Hi all,
I'm doing an in-service presentation on objective outcome measures in PT for outpatient ortho. I'm scouring databases for outcome measures, and thought i'd take...
Tom F. replied:
The Functional Movement Screen is pretty cutting edge as far as outcome measures go. It requires some equipment but all stuff you already have at a PT clinic.
Nick L. replied:
The FMS is not designed as an outcome measure. It is designed to be a simple screen to rule out pain and if the patient lacks mobility and/or stability in order to detect patient's with an increase risk of injury. Once the screen is done you gotta move onto something else in terms of objectifying patient progress. Scot's options are nice and I think the website he's looking for is http://www.thesportsperformancept.com/
Scot M. replied:
Don't see it as having much of a place clinically Tom. Your statement above presupposes there is such a thing as movement dysfunction in the absence of pain and that the fms identifies them. I'm not convinced of either. That said the fms is not an outcome measure - it was developed (or have developed into) a screen. Gregory Lehman did a nice look at some aspects here http://www.medbridgeeducation.com/blog/tag/greg-lehman/
Scot M. replied:
Any discussion on outcomes should have this link http://www.apta.org/OutcomeMeasures/ John Snyder had a good post on the topic of UE measures here http://www.medbridgeeducation.com/blog/play-again-return-sport-testing-upper-extremity-john-snyder/ Tom - clinically significant change is a precise measure that has been demonstrated for outcome measures. FMS is primarily a quick screen to look for gross movement abnormalities or pain with movement. I disagree with its use as an outcome measure as well on many grounds including the potential floor and ceiling effect. If it's part of your intake/eval then great. Looking at movement is fine... But im gonna need some serious convincing that it plays a greater role than even Gray or Phil claim. (it's well worth looking at the recent discussion between Gray and Stuart McGill on this)
Mel C. replied:
Lower extremity functional scale, patient specific functional scale. Rehabmeasures.org is a GREAT resource for outcome measures!
I saw Dr. Tutorino. He was cocky. I tried to have him fix my knee on two separate occasions, and he told me I have runners knee. I know I don't have runners knee because it has been operated on in two separate occassions. I have damaged cartilage a nd it deteriorates over time causing the same pain and symptoms. I can check out Murrah though. Though I'm not needing help with my knee, I believe I tore my rotator cuff. I cannot lift my arm to the side.
Sandi F. replied:
It's worth the trip to Osceola county. Believe me. You should see dr. Scott S Gordon MD . Not only is he a fantastic renowned ortho surgeon but a personal friend. I'll message you his details.
Andrew S. replied:
Dr. Joseph Billings at Jewett. He'll tell you like it is.
Does anyone have a good Pediatric Orthopedic doctor they can recommend? Ours moved away.
Michelle S. replied:
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Jill S. replied:
Dr Tamara Topoleski at Orlando Orthopaedics. They have a lot of offices, so there may be one near you.
Kristine C. replied:
Dr. Phillips out of Arnold Palmer. He was rated best in country and nice to look at with his European accent.
Michelle S. replied:
I used Dr Albright out of Arnold Palmer but he moved . I had to get her in ASAP as she has been out of PE for 2 weeks. So we go Wed morning. I hope it's nothing, but it's Gracie so.....I'm sure that's not the case!
Does anyone know of a good orthopedic doctor in Orlando?
Lydia S. replied:
Depends knees = Dr. Kenneth Krumins or Dr Hugh Morris. Jewitt's group. They work on UCF athletes and the magic. See thousands each month. Hands it's dr craig mitzer or gasner. Foot Dr. Steven Choung or John Papa ;) hope it helps
Amanda T. replied:
Geoffrey Stewart, M.D. he's with The Spine and Scoliosis Center.