More gentle prodding…

I work in a small outpatient orthopedic physical therapy
clinic. Today, the wife of a patient I
am currently treating for LBP brought me an article from the October issue “O”
magazine and asked for my comments about a section on various aches and pains. (Oprah’s magazine…October 2005 Vol 6, Number
10 pf 185-192)&nbsp…

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Motion palpation study

Here’s an interesting article published on biomedcentral regarding motion palpation and lumbar spine segmental instability. The researchers found that PIVM’s and PAVM’s were specific but not sensitive and had only moderately strong LR values, supporting the notion that motion palpation contributes to a patients clinical picture only when taken in conjunction with other information gathered during the…

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U.S. Health Care Quality

Here is a post from another blog I regularly read regarding a recently published paper in Health Affairs. The gist of the findings is that although the U.S healthcare system performs well in highly specialized areas (due to our fascination with expensive tecnology), we fail quite misearably when it comes to coordinating care throughout the spectrum. In other words…

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Margin

Although every era and generation has had its own share of
problems and hardship, ours is unique in several ways. One of these unique features is the fact that
technology has positioned us so that it is possible to be reached 24/7 from
just about anywhere. Another is the
never-ending stream of new information that continually…

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Clinician……but “Got Goods?”

In my last post I mentioned the concerning fact that some
first-professional students were still unable to performing basic examination
and intervention skills upon graduation. These new graduates needed time to “acclimate” to functioning at
full-capacity in a busy clinical environment (on the company dime, of course). While concerning, this problem usually
remedies itself fairly quickly with mentorship…

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Any Willing Provider Law

Recently in Arkansas the Any Willing Provider Law was upheld forcing our ArkansasBCBS to open up the network to PTs. Prior to this one had to be a providerfor one of the Baptist Health Systems outpatient PT clinics. I call themHOPTs. These compete directly with private practices in our community but,with financial incentives (less out-of-pocket- xpense for…

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