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Andrew M. Ball, MS, PT -> Re: Need help in discussing an article for an inservice (June 18, 2001 7:20:00 AM)
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JMA,
If you come by something that is mentioned, but not explained, and you've identified it as such . . . I'd be disappointed as your CI if you didn't jump on the chance to be and active learner and research it for yourself.
With all of the Free MEDLINE resources on the internet, and several (including [URL=http://www.medportal.com)]www.medportal.com)[/URL] that provide full text over the internet, there is no excuse for not doing so.
If it's "beyond your interpretation" then it sounds like you're able to identify when to ask for help. I'd be jazzed if a student came to me after having accessed the MEDLINE database for help on analysis and application only, usually we have to start out with how to access the literature and review it within 90 seconds. In short, asking questions doesn't erode the delusion of graneour that most students know that they can't achieve . . . but nevertheless aspire to. Asking good questions will greatly enhance your experience as a student, and will progress the relationship between student and CI to one of mentor-mentee.
I'm not much into orthopedics anymore, so I can't offer much help, but I have been quite interested in how some of the research (don't just look at the sales pitch, review the research bibliogs.) at the following websites will be applied to orthopedic PT: [URL=http://www.litegait.com]www.litegait.com[/URL] [URL=http://www.zlift.com]www.zlift.com[/URL] [URL=http://www.hocoma.ch/english/lokomat.html]www.hocoma.ch/english/lokomat.html[/URL]
As for reliablity studies, I wouldn't knock them. There are a lot of PT's out there that DON'T know what the research states about a lot of that stuff. How much stretching is required to increase the length of a normal muscle? How about a spastic one? Why can't strain-counterstrain work (e.g. Why has this technique survived in light of the fact that humans don't have a gamma motor bias?).
In other words, know your audience. Many PT's DON'T know very critical information relevant to their practice . . . but they also don't want to hear that research shows that they've been using at best ineffective, or at worst inappropriate techniques for the past 20 years. Despite this reality, many pay lip service to the idea that students bring "fresh ideas into the clinic." For some this is true, but not the vast majority. Find something that will hook them, but not offend. I think the Z-Lift information and research, if presented properly, can do just that.
Drew
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