Interpretation of special tests in musculoskeletal examination

Why do we care about evidence-based practice? Why do we need to know how to interpret clinical studies? Because statistical values such as sensitivity, specificity, and likelihood ratios are vital to interpreting the clinical relevance and applicability of research around clinical tests. 

"Of course, very few tests can be expected to conclusively rule in or rule out any particular condition but they should add to the index of suspicion which will inform your clinical reasoning process." (Hattam & Smeatham, 2010, p.5). 

The aim of this blog is to review the meanings of these psychometric properties to allow you to become a great consumer of research and know when and how to take new research and allow it to clarify, amplify and expand on your current body of knowledge. 

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Mission aid work in Manila, Philippines

This blog is a reflective piece about my experience volunteering in Mission Aid work with 2KK in Manila. It was my first mission aid work and looking back now I can see that it was moving, inspiring, empowering and a deeply emotional event in my life. Above all, it was an adventure and I want to share it with you. 

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The pain of social disconnection

I came across an interesting article written by Associate Professor in Social Psychology, Naomi Eisenberger, who works in the Department of Psychology at the University of California in LA.  Naomi asks a single question which I feel is so applicable to clinical practice as a physiotherapist "Why is it that negative emotions have such a profound effect on our emotional wellbeing?" This blog summaries the key points I learnt from reading her paper "The pain of social disconnection: examining the shared neural underpinnings of physical and social pain". Using this article and an example of a runner' tibial stress fracture, I explore the overlap between social and physical pain, describe how the distress of social disconnection outweighed the physical pain of the injury and how we strategised ways to manage the injury together. 

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