Jony Sena

Blood Flow Restriction Training Safety Background: Blood flow restriction training (BFRT) is defined as the partial restriction of arterial blood flow into the muscle while venous outflow is occluded during a bout of exercise. BFRT is used for physical training and performance in healthy individuals, as well as an adjunct to physical rehabilitation in injured individuals. Current understanding of the physiological mechanisms of BFRT and related performance includes: Acute muscle cell swelling. Increased fiber-type recruitment Decreased myostatin. Decreased atrogenes. Satellite cell proliferation. With the increasing use of BFRT in clinical populations, Minniti et al. (2020) systematically reviewed the research to assess the potential adverse events associated with BFRT when used clinically in the treatment of patients with musculoskeletal disorders. RESULTS: 19 studies with 322 pooled participants. 9 studies reported no adverse events. 3 reported rare adverse e...

In this episode, Erson goes over a recent seemingly clear cut case of an ankle injury. Don't let your biases prevent you from being thorough!  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/

If you have ever seen a lumbar patient with a true lateral shift, you would know they're not the easiest or straight forward patients. An ipsilateral lumbar lateral shift usually has poor outcomes. If it's actually discogenic and you have to shift away from the side of symptoms (they are shifted toward the pain instead of away) to correct the shift, this could make the disc protrude or herniate worse. In the 200th episode of Untold Physio Stories, Erson goes over the problem solving he used to treat an ipsilateral lateral shift case he saw recently. 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 Th...

By Dr. Sean M. Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DN For decades the predominant model that dictated weight gain, loss, or maintenance was the energy balance model (EBM). The EBM is rooted in one of the basic laws of thermodynamics. It goes without saying that food contains energy and it is typically measured in a unit known as calories (kilocalories in the dietary world). As a person consumes food it provides energy to do work such as exercise, activities of daily living (ADL), physical therapy, basic living functions, or even sport. Energy can come from recently consumed food or stored energy (e.g. fat, glycogen, or protein) from previously eaten food.  Clinicians often explain weight loss to patients as “calories-in versus calories-out” or CICO, which directly relates to the EBM. In brief, CICO helps rehab professionals to explain to clients the balance between the energy coming into their body versus the energy they expend: too much food coming in and...

There are a range of symptoms and variety of potential descriptions of cervicogenic dizziness. Cervicogenic Dizziness symptoms can vary from one person to another and still carries the  weight of controversy . The description of dizziness, including a sensation of spinning and/or dysequilibrium is common ( Krabak et al 2000 ,  Kalberg 1996 ).  It has even been described generally as dizziness that may be associated with headache, cervical pain, nausea, cold sweats and/or nonspecific complaints ( Morinaka 2006 ). With that said, the following are the top 5 symptoms of Cervicogenic Dizziness. Lightheadiness Drunkenness Unsteadiness Feeling of imbalance Room spinning It is highly recommended to exclude other sources of dizziness prior to making a diagnosis of cervical origin. We recommend using the  Optimal Sequence Algorithm , a detailed subjective and objective screening process. There are some fine details in symptom and presentation characteris...

Goal of the study? In this study, 1  the purpose is to investigate if the  physical therapy (PT)  evaluation process of history taking and physical exam results in a meaningful change for patients with low back pain (LBP), even before implementing treatment interventions.    Why are they doing this study? Low back pain  (LBP)  is the most widely reported musculoskeletal disorder globally and has significant healthcare expenditures. In the US, LBP accounts for 25% of outpatient physical therapy (PT) visits, with an estimated 170,000 people daily seeing a PT for this issue.  With a shift toward a biopsychosocial model, more focus has been put on the  therapeutic alliance  (TA)  and its impact on patient outcomes. TA is essentially the working social connection between a patient and clinician, blending clinical skills, verbal and non-verbal communication, a sense of warmth, collaboration, and trust. There is increasi...