@Retlouping

All my opinions are my own. Dislikes evidence based ostriches ( An evidence based ostrich ignores evidence against, whilst waiting for evidence to support)

 Coon Rapids MN, USA
youtu.be/u3BwXOkbWCo
Joined June 2015
  • Tweets181K
  • Following946
  • Followers26.8K
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping1 Sep 2024
Replying to @NickHoopes_ @Jerry_DurhamPT @GregLehman @DerekGriffin86
It’s is what it is, uncontrolled “biased” data. In the real world clinical setting we tend not to care, in the big picture of “is this treatment effective” we should. Too many confounders in anecdotes including therapist nonequipoise
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingOct 26
Old Man Shouting at Patient (Person) Centred (Focused) Care, The Therapeutic Alliance, Shared Decision Making and Therapist-Patient Synergy Therapeutic ramblings. retlouping331888347.wordpres…

Old Man Shouting at Patient (Person) Centred (Focused) Care, The Therapeutic Alliance, Shared...

I gave a talk at the weekend on patient-centred care and developing a therapeutic alliance. One of the main proposals was that we are mistaking “centre” for “middle.” This is a foible of the Englis…

retlouping331888347.wordpress.com
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MSKPhysioJournal
@MSKPhysioJnl11h
🟢 OPEN ACCESS - buff.ly/KpyM0mM - 🔬 Understanding causality, not just correlation, in manual therapy research is key to uncovering true treatment mechanisms, improving clinical practice, and reducing research waste - #ManualTherapy #CausalInference #EvidenceBasedPractice #RehabilitationResearch
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingJun 8
A quick question. Do clinicians need to know how a treatment works (causal mechanism(s)) in order to use said treatment effectively?
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping3 Apr 2024
Education, learning, knowing v aware Need to know Nice to know Where to find it Old ostrich shouts at learning and understanding a thread 🧵
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping6 Apr 2021
OK I’m going to be that “dink” on twitter that says “yep great memorisation & recall” BUT this is the problem with how we perceive and measure learning and knowledge. This is no better than learning the names & capitals of the US states. I have measured nothing other than recall
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingOct 5
Don't be a nocebo! Why healthcare organizations should value patients' expectations’ frontiersin.org/journals/psy…
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingOct 24
My latest blog Second visit (re)assessment “Day Two” and every subsequent visit is day two. retlouping331888347.wordpres…

Second visit (re)assessment “Day Two” and every subsequent visit is day two.

Many clinicians have a structured initial evaluation format. Some clinicians utilise a form for documentation to aid recording and their clinical reasoning process. I have written about my day one …

retlouping331888347.wordpress.com
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CauseHealth@Cause_Health11 Jan 2021
New blog post by @Retlouping on genuine complexity and the biopsychosocial model! What’s in a word? It’s all Biopsychosocial, and a part of the complex human “ecosystem” causehealthblog.wordpress.co…

What’s in a word? It’s all Biopsychosocial, and a part of the complex human “ecosystem”

by David Poulter There is still a lot of confusion regarding the word “biopsychosocial”. Yes it’s a compound word made up of three other words Biological (physical), Psychological (of the mind) and…

causehealthblog.org
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Prosper Egie@OfficialEgieOct 25
Replying to @LastbabyBC
xitter.cf/Retlouping/status/2114… I found this very helpful 👌
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingOct 24
My latest blog Second visit (re)assessment “Day Two” and every subsequent visit is day two. retlouping331888347.wordpres…

Second visit (re)assessment “Day Two” and every subsequent visit is day two.

Many clinicians have a structured initial evaluation format. Some clinicians utilise a form for documentation to aid recording and their clinical reasoning process. I have written about my day one …

retlouping331888347.wordpress.com
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping24 Jun 2025
I think this is still one of the best things I have written. 26 years on and we are still ignoring the message. Empower the patient. jospt.org/doi/pdf/10.2519/jo…
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping15 Jun 2025
Reflection & metacognition are two great clinical reasoning tools.🧵 I often advise clinicians to choose one patient a day to reflect on. Think about the interaction you had, the flow, the discussion, the treatment, the assessment, the education, the closure and forward plan.
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Hsieh-Hsing Wu@TaiwanOzPhysioOct 24
A new perspective on modic type 1 changes in degenerative disc disease pubmed.ncbi.nlm.nih.gov/4277… cc. @Retlouping @TDekkersPhysio @marklaslett_NZ

A new perspective on modic type 1 changes in degenerative disc disease: a systematic evidence-based...

MC1 should be interpreted as a potentially meaningful but non-specific imaging biomarker of active disc-endplate degeneration and possible vertebrogenic pain, rather than as an isolated or universa...

pubmed.ncbi.nlm.nih.gov
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping9 May 2020
jospt.org/doi/pdfplus/10.251… Dimensions of the cervical neural foramina in resting and retracted positions using magnetic resonance imaging.
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping9 Nov 2018
Polite request If you teach patients to do cervical retraction, can you stop calling it chin tucks , plus can you allow them to do head and neck retraction , not just head bobbing like a demented chicken. Thanks,
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingOct 21
My latest blog: I asked three different AIs to classify a patient scenario using the McKenzie method. retlouping331888347.wordpres…

I asked three different AIs to classify a patient scenario using the McKenzie method.

I asked Google AI, X’s AI Grok and ChatGPT4, the following question “What Mckenzie classification is the following patients? A history of sudden onset right sided low back pain. 4 previous episode …

retlouping331888347.wordpress.com
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping23 Jul 2023
A micro blog Does it matter what we do as long as our patients report they are better? retlouping331888347.wordpres…

Does it matter what we do as long as our patients report they are better?

A micro blog: In an older blog I posed the question “are we better than placebo?” Basically I was asking are we as practicing caring clinicians better than the sum of all the contextual non specifi…

retlouping331888347.wordpress.com
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HISTORY.PHYSIO@history_physioOct 22
You may have heard the term “derangement” and immediately thought of Robin McKenzie. But the story of the term goes back further. @Retlouping explains how McKenzie was strongly influenced by the work of British orthopaedic surgeon Dr James Cyriax. history.physio/derangement-f…

Derangement from Cyriax to McKenzie

You may have heard the term “derangement” and immediately thought of Robin McKenzie’s Derangement Syndrome. But the story of the term goes back further. McKenzie was strongly influenced by the work…

history.physio
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Dr Latif Khan FCPS-Orth
@DrLatifKhanOct 20
Sequestrated disc in the axilla of right side S1 root. #Medtwitter #OrthoTwitter
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping29 Nov 2024
Muscles rarely if ever just do their actions during everyday function. It is more likely that they don’t. Functionally most work synergistically and perform movement opposite to their action. Quads are knee flexors, abdominals are spine extenders. Enjoy your day.
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping31 Oct 2020
Intervertebral Discs are they jelly Donuts? A guest blog by David Poulter. – Research in Motion suhailphysio.wordpress.com/2…

Intervertebral Discs are they jelly Donuts? A guest blog by David Poulter.

A blog on the human intervertebral disc, movement, function, adaptation, degradation, degeneration, wedding photos, boiling frogs and Jelly Donut lies. This guest blog is on all things about the hu…

suhailphysio.com
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