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Spinal Exercises - Make use of this Amazing Research Tool

Orthoload
If you prescribe exercises for improving spinal mobility or strength you will find this abstract of interest, but before we get into it, you need to understand how these loads are measured. Usually due to burst lumbar fractures/tumors, participants have their VB and IVDs replaced, in this case with a vertebral body replacement e.g. Synex. Build into this replacement is a telemetry chip capable of collecting and exporting load data in vivo. This has enabled the researchers to capture load data for a huge range of ADLs and they provide all this data free. Awesome. Spinal loads during post-operative physiotherapeutic exercises Rohlmann A , Schwachmeyer V , Graichen F , Bergmann G . Abstract Aft...
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344 Hits

Royal Commission into Physiotherapy?

Royal-Comm-sml
While driving to work along lovely country roads each morning, I take the opportunity to catch up on what the rest of Australia has been doing. ABC radio national and ABC news are my favourites and it is hard not to shake the head each morning, after hearing the latest revelations from the banking royal commission. CommBank charging $120 million for no-services or charging services to dead people for 10 years ..... There seems to be a major disconnect between fund managers, financial service advisors and those other 'professionals' providing financial advice and their clients. What has happened to professional ethics in the financial profession? Looking in from outside, it seems they have co...
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  444 Hits
444 Hits

Research | What would you advise? | Beware Neurological Mousetraps

Research
Research & Your Advice For the past 3 weeks I have been conducting a systematic scoping review for my PhD on the topic of "The relationship between sleep posture and waking spinal symptoms of pain, stiffness and bothersomeness". A scoping review is similar to a systematic review, except it is better suited for new areas of research and areas in which the aim is to identify gaps in our current knowledge base. What's amazing to me, is that as a clinician I have been doling out advice about corrective sleep postures for years and yet there is basically nothing with a research base, on which to construct this education. Hence the scoping review and my PhD. There is a reasonable body of evide...
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  467 Hits
467 Hits

Responsibility to Improve - Yours or Your Clients?

Responsibility
At the start of our Strive & Thrive in Private Practice course , participants write down the three biggest challenges they are experiencing as a new and recent graduate. "Time Management" perennially features highly, but so does "feeling guilty" – recently expressed by Chloe in these words; "taking on the patients' problems personally and blaming myself for being the reason why they are not responding quickly enough" Let's look at this in two parts. Take the first part; "taking on the patients' problems personally and blaming myself" Now I see this statement as coming from a clinician with a big heart, who, however, is heading towards a train wreck. Why? As clinicians, most of us got int...
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  645 Hits
645 Hits

Top 4 Benefits of dry NEEDling

top4
I was recently asked what in my experience were the top 4 benefits of dry needling. Tough call, but when I reflect on the clients that have been assisted, it comes down to the following mix. Neurophysiological effects There are many aspects to this component. Here are three. Firstly , It is unlikely that we are actually having a direct effect on the muscle (if that is what you are needling). In the same way, that the muscle is unlikely to be the tissue at fault. Most likely the muscle is reacting to and protecting some other irritated tissue and as a result of unaccustomed static activity became symptomatic. We know trigger points have a build up in neural sensitising metabolites and lower p...
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  439 Hits
439 Hits

Developing Mental Toughness

Mental-toughnes_20180122-150151_1
Here are a couple of case study vignettes. This is what gets me out of bed in the morning. I would be interested in what you thought about this aspect of your practice. Last week I was referred 2 very different people, yet both were on struggle street with their injuries and perceived futures. One was a younger person that significant foot, tibia and knee injuries due to a mechanical accident. After 18 months of surgeries (foot reconstruction, tibial fixation - internal and external, skin flaps and grafts, ACL cleanup) he presented on two crutches, not wearing a shoe, foot NWB and pretty much blue and sweaty. He had constant pain, was online gaming pretty much all day, went to bed around 2-3...
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  188 Hits
188 Hits

Transitioning into Private Practice

Transition-to-Private-Practice
Hey! The transition from student to private practice professional can be a real jolt, what with all the new and added expectations. Actually, it is often overwhelming. So, what makes being in private practice daunting for new and recent grads? To get the ball rolling, here is a quote from one of our Strive & Thrive in Private Practice participants; "When I first started I found it difficult to combine a meaningful assessment, whilst thinking to myself the direction I was going to take with the treatment and then being able to effectively communicate with the patient without seeming like I wasn't confident. I guess it was all pretty overwhelming" Understandable when university undergradua...
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  288 Hits
288 Hits

Time Effectiveness - How to grow Yours!

Time-Effectiveness
With the commencement of our current cohort of students undertaking the Strive & Thrive Course in Private Practice, one of the biggest issues being raised repeatably is time, or more specifically the lack of it. Reality says we have 24 hours max, and for mental and physical well-being most of us need to sleep around 7.5 - 8.5 hours (+ extra hour if you are pregnant). We discuss many strategies on during the Strive & Thrive Course but as I see it, there are two sensible ways to immediately improve your efficiency. Maximise Productivity To do this you first need to determine when you are most effective mentally (lark or owl) and use that time for high demand activities. I am generally ...
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  254 Hits
254 Hits

Thank you | Helping others when we can

Donation-collague_white-copy
You are probably familiar with the turn of phrase 'we walk on the shoulders of those that went before' . Which expresses a significant amount of humility in acknowledging and appreciating the work that others have prior undertaken, to enable the 'we' to achieve the new things they are achieving. Now turn that phrase around . 'Encourage those behind, to take bigger strides than those in front'. Not as eloquent I accept, but essentially, if we want individuals, organisations, profession, and humanity to achieve more positive outcomes, then the leaders of today need to challenge, encourage and support others to take aim higher than they previously considered possible. One of the ways I believe ...
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  311 Hits
311 Hits

Dry Needling Course Review

Dry-Needling-Courses
I recently completed a teaching block of 6 days dry needling in Perth, split between two venues. The lovely outlook over Lake Monger was a great setting for learning and sharing of new skills. What a great mix of students! Internationals from India, Hong Kong, Brazil, Singapore, and locals from both the east coast and west coasts of Australia. With the new course structure (Level 1 Introductory, Level 2 Spine & Lower Quadrant, Level 3 Spine & Upper Quadrant and Level 4 Master Needling Course), plus the integration of new technology for teaching there were lots of positive comments about the improved learning process: ​ Online prior learning Palpation skills review was great Lov ed th...
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  601 Hits
601 Hits

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