Side Effects Occur During Gait Training

  A side effect is a secondary effect, typically undesirable effect of a drug or medical intervention. Any intervention that can produce a therapeutic effect can also produce side effects or adverse effects. The current standard of practice is to provide informed consent before beginning evaluation and treatment. Informed consent includes identifying the benefits and…

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Movement-evoked pain measurement for adjustment of interventions for chronic musculoskeletal pain syndromes

If chronic musculoskeletal pain syndrome is like diabetes, then what is a self-administered test to adjust interventions? A thought-provoking article by Jermey Lewis and Peter O’Sullivan suggests “Is it time to reframe how we care for people with non-traumatic musculoskeletal pain” they suggest we have a lot to learn from how other chronic medical and…

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How 2D video motion analysis facilitates problem solving, reflective learning, & identification of novel interventions

The referral of this gentleman in the video below was for an exercise program for chronic right knee pain. The patient and the referring Physician Assistant expressed expectations that an exercise program would help decrease his pain so he could return to playing recreational basketball. There is ongoing controversy about whether high-intensity quadriceps strengthening exercises…

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Exercise prescription – Art & Science

Exercise while not a drug can behave like one. Exercise can help in the management of chronic diseases and offer pain relief for individuals suffering from musculoskeletal pain syndromes. Like prescribing drugs, the concept of dosage applies to exercise prescription. A dose-response to exercise is not unlike drugs however the minimum dose, dose-response, and maximum…

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How to do the analysis of slow-motion video of human movement

Smart phone video technology provides significant opportunities to analyze human movement. There are four steps involved in using smart phone video for slow motion video analysis. Each step has considerations, challenges and barriers that need to be addressed. The four steps are recording movement; analyzing the movement; storing the video data; and retrieving the video…

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Shoe Soles: Stiff Rocker Bottom Sole versus Flexible Sole “Barefoot”

There are many things to consider when selecting shoes, including comfort, injury and energy expenditure. Arnie Davis a Certified Pedorthotist has coined the term shoes with rocker bottom soles are the proverbial “aspirin” for chronic foot problems. A rocker sole shoe is recommended to help manage a number of painful injuries including: low back pain;…

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Back Pain Dilemma – Keep on Walking

Walking is commonly recommended by many medical professional associations for management of back pain. Walking is purported to be beneficial counteracting the potential deleterious effects of bed rest, maintaining functional abilities, stimulating use of spinal core muscles, keeping the general benefits of aerobic exercise, and providing pain reduction effects. Pain Walking can provide relief to…

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Gait Retraining – Key Concepts

Gait retraining has become popular among avid runners and Physical Therapists. The proponents of gait retraining advocate if you improve the walking/running form you can walk/run faster, farther, and injury free. Many questions remain regarding gait retraining. Who can benefit from gait retraining injured individuals, non-injured, or both (Heiderscheit, B 2011)? When is the best…

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