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Clinical Consult

Hello all-- anyone have any recommendations or literature review articles for exercise guidelines for patients with multiple sclerosis for general fitness, not for those in a relapse period.  My experience with these patients is limited, and any recommendations would be greatly appreciated.  Thanks in advance

Note:  This post will also be posted in the 'Orthopaedics' group on MyPTConnect.  All comments and questions should be added there.  The comments feature on the blog is turned off for this post.  Email us at info@myptspace1T.com if you have any questions.  See you on MyPTConnect!

PT just as good as surgery!

I herd a segment about back pain on NPR as I was driving home from work today. I was glad to hear the surgeon say that pain does not equal damage and he encouraged physical activity. Unfortunately, physical therapy was not talk about much. You can check out some of his comments at NPR.org.

Here is the article: Surgical vs Nonoperative Treatment of Lumbar Disk Herniation.

Upcoming Evidence in Motion Courses!!

Check out upcoming Evidence in Motion courses currently open for registration! Learn more about MyEIM and our new Articulate course format!

Download WhatIsMyEIM.pdf

Download ArticulateFormat.pdf

***Indicates course open for internal registration only. Contact facility POC listed on website.

Evidence-based Examination and Selected Interventions for Patients with Lumbopelvic Spine and Hip Disorders

Jan 13, 2007***
Palm Harbor, FL (USA)

Jan 13-14, 2007***
W. Palm Beach, FL (USA)

Jan 20-21, 2007***
Navarre, FL (USA)

Mar 31-Apr 1, 2007
Burlington, NC (USA)

Evidence-based Examination and Selected Interventions for Patients with Cervical Spine Disorders

Dec 2, 2006
Marietta, GA (USA)

Feb 24-25, 2007***
Colorado Springs, CO (USA)

Dec 2-3, 2006*** (Course Full)
Colorado Springs, CO (USA)

Jan 14, 2007***
Palm Harbor, FL (USA)

Feb 24-25, 2007***
Colorado Springs, CO (USA)

Jan 20, 2007***
St. Louis Park, MN (USA)

Feb 2-3, 2007***
Navarre, FL (USA)

Feb 24-25, 2007***
Colorado Springs, CO (USA)

Mar 10-11, 2007***
W. Palm Beach, FL (USA)

Sep 15-16, 2007
Burlington, NC (USA)

Evidence-based Examination and Selected Interventions for Patients with Upper Extremity Disorders

Feb 24-25, 2007***

Colorado Springs, CO (USA)

Evidence-based Examination and Selected Interventions for Patients with Lower Extremity Disorders

Dec 9, 2006***
Charlotte, NC (USA)

Evidence-based Examination and Selected Interventions for Patients with Lumbar Instability

Feb 3-4, 2007***
Cary, NC (USA)

Evidence-based Introduction to Rehabilitative Ultrasound Imaging of the Lumbopelvic Region as an Adjunct to Treatment of those with Lumbopelvic Disorders

Mar 10-11, 2007***
Marshalltown, IA (USA)

We encourage early registration to insure a seat. Extensive hands-on lab sessions are included.  Visit us on the web at www.evidenceinmotion.com to get more details, learn about other 2006-07 course dates and locations. Register online today!

Feel free to email us at courses@evidenceinmotion.com if you have any questions or need additional information. Consider passing this post on as an email to your colleagues who might benefit from this information. Hope to see you at an Evidence in Motion course in 2006! We sincerely thank you for joining with us to translate evidence into practice.

The Evidence in Motion Team

Note:  This post will also be posted in the 'Upcoming Events' group on MyPTConnect.  All comments and questions should be added there.  The comments feature on this blog is turned off for this post.  Email us at info@myptspace1T.com if you have any questions.  See you on MyPTConnect!
 

Cap Extension

The APTA has put an immense grass roots effort together to lead our profession in providing information and a plan of action for both extending the cap process and halting the proposed cuts in the medicare fee schedule. 

For those of you that are members (and for those of you that are not, this the only reason that you need to join), please go into the website and you will see an outstanding and customized integration of sample letter (plus support collaterals) and the ability to directly email your representatives easily.  I would encourage you to partake and to spread the word to all of your colleagues.

Larry

Note:  This post will be posted in the APTA Issues and Politics group on MyPTConnect. All comments and questions should be added there.  The comments feature on the blog is turned off for this post.  Email us at info@myptspace1T.com if you have any questions.  See you on MyPTConnect!

PTs Provide Social Support for Patients with Back Pain

Interesting article just published about PTs being identified by patients as providing the greatest amount of social support for patients with back pain.

John

J Behav Med. 2006 Nov 3; [Epub ahead of print]
Specificity of social support for back pain patients: do patients care who provides what?
Masters KS, Stillman AM, Spielmans GI.
Department of Psychology, Syracuse University, 430 Huntington Hall, Syracuse,
NY, 13244-2340, USA, kemaster@syr.edu.

This study examined low back pain patients' (N=50) perceptions of what they
considered to be helpful and unhelpful social support from various sources over
the previous six months. Among types of social support, tangible support was
most likely to be rated as helpful, whereas emotional support was the type of
support most likely to be rated as unhelpful. Patients reported only rare
instances of dissatisfaction with tangible support across various providers.
Among support sources, instances of tangible support from physicians, and
emotional support from friends, family, and spouses were recalled as most
helpful. Physical therapists were named as providing the greatest amount of all
three types of social support and were rated as rarely providing unhelpful
social support. These findings suggest that the desirability of different types
of social support varies as a function of the source of support and indicate
that physical therapists are perceived by back pain patients as particularly
helpful in their provision of social support.

PMID: 17082973 [PubMed - as supplied by publisher]

Note:  This post will also be posted in the "Orthopaedics' and 'Pain' groups on MyPTConnect. All comments and questions should be added there.  The comments feature on the blog is turned off for this post.  Email us at info@myptspace1T.com if you have any questions.  See you on MyPTConnect!

Hold onto your seats...the cure for back pain is now available for purchase...

Hello All:

I was wondering if any of you are familiar with or had information regarding the following piece of equipment:

http://www.stoppainnow.com/LowPriceGuarantee.asp

It claims a 94% success rate by using "computer directed spinal rehabilitation".  The website is so vague - it doesn't provide much information on what it does and how it can make such lofty claims.  A participant at a course I taught stated that these are being advertised a lot on the radio stations in California.  It is amazing that the FDA allows for such claims - If it truly has a 94% success rate for low back pain - wouldn't this have been published in NEJM or Annals of Internal Medicine? 

Thanks,

Deydre

Quote of the Week

On the discussions of the DPT designator and grandfathering:

"The assumption of merit is easier, less embarrassing, and more effectual than the actual attainment of it."

-William Hazlitt, Characteristics, 1823

Congratulations YouTube 'Most Creative' Winner

We recently had our first ever YouTube contest on MyPhysicalTherapySpace.com and received some great winning entries.  There was one entry that stood out among the rest and won the 'Most Creative' award. Congratulations go to 'Babenkoe' for submitting the winning entry!  He will be receiving a free manipulation CD of his choice.  You can check out his winning video by logging on MyPhysicalTherapySpace.com and going to the 'Learn About MyPTConnect' group.  Have you joined MyPhysicalTherapySpace.com yet?  What are you waiting on...get connected on the 1T!

Note:  This post will also be posted in the "Learn about MyPTConnect' group on MyPTConnect.  All comments and questions should be added there.  The comments feature on the blog is turned off for this post.  Email us at info@myptspace1T.com if you have any questions.  See you on MyPTConnect!

Clinical Consult

I recall that this subject may have already been discussed on the blog but I am unable to find the entry.

I did a lit search on VAX-D, DRX9000 and non-surgical decompression therapy (marketing terms seemed like a good place to start).  There is some evidence:

1. effect on nerve conduction http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=11680509

2. mechanism of the treatment http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=8057141

3. I found one RCT which compared VAX-D to TENS http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=abstractplus&db=pubmed&cmd=Retrieve&dopt=abstractplus&list_uids=11680522

4. interestingly there is was case of sudden progression of disc protrusion reported during treatment http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=AbstractPlus&list_uids=14661685&query_hl=4&itool=pubmed_docsum .
Has anyone done a systematic review on this subject as some chiropractors in my area are doing extensive marketing of these devices and I’d like to know a little bit more about the evidence in support of, or against their use. 

Greg

Note:  This post will also be posted in the 'Orthopaedics' group on MyPTConnect.  All comments and questions should be added there.  The comments feature on this blog is turned off for this post.  Email us at info@myptspace1T.com if you have any questions. See you on MyPTConnect!    

 

Upcoming Evidence in Motion Courses!!

Check out upcoming Evidence in Motion courses currently open for registration! Learn more about MyEIM and our new Articulate course format!

Download WhatIsMyEIM.pdf

Download ArticulateFormat.pdf

***Indicates course open for internal registration only. Contact facility POC listed on website.

Evidence-based Examination and Selected Interventions for Patients with Lumbopelvic Spine and Hip Disorders

Jan 13, 2007***
Palm Harbor, FL (USA)

Jan 13-14, 2007***
W. Palm Beach, FL (USA)

Jan 20-21, 2007***
Navarre, FL (USA)

Mar 31-Apr 1, 2007
Burlington, NC (USA)

Evidence-based Examination and Selected Interventions for Patients with Cervical Spine Disorders

Nov 11-12, 2006***
Reed City, MI (USA)

Dec 2, 2006
Marietta, GA (USA)

Feb 24-25, 2007***
Colorado Springs, CO (USA)

Dec 2-3, 2006*** (Course Full)
Colorado Springs, CO (USA)

Jan 14, 2007***
Palm Harbor, FL (USA)

Feb 24-25, 2007***
Colorado Springs, CO (USA)

Jan 20, 2007***
St. Louis Park, MN (USA)

Feb 2-3, 2007***
Navarre, FL (USA)

Feb 24-25, 2007***
Colorado Springs, CO (USA)

Mar 10-11, 2007***
W. Palm Beach, FL (USA)

Sep 15-16, 2007
Burlington, NC (USA)

Evidence-based Examination and Selected Interventions for Patients with Upper Extremity Disorders

Nov 18, 2006
Charleston, SC (USA)

Feb 24-25, 2007***
Colorado Springs, CO (USA)

Evidence-based Examination and Selected Interventions for Patients with Lower Extremity Disorders

Dec 9, 2006***
Charlotte, NC (USA)

Evidence-based Examination and Selected Interventions for Patients with Lumbar Instability

Feb 3-4, 2007***
Cary, NC (USA)

We encourage early registration to insure a seat. Extensive hands-on lab sessions are included.  Visit us on the web at www.evidenceinmotion.com to get more details, learn about other 2006 course dates and locations. Register online today!

Feel free to add a comment to this post on the blog or email us at courses@evidenceinmotion.com if you have any questions or need additional information. Consider passing this post on as an email to your colleagues who might benefit from this information. Hope to see you at an Evidence in Motion course in 2006! We sincerely thank you for joining with us to translate evidence into practice.

The Evidence in Motion Team

Note:  This post will also be posted in the 'Upcoming Events' group on MyPTConnect.  All comments and questions should be added there.  The comments feature on this blog is turned off for this post.  Email us at info@myptspace1T.com if you have any questions.  See you on MyPTConnect!