Jony Sena

Goal of the Study? These researchers sought out to answer the question of does reassurance helps patients with acute low back pain? In this study 1, the authors looked at two hundred and two people with acute low back pain with a high risk of developing chronic low back pain. They were curious as to whether helping someone with supportive psychological language could help reduce disability outcomes. Why are they doing this study? The current zeitgeist and research push has emphasized reducing nocebic iatrogenic influences and steering away from the biomedical model. This has naturally led to alternative strategies like the use of emphasized reassurance tools.  However, does this strategy alone make a difference? Bulging Disc Model What was done? Using a randomized sham-controlled clinical trial mediation analysis, these researchers compared patient education to sham patient education. Enrolled participants listened to either: 1. two 1-hour sessions explaining the benig...

By Dr. Sean M Wells, DPT, PT, OCS, ATC, CSCS, CNPT, NSCA-CPT, Cert-DN Since the 1980s many dietary guidelines promoted the notion of a low-fat diet in order to reduce cardiovascular disease (CVD) risk. Over the next 30 to 40 years healthcare providers and nutrition researchers found that simply lowering dietary fat alone is not the only answer to reducing heart disease. This is likely because those consuming a low-fat diet may still include junk foods, meat, and smoking -- which have all be directly correlated with higher risk of heart disease, comorbidities, and mortality. Data show that most plant-based oils and fats from sources like nuts, seeds, and some oils can actually be beneficial in lowering heart disease risk. Could a plant-based diet, which includes fats from plant-sources, be better than a low-fat diet? A  recent publication  provides physical therapists and other providers just the answer. The new research , coined Coronary Artery Risk Development in ...

In this episode, Erson goes over newer drivers (triggers) of TMJ dysfunction and pain. Andrew gives his take on the findings and they also go over some clinical pearls for TMD Patients 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... This article was originally posted on Modern Manual Therapy Blog Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

Foot & Ankle Characteristics Associated with Falls in Older People BACKGROUND: Falls affect approximately 1 out of 3 Older Adults. Foot problems are amongst the potential modifiable risk factors. Pol et al. (2021) investigated the associations between foot and ankle functional and structural characteristics with falls in community-dwelling older adults. METHODS: 187 community-dwelling older adults aged 62–90 years were studied. Foot & ankle structure and function (including foot posture, range of motion, muscle strength, deformity, pain and plantar loading patterns during walking) were measured. Fall history was documented in the preceding year. RESULTS: 74 Participants experienced a fall (~40%). Factors significantly and independently associated with these falls: Less first metatarsophalangeal joint extension. Less plantarflexor muscle strength. Greater pressure-time integral in the medial forefoot. Greater center of pressure velocity in the forefoot. G...

⚡️Full-Body Combo Exercises⚡️ When it comes to loading in order to achieve a desired adaptation, there are many ways to “skin the cat” in a training program for your athletes. The purpose might be to pose a novel stimulus, increase the overall intensity, or place an emphasis on coordination and stability. Whatever your desired goal may be, I have found these following 4 exercises to consistently live in my “full-body combo” coaching toolbox for quite some time. These are what I would consider bang-for-your-buck exercises that challenge several things at once—and—I’m sure you’ll enjoy! 1. DB 1-Leg RDL Iso w/ 1-Arm Row 2. DB 1-Arm Bench Press w/ 1-Leg Hip Thrust Iso 3. KB Front Rack Slider Reverse Lunge 4. DB Bench Tall Plank w/ 1-Arm Row via @matthewibrahim's instagram 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. Y...

In this episode, Andrew goes over a recent case of intermittent leg weakness. All things being equal, if pain, balance, stability and function are improving, patients shouldn't regress for no reason. Especially with a previous history of Cancer. 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... This article was originally posted on Modern Manual Therapy Blog Via RSSMix.com Mix ID ...

Hip Abductor Strength & Patellofemoral Pain INTRO:
Patellofemoral pain (PFP) is one of the most common knee conditions experienced by adolescents and young adults.  PFP is characterized by pain around or behind the knee cap, aggravated by squatting, climbing stairs, running or jumping.  Individuals with PFP present hip muscle strength deficits, specifically concerning hip abductors, extensors, and external rotators. Van Cant et al. (2021), compared clinical measures of Hip abductors function [isometric strength, isometric endurance, and dynamic endurance] between  Individuals with PFP [More severe v. less severe symptoms]. METHODS: 60 participants with PFP were divided 3 times into 2 groups according to three symptomatology criteria: Functional capacity. Pain frequency. Pain severity. Main outcome measures: Isometric strength. Endurance [max reps & max holding time]. Functional capacity [Anterior Knee Pain Scale]. Pain frequency. Pain se...

As a coach, it’s always resourceful to have a few catch-all movements in your back pocket from both a screening and coaching standpoint. For example, the Overhead Squat pattern with a dowel or PVC held above the head provides a ton of "stuff" for a coach to see (i.e., ankle joint mobility, knee flexion capability, hip joint mobility, thoracic spine (relative) extension, shoulder flexion and more). Another example that comes to mind is the Turkish Get-Up (TGU), which provides a lot to see in just one movement. I like seeing my athletes perform movements like these as both a part of the assessment/intake process, and also from time-to-time to ensure that they're movement quality is improving. Gleaning information from catch-all movements allows for you to stay sharp as a coach and keep the health of the athlete at the forefront. The Half Kneeling Crawl definitely falls into the category of a catch-all movement for me, since we can see a lot of things going on...

In this episode, Erson is joined by frequent guest Dr. Alex Kirbach. Alex goes over what made him pivot from a OON Cash based practice he recently started to a corporate PT job. 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... This article was originally posted on Modern Manual Therapy Blog Via RSSMix.com Mix ID 8246245 http://www.rssmix.com/

By Dr. Sean M Wells, DPT, PT, OCS, ATC, CSCS, CNPT, NSCA-CPT, Cert-DN Three out of four Americans takes some form of dietary supplement every day. From multivitamins to weight loss supplements, the list of dietary supplements is long and the associated costs can be substantial. Physical therapists (PTs) work with a wide range of patient types, many of whom are actively taking supplements for health, to slow aging, or in hopes to reverse a disease state. Obviously these supplements must have some positive impact on our health, right? Doctors of physical therapy (DPTs) are becoming more holistically trained to understand the role of nutrition and dietary supplements: despite this, the answer to above question is convoluted and may even surprise you. Regulation Dietary supplements are not regulated by the Food and Drug Administration. This is vastly different than the drugs that many of our patients are taking. The lack of regulation should be a mainstay reason ...