Mark Jones

• BS Psych, Cert Phys Ther, Grad Dip Manip Phys, MS
• Managing Director at University of South Australia

Objectives: To describe the acute effects of exercise on the morphology, mechanical properties and blood flow of the Achilles tendon, as measured with ultrasound. Design: Systematic review of cohort studies. Methods: Seven electronic research databases were systematically searched for exercise intervention-based studies reporting morphology, mec...

Neck-related arm pain is frequently encountered in clinical settings, yet its underlying pain mechanisms remain elusive. While such pain radiating from the neck to the arm is often attributed to injuries or diseases of the nervous system (neuropathic pain), it can also arise from nociceptive (referred) or nociplastic sources. Regrettably, patients...

Teaching hypothetico-deductive clinical reasoning (CR) should be an essential part of the physiotherapy education system, but currently there are very few learning tools for teachers in the musculoskeletal discipline. The aim of this article was to describe and present the rules of a new game-based and structured didactic tool that can be used by t...

Objectives The aim of this systematic review was to critically review and synthesise the findings from primary studies on pitching mechanics and performance of healthy adult baseball pitchers. Design Systematic review with meta-analysis. Methods Eight English- and Japanese-language databases were systematically searched from inception to 22nd Jul...

Differenzialdiagnostik in der muskuloskelettalen Praxis „Behandeln oder zurück zum Arzt schicken?“ – vor dieser Entscheidung stehen Physiotherapeutinnen und -therapeuten immer dann, wenn Symptome und Zeichen eines Patienten nicht eindeutig zu einem muskuloskelettalen Beschwerdebild passen. Dieses Buch hilft Ihnen, Ihren Blick für Fälle zu schärfe...

Background Shoulder and elbow overuse injuries are the most common problems in baseball players. No scoping review has compared the findings from different types of evidence. Purpose To map the broad evidence from 3 types of evidence (epidemiological, biomechanical, and narrative) on potential risk factors for shoulder and elbow injuries in baseba...

Current clinical practice lacks consistent evidence in the management of scapular dyskinesis. This study aims to determine the short- and long-term effects of a scapular-focused exercise protocol facilitated by real-time electromyographic biofeedback (EMGBF) on pain and function, in individuals with rotator cuff related pain syndrome (RCS) and ante...

Objectives: This paper explores the decision-making processes involved in giving physiotherapy students responsibility on clinical placement and the impact on their developing professional autonomy. Methods: The qualitative study, using semi-structured interviews, involved physiotherapy students and clinical educators (CEs) from two higher educa...

Objectives Deficits in strength of lower limb musculature have been associated with increased injury risk in a variety of athletic populations. As medical and performance staff seek to better understand the association between hip and knee strength measures and injury risk, measurement tools with high reliability and utility are required to profile...

Introduction Early career occupational therapists experience considerable learning. This research sought to develop a theory of how they learn once practising. Method The research employed a constructivist grounded theory methodology. Interviews were conducted with 20 participants who were either experienced ( n = 8), early career occupational the...

Background: Patients with pain associated with musculoskeletal disorders often seek treatment from physiotherapists, necessitating these practitioners' competence to practice within the biopsychosocial framework. Qualitative research suggests musculoskeletal physiotherapists may not have adequate proficiency in psychosocial practice to assess and...

Subjective Examination Personal Profile Floor is a 27-year-old unemployed single woman who lives abne in Hamburg, Germany She studied economics and earned a bachelor's degree 4 years ago, however, she has never been able to find work, largely related to her ongoing problems She has one older sister who lives in the United States. Her parents have...

Aims To explore the ability of a physiotherapist, using a standardised musculoskeletal physiotherapy assessment protocol, to accurately identify the structures potentially responsible for shoulder symptoms against a standardised arthroscopic shoulder diagnostic assessment, and to determine the physiotherapists’ ability to influence post-test diagno...

Introduction Information about challenges for occupational therapists is typically provided in small-scale studies from different perspectives. The purpose of this meta-synthesis was to synthesise and report about challenges in occupational therapy practice that appear to penetrate across the profession. Method Databases searched were Ovid Medline,...

Pain is a complex problem and one that confronts many physiotherapists' working in private practice on a daily basis. While physiotherapists' understanding of pain has matured a great deal in recent times, especially the role of psychosocial (PS) factors, it is unclear if and how, physiotherapists assess their patients' psychosocial status in clini...

Assessment of student learning in complex areas is challenging, particularly when there is interest in students’ deeper understanding and connectivity of concepts. Assessment of ethics learning has been limited by lack of consensus regarding what is effective and an overfocus on quantification at the expense of clinical or ethical relevance. Cognit...

There has been a widespread call for an ethics in the management of patients with chronic pain which is patient centered and takes into account the lived experience of the patient. It has been argued in literature that current "duty" or principlist-based models of ethics (so-called 3rd person ethics) have not adequately addressed the needs of eithe...

Background and purpose: It is well recognized that physical therapy practitioners need to go beyond adherence to professional codes of conduct and have skills of ethical reasoning in order to address the ethical issues which arise in clinical practice. There is little consensus in physical therapy regarding approaches to teaching ethical reasoning....

Background: Physical therapists must have skills in moral reasoning (the ability to analyze ethical situations in order to determine a right action). The cognitive developmental perspective initiated by Kohlberg and developed by James Rest and associates proposes that moral reasoning progresses in stages or schemas (default frameworks for determini...

Most physiotherapists would agree on the need to establish effective working relationships with their patients in order to achieve successful outcomes in therapy. Collaboration, as an entity in clinical practice, has continued to increase in importance due to a changing climate of healthcare. Traditional models of physiotherapy treatment based on t...

The purpose of the study was to determine the reliability and validity of a simulated patient to portray a case over time and to evaluate student performance of history taking and physical examination. Twenty four physiotherapy students and four physiotherapists were involved in the study. The subjects were required to carry out a comprehensive his...

This book provides comprehensive coverage of the key issues and perspectives in the current practice of physiotherapy, focusing on the issues that are not taught in 'clinical' texts yet that underpin professional practice. The book helps students gain a good understanding of the physiotherapy profession. It will introduce students to the key practi...

A principal cause of subacromial impingement (SAI) is failure of the rotator cuff to center the humeral head in the glenoid during shoulder motion, counteracting the effect of the deltoid. As rehabilitation of the rotator cuff endeavors to restore balance between these muscle groups, the purpose of this companion study was to evaluate, in the sympt...

The language of the International Classification of Functioning, Disability and Health (ICF) is a common language for the description and classification of health and health related states. The ICF has as its theoretical underpinning the biopsychosocial model. In this paper obstacles to the implementation by physiotherapy students and practitioners...

Balanced forces around the shoulder are important for normal function; however, rehabilitation guidelines are not well defined because the muscle contributions and optimal exercise technique to recruit them are poorly understood. This study aimed to determine (1) the conditions of resisted isometric external rotation that optimized the contribution...

In this paper, we present findings from literature which suggests an intrinsic relationship in patients with chronic pain between the development of rigid and limited perspectives based on the interpretation of experience and the development of decreased repertoires of movement patterns. We present a research-based clinical reasoning model for conc...

Purpose: As the second of two papers addressing challenges in applying best evidence to physiotherapy practice (see volume 4 number 3), the purpose of this paper is to explore health and clinical reasoning models that can facilitate evidence-based practice. Summary of Key Points: The challenge and importance of using skilled clinical reasoning in a...

Purpose: This pilot study compared traditional (paper-based) and electronic (computerized) clinical physiotherapy records. The content of the records and the software’s user acceptability were considered. Methods: A neuro-musculoskeletal patient scenario involving two encounters (initial and follow-up) was scripted and role-played to each of three...

Purpose: As the first of two papers addressing challenges in applying best evidence to physiotherapy practice, this paper highlights the role of qualitative research and challenges researchers face in producing sound evidence for practice.Summary of Key Points: The challenge of what constitutes acceptable evidence to inform evidence-based practice...

The ethics literature in physiotherapy has long recognised the need to better understand the relationship between ethical reasoning and clinical decision-making in clinical practice. This paper proposes a model of clinical reasoning which demonstrates how ethical reasoning can be considered in a wider clinical-reasoning framework without reducing t...

Clinical reasoning remains a relatively under-researched subject in physical therapy. The purpose of this qualitative study was to examine the clinical reasoning of expert physical therapists in 3 different fields of physical therapy: orthopedic (manual) physical therapy, neurological physical therapy, and domiciliary care (home health) physical th...

A practical text covering the theory and the practice of clinical reasoning skills for all physical therapists. Provides readers with activities to improve their own clinical reasoning within their own clinical setting. With a range of very high-caliber international contributors in the field of physiotherapy practice, this book gives the answers t...

Altered dynamic control appears to be a significant contributing factor to shoulder dysfunction. The shoulder relies primarily on the rotator cuff for dynamic stability through mid-range. Hence, any impairment in the dynamic stabilizing system is likely to have profound effects on the shoulder complex. The rotator cuff appears to function as a deep...

Two clinical evaluation procedures for assessment of dynamic stability of the glenohumeral joint are presented in this paper, together with the biomedical evidence on which they are based. They are the Dynamic Rotary Stability Test (DRST) and the Dynamic Relocation Test (DRT). The purpose of the tests is presented and the technique required to perf...

Objectives. To evaluate the effect of sitting versus lying supine on proprioception of asymptomatic shoulders, and to determine the relationship between shoulder position and movement sense acuity.Design. Repeated measures design.Setting. Laboratory in an educational institution.Participants. Fifteen healthy right-hand males.Method. Tests of passiv...

Context Although the repositioning test is widely used to evaluate proprioception, the effects of several test-associated variables on the test outcome are not known. Objective To determine the effects of mode of movement, scapular support, and arm orientation on shoulder-position sense. Participants 49 healthy, randomly selected men. Methods Th...

The integration of the biopsychosocial model into manual therapy practice is challenging for clinicians, especially for those who have not received formal training in biopsychosocial theory or its application. In this masterclass two contemporary models of health and disability are presented along with a model for organizing clinical knowledge, and...

Evidence-based practice involves basing clinical decisions and practice on the best available evidence. What do nurses need to think about when seeking to pursue evidence-based practice? What challenges do practitioners face in blending clinical reasoning with evidence-based practice? In this article, the authors argue against basing clinical pract...

To determine the effect of different joint positions on position sense of asymptomatic shoulders. Repeated-measures design. Laboratory in an educational institution. Thirty-four asymptomatic, right-handed men. The ability of subjects to replicate 3 criterion positions was examined on subjects' right shoulders by using an isokinetic dynamometer. Thr...

Objective: To identify activation patterns of several muscles acting on the shoulder joint during isokinetic internal and external rotation. Design: Combined EMG and isokinetic strength analysis in healthy subjects. Background: EMG studies of the shoulder region revealed intricate muscular activation patterns during elevation of the arm but no...

Quantitative assessment of supraspinatus (SSp) strength can add substantially to the understanding of the underlying pathomechanics and recovery status of this critically important shoulder joint muscle. Since strength measurement of the SSP is an involved procedure which at times could be contraindicated, obtaining indirect but well correlated evi...

This study was undertaken to assess the difference between the response to the slump test in 40 asymptomatic and 20 symptomatic female subjects with cervical pain after whiplash injury. Areas and alterations of pain responses during the test, and ranges of movement of knee extension, were analysed. The results demonstrated that the addition of knee...

The roles of the glenoid labrum and long head of biceps are reviewed together with their significance in stability of the glenohumeral joint. Clinical presentations related to disorders of the glenoid labrum and long head of biceps not associated with frank instability but commonly responsible for dysfunction in the athletic shoulder, are reviewed...

Clinical reasoning is reviewed with respect to the historical and continuing need for critical inquiry skills, the hypothetico-deductive basis of sound reasoning, factors influencing therapists' reasoning, and ways of promoting critical yet creative reasoning. The importance of clinicians' organisation of biomedical and clinical knowledge and the i...

Clinical reasoning refers to the cognitive process or thinking used in the evaluation and management of a patient. In this article, clinical reasoning research and expert-novice studies are examined to provide insight into the growing understanding of clinical reasoning and the nature of expertise. Although hypothetico-deductive methods of reasonin...