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Re: Mythbusters
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Re: Mythbusters - January 18, 2005 12:51:00 AM
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Sebastian Asselbergs
Posts: 1205
Joined: September 29, 1999
From: Barrie, Canada
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"Core stability" as used by fitness clubs and assembly line clinics. When real professionals use it, they tend to mean it as "core dynamic function".
"Energy cysts" - a PT (I use the word loosely) diagnosed this frequently
"Past life trauma" - as perceived by a PT's hands and "intent"
"Sit-ups" and "modified sit-ups" for lumbar dysfunctions
Any manual "release" of the diaphragm, pelvic floor or thoracic inlet (I used to "do" these - yes, they helped; I had my d*mn hands on the patient - of course they helped!)
"You are 30 lbs overweight - no wonder your back is sore"
ANY technique that involves the "manipulation", "release" or "flow" of energy..
The list is long.....I am opinionated....and often wrong ...
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Mundi vult decipi
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Re: Mythbusters - January 18, 2005 5:24:00 AM
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PTupdate.com
Posts: 1477
Joined: October 8, 2001
From: Pittsburgh, PA USA
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FLOrthoPT,
The bet is ON. My sympathies for being a New Englander....you seem like a decent guy anyway.
Duffy
_____________________________
John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com
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Re: Mythbusters - January 18, 2005 6:26:00 AM
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bravocosta
Posts: 55
Joined: June 29, 1998
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Another myth "that you are lengthening the tight fascia" with MFR.....hmmm....good trick.
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Re: Mythbusters - January 18, 2005 8:18:00 AM
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Bournephysio
Posts: 585
Joined: April 25, 2002
From: Calgary
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Myths are often built on some bit of truth. The question I find as engaging as what are myths of physio, is what is the kernel of truth in the myth.
I think it is good to try to evaluate the theory or observation or explanation presented and try to determine if there is a better theory/explanation. I think many master clinicians are great at observing phenomenon but not as good at explaining it.
Doug
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Re: Mythbusters - January 18, 2005 9:34:00 AM
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FLOrthoPT
Posts: 85
Joined: October 20, 2003
From: wellington, fl, usa
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lol thanks duffy, I look forward to be a member any which way, hopefully a gratis one after this weekend!
More Myths:
I have HNP (patient is 84 years old) in my back causing my sciatica...
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Re: Mythbusters - January 18, 2005 4:58:00 PM
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TKOPT
Posts: 7
Joined: January 17, 2005
From: Willoughby Ohio
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Hey Diane!!!!
Glad to run into you on this forum.
My hard drive crashed 6 weeks ago and I lost your e-mail addy.
Send it to me will ya..hope you still have mine.
TKOPT
_____________________________
Thomas K.Ockler P.T.
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Re: Mythbusters - January 18, 2005 5:09:00 PM
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Diane
Posts: 1507
Joined: March 9, 2001
From: Vancouver, B.C., Canada
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Hi Tom,
Good to see you here. Hint: you can find email addresses for people (who allow them to be visible) by clicking on the first little icon figure at the top of the post, the one with a file card beside it. I sent you it anyway.
All the best,
Diane
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Re: Mythbusters - January 18, 2005 5:18:00 PM
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VagusX
Posts: 215
Joined: March 26, 2003
From: Savannah, GA, USA
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Hey Duffy, Nice helmuts on your web site. Your Steelers better start getting daily BALCO ultrasounds. Bill Bellicheck has your number. Go PATS!!!
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Re: Mythbusters - January 18, 2005 5:31:00 PM
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TKOPT
Posts: 7
Joined: January 17, 2005
From: Willoughby Ohio
Status: offline
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Bravocosta,
RE:Myths
This may burst your bubble but..
#1. I palpate the psoas all the time.
#2. I palpate piriformis indirectly through the overlying gluteals. I do NOT implicate it in all casses of LBP and sciatica. As stated you can stretch it but not an isolated stretch.
#3. You can stretch the ITB but it will take a while. Also, if you release the TFL with counterstrain the stretch goes much easier and almost always relieves the snapping over lateral knee. It may return if you have not addressed crappy foot ankle biomechanics.
#4. You can palpate anterior vertebral bodies but it is not comfortable for the patient. The c-spine is easiest and you can press the psoas up against the ant.Lumbar vert bodies but usually uncomfortable. Alot depends on the muscle mass and tone.
#5. Yes, with the proper instructor and experience you can palpate and correct Sacral asymmetries.
#6. Most all of the diagnosis made by MDs about.
musclulo-skelatal maladies are a wild-ass-guess (WAG) or sientific wild ass guess (SWAG.) I would estimate 95%.
#7. Your right, US (ultra-scam) is of very little long term value in treating musclulo-skeletal maladies.
I have been practicing for 27 years so that clasifies me as an O.F.P.T.
(Old Fart P.T.)
TKOPT
_____________________________
Thomas K.Ockler P.T.
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Re: Mythbusters - January 19, 2005 2:20:00 AM
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bravocosta
Posts: 55
Joined: June 29, 1998
Status: offline
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Hello Tom,
Thanks for bursting my bubble ! (opinions)
When you are "palpating" deeper tissues through other more superficial tissues how can you really be sure of what you are compressing or pushing up against ? Whatever you are pushing against has to exert a counterforce of some sort. Are you in fact "palpating" these deeper tissues, or is something else happening? (how can you be sure). I wouldn't disagree that you can exert a lengthening of the ITB proximally, but how would the thick hard fascial band be stretched out?
I'm not questioning your experience Tom, but some of these things don't make sense to me.
Cheers (the doubting) Thomas
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Re: Mythbusters - January 19, 2005 2:30:00 AM
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cpage
Posts: 5
Joined: December 3, 2003
From: north huntingdon, pa 15642
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Hey duffy, good to hear you will have a new customer monday morning after a big steeler "W". I had a new eval yesterday- 4/5 positive signs, pain 6/10. After a manip, skc, ltr, and pelvic tilts- pain 1/10. We'll see tomorrow how she feels- good I hope. clint
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Clint Page, MPT, CSCS
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Re: Mythbusters - January 19, 2005 2:31:00 AM
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cpage
Posts: 5
Joined: December 3, 2003
From: north huntingdon, pa 15642
Status: offline
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Oops- looks like i responded on the wrong topic- was still stuck on the manipulation thing. Sorry
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Clint Page, MPT, CSCS
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Re: Mythbusters - January 19, 2005 7:29:00 AM
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TLB
Posts: 353
Joined: September 13, 2002
From: Arizona
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"#5. Yes, with the proper instructor and experience you can palpate and correct Sacral asymmetries."
TKO,
Can you support this with current literature? Everything I've read and seen in the clinic says the opposite. Let us know.
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Todd
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Re: Mythbusters - January 23, 2005 4:01:00 PM
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FLOrthoPT
Posts: 85
Joined: October 20, 2003
From: wellington, fl, usa
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"The bet is ON. My sympathies for being a New Englander....you seem like a decent guy anyway.
Duffy "
Sorry about the game, it should have been better, maybe if maddox was in? Well, you'll have plenty to cheer about as Big Ben matures some in the NFL, it was a good year...so...
let me know what my access code/password and all that jazz is on your site...
GO PATS
Ben
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Re: Mythbusters - January 23, 2005 4:10:00 PM
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PTupdate.com
Posts: 1477
Joined: October 8, 2001
From: Pittsburgh, PA USA
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****, that sucked. We could have clobbered the Eagles again, just like we did earlier this year.
email me with a username/password of you preference, and you are in for life.
Go Eagles.
Duffy
_____________________________
John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com
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Re: Mythbusters - January 23, 2005 4:21:00 PM
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FLOrthoPT
Posts: 85
Joined: October 20, 2003
From: wellington, fl, usa
Status: offline
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lol go eagles?!?!?!? come on stay with AFC at least?!
i am sending e-mail...
good run...
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Re: Mythbusters - January 23, 2005 5:04:00 PM
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Synergy
Posts: 592
Joined: March 11, 2004
From: Texas
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Sorry for your Pats Duff! I was hoping for either Pitt/NE vs. Atlanta. I predicted the Superbowl several posts up and I was correct, but hell...I can't stand the Eagles!!! With that said, go Pats!
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Chris Adams, PT, MPT
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Re: Mythbusters - January 30, 2005 2:20:00 AM
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Lukey
Posts: 180
Joined: September 14, 2004
From: Australia
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Bravocosta,
I don't know how much time PT students spend learning palpation but as an osteopath this is the first and most fundamental skill taught.
I'm with TKOPT. Palpating psoas, anterior VBs, lumbar TPs and piriformis attachments is child's play (unless your patient is overweight). Whether doing this is useful for treatment is another question.
Luke
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Re: Mythbusters - January 31, 2005 1:48:00 AM
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treybien
Posts: 85
Joined: August 5, 2002
From: Milwaukee, WI
Status: offline
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myth- manual muscle testing, after 1-3 out of 5, as an effective way to evaluate/objectify strength/muscle performance.
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Re: Mythbusters - January 31, 2005 3:18:00 AM
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SJBird55
Posts: 2438
Joined: May 10, 2004
From: Michigan
Status: offline
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That's a good one, trey... and the muscle testing doesn't necessarily equate to how well a person will be able to perform specific activities. How many times have you seen a "5" in the quads, but the person couldn't descend stairs normally?
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