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

The Curious Case of Psychologically-Informed Physical Therapy

Physical therapy has a psychosocial element.

I love psychology, but physical therapy has a psychology problem. I’ve already written about how the physical therapy profession should be more willing to embrace psychological research. There are some good explanations of why PTs are slow to adapt their practices to the biopsychosocial model. Many psychological interventions are poorly described, poorly implemented, and even poorly … Read more