Jony Sena

The modern clinician generally hates hearing "I've been told my pelvis is rotated" or "my vertebrae are out of place." It's often time consuming and can be difficult to educate maladaptive beliefs, but it's worth it if you want better outcomes and to reduce fear avoidance behaviors. What happens to a chronic pain patient who is told by another clinician that her pelvis is rotated? Listen in and find out! Erson and Andrew are featured in the amazing new compilation text, Movers and Mentors! Click our link to get your copy from amazon! It's full of amazing quotes, useful information from many instructors, researchers, and great clinicians of our profession. 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...

By Dr. Sean M. Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DN Diet crazes come and go in the hopes to correct health issues and for weight loss. Many diets are merely fads, not backed by evidence, and/or offer only short-term solutions. One dietary pattern that stands out from the pack is calorie restriction (CR), especially in regards to data on longevity. I have 2 peer-review publications in the area of CR and intermittent fasting, so I can share both the data and experiences of this diet. Let's take a quick look at calorie restriction and what physical therapists (PTs) need to know! Calorie restriction is a dietary regimen where a person consumes typically 25-40% less calories than usual. In order to accomplish this calorie deficit a person must know their total daily caloric needs over several days. Calculating 25-40% of this total calorie needs a client can then reduce their calorie content of each meal in order to hit their calorie deficit. Usually there is...

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Goal of the Study? In this primary research article 1 , the authors had two goals: (a) Determine and quantify the relationship between biomechanical and neurophysiology measurements in lower back pain patients and (b) examine if the correlations differ when considered regionally (lumbar back) or segmentally.   Why are they doing this study? To improve our understanding of Lower Back Pain etiology, better non-invasive measurement tools and techniques must be established and quantified.    What was done? A sample of 132 patients of the Spine Centre of Southern Denmark who had persistent non-specific  Lower Back Pain  was measured for three different sensitivities: (a) global spinal stiffness (GS) using a VerteTrack Device which applied a rolling weight across the S1 and T12 spine; (b) deep mechanical pressure pain sensitivity threshold (PPT) using pressure algometer which applied bilateral pressure at each lumbar segment and (c) superficial heat pain s...

In this episode, Erson talks about a recent young soccer player who was kicked twice in the calf. The antalgic gait, inability to WB or extend his knee, plus overall sensitivity to touch made him think of a fracture as a differential Dx. Listen in to find out what the result was. 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 Bl...

Rotator Cuff Tear - Surgery v. Conservative Rehab for 55+ INTRO: Non-traumatic rotator cuff tear is a common shoulder problem which can be treated either conservatively or operatively. Kukkonen et al. (2021) investigated the difference between clinical and radiological 5 year outcomes in patients aged over 55 years. METHODS: 180 shoulders with symptomatic, non-traumatic supraspinatus tears were randomly assigned to: Physiotherapy (Group 1) Acromioplasty and physiotherapy (Group 2) Rotator cuff repair, acromioplasty and physiotherapy (Group 3). Primary Outcome: Constant score. Secondary Outcomes: Visual analog scale for pain and patient satisfaction. Radiological analysis included evaluation of glenohumeral osteoarthritis and rotator cuff tear arthropathy. RESULTS: The average tear size of the supraspinatus was 10 mm in all groups. There were no significant differences in the average change of Constant score: 18.5 points in Group 1 17.9 points in Group 2 2...

During the differential diagnosis of a patient with vertigo or dizziness, it is pertinent that the clinician determine if the symptoms are benign / non-benign or central / peripheral. This is our red light or green light system to treat or refer. This is by far the most important decision that comes out of a clinical evaluation and is especially important with neurological symptoms. The most common benign cause of vertigo is benign paroxysmal positional vertigo (BPPV). There are specific subjective and objective findings that are crucial to ruling in BPPV in the dizzy patient. A physical therapist trained in vestibular rehabilitation is well aware of these findings and do a splendid job at helping people! We are actually very good at differential diagnosis and use the latest research to help refine our clinical exam! In some instances, patients who are having dizzy/vertigo symptoms seek out help from physical therapists with thought they are having BPPV but instead it is an ...

In all of his initial evaluations, Erson goes over resets and any prescribed exercises 20-30 times minimum. When a patient gets relief from an end range loading reset, he makes sure they understand the how's and why's of the movements. When the same resets spontaneously start worsening the complaints after 2 weeks of relief, something is probably going wrong... 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   K...

Accuracy of 3 ACL Diagnostic Tests INTRO: The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments of the knee.  In America, estimates of ACL injury cases range from 80,000 to 250,000 per year, with approximately 100,000 of these patients undergoing ACL reconstruction surgery.  The 3 primary diagnostic assessments of these manual tests are: Anterior drawer test. Lachman test. Pivot shift test. Hunag et al. (2016), performed a meta-analysis, looking at diagnostic sensitivity and specificity of the 3 assessments to evaluate the diagnostic accuracy of the anterior drawer, Lachman, and pivot shift tests.  RESULTS: 16 studies assessed the accuracy of the 3 tests for diagnosing ACL ruptures & met the inclusion criteria.   Lachman test; most sensitive test to determine ACL tears (87.1%). Pivot shift test; most specific test (97.5%) & has the highest positive likelihood ratios (LR+) of 16.00. Lachman test has the low...