Occupational and Physical Therapy, United in Serving Humanity

At the Voice of the Patient, we are dedicated to enhancing our ability as health care providers to truly listen to others and to establish a therapeutic alliance. In some cases, we can benefit from listening to the experience and mindset of other providers, such as Mandy Chamberlain. Mandy Chamberlain is an occupational therapist and the founder … Read more

The 3 D’s: Dementia, Delirium, and Depression with Dr. Kenneth Miller

At the Voice of the Patient, we are dedicated to enhancing our ability as health care providers to truly listen to others and to establish a therapeutic alliance. In some cases, we can benefit from listening to the experience and mindset of other providers, such as Dr. Kenneth Miller. Dr. Miller is a physical therapist and … Read more

My Mental Health Awareness Month

Mental health awareness

May is Mental Health Awareness Month. When something is the subject of an “awareness month,” I’m usually pleased at first, because I’m excited to see something like mental health in the spotlight. But wait a second. Wouldn’t it be nice if mental health didn’t even need awareness campaigns? By definition, every single person has “mental … Read more

Pain Catastrophizing Sabotages Joint Replacements

Pain Catastrophizing Sabotages Joint Replacements

“Pain catastrophizing” is a relatively new term. In short, it’s a negative cognitive style. Laura Frey-Law & Steve George write that pain catastrophizing “at the extreme includes feelings and beliefs that the pain experienced is beyond the control of the individual and will inevitably result in the worst possible outcome” (in Sluka, 2016). The instrument … Read more

Breaking the Cycle of Fear and Disability

Break the cycle of fear and disability

Spinal surgery is on the rise. The annual number of laminectomy and spinal fusion surgeries increased from 1998 to 2008 by 11% and 137% (!) respectively, even though the benefit of spinal surgery for some patients is questionable at best. Three randomized controlled trials (RCTs) found no evidence for the superiority of lumbar fusion at 11-year … Read more

The STarT Back Screening Tool is Changing Physical Therapy

Seasons are changing in physical therapy

Forecasting is tough work. Whether one is a meteorologist or a stock broker, it takes guts to make a prediction. The same applies to making predictions in the physical therapy profession. The beauty of a prediction is that it is testable. We can look at a set of data, make a reasonable guess about what … Read more

Do you have neck pain? Physical therapy can help.

Do you have neck pain? A recent study found that getting physical therapy within 4 weeks of onset of neck pain leads to increased likelihood of reducing pain and disability (Horn et al., 2016). In rehabilitation literature, clinicians and researchers care about what’s called the Minimal Clinically Important Difference (MCID) for health outcomes. For example, … Read more