Motion Analysis
Using symptoms &/or sign modification procedure to manage musculoskeletal pain syndrome
The symptom modification procedure is a clinical reasoning process and is a common practice in the Physical Therapy profession. The symptom modification procedure involves identifying the specific movement, posture, and/or activity that reproduces the patient’s symptoms. Typically, the symptom is pain, which can be weakness, falls, or other functional limitations. Then intervening to alter the…
Read MoreHow to improve the quality of a selfie video to facilitate motion analysis
In a previous article, I described how sharing selfie videos with healthcare professionals can facilitate motion analysis for the management of painful musculoskeletal syndromes, injury prevention, and performance enhancement. This article describes how to improve the quality and standardize the process of capturing selfie videos to facilitate the motion analysis process. I am a healthcare…
Read MoreUsing a selfie video for motion analysis
A selfie video can enhance motion analysis for the diagnosis and intervention of painful musculoskeletal injury, for injury prevention, and for enhancing movement performance. A selfie video is a video recording that you take of yourself, also called a velifie A selfie video can: Provide opportunities for reflective self-learning. Provide visual data regarding comparing…
Read MorePain – Movement
If pain occurs with movement, then observation and analysis of movement is required. The measurement of the symptom of pain occurs using the familiar numeric pain scale (zero to 10). 0-10 Numeric pain scale diagram. Clipart image In 1996 the American Pain Society lead a campaign to consider the measurement of pain as the 5th…
Read More“Deme Bones” – inter-limb deviation related to the musculoskeletal pain syndromes
“The toe bone is connected to the foot bone” is the common reframe from the old gospel song “Dem Bones.” The concept of mechanical connectedness or regional interdependence applied to musculoskeletal pain syndromes suggests that in addition to examining a patient’s local area of complaint examination of the adjacent joints above and below the primary…
Read MoreHalf Seat Lateral Wedge for Lateral Pelvic Tilt Sitting
Shoe lifts or lifts in the shoe are a common treatment for leg length discrepancy. Why are lifts not used for lateral pelvic tilt when sitting? In a previous blog article, I described lateral pelvic tilt and anatomical versus functional lateral pelvic tilt. Lateral pelvic tilt can result from individual structural variation, and defective chair or…
Read MoreWhat is harder than learning? Unlearning
This image from Roger von Oech’s “A whack on the side of the head” 1983 has intrigued me for years. The idea that we get rid of ideas or concepts is thought-provoking. How do we know when to reject ideas? What is the thought process we use to unlearn something? My understanding of learning new…
Read MoreChoices of interventions for musculoskeletal pain syndromes: decrease pain, improve impairment, resolve dysfunction
There are multiple and varied interventions that can tackle the contributing factors of pain, impairment, and dysfunction that occurs with musculoskeletal pain syndromes. Pain impairs an individual’s ability to function Impairment is loss of use or derangement of any body part, organ system, or organ function. Dysfunction is an alteration of an individual’s capacity to…
Read MoreWalk this way – Run this way
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 shows Dr. Frankenstein “this way”, and hands him his cane, expecting Dr. Frankenstein to mimic his hunched, contorted shuffle, which Dr. Frankenstein cordially does. This…
Read MoreHow 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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