March has been very busy between work, home, continuing education classes, and preparation for a guest lecture. This weekend I attended NAIOMT’s Differential Diagnosis class (Part A) – three days that challenged my memory, reasoning, and abilities, and that really make me want to step up to the challenge of being a better PT. More on that later, as Part B is in a month.
I’ve also been taking Mike Reinhold’s online Shoulder Seminar, and I have to say first that I appreciate the quality of the articles and the presentations, and second that I can go at my own pace as this week I was unable to keep up. However, I wanted to pass on a few references of papers that he is having us read, that I thought would be good if you are interested in EBP or have questions about the shoulder:
- Regarding EBP/EBM:
- Cormack JC. Evidence-based practice…what is it and how do I do it? J Orthop Sports Phys Ther 32(10):484-7, 2002. A good overview of what it is, what it is not, and how to do it. I think I’ll review this once a year as I set out professional goals.
- Cleland JA, Noteboom JT, Whitman JM, Allison SC. A primer on selected aspects of evidence-based practice to questions of treatment. Part 1: Asking questions, finding evidence, and determining validity. J Orthop Sports Phys Ther 38:476-84, 2008. A tough but good read.
- Noteboom JT, Allison SC, Cleland JA, Whitman JM. A primer on selected aspects of evidence-based practice to questions of treatment. Part 2: Interpreting results, application to clinical practice, and self-evaluation. J Orthop Sports Phys Ther 38:485-501, 2008. Same as above.
- Examination of the shoulder:
- Malone T. Standardized Shoulder examination – Clinical and Functional Approaches. In Wilk KE, Reinold MM, Andrews JR, The Athlete’s Shoulder, 2nd Ed. Elsevier, 2009. Yes, most of my patients are not athletes, but I still benefited from the framework.
- Wilk KE, Andrews JR, Arrigo CA. The physical examination of the glenohumeral joint: Emphasis on the stabilizing structures. J Orthop Sports Phys Ther 25:380-9, 1997.
- Hegedus EJ, Goode A, Campbell S, et al. Physical examination tests of the shoulder: A systematic review with meta-analysis of individual tests. Br J Sports Med 42:80-92, 2008.
- Shoulder exercise:
- Reinold MM, Escamilla RF, Wilk KE. Current concepts in the scientific and clinical rationale behind exercises for the glenohumeral and scapulothoracic musculature. J Orthop Sports Phys Ther. 39:105-117, 2009. A good overview of what shoulder exercises work best given the science and the rationale of the exercises.
- Wilk KE, Arrigo CA, Andrews JR. Current concepts: The stabilizing structures of the glenohumeral joint. J Orthop Sports Phys Ther 25(6):364-79, 1997. A tough read if you are having a tough week, but given enough coffee it can be done.
- Myers JB, Lephart SM. The role of the sensorimotor system in the athletic shoulder. J Athl Train 35(3):351-363, 2000. Very good article, but see above!
And in PT-related news, looks like new grads can’t pick just any date for taking the NPTE, and the neuro section has come up with recommendations for stroke outcome measures.