Kjartan Vibe Fersum @kjartanfersum
Associate Professor, Musculoskeletal physiotherapist, interest in human behavior and management of persistent pain. Views are my own. pain-ed.com Bergen, Norway Joined December 2010-
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How it feels to make your first cut on the Challenge Tour 👊 17-year-old Oscar Craig is the only amateur to make the cut at the #UAEChallenge Smiles all round for stepdad @TommyFleetwood1 on the bag 😁 @EGFuaegolf | @AbuDhabiSC
Nice long walk in the rain to clear my head and came up with yes another bloody thread. “Old man shouting at Patient (person) Centred (focused) Care, The Therapeutic Alliance, Shared Decision Making and Therapist Patient Synergy” Enjoy the journey with me. (Therapeutic ramblings)
1/7 Harvard Business Review for researchers –papers which inspired me -thread below. I enjoy being inspired outside my field of research. I often turn to @HarvardBiz. The diversity of papers on leadership, strategy, & team-work sparks me w inspiration for trying to improve myself
Ian Harris discusses how his pursuit of a better understanding of science caused him to question a lot of what he was doing
In my 30+ years of training I’ve injured myself way more times running than I have deadlifting! Yet know one has told me to stop running or that I run incorrectly like they have tried to do with my deadlifting! 🤔
This 👇👇👏👏
Prof Margreth Grotle leading meeting for International Advisory Board meeting at @OsloMet @CenterforIntel2. How to progress MSK research in Norway and in Scandinavia. @OsteloR and other brilliant people
This is very disturbing and should be called out indeed 👇👇🙄🙄
This is very disturbing and should be called out indeed 👇👇🙄🙄
I will be watching Ching this for sure abc.net.au/news/2024-04-0…
3 day workshop - CFT for people with disabling low back pain. Real patients tell their story and journey through CFT. jamesdavisphysio.co.uk/pos-2024/
Cannot recommend this highly enough. True mastery in motion👇 Hope to see u there!
Really looking forward to catch up and have a great time with everybody in London 👇👇😀😀
A real pleasure to spend the day with a great group students from @CUPhysios talking all things LBP. So awesome to see the desire to improve knowledge and skills amongst the next generation of clinicians. @CovPhysioStaff
Great thread here by @DrJN_SportsMed on communication of MRI finding and reflections on how to use this in conjuction with the examiniation findings and further management 👏😀
Great thread here by @DrJN_SportsMed on communication of MRI finding and reflections on how to use this in conjuction with the examiniation findings and further management 👏😀
Id strongly recommend listening to @adamdobson123 and @Retlouping podcasts on imaging in back pain & do discs slip - amazing insight podcasts.apple.com/gb/podcast/the… podcasts.apple.com/gb/podcast/the…
When it comes to back pain, I reckon how much we move is significantly more important than how we move
I recommend Ann's story of how negative and positive messaging around the body can impact a person's trajectory restorebackpain.com/patient-journey
I recommend Ann's story of how negative and positive messaging around the body can impact a person's trajectory restorebackpain.com/patient-journey
#WorldPhysiotherapyDay the theme is arthritis/inflammatory arthritis, so I feel its right to share my #SCREENDEM tool which I designed to help me in my efforts not to miss inflammatory arthritis, I still use this daily, if you have used this & found it helpful please RT share
Great weekend delivering the CFT skills training to @NHSGGCMSKPhysio team with @brookphysio . Nice to see/hear about the groups shift in confidence to implement these skills in practice 🙌🏽 @margotphysio @PeteOSullivanPT @jpcaneiro @MarkHancockPT
Great weekend delivering the CFT skills training to @NHSGGCMSKPhysio team with @brookphysio . Nice to see/hear about the groups shift in confidence to implement these skills in practice 🙌🏽 @margotphysio @PeteOSullivanPT @jpcaneiro @MarkHancockPT https://t.co/WsqcufustO
IMO this paper should be read by all clinicians: What does patient centred care look like? Its a partnership. 'I was able to co-create a new narrative that made sense of things in ways that made biological AND biographical sense.' chiromt.biomedcentral.com/articles/10.11…
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! #CantGoWrongGettingStrongDerek Griffin @DerekGriffin86
36K Followers 2K Following PhD (Pain) | Specialist MSK Physiotherapist | Long Distance Runner | 2'27 marathon | 1'11 half marathonɹǝʇlnoԀ pıʌɐ�.. @Retlouping
24K Followers 965 Following All my opinions are my own. Dislikes evidence based ostriches ( An evidence based ostrich ignores evidence against, whilst waiting for evidence to support)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.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!James Noake @DrJN_SportsMed
29K Followers 3K Following Consultant in Musculoskeletal, Sport & Exercise Medicine. Interest in difficult stuff; hip, groin & gluteal pain; diagnostics; ultrasound. Pro rugby 10 yrs +Greg Lehman @GregLehman
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11K Followers 1K Following Father. Physiotherapist in back pain. Member of NSN and NE CSP group. Prepping Painful Lumbar Radiculopathy course. Mini leopard cohabitation 🐆Physio Network @PhysioNetwork
33K Followers 222 Following 🙏🏻 Become a better physiotherapist with online education from world-leading experts ⬇️📘 Tom Jesson @thomas_jesson
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3 Followers 42 FollowingOlivia | Touch of Sci.. @Touchofscience_
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40 Followers 343 Following A study exploring Allied Health Professionals and Nurses' perception of their role in musculoskeletal chronic pain teamsBiomechanics MDPI @Biomech_MDPI
515 Followers 1K Following Biomechanics (ISSN 2673-7078) is an international peer-reviewed #openaccess journal on #Biomechanics research, published quarterly online by MDPI.Carl stubbs @NoosaPainClinic
692 Followers 222 Following Lecturer in Physiotherapy - Charles Sturt University, NSW. PhD Candidate. Master of Science in Medicine (Pain Management). All views are my own.Sue Croft @scroftpf
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9 Followers 89 Following Curiosa, mãe da Isabella, esposa do Asafe, osteopata DO, fisioterapeuta e Mestre em Educação Física Unb.Diego Ruzzante @Fisioruzzante
3 Followers 102 FollowingEnzo Pianaroli @PianaroliEnzo
31 Followers 198 Following• Jackman • @jarlejames
0 Followers 18 FollowingHesham Dawoud @DrHesham84
64 Followers 1K Following Physiotherapist Pediatric PT Master and DPT. Cairo University Geriatric rehab . Neurorehabilitation therapist. Sports injury rehabilitation.Lorenzo Justo Cousiñ.. @Dr_LorenzoJusto
340 Followers 1K Following Fisioterapeuta. Doctor en Neurociencia. Profesor e investigador universitario de la Universidade de Vigo.Disability and Rehabi.. @GMDR_2024
7 Followers 249 Following Sciinov group welcomes you to join our new Edition of Disability and Rehabilitation Conference 2024 which will take place from 03 - 04 June 2024 in Dubai, UAESteven Campbell @SCampb14
5 Followers 10 Following Student Physiotherapist, Glasgow Caledonian University. Physiotherapy Assistant Practitioner for NHS Scotland. All views my own.Jonathan Ekblad @JonathanEk11593
42 Followers 155 FollowingRemi @TheCanadianPT
70 Followers 66 FollowingThe 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! #CantGoWrongGettingStrongDerek Griffin @DerekGriffin86
36K Followers 2K Following PhD (Pain) | Specialist MSK Physiotherapist | Long Distance Runner | 2'27 marathon | 1'11 half marathonɹǝʇlnoԀ pıʌɐ�.. @Retlouping
24K Followers 965 Following All my opinions are my own. Dislikes evidence based ostriches ( An evidence based ostrich ignores evidence against, whilst waiting for evidence to support)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.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!James Noake @DrJN_SportsMed
29K Followers 3K Following Consultant in Musculoskeletal, Sport & Exercise Medicine. Interest in difficult stuff; hip, groin & gluteal pain; diagnostics; ultrasound. Pro rugby 10 yrs +Greg Lehman @GregLehman
46K Followers 4K Following Physiotherapist, Clinical Educator & Strength &Conditioning Specialist. Movement Optimist and Old Man TumblerBen Cormack @CorKinetic
27K Followers 847 Following GST MSK (sports therapy), I do a bit of teaching, a bit of writing & a bit of treating!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 🐆Physio Network @PhysioNetwork
33K Followers 222 Following 🙏🏻 Become a better physiotherapist with online education from world-leading experts ⬇️📘 Tom Jesson @thomas_jesson
15K Followers 2K Following Physio & independent writer. Lumbar radicular pain & cauda equina syndrome. Not on twitter much these days. Newsletter: https://t.co/iKmvAQo3ETLiz Bayley @lizbayleyphysio
13K Followers 934 Following Specialist Dance/Foot & Ankle Physiotherapist 🩰🏋🏼♀️ @TheLionKing 🦁 @TrinityLaban 🎶 @MatildaMusical 📚 Former pro dancer 💃 UNTIL CommunityChadCookPT @chadcookpt
20K Followers 303 Following Professor, Duke University, United States. @DukeCEMMT @DukeMSK @ForceNET5. Tweets are my own.Charlie Clements @ClementsCharl96
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60K Followers 5K Following Runner, physio at @bodyrehab & creator of Running-Physio. #RunningRepairs & #RunningRepairsOnline Course Lead. Tweets are not medical advice!Harvard Business Revi.. @HarvardBiz
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1K Followers 272 Following Det Sundhedsvidenskabelige Fakultet på Aalborg Universitet - tweeter især om digital health og læger og ingeniører, der finder løsninger sammen.Olivia | Touch of Sci.. @Touchofscience_
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368 Followers 392 Following MD/PhD Student @UMontreal. Fellow @TransMedTech. Clinical Pain Research @AECRPain. RA & Alumn @McGillU.Alessandro Chiarotto @PhysioAlex
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91 Followers 183 Following Love empowering people to overcome pain & achieve things they have been told they can’t. Family, surfing, snowboarding and kettlebell training.Cecilie K. Øverås @CeciKOveraas
338 Followers 376 Following Researcher @NTNU & ELiB | PhD Health Sciences @SDU | Chiropractor interested in LBP, co-/multimorbidity, digital health, behavioural change & self-managementE. Nicolás Sepúlved.. @elNicodenuevo
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25 Followers 198 Following Physiotherapist, MSc Rehabilitation Sciences, OMPT Lecturer @ University of Rome Tor VergataDylan Woodhead @Dylan__Woodhead
470 Followers 709 Following Advanced Physiotherapist @Connect_Health_ DipMSKMed @FSEM_UK | @RCSEd | @PCRSociety Trainee Advanced Clinical Practitioner at @ACPMMU #QI #PLCV All views my ownHow it feels to make your first cut on the Challenge Tour 👊 17-year-old Oscar Craig is the only amateur to make the cut at the #UAEChallenge Smiles all round for stepdad @TommyFleetwood1 on the bag 😁 @EGFuaegolf | @AbuDhabiSC
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…
It was an absolute pleasure to take this awesome group of @covcampus @CUPhysios students to volunteer their skills at the @LondonMarathon finish line on Sunday. Always such an inspiring day, and such a great experience for any clinician 🙌🏼. Huge credit to @CovPhysioStaff
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
@Retlouping Thanks for the Thread David :)
Second half here
I have hammered these three words to almost death Ethos (gain trust) Pathos (first seek to understand) Logos (then to be understood)The role of the patient(person)in the alliance is to be a good self narrator, advocate and decision maker on what direction they want care to go in.
Thus the roles of the clinician and the patient (person) in a synergistic and therapeutic alliance may not be equal, and dare I say some of the information shared by the clinician may be “antagonistic” but based on experience, evidence and expertise.
Work with the wrist flexors to stabilise the wrist and give a strong base for finger flexion grip strength. Without the wrist extensors contracting to stabilise the wrist the hand grip would be weak.
It is also important to remember that despite sharing decisions, each party in the relationship may have different roles and are not necessarily “equals” in their contribution. A good example is the muscle synergy required to make a strong fist. Extensors normally antagonists
It is also important to remember that alliances are often formed because the parties involved bring different skills, background, information and understanding that benefits both parties. This is the true essence of the clinical encounter relationship. Synergy of individuals.
The MDT often discusses the patient as a group in clinical rounds, each may have interacted with the patient individually, but the patient isn’t physically present at the rounds? I propose a patient (person) FOCUSED model is one where the clinician and team literally focus on..
And the team discusses the patient whilst they are present and includes the patient in the process. (Strangely enough a bit like the old ward hospital ward rounds, but actually including the patient in the process, not excluding them.
Outside of the MDT approach on an individual clinical encounter a patient (person) focused approach would mean that a therapeutic alliance would be formed. it is important to remember “alliance” means the two parties agree to work together towards a common goal.
Why does this matter (maybe you think it’s just semantics) It matters because there is a difference in the intent between placing the patinet in the middle of a care team (MDT) that works together with the common goal of helping the patient (often with the patient absent)
I gave a talk at the weekend on Patient centred care and developing a therapeutic alliance, one of the main proposals was mistaking “centre” for “middle”, this is a foible of the English language where Centre can mean both middle and “focal point”. I propose we “FOCUS” is better?
Nice long walk in the rain to clear my head and came up with yes another bloody thread. “Old man shouting at Patient (person) Centred (focused) Care, The Therapeutic Alliance, Shared Decision Making and Therapist Patient Synergy” Enjoy the journey with me. (Therapeutic ramblings)
7/7 Generally the papers from @HarvardBiz are very well written and inspire me to go deeper and broader. They are rarely heavy on the references but such a nice contrast and inspirational compared to the standard IMRAD paper from the more classical field of (health) research.
6/7 How Will You Measure Your Life? Don’t reserve your best business thinking for your career. I like this piece about thinking hard about the most important things in life and imaging your future self looking back to help guide your focus. hbr.org/2010/07/how-wi…
5/7 Strategic thinking – an area where I often feel we don’t have enough focus during our research education. This theme issue covers pretty much all aspects and gives us a peak into the strategic mind set and heaps of things to read up on afterwards store.hbr.org/product/how-to…
4/7 “5 Things High-Performing Teams Do Differently”. I spend a lot of time reflecting on how we can build successful teams and develop our research group and institution. @HarvardBiz continuously have clever insights into this which keep my mind going. hbr.org/2021/10/5-thin…