Gus Morrison

Cost to measure a range of adaptations: Range of movement✅ Endurance ✅ Strength ✅ Power ✅ £416.94 Software to collate all this information £0.00 for the next 3 months

Power measures: MyJump 2 @MyJumpLab (£16.99)

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@DerekGriffin86 @GregLehman Would it be possible to establish which factors contributed the greatest extent to the improvement in pain using some form of regression? Time would also be factored into that analysis. Some PROMs do have psychological components so could that also contribute to the regression?

@GusMorrison7 @GregLehman You can have pain with weakness, improve with resistance training and the change in pain not necessarily be mediated by changes in strength. Plenty of evidence to show this. Outcomes measure outcomes, not mechanisms.

I really need someone to explain how measuring strength improves outcomes or helps guide practice. I get it with return to play for the ACL but I can’t see how it changes anything for other conditions. Do we just love gadgets?

@GregLehman I don't disagree. What if your patient was already resistance training and generally strong? In this instance I find testing particularly helpful to see if there are any areas where they are relatively weak

@GusMorrison7 I understand the reasoning. For me, I believe resistance training is helpful regardless of people being weak. That's probably why it doesn't inform my practice much. IOW, I don't need someone to be weak to advocate specific exercise.

@GregLehman If they get stronger, and their pain improves then good. If they get stronger and their pain does not improve, then I need a new hypothesis. If they weren't weak in the first place, I would focus my attention elsewhere. E.g other physical capabilities, lifestyle, psych factors.

@GregLehman I use it to rule things out as much as rule things in and to form a disposable hypothesis. For example, if I have a patient with shoulder pain and their external rotators are weak compared to normative data, I may hypothesise that their pain may be, in some part, due to weakness

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@rob_chiro Elite Physical Medicine are great and have clinics in Herts and Bucks

Look for a recommendation for a great Physio in north London/Herts/Watford area. Any ideas please

Myself, @paulread1010 and @benashworth @AthleteShoulder have just published a shoulder testing & training framework for baseball pitchers in @NSCASCJonline. The why, what, and how of testing, coupled with training suggestions, collated in one space journals.lww.com/nsca-scj/abstr…