Back in January 2010, the NY Times published an article entitled “Treat Me, But No Tricks Please”. It got a lot of physical therapists fired up, and it even prompted a response from the American Physical Therapy Association. And it made me chuckle about many things I have known for a very long time.
The firestorm of debate started when Dr. James J. Irrgang, a researcher in the Department of Orthopedic Surgery at the University of Pittsburgh and President of the Orthopedic section of the American Physical Therapy Association at the time, noted that “there is a growing body of evidence that supports what physical therapists do, but there is a lot of voodoo out there, too”. He also noted that “You can waste a lot of time and money on things that aren’t very helpful”.
Fast forward to 2011. I am now in the midst of preparing a 3 hour presentation entitled “Mechanisms Of Therapeutic Exercise Progression” for the Texas Physical Therapy Association’s Annual Conference in October. This will be my third consecutive appearance at their Annual Conference. What I have been reminded of – as I have reviewed a topic high on evidence-based cellular physiology research and low on practical application by clinicians – is that Irrgang was indeed correct. Sadly, not much has changed in our profession since this article was published, even with the responses and outrage it generated.
Allan Besselink, PT, DPT, Ph.D., Dip.MDT has a unique voice in the world of sports, education, and health care. Read more about Allan here.
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