Jony Sena

Here we go again! Erson is joined by good friend and fellow PT/Entrepreneur Aaron Lebauer. We first talked about the "DPT" and title of "Doctor" years ago and the debate apparently still rages on. What is it with people who don't have a doctorate and even those with a doctorate having issues with PTs with a DPT calling themselves doctor? Aaron was surprised by a recent Instagram post triggering some intense discussion. When will we be free of this drama? 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. You need an approach that blends the modern with the old school.  NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more!  Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog Via RSSMix.com Mix...

Exercise Rehab Protocol Femoroacetabular Impingement Syndrome (FAI) [SERIES] 5/5 - click for parts 2 - Posutral Exercises , 3 - Core Exercises , 4 - Hip Strengthening Exercises FLEXIBILITY & MOBILITY Flexibility and mobility exercises should not elicit pain and should be performed at least 1 to 2 times per day. Static stretches should be held for 15 to 30 seconds. Static stretching, myofascial release using lacrosse balls and foam rollers, and self-mobilization techniques can improve flexibility and mobility in all of the hip and lower extremity muscles. Dynamic drills should be performed within a painfree ROM with proper posture, such as: Internal and external hip rotation. Pendulum swings. Kickers. Traveling lunges. Flexibility of the lower extremity muscles can be evaluated using: Thomas test. Ober test. Hamstring Flexibility test. Hip External Rotation test. Patients who pursue nonoperative approaches often have the same goals as patients who choose su...

Our understanding of pain has always been derived from reductionist and inaccurate thought processes. Beginning with the Cartesian body-mind dualistic perspective and even transitioning into the biopsychosocial model, we try to reduce pain into a specific classification mainly focusing on pathoanatomical (biological) causes of pain while neglecting any other psychosocial influences. In order to reconceptualize pain into a new framework, the enactive approach was proposed which aims to understand pain while avoiding any dichotomization or trichotomization classification, along with incorporating a first-person experience. Stilwell and Harman have eloquently illustrated the enactive approach by discussing the 5 E’s of Pain: the 5 E's of Pain by Cameron Faller 👉Embodied - Recognizing that experiences [pain] are not only physical in nature but are shaped by the physical, cognitive, and social immersion depending on space, time, and ultimately future action 👉Em...

For the last several decades low carb advocates have pitched their diet as means to weight loss, better glycemic control, and even life extension. Many avid fans, like Noakes and Attia, have thrown around several low level studies or short term studies to support the low carb dietary pattern. Meanwhile, the data for more plant focused, carb rich diets like the Mediterranean and Whole food plant based diets have been gleaning more and more support. From prospective trials to population and epidemiology data, such plant focused diets seem to be the ideal pattern for physical therapists (PTs) to recommend to many clients. Let's take a look a  recent National Institute of Health (NIH) trial  comparing a low carb animal based diet to a high carb plant focused diet. Published in Nature Medicine, the NIH trial was relatively small and focused on short term results. Researchers housed the participants in a NIH controlled facility, proving to increase the internal validity and con...

Exercise Rehab Protocol Femoroacetabular Impingement Syndrome (FAI) [SERIES] 4/5 HIP STRENGTH & MOTOR CONTROL In case you missed them, click for parts 1 , 2 , 3 ! Hip-abductor weakness is often present in patients with FAIS. 3 primary hip abductors include: Gluteus maximus, minimus, and medius. The tensor fascia-lata functions as an abductor, but has strong internal-rotation capabilities. More internal rotation tends to increase the symptoms of FAIS. Restoring gluteal strength can start with floor exercises, such as: Side-lying hip abduction. Clamshells. Bridging variations. Progress to standing and dynamic exercises that increase both strength and motor control, i.e. Side stepping with a resistance band positioned at the feet. Progress to unilateral tasks, such as: Step-downs in multiple planes. Clinicians should monitor pelvic control during the advance to dynamic activities. Variations, help the patient achieve strength and motor control, such as...

4 Ways to Break a Bad Habit Only four again this week, but I can assure you these 4 methods can be extremely powerful when utilized within the right context. Last week, I shared 4 ways to make and keep a habit as taken from the book “Atomic Habits” written by James Clear, and in that book , James also provides a great message on breaking bad habits. The thought process is very simple. Everything you need to do to make and keep a good habit, you just have to do the opposite when breaking a bad habit. To 4 Ways to Break a Bad Habit by Cameron Faller Make it Invisible - Whether it’s a pack of cigarettes or it’s sugary fats, put these items in places that you never go to. Out of sight, out of mind. Make it Unattractive - Associate your habit with thoughts and feelings of something that doesn’t sound pleasant. Make it appear to be something that doesn’t look all that fun. Make it Difficult - Create barriers and obstacles in your way to reach the bad habit. If sleeping in is the h...

Exercise Rehab Protocol Femoroacetabular Impingement Syndrome (FAI) [SERIES] 3/5 Part 2 - Postural Exercises is  here . CORE STABILIZATION: Teaching patients to improve core stabilization is another key intervention, as it is the fulcrum of the functional kinetic chain. Recruitment of the ‘core’ stabilizes the abdomen and lumbar spine and facilitates movement of the extremities and spine. Early stages should involve work in the supine position to coordinate breathing with abdominal drawing or hollowing, similar to the postural exercise focus. Quadruped bird-dog Supine dead- bug exercises offer challenges to core stabilization. The Watkins-Randall exercise progression provides a continuum for the dead-bug exercise. Next, upper or lower extremity motion can be sequentially added before advanced variations of simultaneous upper and lower extremity motion are implemented. prone and side-plank variations challenge core stabilization. Next, progress to rotational...