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----- Original Message -----
From: "Automatic digest processor" <[log in to unmask]>
To: "Recipients of PHYSIO digests" <[log in to unmask]>
Sent: Tuesday, April 09, 2002 11:02 AM
Subject: PHYSIO Digest - 7 Apr 2002 to 8 Apr 2002 (#2002-86)
> There are 10 messages totalling 541 lines in this issue.
>
> Topics of the day:
>
> 1. Date physiotherapy became degree (2)
> 2. Primary hip replacement rehabilitation
> 3. Student Placement in Australia - a tentative enquiry
> 4. Contra indications for mobs and manips (3)
> 5. Injuries and The Law? (2)
> 6. Ethical approval
>
> ----------------------------------------------------------------------
>
> Date: Mon, 8 Apr 2002 10:32:57 +0800
> From: Hannah Pearson Abdullah <[log in to unmask]>
> Subject: Re: Date physiotherapy became degree
>
> Dear Joan
>
> I, too came out of a poly witha simple MCSP qualification in 1981 but do
> know that was the year of the first intake of The London Hospital which
> I am pretty sure was the first degree programme in England and if I am
> not mistaken was a three year course so the first qualified degree
> physios should have come out into the work place in 1984. Ireland, I am
> sure, had a BSc earlier - dont know about Scotland. And Oz had them
> much earlier, too.
>
> Here in Malaysia the Health Ministry has been fairly reluctant to
> approve an undergrad degree programme and only top-up degrees have been
> available over the past few years.
>
> Hope thats of use.
>
>
>
>
>
> Joan Godfrey wrote:
>
> > Part 1.1 Type: Plain Text (text/plain)
> > Encoding: quoted-printable
>
> ------------------------------
>
> Date: Mon, 8 Apr 2002 13:10:32 +0800
> From: Hannah Pearson Abdullah <[log in to unmask]>
> Subject: Re: Primary hip replacement rehabilitation
>
> Dear Clare
>
> I tried to follow the answers you got toyour initial request for info
> on EBP guidelines for THR rehab but somehow seemed to have lost the
> thread of it.
>
> I wuld be most grateful if you could let me know your outcome of this
> enquiry and where you are taking it yourself as I am working in Malaysia
> and am desperately trying to set up EBP care pathways for specific
> surgeries but find it hugely difficult to get the necessary evidence
> from the lit. and would really appreciate you sharing your experience.
>
> thanks a lot.
>
> hannah
>
> Clare Cooper wrote:
>
> > Part 1.1 Type: Plain Text (text/plain)
> > Encoding: 7bit
>
> ------------------------------
>
> Date: Mon, 8 Apr 2002 09:57:59 +0100
> From: Blaise DORAN <[log in to unmask]>
> Subject: Re: Student Placement in Australia - a tentative enquiry
>
> Dear Bruce
>
> Many thanks for the address and my apologies for the delay in =
> responding.
> (Just come back from our Easter break.)
> I feel I meet all the criteria so I will be sending a letter to Jenne =
> Oram
> soon.
>
> I appreciate your help!
>
> Yours
>
> Blaise
>
> > -----Original Message-----
> > From: Bruce- Australia [mailto:[log in to unmask]]
> > Sent: 26 March 2002 22:03
> > To: [log in to unmask]
> > Subject: Re: Student Placement in Australia - a tentative enquiry
> >=20
> >=20
> > Hi Blaise
> >=20
> > If you are diligent, have good grades, and a mature approach, contact:
> >=20
> > Ms. Jenne Oram
> > Head Physiotherapist
> > Physiotherapy Dept
> > Maryborough Base Hospital
> > Maryborough
> > Qld 4650
> > Australia
> >=20
> >=20
> >=20
>
> ------------------------------
>
> Date: Mon, 8 Apr 2002 15:09:35 +0100
> From: John Willenbruch <[log in to unmask]>
> Subject: Contra indications for mobs and manips
>
> Hi Group members!!
>
> I am considering doing some research regarding contra indications to
lumbar
> spine mobs and manips. Partly to try and get some concensus regarding
> these common treatment types.
>
> I was wondering if anyone can add to the list of conditions below that
> could POSSIBLY be considered as contra-indications to either of these
> treatment types:
>
> Sponylolisethesis,
> Scoliosis,
> Fracture,
> Wedge fracture,
> Osteoporosis,
> Cord signs,
> Severe OA,
> RA,
> Carcinoma,
> Spinal stenosis,
> Ankylosing spondylitis,
> Sacralised vertebra.
>
> ------------------------------
>
> Date: Mon, 8 Apr 2002 07:10:44 -0700
> From: Patrick Zerr <[log in to unmask]>
> Subject: Re: Injuries and The Law?
>
> John:
>
> As physios we can not tell if they are "faking" it. That would be more in
> the line of work of a psychologist. We can determine what type of effort
> they are giving, is it full effort or not. There are many physiological
> signs of full effort, such as heart rate, muscle recruitment patterns,
etc..
> There are also signs of competitive effort that are visible. Just think
of
> someone who wants to put something together the fastest and someone who
> doesn't care about how fast it is put together.
>
> Then there is our objective exam. It should match known pathology and
what
> the patient reports his problem is.
>
> There are also pain questionairres that are easy to score which should
also
> match the reported problem. These are all done in a FCE.
>
> Patrick Zerr
> www.apluspt.com
> The easiest way to prepare for the National PT Exam!
> www.summitpt.com
> Summit Physical Therapy; Tempe, Arizona
> ----- Original Message -----
> From: "John Spencer" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Sunday, March 03, 2002 11:45 AM
> Subject: Re: Injuries and The Law?
>
>
> > Patrick...
> >
> > Do you feel as physios that we are able to objectively determine if
> > someone experiencing trauma as complex as a whiplash is really 'faking'
> > it?
> >
> > What are distraction and effort testing techniques?
> >
> > In anticipation....
> >
> >
> >
> >
> > In message <002801c1be5c$c8201920$cfce56d1@oemcomputer>, Patrick Zerr
> > <[log in to unmask]> writes
> > >Yes!
> > >
> > >That's why it is so important for PT's to document objectively and
> document
> > >inconsistencies in pain behavior and movement patterns. Another
> important
> > >tool to learn is distraction testing techniques and effort testing
> > >techniques.
> > >
> > >We can lessen the impact of this type of activity!
> > >
> > >Patrick Zerr
> > >www.apluspt.com
> > >The easiest way to prepare for the National PT Exam!
> > >www.summitpt.com
> > >Summit Physical Therapy; Tempe, Arizona
> > >----- Original Message -----
> > >From: <[log in to unmask]>
> > >To: <[log in to unmask]>
> > >Sent: Monday, February 25, 2002 2:50 PM
> > >Subject: Injuries and The Law?
> > >
> > >
> > >> Does the following purportedly true news item in a local newspaper
> confirm
> > >> all suspicions about the legal system in the USA?
> > >>
> > >> "A bus carrying 5 passengers was hit by a car in St. Louis, but by
the
> > >time
> > >> police arrived on the scene, 14 pedestrians had boarded the bus and
had
> > >begun
> > >> to complain of whiplash injuries and back pain."
> > >>
> > >> Dr Mel C Siff
> > >> Denver, USA
> > >> http://groups.yahoo.com/group/Supertraining/
> > >>
> >
> > --
> > John Spencer
> >
>
> ------------------------------
>
> Date: Mon, 8 Apr 2002 16:12:09 +0100
> From: John Willenbruch <[log in to unmask]>
> Subject: Ethical approval
>
> Sorry to post again,
>
> As I said before I am thinking of doing some research and I just thought
of
> another problem.
>
> How do I get ethical approval if I am a locum and therefore have no base.
> Is there a central NHS agecy, can I apply to a Uni or other institute mfor
> ethical approval?
>
> Also any ideas how to get mailing addresses and names for PTs who are able
> to do grade five manips? Any idea of how to (snail) mail to radiologists.
>
> Cheers,
> John Willenbruch
>
> ------------------------------
>
> Date: Mon, 8 Apr 2002 18:27:16 +0200
> From: =?iso-8859-1?q?Pieter=20van=20Kerkhof?= <[log in to unmask]>
> Subject: Re: Contra indications for mobs and manips
>
> anything unidentified
> adverse reactions on previous manips/mobs
> apprehensive patients
>
> --- John Willenbruch <[log in to unmask]>
> schrieb: > Hi Group members!!
> >
> > I am considering doing some research regarding
> > contra indications to lumbar
> > spine mobs and manips. Partly to try and get some
> > concensus regarding
> > these common treatment types.
> >
> > I was wondering if anyone can add to the list of
> > conditions below that
> > could POSSIBLY be considered as contra-indications
> > to either of these
> > treatment types:
> >
> > Sponylolisethesis,
> > Scoliosis,
> > Fracture,
> > Wedge fracture,
> > Osteoporosis,
> > Cord signs,
> > Severe OA,
> > RA,
> > Carcinoma,
> > Spinal stenosis,
> > Ankylosing spondylitis,
> > Sacralised vertebra.
>
> =====
> Homepage "Physiosupport" und "Physiotherapie Islikon"
http://www.physiosupport.org
>
> __________________________________________________________________
>
> Gesendet von Yahoo! Mail - http://mail.yahoo.de
> Sie brauchen mehr Speicher für Ihre E-Mails? - http://premiummail.yahoo.de
>
> ------------------------------
>
> Date: Mon, 8 Apr 2002 20:19:43 +0100
> From: phil moulton <[log in to unmask]>
> Subject: Re: Date physiotherapy became degree
>
> > This message is in MIME format. Since your mail reader does not
understand
> this format, some or all of this message may not be legible.
>
> --MS_Mac_OE_3101141984_155795_MIME_Part
> Content-type: text/plain; charset="US-ASCII"
> Content-transfer-encoding: 7bit
>
> on 6/4/02 12:02 am, Joan Godfrey at [log in to unmask] wrote:
>
> Does anybody know when physiotherapy moved from diploma status to degree
> status in the UK. A point I need for a dissertation due in on Tuesday.
> Many Thanks
> Joan Godfrey.
>
>
> As others have said it was a gradual process. I qualified in 1990 with a
> graduate diploma issued by the Leeds school of physiotherapy- It was
> supposedly equivalent to a degree but I have never tested that assumption
(
> though currently working towards an MSc, I also had a BSc Hons prior to
> studying physio.) Those who qualified a year before me had a diploma
issued
> by the CSP - ours was 'the new course'. There was at least one cohort
after
> me who also came out with a grad dip phys before the course moved to Leeds
> Metropolitan University.
>
> Debbie
>
> --MS_Mac_OE_3101141984_155795_MIME_Part
> Content-type: text/html; charset="US-ASCII"
> Content-transfer-encoding: quoted-printable
>
> <HTML>
> <HEAD>
> <TITLE>Re: Date physiotherapy became degree</TITLE>
> </HEAD>
> <BODY>
> on 6/4/02 12:02 am, Joan Godfrey at [log in to unmask] wrote:<BR>
> <BR>
> <BLOCKQUOTE><FONT SIZE=3D"2"><FONT FACE=3D"Arial">Does anybody know when
physio=
> therapy moved from diploma status to degree status in the UK. A point I
need=
> for a dissertation due in on Tuesday.<BR>
> Many Thanks<BR>
> Joan Godfrey.<BR>
> </FONT></FONT><BR>
> </BLOCKQUOTE><BR>
> As others have said it was a gradual process. I qualified in 1990 with a
gr=
> aduate diploma issued by the Leeds school of physiotherapy- It was
supposedl=
> y equivalent to a degree but I have never tested that assumption ( though
cu=
> rrently working towards an MSc, I also had a BSc Hons prior to studying
phys=
> io.) Those who qualified a year before me had a diploma issued by the
CSP - =
> ours was 'the new course'. There was at least one cohort after me who also
c=
> ame out with a grad dip phys before the course moved to Leeds Metropolitan
U=
> niversity.<BR>
> <BR>
> Debbie
> </BODY>
> </HTML>
>
>
> --MS_Mac_OE_3101141984_155795_MIME_Part--
>
> ------------------------------
>
> Date: Mon, 8 Apr 2002 22:54:58 +0100
> From: Paul Gurnett <[log in to unmask]>
> Subject: Re: Injuries and The Law?
>
> Patrick,
> have you have you considered the use of an isokinetic machine?
> ----- Original Message -----
> From: "Patrick Zerr" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Monday, April 08, 2002 3:10 PM
> Subject: Re: Injuries and The Law?
>
>
> > John:
> >
> > As physios we can not tell if they are "faking" it. That would be more
in
> > the line of work of a psychologist. We can determine what type of
effort
> > they are giving, is it full effort or not. There are many physiological
> > signs of full effort, such as heart rate, muscle recruitment patterns,
> etc..
> > There are also signs of competitive effort that are visible. Just think
> of
> > someone who wants to put something together the fastest and someone who
> > doesn't care about how fast it is put together.
> >
> > Then there is our objective exam. It should match known pathology and
> what
> > the patient reports his problem is.
> >
> > There are also pain questionairres that are easy to score which should
> also
> > match the reported problem. These are all done in a FCE.
> >
> > Patrick Zerr
> > www.apluspt.com
> > The easiest way to prepare for the National PT Exam!
> > www.summitpt.com
> > Summit Physical Therapy; Tempe, Arizona
> > ----- Original Message -----
> > From: "John Spencer" <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: Sunday, March 03, 2002 11:45 AM
> > Subject: Re: Injuries and The Law?
> >
> >
> > > Patrick...
> > >
> > > Do you feel as physios that we are able to objectively determine if
> > > someone experiencing trauma as complex as a whiplash is really
'faking'
> > > it?
> > >
> > > What are distraction and effort testing techniques?
> > >
> > > In anticipation....
> > >
> > >
> > >
> > >
> > > In message <002801c1be5c$c8201920$cfce56d1@oemcomputer>, Patrick Zerr
> > > <[log in to unmask]> writes
> > > >Yes!
> > > >
> > > >That's why it is so important for PT's to document objectively and
> > document
> > > >inconsistencies in pain behavior and movement patterns. Another
> > important
> > > >tool to learn is distraction testing techniques and effort testing
> > > >techniques.
> > > >
> > > >We can lessen the impact of this type of activity!
> > > >
> > > >Patrick Zerr
> > > >www.apluspt.com
> > > >The easiest way to prepare for the National PT Exam!
> > > >www.summitpt.com
> > > >Summit Physical Therapy; Tempe, Arizona
> > > >----- Original Message -----
> > > >From: <[log in to unmask]>
> > > >To: <[log in to unmask]>
> > > >Sent: Monday, February 25, 2002 2:50 PM
> > > >Subject: Injuries and The Law?
> > > >
> > > >
> > > >> Does the following purportedly true news item in a local newspaper
> > confirm
> > > >> all suspicions about the legal system in the USA?
> > > >>
> > > >> "A bus carrying 5 passengers was hit by a car in St. Louis, but by
> the
> > > >time
> > > >> police arrived on the scene, 14 pedestrians had boarded the bus and
> had
> > > >begun
> > > >> to complain of whiplash injuries and back pain."
> > > >>
> > > >> Dr Mel C Siff
> > > >> Denver, USA
> > > >> http://groups.yahoo.com/group/Supertraining/
> > > >>
> > >
> > > --
> > > John Spencer
> > >
> >
>
> ------------------------------
>
> Date: Mon, 8 Apr 2002 23:15:17 +0100
> From: Kevin Wright <[log in to unmask]>
> Subject: Re: Contra indications for mobs and manips
>
> Dear John,
> I was advised on a mckenzie course (some 6 years ago) when discussing
grade
> 5 manipulations hearing that work done in New Zealand where radiological
> evidence of spondolythesis did not contra-indicate manipulation. I am sure
> there must be more recent evidence suggesting a link with the grade of
> spondlisthesis if there is instability. Scoliosis and Sacralised vertebra
I
> would doubt are clear cut contra-indications and would need more specific
> definitions to use as exclusion criteria for example. Radiological
evidence
> of osteoporosis may not be present in the lumbar spine but may be found
> involving the neck of femur increases the risk of vertebral osteoporosis
> within five years. Perhaps with a view to more recent evidence although
not
> strictly a condition but chronicity, significant levels of pain and
> psycho-somatic information should be viewed as contra-indicatory with the
> view that the treatment could cause a deteriation in certain outcomes and
> therefore increase your external errors which may influence the method
> chosen by therapists.
> best wishes
> Kevin Wright MCSP
> ----- Original Message -----
> From: "John Willenbruch" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Monday, April 08, 2002 3:09 PM
> Subject: Contra indications for mobs and manips
>
>
> > Hi Group members!!
> >
> > I am considering doing some research regarding contra indications to
> lumbar
> > spine mobs and manips. Partly to try and get some concensus regarding
> > these common treatment types.
> >
> > I was wondering if anyone can add to the list of conditions below that
> > could POSSIBLY be considered as contra-indications to either of these
> > treatment types:
> >
> > Sponylolisethesis,
> > Scoliosis,
> > Fracture,
> > Wedge fracture,
> > Osteoporosis,
> > Cord signs,
> > Severe OA,
> > RA,
> > Carcinoma,
> > Spinal stenosis,
> > Ankylosing spondylitis,
> > Sacralised vertebra.
> >
> >
>
> ------------------------------
>
> End of PHYSIO Digest - 7 Apr 2002 to 8 Apr 2002 (#2002-86)
> **********************************************************
>
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