The flexion relaxation response is a phenomenon where the lumbar erector spinae muscles become silent at the end of lumbar flexion, and is an important part of being able to achieve full range. This blog explores the FRR and offers simple and easy treatment strategies for patients with low back pain.Read More
The posterolateral corner of the knee (PLC) is an inherently complex region both anatomically and functionally, and in recent times has been 're-discovered' for the role it plays in knee function and stability. In fact, the PLC of the knee has 28 seperate components, all of which play a vital role in both static and dynamic stability to prevent excessive hyperextension, tibial external rotation and varus angulation. This week, Grant Freckleton - now APA-titled Musculoskeletal Physiotherapist - shares his knowledge about injuries to the posterolateral corner of the knee.Read More
This blog aims to explore how the science of clinical anatomy combined with our clinical assessment and decision-making process can be used in diagnosis and management, including referral for a spinal surgery consultation. For this Dr Lynn Bardin, who lectures and tutors clinical anatomy at Melbourne University and works as a consultant spine physiotherapist at SUPERSPINE and at Austin Health, Melbourne, was invited to contribute a clinical commentary.Read More
Cervical manipulation has inherent risks. One of the the most dangerous adverse effects following cervical manipulation is vertebral artery dissection (VAD). For the past two decades, functional pre-manipulative screening tests have been used by Physiotherapists to identify patients at risk of vertebral artery insufficiency (VBI). Many experts in the field of VAD and cervical manipulation have started to question the clinical validity of these tests and currently there is great uncertainty if the tests themselves are potentially dangerous enough to cause VAD.
This blog aims to review the risk of cervical manipulation, the clinical presentation of VBI and the current assessment recommended by the Australian Physiotherapy Association. I'm also pleased to include the thoughts and recommendations of Dr. Mark Percy, Specialist Radiologist from MIA Lilydale, Victoria.Read More
This is a sequel post on the topic of sensorimotor control and cervicogenic dizziness. This blog looks more specifically at the distinguishing features, the subjective examination of dizziness and the physical assessment of sensorimotor control.Read More
May 1st 2014 I was fortunate to attend an APA lecture evening hosted by the MPA, with guest lecturer Dr Christian Barton @DRChrisBarton, who presented on patellofemoral pain. Dr Barton gave a captivating lecture explaining the current evidence regarding patellofemoral pain (PFP), with particular emphasis on the recent evidence gained from the Patellofemoral Consensus Statement 2013.Read More