthening, neuromuscular, dynamic stability, etc). This post focuses on ROM and in particular end-feels and t...

On this episode, Modern Rehab Mastery mentee Dr. Dana Palmer goes over how some education changed many lives and helped save countless limbs in a small island country she decided to work at just because it looked nice. Search for Untold Physio Stories on your favorite music/podcast apps!    Untold Physio Stories is sponsored by the EDGE Mobility System, featuring the EDGE Mobility Tool for IASTM, EDGE Mobility Bands, webinars, ebooks, Pain Science Education products and more! Check it out at  edgemobilitysystem.com  .  Be sure to also connect with Dr. Erson Religioso at  Modern Manual Therapy  and Andrew Rothschild at  Modern Patient  Education . Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/