The Better Clinician Project @ClinicianBetter
An online resource for all clinicians who want high quality, low cost, education delivered in a fun and engaging way! Hosted by @adammeakins & @corkinetic BetterClinicianProject.com The Internet Joined December 2019-
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Got shoulder pain? Then get it moving, and dont worry about other silly stuff! All types of shoulder exercise are effective for shoulder pain, and the addition of other therapies such as manual therapy, dry needling, taping add little further value! 😎 pubmed.ncbi.nlm.nih.gov/38683828/
If you have a read even a little about back pain, you already probably know that you are unlikely to "big 3" back pain away whilst ignoring... ✅ Comorbidity ✅ Poor lifestyle ✅ Low socio economics ✅ Negative mental state
Here is a little movement model I use in rehab ✅ Often stimulus to a sensitised system needs to be managed by reduced load ✅ Fun & play can be a great way to engage people ✅ Relaxation can be helpful 🏋️♀️ Load is important 🏃♂️ Fitness is our friend It all matters!
I have some interesting new in person courses coming for next year across a few subjects I am looking for some venues in around London so if you have one & want to potentially host, let me know!
Whats the obsession with "low impact" exercise? It's the epitome of the body as a machine thinking Load is good for us
Classic paper from Dan Moerman over 20 years old now The idea of "Meaning & response" to explain things like the placebo effect have always resonated with me Definitely worth a read researchgate.net/publication/11…
Overall health seems to have an influence on many MSK conditions Socioeconomic status appears to influence our health! Probably why specific effects of interventions are not always what folk would like them to be! cdc.gov/dhdsp/health_e…
When patients tell me their other physio breaks up their scar tissue!
pubmed.ncbi.nlm.nih.gov/29112007/ "Trajectories & predictors of long-term course of LBP" What factors predict back pain over 5 years? ✅ Lower social class ✅ Higher pain intensity ✅ Longer duration of pain ✅ ⬆️ passive behavioural coping ✅ Perceptions of the greater consequences
Great new paper looking at barriers & enablers to exercise A real key message is that most things can be BOTH an enabler/barrier ✅ See & hear the individual ❌ Do not force a vision of exercise on people pubmed.ncbi.nlm.nih.gov/38635470/#:~:t…
Nearly half of those with acute low back pain experienced less than favorable trajectories! 🤔 Have we over estimated the favourable natural history of acute low back pain, or has it become less favourable due to over assessment and over treatment of it? pubmed.ncbi.nlm.nih.gov/38606314/
Nice new paper here on exercise for hip OA My take homes ✅ Resistance training is OK for OA! ✅ Exercise doesn't need to be progressive ✅ Low or higher load can help ✅ How much change should we expect in a multifactorial degenerative condition? ✅ Need a no treatment group
Common sense guidelines for movement & exercise! Fully downloadable and in multiple languages cor-kinetic.com/common-sense-e…
My mate @AdamMeakins has gotten confused around the confusing subject of placebo Here are some papers that might help! Love BC Here they use.. Placebo response = N Hx/regression to mean Placebo effect = Specific effects from context/placebo trialsjournal.biomedcentral.com/articles/10.11…
Its really not helpful that placebo, placebo effect, and placebo response mean different things to different people and are used interchangeably in a lot of literature and research! 🤔🤨
What an interesting paper this is! pubmed.ncbi.nlm.nih.gov/38602164/ It shows that 70-80% all manual therapy’s effects on pain are due to contextual effects (PCE) and not the actual treatment itself! Contextual effects are things like the therapist explanations, narratives, and positive…
How do people make sense of back pain? The emphasis on biomechanical factors, which was double that of psychological factors & more than five times placed on social factors, strongly contrasts with contemporary recognition of LBP as BPS condition pubmed.ncbi.nlm.nih.gov/35045354/
🔥Research Wednesday🔥 🚩Red Flags for Low Back Pain Are Not Always Really Red🚩 This paper looked at... "Evaluating the utility of red flag questions in uncovering their classically associated diagnoses" Here is 🧵on it! pubmed.ncbi.nlm.nih.gov/29509613/ 1/
betterclinicianproject.com/blog/spinal-re… April is all about serious pathology and the red flag concept. Check out this awesome blog from @ClementsCharl96
The Sp⚽️rts Physi.. @AdamMeakins
105K Followers 2K Following Physio and S&C coach for 20+ years with a passion for getting people stronger and occasionally using stronger language! Views my own! #CantGoWrongGettingStrong
Physio Meets Science @PhysioMeScience
88K Followers 1K Following Knowledge brokers spotting the latest studies in clinical exercise physiology & physiotherapy. Tweeting a study is NOT a quality appraisal or endorsement!
Ben Cormack @CorKinetic
27K Followers 849 Following GST MSK (sports therapy), I do a bit of teaching, a bit of writing & a bit of treating!
Greg Lehman @GregLehman
46K Followers 4K Following Physiotherapist, Clinical Educator & Strength &Conditioning Specialist. Movement Optimist and Old Man Tumbler
Peter O'Sullivan @PeteOSullivanPT
56K Followers 654 Following Professor, Curtin University, Specialist PT, https://t.co/PtvOZsO0my, Bridging research and practice to empower clinicians & people in pain. My views.
Adam Dobson @adamdobson123
11K Followers 1K Following Father. Physiotherapist in back pain. Member of NSN and NE CSP group. Prepping Painful Lumbar Radiculopathy course. Mini leopard cohabitation 🐆
Liz Bayley @lizbayleyphysio
13K Followers 933 Following Specialist Dance/Foot & Ankle Physiotherapist 🩰🏋🏼♀️ @TheLionKing 🦁 @TrinityLaban 🎶 @MatildaMusical 📚 Former pro dancer 💃 UNTIL Community
📘 Tom Jesson @thomas_jesson
15K Followers 2K Following Writing the best stuff on lumbar radicular pain & cauda equina syndrome. 🇬🇧 in 🇺🇸 Newsletter: https://t.co/iKmvAQnvPl
The Rheumatology Phys.. @physiojack
15K Followers 799 Following Jack March Rheumatology Clinical Lead - Chews Health & @TPMPodcast Operations Director
Running-Physio @tomgoom
60K Followers 5K Following Runner, physio at @bodyrehab & creator of Running-Physio. #RunningRepairs & #RunningRepairsOnline Course Lead. Tweets are not medical advice!
The Endurance Physio @theEndurancePT
21K Followers 2K Following Physio | Sports Scientist | Coach | S&C | Podcast host | endurance athlete | USW Lecturer | specialising in ⬆️ performance & rehab for endurance athletes.
Chartered Society of .. @thecsp
70K Followers 1K Following Chartered Society of Physiotherapy (CSP) - the professional, educational and union body for 65,000 UK-chartered physiotherapists, students and support workers.
Martin Christensen @Martin_Nekkolai
4K Followers 885 Following Physio. Dad. Husband. Beer Brewer. Beer drinker. The Forefather of Failures. All opinions are probably stolen. FAIS Method
Jack Chew @JackAChew
19K Followers 2K Following Builder of things | Founder & Director @TPMPodcast #TherapyLive @Chews_Health etc | Editor-in-chief #MSKMag |
Martin Billing @BillingMartin
5K Followers 4K Following MSK Ops Lead in NHS. Trying to be better and test my limits. Opinions my own
Jo Gibson @ShoulderGeek1
31K Followers 2K Following Shoulder rehabilitation specialist and sports consultancy.
NoBullshitPhysio @AlexisMLeveille
3K Followers 364 Following Alexis M. Léveillé. Physical Therapist, https://t.co/08gMP4road.A., Cert MDT, & Personal Trainer. I love science almost as much as I hate bullshit.
Benoy Mathew @function2fitnes
17K Followers 3K Following Advanced Practice Physio, MSK Sonographer, Shockwave Specialist, Works in NHS & Private. Specialist Interest in Hip & Groin and Running Injuries. Views my own
Roger Kerry @RogerKerry1
14K Followers 1K Following Professor of Physio, University of Nottingham, UK. All Tweets own opinions. Podcast: @anarchyinthehe2 Music: @LawrenceMusicUK + IG @billkerryiii @sevendarklords
Rehab4Performance @R4P_UK
3K Followers 757 Following R4P - Physiotherapy & Sports Injury Clinic. A world class facility founded to treat and rehabilitate the everyday and non-athlete alongside the elite. CQC/BUPA
Andy Rodriguez Herrer.. @AndyRodrigH
1 Followers 13 Following
ivy @bhlis456
8 Followers 188 Following
Patrik_ @Patrik_Mon
35 Followers 544 Following
Oleh Miroshnychenko @OMDocPro
24 Followers 136 Following Osteopath, Massage Therapist, Manual Therapist, Rehab Specialist ⚕️
Susan bocci @susan_bocci
17 Followers 160 Following Specialist Physiotherapist Advanced Spinal/Hip Practitioner/Women’s Health/Nuture/Empower/Motivate
Giuseppe Rocca @GiuseppeSPhy
0 Followers 15 Following
Ryan Kikanaya @Wellnesslogy
1 Followers 94 Following
Chelsea @ChelseaPhysio23
0 Followers 70 Following
Roger Hilfiker @RogerHilfiker
2K Followers 5K Following I am so sorry that we failed. [email protected] https://t.co/KdmfeLZhY0…
alar @Acal1112
0 Followers 7 Following
Ashley Pearce @p53010780
4 Followers 240 Following
TomKlanPhysio @revity__
25 Followers 40 Following
Gpfisiolab @Gpfisiolab_ge
29 Followers 204 Following Il dott. Giancarlo Poerio è un professionista sanitario laureato in Fisioterapia e specializzato in Osteopatia ed utilizza Tecarterapia, Laser e onde d'urto.
Gaku Matsumoto @matsumoto_gaku
4 Followers 57 Following
Trent Bowden @physiotrent
354 Followers 368 Following NRL Physiotherapist @TheParraEels || Sydney University || 🇦🇺🇬🇧🏴 || Formerly @leedsrhinos @hullkrofficial @leighcenturions @NthSydneyBears
StephWilkins @StephWilkins8
15 Followers 72 Following msk physio,pilates instructor who loves to lift and drink!!!
Matteo Golfari @MatFisio
2 Followers 41 Following
Dionel Mendez @DionelMend46445
13 Followers 234 Following
Fisioterapia avanzada.. @fisioterapiaav
238 Followers 55 Following Somo un servicio de fisioterapia en Madrid. Si buscas mejorar tu salud, nuestro servicio te puede ayudar. Un fisio de confianza para ti. Llámanos ahora!
sebastiano mazzotta @SebastianoMazz
1 Followers 21 Following
Fisio Gojo @FisioGojo
1 Followers 20 Following
Daria Esposito @DariaEsp4444
1 Followers 55 Following
Miguel Sánchez-Andra.. @miguelsae1
581 Followers 1K Following Fisioterapeuta. Membro da SoGaFi e da IASP.
Alex Lesiuk @alexleshook
5 Followers 23 Following
Behandlerhuset4735.dk @HrSigil
164 Followers 731 Following Lyt til din krop, mærk livet, fortryd intet og skab din fremtid 🙏
John Smith @JohnSmi21185116
6 Followers 74 Following
Emilio Del Fabro @emiliodelfabro
1 Followers 46 Following
SHAH ALAM SHAIKH @Shah_Alam_PT
1 Followers 47 Following
RMcW @RMcW90
5 Followers 11 Following
Rachel Blong @Drrachelblong
1 Followers 14 Following
Matteo Gubertini @matteogubertini
24 Followers 78 Following
Doran Nymeros Martell @vexenne
7 Followers 212 Following Valar Morghulis, Valar Dohaeris: my creed. 🍀 I don’t know where the limits are, but I would like to go there. 🧠👀🌍
Clara Puértolas @puertolasclara
87 Followers 457 Following Neoadjunta de Família i Comunitats Fent xarxa a @capcalerabcn
Michael @michaelrscales
160 Followers 237 Following
Aoife Moloney @AMoloney87217
1 Followers 49 Following
huda ALhussine @HudaAlhuss36425
2 Followers 43 Following
Dr. Harshvardhan @DrHarshvar15328
0 Followers 101 Following
ccov @psllp99
37 Followers 178 Following
Darthv @Darthv43869
26 Followers 136 Following
Luca Rusconi @LrRusconi
1 Followers 8 Following
The Sp⚽️rts Physi.. @AdamMeakins
105K Followers 2K Following Physio and S&C coach for 20+ years with a passion for getting people stronger and occasionally using stronger language! Views my own! #CantGoWrongGettingStrong
Ben Cormack @CorKinetic
27K Followers 849 Following GST MSK (sports therapy), I do a bit of teaching, a bit of writing & a bit of treating!
Rob Beaven @rob_chiro
4K Followers 2K Following MDT MSK Clinic owner | Interests inc Shoulders & Hips | Tendons | Ostomate | Podcast Host: @TheBackPainPod ⬇️ Subscribe link below! ⬇️🙏
Ashish Dev Gera (he/h.. @gera_dev30
383 Followers 567 Following Learning Physiotherapist Masters in sports rehabilitation-Manipal University, India 🇮🇳 HCPC Registered 🇬🇧 Views are my own. ashishdevphysiotherapy on IGGot shoulder pain? Then get it moving, and dont worry about other silly stuff! All types of shoulder exercise are effective for shoulder pain, and the addition of other therapies such as manual therapy, dry needling, taping add little further value! 😎 pubmed.ncbi.nlm.nih.gov/38683828/
If you have a read even a little about back pain, you already probably know that you are unlikely to "big 3" back pain away whilst ignoring... ✅ Comorbidity ✅ Poor lifestyle ✅ Low socio economics ✅ Negative mental state
New Huberman Lab podcast out now: PROTOCOLS TO STRENGTHEN & PAIN PROOF YOUR BACK •Easy Exercises For a Strong Stable Back •3 Simple Methods That Relieve Pain •Reverse Sciatica •Posture, Breathing, Feet, Pelvic Position •Biology, Protocols & Tutorial hubermanlab.com/episode/protoc…
Here is a little movement model I use in rehab ✅ Often stimulus to a sensitised system needs to be managed by reduced load ✅ Fun & play can be a great way to engage people ✅ Relaxation can be helpful 🏋️♀️ Load is important 🏃♂️ Fitness is our friend It all matters!
Being good at toxicity on social media (or anywhere), is like coming first in a premature ejaculation contest
🏴 Declan Rice’s girlfriend Lauren Fryer has sadly deleted all her social media photos after vile trolls made fun over her appearance. Absolutely heartbreaking to hear, nobody deserves that. 💔
Whats the obsession with "low impact" exercise? It's the epitome of the body as a machine thinking Load is good for us
Classic paper from Dan Moerman over 20 years old now The idea of "Meaning & response" to explain things like the placebo effect have always resonated with me Definitely worth a read researchgate.net/publication/11…
Overall health seems to have an influence on many MSK conditions Socioeconomic status appears to influence our health! Probably why specific effects of interventions are not always what folk would like them to be! cdc.gov/dhdsp/health_e…
When patients tell me their other physio breaks up their scar tissue!
pubmed.ncbi.nlm.nih.gov/29112007/ "Trajectories & predictors of long-term course of LBP" What factors predict back pain over 5 years? ✅ Lower social class ✅ Higher pain intensity ✅ Longer duration of pain ✅ ⬆️ passive behavioural coping ✅ Perceptions of the greater consequences
How can we be so certain about what reduces the risk of injury when we don’t know what causes injuries in the first place!
Great new paper looking at barriers & enablers to exercise A real key message is that most things can be BOTH an enabler/barrier ✅ See & hear the individual ❌ Do not force a vision of exercise on people pubmed.ncbi.nlm.nih.gov/38635470/#:~:t…
@AdamMeakins I think this is the best paper on the subject, but went under the radar Key message is episodes are often short but with a longer term trajectory less favourable in episodic sense pubmed.ncbi.nlm.nih.gov/37044294/
Nice new paper here on exercise for hip OA My take homes ✅ Resistance training is OK for OA! ✅ Exercise doesn't need to be progressive ✅ Low or higher load can help ✅ How much change should we expect in a multifactorial degenerative condition? ✅ Need a no treatment group
Common sense guidelines for movement & exercise! Fully downloadable and in multiple languages cor-kinetic.com/common-sense-e…
My mate @AdamMeakins has gotten confused around the confusing subject of placebo Here are some papers that might help! Love BC Here they use.. Placebo response = N Hx/regression to mean Placebo effect = Specific effects from context/placebo trialsjournal.biomedcentral.com/articles/10.11…
Neither will you. 🦆
If you’ve got back pain And your PT told you have a muscle imbalance And gives you low intensity exercises to fix it -bands walking -bird dog/planks -pink dumbbells It’s not going to fix it. It won’t even find the imbalance You need high intensity to -find it -fix it
What an interesting paper this is! pubmed.ncbi.nlm.nih.gov/38602164/ It shows that 70-80% all manual therapy’s effects on pain are due to contextual effects (PCE) and not the actual treatment itself! Contextual effects are things like the therapist explanations, narratives, and positive…
How do people make sense of back pain? The emphasis on biomechanical factors, which was double that of psychological factors & more than five times placed on social factors, strongly contrasts with contemporary recognition of LBP as BPS condition pubmed.ncbi.nlm.nih.gov/35045354/
Me seeing tweets where people seem completely unaware of their own behaviour being worse than those they try and call out
This month we take a look at RED FLAGS in MSK pathology! Come check it out betterclinicianproject.com
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