Oscar Bell

We are raising funds to help support Palestinian Physiotherapists & Rehabilitation professionals (including OTs, Psychologists, SLTs, DTs, Nurses ++) 100% donations will be given to this cause to help rehabilitate patients & professionals Thank you 🙏🏼 justgiving.com/page/rachael-m…

A really useful resource to share with patients who are often overwhelmed with information at this point in their journey!

That fake pass from Cole Palmer, and the finish. Incredible. 🪄🏴󠁧󠁢󠁥󠁮󠁧󠁿

HOT OFF THE PRESS: IS LIFTING TECHNIQUE Related to Pain and Functional Limitation in people with lifting related back pain? I get asked this Q so often. @ivan_physio_au and team asked this question in this excellent OPEN ACCESS study... onlinelibrary.wiley.com/doi/10.1002/ej…

Remember this image when you're trying to learn or recall dermatomes It makes something that is potentially so complex actually quite straightforward & logical Only wish it was around when I was a medical student..!

@jimmibruce @ICS_updates @CriticalCareOT @TheACPRC Who’s the hunk second from right 😍

@ICS_updates #ICUWeek2025 team rehab working their magic ✨ with our critical care patients in Central Bristol. @CriticalCareOT @TheACPRC

We did it! 🥳 Assessment of dizziness (including Dix-Hall pike) is due to be included in the updated NICE clinical guidelines for Falls! Thank you, for all the hardwork put in by ACPIVR commitee members over the years to get this into the guidelines. What. an. outcome

science evolves ….and as we learn more about many of the common conditions that we see and treat, then the things that we do to help sometimes change. Sometimes they are dismissed with good reason, sometimes they may remain valid treatment approaches, but under a new understanding and with a new narrative or framework. However, often the baby gets thrown out with the bath water, and the pendulum swings too far from one side to the polar opposite. Rather than simply changing the narrative or our understanding around certain things that we do, we completely dismiss them, we label them evil and we chastise any therapist who still uses or advocates for them (whatever the supporting narrative!). A great example of this revolves around pain relief and symptom modification for plantar fasciopathy. Many moons ago, as a young therapist in the industry one of our front-line approaches as a “fix” or “cure” for this common condition was to roll a frozen bottle as ice massage under the foot, or get patients to use some hard object like a ball to massage the painful area. At the time we used phrases like “this will release the tissue”, “break down the scar tissue” because that’s what the science and our best intentions suggested was the mechanism of effect. Fast forward a decade (or two!) and our understanding of the condition has evolved. We understand a specific graded loading and strength programme coupled with some activity modification is the best approach to gain long term relief and a return to activity. Allied to this I now hear therapists telling people NOT to rub a ball under the foot or use a frozen ice bottle for some massage. Yet alongside the fundamental rehab that is needed and understood these days, why shouldn’t they use these old techniques if it helps relieve pain, settle symptoms and allows them to complete the required rehab with less aggravation? There is no reason people can't still do these things: its self-managed, cheap and has little to no negative effects if framed within the correct narrative and understanding of what it is, and more importantly isn’t doing. Of course they shouldn’t be the primary care treatment choice, of course they shouldn’t be the sole treatment choice, of course the outdated narrative of mechanism of effect shouldn’t be used. But it’s absolutely still okay to do some of these adjuncts, and as therapists we shouldn’t be so lazy to just dismiss them categorically, because of the contempt we hold these concepts in based on old concepts and context or their misuse by some today. I just tell them “ you now know what it does and you know what it doesn’t do, you also know the stuff we really need you to do...as long as that’s getting down than I’m absolutely good with you trying it if you think it will help”. This doesn’t mean I give carte blanche approval for ANYTHING to be used, but there are so many self-help things for everyday injuries and conditions that are thrown out as the proverbial baby with the bath water without a second thought.

This is a great editorial highlighting the need for Occupational Therapy training to include both occupation AND anatomy. We need to be able to understand the body’s functions& anatomy & speak the same professional language as our MDT colleagues, to get the best outcomes for pts

Energy needs must be restored *before* starting any strength work in athletes with RED-S. If done so it has multiple potential benefits. Our graphic summarises recommendations from an excellent recent paper by @rich_blagrove & colleagues, available here: journals.humankinetics.com/view/journals/…

@jimmibruce @uhbwNHS @IcuUhbw @TheACPRC @emaroids1 @TomLunn4 @chrisbourdeaux @AnDy__FF What a photo, what a woman ❤️‍🔥

Tomorrow one of our physios Ann retires. She has been @uhbwNHS ICU for over 30 years. 🎩 off and massive respect 🫡 Ann! proper job! @IcuUhbw @TheACPRC @emaroids1 @TomLunn4 @chrisbourdeaux @AnDy__FF

Hi folks, here's my tendon adaptation framework 👍 🦶 The goal is to guide choice of tendon adaptation exercise during tendinopathy rehab (example here is for Achilles) More details here: tendinopathyrehab.com/blog/tendon-ad… #tendonadaptation #TendinopathyRehab

Really enjoyed teaching about all things acute pre amp assessment, to various groups of our current Grade 1 physiotherapy cohort @easternhealthau Such a vital part of Amputee care/journey that is often missed! 🦾🦿

INFOGRAPHIC: Muscle activity during running 🏃‍♀️ Peak loads on the calf, hamstrings and hip flexors will increase significantly with faster running and sprinting.

To support anyone raising awareness around CPD, we created a simple poster for workplaces 💪 Download the full PDF and more resources from: hcpc-uk.org/cpd-week #CPDWeek2025

A reminder that the profession of physiotherapy was formed to treat the injured in past world wars. The profession’ leaders @thecsp @WorldPhysio1951 should’ve had the courage to call for the protection of HCWs & civilians from the start. Neutrality was choosing sides #peace 🕊️

Society of Critical Care Medicine Guidelines on Family-Centered Care for Adult ICUs: 2024 journals.lww.com/ccmjournal/ful…

Many think osteoarthritis (OA) is a 'wear and tear' problem. While the instigator may be traumatic (think ACL injury), framing it as wear-and-tear can cause patients to think exercise will make things worse. So understanding why cartilage loves load is important...🧵👇 1/7

My brilliant med student asked me to explain correlation, causation, confounding &collider bias. I used the following ex… so sharing here in case anyone finds it helpful! PS -I have learned much from @dnunan79 @Catalogofbias - a great resource for EBM. hopefully he approves😅