2-minute video to understand why an asymptomatic rotator cuff tear can remain functional. References: Burkhart, S., Esch, J. and Jolson, R. (1993). The Rotator Crescent and Rotator Cable: An Anatomic Description of the Shoulder's “Suspension Bridge”. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 9(6), pp.611-616. Cook, C. and Hegedus, E. (2013). Orthopedic physical examination tests. Second Edition. Upper Saddle River, NJ:...

WHAT IS MANUAL THERAPY? IS IT ALL ABOUT OUR HANDS? 3 more mins to read...... Social media Last weeks I've read on social media some strange statements about manual therapy. Like "passive therapy is old fashioned", "it helps only the teachers & organisations", "it doesn't fit for chronic pain patients" or "it's all about beliefs and far from evidence based medicine /...

Physiotherapist as a scholar Since the physiotherapy world adopted the roles described in the CanMEDs Competency Framework, physiotherapists officially have a status as life-long learner, labelled with the term ‘scholar’. Long before this was defined, it was clear, that physiotherapists seem to belong to a species which never stops looking for new knowledge and skills. Compared to other health care professionals,...

“Neck or Biceps ? Who`s gonna be the pain driver ?” Short Case Description over two days of a Lithuanian professional Tuba player Last week we (Sandra and Jürg) had an interesting patient in the student patient session group during the Level1 Maitland course in Kaunas/ Lithuania. I give you a short description and some clinical reasoning thoughts about these two treatment...

Please watch the video for two different ways of self-treatment to increase hip mobility and reduce pain in patients with anterior hip impingement.

The clinical presentation of microinstability of the hip is like the presentation of instability in other joints (eg shoulder instability, lumbar instability) SUBJECTIVE EXAMIATION Main problem: hip pain in the groin, buttock, thigh, or in the “C sign” distribution, sometimes the patient is complaining about apprehension, sense of giving way or clicking and locking  (also signs for a labral tear) Aggravating activities: activities...

Did you think about instability of the hip joint? No, because the hip joint is a stable ball and socket joint. How can this joint be instable, beside traumatic dislocation or subluxation? Subtle anatomic abnormalities in the presence of repetitive hip joint rotation and axial loading as seen in sports such as gymnastics, ballet, football, golf, figure skating, tennis and...

A 20 year old female is complaining about intermittend ventral right sided hip pain. The symptoms are provoked with uncontrolled, quick leg movements during pole dance. Sometimes she has a feeling of giving way of her right hip during standing in end of range extension. There was an incidious onset a month ago during pole dance with the tendency of gradually worsening. No previous history of hip, pelvis or...

The question of whether a patient has improved or deteriorated is fundamental to clinical practice [1]. To decide which treatment is the best, making decisions regarding prognosis and evaluating our management, we have to gain information. But let’s start at the beginning! Usually patients, coming into our praxis, are searching for help (unfortunately they rarely show up for prevention...

Red flags are well known in physiotherapy world. As a profession, we are getting more and more independent. Is it enough to be safe? Are we sure we don’t not miss important symptoms? My friend had interesting patient in his office. Mr. T., male, 28, computer job, came with pain on the right side of the neck. Pain was in...

This time just some funny stuff. We all know the modern trend of cross-fit training with good mornings, air squats, sumo squats, deadlifts, and so on. Now we can offer something similar and that´s the PPIVM`s squats or the PPIVM´s good mornings :-) On the following photo you can see the satisfied participants of the MSc Advanced Physiotherapy and Management in Vienna, who, not...

andrei_2017032212 Hello Everybody I posted an interesting videoclip where you can watch as the sciatic nerve moves itself in SLR. I did the video with my ultrasound device applying the probe in the posterior part of the tight asking to move only the foot at 70° in SLR. In the video you can recognize the nerve as a big clearer horizontal band...

This post is for a change far less clinical than all the very interesting recent blogs from my IMTA colleagues, but it may also be a food for thought, at least for some of you:)   As a fresh IMTA assistant, still much closer to the students than our teachers, I have a chance to look at the teaching and learning...

„Do you feel any discomfort in your hands?“       „Yes. Sometimes i have a strange feeling in my fingers, like wearing gloves“ „In a single finger or more?“       „I feel it in every finger and my whole hand“ In our daily clinical setting patients sometimes present with a change of their sensory sensation in the upper extremity. And...

Neck pain is a common problem, probably increasing today by using smartphones, working with computers and driving (or unfortunately crashing) cars. What to do, when a patient with unspecific neck pain feels ok after some manual therapy techniques, ergonomic instructions and training of the deep neck flexors, but after two weeks, the same symptoms are back again? Screening of the...

  Case report by Rolf Walter Lumbar structural degeneration, and vertebral spondylolisthesis “WHAT YOU SEE ISN’T ALWAYS WHAT YOU GET” Recently a 77 year old lady in good to excellent general shape came to my praxis complaining of sock like pins and needles distribution on both legs especially during the night or during a small resting break on the couch after lunch. Her...

SURPRISES: More activity of intrinsic foot muscles in running shoes compared to barefoot Running shoes have an impact on the biomechanics of the foot and the lower extremity during running. There is nothing new about this, but a recent study from the University of Queensland's Centre for Sensorimotor Performance published a surprising result. In their paper published in the Journal...

I am very happy and proud to announce that it was possible to publish our article in the Journal of Back and Musculoskeletal Rehabilitation in collaboration with the ZHAW with following title: Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients AUTHORS: Hauswirth J, Ernst MJ , Preusser ML, Meichtry A, Kool J, Crawford...

https://www.youtube.com/watch?v=K9g9p37WeLY  

Because I have learned so much from Gwen Jull, as a clinician and as a teacher, I want to share this „short“ interview with you. I know that 8 minutes is a long time in this fast world with short twitter and other messages, but try to stay at least 4 minutes. At that time she speaks about manual skills and clincal reasoning skills. Exactly...