Recent readings and news

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.


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