by 6 people |
I hope that this lens will point other clinicians to valuable sites that will help them be more effective and efficient. The links will stress evidence based practice, which is vital for the survival of our profession.
I have also included some links to help educate the public about physical therapy and common musculoskeletal disorders.
Whats New: Added New quick poll, table of contents, critical thinking video and surgery video link
Check out my other LENS: http://www.squidoo.com/lowback
Also Check out: http://www.ah.ouhsc.edu/rehab/continuing_education.asp
Click on the video from Dr. Kinsinger
New Table of Contents
- Move Forward
- New Quick Poll
- Guestbook
- Critical Thinking Video!
- General Information for Clinicans
- Sites where clinicans can find research articles
- Article Highlight--In this section I will highlight an abstract that I feel is important to PT practice
- Books and products I recommend
- Information on Physical Therapy and Common Musculoskeletal Disorders for the General Public
- Evidence In Motion RSS Feed
- PubMed RSS Feed
- Reader Feedback
Move Forward
Move Forward: Physical Therapy Brings Motion to Life (APTA)
Physical therapists help you restore and improve motion to achieve long-term quality of life. That's the brand promise of the American Physical Therapy Association (APTA) and its member physical therapists. Learn how a physical therapist can help you regain the motion you need for everyday life and avoid expensive and painful surgery and the side effects of medication.
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Guestbook
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- Tim Richardson, PT Tim Richardson, PT Nov 19, 2009 @ 7:58 pm
- good work - is it possible to create an interactive forum here for folks to comment and respond?
Tim Richardson
timrichpt@physicaltherapydiagnosis.com
www.physicaltherapydiagnosis.com
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- arufa arufa Nov 19, 2009 @ 8:55 pm
- Thanks Tim. I just added a section so people can comment and respond.
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- jafopt jafopt May 3, 2008 @ 1:26 am
- I'd love to discuss SIJ testing and treatment. I believe I have come across a good set of tests and treatment.
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- SPF SPF Jan 12, 2008 @ 12:50 pm
- Lots of great info. My husband is a PT and we own a practice in Arizona. We have found that hiring PT's can be challenging and are tired of having to pay high prices to recruiters. Any ideas of how we can market job openings? We have posted on Craigslist, the news paper etc with limited success.
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- GastonRehab GastonRehab Dec 19, 2007 @ 3:11 pm
- Keep up the great work! I am taking the approach of marketing to the public and trying to manage my lens to educate the consumer as to what we do.
- Load More
Critical Thinking Video!
The vocie of Skeptoid makes a video to teach us about critical thinking!
Too many people do not look at health care from a critical perspective. Most alternative medicine is "alternative" because it has no scientific backing or rational. Without science (and critical thinking) the earth would still be flat and we would be treating diseases with blood letting.
Can also be found at: http://herebedragonsmovie.com/
Can also be found at: http://herebedragonsmovie.com/
curated content from YouTube
General Information for Clinicans
- Evidence In Motion
- This is one of my favorite sites. It has a very active blog which provides great information. The site also has many links to other valuable sites. The developers of the site are well respected physical therapists with extensive research experience.
- My PT Space
- An online physical therapy community set up by the smart people at Evidence in Motion
- Rehabedge.com
- This site has been very valuable to my development as a physical therapist. I spend many hours a week reading and contributing to the very active forums. Many experienced clinicians from all over the world participate in the forums. I highly recommend that you get an account (it is free) and check out the forums.
- American Physical Association
- In my opinion every PT should be a member of the APTA. There are lots of great services on this web site. One of my favorites is hooked on evidence. This is a database of physical therapy related articles (mostly abstracts) that have been entered by members of the APTA (you have to be a member to access this).
Hooked on evidence just added a new feature. It is called "Search Clinical Scenarios" and I have not had too much time to play with it. - PT Update.com
- This site is run by John Duffy, PT OCS. It is a great site with information on treatment and examination techniques as well as reviews of current literature. This site is not free but it is only 35$ for a LIFETIME membership. It is definitely a bargain.
- University of Washington Department of Radiology
- Many of us do not get to view imaging studies often. I feel it is important that we have a basic understanding of imaging. This link and the next have some good information on imaging.
- Surgery Videos
- This site has a bunch of free surgery videos.
- Diagnostic Imaging for the Physical Therapist
- This site has some very good radiology cases. Some of them are kind of tricky!
- Neuro Orthopaedic Institute
- This is David Butler's group. He has done work with chronic pain and neurodynamic exercises. There is a forum on the site and other valuable information.
You can order the book "Explain Pain" from the site, which is an education book for patients with chronic pain. I think that clinicians will also find it helpful to read (I did). - How to use an RSS reader
- Step 1. Download and install the RSS reader (see the previous link).
Step 2. At the top of this page you will see links that say (Print, Email and Add to del.icio.us) Just after those links is a little orange square with some white lines in it. Place your mouse pointer on this square.
Step 3. A window will open when your mouse pointer is over the square. In that window you will see another orange square that says "RSS". Click on that square.
Step 4. When you click on that square the site should look a little funky. At the top of that site there is an adress bar(it starts with "http://"), highlight it with your mouse and copy it.
Step 5: Open the RSS reader that you installed. At the top left corner there is a green + that says "add" under it. Click on that +. A box will open up and you need to paste what you just copied into that box.
Step 6: Click next, then next again then ok.
Now, anytime I update this site your RSS reader will let you know.
Any site whith an orange box that says RSS or XMLnis RSS reader enabled. All you have to do is click on the box and follow steps 4-6 above. - RSS feed for PubMed
- PubMed is now RSS compatible. This means you tag a certain subject (lets say Physical Therapy) and any time an abstract is added to PubMed that is dealing with PT your RSS reader tells you about it. Here is how to do it:
Step 1: Open up PubMed (there is a link to PubMed below)
Step 2: In the search box type in the subject that you want to tag (Physical Therapy, Manual therapy, manipulation, whatever you want). Make sure the first box (small box at the top with the word "search" before it) says PubMed in it.
Step 3: Once the search is finished, look just below the search box to another set of boxes. It should look something like: Display Summary, Show 20, Sort by and Send too. Change the box that says "Send to" to RSS feed.
Step 4: The page should change after step 3 and there should be a box that says, "Create Feed." Click the box.
Step 5: Click on the button that says XML (it is orange) and then paste the address at the top of the page into your RSS reader (this process is explained above).
Sites where clinicans can find research articles
- The Cochrane Library
- There are varying levels of research. Systematic reviews are the highest level of research. A systematic review is a paper on a topic that looks at all (most) the available research on a subject. The great thing is the authors critique the articles in the review to make sure they are of high quality. This site is well respected for offering very high quality systematic reviews. You can search abstracts for free.
- PubMed
- This is a popular site for literature searches. The information is not PT specific but it is one of the first sites I use to find articles.
I have recently started using RSS feeds which PubMed now has available. You can choose a topic in PubMed and your RSS reader will let you know when abstracts have been added to that topic. It is really cool. For example, I have low back pain tagged and anytime PubMed has a new article posted about low back pain a program on my computer lets me know about it. I will put more information about RSS feed up later! - Medscape
- Medscape has many services. You can sign up for news letters or just search the site for information. You can also search medline through this site. If you look on the right side of the site there is a search box and you can select to search medline. This is another place to find abstracts on all topics.
- Amedeo
- This site is really cool. You can sign up for different topics (including physical medicine) and it sends you updates via e-mail when new articles are published. Often you get the abstract before it comes out in print. This is a great way to stay on the cutting edge of research.
- PEDro
- This is not the unofficial site of Napoleon Dynamite. This is a database of physical therapy related research.
- Hooked On Evidence
- This site is offered by the APTA. You have to be a member to use it. It is a database of PT related literature that has been entered by people like you and me. I encourage you to become a group leader and enter any pertinent articles that you come across.
- Journal of Orthopaedic and Sports Physical Therapy
- If you are an APTA member and a member of the ortho or sports section you have access to JOSPT online. They have full text articles from JOSPT dating back to 1995.
Article Highlight--In this section I will highlight an abstract that I feel is important to PT practice
- The Use of a Lumbar Spine Manipulation Technique by Physical Therapists in Patients Who Satisfy a Clinical Prediction Rule: A Case Series
- This case study uses the lumbar manipulation clinical decision rule developed by Childs et al. It takes patients that meet 4/5 of the CDR components and tries a different manipulation than was used in the Childs studies. 92% had a 50% or greater decrease in disability after two visits.
- The Thessaly Test
- This is a relatively new test for identifying meniscus tears in the knee. The test is very easy to perform (pt stands on the side to be tested with it flexed to 20 degrees. The examiner holds the pt's outstretched hands and assists them in rotation (both directions)). Pain, catching, giving way are all positive. In a study of 230 symptomatic individuals the test had good sensitivity and specificity. Along with a good history and palpation this test can make use quit accurate at identifying patients with meniscus tears.
- Identifying subgroups of patients with acute/subacute "nonspecific" low back pain: results of a randomized clinical trial
- Classifying individuals with low back pain is essential for effective and efficient treatment. This article studied the effectiveness of one classification system.
- Manipulation and mobilisation for mechanical neck disorders
- This is a study done by the smart people over at the Cochrane Collaboration. As mentioned above, this site puts out systematic reviews which are considered the highest quality of evidence. This is a review of 33 trials and it found that cervical pain (non radicular) responded best to manipulation or mobilization that was combined with exercise. The review did not find any evidence that cervical manipulation was more effective than mobilization. Other studies have shown increased risk with cervical manipulation, so the obvious question is, should we be using cervical manipulation?
Maybe cervical manipulation is more effective than mobilization in certain cases. Hopefully, future research will help us figure this all out! - Provocative sacroiliac joint maneuvers and sacroiliac joint block are unreliable for diagnosing sacroiliac joint pain.
- The sacroiliac joint still remains a mystery. Some feel it is very important in the treatment of low back pain and other musculoskeletal disorders. Other clinicians and researchers are skeptical of the joints importance. In manual physical therapy we have many examination techniques to asses the stability, movement, position and function of the SI joint. Unfortunate, most (if not all) are unreliable and their specificity/sensitivity are low.
This highlighted study brings up even more uncertainty by questioning the gold standard in testing the SI jt. The study found that SI jt blocks are unreliable and anesthetic often diffuses out of the joint. This calls into question conclusions by other studies that have used SI jt blocks to determine the location of a lesion. - A Clinical Prediction Rule for Classifying Patients with Low Back Pain who Demonstrate Short-Term Improvement with Spinal Manipulation
- Those of us who use manipulation (high velocity low amplitude thrust) as a treatment know that it can be very effective. It is often difficult to determine which patients will benefit from manipulation. This study provides us with a clinical prediction rule to guide the use of lumbar manipulation. The authors have identified 5 variables that predict the short term success of spinal manipulation. Studies like this can directly change/improve how we treat our patients.
Books and products I recommend
Orthopaedic Clinical Examination: An Evidence Based Approach for Physical Therapists (Netter Clinical Science)
Great book!
Amazon Price: $63.61 (as of 12/30/2009) 
Evaluation and Treatment of Chronic Pain (Books)
Amazon Price: (as of 12/30/2009)
The Sensitive Nervous System
Amazon Price: (as of 12/30/2009)
Orthopaedic Examination, Evaluation, and Intervention
Don't drop this book on your foot. It is very heavy!
Amazon Price: (as of 12/30/2009)
Information on Physical Therapy and Common Musculoskeletal Disorders for the General Public
- About evidence based practice
- Evidence based medicine is one of those new catch phrases that we often hear. I wonder if patients really understand what that term means (I sometimes wonder if I really know what it means). This article is a great introduction to evidence based medicine.
- Consumer Labs
- This independent lab tests supplements to ensure they are labeled correctly. The site also has information on the science (or lack of science) behind many common supplements.
- All experts Physical Therapy
- Ask an expert!
- Physical Therapy CA
- Information on common musculoskeletal disorders from our neighbors to the north.
- Quackwatch
- Great Site!!!
This site helps to identify quacks. There are many unproven, ineffective and misleading treatments offered by all types of medical and non-medical practitioners. This site will help you identify which are phony which are worth looking into.
Evidence In Motion RSS Feed
Fetching RSS feed... please stand byPubMed RSS Feed
Physical Therapy feed
Using the directions above you can have feeds like this automatically sent to your RSS reader. It is a great way to keep up-to-date on the topics that matter to you.
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