Sean Gibbons

6.5K posts

Sean Gibbons

Sean Gibbons

@SeanGTGibbons

Physiotherapy clinician and researcher with the goal to make the rehab process better through developing sub-classification techniques and new rehab strategies.

St. John's Newfoundland Canada Katılım Mayıs 2019
219 Takip Edilen730 Takipçiler
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Sean Gibbons
Sean Gibbons@SeanGTGibbons·
Virtually all diseases follow a pathway of stages in their causation, development and presentation. This framework provides a strategy to understand the complexity. Pain is NOT Simple. Let's embrace the complexity researchgate.net/publication/37…
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Sean Gibbons
Sean Gibbons@SeanGTGibbons·
@DerekGriffin86 @TaiwanOzPhysio @dynamicdisc A fundamental feature of disease pathogenesis: just because a mechanism develops secondary to a disease (e.g., is not involved in causation) does not mean that the secondary mechanism can not be involved in the maintenance of the disease.
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Derek Griffin
Derek Griffin@DerekGriffin86·
@dynamicdisc The study cannot be used to imply causation. These motor changes may be the result of pain and an association doesn't tell us whether they play any role in nocicptive processes.
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Sean Gibbons
Sean Gibbons@SeanGTGibbons·
@GregLehman Sure. Jumping off a roof is hardly can hardly be compared by unloaded mvmt. So all mvmt variability isn't normal, but it's inappropriate to pathologize normal movement. Got it. Clear as mud.
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Greg Lehman
Greg Lehman@GregLehman·
@SeanGTGibbons I don’t think I ever said that. I said that book pathologized normal movement. Do I think I can jump off a roof and land on my hands without injury? No.
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Greg Lehman
Greg Lehman@GregLehman·
Yes, this book was excellent at convincing therapists that they should pathologize normal human variability. It's a good resource to teach you how to symptom modify and give movement options but it is not the standard for the "right way to move"
Eric Cressey@EricCressey

I was recently asked, "What's the most important book you've read in your career?" The answer was really simple: "Diagnosis and Treatment of Movement Impairment Syndromes," by Shirley Sahrmann. Early in my career - especially in light of my own shoulder pain history - Sahrmann's work was an amazing contrast to the medical model of care that focused entirely on treating symptoms (medical diagnoses) instead of investigating root causes (movement diagnoses). Sahrmann proposes countless functional tests and corrective exercise interventions aimed at treating the causes of the problems rather than the compensations that emerge after dysfunction has emerged. This book has profoundly impacted the way that some of the industry’s greatest minds train their clients and athletes and themselves. To be blunt, Shirley Sahrmann has likely forgotten more than most physical therapists will ever know. Full disclosure: it reads like stereo instructions, and you may only cover 2-3 pages at a time. However, when you finish the book, you could restart it immediately and learn something new each time you work through. The reason is simple: the movement impairment syndromes model is something that "clicks" with each new client/athlete/patient you encounter. Not every "shoulder impingement" is the same; you appreciate why they're all unique. If you’re serious about your own education, and have the best interests of your clients and athletes in mind, you owe it to yourself to pick up a copy of this classic. amzn.to/47xBIGj

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Sean Gibbons
Sean Gibbons@SeanGTGibbons·
What exactly is our evidence base? Yet another example of one of the major issues with "NS-CLBP" Similar problems in NS-shoulder pain - the Cx is rarely adequately assessed. tandfonline.com/doi/abs/10.108…
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Sean Gibbons
Sean Gibbons@SeanGTGibbons·
@GregLehman My query was for a reference for something to the effect of: "all movement variability is normal" because I haven't seen it. Is that something you have seen? If so, I would appreciate the reference. If not, it's completely fine.
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Greg Lehman
Greg Lehman@GregLehman·
@SeanGTGibbons And what do they say? Which ones show how one’s kinematics increase your injury risk as an independent risk factor
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Sean Gibbons
Sean Gibbons@SeanGTGibbons·
@GregLehman I have read over 40 papers on "movement variability" and none of them describe all movement variability as normal. It would be nice to see what research you have based this on. Cheers
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Sean Gibbons
Sean Gibbons@SeanGTGibbons·
@GregLehman It would be wonderful if you could provide a reference for something to the effect of: "all movement variability is normal" Cheers
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Sean Gibbons
Sean Gibbons@SeanGTGibbons·
@simensletten Agreed. Once there is Lx nociception, the stats on SIJ tests change. IMO a major limitation of the Dx literature is not allowing for more than one tissue to be involved in nociception. A common example would be SIJ on a flexion related mvmt and Lx on an extension related mvmt.
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Simen Sletten
Simen Sletten@simensletten·
@SeanGTGibbons Yeah, good point. I guess it could. 33 % is a bit high, I guess? And just from personal experience a lot of people with really painful disc herniations with radicular pain/radiculopathy are in a lot of pain and very sensitive to testing, including SIJ tests
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Simen Sletten
Simen Sletten@simensletten·
They're saying that 1/3 of people with a lumbar disc herniation also have a SI joint dysfunction, because they score 3 or more on the SIJ cluster. I would have thought LDH + radicular pain is just so painful that the tests would be positive anyway? pubmed.ncbi.nlm.nih.gov/31842104/
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Dr. Lemma
Dr. Lemma@DoctorLemma·
In 1995, a nurse broke hospital rules to place a newborn into her twin sister’s incubator. The baby was not expected to survive. Kyrie and Brielle Jackson were born 12 weeks early at a hospital in the United States. Each weighed roughly two pounds. They were placed in separate incubators, standard practice to prevent infection. Kyrie gained strength. Brielle did not. Three weeks after birth, Brielle went into critical condition. Her oxygen dropped. Her heart rate spiked. Her skin turned bluish-grey. Nurse Gayle Kasparian tried everything. She held her. She had her father hold her. She wrapped her in a blanket. Nothing worked. Kasparian remembered hearing about a practice used in parts of Europe but never tried in American hospitals. She placed Brielle into Kyrie’s incubator. Their father described what happened next: “She snuggled up to Kyrie and she was just fine. It was immediate. It was absolutely immediate.” Within minutes, Brielle’s oxygen levels were the best they had been since she was born. As she slept, Kyrie stretched her left arm across her sister’s body and held her. Photographer Chris Christo captured the moment. The image spread around the world and became known as “The Rescuing Hug.” Hospitals across multiple countries began placing premature twins together, a practice that had been resisted for decades. Both girls went home healthy. They are now 30.
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David Sinclair
David Sinclair@davidasinclair·
For 25 years, my team has been told we were wrong, by scientists, big pharma, the media, ethicists, and trolls. It hasn’t been easy Looking back, it was 100% worth it Here’s why you should believe in yourself… 🧵
Human Manual@themanualh

@davidasinclair Incredible to see how this discovery changed the game for longevity science

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Brad Schoenfeld, PhD
Brad Schoenfeld, PhD@BradSchoenfeld·
Honored to have contributed to the updated ACSM Position Stand on Resistance Training Prescription for Muscle Function, Hypertrophy, and Physical Performance in Healthy Adults. This was a major undertaking that synthesized findings from all related systematic reviews to develop recommendations aligned with the current body of evidence. It was truly a collaborative effort among all co-authors. Particular kudos to @mackinprof for leading the project and fostering inclusivity throughout the process. #gottalift pmc.ncbi.nlm.nih.gov/articles/PMC12…
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Kevin W. Farmer, MD
Kevin W. Farmer, MD@kevinfarmermd·
What an offensive post. Maybe @ProfMBassetti needs to come take a tour over here to open his eyes
Matteo Bassetti@ProfMBassetti

Desidero formulare i migliori auguri di pronta guarigione a #LindseyVonn che ora tornerà a casa sua negli Stati Uniti. La Vonn ha potuto apprezzare lo straordinario sistema sanitario pubblico italiano che si è presa cura di lei con tre interventi chirurgici. In Italia, a differenza che nel suo paese, ci prendiamo cura di tutti: ricchi o poveri, vip o anonimi, Americani o italiani. Se ne avrà occasione, spieghi a Trump e a Kennedy Jr cosa vuol dire prendersi cura di chi sta male.

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MACP
MACP@PhysioMACP·
Don't miss out on this popular course with expert tutor @mercephysio. this interactive online course teaches a systematic method of interpreting lumbar imaging that will improve your Msk practice. Book here 👇️ #events" target="_blank" rel="nofollow noopener">macpweb.org/events/calenda…
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Peter Zeihan
Peter Zeihan@PeterZeihan·
There are a few ways around the tariffs on semiconductors, but those offer little relief to existing manufacturers. But hey, let's just keep trying to jam this square peg into that round hole... #semiconductors #tariff #technology
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MACP
MACP@PhysioMACP·
Develop your Rheumatology screening capabilities with this brand new course covering the most common inflammatory conditions, including: Rheumatoid Arthritis (RA), Axial Spondyloarthritis (axSpA), Psoriatic Arthritis (PsA), Polymyalgia Rheumatica (PMR) Giant Cell Arteritis (GCA), crystal arthritis, connective tissue disease and more! With expert tutors: @carol_mccrum, @HannahLChambers & @PhysioWillGreg. Book here 👇️ #events" target="_blank" rel="nofollow noopener">macpweb.org/events/calenda…
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Mark Laslett
Mark Laslett@marklaslett_NZ·
A new study just published. @CzaplewskiLloyd 60% of persistent LBP cases with Modic types 1 & 2 achieved substantial reductions in pain and disability after an antibiotic-infused linezolid intradiscal injection. I have read the paper, and my preliminary report is available on my blog. drmarklaslett.com/post/ Urge you to acquire and read a copy - it is open access thelancet.com/journals/eclin…
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Sean Gibbons
Sean Gibbons@SeanGTGibbons·
@Retlouping How dow you know all pain in the trapezius area is all of Cx origin?
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