Brookbush Institute

🔴 Cervical Spine Mobilization

Video clip from the online course "Joint Mobilization: Cervical and Thoracic Spine":

The course counts for 2 credits towards the Brookbush Institute certifications and is pre-approved continuing education.

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🤓Calling Out the PNE Movement: Moseley, Butler, and Wasted Clinic Time
⁠
🔴 Video critique from an excerpt by
Lorimer Moseley and Dave Butler
Original Clip - https://www.instagram.com/p/DYgMZI1kZAJ/

➡Summary:
🔴Pain Neuroscience Education (PNE) is one of the least effective modalities for treating orthopedic pain (as confirmed by current RCTs).
🔴Time spent solely on PNE is time taken away from more effective techniques (e.g., manual therapy, specific exercise, and targeted modalities).
🔴PNE should be repurposed as a foundational tool to improve patient communication, while more research is needed to determine its true effectiveness for centralized pain conditions (e.g., CRPS, fibromyalgia).
🔴IN MY OPINION: Nothing has been more detrimental to improving patient outcomes over the last decade than the rise of therapeutic nihilism on the internet and the PNE movement.
🔴Educators have a responsibility to ensure their work is interpreted correctly. The fact that Butler and Moseley have not confronted how their material is being used to oppose more effective, evidence-based methods is unethical.

➡Additional Resources:
📣Pain Neuroscience Education (PNE) is Relatively Ineffective: Research Confirmed - https://brookbushinstitute.com/articles/pain-neuroscience-education-pne-is-relatively-ineffective-research-confirmed
📣False Narratives, Nocebo, and Negative Expectations do NOT affect Manual Therapy Outcomes: Research Confirmed - https://brookbushinstitute.com/articles/false-narratives-nocebo-and-negative-expectations-do-not-affect-manual-therapy-outcomes
📣Is There a Single Best Approach to Physical Rehabilitation? - https://brookbushinstitute.com/articles/there-is-one-best-approach-in-physical-rehabilitation

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📣Integrated Manual Therapist (IMT) - https://brookbushinstitute.com/info/integrated-manual-therapist

➡Courses Pages (All courses count for CEs and toward certification):
📣Certified Personal Trainer (CPT) Courses - https://brookbushinstitute.com/certifications/certified-personal-trainer
📣Strength and Performance Coach (SPC) Courses - https://brookbushinstitute.com/certifications/strength-and-performance-coach
📣Human Movement Specialist (HMS) Courses - https://brookbushinstitute.com/certifications/human-movement-specialist
📣Integrated Manual Therapist (IMT) Courses - https://brookbushinstitute.com/certifications/integrated-manual-therapist
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🔴 Fibularis Muscles Paroneals Static Release

Video clip from the online course "Plantar Flexor: Release and Lengthening":

The course counts for 1 credit towards the Brookbush Institute certifications and is pre-approved continuing education.

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🤓 Rib Flare is NOT a Thing!
⁠
🔴 Video critique from an excerpt by
Emily Chen
Original Clip - https://www.instagram.com/p/DXafSh0jC_3/

➡Summary:
🔴What Moves The Ribs: The magnitude of rib motion, and specifically rib flare, is most heavily influenced by thoracic extension/flexion, not core muscle contraction, or respiration.
🔴Lack of Standardization and Subjectivity: The assessment lacks objective quantification, definitive thresholds, and normative data, reducing it to a highly subjective visual estimation governed entirely by examiner bias.
🔴Failed Reliability and Validity: Without standardization, the visual estimation of rib flare is highly unreliable, and its profound lack of correlation with specific joint pathologies or injury risk strips it of construct and criterion validity.
🔴Inability to Measure Outcomes: Because the assessment is both unreliable and invalid, any perceived visual "improvement" post-intervention cannot be objectively verified or distinguished from measurement error or transient changes in respiration.
🔴Loss of Clinical Utility: An assessment that cannot reliably differentiate patient subgroups or measure physiological change serves no clinical purpose.
🔴Evidence-Based Alternatives: Clinicians should abandon the rib flare assessment in favor of rigorously researched, psychometrically sound evaluations, such as the Overhead Squat Assessment (OHSA) and objective thoracic mobility tests (e.g., dual inclinometry and the lumbar-locked rotation test).

➡Additional Reading:
📣Rib Flare Assessment: The Myth of "Flared Ribs" - https://brookbushinstitute.com/articles/rib-flare-assessment-the-myth-of-flared-ribs

➡Courses:
📣Overhead Squat Assessment: Introduction - https://brookbushinstitute.com/courses/overhead-squat-assessment-introduction
📣Overhead Squat Assessment: Signs of Dysfunction - https://brookbushinstitute.com/courses/overhead-squat-assessment-part-1-signs-dysfunction
📣Overhead Squat Assessment: Sign Clusters and Compensation Patterns - https://brookbushinstitute.com/courses/overhead-squat-assessment-part-2-sign-clusters-compensation-patterns

➡Get Programs and Get Certified:
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📣Human Movement Specialist (HMS) - https://brookbushinstitute.com/info/human-movement-specialist
📣Integrated Manual Therapist (IMT) - https://brookbushinstitute.com/info/integrated-manual-therapist

➡Courses Pages (All courses count for CEs and toward certification):
📣Certified Personal Trainer (CPT) Courses - https://brookbushinstitute.com/certifications/certified-personal-trainer
📣Strength and Performance Coach (SPC) Courses - https://brookbushinstitute.com/certifications/strength-and-performance-coach
📣Human Movement Specialist (HMS) Courses - https://brookbushinstitute.com/certifications/human-movement-specialist
📣Integrated Manual Therapist (IMT) Courses - https://brookbushinstitute.com/certifications/integrated-manual-therapist
📣All courses (Filter for Continuing Education - https://brookbushinstitute.com/courses
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🔴 Vastus Lateralis SMR

Video clip from the online course "Static Manual Release: Hip Internal Rotators - TFL, Gluteus Minimus, Vastus Lateralis and Anterior Adductors":

The course counts for 2 credits towards the Brookbush Institute certifications and is pre-approved continuing education.

Watch the full video and take the course!
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🔵 BrookbushInstitute.com
• 3 Certifications
• 180+ courses
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• Unparalleled Accuracy: The Only Comprehensively Evidence-based Education Platform
• Included in Membership, Cancel Anytime, No Additional Fees

🔴 Completing courses and certifications has never been easier, and the quality of courses has never been higher!