In episode 11 of season 8 of Inside the Science we’re highlighting the study, “The application of Mechanical Diagnosis and Therapy to the ankle-foot complex: a case series” with Dr. Lindsay Carlton. You’ll hear her give the background related to this topic and why she and her coauthor decided to produce this work, clarify each patient in this series, give the important contrasting treatment which led to resolution different from conventional care, the clinical implications and big takeaways.
Season 8, Episode 7 with Ron Schenk: Utilizing directional preference in the management of cervicogenic headache: a case series
In episode 7 of season 8 of Inside the Science we’re highlighting the study, “Utilizing directional preference in the management of cervicogenic headache: a case series” with Dr. Ron Schenk. You’ll hear him share a bit about the backstory of this paper and the lead author Lin Lan Pu, some general information on headache classifications, some characteristics of this series of patients in the clinic setting of the primary investigator, specifics on how these patients were assessed and managed per mechanical diagnosis and therapy specific to this patient population, the clinical implications and big takeaways.
Season 8, Episode 6 with Ron Schenk: Effectiveness of mechanical diagnosis and therapy in patients with back pain who meet a clinical prediction rule for spinal manipulation
In episode 6 of season 8 of Inside the Science we’re highlighting the study, “Effectiveness of mechanical diagnosis and therapy in patients with back pain who meet a clinical prediction rule for spinal manipulation” with Dr. Ron Schenk. You’ll hear him share a bit about this paper’s origin and backstory, some clarification on clinical prediction rules, specifics on the methodology of this paper, the actual differences in outcomes in the two treatment arms, the clinical implications, and big takeaways.
Season 8, Episode 5 with Stephen May; An international survey of the comprehensiveness of the McKenzie classification system and the proportions in spinal pain
In episode 5 of season 8 of Inside the Science we’re highlighting the study, “An international survey of the comprehensiveness of the McKenzie classification system and the proportions of classifications and directional preferences in patients with spinal pain” with Dr. Stephen May. You’ll hear him share the background of what prompted the paper, specifics as to what classification syndromes were found and to what percentage, what was found for the “OTHER” subgroup, what direction was generally preferred, how often the provisional classification remained the same from initial to discharge, the clinical implications and big takeaways.
Season 7, Episode 2 with Jean-Philippe Deneuville: The Dynamic Disc Model, A Systematic Review with Meta-analysis
In episode 2 of season 7 of Inside the Science, we’re highlighting the study, “The Dynamic Disc Model, a systematic review with meta-analysis” with Dr. Jean-Philippe Deneuville. He shares how this paper was part of his doctorate work, the previous literature related to the disc model, some of the specific studies included in this review, the support for the use of the disc model of nuclear material migration upon loading, his recommended clinical implications, and big takeaways.
Season 6, Episode 6 with Ravi Rastogi: Exploring indicators of extremity pain of spinal source as identified by MDT: a secondary analysis of a prospective cohort study
In episode 6 of season 6 of Inside the Science we’re highlighting the study, “Exploring indicators of extremity pain of spinal source as identified by Mechanical Diagnosis and Therapy (MDT): a secondary analysis of a prospective cohort study” with Mr Ravi Rastogi. He explains the context of this follow up study from the original EXPOSS study from 2019, a closer look at the questions and physical exam findings which were gathered as potential as predictors of the source of symptoms being from the spine versus the extremities, how he interprets and uses this paper, the clinical implications and the big takeaways.
Season 5, Episode 5 with Richard Rosedale: Efficacy of Exercise Intervention as Determined by the McKenzie System of Mechanical Diagnosis and Therapy for Knee Osteoarthritis; An RCT
In episode 5 of season 5 of Inside the Science we’re highlighting the study, “Efficacy of Exercise Intervention as Determined by the McKenzie System of Mechanical Diagnosis and Therapy for Knee Osteoarthritis; A RCT” with Mr. Richard Rosedale. He shares some specifics of the methods important to understand, the operational definition of directional preference in this paper, the most important data he’d suggest we take from the results like the effect size, the clinical implications and the big takeaways.
Season 5, Episode 3 with Terry Rose: Measurement of outcomes for patients with centralising versus non-centralising neck pain
In episode 3 of season 5 of Inside the Science we’re highlighting the study, “Measurement of outcomes for patients with centralizing versus non-centralizing neck pain” with Dr. Terry Rose. He shares what was lacking in the literature which prompted this study, the operational definition of centralization which was used, the most important data he’d suggest we take from the results, the clinical implications and the big takeaways.
Season 5, Episode 2 with Monica Chan: Inter-rater Reliability of MDT for the Provisional Classification of LBP in Adolescents and Young Adults
In episode 2 of season 5 we’re highlighting the study, “Inter-rater Reliability of the McKenzie Method of Mechanical Diagnosis and Therapy for the Provisional Classification of Low Back Pain in Adolescents and Young Adults ” with Ms. Monica Chan. In the full discussion you’ll hear Ms. Chan further explain the limitations of this study, the most important data to draw from this paper including the agreement between the examiners, possible reasons why younger subjects were classified less reliably, the specific implications and the big takeaways.
Season 5, Episode 1 with Joe Maccio: Directional preference of the wrist: a preliminary investigation
In episode 1 of season 5, we’re highlighting the study, “Directional preference of the wrist: a preliminary investigation” with Dr. Joe Maccio. In the full discussion, you’ll hear Dr. Maccio further explain the characteristics of these 19 patients, the predictive observations of those patients showing directional preference, how this has influenced his assessment of extremities in general and especially patients with wrist complaints, the specific implications and the big takeaways.
Season 4, Episode 14 with Joe Maccio: The application of mechanical diagnosis and therapy in lateral epicondylalgia
In episode 14 of season 4 we’re highlighting the study, “The application of mechanical diagnosis and therapy in lateral epicondylalgia” with Mr. Joe Maccio. In the full discussion you’ll hear Mr. Maccio further explain the method of assessment and treatment for these three patients, the understood conventional criteria with which clinicians use to diagnose a patient with lateral epicondylitis or epicondylosis, specifics on the history and physical exam findings with the subjects, the specific implications and the big takeaways.
Season 4, Episode 12 with Joe Maccio: Directional preference of the wrist: a preliminary investigation
In episode 12 of season 4, we’re highlighting the study, “Directional preference of the extremity: a preliminary investigation” with Dr Joe Maccio. In the full discussion, you’ll hear Dr Maccio further explain what data was measured and gathered, what were the most associated findings linked to those with a directional preference and therefore classified as derangement, some data regarding movement targeted at the thoracic spine, the specific implications and the big takeaways. You can subscribe to the premium version at www.mechanicalcareforum.com
Season 4, Episode 3 with Vikas Agarwal: Primary care management of patients with pain complaints and the influence of physician training in mechanical diagnosis and therapy
In episode 3 of season 4 of Inside the Science, we’re highlighting the study, “Primary care management of patients with pain complaints and the influence of physician training in mechanical diagnosis and therapy” with Dr Vikas Agarwal. You’ll hear him explain how he attempted to reduce bias, even more of the differences in medications prescribed, procedures delivered and referrals made, the costs calculated, why he believes these data could make incredible positive impacts on our healthcare system, the implications and the big takeaways.
Season 4, Episode 2 with Sinikka Kilpikoski: Comparison of Prevalence of Degenerative Findings in Lumbar Magnetic Resonance Imaging among Sciatica Patients classified using the McKenzie Method
In episode 2 of season 4 of Inside the Science we’re highlighting the pre-published study, “Comparison of Prevalence of Degenerative Findings in Lumbar Magnetic Resonance Imaging among Sciatica Patients classified using the McKenzie Method ” with Dr. Sinikka Kilpikoski. She explains the differences in MRI findings in those who classified as derangement versus mechanically unresponsive radicular syndrome or MURS, the details of how this study was conducted, how she uses this information to educate others and with whom she shares it, the clinical implications and the big takeaways.
Season 2, Episode 15 with Daniel Deutcher: PTs Level of Education, Functional Outcomes and Utilization in Patients with LBP
In episode 15 of season 2 of Inside the Science, we’re highlighting the article, “Physical Therapists’ Level of McKenzie Education, Functional Outcomes, and Utilization in Patients With Low Back Pain” with the author, Dr. Daniel Deutcher. He shares a look at how this study was conducted, what specifically was shown between different levels of training, some assumptions of the reasons behind these findings, the clinical implications, and the big takeaways.
Season 2, Episode 6 with Helen Clare: Reliability of McKenzie Classification
In episode 6 of season 2 of Inside the Science we’re highlighting the study, Reliability of Mckenzie classification of patients with cervical or lumbar pain and discussing it with the author Dr. Helen Clare. She shares what was happening in research reliability studies at that time which influenced the design, a criticism of some of the results, another paper on this topic and what it showed, how this should influence our practice, and the big takeaways.
Season 2, Episode 5 with Hans van Helvoirt: Centralization and Directional Preference Influence on Spinal Control
In episode 5 of season 2 of Inside the Science we’re highlighting the study, “The Influence of Centralization and Directional Preference on Spinal Control in Patients With Nonspecific Low Back Pain” with Mr. Hans van Helvoirt. He shares a bit of the reason why he thought this topic was important to study, how he uses the results to influence his clinical reasoning with spinal control tests whether directional preference or centralization is present, and the big takeaways.
Season 2, Episode 3 with Mark Laslett: Manual Correction of an Acute Lumbar Lateral Shift
In episode 3 of season 2 of Inside the Science we’re highlighting the study, “Manual correction of an acute lumbar lateral shift: maintenance of correction and rehabilitation; A case report ” with the author, Dr Mark Laslett.. He shares a look at this case and some behind the scenes details of the case and why it was deemed important to publish. He explains its clinical implications, how he’d suggest using it to impact management of lumbar lateral shifts, and the big takeaways.
Season 2, Episode 1 with Helen Clare: Reliability of Detection of Lumbar Lateral Shift
In episode 1 of season 2 of Inside the Science we’re highlighting the study, Reliability of detection of lumbar lateral shift and discussing it with the author Helen Clare. She shares a look at this study and some behind the scenes explanation of how it was conducted and some unpublished data. She explains its clinical implications, how she’d suggest using it to impact our detection of lumbar lateral shifts, and the big takeaways.
Season 1, Episode 6 with Audrey Long: A Case Series on Specific Directional Exercise on Low Back Pain
In Season 1 Episode 6 of Inside the Science I’m joined by Ms. Audrey Long, to discuss her paper Specific Directional exercise for Low Back Pain; A Case Series which was published in Physiotherapy Canada in 2008. Audrey gives the back story of this case series and how it was born out of the previous RCT “Does it Matter Which Exercise” from 2004. She explains what prompted her to conduct it, how it was originally intended to be performed, some limitations and criticisms, what the big takeaways are and how she uses this for patient and prospective patient education. This study gives important implications to those patients who’ve “tried therapy or exercise before” and haven’t found relief - another super-important study!