In this episode, the PodChat team chatted with physiotherapists Simon Lack and Brad Neal and Podiatrist, Alice Corbett about patellofemoral pain, proximal and distal influences and how to choose an intervention.
Don’t forget that you can use 3D Joint ROM to measure Range of Motion in the knee and ankle
Current research guidelines suggest that academics gathering data on Range of Motion (ROM) may allow for up to 10 degrees “margin of error” when measuring ROM using traditional tools. Our 3D Joint ROM tool takes data gathering to a whole new level with highly accurate ROM measurement in all 3 planes simultaneously.
We expect this to become increasingly important in the clinical environment as one of the global trends emerging in healthcare is that therapists are moving toward outcomes-based or evidence-based therapy. Subjective analysis is coming under pressure from patients who expect to be able to see a measured, objective outcome to their therapy.
The 3D Joint ROM tool provides an easy to implement tool for demonstrating improvement of ROM in real-time.
You can see 3D Joint ROM in action HERE or purchase it through our online store. If you have further queries around the tool, you can e-mail marca@3djointrom.com
In this, the final episode of 2018, the team talked to researcher, lecturer and private practitioner Helen Banwell about the symptomtic Vs asymptomatic flatfoot in children (and discussed when to ‘treat’ Vs when not to), the possible importance of asking about family history, conservative Vs surgical management, dealing with worried and anxious parents and orthoses prescription habits for the younger patient.
Enjoy!
In this episode the PodChatLive team chatted with Toronto based practitioner, Peter Guy about his 33 years experience to talk us through his matrix of common modifications for conditions such as peroneal tendinopathy, plantar fasciopathy, plantar plate/capsular issues and neuroma. He also gives us some of his tips for dealing with comfort/tolerance issues and orthoses for high heels.
Don’t forget to check out our 3D joint ROM tool for measuring Range of Motion (ROM) in your podiatry practice.
Marc Ashton, CEO, Dynamic Body Technology
Does objectivity and accuracy matter for clinicians? In the process of rolling out 3D Joint ROM to the market, this has been an interesting question that clinicians have turned back on us and one that I believe should be debated.
The premise behind the 3D Joint ROM tool is that it allows clinicians to accurately measure Range of Motion (ROM) in multiple planes in real-time and provide an objective recording of patient range.
When presenting to clinicians, the question has been asked: “Why do we need objective recordings of ROM? Why can I not simply use my clinical experience to judge improvement or decline?”
As a solutions provider with an interest in accuracy and objectivity, this was an interesting rebuttal. While much has been made about the impact of technology on the healthcare sector and concerns that the subjective skill and analysis are being discounted, we believe we have a couple of comments on this:
Medico-Legal
A recent installation we did for a podiatrist in South Africa highlighted the importance of objective data when referring a patient. An issue raised by this clinician is that orthopedic surgeons were disregarding subjective opinion and opting to operate despite the patient being within range guidelines.
As patients and consumers are using technology to help educate themselves around their treatments, they are going to interrogate the advice (and associated costs) provided by clinicians. Objective and accurate data will lead to higher quality referrals and treatment plans.
Tracking the pain point
At what exact moment does a patient feel pain during a movement? If you can diagnose the pain point, you can save significant recovery time by focusing on the right outcomes rather than struggling to replicate the movement.
Outcomes-based healthcare
When running a business, it is easy to work out whether you are achieving an outcome: If your income exceeds your expenses, you are heading in the right direction. As a clinician, it’s less black and white and there is significant pressure on clinicians to demonstrate their outcome in an accurate and objective manner.
Clinicians are increasingly reporting that there is a focus on outcomes – particularly from the sports science fraternity – patients no longer just want to hear that “Range or mobility has improved” – they want to know to what degree it has improved as a result of your treatment.
Gaming an outcome
When it comes to treatment and rehabilitation, patient motivation is a major factor and one that many clinicians will battle with. How do I motivate my patient to hit their rehabilitation goals?
By showing a patient real-time data of their movement, they can have an accurate measure of exactly how much further they have improved and aspire to hit their rehabilitation goals. Data that is provided in real-time can add a gaming element to rehabilitation.
Conclusion:
When doing some research for this post, I typed into Google “How important is accuracy in Range of Motion measurement” as a search phrase (combination of words not complete search phrase) and ended up with 39.2 million links on the internet. There is clearly a lot of interest in the topic.
Where I think we need to be careful is this narrative that objective technology replaces the need for subjective insights from qualified medical professionals. Technology should be there to support the clinician not replace them or discount their skills.
We at Dynamic Body Technology would love to get insights from clinicians around the importance of accuracy and objectivity when it comes to medical data. Please feel free to leave a comment below or drop me a line on marca@3djointrom.com
The PodChat Live team put together some fantastic content around the world of podiatry and biomechanics.
In this episode, Craig Payne and Ian Griffiths welcome a panel of highly-respected physiotherapists to talk about the inter-disciplinary relationship.
The panel comprises Hamish Vickerman, Tom Goom, Neil Meigh and Kevin Nordanger to talk about how Podiatry and Physiotherapy can/should work together, the overlap between professions, the preconceived notions we have about each others professions and more.
Don’t forget to check out the 3D Joint ROM tool to accurately measure Range of Motion on any joint.
In this episode, the PodChat team -Craig Payne and Ian Griffiths. – talked with Annette Davis and discussed what the evidence tells us (and doesn’t tell us) about footwear and falls, explains the role of the Podiatrist in screening for falls risk and how to communicate effectively regarding this (making a reasonably solid case for all individuals of a certain age to be risk assessed regardless of why they are attending clinic to see you) and also the talks about the reasons that older individuals choose certain shoes and the challenges this can bring to the Podiatrist-patient interactions.
Enjoy!
Looking to measure Range of Motion for your patients? Don’t forget to check out our 3D Joint ROM product today.