Cheshire P & P

@APPIHealthGroup comprehensive course this weekend in Hampstead #rollinglikeball #pilates great weekend fantastic group #fabulous #inspired

How do you restore neural mobility for patients who have had back and leg pain? I tend to start with gentle ‘flossing’ style movements in supine then progress on to a gym ball glide. For runners I may progress into standing to replicate the swing phase and demands of running

NO WEIGHTS NO PROBLEM You don’t need a gym membership to build strength. Some of the most effective resistance tools are already in your home 🏡 Or, instead of adding load, try this: ⏱️ Increase time under tension (TUT) 🖐🏼 Add isometric holds 📐 Increase the ROM

End of an Era jospt.org/doi/epdf/10.25… “using carefully constructed language that does not introduce yellow flags by implicating structures that do not appear to be the cause of the symptoms.”

Love this… @jimmycarr roasts physios! “You’re medical… but only just” 😂 #RubEverything

I’ve often wondered if I’ve missed hip, pelvic, or femoral shaft BSIs in my patients, but a review of the literature suggests my theory that dancers don’t get more proximal BSIs, is probably correct (not including pars defects, just lower limb & pelvic)! A thread 🦴🩰 🧵 1/6

Gym ball squats are underrated! They’re a great option to strengthen the quads and load the patellar tendon. Especially useful if working into hip flexion is painful e.g. during a standard squat.

Consent ✅ High level 1500m runner Weekly volumes increasing Runing on beach / hilly terrain on holiday Increasing L quad (medial mainly) pain - 'bruised' feeling (thought was due to foam rolling) Then increasing sharp pain, even on walking Hop test +ive Resisted quads contraction irritable Femoral fulcrum test +ive with foam roller MRI - high grade proximal femur diaphysis stress fracture with cortical involvement (red arrow) & periosteal reaction medially at vastus medialis origin (white arrow) Adductor avulsion syndrome / 'thigh splints' can have similar clinical & radiological picture, but oedema & periostitis is too anteromedial for it to be adductor (which is moe linea aspera / posterior) x.com/akassarjian/st…

‼️ Have you had a TKR? ‼️ Then I would really love to hear from you via the questionnaire 👇 I’m specifically looking at participation in cycling post-op, even if you are not a cyclist per se, your opinions are useful, as you may have used a bike for rehab. #tkr #tka #cycling

Physiological effects of the menopause and suggested treatments, adapted from a great a Clinical Commentary, Rothschild and Collingwood (2023): 🔗 journals.lww.com/jwphpt/abstrac…

Changes in oestrogen levels influence tendon health, especially around the menopause. Now there's evidence that HRT may help pain and dysfunction.

This is the best thing you will watch on social media this week! 🥰 Its never too late to start resistance training, but often you will need a reason and the support of others to get started! 🤜🤛 Sons and daughters, I urge you all to help your parents get started! 👍

Take 2 minutes to watch this. It’s one of the best interviews I’ve seen so far on the #DoctorsStrike. Thank you @DrHilaryJones.

High Levels Of Muscle Strength are associated with longer life spans. How to measure at home: The 30-Second Chair Test 1. Sit on a stable chair with arms crossed. 2. Stand up & sit as many times as you can in 30 seconds 3. See where you stack up. 4. Train accordingly.

🦶High Ankle Sprains (ankle syndesmosis injury) can take up to 2-4 times longer to recover compared to lateral ankle sprains.🦶 The diagnostic accuracy of our clinical tests are of low sensitivity and specificity. 📊 It's recommended that a cluster of tests are performed. A positive result in the following 3 clinical tests should significantly increase your suspicion of a syndesmosis injury. 📈 Upon palpation, local tenderness of the syndesmosis ligaments was reported with a sensitivity of 92% and a specificity of 29%. 📊 The syndesmosis squeeze test found a sensitivity of 26%, with a specificity of 88%. A dorsiflexion-external rotation stress test sensitivity of 71% and a specificity of 63%. 🦵Additionally, Nussbaum et al. identified that an inability to perform 10 single-leg hops without significant pain should increase your suspicion. 🏥MRI is the gold standard of imaging with similar accuracy to arthroscopic findings. #sportsmedicine #physio #podiatry #anklesprain

Muscle Mass & Muscle Strength Are major determinants of how long you will live and the quality of your life as you age. Here's why. 🧵👇 /1

'We have been warning that a lack of rehab is causing the system to seize up'. Our response to data published today revealing the reasons for hospital departure delays: bbc.co.uk/news/uk-englan… Rehab is vital in addressing the challenges now and in the future. #RightToRehab

Important - a meta-analysis of 53 studies finds that resistance training not only boosts physical fitness in school-age kids but also enhances their cognition, academic results, and classroom behaviour. ( We need physical activity every day in schools secondary and primary )

Just updated this thread 🧵 👇

If your physio tells you that heavy lifting with a bent back is bad for you… go find another physio! Progressive exposure to lifting in a variety of postures and positions is key to a strong robust and resilient spine! Weak things break! 😍

Every day may not be good, but there is something good in every day ⛅️ Join us for Joyful June for daily actions to help you find and share the little joys in life actionforhappiness.org/joyful-june #JoyfulJune