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Can we prevent injuries?

“Don’t lift with your back rounded or you will hurt yourself!” I cannot begin to estimate the number of times I told a patient to avoid rounding their low back or flexing their lumbar spine the first few years of...

The Art of the Clinical Debate

Punching People in the Face with Facts Doesn’t Work Allow me to paint a picture of a typical clinical debate. After spending hours the previous weekend thoroughly reviewing the literature on the best approach for managing high ankle sprains, you...

How Much Sleep Do You Actually Need?

I cringe every time I hear the phrase “I’ll sleep when I’m dead” and fortunately, that reaction is becoming more common. Over the past 5–10 years, sleep has been getting a lot more attention. While we may, for the most...

Reversibility principle: How true is “use it or lose it” in patient care?

It is highly likely you have heard these words at some point in your life. While the statement typically concerns exercise and activity, on occasion, it is in reference to mental processes as well. The saying refers to the reversibility...

How can physical therapists effectively develop a prognosis?

Building a plan of care (POC) and developing a prognosis are tricky endeavors. It is a combination of art and science that necessitates a clinician to consider a variety of factors that contribute to the patient’s presentation and their goals....