Manip Masters? australia or ENgland?

[physioo]

Hi guys

I am a physio currently in Canada, and doing a Masters degree here, which is heavily invested in research with no clinical expertise.

I was thinking of improving my clinical skills, by a manip one year Masters, would you think Australia would be better than England, and would you think the country will matter if i return back to Canada?

Thanks to all those who read and reply

the dream lives on...

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[Physiobase]

I would try a master in Manips in Perth, Australia

[physioo]

thanks checking that out

do u think it would be a waste of time (and money)doing another masters after i finish the 2 in Canada?

In Canada, its just research with no clinical stuf, which is really not what I wanted to do, but if u wanna work here, a Masters degee from a canadian uni is always a plus.

thanks

[Physiobase]

I think if your were to combine the two with a touch more effort you may well be able to convert it to a phd. Best to ask the University about that but it make sense to me 8o

[physioo]

I agree with your answer
but have one problem

Although a Phd interests me, I dont wanna lose my clinical practice, and since im still a relatively new grad (24), i love the clinical area too much, and gots loads to learn from....

Thanks for your time

(one other question: im currently using EMG to study muscle activity in PArkisnons patients, lets say I do a manip masters there, would you think my masters thesis im doing here would conflict with their views there?)
Thanks

[Physiobase]

Not really, emg is not as much a treatment as a source of feedback so I think they might find it rather interesting to see what you are looking at (As would I).

I think that you can still be clinical at the same time as doing research etc towards a phd.

[physioo]

cool, great to know that!

Im currently working on myproposal and am aiming to analyze muscle action in VM/VL/Hams during sit - stand transfer. Also using an Optotrak system to analyze trunk movemnt during this action.

Im doing it more to learn the use of this instruments, as I would prefer working on something more related to musculoskeltal problems, but i believe this is a good start for me to learn.

Take care

[Physiobase]

Sounds like a multiple single case design. You would get a group study where the patients were similar enough. Anyway single case is probably stronger in statistical merit (in my view anyway).

What is the study actually looking at. Perhaps you might get more out of it if you compare two or three variations of the sit to stand? Maybe a rotational type of movement, used of arms? Even a sit-to-stand assist cushion. The company might pay something towards the study if they can use the data.

There are simple designs such as phc-online.com/uplift_chair.htmphc-online.com/uplift_chair.htm

or more complex ones like www.easystand.com/evolv/index.cfm

[physioo]

Hi again

My aim of the study is to compare the force prodn in those specific muscles as compared to normals, and also to analyze the trunk movement as PD patients sit to stand. Right now, am contemplating, whether to use EMG on trunk extensors instead of VL/VM/Hams as in my opinion this would be a more interesting study, as could also work on LBP clients in the future if I want to cont my studies.

Regarding the cushion, it looks pretty interesting and will certainly discuss this with my supervisor.

Check this link for an idea of my study....without the force platforms

www.sciencedirect.com/sci...rticle.pdf

hope it works
Muscle activation and force production in Parkinson’s
patients during sit to stand transfers

thats the title, full copy on pubmed too
later

[Physiobase]

Hmmmm, parkinson's is not a disease of the muscle, so why look at one over another? It seems a bit mindless with some data collection but nothing more than that, mere observation that probably won't guide treatment as the results will be very individual, dependent on the time of day, the medication, what they ate the night before, how much sleep they had etc etc.

I like the idea of the emg in itself as a measure but why not try to make the data useful for something? Perhaps if you wish to measure a mm performance combine it with a change in medication, or compare it to a diet change or.......

I think your supervisor might get what I am at here. A study that adds to the better quality of treatment. I don't wish to sound patronising, just trying to share some ideas.

[physioo]

hi again

After speaing to my supervisor we have decided to use the Optotrak to analzyze the movements during SIt to Stand in PD pts as compared to Normals, using markers on limbs, trunk and head.

Unfortunately, there arent any studies studying EMG activity in trunk musculature (majority of studies are on LBP), so this was the primary reason we have decided to look at what i described above.

ANy comments will be appreciated!
Thanks...

[Physiobase]

OK, this might show that they are in fact the same, albeit slower? or that they might be different but due to the speed as in walking whereby contralateral arm swing is dependent on gait speed.

Perhaps you could look at the differences as you have described without any time frame but analyse the angular velocities and time between each component (as well as range/excursion of movement). Then if different you would have to consider 1. Is this due to speed of standing? or 2. Is it to do with the disease process as it relates to factors such as muscle weakness?

You could then ask the normals and patient population to rise from sitting to a count (or counts and vary the timing of the counts from slow to "normal"). You could vary the count to see if the normals and parkinson's patients became more similar as their speeds of rising became the same. This might conclude that speed is the factor and therefore teaching to rise with a certain speed might be more beneficial than anything else. This could later be looked at (PHD) in relation to medication to facilitate the freedom of movement to permit the more idea speed of rising.

Does this make sense?

[physioo]

interesting stuff!
I was reading an article , which used markers on spinous process and shoulder,and they viewed the patient standing, both in a coronal and sagital plane, and they even commented on roitation during the movt which was cool.

I am thinking of analyzing time to stand, anguler velocities, togther with the range as you corectly stated. Am also hoping to use a marker on the head (maybe ear) to analyze if there is any excessive flexion, which might change the momentum of the transfer.

Re Phd, If i will ever consider doing it, i need to base it on musculoskeletal stuff, as thats what im moving into right now, especially manual therapy, which in my opinion, is the basis for Physiotherapy.

Will see how it goes....

[alophysio]

Hi!

If you are interested in EMG, then University of Queensland is the place to be.

LJ Lee is doing her PhD in trunk muscle motor control there with Paul Hodges.

Email Paul Hodges and see...

[ec70]

Hi, I have completed a Master of Sports Physio in Perth-WA. The first semester was in common with the Manip Master and was full of academic/research stuff, so at the end I wasn't satisfied because not useful for my daily professional practice.