Category: Evidence Summary

Mulligan’s Approach – Workshop Opportunity in Nepal

Saurab Sharma | January 7, 2016

What is Mulligan’s concept?A concept of manual therapy where the therapist applies the accessory joint mobilizations with the patient generated physiological movement (MWM). Mostly, it is done in weight bearing position and helps to reduce the pain and symptoms instantly. This is the reason why the patients or those with painful disorders like the approach […]

A day to remember for Physiotherapy profession in Nepal

Saurab Sharma | December 6, 2015

Seven years back I started my job as a teacher to teach certificate level physiotherapy students and got heavily involved in curriculum planning along with my team mates. It was a difficult journey to begin but now we have a sweet reward – “The Graduation Day” of the first cohort of students at Kathmandu University […]

Hidden contributor of pain in clinical practice – “Catastrophizing”

Saurab Sharma | December 3, 2015

The experience of pain is a complex interplay between psychological, biological, and cultural factors [1]. Individual who experience pain from any surgical procedure or from any injury to the tissue tends to distress or pain. But question arises why the person with same type of injury or surgery tend to have different level of pain […]

How to exercise in different chronic pain conditions?

Anupa Pathak | December 2, 2015

After a very interesting discussion on exercise prescription for chronic low back pain on a previous post on chronic pain, I received an invitation to write a blog on exercises for chronic pain which I accepted to write. For writing this blog, I performed a narrative review of literature and summarized the evidences for three […]

Assessment of Pain in clinical and experimental setting

Saurab Sharma | November 30, 2015

Pain assessment has always been a challenge for researchers for many years. They have always tried to quantify pain. Quantitative sensory testing (QST) evaluates the integrity of the entire sensory receptors. It is found to be a reliable and relatively reproducible. Though QST is a subjective test, recent brain imaging studies provide strong evidence that […]

Assessing “function” in clinical practice and research

Saurab Sharma | November 28, 2015

When a patient comes to us, he/ she almost always explains their problems in terms of the functions. For example: “I cannot comb my hair due to pain”, “I cannot walk”, I can’t climb the stairs because of pain” etc. Function is really important to a patient, and so it should be for a physiotherapist […]

Should we worry about “how much it hurts” in Chronic Pain?

Saurab Sharma | November 27, 2015

History of pain management suggests strong value of focusing on pain intensity as the goal of treatment. This is true for cancer pain towards the end of life and probably for acute pain with injury or pathology. However, for pain without obvious pathology or trauma, addressing elimination of pain may not be right goal of […]

I have subscribed to PEDro “Evidence in my Inbox” – have you?

Saurab Sharma | October 31, 2015

PEDro is physiotherapy Evidence Based Database. To learn how PEDro is useful resource for physiotherapists click here. A brand new feature of PEDro includes “Evidence in your Inbox”. With this feature of PEDro, “The latest clinical practice guidelines, systematic reviews and clinical trials for each area of physiotherapy and for selected topics in physiotherapy can […]

PEDro – An important physiotherapy evidence resource.

Saurab Sharma | October 31, 2015

PEDro is physiotherapy Evidence Based Database. It is created to bring physiotherapy evidences free to use for physiotherapists all round the world. It archives more than 31 thousand interventional studies (clinical trials), summary of evidences (Systematic reviews) and clinical practice guidelines. It is easier as physiotherapists to browse through one database PEDro for updating themselves, […]

We got it published in JOSPT!!!

Saurab Sharma | September 5, 2015

Earthquake in Nepal this year was a Disaster in its true form. With many killed, plenty injured and disabled, houses collapsed, which followed by ongoing aftershocks and other disasters such as floods and landslides.We shared our experiences regarding the disaster management as physical therapists with Journal of Orthopedic and Sports Physical Therapy (JOSPT) on behalf […]