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Lynnwood Physiotherapy
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99 followers
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Please write a review on our clinic. Click on the Link below to goto the Google Local page. The review function is hard to find but it is on the Left Hand side.
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Click on the Link below to write a review

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If you have shoulder pain, here is a good article on #FrozenShoulder self-management. Please share this article.

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What to do after a car accident in Alberta.
1. Stop
2. Call 911 if anyone is seriously injured
3. Ensure Safety
To learn more, click on the link below
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Patients with Acute #Orthopaedic  Trauma can suffer from disability and pain long after the injury. #Physiotherapist  treat many acute conditions. A Mind Body Skills Based intervention is another treatment option. Would you recommend this in your practice?

Abstract
Objective
To test the acceptability and feasibility of a mind body skills-based intervention (RRCB) and estimate its preliminary effect in reducing disability and pain intensity as compared to standard care (SC) in patients with acute musculoskeletal trauma.
Design
Randomised controlled trial.
Setting
Level I trauma centre.
Patients
Adult patients with acute fractures at risk for chronic pain and disability based on scores on two coping with pain measures who presented to an orthopedic trauma center and met inclusion and exclusion criteria.
Intervention
Participants were randomied to either RRCB with SC or SC alone.
Main outcome measurement
Disability (short musculoskeletal functional assessment, SMFA) and pain (Numerical Analogue Scale). Secondary outcome measures: coping strategies (Pain Catastrophizing Scale, PCS and Pain Anxiety Scale, PAS) and mood (CESD Depression and PTSD checklist).
Results
Among the 50 patients consented, two did not complete the initial assessment. Of these, the first four received the intervention as part of an open pilot and the next 44 were randomised (24 RRCBT and 20 UC) and completed initial assessment. We combined the patients who received RRCB into one group, N = 28. Of the entire sample, 34 completed time two assessments (24 RRCBT and 10 SC). The RRCB proved to be feasible and accepted (86% retention, 28 out of 24 completers). Analyses of covariance ANCOVA showed a significant (p < 05) improvement and large effect sizes for all time two main study variables (.2–.5) except pain with activity where the effect size was medium (.08). Improvement for pain at rest was not significantly higher in the RRCB as compared to the control, for a small effect size (.03).
Conclusion
The RRCB is feasible, acceptable and potentially efficacious.
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Do you suffer from #Microfractures  to the knee.  Have you heard of Pulsed Electromagnetic Field Therapy? Read the article below and comment on your opinion. Would you recommend it?

Abstract
Purpose
Pulsed electromagnetic fields (PEMFs) may improve clinical outcomes following microfractures and prevent their decline over time.
Methods
Sixty-eight patients who underwent partial medial meniscectomy and microfractures to the medial femoral condyle for management of grade III–IV cartilage lesions were randomly divided into two groups using a block randomization procedure. After surgery, 34 patients underwent PEMFs application in the I-ONE group; 34 patients underwent placebo treatment in the placebo group. All patients had the same postoperative rehabilitation protocol. Sixty patients (28 in the I-ONE group, 32 in the placebo group) were assessed at an intermediate follow-up of two years and a minimum follow-up of five years after surgery.
Results
The two groups were homogeneous. There was a significant improvement from baseline to the last minimum follow up of two years. At two years, IKDC and Lysholm and Constant scores were significantly improved compared to baseline in both groups with no significant inter-group differences. At the last follow up (minimum five years), clinical and functional outcomes were decreased in both the groups, with significant better outcomes in the I-ONE group. At five years, the percentage of patients still active at the same level they were pre-operatively was greater in the I-ONE group (82 % vs 68 %, P = 0.28). At radiographic assessment, at the latest evaluation, six patients (21.4 %) in the I-ONE group and nine (28.1 %) in the placebo group demonstrated grade I–II degenerative changes according to Fairbank grading system (Χ = 0.36, P = 0.55).
Conclusions
PEMFs application can improve the effectiveness of microfracture in the long term.
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Do you suffer from Chronic #LowBackPain ?  Do you suffer from #kinesiophobia ? Read the article below or see a #PhysicalTherapist  to see how Neuroscience Education and Dry Needling can help.

Synopsis of the Study
12 patients diagnosed with low back pain (LBP) and active trigger points were randomized to either trigger point dry needling (TrP-DN) with or without the addition of neuroscience education sessions (EDU). Intervention was provided over 3 weeks, with follow-up of outcomes of pain, disability, kinesiophobia, and pressure pain threshold performed at 1 week post-intervention. Results demonstrated no significant differences between groups in the degree of improvement of pain or disability outcomes. The TrP-DN+EDU group demonstrated significantly greater reduction in the Tampa Scale of Kinesiophobia compared to the TrP-DN alone group. The TrP-DN+EDU also demonstrated significantly greater increase in PPT at the L3 transverse process compared to the TrP-DN alone group, but not at any other site evaluated. 
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Do you have #chronic ankle instability.  Is an ankle brace of benefit?  Read the article below or visit a #physiotherapist

How will this affect #patient care? 
The results of this study suggest that the use of lace-up bracing for patients with chronic ankle instability may modify muscle activation patterns in the lower extremity, offering a mechanism through which lace-up braces may reduce the the recurrence of ankle instability or sprains. Nevertheless, the results of the current study were obtained during a simple walking task, and may not be generalizable to tasks typically associated with ankle instability and sprains, such as running, cutting, and jumping. Further work is necessary to evaluate the impact of lace-up ankle braces on muscle activation during these tasks. To read the entire summary, visit http://myorthoevidence.com/
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Cool video. Please watch and tell me what you think.
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