DNS, Mobilization Versus Manipulation, and Making a Difference

This week’s stuff you should read comes from Maitland, DNS, and Dan John.

 

Inner Circle, RehabWebinars.com, and ShoulderSeminar.com Updates

My next live webinar for Inner Circle members is right around the corner, next Monday at 10:00 AM EST.  I’m looking forward to this one.  I’ll be talking about how I use kettlebells during my shoulder rehab.  This won’t be a discussion of why kettlebell exercises like swings and get-ups are good for your shoulder, but rather how you can use kettlebells as a rehab tool.  Sign up now in the Inner Circle dashboard.  If you aren’t a member, learn more about the Inner Circle.

RehabWebinars.com posted a really great webinar on integrated Dynamic Neuromuscular Stabilization into Core Training by Diamondbacks Strength and Conditioning Coach Nate Shaw.  DNS is pretty popular right now, with more and more people like Craig Leibenson, Jeff Cubos, and others praising Pavel Kolar and the Prague School for their DNS concepts.  This was a popular topic at the ASMI Injuries in Baseball course and Nate is a great presenter.  Learn more about RehabWebinars.com.

The clock is ticking on my huge sale of $150 off and free access to RehabWebinars.com when you register for my critically acclaimed online shoulder CEU program at ShoulderSeminar.com.  This 7-week program has been really popular and a ton of people of jumped in on this huge discount.  The sale ends at the end of the month so sign up now!  Learn more about ShoulderSeminar.com.

 

Mobilization and Manipulation are Equally Effective

Over at the Maitland website, Chris Showalter discusses a recent research study he conducted that demonstrated that mobilization and manipulation are equally as effective for mechanical low back pain.  Obviously there may be a bit of bias as Chris was one of the principle investigators, but the results don’t surprise me.  Chris did a good job at documenting some great take home messages.

 

Making a Difference

Dan John writes another gem about making a difference.  Is it me or is Dan John one of the best writers/educators/coaches out there?  His ability communicate meaningful messages is inspiring.  I always learn something from Dan, you should too.

 

 

 

 

 

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  • Dale

    As a practitioner of both manipulation and mobilization I agree that both work however I see definitive outcomes to be better/faster with manipulation. Maybe it depends on the practitioner which this study doesn’t really account for.

    • http://mikereinold.com Mike Reinold

      I would agree there is potentially bias.

  • http://ptthinktank.com/ Kyle Ridgeway, PT, DPT

    Dale,

    You are definitely correct, any and every study has the potential for bias. As humans, we are all prone to it, even researchers. Biases we are not even aware of creep into our research, practice, and daily lives constantly!

    This study actually did account for practitioner to practitioner differences. It measured both patient expectation for each specific intervention (mob vs. manip) as well as practitioner belief regarding the intervention.

    There has been some good discussion over at Joe Brence, DPT blog Forward Thinking PT:
    http://forwardthinkingpt.com/2012/10/10/ground-breaking-new-study-mobilization-and-manipulation-are-equally-effective-and-produce-the-same-outcomes-in-mechanical-lbp/

  • http://exercisebasics.blogspot.com Brandon G.

    I’m not surprised by these results either. However, as a student I’ve not had opportunity for manipulations as of yet. I mainly stick with mobilizations and a McKenzie approach to low back pain.