Tag: evidence based practice

Shoulder Flexion: Evidence Based Assessment and Treatment

This blog is a synopsis of the excellent review on the topic by Ludewig and Reynolds (2009). Assessment During shoulder flexion the scapula should upwardly rotate and posteriorly and externally rotate at the acromioclavicular joint (Fey et al 2007, van der Helm 1994). The clavicle elevates and increasingly retracts during shoulder flexion. For typical alterations in shoulder pathologies see (Ludewig and Reynolds 2009). Treatment Which muscles to strengthen? The serratus anterior is the only muscle that can produce all three desired scapula motions during shoulder flexion and abduction (Ludewig...

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Applying Evidence Based Practice To Acute Low Back Pain

Introduction Evidence based practice is an often spouted term by many practitioners (Law and McDermid 2008). Often these practitioners view evidence-based practice in very different ways. Some feel that unless the treatment used is based on a Cochrane review at the very least then the practitioner is a charlatan. In contrast, others feel that if they are doing what they were taught on a course they attended 6 years ago then they are basing their practice on evidence. In reality the application of evidence based medicine is challenging. Moore and Jull (2006) produced figure 1 to demonstrate the...

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