Bonjour!
Just sitting lying here in the hotel room reflecting on an excellent day of programming. I was able to attend and live blog from these seven sessions, take home messages summarized here:
“Management of cervical spine disorders: Where to now?” by Gwen Jull
- Creating classification schemes for treating patients with neck pain is a slippery slope
- Using one patient example we can easily construct over a million subgroups
- Teaching entry-level DPTs may require black and white concepts, but clinical reasoning resides in the gray
“Knowledge Transfer in the Age of Information Technology” by Stuart Gowland
- Telemedicine is revolutionizing renal surgeries in remote locations in the south pacific
- Operating rooms can be mobilized in buses that can reach remote areas of NZ
- The quality of video is very important when it comes to broadcasting
“Motor Control of the Knee”
- Manual therapy did not modulate spinal excitability in patients with knee pain
- Resting knee pain was reduced in patients with knee OA following manipulation
- To maintain the gains in knee ROM following 6 weeks of stretching, the patient must continue stretching 3 X per week
“Understanding Cervical Muscle”
- Patients with whiplash assoc disorder (WAD) have impairments in lengthening and shortening of deep neck flexor muscles as quantified using ultrasonography
- Detailed dissection of cadaver neck flexors revealed strong adherence of the muscles to the bones, not like drawings in Gray’s Anatomy
“Physiotherapists/ Physical therapists’ role in exercise prescription & “Exercise is medicine”” by Karim Khan
- More people die in the USA as a result of low exercise than smoking, diabetes, and obesity – COMBINED
- You must appeal first to the emotions of your patient, then use simple statements to effect changes in their behavior
“Tendinopathy task force – guideline development” by Alex Scott
- It takes 17 years to get 14% of research findings adopted into clinical practice
- CPG are viewed as too restrictive by clinicians
“Biological mechanisms of dizziness” by J Treleaven, E MajMalmstrom, R Landel
- The neck is very unique, not just a muscular joint but a major sensory organ
- Multimodal therapy is a great approach for treating these patients
- Postural stability is impaired in patients with neck pain
- Put frickin’ lasers on the heads of your patients! (Dr. Evil Voice)
- Treat the neck like you would a sprained ankle
Off to bed, catch you all at 8AM with live blogging of Joy MacMacDermid!
Mike,
Thanks for the update. I would like to know more about the statement that it takes 17 yrs to get 14% of research into clinical practice.
I would definitely agree but wow…this seems to be quite a number.
Any other info on this?
Thank you so much for pointing out the “grey” area where actual practice resides. I can’t stress enough how important this is to the quality of patient care. Thank you for such an informative and technically satisfying article.