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I denne episoden snakker vi om fremtidens manuell terapi. I kjølvannet av en publiksasjon fra Roger Kerry og kollegaer, hvor man snakker om moderne bruk av manuelle teknikker, reflekterer vi rundt terapiens bagasje, hvordan synet vårt på manuell terapi har utviklet seg de siste ti årene, og hvordan vi ser oss bruken i fremtiden. Man presenterer et nytt rammeverk som beveger seg vekk fra å være tradisjonsbasert; hvor terapien er knyttet til klinikerens identitet, patoanatomiske årsaksforklaringer og teknikkens fortreffelige spesifisitet - til heller å snakke om terapi som pasientsentrert, kontekstavhengig og hvor nøkkelordene er kommunikasjon, trygghet, komfort og effektivitet.PATREON: Fra 2024 spør vi lytterne våre om å bidra til podcasten ved å bli patreons. For prisen av en Oslokaffe i måneden gir du oss muligheten til å fortsette podcasten, samtidig som du skaffer deg selv VIP-billetter til VONDT fellesskapet. Her får du blant annet tilgang på lukket diskusjonsforum, referanselister fra episodene, mulighet til å stille gjestene spørsmål og rabatter på kurs&fagdager. Les mer og bli en patreon i dag på: patreon.com/vondt MUSIKK: Joseph McDade - Mirrors
#254 - A New Physio UG Syllabus! - Chewing It Over - 09/06/22 Today Roger Kerry is here so we're Chewing Over the draft he recently shared of the University Of Nottingham's Undergraduate Physio Syllabus. As is his style, Roger would love a public conversation on the matter so welcomes your views on what is missing, what is needlessly present and what you think should be prioritised in contemporary Physio education. Your lunchtime show 12:30-13:00 on Mondays and Fridays with Jack Chew chatting about whatever is topical. Usually healthcare and education, occasionally current affairs, always honest.
Welcome to another episode of The Words Matter Podcast. We continue the clinical reasoning series, and I hope you enjoyed the first two episodes with Roger Kerry and Mark Jones where we covered how we can think about our practice, evidence and our patients.However, given that the series is exploring clinicians' reasoning around people with disease, it would seem prudent to consider what disease is both as a concept and phenomena but also the ethical and moral issues tied to and emanating from it and which motivate us to begin to reason about it.As such, I'm speaking again to Prof. Bjørn Hofmann. I spoke with Bjørn in November last year – on Episode 55: about Dediagnosing- with his co-author Dr Marianne Lea.Today we speak about his work on bioethics and talk around and about a recent paper of his titled 'Acknowledging and addressing the many ethical aspects of disease'. This is a two-part episode where the second part of the conversation focuses on his work on overdiagnosis and follows nicely from this episode.Bjørn is a scholar in philosophy of medicine and bioethics with a special interest in the relationship between epistemology and ethics.He is affiliated with the Department of Health Science at the Norwegian University of Science and Technology (NTNU) and the Centre for Medical Ethics at the University of Oslo. Bjørn's main fields of interests include the basic concepts for health care including disease, causality, (over)diagnosis, medicalization and severity.In this episode we speak about: What we mean when we say ‘disease'? Disease as both a concept and phenomena and how the concept of disease provides us with knowledge and guides our actions. Disease from a biological perspective, the experience of disease which we term called illness, and the societal perspective we call sickness. How these perspectives interact and how they might at times be in conflict with each other. We consider disease an an experienced phenomenon with a scientific description and a moral imperative We discuss the the moral functions, and why are they of great importance to patients and us as health professionals? And finally we touch on how the science and the ethics of disease relate. Support the podcast and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication★ Support this podcast on Patreon ★
Welcome to another episode of The Words Matter Podcast. So we continue on the clinical reasoning series, and on this episode I'm speaking with Mark Jones. And if you haven't already listened to the previous episode in the series “Do clinicians think link scientists” with Roger Kerry, I suggest you take a listen as my conversation with Mark builds nicely from there.Mark is an Adjunct Senior Lecturer in the University of South Australia with 35 years' experience teaching undergraduate and postgraduate physiotherapy.He has a special interest in biopsychosocial health care and the teaching and assessment of clinical reasoning in physiotherapy. Mark has conducted and supervised research in the areas of clinical reasoning and musculoskeletal physiotherapy with over 90 publications including three editions of the text “Clinical Reasoning in the Health Professions” and the text “Clinical Reasoning for Manual Therapists”. His latest text “Clinical Reasoning in Musculoskeletal Practice” was published in 2019.And he has been on one of the major contributors to the development of clinical reasoning theory within MSK healthcare in the last 30 years, and we discuss some of his key work, including the seminal work with the late Louis Gifford and Ian Edwards (see Ian's work on clinical reasoning here here and here).So on this episode we talk about: The development of clinical reasoning theory beyond mere diagnostic reasoning. Different aspects or strategies of clinical reasoning such as procedural, predictive and collaborative reasoning. The pursuit of a structural or pathological diagnosis. Mark's own clinical reasoning framework involving hypothesis categories. Clinical reasoning within a biopsychosocial framework. Diagnostic reasoning approaches such as hypothetico-deductive reasoning and pattern recognition. Clinical reasoning in novice compared to expert clinicians. And finally we discuss the role of metacognition to mitigating errors in reasoning. So it was truly and honour speaking with Mark. The label ‘pioneer' is probably over used, but in Mark's case it captures his status perfectly. His work on clinical reasoning theory was one of the cornerstones of my own doctoral work into clinical reasoning (see here here and here) and helped make explicit the processes behind my thinking and doing in my clinical practice – which up until engaging with Mark's work were completely unbeknownst to me.His knowledge of the field is incredibly extensive as is his ability to communicate and make this information accessible to clinicians and students.Support the podcast and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication★ Support this podcast on Patreon ★
Welcome to another episode of The Words Matter Podcast.Thanks to all of you that support the podcast via Patreon, it means so much and really helps the podcast grow. If you'd like to support the podcast for as little as a pound or a couple of dollars per episode (here).I'm taking a break from the Outsider episodes to explore the area of clinical reasoning, and to kick off the series I'm speaking with Dr Roger Kerry, whom I chatted with on the podcast last year in episode 35 where we discussed causation in relation to evidence based practice (EBP) as part of the CauseHealth Series.Roger is an Associate Professor in the Division of Physiotherapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Nottingham. He specialises on risks and adverse events of manual therapy, neck pain and headache as well as clinical reasoning (see his research here). He holds a PhD in Philosophy with the doctoral dissertation Causation and Evidence-Based Medicine (see here). So on this episode we talk about: How EBP offers a backdrop to our clinical reasoning. The framework is now omnipresent across healthcare and Roger talks about how it should or could shape clinicians' thinking, reasoning and interaction with patients. Some of the main developments, issues and questions resolved and those un-resolved around EBP. What it means to clinically reasoning within a EBP. How EBP makes us sensitive to the different sorts (and weighting) of knowledge and evidence and we discuss the implication of this with our clinical reasoning and the potential conflicts. Whether clinicians think like scientists and whether clinical reasoning is sciency? The similarities and differences between the scientific method and diagnostic reasoning such as data collection, hypotheses formulation, testing and inductive and deductive reasoning. It's always an absolute pleasure speaking with Roger; his laid-back style defies the intense consideration he has given to the deep philosophical problems of EBP which while as clinicians we may never fully appreciate (nor necessarily are required to) they help keep us on our toes and be aware and alive to how complex clinical practice is which should motivate us to ensure that our thinking and reasoning remains sharp and purposeful.Find Roger on Twitter @RogerKerry1Support the show and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication ★ Support this podcast on Patreon ★
Welcome to another episode of The Words Matter Podcast. As usual, thank you to all the support via Patreon – every pledge is hugely appreciated.So I did say that the previous episode with Rob Jonah would be the last outsider episode for a while, in order to make way for the clinical reasoning series.However, there's time for one more and I'm delighted to squeeze this one in before Dr Roger Kerry kicks off the Clinical Reasoning Series where we talk about sciencey thinking in the context of evidence informed clinical reasoning.So make sure you hit the subscribe button on your podcast player so you don't miss out on what will be a brilliant collection of conversations.On this outsider episode, I'm speaking with Dr Gita Ramdharry. Gita is a Consultant Allied Health Professional in Neuromuscular Diseases at the Queen Square Centre for Neuromuscular Diseases UCLH in London. She is an Honorary Associate Professor at UCL and a Visiting Professor at Kingston University.She has worked as a physiotherapist since 1995 and developed a special interest in neurology early on. Gita completed a PhD in 2008 looking at walking patterns, endurance and orthotic interventions for people with Charcot-Marie-Tooth disease. See more about Gita's research here.Last year, Gita wrote a wonderful blog post on her experiences of the interaction and sometimes clash between the physiotherapy professional culture and her own mixed heritage and cultural background. The blog is titled 'Awakening to the impact of culture on how we deliver care and treat our colleagues'.In her blog Gita talks about the challenges she perceived as student, educator and clinician in feeling like a cultural outsider in relation to physiotherapy. I've linked the blog in the show notes and would encourage you to have a read as it's the perfect accompaniment to our conversation.This is the first time that I've directly focused on culture and ethnicity on the Podcast and Gita provided the ideal opening to these important issues and I've taken so much away from listening to her experience and I am sure you will too.Find Gita on Twitter @gitaramdharrySupport the show and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication★ Support this podcast on Patreon ★
Welcome to another episode of The Words Matter Podcast. As always, a big thank you to those of you supporting the podcast via Patreon – really takes the edge of the cost of producing these two-weekly episodes, so thank you.The line-up for the upcoming clinical reasoning series is being finalise, covering topics such as ethics or disease, values based-practice and reasoning, thinking narratively, embodied reasoning plus cognitive perspectives such as hypothetic-deductive reasoning, pattern recognition and knowledge schema. I've got some wonderful guests planned, some have appeared on the podcast before while others have not and I'm super excited to talk with them all and hopefully create a rich, insightful and hopefully useful resource for clinicians and students.A final note, Episode 21: Saying the unsayable and thinking the unthinkable - a critical look forward with Prof. David Nicholls seems to be having a resurgence over a year after it was recorded, and I'm frequently receiving messages from you saying how much the episode resonated. I'm not quite sure the reasons for this or what to make of it. As radical as Dave's view might be i.e. to reboot physiotherapy and osteopathy and start again (see Dave's books here, here and his new one here), the idea at least seems to speak to the crises of existentialism, lack of belonging, identity and the general discomfort or dissatisfaction of where we currently find ourselves with respect to our clinical practice and profession. Anyhow, I'll keep digging in this topic I'm with Dave again and others too and see where we arrive at and what the solutions might be. Listen to our second brilliant episode here.So, on to your questions of which there were lots, and as usual I've tried to select a good spread of topics. I really enjoyed the qualitative research series, I was wondering how do you integrate qualitative research findings into clinical practice? See my chat with Matt Low here and Roger Kerry here for the CauseHealth Series (here). What was your journey from positivist research to constructionist? See here for essential social constructionism reading Ken Gergen here, Kathy Charmaz here, Berger and Luckman and Bury's social construction of medical knowledge and see a rebuttal paper here. Plus my recent chat with Prof. Martin Kusch on Relativism here. What is the best paper you have read or authored? My favourite papers as a clinician here and here, as a researcher here and here and here and as an author here and here. In qualitative research are themes constructed or are discovered? Why do osteopaths and other MSK practitioners prefer guru experts over solid fundamental evidence? See recent episodes with Dr Carlo Martini on expertise here and here. Do you think there is anything unique about osteopathy that distinguishes it form other similar MSK professions? Also, as a clinician who is also a researcher, academic. Did you ever struggle with the transition? Also feeling lonely and not know how or where you fit in ? Any tips? As a practicing MSK clinician what is the most useful MSc/PhD? Support the show and contribute via Patreon hereIf you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication★ Support this podcast on Patreon ★
In this episode of the podcast I get to speak with Roger Kerry, physiotherapist, researcher & educator. Roger Kerry has lectured internationally extensively on the topic of Cervical Arterial Dysfunction (CAD) to help bring to light an area of physiotherapy that we may not be addressing as much as necessary. We discuss signs & symptoms to look out for in patients when you suspect CAD may be an issue, what your next steps are as a physio as well as what are the predisposing factors to help in your clinical reasoning!
Welcome to the first episode of our collaboration with CauseHealth, where we discuss the challenges with applying evidence based medicine. We go through all the issues such as why evidence doesn't often match what we see in clinical practice, why guidelines seem to fail our patients and set the scene for how we can solve these problems.
Som kliniker, føler du iblant at pasientene dine ikke representeres i forskningen? Opplever du at de evidensbaserte tiltakene ikke fører frem eller passer for pasienten foran deg? Eller at tiltak som ikke anses som evidensbaserte gir god effekt? Har du hørt om CauseHealth?For noen år siden var vi på en fagdag i Fredrikstad kalt «Fysioterapi inn i fremtiden». Her foreleste blant annet Roger Kerry, en engelsk fysioterapeut og professor ved Division of Physiotherapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Nottingham. Jeg husker særlig godt en av problemstillingene han la frem; er modellene vi bruker i forskning representative for den virkeligheten vi møter i vår kliniske hverdag? I denne problemstillingen ligger måten vi forstår verden på, og hva vi kan vite om den gjennom forskning. Fysioterapien kommer fra en tradisjon tuftet på biomedisin og reduksjonisme, der vi er lært til å finne feil for så å fikse den eller dem. Forskningen, det evidensbaserte vi tilstreber å la styre praksisen vår, vil da forsøke å finne svar på disse årsak-effekt problemstillingene. CauseHealth er et prosjekt som tar for seg disse problemstillingene, og gjennom boken Rethinking Causality, Complexity and Evidence for the Unique Patient er både vitenskapsteori, filosofi og praktiske implikasjoner presentert fra ulike hold. Boken er gratis og kan lastes ned her: https://causehealthblog.org. Boken har tre redaktører, og en av de to prosjektlederne er den norske filosofen og forskeren Rani Lill Anjum ved Norges miljø- og biovitenskapelige universitet i Ås. Over to episoder snakker vi med Rani om CauseHealth, vitenskapesteori, disposisjoner, evidensbasert medisin og hvilke implikasjoner deres teori har for klinisk praksis. God fornøyelse! MUSIKK: Joseph McDade - Mirrors
Welcome to another episode of The Words Matter Podcast.In this episode of the CauseHealth Series, I'm speaking with Dr Roger Kerry about his Chapter 13 that he wrote for the CauseHealth book titled ‘Causal Dispositionalism and Evidence Based Healthcare' (read Roger's Chapter here).Roger is an Associate Professor in the Division of Physiotherapy and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, University of Nottingham. He specialises on risks and adverse events of manual therapy, neck pain and headache as well as clinical reasoning (see his research here). He holds a PhD in Philosophy with the doctoral dissertation Causation and Evidence-Based Medicine (see here). On this episode we talk about: His background as a physiotherapist, educator and researcher and how causation has featured in these areas of his work. The development of CauseHealth of which he was a founding member of the network. Roger's Philosophy PhD which looked at causation in relation to EBM and how this related the CauseHealth project. The inferential gap or problem of induction The nature of clinical reasoning and clinical expertise. What is the ‘best available evidence' in relation to causal dispositionalism. Whether there is objective ‘Truth' in healthcare. What we ‘do' with RCTs, and what does dispositionalim do with/say about RCTs and how the theory may change or support our clinical and research methods. So this was an absolutely wonderful discussion with Roger, I'd been wanting to have him on the Podcast for ages- and it was well worth the wait. You'll hear him say at the end of our chat that it was like going three rounds with Mike Tyson…but the feeling was completely mutual given the ground that we both covered in the conversation. This is a real treat.If you liked the podcast, you'll love The Words Matter online course and mentoring to develop your clinical expertise - ideal for all MSK therapists.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication★ Support this podcast on Patreon ★
Hello and welcome to this brand new podcast series ANARCHY IN THE H.E. with me Roger Kerry. Have a quick listen to this short introduction telling you all about the podcast. ANARCHY IN THE H.E. is about disruptive and chaotic teaching and learning in Higher Education, in any subject, in any country. Each month I shall be talking with an educational leader about the future of H.E. on a journey which will help shape our understanding and development of a brave new world of education. Learners are at the centre of this story so listen out for some amazing interviews with H.E studies from across the globe. Look out for news about our first podcast with amazing education designer, Joost van Wijchen from HAN University of Applied Sciences in the Netherlands - COMING SOON! We are punks shaping the future of higher education. Oh yeah. --- Send in a voice message: https://anchor.fm/roger-kerry/message
Welcome to another episode of The Words Matter Podcast.So we are up to Chapter 4 of the CauseHealth Series, and I hope you've enjoyed the previous episodes.In this episode I talk again with two of the editors of the CauseHealth book (download here), Dr Rani Lill Anjum and Dr Elena Rocca about Chapter 4 which they co-wrote titled ‘When a Cause Cannot be Found' (read Chapter 4 here).In this episode we talk about: Medically unexplained symptoms (or MUS) and how such health conditions, which defy a clear biomedical explanation, offered a practical and clinical challenge for CauseHealth to take on (see paper here by Rani, Roger Kerry and others). We talk about how the mere accumulation of more biomedical knowledge and scientific discoveries won't necessarily lead to a satisfactory explanation of MUS in individual patients, and how and why a dispositionalist view of causation offers a deeper and person-focused understanding to the complexity associated with MUS. We discuss the Problem of Uniqueness –and outline the challenge this poses both practically (i.e. clinically and methodologically), and also the broader and more fundamental philosophical challenge of medically unexplained symptoms. We talk about how methodological and evidential pluralism and inclusivism can help provide this deeper contextual understanding, which is not captured by RCTs and other quantitative methods alone. Finally, we talk about how other forms of evidence such as patient narratives, case studies and qualitative research, which don't traditionally get involved with causation, that when taking a dispositionalist view, do in fact have lots to say and contribute to in regards to causation in healthcare This episode really made me reflect on the role and contribution of qualitative research towards causal explanations in healthcare whether it be recovery or the onset of pain and illness.The dispositionalist view opens up space for qualitative methodologies and methods to sit at the table of causation and offers researchers from these disciplines a theoretical framework to allow rich, detailed and sometimes abstract qualitative evidence, constructed from multiple individual perspectives and experiences to add to a causative understanding of individual patients.Find Elena and Rani on Twitter If you liked the podcast, you'll love The Words Matter online course and mentoring in effective language and communication when managing back pain - ideal for all MSK therapists and students.Follow Words Matter on:Instagram @Wordsmatter_education @TheWordsMatterPodcastTwitter @WordsClinicalFacebook Words Matter - Improving Clinical Communication★ Support this podcast on Patreon ★
In this episode Ben & Rog get into evidence based medicine. They talk about the application of population data to the person in front of you in clinic. How we should understand more about the fundamentals of science and statistics What we should focus on in the future of evidence based medicine
Covid-19 has changed the world in the short term, maybe the forever and many of us are isolated like never before. Out of the gloom comes rays of light that make this situation so much better. Some of these rays of light may just change therapy for the better, engagement for the better and turn what seems like a negative into a positive using ingenuity and team work. We bring you one of the brightest lights. Joost, Roger, Meike and Nokuthula talk us through the Quarantrain project which is bringing people and therapists together across the globe. A true inspiration in finding new ways to engage people and to share ideas. Unbelievable work is being done. Check the website here Quarantrain.org Follow @physionokuthula @jowi1 @RogerKerry1 @guertsonmeike and @QuaranTraining on twitter and if you can. GET INVOLVED.
Kan manipulation eller liknande manuell behandling orsaka stroke? Vad är det som händer egentligen och vad bör man känna till? Erwin, Daniel och Adrian reder ut lite närmare vad som händer vid dessa tragiska tillfällen när någon råkat ut för en stroke eller liknande i samband med att man varit hos en kiropraktor/naprapat/sjukgymnast. Som grund till avsnittet ligger en nyligen publicerad artikel i Expressen. Daniel nämner en översikt gällande risk-nytta screening vid CAD, den finner du här. För vårdgivare (eller den allmänt intresserade) finns vettiga riktlinjer kring hantering av nackbesvär att finna här. Och för djupdykning tillsammans med en av författarna till dokumentet för screening av CAD, Roger Kerry, kan detta poddavsnitt rekommenderas. Hållpunkter: 00:01:20 - Stroke orsakad efter nackmanipulation 00:04:35 - Vad är Cervikal arteriell dysfunktion (CAD)? 00:14:25 - Vad är tecken/predisponerande faktorer för CAD? 00:20:50 - Veckans fråga - ökar massage blodcirkulationen? 00:23:44 - Symtom på CAD 00:30:24 - Veckans spaning - Axelkurs! 00:31:39 - Vad gör man om man misstänker CAD och måste man behandla nacken? 00:35:25 - Försiktighetsprincipen, inte skrämma folk och behandlingssamtycke 00:45:10 - Företeelsen nackmanipulationer, hole-in-one och avrundning Följ Tyngre Rehab och värdarna på Instagram: @Tyngrerehab, Daniel Andréasson, Kenneth Färnqvist, Adrian Valkeaoja och Erwin Lindén. Du som lyssnar på vår podcast får gärna betygsätta den på Apple Podcasts - lämna gärna en recension. Då blir podden mer synlig för andra plus att vi värdar blir glada.
Dr. Roger Kerry, Associate Professor at the University of Nottingham, comes on the show to discuss how Physiotherapy programs and curriculum are structured internationally, what are some of the major differences you are noticing between American DPT programs and international DPT programs, what international DPT programs should adopt from the US programs, the licensing process after completing an international DPT program, differences in students who graduate from a U.S. DPT program or an international DPT program in relation to treatment styles or philosophies, how is doing research within academia in the U.K different compared to how it is in the U.S, and much more! Biography: Qualified as a Physiotherapist at Pinderfields School of Physiotherapy, Leeds University (1996). Gained MSc in Manipulative Physiotherapy at Coventry University(2001), also gaining membership of the Manipulation Association of Chartered Physiotherapists. Worked as Clinical Specialist and Extended Scope Practitioner in Orthopaedics before starting as a lecturer at Nottingham. Current post is Associate Professor in the Division of Physiotherapy & Rehabilitation Sciences, University of Nottingham. Became Honorary Fellow of the Musculoskeletal Association of Chartered Physiotherapists in 2011. PhD thesis: Causation and Evidence-Based Medicine (supervisor: Professor Stephen Mumford) Member of International Federation of Orthopaedic Manipulative Physical Therapist working group for International Framework for Examination of the Cervical Region for potential of Cervical Arterial Dysfunction prior to Orthopaedic Manual Therapy Intervention 2007-2017. Roger's Twitter Page: https://twitter.com/RogerKerry1 Roger's Biography through the University of Nottingham Website (with links to a publications): https://www.nottingham.ac.uk/healthsciences/people/roger.kerry Roger's Website: https://rogerkerry.wordpress.com/ Roger's ResearchGate Profile: https://www.researchgate.net/profile/Roger_Kerry
Strengthening is not commonly used in neck pain treatment and rehabilitation, however athletes may place large demands on their neck during training and play that require a high level of strength or endurance. When should you include strength training in your rehabilitation? What patients will benefit from strength training? How can you incorporate strengthening into your treatment? In episode 73 of the Physio Edge podcast, we explore the role of neck strengthening with Kay Robinson, Physiotherapist working with Australian sailing, and previously with the British Olympic Skeleton team. In the podcast you will discover: Objective assessment of patients with neck pain Range of movement and strength tests you can use with your neck pain patients How to assess neck strength in your patients Indications for strength training Is strength training suitable in the early stages of neck pain rehabilitation? Early-stage cervical spine rehabilitation exercises you can use Exercise progressions to improve neck strength Neck strengthening in concussion Is neck strength training suitable for whiplash patients? Aspects incorporated into a typical neck strengthening program Kay Robinson will also be presenting at the 2017 Sports Injury virtual conference. Her conference presentation on neck strengthening will discuss: How to incorporate neck training into rehabilitation post injury Neck strengthening for injury prevention How to make exercise patient or sport specific Other consideration with neck training Case studies Download this podcast and subscribe on iTunes Links associated with this episode: Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Enrol on the 2017 Sports Injuries virtual conference Kay Robinson on Twitter - @kaylourob Kay Robinson at Total Physiotherapy David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership Book - Sports Injury Prevention and Rehabilitation: Integrating Medicine and Science for Performance Solutions High-Performance Training for Sports Articles associated with this episode: Durall. 2012. Therapeutic Exercise for Athletes With Nonspecific Neck Pain: A Current Concepts Review. Falla et al. 2003. An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion. Falla et al. 2007. Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. Jull et al. 2009. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Other episodes of interest: PE 013 - Cervical Spine Artery and VBI Testing with Roger Kerry 5 Minute Physio tip - Manual therapy for the cervical spine - Is there any evidence? 5 Minute Physio tip - Contraindications and red flags to cervical spine manual therapy.
Welcome back to Pain Reframed! This week, Roger Kerry joins us! Roger is an Associate Professor at The University of Nottingham, a Physiotherapist, and Philosopher of Science-in-training. Roger is also a musician, part of an Americana band, and he shares some fun tidbits about that! Roger will be discussing how we think and how we look at the whole aspect of treating pain, not only from a philosophical point of view, but also in how we NEED to treat our patients and understand where they are at from a fundamental level. LINKS: @RogerKerry1 @skiffleshow http://www.nottingham.ac.uk/healthsciences/index.aspx http://www.skiffleshow.com/ http://ispinstitute.com http://evidenceinmotion.com @eimteam
Roger Kerry (University of Nottingham UK - https://rogerkerry.wordpress.com/) talks to Rachael Lowe from Physiopedia discussing the importance of clinical reasoning and the Cervical Arterial Dysfunction (CAD) framework. As part of Feb 2014’s monthly learn topic on the cervical spine we were extremely fortunate to be able to record a 30 minute interview with Roger Kerry, Associate Professor at University of Nottingham, about his work and thinking on clinical decision making and the Cervical Arterial Dysfunction (CAD) assessment model. Here we provide a 10 minute section of this interview where Roger describes this very important framework and contrasts it against vertebrobasilar ischaemia (VBI) testing used prior to cervical manipulation.
Putting big mouths and big ideas behind microphones. The Physio Matters Podcast is a feature of Chews Health's third core value ‘We
Topical Podcasts from the Musculoskeletal Association of Chartered Physiotherapists (MACP)
IFOMPT 2016 Glasgow Keynote with Prof Roger Kerry by MACP
Treatment of the cervical spine often involves some degree of manual therapy or manipulation, and VBI testing is generally encouraged or required prior to this. In this episode of the Physio Edge podcast, Roger Kerry and David Pope discuss Cervical Arterial Dysfunction (CAD), the accuracy and limitations of VBI testing, and a lot of other good stuff, including: Cervical Arterial Dysfunction (CAD), and VBI Why is it important for clinicians to know about CAD The limitations of VBI testing Clues within the history to alert you to the possibility of CAD Symptoms of CAD 2 types/causes of dizziness and differentiation The 5 Ds and 3 N’s - what are the limitations of this approach Signs & Symptoms of Cerebral and retinal ischaemia Aetiology Upper cervical instability As clinicians, where should CAD and VBI testing lead our assessment, treatment and investigations? When can we conservatively treat someone with these symptoms Monitoring - during and post rx Contraindications to Rx Listen to it now, and subscribe to the podcast in iTunes Links of interest Get a flatter stomach by subscribing to the podcast in iTunes Give the Physio Edge podcast a review in iTunes Clinical Edge Free membership to Clinical Edge! Roger Kerry on Twitter @rogerkerry1 Roger Kerry’s profile at Nottingham University - Physiotherapy Roger Kerry’s profile at Nottingham University - Philosophy Courses with Roger Kerry IFOMPT Conference 2012 Hamstring Rehab for Elite Sprinters - Online education for Physiotherapists for Clinical Edge members 20% off your first months Clinical Edge membership with the code “physioedge” Contact David David on Twitter Tags: physio, physio edge, physiotherapist, podcast, courses, cervical spine, CAD, cervical arterial dysfunction, VBI, vertebrobasilar insufficiency, spine, artery, manipulation, IFOMPT, Nottingham University, evidence based practice, health education seminars, online education, verterbral artery, dizziness