Evidence Based Exercise & Therapy

03/10/2020

Having completed a physiotherapy (PT) degree plus having practiced for 3 years before undertaking a four year medical doctor (M.D) programme, I found this article especially interesting – Credits to Will Humphreys YouTube Channel for the original thumbnail & initial research find.
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Whitman et al. (2005) provides evidence displaying physiotherapists are the most expert professional group studied regarding musculoskeletal issues with the exception of orthopaedic consultants. Swipe right for the data!
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Musculoskeletal (MSK) conditions account for 30% of GP consultations in England (NHS, 2020). Self-referral to physiotherapy is 25% cheaper to the NHS (UK) than a GP referral and has been fully evaluated and recommended by The National Institute for Health and Care Excellence (NICE) (CSP, 2012).
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The reduced cost and research from the likes of Whitman et al. (2005) has led to the UK developing `First Contact Physiotherapy` (FCP) roles in primary care whereby patients can see these physiotherapists first without requiring referral from a doctor and often have access/training to request imaging, blood work and can even undergo courses to become independent prescribers. Health Education England (HEE) has published research commending the cost and clinical effectiveness of FCP practitioners (HEE, 2019).
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Remember to utilise & respect your physiotherapy colleagues when managing MSK conditions!
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References: https://pastebin.pl/view/bbee9be4
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11/09/2020

Patient presents in the clinic with 0/10 pain on VAS, full AROM & PROM, no signs of acute inflammation, what is the condition? Do not know what this condition is? Me `kneether` 🦴
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This is a `Seroma` which is a pocket of clear serous fluid that can develop in human tissues or under the skin after surgery. Typically, breast, axillary (Sabel, 2009) and abdominal surgery (Baroudi et al., 1998), lymph node or lipoma removal, cosmetic surgery, and total knee replacements (Mulcahy & Chew, 2013).
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Typical management is first a `wait and see approach` as frequently they self-resolve within several months the serous fluid is reabsorbed naturally within the body (NHS, 2018). However, if this does not occur, multiple aspirations (if required) can be implemented in an attempt to remove the excess serous fluid, normally conservative management prevails successfully (Sforza et al., 2015). However, if the seroma becomes chronic, with aspiration & conservative management being unsuccessful, or signs of infection arise; surgical options and antibiotics will likely need implementation.
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References: https://pastebin.pl/view/0f2eb5b1
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Original case credits go to
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02/08/2020

What happened here?! Within the video above you can see the gentleman on the right provide a rapid punch to his opponent on the left, within a matter for seconds he is on the floor, unconscious due to sudden unstable dysrhythmia in the form of ventricular fibrillation.
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Commotio Cordis, is a potentially lethal disruption of heart rhythm that occurs as a result of blunt, non-penetrating trauma to the precordium region of the thorax. In sport, a projectile like a ball or in combat sports, a kick, elbow, or punch are the common culprits.
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According to Tainter and Hughes (2020) it is more common in boys compared to girls, with children more at risk with the mean age of cases reported within 15-year olds. This may be a result of a combination of a thinner chest wall relative to an adult, and an increased likelihood to participate in activities where they are likely to be hit in the chest.
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Previous research from to Palacio and Link (2009) put survival rates around 15%, however, Tainter and Hughes (2020) report that survival rates are over 50% due to improved recognition and early first line treatment, which includes closed chest compressions and early defibrillation and further ALS if available.
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01/07/2020

Spinal Manipulation: To Manipulate or Not To Manipulate PART 2! 4k words, with 25+ clinical references included evaluating spinal manipulation as a management approach to acute & chronic neck, & back pain and radiculopathy!

https://www.linkedin.com/pulse/spinal-manipulation-manipulate-part-2-aaron-ebejer-bsc-hons-/

Produced by Evidence Based Exercise & Therapy: Facebook and Instagram! Welcome back to part 2 of the spinal manipulation series! Within Spinal Manipulation: To Manipulate Or Not To Manipulate? Part 1 we covered the `hot topics` of spinal manipulation along with the `bio-neurophysiological theories o

04/06/2020

The importance of a mask...

with/without a mask!

Follow us on Instagr.am/Meddy_Bear 👈🏼👈🏼

31/05/2020

Spinal Manipulation: To Manipulate Or Not To Manipulate? Part 1. ~10k words, 70 pages, >100 references, enjoy!

Part 2 will include the following:

- Quick Explanation of Acute & Chronic Pain

- Spinal Manipulation for Acute & Chronic LBP:

- Spinal Manipulation for Acute & Chronic Neck Pain:

- Spinal Manipulation for Radiculopathy:

- Manipulative Therapy for Shoulder Pain & Shoulder Disorders

- Spinal Manipulation: A Tool in the Toolbox – Importance of A multimodal Approach to Treatment

Produced by Evidence Based Exercise & Therapy: Facebook and Instagram! Welcome, what's the crack? Okay..

22/03/2020

Ingenious! Potentially using one ventilator to ventilate 2-4 patients! Dr Neyman and Dr Babcock (2006) explain the details in the YouTube video below, their study can be found in the link below.

Study: https://onlinelibrary.wiley.com/doi/epdf/10.1197/j.aem.2006.05.009

This could be invaluable in the COVID-19 pandemic!

Watch this short video to learn how to use one ventilator to save multiple lives. To learn more about this study visit: https://onlinelibrary.wiley.com/doi/e...

12/03/2020

Blood Flow Restriction (BFR) Training in Clinical Rehabilitation! 8k+ words, 52 pages purely evidence based on the latest available research.
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Article: https://lnkd.in/gcQ3D-t
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🚨 Repost due to complaint of logo copyright/trademark. 🚨
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29/02/2020

Fantastic way to remember the erectors of the spine.

https://www.instagram.com/p/B9Jr3kono-R/?igshid=6ed2hfwdwzsj

18/02/2020

What a ‘sh*tuation’ to be in. Differential diagnosis skills had to be on point for this one!

Doctors in Australia have intervened after a man became so constipated his f***l matter gave him paralysis in one of his legs. A 53-year-old took himself t