Clinical PT Talks

Author: Dr. Mark White, PT, DPT, BA, OCS

Clinical PT Talks offers physical therapy tips, pointers, how-to, and stories about unique, important, or transformative clinical cases. Clinical PT Talks is a mix of Podcast Shorts that provide brief, user-friendly and easily digestible bits of useful information that clarify concepts, illustrate problems to be solved, and offers solutions to issues physical therapists, and physical therapy assistants, deal with every day. Here you will also find longer Stories that highlight a variety of critical processes in dealing with patients in distress in the real world. Some stories need to be told because they can shift our perspective in ways that are useful. Often, this is of equal or greater value than what can be obtained in any other way.
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Language: en

Genres: Health & Fitness, Medicine, Science

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Psychology and treatment effect interference, PART 1: It's you, not me ... and other tales of woe.
Sunday, 16 February, 2025

Psychological factors are always and irrevocably present in any clinician interaction with patients. They can be a help or a hinderance. When problematic, they can negatively interfere with intended treatment effects. However, they can also be present in clinicians as well. This can lead to distortions of thinking that alter our ability to properly interpret what we are doing, why, and what our results are like. Recognizing such issues is helpful in deciding what to do about them. Join me in this first part of a 2-part podcast as I discuss these aspects of psychologically informed practice and more. REFERENCES Ballengee LA, Zullig LL, George SZ. Implementation of Psychologically Informed Physical Therapy for Low Back Pain: Where Do We Stand, Where Do We Go?. J Pain Res. 2021;14:3747-3757. Published 2021 Dec 7. doi:10.2147/JPR.S311973 Hill JC, Whitehurst DG, Lewis M, et al. Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial. Lancet. 2011;378 (9802):1560–1571. doi:10.1016/S0140-6736(11)60937-9 [Study design flaws lead to overestimation of beneficial result.] Rogers JS, Witt PL, Gross MT, Hacke JD, Genova PA. Simultaneous palpation of the craniosacral rate at the head and feet: intrarater and interrater reliability and rate comparisons. Phys Ther. 1998;78(11):1175-1185. doi:10.1093/ptj/78.11.1175 Rosa L, Rosa E, Sarner L, Barrett S. A close look at therapeutic touch. JAMA. 1998;279(13):1005-1010. doi:10.1001/jama.279.13.1005 [9 year-old girl’s science fair project debunks therapeutic touch.]