Hands On Hands Off

Eveline Matifat (e-mail, Linkedin) of the Montreal, Québec, Canada and the Orthopaedic Research Unit of Maisonneuve-Rosemont Hospital’s Research Centre is interviewed by Stephen M. Shaffer regarding a publication from Physical Therapy titled, “Benefits of Musculoskeletal Physical Therapy in Emergency Departments: A Systematic Review.” This episode contains information that will be interesting for practitioners who want to understand the available evidence and both the current and potential future roles of physical therapists in the Emergency Department.Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=en

Drs. Joseph Derian (e-mail, ResearchGate, Google Scholar), Jo Smith (e-mail, ResearchGate, Google Scholar) and Kornelia Kulig (e-mail, ResearchGate, Google Scholar) of the University of Southern California, Division of Biokinesiology and Physical Therapy (Twitter) (all three guests) as well as Chapman University (Dr. Smith) are interviewed by Becca Catlin regarding a publication from Musculoskeletal Science and Practice titled, “Biomechanical characteristics of lumbar manipulation performed by expert, resident, and student physical therapists.” This episode contains information that will be interesting for practitioners and educators that want to improve their understanding of the physics behind manipulation techniques.Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=en

Dr. Helen French (e-mail, ResearchGate, Twitter) of the Royal College of Surgeons in Ireland is interviewed by Dhinu Jayaseelan regarding a publication from Musculoskeletal Science and Practice titled, “An international survey of current physiotherapy practice in diagnosis and knowledge translation of greater trochanteric pain syndrome (GTPS).” This episode contains information that will be interesting for practitioners who want to learn more about how physical therapists internationally are managing GTPS.Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=en

PODCAST EXTRA: Dr. Timothy Flynn, a well-known manual therapy clinician (Colorado in Motion), researcher (ResearchGate, Google Scholar), and educator (South College, EIM) as well as Past President of AAOMPT, is interviewed by Drs. Lindsey Hughey and Eric Chaconas of the AAOMPT Media/PR Committee. You can follow Dr. Flynn on Twitter or on the Pain Reframed Podcast. This conversation is part of the AAOMPT Ask the Expert webcast series and can be found on both YouTube and Facebook. During this series, specialists in Orthopaedic Manual Physical Therapy (OMPT) are interviewed about a wide array of topics. The format contains a less formal approach than our listeners are accustomed to hearing on the podcast, which permits conversations to unfold in many different ways as they explore the sub-field of manual therapy more broadly than is permitted during regular AAOMPT Podcast episodes.Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=en

Dr. Rik Kranenburg (e-mail, ResearchGate, Twitter) of the Research Group on Healthy Aging, Allied Health Care, and Nursing (Hanze University of Applied Sciences) and the University Medical Center, Groningen (both located in the Netherlands) is interviewed by Dhinu Jayaseelan regarding a publication from the Journal of Orthopaedic and Sports Physical Therapy titled, “Effects of Head and Neck Positions on Blood Flow in the Vertebral, Internal Carotid, and Intracranial Arteries: A Systematic Review.” This episode contains information that will be interesting for practitioners who want to keep up to date regarding cervical spine blood flow as it relates to orthopaedic manual therapy.Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=en

Dr. Kevin L. MacPherson (e-mail, ResearchGate, Twitter) of the University of Florida is interviewed by Stephen M. Shaffer regarding a publication from the Journal of Manual & Manipulative Therapy titled, “Perceptions of the professional and personal impact of hybrid fellowship training: a qualitative study.” This episode contains information that will be interesting for practitioners who want to gain a better understanding of the potential benefits, both positive and negative, post-professional training in orthopaedic manual therapy can have on physical therapists. Of note, during the interview Dr. MacPherson refers to an additional study (Whitman et al 2020) from which the data for the current study was collected. Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=en

PODCAST EXTRA: Dr. Elaine Lonnemann, the current President of AAOMPT, is interviewed by Drs. Eric Chaconas and Lindsey Hughey of the AAOMPT Media/PR Committee. This conversation is part of the AAOMPT Ask the Expert webcast series and can be found on both YouTube and Facebook. During this series, specialists in Orthopaedic Manual Physical Therapy (OMPT) are interviewed about a wide array of topics. The format contains a less formal approach than our listeners are accustomed to hearing on the podcast, which permits conversations to unfold in many different ways as they explore the sub-field of manual therapy more broadly than is permitted during regular AAOMPT Podcast episodes.Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=en

Kiran Satpute (e-mail, ResearchGate, Twitter) of Navale College of Physiotherapy is interviewed by Stephen M. Shaffer regarding a publication from the Journal of Manual and Manipulative Therapy titled, “Headache symptom modification: the relevance of appropriate manual therapy assessment and management of a patient with features of migraine and cervicogenic headache – a case report.” This episode contains information that will be interesting for practitioners who want to learn about and explore how to clinically approach the tenuous dividing lines between cervicogenic and migraine headaches.In addition, an array of different publications were mentioned during this interview including: Bragatto et al 2019 (presence of neck pain is associated with high severity of migraine symptoms); Peris et al 2017 (neck pain as the most common trigger for migraine headache; incorrectly referred to as being published in 2016 during the interview; Bogduk et al 2009 (trigeminocervical complex); Vernon et al 2009 (animal studies show sensitization in headache); Watson and Drummond 2014 (Human studies show sensitization in headache); Ferracini 2017 (weakness in deep neck flexor muscles, reduced upper cervical range of motion, multiple trigger points in neck muscles, and headache reproduction or resolution after application of cervical passive accessory intervertebral motion in migraineurs); Bragatto et al 2019  and Florencino et al 2019 (weakness, poor endurance, and decreased cervical ROM in migraineurs); Liang et al 2019 (systematic review and meta analysis stating that the evidence of cervical spine musculoskeletal impairments in migraineurs is of low quality); Jull and Hall 2018 (debates whether neck pain is part of migraine symptomology, a consequence of headache, or a result of cervical musculoskeletal dysfunction); Bartsch et al in various papers (the sensitized trigeminal nucleus may be responsible for neck pain in migraineurs even in the absence of musculoskeletal dysfunction of the cervical spine); Janani et al 2018 (approximately 30% greater resting neck muscle activity in migraineurs compared to the headache-free controls); Lipton et al 2020 (explained the importance of neck evaluation in migraineurs; 50% of migraineurs are not taking their prescribed medications; non steroidal anti-inflammatory medication and opioid use increased in this population); International Headache Society (IHS) and the International Classification of Headache Disorders (ICHD-3); Sjaastad et al 1998 (Cervicogenic Headache International Study Group, a diagnostic criteria for cervicogenic headache); Watson and Drummond 2014 (reproduction and elimination of headache is common after palpation of the upper cervical spine in both migraine and cervicogenic headaches); Jull et al 2007 (cervical rotation ROM, pain on palpation of the upper cervical spine, and weakness of deep neck flexors shown by craniocervical flexion test have 100% sensitivity and 94% specificity to identify cervicogenic headache from migraine and other headache forms); Howard et al 2015 (systematic review providing evidence for manual therapy examination of the cervical spine to assist in the diagnosis of cervicogenic headache); Hall et al 2010 (upper cervical rotation range is significantly different in migraine and cervicogenic headache populations as measured with the flexion-rotation test); Amin et al 2018 (systematic review stating that regular exercise may alter migraine trigger threshold); Jull et al 2002 (deep neck flexor exercise protocol); and Vernon et al 2015 (Headache Activities of Daily Living Index).Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=en

Dr. Philipp Zunke (e-mail, ResearchGate) of Physiozentrum Salzburg (Austria) is interviewed by Stephen M. Shaffer regarding a publication from BMC Musculoskeletal Disorders titled, “The effect of manual therapy to the thoracic spine on pain-free grip and sympathetic activity in patients with lateral epicondylalgia humeri. A randomized, sample sized planned, placebo-controlled, patient-blinded monocentric trial.” This episode contains information that will be interesting for practitioners who want to gain a further understanding of an axial skeleton treatment that can be useful in the examination and management of extremity disorders.In addition, four different publications were mentioned during this interview including Heneghan et al 2016 (described the thoracic region as the ‘Cinderella’ region of the spine), Kingston et al 2014 (review of the effects of spinal mobilization on the sympathetic nervous system), Bialosky et al 2018 (model explaining the mechanisms of manual therapy), and Navarro-Santanaet al 2020 (incorrectly referred to as “Marcos” during the interview; both spinal and extremity techniques have a neurophysiological effect). Dr. Zunke also recommends checking out Picchiottino et. al 2019.Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=en

Francisco X. Araujo (e-mail, ResearchGate, Twitter) of the UniRitter - Centro Universitário Ritter dos Reis, located in Porto Alegre, Brazil and Giovanni Ferreira (e-mail, ResearchGate, Twitter) of the University of Sydney (Australia) are interviewed by Stephen M. Shaffer regarding a publication from the Journal of Manipulative and Physiological Therapeutics titled, “Autonomic Effects of Spinal Manipulative Therapy: Systematic Review of Randomized Controlled Trials.” This episode contains information that will be interesting for practitioners who want to learn more about the relationship between spinal orthopaedic manual therapy and autonomic nervous system function. Additionally, during this episode three specific studies were referred to including: Bialosky et al 2018 (mechanisms of manual therapy), Schmid 2008 (CNS component in response to cervical spine joint mobilization), and Kingston 2014 (the effects of spinal mobilization on the SNS).Find out more about the American Academy of Orthopaedic Manual Physical Therapists at the following links:Academy website: www.aaompt.orgTwitter: @AAOMPTFacebook: https://www.facebook.com/aaompt/Instagram: https://www.instagram.com/officialaaompt/?hl=en