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  1. Load It

    Category: Blog/Smart Physio

    ... world of injury recovery is the blatant ignorance of some simple principles that govern life on planet earth. Over a 25 year career in physiotherapy, I have encountered countless patients that have ...
    Thursday, 21 November 2013

  2. Murray, Raikkonen, Foster: Three More Spine Surgeries, But Where's The MDT?

    Category: Blog/Smart Physio

    You can now add three more high-profile athletes that have recently found (or will soon find themselves) under the knife of the spine surgeon: tennis pro Andy Murray, former F1 world champion Kimi Raikkonen, ...
    Thursday, 14 November 2013

  3. Four Reasons Why Patients Deserve ADTO

    Category: Blog/Smart Physio

    Although we probably already have enough "models of care" to last a lifetime, I think we would do well to focus on one simple abbreviation: ADTO, or Assessment-Diagnosis-Treatment-Outcome. This model could, ...
    Friday, 25 October 2013

  4. The One Approach That Works For All Patients

    Category: Blog/Smart Physio

    The phrase comes up regularly in patient care: "There is not one treatment approach that will work for all patients". This then leads to the inevitable perceived need for an "eclectic treatment approach". ...
    Thursday, 17 October 2013

  5. The Case Of The Sitting Runner

    Category: Blog/Smart Physio

    The sport activity has to be the problem. That in itself has to be related to the cause of my low back pain, even without a specific mechanism of injury. Oh, it has to be because I [insert here: am not ...
    Tuesday, 24 September 2013

  6. The Black Box Of Treatment

    Category: Blog/Smart Physio

    One of the greatest problems in health care, including complementary alternative medicine, is the oftentimes arbitrary nature of treatment and the proposed rationale for its usage. There are certainly ...
    Tuesday, 17 September 2013

  7. The Tale Of Two Degrees Of Varus

    Category: Blog/Smart Physio

    When I listen to clinicians, I sometimes have to wonder how Homo Sapiens ever survived the past 250,000 years. With the clinical minutiae that exist these days, it's a wonder that we haven't become extinct ...
    Sunday, 25 August 2013

  8. Three Bipartisan Realities Of Consumer Access To Physical Therapy

    Category: Blog/Smart Physio

    It's not just a Republican thing. And it's not just a Democrat thing. When you get right down to it, consumer access to physical therapy could - and should - be an issue with bipartisan support nationwide. ...
    Thursday, 22 August 2013

  9. 08-17-2013 RunSmart At Texas State University

    Category: News/Events

    Program notes: The RunSmart program is a Comprehensive Approach To Injury-Free Running. It focuses on three key elements: Prevention, Performance, and Physiotherapy. Course description: There is a significant ...
    Saturday, 17 August 2013

  10. 2013 McKenzie Institute Americas Conference: MDT For Peak Patient Outcomes

    Category: Blog/Smart Physio

    This past weekend, the city of Denver hosted the McKenzie Institute Americas Conference. I made the trek to Denver to take part in what was, according to my calculations, my 14th McKenzie conference. Where ...
    Tuesday, 30 July 2013

  11. Fee For Service Or Fee For Outcome? Lessons From The Injured Athlete

    Category: Blog/Smart Physio

    Here's a question to anyone who has ever been a patient in the health care world: Are you paying for a service, or for an outcome? And to all of you clinicians out there, I ask a similar question: Are ...
    Monday, 08 July 2013

  12. Tech Support And The Challenges Of Clinical Reasoning

    Category: Blog/Smart Physio

    If you listen to the patient, they will tell you what is wrong. This is a phrase I like to use when I am teaching clinical reasoning and decision-making. Listen to the patient. The patient has one witness, ...
    Wednesday, 03 July 2013

  13. California AB 1000: Do What Is Right, Not What Is Right Now

    Category: Blog/Smart Physio

    Quiz time: What happens when you add one bad bill to one good bill? Answer: California AB 1000. AB 1000 is Assembly Bill 1000. It began as two separate bills: AB 1000, a patient access bill sponsored ...
    Sunday, 30 June 2013

  14. Transforming Society With Your Hands Tied

    Category: Blog/Smart Physio

    It is a brave new world out there if you are a physical therapist looking for a professional vision statement. In retrospect, the Vision 2020 statement had its good points. I never did think that it ...
    Friday, 28 June 2013

  15. Two Shades Of Patient Access To Physical Therapy

    Category: Blog/Smart Physio

    The litmus test of patient access to physical therapy is quite simple. Ask the patient. Pose the question: in your state, irrespective of payer guidelines, do you have the ability to freely seek evaluation ...
    Wednesday, 26 June 2013

  16. Inertia, Fear, And Models Of Care In Orthopedic Physical Therapy

    Category: Blog/Smart Physio

    We see the trends taking place throughout the physical therapy world with countless orthopedic conditions. Third party payers are not approving as many visits for physical therapy. Reimbursements are decreasing. ...
    Sunday, 23 June 2013

  17. Branding Physical Therapy – Use Those Eight Words Wisely

    Category: Blog/Smart Physio

    Entry-level degrees. Clinical education. Certifications. Dedicated hours of clinical practice.  You are doing everything you can to increase your knowledge base, expand your clinical reasoning skills, ...
    Friday, 14 June 2013

  18. Vision Now Revisited: Being And Becoming

    Category: Blog/Smart Physio

    They say that hindsight is always perfect. After celebrating 25 years as a physical therapist, and reflecting on those years, I have come to a realization, an epiphany of sorts if you will. The profession ...
    Tuesday, 04 June 2013

  19. Physical Therapy Is A Movement Profession

    Category: Blog/Smart Physio

    The physical therapy profession has been bedazzled by plenty of bright and shiny objects over the years. These shiny new objects have included degree escalation, alphabet soup certifications, and continuing ...
    Thursday, 30 May 2013

  20. 25 Thoughts On 25 Years Of Physical Therapy

    Category: Blog/Smart Physio

    As I was walking out the door of my office one day last week, it caught my attention - the date on my diploma. There it was, the date it all started - May 28, 1988. It hit me with resounding clarity. I ...
    Tuesday, 28 May 2013
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