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 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 8, Episode 4 with Stephen May: Centralization and directional preference: An updated systematic review with synthesis of previous evidence
In episode 4 of season 8 of Inside the Science we’re highlighting the study, “Centralization and directional preference: An updated systematic review with synthesis of previous evidence” with Dr. Stephen May. You’ll hear him share why the need for an updated systematic review, the consistency or variability of what was studied and the operational definitions of centralization and directional preference, the quality of the studies, the prevalence and the degree to which the data showed these two phenomena predict outcomes, the clinical implications and 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 4 with Joseph Hathcock: Shoulder Pain of Spinal Source in the Military: A Case Series
In episode 4 of season 5 of Inside the Science we’re highlighting the study, “Shoulder Pain of Spinal Source in the Military: A Case Series” with Dr Joseph Hathcock. He shares the selection process of these three patients with shoulder complaints included in this case series, the unique loading strategies which yielded a reduction of each subject’s pain and the restoration of movement and function, the subject’s response and utilization of care and timeframe needed to recover, 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 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 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 12 with Ron Donelson: Can Large Disc Herniations Producing Radiculopathies Rapidly Improve?
In episode 12 of season 2 of Inside the Science we’re highlighting the study, “Can Large Cervical and Lumbar Disc Herniations Producing Radiculopathies Be Intentionally and Rapidly Improved?” with the author, Dr Ron Donelson. He shares how he’d suggest using this information as an advocate for a mechanical exam when patients present having a large herniation found on advanced imaging, who he’d share this data with, and the big takeaways.
Season 2, Episode 11 with Ron Donelson: Directional Preference for Acute/Chronic and LBP/Sciatica
In episode 11 of season 2 of Inside the Science we’re highlighting the study, “Influence of Directional Preference on Two Clinical Dichotomies: Acute Versus Chronic Pain and Axial Low Back Pain Versus Sciatica ” with the author, Dr Ron Donelson. He shares a look at the scene of classification and best care for low back and leg pain by the larger medical community at that time, the findings of this study and how directional preference improved care regardless of the pain location, duration and neurological status, how he’d suggest using this information to guide clinical behavior, 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!