Dry Needling: A Modality to Treat Trigger Points

Dry Needling: A Modality to Treat Trigger Points

By: Vincent Parisi SPT & Gretchen Stein SPT. Missouri State University, Springfield, Missouri Reviewed by Rich Maas PT, DPT, OCS, COMT Dry needling is a technique used by physical therapists to decrease pain and improve function caused by musculoskeletal pain and...
Complex kinematics of the wrist? Child’s Play!

Complex kinematics of the wrist? Child’s Play!

Jamie Bergner, OTD, OTR/L, CHT, COMT Have you ever wondered how the carpal bones and ligaments of the wrist can withstand so much force with daily activities? Consider what you might observe if you are on a playground! You might see children doing handstands, walking...
The First Step in Dealing with the Difficult Patient

The First Step in Dealing with the Difficult Patient

Communication. Conversation.  We do it every day.  It’s an integral part of the human experience.   On the surface, it seems simple.  So simple, in fact, that we don’t often actually think about it.  But in reality, communication between two people is a very complex...
CLINICAL PEARL Dizziness with Neck Pain

CLINICAL PEARL Dizziness with Neck Pain

Becky Sherwin MPT, COMT The vast majority of my caseload consists of patients with spinal impairments, and most of these are patients with neck pain.  Many of these people have been in motor vehicle accidents and  have complaints of headaches and dizziness....
What’s wrong with this picture?

What’s wrong with this picture?

By Theresa Parry OTR MS CHT COMT This is an example of a midcarpal joint dorsal intercalated segment instability (DISI). Note how the moon-shaped lunate in facing in a dorsal direction. Also, notice the arthritic changes taking place on the dorsal lip of the lunate...
Restoring External Rotation in the Shoulder

Restoring External Rotation in the Shoulder

By Dustin Silhan, PT, ScD, COMT When we look at our shoulder patient population, whether we are dealing with the post-op case, adhesive capsulitis, or other cases where we have capsular restrictions, external rotation (specifically at 90 degrees abduction) is often...
What’s all the fuss about dart thrower’s motion?

What’s all the fuss about dart thrower’s motion?

By Theresa Parry OTR, CHT, COMT If you have been present in the hand therapy literature world as of late, you can’t help but notice all the hype about dart thrower’s motion (DTM). So, what is it and how can we use it in the clinic?! DTM is the movement that...
Patient Essentials: We have the time

Patient Essentials: We have the time

By Dustin Silhan PT ScD COMT This is a saying we like to use in the clinic where I work – a hospital-based outpatient facility. The concept attempts to place the focus on service to the patient, making them the focal point, and taking the extra step to go above...
What’s the best treatment for my patient?

What’s the best treatment for my patient?

By Amy Hay Azevedo PT ScD COMT As physical therapists, all of us share a common purpose.  We want our patients to achieve their goals.  This is what drives us to learn more about various pathologies and treatment techniques.  This is why we watch videos on YouTube,...
What Every Patient Needs – Part 1

What Every Patient Needs – Part 1

The chronic pain client can be a challenge to treat even for the most knowledgeable clinician. To this day, not only the patient, but also the providers are asking the questions 1) which is the best approach to treating the chronic pain patient: physical therapy or...
SPT Abstract – Effects of Group-Based Exercise on Range of Motion, Muscle Strength, Functional Ability, and Pain During the Acute Phase After Total Knee Arthroscopy: A Controlled Clinical Trial

SPT Abstract – Effects of Group-Based Exercise on Range of Motion, Muscle Strength, Functional Ability, and Pain During the Acute Phase After Total Knee Arthroscopy: A Controlled Clinical Trial

Hiyama, Y., Kamitani, T., Wada, O., Mizuno, K., Yamada, M. (2016) Journal of Orthopedic and Sports Physical Therapy, 46(9), 742-748. Article summary by Jessica Reid, SPT from Missouri State University, Springfield, MO. Hiyama and colleagues performed a prospective...
Acute Rotator Cuff Tear: Do we miss an early diagnosis?

Acute Rotator Cuff Tear: Do we miss an early diagnosis?

Sorensen AKB, Bak K, Krarup AL, Thune CH, Nygaard M, Jorgensen U, Sloth C, Torp-Pedersen S. J Shoulder Elbow Surg 2007;16:174-180.  Abstracted by Matthew P. Mobius M.S., P.T., OCS, Long Island New York.  The authors evaluated epidemiological data of patients...

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