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Healthcare Whisperer versus Con Artist

By Damien Howell

The popular idiom of a “whisperer” is used to describe an individual who has special skills to interact with humans or animals to alter behavior and achieve outcomes that others cannot. What are the characteristics of a whisperer? A whisperer: Has high level of empathy Has specialized skills Focuses is understanding Uses body language communication…

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“Deme Bones” – Regional interdependence

By Damien Howell

The common reframe from the old spiritual song “dem bones” is the “toe bone is connected to foot bone”. In the medical community this concept of mechanical connectiveness is referred to as “regional interdependence”. Regional interdependence is seemingly unrelated impairments in remote anatomical regions of the body may contribute to and be associated with a…

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Analysis of Movement with Smartphone Video

By Damien Howell

Physical therapists are movement specialist according to the American Physical Therapy Association. Addressing issues related to the human movement system is what Physical Therapist do. The movement system is collection of systems (cardiovascular, pulmonary, endocrine, integumentary, nervous, and musculoskeletal) that interact to move the body or its component parts. Visual observation and analysis of movement…

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Total Knee Joint Replacement – Are You Satisfied? Gait Analysis & Training Can Provide Post-Op Improvements

By Damien Howell

Pain and stiffness associated with osteoarthritis in knee joints can result in a limp, gait deviations and gait compensations. Gait deviations are variations from what is perceived as normal walking or running. These deviations are described as limitations, restrictions or weaknesses that lead to lack of mobility, stability or symmetry of movement. Gait deviations also…

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Gait Deviation – Excessive Inward Rotation of Hip Joint

By Damien Howell

Excessive inward rotation of the hip joint can be a contributing factor to development of repetitive use injuries of: Lateral hip pain (gluteal muscle tendinopathy) Buttock pain (piriformis syndrome) Anterior knee pain (patella femoral arthralgia) Lateral knee pain (IT band syndrome Shin pain (posterior tibial tendinopathy) Plantar heel pain This video first illustrates the gait…

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Shoe drop – how the pendulum swings

By Damien Howell

Put on your high-heel sneakers, Lordy Wear your wig-hat on your head Put on your high-heel sneakers, child Wear your wig-hat on your head Ya know you’re looking mighty fine, baby I’m pretty sure you’re gonna knock ‘em dead – Tommy Tucker Growing up in the 1960s, I remember the song, “Put on Your High-Heel…

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It’s not hip to be in pain – Gait analysis & training can improve those pains in the backside

By Damien Howell

Are you experiencing pain in the lateral aspect (outer side) of your hips and/or buttocks when you walk or run? If so, using slow-motion video to identify gait deviations and working on your gait with a physical therapist can help solve the problem. Gait deviations are movements that differ from the norm.  A deviation can…

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

By Damien Howell

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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Slow motion video (Smart Phone) analysis is under-utilized, & under-valued

By Damien Howell

Being an old Physical Therapist I have had the good fortune of being around to observe significant changes and advances in the technology available to perform motion analysis. When I began analyzing the gait of runners many years ago, I used analog video cameras which required large VHS tapes and separate VCR playback units. The…

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