PhysioGuru Blog

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Recently Independent.ie published an article about low back pain which talked about some of the most common triggers. Frankly, it was one of the most outrageous articles written on the causes of low back pain. It was as if research doesn't count for anything. One of the assertions was uterus can push back on the spine causing inflammation of spine.... just utter rubbish.... with no consideration of evidence or anything.. Twitterati went into hyperactivity in challenging the basis of assertions.. calling out the biased facts.... and finally the article was removed from their website.. 

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Every year the National Autistic Society (NAS) encourages the general public to take part in activities during the seven days of World Autism Awareness Week in order to raise money and awareness with campaigns like Too Much Information. Autism Awareness Day is marked on April 2 every year, World Autism Awareness Week will be from March 26 to April 2 in 2018.

In order to celebrate the Autism Awareness Week and to encourage awareness, we present 20 facts about autism. 

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Whiplash can be defined as “an acceleration–deceleration mechanism of energy transfer to the neck. It may result from rear-end or side-impact motor vehicle collisions, but can also occur during diving or other mishaps. The impact may result in bony or soft-tissue injuries (whiplash-injury), which in turn may lead to a variety of clinical manifestations called Whiplash-Associated Disorders”

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Reading and continued development is a key element of any professional's practice. The day we stop learning, that is the day we stop growing. And what happens if we don't grow? We stagnate. So today I am sharing with you a list of books which form the essential reading list for musculosksletal physiotherapists. 

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In the previous articles of the research series, I delved into the issues of choosing a research topic, formulating research questions, undertaking literature reviews as well as choosing research design. As you will note, the focus was on ‘How’ to do research and ‘what’ to research. Much like general medical and surgical research, physiotherapy research in the 20th century was also driven by focus on objective designs such as RCTs and therefore rarely discussed the underlying philosophical assumptions related to research. This article is aimed at highlighting the need for researchers to understand the basic philosophical issues which impact on the research design and conduct and to discuss the four prevalent paradigms

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Every runner considers injuries to be their nemesis. These can vary from minor niggles to fractures and can side line runners from their practice, performance and passion for days, weeks or sometimes even months leading to them requiring rehabilitation and graded return to running.  

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There is a body of literature about research designs which focus on the methods to be used, nuances, traditions, authority, experts, paradigms, or schools of thought related to each method. This all makes it sound so complex?  As a new researcher, the question in our minds is - what design should I choose for successful completion of my dissertation? The short and clear answer to this question is -the research design should follow from and be able to answer the research question. Through this article, I aim to present a brief decision making guide for students to make it easy for them to choose a research design which will help them answer their research question and to finish their dissertation on time.

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Within musculoskeletal physiotherapy, adherence to exercise programs is a challenge and generally adherence has been reported to be in the range of 50% and can be even lower for unsupervised home exercise programs. If you don't take your medicine, its likely not to have its desired effect. Similarly, if you do not adhere to the prescribed exercise program, it is likely that effect of exercise program will be sub-optimal. 

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In the Getting started with research, I discussed means of getting started in research, choosing a research area and development of a research question. This leads the research student on to the development of a research proposal, however, before the final research proposal can be developed and presented, it is imperative that the previous literature in the area is scoped and evaluated to identify the need for the proposed study and establish its context in the specific research area. In this article, I will discuss means of undertaking and presenting a literature review. While the focus of the article is presenting the literature review for dissertation purposes, I will also touch upon disseminating review in academic journals.

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The word ‘research’ has a certain mystique about it. To most of the people outside the research community, it represents an activity that is exclusive to an elite group of scientists. The perception of a researcher is one detached from the outer world, isolated in his laboratory or scholarly library. This was certainly the image in my mind as I embarked on my physiotherapy career. Over the years, this has not only been dispelled, I am now able to introduce myself to general public as a researcher. So in the next few articles in this series, I will aim to unravel some of the myths about research as well as focus on practical research methods. 

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Rehabilitation adherence is an outcome of a complex interaction of physical, social, therapeutic and psychological elements. This second article, based on the findings of my doctoral research, highlights the role of social support and other social influences as a determinant of rehabilitation adherence.

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There is no single cause for why two people experiencing same injury, receiving same interventions can go on to have very different pain experiences with the acute pain in one reducing within few days while the other goes on to experience chronic, recurrent pain. This has been attributed to physical, psychological, social, environmental or behavioural characteristics. Thus understanding pain management has remained a challenge for even the most gifted clinicians. There have been thousands of books written to explain various aspects of pain. In this article, I have highlighted the top 10 books pertaining to understanding and managing pain. 

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The Mulligan Concept is one of the commonly used manual therapy techniques in management of musculoskeletal conditions. Pioneered by Brian Mulligan in the 1970's, it is based on Kaltenborn's concept of restoring the accessory component of physiological joint movement. Its been over 12 years since I underwent training in Mulligan Concept. In this article, I first review the basic principles of the concept and then later look at some of the literature around the effectiveness of Mulligan Concept. 

Reviews of apps, books, clinical software and equipment related to physiotherapy. 

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