Dr. Jacob H Templar

I think there are lots of opportunities for physios to incorporate more CBT strategies into treatment with patients. And remember it’s always going to be a spectrum of how far you push into those principles. Not everyone needs as much support #physio #physicaltherapy

Even exercise has lots of context effects based on someone's and your own expectations of what will happen
This doesn't mean nothing works btw. We just have to be honest about how things work and realize how our narratives impact people long term
#physio #physicaltherapy #backpain

It leads to a spiraling effect for that person
When people get better from it's also likely even if they're really strong you just introduced novel exercise for them or they just experienced an increase in fitness level just from doing anything at all

When actually it wasn't the intervention maybe that helped
Further this is mechanistic thinking that when perpetuates ideas of human frailty and being weak causes pain. So then what happens if they're stronger and still in pain?

Then likely you see those things improve with natural history in a lot of cases leading to the perpetuation that the person needed that type of exercise

Lots of issues with the idea of core stability. One of the things is that muscle timing change and co contraction increase with lower back pain, this then leads to the "tests" used to detect core stability being positive.

YouTube video by DMR Move Movement Experiments 101: How to Improve Looking Up Movement - Without Stretching!

Do you incorporate movement experiments into your practice? 🤔 youtu.be/9IV1EqLr58g?...

#physio #physicaltherapy #physiotherapy #pain #medicine #healthcare #chiro

If you’re still debating is the physio hands on versus hands off you’re kind of behind the times just saying #physio #physiotherapy #physicaltherapy #medicine #manualtherapy #massage

While there is a small amount of data about this, there does seem to be benefits. If someone can train at longer lengths it seems to improve growth, and strength #fitness #physicaltherapy #physio #physiotherapy #health #wellness

Not exactly a novel idea but why aren't we in rehab paying more attention to the use of exercises at longer muscle lengths? #physio #fitness #physiotherapy #physicaltherapy #medicine

Always weird to see people with extremity issues in the clinic and a therapist hands them the same weight for both sides. #physicaltherapy #physiotherapy

It's always hard when our medical system lacks cohesive messaging and understanding of persistent pain issues.
Sometimes you feel like you're on an island #physio #physiotherapy #physicaltherapy #medicine #healthcare #pain #chronicpain

Interesting how my thoughts surrounding PNE have changed since being introduced to the concept. Now it's just a part of normal conversation and natural education versus
"intervention" but seems many still think of it as a treatment
#physio #physiotherapy #physicaltherapy #pain #medicine #healthcare

Interesting how if you think about many messages we give to patients how they don't line up with each other. Which for some people can lead to confusion if they stop and think about your recommendations #physicaltherapy #physio #physiotherapy #medicine #healthcare #pain

But my job is literally to understand how research is done, if it’s good or bad, how to vet sources, and what the information means.

Funny when people say do your own research

Like I havent made a career out of understanding research in the medical field and conveying that information in a practical way specifically to health care workers. I have dabbled in doing unique research myself.
#healthcare #science #physiotherapy

Love hearing physios tell patients they need to see a specialist when the issue is something within our management capacity #physio #physiotherapy #physicaltherapy

Just a thought but it would be nice if a study could at least include their intervention descriptions in an appendix so l don't have to read 1-2 other studies to understand what you did. Or somewhere describe what was said to participants and how it was done #medicine #physio #physicaltherapy

Do patients really want only pain relief?
Or do they struggle because it impacts who they want to be/ are and how they enact that in the world? #physio #physiotherapy #physicaltherapy

Louis Gifford was someone I think the #physio world wasn’t ready for at the time and I still don’t know if most people would be. I really wish I bought his books sooner #physicaltherapy #chiro #medicine #healthcare #physiotherapy

A series of small increments in physical activity, each followed by a period of adaptation, is associated with lower rates of musculoskeletal injuries than is an abrupt increase to the same final level."

From the ACSM Combined Report 2008:
"Injuries are more likely to happen when people are more physically active than usual, and the risk is related to the size of the increase. #fitness #physio #physicaltherapy #medicine #health

Interesting that MDT is so resistant to explaining directional preference beyond biomechanics sometimes and embracing contemporary pain sciences. Getting my posts off Twitter because we all know why #physio #physicaltherapy #chiro #MDT #mckenzie #pain #science

Would it hurt people’s feelings if I said periodization in training isn’t a must? #fitness #training #health #squat #bench #deadlift #bodybuilding #powerlifting

Can you guess who had more pain? And why do you think that? Let’s discuss the complexity of pain #pain #physio #physicaltherapy #chiro #healthcare #medicine

Clinical diagnosis of partial or complete anterior cruciate ligament tears using patients' history elements and physical examination tests Objective To assess the diagnostic validity of clusters combining history elements and physical examination tests to diagnose partial or complete anterior cruciate ligament (ACL) tears. Design Prosp...

Really enjoy the work of Simon Descary on examination of the knee and other areas supporting components of history being very useful for clinical diagnosis. Turns out in lots of cases patients will tell you what’s wrong #medicine #healthcare #physio

journals.plos.org/plosone/arti...

Healthcare is inherently political a thread of slides I made #politics #medicine #health #healthcare #physio #chiro #USA