Overhead vs Quadruped, Hypersensitivity, and Frozen Shoulder – Movement Debrief Episode 35

Movement Debrief Episode 35 is in the books. Here is a copy of the video and audio for your listening pleasure.

Here is the set list:

  • How do the overhead and quadruped positions affect infrasternal angles?
  • How does one reduce hypersensitivity in a focal area of longstanding pain?
  • How does one perform treatment on someone with frozen shoulder?
  • How often are there cervicocranial components to frozen shoulder?
  • What other things do we need to be looking at with frozen shoulder?

If you want to watch these live, add me on Facebook, Instagram, or Youtube. They air every Wednesday at 7:30pm CST.

Enjoy!

Zac Cupples iTunes                

Here were the links I mentioned:

Infrasternal Angles

NOI Recognise apps

CRAFTA – A con ed course on craniocervicalmandibular region

Tactile discrimination, but not tactile stimulation alone, reduces chronic limb pain.

Acupuncture applied as a sensory discrimination training tool decreases movement-related pain in patients with chronic low back pain more than acupuncture alone: a randomised cross-over experiment

“Why Are My Nerves So Sensitive?” By Adriaan Louw

Oxygen Advantage 

“Unconventional Medicine: Join the Revolution to Reinvent Healthcare, Reverse Chronic Disease, and Create a Practice You Love” by Chris Kresser

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Stress Response, Proximal First, Sensation Loss, and Your Health – Movement Debrief Episode 12

Let me guess, you are devastated you missed last night’s Movement Debrief.

You should be. It was by far the most interactive debrief we had yet. Loved how active everyone was, and definitely some people help me get better.

Kudos to Steve, Jo, Yonnie-Pooh, and the many others who commented on today’s Debrief.

Here’s what we talked about:

  • How the stress response impacts many areas
  • Treatment hierarchies
  • How to restore sensation loss post-surgery
  • Functional Medicine
  • Why taking care of your health helps others

If you want to watch these live, add me on Facebook, Instagram, or Twitter. (occasionally) They air every Wednesday at 8:30pm CST.

Enjoy.

Manual Therapy Musings

When I think About You…

Prompted by some mentee questions and blog comments, I wondered where manual therapy fits in the rehab process.

To satisfy my curiosity, I calculated how much time I spend performing manual interventions. Looking at last month’s patient numbers to acquire data, I found these numbers based on billing one patient every 45 minutes (subtracting out evals and reassessments):

  • Nonmanual (including exercise and education) = 80%
  • Manual = 20%
  • Modalities = 0%!!!!!!!!!!!!
Especially happy with the last number...and that I forgot how to work these useless things.
Especially happy with the last number…and that I forgot how to work these useless things.

Delving a bit further, here’s my time spent using PRI manual techniques versus my other manual therapy skill-set:

  • PRI manual = 14%
  • Other manual = 6%

As you can see, I use manual therapy a ridiculously low amount; skills that I used to employ liberally with decent success.

Skills-that-I-learned-in-the-mountains
Greatest skits on the internet per Cochrane review.

 

There’s a reason for the shift

I want my patients to independently improve at all cost and as quickly as possible. The learning process is the critical piece needed to create necessary neuroplastic change; and consequently a successful rehab program.

Rarely is learning involved in manual therapy. Continue reading “Manual Therapy Musings”