When Will it Ever Stop?

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Top 5 Fridays! 5 Things in Physical Therapy We Cannot Ignore Anymore!

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This post… has been a long time coming. It’s needed. It will not be comfortable. And, it shouldn’t be! If you’ve read any of the below posts… 3 Positive Culture Shifts PTs NEED To Make 3 Business Competencies PTs NEED To Know And, this post from March of last year:  Bridging The Gap . You know what I’m about, and, you know for the most part that I nigh annoyingly positive, constructively inclined, and inherently optimistic. Rarely, do I flat out say something needs to stop. Well… today is one of those rare days. 5 Things in Physical Therapy We CANNOT Ignore Anymore 1. The Debt It isn’t just because there are, for the most part, daily online conversations about the tremendous student debt happening in the field of allied rehab therapy. It’s not just because I get regularly flooded by questions in my many inboxes on the matter of personal finance and career path. The reason we NEED to talk about the debt, isn’t even for the sake of student debt, itself. I believe it...
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Real-Time Visualization of Joint Cavitation

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How do you explain to patients what the cracking/popping sound is when you manipulate them? How about when they stretch or move on their own and get their own audible cracks? You can find anything on youtube, while looking for recent articles on Cavitation, I found a great youtube video showing a the cavitation in real-time. I normally describe the cavitation as a negative pressure within the fluid filled joint capsule. The negative pressure forms a gas bubble, which is normally diffused into the synovial fluid, then pops from the movement or distraction of the two surfaces coming apart. I usually use my two hands clapsed together and pull them apart to create a suction effect. I may now just show them this video instead! Key Points cavitation is normal you can only get it with movement it doesn't put anything back into place the decrease in tone/tension and increase in mobility should be reinforced continuously until it's the new normal patient's don't n...
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[RESEARCH] A Cross-sectional Analysis of Persistent Low Back Pain Using Correlations Between Lumbar Stiffness Pressure Pain Threshold and Heat Pain Threshold

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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...
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