Quote of the Week

Beginning this week, Evidence in Motion will post a weekly
‘Quote of the Week’ relevant for evidence-based physical therapist practice.
Over time, we will develop a rich historical repository of quotes that can be
maintained and viewed on the blog and website. Nothing dramatic here – just
some basic ‘food for thought’. Here is the first quote:’All truth passes…

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NY Times Article

My unfavorite newspaper (see comments under this post), The NY Times featured an article on Nov 30th that made many news wires entitled When the Doctor is in But You Wish He Weren’t.  It includes many examples of unruly customer service from a variety of specialists including orthopedics.  Lest we be too critical of physician practices, we…

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Musculoskeletal Ultrasound Imaging – Function

Hello!

I hope all is going well. This last year resulted in a lot of research regarding ultrasound imaging for musculoskeletal function.

Below is a list of articles I have found relating ultrasound imaging and musculoskeletal function in the last year. I did not include articles regarding assessment of muscular or ligamentous injuries (i.e. RTC tear).

Hopefully some of…

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Chiropractic Education

An interesting take on chiropractic education from another blog I read. However, lest we be disingenuous, we can find find plenty of examples throughout physical therapist educational programs where the academic credibility of their faculty is far less than desirable. Using the late Steven J. Rose’s analogy, much works remains convincing some physical therapist program faculty that they should…

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Knee OA RCT 2

Congratulations to Dr. Gail Deyle and colleagues regarding the recent publication of a RCT in Physical Therapy demonstrating the benefits of manual physical therapy and supervised exercise compared to a home exercise program. See the press release for detailed information. This study follows a previous study from Dr. Deyle and colleagues published in Annals of Internal Medicine in 2000 demonstrating…

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side effects

I was reminded by a few of the recent blogs (drugs, advertising, adverse events) of an essay in The New Yorker by Steve Martin ("Side effects", The New Yorker, April 12, 1998). It begins:
Dosage: take two tablets every 6 hours for joint pain.
Side Effects: This drug may cause joint pain, nausea, head-ache, or shortness of…

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James Lind Library

I was searching for an article on James Lind, the physician who demonstrated proof of the effectiveness of citrus fruits in the prevention of scurvy in the 18th C, when I came across this terrific website: www.jameslindlibrary.org.  The website and organization was started by Iain Chalmers, a pillar of quality health care and one of the earliest…

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Shrinkage- At least it’s not harmful

Intradiscal electrothermal therapy (IDET) is increasingly being used in the management of chronic spinal pain, to the tune of about 40K procedures a year in North America. IDET is performed under video fluoroscopy and involves placing a catheter needle in the “symptomatic” disc and heated to 90 C. The thermal energy has been shown to coagulate neural tissue, shrink collagen…

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Drug reps and cheerleading?

Pharmaceutical sales if a fiercely competitive business. Does evidence or beauty market this industry? There is nothing inherently wrong with utilizing effective marketing strategies, but does such an approach eventually contribute to Vioxx fiascos. Larry is from Kentucky. Larry, what’s going on at UK?
John…

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Look Before You Speak

I was discussing the treatment patients with neck pain and
associated headaches a while back with someone, when they posed a question
about effectiveness of manual physical therapy for migraines. I knew there was evidence for the effectiveness
of this intervention for cervicogenic and tension headaches, but was always
under the confident impression there was no benefit for migraine…

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