Evidence Based Exercise & Therapy
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03/10/2020
Having completed a physiotherapy (PT) degree plus having practiced for 3 years before undertaking a four year medical doctor (M.D) programme, I found this article especially interesting – Credits to Will Humphreys YouTube Channel for the original thumbnail & initial research find.
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Whitman et al. (2005) provides evidence displaying physiotherapists are the most expert professional group studied regarding musculoskeletal issues with the exception of orthopaedic consultants. Swipe right for the data!
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Musculoskeletal (MSK) conditions account for 30% of GP consultations in England (NHS, 2020). Self-referral to physiotherapy is 25% cheaper to the NHS (UK) than a GP referral and has been fully evaluated and recommended by The National Institute for Health and Care Excellence (NICE) (CSP, 2012).
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The reduced cost and research from the likes of Whitman et al. (2005) has led to the UK developing `First Contact Physiotherapy` (FCP) roles in primary care whereby patients can see these physiotherapists first without requiring referral from a doctor and often have access/training to request imaging, blood work and can even undergo courses to become independent prescribers. Health Education England (HEE) has published research commending the cost and clinical effectiveness of FCP practitioners (HEE, 2019).
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Remember to utilise & respect your physiotherapy colleagues when managing MSK conditions!
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References: https://pastebin.pl/view/bbee9be4
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What happened here?! Within the video above you can see the gentleman on the right provide a rapid punch to his opponent on the left, within a matter for seconds he is on the floor, unconscious due to sudden unstable dysrhythmia in the form of ventricular fibrillation.
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Commotio Cordis, is a potentially lethal disruption of heart rhythm that occurs as a result of blunt, non-penetrating trauma to the precordium region of the thorax. In sport, a projectile like a ball or in combat sports, a kick, elbow, or punch are the common culprits.
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According to Tainter and Hughes (2020) it is more common in boys compared to girls, with children more at risk with the mean age of cases reported within 15-year olds. This may be a result of a combination of a thinner chest wall relative to an adult, and an increased likelihood to participate in activities where they are likely to be hit in the chest.
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Previous research from to Palacio and Link (2009) put survival rates around 15%, however, Tainter and Hughes (2020) report that survival rates are over 50% due to improved recognition and early first line treatment, which includes closed chest compressions and early defibrillation and further ALS if available.
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31/05/2020
Spinal Manipulation: To Manipulate Or Not To Manipulate? Part 1. ~10k words, 70 pages, >100 references, enjoy!
Part 2 will include the following:
- Quick Explanation of Acute & Chronic Pain
- Spinal Manipulation for Acute & Chronic LBP:
- Spinal Manipulation for Acute & Chronic Neck Pain:
- Spinal Manipulation for Radiculopathy:
- Manipulative Therapy for Shoulder Pain & Shoulder Disorders
- Spinal Manipulation: A Tool in the Toolbox – Importance of A multimodal Approach to Treatment
Spinal Manipulation: To Manipulate Or Not To Manipulate? Part 1. Produced by Evidence Based Exercise & Therapy: Facebook and Instagram! Welcome, what's the crack? Okay..
18/02/2020
What a ‘sh*tuation’ to be in. Differential diagnosis skills had to be on point for this one!
Man Loses Feeling In His Legs And Nearly Dies Due To Colossal P**p Doctors in Australia have intervened after a man became so constipated his f***l matter gave him paralysis in one of his legs. A 53-year-old took himself t
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