What is evidence- based medicine? How can it help you get out of musculoskeletal pain?
Evidence-based physical therapy (EBPT) has been defined as “physiotherapy informed by relevant high quality clinical research” (Herbert, Jamtvedt, Mead & Hagen, 2005, p. 1).
“The practice of evidence-based physiotherapy should be informed by the integration of relevant high quality clinical research, patients’ preferences and physiotherapists’ practice knowledge” (Herbert, p. 2).
In the event that high quality clinical research is not available, good practice must make use of other sources of information such as peers, practice guidelines, practice knowledge, and any other lower quality research to inform action in practice.
Why practice (EBPT)? The practice of EBPT really comes from making the “cost effectiveness of physiotherapeutic intervention in comparison with other … treatment, or no treatment at all” make clinical sense (Koes, 1997).
Another reason for the existence of EBPT, is because it is “the best strategy clinicians can use to cope with the potential chaos and uncertainty of modern clinical practice, and to meet the ethical imperative of providing the best possible care for our patients” (Sherrington, Moseley & Herbert, 2001, p. 125).
Goals of (EBPT). Following evidence based practice procedures helps to:
• make sure that all decisions made for patient care take into account “the best available evidence”
• better plan and evaluate service delivery
• better analyze research studies and direct those findings to better care
• take better measurement and do interpretation of outcomes to provide the best care possible
• provide better patient information
• better understand the reasons for lack of compliance by patients in relation to their PT care
• accurately gauge the relationship between patients and physical therapists and its effect on health-related outcomes.
• develop theories based on evidence in practice.
Evidence Based Physical Therapy research and hands on treatments have substantiated that the below mentioned modalities when performed by a skilled licensed physical therapist will improve shoulder range of motion, improve strength, decrease pain and improve functional daily activities. These modalities include: strengthening exercises for scaplular stabilizers (serratus anterior, rhomboids, middle and lower trapezius) and rotator cuff muscles; soft tissue mobilization (massage) especially to the pec. Minor, supraspinatus/infraspinatus/subscapularis; gentle glenohumeral joint mobilizations; and self capsular mobilization with tennis ball as I demonstrate in this video…..CLICK HERE to see how you can floss away your pain.
If you would like more information about how you can help yourself get out of pain or would like to consult with me regarding Physical Therapy for your shoulder or other aching/painful body parts please contact me at gregsterner@fitnesstogether.com or call 619.756.7500.
Greg Sterner, Licensed Physical Therapist, Owner
Fitness Together Point Loma @ Liberty Station
Floss Away Your Shoulder Pain with Evidence Based Physical Therapy Techniques
How to use FMS (Functional Movement Systems) and Corrective Exercise to improve your movement.
Today we are going to dig a little further into FMS. What is FMS (Functional Movement Systems)? How it Can Help You?
If you are and athlete or have pain possibly caused by a faulty movement pattern, continue to read. The Functional Movement Screen captures fundamental movements, motor control within movement patterns, and competence of basic movements uncomplicated by specific skills. It determines the greatest areas of movement deficiency, demonstrates limitations or asymmetries, and eventually correlates these with an outcome and score. Once the greatest asymmetry or deficiency is observed, then specific corrective exercises are prescribed to facilitate proper movement sequence and form.
Nike, Titlelist, and the N.F.L combine now all incorporate FMS into their athletes training protocols. There has been a dramatic shift in the physical therapy world over the past decade in now attempting to improve movement patterns with corrective exercise versus just trying to strengthen weakened, isolated muscle groups.
Test 1: Deep Squat:
The squat is a movement needed in most athletic events. It is the ready position and is required for most power and lifting movements involving the lower extremities. The deep squat is a test that challenges total body mechanics when performed properly. It is used to assess bilateral, symmetrical and functional mobility of the hips, knees and ankles. The dowel held overhead assesses bilateral, symmetrical mobility of the shoulders as well as the thoracic spine. The ability to perform the deep squat requires appropriate pelvic rhythm, closed-kinetic-chain dorsi-flexion of the ankles,flexion of the knees and hips and extension of the thoracic spine, as well as flexion and abduction of the shoulders.
Today we focus on squats and 2 kinds of issues people have with squats and how to correct them. One is knee issues and the other is ankle issues. Greg Sterner, Licensed Physical Therapist, Owner Fitness Together Point Loma Personal Training Gym, demonstrating some corrective exercises in the video below.
How to Relieve Back Pain in 10 Steps By Andrea Stanley
For anyone who’s ever suffered from back pain (80 percent of you will have some type of back problem, according to the American Chiropractic Association), beating it seems like a giant job that only a powerful dose of meds can handle. While popping a pill may give you a break from the aches, it won’t cure the cause of your chiropractic cricks. But you don’t need to hobble around in discomfort, either. Here’s how to relieve back pain (no prescription needed!)—we’ve got your back.
1.Fight the Hunch
2. Ease Up on the Cocktails
3. Take a Walk
4. Pay Attention to Your Breathing
5. Add Ice (Not Just to Your Back)
6. And Heat, Too
7. Sip Turmeric Tea
8. Try Willow Bark
9. Hit Up a Yoga Class
10. Rub On Capsaicin
Click here for more information.