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 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 16 with Kory Zimney: Evaluation is treatment for low back pain
In episode 16 of season 4, we’re highlighting the study, “Evaluation is a treatment for low back pain” with Dr. Korey Zimney. In the full discussion, you’ll hear Dr. Zimney further elaborate on the importance of the clinician-patient relationship commonly referred to as therapeutic alliance, specifics on the methods, which aspects of pain, beliefs and function were impacted and which weren’t, why he believes that may have occurred, 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 3, Episode 10 with Melissa Kolski: Validation of a pain mechanism classification system (PMCS) in physical therapy practice
In episode 10 of season 3 of Inside the Science, we’re highlighting the study, “Validation of a pain mechanism classification system (PMCS) in physical therapy practice” with Ms. Melissa Kolski. She shares specifics on this classification system including each subgroups’ distinct characteristics, the sensitivity, and specificity of each classification, the clinical implications, and the big takeaways.
Season 3, Episode 9 with Christine Hughes: A directional preference approach for chronic pelvic pain, bladder dysfunction and concurrent musculoskeletal symptoms: a case series
In episode 9 of season 3 of Inside the Science, we’re highlighting the study, “A directional preference approach for chronic pelvic pain, bladder dysfunction and concurrent musculoskeletal symptoms: a case series” with Ms. Christine Hughes. She shares specifics on the 7 pelvic-related cases from this series, what common forces and interventions played a significant role in resolving their primary complaints, what interventions weren’t given as they weren’t necessary, the clinical implications, and the big takeaways.
Season 3, Episode 7 with Mark Shepherd: An orthopedic manual physical therapy fellowship training’s impact on professional development, involvement, personal lives, and income – A survey study
In episode 7 of season 3 of Inside the Science we’re highlighting the study, “An orthopedic manual physical therapy fellowship training’s impact on professional development, involvement, personal lives, and income – A survey study with its author Dr. Mark Shepherd. He shares an explanation of the data collected from those fellowship graduates, what specifically was found, a behind-the-scenes elaboration, his suggested clinical implications, and the big takeaways.
Season 1, Episode 14 with Hans van Helvoirt: Reliability of the Delitto Classification System
In episode 14 of season 1 of Inside the Science, we’re highlighting the study, Inter-rater reliability of a modified version of Delitto et al.’s classification-based system for low back pain: a pilot study and discussing it with one of its authors Hans van Helvoirt. He shares a look at this paper looking at the reliability of a popular classification system within physical therapy. He explains the appropriate interpretation of this data, how he allows these findings to influence his clinical thinking, the big takeaways, and recommended other work that would shed further light on this topic.
Season 1, Episode 3 with Cody Mansfield: Systematic review of the Sharp-Purser test
In S1E3 we summarize a systematic review of the Sharp-Purser test by Dr. Cody Mansfield. We share its four aims including to determine its diagnostic accuracy, its reliability, its safety and patterns of use. We share sensitivity, specificity, positive and negative likelihood ratios and we hear from Dr. Mansfield as to what prompted this work.
Season 1, Episode 1 with Ron Donelson - The cost impact of mechanical assessment in primary care.
S1E1 includes a review of the JMMT 2019 study, The Cost Impact of Quality-Assured Mechanical Assessment in Primary Low Back Pain Care. Subscribers of Inside the Science premium will hear Dr. Donelson share the motivation behind conducting and publishing this study, limitations, the implications, additional studies and the big takeaways for those clinicians treating patients with low back pain. A high definition infographic of the study specifics and insights from the author (like the image below) is made available.
(A high definition version of the image below is available for all premium subscribers)
