I recently supervised Jason, a Masters of Musculoskeletal Physiotherapy student, while he undertook his final clinical placement. He has written a guest blog on his discovery of using neurodynamics as a combined assessment, and then treatment to regain movement and reduce pain.Read More
This blog is a compilation of fun and functional facts about the muscles which control and move the hip. Presented here are concepts around anatomy, muscle synergies and changes to muscle function which occur with pathology, specifically OA. There is also a review of the current knowledge and details that drive our decision making around exercise prescription for retraining hip strength, particularly hip extension, abduction and external rotation strength.Read More
DRAM/DRA is the acronym for diastisis of the rectus abdominus muscle, which is a separation between the left and right halves of the rectus abdominus through widening for the central ligament known as the linea alba (LA). It has been shown to be present in 27%-100% of women during the second and third trimester of pregnancy and up to 68% of women in the post-partum period (Hilde, Tennfjord, Sperstad & Engh., 2017). This blog explores the current research around assessment, diagnosis and exercise prescription for rehabilitation.Read More
It has been hard to ignore the surge in media and articles published in 2018 through professional platforms/bodies around the opioid epidemic. Curious to know more about what our suggested role is to play in this opioid epidemic, I began reading some of the latest reviews. This problem has been growing for several decades now and does not begin with our profession. Yet, our profession is being drawn into the conversation more strongly as time continues.Read More
This is the third blog in a series exploring the most recently published clinical practice guideline for pelvic girdle pain in the antepartum population. The first two explored pathophysiology, clinical presentation and assessment, and this week we look at the recommendations for treatment of this condition.Read More
As the term lateral hip pain has evolved from greater trochanteric pain syndrome and trochanteric bursitis, to gluteal tendinopathy, we too have seen a growing amount of clinic trials published sharing what is known about this condition and evaluating the effectiveness of our current treatment methods.
I was thrilled to see a paper recently released in the BMJ by a powerhouse group of researchers on the effectiveness of three different treatment approaches for this condition. Mellor, Bennell, Grimaldi et al (2018) conducted the first RCT to evaluate the effect of: education about tendon loading & exercises specific to stage of tendon pathology, versus a single CSI, versus a wait and see approach, on pain and functional outcomes with gluteal tendinopathy.Read More