Background Questions: Lab Tests

Evidence-based practice divides clinical questions into background questions and foreground questions.  For most physical therapy practice scenarios, our questions regarding lab tests, values, and uses will be background in nature vs questions involving the clinical examination.
This site  is a great resource for answering your background questions relating to laboratory tests and it is very intutive/user…

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Exercise Therapy for Patients with LBP

Attached are two papers published in the most recent issue of Annals of Internal Medicine summarizing the evidence for exercise therapy in patients with LBP. The good news is that we’re finally beginning to see systematic reviews supporting the effectiveness of exercise therapy in patients with chronic LBP. In the past, these reviews have always concluded that the evidence…

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Effects of Physician-Owned Limited-Service Hospitals

Attached is a very interesting report published by Dr. Jean Mitchell, who is on faculty at Georgetown’s Public Policy Institute. This is the same Dr. Mitchell who published the ’97 study in Physical Therapy demonstrating that direct access episodes of physical therapy care were less expensive than referral episodes (frequently referred to as the "Mitchell study").
The…

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LBP articles

Download FABQ_LBP.pdf
Download analgesics_LBP.pdf
Download LBP_exercise_motivation.pdf
I have attached 3 articles form the most recent issues of spine that may be of interest. The first deals with the addition of motivational program in addition to exercise for LBP (with a 5 year FU). The second deals with FABQ scores in a patient population who is not on…

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blog stuff

Thanks to all of the authors that have posted.  Some really great discussions and I hope the radiology  post ( Evidence In Motion ) generates a lot of comments and feedback.  The power of blogging is really evident!  This blog already has more subscribers than the evidence in motion list serve which enables us to reach a larger…

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Practice Acts and Imaging

I am interested in generating a discussion about PTs and the use of imaging to enhance our practice.  Specifically, ultrasound imaging, digital fluoroscopic imaging, standard radiographs, and MRI (static and dynamic).
As imaging continues to improve and we are able to analyze dynamic motion or dynamic muscular function with the new technology – our practice acts may need to be…

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Evidence-Based Medicine: A unified approach

Download david_eddy_ebmhealthaff_2005012_vol24_no1_p917.pdf
The author, David Eddy, gives a concise summary of the history of the development of the concept of evidence-based medicine.  He makes a good distinction between EBM guidelines and the use of "EBID" ("evidence-based individual decision making").  He proposes the need to unify our approach to these concepts in…

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Does the technique matter?

I have attached an interesting commentary by Cornwall and Mercer from the New Zealand Journal of Physiotherapy regarding the clinical anatomy of the lumbar spine and palpation of the z-joints. Their conclusion- questions should be raised about the proposed specificity of commonly taught manual examination and treatment techniques.
My thoughts exactly!
Josh
Download l_zjt_palpation_nzjp.pdf…

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