Category: Technical

a girl with a sore jaw and a pillow over her head
Technical
Michael Smith BSc (Hons) Ost

Test Accuracy 101

Do you find it difficult to understand and recall all the terminology regarding test accuracy? You know, the stuff you vaguely remember covering in a Research Methods class at undergraduate level?

Would you struggle to clearly explain the meaning of a term like sensitivity to a patient or fellow-professional?

If the answer to either of these two questions is yes, then this short course will help re-orientate you by taking you through the subject in a way that enables comprehension and recall.

Given the current pandemic, I think it pertinent to use Covid-19 to illustrate the key points!

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Male pelvis - posterior view
Technical
Michael Smith BSc (Hons) Ost

Lumbo-sacral Lesions

Here are my thoughts on how I conceptualise lumbo-sacral segment dysfunction (LS) and approach the treatment of this area.

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diagram of gluteus medius
Technical
Michael Smith BSc (Hons) Ost

Trendelenburg test – spinal uses?

I use the standing one-legged balance test a lot, finding it helps a great deal in the interpretation and prediction of lumbar spine dysfunction. This short article gives a summary of the issues, and I hope to write more on this at some point.

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A puzzled dog staring at the camera
Technical
Michael Smith BSc (Hons) Ost

What’s My Problem?

Here’s a short article which tries to integrate or balance how patient’s see things with how we see things, all in the context of developing a structured thought-process.

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a man touching his mid back with his right hand
Technical
Michael Smith BSc (Hons) Ost

Thoracic Spine – Some Ideas

Here’s a short article – somewhat of a brain-dump, I’m afraid – with key points about the thoracic spine that I’ve developed and found useful over the last twenty or so years.

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a magnifying glass
Technical
Michael Smith BSc (Hons) Ost

Complex Or Complicated?

For years I’ve been fascinated by the difference between things that are complicated and things that are complex, and how that relates to what we can know – the limits of knowledge, if you like – about spinal functioning. Here’s some thoughts on the matter.

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a hand about to topple some dominos
Technical
Michael Smith BSc (Hons) Ost

Cause And Effect

Some thoughts on the tricky idea of cause and effect along with how we can interpret reactions to treatment.

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a photo of some pills on a table
Technical
Michael Smith BSc (Hons) Ost

Placebo Quirks

Oddly, some of the additional benefit a drug has relative to a placebo might be a quirk of the side-effects of the drug.

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picture of a man driving a car
Technical
Michael Smith BSc (Hons) Ost

The Need For Speed

I wrote a paper on HVT back in 2002. If I remember correctly, I was trying to put my thoughts in order after a spell teaching technique at the UCO. In draft form, it gathered dust on a shelf at the back of my office.

Tidying things up the other day during some lockdown boredom, I stumbled across it. Leafing through it, it was like looking back through time. It did seem a little rambling, to say the least.

But the intention of the paper was good. Why does manipulation (cavitation) of a spinal joint work best with high speed over a short distance? We had this drummed into us at the UCO. Why not slow speed over a longer distance?

So I’ve taken some ideas out of that paper and freshened them up.

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