Physiospot - Physiotherapy and Physical Therapy in the Spotlight » Musculoskeletal

Do you have patients that battle chronic pain?

Brooke McVeigh — Wed, 23 May 2012 14:23:06 +0000

If you answered yes to this question, I urge you to check out the May issue of Evidence In Motion’s online Journal Club: How to Explain CENTRAL SENSITIZATION to Patients with ‘Unexplained’ Chronic Musculoskeletal Pain

In this issue, Dr. Jo Nijs, PT, PhD provides the evidence-based explanations and treatment options for many cases of chronic musculoskeletal pain. The May issue also includes a BONUS article that will help you recognize Central Sensitization. Click here to purchase this issue and learn how you can help your patients win the battle against chronic pain!

Excitement Grows for Next International Meeting of Physiotherapists and Physical Therapists in Musculoskeletal and Orthopaedic Care, Manual Therapy and Private Practice.

Rachael Lowe — Mon, 21 May 2012 07:16:39 +0000

The International Private Practice Association (IPPA) has partnered with the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) for the upcoming 2012 Conference to be held in Quebec City, Canada from September 30^th to October 5^th, 2012. Don’t miss out, get your early bird ticket before June 4th!

This World Congress of Manual/Musculoskeletal Physiotherapy is held only once every 4 years and will be the next international gathering of physiotherapists and physical therapists in 2012. IFOMPT is the largest recognized sub-group of the World Confederation of Physical Therapists (WCPT) and after the huge success of World Physical Therapy in Amsterdam last year this will be your next opportunity to join a large international gathering from the physiotherapy and physical therapy profession. Keynote speakers including David Butler, Gray Cook, Gwendolen Jull, Karim Khan, Prof. Peter O’Sullivan, Annelies Pool, Shirley A. Sahrmann, Joy MacDermid, and Dr Stuart Gowland will join invited speakers and symposium presenters in a packed program that brings you the very latest in research and clinical practice. In addition to this, the conference itself is sandwiched between a plethora of courses from renowned international teachers including David Butler, Dianne Lee, Duncan Reid, Peter O’Sullivan and many more.

The IFOMPT Conference this year is being hosted in Québec City, Eastern Canada. Condé Nast Traveler readers have listed Québec City amongst the top 10 favorite tourist destinations around the world and first in Canada! European flavour, cobblestone streets, sidewalk cafés, museums and several other attractions are among the treasures waiting for you to discover in beautiful Québec City. Declared as a World Heritage Site by the UNESCO in 1985, Québec City is the only city in North America to have preserved its original fortifications. The province of Québec’s capital is known to be one of the safest urban districts of the world ans is a bilingual (French/English) destination.

Registration for this conference is now open. To get your early bird ticket make sure you register before June 4th! Don’t miss this exceptional opportunity to meet colleagues from all over the world who share your interests and enthusiasm for our profession. We look forward to seeing you there!

May 11th-Final day to sign up for the Free Lumbar Spinal Stenosis Course from Evidence In Motion

Brooke McVeigh — Mon, 07 May 2012 08:15:05 +0000

If you want to be a great PT, shouldn’t you learn from great PTs? Evidence In Motion is continuing to offer FREE online courses that allow you to do just that! Sign up for EIM’s Lumbar Spinal Stenosis EBP Course to hear and see how an expert treats these conditions. If you missed the last course, be sure to sign up for this one to gain access to the high-quality online content. Registration closes midnight, May 11th so don’t wait.

All we need from you is your email address. Each part of the course will be delivered straight to your inbox so you can learn at a time and place that’s convenient for you. The course is viewable on your computer, iPad, or Smartphone!

Don’t miss this opportunity! Take 30 seconds to register by clicking here.

Efficacy of Directional Preference Management for Low Back Pain: A Systematic Review

Rachael Lowe — Tue, 01 May 2012 15:58:52 +0000

Providing specific treatment based on symptom response for people with low back pain (LBP) and a directional preference (DP) is a widely used treatment approach. The efficacy of treatment using the principles of directional preference management (DPM) for LBP is unclear. The purpose of this systematic review was to determine the efficacy of treatment using the principles of DPM for people with LBP and a DP. Only RCTs investigating DPM for people with LBP and a DP were included. Outcomes for pain, back specific function, and work participation were extracted. Six RCTs were included in this review. Five were considered high quality. Clinical heterogeneity of the included trials prevented meta-analysis. GRADE quality assessment revealed mixed results; however, moderate evidence was identified that DPM was significantly more effective than a number of comparison treatments for pain, function, and work participation at short-term, intermediate-term, and long-term follow-ups. No trials found that DPM was significantly less effective than comparison treatments.

Although this systematic review showed mixed results, some evidence was found supporting the effectiveness of DPM when applied to participants with a DP, particularly at short-term and intermediate-term follow-ups. Further high-quality RCTs are warranted to evaluate the effect of DPM applied to people with LBP and a DP.

Surkitt, L. D., Ford, J. J., Hahne, A. J., Pizzari, T., McMeeken, J. M.. Efficacy of Directional Preference Management for Low Back Pain: A Systematic Review. Physical Therapy, May 2012 vol. 92 no. 5 652-665

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EIM Announces New And Improved Manual Physical Therapy Certification

Brooke McVeigh — Thu, 19 Apr 2012 11:47:46 +0000

The Evidence In Motion (EIM) Institute for Health Professions is excited to announce a new and improved Manual Physical Therapy Certification. The Certification has been updated to ensure that participants walk away from the program with a certification that provides a competitive edge in the marketplace by allowing them to treat patients with clinical reasoning and manual physical therapy techniques that are supported by the best evidence available.

“The Manual Physical Therapy Certification adds great value to the practicing physical therapist,” states Tim Flynn, PT, PhD, Director of EIM’s Manual Physical Therapy Certification Program and EIM co-founder. “Not only do physical therapists with the certification have better clinical reasoning skills, but they are also able to treat patients more appropriately with their extensive knowledge of the latest manual therapy techniques. This provides a competitive edge when interviewing for jobs, advisory positions, and higher educational programs, and advanced practice opportunities.”

Improvements to the Manual Physical Therapy Certification Program include:

Flexible elective choices
Foundational constructs on patient management and mechanisms of manual therapy
Virtual rounds and case presentations for interactive learning and peer review
Robust examination processes to ensure student mastery of material and manual interventions
A 12 month cohort setting that builds lasting professional relationships with fellow students
Constructive credit / waivers granted for select previously completed certification-level courses
Constructive credit offered for EIM Integrated Soft-Tissue Courses (Trigger Point Dry Needling & Instrumented Soft Tissue Mobilization)

The majority of the Manual Physical Therapy Certification happens wherever participants happen to be. It consists of an intensive combination of didactic, collaborative and laboratory experiences using a blend of distance learning, self-paced and faculty-directed modules, and weekend intensive on-site courses. Students learn from an all-star faculty of leaders in academia, research and practice management.

EIM’s Manual Physical Therapy Certification consists of eight graduate level courses (20 credit hours):

Evidence-based Physical Therapy Practice
Orthopaedic Manual Physical Therapy Overview: Patient Management Framework
Management of Cervical and Thoracic Disorders
Management of Lumbopelvic Disorders
Management of Lower Extremity Disorders
Management of Upper Extremity Disorders
Virtual Rounds and Case Presentations
Participant chooses between the following electives: Mechanisms of Orthopaedic Manual Physical Therapy and Diagnosis and Management of Chronic Spinal Pain

“The Manual Physical Therapy Certification is the most cost and time effective post-professional educational step physical therapists can make if their goal is become a highly skilled, evidence-based clinician in the area of manual physical therapy,” states Flynn.
EIM offers the Manual Physical Therapy Certification to both U.S. and International physical therapists. The first cohort of the new program will launch in July 2012 and cohorts will begin every January and July following this start date. Applications are available now at EvidenceInMotion.com.

The EIM Manual Physical Therapy Certification is an attractive option for physical therapists who are not seeking the extensive commitment of a Residency or Fellowship Program. Should a participant change their mind and decide to complete a Residency program in the future, the Manual Physical Therapy Certification allows them to apply already earned credit hours towards an EIM Residency Program or to the EIM Orthopaedic Manual Physical Therapy Fellowship.

About Evidence In Motion:
Evidence in Motion (EIM) is an education and consultation company whose sole reason of existence is to elevate the physical therapy profession and the role of physical therapists in healthcare delivery. A strong dedication to fostering the creation and assimilation of an evidence-based practice culture within the physical therapy profession is a cornerstone of Evidence In Motion’s mission. They have put in place evidence-based practice treatment pathways in many facilities and aims to promote the global sharing of information and ideas, thus advancing evidence-based physical therapy practice, research and education around the world. Evidence In Motion offers Continuing Education, Manual Therapy Certification, Residencies, a Fellowship Program, a Musculoskeletal Transition DPT, and an Executive Program in Private Practice Management with optional Transition DPT. For more information, please visit EvidenceInMotion.com. You can also find Evidence In Motion on Facebook and Twitter, @EIMTeam.

Click here for the entire article from EIM.

New low back pain guidelines from the APTA.

Rachael Lowe — Thu, 05 Apr 2012 15:39:06 +0000

The Orthopaedic Section of the American Physical Therapy Association (APTA) has an ongoing effort to create evidence-based practice guidelines for orthopaedic physical therapy management of patients with musculoskeletal impairments described in the World Health Organization’s International Classification of Functioning, Disability, and Health (ICF). The purpose of these low back pain clinical practice guidelines, in particular, is to describe the peer-reviewed literature and make recommendations related to (1) treatment matched to low back pain subgroup responder categories, (2) treatments that have evidence to prevent recurrence of low back pain, and (3) treatments that have evidence to influence the progression from acute to chronic low back pain and disability.

Anthony Delitto, Steven Z. George, Linda R. Van Dillen, Julie M. Whitman, Gwendolyn Sowa, Paul Shekelle, Thomas R. Denninger, Joseph J. Godges. Low Back Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. 2011J Orthop Sports Phys Ther. 2012;42(4):A1-A57.

We’ve added these to our Clinical Guidelines Resource in Physiopedia where you can see all the clinical guidelines that are available internationally for a variety of conditions. Do you know of any more that we can add to this list?

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Online physiotherapy glossary from the WCPT

Rachael Lowe — Tue, 27 Mar 2012 12:23:07 +0000

Supporting the Confederation’s policies and guidelines, the WCPT has launched an online glossary. It has been developed for the profession to aid international interpretation and promote a global consistency in terminology. Citing the importance of having an international glossary WCPT’s President, Marilyn Moffat, says “WCPT’s glossary is the first A-Z covering professional and educational issues, rather than practice interventions. To support the development and implementation of WCPT’s policies and guidelines a clear understanding of terminology internationally is important and this glossary is designed to facilitate that and promote consistency. We’re hopeful that this will be a valuable resource for the profession and one that will continue to grow over time”. With over 170 fully referenced terms the glossary is a significant tool for WCPT’s member organisations, regions, subgroups and individual physical therapists. WCPT is encouraging the wide use of these international terms. The glossary may be accessed as:

An annual review of this glossary will take place. Member organisations, regions and subgroups can suggest amendments and terms for inclusion in the glossary where they are internationally applicable. Please send suggestions and comments to info@wcpt.org.

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Anatomy of an Athlete: Elite sport, surgery and medical art

Rachael Lowe — Fri, 16 Mar 2012 08:46:18 +0000

The Hunterian Museum of The Royal College of Surgeons has teamed up with the Medical Artists’ Association of Great Britain to create an art exhibit that brings together sports and medicine. New artworks were commissioned especially for the show that aims to profile the role that medicine, and particularly surgery, plays for the modern athlete. If you’re in London anytime between now and the end of September, be sure to stop by.

Find out about the latest techniques in orthopaedic surgery, innovative developments in prosthetics and the importance of training to muscle development. World-leading medical artists Joanna Culley, Emily Evans, Richard Neave/Denise Smith and Catherine Sulzmann have used have used a variety of art-forms including watercolour, video and sculpture to represent a selection of sports and para-sports. Their art provides a unique opportunity to study in detail the best of British at running, hurdling, canoeing and hockey.

Exhibition link….

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Crucial role of physiotherapists highlighted in end of life care guide

Rachael Lowe — Fri, 16 Mar 2012 08:42:05 +0000

This ‘how to’ guide for end of life care builds upon the overarching framework set out in The route to success in end of life care – achieving quality in acute hospitals, published in 2010. The route to success highlighted best practice models developed by acute hospital Trusts, providing a comprehensive framework to enable hospitals to deliver high quality care to people at the end of life. This ‘how to’ guide aims to help clinicians, managers and directors implement ‘The route to success’ more effectively.

The guidelines have been produced by the National End of Life Care Programme (NEoLCP) in collaboration with the NHS Institute for Innovation and Improvement. This guide will only improve the way hospitals care for people nearing the end of life if frontline, practical professionals commit to it. Physiotherapists have a crucial role to play in supporting people in the last phase of life, they can make a real difference to improve end of life care.

Recent Advances in the Rehabilitation of Anterior Cruciate Ligament Injuries

Rachael Lowe — Mon, 12 Mar 2012 08:38:57 +0000

This excellent clinical commentary provides a thorough scientific basis for anterior cruciate ligament rehabilitation based on graft selection, patient population, and concomitant injuries. Rehabilitation following anterior cruciate ligament surgery continues to change, with the current emphasis being on immediate weight bearing and range of motion, and progressive muscular strengthening, proprioception, dynamic stability, and neuromuscular control drills. The rehabilitation program should be based on scientific and clinical research and focus on specific drills and exercises designed to return the patient to the desired functional goals. The goal is to return the patient’s knee to homeostasis and the patient to his or her sport or activity as safely as possible. Unique rehabilitation techniques and special considerations for the female athlete are also discussed.

Kevin E. Wilk, Leonard C. Macrina, E. Lyle Cain, Jeffrey R. Dugas, James R. Andrews. Recent Advances in the Rehabilitation of Anterior Cruciate Ligament Injuries. J Orthop Sports Phys Ther 2012;42(3):153-171.

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