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You may not think you are - but I bet you are!

When you think of great leaders, who comes to mind? Are they social, political, professional, athletic or business leaders. Perhaps, Mahatma Ghandi, Margaret Thatcher, Pope Francis, Nelson Mandela, Usain Bolt, Benazir Bhutto, Stephen Covey, Martin Luther King or Rosie Batty. What are the qualities, values or attributes of leadership that you so admired in these people, that elevates them for you to being a leader? Perhaps you identified qualities like compassion, conviction, wisdom, honesty and passion. It is interesting when looking at what defines a leader that it can be as simple as someone that has followers, after all, you can't be a leader if you aren't leading someone else! What about...
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234 Hits

Reflective Practice

Sorry about not sending out my normal July email. Tomorrow is the last day before submitting my PhD thesis and I confess to burning the candle at both ends through most of July. However, the process of writing, revising and rewriting, has made me consider the importance of reflective learning/practice. In the case of my thesis, reflective learning challenges me; to read a section of thesis material/results apply the pub test - does it feel right and evaluate my results within the context of the broader literature and then put into writing how this new information does or does not change my approach. You could apply the same process to how you react to a complaining client, your teenager deci...
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338 Hits

Sleep posture - be wary of anecdotal opinion

We have all had that client rock into the clinic with a 'spasmed' neck, that came on soon after waking. It was an amazing fact that 9 years ago when I started looking into relationships between sleep posture and waking spinal pain, I couldn't find any research to guide me. Ah I thought, now that is interesting.....plenty of anecdotal stuff, but nothing on which to base clinical advice. "Herniated lumbar disc. The preferred sleep position depends in part on the position of the disc. For a paracentral disc herniation (most common), people tend to do better lying on the stomach." Complete online article written by Dr Richard A. Staehler, MD can be found here . Really! Clinically would you tell ...
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678 Hits

Ways to Improve Rural Health Outcomes...but not this one

****Would $125,000 help employ your next clinician?***** That is the amount of money on the table being offered by the current government, to attract allied health professionals into rural and remote locations (well basically anywhere other than metro centres) to improve the quality and availability of services. An awesome idea, because the further you move from our capital cities the worse health outcome become, the more expensive accessing health services becomes, the shorter life expectancy becomes and all because access and diversity of health services reduces. Effectively Triple $$ Dipping So putting $$ towards employing and retaining allied health professions is a no brainer....
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  893 Hits
893 Hits

My Quick Lower Limb Clinical Neurological Examination

Following on from the Upper Limb Clinical Neurological Examination blog here are the details for my Lower Limb examination. Comments in regards to increasing neurological tone in regards to using the Jendrassick maneuver apply here also. See the Upper Limb   neurological  examination blog for further details. For power testing I use the following; Iliacus L2 (femoral nerve), Quadriceps L34 (femoral nerve), Tibialis Anterior L4 (deep fibular nerve | sciatic), Extensor Hallucis Longus L5 (deep fibular nerve | sciatic), Fibularis Longus/Brevis L5S1 (superficial fibular nerve | sciatic) and Triceps Surae S12 (Sciatic nerve). How weak is weak? For me it is not so much that the test...
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682 Hits

My Quick Upper Limb Neurological Examination

So what are your criteria for conducting a neurological examination and what do you include when you do complete one? Like all questions there are provisos, so rather than list them all I thought I would explain my basic neurological examination and depending on the results I build from that. When to check? Generally if symptoms extend beyond the shoulder or hip, I would consider at least a basic examination. If the history included descriptions of pins and needles, numbness then again I would include a neurological examination. How long should it take, around 3-5 minutes. Here is my upper quadrant examination. In my type of clinical practice I am focusing on the hard signs of a neurological...
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793 Hits

Developing Efficient Habits - using the Eisenhower Matrix

One of the commonest challenges mentioned by new grads is overwhelm , described as the sense of treading water and just about going under, in relation to demands on time. This is not unique to recent grads. Even experienced clinicians experience the buildup, but have learnt techniques to manage these crunch times. One such technique is the Eisenhower Matrix (EM). So why the name? Dwight D. Eisenhower was the 34th President of the United States from 1953 until 1961 but before becoming President, he served as a general in the United States Army, as the Allied Forces Supreme Commander during World War II and later NATO's first supreme commander. It can be assumed the guy experienced time pressu...
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  540 Hits
540 Hits

Dry Needling & Dysmenorrhoea

If you have an interest in dry needling and acupuncture, it is worth utilising the auto email Table of Contents function from AIM (you can set it up here ). One of the articles that grabbed my eye in a recent eTOC list was the one reporting on dry needling of rectus abdominis to treat primary dysmenorrhoea. The viscero-somatic reflex is one of the topics that we examine in the Level 2 Spine & Lower Quadrant Course and this is a great example. As a bit of background, it would be worth having a look at an earlier 2014 study that used wet needling (lignocaine). The results were pretty amazing. Participants initial details were age, 22 ± 2.5 years and mean VAS pain scores 7.49 ± 1.16. After ...
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1647 Hits

Will you treat someone with back pain?

How did you explain to them what their 'non specific low back pain' diagnosis means. I understand the 'medical' reason for this term, but hey, when you just look at the words, it is so 'No-Brand-Vanilla'. How do I respond? A good question and I recently stumbled on what seemed a good analogy and will share it with you. Firstly however, I must stress that it is important to clarify they don't have a fracture, infection, inflammatory condition or tumor. This is an important part of our primary contact practitioner role. Back of the envelop calculations indicate, that if you see on average 3 new clients per day, and have 4 weeks holiday a year, you will be seeing on average 5 people a year that...
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  1998 Hits
1998 Hits

Spinal Exercises - Make use of this Amazing Research Tool

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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1839 Hits

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