Category: Clinical Reasoning

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A Review of Core Stability Training in Rehab: Facts, Fallacies and Future Directions

Over the last two decades one of the most popular forms of exercise in the health and fitness industry is core stability training. While the…

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Tissue Changes & Pain: Explaining their relevance

Structure is not Destiny…but it still might be important. We know that degenerative changes can exist on a spinal MRI and people can have no…

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When Are Specific Physical Interventions Needed To Treat Pain?

The Challenge The low back pain literature suggests that a specific intervention (e.g motor control exercises, targeted strengthening etc) are no more effective than general…

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Plantar Plate injury, assessment and management – by Nick Knight

The following blog is by Nick Knight and was featured on Tom Goom’s website, enjoy! Plantar plate injuries are easily missed and probably under diagnosed…

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Why should exercises be pain-free? Part 2: Pain & philosophy

MIND-BODY DUALISM The first part of this blog discussed how traditional thinking often attributes improvements to pain to changes tissues structure and function. This historical…

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Is Early Physical Therapy Safe After a Rotator Cuff Repair?

Physical therapy is vital after a rotator cuff repair and continues to be common in an outpatient setting. Unfortunately, there’s no true consensus on when…

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Have the butt muscles of the world gone silent?

From my extremely unscientific observation it appears that 67-74% of my patients have been told their glutes are inhibited and don’t work properly. It seems…

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The REAL Truth About Pain Science & Body Mechanics: A Response to Criticism

Joel Seedman, a personal trainer, recently wrote an article called the The Truth about Pain Science and Biomechanics, which presents a lengthy attack on “pain…

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Rapid response to a systematic review on spinal manipulative therapy for chronic low back pain

A systematic review (1) on the benefits and harms of spinal manipulative therapy (SMT) for chronic low back pain (CLBP) was published in the British…

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