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For this fortnights Clinical News I am providing links to several clinical resources for you to have a look at. The first three links relate to a series of blogs on different tumors presentations that I have encountered in the past few years. Less than 5% of primary care physicians routinely examine for red flags during their initial screen (Bishop PB, Wing PC. Knowledge transfer in family physicians managing patients with acute low back pain: a prospective randomized control trial. Spine J. 2006;6:282–288) and in 160 cases, 96% physical therapists examined 64% of 11 red flag questions, but routinely didn’t ask about weight loss (Leeraret, PJ et al. Documentation of Red Flags by Physical Therapists for Patients with Low Back Pain. The Journal of Manual & Manipulative Therapy Vol. 15 No. 1 (2007), 42–49). As primary contact practitioners we need to remain alert.
If you see on average 3 new clients per day, and have 4 weeks holiday a year, you will be seeing on average 5 people a year that will be newly diagnosed with a form of cancer that year.
Outcome Measures
The next two links are a research paper and an APA New Moves 2013 Conference presentation, both by Dr Phil Gabel demonstrating the diverse use of outcome measures in clinical practice. These two documents are stored on Google Drive, if you don't already have an account (free) you will need one to create one.
Phil is conducting one day workshops in Melbourne, Sydney and Brisbane, only once this year, covering the application of Outcome Measures in clinical practice. I would like to find out more.
All the best,
Dr Doug Cary PhD
Specialist Musculoskeletal Physiotherapist (awarded by Australian College of Physiotherapy, 2009)
Clinical Director AAP Education
Examples include;
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