Clinical Reasoning - TrustMe - Ed

Clinical Reasoning

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  • P
    PhysioMan
    Posted 3 years ago

    Hi All! 
    What kind of CR frameworks do you use when the patient first time comes to you? 

    Right now I am pretty much on Mulligan when I firstly check the ROM on both sides, trying to find any differences. Find a Pain or a movement that the patient can't do and work with it. 

    How are your first examinations?(Anamnesis history of condition are of course also there but I am talking about the Examination aproach)

    Thank you!

  • Nils Oudhuis
    Nils Oudhuis
    Posted 2 years ago

    I like the clinical reasoning framework by Tim Mitchell (explained by him in a lecture on Trust me-Ed). Also the CR framework of Cognitive Functional Therapy by the O'Sullivan group.

  • V
    Venerbher
    Posted 6 days ago

    That's interesting! I also rely on the Mulligan technique for initial movement assessments, especially to identify asymmetry or limitations. However I find incorporating a quick functional movement screen alongside it can be valuable. It helps assess how those limitations translate to daily activities. For example, after a Mulligan assessment, I might observe a restricted shoulder range of motion. The functional screen could then reveal difficulty reaching overhead or pain during specific daily legit research paper writing services tasks. This combined picture helps guide my treatment plan.

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