Posts

Coherence Part 2: Something Isn't Right!

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Part 1 is available here . Something deep in me (and many of you) has driven pursuit of knowledge, yet with every new thing I learn, there is this underlying feeling, urge, that recognizes the available pieces do not fit together in a meaningful way and that simply pursuing more knowledge mindlessly is, to some extent, a dead-end road. Given enough time, anyone who has extensively explored movement and pain science would also start to feel the urge to look for new knowledge to serve as another patch and to provide another fix toward our insatiable addiction to gain more and more knowledge that might once again temporarily satisfy us. Unfortunately, this process can lead to endlessly spinning of cognitive wheels in new territories with little reward of fulfillment after spending enough time there. Some just give up and call it “good enough,” make do with their knowledge base and do what they can with it and feel their clients will either get what they’re giving them or not. Many oth...

Patient Rated Outcomes Measures in Chronic Pain

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The use of patient-rated outcome measures (PROM), often in the form of questionnaires, is a key part of our evaluation and re-evaluation. They play an important role in documenting activity limitations, levels of disability, quality of life, response to interventions and they help provide a quantifiable measure of subjective complaints. As our knowledge of chronic pain broadens, we are beginning to appreciate that there are modifiable risk factors that contribute to the development of long term pain and disability . For example, fear avoidance beliefs and behaviours, fear of movement, high levels of anxiety and depression, low satisfaction with work and catastrophization beliefs. Several outcome measures are currently available to clinicians to help guide their clinical reasoning by identifying these risk factors and dig deeper into how they play a part in the patient’s pain presentation. The purpose of this blog is to look specifically at outcome measures and explore how they...

Top 5 Fridays! 5 Benefits of Running

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👉🏻While running alone is not the cure for COVID-19 🦠we all know that there are many benefits of running including a good boost to our immune systems (unless in really heavy training where immunosuppression may occur) ⬆️ _ ☝🏻BUT running has been shown to be effective treating at least 26 chronic conditions, along with some of these other key benefits 🏃‍♀️🏃‍♂️: _ 1️⃣. Reduced chance of dying from cardiovascular disease (Lee et al 2014) . 2️⃣. 3yr+ increase in life expectancy (Lee et al 2014) . 3️⃣. Decreased disability later in life (Chakravarty et al 2008) . 4️⃣. Increased quality of life (Chakravarty et al 2008) . 5️⃣.Preventative against 35 chronic conditions  _ 💻Ref: . 👉🏻Chakravarty EF, Hubert HB, Lingala VB, Fries JF. Reduced Disability and Mortality Among Ageing Runners: A 21-Year Longitudinal Study. Arch Intern Med. 2008;168(15):1638–1646 . 👉🏻Lee DC, Pate RR, Lavie CJ, Sui X, Church TS, Blair SN. Leisure-time running reduces all-ca...

Untold Physio Stories - I Got This

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In this episode, guest star Dr. Leon Knight, better known on instagram as The Performance Doc tells a story from his early days as a PT. When you were a new grad, did you think after a few months you pretty much had this PT thing down pat? Leon sure did. Listen to see how wrong he was! 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/

Can True Vertigo be a Symptom of Cervicogenic Dizziness?

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The term vertigo refers to the illusion of environmental motion, classically described as “spinning” or “whirling.” The sense of motion is usually rotatory—”like getting off a merry-go-round”—but it may be more linear—”the ground tilts up and down, like being on a boat at sea.”  (Reilly B 1990) . Vertigo is defined as the subjective perception of rotational or translational movement in the absence of an external stimulus  (You et al 2019) . Generally speaking, vertigo reflects a dysfunction in the vestibular system.  Among patients with vertigo,  benign positional vertigo  is most common and is diagnosed up to 42% of the time with vertiginous symptoms. It is a common clinical disorder characterized by brief recurrent spells of vertigo often brought about by certain head position changes as may occur with looking up, turning over in bed, or straightening up after bending over. Recently confirmed, vertiginous attacks by turning or laying down in...