United Health Care and the American Chiropractic Network

I received an inquiry from an individual by the name of
Melinda Halford, PT (skylandrehab@bellsouth.net).
She owns a small outpatient PT/OT Rehab Center called Skyland Rehab in Asheville, NC and has been trying to become a credentialed provider with United Health Care (UHC).
She was advised that they are not accepting any new providers, which by itself…

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More on CEUs & grading evidence

Here are some articles on the Strength of Recommendation Taxonomy (SORT). I like this  idea that the American College of Family Practice (ACFP) adopted for grading articles or patient oriented evidence that matters (POEMs).  I suggest considering a similar taxonomy for grading courses endorsed by the APTA, from I (highest) to III (lowest) grade of evidence. This is…

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Extensor Grip Test for Tennis Elbow

Attached is an interesting small trial demonstrating value of the extensor grip test for predicting positive response to bracing for tennis elbow. However, the results are not quite as impressive if you consider the positive likelihood ratio (LR). For any students of EBP reading the blog, see if you can calculate the positive LR. Post your answers as a comment…

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EBP Conspiracy!!!

Well, I had always heard inklings and rumblings of this type of thing to be sure, but at long last we finally have something in print (therefore it must be evidence, right?) confirming:  There is an EBP conspiracy occuring right in our midst!!  Worse than that, it has all the markings of a religious cult.
To the (C…

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open-kinetic chain vs., and/or closed-kinetic chain

Gang,
Well, just when we think we begin to understand the universe…the universe proves elusive. Here is an interesting article that reviews recent biomechanical studies of strain on ACL grafts with OKC and CKC exercises, which suggest little or no difference in strain between the two categories of exercise. Both are effective tools for rehabilitation. So much for 20…

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Specificity of Manipulation

Julie Fritz passed around this article a few days ago.
Download Ianuzzi-SpineJ-2005-ManipNotSpecificCadaver.pdf
It is
a cadaveric study, but it adds to the emerging evidence on the lack of specificity with
manipulation. In case you’re interested, a sampling of the evidence questioning our ability to localize manipulation to a specific area is included below. The good…

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Our CEU Approval Process is Broken

For all the progress we have made towards EBP, we would be sadly mistaken if we think our day of arrival is imminent. Course descriptions like the one below truly sadden me (www.barrettdorko.com). Poetry as an EBP alternative anyone?Manually Managing Pain: The Use of Simple Contact for Neural Tension and Chronic Pain
Instr:  Barrett Dorko, PT…

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Remembering Jules Rothstein

Remembering Jules Rothstein

There is an immediate feeling of inadequacy when I was asked to write a piece about a true giant in the field, especially when this person was one of the most intelligent people and eloquent writers that the field of physical therapy has ever known. When Jules passed away this past weekend, many tributes focused on the…

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