PDB in focus 2017 by Phillip https://padlet.com/phillip_hughes/u5qntmlkg8u8 This padlet allows you to ask questions, make observations, record your successes, analyse where things went wrong, clarify your thoughts, show your recent discoveries.....or be just about anything to do with PDB en-us 2017-06-29 05:36:45 UTC 2023-10-04 00:16:39 UTC hello@padlet.com phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177710373 2017-06-29 05:49:12 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177710373 phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177710378 2017-06-29 05:49:33 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177710378 phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177710387 2017-06-29 05:49:53 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177710387 phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177710399 2017-06-29 05:50:16 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177710399 Welcome to your PDB Padlet. phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177710410 You are all free to post whatever you like on this wall, relating to PDB, with the qualifications that respecting others is a fundamental assumption, remembering that it is a public wall and this is a professional environment.

You might post questions on the week's material, or raise issues from the pracs. 
You might come across a great resource to share with the group. You might discover a better way to perform a technique.

The student questions forum is still in play and will be checked. You should also keep checking the news forum too. However, I will make announcements here and this padlet allows us to share more, together, in what I hope you will agree, is an interesting and fun way.

When you post, use your name as an identifier.

This wall is ours. Let's make use of it.

- Phillip]]> 2017-06-29 05:50:41 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177710410 https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177715516 2017-06-29 07:24:35 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177715516 Week 1. The Poulos editorial highlights the relationship between physiotherapy and bioethics. https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177715595 Issues can arise involving:
1. No end point in treatment
2. Close physical relationships
3. Patients as therapists
4. Failure to refer
5. The scope of research
6. A lack of dialogue about physiotherapy

Any thoughts?
- Phillip]]> 2017-06-29 07:26:10 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177715595 Fieldwork for Bundoora students: Placements are being organised by Eastern Health the week starting Monday, 17 July. I can advise that placements are occurring on Thursdays, but will not have more detailed information until that week. Each student will have only one or two for the semester. https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177785180
- Phillip]]> 2017-06-30 01:43:15 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/177785180 Tips for palpating the foot https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/178622281 Here is a useful method for palpating the foot. As with the hand and wrist, knowledge of the anatomy and accurate palpating skills are essential to valid diagnosis in this region.
- Phillip]]> 2017-07-13 07:19:24 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/178622281 Using crutch to ascend and descend the stair. https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179023126
I just saw the video on youtube that teach how to ascend the stair and descend the stair. When ascending the stair , the patient can  hold on the handrail with one hand, then push down on the crutch and the handrail to take the step up. When descending the stair the patient hold the handrail with one hand , and the other hand hold the crutch. The patient bring the injured leg forward, place the crutch down the step , then step down with uninjured leg.
Here is the youtube link that demonstrate that method: https://www.youtube.com/watch?v=9XkvmpNJ-X8

i just wonder can we use this method to teach someone ascend or descend the stair? i feel this method is less intense than just using the crutch only as you have something to hold on, so you are less likely to fall down

Nancy]]> 2017-07-19 06:40:41 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179023126 Nancy, Thanks for being the first student to use the Padlet. https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179160327 Yes, where a handrail is present, it's a more stable situation to use that, however patients need to be able to ascend and descend stairs where this are no rails.
That's a good movie. Can anyone see from it, where a significant potential falls danger exists, when NWB and using crutches on stairs?
- Phillip]]> 2017-07-21 01:58:27 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179160327 https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179172796 Thought you might get a kick out of the 1st set of APA ethical principles, as published by the Australian Journal of Physiotherapy, in 1955:
- Phillip]]> 2017-07-21 05:47:59 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179172796 We didn't talk about this gait aid during prac classes. What is it? How is it used? https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179362730 2017-07-25 01:27:29 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179362730 Ascending and descending stairs using the handrail. https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179400018 Hi Nancy, you are quire right. By holding the handrail as well as using a crutch you do add a degree of stability to the manoeuvres of ascending and descending.
The only downside (no pun intended), is that you will need somebody else to carry the unused crutch for you!
- Rod]]> 2017-07-25 10:41:13 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179400018 We didn't talk about this gait aid during prac classes. What is it? How it is used https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179491689 Hi Phillip,

If i am not wrong, i think that gait aid is the mobility scooter. I think it is suitable for patient with weakness in legs and arms, poor coordination and balance

Nancy  ]]> 2017-07-26 11:28:56 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179491689 https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179532337 Phillip you forgot the assessment of the wrists.... ]]> 2017-07-26 23:40:28 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179532337 Bronte, thank you. I can't look at that movie without smiling at the end. https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179538805 And, it is so true. We need to assess wrist movement and strength. They often need wrist extension to effectively push through a handle.]]> 2017-07-27 01:02:41 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179538805 That was a photo of a knee walker https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179566835 I know this is what you meant, Nancy, but a mobility scooter is one of those motorised, 4-wheel devices that people get around on. The knee walker is an alternative to crutches. They're good if you need to cover a lot of ground and people can scoot along quite quickly. You need good strength and balance. They're no good for stairs, obviously.
You can see them here:
https://www.youtube.com/watch?v=bdtbfZ1KSzI]]> 2017-07-27 07:47:48 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179566835 Your physiotherapy patient notes need to be kept secure phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179626950 - Phillip]]> 2017-07-28 03:40:11 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179626950 Measures of sensation in neurological conditions : A systematic review 18959677 https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179693018 This article includes the NSA
http://clok.uclan.ac.uk/6794/1/6794_Connell.pdf
-Ros

]]> 2017-07-30 01:27:14 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179693018 Informed Consent https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179730811 Hi guys, I found the consent process highlighted in this morning's lecture interesting. I wonder how we can highlight risks and benefits for each treatment without causing too much fear and whether patients are deterred by the risks? Is it useful to know success rates of different treatment modalities to convince our clients to commit to treatment and will this be something covered in our learning in the semester?  I can imagine that as student or a new physio, patients will likely have more doubts about starting treatment with us than with an experienced professional, and mentioning risks may create more doubt in their minds. Anyone else got thoughts on 
this? ]]> 2017-07-31 01:38:49 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179730811 Technology could make our lives a lot easier! https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179795257 If only this was available to us though.. ]]> 2017-07-31 21:34:49 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179795257 A great tip for slide sheet transfers. 18959677 https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179812078 When moving a patient up or down the bed have both people pull slide sheet diagonally in the direction of movement ( as in a V), making an easy job even easier!!!
- Ros]]> 2017-08-01 01:26:33 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179812078 RE: Informed Consent https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179851051 Hi (not sure who this was?),
Good post.

I agree the issues raised in Monday's lecture highlight some interesting questions about informed consent and how we would practically execute this to cover all bases. However, I largely think these become ethical questions. Here is my two-bob's worth (yes Phillip, we know what this means!).

I think the use of the word 'convince' when talking about treatment options is a little problematic. As professionals, our job is to recommend a certain treatment path based on best practice. However, I'm reminded that best practice also includes patient preferences. Can we really say we've accurately represented patient preferences if we haven't provided them with the full picture? Explaining risks and benefits is part of giving the individual all the necessary information so they can make an informed decision. I agree it may seem like overkill to go through all the risks and benefits but personally, I would want to know all these things when making a decision about my own health.

I hear your concern that as students/new grads this may make us seem more inadequate. All I can say is, don't underestimate how valuable it is to be communicated to as an equal,  by a health professional! I've often walked out of medical appointments with unanswered questions, feeling frustrated and patronised.  

I like your idea that having success rates of different treatments is a good tool to help communicate potential outcomes to patients, to assist them weigh up risks/benefits.  
- Sky ]]> 2017-08-01 12:07:50 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179851051 RE: Rural Exposure https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179851708 Interesting article, Phillip. Are there opportunities later on in the degree for rural/remote placements (or developing countries) for students at both campuses? A friend of mine who studied OT at LaTrobe went to NT for her final placements. 
- Sky

Yes, Sky, there may be opportunities for rural and overseas electives in 4th year. 
- Phillip]]> 2017-08-01 12:21:59 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179851708 Pulsed Ultrasound https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179939676 http://www.bmj.com/content/355/bmj.i5652
Originally believed to accelerate the healing of fractures, a new paper by the BMJ has called for the complete abandonment of low-intensity pulsed ultrasound for use on fractures.
- Callum

Good job finding that, Callum.
Maria Parapouras has followed up with the following Cochrane review on pulsed US for fracture healing:

]]> 2017-08-02 10:44:19 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/179939676 Thank you for some great contributions! https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180241633 I'm really pleased with the contributions on Padlet, that have come from the students.
Tisara asked a really insightful question about informed consent. I don't think I could have answered it better than Sky did. Patients appreciate and respect a health professional who lays all the cards out on the table, be they (the health professional) young or old. They often feel that this person has a sound knowledge and recognises the importance of keeping the patients informed and places a premium on seeking their opinion. Remember, when you go in for a routine operation, the surgeon will lay out all the potential consequences that could occur, including death. That is what the modern patient has come to expect.

The iWaker2.0 is an effective way to get around and still be able to use your hands for carrying....if you are young (strong and fit) and have good balance. They are also fairly costly.

Ros, thankyou for finding a great systematic review on sensory testing. There are some great notes in there about how the accuracy of the Nottingham is improved by revisions to the procedure.

Ros' tip for pulling slide sheets diagonally, so pulling up the bed and out to the side, rather than purely up the bed, really does work. Ros found this to be the case when she was working in aged care.
- Phillip]]> 2017-08-07 05:43:37 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180241633 Patient Simulation - The interview 1 https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180242896 I was really impressed today with the standard of interviewing that took place. You all seemed to feel much more comfortable with the process (compared to PDA) and seemed to have firm ideas where you were heading.
- Phillip]]> 2017-08-07 06:10:16 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180242896 Patient Simulation - The interview 2 https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180243013 While you all looked comfortable, there were still challenging times, for instance when the patient declares she has had enough and rolls onto her side, to face away from you. However, it's important you reflect on how it went, what you felt and what you might do differently next time.
- Phillip]]> 2017-08-07 06:11:41 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180243013 Student Subjective Assessment Form 1 phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180341821 Debbie Stuart came up with a great musculoskeletal subjective assessment form. Well done. 
- Phillip]]> 2017-08-08 06:24:15 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180341821 Student Subjective Assessment Form 2 phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180341971 Hiep (independently) came up with a similar form, as an aid for day 1 of the simulation practicals. Great job. Has any one else created anything similar?
- Phillip]]> 2017-08-08 06:27:48 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180341971 A thought on reflective writing.... phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180346557 “What is it?” Harry asked shakily.

“This? It is called a Pensieve”, said Dumbledore. “I sometimes find, and I am sure you know the feeling, that I simply have too many thoughts and memories crammed into my mind… At these times” said Dumbledore, indicating the stone basin, “I use the Penseive. One simply siphons the excess thoughts from one’ s mind, pours them into a basin, and examines them at one’s leisure. It becomes easier to spot patterns and links, you understand, when they are in this form” (Rowling, 2000).
- Phillip
]]> 2017-08-08 07:49:52 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180346557 Sim Pat experience and re: Informed consent https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180424972 Thank you Phil and Sky for your thoughtful responses to my question. It is good to hear that patients are accustomed to hearing risks associated with therapies we give them. I guess at the end of the day, a patient respects a health professional they can trust is honest and as inexperienced professionals, knowing the research will make us confident early professionals.
On the sim pat experience: I thought yesterday's workshop was really invaluable. From my clinical placements previously, the types of patients we had were very typical of the characters you meet in hospital and it was challenging having to find a way to "diffuse" the patient's panicked behaviours. It also challenged my idea of informed consent further. With Ralph, when I tried to gain consent by informing him we would ask him questions about his medical history and personal background and if that is okay with him, he responded defensively and said no. I was taken aback and wasn't sure how to go on with the assessment without consent. I learnt by observing fellow group member Roslyn's behaviour, that establishing rapport is essential before asking personal questions for some patients. Her small talk and acknowledgement of his situation was mature and professional, and she continued to build similar rapport with the next 2 different clients we had which I was impressed by (Well done Ros! :D) Guess I learnt to never underestimate the importance of small talk! :) Consent could have been properly obtained with Ralph later, once he started to open up. Anyone else had a similar experience with a patient?
-Tisara!! :D 

Thank you, so much for sharing Tisara.
- Phillip

]]> 2017-08-08 23:57:08 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180424972 Photo of the day for Prac 2 this week https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180443441 - Phillip]]> 2017-08-09 03:46:45 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180443441 Reflective Practice Resource https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180448267 The library has a great resource to help you with your reflective assignment:
http://latrobe.libguides.com/reflectivepractice
- Carolyn]]> 2017-08-09 04:44:41 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180448267 Fieldwork experience yesterday phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180699674 Is there anyone who attended fieldwork yesterday, who would like to share their experiences with us? What was interesting or surprising? Did any of it correlate with what we have covered so far? What did you like? 
- Phillip]]> 2017-08-11 04:38:52 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180699674 Debate next week https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180708988 Here is information to help you prepare for the debate next week.  This explains how a debate works.  Reference: http://www.debatingsa.com.au/wp-content/uploads/2017/07/Debating-An-Introduction-For-Beginners.pdf
- Carolyn]]> 2017-08-11 07:27:55 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180708988 Fieldwork experience yesterday https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180709908  I attended fieldwork exprience yesterday. It was an amazing experience. I was placed in the neuro ward in which i observed a third year physio student and the physiotherapist treated stroke patient. For the first patient, I saw a third year physio student help him got out of the bed and sat down on the chair using the the transfering technique we already covered in class, then she assessed the strength of his arm and his leg using the OXford scale that we covered last semester. As he had sufficient strength, we walk with him along a corridor then back to him room.i felt very happy to have a chance to walk next to and talked to him. The second patient i met was highly conscious and had sufficent strength to walk so we just walked with her along the corridor .With the third patient i met, i had a chance to speak to him and realized that he didn't not quite understand what i said so i had to use gesture and shorten my sentences. The last patient i met was the stroke lady with inferior shoulder dislocation, paralysis in her left side so she can not sit balance , leaning to her right side and we had had to support her while she sitting. The exercises she had to do were reaching exericse which she had to reach and grasp the cup in different direction, postural correction exercise which she were asked to shift her pelvic to the right and the left and turn her body to the right and the left while sitting. We havent learnt about those exercise so it is very helful to know about it. Another interesting thing  i forgot to mention is that the way she was transfered from lying to sit on the bed is different from what we covered in class. One person have to help her swing her leg over the edge of the bed, the other person have to kneel on the bed to support the trunk ,then slowly bring her up onto sitting.I think it is a very safe transferring techinque and i will apply it in the furture. 


Nancy


]]> 2017-08-11 07:41:14 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180709908 The 1-day placement experience https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180820167 On the 10th of August, i had my one-day placement in Box Hill. I was assigned to a buddy named Isobel, who was doing her 3rd year placement in the Orthopedics ward. The ward was very similar to the scenarios we learnt in class. Isobel prescribed gait aids, and also tried to get patients sitting, standing and walking post-surgery, which was very similar to what we learnt in the beginning of the semester. 
The 2nd place we went to was the Out-patient facility in the hospital, which dealt with rehabilitation for patients who were no longer admitted in the hospital. It was a lot harder, as every person we dealt with had very different issues and hence had to use different methods in order to help with rehab.
In all, the 1 day placement really opened my eyes as to how a hospital functions and it also made me realise that there was alot more collaborative work with other health professionals than i initially thought. It was quite an awesome experience and has made me appreciate the physiotherapy profression even more. 
Thania,]]> 2017-08-13 03:17:12 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180820167 Fieldwork Experience https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180820807 I attended my fieldwork on Thursday at the Angliss Hospital. I was with a 3rd year student called Pamela, who was doing her placement with neuro patients on ward 1 North. 
We started by attending the ward handover, where representatives from all disciplines met to discuss any changes with patients from overnight.
We then attended the physiotherapy handover, where they discussed their plans for the day with each patient on the ward.
Throughout the day we saw 4 different patients, all with varying conditions. There was a woman with severe MS, a man who had recently had an L4/L5 laminectomy and had spinal cord compression, a man with subdural haematoma and a man who had recently had a cerebellar stroke. Each patient had a different aim for therapy, but most included getting them walking properly with good posture and increasing their strength and motor control. 
It was a really cool day, but also quite challenging when patients are unwilling to do their exercises and are getting frustrated with their condition. However it was also very rewarding to see the small changes in patients after only an hour of treatment.
Siobhan :)]]> 2017-08-13 03:56:30 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180820807 Thank you for sharing your fieldwork phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180821788 Wow, Nancy, Siobhan and Thania, they were great stories from your fieldwork. Thanks, so much, for sharing them with us. I'm glad they were really meaningful experiences.
- Phillip]]> 2017-08-13 04:57:25 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180821788 Fieldwork Experience https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180833070 A little bit late to the party, but nonetheless thought it would be useful to share my experience with my fieldwork placement. I had my fieldwork experience at Box Hill, and was paired up with 3rd year student Jesse Wilson. I basically followed him around for the day to get a general idea of what he did on placements, and to see what the supervisors and staff expected of him, as well the sorts of patients that he saw. From what I understand, I think we were on the general medicine ward. Much of what we studied in terms of gait aid prescription and the principles underpinning subjective assessment were very relevant. I was pleasantly surprised to see the amount of detail that we as students need to have an eye for, and the amount of emphasis that staff placed on holistic health. One patient had a fractured rib, while another had cognitive issues, all issues that came from very different areas. It's exciting to see how my buddy was able to clinically reason with his patients and with staff, as well as making referrals based on what areas he thought physiotherapy could not help with. I'd definitely say that this experience has reaffirmed my desire to work in a hospital/clinical setting in the future, purely based on the wide range of patient presentations I saw on the day. 

- Song. :) 

Never too late Song.
Thanks for a great reflection.
I'm really pleased that all the people I've spoken to have got a lot out of the fieldwork experiences.
- Phillip]]> 2017-08-13 15:09:35 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/180833070 Would you like free access to the Journal of Physiotherapy on your phone or tablet? phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181212415 Go to the App Store (Apple) or Google Play (Android) and search for the JOP app. Download it and you can see the latest issues for free, as well as the most popular articles.
- Phillip]]> 2017-08-16 07:25:01 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181212415 Ankle syndesmosis https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181362584
Saw this Blog by physiotherapist, Alicia Rayner, on the anatomy of the syndesmosis and some clinical implications. Thought you might enjoy it.
- Phillip]]> 2017-08-17 02:05:02 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181362584 ....Another word on clinical notes. https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181367156 This article is hot off the press, in the August edition of the APA's InMotion magazine. You might notice that in the SOAP notes, they use "A" for Assessment, while we use it for Action. The article reinforces some of the points that have been made to you earlier.
- Phillip]]> 2017-08-17 02:46:25 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181367156 Understanding your strengths and weaknesses, as well as effective communication skills. https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181367642 These are key attributes for quality practice and are emphasised in this APA InMotion article (August 2017). It's a good read with realistic scenarios.
- Phillip]]> 2017-08-17 02:50:52 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181367642 A staff member at Bundoora, Alice Hill, has a paediatric physiotherapy blog. It's really interesting. phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181378353
There are may aspects of PDB directly relevant to paediatric practice. I thought you might like to check out this blog.
- Phillip]]> 2017-08-17 04:55:20 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181378353 Ankle Sprain 18925833 https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181543980 Here is a photo of a lateral ankle sprain. On the left is a photo of my foot normally for comparison.
- Lauren

Wow, thanks for sharing Lauren.
How long before you could start weight bearing on it and how long before your return to sport? Did icing help settle the swelling? Now that you have covered ankles, have any principles resonated with you in the light of suffering a severe sprain in the past?
- Phillip

I was unable to weight bear for a few days, after that was hobbling around for a week before I could walk normally and pain free. I returned to sport sooner  than I should have which was after two weeks. When I had started at footy again I was still rolling my ankle repeatedly throughout the day on uneven surfaces, so clearly had a lack of proprioception, but was wearing a pretty heavy  duty ankle brace for footy so couldn't move my foot. After each time I exercised the next morning it really hurt to walk until I got to the end of the hallway and it would swell up again regularly.
 Icing helped initially to keep the swelling down however once I started weight bearing my foot just blew up like in the photo (and even worse to the point of having pitting oedema). Would that be to do with the extra blood flow that my foot would have been receiving once walking on it? and the same with after exercising?
What resonated the most with me in class was the rehabilitation steps that should be taken prior to returning to sport. Rather than having the "she'll be right" attitude that I had which I think really slowed down my recovery.]]> 2017-08-18 00:01:50 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181543980 The Lever test for ACL phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181550014 This is a relatively new test for ACL rupture, old or new.
A very interesting development.
The article can be read in the Week 5 reading list.
- Phillip]]> 2017-08-18 00:52:23 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181550014 Here is the originator of the Lever test, showing the test's effect on an ACL deficient knee. phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181551497 At the end of the clip, you can see the change in test result, from pre-op to post-op.
- Phillip]]> 2017-08-18 00:58:50 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181551497 Dislocated knee phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181576168 To warm us up for next week, this is what a posterior dislocation of the knee looks like. This was a patient of mine (permission to share was granted) who landed awkwardly on a trampoline, WHILE riding his BMX bike.
- Phillip]]> 2017-08-18 06:32:58 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181576168 Levers Test - Video https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181582044 Hey Guys :) I really liked this video detailing the most recent test for ACL damage. Including the possible bias that may have occurred in the published outlining the test (which had an incredible 100% specificity and 100% sensitivity)

The articles are attached below if you want to have a read!

Graeme
http://www.ncbi.nlm.nih.gov/pubmed/26753117
http://www.ncbi.nlm.nih.gov/pubmed/25536951

Great job Graeme!!
Interesting that the first article, by Devici et al actually gave the lever test a higher accuracy than Lachman's.
Also, I find the fist isn't a big enough lever. It works better if you place your forearm under the leg, with the hand grasping the unaffected leg. Try it for yourself and see what you think.
- Phillip]]> 2017-08-18 07:26:23 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181582044 Compartment syndrome phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181819480 You heard about this in the lecture this morning. The facial compartment is tight and restricts the enlargement of the muscle as it starts working, leading to strong pain.
The fellow who dislocated his knee (in the previous post here) also suffered a post-op complication of compartment syndrome. They had to operate again to split the fascia to allow release of pressure on the calf.
Below is a movie from my clinic, showing the calf action, with ankle PF/DF, directly through the release.
Thought you might find this interesting.
- Phillip]]> 2017-08-21 05:52:02 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/181819480 Sequence for knee special tests phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/182000503 I tend to use a set sequence for special tests of the knee, during the objective examination. That way, I will not forget any tests. I mentioned this to students in the practical class and they wanted me to list the sequence. I thought it would work better if I presented it in a movie.
- Phillip]]> 2017-08-22 03:09:26 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/182000503 Differentiating Hoffa's fat pad below the knee with the infrapatellar bursa phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/182002276 From the prac classes, I had two questions concerning the difference between the fat pad and the infrapatellar bursa.
I thought this cross section diagramme would highlight the difference.
Generally, tenderness located more superiorly might be the fat pad and lower down, the bursa.
A gentle contraction of the quads will harden the patella tendon to stress shield both the fat pad and the bursa, so a reduction in tenderness during the contraction implicates either of these two structures.
An inferiorly tilted patella can result in fat pad impingement.
- Phillip

]]> 2017-08-22 03:31:22 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/182002276 Differentiating fat pad impingement and patellofemoral pain phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/182003738 I found this interesting little movie highlighting the differences between these conditions. 
The only issue I might have is that I have found that there can be some swelling with PF dysfunction.
- Phillip]]> 2017-08-22 03:47:24 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/182003738 Seatbelts are great tools for mobilising phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/182245059 Seatbelts are very handy tools for passive mobilising, especially for accessory movements:
- Phillip]]> 2017-08-23 03:35:51 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/182245059 PFJ pain/anterior knee pain - 5 handy hints https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/182286911 This blog contains some information relevant to our Week 5, practical class #2. There are some easy tips, including suggested exercises to implement with our patients to treat anterior knee pain. I hope you find it useful!
- Andrea]]> 2017-08-23 10:23:17 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/182286911 Teaching 'The Diver' phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/183586918 Good job Zara and check out Kate's stability.
- Phillip]]> 2017-08-30 03:29:29 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/183586918 Slipped upper femoral epiphysis (SUFE) phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/183588470 No consideration of hip conditions is complete without mentioning SUFE. This condition requires urgent referral to an orthopaedic surgeon for internal fixation and stabilisation.
As primary contact practitioners, we may be the first to identify this, when an adolescent presents with groin pain. This was the case on 3 occassions in my career (you don't want to miss one).
Here is a good summary from the RCH:
- Phillip

]]> 2017-08-30 03:46:40 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/183588470 SUFE image phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/183589324 (They call it capital, instead of upper)]]> 2017-08-30 03:54:37 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/183589324 Snapping hip syndrome phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/183694272 A loud, sometimes painful (groin) pain during running or flexion/extension movements may be a symptom of snapping hip syndrome. There are 3 types - internal, external or intra-articular snapping hip. Below is a description of internal snapping hip. Can anyone describe the other types? Or think of a treatment approach?
- Phillip]]> 2017-08-30 14:41:54 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/183694272 Explaining the interferential machine at Bundoora phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/184332454 2017-09-02 01:20:30 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/184332454 Mock prac exam phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/184333507 A few of the students at Bundoora yesterday, were performing mock prac exams and reflecting on them, as a learning exercise.
Ashlee has kindly agreed to post her exam, so that other students might analyse it and think about their own approach to the exams this week.
I'm not going to go through a full marking process as it was an adhoc exercise, but you might check the rubric after watching it and consider what you may or may not do differently.
Also, what tests were in?
What tests were left out? (do not answer these questions here - just give it some thought and you might chat about it to your colleagues).
- Phillip]]> 2017-09-02 01:43:19 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/184333507 PATS for hamstring rehabilitation phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/184397088 - Will]]> 2017-09-03 10:40:15 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/184397088 Understanding persistent pain - Turning the volume down https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/184702262 It can be difficult to explain chronic pain to patients. This booklet is an attempt to do so. An interesting read
- Phillip]]> 2017-09-05 12:09:19 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/184702262 Happy World Physiotherapy Day everyone September 8 phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/185731659 The APA has 4 posters for the day. I will upload them
- Phillip]]> 2017-09-08 00:44:45 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/185731659 Voluntary posterior dislocation in adolescents phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/186149930 Any thoughts on how this could be handled? Is this an issue?
- Phillip]]> 2017-09-10 13:56:21 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/186149930 Voluntary posterior dislocation danny_boy17 https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/187526233 I think that this could potentially be due to a rupture of middle/inferior glenohumeral ligaments (or lax ligaments) along with weakness of subscap? If so, then yes this is an issue.

Therefore one thing I would do is strengthen subscap in particular, along with the other rotator cuff muscles to ensure that the scapulohumeral rhythm remains normal. I would strengthen subscap so that it pulls the humeral head anteriorly, preventing posterior sliding of the head in the socket.
- Daniel

Thank you for giving it a go, Daniel. I'm very impressed with your clinical reasoning.

It is a problem because the humeral head dislocating backwards can damage the labrum and lead to easier dislocation.

This can occur in adolescents and the voluntary nature of it (it becomes almost habitual) often reflects pyscho/emotional issues at play.

Often, it is the capsule that is very lax and requires reinforcing with muscular support.

I agree that the rotator cuff needs to be strengthened. More likely, subscapularis will be weak (it was), however we have to assess all muscles of the cuff and strengthen wherever we find them weak.

We also need to check for scapular dysfunction. This can be checked 3 ways:
1) If the scapular posterior tilt test reduces the pain or weakness with empty can or full can tests
2) If the scapular assistance test gains extra elevation range or reduces pain in elevation
3) If there is scapular dyskinesis

Well done, Daniel.
- Phillip

]]> 2017-09-14 12:43:36 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/187526233 Biofeedback for increasing muscle activation https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189594630 2017-09-21 03:10:25 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189594630 Biofeedback for lessening muscle activation https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189595241 2017-09-21 03:14:13 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189595241 The 4 tests for elbow medial ligament tears or instabilty https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189596672 2017-09-21 03:23:31 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189596672 Manual therapy for lateral epicondylalgia https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189597320 2017-09-21 03:29:01 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189597320 Cervical glide for elbow lateral epicondylagia when palpation pain is worse than grip pain https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189597593 2017-09-21 03:32:27 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189597593 Taping for resting pain in lateral epicondylagia https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189598836 2017-09-21 03:42:40 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/189598836 Scapular dyskinesis https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/190636727 Thank you to Stevie for providing this example of scapular dyskinesis.
He has a Type 1 as he's going up, but on recovery there is no control, as his medial border flips out for a significant Type 2. He also has no control of upward rotation when high in elevation.
There's a good chance he has neuropathy of his long thoracic nerve, which will knock out which muscle here?]]> 2017-09-24 23:38:01 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/190636727 Assessing rotator cuff strength https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/190661251 I have placed this, and some other recently completed movies, on the LMS Shoulder tab. I'm adding them here in case you don't notice that they're on LMS.
- Phillip]]> 2017-09-25 03:22:19 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/190661251 Lateral glide for LE in the clinic phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192000234 I was working in a clinic tonight and came across LE where the grip pain was worse than the palpation pain. This movie shows how a lateral glide can decrease grip pain.
- Phillip]]> 2017-09-28 10:41:31 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192000234 Some thoughts on progressing strength exercises around the shoulder phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192414464 2017-09-29 12:30:04 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192414464 Strengthening the rotator cuff with resistance tubing https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192421812 This movie plays, even though the thumbnail indicates there is a problem]]> 2017-09-29 12:49:11 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192421812 The sleeper stretch for shoulder posterior capsule tightness https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192446173 2017-09-29 13:38:00 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192446173 Testing for shoulder impingement https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192451965 2017-09-29 13:49:24 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192451965 Scapular Dyskinesis https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192722691 Hey Phil,

In the video Stevie posted with the example of scapular dyskinesis - Would the muscle affected be serratus anterior?

If it is due to a long thoracic nerve neuropathy can much be done in the way of physiotherapy intervention? - Would strengthening SA be the best bet to try and relieve some of the patients symptoms?

In what situation would surgical intervention be performed?
- Graeme

Good job, Graeme.
Yes, a neuropathy of the long thoracic nerve will result in dysfunction of serratus anterior and produce significant winging of the scapula. Not much can be done about it. You have to ensure that the mid- and lower-traps are functioning optimally.
- Phillip]]> 2017-10-01 03:45:23 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/192722691 The WHAT test for de Quervain's tenosynovitis phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/193268489 Wrist Hyperflexion Abuction Thumb (resisted) 😀]]> 2017-10-03 04:47:11 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/193268489 Examining the wrist phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/194158451 2017-10-05 05:54:49 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/194158451 Testing for carpal tunnel syndrome and de Quervain's tenosynovitis phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/194158772 2017-10-05 05:57:01 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/194158772 Examining the DRUJ phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/194159225 2017-10-05 06:00:20 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/194159225 A subjective and physical examination and treatment of posterior wrist pain phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/194955234 2017-10-08 03:07:31 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/194955234 Some thoughts on treatment generally phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/196988099 2017-10-14 00:36:48 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/196988099 Clearing Tests phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/197093822 An explanation of why we do clearing tests]]> 2017-10-15 09:27:17 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/197093822 Questions from the Tendinopathy lecture phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/197190585 Who's prepared to think about these questions and try to come up with an answer?
Reply on Padlet.
- Phillip]]> 2017-10-16 01:27:00 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/197190585 Some thoughts on treating shoulder impingement phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/197618310 2017-10-17 01:31:37 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/197618310 Some further thoughts on treatment and exercises phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/197625543 2017-10-17 02:18:06 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/197625543 The 'Disability' Prac phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198930502 2017-10-20 03:42:17 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198930502 Sim prac phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198931012 Maria falling 1 - What happens when you're not close enough to the patient?]]> 2017-10-20 03:47:25 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198931012 Sim prac phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198931122 Maria falling 2]]> 2017-10-20 03:48:43 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198931122 Sim prac phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198931222 Maria falling 3]]> 2017-10-20 03:49:40 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198931222 Sim prac phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198931615 Ralph decided to jump up quickly, from the chair to the plinth and caught everyone by surprise... Rebecca suddenly realised that he needed support from behind.]]> 2017-10-20 03:53:15 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198931615 Case presentations phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198945586 Here is the movie of a subjective examination that formed part of the Guillain Barre Syndrome presentation for Group 3.3 (Bundoora).
Well done Natalie and Taliah.]]> 2017-10-20 06:26:49 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/198945586 Questions from tendinopathy lecture https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/199257022 2 features of tendon pain: Pain is localised and  increases pain with increased load
Example of high tendon load for patella tendon is jumping
Rehab stages for an achilles tendon insertion
Stage 1: pain reduction : isometric calf raise exercise
Stage 2 : strength (isotonic): calf raise (concentric/eccentric), seated calf raise
Stage 3: energy storage: splits squats, skipping
Stage 4: sport specific /elastic function:  increasing the frequency of calf raises
Nancy

Thank you Nancy. Good job.]]> 2017-10-21 10:36:48 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/199257022 Tendinopathy Qns.. https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/199405392 This is my take :)
Debbie

Great job, Debbie.
Thank you!]]> 2017-10-22 23:06:29 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/199405392 Everything you wanted to know about muscle stims phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200273906 Here is Maryam's prac class demonstration. The movie stops prematurely. Parameters for a smooth contraction that are not provided in the movie are:
Frequency - 25Hz
Duration - 250ms]]> 2017-10-25 05:29:28 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200273906 Mock exam - Assessment of medial elbow instability phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200677703 2017-10-26 04:17:04 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200677703 Mock exam - Treatment of a post-immobilisation wrist phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200684775 2017-10-26 05:34:32 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200684775 Clarifying forearm position in the pivot shift test with Confused Debbie phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200686523 A bit of fun...]]> 2017-10-26 05:55:56 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200686523 Confused Debbie blooper reel. phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200686665 Even more fun...]]> 2017-10-26 05:57:48 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200686665 Mock exam - Cardiopulmonary assessment phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200687189 2017-10-26 06:03:59 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200687189 Mock exam - Assessing the shoulder phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200697471 2017-10-26 07:10:58 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/200697471 When something you're taught in class works on a "real" patient https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/201369864 Hey guys, Happy swotvac, I wanted to share this nerdy success! 
I did a shoulder assessment on my dad, who was complaining on pain in L flexion and end range of abduction . His L scapula was moving a bit funny so tried the scapula assistance tests. He was so surprised when his pain was completely gone and so was i!! :D It's so nice to see something we learn in class work! :D I gave him a lower trap strengthening exercise and postural exercise. Anyone else had success practicing on family members? :) Tisara]]> 2017-10-27 22:56:51 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/201369864 Lever ACL Test - Not as great as we thought https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/201397810 Hey Guys, 

No doubt some of you may have already seen this on "Physiotutors", however I thought I would share it with those who may not have seen it yet. 

The infamous ACL Lever Sign test we learnt this semester has recently been evaluated and it turns out the test may not be s superior as first thought.
See post below and link to article:

"LELLI TEST - NEW EVIDENCE TO SHOW THAT THE THIS NEW ACL TEST IS NOT AS GOOD AS ONCE THOUGHT! 


Jarbo et al. (2017) have evaluated the Lelli Test, also known as Lever Sign, in 102 patients with acute knee pain within 4 weeks of their injury. The test was performed awake and under anesthesia next to the Lachman test, Anterior Drawer Test and Pivot Shift Test.


Results: The Lelli Sign had a diagnostic overall accuracy of 77% with a sensitiity of 63% and a specificity of 90%.
Conclusion: This means that the Lelli Test is not superior, but actually inferior to the commonly used tests for
ACL injuries." (PhysioTutors, 2017)

Jarbo et al. (2017): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639970/

Happy Reading,

Graeme

]]> 2017-10-28 10:07:43 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/201397810 phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/202733079 2017-11-01 22:54:17 UTC https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/202733079 How does the iWALK2.0 compare to traditional gait aids? phillip_hughes https://padlet.com/phillip_hughes/u5qntmlkg8u8/wish/217412698 https://www.youtube.com/watch?v=9KBXDJRj-XM
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