Welcome to PhysioU’s Mentoring Minutes! Each episode of Mentoring Minutes directly applies a clinical approach with relevant research for effective results.
Stretching is seen as a basic manual skill in Physical Therapy. But is it really? What does the literature say about a truly effective stretch? Find out on today’s episode of Mentoring Minutes with Dr. Marshall Lemoine!
Welcome to PhysioU’s Mentoring Minutes! Each episode of Mentoring Minutes directly applies a clinical approach with relevant research for effective results.
Research shows that those with chronic low back pain can have impaired lumbopelvic control. In today’s episode of Mentoring Minutes, Dr. Marshall Lemoine will be talking about how you can utilize prone knee bend, prone hip external rotation, and quadruped shoulder flexion in your assessment of lumbopelvic control and what you can do to treat these patients.
Welcome to PhysioU’s Mentoring Minutes! Each episode of Mentoring Minutes directly applies a clinical approach with relevant research for effective results.
In today’s episode of Mentoring Minutes, Dr. Marshall Lemoine will be talking about classifying low back pain according to the movement system guidelines. Watch the video to see the seven primary tests of the lumbar spine and their secondary tests to put the lumbar spine in a more neutral position!
Evidence based practice for the stiff neck. Research has provided us with many different assessments, treatments, and therapeutic exercises for patients who have neck pain and do not have sufficient ROM. Watch the video below to learn about specific strategies to improve neck pain in patients with mobility deficits.
With many different options out there, in the end, the message is simple, you just have to move it :)
The newest Mentoring Minutes with Dr. Marshall LeMoine get posted on Facebook every Monday. If you are not on Facebook, you can find most of our videos on YouTube. See you next week!
References:
Snodgrass SJ et al. The clinical utility of cervical range of motion in diagnosis, prognosis, and evaluating the effects of manipulation: a systematic review. Physiotherapy. 2014;100:290-304.
A systematic review (36 papers). Restricted ROM has shown to be associated with negative outcomes, while greater ROM is shown to be associated with positive outcomes. Although there is still conflicting evidence for a prognostic values of cervical ROM.
Gross A, et al. Manipulation and mobilization for neck pain contrasted against an inactive control or another active treatment. Cochrane Database Syst Rev, 2015:CD004249.
A systematic review (5 RCT’s) suggested T/s manipulations improved neck pain and function.
Karas S, et al. The effect of direction specific thoracic spine manipulation on the cervical spine: a randomized controlled trial. Journal of Manual and Manip Therapy. Nov, 2016. (1-8)
A RCT that compared thoracic prone manipulation for extension vs. supine manipulation for flexion found that both groups had positive results when pain, neck disability index, and global rating of change were assessed.
Leaver AM, et al. Conservative interventions provide short-term relief for non-specific neck pain: a systematic review. J Physiotherapy. 2010;56:73-85.
No difference in regards to improving pain, function and disability when performing either cervical manipulations or cervical mobilizations (PA’s).
Young JL, et al. Thoracic manipulation versus mobilization in patients with mechanical neck pain: a systematic review. J Man Manip Ther. 2014;22:141-153.
A systematic review (14 studies) found that thoracic manipulations or mobilization improved cervical pain, range of motion, and disability.
Southerst D, et al. Is exercise effective for the management of neck pain and associated disorders or whiplash-associated disorders? A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Spine J. 2016;16:1503-1523.
Systematic review showing that patients may either do AROM with self OP, self mobilizations using hands or towel snags to maintain and gain C/s ROM through therapeutic exercise.
Welcome to PhysioU’s Mentoring Minutes! Each episode of Mentoring Minutes directly applies a clinical approach with relevant research for effective results.
In a previous episode of Mentoring Minutes, we learned about Baker’s Cyst and the associated common impairments. In today’s episode of Mentoring Minutes, Dr. Marshall Lemoine will be discussing mobilization strategies and more treatment ideas to help effectively rehab a patient with Baker’s Cyst!
