Experience and the Experiment

Image Credit

“Dad, let’s do an experience” my 6.5 year old said to me this morning. “Let’s see how far away these walkie-talkies can go and we can still hear each other.”

“Do you mean experiment?” I ask. “Yes, ex-per-i-ment” she says. We go over its pronunciation a few times. It’s a mix between my daughter having no front teeth and that she just gets her word choices mixed up now and then. Experience. Experiment. It’s an easy one to slip up on, plus they could be viewed in the same category in her head. “I will have an experience and learn something.” “I will do an experiment and learn something.” Same thing, basically, to a 1st grader.

So, you can see this question coming: Do you get Experience and Experiment mixed up? Continue reading

Commute = Classroom

Commute time can either suck your life force, or it can become a valuable part of your development. So, yes, there are tons of great Podcasts on the subject of Physical Therapy / Physiotherapy from many angles, and I encourage you to listen and learn. But what I’m going to share today are 3 Non-PT Podcasts… for PTs.

1)     The You Are Not So Smart podcast, hosted by David McRaney.  There are tons of great episodes here, primarily on psychology, cognitive biases, social patterns, scientific thought and all things thinking. I cannot state enough how important these types of topics are for the practicing PT, primarily because, no matter what the injury or body part, we all treat people.  They’re all great, but… Some highlight episodes: Continue reading

Solving Uncertainty

\What does the search for certainty do to us as clinicians?

In searching for answers we are picking up patterns that let us go past that initial uncertainty.

And so Evidenced Based Practice serves this role… to solve the uncertainty.

We look to research to let us know unbiased truths.  Hey, this patient is not responding today, but if I stay the course science supports that I will see some improvement.

We can look to clinical training or algorithms to help us along. For example Continue reading

Single Blind Study – Scientific Reasoning in the Clinical Exam (Part 2)

So we all know that our patients experience pain relief from many placebo based mechanisms. A little bit of joint cracking, needle tapping, and (insert modality here) can go a long way towards providing a patient some temporary relief which gets us to our main goal of restoring movement.

There has been decades of research on the aspects of placebo:

  • 2 sugar pills better than 1 for reducing gastric ulcers(1)
  • 1 injection better than 2 sugar pills for reducing gastric ulcers(1)
  • Higher priced items are more effective than cheaper ones, but only when people know they are the higher priced meds.(1)

Just more fun facts… Continue reading