JC Physiotherapy in Brisbane, Queensland, Australia | Education

JC Physiotherapy

Locality: Brisbane, Queensland, Australia

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25.01.2022 Forward propulsion in running - not from the muscles youd think!

24.01.2022 "Nikolai Bernstein, a Russian doctor in the early 20th century (aka the father of biomechanics) reported that a skilled blacksmith can precisely hit the same target repeatedly, however, variance is observed in hand trajectory in every trial." This picture and text provoked much thought. What drove the difference in technique? Morphology? Observation and repetition? Innate co-ordination? The task was completed VERY well, thats important to note. ... A strong message for how we must be both receptive and accepting with variance - especially when the task is completed to a high standard.

24.01.2022 Being able to learn from all these great minds every month gives me an education I cannot get from books or online browsing. If you a relatively fresh from graduating, studying, or years in the profession, I highly recommend adding research reviews to your professional development!

24.01.2022 What should we know about knees past toes? Check this great blog out! Also... GREAT *surprise* online if youre interested in Research Reviews #EBP #PhysioNetwork

22.01.2022 Craig Liebensons work and approach is second to none.

21.01.2022 Need to take a course with this guy.

21.01.2022 Pre-Plyometrics By Jair Lee Deceleration is an integral part of all movements. Therefore, it’s important to implement drills that place emphasis on decele...ration as part of a movement skills training program or a return to sport/physical activity rehabilitation protocol. Pre-Plyometrics can be used for: Part of the warm up Practice low-impact landing mechanics Enhance body control and awareness Introduce ground contact after an injury Develop tissue tolerance to impact after an injury Implementation: From simple to complex (linear to lateral to rotational) From stable to less stable (2 to 2 legs, 2 to 1 leg, 1 to 1 leg) From slow to fast From low to high impact force (ground, without arms, with arms, low box, high box or surface) Great video and pointers from Jair Lee - EXOS

20.01.2022 The mind and movement.

19.01.2022 Do you see changes in movement with your manual therapy? There can be great results, but as we see here, ROM we get in testing does not always come out in movement.

19.01.2022 Great case story!

19.01.2022 Great image comparison to remind us what is possible.

19.01.2022 REDUCED REFLEX - Nerve root or Zygapophyseal joint involvement? Reflex changes alone, without sensory or motor changes, do not necessarily indicate nerve root ...involvement. Zygapophyseal joints injected with hypertonic saline can abolish ankle reflexes, which can then be restored by a steroid injection (Mooney & Robertson 1976). For this reason, reflex changes alone may not be a relevant clinical finding. Excerpt from Neuromusculoskeletal Examination and Assessment 4th edition - Nicola J Petty Image ref: https://meded.ucsd.edu/clinicalmed/neuro3.htm

18.01.2022 Force is the language of cells - One of my favourite quotes, and a perfect example.

16.01.2022 Exercise lingo - keep it simple!

16.01.2022 Squatting Part 2: Is it Safe to go Deep? P.S. *Click link* for a Research Review surprise!

14.01.2022 Research you can apply in the clinic every month - keeping up to date has never been so easy!

14.01.2022 The design ethic of modernity is the restriction of movement. The jet set. The microwave. The desk. Ergonomics. Virtual reality. The business suit. We do not as a culture actually believe in movement. Instead we believe in an ideal state of a disembodied mind. This is reflected throughout our culture and our personal decisions.... The living room is a perfect example of a set of very innocent design decisions that result in a horrible contradiction. The living room in fact ages us fairly rapidly into not comfort but discomfort and immobility. A room seemingly built for that much comfort understandably has, like the touch of king Midas, nasty unintended consequences. The room as we know it deeply represses neurological activity in our largest muscles. It is explicitly designed to do so. The long term consequences of this design choice are becoming more obvious. It is an epidemic of shoddy normal. Your living room is killing you. - Jim Freda

12.01.2022 When doing your orthopaedic tests, are you concentrating more on your +ves than your -ves? This paragraph from Adam Meakins recent blog was a real wake up call: Anyway, this is not to say all special tests are completely useless, we just have to recognise their limitations, and stop calling them special. Personally I think they should be called pain provocation tests instead, and although most pain provocation tests are not very specific, that is they can not rule in a pa...rticular tissue, structure, or pathology, they tend to be more sensitive, that is they are better at ruling out a tissue, structure, or pathology. I think negative pain provocation testing is far more useful in some examinations than positive pain provocation. (1) So if we have more sensitive tests... we must pay more attention to the NEGATIVES! And if we have more specific tests... we must pay more attention to the POSITIVES! For this we need to know the tests we use more (their sensitivity and specificity) - yep, time to re-open the Magee again if you want to be better! This reminded me of my Sp-in and Sn-out rule blog post, which you can find at: https://jcphysiotherapy.com//the-snout-and-spin-rule-expl/ 1) https://thesports.physio/2017/08/26/the-most-special-test/

12.01.2022 Do you think this guy would be good on the agility ladder? Would you consider him agile? Many factors play into agility:... - Lower limb co-ordination is one - Deceleration/acceleration of centre of mass - Ability to anticipate - And the time taken to decide on a reaction to an external stimuli (interpretation of exteroception) ...are huge players also. Good food for thought :) https://www.youtube.com/watch?v=YZ7vd9-wW14

12.01.2022 Pre-Plyometrics By Jair Lee Deceleration is an integral part of all movements. Therefore, its important to implement drills that place emphasis on decele...ration as part of a movement skills training program or a return to sport/physical activity rehabilitation protocol. Pre-Plyometrics can be used for: Part of the warm up Practice low-impact landing mechanics Enhance body control and awareness Introduce ground contact after an injury Develop tissue tolerance to impact after an injury Implementation: From simple to complex (linear to lateral to rotational) From stable to less stable (2 to 2 legs, 2 to 1 leg, 1 to 1 leg) From slow to fast From low to high impact force (ground, without arms, with arms, low box, high box or surface) Great video and pointers from Jair Lee - EXOS

11.01.2022 Mass is needed to move mass. Great slow motion footage! #Stabilisation #Mobilisation

11.01.2022 Nice case addressing apparent issue for stance phase function of glutes and swing phase function of abs. Nice set of exercise examples

11.01.2022 First of 4 days learning from one of the best - Prof. Pavel Kolar #DNS #C

08.01.2022 "When training load was fairly constant (ranging from 5% less to 10% more than the previous week) players had <10% risk of injury. However, when training load w...as increased by 15% above the previous weeks load, injury risk escalated to between 21% and 49%. To minimise the risk of injury, practitioners should limit weekly training load increases to <10%." - T Gabbett 2015 #LoadManagement ... A most valuable treatment approach! Full text Article: http://bjsm.bmj.com/content/50/5/273.long

08.01.2022 Big nuggets from SFMA 1 & 2 this past weekend in Las Vegas (along with my interpretations). Huge thanks to Behnad Honarbakhsh, Greg Rose, Michele Desser and th...e rest of the crew who taught these programs: * Your perception of your movement is just as important as your movement. (Important recognition of the stages conscious competence: unconscious incompetence to conscious incompetence to conscious competence to unconscious competence....). * Functional exercise is not strengthening. You are prescribing motor learning exercises. (Recognition of the important role of each, while not necessarily only providing one or the other in programming, is essential.) * Muscle memory: There is no ability for the muscles to have a memory--its all in the brain. (The brain always wins....) * Motor programs are different than cognitive skills--retention of motor skills is better and more enduring than factual info. (Riding a bike--you never really forget how to do it vs. learning a language and if you are not doing it regularly, you forget it). * You cant drop off a motor program--you can only change a motor pattern or develop a new one....it will always be there and the brain will try to go back to it. (It is easy for someone to perform an activity how they feel is "natural" and through practice can develop a new pattern, but without reinforcement will have a tendency to go back to their old ways.) * Blocked vs random practice: Random practice always learns more in the long-run. (Repetition may be good for cognitive skills, but not for motor programming.) * The best coaches say the least. Delayed feedback works the best. Guidance devices are used when someone is not understanding what you are looking for. Best quotes: * "This program is awesome....depending on you." (Be an active participant in any continuing education program by asking questions, offering your insight where appropriate, being engaged in lab sessions, etc.). * "Best of the best? That means you are only so good." (Check your ego at the door--and Im not talking about Freuds reality-principles.). * "Let me teach you something new is a great way to interject input vs critiquing what they do." * "I want to write a new book in their brain and make it accessible. Those old books will always be on the shelf but I just want them to get a little dusty." * "This is where the magic happens and you shut the hell up." * We have a very specific age group we work with--cradle to grave."

07.01.2022 POSTERIOR TIBIALIS BASICS Reposted from Physio Network author Rehab Science. Physio Network looks at exercise prescription / rehab research (+ more) and how it can influence what you do in the clinic. Sounds great, right? To get monthly research reviews, head over to the website: https://www.physio-network.com/memberships/

06.01.2022 A great product made after lots of hard work by myself and others - please check it out and subscribe to see our free sample review!

06.01.2022 A really great blog by Stuart Butler, England Athletics Physio and Medical lead (y)

05.01.2022 Playing wack-a-mole with symptoms should be achievable upon graduation. Finding the 1 thing you can influence which improves multiple others is the goal. Image credit: Craig Liebenson

05.01.2022 Pre-Plyometrics By Jair Lee Deceleration is an integral part of all movements. Therefore, it’s important to implement drills that place emphasis on decele...ration as part of a movement skills training program or a return to sport/physical activity rehabilitation protocol. Pre-Plyometrics can be used for: Part of the warm up Practice low-impact landing mechanics Enhance body control and awareness Introduce ground contact after an injury Develop tissue tolerance to impact after an injury Implementation: From simple to complex (linear to lateral to rotational) From stable to less stable (2 to 2 legs, 2 to 1 leg, 1 to 1 leg) From slow to fast From low to high impact force (ground, without arms, with arms, low box, high box or surface) Great video and pointers from Jair Lee - EXOS

05.01.2022 Hip Extension and Plantar Flexion - Can dysfunction in one cause pathology in another? Great blog!

04.01.2022 Why should we screen (and train) unilaterally? Great review and video here!

04.01.2022 Your brain doesnt know muscles, it only knows motor units. So think, do you directly train muscles, or do you train motor units?

03.01.2022 A seriously great issue, if you have not seen a copy of PNs research reviews - Get this months for $9 and see what youre missing out on! :)

03.01.2022 Movement training works great to change load, provide options and get a patient pain free. BUT, they will not be robust for sport / performance if you dont load them. Check out this excellent blog by an S&C coach for Physios

03.01.2022 Our CNS manages our peripheral nerves.. which manage our muscles.. which manage our bones, fascia and other tissues.. to manage our movement... what a system! Heres a great pic of muscle fibers - super close!

02.01.2022 Ankle Syndesmotic Injuries - Do you know your clinical tests? This is an injury you do not want to miss! 1. Squeeze Test 2. External rotation stress test 3. Fibular translation test... 4. Cotton test 5. Cross-leg test Great video here from Aspetar: https://www.youtube.com/watch?v=f9rq8gqnXU4

01.01.2022 Keeping up to date with the research has never been so easy! Great new service #LearnAnywhere