I made a video on Radial Nerve neurodynamics based on my experiences in my office seeing a few patients coming in with pain in the posterior aspect of the arm and lateral aspect of the elbow (common extensor origin) area broadly. When I see those areas my mind gravitates towards pattern recognition and this pattern directs me to assess the radial nerve first. I test dermatomes, myotomes, reflexes, special tests etc. I made a video of one of those ULTT’s along with some radial nerve neurodynamics. Hope you find this helpful.
(PS- this video is part of a full online neck program series that I am working on. Its the biggest project i have undertaken since I started writing this blog back in 2014. I will try and cover most aspects of neck pain in terms of physio assessment and treatments that I utilize in my own practice. Feel free to reach out on my facebook or instagram accounts to chat with me about the program more).
This post is for everyone. Technique Tuesday 8 explores hip hinging. Learn to move and lift correctly from the hips to avoid excessive pressure on the low back. I do want to mention that arching from the lower back to bend forward is not going to blow out your back, this is a natural movement. However, if you do it repeatedly, over and over again (due to work or any other reason) or you lift heavy weights with that posture, you could increase the chances of injuring your lower back. Here you go-
This blog post is dedicated to my clinical thought process when assessing patients with suspected shoulder impingement. I have broken it down to three different videos with explanation. Hope it helps.
In this video, I describe shoulder impingement and its types-
2. Here I discuss different causes for different kinds of shoulder impingement-
3. In this last video, I discuss certain examination points specific to the conditions like subjective history, site of pain & special tests-
What are your thoughts on this topic? Did I miss some points that you incorporate in your assessment and clinical reasoning? Comment on either WordPress, Facebook, instagram or YouTube to start a discussion. Also, follow me on these platforms for more physiotherapy and rehabilitation related content.
Since most of us are working from home on our makeshift workstations/couches etc there are too many sore necks and backs going around. Here’s a new video to hopefully keep you away from those statistic. Hope it helps.
My last two blogs focused on things to consider when moving abroad for masters. You can find it HERE and HERE. This blog post will feature things to consider when moving abroad to start practicing as a licensed physiotherapist. When I say abroad, I am referring to the countries I have worked in – The US and Canada. Ok, here we go-
One needs to be a licensed physiotherapist to be able to work in both USA and Canada. The US has a 250 question MCQ based written test with a passing of 75% called the NPTE. Canada has two tests- the written and the practical. The written component has 200 MCQ questions and the practical exam has 16 practical stations which covers cases of all aspects of entry level physiotherapy. It’s called the PCE.
If you plan to move to North America, prepare to start the process early as there are a lot of steps before you will be permitted to sit for the examination. This can easily take up a few months.
To sum these steps in a nutshell, US and Canada would like to assess our foreign degrees and make sure its equivalent to their standard entry level programs (DPT in the US and Masters in physiotherapy in Canada). If they find it to be at par with their respective standard, then one is allowed to sit for the test. If not, recommendations for courses are given that must be done by the foreign trained physiotherapist to be able to sit for the exam. All of this can take some time hence start early.
For the US please refer to the FCCPT and FSBPT websites (in that order) for more information which is unfortunately out of scope of this blog post. You can find that information HERE and HERE. For Canada, please go to the website Canadian alliance of physiotherapy regulators for more information. It can be found HERE.
Make sure you have enough copies of your mark sheets and graduation certificates (multiple copies, sealed and stamped by your college or university). You will need more than one.
In my opinion, to pass these tests, foreign trained physiotherapist must devote at least 2-3 months of full time study. Students graduating from american and canadian programs are trained to pass these board exams. I cannot speak for other countries but in India a lot of our tests are essay format written tests. It does not prepare us for the MCQ based examination that we need to pass to practice here.
Most of the exam questions require analytical thinking and problem solving to deduce the right answer. There are some questions that test factual knowledge and our memory as well but predominately a lot of questions focus on different scenarios and our ability to chose the best response with the information presented. Sometimes the answers might be easy to pick and sometimes more than one answer might seem correct.
Passing the american NPTE is quite straightforward, score 75% or more to pass. The Canadian exam is more complex, the passing score is not fixed and is set by the board of examiners and one must score more than the fixed score to pass. The candidates do not know the passing score that is fixed. You can read more about it at the CARP website HERE.
After one successfully passes the board exams, there are many different work settings to chose from. One could chose to work in outpatient offices, hospitals, skilled nursing facilities, long term care facilities, schools as pediatric physios or provide home physio.
Average salary for a new graduate in outpatient care varies state to state (USA), province to province (Canada) but to give you a ball park estimate, can start around mid $30’s/hour. Travelling home care Physios or pediatric physios have slightly higher rates.
I have a few more points coming in the final part 4 of this blog post. Stay tuned and always