Happy New Year to all IMTA Blogger Maitland and Taping (3) OOOPS sprained your ankle? At yesterday’s new year’s eve city run or gala dinner and dancing? While walking with some %o through the night? Well, you are not the only one…. Background Twisted or sprained ankles are the most common locomotor system trauma (Garrick 1977, Collins & Comstock 2008, Davidson et al....

Synopsis: Summary of Bialosky, J.E. et al., 2009. The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model. Manual therapy, 14(5), pp.531–538. Question What are the underlying mechanisms of manual therapy (MT) in the treatment of musculoskeletal pain? Background MT is a specialized form of treatment directed at joints (manipulation, mobilization), soft tissue (different forms of massage) or nerve tissue...

Here we are again: the old year comes to an end and most of us try to make some good plans for the next one, both for private life and for work. What could you change in your daily routine with patients? How would you want it to look like? What would you like to do? What would you...

Wie zuverlässig sind die klinischen Tests des Ligamentum alare ? Eine geplante Studie  mittels MRT Das Ligamentum alare begrenzt und stabilisiert die Bewegungen zwischen Schädel und C2. In Folge eines Schleudertraumas kann es zu einer Verletzung des Ligamentum alare kommen. Das Schleudertrauma stellt eine der am häufigsten diagnostizierten Verletzungen bei Autounfällen dar. Allein in Deutschland treten laut Versicherungsstatistiken jährlich 200.000 Schleudertraumadiagnosen auf. Die Folgekosten dieser Schleudertraumata beliefen sich 1998 in Deutschland auf...

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The following story is rather unusual but I thought it was a nice one to share ! A 60 year old lawyer and former patient in my praxis, in good general condition, joins me in my praxis to ask for my opinion since he has been diagnosed with an Achilles tendinopathy and the referring general practioner has recommended a series...

Last year I attended William Boisonnault`s , `screening methods `course. A very interesting and practical course, with a lot of aspects I wasn`t aware of enough, or at all.Here he presented a questionaire, that he uses for the patient intake. It takes the patient about ten minutes to fill out. At the course Boisonnault told that it is a big...

The physical examination is important in the assessment of the patient presenting with musculoskeletal problems. Measurement instruments help us to evaluate the presentation of our patient more objectively. It doesn’t matter which measurement tool we use we should be aware about it’s quality criteria to get a better interpretation of our therapeutic outcomes. It is important that the physiotherapist...

IMTA BLOG by Wouter Geerse – Me and my pink elephant A patient presents himself at the physiotherapy practice on a Friday morning. He is a 40 year old truckdriver. His main complaint is a intermittent, cramping backache that is bilateral between Th10 and S1. He experienced no symptoms in his legs or buttocks. Provocation of this backpain is possible by...

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Dear readers, thank you for your reactions. This makes it interesting to continue with Maitland & Taping. Yes! Yes, we must critically appraise all publications (design of the research, standardized interventions for a non-homogenous set of subjects in randomized controlled trials, criteria of systematic reviews, clinical relevance, contradictions with every days experiences, assumptions, non-critical use of references etc.). Yes, as a reviewer...

Maitland & Taping Introduction A simple categorisation of possible interventions in omt or neuro-musculo-skeletal rehabilitation (nmsr) can be: 1. “Hands on”, passive techniques for joints, segments, muscles and or nerves, 2. “Hands off”, active training for various structures, various functions and in various ways, 3. Anything else: other interventions that can effectively contribute to more or longer lasting improvement, such as electrotherapy, thermotherapy, cryotherapy, etc....

  OMT? Why would I need that? During the Maitland courses students often ask me, what actually are the benefits one could expect after doing the OMT program. There are countless aspects worth mentioning! But one of the most important points, at least for me, is the ability of being able to talk to and discuss with orthopedists on an equal...

Gemeinsam mit unseren Kooperationspartnern der Physiozentrum für Weiterbildung GmbH, der Fachhochschule Burgenland und dem AIM sowie dem ESP Education Network haben wir einen Masterlehrgang (120 ECTS) exklusiv für PhysiotherapeutInnen geschaffen, in dem erweitertes physiotherapeutisches Wissen, Management Tools und Soft Skills vermittelt werden. Das Ziel des Masterlehrgangs liegt in der Schaffung eines therapeutischen und berufspolitischen Mehrwertes. Im Fokus stehen die Stärkung...

The phenomenon of „Good, then I stay here“ or the role cognitive behavioural principles on our work as a „Maitland Therapist“   Elly Hengeveld   Do you recognize some of the following clinical examples? If yes, then you may like to read a bit more.   During the subjective examination, the patient asks the therapist (sometimes a bit indignated): „did n’t the doctor tell...

Few months ago, I attended a course by Andry Vleeming, one of the most important researchers of lumbopelvic district. Among many and very interesting topics discussed, I would like to focus on an anatomical structure - part of the sacroiliac joint (SIJ)- still relatively unknown but important, where patients often indicate presence of pain. The SIs joints are essential for effective...

Flossing? Has it got something to do with cleaning your teeth? – no – Has it got something to do with SUP (stand up paddling)? – no – Has it got something to do with diving? – no- Has it got something to do with physiotherapy? - Yes, it has! In the past 2 or 3 years “flossing” has appeared as treatment modality in...

THE FIGURE-OF-EIGHT TECHNIQUE: an excellent method to measure ankle swelling       This method was firstly described by Esterson (Esterson, 1979)   WHAT IS IT? The figure-of-eight technique is a very good tool to measure ankle oedema. It has an excellent intra-rater and inter-rater reliability (Rohner-Spengler, Mannion, & Babst, 2007; Petersen et al., 1999; Tatro-Adams, McGann, & Carbone, 1995) and was demonstrated to be a reliable...

Background: There are several parameters describing acetabular orientation and femoral head asphericity in the current literature. Abnormal femoral antetorsion and acetabular retroversion are two alterations amongst many others that also might be contributing factors in the development of femoroacetabular impingement (FAI), hip osteoarthritis and low back pain. Structural variations can lead to abnormal contact stresses within a physiological range of motion as...

How do your patients breathe? In clinical practice, altered breathing paétterns can be observed by patients in pain. It is not rare to notice shortness of breath while talking, apnoeas linked to painful movements, fast breathing at rest or breathlessness with low intensity activities. Respiration is rarely reported as a problem by musculoskeletal (MSK) patients, but it can be pointed...