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The “Black Box” of Rehab EBM Dosing

The “Black Box” of Rehab EBM Dosing. Michael A. Shaffer PT, ATC, OCS . Making your own bread……. before it was “cool”. Step 1- “Fill the green bowl almost to the top with flour” Step 2- Keep buying bread . “We have this athlete….” (MBB- Anterior knee pain). “We’ve been doing QS SLR

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The “Black Box” of Rehab EBM Dosing

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  1. The “Black Box” of Rehab EBM Dosing Michael A. Shaffer PT, ATC, OCS

  2. Making your own bread…….before it was “cool” • Step 1- • “Fill the green bowl almost to the top with flour” • Step 2- • Keep buying bread

  3. “We have this athlete….”(MBB- Anterior knee pain) • “We’ve been doing • QS • SLR • Wall squats • Leg press • and modalities. But he denies any change. Do you have any suggestions?”

  4. Dosing

  5. Transformations 6 2

  6. Transformations Injured Athlete Well Athlete

  7. W. Darlene Reid, B.M.R (PT), PhD Univ. British Columbia

  8. What can/ should we quantify? • QS • SLR • Wall squats • Leg press

  9. Why this talk? Why now? • “Role of the PT” • It’s “in” • Make you think to start the year • Glenn Wms- Activity Monitoring • Rich Shields- Error Monitoring • It’s where we are • “Does rehab work?” • Diff rehab programs

  10. What EBM is and maybe isn’t….. • If the EVIDENCE matches your experience, it’s EVIDENCE that you’re right. • If the EVIDENCE doesn’t match your experience, it is EVIDENCE that more research is needed.

  11. # of exercises • Frequency • Duration • Sets/ Reps • Rest time • Resistance Level

  12. Clinical Progression???

  13. Dosing of Balance Exercises

  14. Measuring NM Control

  15. Measuring NM Control

  16. Measuring NM Control Constant Error = Z Absolute Error = Abs Z Variable Error = s.d. Z Z

  17. P NP

  18. Thank you. • Insert something witty here.

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