Ep. 056 | Mobilisation with Movement (MWM) | Thomas Mitchell
Release Date: 09/02/2023
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Physiotutors Podcast
In Episode 74 of the Physiotutors podcast, host Kai is joined by Dr. Erik Thoomes, an expert in musculoskeletal conditions, particularly cervical radiculopathy. Dr. Thoomes provides an in-depth discussion on cervical radiculopathy, distinguishing it from nonspecific neck pain. He explains that cervical radiculopathy involves radiating arm pain due to nerve root irritation or compression, often caused by disc herniation or spondylotic changes, contrasting it with lumbar radiculopathy. The episode emphasizes the importance of thorough patient history in diagnosis and suggests a cluster of tests...
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Physiotutors Podcast
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Exploring the Cosmos of Low Back Pain: From Astronauts to Everyday Life with Daniel Belavy
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In Episode 72 of the Physiotutors podcast, we interview Dr. Daniel Belavy, a professor with a prolific research background in muscle, bone, and joint health, specifically focusing on low back pain. The discussion explores various aspects of back pain research, including disk herniations in astronauts, the role of mechanical loading in disk health, and the challenges of classifying non-specific low back pain. Dr. Belavy shares insights from his studies on physical exposure and spine postures, contextual effects in treatment, and exercise training for back pain. He emphasizes the importance of...
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In this episode of the PhysioTutors podcast, Dr. Annina Schmid, a specialist in musculoskeletal physiotherapy and a professor of pain neurosciences at Oxford University, discusses entrapment neuropathies, focusing on conditions like carpal tunnel syndrome and cubital tunnel syndrome. She explains that these conditions occur when nerves are compressed or irritated as they pass through narrow anatomical spaces, leading to symptoms such as pain, tingling, numbness, and sometimes motor changes like weakness. The conversation covers common types of entrapment neuropathies, diagnostic challenges,...
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EP. 069: Seeing the Unseen - Diagnostic MSK Ultrasound with Niek Vink
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In this episode of the Physiotutors podcast, Kai interviews Niek Vink, a physiotherapist and manager at the National Training Center for Ultrasound (NT-E) in Utrecht, Netherlands. They discuss the role and benefits of ultrasound in physiotherapy. Niek explains the basics of ultrasound imaging, comparing it to other imaging techniques like MRI and X-ray. He emphasizes that while ultrasound offers high spatial resolution and is useful for assessing soft tissues, it cannot see inside bones. The conversation also highlights the importance of dynamic scanning and sono-palpation in physiotherapy, as...
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EP. 068: The Athletic Shoulder - Overcoming Instability for Peak Performance with Edel Fanning
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In this episode of the Physiotutors podcast, host Kai speaks with Edel Fanning, a lead upper limb physiotherapist from Ireland, about various shoulder pathologies in athletes and effective rehabilitation strategies. Edel discusses common shoulder injuries in different sports, such as dislocations in contact sports like rugby and rotator cuff issues in overhead sports like swimming and tennis. She emphasizes the importance of considering the kinetic chain in rehabilitation, focusing on both local shoulder control and the role of other body parts to optimize recovery and performance. Edel also...
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EP. 067: Step by Step - The Ultimate Guide to Ankle Sprains with Jente Wagemans
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Summary In this podcast episode, we talk with Jente Wachemans, a physiotherapist and researcher specializing in ankle sprains and chronic instability. We discuss the nature of lateral ankle sprains, differentiating them from other types of ankle injuries, and touch on chronic ankle instability, a condition that remains somewhat ambiguous and under-researched. Jente emphasizes that while ankle sprains are common, particularly in sports, the transition to chronic instability isn't always straightforward and requires more prospective data for a clearer understanding. We also explore the...
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EP. 66: Empowering Movement - Integrating S&C into Physiotherapy with Claire Minshull
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In this podcast, Dr. Claire Minshull shares her insights on teaching strength and conditioning to physiotherapists, emphasizing the practical application of academic knowledge. She discusses common mistakes in S&C practices, the importance of muscular strength in rehabilitation, and the significance of individualized exercise prescription for optimal outcomes. Claire also explores topics like measuring strength, rate of force development, and emerging technologies in strength training, underlining the need for patient-centered approaches and effective rehabilitation strategies. Guest Dr....
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EP. 065: More than Meds - Exploring Physiotherapy for Migraine Management with Kerstin Luedtke
Physiotutors Podcast
In this podcast episode, Dr. Kerstin Luedtkee discusses the topic of migraine headaches, providing insights into the definition, classification, and pathophysiological theories behind migraines. She explains the criteria for diagnosing migraine headaches, including the presence of associated symptoms such as nausea and sensitivity to light or sound. Dr. Luedtkee delves into the role of the hypothalamus as a key structure in triggering migraine attacks and highlights the importance of understanding the central nervous system changes that occur in individuals with migraines. Moreover, she...
info_outlineWelcome to Physiotutors podcast episode 56 with Thomas Mitchell. Thomas is a wrist and hand specialist physiotherapist, and working toward his PhD at Sheffield Hallam. He is a physiotherapist of 25 years standing in primary care, private practice and sports. He is a First-contact Practitioner clinical supervisor and member of the British Association of Hand Therapists. He is also a Member of the Mulligan Concept Teachers Association, so the perfect person to talk to about the Mobilizations with Movement abbreviated as MWM.
He is also an instructor for our online courses and has developed the complete upper limb focus together with Andrew Cuff.
Content
00:00 Introduction
00:48 Definition of mobilizations with movement
02:42 Discussion on Mulligan's positional fault concept
04:14 Importance of symptom modification
06:39 Principles of mobilizations with movement
08:20 The concept of "Pill" in mobilizations with movement
10:36 The "Crocks" principle in mobilizations with movement
12:17 Empowering patients through functional positions
13:41 Personal adjustments in practice based on Mulligan's concept
15:33 Importance of Self-Treatment and Patient Expectations
17:03 Discussion on Plausible Fallacies and Patient Beliefs
18:40 Understanding Mulligan Concept and Pragmatic Approach
19:24 Explaining Treatment to Patients
20:40 Thomas Online Course
21:18 Differentiating MWM from Other Manual Therapy Techniques
23:16 Patient Control and Bottom-Up Approach in MWM
27:51 Evidence and Systematic Reviews on MWM
33:23 Importance of self-treatment and clinical expertise
35:57 Application of MWMS in chronic pain patients
37:40 Challenges with musculoskeletal rehab in the UK
40:13 Effectiveness of MWMS for lateral epicondylalgia and De Quervain's disease
44:34 Benefits of mobilizations with movement
47:36 Learning resources for Mulligan concept and MWMs
49:17 Thomas closing thoughts
51:08 Outro
Bonus Material
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