Hands On Hands Off

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

Dr. Gregory Hartley (e-mail, ResearchGate, Twitter) of the University of Miami is interviewed by Kevin L. MacPherson regarding a publication in the journal Physical Therapy titled, “Program-Level Factors Influencing Positive Graduate Outcomes of Physical Therapy Residency Programs.” This episode contains information that will be interesting for practitioners who want to learn more about what variables appear to be helping residency programs succeed with respect to positive graduate outcomes.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. Cameron MacDonald (e-mail, ResearchGate) of Regis University is interviewed by Stephen M. Shaffer regarding a publication from the Journal of Manual and Manipulative Therapy titled, “The current manipulation debate: historical context to address a broken narrative.” This episode contains information that should be interesting for musculoskeletal providers curious about manual and manipulative therapy from both historical and contemporary perspectives.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. Seth Peterson (e-mail, ResearchGate, Twitter) of The Motive Physical Therapy Specialists and A.T. Still University is interviewed by Stephen M. Shaffer regarding a presentation he gave at the 2018 AAOMPT Conference titled, “Telehealth in Orthopaedic Physical Therapy: Opportunities and Challenges.” This episode contains information that will be interesting for practitioners who want to better understand the interface between physical therapy, orthopaedic manual therapy, and Telehealth. Additionally, during this episode Dr. Peterson made reference to a handful of sources that might be of use to listeners including: the APTA Telehealth website, Owusu-Akyaw et al 2019 (BMJ publication involving Telehealth and FAI), Peterson et al 2019 (treatment classification of LBP using Telehealth), the 2019 Amwell survey, and Prvu Bettger et al 2020 (VERITAS trial involving TKA patients).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. Philip Dale (e-mail, Twitter, LinkedIn) and Jacob Thomas (e-mail, Twitter, LinkedIn) of KORT (Kentucky Orthopedic Rehab Team) and Orthopaedics Plus Physical Therapy, respectively, are interviewed by Stephen M. Shaffer regarding a publication from the Journal of Manual and Manipulative Therapy titled, “Physical therapist clinical reasoning and classification inconsistencies in headache disorders: a United States survey.” This episode contains information that will be interesting for practitioners who want to know more about how well physical therapists perform when attempting to identify headache patterns. Additionally, for anyone interested in the ICHD criteria mentioned during this interview, they can be found at this link.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. Orna Fennelly (e-mail, ResearchGate, Twitter) of the National University of Ireland, Galway and formerly of University College Dublin is interviewed by Kevin L. MacPherson regarding a publication from Musculoskeletal Science and Practice  titled, “Advanced musculoskeletal physiotherapy practice: The patient journey and experience.” This episode contains information that will be interesting for practitioners who want to better understand how patients interact with advanced practice physiotherapists.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