Chad Cook

Dr. Chad Cook, a Duke University professor and physical therapist, shares insights from his extensive 35 years of clinical practice and research. He emphasizes the need for a modern, patient-centered approach to manual therapy that tailors techniques to different types of pain, calling out key distinctions like cervicogenic headaches versus low back pain. Cook critiques existing educational practices, advocating for curiosity and better relational skills in new therapists. He also discusses the balance between scientific evidence and personal connections, promoting improved care outcomes.

Chad Cook, a tenured physical therapist and researcher at Duke University, dives into the intricacies of treatment mechanisms. He discusses the impact of non-specific effects and clinician biases on patient outcomes. The conversation takes a fascinating turn as they explore the SS-MEC trial comparing manual therapy and exercise for chronic neck pain. Cook emphasizes the need for personalization in treatment, addressing the role of motivation and therapeutic alliances. They also highlight the challenges of maintaining strong clinician-patient relationships in high-volume care settings.

Chad Cook, PT, PhD, MBA, FAPTA, a professor at Duke University and director for clinical research facilitation, discusses the pros and cons of outcome measures, highlighting the influence of social, psychological, and economic factors on their accuracy. Multiple outcome measures are recommended to determine success. Validity and concerns with outcome measures are explored, as well as the feasibility and limitations of benchmarking in physical therapy.