Jony Sena

Sacroiliac Joint Assessment tests that involve palpation of bony landmarks, and palpation of motion are considered some of the least reliable orthopaedic tests. It was identified by Laslett et al as far back as 2005 that we should use provocation testing and a lumbar repeated motions to rule out lumbar and rule in SIJ. For part 1 of this video series, click here! perform the expected test get a functional test-retest baseline (squat, lunge etc) instead of doing the expected passive treatment, like a manip, MET, mobilization, use a repeated loading strategy like repeated sidegliding or extension retest the function AND the expected test, like supine to long sit - then ask the question, if this is now even, without "putting something back into place, what just happened?"  Modern Manual Therapy is all about avoidance of palpation based motion testing or provocation testing. Why not get right to relief? Do you really need to diagnose by provocation or is alleviation ...

SOME DUMBBELL PRESSING VARIATIONS Here are 5 different dumbbell pressing variations you can use to spice up your press day. If interested, comment below and I will continue to add on this series with a couple more including those with bands etc. 🔸 Any other presses that you use that you would love to highlight? Let me know in the comments! 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! Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

For today’s special blog post, I wanted to share the top three marketing strategies we use in our clinic. They work no matter what type of business you have: brick and mortar, gym, mobile, concierge, even Telehealth. They’re for both seasoned and new cash-practice owners, so get ready! First off, I wanted to start by saying sometimes what’s broken may not be your marketing. You may have a sales and conversion problem. Just keep that in mind if you’re struggling. (For instance, you can’t fix bad customer service with more marketing!) Alright, here are my top three marketing strategies! Workshops and Injury Assessments These both involve getting out into the community and teaching people how physical therapy can be beneficial for them. They get people onto your list and you can provide value in the form of worksheets or training videos, etc. I would aim to do at least one of these a month. Email Marketing No, email marketing is not dead! It just comes down to using an ema...

🎯Strong Glutes - 5 Exercises⤵️ Reposted with permission from my good friend @matthewibrahim_ ⠀ 🔑Building a strong and durable posterior chain is never a bad idea. Case in point: strong people with no glutes simply don’t exist. ⠀ 🔑The key to addressing glute strength is to ensure that you are attacking it from all different angles and vectors. Use positions in sidelying, supine (facing up), prone (facing down), standing, etc. to truly maximize results. ⠀ 🔑Time under tension is pivotal here as you try to layer on glute strength in a strategic fashion. The utilization of tempo work and slow lowering will undoubtedly help you build a durable pair of glutes. ⠀ ✅Exercise list: ⠀ 1. Tempo Mini-Band Bridge (Tempo: 5-Sec Up & 5-Sec Down) ⠀ 2. Physioball Band 1-Leg Reverse Hyper ⠀ 3. DB Neutral Grip Band RDL w/ 5-Second Eccentric ⠀ 4. DB Mini-Band Frog Bridge ⠀ 5. Barbell Hip Thrust ⠀ 📱Check out the link in my bio for more training information! Want to learn ...

Can you recognize the need for intervention? How would you deal with a suicidal patient? Dr. Andrew Rothschild, is back as UPS Podcast cohost with a powerful story on connecting with and motivating a patient from suicide to strength training. 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/

What if I told you that 7 out of 10 of your patients who had an anterior cervical disc fusion (ACDF) had occasional or daily  dizziness and/or unsteadiness   10 years later!? One of the biggest arguments against Dizziness from Cervical Origin (i.e. Cervicogenic Dizziness) is a consistent lack of agreement between professionals of the neck as a driver of symptoms.  Generally speaking, manual based professionals such as acupuncturists, chiropractors and physical therapist hoot “yes” while ENTs and otoneurologists yelp “no”.  This exact topic was one of our most common posts and can be found  here . Nevertheless, we are seeing more and more evidence come out in the last few years in the literature showing correlations between neck disorders and balance/dizziness.  The kicker — this work is done by  surgeons .  We wrote on this exact topic a few months ago too and can be found  here . In early 2019, Hermansen A et al  performed a cross-...

[👣ORTHOSES MYTHS]☝🏻 The infographic and post reposted with permission from @Brad_Beer _ 👉🏻Most days in clinic I debunk one of these myths with my clients. As @sportspodiatryinfo stated on the Expert Edition of @physicalperformanceshow we recorded earlier in the year - before & after pictures of orthoses ‘correcting’ alignment have no place in contemporary evidence based sports medicine 🤔 _ ☝🏻Having just seen a full age ad in local paper ‘before & after’ felt promoted to report this infographic ✅ _ 👉🏻If you missed it worth tuning in to @physicalperformanceshow where @sportspodiatryinfo shared around all things foot orthoses. Along with exploring mechanisms of effect, discussing the ‘P word’ (pronation)+ much more 🗣 _ 👉🏻 @sportspodiatryinfo does a fantastic job in debunking these 5️⃣commonly espoused orthoses myths 🧐☝🏻 _ 👉🏻🎧 Episode 1️⃣7️⃣7️⃣ available now on @itunes @soundcloud @spotify or wherever you get your podcasts _ Want to learn...

Sacroiliac Joint Assessment tests that involve palpation of bony landmarks, and palpation of motion are considered some of the least reliable orthopaedic tests. It was identified by Laslett et al as far back as 2005 that we should use provocation testing and a lumbar repeated motions to rule out lumbar and rule in SIJ. In Part 1 of this video series, I go over a simplified version of the way I rule in SIJ and rule out the lumbar spine. True SIJ pathology is less than 10% of the non-specific lumbopelvic pain presentations you'll see in the clinic. Assess repeated lumbar flexion, extension, and sidegliding to see if pain, ROM, and function changes If any of the above improve the symptoms or function, it's most likely not SIJ dysfunction If pain is asymmetrical, doesn't radiate to below the knee, and repeated lumbar motions DO NOT affect, pain, function, or motion then try treating the SIJ through external stabilization via a belt instead of trying to provoke it ...

📚🔬 SIJ Testing Reposted with permission from  @physicaltherapyresearch on instagram . ℹ️ℹ️ INTRO: Previous systematic reviews revealed poor reliability and validity for SIJ testing. ℹ️ However, these reviews were published nearly 20 years ago and recent evidence has not yet been summarized. ℹ️ Klerx et al (2019), conducted an up-to-date systematic review to verify whether clinical recommendations for SIJ mobility tests should be revised. . 📊📊 Results: 12 relevant articles. 3 of sufficient methodological quality. . 📊 These 3 evaluated the reliability of 8 SIJ mobility tests and one test cluster. . 📊 Including: (1) Click-clack test (2) Standing flexion test (3) Seated flexion test (4) Gillet test (5) Prone knee flexion test (6) Heel-bank test (7) Abduction test (8) Thumb-PSIS test 📊 Gillet was the only test evaluated in more than one study. 📊 Majority of individual tests showed slight to fair agreement in inter-tester reliability. 📊 Compare...

🧠The triceps brachii muscle is a large muscle located on the posterior aspect of the upper arm that works to extend the elbow. The long head of the muscle also contributes to shoulder extension. Reposted with permission from Dr. Tom Walters @rehabscience - 🔎Irritation of the triceps tendon (tendinopathy) near its insertion on the back side of the elbow can occur when training demand surpasses the capacity of the tendon. In these cases, learning to manage overall training volume is important, as well as implementing specific tendon loading strategies. - ✅Shown here is an example progression that could be used to help someone recover from this issue. The key is to pick the exercise version that matches your current symptoms and move on to the next level as pain decreases. Remember that tendinopathies can take several months to fully resolve and can last even longer if movements/exercises that flare the condition up are not modified. . 1️⃣Isometric: Use this strategy when pain...

Tellers Report - New National Board of Directors  AMTA is happy to announce that 94.6% of Professional Members voting in the AMTA National Board Election approved the slate of new board directors to take office on March 1, 2020. The new or returning board members will be Christine Bailor-Goodlander (NY), Michaele Colizza (RI), Pat Collins (NY), Jane Horton Johnson (GA), and Scott Raymond (CT). They will join five continuing Board Directors - Steven Albertson (IL), Bob Jantsch (PA), Kimberly Kane-Santos (PA), Ed Sansbury (NC), and LaDonna Ward (AL) - for FY 2020-21.  On March 1, 2020, President-Elect Angela Barker (WV) will become AMTA President and current President, Christopher Deery of Pennsylvania, will continue on the Board as Immediate-Past President.  The Board of Directors sets the direction for AMTA and its commitment to advancing the profession. The slate process and election allow the association to best ensure that board members have the skills and knowledg...

Prior to inventing the Hip Corkscrew Technique with EDGE Mobility Bands, I used to teach and use mobilization belts for hip manual therapy. Here are my favorite variations on using a mobilization belt. They are all effective and comfortable! Mobilization belts are now available on EDGE Mobility System ! Variations on Belt Hip Mobilizations 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! Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

A recent study by  Korpon et al 2019 in Am J Otolaryngol  examined barometric pressure and the incidence of benign paroxysmal positional vertigo (BPPV).  The aim of this study was to determine the temporal relationship between monthly barometric pressure levels and incidence of BPPV. The following is what the authors found: Of all the variables studied (compared to temperature, humidity, tree/mold/grass/ragweed pollen), barometric pressure demonstrates the strongest statistically significant positive correlation, where every one unit increase in barometric pressure leads to an expected increase of 6.1 diagnoses (r = 0.66 [95% CI 0.14–0.90], p = 0.0131). BPPV diagnoses were observed to be  lowest  during the summer months (June through August) with a  moderate to strong, statistically significant positive correlation  between BPPV diagnoses and barometric pressure observed throughout the year. Therefore, as a clinician, you may find that BPPV d...