Walk this way – Run this way

By Damien Howell

What way should we walk? What way should we run? Mel Brooks and Gene Wilder wrote the script for the movie “Young Frankenstein” in which the character Igor the hunchback…

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Surgery vs non-surgical intervention -Decision for musculoskeletal pain syndrome

By Damien Howell

When deciding whether to proceed with irreversible intervention such as elective or discretionary orthopedic surgery it is essential to consider the biases of the surgeon, non-surgical healthcare provider, and the…

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

By Damien Howell

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…

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Telehealth PT Benefits – Statutory Barriers Across State Lines

By Damien Howell

With the weakening of the covid 19 pandemic, I expect the utilization of Physical Therapy services by telehealth will decline. However, the necessity of learning to provide and receive Physical…

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Sensory preference & learning optimal movement

By Damien Howell

There are many cognitive strategies to cue, prompt, and provide feedback to improve movement. Theory of focus of attention The dominant theory proposed by Gabriele Wulf and colleagues is providing…

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Catch 22 – Underutilization of 2D Slow-Motion Video Analysis

By Damien Howell

Why is there low utilization of 2D slow motion video analysis of movement by Physical Therapists? There are many advantages for using 2D slow-motion video analysis for management of movement…

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Home based Physical Therapy Services – unique benefits of observing real-world issues

By Damien Howell

Traditionally physical therapy services provided at a person’s home occurs when the individual was “homebound.” According to Medicare regulations homebound is the patient requires assistance to leave home and that…

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Butt pain – Isometric Exercises

By Damien Howell

“Butt Pain.” has different tissue diagnoses. Possible diagnoses are sciatica; piriformis syndrome; gluteal tendinopathy; hamstring tendinopathy; bursitis; hip arthritis; and others. There are many treatments for butt pain. My “go-to”…

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Optimizing human movement requires clarity of description of movement

By Damien Howell

To know where you are going you must first know where you are. To optimize human movement, analysis of human movement is required. To identify optimal human movement clear qualitative…

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